CN1849612A - Terminology management system - Google Patents

Abstract

Various embodiments provide a system for use in managing healthcare terminology supporting operation of a healthcare enterprise, comprising: a first repository including a first set of healthcare related terms; a second repository including a centralized second set of healthcare related terms encompassing terms of a plurality of terminology sets including the first set of healthcare related terms, the centralized second set including a group of one or more component terms associated with an individual term of the first set; and an interpretation processor for selecting, from the centralized second set, a subgroup of the group of one or more component terms associated with an individual received term of the first set in response to processing of context information associated with the individual received term, using predetermined rules.

Description

Terminology management system

The cross reference of related application

The sequence number that the application has required on July 9th, 2003 to submit to is the right of priority of 60/485,877 pending trial U.S. Provisional Patent Application (attorney docket is 2003P09929US01).

Background

Term is the health care language, and it provides expression and structure description health care to transmit the mode of the data (for example, medical conditions, service, result, observed result, achievement) of (healthcare delivery).These terms are neccessary compositions of health care information system, and this health care information system provides technical foundation structure to realize catching, store and using of term.These terms also are the modes of expressing the best practices knowledge that is used for effective and efficacious health care transmission.Regrettably, health care term, IT system and knowledge source now is diversified, bitty and breaks away from each other.Each term and system impliedly or clearly have following layer model or the structure of definition at the rule of its structure.Each term and system are unique for its oneself purpose, and are it self entities.Each discrete term (for example, ICD, LOINC, ICNP, NANDA or the like) all has structure; Each reference term set (SNOMED CT, ISO nursing behavior (Nursing Action) or the like) all has structure; Each interface standard all has structure, and (for example, HL7RIM), each discrete message and message transfer service all have information and message structure, and each infosystem all has data structure.In the term territory, keep meta structure, such as first dictionary of national medical science storehouse and the evolution reference term as SNOMEDCT (evolving reference terminology), but how these yuan dictionary is not connected to the how message of shared data between these yuan dictionary of General Definition in the health care information system and definition.Present system whole consideration term, infosystem and knowledge domain.Term is bitty, redundant, inconsistent and incomplete.Infosystem is bitty, redundant, inconsistent and incomplete with the message that is connected it.Term is inserted in system and data structure and the message, and does not consider finally how integrated data transmits to support integrated health care.These terms become the center that is used to express healthcare knowledge.

Summary

The inventor recognizes from systematic point of view that term IT foundation structure is to be used for diversified term is linked at together, is used for the professional term in the term being linked into the message structure of expressing clinical and financial savvy jointly and being used for the special-purpose professional term in these structures is linked into their the supportive information of help definition and the comprehensive point of knowledge.Integrated and the interoperability of these structures, be used for health care is described and is organized into structuring and consistent professional term and description and is organized into the mapping of the vocabulary of the reference information that is used to simplify decision-making so that simplify the clinician, wherein said professional term will be stored by the following layer data structures of infosystem.

Therefore, various embodiment provides a kind of system that uses in the health care term that management supports healthcare enterprise to operate, and this system comprises: first storage vault, and it comprises first set of health care relevant speciality noun; Second storage vault, it comprises second set of the centralization of health care relevant speciality noun, second set of this centralization comprises the professional term of a plurality of term set of first set that comprises health care relevant speciality noun, and second set of described centralization comprises the group of the one or more composition professional terms that are associated with the independent professional term of first set; Interpretation process device (interpretation processor), be used for, use pre-defined rule, in response to the processing of the contextual information that is associated with the professional term that receives separately, the child group of the group of one or more composition professional terms that selection is associated with the professional term that receives separately of first set from second set of centralization.

The accompanying drawing summary

With reference to the accompanying drawings,, will be more readily understood possible embodiment of all kinds by the following detailed description of some exemplary embodiment, wherein:

Fig. 1 is the block diagram of the exemplary embodiment of system 1000;

Fig. 2 is the block diagram of the exemplary embodiment of system 2000;

Fig. 3 is the block diagram of the exemplary embodiment of system 3000;

Fig. 4 is the block diagram of the exemplary embodiment of massaging device 4000;

Fig. 5 is the process flow diagram of the exemplary embodiment of method 5000; With

Fig. 6 is the process flow diagram of the exemplary embodiment of method 6000.

Definition

When this uses following professional term, appended being defined as:

Can-at least some embodiment, be can.

Centralization-concentrate on or be centered around a central point and/or purposes.

