卫生信息分类结构解剖学术语系统(ISO 16278:2016)

[中文适用范围]： 本国际标准规定了在术语系统内对人体解剖结构和内容进行综合描述所需的特征。它主要用于基于计算机的应用程序，例如： B.临床电子健康记录、决策支持和各种生物医学研究用途。本国际标准的目的如下： ——以规范的形式简化新术语系统的构建，以提高其连贯性和表达性； - 简化术语系统内人体解剖学的维护； - 提高现有术语系统的一致性和连贯性； - 实现不同类型术语系统中人体解剖学元素之间的系统交叉引用； - 术语系统内人体解剖学的简化融合； - 澄清人体解剖学领域与不同健康学科的不同术语系统之间存在的重叠； - 为各开发商提供有关将各种术语系统集成到信息系统中的谈判基础； - 能够在术语系统内对人体解剖学进行系统评估。国际标准本身不适合或不适合个人临床医生或医院管理人员使用。本国际标准的目标群体如下： - 医疗保健术语专业化、标准化、分类结构的开发者； - 医疗保健术语系统的开发者，包括分类和编码系统； - 术语系统服务提供商和自然语言处理软件开发商； - 参与构建医疗保健数据模型的数据建模者、知识工程师和标准开发人员； - 需要明确表示医疗术语系统的信息系统开发人员； - 用于显示医疗保健文档的标记标准的开发者。本国际标准不包含描述人类生命周期内的发育解剖学所需的分类结构，例如： B.产前发育、产后生长和衰老过程。该国际标准的开发目的是作为基于计算机的应用程序和电子健康记录的组成部分。手动使用的价值有限。本国际标准的目的不是为了标准化人体解剖学术语的最终用户分类，也不是为了与各国使用和语言中嵌入的概念系统相矛盾。 [外文原描述]： ISO 16278:2016 defines the characteristics required to synthetically describe the organization and content of human anatomy within a terminological system. It is intended primarily for use with computer-based applications such as clinical electronic health records, decision support and for various bio-medical research purposes. ISO 16278:2016 will serve to - facilitate the construction of new terminological systems in a regular form which will increase their coherence and expressiveness, - facilitate maintenance of human anatomy within terminological systems, - increase consistency and coherence of existing terminological system, - allow systematic cross-references between items of human anatomy in different types of terminological systems, - facilitate convergence among human anatomy within terminological systems, - make explicit the overlap for human anatomy between different health care domains terminological systems, - provide elements for negotiation about integration of different terminological systems into information systems between the respective developers, and - enable the systematic evaluation of human anatomy within terminological systems. ISO 16278:2016 itself is not suitable or intended for use by, individual clinicians or hospital administrators. The target groups for this International Standard are the following: - designers of specialized standard healthcare terminological categorial structures; - developers of healthcare terminological systems including classifications and coding systems; - producers of services for terminological systems and designers of software including natural language processing; - information modellers, knowledge engineers, and standards developers building models for health information management systems; - developers of information systems that require an explicit representation of healthcare terminological systems; - developers of marked-up standards for representation of healthcare documents. ISO 16278:2016 does not include categorial structure that might be necessary for the description of developmental anatomy during the human life cycle, which includes prenatal development, post-natal growth and aging. ISO 16278:2016 has been developed for use as an integrated part of computer-based applications and for the electronic healthcare record. It would be of limited value for manual use. It is not the purpose of this International Standard to standardize the end user classification of human anatomy terminology or to conflict with the concept systems embedded in national practice and languages.