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PMID: 9865037 Published · ppublish English Journal Article Research Support, U.S. Gov't, P.H.S. Review

Desiderata for controlled medical vocabularies in the twenty-first century.

Methods of information in medicine ·Vol. 37 ·No. 4-5 ·1998-11-00 ·Pages 394-403

Cimino JJ

Abstract

Builders of medical informatics applications need controlled medical vocabularies to support their applications and it is to their advantage to use available standards. In order to do so, however, these standards need to address the requirements of their intended users. Over the past decade, medical informatics researchers have begun to articulate some of these requirements. This paper brings together some of the common themes which have been described, including: vocabulary content, concept orientation, concept permanence, nonsemantic concept identifiers, polyhierarchy, formal definitions, rejection of "not elsewhere classified" terms, multiple granularities, multiple consistent views, context representation, graceful evolution, and recognized redundancy. Standards developers are beginning to recognize and address these desiderata and adapt their offerings to meet them.

MeSH Terms
Humans Information Storage and Retrieval Medical Informatics Applications Medical Informatics Computing Medical Records Systems, Computerized Software Vocabulary, Controlled
Authors & Affiliations
1 authors, click to expand affiliations / ORCID
Cimino J J
Department of Medical Informatics, Columbia University, New York, USA. [email protected]
References (50)
50 references, click to expand
  1. Subsumption principles underlying medical concept systems and their formal reconstruction.
    Proc Annu Symp Comput Appl Med Care. 1994;:140-4 PMID: 7949907
  2. Modeling principles for QMR medical findings.
    Proc AMIA Annu Fall Symp. 1996;:264-8 PMID: 8947669
  3. Methodology for the construction of a disease nomenclature and classification system for clinical use.
    Methods Inf Med. 1995 Dec;34(5):511-7 PMID: 8713767
  4. Standards for medical identifiers, codes, and messages needed to create an efficient computer-stored medical record. American Medical Informatics Association.
    J Am Med Inform Assoc. 1994 Jan-Feb;1(1):1-7 PMID: 7719784
  5. Of codes and keywords: standards for biomedical nomenclature.
    Acad Med. 1990 Oct;65(10):627-9 PMID: 2261036
  6. Progress in medical information management. Systematized nomenclature of medicine (SNOMED).
    JAMA. 1980 Feb 22-29;243(8):756-62 PMID: 6986000
  7. Medical-concept models and medical records: an approach based on GALEN and PEN&PAD.
    J Am Med Inform Assoc. 1995 Jan-Feb;2(1):19-35 PMID: 7895133
  8. Gálapagos: computer-based support for evolution of a convergent medical terminology.
    Proc AMIA Annu Fall Symp. 1996;:269-73 PMID: 8947670
  9. Toward data standards for clinical nursing information. Iowa Intervention Project Group.
    J Am Med Inform Assoc. 1994 Nov-Dec;1(6):469-74 PMID: 7850573
  10. An interlingua for electronic interchange of medical information: using frames to map between clinical vocabularies.
    Comput Biomed Res. 1991 Aug;24(4):379-400 PMID: 1889203
  11. Standardized nursing classification systems: necessary, but not sufficient, for representing what nurses do.
    Proc AMIA Annu Fall Symp. 1996;:145-9 PMID: 8947645
  12. Toward data standards for clinical nursing information.
    J Am Med Inform Assoc. 1994 Mar-Apr;1(2):175-85 PMID: 7719798
  13. Representing clinical narratives using conceptual graphs.
    Methods Inf Med. 1995 Mar;34(1-2):176-86 PMID: 9082129
  14. Structuration and acquisition of medical knowledge. Using UMLS in the conceptual graph formalism.
    Proc Annu Symp Comput Appl Med Care. 1993;:710-4 PMID: 8130568
  15. Symbolic anatomic knowledge representation in the Read Codes version 3: structure and application.
    J Am Med Inform Assoc. 1997 Jan-Feb;4(1):38-48 PMID: 8988473
  16. An event model of medical information representation.
    J Am Med Inform Assoc. 1995 Mar-Apr;2(2):116-34 PMID: 7743315
  17. Preparation of clinical data for computers.
    Br Med Bull. 1968 Sep;24(3):199-205 PMID: 5672185
  18. A logical foundation for representation of clinical data.
    J Am Med Inform Assoc. 1994 May-Jun;1(3):218-32 PMID: 7719805
  19. The computer: medical vocabulary and information.
    Br Med Bull. 1968 Sep;24(3):194-8 PMID: 5672184
  20. The Unified Medical Language System.
    Methods Inf Med. 1993 Aug;32(4):281-91 PMID: 8412823
  21. Use of the Unified Medical Language System in patient care at the Columbia-Presbyterian Medical Center.