Code-expression and/or with corresponding at least one characteristic of the data with one or more predetermined values.For example: code can be represented and/or corresponding to particular problem, historical, symptom/symptom, observed result, pattern, the chemical examination achievement, structure, mark, situation, unusually, disease, diagnosis, chemical examination, program, treatment, achievement, intervene, research, but booking service, drug therapy, medicine, movable, entity (entity), mechanism, facility, instrument, resource, function, relation, workflow, the patient, supplier, insurance company, insurance plan, the insurance plan characteristic, market, country, demographic characteristic, finance characteristic and/or management characteristic or the like.Code collection can be followed and/or with following compatible mutually: the 9th edition ICD (International Classification of Diseases) code (Clinical Modification (ICD-9-CM), the 1st, 2 and 3) for example; ICD-10, this ICD-10 be healthy and public utility department maintenance and issue by the U.S.; HCPCS (health care financial management common program coded system (Healthcare Financing AdministrationCommon Procedure Coding System)); NDC (national drug code); CPT-4 (term on the current program); The 4th edition CDPN (about the code of dental procedure and name); The SNOMED-RT of ACP " the systematization name of medical science, reference term (Systematicized Nomenclature of Medicine, ReferenceTerminology) "; The UMLS in country medical science storehouse (unified medical science language system (UnifiedMedical Language System)); LOINC logicality observed result identifier title and code (Logical Observation Identifiers Names and Codes); Regenstrief association and logicality observed result identifier title and code (LOINC ^) council; The clinical speciality noun has another name called and is " reading code (Read Code) "; DIN drug identifier number; Comprise the repayment classification of DRG (the relevant group of diagnosis); The existing odontonomy of CDT; NIC (nursing and interfering code); With commercial vocabulary service (such as, the health care language of health care language company); Or the like.

Notion-comprise the reproduction of specific human understandable implication, but not only be reproduced as code.

Towards the term-term of notion, wherein in form by the notion that its mode that is suitable for Computer Processing is represented.

Contextual information-about the information of the part of text or statement, described text or statement around and/or relate to certain words and/or paragraph and determine and/or the implication of hint certain words and/or paragraph.

The professional term set of the clinical use of controlled health care term-be used for.

Diagnostic code-the comprise code of the one or more characteristics that are associated with particular patient diagnosis, medical conditions or treatment.

Disease code-with corresponding at least one characteristic of disease known and/or that theorize.

The physics of document-related data elements and/or electron collection.If physics is collected, then document comprises one or more paper and printing related data elements thereon.Document can be and/or can represent the record that patient and health institution meet.

Enterprise-entity and/or mechanism.

Firmware-the be stored in machine readable instructions in the ROM (read-only memory) (ROM).ROM can comprise PROM and EPROM.

Heredity-belong to or relevant with science of heredity or gene.The example of hereditary information comprises the information about DNA, RNA, complementary DNA or RNA, transfer RNA (tRNA), mRNA (mRNA) and expressed sequence tag (EST) or the like.

The distinctive symbols of identifier-special entity, object, activity, service, relation, characteristic and/or document.Identifier for example can be the medical records numbering.Identifier can be human and/or machine-readable and/or intelligible, such as numbering, alpha-numeric string, code, bar code, RFID or the like.

Information model-sign and describe the key concept be present in the information in the record and structure and can between system, exchanging.The vocabulary in these information model explanation data and semanteme, major state transition and/or territory.

Machine readable media-machine can obtain the physical arrangement of data and/or information from it.Example comprises memory storage, punched card or the like.

Memory storage-can store any device of analog or digital information.

Network interface-massaging device can be coupled to any device, system or the subsystem of network.For example, network interface can be phone, cell phone, cellular modem, phone data modulator-demodular unit, fax modem, wireless transceiver, Ethernet card, cable modem, digital subscriber line interface, bridge, hub, router or other similar device.

Group is learned (' omics)-any genomics, structural gene group, functioning gene group, proteomics (proteomics), metabolism group (metabonomics), metabolism group (metabolomics), bioinformatics, molecular medicine or the like.

Processor-the be used for device of handling machine instructions.Processor can be CPU (central processing unit), native processor, teleprocessing unit, parallel processor and/or distributed processors or the like.Processor can be a general purpose microprocessor, the microprocessor of the Pentium III series of producing such as the Intel company of Santa Clara, California.In another embodiment, processor can be to be designed to special IC (ASIC) or the field programmable gate array (FPGA) implemented at this disclosed its hardware and/or firmware with at least a portion embodiment.

Reference information model (RIM)-describe dissimilar healthcare informations and the relation between them.

The ingredient of reference model-trace system and their mutual relationship.Usually be intended to represent to surmount the foundation structure of specific function, technology, operation or mechanism.

The set of reference term-standard notion, its structure, relation and their system and formal definition (if any).Can define basic, minimum, the context-free professional term that are used to describe health care and their relations each other.Typically, vendor-neutral, technology neutrality, patient's neutrality, product neutrality and process neutrality.Its general reference professional term can (for example be become data typing professional term by " the pre-coordination ", problem), for selection and typing fast, and/or " coordinate the back " becomes to be used for the management professional term (for example ICD-9-CM diagnosis) of finance and/or administration purpose.

