Previous research demonstrates that inherent limitations of particular terminologies, equivalent to insufficient domain protection or the shortcomings associated with post-coordination outlined above, can scale back clinicians' skill to document or to view structured clinical data efficiently.6,eight Developers who adhere to the rigorous terminology-associated objectives set out by Cimino, Chute et al., and Elkin et al. The terminological attributes outlined by Cimino, Chute et al., and the ISO for reference terminologies may be inadequate for clinical interface terminologies, which serve completely different purposes. In addition, Campbell21 and Kahn et al.23 have demonstrated that interface terminology usability correlates with the presence of attributes that enhance effectivity of time period selection and composition. Assertional data is info that gives nuance and context to a concept, but does not define it.70,76,92 For instance, "thorax pain" and "chest pain" might have the identical formal definition (both ideas could moderately have the formal definition is-a "pain" and has-finding-site "thoracic structure"); nonetheless, the previous might imply more strongly to a health care supplier that the situation of the pain is within the chest wall per se, whereas "chest pain" tends to counsel a doable cardiac or pulmonary cause.
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