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JAMIA 2008;15:65-76 doi:10.1197/jamia.M2506
  • Original Investigation
  • Model Formulation

A Model for Evaluating Interface Terminologies

  1. S Trent Rosenblooma,b,c,
  2. Randolph A Millera,b,
  3. Kevin B Johnsona,c,
  4. Peter L Elkind,
  5. Steven H Browna,e
  1. aDepartment of Biomedical Informatics, Vanderbilt University, Nashville, TN
  2. bSchool of Nursing, Vanderbilt University, Nashville, TN
  3. cDepartment of Pediatrics, Vanderbilt University, Nashville, TN
  4. dMayo Foundation for Medical Education and Research, Rochester, MN
  5. eU.S. Department of Veterans Affairs, Nashville, TN
  1. Correspondence: S. Trent Rosenbloom, MD, MPH, Eskind Biomedical Library, Room 440, 2209 Garland Avenue, Nashville, TN 37232-8340 Email: <trent.rosenbloom{at}vanderbilt.edu>
  • Received 9 May 2007
  • Accepted 8 August 2007

Abstract

Objective Evaluations of individual terminology systems should be driven in part by the intended usages of such systems. Clinical interface terminologies support interactions between healthcare providers and computer-based applications. They aid practitioners in converting clinical “free text” thoughts into the structured, formal data representations used internally by application programs. Interface terminologies also serve the important role of presenting existing stored, encoded data to end users in human-understandable and actionable formats. The authors present a model for evaluating functional utility of interface terminologies based on these intended uses.

Design Specific parameters defined in the manuscript comprise the metrics for the evaluation model.

Measurements Parameters include concept accuracy, term expressivity, degree of semantic consistency for term construction and selection, adequacy of assertional knowledge supporting concepts, degree of complexity of pre-coordinated concepts, and the “human readability” of the terminology. The fundamental metric is how well the interface terminology performs in supporting correct, complete, and efficient data encoding or review by humans.

Results Authors provide examples demonstrating performance of the proposed evaluation model in selected instances.

Conclusion A formal evaluation model will permit investigators to evaluate interface terminologies using a consistent and principled approach. Terminology developers and evaluators can apply the proposed model to identify areas for improving interface terminologies.

Footnotes

  • This project was supported by Grants from the United States National Library of Medicine (Rosenbloom, 5K22 LM008576-02; Miller 5R01 LM007995) and from the Centers for Disease Control and Prevention (Elkin, PH000022-02 and HK00014-01).

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