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Proceedings of the AMIA Symposium logoLink to Proceedings of the AMIA Symposium
. 1998:68–73.

The Copernican era of healthcare terminology: a re-centering of health information systems.

C G Chute 1
PMCID: PMC2232272  PMID: 9929184

Abstract

Health terminology and classifications have been an unseen backwater in healthcare practice and information systems development. Today however, the recognized need for comparable patient data is driving a new discovery about its strategic importance. Consistent patient descriptions and concept-centered data representations are crucial for efficient discovery of optimal treatments, best outcomes, and efficient practice patterns. The fabled linkage of knowledge sources at the time and place of care requires the conceptual intermediary of common terminology. A brief history overviewing the evolution of health classifications will provide the foundation for considering present and evolving health terminology developments. Their roles in health information systems will be characterized. Discussion will focus on the likely influences of the HIPAA legislation nationally and the new ISO Healthcare Informatics Technical Committee internationally, on terminology adaptation and incorporation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Campbell J. R., Carpenter P., Sneiderman C., Cohn S., Chute C. G., Warren J. Phase II evaluation of clinical coding schemes: completeness, taxonomy, mapping, definitions, and clarity. CPRI Work Group on Codes and Structures. J Am Med Inform Assoc. 1997 May-Jun;4(3):238–251. doi: 10.1136/jamia.1997.0040238. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Chute C. G., Cohn S. P., Campbell K. E., Oliver D. E., Campbell J. R. The content coverage of clinical classifications. For The Computer-Based Patient Record Institute's Work Group on Codes & Structures. J Am Med Inform Assoc. 1996 May-Jun;3(3):224–233. doi: 10.1136/jamia.1996.96310636. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Dolin R. H., Huff S. M., Rocha R. A., Spackman K. A., Campbell K. E. Evaluation of a "lexically assign, logically refine" strategy for semi-automated integration of overlapping terminologies. J Am Med Inform Assoc. 1998 Mar-Apr;5(2):203–213. doi: 10.1136/jamia.1998.0050203. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Evans D. A., Cimino J. J., Hersh W. R., Huff S. M., Bell D. S. Toward a medical-concept representation language. The Canon Group. J Am Med Inform Assoc. 1994 May-Jun;1(3):207–217. doi: 10.1136/jamia.1994.95236153. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Mays E., Weida R., Dionne R., Laker M., White B., Liang C., Oles F. J. Scalable and expressive medical terminologies. Proc AMIA Annu Fall Symp. 1996:259–263. [PMC free article] [PubMed] [Google Scholar]
  6. Spackman K. A., Campbell K. E., Côté R. A. SNOMED RT: a reference terminology for health care. Proc AMIA Annu Fall Symp. 1997:640–644. [PMC free article] [PubMed] [Google Scholar]
  7. Tuttle M. S., Olson N. E., Campbell K. E., Sherertz D. D., Nelson S. J., Cole W. G. Formal properties of the Metathesaurus. Proc Annu Symp Comput Appl Med Care. 1994:145–149. [PMC free article] [PubMed] [Google Scholar]

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