SNOMED CT를 사용한 고혈압 관리 의사결정 규칙에 사용된 개념 표현

김현영; 조인숙; 이재현; 김지현; 김윤

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자료유형: 학술저널

저자정보: 김현영 조인숙 이재현 김지현 김윤

저널정보: 대한의료정보학회 Healthcare Informatics Research Healthcare Informatics Research 제14권 제4호

발행연도: 2008.1

수록면: 395 - 403 (9page)

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연구주제

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연구배경

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연구방법

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Objective: To obtain sharable and reusable knowledge among various hospital information systems, it is essential to represent each term with standard terminology. To support knowledge representation for interoperable clinical decision support system for hypertension management, the feasibility of SNOMED CT was evaluated. Methods: Concept matching was conducted using the method of direct matching, post-coordinated matching and general matching. For semantic matching, the SNOMED CT hierarchy was considered, and for raising the mapping rate, preferred terms and synonyms were used. Results: Excluding the recommendation concepts that were not used in clinical data, finally 182 concepts were evaluated in terms of concept matching. Seventy two percent of the concepts was directly matched to pre-coordinated concepts in SNOMED CT. For the post-coordinated matching and the general matching to broader meaning, 9.3% and 18.7% were covered respectively. Conclusion: The direct coverage of SNOMED CT was moderate to high level for representing guideline knowledge concepts without loss of semantics. To supplement the coverage, it is inevitable to consider defining local concepts for implementing hypertension management systems.

#Clinical Decision Support #Hypertension Management #Knowledge Represnetation #SNOMED CT #Standard Terminology

참고문헌 (24)

참고문헌 신청

/ 2004 / The Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure

/ 2007 / SNOMED Clinical termsⓡ User Guide / College of American Pathologists

Allen M / / The classification of clinician's information needs while using a clinical information system / Proc AMIA Fall Symp : 26 ~ 30

Andrews JE / 2007 / Variation of SNOMED CT coding of clinical research concepts among coding experts / J Am Med Inform Assoc 14 (4) : 497 ~ 506

Cho I / 2007 / Approach to the requirements of a decision support system for hypertension management in a health center / Kor J Med Inform Assoc 13 (3) : 259 ~ 269

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