Development and application of a framework for maintenance of medical terminological systems.
Development and application of a framework for maintenance of medical terminological systems.
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DOI：
10.1197/jamia.m2531
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发表时间：
2008-09
期刊：
影响因子：
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通讯作者：
de Keizer NF
中科院分区：
文献类型：
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作者：
Bakhshi-Raiez F;Cornet R;de Keizer NF
术语系统（TSs）需要进行维护以保持其效用。本文描述了一项旨在通过将维护过程的管理标准纳入一个框架来实现医学术语系统维护过程标准化的研究。此外，本文还描述了该框架的应用，这为术语系统维护的当前实践提供了启示。
观察性研究。
通过文献研究，获取了术语系统维护的标准，并将其分类纳入一个框架。通过对维护术语系统的机构进行调查，探究了术语系统维护的当前实践。结果根据所维护的术语系统的规模进行了分层。
从63篇相关文章中，提取了术语系统维护过程的标准，并将其组织为四个组成部分。主要组成部分“执行”涉及维护过程的核心活动。其他三个组成部分“过程管理”、“变更规范”和“编辑工具”支持“执行”组成部分的核心活动。
该调查的回复率为40%（93个机构中的37个）。答案反映出参与机构满足的标准数量存在很大差异。总体而言，较大术语系统的维护似乎满足更多标准。
该框架是朝着医学术语系统维护标准化迈出的重要一步，可用于消除这一过程中的缺陷。对当前实践的调查表明，医学术语系统的维护过程有很大的改进空间，尤其是对于较小的术语系统。
Terminological Systems (TSs) need to be maintained in order to sustain their utility. This paper describes a study aiming at the standardization of the maintenance processes of medical TSs by capturing the criteria for the management of the maintenance processes into a framework. Furthermore, this paper describes application of the framework, which sheds light on the current practice of TS maintenance. Observational study. By means of a literature study, criteria for the maintenance of TSs were obtained and categorized into a framework. The current practice of TS maintenance was explored by a survey among organizations that maintain a TS. Results were stratified by the size of the TS being maintained. From Sixty-three relevant articles, criteria for the maintenance processes of TSs were extracted and organized into four components. The primary component “Execution” concerns the core activities of the maintenance process. The other three components “Process management,” “Change specifications,” and “Editing tools” support the core activities of the component “Execution.” The survey had a response rate of 40% (37 of 93). The answers reflect the large variation in the number of criteria that are satisfied for the participating organizations. Overall, maintenance of larger TSs seems to satisfy more criteria. The framework is an important step towards standardization of the maintenance of medical TSs and can be used to eliminate shortcomings in this process. Surveying the current practice showed that there is ample room to improve the maintenance processes of medical TSs, especially for the smaller TSs.