help button home button JAMIA Bigger figures
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rector, A. L.
Right arrow Articles by Rossi-Mori, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rector, A. L.
Right arrow Articles by Rossi-Mori, A.

Journal of the American Medical Informatics Association, Vol 2, 19-35, Copyright © 1995 by American Medical Informatics Association

ARTICLES

Medical-concept models and medical records: an approach based on GALEN and PEN&PAD

AL Rector, AJ Glowinski, WA Nowlan and A Rossi-Mori
Department of Computer Science, University of Manchester, United Kingdom.

OBJECTIVES: To investigate the issues raised in applying a preliminary version of the GALEN compositional concept reference (CORE) model to a series of radiographic reports, and to demonstrate that the same underlying concept model could be used in conjunction with both a detailed, fine-grained model of medical records based on that used in the PEN&PAD project and with other more conventional medical-record models. DESIGN: Following analysis and representation of concepts from a set of reports, a single report was taken as a "case study." This report was analyzed in detail in its entirety and represented using each of the medical-record models. RESULTS: The reports were successfully represented within the limits of the study, but a number of significant issues were raised. CONCLUSION: The compositional approach plus the PEN&PAD medical-record model allowed detailed information in the radiographic report to be represented, including information about the inferences and the clinical process. The resulting representation was large, and more compact representations may be necessary for some systems. Alternative encapsulations of the information as might be used in such systems were successfully prepared. The compositional approach avoided many issues that often cause controversy in the design of traditional coding and classification systems, but it raised other issues, including the handling of ambiguity and underspecification, linkage to information not explicitly present in the report, and questions concerning the focus of individual concepts. All work is preliminary and definitive conclusions await further studies and systematic evaluation.


This article has been cited by other articles:


Home page
 BioinformaticsHome page
C. Friedman, T. Borlawsky, L. Shagina, H. R. Xing, and Y. A. Lussier
Bio-Ontology and text: bridging the modeling gap
Bioinformatics, October 1, 2006; 22(19): 2421 - 2429.
[Abstract] [Full Text] [PDF]

Home page
 J. Am. Med. Inform. Assoc.Home page
S. T. Rosenbloom, R. A. Miller, K. B. Johnson, P. L. Elkin, and S. H. Brown
Interface Terminologies: Facilitating Direct Entry of Clinical Data into Electronic Health Record Systems
J. Am. Med. Inform. Assoc., May 1, 2006; 13(3): 277 - 288.
[Abstract] [Full Text] [PDF]

Home page
 J. Am. Med. Inform. Assoc.Home page
A. Coenen, H. F. Marin, H.-A. Park, and S. Bakken
Collaborative Efforts for Representing Nursing Concepts in Computer-based Systems: International Perspectives
J. Am. Med. Inform. Assoc., May 1, 2001; 8(3): 202 - 211.
[Abstract] [Full Text]

Home page
 J. Am. Med. Inform. Assoc.Home page
S. Bakken, K. E. Campbell, J. J. Cimino, S. M. Huff, and W. E. Hammond
Toward Vocabulary Domain Specifications for Health Level 7--coded Data Elements
J. Am. Med. Inform. Assoc., July 1, 2000; 7(4): 333 - 342.
[Abstract] [Full Text] [PDF]

Home page
 J. Am. Med. Inform. Assoc.Home page
P. J. B. Brown and P. Sonksen
Evaluation of the Quality of Information Retrieval of Clinical Findings from a Computerized Patient Database Using a Semantic Terminological Model
J. Am. Med. Inform. Assoc., July 1, 2000; 7(4): 392 - 403.
[Abstract] [Full Text] [PDF]

Home page
 J. Am. Med. Inform. Assoc.Home page
S. M. Huff, R. A. Rocha, C. J. McDonald, G. J. E. De Moor, T. Fiers, W. D. Bidgood Jr., A. W. Forrey, W. G. Francis, W. R. Tracy, D. Leavelle, et al.
Development of the Logical Observation Identifier Names and Codes (LOINC) Vocabulary
J. Am. Med. Inform. Assoc., May 1, 1998; 5(3): 276 - 292.
[Abstract] [Full Text]

Home page
 J. Am. Med. Inform. Assoc.Home page
R. H. Dolin, S. M. Huff, R. A. Rocha, K. A. Spackman, and K. E. Campbell
Evaluation of a "Lexically Assign, Logically Refine" Strategy for Semi-automated Integration of Overlapping Terminologies
J. Am. Med. Inform. Assoc., March 1, 1998; 5(2): 203 - 213.
[Abstract] [Full Text]

Home page
 J. Am. Med. Inform. Assoc.Home page
R. A. Miller and R. M. Gardner
Recommendations for Responsible Monitoring and Regulation of Clinical Software Systems
J. Am. Med. Inform. Assoc., November 1, 1997; 4(6): 442 - 457.
[Abstract] [Full Text] [PDF]

Home page
 J. Am. Med. Inform. Assoc.Home page
S. B. Henry and C. N. Mead
Nursing Classification Systems: Necessary but not Sufficient for Representing "What Nurses Do" for Inclusion in Computer-based Patient Record Systems
J. Am. Med. Inform. Assoc., May 1, 1997; 4(3): 222 - 232.
[Abstract] [Full Text] [PDF]

Home page
 J. Am. Med. Inform. Assoc.Home page
E. B. Schulz, C. Price, and P. J. B. Brown
Symbolic Anatomic Knowledge Representation in the Read Codes Version 3: Structure and Application
J. Am. Med. Inform. Assoc., January 1, 1997; 4(1): 38 - 48.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1995 by the American Medical Informatics Association.