Reference no: EM133568254

For each of the following questions, you must justify your answers and use references (preferably your textbook and peer-reviewed articles) to support them. Websites, such as Wikipedia, newsletters, or blogs, are not acceptable.

Real-World Cases:

1. One piece of the Office of National Coordination (ONC) Standards and Certification regulation is the requirement that certified EHR technology use SNOMED CT to represent patient problems. However, billing requires ICD-10-CM for diagnostic capture. For this reason, you have been asked to develop an example map structure of a patient's health issues using the SNOMED CT source to the ICD-10 Target in order to develop a consistent structure for mapping in the backend of the EHR. You have determined to use the I-MAGIC tool to assist you with mapping the correct source to target code for this template. It is up to you to structure it in the most logical way.

Follow the instructions below:

Go to the UMLS / NLM website at https://www.nlm.nih.gov/healthit/index.html Links to an external site. and follow the sequence below:
Vocabulary Standards and Mappings --> SNOMED CT --> Download SNOMED CT --> SNOMED CT to ICD 10 Map --> I-MAGIC DEMO PAGE
Click on About and then Instructions. Follow the instructions to build the case below.

Mrs. T, a 61-year-old woman with a long history of "Gastric ulcer," "Hypercholesterolemia," and "Coronary Arteriosclerosis," referred to your hospital with "Chest pain." The diagnosis is "Myocardial infarction." During the evaluation, the health professional team noticed herniated urinary bladder.

Enter the Problem List (SNOMED-CT Term), "Update List," and select the correct description. Click on "Add Complex Examples and choose "Herniated urinary bladder" under Gender Rule. Click on Update List one more time. When the list is complete, click on "Get ICD codes." Fill out the table below from the Source Code and Description provided, and then identify the correct Target Code and Description.
SNOMED CT Term Source Code and Description Target Code and Description
Reflect on what you learned.

2. Health Information Exchange (HIE) Case Study

You have just been hired as the director of data services at Cure-All Hospital. In this role, you are expected to prepare the organization to optimize for HIE. You have been tasked with preparing a report for the hospital administrators regarding the organization's needs, recommendations, and next steps related to HIE.

What elements do you need to include? Why? Think about the entities in the hospital. (HINT: EHR and patient portal should be on your list) You must justify the necessity of each element.

What are some of the questions you need to ask to begin understanding the state of HIE at your organization? You must justify each question and explain why you need the information.