Tuttle M S, Sherertz D D, Erlbaum M S, Sperzel W D, Fuller L F, Olson N E, Nelson S J, Cimino J J, Chute C G
Lexical Technology, Inc., Alameda, CA 94501-1366.
Proc Annu Symp Comput Appl Med Care. 1991:219-23.
The National Library of Medicine's Unified Medical Language System [1] Metathesaurus contains the richest single corpus of biomedical names in existence. Yet, developers wishing to make use of the Metathesaurus will be confronted by users who want to add local terminology and relationships not already represented there. We urge developers to fill those needs, while, at the same time, they plan for the many consequences of unilateral Metathesaurus enhancement. Foremost among these consequences is the need to maintain local enhancements across subsequent releases of the Metathesaurus. These problems are illustrated via examples of candidate Metathesaurus enhancement terms in use at the Columbia-Presbyterian Medical Center (CPMC), at the Mayo Clinic, and in Current Disease Descriptions (CDD). Sharing and reuse of Metathesaurus enhancement methods may permit local enhancements to be used at other sites, and it may permit the global Metathesaurus utilization effort to benefit from economies of scale.
美国国立医学图书馆的统一医学语言系统[1]元词表包含现存最丰富的单一生物医学名称语料库。然而，希望使用该元词表的开发者会遇到这样的用户，他们想要添加元词表中尚未体现的本地术语和关系。我们敦促开发者满足这些需求，同时，他们要为单方面增强元词表所带来的诸多后果做好规划。这些后果中首要的是需要在元词表的后续版本中维护本地增强内容。通过哥伦比亚长老会医学中心（CPMC）、梅奥诊所以及《当前疾病描述》（CDD）中正在使用的元词表增强候选术语示例来说明这些问题。元词表增强方法的共享和重用可能会使其他机构能够使用本地增强内容，并且可能会使全球元词表的使用工作受益于规模经济。
