Changes between Version 3 and Version 4 of openEHR Models, Archetypes and Biomedical Ontologies
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- Aug 5, 2007, 1:25:33 AM (17 years ago)
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openEHR Models, Archetypes and Biomedical Ontologies
v3 v4 5 5 Note: This page will move to the openEHR wiki when it becomes available. For the moment, discssion is encouraged on the technical and clinical lists. 6 6 7 目次 7 = 目次 = 8 8 Contents 9 9 … … 34 34 * References 35 35 36 このページの目的 36 = この文書の目的 = 37 37 Purpose of this page 38 38 … … 59 59 * an attempt at synthesis: finding the connections, and particularly, how to make openEHR better. 60 60 61 背景 61 = 背景 = 62 62 Background 63 63 … … 86 86 If you have never seen an ontology before, you may find John Sowa's top-level categories interesting - this is a well-known example of an upper ontology. Needless to say, this is regarded as by no means the best or most relevant in the biomedical sphere, but it is a useful reference point. 87 87 88 [top] 89 果してオントロジーは情報分野において意味があるか? 88 = 果してオントロジーは情報分野において意味があるか? = 90 89 Do Ontologies make sense for Information? 91 90 … … 126 125 Ontologies of the first kind are therefore just as important. In our opinion, it is not yet clear how they inter-relate.... 127 126 128 [top] 129 経緯 127 128 = 歴史 = 130 129 131 130 Some History … … 134 133 135 134 At the moment we are not trying to provide a comprehensive summary of the work done in the area of health information ontologies, but it is worth mentioning some of the work of ontological significance that has occurred over the years: 135 136 * 理論的なアプローチ 137 * 1968: WeedのPOMRが診療情報をSOAP形式で記述することを考案した [ref] 138 * 1978: Elsteinが(主に診断において)臨床上の推論に関する仮説的な演繹モデルを記述した [ref] 139 * 1992: Rector, Nowlan とKay が 「患者にとって何が語られ、考察され、なされたか」(引用)という情報が電子カルテに記述されなければならないというアプローチを主張した[ref] 140 * 1994: EUが資金を提供したGEHR (Good European Health Record)プロジェクトが電子カルテと情報モデルにとっての必要条件を考案した [ref] 141 * 2003: TangeらがPOMR, Elsteinと「行動のための会話」という理論を統合した [ref] 142 * Practical approaches: 143 * 1998- : the Danish G-EPJ ('EPJ' = 'EHR'), which described a cycle very similar to the one used in openEHR [ref] 144 * 2001-3: the Australian GeHR (Good electronic Health Record) project, an approach that introduced formal 'archetypes' [ref] 145 * 2005- : the Swedish Samba project distinguished 3 kinds of interlinked process: clinical, management and communication [ref] 146 * Act-based approaches: 147 * 1992: RICHE consortium devised a method of representing health information in terms of acts carried out in the care delivery process [ref] 148 * 1993- : The HL7v3 RIM (reference information model) is a current approach that attempts to represent health information as acts. [ref] 149 * Medical terminologies: all medical terminologies with any structure whatever are ontologies of some kind, whether they think they are or not, including: 150 * MeSH 151 * ICDx 152 * Read codes 153 * SNOMED CT 154 * LOINC 155 * and many others 136 156 137 157 * Theoretical approaches
