Method and system for concept-based terminology management

摘要

A method for implementing an interface terminology is described, the interface terminology comprising concepts and descriptions, a description being an alternative way to express a concept. The interface terminology also may include a plurality of domains, wherein each concept is unique within a domain. The method may include the steps of: storing a plurality of concepts in a database; storing a plurality of descriptions in a database; linking each description to a respective concept; storing an external code set in a database, the external code set comprising a plurality of external codes; and mapping an external code to a concept. The steps may occur via database table mapping. The method also may include deploying a front-end file, the front-end file comprises a link between the descriptions and the external code set.

主权项

1. A method for implementing an interface terminology in a longitudinal electronic medical record, the interface terminology comprising concepts and descriptions, a description being an alternative way to express a concept, the method comprising:
storing a plurality of concepts in a first table a database; storing a plurality of descriptions in a second table in the database; storing in a third table in the database linking information that links each description in the second table to a respective concept in the first table; storing an external code set in a fourth table in the database, the external code set comprising a plurality of external codes; and mapping an external code to a respective concept via a directed graph structure linking each external code in the fourth table to the respective concept in the first table;
wherein said plurality of concepts provide a unique terminology for a user and can be added, updated, deleted, and merged;wherein multiple of said plurality of descriptions may link to one of said plurality of concepts;wherein said plurality of descriptions include terms used by both clinicians and patients;wherein, for each concept, one of said plurality of descriptions is a preferred description for the linked concept and one of said plurality of descriptions is a preferred consumer term for the linked concept;wherein multiple of said plurality of external codes may map to one of said plurality of concepts;wherein said method for implementing an interface terminology serves the ends of capturing clinician's intent, driving financial aspects including billing, and driving analytical functions; creating a longitudinal electronic medical record by:
generating a first instance of a plurality of data objects during a first encounter, said plurality of data objects comprising data elements further comprising a first instance identifier and temporal identifiers;linking a data object in said first instance to a summarization reference with a pointer, where the plurality of data objects and the summarization reference are related as part of a directed graph data structure;creating an additional instance of a plurality of data objects during a later encounter, said additional instance of a plurality of data objects comprising data elements further comprising an additional instance identifier and temporal identifier; andproviding continuity for said plurality of data objects of said first instance over time by tracking a relationship between said data object of said first instance and a data object of said additional instance; tagging elements within a domain within the longitudinal electronic medical record with one or more of said plurality of descriptions; and displaying the preferred descriptions and the preferred consumer term.