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oral-health-and-disease-ontologies / ohd-ontology

The OHD is an ontology for representing the diagnosis and treatment of dental maladies.
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Trouble distinguishing between oral evaluations and dental exams #23

Open GoogleCodeExporter opened 8 years ago

GoogleCodeExporter commented 8 years ago 
For example a comprehensive oral evaluation would seem to include as parts both 
hard and soft tissue exams 
"it is a thorough evaluation and recording of the extraoral and intraoral hard 
and soft tissues."
 (and more - e.g. inspection of oral cavity). Instead it is part of some dental exam. What's the other part of the exam?

Original issue reported on code.google.com by alanruttenberg@gmail.com on 21 Dec 2014 at 5:16

GoogleCodeExporter commented 8 years ago 
"For example a comprehensive oral evaluation would seem to include as parts 
both hard and soft tissue exams " - correct

"it is a thorough evaluation and recording of the extraoral and intraoral hard 
and soft tissues."
 (and more - e.g. inspection of oral cavity). - "inspection of oral cavity"  Is part of the thorough evaluation and recording of the extraoral and intraoral hard and soft tissues

Original comment by titus.sc...@gmail.com on 7 Jan 2015 at 2:11

GoogleCodeExporter commented 8 years ago 
I've defined hard and soft tissue exams, and intra- and extra oral soft tissue 
exams by reference to anatomy. I've added that a comprehensive oral evaluation 
has part hard tissue, intra- and extraoral soft tissue exams.  Comprehensive 
periodontal exam includes as part at least intraoral soft tissue exam. Limit 
evaluation hard OR soft tissue exam. 

This takes care of part of the issue. It is still a bit confusing regarding 
wholes and parts. Right now the wholes are the evaluations and they are are 
made up of the parts that are exams.

Work still needs to be done. We don't have taking of medical history, and 
cancer screening, both of which are mentioned in the definitions of 
evaluations. 

It is unclear to me whether the "recording" is all the "dental findings" or 
whether there is more to say about it.

Also, as cancer or lesion might be found in a soft tissue exam, we need to 
evaluation whether we define dental finding to include those or whether we need 
to allow a broader scope of findings that are output of the exams. Against 
calling them dental finding is that a cancer or lesion finding could be found 
anywhere on the body and when we integrate with medical we would have multiple 
inheritance. 

Anatomy referenced is a start and may need to be further developed. Currently, 
the intraoral soft tissue exam make reference to mucosa of mouth or tongue. The 
extraoral exam makes reference to lymph nodes and the TMJ. 

Changes in https://code.google.com/p/ohd-ontology/source/detail?r=624 and 
https://code.google.com/p/ohd-ontology/source/detail?r=625

Original comment by alanruttenberg@gmail.com on 16 Jan 2015 at 1:32