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Co-Designing Remote Patient Monitoring Technologies for Inpatients: Systematic Review
On the other hand, diversity in co-design processes may also be attributed to inconsistencies in the co-design terminology and definition [60]. Accordingly, these different interpretations of the concept of co-design may influence how researchers execute their study, making it difficult to compare and evaluate the value of co-design outcomes across different projects. In time, the development of the Cocreation Research Standards (CORES) may help with greater standardization [68].
J Med Internet Res 2024;26:e58144
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PCEtoFHIR: Decomposition of Postcoordinated SNOMED CT Expressions for Storage as HL7 FHIR Resources
SNOMED CT is widely recognized as the most comprehensive medical terminology for enhancing semantic interoperability [3]. In 2021, Germany acquired a national license for SNOMED CT, leading to increased interest and usage of the terminology.
JMIR Med Inform 2024;12:e57853
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ATC: Anatomical Therapeutic Chemical; CDA: Clinical Document Architecture; EHR: electronic health record; EMR: electronic medical record; FHIR: Fast Health Interoperability Resources; HL7: Health Level 7; ICD-10: International Classification of Diseases, Tenth Revision; ICD-11: International Classification of Diseases, 11th Revision; LOINC: Logical Observation Identifiers Names and Codes; RIM: reference information model; SNOMED CT: Systematized Nomenclature of Medicine Clinical Terminology.
JMIR Med Inform 2024;12:e53535
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SNOMED CT is the most comprehensive multilingual clinical terminology [12,13] used by more than 40 countries and 30,000 individuals or organizations. The SNOMED CT International Edition, published on April 30, 2023, includes 360,942 concepts, 1,595,980 descriptions (synonyms) of concepts, and 3,261,032 relationships between concepts. Despite these advancements, there is a lack of empirical studies analyzing patient outcomes using standardized nursing documentation or records with SNOMED CT.
J Med Internet Res 2024;26:e53343
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Common terminology aims to address the problem of ambiguity in exchanged data [6]. However, most legacy systems do not take advantage of a terminology-based approach to data exchange and still use incompatible terminologies or unstructured data in their exchanges with EHR.
J Med Internet Res 2024;26:e45209
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The Necessity of Interoperability to Uncover the Full Potential of Digital Health Devices
The Systematized Nomenclature of Medical Clinical Terms (SNOMED CT) is currently the most appropriate and comprehensive clinical health terminology with natural language properties [14,15]. It includes terminologies for medical concepts, descriptions, and relationships, forming a unique component with a specific identifier [15,16] (Figure 1). Another common medical terminology is the Logical Observation Identifiers Names and Codes (LOINC) [12,14].
JMIR Med Inform 2023;11:e49301
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Reasons for misclassification were identified and included the use of the LGBTQ+ term list word “trans” used in medical terminology (eg, trans-metatarsal and trans-abdominal) as well as the LGBTQ+ term list word “gay” commonly occurring as a legal first or last name. Such terms were added to the term list that needed a manual quality check.
JMIR Cancer 2023;9:e51605
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The standards differ between and within themselves regarding the “boundary problem” [7,8], that is, the demarcation between what information is structured with the information model and what is structured with terminology or values. The standards also differ regarding if terminology is stated or not and if so which terminology.
JMIR Med Inform 2023;11:e46477
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Among them, the key strategy for ensuring semantic interoperability is the use of standard terminology that allows concepts to be represented unambiguously between the senders and receivers of information [4].
To achieve semantic interoperability, interface or local terms extracted from natural language written by a health care provider can be stored as reference terminology, such as in the SNOMED CT (Systemized Nomenclature of Medicine–Clinical Terms; SNOMED International).
JMIR Med Inform 2023;11:e46127
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The Systematized Medical Nomenclature for Medicine–Clinical Terminology (SNOMED CT) is an extensive, multi-hierarchical clinical terminology system. It provides a standardized and scientifically validated way of representing clinical information [1]. The application possibilities of SNOMED CT are well documented [1-5], and various guides describe the following types of implementation: clinical records, knowledge representation, data aggregation, and analysis.
JMIR Med Inform 2023;11:e43750
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