Aschman Diane J
Diane J. Aschman MS, RPh Chief Operating Officer SNOMED® International.
Health Inf Manag. 2003 Mar;31(1):17-25. doi: 10.1177/183335830303100107.
Classification systems are the primary means for automated retrieval and analysis of healthcare data from individual patient medical records. This article will provide a brief history and overview of the two most comprehensive and advanced controlled clinical terminologies in the world: the Systematized Nomenclature of Medicine Reference Terminology (SNOMED® RT), and Clinical Terms Version 3 (CTV3). A discussion will follow of the merger of these two terminologies into a single new work, SNOMED® Clinical Terms (SNOMED® CT), as released in early 2002, how it is used to retrieve data, how it differs from a classification, and the opportunities open to health information management professionals to expand their roles as information managers through their knowledge of SNOMED CT.
分类系统是从个体患者病历中自动检索和分析医疗保健数据的主要手段。本文将简要介绍世界上两个最全面、最先进的受控临床术语集:医学系统化命名法参考术语集(SNOMED® RT)和临床术语第3版(CTV3)的历史与概况。随后将讨论这两个术语集于2002年初合并为一个新的单一作品SNOMED®临床术语(SNOMED® CT)的情况,它如何用于检索数据,与分类有何不同,以及健康信息管理专业人员通过了解SNOMED CT有哪些机会来扩大其作为信息管理者的角色。