TY - JOUR
T1 - Development of a Framework for Redesigning a Terminology Maintenance Process - Case Study in the Netherlands
AU - Klappe, Eva S.
AU - de Keizer, Nicolette F.
AU - Cornet, Ronald
N1 - Publisher Copyright: © 2021 European Federation for Medical Informatics (EFMI) and IOS Press. All rights reserved. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/7/1
Y1 - 2021/7/1
N2 - Structuring clinical data in electronic health records supports reuse of data to improve quality of care, reduce costs and perform research. This requires terminologies to assign terms from language used in a specific domain to medical concepts. Given the developing character of medical knowledge, these terminologies need continuous maintenance. Nonetheless, little is known about terminology maintenance processes. To specify the (re)design of a terminology maintenance process, we first merged and adapted two static theoretical frameworks that consisted of criteria relating to using a terminology, divided among relevant stakeholders. Following, we applied the framework to the healthcare terminology maintenance process in the Netherlands. We held interviews with relevant stakeholders and used the framework as checklist to identify missing criteria and bottlenecks. Saturation in interviews and fulfilment of the criteria indicated that all bottlenecks were discovered, therefore the framework was considered useful for redesigning a terminology maintenance process. Other countries could benefit from this framework as well to discover and resolve any unfulfilled maintenance criteria.
AB - Structuring clinical data in electronic health records supports reuse of data to improve quality of care, reduce costs and perform research. This requires terminologies to assign terms from language used in a specific domain to medical concepts. Given the developing character of medical knowledge, these terminologies need continuous maintenance. Nonetheless, little is known about terminology maintenance processes. To specify the (re)design of a terminology maintenance process, we first merged and adapted two static theoretical frameworks that consisted of criteria relating to using a terminology, divided among relevant stakeholders. Following, we applied the framework to the healthcare terminology maintenance process in the Netherlands. We held interviews with relevant stakeholders and used the framework as checklist to identify missing criteria and bottlenecks. Saturation in interviews and fulfilment of the criteria indicated that all bottlenecks were discovered, therefore the framework was considered useful for redesigning a terminology maintenance process. Other countries could benefit from this framework as well to discover and resolve any unfulfilled maintenance criteria.
KW - EHR
KW - Electronic Health Records
KW - Semantic interoperability
KW - Terminology maintenance
UR - http://www.scopus.com/inward/record.url?scp=85107238694&partnerID=8YFLogxK
U2 - https://doi.org/10.3233/SHTI210161
DO - https://doi.org/10.3233/SHTI210161
M3 - Article
C2 - 34042746
SN - 0926-9630
VL - 281
SP - 263
EP - 267
JO - Studies in health technology and informatics
JF - Studies in health technology and informatics
ER -