Formal Descriptions and Adaptive Mechanisms for Changes in Controlled Medical Vocabularies
Formal Descriptions and Adaptive Mechanisms for Changes in Controlled Medical Vocabularies
复制标题
受控医学词汇变化的形式描述和自适应机制
DOI：
10.1055/s-0038-1634662
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发表时间：
1996
影响因子：
1.7
通讯作者：
James J. Cimino
中科院分区：
文献类型：
--
作者：
James J. Cimino
摘要：标准控制的医学词汇表通常基于编码方案，而医学信息学应用程序往往具有更正式的概念基础。当这些应用程序试图使用用标准词汇表编码的数据时，当标准词汇表随时间变化时，可能会出现问题。一个正式的分类法描述的语义变化，可能会发生在一个词汇，如简单的添加，细化，preocordination，消歧，冗余，过时，发现冗余，主要名称的变化，次要的名称变化，代码重用，并改变了代码。分类描述，用于影响变化的一个概念为基础的词汇（医学实体词典），并证明了该方法的效用，将其应用于1994年发布的国际疾病分类，第九版，临床修改（ICD-9-CM）中出现的变化。
Abstract: Standard controlled medical vocabularies are typically based on a coding scheme, while medical informatics applications tend to have a more formal conceptual foundation. When such applications attempt to use data coded with standard vocabularies, problems can arise when the standard vocabulary changes over time. A formal taxonomy is presented for describing the semantic changes which can occur in a vocabulary, such as simple addition, refinement, precoordination, disambiguation, redundancy, obsolescence, discovered redundancy, major name changes, minor name changes, code reuse, and changed codes. The taxonomy is described that used to effect change in one concept-based vocabulary (the Medical Entities Dictionary), and the utility of the approach is demonstrated by applying it to the changes appearing in the 1994 release of the International Classification of Diseases, Ninth Edition, with Clinical Modifications (ICD-9-CM).