Research Guides: Electronic Health Records: Standards and Vocabularies

Standard Vocabularies [Accessible Through Library]

ICD-10-CM is the new diagnosis coding system that was developed as a replacement for ICD-9-CM, Volumes 1 & 2.

ICD-10-PCS is the new procedure coding system that was developed as a replacement for ICD-9-CM, Volume 3.

Convert ICD-9-CM to ICD-10-CM or ICD-10-CM to ICD-9-CM

Convert ICD-9-CM to ICD-10-PCS or ICD-10-PCS to ICD-9-CM

The DICOM Standard 2017
Digital Imaging and Communications in Medicine (DICOM) is the standard for the communication and management of medical imaging information and related data.
Logical observation identifiers names AND codes (LOINC)
LOINC is a common language (set of identifiers, names, and codes) for clinical and laboratory observations.
NLM SNOMED CT Browser
Search for and display SNOMED CT content, as included in UMLS® Metathesaurus®. Expands searches to include synonymous terms from over 100 Metathesaurus vocabulary sources.You will need request a UMLS Metathesaurus License and sign up for a UTS account. This account will allow you to search and display content from UTS Applications including: Metathesaurus Browser, Semantic Network Browser, and SNOMED CT Browser. You can download data files including: UMLS Knowledge Sources, RxNorm files, SNOMED CT and CORE Problem List etc.
RxNorm
Produced by National Library of Medicine (NLM), RxNorm is two things: a normalized naming system for generic and branded drugs; and a tool for supporting semantic interoperation between drug terminologies and pharmacy knowledge base systems.

Vocabulary Mappings
Current NLM Mappings Efforts: SNOMED CT to ICD-9-CM, SNOMED CT to ICD-10-CM, ICD-9-CM Diagnostic Codes to SNOMED CT Map, ICD-9-CM Procedure Codes to SNOMED CT Map, and LOINC to CPT Mapping
Value Set Authority Center (VSAC)
The VSAC provides downloadable access to all official versions of vocabulary value sets contained in the 2014 Clinical Quality Measures (CQMs). Each value set consists of the numerical values (codes) and human-readable names (terms), drawn from standard vocabularies such as SNOMED CT® , RxNorm, LOINC and ICD-10-CM, which are used to define clinical concepts used in clinical quality measures.
Unified Medical Language System (UMLS)
The UMLS is a set of files and software that brings together many health and biomedical vocabularies and standards to enable interoperability between computer systems. You can use UMLS to enhance or develop applications, such as electronic health records, classification tools, dictionaries and language translators.

Health Information Technology and Health Data Standards at NLM

Description

NLM is the central coordinating body for clinical terminology standards within the Department of Health and Human Services (HHS). NLM works closely with the Office of the National Coordinator for Health Information Technology (ONC) to ensure NLM efforts are aligned with the goal of the President and HHS Secretary for the nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care.
Health Level Seven (HL7)
IHTSDO
AHRQ

ICD10 apps for physicians

There are free ICD9-10 apps for finding the code and conversion between ICD 9 and 10 reviewed by iMedicalApps: