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Stud Health Technol Inform ; 180: 1102-4, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22874367

RESUMO

Semantic interoperability is an unsolved problem which occurs while working with medical forms from different information systems or institutions. Standards like ODM or CDA assure structural homogenization but in order to compare elements from different data models it is necessary to use semantic concepts and codes on an item level of those structures. We developed and implemented a web-based tool which enables a domain expert to perform semi-automated coding of ODM-files. For each item it is possible to inquire web services which result in unique concept codes without leaving the context of the document. Although it was not feasible to perform a totally automated coding we have implemented a dialog based method to perform an efficient coding of all data elements in the context of the whole document. The proportion of codable items was comparable to results from previous studies.


Assuntos
Codificação Clínica/métodos , Registros Eletrônicos de Saúde , Armazenamento e Recuperação da Informação/métodos , Internet , Registro Médico Coordenado/métodos , Processamento de Linguagem Natural , Vocabulário Controlado , Sistemas de Gerenciamento de Base de Dados , Registros de Saúde Pessoal , Reconhecimento Automatizado de Padrão/métodos , Semântica
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