Terminological systems are an important research issue within the field of
medical informatics. For precise understanding of existing terminological s
ystems a referential framework is needed that provides a uniform terminolog
y and typology of terminological systems themselves. in this article a unif
orm terminology is described by putting relevant fundamental notions and de
finitions used by standard organizations such as CEN and ISO into perspecti
ve, and interrelating them to arrive at a useful typology of terminological
systems. This typology is illustrated by applying it to five well-known ex
isting terminological systems.