Institute of Medical Informatics, University of Lübeck, Lübeck, Germany.
IT Center for Clinical Research, University of Lübeck, Lübeck, Germany.
Stud Health Technol Inform. 2021 Sep 21;283:127-135. doi: 10.3233/SHTI210550.
To ensure semantic interoperability within healthcare systems, using common, curated terminological systems to identify relevant concepts is of fundamental importance. The HL7 FHIR standard specifies means of modelling terminological systems and appropriate ways of accessing and querying these artefacts within a terminology server. Hence, initiatives towards healthcare interoperability like IHE specify not only software interfaces, but also common codes in the form of value sets and code systems. The way in which these coding tables are provided is not necessarily compatible to the current version of the HL7 FHIR specification and therefore cannot be used with current HL7 FHIR-based terminology servers. This work demonstrates a conversion of terminological resources specified by the Integrating the Healthcare Initiative in the ART-DECOR platform, partly available in HL7 FHIR, to ensure that they can be used within a HL7 FHIR-based terminological server. The approach itself can be used for other terminological resources specified within ART-DECOR but can also be used as the basis for other code-driven conversions of proprietary coding schemes.
为了确保医疗保健系统内的语义互操作性，使用通用的、经过精心策划的术语系统来识别相关概念是至关重要的。HL7 FHIR 标准指定了建模术语系统的方法，以及在术语服务器中访问和查询这些构件的适当方法。因此，像 IHE 这样的医疗保健互操作性倡议不仅指定了软件接口，还指定了以值集和代码系统形式的通用代码。这些编码表的提供方式不一定与当前版本的 HL7 FHIR 规范兼容，因此不能与基于当前 HL7 FHIR 的术语服务器一起使用。这项工作展示了如何将在 ART-DECOR 平台的 Integrating the Healthcare Initiative 中指定的术语资源（部分在 HL7 FHIR 中可用）转换为确保它们可以在基于 HL7 FHIR 的术语服务器中使用。该方法本身可用于 ART-DECOR 中指定的其他术语资源，也可作为其他基于代码的专有编码方案转换的基础。
