Abstract
Builders of medical informatics applications need controlled medical vocabularies
to support their applications and it is to their advantage to use available standards.
In order to do so, however, these standards need to address the requirements of their
intended users. Overthe past decade, medical informatics researchers have begun to
articulate some of these requirements. This paper brings together some of the common
themes which have been described, including: vocabulary content, concept orientation,
concept permanence, nonsemantic concept identifiers, polyhierarchy, formal definitions,
rejection of “not elsewhere classified” terms, multiple granularities, mUltiple consistent
views, context representation, graceful evolution, and recognized redundancy. Standards
developers are beginning to recognize and address these desiderata and adapt their
offerings to meet them.
Keywords
Controlled Medical Terminology - Vocabulary - Standards - Review