• Aucun résultat trouvé

A Case Study of ICD-11 Anatomy Value Set Extraction from SNOMED CT

N/A
N/A
Protected

Academic year: 2022

Partager "A Case Study of ICD-11 Anatomy Value Set Extraction from SNOMED CT"

Copied!
6
0
0

Texte intégral

(1)

!"#$%&"'()*+",-".#/011"!2$(,3+"4$5)&"

'&("67(8$9(:,2"-8,3"';<=6/"#>"

!"#$%&'()%&'*+,(-&.#/0(12(3#/4.%*+,(1#45.6()2!2(78&/95.:;,(

<5'6(3=&>?9&'@,(A/&'(B2(15>6#.;,(78.%:6#=85.(!2(78"65+(

+C&D#(7/%'%>(7#//5*5(#E(C50%>%'5,(1#>85:65.,(CF2(G232A2(

;G'%H5.:%6D(#E(C&'>85:65.,(C&'>85:65.,(G2<2(((

@I'65.'&6%#'&/(-5&/68(J5.9%'#/#*D(36&'0&.0:(K5H5/#=95'6(L.*&'%:&6%#',(7#=5'8&*5',(K5'9&.?(

!?%(8$9(@( J85( ++68( .5H%:%#'( #E( 685( I'65.'&6%#'&/( 7/&::%E%>&6%#'( #E( K%:5&:5:( MI7KN++O(

LQWHQGVWRGHULYHLWV´RQWRORJLFDOFRPSRQHQWµIURP(5P65.'&/(#'6#/#*%5:(M52*2(3FLCQK(7JO2(

L'5(#E(685(>#.5(H&/"5(:56:(%:(&'(I7KN++(&'&6#9D(>8&=65.2(J85(#4R5>6%H5(#E(685(=.5:5'6(:6"0D(

%:( 6#( 05H5/#=( &'0( 5H&/"&65( &==.#&>85:( 6#( H&/"5( :56( 5P6.&>6%#'( E.#9( 3FLCQK( 7J( E#.( 685(

I7KN++(&'&6#9D(":5(>&:52(S5(%'H5:6%*&650(&('"945.(#E(.5:#".>5:(>#9=.%:%'*(3FLCQK(7J(

4&:5( 65.9:,( 685( &'&6#9%>&/( 65.9( 9&==%'*:( 456T55'( I7KNL( MI7K( E#.( L'>#/#*DO( &'0(

3FLCQK( 7J,( 685( 7L1Q( U.#4/59( B%:6( 3"4:56( #E( 3FLCQK( 7J,( &'0( 685( 3FLCQK( 7J(

:6&650( E#.9( %'( S54( L'6#/#*D( B&'*"&*5( MLSBO2( S5( ":50( 685( C&'>85:65.( LSB( 9#0"/5(

5P6.&>6%#'( 6##/( &'0( %6:( 5P65':%#'( %'( U.#6V*V( W2+2( S5( =.#=#:50( &'0( 5H&/"&650( E#".( :59%N

&"6#9&6%>(H&/"5(:56(5P6.&>6%#'(:6.&65*%5:(4&:50(#'(0%EE5.5'6(>/%'%>&/(>#'65P6:(&'0(0%:>"::50(

685%.( %9=/%>&6%#':( %'( 65.9:( #E( 0#9&%'( >#H5.&*5,( *.&'"/&.%6D( &'0( >/%'%>&/( ":5E"/'5::( E.#9(

4#68(65>8'%>&/(&'0(>/%'%>&/(=5.:=5>6%H5:2(

A&+B,8*%C"I7KN++,(3FLCQK(7J,(S54(L'6#/#*D(B&'*"&*5(MLSBO,(L'6#/#*D(9#0"/&.%6D,(

X&/"5(:56(K5E%'%6%#'(

1""".2(8,*)9(:,2"

J85( ++68( .5H%:%#'( #E( 685( I'65.'&6%#'&/(

7/&::%E%>&6%#'( #E( K%:5&:5:( MI7KO( T&:( #EE%>%&//D(

/&"'>850( 4D( 685( S#./0( -5&/68( L.*&'%Y&6%#'(

MS-LO( %'( C&.>8( ;ZZ[( \+]2( J85( S-L( 8&:(

:#"*86( 6#( .5":5( 5P%:6%'*( #'6#/#*%5:( :">8( &:(

3FLCQK( 7J( E#.( H&/"5( :56( 05E%'%6%#'2( L'5( #E(

685( >#.5( H&/"5( :56:( 45%'*( 05H5/#=50( %:( E#.(

DQDWRPLFDOVLWHGHILQHGE\:+2DV´WKHPRVW :=5>%E%>( /5H5/( #E( 685( 6#=#*.&=8%>&/( /#>&6%#'( #.(

685( &'&6#9%>&/( :6.">6".5( T85.5( 685( 85&/68N .5/&650( =.#4/59( >&'( 45( E#"'0( .5/5H&'6( 6#( 685(

FRQGLWLRQµ>@(

I'( 68%:( >#'65P6,( &( H&/"5( :56( %:( &( "'%$"5/D(

%05'6%E%&4/5( :56( #E( H&/%0( H&/"5:( 68&6( >&'( 45(

&::#>%&650( T%68( &( 05E%'50( :56( #E( I7K( 5'6%6%5:2(

JD=%>&//D,( H&/"5( :56:( >&'( 45( 0.&T'( E.#9( =.5N 5P%:6%'*(>#0%'*(:>8595:(:">8(&:(3FLCQK(7J(

4D(>#':6.&%'%'*(685(H&/"5(:5/5>6%#'(4&:50(#'(&(

/#*%>&/( 5P=.5::%#'( M52*2( &//( :"4N>#05:( #E( 685(

FRGH ´EUHDVW FDQFHUµ *HQHUDWLQJ FOLQLFDOO\

95&'%'*E"/( H&/"5( :56:( %'( &( M:59%NO( &"6#9&6%>(

T&D( E.#9( &( 65.9%'#/#*D^#'6#/#*D( :5.H%>5( 8&:(

455'( >8&//5'*%'*( E#.( 685( >#99"'%6D,( %'( =&.6(

0"5(6#(685(/&>?(#E(+O(E#.9&/(/%'?&*5(6#(>/%'%>&/(

>#'65P6( =&665.':( 68&6( &>6( &:( >#':6.&%'6:( %'(

05E%'%'*( &( >#'>5=6( 0#9&%'_( ;O( 65>8'%$"5:( E#.(

&"6#9&6%>&//D( /%'?%'*( H&/"5:( 6#( 685%.(

&==.#=.%&65( >#'>5=6( 0#9&%':,( &'0( @O( 6##/:(

4&:50( #'( E#.9&/( /&'*"&*5( :">8( &:( 685( S54(

L'6#/#*D( B&'*"&*5( MLSBO( \@]2( J#( 05&/( T%68(

:#95( #E( 685:5( >8&//5'*5:,( &( '"945.( #E(

.5:5&.>8(&'0(:6&'0&.0%Y&6%#'(5EE#.6:(&.5(45%'*(

"'05.6&?5',( %'>/"0%'*( -B[( 7#99#'(

J5.9%'#/#*D( 35.H%>5:( II( :=5>%E%>&6%#'( \W],(

0D\R·V/H[(96LPSOHPHQWDWLRQRQDYDOXH VHW GHILQLWLRQ VHUYLFH >@ DQG 0DQFKHVWHU·V '5T( LSB( AUI( @( \`]( T8%>8( >#'6&%':( &( :56( #E(

9#0"/&.%Y&6%#'(6##/:(\[]2((

I'(685(=.5:5'6(T#.?,(T5(=5.E#.950(&(>&:5(

:6"0D(#E(I7KN++(&'&6#9D(H&/"5(:56(5P6.&>6%#'(

E.#9( 3FLCQK( 7J2( S5( =.#=#:5( E#".( :59%N

&"6#9&6%>( H&/"5( :56( 5P6.&>6%#'( :6.&65*%5:(

4&:50( #'( 0%EE5.5'6( >/%'%>&/( >#'65P6( =&665.':2(

S5(5H&/"&650(685(:6.&65*%5:(&'0(0%:>"::(685%.(

%9=/%>&6%#':( %'( 65.9:( #E( 0#9&%'( >#H5.&*5,(

*.&'"/&.%6D( &'0( >/%'%>&/( ":5E"/'5::( E.#9( 4#68(

65>8'%>&/(&'0(>/%'%>&/(=5.:=5>6%H5:2(

,&%2,QWHUQDWLRQDO&RQIHUHQFHRQ%LRPHGLFDO2QWRORJ\

-XO\ā%XIIDOR1<86$

(2)

!"" #$%&'()*+,"

!-."/012.."$+,"345"0)+46+4"7),68""

!"#$ %&'$ ()*+&,(-$ &$ *+.&-(/(-$ '(0$ .1$ 2'($

,&'('$ 0.$ -+34($ 567899$ -(4(:.;)(/0$ <=>?$ @%($

;2+;.'($ .1$ 0%($ 567899$ ,./0(/0$ ).-(:$ 3'$ 0.$

;+('(/0$ 0%($ A/.B:(-C($ 0%&0$ 2/-(+:3('$ 0%($

-(13/303./'$ .1$ &/$ 567$ (/030D$ <E>?$ @&*:($ 9$

LOOXVWUDWHV WKDW ´%RG\ 6\VWHP6WUXFWXUH 'HVFULSWLRQµLVRQHRIPD3/$;&+&)(0(+'$1.+$

-(',+3*3/C$&/$567$,&0(C.+D?$

!" #$%"&'()(*"+)(,-"

." $,/00)1)2/()3'"4536-5()-0"

7" +-8(9/,"%-1)')()3'0"

:" +-5;0"

<" =3>*"?*0(-;@?(592(95-"%-025)6()3'"

A" +-;635/,"4536-5()-0"

B" ?-C-5)(*"31"?9D(*6-"4536-5()-0"

E" F/')1-0(/()3'"4536-5()-0"

G" $/90/,"4536-5()-0"

!H" I9'2()3')'J"4536-5()-0"

!!" ?6-2)1)2"$3'>)()3'"4536-5()-0"

!." +5-/(;-'("4536-5()-0"

!7" %)/J'30()2"$5)(-5)/"

!"#$%&'("+K-"#$%L!!"23'(-'(";3>-,";/)'"6/5/;-(-50"

!-!"9:;7<1"0="$+,"345"0)+%6>4"7),68""

FG#HI7$ 6@$ 3'$ 0%($ ).'0$ ,.);+(%(/'34($

,:3/3,&::D$ .+3(/0(-$ )(-3,&:$ 0(+)3/.:.CD$

'D'0()?$ $ 50$ 3'$ .B/(-$ &/-$ )&3/0&3/(-$ *D$ 0%($

5/0(+/&03./&:$ "(&:0%$ @(+)3/.:.CD$ F0&/-&+-$

7(4(:.;)(/0$#+C&/3J&03./$K5"@F7#L$<M>?$@%($

5"@F7#$&/-$0%($!"#$'3C/(-$&$,.::&*.+&034($

&C+(()(/0$ 3/$ N2:D$ EO9OP$ B%3,%$ (''(/03&::D$

('0&*:3'%('$ FG#HI7$ 6@$ &'$ 0%($ ,.+($ .1$ 0%($

./0.:.C3,&:$,.);./(/0$.1$567$<9O>?$

Q.+$ 30'$ +(;+('(/0&03./$ .1$ &/&0.)DP$

FG#HI7$ 6@$ %&'$ &-.;0(-$ &$ 4&+3&/0$ .1$ 0%($

´6WUXFWXUH8I/03+(83DUWV 6(3µ WULSOH )(,%&/3')$ -(4(:.;(-$ *D$ "&%/$ &/-$ F,%2:J$

<9989E>?$Q3C?$9$'%.B'$&$+(;+('(/0&03./$(R&);:($

IRU ´VNLQ VWUXFWXUH RI IDFHµ LQ ZKLFK ´VNLQ VWUXFWXUH RI IDFHµ ´HQWLUH VNLQ RI IDFHµ DQG

´VNLQRISDUWRIIDFHµIRUPVD6(3WULSOH$

$

$ )*+,-%&'(&"M'"-8/;6,-"31"?&4"(5)6,-"5-65-0-'(/()3'"135"

͞ϳϯϴϵϳϬϬϰƐŬŝŶƐƚƌƵĐƚƵƌĞŽĨĨĂĐĞ͘͟"

