在计算机标准化临床术语中表示与健康影响相关的环境概念
Lorraine J Block1, Erika Lozada-Perezmitre2, Hwayoung Cho3
1University of British Columbia, School of Nursing, Vancouver, British Columbia, Canada.
这项研究评估了SNOMED CT和ICNP等临床术语中的环境健康概念. 在水,空气和卫生等领域发现了差距,突出了改善代表性的需要.
科学领域:
- 环境健康 环境健康
- 医疗信息学 医疗信息学
- 临床术语学 临床术语学
背景情况:
- 标准化的临床术语对于统一的健康数据记录至关重要.
- 环境因素对人类健康结果产生重大影响.
- 当前的术语可能不能完全捕捉环境健康概念的广度.
研究的目的:
- 评估与健康影响相关的环境概念在标准化临床术语中的表现.
- 确定当前对环境健康指标的绘制中的差距.
主要方法:
- 一种使用术语映射程序框架的描述方法.
- 从联合国可持续发展目标全球指标框架中提取概念.
- 在联合国框架与SNOMED CT和ICNP之间使用手动和自动化方法进行了映射.
主要成果:
- 119个概念被映射到SNOMED CT,其中39.8%的直接匹配和大量更窄/更宽的匹配.
- 26个概念被映射到ICNP,有29.6%的直接匹配和显著比例的更窄/更广泛的匹配.
- 在描述成本,可负担性,社区参与,水,空气和卫生等概念方面发现了差距.
结论:
- 像SNOMED CT和ICNP这样的标准化临床术语在表示环境健康概念方面存在局限性.
- 需要包括与成本,可负担性,社区参与,水,空气和环境卫生相关的概念.
- 扩大这些概念将加强临床报告,研究,教育和政策决策.
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