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Without applying appropriate semantic standards, such as domain-relevant terminologies, interoperability will be limited. This may diminish the availability and potential value of data. The various parties involved have to address the importance of shared digital health standards and especially semantic interoperability features [12-15].
JMIR Med Inform 2024;12:e53535
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Several studies have examined the content coverage of SNOMED CT in the nursing domain by mapping standardized nursing terminologies, such as the Nursing Intervention Classification, International Classification for Nursing Practice (ICNP), Clinical Care Classification System, North American Nursing Diagnosis Association-International, and Omaha system, into SNOMED CT [14-18]. Thoroddsen et al [19] described the nursing care of patients with COVID-19 using ICNP and SNOMED CT.
J Med Internet Res 2024;26:e53343
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The Necessity of Interoperability to Uncover the Full Potential of Digital Health Devices
Terminologies are integrated as Code Systems by providing a base URL and the term code. This combines the syntactic interoperability (structure and data format) enabled by standards such as FHIR with the semantic interoperability enabled by health terminologies. 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].
JMIR Med Inform 2023;11:e49301
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Information models, terminologies, and ontologies are all developed to structure information about things. In some subject areas, ontologies are in themselves sufficient to structure most information, whereas in health care, information models and terminologies or ontologies are usually used in conjunction. A division between information model and terminology is useful, as it makes the requirements on the terminology less complex.
JMIR Med Inform 2023;11:e46477
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Therefore, to fully use health care data, mapping terms extracted from phrases written in natural languages or using interface terms in medical records, disease classification codes, and national health insurance claim codes to reference terminologies are required.
JMIR Med Inform 2023;11:e46127
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