FG#HI7$ 6@$ %&'$ &$ 6:3/3,&:$ Q3/-3/C$

,./,(;0$).-(:P$3/$B%3,%$&$'(0$.1$&00+3*20('$%&'$

*((/$ ';(,313(-$ 0.$ -(13/($ 6:3/3,&:$ Q3/-3/C$

,./,(;0'$ <9S>?$ @B.$ .1$ 0%('($ &00+3*20('P$

´)LQGLQJ 6LWHµ DQG ´$VVRFLDWHG 0RUSKRORJ\µ

&+($ &::.B(-$ 4&:2('$ 0&A(/$ 1+.)$ 0%($ %3(+&+,%D$

XQGHU ´ %RG\ VWUXFWXUHµ 7DEOH '%.B'$ 0%($ 0B.$ &/&0.)D8+(:&0(-$ -(13/3/C$

&00+3*20('?$

Defining Attribute

Subsumed

Attribute Allowable Values _),1',1*6,7(_ _$QDWRPLFDORIDFTXLUHGERG\_

_$662&,$7('0253+2/2*<_ _0RUSKRORJLFDOO\DEQRUPDO

VWUXFWXUH_

$

!"#$%&.("+N3"/'/(3;*"5-,/(->"/((5)D9(-0"06-2)1)->")'"

?OPF&%"$+"$,)')2/,"I)'>)'J"23'2-6(";3>-,"

?"""7$46(3$85"$+,"764@),5"

?-."7$46(3$85"

Q.+$0%3'$'02-D$B($2'(-T$$

9L$$ @%($ 0.;.C+&;%3,&:$ 0(+)$ )&;;3/C'$ 1+.)$

FG#HI7$ 6@$ 0.$ 5678#$ @.;.C+&;%D$

;+.43-(-$ *D$ 0%($ EO9OOUS9$ 5/0(+/&03./&:$

V(:(&'($.1$FG#HI7$6@W$

$EL$$$ VXEVHW RI 6120(' &7 DQDWRP\ ´EDVH WHUPVµ H[WUDFWHG E\ ,+76'2 IURP LWV ,.);:(0($'(0$.1$&/&0.)3,&:$,./,(;0'$<9X>W$

$SL$$$ VXEVHW RI ´&OLQLFDO )LQGLQJµ FRQFHSWV (R0+&,0(-$ 1+.)$ FG#HI7$ 6@$ '0&0(-$ 1.+)$

&10(+$ ,./4(+'3./$ 3/0.$ !(*$ #/0.:.CD$

Y&/C2&C($ K#!YL$ 2'3/C$ 0%($ Z(+:$ ',+3;0$

;+.43-(-$*D$0%($.+3C3/&:$-3'0+3*203./W$

XL$$7KH HQWULHV RI WKH W\SH ´ILQGLQJµ RU

´GLVRUGHUµ H[WUDFWHG IURP D GRZQORDG RI 0%($ [HYF$ 6#VI$ Z+.*:()$ Y3'0$ F2*'(0$ .1$

FG#HI7$6@$<9\>$

!

(3)

! !

!"#$%&'()!"!#$%&&'#()*!)+!*(&!,-./01!23!4)567&!&8*%9$*:)'!*))7!9#!9!;%)*<=<!>?@!A76=:'?!

!

"#$! %&'()*+!

"#!$%%&!'()'*$'+#!%,!'!-'*./#0$#1!234-56!

7%(89#! #:$1'.$;%*! <=>! ?@AB! @CD! '*(! (#)#9%E#(!

'*! #:$#*0;%*! '0! '! =1%$F+F! GH@! E98+;*! ?@IDH! ! >*!

$/;0! J'KB! J#! J#1#! 'L9#! $%! 9%'(! $/#! 234-56!

MN! 0$'$#(! ,%17! '0! 4"O! ;*$%! $/#! =1%$F+F! GH@!

E9'$,%17!,%1!7%(89#!#:$1'.$;%*H!P;+H!Q!0/%J0!'!

0.1##*0/%$! %,! $/#! 7%(89#! #:$1'.$;%*! E98+;*! ;*!

=1%$F+F!GH@H!!

"#! (#,;*#(! ,%81! .9;*;.'9! .%*$#:$! E'$$#1*0!

,%1!$/#! >M6! '*'$%7K!)'98#!0#$!#:$1'.$;%*B!%*#!

,%1! #'./! %,! $/#! 0%81.#0! (#0.1;L#(! 'L%)#H! ! "#!

.1#'$#(!'!0;+*'$81#!,;9#!,%1!#'./!'*(!;(#*$;,;#(!

.%*.#E$! >60! ,%1! QRBQQ@! 234-56! MN! .%*.#E$0!

7'EE#(!$%!>M6S4!$%E%+1'E/KB!@GBIC@!.%*.#E$0!

#:$1'.$#(!,1%7!$/#!'*'$%7K!L'0#!$#170!08L0#$!

%,!234-56!MN!T*%$#!$/'$!$/#!.%*.#E$!>60!'1#!

*%$! ')';9'L9#! ,%1! '! E%1$;%*! %,! L'0#! $#170UB!

VCB@RI! .%*.#E$! >60! #:$1'.$#(! ,1%7! $/#! L1'*./!

´&OLQLFDO )LQGLQJµ RI 6120(' &7 DQG .%*.#E$0!,1%7!$/#!M4W5!=1%L9#7!O;0$!08L0#$!%,!

234-56!MNH!

";$/!$/#!,%81!0;+*'$81#!,;9#0B!J#!+#*#1'$#(!

,%81!7%(89#0!;*!4"O!0K*$':!80;*+!$/#!7%(89#!

+#*#1'$;%*! $%%9H! P%1! $/#! ,;10$! '*(! 0#.%*(!

E'$$#1*0B!$/#!+#*#1'$#(!7%(89#0!'1#!'*'$%7KS 0E#.;,;.! 7%(89#0B! J/#1#'0! ,%1! $/#! $/;1(! '*(!

,%81$/!E'$$#1*0B!$/#!+#*#1'$#(!7%(89#0!'1#!*%$B!

L#.'80#!$/#!%1;+;*'9!0;+*'$81#0!'1#!'99!,1%7!$/#!

´&OLQLFDO )LQGLQJµ GRPDLQ $V WKH PRGXOH

#:$1'.$;%*! $%%9! #:$1'.$0! '99! ':;%70! 1#9#)'*$! $%!