The similar of the term model that reference term model (RTM)-reference term model representation is independent synthesized.Therefore, it defines a kind of interlingua.According to definition, each term can both be mapped to reference term, is mapped to any other therefrom and also is mapped to the term of same reference term model.Synthetic term model is to create the reference term model.The reference term model is definition/establishment term model individually not, but is linked to them for shining upon.Various

Among the embodiment, it is used to:

The intentional definition of support region related notion;

Simplify the expression of territory related notion and relation thereof in the mode that is suitable for Computer Processing;

Be provided for generating the minimum notion in it framework of combined expression;

Simplification comprises the term of those exploitations as interface term and statistical classification from the mapping between the territory related notion of various terms;

In order to coordinate, allow the system evaluation of term and relational language model; With

The structure that provides language to describe the territory related notion is so that allow and information model (for example, HL7RIM) suitably integrated.

Reproduce (render)-mankind can be awared.

Storage vault-independent database or a plurality of distributed data base.

Resource-mechanism can be used to fulfil, safeguard and/or increase the device of product and/or profit, and it comprises factory, labour and/or starting material; Assets.Example can comprise health worker, physical facility, instrument, supply, supplier and/or contractor or the like.

Professional term-with the corresponding word of one or more notions, phrase, code and/or identifier.

The professional term set of the system of the notion in term-expression specified domain; The controlled vocabulary table; The set of the professional term example of the specific names in information or the term model.Below be the example of various terms:

Interface term (" what user sees ");

Management terms (" code collection "); With

Reference term (" mapping in field ").

The explicit representation of the system of term model-notion: be used and/or optimization for carrying out term management; Support the intentional definition of notion; Support the expansion mapping between the term; And/or describe correlationship between aggregate (molecule) expression formula and more basic (minimum) notion.The term model description more abundant content, structure and the semanteme after each professional term in the term.This term model definition how to make up the general rule how professional term in the term and they are relative to each other.The content of term model represented in term.When not having term model explicit and form, from term, create it, but term is impliedly or clearly to produce usually from the term model.

Transaction message-the how definition and/or the technical manual of shared data between infosystem.

User interface-be used to reproduces to user profile and/or from any device of user request information.User interface comprises at least one in text, figure, audio frequency, video, animation and/or the sense of touch element.

Describe in detail

Various embodiment provides a kind of system that uses in the health care term that management supports healthcare enterprise to operate, this system comprises: first storage vault, and it comprises first set of health care relevant speciality noun; Second storage vault, comprise second set of the centralization of health care relevant speciality noun, second set of this centralization comprises the professional term of a plurality of term set of first set that comprises health care relevant speciality noun, and second set of described centralization comprises the group of the one or more composition professional terms that are associated with the independent professional term of first set; The interpretation process device, be used for, use pre-defined rule, in response to the processing of the contextual information that is associated with the professional term that receives separately, the child group of the group of one or more composition professional terms that selection is associated with the professional term that receives separately of first set from second set of centralization.Various embodiment also comprises a plurality of the 3rd storage vaults, it comprises the definition at resource, workflow and object of reference image and support and permission health care transmission needed " group is learned " data, as by the term description in first and second storage vaults; The link processor is used for details resource and workflow defining are connected to the relevant speciality noun of first and second storage vaults.

Some embodiment according to system principle provides the foundation structure that is used for usually connecting term and information field, and is used in the territory and these relations of cross-domain execution and relevant mapping.Being connected by according to special-purpose professional term and relation thereof and link to follow the tracks of to connect and set up between any term and any data model or the message.Except the definition of term and information model itself, all definition and execution in term server of these links.Particular term can be registered and/or be integrated into reference term, and its correlation model can be registered and/or be integrated in its lower floor's reference term model.The reference term model provides the mode that a term is mapped to lower floor's notion of this term of another and sign definition.Professional term in term and the reference term all is linked to the defined information content in the infosystem.Then, by selecting the information content to drive clinical decision according to the professional term that is suitable for the nursing activity viewpoint.Term server is the core of IT system, and it is linked to its distributed information and knowledge content and tissue and is used to describe professional term and the term that health care transmits.

Some embodiment according to the central term server of system principle provides following feature:

From the term of this central authorities' term server establishment and the single registration and the management point of special-purpose miniature glossary.

Term is to the single registration and the comprehensive point of reference term.By with term comprehensively in reference term, with other term and with the connectedness of information field by standardization.The standard mode that reference term provides structure and file design health care to transmit.

Information and knowledge and the systematic point of view that identifies the term of its content.Set up cross reference, to allow to how reaching the inquiry that is used to the details in message or the information model wherein about the details that is used in the particular term in message or the infosystem or about particular term or miniature glossary.Mapping between the data attribute in sign and permission term and the information model.

Be used to define and manage stride between term and term and the information model and term in professional term and the reference information/knowledge that further defines described professional term between the structure of relation.For example, for the infosystem master file, specify health professional, mechanism, allow their transmit nursing the position, allow service, the health planning that their subscribe and contain the relation that is allowed between the disburser of the service that is distributed.For another example, sign helps the image and the hereditary feature of definition disease.

Some system provides the single maintenance point that is used for term is registered to complete term and information field.In case defined, just set up its term relevant, information model, data model, message and with reference to the relation of knowledge with other territory.Similar meta structure provides the multifarious assimilation that will exist at present to comprise and has been simplified to system mode complete, integral body consistent and that associativity is arranged.

