The task is a daunting one since most healthcare providers use their own custom terminologies and medical codes. This is due to a number of issues with standard terminologies: 1) standard terminologies take too long to be updated with the latest terms; 2) significant internal data, systems, and expertise rely on the usage of legacy custom terminologies; and 3) a part of the business domain is not covered by a standard terminology.The only way forward was to align the local custom terminologies and codes with the standard ones. This way local data can be automatically converted into the standard representation, which will in turn allow to integrate it with the data coming from other healthcare providers.
To do this, the agency started with a smaller project of aligning one standard terminology, LOINC (Logical Observation Identifiers Names and Codes), with the related terminology used at all the hospitals of Paris. The project relies on Mondeca’s ITM to support complex organizational and technological processes, including 1) setup of a collaborative space with the appropriate roles and access rights, 2) terminology import, modification, and management, including versioning and traceability, 3) establishing an alignment between the local and standard terminologies, 4) processes for terminology and alignment updates and quality control, and 5) terminology export to external software.