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Review
. 2018 Jan;30(1):17-25.
doi: 10.1177/1040638717738276. Epub 2017 Oct 15.

A review of medical terminology standards and structured reporting

Abdullah Awaysheh  1   2   3 , Jeffrey Wilcke  1   2   3 , François Elvinger  1   2   3 , Loren Rees  1   2   3 , Weiguo Fan  1   2   3 , Kurt Zimmerman  1   2   3
Affiliations
Review

A review of medical terminology standards and structured reporting

Abdullah Awaysheh et al. J Vet Diagn Invest. 2018 Jan.

Abstract

Much effort has been invested in standardizing medical terminology for representation of medical knowledge, storage in electronic medical records, retrieval, reuse for evidence-based decision making, and for efficient messaging between users. We only focus on those efforts related to the representation of clinical medical knowledge required for capturing diagnoses and findings from a wide range of general to specialty clinical perspectives (e.g., internists to pathologists). Standardized medical terminology and the usage of structured reporting have been shown to improve the usage of medical information in secondary activities, such as research, public health, and case studies. The impact of standardization and structured reporting is not limited to secondary activities; standardization has been shown to have a direct impact on patient healthcare.

Keywords: Medical terminology; SNOMED; ontology; standards; structured reporting.

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Conflict of interest statement

Declaration of conflicting interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Diagrammatic representation of a SNOEMD-CT focus concept, its parent and children concepts, and relationships to other concepts used for its definition (https://goo.gl/6okNLC).
See this image and copyright information in PMC

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MeSH terms