Terminology
Vreeman DJ et al, Journal of Biomedical Informatics, 2012
Interoperable health information exchange depends on adoption of terminology standards, but international use of such standards can be challenging because of language differences between local concept names and the standard terminology. To address this important barrier, we describe the evolution of an efficient process for constructing translations of LOINC terms names, the foreign language functions in RELMA, and the current state of translations in LOINC. We also present the development of the Italian translation to illustrate how translation is enabling adoption in international contexts. We built a tool that finds the unique list of LOINC Parts that make up a given set of LOINC terms.
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23 January 2012 | No Comments »
Categories: Science | Country: United States | EHR: EHR | Tag(s): Adoption, LOINC, Standards, Terminology
Kim H et al, Journal of Biomedical Informatics, 2011
Mapping medical test names into a standardized vocabulary is a prerequisite to sharing test-related data between healthcare entities. One major barrier in this process is the inability to describe tests in sufficient detail to assign the appropriate name in Logical Observation Identifiers, Names, and Codes (LOINC®). Approaches to address mapping of test names with incomplete information have not been well described.
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23 December 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): LOINC, Terminology
Yu S et al, Journal of Biomedical Informatics, 2011
Clinical Archetypes provide a means for health professionals to design what should be communicated as part of an Electronic Health Record (EHR). An ever-growing number of archetype definitions follow this health information modelling approach, and this international archetype resource will eventually cover a large number of clinical concepts. On the other hand, Clinical Terminology systems that can be referenced by archetypes also have a wide coverage over many types of health-care information.
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20 December 2011 | No Comments »
Categories: Science | Tag(s): Archetypes, modelling, Ontology, SNOMED, Terminology
Zhou L et al, Journal of Biomedical Informatics, 2011
Objective
To develop an automated method based on natural language processing (NLP) to facilitate the creation and maintenance of a mapping between RxNorm and a local medication terminology for interoperability and meaningful use purposes.
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29 November 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Drugs, NLP, Standards, Terminology
Bakhshi-Raiez F et al, International Journal of Medical Informatics, 2011
Objective
To evaluate the usability of a large compositional interface terminology based on SNOMED CT and the terminology application for registration of the reasons for intensive care admission in a Patient Data Management System.
Design
Observational study with user-based usability evaluations before and 3 months after the system was implemented and routinely used.
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25 October 2011 | No Comments »
Categories: Science | Country: Netherlands | Tag(s): Evaluation, Intensive care, SNOMED, Terminology, Usability
Rob Brull, HL7 Standards
“On September 9, the Health IT Policy Committee submitted a letter to the National Coordinator for Health IT, Dr. Farzad Mostashari, with recommendations for vocabulary standards.
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30 September 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Interoperability, Semantic, Standards, Terminology
Joseph Goedert, HDM Breaking News
“Natural Language Processing technology can take transcribed text, structure it into computable data, and apply SNOMED CT and other terminologies or codes for richer data abstraction and analysis.
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11 September 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): NLP, Terminology
David More, Australian Health Information Technology
“Also remember that SNOMED-CT is also meant to be the terminology underpinning the PCEHR – but it is now on hold until the end of the year apparently. I suspect that will need an implementation plan as well!
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5 September 2011 | No Comments »
Categories: News | Country: Australia | EHR: EHR, EHR Australia | Tag(s): SNOMED, Terminology
Frank Irving, EHRWatch
“Krames StayWell and 3M Health Information Systems are working together to encode Krames StayWell’s patient education library using the 3M Healthcare Data Dictionary (3M HDD), a controlled medical vocabulary server that translates and integrates data from diverse systems into a standard, meaningful language.
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1 September 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Education, Terminology
Ken Terry, FierceEMR
“One of the biggest obstacles to true interoperability among clinical information systems is the multiplicity of medical terms used to describe the same concept. In an effort to promote “semantic interoperability” among systems, the Health IT Standards Committee, a governmental advisory body, has endorsed the use of certain standard vocabularies in electronic health records (EHRs).
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25 August 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Interoperability, Semantic, Standards, Terminology
Mary Mosquera, Government Health IT
“The Health IT Standards Committee has endorsed a single set of vocabulary standards and a single guide for putting them in place for each area of quality reporting measures, an accomplishment that some individuals and groups have been working on for 10 years. The domains include medications, labs and allergies.
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18 August 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): LOINC, SNOMED, Standards, Terminology
Keith W. Boone, Healthcare IT News
“In “The XML Consensus is breaking down” Grahame Grieve distinguishes three camps, heavy engineering crowd, the internet mob, and the data dictionary crowd. He discusses how XML seems to be failing to bring these crowds together.
