Belgian Terminology. Dr. Benny Van Bruwaene, M.D. Semantic Interoperability Committee
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1 Belgian Terminology Dr. Benny Van Bruwaene, M.D. Semantic Interoperability Committee
2 Definitions Terminology List of terms for diagnoses, examinations, interventions, medication, nursing, professions, 1 term = 1 concept Dutch, French, German Link with classifications Link with ontology Thesaurus Terminology + synonyms Vocabulary, dictionary Words Natural Language Processing Network of relationships between syntax, words and concepts Analysis of free text (words) into concepts Terminology server Terminology Term finder (based on thesaurus and/or NLP) Web service
3 Terminology Link with classifications Snomed CT, MESH, ICD-9-CM, ICD-10, ICPC, DSMIV RIZIV/INAMI ATC (medication) LOINC (lab, measures) NIC (nursing) ICF (functioning) ICPS, WHOART, COSTART (safety)
4 Terminology Link with ontology Peptic ulcer of the pylorus is a Peptic ulcer Voltaren is a NSAIDS Peptic ulcer is a contraindication for NSAIDS -> peptic ulcer of the pylorus is a contraindication for Voltaren
5 Link with ontology Clinical Paths Diabetes mellitus type II with insulin dependency is a Diabetes mellitus type II is a Diabetes mellitus Dr. A is a diabetologist is an endocrinologist is an internist is a physician UZG is located in Gent is East Flanders is Flanders is Belgium -> clinical path diabetes mellitus for physicians in Belgium for diabetologists in UZG
6 Terminology Objective: One entry does it all Billing MKG/RCM (diagnoses) RIZIV/INAMI (procedures) Reason of encounter ICPC Decision support Guidelines Clinical Pathways Drug surveillance Key Performance Indicators Epidemiology Studies
7 Coding clinical information Patient Summary in the E.P.R. Problems, diagnoses, allergies Medication/Vaccinations Examinations Interventions Orders Measures Lab Vital signs
8 Coded
9 UZ Brussels Coded and Free text
10 Terminology No synonyms Necessity of semantic Term finder
11 Term Finder Semantic Data entry Free text
12 Term Finder Semantic String/term typed by doctor/nurse Natural Language Processor Snomed/ICD concepts Connected terms
13 Term Finder Semantic web (7 million concepts) Contains Hart Aorta Is a Contains Coronary arteries Is related to Anatomic structure Is related to ICD 410x Hart+Infarct: 410x List terms connected to 410x Contains Infarct thrombosis Is related to Is related to ICD 410x Is related to ICD 434x Cerebrum
14 Term Finder Semantic
15 Quote user: Ik vind het persoonlijk een héél performant systeem. Voor mijn migrainepatiënten met aura zet ik bv. telkens gewoon 'aura' en ik vind het direct terug - dit gaat zeer vlug.
16 Terminology Dutch, French Start up Belgian Terminology Merge 3BT - UZB Link Snomed, ICD-9-CM, ICD-10, ICPC Snomed CT Cross maps Translation Ontology
17 Building Controlled Medical Dictionary UZB BT diagnoses with Snomed CT, ICD9-CM, ICD procedures No synonyms records diagnoses with ICD procedures with ICPC synonyms
18 Merge UZB 3BT Linking on ICD-10 (Snomed CT cross map) Snomed UZB 3BT records, done Dr. J.L. Mommaerts & dr. K. Mies Indicate exact matches Dr. Ph. Vandenbergh: spot check
19 Merge UZB 3BT ICD-10 Snomed CT 3BT ok UZB Term NL_Clinical_Label A000 Cholera - Vibrio cholerae O1 Classical biotype (disorder) cholera door Vibrio cholerae 01 biovar cholerae A009 Cholera - non-o1 group vibrio (disorder) infectieuze enteritis door Vibrio cholerae 01 A009 Cholera - non-o1 group vibrio (disorder) cholera A009 Cholera - non-o1 group vibrio (disorder) cholera door Vibrio cholerae 01 A009 Cholera - O139 group Vibrio cholerae (disorder) cholera door Vibrio cholerae 01 A009 Cholera - O139 group Vibrio cholerae (disorder) infectieuze enteritis door Vibrio cholerae 01 A009 Cholera - O139 group Vibrio cholerae (disorder) cholera A009 Cholera (disorder) cholera door Vibrio cholerae 01 A009 Cholera (disorder) 1 cholera
20 Validation FULLYSPECIFIEDNAME O R Evaluation Term N NL_Clinical_Label Cholera due to Vibrio cholerae O1 Classical biotype (disorder) 1 S R beter cholera door Vibrio cholerae 01 biovar cholerae Paratyphoid fever (disorder) 1 S O paratyfus Salmonellosis (except human typhoid & paratyphoid) (disorder) 1 R Intestinal infection due to Arizona group (disorder) 1 S Intestinal infection due to Escherichia coli (disorder) 1 3 O gastro-enteritis door Escherichia coli infectieuze enteritis door Salmonella arizonae cholerae-suis enteritidis of typhimurium infectieuze enteritis door Arizona bacillus intestinale Escherichia coli infectie Campylobacteriosis (disorder) 1 O CORRECT Campylobacter infectie Enteric campylobacteriosis (disorder) 1 3 O gastro-enteritis door Campylobacter infectieuze enteritis door Campylobacter Staphylococcal gastrointestinal tract infection (disorder) 1 Bediscussieerbaa r. Het gaat om een bacteriële gastro-enteritis met als attribuut Staphylococ. Ofwel niets ofwel 'S' infectieuze enteritis door stafylokokken
21 Merge UZB 3BT Expected nr of concepts: Validation Full double coding desirable
22 A Clinical Terminology Server at the University Hospital UZB, Brussels Dr. Benny Van Bruwaene, M.D. Demo
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