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Open Health Tools Distributed Terminology System Presentation

Open Health Tools Distributed Terminology System Presentation. Jack Bowie SVP Sales and Marketing Apelon, Inc. Apelon. Leading provider of healthcare terminology products and services

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Open Health Tools Distributed Terminology System Presentation

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  1. Open Health Tools Distributed Terminology SystemPresentation Jack Bowie SVP Sales and Marketing Apelon, Inc.

  2. Apelon • Leading provider of healthcare terminology products and services • Extensive and unique experience partnering with national agencies and healthcare enterprises to improve the quality, comparability & accessibility of clinical information • Helps organizations turn terminologies and their use into business assets • Develop and refine mission-critical data normalization processes

  3. Key Achievements Twenty years development with the US National Library of Medicine on the UMLS Metathesaurus Supplier of the tools and services used to maintain SNOMED CT, ICD-9-CM, ICD-10-CM, and NDF-RT Supplier of tools and services to national health organizations: Australia’s NEHTA, Canada Health Infoway, Hong Kong Hospital Authority, and US FDA, NCI, NCHS, SSA, VHA Leading provider of commercial health data interoperability solutions: HIEs, EMRs, biotech, and content providers

  4. Apelon Customers and Partners

  5. Personnel • Internationally known terminology experts • Regular contributors to industry standards, publications and conferences

  6. Apelon Solutions Terminology Content People and Processes Applications and Services

  7. Apelon and Open Source After many years of commercial availability, Apelon released the Distributed Terminology System (DTS ) vocabulary server as an open source project in April of 2007 Since then, DTS has been downloaded over 4000 times by organizations around the world Apelon supports DTS with a full range of commercial services

  8. What is DTS? • An enterprise vocabulary server used to : • Acquire & maintain standards • Integrate and manage local code sets • Map/interrelate terminologies • Deploy in applications Apelon Confidential

  9. Examples of Terminology Services • Term/name normalization: What is SNOMED CT name for “heart attack”? • Code translation What is the ICD-9 code for Myocardial Infarction? • Grouping and aggregation Is Myocardial Infarction a Cardiac Disease? • Clinical knowledge What drug treats Myocardial Infraction? • Local information Add L227 as the local code for Serum Calcium. Myocardial Infarction • 410.91 • Yes • Streptokinase • Okay Apelon Confidential

  10. DTS Components • Knowledge Base (Content) • Server • Client API • GUI applications • Utilities and samples • Subscription content service • Commercial software support service Apelon Confidential

  11. Apelon SNOMED HL7 MedDRA User Applications ICD9 SNOMED HL7 MedDRA ICD9 Rx Dx Tx Apelon Terminology Model Web Services API Application Developer DTS Data Set Updates Data Set Updates

  12. Enterprise quality, highly scalable repository • Comprehensive terminology support DTS Components DTS Knowledgebase Terminology Update Service DTS Vocabulary Server DTS API DTS Applications User Applications

  13. DTS Knowledgebase • Clinical framework (SNOMED CT) • Reimbursement code sets w/mappings: ICD, CPT, HCPCS • RxNorm, NDF-RT and other drug terminology and classification systems • Meaningful Use Standards: HL7, CVX, MVX, UNII • Specialty sets: LOINC, RadLex, NIC, NOC, and NANDA • Adverse event terminologies MedDRA, COSTART, WHOART • Mappings to MeSH and UMLS CUIs • Extensible with local additions

  14. SNOMED CT Apelon CT to CPT CPT Local Apelon KB Architecture • Subscription Namespaces • Derived from industry sources • Provided by Apelon • “Read only” in DTS • Local Namespaces • Customer-specific data • Concepts • Properties • Associations (mappings) • Code and Value sets • Protected during updates Apelon KB

  15. DTS Components DTS Knowledgebase Terminology Update Service • “Subscription” access to industry standard terminologies and thesauri • Web downloadable differential updates • Local content protected during updates DTS Vocabulary Server DTS API DTS Applications User Applications

  16. SNOMED CT Apelon CT to CPT CPT SNOMED CT CPT Apelon CT to CPT Local Update Log Subscription Update Process Apelon DTS • Update exception events, e.g., • local mappings to retired concepts Apelon KB

  17. DTS Components DTS Knowledgebase Terminology Update Service • High-performance server • Extensive functionality • Programmatic access to all functions • Java and .NET clients DTS Vocabulary Server DTS API DTS Applications User Applications

  18. DTS Functionality • API Services: • Search (w/spelling correction, stemming, contexts, etc.) • Navigation and code translation • Subsetting (extensional and intensional definitions) • Class/subsumptionquery • Workflow • Localization • Performance features: • Connection pooling • Concept caching

  19. DTS Components DTS Knowledgebase Terminology Update Service • User applications have access to all DTS functions including modeling capabilities DTS Vocabulary Server DTS API DTS Applications User Applications

  20. DTS Components DTS Knowledgebase Terminology Update Service • DTS Browser • DTS Editor • TermWorks Web Services DTS Vocabulary Server DTS API DTS Applications User Applications

  21. DTS Editor • Browsing/searching • Vocabulary/code set management (subsets) • Local additions • Complete modeling environment • Add Concepts, Synonyms, properties and associations (relationships) • Import/Export • Workflow

  22. DTS Editor Plug-in Architecture • The DTS Editor Plug-in architecture is a framework for customizing and extending the DTS Editor platform with new features and modules • Plug-ins have access to common DTS Editor facilities such as connection services, events, and drag-and-drop • Plug-ins can used to implement: • Major new features • New data presentations • New data input or output formats

  23. Graphic Viewer New, customizable, “graphic” views of terminologies

  24. Table Editor Tabular representation of DTS concepts

  25. Import Wizard Import data into DTS Namespaces from XML and CSV data files

  26. Terminology Query Language Query/export language for DTS knowledgebases, includes XML export of full Namespace

  27. DTS Roadmap • Platform Support • New database support for DB2 (Q4 2010) and MySQL (Q1 2011). • HL7 CTS2 Interface • Support for this emerging standard terminology service interface • Extended versioning support for Namespaces and Concepts • Expanded Subset functionality for Value Sets • Additional metadata on Namespaces and Concepts

  28. Medical terminology in practice

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