$/#! 0;+*'$81#0B! $/#! .%11#0E%*(;*+! '*'$%7;.'9!

0$18.$81#0!'1#!'90%!#:$1'.$#(H!4*.#!$/#!7%(89#0!

J#1#!+#*#1'$#(!;*!$/#!,;10$!1%8*(B!J#!.1#'$#(!'!

0;+*'$81#! ,;9#! ,%1! #'./! 7%(89#! 80;*+! $/#!

FRQFHSW,'VH[WUDFWHGIURPWKH´ERG\VWUXFWXUHµ 08LS$1##! %,! #'./! 7%(89#H! X0;*+! $/#! 0;+*'$81#!

,;9#0B! J#! +#*#1'$#(! $/#! '*'$%7KS0E#.;,;.!

7%(89#0!,%1!$/#!$/;1(!'*(!,%81$/!E'$$#1*0H!

"#! #)'98'$#(! $/#! '*'$%7KS0E#.;,;.!

7%(89#0! #:$1'.$#(! ,1%7! $/#! ,%81! E'$$#1*0! ;*!

$/1##! '0E#.$0Y! @U! (%7';*! .%)#1'+#B! QU! 7%(89#!

+1'*89'1;$KB! '*(! RU! .9;*;.'9! 80#,89*#00! %,! $/#!

7%(89#H!P%1!(%7';*!.%)#1'+#B!J#!80#(!$/#!QIC!

>M6S4! $%E%+1'E/;.'9! .'$#+%1;#0! '0! '*./%10! $%!

.9'00;,K! $/#! .%*.#E$! >60! ;*! #'./! 7%(89#H! N/#!

(%7';*! .%)#1'+#! ;0! 7#'081#(! LK! $/#! 1'$;%! %,!

$/#!*87L#1!%,!.'$#+%1;#0! .%*$';*;*+! 7'EE;*+0!

%)#1! $%$'9! *87L#1! %,! .'$#+%1;#0! T;H#H! $/#! QIC!

.'$#+%1;#0UH!P%1!7%(89#!+1'*89'1;$KB!J#!(#,;*#(!

$J%! 7#'081#0Y! +#*#1'9! +1'*89'1;$K! '*(!

'(Z80$#(! +1'*89'1;$KH! N/#! +#*#1'9! +1'*89'1;$K!

;0!7#'081#(!0;7E9K!LK!$/#!1'$;%!%,!$/#!*87L#1!

%,!.%*.#E$!>60!;*!$/#!7%(89#!%)#1!$/#!*87L#1!

%,! .%*.#E$! >60! ;*! '! .%*$1%9! 7%(89#! T;H#H! $/#!

7%(89#! %,! $/#! ,;10$! E'$$#1*UH! N/#! '(Z80$#(!

+1'*89'1;$K!;0!7#'081#(!LK!$/#!')#1'+#!1'$;%!%,!

$/#! *87L#1! %,! .%*.#E$! >60! ;*! #'./! %,! QIC!

.'$#+%1;#0!;*!'!7%(89#!%)#1!$/'$!%,!$/#!.%*$1%9!

7%(89#H!!!!!!

>*! '((;$;%*B! J#! E#1,%17#(! '! E1#9;7;*'1K!

#)'98'$;%*!%,!.9;*;.'9!80#,89*#00!%,!$/#!7%(89#0H!

"#!./%0#!$J%!.'$#+%1;#0!%8$!%,!$/#!QIC!>M6S4!

(4)

FDWHJRULHV´&VNLQRIIDFHµDQG´&6NLQ RI WUXQNµ LQ WKH GHUPDWRORJ\ GRPDLQ 2QH RI

!"#$ %&!"'()$ *+,-$ %$ .#(/%!'0'12$ 3"2)454%67$

(#84#9#.$ !"#$ :;<=>?$ ,@$ /%33461$ 5'65#3!)$

!'$ !"#$ !9'$ 5%!#1'(4#)$ %6.$ /%(A#.$ !"')#$ !"%!$

)"'&0.$ B#$ 5'6)4.#(#.$ %)$ 3%(!$ 'C$ D,?EFF$

%6%!'/2$ 5'65#3!)G$ H#$ /#%)&(#.$ !"#$ 504645%0$

&)#C&06#))$ B2$ !"#$ (%!4'$ 'C$ !"#$ 6&/B#($ 'C$

FRQFHSWV FKHFNHG E\ 5&·V UDWLQJV RYHU WKH 6&/B#($'C$!'!%0$5'65#3!)$46$!"#$!9'$5%!#1'(4#)G$$

!"" #$%&'(%"

