HHS panel considers central authority for health IT vocabulary

Advisers examine who will decide the vocabulary and resolve disputes

A federal advisory task force is considering whether a central authority is needed to define and enforce medical vocabulary terms to be used in health care messaging, records and data exchange.

The Health and Human Services Department’s Vocabulary Task Force heard testimony from the National Library of Medicine, Centers for Disease Control and Prevention, National Cancer Institute, Joint Commission, and several other organizations March 23. The goal was to review options for creating and updating a common vocabulary for health information systems.

Experts say free and standardized terminology is needed for interoperability between health record systems. Currently, there are vocabularies for clinicians who identify patient problems, for medication terms and for lab orders, among others. Issues that haven't been resolved include governance, such as who decides what goes into the vocabularies, and how disputes are resolved.

Dr. Theresa Cullen, chief information officer of the Indian Health Service, testified that the National Library of Medicine would be an appropriate central authority for putting together a common vocabulary.

“A United States central authority needs to be established,” Cullen said. “The National Library of Medicine would be a logical location for such an effort. The entity should be as independent as possible and insulated from both political and vendor influences.”

Decisions on additional terms must include input from multiple clinical end users as well as terminology experts, she added.

The vocabulary task force was established by HHS’ Health Information Technology Standards Committee’s Clinical Operations Workgroup.

About the Author

Alice Lipowicz is a staff writer covering government 2.0, homeland security and other IT policies for Federal Computer Week.

Featured

  • Contracting
    8 prototypes of the border walls as tweeted by CBP San Diego

    DHS contractors face protests – on the streets

    Tech companies are facing protests internally from workers and externally from activists about doing for government amid controversial policies like "zero tolerance" for illegal immigration.

  • Workforce
    By Mark Van Scyoc Royalty-free stock photo ID: 285175268

    At OPM, Weichert pushes direct hire, pay agent changes

    Margaret Weichert, now acting director of the Office of Personnel Management, is clearing agencies to make direct hires in IT, cyber and other tech fields and is changing pay for specialized occupations.

  • Cloud
    Shutterstock ID ID: 222190471 By wk1003mike

    IBM protests JEDI cloud deal

    As the deadline to submit bids on the Pentagon's $10 billion, 10-year warfighter cloud deal draws near, IBM announced a legal protest.

Stay Connected

FCW Update

Sign up for our newsletter.

I agree to this site's Privacy Policy.