Campbell K E, Cohn S P, Chute C G, Rennels G, Shortliffe E H
Stanford University School of Medicine, CA, USA.
Proc AMIA Annu Fall Symp. 1996:269-73.
Current controlled medical terminologies fall short of the needs of informatics application developers. To overcome the limitations of current medical terminologies, many groups are independently enhancing existing terminologies to meet their local needs. With proper computer-based support, local enhancements can be used as evolutionary stepping stones toward a convergent medical terminology. Gálapagos is a collection of applications that can take local enhancements from multiple sites, identify conflicting design decisions, allow developers to reconcile the conflicting designs, and efficiently disseminate updates tailored specifically for compatibility with locally enhanced terminologies. This paper describes an initial proof-of-concept of the Gálapagos programs using data generated during concurrent SNOMED enhancement by Kaiser Permanente and the Mayo Clinic.
当前的受控医学术语无法满足信息学应用开发者的需求。为克服当前医学术语的局限性，许多团队正在独立改进现有术语以满足其本地需求。在适当的计算机支持下，本地改进可作为朝着统一医学术语发展的演进垫脚石。加拉帕戈斯是一组应用程序，它可以获取来自多个站点的本地改进，识别相互冲突的设计决策，让开发者协调相互冲突的设计，并高效传播专门为与本地增强术语兼容而定制的更新。本文使用凯撒医疗集团和梅奥诊所同时对系统化医学命名法进行增强期间生成的数据，描述了加拉帕戈斯程序的初步概念验证。
