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Additionally they pointed out that terminologies must help synonymy and compositionality. Given ongoing progress and expanded use of varied clinical terminologies, calls for improved approaches to terminology growth occurred within the late 1980s.43,66-70 Miller and Giuse, working with the Internist-1® and QMR® vocabularies, emphasized the necessity for actual-world clinical purposes using a terminology to offer relevant suggestions that drives terminology evolution; terminologies created in a vacuum by committees that infrequently reconvene may have restricted longevity with out feedback from precise use.66-68 Rector et al.69,70 indicated that terminologies should distinguish between phrases and concepts when modeling a medical domain. Terminologies consist of collections of phrases or phrases, called terms, aggregated in a systematic vogue to represent the conceptual info that makes up a given knowledge domain, such as clinical cardiology or pediatric orthopedics.43-45 Terms in a terminology generally correspond to actual events or entities and to their cognitive representations in people's minds (called ideas).Forty four For instance, the entries "myocardial infarction" or "heart attack" in a given terminology would possibly signify the occasion "ischemic damage and necrosis of coronary heart muscle cells ensuing from absent or diminished blood move in a coronary artery." A health care provider evaluating a patient with prolonged chest ache might consider the analysis of ischemic heart muscle damage and will use the terms "myocardial infarction" or "heart attack" to think about and to speak such a chance.

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