One-Way and Round-Trip Analysis Demonstrates Surprising Limitations of Standards-Based Terminology Maps.
Journal
AMIA ... Annual Symposium proceedings. AMIA Symposium
ISSN: 1942-597X
Titre abrégé: AMIA Annu Symp Proc
Pays: United States
ID NLM: 101209213
Informations de publication
Date de publication:
2019
2019
Historique:
entrez:
21
4
2020
pubmed:
21
4
2020
medline:
7
7
2020
Statut:
epublish
Résumé
The informatics community has a long-standing vision of freely flowing and highly re-usable patient-specific clinical data that improves care quality and safety. We sought to evaluate the extent to which a standards-based mapping approach is sufficient to support semantic interoperability. We simulated large-scale clinical data transmission and measured semantic success between VA and DoD systems via one-way testing (OWT) and round-trip testing (RTT). Simulations were accomplished via SQL queries and production standards-based maps for medications, allergens, document titles, vitals and payers. Success rates for mapping local codes to national standards varied from 62.5% for DoD document titles and medications, to 100% for VA and DoD vital signs. Successful, one-way testing was considerably lower, ranging from 8.52% to 62.7%. Round-trip success rates were lower still, ranging from 1.7% to 76.3%. We present an error framework, lessons learned, and proposed mitigating steps to enhance standards-based semantic interoperability.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
258-266Informations de copyright
©2019 AMIA - All rights reserved.
Références
AMIA Annu Symp Proc. 2018 Dec 05;2018:358-367
pubmed: 30815075
Fed Regist. 2012 Sep 4;77(171):54163-292
pubmed: 22946139
JMIR Med Inform. 2019 Jan 16;7(1):e11487
pubmed: 30664458
J Biomed Inform. 2012 Aug;45(4):613-25
pubmed: 22750536
J Gen Intern Med. 2019 Jan;34(1):132-136
pubmed: 30338474
Stud Health Technol Inform. 2014;205:594-8
pubmed: 25160255
J Am Med Inform Assoc. 2014 Nov-Dec;21(6):1060-8
pubmed: 24970839
J Am Med Inform Assoc. 1994 Jan-Feb;1(1):1-7
pubmed: 7719784
Methods Inf Med. 1998 Nov;37(4-5):501-9
pubmed: 9865048