Terminology - Standardize

The Standardize Terminology API takes an input coding and finds matching reference codings from several standard code systems. It can also find codings using plain-text inputs from uncoded data.

Overview

Each domain has its own standardize operation, but they all work in a similar manner. In the body parameters of the request, you provide what information you have about the input coding. You must provide either a code or display value (i.e., the plain-text description of the code you’re looking for). You may optionally provide a source code system (if known), and a target code system (to limit results to codes from a specific system).

Based on the domain, Rosetta will search for matching codings from well-known reference code systems. Each domain uses different reference code systems. For example, medication codes may be standardized using codings from RxNorm and NDC, while report types may use LOINC and SNOMED. Consult the details of the individual standardize operations for a complete list of which reference code systems are used for each domain.

For example, you may start with only some free text:

Sample Standardize Input
{
    "display": "severe asthma"
}

Rosetta will then find matching conditions in the appropriate reference code systems:

Sample Standardize Output
{
  "coding": [
    {
      "system": "http://snomed.info/sct",
      "code": "370221004",
      "display": "Severe asthma (disorder)"
    },
    {
      "system": "http://hl7.org/fhir/sid/icd-10-cm",
      "code": "J45.50",
      "display": "Severe persistent asthma, uncomplicated"
    }
  ]
}     

You could also start with just a code (e.g., "code": "370221004") and find matching conditions for that code (and comparable ones), even if you didn’t know the code system.

Operations

The following standardize operations are available:

Operation Reference Code Systems
Condition

Including problems and diagnoses.

  • ICD-10-CM
  • ICD-9-CM-Diagnosis
  • SNOMED
Medication

Including immunizations.

  • RxNorm
  • NDC
  • CVX
Observation

Including labs, radiology, and other observations.

  • LOINC
  • SNOMED
Labs

Including lab observations, panels, and reports
(For mixed data, use Observation operation).

  • LOINC
  • SNOMED
Radiology

Including radiology observations and reports
(For mixed data, use Observation operation).

  • LOINC
  • SNOMED
Procedure

Including services found in claims and clinical data.

  • ICD-10-PCS
  • ICD-9-CM-Procedure
  • HCPCS
  • CDT
  • SNOMED

Inputs and Outputs

The following fields are common to all standardize operations.

Body Parameters

code string

Code value. Either code or display is required.

display string

Display string. Either code or display is required.

system string

The source code system (as a name or URL).

targetSystem string

The desired code system (as a name or URL).

Response Fields

coding collection

List of matching code values.

coding.code string

Code value.

coding.system string

The source code system (as a URL).

coding.display string

Display string.