Smith Barry, Ceusters Werner, Temmerman Rita
IFOMIS (Institute for Formal Ontology and Medical Information Science), Saarland University, Germany.
Stud Health Technol Inform. 2005;116:647-52.
The last two decades have seen considerable efforts directed towards making electronic health records interoperable through improvements in medical ontologies, terminologies and coding systems. Unfortunately, these efforts have been hampered by a number of influential ideas inherited from the work of Eugen Wüster, the father of terminology standardization and the founder of ISO TC 37. We here survey Wüster's ideas - which see terminology work as being focused on the classification of concepts in people's minds - and we argue that they serve still as the basis for a series of influential confusions. We argue further that an ontology based unambiguously, not on concepts, but on the classification of entities in reality can, by removing these confusions, make a vital contribution to ensuring the interoperability of coding systems and healthcare records in the future.
在过去二十年里，人们付出了巨大努力，通过改进医学本体、术语和编码系统，使电子健康记录能够实现互操作性。不幸的是，这些努力受到了一些源自 Eugen Wüster 著作的有影响力观点的阻碍，Eugen Wüster 是术语标准化之父以及 ISO TC 37 的创始人。在此，我们审视 Wüster 的观点——这些观点将术语工作视为专注于对人们头脑中的概念进行分类——并认为它们仍是一系列有影响力的混淆的基础。我们进一步认为，一个明确基于现实中实体分类而非概念的本体，通过消除这些混淆，能够为确保未来编码系统和医疗记录的互操作性做出至关重要的贡献。
