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Experiences in aligning WHO SMART guidelines to classification and terminology standards.
Filippa Pretty1, Tigest Tamrat2, Natschja Ratanaprayul3
1Metadata, Information Management & Classifications Unit, Australian Institute of Health and Welfare, Canberra, Australian Capital Territory, Australia.
BMJ Health & Care Informatics
|August 10, 2023
Summary
Coding health guidelines into digital systems using standardized classifications and terminologies (CATs) enhances clarity and consistency. This study details lessons learned from applying CATs to antenatal care and family planning digital adaptation kits (DAKs).
Area of Science:
- Health Informatics
- Digital Health Standards
Background:
- Digital Adaptation Kits (DAKs) translate World Health Organization (WHO) guidelines into digital formats.
- DAKs utilize workflows, data dictionaries, and decision support tables for digital implementation.
- Standardized Classifications and Terminologies (CATs) are crucial for consistent data representation.
Purpose of the Study:
- To outline key lessons learned from coding data elements within the antenatal care (ANC) and family planning DAKs.
- To apply standardized classifications and terminologies (CATs) to WHO digital health guidelines.
- To improve the operationalization of health guidelines in digital systems.
Main Methods:
- Data elements from ANC and family planning DAKs were encoded.
- Standardized CATs from WHO and other sources were utilized for the coding process.
- The process involved refining data dictionaries and ensuring alignment between data elements and CATs.
Main Results:
- The coding process identified methods to enhance data dictionary refinement.
- Improved alignment between data elements and CATs was achieved.
- Demonstrated the feasibility of applying CATs to DAKs.
Conclusions:
- Applying CATs to WHO guidelines ensures consistency and clarity when operationalized in digital systems.
- Successful implementation requires multidisciplinary teams and careful review for conceptual equivalence.
- Further exploration is needed for country-level implementation and machine-readable components.
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