Abstract
Over the past three decades, the discipline of information standards has emerged from an arcane academic exercise to become a pivotal component in the quest for true semantic interoperability in healthcare. Data exchange technologies, such as HL7 FHIR (Fast Healthcare Interoperability Resources), have become foundational for the other realms of biomedical informatics. The accompanying terminologies, vocabularies, lexicons, ontologies and data models have played critical roles in reducing ambiguity and accelerating data liquidity, benefiting clinical care, regulated and non-regulated research, population health, and emerging payment models.
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Notes
- 1.
The current standard for railroad-track gauge originated with Roman chariot builders, who set the axle length based on the width of two horses. This axle length became a standard as road ruts developed, requiring that the wheels of chariots—and all subsequent carriages—be the right distance apart to drive in the ruts. When carriage makers were called on to develop railway rolling stock, they continued to use the same axle standard.
- 2.
Interestingly, medical informaticians were responsible for the second ANSI standard language: MUMPS (now known as M).
- 3.
7 https://en.wikipedia.org/wiki/21st_Century_Cures_Act (accessed 12/2/19)
- 4.
7 http://fhir.org/guides/argonaut/ (accessed 12/2/19)
- 5.
7 https://www.healthit.gov/topic/standards-technology/consolidated-cda-overview (accessed 12/2/19)
- 6.
7 http://www.hl7.org/about/davinci/ (accessed 12/2/19)
- 7.
7 https://www.carinalliance.com/ (accessed 12/2/19)
- 8.
7 http://www.healthit.gov/newsroom/about-onc (accessed 12/2/19)
- 9.
7 https://www.psychiatry.org/psychiatrists/practice/dsm (last accessed 12/2/2019)
- 10.
5 7 loinc.org (accessed 5/30/19)
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Jaffe, C., Nguyen, V., Kubick, W.R., Cooper, T., Leftwich, R.B., Hammond, W.E. (2021). Standards in Biomedical Informatics. In: Shortliffe, E.H., Cimino, J.J. (eds) Biomedical Informatics. Springer, Cham. https://doi.org/10.1007/978-3-030-58721-5_7
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