Slaughter Laura, Ruland Cornelia, Rotegård Ann Kristin
Center for Shared Decision Making and Nursing Research, Rikshospitalet, Oslo, Norway. {laura.slaughter|cornelia.ruland|ann.kristin.rotegard}@rikshospitalet.no
AMIA Annu Symp Proc. 2005;2005:699-703.
A prerequisite for patient-friendly personal health records (PHR) is their ability to allow seamless integration of patient terminology with professional terminologies. In this work, we mapped a set of symptoms/ problems from the self-assessment component of a cancer patient support system to concepts in the Unified Medical Language System (UMLS) Metathesaurus. Our objective was to learn how the UMLS can be used as a tool to connect patient terminology with professional vocabularies. The mapping to UMLS was done with the help of ten expert cancer nurses who evaluated concepts, their synonyms and placement in the source vocabulary hierarchical structure. The UMLS concepts were also compared with terms and phrases found in patient medical records that addressed the same set of symptoms. In this study we observed several problems related to the use of the UMLS Metathesaurus as a tool to connect from patient-level expressions to professional-level classification systems. More work is needed to increase interoperability between layperson health applications and clinical systems.
对患者友好的个人健康记录(PHR)的一个前提条件是它们能够使患者术语与专业术语无缝集成。在这项工作中,我们将癌症患者支持系统自我评估部分的一组症状/问题映射到统一医学语言系统(UMLS)元词表中的概念。我们的目标是了解UMLS如何用作将患者术语与专业词汇联系起来的工具。借助十位癌症专科护士的帮助完成了与UMLS的映射,这些护士评估了概念、它们的同义词以及在源词汇层次结构中的位置。还将UMLS概念与患者病历中涉及同一组症状的术语和短语进行了比较。在本研究中,我们观察到了与使用UMLS元词表作为从患者层面表达连接到专业层面分类系统的工具相关的几个问题。需要开展更多工作以提高外行健康应用程序与临床系统之间的互操作性。