Glossary of Key Terms including Reference and Case Context

Abbreviation	Full name	Reference	Case Context
CDM49–52	Common Data Model	http://mini-sentinel.org/data_activities/distributed_db_and_data/default.aspx	Standardized data storage Many Common Data Models exist for various use cases
OMOP53	Observational Medical Outcomes Partnership	http://www.ohdsi.org/data-standardization/the-common-data-model/	Standardized formatting of data
LOINC	Logical Observation Identifiers Names and Codes	http://loinc.org	Lab formatting and code for the INR test
NDC	National Drug Code	http://www.fda.gov/Drugs/InformationOnDrugs/ucm142438.htm	Code to support identification of Warfarin or chemotherapy medication
RxNorm	Normalized names for clinical drug (Rx)	https://www.nlm.nih.gov/research/umls/rxnorm/	Normalized names to support warfarin in system
ICD	International Classification of Diseases	http://www.who.int/classifications/icd/en/	Classification of specific disease such as intermittent atrial fibrillation
SNOMED-CT	Systematized Nomenclature of Medicine – Clinical Terms	http://www.ihtsdo.org/snomed-ct	Groupings of clinical terms that enable aggregation of concepts such as breast cancer
RadLex	Radiology Lexicon	http://www.radlex.org	Terms for identification of CT imaging or mammography
DICOM	Digital Imaging and Communication in Medicine	http://dicom.nema.org	Standard format for digital imaging transmittal
HGVS	Human Genome Variation Society code	http://www.hgvs.org	Standardized name and syntax for describing genetic variations
NACCR	The North American Association of Central Cancer Registries	http://www.naaccr.org	Centralized repository of cancer registries
CPT	Current Procedural Terminology	http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/ coding-billing-insurance/cpt/about-cpt.page?	Standardized terms that describe procedure such as lumpectomy, R breast with axillary dissection
IMO	Intelligent Medical Objects	https://www.e-imo.com	Intelligent Medical Objects is a privately held company specializing in developing, managing and licensing medical vocabularies and terminology maps
PROMIS	Patient – Reported Outcomes Measurement Information System	http://www.healthmeasures.net/explore-measurement-systems/promis	Validated sets of measures designed assess physical, emotional, social aspects of health
Exchange of Health Information
HIE54	Health Information Exchange	https://www.healthit.gov/providers-professionals/health-information-exchange/what-hie	Shared EMR based results between health systems related to hospitalization from hemorrhage
Communication Standards
HL7	Health Level 7	http://www.hl7.org	Formatting that enables import of a file about genetic test into the EHR
C-CDA55	Consolidated Clinical Document Architecture	http://www.hl7.org/implement/standards/product_brief.cfm?product_id=258	File formatting for data exchange
FHIR	Fast Healthcare Interoperability Resource	http://www.hl7.org/fhir/?ref=learnmore	Specifications that support complex record exchange between organizations