D6$!'!%0-$!"#(#$%(#$IF-FJK$5'65#3!$D?)$&6.#($!"#$

´ %RG\ VWUXFWXUHµ EUDQFK RI :;<=>?$ ,@G$ H#$ )&55#))C&002$ #L!(%5!#.$ C'&($

%6%!'/2E)3#54C45$ /'.&0#)$ C('/$ :;<=>?$ ,@$

B%)#.$ '6$ C'&($ .4CC#(#6!$ 504645%0$ 5'6!#L!$

3%!!#(6)G$@%B0#$I$)"'9)$!"#$6&/B#($'C$5'65#3!$

D?)$46$#%5"$/'.&0#$%6.$!"#4($.4)!(4B&!4'6G$@"#$

/%M'(4!2$ 'C$ 5'65#3!$ D?)$ 46$ #%5"$ /'.&0#$ %(#$

WKRVH XQGHU ´NFKOIJJJ$ P6%!'/45%0$ )!(&5!&(#µ 9"#(#%)$ 46$ !"#$ /'.&0#)$!"#$#%&"'#$(#$)$ %6.$

*+,-"./0#12-$ %$ )4164C45%6!$ 6&/B#($ 'C$ 5'65#3!$

D?)$ *F-NFN$ %6.$ KQQ$ (#)3#5!48#027$ %(#$ &6.#($

´FFRNQSJJR$='(3"'0'145%002$%0!#(#.$)!(&5!&(#µ$

T41G$ I$ )"'9)$ !"#$ #8%0&%!4'6$ (#)&0!)$ 'C$

.'/%46$ 5'8#(%1#-$ 1#6#(%0$ 1(%6&0%(4!2$ %6.$

%.M&)!#.$ 1(%6&0%(4!2$ 'C$ !"#$ C'&($ #L!(%5!#.$

/'.&0#)G$ @"#$ (#)&0!)$ 46.45%!#$ !"%!$ 5'/3%(#.$

94!"$!"#$!,$2+,"$/'.&0#-$!"#$3&1.4.+/$/'.&0#$

%6.$ !"#$#%&"'#$(#$)$ /'.&0#$ (#.&5#.$

1(%6&0%(4!2$ %33('L4/%!#02$ B2$ '6#$ !"4(.$ %6.$

!9'$ !"4(.$ (#)3#5!48#02$ B&!$ )!400$ A##3$ 1''.$

.'/%46$ 5'8#(%1#-$ 9"#(#%)$ !"#$ *+,-"./0#12$

/'.&0#$ (#.&5#.$ 1(%6&0%(4!2$ B2$ %B'&!$ 646#$

!#6!")$ 9"40#$ 4!$ 0')!$ .'/%46$ 5'8#(%1#$ B2$ %B'&!$

'6#$C'&(!"G$$

@%B0#$ U$ %6.$ @%B0#$ Q$ )"'9$ !"#$ #8%0&%!4'6$

(#)&0!)$'C$504645%0$&)#C&06#))$*9"45"$4)$B%)#.$'6$

5&·V UDWLQJV IRU WZR WDUJHW ,&'E<$ 5%!#1'(4#)G$

@"#$ (#)&0!)$ 46.45%!#$ !"%!$ !"#$!"#$#%&"'#$(#$)$

%6.$*+,-"./0#12$ /'.&0#)$ "%.$ B#!!#($ '&!5'/#$

46$ !#(/)$ 'C$ 504645%0$ &)#C&06#))-$ (#8#%0461$ !"%!$

!"#$ 504645%0$ 5'6!#L!$ 3%!!#(6)$ &6.#(02461$ !"#$

/'.&0#)$ %(#$ #CC#5!48#$ %6.$ /%!5"$ /'(#$ 50')#02$

ZLWK WKH FOLQLFLDQ·V H[SHFWDWLRQV RQ ,&'EFF$

%6%!'/2G$

$

$

$

$

$

$

$

$

$

$

$

$

$

!"#$%&'(!"#$%&'!()!*(+*&,-!./0!1+!&2*3!$(4#5&!2+4!-3&1'!410-'1%#-1(+!

6"(-&!-32-!0($&!()!*(+*&,-!./0!#+4&'!789!2+4!:79!(;&'52,<!

$

$

$ )*+,-%&'(!=;25#2-1(+!'&0#5-0!()!4($21+!*(;&'2>&!2+4!>'2+#52'1-?!)('!)(#'!$(4#5&0!

$

$

&RQWURO %DVH7HUP &OLQLFDO)LQGLQJ 3UREOHP/LVW 'RPDLQ&RYHUDJH *HQHUDO*UDQXODULW\ $GMXVWHG*UDQXODULW\

!! !./"$& 012& 0324& 5024& 067& 8,"$*9*%-&

3.:/-.$& @ABA@! @CDBE! DC! EC! BA! A!

;"<%!%-=& BFBDE! BFGGA! FF! EG! @A! A!

3$*:*>"$)*:?*:+& EB@G! F@BH! AD! BIBI! @! A!

7-.#$%=@*</& @IFF! @@GB! @C! EFF! G! A!

7"9!ʹ!"#$%&'!()!8(+*&,-!/ƐƵŶĚĞƌ͞ϵϭϳϮϯϬϬϬŶĂƚŽŵŝĐĂůƐ-'#*-#'&͟! ! 789!ʹ!"#$%&'!()!8(+*&,-!./0!ƵŶĚĞƌ͞@HGBBFGGA!7*J#1'&4!%(4?!0-'#*-#'&͟! ! :79!ʹ!EƵŵďĞƌŽĨŽŶĐĞƉƚ/ƐƵŶĚĞƌ͞BBHIFDGGH!:(',3(5(>1*255?!25-&'&4!0-'#*-#'&͟!

7KL!ʹ!EƵŵďĞƌŽĨŽŶĐĞƉƚ/ƐƵŶĚĞƌ͞IBHC@GGH!7+2-($1*25!('>2+1M2-1(+25!,2--&'+͟!

(5)

!!

!"#$%&'()'

*(+,%-./'*0%,1%2'

3(.45'

!"#$%&' 64.7('

6%54.78%'64.7(' 98/:'*(+.&(5;'

*(+.&(5' "#! #$! %&'()! "'$$!

<4/%3%&#' "#! &*! (+'&)! "'&,!

*57+7,45=7+27+>' "&! (&! &"'%)! "'#$!

?&($5%#@7/.' &! ""! (,'&)! "'+$!

!

34$5%'A:!ǀĂůƵĂƚŝŽŶƌĞƐƵůƚƐŽĨĐůŝŶŝĐĂůƵƐĞĨƵůŶĞƐƐĨŽƌĐĂƚĞŐŽƌLJ͞ϰϰ͘ϯ^ŬŝŶŽĨĨĂĐĞ͘͟!

-./!0123/4!56!7507/89:!ĐŚĞĐŬĞĚŝƐďĂƐĞĚŽŶZ͛ƐƌĂƚŝŶŐƐ͘!

!

!

!!

!"#$%&'()'

*(+,%-./'*0%,1%2'

3(.45'

!"#$%&' 64.7('

6%54.78%'64.7(' 98/:'*(+.&(5;'

*(+.&(5' ""! "&;! #'&)! "'$$!

<4/%3%&#' ""! *+! "%';)! "'#+!

*57+7,45=7+27+>' ""! +,! ";',)! %',,!

?&($5%#@7/.' ,! %$! ($'$)! &'$,!

34$5%'B:!ǀĂůƵĂƚŝŽŶƌĞƐƵůƚƐŽĨĐůŝŶŝĐĂůƵƐĞĨƵůŶĞƐƐĨŽƌĐĂƚĞŐŽƌLJ͞ϰϰ͘ϱ^ŬŝŶŽĨƚƌƵŶŬ͘͟!

dŚĞŶƵŵďĞƌŽĨĐŽŶĐĞƉƚƐĐŚĞĐŬĞĚŝƐďĂƐĞĚŽŶZ͛ƐƌĂƚŝŶŐƐ͘!

