Promoting Learning Health System Cycles by Optimizing EHR Data Clinical Concept Encoding Processes

Piper Ranallo; Bronwyn Southwell; Christopher Tignanelli; Steven G. Johnson; Richard Krueger; Tess Sevareid-Groth; Adam Carvel; Genevieve B. Melton

doi:10.3233/SHTI230929

Promoting Learning Health System Cycles by Optimizing EHR Data Clinical Concept Encoding Processes

Piper Ranallo, Bronwyn Southwell, Christopher Tignanelli, Steven G. Johnson, Richard Krueger, Tess Sevareid-Groth, Adam Carvel, Genevieve B. Melton

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Abstract

Electronic health records (EHRs) and other real-world data (RWD) are critical to accelerating and scaling care improvement and transformation. To efficiently leverage it for secondary uses, EHR/RWD should be optimally managed and mapped to industry standard concepts (ISCs). Inherent challenges in concept encoding usually result in inefficient and costly workflows and resultant metadata representation structures outside the EHR. Using three related projects to map data to ISCs, we describe the development of standard, repeatable processes for precisely and unambiguously representing EHR data using appropriate ISCs within the EHR platform lifecycle and mappings specific to SNOMED-CT for Demographics, Specialty and Services. Mappings in these 3 areas resulted in ISC mappings of 779 data elements requiring 90 new concept requests to SNOMED-CT and 738 new ISCs mapped into the workflow within an accessible, enterprise-wide EHR resource with supporting processes.

Original language	English (US)
Title of host publication	MEDINFO 2023 - The Future is Accessible
Subtitle of host publication	Proceedings of the 19th World Congress on Medical and Health Informatics
Editors	Jen Bichel-Findlay, Paula Otero, Philip Scott, Elaine Huesing
Publisher	IOS Press BV
Pages	68-73
Number of pages	6
ISBN (Electronic)	9781643684567
DOIs	https://doi.org/10.3233/SHTI230929
State	Published - Jan 25 2024
Event	19th World Congress on Medical and Health Informatics, MedInfo 2023 - Sydney, Australia Duration: Jul 8 2023 → Jul 12 2023

Publication series

Name	Studies in Health Technology and Informatics
Volume	310
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Conference

Conference	19th World Congress on Medical and Health Informatics, MedInfo 2023
Country/Territory	Australia
City	Sydney
Period	7/8/23 → 7/12/23

Bibliographical note

Publisher Copyright:
© 2024 International Medical Informatics Association (IMIA) and IOS Press.

Keywords

OMOP
process improvement
Semantic interoperability
terminology

PubMed: MeSH publication types

Journal Article

Access

10.3233/SHTI230929

OpenUrl availability

Full text

Cite this

Ranallo, P., Southwell, B., Tignanelli, C., Johnson, S. G., Krueger, R., Sevareid-Groth, T., Carvel, A., & Melton, G. B. (2024). Promoting Learning Health System Cycles by Optimizing EHR Data Clinical Concept Encoding Processes. In J. Bichel-Findlay, P. Otero, P. Scott, & E. Huesing (Eds.), MEDINFO 2023 - The Future is Accessible: Proceedings of the 19th World Congress on Medical and Health Informatics (pp. 68-73). (Studies in Health Technology and Informatics; Vol. 310). IOS Press BV. https://doi.org/10.3233/SHTI230929

Promoting Learning Health System Cycles by Optimizing EHR Data Clinical Concept Encoding Processes. / Ranallo, Piper ; Southwell, Bronwyn ; Tignanelli, Christopher et al.
MEDINFO 2023 - The Future is Accessible: Proceedings of the 19th World Congress on Medical and Health Informatics. ed. / Jen Bichel-Findlay; Paula Otero; Philip Scott; Elaine Huesing. IOS Press BV, 2024. p. 68-73 (Studies in Health Technology and Informatics; Vol. 310).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Ranallo, P , Southwell, B , Tignanelli, C , Johnson, SG, Krueger, R, Sevareid-Groth, T, Carvel, A & Melton, GB 2024, Promoting Learning Health System Cycles by Optimizing EHR Data Clinical Concept Encoding Processes. in J Bichel-Findlay, P Otero, P Scott & E Huesing (eds), MEDINFO 2023 - The Future is Accessible: Proceedings of the 19th World Congress on Medical and Health Informatics. Studies in Health Technology and Informatics, vol. 310, IOS Press BV, pp. 68-73, 19th World Congress on Medical and Health Informatics, MedInfo 2023, Sydney, Australia, 7/8/23. https://doi.org/10.3233/SHTI230929

Ranallo P , Southwell B , Tignanelli C , Johnson SG, Krueger R, Sevareid-Groth T et al. Promoting Learning Health System Cycles by Optimizing EHR Data Clinical Concept Encoding Processes. In Bichel-Findlay J, Otero P, Scott P, Huesing E, editors, MEDINFO 2023 - The Future is Accessible: Proceedings of the 19th World Congress on Medical and Health Informatics. IOS Press BV. 2024. p. 68-73. (Studies in Health Technology and Informatics). doi: 10.3233/SHTI230929

Ranallo, Piper ; Southwell, Bronwyn ; Tignanelli, Christopher et al. / Promoting Learning Health System Cycles by Optimizing EHR Data Clinical Concept Encoding Processes. MEDINFO 2023 - The Future is Accessible: Proceedings of the 19th World Congress on Medical and Health Informatics. editor / Jen Bichel-Findlay ; Paula Otero ; Philip Scott ; Elaine Huesing. IOS Press BV, 2024. pp. 68-73 (Studies in Health Technology and Informatics).

