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Pediatric Informatics: Computer Applications in Child Health (Health ...

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33 The Case for a <strong>Pediatric</strong> Term<strong>in</strong>ology 431<br />

Table 33.1 Consolidated health <strong>in</strong>formatics term<strong>in</strong>ology standards 7<br />

Doma<strong>in</strong> Term<strong>in</strong>ology standard<br />

Anatomy National Cancer Institute (NCI) Metathesaurus, SNOMED CT<br />

Diagnosis/Problem Lists<br />

Laboratory Results Standardized Nomenclature of Medic<strong>in</strong>e Cl<strong>in</strong>ical Terms<br />

(SNOMED CT)<br />

Non-Laboratory Interventions/<br />

Procedures<br />

Nurs<strong>in</strong>g<br />

Demographics<br />

Immunizations<br />

Cl<strong>in</strong>ical Encounters <strong>Health</strong> Level Seven (HL7)<br />

Text Based Reports<br />

Units<br />

Laboratory Result Names Logical Observations Indicators Names and Codes (LOINC)<br />

Laboratory Test Order Names<br />

Genes Human Gene Nomenclature (HUGN)<br />

Environmental Protection Agency’s (EPA)<br />

Chemicals Substance Registry System (SRS)<br />

Medications: Food and Drug Adm<strong>in</strong>istration’s (FDA)<br />

Active Ingredients Unique Ingredient Identifier (UNII)<br />

Cl<strong>in</strong>ical Drugs National Library of Medic<strong>in</strong>e (NLM) RxNORM<br />

Drug Classifications National Drug File Reference Term<strong>in</strong>ology (NDF-RT)<br />

Food and Drug Adm<strong>in</strong>istration’s (FDA)<br />

Drug Product National Drug Code (NDC) Product Name/Code<br />

Manufactured Dosage Form Food and Drug Adm<strong>in</strong>istration (FDA)<br />

Center for Drug Evaluation and Research (CDER)<br />

Package Data Standards Manual<br />

Special Populations <strong>Health</strong> Level Seven Version 2.x<br />

Logical Observations Indicators Names and Codes (LOINC)<br />

Structured Product Label Cl<strong>in</strong>ical Structured Product Label (SPL)<br />

HIPAA Approved Code Sets <strong>Health</strong> Insurance Portability and Accountability Act (HIPAA)<br />

transactions and code sets<br />

Supplies<br />

History & Physical<br />

Population <strong>Health</strong><br />

Disability No current standards<br />

Physiology<br />

Prote<strong>in</strong>s<br />

Multimedia<br />

and granularity of concepts to describe entities and events with<strong>in</strong> a doma<strong>in</strong> (to the<br />

extent and detail needed) and reusability. Different term<strong>in</strong>ologies implementations<br />

<strong>in</strong>clude:<br />

Dictionaries, catalogs:<br />

structured collection of terms that may be related to<br />

objects, with attributes (e.g., drug formulary with generic and trade names, dose,<br />

and route <strong>in</strong>formation)

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