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Advanced Terminology Systems

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The Vocabulary Problem


Vocabulary Problem
-failure to achieve a single,

integrated terminology with broad coverage of the healthcare domain

The Vocabulary Problem

Reasons for Vocabulary Problem


1.

Development of multiple specialized terminologies Existing terminologies are often developed for human interpretation, with computer interpretation as only a

2.

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Thought or reference

Concept Orientation

symbolizes

refers to

su n
Symboll Referent

The Semiotic Triangle

Concept Orientation
ISO (International Organizations for Standardization) definitions:

Concept (i.e.,thought or reference)-

unit of knowledge created by a unique combination of characteristics

Object (i.e.,referent)-anything
perceivable or conceivable

Term (i.e.,symbol)-verbal designation


of a general concept in a specific

Terminology model

Concept-based representation of a collection of domain-specific terms for terminological conditions Formulated and elucidated in an Ontology Language, Knowledge Representation Specification Syntax, or Web Ontology.

Representation Languages
Ontology languages

Represent classes (concepts, categories, or types) and their properties (relations, slots, roles, or attributes). Able to support through explicit semantics, the formal definition of concepts in terms of their relationship with other concepts.

Computer based Tool

Representation language is implemented using a description logic within a software Terminologies has been characterized in terms of generations.

Computer based Tool


Terminology Generations

First Generation- list of enumerated terms, possibly arranged as a single hierarchy. Second Generation- abstract terminology model or terminology model schema

Computer based Tool


Terminology Generations

Third Generation- grammar defining the rules of automated generation and classification of new concepts.
(Formal Concept Representations systems)

Advantages of Advanced Terminology Systems


Two facet of knowledge representation for computer based systems that support clinical care:
Describing concepts

1.

2 . Manipulating and reasoning about those concepts using computer based tools.

Advantages of Advanced Terminology Systems


1.

Describing concepts
.

Nonambiguous representation of concepts Facilitation of data abstraction without loss of original idea Nonambiguous mapping among terminologies Data reuse in different contexts

Advantages of Advanced Terminology Systems


Manipulating and reasoning about those concepts using computer based tools.
2.

Automated classification of new concepts Ability to support multiple inheritance of defining characteristics

Summary and Implications for Nursing

Facilitation of evidence based practice Matching of potential research subjects to research protocols for which they are potentially eligible. Detection of and prevention of potential adverse drug effects

Summary and Implications for Nursing

Linking online information resources Increased reliability and validity of data for quality evaluation Data mining for purposes such as clinical research, health services research, or knowledge discovery.