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Clinical terminology support for a national ambulatory practice outcomes research network.

Author information

1
GE Healthcare Technologies, Waukesha, Wisconsin, USA. Tom.Ricciardi@med.ge.com

Abstract

The Medical Quality Improvement Consortium (MQIC) is a nationwide collaboration of 74 healthcare delivery systems, consisting of 3755 clinicians, who contribute de-identified clinical data from the same commercial electronic medical record (EMR) for quality reporting, outcomes research and clinical research in public health and practice benchmarking. Despite the existence of a common, centrally-managed, shared terminology for core concepts (medications, problem lists, observation names), a substantial "back-end" information management process is required to ensure terminology and data harmonization for creating multi-facility clinically-acceptable queries and comparable results. We describe the information architecture created to support terminology harmonization across this data-sharing consortium and discuss the implications for large scale data sharing envisioned by proponents for the national adoption of ambulatory EMR systems.

PMID:
16779116
PMCID:
PMC1560493
[Indexed for MEDLINE]
Free PMC Article

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