Abstract
Interoperability of health information systems requires common clinical terminologies and services that make those terminologies available on a shared infrastruc- ture, i.e. Web-based terminology servers. Terminology serv- ers share characteristics with ontology servers, but also pro- vide further services, e.g., extended linguistic functionality. There is increasing interest in research and development of Web-based clinical terminology servers. While several sys- tems have been developed, few studies exist comparing their functionality and maturity. This paper identifies a list of service requirements based on a systematic literature review and uses these requirements to perform an assessment of current maturity of terminology servers. It further identifies which terminology services are sufficiently mature to be standardized and shared in large interoperable ehealth sys- tem infrastructures. This paper also exposes concerns and research directions related to shared terminology servers such as Web-based servers, e.g., in areas of privacy and security.
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