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TerminoloGit - An Open Source Terminology Server for Large Scale eHealth Environments.

Gabriel Kleinoscheg1, Nikola Tanjga1, Nina Svec1

  • 1ELGA GmbH, Vienna, Austria.

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Summary

A new Austrian terminology server, "TerminoloGit," was developed using a Git-based architecture and open-source components. This cost-effective solution enhances semantic interoperability in healthcare information systems.

Keywords:
Clinical CodingHL7HL7 FHIRHealth Information InteroperabilityHealth Level SevenTerminology

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Area of Science:

  • Health Informatics
  • Computer Science

Background:

  • Semantic interoperability is crucial for healthcare information systems.
  • The existing Austrian terminology server no longer meets current requirements.
  • A new, advanced terminology server was needed to ensure effective data coding and communication.

Purpose of the Study:

  • To develop and implement a new, technologically advanced terminology server for the Austrian healthcare system.
  • To improve semantic interoperability and coding capabilities.
  • To create a cost-effective and community-improvable solution.

Main Methods:

  • A Git-based architecture was adopted, utilizing GitLab for hosting and CI/CD functionalities.
  • The HL7 FHIR IG publisher and a FHIR server were integrated.
  • In-house developments were incorporated to create the new server, named "TerminoloGit".

Main Results:

  • The new terminology server "TerminoloGit" became operational on January 1, 2022.
  • It currently provides 171 code lists and 141 value sets.
  • The system leverages open-source components and is publicly available.

Conclusions:

  • The developed terminology server offers a cost-effective solution for semantic interoperability in healthcare.
  • The use of open-source components and public availability fosters potential improvements from the wider community.
  • TerminoloGit successfully addresses the limitations of the previous Austrian terminology server.