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Journal of the American Medical Informatics Association Volume 5 Number 4 Jul / Aug 1998 391 Funding for Nursing Vocabularies Whether aggregated electronic health data improve Medical Language System, not itself a vocabulary, is clinical care and health services research will finally all about correlating controlled vocabularies devel- be testable when a comprehensive electronic medical oped by others. The UMLS has not, however, pro- record system gets here. But how to capture reality in vided funds for development of the 30-some vocab- words that the ambiguity-challenged computer will ularies it incorporates. For UMLS, as for America, e understand? Natural language processing of clinical pluribus unum depends on the pluribus coming from records is not ready, and so we struggle to make do elsewhere. with controlled vocabularies. Which is not to say that federal support is unobtain- Nursing vocabularies face some particularly difficult able. Formulated as a research project, an application hurdles. In defining nursing as ‘‘the diagnosis and of a vocabulary to a problem of clinical interest can treatment of human responses to actual or potential attract funding when no funds would be available for health problems,’’ the American Nursing Association grinding out the terminology per se. Reality-testing is
Journal of the American Medical Informatics Association – Oxford University Press
Published: Jul 1, 1998
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