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The Necessity of Interoperability to Uncover the Full Potential of Digital Health Devices.

作者信息

Schwab Julian D, Werle Silke D, Hühne Rolf, Spohn Hannah, Kaisers Udo X, Kestler Hans A

机构信息

Ulm University, Ulm, Germany.

University Hospital Ulm, Ulm, Germany.

出版信息

JMIR Med Inform. 2023 Dec 22;11:e49301. doi: 10.2196/49301.


DOI:10.2196/49301
PMID:38133917
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10770786/
Abstract

Personalized health care can be optimized by including patient-reported outcomes. Standardized and disease-specific questionnaires have been developed and are routinely used. These patient-reported outcome questionnaires can be simple paper forms given to the patient to fill out with a pen or embedded in digital devices. Regardless of the format used, they provide a snapshot of the patient's feelings and indicate when therapies need to be adjusted. The advantage of digitizing these questionnaires is that they can be automatically analyzed, and patients can be monitored independently of doctor visits. Although the questions of most clinical patient-reported outcome questionnaires follow defined standards and are evaluated by clinical trials, these standards do not exist for data processing. Interoperable data formats and structures would benefit multilingual and cross-study data exchange. Linking questionnaires to standardized terminologies such as the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) and Logical Observation Identifiers, Names, and Codes (LOINC) would improve this interoperability. However, linking clinically validated patient-reported outcome questionnaires to clinical terms available in SNOMED CT or LOINC is not as straightforward as it sounds. Here, we report our approach to link patient-reported outcomes from health applications to SNOMED CT or LOINC codes. We highlight current difficulties in this process and outline ways to minimize them.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66da/10770786/13272fdeb220/medinform_v11i1e49301_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66da/10770786/cdfd2dbfee35/medinform_v11i1e49301_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66da/10770786/37a3004a6732/medinform_v11i1e49301_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66da/10770786/13272fdeb220/medinform_v11i1e49301_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66da/10770786/cdfd2dbfee35/medinform_v11i1e49301_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66da/10770786/37a3004a6732/medinform_v11i1e49301_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66da/10770786/13272fdeb220/medinform_v11i1e49301_fig3.jpg

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[1]
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Psychooncology. 2023-4

[2]
Fast Healthcare Interoperability Resources (FHIR) for Interoperability in Health Research: Systematic Review.

JMIR Med Inform. 2022-7-19

[3]
Sequential Mapping - A Novel Approach to Map from ICD-10-CM to ICD-11.

Stud Health Technol Inform. 2022-6-6

[4]
Interaction Empowerment in Mobile Health: Concepts, Challenges, and Perspectives.

JMIR Mhealth Uhealth. 2022-4-13

[5]
Digital Patient-Reported Outcome Measures for Monitoring of Patients on Cancer Treatment: Cross-sectional Questionnaire Study.

JMIR Form Res. 2021-8-13

[6]
Digitalization of adverse event management in oncology to improve treatment outcome-A prospective study protocol.

PLoS One. 2021

[7]
Supporting Medical Staff from Psycho-Oncology with Smart Mobile Devices: Insights into the Development Process and First Results.

Int J Environ Res Public Health. 2021-5-11

[8]
Use of the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) for Processing Free Text in Health Care: Systematic Scoping Review.

J Med Internet Res. 2021-1-26

[9]
Why digital medicine depends on interoperability.

NPJ Digit Med. 2019-8-20

[10]
Patent pledges, open IP, or patent pools? Developing taxonomies in the thicket of terminologies.

PLoS One. 2019-8-20

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