!

!"" #$%&'%%$()"

"#$! %&'! (')'*#+,'-%! #.! %&'! /01233! 4-4%#,5!

6&4+%'$7!%&'!*89%!#.!/012:!%#+#;$4+&864*!6#('9!

<49! 4! +#%'-%84*! 64-(8(4%'! =3>?! 49! 8%! &49! @''-!

9%4-(4$(8A'(!8-!%&'!#-6#*#;5!(#,48-!@5!BC:!

WRGHVFULEHWKH´1HRSODVPµFKDSWHURI,&'23DE!

C#<')'$7!%&'!*89%!#.!/012:!6#('9!89!9+4$9'!4-(!

-#%!9F..868'-%*5!('%48*'(!.#$!,4-5!+F$+#9'9E!!

G9! %&'! /CHI1:! +$#)8('9! ,4++8-;9! .$#,!

IJ:KL1!0H!%#!/012:!H#+#;$4+&5!49!4!+4$%!

#.! %&'! 9%4-(4$(! (89%$8@F%8#-7! %&'! ,4++8-;9!

<'$'!-4%F$4**5!6#-98('$'(!49!4!<45!%#!8('-%8.5!

+#998@*'!64-(8(4%'9!.#$!%&'!+F$+#9'9!#.!/01233!

4-4%#,5E!C#<')'$7!%&'!+$#@*',!<8%&!%&89!8('4!

89! %&4%! %&'! ,4++8-;! 89! (8$'6%8#-4*7! 4-(! %&'!

(8$'6%8#-! 89! .$#,! IJ:KL1! 0H! %#! /012:!

6#('97! ,'4-8-;! %&4%! )8$%F4**5! 4**! IJ:KL1!

0H! 4-4%#,5! 6#('9! %&4%! 6#F*(! @'! $'*')4-%! 8-!

64-6'$!M8E'E!%&4%!64-!@'!%&'!98%'!#.!4!,4*8;-4-2 F\ DUH PDSSHG 0RUHRYHU WKH PDS GRHVQ·W 8('-%8.5! 4! 98-;*'! @'9%! IJ:KL1! 0H! 6#('! .#$!

'46&!F-8NF'!/012:!%#+#;$4+&864*!6#('E!!

H&'! '-%8$'! 9'%! #.! IJ:KL1! 0H! 6#('9!

8-6*F('(! 8-! %&'! ,4+! (#'9! -#%! ,4O'! 4!

98;-8.864-%! $'(F6%8#-! 8-! %&'! 98A'! #.! %&'!

4-4%#,5!%'$,8-#*#;57!!4-(!*'4)'9!F9!<8%&!%&'!

4%5+864*! 4-(! &8;&*5! F-.4,8*84$! -4,8-;! #.!

%&8-;9! 466#$(8-;! %#! %&'! I2L2P! ,#('*7! 9F6&! 49!

´; VWUXFWXUH ERG\ VWUXFWXUHµ DQG ´(QWLUH ; ERG\ VWUXFWXUHµ %DVHG RQ WKH DVVXPSWLRQ

%&4%!'-(!F9'$9!#.!%&'!4-4%#,5!6#('9!<8**!<4-%!

.4,8*84$! -4,'9! 4-(! 4! .F**! 9'%7! /CHI1:!

6$'4%'(! 4! 9F@9'%! #.! IJ:KL1! 0H! <&86&!

6#-%48-9! 3Q7RSS! @49'! %'$,97! .$#,! <&86&! <'!

'T%$46%'(! 3U7QV3! 6#-6'+%! /19! .#$! ,#(F*'!

'T%$46%8#-!M-#%'!%&4%!9#,'!#.!%&'! .#$,'$!&4)'!

%&'8$! #$8;8-! <8%&! %&'! "KG! @F%! &4)'! -#!

6#$$'9+#-(8-;!IJ:KL1!0H!6#-6'+%7!4-(!%&F9!

(#!-#%!&4)'!4!6#-6'+%!/1!4998;-'(WE!! !

"#$! %&'! IJ:KL1! 0H! 0*8-864*! "8-(8-;!

6#-6'+%! ,#('*7! <'! 6#-98('$! %&'! 4%%$8@F%'9!

´)LQGLQJ6LWHµDQG´$VVRFLDWHG0RUSKRORJ\µWR EH DQDORJRXV WR WKH SDUDPHWHU ´%RG\

VWUXFWXUHµ LQ WKH ,&'233! 6#-%'-%! ,#('*7!

<&'$'49!%&'!IJ:KL1!0H!6#-6'+%9!F-('$!%&'!

0*8-864*! "8-(8-;! @$4-6&! 4$'! 4-4*#;#F9! %#! %&'!

(89'49'! 64%';#$8'9! 8-! /012337! 4*%&#F;&! %&'!

IJ:KL1!0H!6#-6'+%9!4$'!,#$'!.8-'2;$48-'(E!

B'! 6#-98('$! %&4%! %&'! 499'$%'(! 4-4%#,864*!

9%$F6%F$'9! 6#$$'9+#-(8-;! %#! %&'! 0*8-864*!

"8-(8-;! 6#-6'+%9! 4$'! ,'4-8-;.F*! %#! @'! 4!

6*8-864*! 6#-%'T%! +4%%'$-! .#$! %&'! /01233!

4-4%#,5!)4*F'!9'%E!

B'! ('.8-'(! NF4-%8%4%8)'! ,'49F$'9! %#!

')4*F4%'!%&'!.#F$!,#(F*'9!8-!%'$,9!#.!(#,48-!

6#)'$4;'7! ,#(F*'! ;$4-F*4$8%5! 4-(! 6*8-864*!

F9'.F*-'99E! B'!@'*8')'!%&4%!%&'!,'49F$'9!4$'!

F9'.F*! %#! &'*+! 8-! ('68(8-;! <&86&! ,#(F*'!

'T%$46%8#-! 9%$4%';5! 89! '..'6%8)'! 4-(! 9&#F*(! @'!

6#-98('$'(! .#$! 4(#+%8#-E! J#%'! %&4%! %&'!

F9'.F*-'99! ')4*F4%8#-! <'! +'$.#$,'(! 8-! %&'!

+$'9'-%! 9%F(5! &49! *8,8%'(! ;'-'$4*8A4@8*8%5!