    Methods Inf Med. 1995 Mar;34(1-2):158-64 PMID: 9082126
  22. The Canon Group's effort: working toward a merged model.
    J Am Med Inform Assoc. 1995 Jan-Feb;2(1):4-18 PMID: 7895135
  23. Dimensions of knowledge sharing and reuse.
    Comput Biomed Res. 1992 Oct;25(5):435-67 PMID: 1395522
  24. Using the UMLS to bring the library to the bedside.
    Med Decis Making. 1991 Oct-Dec;11(4 Suppl):S116-20 PMID: 1770840
  25. A model for structured data entry based on explicit descriptional knowledge.
    Methods Inf Med. 1994 Dec;33(5):454-63 PMID: 7869942
  26. A poor precedent.
    Methods Inf Med. 1996 Sep;35(3):211-7 PMID: 8952305
  27. Disease coding by computer. The "fruit machine" method.
    Br J Prev Soc Med. 1968 Jul;22(3):178-81 PMID: 5667313
  28. Interfacing a stand-alone diagnostic expert system with a hospital information system.
    Comput Biomed Res. 1994 Apr;27(2):116-29 PMID: 8033537
  29. Formal descriptions and adaptive mechanisms for changes in controlled medical vocabularies.
    Methods Inf Med. 1996 Sep;35(3):202-10 PMID: 8952304
  30. Computerizing text from office records.
    MD Comput. 1987 May-Jun;4(3):44-9, 56 PMID: 3613935
  31. Development of a controlled medical terminology: knowledge acquisition and knowledge representation.
    Methods Inf Med. 1995 Mar;34(1-2):85-95 PMID: 9082143
  32. Access to data: comparing AccessMed with Query by Review.
    J Am Med Inform Assoc. 1996 Jul-Aug;3(4):288-99 PMID: 8816352
  33. Controlled medical vocabulary construction: methods from the Canon Group.
    J Am Med Inform Assoc. 1994 May-Jun;1(3):296-7 PMID: 7719811
  34. Logical observation identifier names and codes (LOINC) database: a public use set of codes and names for electronic reporting of clinical laboratory test results.
    Clin Chem. 1996 Jan;42(1):81-90 PMID: 8565239
  35. A model for medical knowledge representation application to the analysis of descriptive pathology reports.
    Methods Inf Med. 1995 Sep;34(4):352-60 PMID: 7476466
  36. The content coverage of clinical classifications. For The Computer-Based Patient Record Institute's Work Group on Codes & Structures.
    J Am Med Inform Assoc. 1996 May-Jun;3(3):224-33 PMID: 8723613
  37. Toward representations for medical concepts.
    Med Decis Making. 1991 Oct-Dec;11(4 Suppl):S102-8 PMID: 1770838
  38. Representation of clinical data using SNOMED III and conceptual graphs.
    Proc Annu Symp Comput Appl Med Care. 1992;:354-8 PMID: 1482897
  39. Knowledge-based approaches to the maintenance of a large controlled medical terminology.
    J Am Med Inform Assoc. 1994 Jan-Feb;1(1):35-50 PMID: 7719786
  40. Automatic knowledge acquisition from MEDLINE.
    Methods Inf Med. 1993 Apr;32(2):120-30 PMID: 8321130
  41. Phase II evaluation of clinical coding schemes: completeness, taxonomy, mapping, definitions, and clarity. CPRI Work Group on Codes and Structures.
    J Am Med Inform Assoc. 1997 May-Jun;4(3):238-51 PMID: 9147343
  42. Medicine and the nature of vertical reasoning.
    N Engl J Med. 1988 Mar 31;318(13):847-51 PMID: 3352667
  43. Three solutions to problems of categorized medical nomenclatures.
    Methods Inf Med. 1984 Apr;23(2):87-95 PMID: 6472122
  44. Toward a medical-concept representation language. The Canon Group.
    J Am Med Inform Assoc. 1994 May-Jun;1(3):207-17 PMID: 7719804
  45. How medical professionals evaluate expressions of probability.
    N Engl J Med. 1986 Sep 18;315(12):740-4 PMID: 3748081
  46. Applying a controlled medical terminology to a distributed, production clinical information system.
    Proc Annu Symp Comput Appl Med Care. 1995;:421-5 PMID: 8563316
  47. Classification systems in nursing: formalizing nursing knowledge and implications for nursing information systems.
    Methods Inf Med. 1996 Mar;35(1):59-71 PMID: 8992226
  48. Coupling vocabularies and data structures: lessons from LOINC.
    Proc AMIA Annu Fall Symp. 1996;:90-4 PMID: 8947634
  49. Issues in the structuring and acquisition of an ontology for medical language understanding.
    Methods Inf Med. 1995 Mar;34(1-2):15-24 PMID: 9082125
  50. The position of the Canon Group: a reality check.
    J Am Med Inform Assoc. 1994 May-Jun;1(3):298-9 PMID: 7719812
Article Info
Journal
Methods of information in medicine
Abbr.
Methods Inf Med
ISSN
0026-1270
Email
[email protected]
Published
1998-11-00
Pages
394-403
Language
English
Region
Germany
NLM ID
0210453
PMCID
PMC3415631
Subset
IM
Grants
NLM NIH HHS · R21 LM009638 · United States
External Links
PubMed source PMC Full Text View journal details
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