Dear all,

 

I assume, based on the ontological services deployment efforts in some fields 
within different geographical contexts (medicine, agriculture, GIS, US, Europe, 
AU, NZ etc?) coding has nothing to do with descriptions and classifications at 
the same level of frames. I suggest utilizing Kintsch?s 
Construction-Integration theory to unify the concepts and cognitive frames. 
Studies carried out in DFKI-Germany, in my opinion, could support my view in 
various contexts.

 

Coding is inherent in all natural languages in some respects; but in EHR 
contexts, coding is an approach to map classified things/concepts etc inc. 
descriptions.

 

If we can manage, independently from all natural languages, using 
ontology-based taxonomies the need to use different coding systems will fade 
away beyond my expected lifetime period.

 

The same applies to healthcare institutions within OECD?s SHA (System for 
Health Accounts) classification efforts and studies. As has been the case for 
standardization efforts, conceptual mapping and semantic nets have to converge 
around a universal ontological system through research efforts. It is, in 
essence, a matter of unified knowledge representation formalism.

 

Esat N. ERYILMAZ

Pamukkale University
 Philippe AMELINE <philippe.ameline at nautilus-info.com> wrote:
>Thomas,
>
>I disagree.
>
>I disagree because in essence both are the same. It is in the richness
>versus reduced richness that there is a difference. And that difference is
>not major.
...
>A rich ontology is better than a restricted code set.
>
>Gerard

Hi,

I am not certain that we are talking about the very same things.

Lets take your comparison between very accurate free text and a vague free 
text : both are of the same kind, with the former bearing more information, 
but both use the same langage, probably with a reduced term set for the 
second. Anyway both use terms with a semantic.
Let's say, in the "structured world" that they use the same ontology, but 
one mode uses only a part of it.

If the definition of an ontology is "something that can be used to 
describe", Tom's definition of a Level 0 ontology is "a set of terms + a 
semantic network". In short, it means "in order to describe, you must 
provide a semantic".

Some coding systems may be able to be incorporated into a semantic system ; 
in that case, I agree with Gerard that using one such system or a rich 
ontology is just a choice of the right level of granularity.
However, I think I can give strong evidences that classifications cannot, 
by construction, be incorporated inside a semantic network since each of 
their codes represents an artificial domain delimited by the inclusion and 
exclusion criterions.

Lets take a comparison with geography : you can build an ontology in order 
to describe natural objects (mountains, rivers...), but if you build 
artificial frontiers, and call it countries, you cannot semantically 
include these concepts inside the geographical domain (that is the very 
reason why human beings, very frustrated, had to invent the political 
domain ;-) )

I think that there is the same difference in medicine between ontologies 
and classifications that, in the geographical domain, between geography and 
politics : you can "describe" the political frontiers using the geography 
ontologie, but the political objects belong to another domain.
Tom might answer that the word Australia is an example of a term that is 
shared between geography and politic, but I can't imagine another concept 
of the kind.

As a summary of this (too long) message, I would say that the problem comes 
from the definition of the term "coding" : does it mean "coding in order to 
describe" or "coding in order to classify" ?

Best regards,

Philippe

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