EHFDXVH LW LV EDVHG RQ D VLQJOH UHYLHZHU·V

$4%8-;9E! /%! 9'',9! 6*'4$! %&4%! <'! 6#F*(! #@%48-!

,#$'! $'*84@*'! $'9F*%9! @5! F98-;! ,#$'! 'T+'$%9!

.$#,!(8)'$9'!6*8-864*!@46O;$#F-(9E!

X49'(!#-!#F$!$'9F*%97!<'!9F;;'9%!%&4%!%&'!

(6)

!"#$"%&'( )!%*( +,#( "-%( .,*)/%(!"#$#%&"'#$(#$)(

$!( $( &,,*( !"$#"01&( 2,01"( +,#( "-%( 345677( $1$"6 ,.'( )!%( 8$!%9( :-%( .,*)/%( -$!( &,,*( *,.$01(

8,;%#$&%(<-0/%(=%%201&($(#%/$"0;%/'(!.$//(!0>%(

$1*( ?%""%#( ,)"8,.%( ,1( 8/0108$/( )!%+)/1%!!9(

@,"%( "-$"( "-%( A@BCD5( 4:( $1$",.'( ?$!%(

"%#.!( $#%( !"0//( )!%+)/( +,#( 2#,;0*01&( +$.0/0$#(

1$.%!($1*($(+)//(!%"E($1*($#%(8,.2/%.%1"$#'(

",(,)#(!)&&%!"%*(!"#$"%&'(-%#%9(

31( $**0"0,1E( "-%( )22%#( /%;%/( ,+( "-%(

A@BCD5( 4:( $1$",.'( .$'( 8#%$"%( !,.%(

8,1+)!0,1(?%8$)!%(0"(-$!("-#%%(.$01(?#$18-%!F(

7G( H1$",.08$/( !"#)8")#%E( 09%9( "-%( 1,#.$/(

$1$",.'E(IG(H8J)0#%*(?,*'(!"#)8")#%( 6(.,!"/'(

WKHUHVXOWVRIVXUJHU\SOXV´VFDUPRUSKRORJLF DEQRUPDOLW\µ DQG %RG\ VWUXFWXUH DO"%#%*(

+#,.( 0"!( ,#0&01$/( $1$",.08( !"#)8")#%(

K.,#2-,/,&08( $?1,#.$/0"'G( ²( "-%( #%!)/"!( ,+(

*0!%$!%( ,#( #%2$0#9( L0;%1( "-%!%( *0++%#%1"( "'2%!(

,+(?,*'(!"#)8")#%E( "-%(J)%!"0,1(#%$//'(0!(<-$"(

0!(1%%*%*(+,#(345677(*%;%/,2.%1"9(:-%(8/0108$/(

%M2%#"!( 01( "-%( NOB( :HL( &#,)2!E( %*0",#0$/(

?,$#*!( $1*( "-%( 8/0108$/( &#,)2!( <,#=01&( ,1(

$1$",.'( <0//( 1%%*( ",( 8/$#0+'( "-%0#(

#%J)0#%.%1"!( 01( ,#*%#( ",( *%"%#.01%( <-%"-%#(

,1%(,#($//(,+("-%!%(?#$18-%!(!-,)/*(?%()!%*9(

P01$//'E( "-%( Q#,"R&R( ?$!%*( BNS( .,*)/%(

%M"#$8"0,1(",,/(<%(*%;%/,2%*(01("-0!(!")*'(T7UV(

-$!( ?%%1( *%.,1!"#$"%*( ;%#'( )!%+)/( +,#(

$8-0%;01&( ,)#( &,$/9( N-0/%( <%( .$01/'( )!%( $1(

%M"%#1$/( !0&1$")#%( +0/%( +,#( .,*)/%( %M"#$8"0,1(

01( "-0!( !")*'E( <%( -$;%( %M"%1*%*( "-%( ",,/( $1*(

01"%&#$"%*( 0"( <0"-( "-%( Q#,"R&R( 5S( W)%#'(

2/)&01( TIXVE( ?'( <-08-( $( !0&1$")#%( 8$1( ?%(

*%+01%*( "-#,)&-( $( !%.$1"08( J)%#'( <-08-(

01;,=%!( $( 5S( K*%!8#02"0,1( /,&08G6?$!%*(

#%$!,1%#9( N%( 8,1!0*%#( "-$"( "-0!( 2#,;0*%!( $(

2,<%#+)/($1*(%$!'(",()!%(+%$")#%(",(*%+01%($1*(

%M"#$8"($(*,.$01(!2%80+08(;$/)%(!%"9(

31( 8,18/)!0,1E( <%( 2%#+,#.%*( $( 8$!%( !")*'(

+,#(345677($1$",.'(;$/)%(!%"(%M"#$8"0,1(+#,.(

A@BCD5( 4:9( N%( 2#,2,!%*( +,)#( *0++%#%1"(

8/0108$/( 8,1"%M"( 2$""%#1!( +,#( "-%( 2)#2,!%( ,+(

&%1%#$"01&(8/0108$//'(.%$101&+)/(;$/)%(!%"!(+,#(

345677($1$",.'9(N%(%;$/)$"%*("-%(;$/)%(!%"!(

01("%#.!(,+(*,.$01( 8,;%#$&%E(&#$1)/$#0"'($1*(

8/0108$/( )!%+)/1%!!( ?'( *%+0101&( J)$1"0"$"0;%(

.%$!)#%!E( <-08-( 2#,;0*%( %++%8"0;%( .%"#08!( +,#(

-%/201&()!(",(!%/%8"($1($22#,$8-(+,#(!$"0!+'01&(

"-%(345677($1$",.'()!%(8$!%9((

( ( (

!"#"$"%&"'(

79(( NOB9( Y%;0!0,1( ,+( 31"%#1$"0,1$/( 4/$!!0+08$"0,1(

,+( 50!%$!%!( K345GF( -""2FZZ<<<9<-,901"Z(

8/$!!0+08$"0,1!Z08*Z345Y%;0!0,1Z%1Z01*%M9-"./9(

I9(( NOB9( 345677( H/2-$( ²( 4,1"%1"( C,*%/(

Y%+%#%18%(L)0*%F(-""2FZZ08$"9!"$1+,#*9%*)Z9(

[9(( Q$"-$=(\E(\0$1&(LE(5<$#=$1$"-(ABE(])1"#,8=(

\5E( 4-)"%( 4L9( S%M^$/)%A%"!F( $1( $22#,$8-( +,#(

8,1"%M"6*#0;%1( ;$/)%( !%"!( %M"#$8"0,19( HC3H(

H11)(A'.2(Q#,89(IXXU(@,;(_F``_6_X9(

a9(( 4:AI(<0=0F(-""2FZZ01+,#.$"08!9.$',9(%*)Z8"!I9((

`9(( :-%( S%MD^A( _9X( bYSF( -""2!FZZ8$?0&6=89180910-9(

&,;Z^,8$?Zc4Z01*%M92-2ZS%MD^Ad^%#!0,1d_9X9(

_9(( :-%( BNS( [( HQ3( bYSF( -""2FZZ!,)#8%+,#&%9(

1%"Z2#,e%8"!Z,</$20Z9((

