Calvo Franz, Karras Bryant T, Phillips Richard, Kimball Ann Marie, Wolf Fred
Department of Medical Education, School of Medicine, University of Washington, Seattle, WA, USA.
AMIA Annu Symp Proc. 2003;2003:802.
Despite their widespread use, the terms "syndrome", "disease" and "diagnosis" are sometimes utilized improperly and ambiguously, compounding the complexities of medical knowledge representation. The definitions and illustrative examples provided here will be useful for developers of diagnostic expert systems. Description of the Problem Representing medical knowledge is a highly complex endeavor. The improper use of the terms "syndrome", "disease" and their relations to "diagnosis" is one of the difficulties with which medical informaticians must deal, especially when developing expert systems to support diagnoses. Although ubiquitous in medical and lay discourse, the term "disease" has no unambiguous, generally accepted definition. How-ever, most of those using this term allow themselves the comfortable delusion that everyone knows what it means. Only sparse and fragmented literature could be found regarding this issue.
尽管“综合征”“疾病”和“诊断”这些术语被广泛使用,但有时它们的使用不当且含糊不清,这加剧了医学知识表示的复杂性。此处提供的定义和示例将对诊断专家系统的开发者有所帮助。问题描述 表示医学知识是一项极其复杂的工作。“综合征”“疾病”这些术语的不当使用及其与“诊断”的关系是医学信息学家必须应对的难题之一,尤其是在开发支持诊断的专家系统时。尽管“疾病”这个术语在医学和通俗话语中无处不在,但它并没有明确的、被普遍接受的定义。然而,大多数使用这个术语的人都自欺欺人地认为每个人都知道它的意思。关于这个问题,只能找到零散的文献。