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To what extent can prescriptions be meaningfully exchanged between primary care terminologies? A case study of four western European classification systems

机译：在初级保健术语之间可以在多大程度上有意义地交换处方？以四个西欧分类系统为例

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The diversity of terminologies used in primary care causes significant challenges regarding semantic interoperability. Attempts to address these challenges usually focus on the creation of metaterminologies, with the peculiarities of national variations of terminologies being overlooked. In this study the extent to which primary care data can be meaningfully exchanged between nationally implemented terminologies is assessed using a rule-based approach. To determine this, a model comprising primary care terminologies and including axioms to define their relations was developed. Generic metrics were designed to determine the completeness and accuracy of any two arbitrary vocabularies within an ontological model. These metrics were used on an implementation of the model to determine the data quality that is preserved when expressing similar data in different primary care terminologies. The results show that values of terminologies which are closely related can express each other's concepts relatively well. The authors conclude that the current state of accuracy and completeness between primary care terminologies does not allow for sufficiently meaningful semantic interoperability, but that their approach of mapping lower-level terminologies to each other next to an ontological approach may yield better results than relying solely on the latter.
机译：初级保健中使用的术语的多样性对语义互操作性提出了重大挑战。应对这些挑战的尝试通常集中在元术语的创建上，而忽略了术语在全国范围内的特殊性。在这项研究中，使用基于规则的方法评估了在国家实施的术语之间可以有意义地交换初级保健数据的程度。为了确定这一点，开发了一个模型，该模型包括基层医疗术语并包括定义它们之间关系的公理。通用度量旨在确定本体模型中任何两个任意词汇的完整性和准确性。这些度量用于模型的实现，以确定在不同的基础护理术语中表达相似数据时保留的数据质量。结果表明，密切相关的术语值可以较好地表达彼此的概念。作者得出的结论是，初级保健术语之间的准确性和完整性的当前状态不能提供足够有意义的语义互操作性，但是他们将低级术语彼此映射到本体论方法之后的方法可能比仅依靠它们产生更好的结果。后者。

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