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Topic
PhD Defense of Mr. Achilles Kiwanuka
Date & Time
Selected Sessions:
May 6, 2025 10:00 AM
Description
Title: Contextualising International Digital Health Terminology Standards for Semantic Interoperability of Uganda's Health Information Systems
Abstract: This research aimed to design a process for contextualising international digital health terminology standards to support the semantic interoperability of Uganda’s health
information systems (HIS). The research study adopted the pragmatism information systems research philosophy and various methods, including descriptive cross-sectional, qualitative case study and design science, to answer the research questions. Study participants were purposively sampled. Data were collected using survey, key informant interviews, document reviews and workshops, and they were analysed
using descriptive statistics, content analysis, and thematic analysis.
The research findings indicate scanty implementation of the international digital health terminology standards in Uganda’s HIS; this is attributed to limited expertise in digital health terminology standardisation, a deficit of human resources trained in terminologies and unmatched national terminologies to international digital health terminologies. Accordingly, requirements were derived to guide the design of the contextualisation process of the international digital health
terminology standards. The derived contextualisation process entails six phases: assessing the national HIS context, extracting data elements in the national HIS, mapping existing national data elements to international terminologies, identifying and coding unmatched data elements, validating the contextualised terminologies, and digitising the validated terminologies.
This research demonstrates how Uganda can contextualise the international digital health
terminology standards to meet the semantic interoperability of HIS with unique health system needs. The study recommends research on developing a data dictionary for Uganda’s HIS and implementing
the contextual terminology standards.