MYTH
Multilingual hYpertextual Thesauri for Healthcare
 copyright 1999-2001 by CNR-ITBM and Èulogos
Experimental IntraText pages for the presentation of Multilingual Hypertextual Thesauri for Healthcare.

You are authorized to browse and download the following pages for evaluation purpose and are strongly requested to provide a detailed feedback.
WARNING: these pages reuse non-stable knowledge prepared for other tasks, and are not intended to be used in production settings, because they still contain imprecisions and errors.

We will appreciate any comment and suggestion for improvements.
About contents please contact the MYTH Project leader Angelo Rossi Mori at CNR.
About IntraText for terminology please contact Nicola Mastidoro at Eulogos.


Here we present a set of narrow thesauri on the following topics:
  1. IntraText Custom: SURGICAL PROCEDURES from GALEN-IN-USE
      [Download the whole IntraText Custom]

  2. IntraText CT: NURSING from the Short Strategic Study for CEN/TC251

  3. IntraText Custom: NURSING from the Short Strategic Study for CEN/TC251
      [Download 990503-Nursing.zip, 82K]

  4. ARCHETYPES OF SITUATIONS for clinical information, from CEN/TC251/PT27
      [Download the whole IntraText Custom]
Our goal is not to integrate them, but just to provide a uniform presentation tool for different initiatives, in order to

The thesauri are a component of a larger process of systematic representation of healthcare expressions, that we briefly describe below.

The process is being used to produce various standards in CEN/TC251 Health Informatics [13] and it is a part of the more complete process developed within the GALEN project [15, 23, 30, 31, 32, 33, 36].

It consists on the analysis of terminological systems from different sources, according to a cooperative methodology [21, 22, 37, 42] that is based on a foundation standard [5].

The goal is to produce a substrate to facilitate maintenance of the individual systems and their gradual convergence.

The principles of the approach are:

 

Recently we started modelling the structures in the patient record [1, 26, 34, 38, 39, 40, 43, 44, 45, 46, 47, 48] and the models for information systems. In fact, this topic is now crucial for integration of terminologies, health records and data dictionaries [2, 6, 10, 12, 17, 24, 25, 40, 53].

For the modelling of clinical information, we added a step for the normalisation of the interpretations, working out the clinical situation (patient's state, non-healthcare event, or healthcare activity) referred by the entry. We then focussed the process on clinical situations instead on the original entries.

Our goal was in fact to understand and model the nature of clinical information (see the thesaurus on the archetypes of situations, above, taken from [11]).
  1. Alschuler L, Brennan S, Rossi Mori A, Sokolowski R, Dudeck J. SGML/XML in Healthcare Information Exchange Standards. in: Proceedings of the Conference "SGML/XML Europe '98", Paris, 17-21 May 1998

  2. Andover Working Group. Accelerating the Movement Toward Standards-Based Interoperability in Healthcare. Available from http://www.dmo.hp.com/mpginf/whitepaper.html

  3. Bidgood WD Jr. The SNOMED DICOM Microglossary: Controlled Terminology Resource for Data Interchange in Biomedical Imaging. Methods Inf Med; 1998 (in press) See also http://www.snomed.org/sdm/sdm.htm

  4. Bidgood WD, Bray B, Brown N, Rossi Mori A, Spackman KA, Golichoowski A, Jones RH, Korman L, Dove B, Hildebrand L, Berg M Image acquisition context: Procedure description attributes for clinically relevant indexing and selective retrieval of biomedical images JAMIA, 1999 6(1) 61-75

  5. CEN ENV 12264. Medical Informatics - Categorial structure of systems of concepts - Model for representation of semantics (MoSe). Brussels: CEN; 1997 (prepared by CEN/TC251 PT003, leader Rossi Mori A)

  6. CEN ENV 12265. Medical Informatics — Electronic Healthcare Record Architecture. Brussels: CEN, 1997

  7. CEN ENV 12611. Medical informatics — Categorial structure of systems of concepts — Medical devices. Brussels: CEN, 1996

  8. CEN ENV 1614. Health informatics — System of concepts for systematic names, classification, and coding for properties, including quantities, in laboratory medicine. Brussels: CEN, 1994

  9. CEN ENV 1828. Health informatics — Structure for classification and coding of surgical procedures. Brussels: CEN, 1995

