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.