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Related Concept Videos

Methods of Documentation VII: EMR01:30

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Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
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Related Experiment Video

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TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
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Standard for improving emergency information interoperability: the HL7 data elements for emergency department

James C McClay1, Peter J Park2, Mark G Janczewski3

  • 1Department of Emergency Medicine, University of Nebraska Medical Center, 981150 Nebraska Medical Center, Omaha, NE 68198-1150, USA jmcclay@unmc.edu.

Journal of the American Medical Informatics Association : JAMIA
|March 15, 2015
PubMed
Summary

The Health Level Seven (HL7) Data Elements for Emergency Department Systems (DEEDS) is a new standard for emergency care data. This rigorous development process ensures improved interoperability for emergency department systems.

Keywords:
emergency medicinemilitary medicinepublic health surveillanceterminology as topic

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Area of Science:

  • Health Informatics
  • Medical Informatics
  • Public Health

Background:

  • Emergency departments in the U.S. handle over 130 million visits annually.
  • Interoperable data exchange standards are crucial for managing emergency visit information.
  • Existing data exchange specifications lack rigorous standards review.

Purpose of the Study:

  • To describe the creation and balloting of the Health Level Seven (HL7) Data Elements for Emergency Department Systems (DEEDS) specification.
  • To establish a standardized set of data elements for emergency care.

Main Methods:

  • Collected and categorized existing data exchange specifications based on emergency care workflow.
  • Mapped concepts to existing standards for vocabulary, data types, and the HL7 information model.
  • Underwent HL7 community balloting, addressing all comments and concerns.

Main Results:

  • Developed a specification with 525 emergency care concepts for operations and external reporting.
  • Included 200 commonly ordered laboratory tests.
  • Each concept received a unique identifier and was mapped to Logical Observation Identifiers, Names, and Codes (LOINC) with HL7 standard data types.

Conclusions:

  • The HL7 DEEDS specification is the first set of common emergency department data elements to undergo rigorous standards development.
  • This standard will enhance the interoperability of emergency care data.