@inproceedings{df67085498ee4963a43048d7b654519a,

title = "Promoting Learning Health System Cycles by Optimizing EHR Data Clinical Concept Encoding Processes",

abstract = "Electronic health records (EHRs) and other real-world data (RWD) are critical to accelerating and scaling care improvement and transformation. To efficiently leverage it for secondary uses, EHR/RWD should be optimally managed and mapped to industry standard concepts (ISCs). Inherent challenges in concept encoding usually result in inefficient and costly workflows and resultant metadata representation structures outside the EHR. Using three related projects to map data to ISCs, we describe the development of standard, repeatable processes for precisely and unambiguously representing EHR data using appropriate ISCs within the EHR platform lifecycle and mappings specific to SNOMED-CT for Demographics, Specialty and Services. Mappings in these 3 areas resulted in ISC mappings of 779 data elements requiring 90 new concept requests to SNOMED-CT and 738 new ISCs mapped into the workflow within an accessible, enterprise-wide EHR resource with supporting processes.",

keywords = "OMOP, process improvement, Semantic interoperability, terminology",

author = "Piper Ranallo and Bronwyn Southwell and Christopher Tignanelli and Johnson, {Steven G.} and Richard Krueger and Tess Sevareid-Groth and Adam Carvel and Melton, {Genevieve B.}",

note = "Publisher Copyright: {\textcopyright} 2024 International Medical Informatics Association (IMIA) and IOS Press.; 19th World Congress on Medical and Health Informatics, MedInfo 2023 ; Conference date: 08-07-2023 Through 12-07-2023",

year = "2024",

month = jan,

day = "25",

doi = "10.3233/SHTI230929",

language = "English (US)",

series = "Studies in Health Technology and Informatics",

publisher = "IOS Press BV",

pages = "68--73",

editor = "Jen Bichel-Findlay and Paula Otero and Philip Scott and Elaine Huesing",

booktitle = "MEDINFO 2023 - The Future is Accessible",

address = "Netherlands",

}

TY - GEN

T1 - Promoting Learning Health System Cycles by Optimizing EHR Data Clinical Concept Encoding Processes

AU - Ranallo, Piper

AU - Southwell, Bronwyn

AU - Tignanelli, Christopher

AU - Johnson, Steven G.

AU - Krueger, Richard

AU - Sevareid-Groth, Tess

AU - Carvel, Adam

AU - Melton, Genevieve B.

PY - 2024/1/25

Y1 - 2024/1/25

N2 - Electronic health records (EHRs) and other real-world data (RWD) are critical to accelerating and scaling care improvement and transformation. To efficiently leverage it for secondary uses, EHR/RWD should be optimally managed and mapped to industry standard concepts (ISCs). Inherent challenges in concept encoding usually result in inefficient and costly workflows and resultant metadata representation structures outside the EHR. Using three related projects to map data to ISCs, we describe the development of standard, repeatable processes for precisely and unambiguously representing EHR data using appropriate ISCs within the EHR platform lifecycle and mappings specific to SNOMED-CT for Demographics, Specialty and Services. Mappings in these 3 areas resulted in ISC mappings of 779 data elements requiring 90 new concept requests to SNOMED-CT and 738 new ISCs mapped into the workflow within an accessible, enterprise-wide EHR resource with supporting processes.

AB - Electronic health records (EHRs) and other real-world data (RWD) are critical to accelerating and scaling care improvement and transformation. To efficiently leverage it for secondary uses, EHR/RWD should be optimally managed and mapped to industry standard concepts (ISCs). Inherent challenges in concept encoding usually result in inefficient and costly workflows and resultant metadata representation structures outside the EHR. Using three related projects to map data to ISCs, we describe the development of standard, repeatable processes for precisely and unambiguously representing EHR data using appropriate ISCs within the EHR platform lifecycle and mappings specific to SNOMED-CT for Demographics, Specialty and Services. Mappings in these 3 areas resulted in ISC mappings of 779 data elements requiring 90 new concept requests to SNOMED-CT and 738 new ISCs mapped into the workflow within an accessible, enterprise-wide EHR resource with supporting processes.

KW - OMOP

KW - process improvement

KW - Semantic interoperability

KW - terminology

UR - http://www.scopus.com/inward/record.url?scp=85183587643&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85183587643&partnerID=8YFLogxK

U2 - 10.3233/SHTI230929

DO - 10.3233/SHTI230929

M3 - Conference contribution

C2 - 38269767

AN - SCOPUS:85183587643

T3 - Studies in Health Technology and Informatics

SP - 68

EP - 73

BT - MEDINFO 2023 - The Future is Accessible

A2 - Bichel-Findlay, Jen

A2 - Otero, Paula

A2 - Scott, Philip

A2 - Huesing, Elaine

PB - IOS Press BV

T2 - 19th World Congress on Medical and Health Informatics, MedInfo 2023

Y2 - 8 July 2023 through 12 July 2023

ER -

Promoting Learning Health System Cycles by Optimizing EHR Data Clinical Concept Encoding Processes

Abstract

Publication series

Conference

Bibliographical note

Keywords

PubMed: MeSH publication types

Access

OpenUrl availability

Other files and links

Fingerprint

Cite this