Dewenter Heike, Thun Sylvia
University of Applied Sciences Niederrhein, Krefeld, Germany.
Stud Health Technol Inform. 2018;247:795-799.
As the reference terminology SNOMED CT is gaining in significance and seems without alternative in interoperable Electronic Health Records, the holder of its intellectual property, the non-for-profit organization SNOMED International has achieved a quasi-monopoly status as a provider. We examine the current dealing with corporate transparency regarding SNOMED CT licensing together with policy recommendations derived from the research project ASSESS CT, in the context of collaboration with Standardization Organizations. In addition, transparency improvement is proposed based on the economic Principal-Agent-Theory, assuming SNOMED CT Licensees as principals. In this paper we introduce improvement measures with regard to increase transparency in the licensing process addressing to the reference terminology users and especially the terminology provider. The aim is to present strategies towards transparency, with the intent to remove barriers concerning indecisive organization stakeholders and users of a license and fee-based terminology solutions, as well as to overcome resentments connected to the quasi-monopoly status of the provider.
由于参考术语集SNOMED CT的重要性日益凸显，且在可互操作的电子健康记录中似乎没有其他替代方案，其知识产权所有者——非营利组织国际医学术语系统命名法开发组织（SNOMED International）已成为事实上的垄断性供应商。我们结合与标准化组织合作开展的“评估CT”（ASSESS CT）研究项目得出的政策建议，审视当前SNOMED CT许可方面企业透明度的处理情况。此外，基于经济委托代理理论提出了提高透明度的建议，将SNOMED CT被许可方视为委托人。在本文中，我们针对参考术语用户尤其是术语供应商，介绍了在许可过程中提高透明度的改进措施。目的是提出实现透明度的策略，以消除与犹豫不决的组织利益相关者以及基于许可和收费的术语解决方案用户相关的障碍，并克服与供应商的准垄断地位相关的不满情绪。
