revision-diff.txt (2.8 KB)
Hi Everyone,
We are in the beginning phases of planning a DHIS installation to collect aggregated data from our project sites. We are currently deciding upon which terminology standards we would like to make use of with the current front runner being SNOMED CT. Would be interested to hear of any other DHIS users about which standard terminologies have been used in their DHIS implementation (and why) and technically how this has been achieved (is it just through assigning the code when creating Data Elements or have terminology servers etc been integrated).
Thanks,
Lara Kellett
Médecins Sans Frontières/Doctors Without Borders
** +1.631.480.4969**
Skype: lara.kellett
Hi Lara,
I only know of ICD10, which is made available as a search-complete dropdown (autosearch for every character typed). There have also been som efforts to link to WHO’s IMR, as is done in their Global Health Observatory. Within the http://ohie.org initiative, I believe terminology servers have been demoed, but not aware of any production setup.
Knut
Hi Everyone,
We are in the beginning phases of planning a DHIS installation to collect aggregated data from our project sites. We are currently deciding upon which terminology standards we would like to make use of with the current front runner being SNOMED CT. Would be interested to hear of any other DHIS users about which standard terminologies have been used in their DHIS implementation (and why) and technically how this has been achieved (is it just through assigning the code when creating Data Elements or have terminology servers etc been integrated).
Thanks,
Lara Kellett
Médecins Sans Frontières/Doctors Without Borders
** +1.631.480.4969**
Skype: lara.kellett
···
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Hi Lara and Knut,
There is currently a terminology service running in Rwanda for a maternal health exchange (https://jembiprojects.jira.com/wiki/display/RHEAPILOT/Home) as part of the OHIE initiative.
This service uses Apelon DTS (http://www.apelondts.org/). Although this doesn’t currently integrate with DHIS; there was an idea to do so, but I’m not too aware of the current status around this.
One possible way to approach using a server like this would be to load the standards terminologies, and then map these to internal DHIS data element identifiers.
Hope this is helpful,
Cheers
Hannes
···
On 27 March 2014 16:31, Knut Staring knutst@gmail.com wrote:
Hi Lara,
I only know of ICD10, which is made available as a search-complete dropdown (autosearch for every character typed). There have also been som efforts to link to WHO’s IMR, as is done in their Global Health Observatory. Within the http://ohie.org initiative, I believe terminology servers have been demoed, but not aware of any production setup.
Knut
Hi Everyone,
We are in the beginning phases of planning a DHIS installation to collect aggregated data from our project sites. We are currently deciding upon which terminology standards we would like to make use of with the current front runner being SNOMED CT. Would be interested to hear of any other DHIS users about which standard terminologies have been used in their DHIS implementation (and why) and technically how this has been achieved (is it just through assigning the code when creating Data Elements or have terminology servers etc been integrated).
Thanks,
Lara Kellett
Médecins Sans Frontières/Doctors Without Borders
** +1.631.480.4969**
Skype: lara.kellett
Mailing list: https://launchpad.net/~dhis2-devs
Post to : dhis2-devs@lists.launchpad.net
Unsubscribe : https://launchpad.net/~dhis2-devs
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Hi Lara
There has not to my knowledge been any attempt to make use of snomed-ct terminologies within dhis2 implementations. Being a clinical vocabulary it is actually hard enough to picture a compelling use case as many typical data elements are not so neatly clinical. Not being an expert on these things, but I suspect ICD10 would be a better fit, but even then it is very “disease-oriented”.
There is certainly a case for standardizing the coding of dhis2 metadata and this happens within countries when designing minimum datasets. There have been occasional efforts to align with WHO efforts for certain common indicators, for example those related to MDGs and a couple of attempts to try and set up sort of dhis2 metadata reference implementations to help country implementations get started with the benefit of what might be considered best practice behind them, but these have not really taken off yet.
As Hannes has pointed out, there is a terminology service in Rwanda and there has been some not very intense discussion about using it to represent the HMIS dataelements and indicators but not much serious effort. Besides being an interesting idea its not really clear what actual problems would be being solved by doing it. I guess one major challenge is how to describe the relationship between an aggregated data element and an EMR which contains encounter level data potentially coded using snomed, icd10 or what have you. Simply tagging a dataelement with the same label is in general not sufficient - it doesn’t tell you what actually to count from the EMR though it potentially gets you into the right ballpark.
HISP South Africa has also been quite active in trying to setup “standard” health data dictionary type applications, but again I would be surprised if they have followed a clinical focus on something like snomed-ct.
Coding of dataelements within dhis2 (ie actively using the code field) is a relatively recent phenomenon in dhis2 so its not yet clear all the different ways people will come up with for assigning codes. I can imagine there might be some benefit will emerge for using snomed-ct codes for a subset of dataelements but I haven’t seen it yet.
Regards
Bob
···
On 26 March 2014 20:24, Lara Kellett Lara.Kellett@newyork.msf.org wrote:
Hi Everyone,
We are in the beginning phases of planning a DHIS installation to collect aggregated data from our project sites. We are currently deciding upon which terminology standards we would like to make use of with the current front runner being SNOMED CT. Would be interested to hear of any other DHIS users about which standard terminologies have been used in their DHIS implementation (and why) and technically how this has been achieved (is it just through assigning the code when creating Data Elements or have terminology servers etc been integrated).
Thanks,
Lara Kellett
Médecins Sans Frontières/Doctors Without Borders
** +1.631.480.4969**
Skype: lara.kellett
Mailing list: https://launchpad.net/~dhis2-devs
Post to : dhis2-devs@lists.launchpad.net
Unsubscribe : https://launchpad.net/~dhis2-devs
More help : https://help.launchpad.net/ListHelp