I’ve worked with structured documents and natural language processing for a long time, probably twice as long as I’ve been in healthcare. What I find interesting in healthcare is the nature of the information being used. Just for fun, I’m going to look at it from a document oriented perspective, since that’s what I’ve spent most of my life working with.”
Article
Keith W. Boone, Healthcare IT News, 17 August 2011
18 August 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Semantic, Terminology, XML
David More, Australian Health Information Technology
“I suggest anyone who is interested in the area read the whole paper carefully and then e-mail NEHTA (terminologies@nehta.gov.au) asking them just when the work recommended here will be undertaken and finalised. A decision to deploy SNOMED CT was made by NEHTA about 4 years ago and the very limited use so far also suggests there are some significant implementation problems.
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18 July 2011 | No Comments »
Categories: News | Country: Australia | EHR: EHR, EHR Australia | Tag(s): SNOMED, Terminology
Rector AL et al, J Am Med Inform Assoc, 18(4)
Objectives
(a) To determine the extent and range of errors and issues in the Systematised Nomenclature of Medicine – Clinical Terms (SNOMED CT) hierarchies as they affect two practical projects. (b) To determine the origin of issues raised and propose methods to address them.
Methods
The hierarchies for concepts in the Core Problem List Subset published by the Unified Medical Language System were examined for their appropriateness in two applications. Anomalies were traced to their source to determine whether they were simple local errors, systematic inferences propagated by SNOMED’s classification process, or the result of problems with SNOMED’s schemas. Conclusions were confirmed by showing that altering the root cause and reclassifying had the intended effects, and not others.
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11 July 2011 | No Comments »
Categories: Science | EHR: EHR | Tag(s): Knowledge Management, modelling, Ontology, SNOMED, Terminology
Healthcare Technology Online
“Health Language, Inc. (HLI), the global leader in medical terminology management, is teaming with Dossia, a leading health management system provider whose founding members include many of the country’s major employers, to improve the user experience and utility of the Dossia Personal Health Record for employees, retirees, and their dependents.
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20 May 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): health-literacy, Medical Information, phr, Terminology
George Hickman, ModernHealthcare
“If we are to be successful in achieving meaningful adoption of EHRs, many things must cooperate. Better said, many people must cooperate to ensure that we can make technology interrelate. As a chief information officer, I usually write on behalf of provider organizations in matters related to technology. This time, I am writing as someone who wants to see our industry be successful for the good of our healthcare-related missions.
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21 March 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Health Information Exchange, Meaningful Use, Standards, Terminology
Eric, Healthbase Australia Blog
“With the burgeoning prevalence of diabetes mellitus in Australia and many other countries, there has been an accompanying increase in blood tests for its diagnosis and treatment. One of the commonest tests used is for determining the average amount of sugar in a person’s blood over the past several months, by measuring the ratio of glycated haemoglobin A1c (HbA1c) to the total haemoglobin level.
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8 March 2011 | No Comments »
Categories: News | Country: Australia | Tag(s): Coding, Diabetes, LOINC, SNOMED, Standards, Terminology
Heather Leslie, Archetypical
“‘Severity’ is a pretty simple clinical concept, isn’t it?
I thought so too until I first sat down to create a single, re-usable archetype to represent ‘Severity’. I soon discovered that I had significantly underestimated it – the challenge was greater than appeared at first glance.
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22 February 2011 | No Comments »
Categories: News | Tag(s): Archetypes, Terminology
Heather Leslie, Archetypical
“With this blog I want to establish a simple baseline statement or overview about openEHR archetypes – a reference point if you like – from which we can journey further and in more detail into the issues around clinical modelling using specific archetypes.
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18 February 2011 | No Comments »
Categories: News | EHR: EHR | Tag(s): Archetypes, openEHR, Terminology
De Silva TS et al, Computer Methods and Programs in Biomedicine, 2011
Objective
To evaluate the ability of systematized nomenclature of medicine clinical terms (SNOMED CT) to represent computed tomography procedures in computed tomography dictionaries used in the Canadian province of Newfoundland and Labrador.
Methods
This study was conducted in two stages. In the first stage computed tomography dictionaries were collected and consolidated to one master list. The duplicated procedure names were deleted from the list. In the second stage the unique data items from the master list were matched with the SNOMED CT concepts. Sensitivity, specificity, and positive and negative predictive values of SNOMED CT were investigated.
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13 February 2011 | No Comments »
Categories: Science | Country: Canada | EHR: EHR, EHR Canada | Tag(s): SNOMED, Terminology