Specific system provides a kind of definition and has safeguarded the integration of striding term, information and knowledge domain and the mapping foundation structure of interoperability link.Described professional term provides the basis of this link.

Fig. 1 is the block diagram of the exemplary embodiment of system 1000, described system 1000 comprises many massaging devices 1100, such as laptop computer 1110, desk-top computer 1120, enable cellular computing machine 1130, personal digital assistant 1140, imaging device 1150, lab setup 1160 or the like.Any massaging device 1100 all is coupled to network 1200, such as the Internet.Any massaging device 1100 can serve as the client in the client-server relation.Any massaging device can move the browser that is used for reproducing the information that obtains from this network.Described browser can come display message by the native format (native format) such as HTML, and/or can use script, plug-in unit and/or help application program, such as Java, ActiveX, VisualBasic, QuickTime, Flash, Acrobat or the like.

Many servers 1300 all are coupled to network 1200.Any server 1300 can serve as term server, Web server, data server, mail server and/or file server or the like.Server 1300 comprises data typing interface 1310 and data typing processor 1320.Server 1300 comprises search interface 1330 and search processor 1340.Server 1300 comprises reporting interface 1350 and report processor 1360.Server 1300 comprises interpretation process device 1370 and communication interface 1380.

At least one central repository 1400 is coupled to server 1300.Central repository 1400 is served as professional term and is concerned storage vault.Directly or what be coupled to central repository 1400 via network 1600 is a plurality of storage vaults 1510,1520,1530,1540 etc., these storage vaults can comprise relevant definition and knowledge, to support each the independent professional term in the central repository 1400.

Fig. 2 is the block diagram of the exemplary embodiment of system 2000, and described system 2000 comprises the professional term of centralization and concerns storage vault 2400.System 2000 comprises a plurality of storage vaults (being also referred to as " main equipment "), and these storage vaults directly and/or indirectly are coupled to the professional term and the professional term or the professional term set that concern in the storage vault 2400 of centralization.For example, reference picture storage vault 2510 comprises the one or more databases that comprise graphical information, and described graphical information is such as being photo, figure, chart, illustration, video or the like.For example, reference picture storage vault 2510 can comprise lung cancer " best practices " X-ray photograph.As another example, reference picture storage vault 2510 can comprise " best practices " EKG bar of desirable human heart.As another example, reference picture storage vault 2510 can comprise a plurality of EKG bars of cardinal principle (macroscopic view) photo of the various performances of the various performances that are used for acute myocardial infarction and/or serious coronary atherosclerosis.

Resource main equipment 2520 comprises the one or more databases that comprise resource information, this resource information such as with support particular task or the needed people of set of tasks, instrument, position, contract, availability constraint condition or the like relevant information.

Mechanism's main equipment 2530 comprises the one or more databases that comprise mechanism information, this mechanism information such as with relevant information such as institutional framework, function, relation.The logic business entity that " mechanism " is made up of people, resource and the facility of carrying out various functions.

Position main equipment 2540 comprises the one or more databases that comprise physics and/or virtual location information, this physics and/or virtual location information such as with country, zone, state, county, city, block, campus, buildings, floor, room, berth, coordinate relevant information such as (for example, GPS, GIS or the like).It is local or wherein provide and/or the place of dispatch service that patient's physics is pointed to and/or distributed to " position " sign.

Service main equipment 2590 comprises the one or more databases that comprise at least one service definition, described service definition has the implication and the characteristic of service with the form of the possible attribute of the whole series (for example, identifier, explanation, option, rule, link, price, cost or the like to other service).Service is for patient or that taken place potentially at specific date and time by the patient, contingent, occurent, that will take place or that request/demand takes place action intentional interested.

Workflow main equipment 2550 comprises the one or more databases that comprise workflow defining, this workflow defining such as with task, task sequence, the rule that is used to change task sequence, the essential resource of finishing the work, task prerequisite or the like relevant information.

Drug main equipment 2560 comprises the one or more databases that comprise drug information, this drug information such as with the dosage of trade mark and similar medicine name, prescription classification, explanation, clinical pharmacology, indication, purposes, recommendation, instructions about how to take medicine, harmful effect, spinoff, contraindication, overdose, warning, prevention, manufacturer, source, available form and/or with reference to or the like relevant information.

Reference group storage vault 2570 comprises the one or more databases that comprise group information, this group information such as with genomics, structural gene group, functioning gene group, proteomics, metabolism group, metabolism group, bioinformatics, molecular medicine or the like relevant information.For example, reference group storage vault 2570 can comprise any part of being learned the determined model human DNA of project by human genome.As another example, reference group storage vault 2570 can comprise the various performances of the one or more genetic markers that are associated with the autism inducement.

Reference patient storage vault 2580 comprises one or more databases of the clinical and/or financial records that comprises the sample patient relevant with professional term or professional term set.For example, the instruction case that relates to specified disease or medical problem will be associated with the professional term of sign these diseases or medical problem.

