Benefits of an object-oriented database representation for controlled medical terminologies.

Objective: Controlled medical terminologies (CMTs) have been recognized as important tools in a variety of medical informatics applications, ranging from patient-record systems to decision-support systems. Controlled medical terminologies are typically organized in semantic network structures consis...

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Publicado en:Journal of the American Medical Informatics Association Vol. 6; no. 4; pp. 283 - 304
Autores principales: Gu H, Halper M, Geller J, Perl Y, Gu, H, Halper, M, Geller, J, Perl, Y
Formato: glossary Journal Article
Publicado: Oxford University Press / USA Jul1999
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul1999
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      pub: Oxford University Press / USA
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        atl: Benefits of an object-oriented database representation for controlled medical terminologies.
      aug:
        au:
          Gu H
          Halper M
          Geller J
          Perl Y
          Gu, H
          Halper, M
          Geller, J
          Perl, Y
        affil: CIS Department, New Jersey Institute of Technology, Newark 07120, USA
      sug:
        subj:
          Vocabulary, Controlled
          Classification
          Medical Informatics
          Semantics
          Databases
          Models, Theoretical
          Funding Source
      ab: Objective: Controlled medical terminologies (CMTs) have been recognized as important tools in a variety of medical informatics applications, ranging from patient-record systems to decision-support systems. Controlled medical terminologies are typically organized in semantic network structures consisting of tens to hundreds of thousands of concepts. This overwhelming size and complexity can be a serious barrier to their maintenance and widespread utilization. The authors propose the use of object-oriented databases to address the problems posed by the extensive scope and high complexity of most CMTs for maintenance personnel and general users alike.Design: The authors present a methodology that allows an existing CMT, modeled as a semantic network, to be represented as an equivalent object-oriented database. Such a representation is called an object-oriented health care terminology repository (OOHTR).Results: The major benefit of an OOHTR is its schema, which provides an important layer of structural abstraction. Using the high-level view of a CMT afforded by the schema, one can gain insight into the CMT's overarching organization and begin to better comprehend it. The authors' methodology is applied to the Medical Entities Dictionary (MED), a large CMT developed at Columbia-Presbyterian Medical Center. Examples of how the OOHTR schema facilitated updating, correcting, and improving the design of the MED are presented.Conclusion: The OOHTR schema can serve as an important abstraction mechanism for enhancing comprehension of a large CMT, and thus promotes its usability.
      pubtype: Academic Journal
      doctype:
        glossary
        Journal Article
      ougenre: Article
    language: English
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