title: Assessing the adequacy of the HL7/LOINC Document Ontology Role axis.
abstract: The healthcare landscape is changing, driven by innovative care models and the emergence of new roles that are inter-professional in nature. Currently, the HL7/LOINC Document Ontology (DO) aids the use and exchange of clinical documents using a multi-axis structure of document attributes for Kind of Document, Setting, Role, Subject Matter Domain, and Type of Service. In this study, the adequacy of the Role axis for representing the type of author documenting care was assessed. Experts used a master list of 220 values created from seven resources and established mapping guidelines. Baseline certification, licensure, and didactic training were identified as key parameters that define roles and hence often need to be pre-coordinated. DO was inadequate in representing 82% of roles, and this gap was primarily due to lack of granularity in DO. Next steps include refinement of the proposed schema for the Role axis and dissemination within the larger standards community.
authors.affiliation: Public Health Informatics Program, University of Minnesota, Minneapolis, Minnesota, USA Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA.
authors.forename: Sripriya
authors.initials: S
authors.lastname: Rajamani
authors.affiliation: Biomedical Informatics Unit, Center for Clinical and Translational Science, University of Vermont, Burlington, Vermont, USA Division of General Internal Medicine, Department of Medicine, University of Vermont, Burlington, Vermont, USA Department of Computer Science, University of Vermont, Burlington, Vermont, USA.
authors.forename: Elizabeth S
authors.initials: ES
authors.lastname: Chen
authors.affiliation: University of Minnesota Physicians, Minneapolis, Minnesota, USA.
authors.forename: Mari E
authors.initials: ME
authors.lastname: Akre
authors.affiliation: Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA.
authors.forename: Yan
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA University of Minnesota Physicians, Minneapolis, Minnesota, USA Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
authors.forename: Genevieve B
authors.initials: GB
authors.lastname: Melton
mesh_terms: D064229:Biological Ontologies; D057208:Health Level Seven; D006281:Health Occupations / Q000145:classification*; D039703:Logical Observation Identifiers Names and Codes
keywords: Health Level 7; LOINC; Professional Role; Standards