Fig. 3 is the block diagram of the exemplary embodiment of system 3000, and described system 3000 comprises a plurality of relevant (son) systems, writes down 3500 and/or with reference to knowledge system 3600 such as term system 3100, domain information system and/or message transfer service 3200, reference term system 3300, reference information system 3400, patient.

Between the ingredient of system 3000, may there be various relation.These relationship descriptions share the required link of information between the described ingredient.For example, by means of concerning 3133, term system 3100 provides candidate's vocabulary, synthetic/decomposition rule, candidate's professional term and/or definite/local match indicator to reference term system 3300.For term system being linked to the reference term system, reference term identifier, reference term class and all be stored in the term system with reference to professional term (a plurality of) with reference to professional term.If have a plurality of reference term system, then duplicate previous information at each.By means of concerning 3331, reference term system 3300 provides candidate's vocabulary, synthetic/decomposition rule, candidate's professional term and/or definite/local match indicator to term system 3100.For the reference term systematic connection is arrived a plurality of term system, term identifier, term class and term professional term (a plurality of term professional term) are stored in the reference term system of each suitable term system.

By means of concerning 3134, term system 3100 provides the term class to reference information system 3400.By means of concerning 3431, reference information system 3400 provides the vocabulary identifier to term system 3100.

By means of concerning 3334, reference term system 3300 provides the term class to reference information system 3400.(for example, HL7RIM), the reference information system class (for example, Act) all is stored in such (for example Act code) with the reference information system property reference information system identifier.This has defined the primitive rule of the term that is used for the expressing information system.By means of concerning 3433, reference information system 3400 provides the vocabulary identifier to reference term system 3300.Stored reference term identifier (for example, SNOMED-CT), reference term class (for example, notion) and the reference term attribute (for example, ConceptID).This has defined the rule of the term of the infosystem in the territory that is used for expressing the reference information system.Relation between reference term and the reference information model is one of context relation and structural relation.Similar metaclass (meta-class) in the reference term model can be mapped on the corresponding metaclass in the reference information model, with the sign will which the reference term model in defined term concepts be included in the reference information model.

By means of concerning 3231, domain information system and/or message transfer service 3200 provide the vocabulary identifier to term system 3100.By means of concerning 3233, domain information system and/or message transfer service 3200 provide the vocabulary identifier to reference term system 3300.Information about professional term is comprised in its term and the lower floor's term model, and does not express again in information model usually.Information model comprises professional term itself, but not about its structure or about the content of the relation of itself and other professional term.Be comprised in the term model about the information that how to derive professional term; Be comprised in information/message model about information how to use professional term.The content in term territory and context are not listed in other term territory.

By means of concerning 3531, the patient writes down 3500 and provides vocabulary identifier and relevant speciality noun to term system 3100.By means of concerning 3533, the patient writes down 3500 and provides vocabulary identifier and relevant speciality noun (a plurality of professional term) to reference term system 3300.

By means of concerning 3136, term system 3100 provides knowledge to form identifier and relevant speciality noun to knowledge system 3600.By means of concerning 3631, knowledge system 3600 provides vocabulary identifier and relevant speciality noun to term system 3100.

By means of concerning 3336, reference term system 3300 provides knowledge to form identifier and professional term to knowledge system 3600.By means of concerning 3633, knowledge system provides vocabulary identifier and professional term to reference term system 3300.

Some relation is not necessarily suitable.For example:

The reference information system directly is not linked to term system.It still keeps context-free.Yet, the particular term identifier can be registered in the class and attribute in the reference information model.

The reference information system is not linked to infosystem/model or message transfer service/model.It still keeps context-free.

The reference term system is not linked to infosystem/model or message transfer service/model.It still keeps context-free.

Term system is not linked to infosystem/model or message transfer service/model.It still keeps context-free.

Infosystem/model or message transfer service/model only implicitly are linked to the reference information system.According to definition, use the another name and the attribute of reference information system to make up it, but have the value that is exclusively used in the territory that just is being described simultaneously.

Fig. 4 is the block diagram of the exemplary embodiment of massaging device 4000, and described massaging device 4000 for example comprises massaging device 1100 and/or the server 1300 of Fig. 1 in some exercisable embodiment.Massaging device 4000 comprises any a large amount of well-known ingredient, such as one or more network interfaces 4100, one or more processor 4200, the one or more storeies 4300 that comprise instruction 4400, one or more I/O (I/O) device 4500 and/or be coupled to one or more user interfaces 4600 of I/O device 4500 or the like.

In some exemplary embodiment, via one or more user interfaces 4600, such as graphical user interface, the user can check with enter data into one or more storage vaults in, the reproduction of checking, safeguard, inquiring about and/or from one or more storage vaults, obtaining the relevant information of report.

For example, when inquiry patient achievement, can use the professional term of following any classification: the process achievement, the structure achievement, system's achievement, the achievement assessment, the health care achievement, patient's achievement, decision theory, decision analysis, validity, quality monitoring, data monitoring, the clinical testing data monitoring, verify, accept the risk, risk reduces, consequence, absolute risk, relative risk, benchmark, frontier point, incident, terminal affair, reaction, effect, damage, pathogenicity rate, mortality ratio, rate, fault, complication, success, treatment achievement and/or treatment failure or the like.

