DOI QR코드

DOI QR Code

SNOMED CT를 활용한 한의약 개념 매핑 : 한의임상진료지침에서 도출된 편두통 관련 개념의 의미론적 표현

Use of SNOMED CT to Represent Traditional Korean Medicine Concepts : A Semantic Characterization of Migraine-Related Concepts from Korean Medicine Clinical Practice Guideline

  • 변아정 (서울대학교 간호대학) ;
  • 박현애 (서울대학교 간호대학) ;
  • 서병관 (한국한의약진흥원 임상정보빅데이터추진단) ;
  • 이은용 (세명대학교 부속 충주한방병원 침구과) ;
  • 김현의 (서울대학교 간호대학)
  • Ahjung Byun (College of Nursing, Seoul National University) ;
  • Hyeoun-Ae Park (College of Nursing, Seoul National University) ;
  • Byung-Kwan Seo (Big Data Center for Korean Medicine, National Institute for Korean Medicine Development) ;
  • EunYong Lee (Department of Acupuncture and Moxibustion Medicine, Chungju Hospital of Korean Medicine, Semyung University) ;
  • Hyeoneui Kim (College of Nursing, Seoul National University)
  • 투고 : 2024.07.24
  • 심사 : 2024.08.16
  • 발행 : 2024.08.31

초록

목적 : 본 연구는 한의약에서 사용하는 용어가 SNOMED CT로 매핑 가능한지 여부를 조사하고, 한의약 용어를 표현하기 위해 기존 SNOMED CT 온톨로지를 개선할 수 있는 방안을 제안하는 것을 목표로 하였다. 방법 : 선행 연구의 매핑 가이드라인에서 제시된 7단계 과정을 수정하여 활용하였다. 매핑의 목적 및 범위 정의, 용어 추출, 개념 추출, 매핑을 위한 소스 용어 작업, SNOMED CT 개념 검색, 매핑 관계 분류 및 매핑 검증의 과정을 수행하였다. 매핑의 목적은 한의약 임상 아이디어를 표현하는 표준 용어로서 SNOMED CT를 평가하는 것이고, 범위에는 편두통 환자 관리의 평가, 진단, 치료 및 예방을 포함하였다. 결과 : 총 546개의 용어가 추출되었다. 중복된 용어를 제거한 후, 271개의 개념이 SNOMED CT 매핑에 사용되었다. 이중 43.2%는 SNOMED CT 개념과 의미론적으로 동등하게 매핑되었고(117개 개념), 39.1%는 SNOMED CT 개념이 더 포괄적인 의미를 가지도록 매핑되었다(106개 개념). 상대적으로 포괄적인 의미를 가지는 SNOMED CT 개념에 매핑된 한의약 개념 106개 중 19개는 SNOMED CT 후조합을 이용하여 의미론적으로 동등하게 표현이 가능하였다. 나머지 17.7%의 한의약 개념은 SNOMED CT에 매핑할 수 없었다. 결론 : 본 연구는 한의약에서 사용되는 개념을 SNOMED CT에 매핑하여 한의약 용어를 표준화하였다. 연구 결과를 바탕으로, 한의약에서 사용되는 용어를 표준의료용어로 표현하기 위하여 SNOMED CT에 새로운 개념과 속성을 추가하는 것을 제안한다.

키워드

과제정보

The authors would like to thank Cham Kyul Lee, Jung Hyun Kim, Bon Hyuk Goo, Young-Eun Kim, and Na Young Jo for their contributions to the traditional Korean medicine terminology library which was developed based on the Korean Medicine Clinical Practice Guidelines. We are also deeply appreciative of Young Heum Yoon for efficiently coordinating the progress of the research project.