f9(( A$""/%#(bE(A8-1%0*%#(:E(g$=-$#'$!8-%;9(N-08-(

=01*(,+(.,*)/%(!-,)/*(3(%M"#$8"h(31F(5S(O,.%(

II1*( 31"%#1$"0,1$/( N,#=!-,2( ,1( 5%!8#02"0,1(

S,&08!E(\)/'(If6[XE(IXXiE(BM+,#*E(bc9(

U9(( 4-)"%(4L9(50!"#0?)"%*(?0,.%*08$/("%#.01,/,&'(

*%;%/,2.%1"F( +#,.( %M2%#0.%1"!( ",( ,2%1(

2#,8%!!9(j%$#?(C%*(31+,#.9(IX7XF`U6_[9(

i9((( :-%( 3O:A5B( bYSF( -""2FZZ<<<90-"!*,9,#&(

Z!1,.%*68"Z9(S$!"(;0!0"%*($"(P%?#)$#'(7`E(IX779(

7X9((H&#%%.%1"( ?%"<%%1( 3O:A5B( $1*( NOBF(

-""2FZZ<<<9<-,901"Z8/$!!0+08$"0,1!ZH11,)18%.%

1"S%""%#92*+9(

779((O$-1( bE( A8-)/>( AE( Y,.$8=%#( Ck( Q$#",1,.08(

#%$!,101&($!("$M,1,.08(#%$!,101&(01(.%*0801%9(

Q#,8( 7_"-( @$"0,1$/( 4,1+( H#"0+080$/( 31"%//0&%18%(

l( 77"-( 311,;$"0;%( H22/08$"0,1!( ,+( H#"0+080$/(

31"%//0&%18%(KHHH36iiZ3HH36iiGFk(If76If_9(

7I9((A8-)/>( AE( O$-1( bE( Y,.$8=%#( Ck( C,*%/01&(

$1$",.08$/( !2$"0$/( #%/$"0,1!( <0"-( *%!8#02"0,1(

/,&08!9(IXXXk(HC3H(P$//(A'.2,!0).E(fii6fU[9(

7[9((:-%( 3O:A5B9( A@BCD5( 4:( 4/0108$/( :%#.!(

b!%#(L)0*%9(\)/'(IX7X(31"%#1$"0,1$/(Y%/%$!%9(

7a9(((A@BCD5( 4:( $1$",.'( *$"$( +0/%F( -""2!FZZ(

8!+%9$8%<,#=!2$8%91%"Z!+Z&,Z*,8[7[Ih1$;m79((

7`9((:-%( 4BYD( Q#,?/%.( S0!"( A)?!%"( ,+( A@BCD5(

4:(5,<1/,$*F(-""2FZZ<<<91/.910-9&,;Z#%!%$#8-(

Z)./!ZA1,.%*Z8,#%d!)?!%"9-"./9(

7_9((C$18-%!"%#( A@BCD5( 4:( C,*)/%( DM"#$8"0,1(

:,,/F(-""2FZZ,</98!9.$18-%!"%#9$89)=Z!1,.%*Z99(

7f9( Y%8",#( HSE( ]#$1*"(AE( A8-1%0*%#( :9( L%""01&("-%(

+,,"( ,)"( ,+( "-%( 2%/;0!F( .,*%/01&( 2#,?/%.!(

$++%8"01&( )!%( ,+( A@BCD5( 4:( O0%#$#8-0%!( 01(

2#$8"08$/($22/08$"0,1!9(\HC3H9(IX779(K01(2#%!!G9(

7U9( :-%( Q#,"%&%a979( Q/)&01( +,#( A@BCD5( 4:(

C,*)/%( DM"#$8"0,1( bYSF( -""2!FZZ!0"%!9&,,&/%9(

8,.Z!0"%Z,1",/,&'.,*)/$#0"Z9((

7i9(:-%(31"%#1$"0,1$/(4/$!!0+08$"0,1(,+(50!%$!%!(+,#(

B18,/,&'( K3456BG( bYSF( -""2FZZ<<<9<-,901"Z(

8/$!!0+08$"0,1!Z08*Z$*$2"$"0,1!Z,18,/,&'Z%1Z9(

IX9( :-%( Q#,"R&R( 5S( W)%#'( Q/)&019( -""2FZZ2#,"R&R(

<0=09!"$1+,#*9%*)Z<0=0Z5SW)%#':$?9(

(

Références

Documents relatifs

It can be observed how the representation of the Alexia and agraphia present situation concept is simplified by in- terpreting the concepts from the Clinical

Our goal is, by benefiting from DL reasoning, to facilitate the knowledge engineer’s design task by automatically generating a definition for the target concept from the

Few group practices in Long Island use GE’s Centricity to document the antenatal care provided by their obstetricians.[8] External clinics send antenatal information to the RHIO..

For an anatomical entity of a certain kind, X S represents its Structure class, and refers to any part of the anatomical entity, including the entire entity.. For instance, Heart

languages such as Mandarin. Our Mandarin labels were not developed by a team of Mandarin speaking medical experts, but purely from our own team knowledge. At this time

General purpose terminology server software facilitates coordinated use of multiple standard medical terminologies for diverse healthcare applications.. SNOMED CT is

Non-Core: Ancillary, 3 rd Party and Derived Data Advanced navigation and terminology maintenance work may require either additional data outside the core tables, or

This paper contributes a framework for ASP application programming which features the following concrete solutions: (i) inertial fluents for declarative reason- ing about program