Storage vault can comprise the database of disease, treatment, aetiology, clinical discovery, therapy, program and/or achievement.Inquiry can for example comprise the notion that is in many particle size fractions as target: find; Disease; Program and intervention; Observable entity; Housing construction; Organism; Material; Medicine/biological products; Sample; Physical object; Muscle power; Incident; Environment and geographic position; Social environment; Context-sensitive classification; Stadium and measuring; Attribute; And/or acceptance value (qualifier value).

By further example, input, inquiry and/or report may relate to any group and/or set of following professional term:

Clinical discovery

Find (for example, the swelling of sura)

Disease (for example, pulmonary tuberculosis)

Problem (for example, diabetes)

Symptom/symptom (for example, amplitude lacks)

Program/intervention (for example, thyroid biopsy)

Observable entity (for example, lump stage)

Housing construction (for example, the structure of liver)

Organism (for example, bacterium)

Material (for example, blood plasma)

Medicine/biological products (for example, penicillin)

Sample (for example, blood specimen)

Physical object (for example, conduit)

Muscle power (for example, scratch)

Incident (for example, strong wind)

Environment/geographic position (for example, emergency ward)

Social environment (for example, organ donor)

Context-sensitive classification (for example, not having dizziness)

Stadium and measure (for example, Apgar Scale (Apgarscale))

Attribute (for example, controlled flow)

Acceptance value (for example, one-sided)

Specific concept (for example, active notion)

Unusual and discovery (clinic observation result)

Find the position

Pathogen

Related Morphological

The order of severity

Morbidity

The course of disease

The state of an illness (Episodicity)

Explain (Interprets)

Has explanation (Has Interpretation)

Pathology

Related diseases is because of finding

Time tracking

Has clear and definite performance

Occur

Stadium

The maim body of information

The program position

Method

Direct morphology

Direct material

On-line equipment

Indirect morphology

Off-line equipment

Use

Visit

Method

Priority

Has focus

Has intention

The acceptor classification

The visit instrument

The correction state

Has sample

Ingredient

Process of measurement

Has measurement component

Measuring method

Has sample

The time aspect

Attribute

Measure type

Sample

The sample program

Sample source distribution situation

Sample source morphology

The sample material

Sample source identity

Housing construction

Inclined to one side side

Be ... part

Adeditive attribute

Has active component

The relevant discovery

Be by ... expression

Be by ... taboo

Be ... potential complication

Be ... the potential cause of disease

Fig. 5 is the process flow diagram of the exemplary embodiment of method 5000.In action 5100, the professional term in the term is loaded in the term server.Also define the suitable relation between the professional term in the term, as expressed by lower floor's term model.

About term server and/or system, following notion and/or relation are used continually:

Term and reference term system comprise the complete definition (for example, system identifier, professional term, professional term explanation, professional term relation, professional term synonym, outside equivalent professional term or the like) of term.

Term system comprises the professional term that is used for how will coordinating in advance and resolves into reference to the vocabulary professional term and the rule of how to synthesize the professional term that can represent the pre-coordination professional term in the reference term.

The part of the decomposition of reference term and composition rule sign reference term is wherein found more detailed relevant speciality noun.Use these rules to simplify mapping process continually.For example, the pre-LOINC professional term of coordinating by ingredient (Component), attribute observed result (Property Observation), timing (Timing), system/sample (System/Sample), measure (Scale) and method (Method) is formed.Sign comprises at each the zone of reference vocabulary of professional term in these dimensions.

The reference term system comprises the rule of the term of each reservation that is used for how synthesizing the professional term in those terms.

Candidate's professional term in each professional term sign reference term in the term system, described reference term may be that the pre-professional term of coordinating of further definition is necessary, and on the viewpoint of nursing system, may need the additional data typing, for collecting the required information of these more detailed professional terms that derives.

At each professional term sign term in the glossary of term system and/or the correlation candidate professional term in the reference term system.For example, the pre-LOINC professional term of coordinating by ingredient, attribute observed result, timing, system/sample, measure with method and form.Sign can define the special-purpose professional term in the reference vocabulary of this professional term, with data typing form, template, text analyzing or the suchlike compilation that allows to be formed by the automatic data accquisition and the code that may occur.

Use candidate professional term drives the professional term coding/collection when being about to nurse, and is collected to guarantee essential data.Typically, candidate is designator or definite or local coupling, and perhaps it is fully decomposed when handling professional term in IT system.

Use candidate professional term drives the professional term coding/collection when being about to nurse, and is collected to guarantee essential data.Typically, candidate's professional term comprises designator or definite or local coupling, is perhaps fully decomposed when the professional term mapping occurring via the reference vocabulary.

Equivalent target professional term (a plurality of professional term) in each of the term system that each professional term sign in the reference term is subscribed.

