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Medical Subject Headings


Medical Subject Headings (MeSH) is a huge controlled vocabulary (or metadata system) for the purpose of indexing journal articles and books in the life sciences. Created and updated by the United States National Library of Medicine (NLM), it is used by the MEDLINE/PubMed article database and by NLM's catalog of book holdings. MeSH can be browsed and downloaded free of charge on the Internet. The yearly printed version was discontinued in 2007.

In MEDLINE/PubMed, every journal article is indexed with some 10-15 headings or subheadings, with one or two of them designated as major and marked with an asterisk. When performing a MEDLINE search via PubMed, entry terms are automatically translated into the corresponding descriptors (see Details tab in PubMed). Furthermore, by default all the descriptors below the given one in the hierarchy are included in the search.


Structure of MeSH

The 2005 version of MeSH contains a total of 22,568 subject headings, also known as descriptors. Most of these are accompanied by a short definition, links to related descriptors, and a list of synonyms or very similar terms (known as entry terms). Because of these synonym lists, MeSH can also be viewed as a thesaurus.


The descriptors are arranged in a hierarchy. A given descriptor may appear at several places in the hierarchical tree. The tree locations carry systematic labels known as tree numbers, and consequently one descriptor can carry several tree numbers. For example, following the graphic at the top right, C stands for Diseases, C06 for Digestive System Diseases and C06.301 for Digestive System Neoplams; C04 for Neoplasms, C04.588 for Neoplasms By Site, and C04.588.274 is a second tree number for Digestive System Neoplasms. As seen from the graphic, Stomach Neoplasms appears in four locations in the hierarchy and therefore carries four different tree numbers. The tree numbers of a given descriptor are subject to change as MeSH is updated. Every descriptor also carries a unique alphanumerical ID that will not change.


Most entries come with a short description. See the MeSH description for diabetes type 2 as an example. The explanatory text is written by the MeSH team based on their standard sources [1] if not otherwise stated. References are mostly encyclopaedias and standard textbooks of the subject areas. Sources are subdivided into categories . However, references for specific statements in the descriptions are not given, instead readers are referred to the bibliography.


In addition to the descriptor hierarchy, MeSH contains a small number of standard qualifiers (also known as subheadings), which can be added to descriptors to narrow down the topic. For example, "Measles" is a descriptor and "epidemiology" is a qualifier; "Measles/epidemiology" describes the subheading of epidemiological articles about Measles. The "epidemiology" qualifier can be added to all other disease descriptors. Not all descriptor/qualifier combinations are allowed since some of them may be meaningless. In all there are 83 different qualifiers.


In addition to the descriptors, MeSH also contains some 139,000 Supplementary Concept Records. These do not belong to the controlled vocabulary as such and are not used for indexing MEDLINE articles; instead they enlarge the thesaurus and contain links to the closest fitting descriptor to be used in a MEDLINE search. Many of these records describe chemical substances.

MeSH has been translated into numerous other languages and allows retrieval of documents from different languages.

Top level categories

The top level categories in the MeSH descriptor hierarchy are:

  • Chemicals and Drugs [D]
    • MeSH D01 --- inorganic chemicals
    • MeSH D02 --- organic chemicals
    • MeSH D03 --- heterocyclic compounds
    • MeSH D04 --- polycyclic compounds
    • MeSH D05 --- macromolecular substances
    • MeSH D06 --- hormones, hormone substitutes, and hormone antagonists
    • MeSH D08 --- enzymes and coenzymes
    • MeSH D09 --- carbohydrates
    • MeSH D10 --- lipids
    • MeSH D12 --- amino acids, peptides, and proteins
    • MeSH D13 --- nucleic acids, nucleotides, and nucleosides
    • MeSH D20 --- complex mixtures
    • MeSH D23 --- biological factors
    • MeSH D25 --- biomedical and dental materials
    • MeSH D26 --- pharmaceutical preparations
    • MeSH D27 --- chemical actions and uses
  • Psychiatry and Psychology [F]
    • MeSH F01 --- behavior and behavior mechanisms
    • MeSH F02 --- psychological phenomena and processes
    • MeSH F03 --- mental disorders
    • MeSH F04 --- behavioral disciplines and activities
  • Physical Sciences [H]
    • MeSH H01 --- natural sciences
  • Anthropology, Education, Sociology and Social Phenomena [I]
    • MeSH I01 --- social sciences
    • MeSH I02 --- education
    • MeSH I03 --- human activities
  • Technology and Food and Beverages [J]
    • MeSH J01 --- technology, industry, and agriculture
    • MeSH J02 --- food and beverages
  • Humanities [K]
    • MeSH K01 --- humanities
  • Information Science [L]
    • MeSH L01 --- information science
  • Persons [M]
    • MeSH M01 --- persons
  • Health Care [N]
    • MeSH N01 --- population characteristics
    • MeSH N02 --- health care facilities, manpower, and services
    • MeSH N03 --- health care economics and organizations
    • MeSH N04 --- health services administration
    • MeSH N05 --- health care quality, access, and evaluation
  • Publication Characteristics [V]
    • MeSH V01 --- publication components (publication type)
    • MeSH V02 --- publication formats (publication type)
    • MeSH V03 --- study characteristics (publication type)
    • MeSH V04 --- support of research
  • Geographic Locations [Z]
    • MeSH Z01 --- geographic locations

See also

This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Medical_Subject_Headings". A list of authors is available in Wikipedia.
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