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首页> 外文期刊>Journal of biomedical informatics. >The impact of SNOMED CT revisions on a mapped interface terminology: terminology development and implementation issues.
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The impact of SNOMED CT revisions on a mapped interface terminology: terminology development and implementation issues.

机译：SNOMED CT修订版对映射接口术语的影响：术语开发和实施问题。

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Large-scale mapping efforts have been done in attempts to migrate systems that use proprietary concepts to ones that use terminological standards such as SNOMED CT. As efforts move towards implementation, the target maps should retain a predictable structure including those targets requiring post-coordination of SNOMED CT concepts. In this paper, we compared the editorial guidelines of two versions of SNOMED CT (January 2005 and July 2006, respectively) and noted how the revisions affected a single, comprehensive set of mapped concepts (n=2002) from a legacy system. Changes made to the categories and guidelines for approved attributes were noted and then evaluated against the post-coordinated maps (n=1570) from the original mapping effort. Seventy-one percent (n=1118) of the concepts were affected due to changes made in either SNOMED CT categories or to the revision of approved attributes. While the efforts of each subsequent SNOMED CT version aim for continual improvement, changes made to its core structure and post-coordination guidelines make it more difficult to migrate proprietary data to this reference standard. Attention must be paid to auditing the processes used in terminology development to include the impact that their revisions may have on real-world clinical implementation.
机译：为了将使用专有概念的系统迁移到使用术语标准（例如SNOMED CT）的系统，已经进行了大规模的映射工作。随着努力朝着实施的方向发展，目标地图应保留可预测的结构，包括需要SNOMED CT概念进行后协调的目标。在本文中，我们比较了两个版本的SNOMED CT的编辑指南（分别为2005年1月和2006年7月），并指出了这些修订如何影响旧系统中一组完整的映射概念（n = 2002）。记录了对已批准属性的类别和准则所做的更改，然后根据原始映射工作对已协调后的映射（n = 1570）进行了评估。由于SNOMED CT类别的更改或批准属性的修订，影响了百分之七十一（n = 1118）的概念。尽管每个后续SNOMED CT版本的工作都旨在不断改进，但对其核心结构和后协调准则所做的更改使将专有数据迁移到该参考标准更加困难。必须注意审核术语开发中使用的过程，以包括其修订可能对实际临床实施产生的影响。

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