Each professional term in term and the reference term can be linked to reference to the Knowledge Storage storehouse, described is the main equipment file that is used in the other parts of I T system with reference to the Knowledge Storage storehouse, with the rule of definition process knowledge ingredient fully (mechanism, position, service, workflow, reference picture, with reference to science of heredity, with reference to case).

In action 5200, each professional term in the term all be linked to one or more professional terms on the reference term model (otherwise and, professional term in the reference term all is linked to term), perhaps new reference term model and term are developed to the synthetic of independent term model.

In action 5300, use according to the use of professional term, particularly information field (for example, command history, physiology relation, action sequence, cause-effect relationship), the professional term in the link term or the professional term of general category (and reference term, if do not do so as yet).For example, standard ISO nursing behavior model has defined the class relation, and has therefore defined the professional term relation of the nursing behavior that is used for expressing information or message transfer service.

In action 5400, professional term is linked to their reference source of definition.For example, by reference picture is provided, with reference to biomarker with reference to case, medical conditions (for example, diagnosis, problem) is linked to assisted diagnosis patient's reference data.

In action 5500, the professional term of collecting by the terminal user, for example when being about to nurse the IT function with reference to through 5400 data that are loaded in the action 5100.System and/or user search are also found professional term in its term scheme, described professional term is linked to reference term, and in case of necessity, potentially described professional term is mapped to other term.The user interface of user by any class shape (menu selection, speech-to-text, via oral account of natural language processing or the like) is typed into professional term or a plurality of professional term (clearly or impliedly) in the system, and professional term (a plurality of professional term) is put in the Database Properties of application data base.Professional term (a plurality of professional term) and suitable reference professional term (a plurality of with reference to professional term) both are stored in the database, and described database is described by data model.In order to be linked to term, storage term identifier and professional term itself.In order to be linked to the reference term model, stored reference term identifier and with reference to professional term (a plurality of)/notion (a plurality of notion) itself with reference to professional term.Described professional term impliedly is linked to its oneself term system, wherein safeguards the context about professional term.In various embodiment, professional term is linked to:

Equivalent professional term in the reference term system has wherein been safeguarded the context with reference to professional term, and has wherein safeguarded the mapping of other term.

There is professional term (for example, if observed result, what then has is the order of being correlated with) in other relevant speciality noun in the big term of definition information context in described information context.For example, if nursing behavior professional term, then existing the described action of the complete description of other professional term necessary is what, such as discharger, target and approach and dosage (if words of drug therapy)

The proper knowledge source has further defined described professional term.

In action 5600, the reference professional term of being located (or professional term itself) all is linked to the reference information in the relevant knowledge storage vault, show described Knowledge Storage storehouse to the system terminal user subsequently, for example so that simplify clinical decision and/or start workflow sequence, if suitably.

Fig. 6 is the process flow diagram of the exemplary embodiment of method 6000.In action 6100, safeguard first storage vault, this first storage vault comprises first set of health care relevant speciality noun.In action 6200, safeguard second storage vault, this second storage vault comprises second set of centralization professional term, health care relevant speciality noun that comprises a plurality of term set, those term set comprise first set of professional term.Second set of the centralization of health care relevant speciality noun comprises the group of the one or more composition professional terms that are associated with the independent professional term of first set that comes from professional term.In action 6300, receive the independent professional term of first set.In action 6400, handle the contextual information that is associated with received professional term.In action 6500,, use the child group of pre-defined rule professional term of the group of the one or more composition professional terms of selection from second set of the centralization of health care relevant speciality noun in response to the processing of contextual information.In action 6600, according to the scheduling of the professional term initiating task of selecting in action 6500, this task is in response to the professional term of contextual information and son group and is carried out so that the task of health care to be provided to the patient by at least one healthworker.

By reading the accompanying drawing of above-mentioned detailed description and some exemplary embodiment, still have other embodiment to become apparent to those skilled in the art.

Claims (27)

1. support the system that uses in the health care term of healthcare enterprise running in management for one kind, it comprises:

First storage vault comprises first set of health care relevant speciality noun;

Second storage vault, comprise second set of the centralization of health care relevant speciality noun, second set of described centralization comprises the professional term of a plurality of term set of described first set that comprises health care relevant speciality noun, and second set of described centralization comprises the group of the one or more composition professional terms that are associated with the independent professional term of described first set; With

The interpretation process device, be used for, use pre-defined rule, in response to the processing of the contextual information that is associated with the described professional term that receives separately, described group child group of one or more composition professional terms that selection is associated with the professional term that receives separately of described first set from second set of described centralization.

2. system according to claim 1, wherein:

Described contextual information comprises the patient treatment relevant information that is associated with the document of therefrom deriving the described professional term that receives.

3. system according to claim 2, wherein:

Described patient treatment relevant information comprise with following in the sign of at least one relevant described document: (a) be used to manage order to patient's drug therapy, (b) patient's laboratory assay of being correlated with, (c) patient and diagnosis, (d) clinical test result report and (e) patient medical records.

4. system according to claim 2, wherein:

At least one task that the professional term sign of described son group will be performed, and carry out the resource that described at least one required by task is wanted.

