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preliminary tests have shown that the UMLS API is terribly inefficient! The reason is because for each term we would need to issue several requests which would take several seconds to be executed. Maybe a local installation would be faster but it requires at least 40GB of disk space! see this
tests preformed on the public API of ICD show better results
probably UMLS is the best, check here:
http://www.semantichealthnet.eu/SemanticHealthNet/assets/File/SHN%20288408%20D3_3%20rev2%20Annex%201_Cardillo_SHN_D3_3_final.pdf
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