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The section includes but is not limited to other CBIIT internal requirements and national standards:
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Office of the National Coordinator and National Health Standards
The US Office of the National Coordinator for Health Information Technology (ONC), is developing a set of recommendations for a nationwide health information network (NHIN). The NHIN is a set of standards, services and policies that enable secure health information exchange over the Internet. The network will provide a foundation for the exchange of health information across diverse entities, within communities and across the country, helping to achieve the goals of the HITECH Act.
Because of the convergence of federal agencies and local, regional and state-level Health Information Exchange Organizations (HIOs), the NHIN is setting a strong precedent for semantic interoperability in the United States. Many of the recommendations are likely to become part of future meaningful use specifications. With a growing number of organizations becoming part of the NHIN, it is evident that the more Semantic Infrastructure 2.0 aligns with NHIN, the less need there will be for multiple semantic interoperability strategies.
HL7
The Health Level Seven International Standards Development Organization (HL7) is an international community, working together towards a common goal of improving patient care through technology. HL7 interoperability protocols include messaging standards, decision support standards, clinical document standards, EHR functional requirements, drug product labeling standards, and more. Many of these protocols are specifically called out in the meaningful use final rules.
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The growing adoption of HL7 standards (for example, the HITSP/C32 specification called out in the meaningful use final rule) throughout the world suggests that aligning Semantic Infrastructure 2.0 around these specifications will streamline attainment of Semantic Infrastructure 2.0 objectives.
CDISC
CDISC is a global, open, multidisciplinary, non-profit organization that has established standards to support the acquisition, exchange, submission and archive of clinical research data and metadata. The CDISC mission is to develop and support global, platform-independent data standards that enable information system interoperability to improve medical research and related areas of healthcare. CDISC standards are vendor-neutral, platform-independent and freely available via the CDISC website.
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CDISC SHARE will contain the existing CDISC standards and will provide machine readable element (variables) within those standards. This will allow a range of applications used within other organizations (e.g., Clinical Research Organizations (CROs), Pharma, and other Agencies) to automatically access those definitions.
ISO 21090 Harmonized Data Types for Information Exchange
The NCI CBIIT Enterprise Conformance and Compliance Framework (ECCF) document requires that, in order to achieve Computable Semantic Interoperability (CSI), each attribute of a static information model should be bound to a robust data type specification.
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The guidelines on the use of the emerging ISO 21090 data type standard for projects funded by CBIIT have been approved by the Enterprise Composite Architecture Team (ECAT).
SAIF
SAIF (The HL7 SOA-Aware Interoperability Framework) provides HL7 with an Interoperability Framework, i.e. a set of constructs, best practices, processes, etc. that enable HL7 specifications to achieve cross-specification consistency and coherency irrespective of the chosen interoperability paradigm (messages, documents, or services).
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- National Cancer Institute (NCI),
- Canada Health Infoway (CHI),
- Open Health Tools (OHT) Architecture Project team
caBIG® Semantic Infrastructure v2 - Initiatives
The initiatives proposed below are intended to support production operation of caBIG semantics while evolution toward a national-scale capability begins. In addition to its legacy obligations, caBIG® and caGRID® are expected to inform the design and initial implementations supporting personalized medicine (BIGHealth), improving health care quality, value and affordability (the National Health Informatics Network (NHIN)) and more immediately cancer-oriented initiatives such as the cancer aware extension to the national standard electronic medical record (caEMR), and a number of other rapidly emerging initiatives that will require capabilities well beyond our traditional focus on cancer and on static data semantics.
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- Initiative 1. Distributed, federated metadata repositories and model repositories and operations.
- Initiative 2. Automated generation of metadata from line-of-business artifacts.
- Initiative 3. Rules management and contracts support (behavioral semantics)
- Initiative 4. Semantics support for W3C service oriented architecture resources.
- Initiative 5. HL7 CTS II/ OMG MIF compliant federated terminology services.
- Initiative 6. Controlled biomedical terminology, ontology and metadata content.
- Initiative 7. Assessment of semantic unification of compositional and derivational models
Terminology and Data Types
Terminology and data type standards referenced during requirements gathering process included:
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NLM DailyMed DailyMed provides high quality information about marketed drugs. Drug labeling and other information in the SPL is what has been most recently submitted by drug companies to the Food and Drug Administration (FDA) as drug listing information.
OMG
Object Management Group (OMG) is a consortium, originally aimed at setting standards for distributed object-oriented systems, and is now focused on modeling (programs, systems and business processes) and model-based standards.
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The Common Terminology Services 2.0 (CTS2) Specification will be an extension the HL7 CTS Specification.
w3c recommendations
A W3C Recommendation is the final stage of a ratification process of the World Wide Web Consortium (W3C) working group concerning the standard. This designation signifies that a document has been subjected to a public and W3C-member organization's review. It aims to standardise the Web technology. It is the equivalent of a published standard in many other industries.
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