Metadata, Information Management & Classifications Unit, Australian Institute of Health and Welfare, Canberra, Australian Capital Territory, Australia.
UNDP/UNFPA/UNICEF/World Bank Special Program of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland
BMJ Health Care Inform. 2023 Aug;30(1). doi: 10.1136/bmjhci-2022-100691.
Digital adaptation kits (DAKs) distill WHO guidelines for digital use by representing them as workflows, data dictionaries and decision support tables. This paper aims to highlight key lessons learnt in coding data elements of the antenatal care (ANC) and family planning DAKs to standardised classifications and terminologies (CATs).
We encoded data elements within the ANC and family planning DAKs to standardised CATs from the WHO CATs and other freely available CATs.
The coding process demonstrated approaches to refine the data dictionaries and enhance alignment between data elements and CATs.
Applying CATs to WHO clinical and public health guidelines can ensure that recommendations are operationalised in a digital system with appropriate consistency and clarity. This requires a multidisciplinary team and careful review to achieve conceptual equivalence between data elements and standardised terminologies.
The systematic translation of guidelines into digital systems provides an opportunity for leveraging CATs; however, this approach needs further exploration into its implementation in country contexts and transition into machine-readable components.
数字适应套件（DAK）通过将世卫组织指南表示为工作流程、数据字典和决策支持表，从而将其简化为数字使用。本文旨在强调在将产前护理（ANC）和计划生育 DAK 中的数据元素编码为标准化分类和术语（CAT）方面的主要经验教训。
我们将 ANC 和计划生育 DAK 中的数据元素编码为世卫组织 CAT 和其他免费提供的 CAT 中的标准化 CAT。
编码过程展示了如何改进数据字典并增强数据元素与 CAT 之间的一致性。
将 CAT 应用于世卫组织临床和公共卫生指南可以确保建议在数字系统中以适当的一致性和清晰度实施。这需要一个多学科团队和仔细审查，以实现数据元素和标准化术语之间的概念等效性。
将指南系统地翻译成数字系统为利用 CAT 提供了机会；但是，这种方法需要进一步探索在国家背景下的实施情况以及向机器可读组件的过渡。
