Clinically harmonized wellness concepts model for health and wellness services

Objective: A considerable number of frameworks and platforms are available to model terminologies in the clinical domains, but wellness domain lacks a development framework. The objective of this study is to develop a clinically influenced and harmonized wellness concepts model (WCM) in order to support diverse wellness applications and services. This model is supported by a novel framework in the wellness domain.

Methods and materials: In order to develop wellness concepts model, the proposed framework is divided into four processes; start-up and initiation process, WCM modeling and evolution process, WCM production process, and release process. The WCM modeling and evolution process extracts top level hierarchical concepts from the existing published literature using a systematic review process. The framework also extends its scope to evolution using the wellness recommendations guidelines. The evolution process is supported by clinical concepts harmonization with the help of terminology standard, SNOMED CT.

Results:2) test and root mean square error of approximation (RMSEA) test results demonstrated the acceptable goodness of fit indices for the WCM with respect to experts’ and users’ opinions.

Conclusions: In order to fill the gap that existed in wellness and clinical domain, this study systematically investigated concepts for building a clinically harmonized model called the wellness concepts model (WCM). The proposed WCM development framework is validated through the nominal group technique (NGT) and structured equation modeling (SEM).