5. system according to claim 4, wherein:

Described resource comprises at least two in following: (a) healthworker, (b) position, (b) health care providers mechanism, (c) medical services that will provide to the patient.

6. system according to claim 1, wherein:

Described interpretation process device is selected professional term in response to the data of the received child group of the group of the described one or more composition professional terms of expression from described first set of described first storage vault.

7. system according to claim 1, wherein:

Described first and second storage vaults are at least one in following: (a) single storage vault and (b) a plurality of storage vaults.

8. system according to claim 1, wherein:

The professional term of described son group identifies medical image.

9. system according to claim 8, wherein:

Described medical image is at least one in following: (a) particular patient and (b) be used to identify the reference picture of the traditional characteristic of medical conditions.

10. system according to claim 1, wherein:

The described professional term that receives comprises a plurality of professional terms that receive, and at least one height group of a plurality of groups of described interpretation process device one or more composition professional terms that selection is associated with described a plurality of professional terms that receive of described first set from second set of described centralization.

11. system according to claim 1, wherein:

Described document is a transaction message; And

Described patient treatment relevant information is integrated in the described transaction message.

12. system according to claim 1, wherein:

Described contextual information is included in the sign of the particular task of carrying out in the patient treatment inter-related task sequence, and described particular task is identified in the document of therefrom deriving the described professional term that receives.

13. system according to claim 1, wherein:

Described interpretation process device uses pre-defined rule to select to form the described son group of professional term, described rule link clinically with following at least two relevant described son groups in professional terms: (a) drug therapy, (b) laboratory assay, (c) diagnosis and (d) medical conditions.

14. system according to claim 1, wherein:

Described group described son group of one or more composition professional terms comprises at least one professional term.

15. system according to claim 1, wherein:

During the health care that professional term is included in the patient transmits in employed code and the identifier at least one.

16. system according to claim 15, wherein:

During described marking code is following at least one: (A) medical diagnosis code, (B) medical procedure code, (C) problem, (E) symptom/symptom, (F) service that can subscribe, (G) drug therapy, (H) program, (I) achievement, (J) intervention and (K) observed result.

17. system according to claim 15, wherein:

Described marking code comprises the workflow process of the task sequence that the healthworker carries out.

18. system according to claim 15, wherein:

Described identifier is used to identify at least one in following: (i) medical conditions, the financial indicator that (ii) keeps healthy, the bill project that (iii) keeps healthy, (iv) doctor's specialty, (v) treatment, (vi) medicine and (related service vii) keeps healthy.

19. system according to claim 15, wherein:

Described identifier is used to identify the patient.

20. system according to claim 1, wherein:

Professional term is used to identify at least one in following: (a) health care providers mechanism, (b) position in the mechanism, (c) healthworker, (d) disburser mechanism, (e) specific health planning and (f) patient's relevant information.

21. system according to claim 1, wherein:

The professional term of described son group is represented hereditary information.

22. system according to claim 1, wherein:

During described hereditary information sign is following at least one: (a) specific medical situation, (b) specified disease or slight illness and (c) people.

23. system according to claim 21, wherein, described hereditary information comprises at least one in following: (a) DNA information, (b) RNA information, (c) complementary DNA or RNA information, (d) transfer RNA (tRNA) information, (e) mRNA (mRNA) information and (f) expressed sequence tag (EST).

24. system according to claim 21, wherein:

Described hereditary information comprises the expression of gene array.

25. system according to claim 21, wherein:

Described hereditary information comprises genetic marker.

26. a method of using in the health care term that management supports healthcare enterprise to operate, it comprises following action:

Safeguard first storage vault, it comprises first set of health care relevant speciality noun;

Safeguard second storage vault, it comprises second set of the centralization of health care relevant speciality noun, second set of described centralization comprises the professional term of a plurality of term set of described first set that comprises health care relevant speciality noun, and second set of described centralization comprises the group of the one or more composition professional terms that are associated with the independent professional term of described first set; With

Use pre-defined rule, in response to the processing of the contextual information that is associated with the described professional term that receives, described group child group of one or more composition professional terms that selection is associated with the professional term that receives separately of described first set from second set of described centralization.

27. one kind is used to start support and transmits health care and the system of the task sequence carried out by at least one healthworker to the patient, it comprises:

First storage vault comprises first set of health care relevant speciality noun;

Second storage vault, comprise second set of the centralization of health care relevant speciality noun, second set of described centralization comprises the professional term of a plurality of term set of described first set that comprises health care relevant speciality noun, second set of described centralization comprises the group of the one or more composition professional terms that are associated with the independent professional term of described first set, and the particular professional noun of described son group is associated with particular task and the contextual information that at least one healthworker will carry out; With

The interpretation process device is used for:

In response to the processing of the contextual information that is associated with the described professional term that receives, described group child group of one or more composition professional terms that selection is associated with the professional term that receives separately of described first set from second set of described centralization; And

In response to the professional term of described contextual information and described son group, the scheduling of the particular task that startup will be carried out by at least one healthworker is to provide health care to the patient.

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