  10. CEN prENV 13606-1 Health informatics — Communication of Electronic Health Care Record — Part 1: Architecture. Brussels: CEN, 1999

  11. CEN prENV 13606-2 Health informatics — Communication of Electronic Health Care Record — Part 2: Domain Termlist. Brussels: CEN, 1999

  12. CEN prENV 13606-4 Health informatics — Communication of Electronic Health Care Record — Part 4: Messages. Brussels: CEN, 1999

  13. CEN/TC251. Workplan of the Technical Committee 251 "Health Informatics" of the European Committee for Standardization (CEN). Available from http://www.centc251.org

  14. CEN/TC 251/PT5-021 Vital Signs Information Representation, Final document for Formal Vote (FFV), 1998

  15. Ceusters W., Rogers J, Rossi Mori A et al. Syntactic-semantic tagging as a mediator between linguistic representations and formal modals: an exercise in linking SNOMED to GALEN. Artificial Intelligence in Medicine 1999, 15(1): 5--24.

  16. Cimino JJ. Review paper: coding systems in health care. Methods Inf Med 1996;35:273-84. Review.

  17. CORBAmed Lexicon Working Group 1997. Available from http://www.omg.org/corbamed/lex.htm

  18. Dessena S, Rossi Mori A, Galeazzi E. Development of a cross-thesaurus with Internet-based refinement supported by UMLS. Int J Med Inform 1999; 53:29-41

  19. DICOM. Supplement 23 : Structured Reporting (Frozen Draft for Trial Use) Version 0.97. 1997. Available from http://dumccss.mc.duke.edu/standards/HL7/sigs/image-management/HTML/dicom-home.html

  20. Extensible Markup Language (XML) 1.0 Specification. Available from http://www.w3.org/TR/

  21. Galeazzi E, Rossi Mori A, Consorti F, Errera A. MEDITA: the reference methodology for cooperative production of dissections by terminological analysis. GALEN-IN-USE, report MET01/97, May 1997

  22. Galeazzi E, Rossi Mori A, Consorti F, Errera A. A cooperative methodology to build conceptual models in medicine In: MIE 97, IOS Press 1997

  23. GALEN and GALEN-IN-USE. documentation (1992-98), available from AL Rector, Med. Inform. Group, Dept. Computer Science, Univ. Manchester, Manchester M13 9 PL, UK, http://www.cs.man.ac.uk/mig/galen and http://www.cs.man.ac.uk/mig/giu

  24. Health Level 7 (HL7) Documentation. Available from http://www.mcis.duke.edu/standards/HL7/hl7.htm

  25. HL7 Decision Support SIG. Charter. Available from http://www.mcis.duke.edu/standards/HL7/committees/quality-assurance/missions/sigdecis.htm

  26. HL7 SGML/XML Special Interest Group. The Kona architecture proposal. Available from http://www.mcis.duke.edu/standards/HL7/committees/sgml/kona.htm

  27. LOINC Committee. Logical Observation Identifiers, Names and Codes (LOINC™), 1998. Available from http://dumccss.mc.duke.edu/standards/termcode/loinc.htm

  28. Mortensen RA, editor. The International Classification for Nursing Practice ICNP with TELENURSE introduction. Copenhagen: The Danish Institute for Health and Nursing Research; 1996

  29. National Library of Medicine. UMLS Knowledge Sources, 9th edition, January 1998. Available from http://www.nlm.nih.gov

  30. Rector A, Zanstra P, Solomon D, Rogers J, Baud R, Ceusters W, Claassen W, Kirby J, Rodrigues JM, Rossi Mori A, van der Haring EJ, Wagner J. Reconciling Users' Needs and Formal Requirements: Issues in Developing a Reusable Ontology for Medicine. IEEE Transactions on Information Technology in Biomedicine, 1998; vol.2, 4:229-242

  31. Rector AL, Rossi Mori A, Consorti F, Zanstra P Practical Development of Re-usable Terminologies: GALEN-IN-USE and the GALEN Organization, in: Working Conf. of IMIA WG16, Bermuda, Sept 1997

  32. Rector, A., Rossi Mori A et al. Making sound re-usable terminology practical: The GALEN approach. in Proceedings of "Towards and Electronic Health Care Record, Europe", London 1998, Medical Records Institute, Newton Mass.

  33. Rector, A., Rossi Mori A et al. Practical development of re-usable terminologies: GALEN-IN-USE and the GALEN Organisation. International Journal of Medical Informatics 1998, 48(1-3): 71-84.

