HIF 540: Health Data Vocabularies and Standards

Course Description

Students are introduced to various standardized clinical terminologies, healthcare information standards, and data sets required for state and federal reporting and for electronic standards needed to attain interoperability. Emphasis is on developing expertise in identifying their appropriate sources and uses and applying them within and among health information systems to promote interoperability. Students apply knowledge discovery, documentation, and sharing. This course integrates key issues and techniques of technical infrastructure and data architecture in clinical informatics and the role of standards and ontologies in healthcare. (3 credits)

Prerequisites

  • None

Associated Program Learning Outcomes

Upon successful completion of the course, the student will be able to:

  • #1. Apply healthcare informatics and technology concepts and skills to case studies and real-world situations
  • #8. Compare and contrast the varying medical vocabularies and classification systems for best use in health information technology initiatives.

Student Learning Outcomes (SLOs)

Upon successful completion of the course, the student will be able to:

  1. Define and discuss terms and concepts such as clinical vocabulary, clinical terminology, data analysis, Meaningful Use, Information Governance, data dictionary, and data standards.
  2. Interpret and analyze classification systems, clinical vocabularies, and nomenclatures and the impact on the healthcare continuum.
  3. Propose data standard policies, structures and methods for interoperability and sharing.
  4. Develop strategies to achieve data integrity with data sets for compliance with data governance standards.
  5. Construct examples of mapping of clinical vocabularies and terminologies to appropriate classification systems.
  6. Interpret compliance with regulatory requirements and reimbursement methodologies (telehealth, privacy, security, etc).
  7. Integrate data standards in relation to assigned use cases.
  8. Analyze organizational strategies, technology, and standards requirements for health information exchange.

 

Course Activities and Grading

AssignmentsPointsWeight

Assignment Submissions

480

48%

Discussion Board Posts

210

22%

Final Project Submission

300

30%

Total

1000

100%

Required Textbook

Available through Charter Oak State College's Book Bundle

  • Giannangelo, Kathy. Healthcare Code Sets, Clinical Terminologies, and Classification Systems - with Access Code. 4th AHIMA Publications, 2019. ISBN-13: 9781584266730

Additional Resources

  • Articles provided within the course
  • Important Website Resources provided within the course

 

Course Schedule

Week

PLOs

SLOs

Readings and Exercises

Assignments

1

8

1,7,8

Topics: Introductions to Health Data vocab and Standards

  • Read and Review:
    • Textbook chapters: Introduction, 18, 16, and 17
    • Additional readings:
      • Altexsoft blog post
      • Learning to Share Healthcare Data article
    • Additional resources to review:
      • NIH UMLS Metathesaurus Vocabulary Documentation
  • Review Course Syllabus and Course Documentation in Blackboard.
  • Read assigned material
  • Review lecture material
  • Participate in Discussion
    • Student Introductions
    • UMLS Metathesaurus Vocabulary Discussion
  • Submit UMLS Metathesaurus activity

2

1,8

1,2,4,5,6,7, 8

Topics: ICD-10-CM, ICD-10-PCS, ICD-11, DSM-5-TR

  • Read and Review:
    • Textbook chapters: 1, 7, and 9
    • Additional readings:
      • ICD-10 Transition background
      • DSM-5-TR Online Assessment Measures
    • Additional resources to review:
      • CDC ICD-10-CM term search
      • Codes webpages
  • Read assigned material
  • Review lecture material
  • Participate in Discussion
    • ICD-10-CM Discussion
  • Submit ICD-10-CM Assignment

3

1,8

1,2,4,5,8

Topics: CPT, HCPCS, SNOMED CT

  • Read and Review:
    • Textbook chapters: 2, 3, and 6
    • Additional readings:
      • No additional readings this week.
    • Additional resources to review:
      • I-Magic Mapping Tool
      • FIND-A-Code: SNOMED CT Codes
      • DSM-5-TR Online Assessment Measures
  • Read assigned material
  • Review lecture material
  • Submit CPT to ICD-10-CM Mapping Assignment
  • Submit SNOMED CT Problem List Assignment

4

1,8

1,2,4,5,8

Topics: NDC, RxNorm

  • Read and Review:
    • Textbook chapters: 4 and 8
    • Additional readings:
      • NDC product file definitions
      • NDC package file definitions
      • NDC Crosswalk Questions and Answers
      • NIH RxNorm Overview
    • Additional resources to review:
      • PDAC NDC-HCPCS Crosswalk
      • FDA NDC Directory
  • Read assigned material
  • Review lecture material
  • Submit NDC and Dailymed Crosswalk Assignment
  • Submit FDA NDC Assignment

5

1,8

1,2,4,5,6,8

Topics: CDT, LOINC

  • Read and Review:
    • Textbook chapters: 5 and 10
    • Additional readings:
      • No additional readings this week.
    • Additional resources to review:
      • ADA video
      • Translation of Current Dental Terminology dataset
      • LOINC webpages
      • RELMA webpages
  • Read assigned material
  • Review lecture material
  • Submit LOINC to CPT Mapping Errors Assignment
  • Submit LOINC Web Application Assignment
  • Submit Perioperative Nursing Data Set (PNDS) Course Registration Assignment

6

1,8

1,2,4,7

Topics: ICF, Terms in Nursing, Other Terminologies and Classification Systems

  • Read and Review:
    • Textbook chapters: 11, 12, and 13
  • Additional readings:
    • No additional readings this week.
  • Additional resources to review:
    • Charter Oak State College – Cancer Registry Management Certificate
    • National Cancer Registrars Association videos
    • NIH SEER Training Modules - Appendix B
    • NIH SEER Training Modules – Links to Organizations
  • Read assigned material
  • Review lecture material
  • Participate in Discussion
    • ICF Case Study Discussion
  • Submit Perioperative Nursing Data Set (PNDS) Course Assignment

7

1,8

1,4,6,8

Topics: HIT Data Standards and Interoperability

  • Read and Review:
    • Textbook chapters: 14 and 15
    • Additional readings:
      • AHIMA Standards Fact Sheets
      • HIMSS Terminology Standards
      • HIMSS Interoperability in Healthcare
      • Best Practices for Mapping Terminologies in a Health Information Exchange
    • Additional resources to review:
      • eCQMs webpages
      • HL7 FHIR Foundation – Implementation Guide Registry
      • Athena – OHDSI Vocabularies Repository
  • Read assigned material
  • Review lecture material
  • Submit eCQI Assignment
  • Submit CDE Data Governancy Assignment

8

 1,8

1,2,3,4,6,7, 8

Topics: Application of Terminologies and Classification Systems

  • Read and Review:
    • Textbook - No assigned textbook reading this week.
    • Additional readings:
      • No additional readings this week.
    • Additional resources to review:
      • No additional resources to review this week.
  • Review lecture material
  • Participate in Discussion
    • Final Project Presentation Discussion Post
    • Au revoir and best wishes! (Not graded.)
  • Submit Final Project Presentation Assignment Submission (Due by 11:59pm ET Friday!)
  • Complete Course Evaluation

COSC Accessibility Statement

Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.

COSC Policies, Course Policies, Academic Support Services and Resources

Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.