Conference Papers

   

6th Annual SNOMED International Users Group 2004

Mapping Evidence-Based Medicine Content Utilizing SNOMED CT and Web Services
This paper discusses the methods used by eMedicine and Apelon to successfully develop and map a generic Application Programming Interface (API) for the integration of evidenced-based medical reference information into various point-of-care applications. Full paper...

Proceedings from the Medinfo 2004 World Congress on Medical Informatics

Evaluation of SNOMED-CT® Coverage of Veterans Health Administration Terms
This paper reports the first phase of the Veterans Health Administration’s (VHA) evaluation of SNOMED-CT, which examines the coverage of SNOMED-CT for VA problem list entries. We selected a random set of 5054 clinician narratives from VA problem lists that were previously "unresolved" against the Lexicon and mapped them to SNOMED-CT. Expert review of a subset of narratives matches showed that the automated tools used produced exact or partial matches for over 90% of the 5054 unresolved narratives. Full paper...

Achieving Source “Transparency” in the UMLS® Metathesaurus®
The UMLS Methathesaurus is becoming a common, longitudinally maintained source of the current versions of many of the world's authoritative biomedical vocabularies. As vocabularies become standards for reimbursement, reporting, interoperation, and use by applications, the vocabulary obtained from the Metathesaurus must be consistent with that obtainable from each vocabulary's authority. Effective with the first 2004 release, the Metathesaurus represents new and updated sources "transparently" - both users and applications are able to "see" each vocabulary in the Metathesaurus without any of the small losses of information introduced by abstractions used in previous versions. Full paper...

Modeling Guidelines for Integration into Clinical Workflow
The success of clinical decision-support systems requires that they are seamlessly integrated into clinical workflow. In the SAGE project, which aims to create the technological infra-structure for implementing computable clinical practice guide-lines in enterprise settings, we created a deployment-driven methodology for developing guideline knowledge bases. This paper discusses the methodology, appropriateness and implications of deployment-driven guideline encoding for sharability of executable guidelines. Full paper...

U.S. Department of Veterans Affairs Enterprise Reference Terminology Strategic Overview
The Veterans Health Affairs (VHA) branch of the Department of Veterans Affairs, arguably the largest integrated healthcare provider in the United States, has completely computerized virtually all clinical transactions, including physician orders and documentation. VHA has undertaken an Enterprise Reference Terminology (ERT) which has been designed to provide a terminology development environment, terminology services, and maintenance services for the clinical and business content in Health Data Repository (HDR) and other VHA applications. The goal is for the ERT to encompass all HDR domains by 2008. Full paper...

NCI Thesaurus: Using Science-based Terminology to Integrate Cancer Research Results
NCI Thesaurus is a description logic terminology that helps individuals and software applications connect, organize and report the results of cancer research, e.g., by disease and underlying biology in a way that others can find, build upon, and relate to the specific clinical conditions of individual patients. As a scalable, formal terminology, the deployed NCI Thesaurus, and associated applications and interfaces, are a model for some of the standards required for the NHII (National Health Information Infrastructure) and the Semantic Web. Full paper...

VA National Drug File Reference Terminology: A Cross-institutional Content Coverage Study
Content coverage studies provide valuable information to potential users of terminologies. We detail the VA National Drug File Reference Terminology’s (NDF-RT®) ability to represent dictated medication list phrases from the Mayo Clinic. NDF-RT is a description logic-based resource created to support clinical operations at one of the largest healthcare providers in the US. This study demonstrates that NDF-RT has more general utility than its initial design parameters dictated. Full paper...

TEPR 2004

Web Services Approaches for Terminology Deployment
This paper will describe an innovative combination of terminology and web services technologies designed to accelerate the adoption of reference (and other) terminologies within a variety of healthcare environments. Full paper..

Development of Standardized Medical Note Titles Terminology with the Veterans Health Administration
The VHA (Veterans Health Administration) is electronically interconnected across more than 170 geographically disparate medical centers, and 1,300 care facilities. VHA is developing ERT (Enterprise Reference Terminology) to provide standardized terminology services across its many sites. One of the ERT domains is a reference terminology for note titles. Called Titles-RT, this project unites software developers, terminologists and clinical users to develop a standard, searchable set of note titles that can be shared across the enterprise. Full paper...

NCVHS July 2002

Consumer Health Vocabularies
The National Committee on Vital and Health Statistics (NCVHS) is playing a key role in the establishment of the National Health Information Infrastructure (NHII). Consumer access to health information is one of the cornerstones of the NHII. Dr. Ron Nath, Apelon clinical consultant and co-developer of the Apelon Consumer Health Vocabulary (ACHV), recently spoke on consumer health terminologies at the NCVHS Workgroup on National Health Information Infrastructure's Hearing on Standards Issues Related to Personal Health Records. Full paper...

International Semantic Web Working Symposium July 2001

The Semantic Web As “Perfection Seeking:” A View from Drug Terminology
Mark Tuttle, Apelon Founder and Vice President, et. al., discuss terminology evolution and change, specifically as they apply to requirements for change management mechanisms in the Semantic Web. Full paper...
This paper was presented at the International Semantic Web Working Symposium, held at Stanford University on July 30 - August 1, 2001. For further infomation. click here.

   
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