Practical experience with the maintenance and auditing of a large medical ontology.

Practical experience with the maintenance and auditing of a large medical ontology.
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DOI:
10.1016/j.jbi.2009.03.005
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发表时间:
2009-06
影响因子:
4.5
通讯作者:
Cimino JJ
Cimino JJ
中科院分区:
医学3区
文献类型:
--
作者:
Baorto D;Li L;Cimino JJ

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医学实体词典(MED)作为纽约长老会医院和哥伦比亚大学的统一术语已有20多年。它最初是为了允许来自不同信息系统的临床数据(例如,放射学、药房和多个实验室等)被唯一地编码以存储在单个数据储存库中,并且用作临床应用和决策支持工具的真实的时间术语服务器。被认为是一个知识库,MED包括本地术语之间的关系,本地术语和外部标准之间的关系,以及语义网络结构中有关术语的其他知识。在过去的二十年里,我们一直在寻求开发方法来维护,审计和改进MED的内容,使其保持其最初的设计目标。这导致了一个复杂的、多方面的过程,包括手动和自动化组件。在本文中,我们描述了这一过程,其有效性的例子。我们相信,我们的过程提供了其他人谁寻求保持复杂的,以概念为导向的控制术语的经验教训。
The Medical Entities Dictionary (MED) has served as a unified terminology at New York Presbyterian Hospital and Columbia University for more than 20 years. It was initially created to allow the clinical data from the disparate information systems (e.g., radiology, pharmacy, and multiple laboratories, etc) to be uniquely codified for storage in a single data repository, and functions as a real time terminology server for clinical applications and decision support tools. Being conceived as a knowledge base, the MED incorporates relationships among local terms, between local terms and external standards, and additional knowledge about terms in a semantic network structure. Over the past two decades, we have sought to develop methods to maintain, audit and improve the content of the MED, such that it remains true to its original design goals. This has resulted in a complex, multi-faceted process, with both manual and automated components. In this paper, we describe this process, with examples of its effectiveness. We believe that our process provides lessons for others who seek to maintain complex, concept-oriented controlled terminologies.
DOI: 10.1136/jamia.1994.95236135
发表时间: 1994-01-01
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