1. http://www.nlm.nih.gov/healthit/meaningful_use.html
NLM tools for EHR Certification
and Meaningful Use
Steven Emrick
Head, Terminology QA & User Services
National Library of Medicine
National Institutes of Health

2. http://www.nlm.nih.gov/healthit/meaningful_use.html
NLM tools for EHR Certification and Meaningful Use
Meaningful Use Tools

3. http://www.nlm.nih.gov/healthit/meaningful_use.html
Provides a complete list of terminologies, mappings,
applications, and APIs for all NLM efforts
in the Meaningful Use arena.

4. NLM tools for EHR Certification and Meaningful Use
Value Set Authority Center
• Launched in October 2012 to serve immediate need of Stage 2 MU
• Considered ‘source of truth’ for all Stage 2 e-CQM value sets
• Pre-packaged downloads and API functionality available
• Will be expanded to serve value sets beyond the scope of MU
• Tooling in the works for value set authors
• https://vsac.nlm.nih.gov
http://www.nlm.nih.gov/healthit/meaningful_use.html

5. http://www.nlm.nih.gov/healthit/meaningful_use.html
NLM tools for EHR Certification and Meaningful Use
Value Set Authority Center

6. http://www.nlm.nih.gov/healthit/meaningful_use.html
NLM tools for EHR Certification and Meaningful Use
MEDLINE Plus Connect
• Returns patient-specific education from MEDLINEPLUS Health Topics
• Accepts ICD-9-CM/SNOMED CT (problems), LOINC (lab tests), and RxNorm (drugs)
• Available as web application (GUI) or web service (API)
• http://www.nlm.nih.gov/medlineplus/connect/overview.html

7. NLM tools for EHR Certification and Meaningful Use
SNOMED CT
http://www.nlm.nih.gov/healthit/meaningful_use.html
NLM distributes SNOMED CT within the US, as the US Member of the IHTSDO.
SNOMED CT is the designated standard for problems for Stage 2 Meaningful Use.
Available Products & Applications:
• International Release (both English and Spanish RF1 + RF2)
• US Edition of SNOMED CT (US Extension combined with International Release)
• US SNOMED CT content request system (concepts added to US use cases)
• SNOMED CT API – provides API interface to RF2 SNOMED CT (concept status)
• CORE Problem List Subset
• KP’s Convergent Medical Terminology Subsets
Mapping help:
• I-MAGIC - provides mapping assistance from SNOMED CT -> ICD-10-CM
• ICD-9-CM -> SNOMED CT maps
• SNOMED CT -> ICD-10-CM maps

8. http://www.nlm.nih.gov/healthit/meaningful_use.html
NLM tools for EHR Certification and Meaningful Use
RxNorm
RxNorm is produced by the NLM – full monthly releases along
weekly updates.
RxNorm is the designated standard for drugs for Stage 2 Meaningful Use.
RxNorm overview available at:
http://www.nlm.nih.gov/research/umls/rxnorm/overview.html

9. http://www.nlm.nih.gov/healthit/meaningful_use.html
NLM tools for EHR Certification and Meaningful Use
RxNorm
Available Products and Applications
• Full Monthly Release (first Monday of each month)
• Weekly updates also available (FDA SPLs)
• Current Prescribable Subset – represents all currently available prescribable
drugs in the US
• RxNorm/NDFRT/RxTerms API
• RxMix provides ‘daisy-chain’ workflow capability for the APIs above
File downloads:
http://www.nlm.nih.gov/research/umls/rxnorm/docs/rxnormfiles.html
APIs
http://rxnav.nlm.nih.gov/RxNormAPI.html (RxNav)
http://rxnav.nlm.nih.gov/RxTermsAPI.html (RxTerms)
http://rxnav.nlm.nih.gov/NdfrtAPI.html (NDFRT)
http://mor.nlm.nih.gov/RxMix/ (RxMix)

10. NLM tools for EHR Certification and Meaningful Use
LOINC
http://www.nlm.nih.gov/healthit/meaningful_use.html
NLM funds LOINC development through contracts.
LOINC is the designated standard for lab test results for Stage 2 Meaningful Use.
LOINC is published and distributed by Regenstrief – http://loinc.org
Available Products
• Top 300 Lab Orders
• Top 2000+ Lab Observation/Mapper’s Guide
• Panels and Forms file
• LOINC API (for remapped concepts)

11. http://www.nlm.nih.gov/healthit/meaningful_use.html
Questions?
Steven Emrick
emricks@mail.nih.gov
301-496-8707