integrating snomed ct with other meaningful use vocabulary standards (loinc, rxnorm, hcpcs, cpt-4)...
DESCRIPTION
Presented at SNOMED CT Implementation Showcase held in Washington DC’s metro area, USA on the 10th-11th October 2013. Abstract: http://www.ihtsdo.org/show13/abstract14.pdfTRANSCRIPT
Integrating SNOMED CT with other Meaningful Use vocabulary standards
(LOINC, RxNorm, HCPCS, CPT-4) and billing terminologies (NDC, ICD-9, ICD-10) using the UMLS
Tomasz Adamusiak MD PhD
@7omasz
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Landscape of many standards
ROUNDTABLE ON SEMANTIC INTEROPERABILITY
HIMSS14, February 26, Orlando, FL
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Exanthema C0015230
UMLS
rash NOSICD-10:R21
Cutaneous eruptionSCT:112625008
EruptionSCT:1806006
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Exanthema C0015230
UMLS
rash NOSICD-10:R21
Cutaneous eruptionSCT:112625008
EruptionSCT:1806006
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Dealing with heterogeneous sources
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UMLS
MU-oriented
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Click on demo
Use the link or google clinminer
Login: showcasedemo Pass: showcasedemo
Demo and evaluation:
100 000 clinical avatars
x90 days
xgenotype-
guided warfarin dosing
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11 MILLION OBSERVATIONS (20 TERMS)
Clinical Avatars
Custom UMLS-based terminology server
RxNorm UMLS
SNOMED CT UMLS
Medication reconciliation via National Drug Code (NDC) and RxNorm
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31722-331-01100 tablets of Warfarin Sodium 4 MG Camber Pharmaceuticals
https://clinminer.hmgc.mcw.edu/clinminer#ontology/search/31722-331-01
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Integrated querying and reporting
How does it work with real EHR data?
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Pilot cohort
FroedtertEpic Clarity
reportsClinMiner
LDS 2/16
Transformed via UMLS
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1.5 million observations (7000 terms)
WE NEED BETTER LOINC – SNOMED CT MAPPINGS
Limitations?
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LOINC is more granular
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CPT maps to SNOMED CT and MedDRA
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But not to LOINC
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Some tests map on LOINC part level
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Endgame in semantic integration
Thank you
Mary Shimoyama PhD
Stacy Zacher
Glenn Bushee
Bradley Taylor
Clinical Avatars
Vincent A. Fusaro PhD
Peter J. Tonellato PhD
Laboratory for Personalized MedicineHarvard Medical School
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This project was funded in part by the Advancing a Healthier Wisconsin endowment at the Medical College of Wisconsin and the National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health, through grant UL1 RR031973. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.