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TERMINOLOGICAL SERVER. Proposal for short term complementary homeworks. SEMINOP 28/10/2010. SUMMARY. Terminology server Controlled Medical Vocabulary Link to classifications, languages Intuitive data entry Context sensitive pick lists Syntactic search Semantic search (NLP)
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TERMINOLOGICAL SERVER Proposal for short term complementary homeworks SEMINOP 28/10/2010
SUMMARY • Terminology server • Controlled Medical Vocabulary • Link to classifications, languages • Intuitive data entry • Context sensitive pick lists • Syntactic search • Semantic search (NLP) • Webservice, API • Enabler, alerter • Rules vs Patient Record
Semantic search text typed by doctor/nurse Natural Language Processor Nuance Terms CMV 4 1-11-2014
CMV further validation • Validation and translation of French terms • Input of SNOMED ca Translation + 3BT • Collaboration with Swiss/France/Canada? • Validation of Dutch terms • Collaboration with Holland? • Standardisation of the terminology file in TMF (Terminological Markup Framework)- ISO 16642
CMV extension • Extension of CMV based on existing dictionaries • EMD Proprietary dictionaries • Subset « drug information » (1830 central terms) • ICD-CM alphebetical list • Subset WHO-ART • Subset « nursing » (NANDA/ICNP/NIC) • Subset « kine » (To be studied)
CMV POSSIBLE TESTING FIELDS • IN GP EHR (Only with selected targets) • Medical problem List Hospitals • Code Finder in soft for coding (RIM/RCM)
CMV – Primary careSuggested complementary work • Identification of central terms with the 7000 merged terms • Validation of the Double coding in ICD / ICPC of central terms • Identification of missing central terms (studying the primary care terminology system LOCAS and using an ontological version of the ICPC in Protégé) • Contact with international terminology projects in this field (Wonca International Classification Commission/Snomed)
WORKING GROUPS (content classification) • Diagnoses • Treatment • Procedures • Examinations • Interventions • Medication • Medical devices • Observations: • Lab (existing) • Parameters (Clinical) • Geography • Social factors • Environmental factors • Functioning
WORKING GROUPS (sectoral) • Hospitals (FOD/SPF, RIZIV-INAMI) • Terms diagnoses, procedures • Primary Care (WIV/ISP, RIZIV-INAMI) • Terms diagnoses, procedures, observations • Nursing (Nl: NVKVV (ISV), Fr: SIXI) • Terms diagnoses, ADL, social factors, procedures, observations • Needed access to data EMD in function of type of nurse and type of care element • Guidelines orders in function of care element • Physiotherapy • Medication • Anatomopathology, cancer • Laboratory • Loinc • Medical products • Accidents, safety (FOD/SPF
TERMINOLOGY CENTER • SEMINOP part of concertation comite of E-Health platform • Executive comitee for: • Daily management • International contacts (including licences) • Coordination between domains • Links betwwen institutions • ICT Coordination: E-Health/Smals
Licencing • Need to approach « officially » snomed to negociate terms of licencing. • Fully proprietary licences not an option for wide use.
SEMANTIC TERM FINDER • Need to initiate discussion with Nuance • No exclusivity • Discuss modalities of use, development and update
Terminology and Ontology software • -> (Limited) call for tender Collibra Workbench SNOMED Protege (Cetic) Linkfactory (Nuance)