Rossi Mori A
Istituto Tecnologie Biomediche, Consiglio Nazionale delle Ricerche, Rome, Italy.
Int J Biomed Comput. 1995 Apr;39(1):93-8. doi: 10.1016/0020-7101(94)01085-f.
Modern healthcare information systems are requested to support an increasing interaction among professionals (inside and across the borders of the hospital) and a growing integration of specialised tasks (provision of care, reimbursement, document retrieval, optimisation of resource use, clinical audit, etc.). Coding systems were conceived and optimised independently for various specific purposes. They are now facing each other and thus conflicting into this new environment; the solution will be in a more application-independent representation of concepts. Developments are going towards three complementary directions: (i) to separate different functions about the management of terms and concepts, and thus to produce more specialised software components; (ii) to develop a new class of software which is able to manage terminological diversity without imposing uniformity; and (iii) to enhance reusability of concepts, and facilitate a spontaneous convergence among controlled vocabularies.
现代医疗信息系统需要支持专业人员之间日益增加的互动（医院内部及跨国界）以及专业任务的不断整合（提供护理、报销、文档检索、资源利用优化、临床审计等）。编码系统是为各种特定目的独立构思和优化的。它们现在相互面对，因此在这个新环境中产生了冲突；解决方案将是采用一种与应用无关的概念表示方式。发展正朝着三个互补的方向进行：（i）分离关于术语和概念管理的不同功能，从而产生更专业的软件组件；（ii）开发一类新的软件，能够管理术语多样性而不强制统一；（iii）提高概念的可重用性，并促进受控词汇之间的自发融合。