  34. Ricci FL, Rossi Mori A, Consorti F. Purposive views in patient records: influence on reuse of clinical information and interoperability, in: Proceedings of the International Working Conference "Electronic Patient Records in Medical Practice", Rotterdam, 8-10 October 1998

  35. Ristrøm L, Rossi Mori A. Development of a standard for the organization of medical device nomenclatures. In: Brender J et al, editors. Medical Informatics Europe '96. Amsterdam: IOS Press; 1996. p., 259-63

  36. Rodrigues JM, Trombert-Paviot B, Baud R, Wagner J, Rusch P and Meusnier F. Galen-In-Use: An EU Project applied to the development of a new National coding system for surgical procedures. In: Pappas C et al, editors. Medical Informatics Europe '97. Amsterdam: IOS Press, 1997. p. 897-901

  37. Rogers JR, Solomon Wd, Rector AL, Pole P, Zanstra P, van der Haring E. Rubrics to dissections to GRAIL to classifications. In: Pappas C et al, editors. Medical Informatics Europe '97. Amsterdam: IOS Press, 1997 p. 241-5

  38. Rossi Mori A, Consorti F Exploiting the terminological approach from CENTC251 to support interoperability of health record systems. International Journal of Medical Informatics 1997 48(1-3): 111-124.

  39. Rossi Mori A, Consorti F Integration of clinical information across patient records: a comparison of mechanisms used to enforce semantic coherence IEEE Transactions on Information Technology in Biomedicine, 1998; vol.2, 4:243-253

  40. Rossi Mori A, Consorti F, editors. . Discussion Documents for the Second Tomelo Workshop (an European Project) . Available from http://www.ehm.kun.nl/tomelo/#Workshops

  41. Rossi Mori A, Consorti F, Galeazzi E and Merialdo P. A second generation of terminological systems is coming. In: Pappas C et al, editors. Medical Informatics Europe '97. Amsterdam: IOS Press, 1997. p.436-40. See also http://win.irmkant.rm.cnr.it/termhome.htm

  42. Rossi Mori A, Consorti F, Galeazzi E Standards to support development of terminological systems for healthcare telematics. Meth Inform Med 1998; 37: 551-563

  43. Rossi Mori A, Consorti F, Galeazzi E. A system of semantic tags to mediate between terminology and structure of patient records in: Proceedings of the International Working Conference "Electronic Patient Records in Medical Practice", Rotterdam, 8-10 October 1998

  44. Rossi Mori A, Consorti F, Galeazzi E. A tagging system for section headings in a CEN standard on patient record, JAMIA symp. suppl., 1998

  45. Rossi Mori A, Consorti F. An European Standard about Structures of Clinical Information in Patient Records. in: Proceedings of the Eurorec Conference, Sevilla, 6-7 May 1999

  46. Rossi Mori A, Consorti F. Meta-analysis of clinical documents for principled markup of Medical Records. in: Proceedings of the Conference "XML Europe '99", Granada, 26-30 April 1999

  47. Rossi Mori A, Consorti F. Structures of Clinical Information in Patient Records accepted for presentation at the AMIA '99 Annual Symposium, Washington, 6-10 Nov 1999

  48. Rossi Mori A, Galeazzi E, Consorti F, Bidgood WD Conceptual schemata for terminology: a continuum from headings to values in patient records and messages JAMIA symp. suppl., 1997:650-4

  49. Rossi Mori A, Gangemi A, Steve G, Consorti F, Galeazzi E. An Ontological Analysis of Surgical Deeds, in Keravnou E et al (eds), Artificial Intelligence In Medicine, Springer Verlag, 1997, 361-372

  50. Rossi Mori A. ICNP: Towards Second and Third Generation Terminology Systems. in Mortensen RA (ed), ICNP in Europe: TELENURSE, IOS Press, 1997, 63-77

  51. Rossi Mori, A., Consorti F, Galeazzi E A second generation of terminological systems is coming. In: MIE 97, IOS Press 1997

  52. Sokolowski R (ed.). Integration services for clinical data exchange. White Paper draft, 1997. Available from http://www.omg.org/corbamed/cprcdr.htm

  53. Spackman KA, Campbell KE, Côté RA. SNOMED RT: a reference terminology for Health Care J Am Med Inform Assoc Symp Suppl 1997;640-4

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