참고문헌

  1. Jeong YM, Cho SW. Survey on Perception Level of the East-West Collaborative Medical Practices among the General Public. Journal of Korean Medicine Rehabilitation. 2019;29(1):41-61. https://doi.org/10.18325/jkmr.2019.29.1.41
  2. [Health care service utilization] Statistical Information Report. Ministry of Health and Welfare; 2023.
  3. Welfare MoHa. Announcement of the Results of the Survey on the Utilization of Traditional Korean Medicine in 2022 Sejong: Ministry of Health and Welfare; 2023 [updated 2023-03-31. Available from: https://www.mohw.go.kr/board.es?mid=a10503010100&bid=0027&act=view&list_no=375634&tag=&nPage=1.
  4. Lee K. Development of 'Standard EMR' Leading the Era of Korean Medicine Big Data Progresses Smoothly: AKOM News; 2022 [updated Dec 22. Available from: https://www.akomnews.com/bbs/board.php?bo_table=news&wr_id=51612.
  5. Choi S. Korean Medicine Clinical Practice Guidelines, Accelerating the Development of 30 Diseases by 2020 Seoul: AKOM News; 2017 [updated Dec 15. Available from: https://www.akomnews.com/bbs/board.php?bo_table=news&wr_id=4405.
  6. Final Confirmation of 30 Specific Diseases for Korean Medicine Clinical Practice Guidelines: Ministry of Health and Welfare; 2016 [Available from: https://www.korea.kr/briefing/pressReleaseView.do?newsId=156144473#pressRelease.
  7. Kang HW. How Far Has the Big Data Project for Clinical Information in Korean Medicine Progressed? Seoul: AKOM News; 2022 [updated Jun 28. Available from: https://www.akomnews.com/bbs/board.php?bo_table=news&wr_id=49679.
  8. SNOMED CT Starter Guide: SNOMED International; 2023 [Available from: https://confluence.ihtsdotools.org/display/DOCSTART/SNOMED+CT+Starter+Guide.
  9. Kim N. Migraine: How Long Will You Rely Only on Medication? Seoul: MEDICAL Observer; 2023 [Available from: http://www.monews.co.kr/news/articleView.html?idxno=321191.
  10. Lee S, Yeo J, Lee SH, Lee YJ, Lee S, Ha IH. Trends in healthcare utilisation of patients with migraine in South Korea: a retrospective observational study using Health Insurance Review and Assessment Service National Patient Sample data from 2010 to 2018. BMJ open. 2023;13(3):e059926.
  11. Seo J, Kim CH, Chu H, Moon Y, Lee S. Banhabaekchulchunma-tang and chongsanggeontong-tang (herbal medicine) effect on migraine: A protocol for a systematic review of controlled trials. Medicine (Baltimore). 2018;97(11):e0119.
  12. Sung S, Park HA, Jung H, Kang H. A SNOMED CT Mapping Guideline for the Local Terms Used to Document Clinical Findings and Procedures in Electronic Medical Records in South Korea: Methodological Study. JMIR Med Inform. 2023;11:e46127.
  13. National Clearinghouse for Korean Medicine - Clinical Practice Guidelines DB: National Institute for Korean Medicine Development; [Available from: https://nikom.or.kr/engnckm/module/practiceGuide/index.do?menu_idx=4.
  14. The Society of Stroke on Korean Medicine. Clinical Practice Guidelin of Korean Medicine for Migraine: National Institute for Korean Medicine Development Korean Medicine Clinical Practice Guideline Development Project Team; 2021.
  15. Korean Medical Association's Medical Term Search 6th Edition: Korean Medical Association; [Available from: https://term.kma.org/index.asp.
  16. Korean Medical Library Engine [Available from: http://www.kmle.co.kr/.
  17. World Health Organization. International Classification of Disease 11th Revision [Internet]. [cited Apr 17, 2023]. Available from: https://icd.who.int/en.
  18. Korea Pharmaceutical Information Center [Internet]. [cited Apr 17, 2023]. Available from: https://www.health.kr/researchInfo/herbalMedicine1.asp.
  19. Browsing SNOMED CT - Searching: SNOMED International; 2021 [Available from: https://elearning.ihtsdotools.org/mod/page/view.php?id=7246.
  20. SNOMED CT Mapping Guide: SNOMED International; 2022 [Available from: https://confluence.ihtsdotools.org/display/DOCMAPIG/SNOMED+CT+Mapping+Guide.
  21. Herbal Medicine Resources Research Center, KIOM [Internet]. [cited April 2023]. Available from: https://oasis.kiom.re.kr/herblib/main.do.
  22. Zhang X, Tian R, Zhao C, Birch S, Lee JA, Alraek T, et al. The use of pattern differentiation in WHO-registered traditional Chinese medicine trials - A systematic review. European Journal of Integrative Medicine. 2019;30:100945.
  23. Park TY, Lee JA, Cha MH, Kang BK, Moon TW, Choi TY, et al. The Fundamental Study for the Standardization and Objectification of Pattern Identification in Traditional Korean Medicine for Stroke (SOPI-Stroke): An overview of phase I. Eur J Integr Med. 2012;4(2):e125-e31. https://doi.org/10.1016/j.eujim.2012.01.003
  24. Ko MM, Lee MS, Birch S, Lee JA. The reliability and validity of instruments measuring pattern identification in Korean medicine: A systematic review. Eur J Integr Med. 2017;15:47-63. https://doi.org/10.1016/j.eujim.2017.09.005
  25. Oriental Medicine Advanced Searching Integrated System (OASIS): Korea Institute of Oriental Medicine; [Available from: https://oasis.kiom.re.kr/contents/c_kiom01.do?srch_menu_nix=M536r614.
  26. Lundholm T, Bonacina S. Building an Ontology for Traditional Medicine by Comparing Traditional Medicine Information of Chapter 26 of ICD-11 with SNOMED CT. Stud Health Technol Inform. 2023;302:731-5. https://doi.org/10.3233/SHTI230249
  27. Bang M, Chang S, Kim JH, Min SY. Pharmacopuncture for asthma: A systematic review and a meta-analysis of randomized controlled trials. Eur J Integr Med. 2017;11:6-17. https://doi.org/10.1016/j.eujim.2017.03.006