Mapping of Terminology Standards - A Way for Interoperability

Sven Van Laere, Frank Verbeke, Frederik Questier, Ronald Buyl, Marc Nyssen


Standards in medicine are essential to enable communication between healthcare providers. These standards can be used either for exchanging information, or for coding and documenting the health status of a patient. In this position paper we focus on the latter, namely terminology standards. However, the multidisciplinary field of medicine makes use of many different standards. We propose to invest in an interoperable electronic health record (EHR) that can be understood by all different levels of health care providers independent of the kind of terminology standard they use. To make this record interoperable, we suggest mapping standards in order to make uniform communication possible. We suggest using mappings between a reference terminology (RT) and other terminology standards. By using this approach we limit the number of mappings that have to be provided. The Systematized Nomenclature of Medicine, Clinical Terms (SNOMED CT) can be used as a RT, because of its extensive character and the preserved semantics towards other terminology standards. Moreover, a lot of mappings from SNOMED CT to other standards are already defined previously.


  1. Aguilar, A. 2005. Semantic Interoperability in the Context of e-Health. In CDH Seminar 7805, Galway, Ireland.
  2. ASSESS-CT. 2015. ASSESS CT - Assessing SNOMED CT for Large Scale eHealth Deployments in the EU. Available from:
  3. Benson, T. 2010. SNOMED CT. In Benson, T. (ed.), Principles of Health Interoperability HL7 and SNOMED (pp. 189-215). doi:10.1007/978-1-84882- 803-2
  4. Cornet, R., Nyström, M., & Karlsson, D. 2013. Userdirected coordination in SNOMED CT. In C. U. Lehmann, E. Ammenwerth, & C. Nøhr (Eds.), Studies in Health Technology and Informatics (Vol. 192, pp. 72-76). doi:10.3233/978-1-61499-289-9-72
  5. De Lusignan, S. 2005. Codes, classifications, terminologies and nomenclatures: definition, development and application in practice. Informatics in Primary Care, 13(1), 65-70. Retrieved from: content/bcs/ipc
  6. Donnely, K. 2006. SNOMED-CT: The advanced terminology and coding system for eHealth. Studies in Health Technology and Informatics, 121, 279-290.
  7. Dickerson, A.E. & Sensmeier, J. 2010. Sharing data to ensure continuity of care. Nursing Management, 41(7), 19-22. doi:10.1097/01.NUMA.0000384142.04693.58
  8. Garla, V.N. & Brandt, C. 2012. Semantic similarity in the biomedical domain: an evaluation across knowledge sources. BMC Bioinformatics, 13, 261-273. doi:10.1186/1471-2105-13-261
  9. Gaynor, M., Myung, D., Gupta, A., Rawn, J., & Moulton, S. 2008. Interoperability of medical applications and devices. In R. H. Sprague Jr. (Ed.), Proceedings of the 41st Hawaii International Conference on Systems Science, 7-10 January 2008, Waikoloa, Big Island, HI, USA. doi:10.1109/HICSS.2008.217
  10. Humphreys, B. L., Lindberg, D. A. B., Schoolman, H. M., & Barnett, G. O. 1998. The Unified Medical Language System: An Informatics Research Collaboration. Journal of the American Medical Informatics Association, 5(1), 1-11. doi:10.1136/jamia.1998.0050001
  11. IHTSDO. 2014. Mapping to SNOMED CT. Discussion and Guidance on Mapping Based Solutions Design for Migration or Transformation. Available from
  12. McDonald, C.J. et al. 2003. LOINC, a Universal Standard for Identifying Laboratory Observations: A 5-Year Update. Clinical Chemistry, 49(4), 624-633. doi:10.1373/49.4.624
  13. Müller-Staub, M., Lavin, M. A., Needham, I., & van Achterberg, T. 2007. Meeting the criteria of a nursing diagnosis classification: Evaluation of ICNP®, ICF, NANDA and ZEFP. International Journal of Nursing Studies, 44(5), 702-713. doi:10.1016/j.ijnurstu.2006.02.001
  14. NLM. 2007. Insertion of SNOMED CT® into the UMLS® Metathesaurus®: Explanatory Notes. Available from umls/Snomed/snomed_represented.html
  15. WHO. 2015. International Classification of Diseases (ICD). Available from classifications/icd/en/.
  16. Verbeke, M., Schrans, D., Deroose, S., & De Maeseneer, J. 2006. The International Classification of Primary Care (ICPC-2): an essential tool in the EPR of the GP. Studies in Health Technology and Informatics, 124, 809-814. doi: 10.3233/978-1-58603-647-8-809

Paper Citation

in Harvard Style

Van Laere S., Verbeke F., Questier F., Buyl R. and Nyssen M. (2015). Mapping of Terminology Standards - A Way for Interoperability . In Proceedings of the Fourth International Conference on Telecommunications and Remote Sensing - Volume 1: ICTRS, ISBN 978-989-758-152-6, pages 76-80. DOI: 10.5220/0005889700760080

in Bibtex Style

author={Sven Van Laere and Frank Verbeke and Frederik Questier and Ronald Buyl and Marc Nyssen},
title={Mapping of Terminology Standards - A Way for Interoperability},
booktitle={Proceedings of the Fourth International Conference on Telecommunications and Remote Sensing - Volume 1: ICTRS,},

in EndNote Style

JO - Proceedings of the Fourth International Conference on Telecommunications and Remote Sensing - Volume 1: ICTRS,
TI - Mapping of Terminology Standards - A Way for Interoperability
SN - 978-989-758-152-6
AU - Van Laere S.
AU - Verbeke F.
AU - Questier F.
AU - Buyl R.
AU - Nyssen M.
PY - 2015
SP - 76
EP - 80
DO - 10.5220/0005889700760080