Developing a Health Informatics Conceptual Framework for Representing Clinical Findings in Traditional East Asian Medicine

한의학 임상소견 표현을 위한 개념적 프레임워크 개발 연구

  • 김선호 (경희대학교 동서의료공학과) ;
  • 박경모 (경희대학교 동서의료공학과)
  • Received : 2010.11.30
  • Accepted : 2011.01.19
  • Published : 2011.01.30

Abstract

Objective: The propose of this study is to build a conceptual framework for representing clinical findings in Traditional East Asian Medicine(TEAM). As the existing standard models have been developed without considering features of Traditional Medicine, in this study we introduced unique characteristics for the TEAM. Method: This study was composed of three steps. First, we analyzed whether the existing clinical information models are suitable for representing clinical findings. Second, we analyzed ISO/TS 22789 model which is a ISO medical informatics standard, to find out the problem by applying clinical findings of TEAM into the model. Finally, we defined semantic links and a concept hierarchy in our model based on the analyzed results. The model includes the concepts for clinical findings and terms, and the semantic links can be regarded as relations between concepts, so that the representating clinical findings are completed by connecting concepts with other concepts. Results: Our framework was developed by removing unnecessary semantic links, and adding some necessary ones based on ISO/TS 22789 model. The ISO/TS 22789 model has a simple concept hierarchy, but in this study we subdivided the hierarchy and also considered interoperability with other terminological systems and standard models. Conclusions: This research needs more discussions, but is meaningful as proposing a way how to develop Traditional Medicine terminological systems. This study shows the limitations of existing models in describing clinical findings for TEAM, and what should be considered to represent Traditional Medicine knowledge, and propose a solution to improve the problem.

Keywords

References

  1. WHO Regional Office for the Western Pacific. WHO International Standard Terminologies on Traditional Medicine on the Western Pacific Region. 2007. Available from:URL:http://www.wpro.who.int/publications/PUB_9789290612487.htm
  2. WHO International Classification of Traditional Medicine. Available from:URL:https://sites.google.com/site/whoictm/home/
  3. MITRE Corporation. Electronic Health Records Overview. National Institutes of Health National Center for Research Resources, 2006. Available from:URL:http://www.ncrr.nih.gov/publications/informatics/ehr.pdf
  4. Park HA, Hardiker N. Clinical Terminologies: A Solution for Semantic Interoperability. J Kor Soc Med Informatics. 2009; 15(1):1-11. https://doi.org/10.4258/jksmi.2009.15.1.1
  5. SNOMED CT. Available from:URL:http://www.ihtsdo.org/snomed-ct/
  6. Unified Medical Language System. Available from:URL:http://www.nlm.nih.gov/research/umls/
  7. Rosse C., and Jose L. V. Mejino Jr. A reference ontology for biomedical informatics: the Foundational Model of Anatomy, J Biomed Inform. 2003;36(6):478-500. https://doi.org/10.1016/j.jbi.2003.11.007
  8. EN 1828:2002. Health Informatics-Categorial Structure for Terminologies of Surgical Procedures.
  9. ISO/TS 22789:2009. Health Informatics-Conceptual framework for patient findings and problems in terminologies.
  10. Center for Interoperable EHR. Development report of Clinical Contents Model, 2009. Available from:URL:http://www.ciehr.org/
  11. Gruber TR. A translation approach to portable ontologies. Knowledge Acquisition. 1993;5(2):199-220. https://doi.org/10.1006/knac.1993.1008
  12. Gruber TR. Toward principles for the design of ontologies used for knowledge sharing. International Journal of Human Computer Studies. 1995;43(5):625-640. https://doi.org/10.1006/ijhc.1995.1066
  13. WHOIST:2007. WHO International Standard Terminologies on Traditional Medicine in the Wetern Pacific Region.
  14. WHO Regional Office for the Western Pacific, Standard Acupuncture Nomenclature, Second Edition. 1993. Available from:URL:http://www.wpro.who.int/publications/pub_9290611057.htm
  15. GB/T 15657-1995 Classification and codes of diseases and ZHENG of Traditional Chinese Medicine, 1995. Available from:URL:http://www.chinese-standard.net/ebzdetail/086/25BD19B8.shtml
  16. Korean Institute of Oriental Medicine, Medical Subject Headings for Oriental Medicine, 1999.
  17. Zhou X, Wu A, Yin A, Wu L, Fan W, Ahang F. Ontology development for unified traditional Chinese medical language system. Artif Intell Med. 2004;32:15-27. https://doi.org/10.1016/j.artmed.2004.01.014