The Read Thesaurus--creation and beyond.

The creation of the Read Thesaurus was a unique undertaking, involving over 2000 clinicians. This clinically-led, multidisciplinary enterprise posed many organisational and professional challenges. The process of term collection and integration and the problems encountered are described. A brief account is given of the large task of maintenance and refinement. This paper looks at the practical and cultural aspects and describes how problems were tackled by good organisation, clear guidelines and much goodwill.