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Clinical Data Standards & Electronic Medical Records

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LHNCBC is a leader in the development, enhancement, and adoption of clinical vocabulary standards. The CORE Problem List Subset of SNOMED CT is published in the UMLS as a specific content view. RxTerms facilitates the use of RxNorm as an interface for medication orders. Inter-terminology mapping promotes the use of standard terminologies by creating maps to administrative terminologies, which allows re-use of encoded clinical data. The Newborn Screening Guide combines terminology and electronic messaging systems to facilitate care and research related to newborn screening. A separate effort focuses on the development of a consumer-friendly medical problem and procedure terminology. LHNCBC continues to play an important role in the UMLS project in research related to the various UMLS knowledge sources and providing support in UMLS production and user support.

Projects

  • Clinical Vocabulary Standards

    Multiple projects in this area continue to promote the development, enhancement, and adoption of clinical vocabulary standards. Inter-terminology mapping promotes the use of standard terminologies by creating maps to administrative terminologies, which allows re-use of encoded clinical data.

  • Discoveries from Clinical Data small image waveform

    Discoveries from Clinical Data

    Large database collections of clinical data -- from longitudinal research projects, electronic medical records, and health information exchanges -- provide opportunities to examine controversial findings from smaller scale clinical studies and to conduct retrospective epidemiological studies in areas that lack clinical trials.

  • InfoBOT

    This system automatically augments a patient's Electronic Health Record (EHR) with pertinent information from NLM resources. The software runs as background agents, both at a hospital and at NLM. The hospital uses our APIs to integrate the search setup and to display and store results in their existing EHR system.

  • Infobuttons

    Infobuttons are context-aware links from one information system to another that anticipate users’ information needs, take them to appropriate resources, and assist with retrieval of relevant information.

  • Medical Ontology Research

    The LHNCBC Medical Ontology Research project encompasses basic research on biomedical terminologies and ontologies and their applications to natural language processing, clinical decision support, translational medicine, data integration and interoperability.

  • NLM Personal Health Record (PHR)

    The NLM Personal Health Record is a web-based tool for consumers to keep track of their own health information or that of their dependents. It takes advantage of national coding and terminology standards and will help serve as a bridge for meaningful data exchange between electronic health record systems.