Bidgood W D
Center for Outcomes Measurement, Duke University Medical Center, Durham, NC, USA.
Methods Inf Med. 1998 Nov;37(4-5):404-14.
This paper describes an authoritative, non-proprietary information resource that provides an efficient mechanism for embedding specialized clinical knowledge into the design of healthcare telecommunications systems. The resource marries two types of data interchange standards, a message/electronic-document standard and a terminology standard. In technical terms, it is part protocol and part database. Industry, academia, professional specialty societies, and the federal government participated in its development. The development of multi-specialty content has broadly engaged biomedical domain experts to an unprecedented degree in voluntary, non-proprietary message/document-standards development. The resource is the SNOMED DICOM Microglossary (SDM), a message-terminology (or document-content) mapping resource. The message/electronic-document standard is DICOM (Digital Imaging and Communications in Medicine). The terminology standard is SNOMED, (Systematized Nomenclature of Human and Veterinary Medicine). The SDM specifies the mapping of multi-specialty imaging terminology from SNOMED to DICOM data elements. DICOM provides semantic constraints and a framework for discourse that are lacking in SNOMED. Thus the message standard and the computer-based terminology both depend upon and complete each other. The combination is synergistic. By substitution of different templates of specialty terminology from the SDM, a generic message template, such as the DICOM Visible Light (Color Diagnostic) Image or the DICOM Structured Reporting specification can be reconfigured for diverse applications. Professional societies, with technical assistance from the College of American Pathologists, contribute and maintain their portions of the terminology, and can use SDM templates and term lists in clinical practice guidelines for the structure and content of computer-based patient records.
本文介绍了一种权威性的、非专有信息资源，该资源为将专业临床知识嵌入医疗电信系统设计提供了一种有效机制。该资源结合了两种数据交换标准，即消息/电子文档标准和术语标准。从技术角度而言，它部分是协议，部分是数据库。行业、学术界、专业学会和联邦政府都参与了其开发。多专业内容的开发在自愿、非专有消息/文档标准制定方面，以前所未有的程度广泛吸引了生物医学领域专家。该资源是SNOMED DICOM微词汇表（SDM），一种消息-术语（或文档-内容）映射资源。消息/电子文档标准是DICOM（医学数字成像和通信）。术语标准是SNOMED（人类和兽医学系统命名法）。SDM规定了从SNOMED到DICOM数据元素的多专业成像术语映射。DICOM提供了SNOMED所缺乏的语义约束和话语框架。因此，消息标准和基于计算机的术语相互依赖且相互补充。这种结合具有协同作用。通过替换SDM中不同的专业术语模板，可以为各种应用重新配置通用消息模板，如DICOM可见光（彩色诊断）图像或DICOM结构化报告规范。专业学会在美国病理学家学会的技术协助下，贡献并维护其术语部分，并可在基于计算机的患者记录结构和内容的临床实践指南中使用SDM模板和术语列表。
