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! sans! aucune!discrimination!selon!leur!état!ou!leurs!convictions.!J'interviendrai!pour! les!protéger!si!elles!sont!affaiblies ,
il faut être en mesure de mettre en correspondance les diagnostics semblables entre eux, codées à l'aide de ces différentes terminologies, c'est à dire de rattacher sous un même concept des codes différents, et ce sans modification ou perte d'information. Le NCI thesaurus (NCIt) a semblé être une terminologie de choix pour l'élaboration d'une terminologie pivot afin de représenter de manière consensuelle et centralisée les concepts des différentes terminologies diagnostiques en cancérologie. La CIM-O3 a été choisie pour débuter le travail de mapping vers cette terminologie cible. OBJECTIF : L'objectif était d'évaluer la possibilité de représenter les données diagnostiques d'un registre général des cancers de l'adulte grâce à des concepts du NCIt, par l'intermédiaire d'un mapping validé établi préalablement entre la CIM-O3 et le NCIt et des relations existant entre les concepts du NCIt. METHODE : Une première phase a consisté en l'élaboration d'un mapping de la CIM-O3 vers le NCIt. La seconde phase s'est attachée à évaluer la possibilité de représenter les diagnostics réels du Registre Général des Cancers de la Gironde (RGCG), codés en CIM-O3, avec des concepts du NCIt. Pour chaque phase, une validation manuelle par une équipe de médecins a été réalisée, Plusieurs terminologies sont utilisées en routine pour coder les diagnostics de cancer. Pour pouvoir utiliser conjointement des informations issues de différentes sources RESULTATS : Au 31 janvier 2015, la validation par l'équipe de médecins avait permis d'obtenir 605 mappings valides d'un code CIM-O3 vers un code NCIt (40,3 % des 1500 codes CIM-O3). Il existait, pp.694-52 ,