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Adoption Level

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Test Tool Availability

Cost

Federally Required

Implementation Maturity

Pilot

Production

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Standards Process Maturity

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Standard/Implementation Specification

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Interoperability Need: Medical Image Formats for Data Exchange and Distribution
Standard/Implementation Specification	Implementation Maturity	Adoption Level	Federally Required
Digital Imaging and Communications in Medicine (DICOM)	Production	High	No

Interoperability Need: Representing Patient Allergic Reactions
Standard/Implementation Specification	Implementation Maturity	Adoption Level	Federally Required
LOINC®	Production	Medium	No
SNOMED CT®	Production	Medium-High	No

Interoperability Need: Representing Patient Allergies and Intolerances; Medications
Standard/Implementation Specification	Implementation Maturity	Adoption Level	Federally Required
RxNorm	Production	Medium-High	Yes
SNOMED CT®	Production	Medium	No
Medication Reference Terminology (MED-RT)	Pilot	Feedback Requested	No

Interoperability Need: Representing Patient Allergies and Intolerances; Food Substances
Standard/Implementation Specification	Implementation Maturity	Adoption Level	Federally Required
SNOMED CT®	Production	Medium-High	No

Interoperability Need: Representing Patient Allergies and Intolerances; Environmental Substances
Standard/Implementation Specification	Implementation Maturity	Adoption Level	Federally Required
SNOMED CT®	Production	Medium	No

Interoperability Need: Sending a Notification of a Patient’s Admission, Discharge and/or Transfer Status to Other Providers
Standard/Implementation Specification	Implementation Maturity	Adoption Level	Federally Required
HL7 2.5.1 (or later) ADT message	Production	High	No
IHE Patient Administration Management (PAM) Integration Profile	Feedback requested	Feedback Requested	No