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Supporting Organizations With Their Healthcare Terminology Needs

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Terminology about Terminology

There are many ways to define the following set of terms. The intent here is to provide a common understanding for the use of the terms in the context of our work.

Term

Definition

Examples

Coded data

Discrete data that is stored with an associated code that would allow all instances of that data to be aggregated together. Data stored with ICD-9 code would be an example of coded data.

 

Concept

A coded entity that has unique semantics. Concepts can have many different terms but all terms have the same meaning.

 

Default term

The term associated with a concept that for a specific usage has been deemed the most desired term. Default terms must be clear and unambiguous. Often due to the need to be clear, default terms may not be the preferred term for a specific context. SNOMED refers to the default term as the fully specified name.

 

Description

See term

 

Description Logic

One way to represent the relationships between items in a semantic network.

 

Dictionary

A collection of terms with associated definitions. Entries for terms may include synonyms or synonyms will have separate entries and point back to the preferred term.

 

Domain

See semantic type

 

Fully specified name

See default term

 

Granularity

In this context is the level of specificity or generalness of a concept. A more specific term is more granular, i.e., has a fine granularity; a more general term is less granular, i.e., has a coarse granularity

Mitral regurgitation is more granular than mitral valve disorder.

Keyword

A single word or multi-word entity used by indexing or search algorithms to point users to relevant content or terms. Keywords may include misspellings.

Keywords for diabetes mellitus

diabetes diabetic diabetis diabeties diabetics mellitus dibetes diabets diabettes diabities dabetes diabeetes diabetees diabetese diabitis diebetes daiabetes daibetes diabaetes diabeates diabeats diabebetes diabedes diabestees diabetas mellitis melites melitus diabetesii diabetice diabetus diabietes diabites diabitest diabtes diabtetes diaetes diasbetes dibeetes dibeties dieabetes dieabitis diebeties diubetes duabetes diiabetes iabetes dpiabetes DM

 

Lexical variants

Terms that point to the same concept that only defer by word order or morphology, i.e., different forms of the same word

Lexical variants for malignant neoplasm of the breast

 

breast malignant neoplasm

malignant neoplasm, breast

neoplasm, breast, malignant

malignant neoplasm of breast

Lexicon

This term is often used synonymously with terminology or vocabulary. Linguists tend to think of the lexicon to be the set of words the make up a natural language with associated information about their use through syntax and grammar. Due to the ambiguous nature of this term, we prefer to use terminology when referring to the collections of concepts and terms.

 

Phrase

See term

 

Preferred term

This is the term associated with a concept is the preferred for a specific application or use context. For example, a physician may prefer to see “myocardial infarction” where as consumer would prefer “heart attack.”

 

Reference terminology

A collection of concepts and relationships between them. SNOMED CT is an example of a reference terminology

 

Semantic network

See reference terminology

 

Semantic type

An attribute of a concept that classifies the concept into a broad category. Semantic types can have different levels of granularity and can be organized in a semantic network.

Diabetes mellitus may have the semantic type of “DISEASE” whereas CT scan of the abdomen might have the semantic type of “PROCEDURE” or “IMAGING PROCEDURE.”

SNOMED-CT

SNOMED Clinical Terms. A very large reference terminology developed and maintained by the College of American Pathologists (CAP). Contains hundreds of thousands of concepts, nearly a million descriptions (terms), and millions of relationships between the concepts. Currently the US government has a site license with CAP and provides SNOMED (through the UMLS) free-of-charge to individuals and organizations involved with healthcare within United States

 

Structured data

Data that is stored discretely in a database or is tagged in a format (such as XML) that allows computer systems to reliably extract the data. Structured data is not the same as coded data. For example, the term "diabetes mellitus" can be stored in a database as an item on a patient’s problem list, but it may or may not have an associated code. It may simply be free text. It is structured, but not coded.

 

Synonym

An alternative term for a concept. In strict terminology sense, a term that is a synonym means exactly the same as the other terms mapped to the concepts. The term “synonym” is often used more loosely but non-terminology types and might refer to narrower than or broader than concepts or even related terms.

A synonym for “myocardial infarction” is “heart attack.”

Term

A string that is mapped to a concept. A concept can be associated with multiple terms. A term can also be associated with multiple concepts. SNOMED uses description to describe this entity.

Concept with multiple terms

Concept: mitral regurgitation

Terms:

mitral regurgitation

mitral valve regurgitation

mitral insufficiency

MI

valvular insufficiency of the mitral valve

 

Term mapped to multiple concepts

Term: MI

Concepts:

myocardial infarction

mitral insufficiency

Terminological ontology

See reference terminology

 

Terminology

A collection of terms and concepts

 

Thesaurus

A collection of terms and relationships between them. Generally a thesaurus uses looser rules with regard to synonymy. The UMLS metathesaurus is a great example in healthcare of a large compendium of terms from a variety of terminology sources that are grouped together conceptually.

 

UMLS Metathesaurus

Unified Medical Language System project was begun in 1985 at the National Library of Medicine (NLM) as an effort to address the terminology problem in healthcare. A key product of this effort, the Metathesaurus is a very large, multi-purpose, and multi-lingual vocabulary database that contains information about biomedical and health related concepts, their various names, and the relationships among them.

 

User-interface Terminology

That component of a terminology that users interact with. As opposed to the reference portion of a terminology (relationships between concepts, semantic types), the user-interface portion generally refers to the many terms associated with a concept as well as a word dictionary that facilitates searching.

 

Vocabulary

Often used interchangeably with terminology

 

Word

A collection of characters bounded by white space or non-alphanumeric characters. A word can also be a term.

Heart

Cardiac

Alzheimer

Post

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