Smith Barry, Ceusters Werner
Department fo Philosophy, University of Buffalo, NY 14260, USA.
AMIA Annu Symp Proc. 2005;2005:704-8.
Biomedical terminologies are focused on what is general, Electronic Health Records (EHRs) on what is particular, and it is commonly assumed that the step from the one to the other is unproblematic. We argue that this is not so, and that, if the EHR of the future is to fulfill its promise, then the foundations of both EHR architectures and biomedical terminologies need to be reconceived. We accordingly describe a new framework for the treatment of both generals and particulars in biomedical information systems that is designed: 1) to provide new opportunities for the sharing and management of data within and between healthcare institutions, 2) to facilitate interoperability among different terminology and record systems, and thereby 3) to allow new kinds of reasoning with biomedical data.
生物医学术语关注的是一般性内容，电子健康记录（EHRs）关注的是特殊性内容，人们通常认为从前者到后者的转换是毫无问题的。我们认为情况并非如此，并且，如果未来的电子健康记录要实现其承诺，那么电子健康记录架构和生物医学术语的基础都需要重新构想。因此，我们描述了一个用于处理生物医学信息系统中一般性和特殊性内容的新框架，该框架旨在：1）为医疗机构内部和之间的数据共享与管理提供新机会，2）促进不同术语和记录系统之间的互操作性，从而3）允许对生物医学数据进行新型推理。
