Belgian Terminology Dr. Benny Van Bruwaene, M.D. Semantic Interoperability Committee 1 25-6-2010
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 2 25-6-2010
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) 3 25-6-2010
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 4 25-6-2010
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 5 25-6-2010
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 6 25-6-2010
Coding clinical information Patient Summary in the E.P.R. Problems, diagnoses, allergies Medication/Vaccinations Examinations Interventions Orders Measures Lab Vital signs 7 25-6-2010
Coded 8 25-6-2010
UZ Brussels Coded and Free text 9 25-6-2010
Terminology No synonyms Necessity of semantic Term finder 10 25-6-2010
Term Finder Semantic Data entry Free text 11 25-6-2010
Term Finder Semantic String/term typed by doctor/nurse Natural Language Processor Snomed/ICD concepts Connected terms 12 25-6-2010
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 13 25-6-2010
Term Finder Semantic 14 25-6-2010
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.
Terminology Dutch, French Start up Belgian Terminology Merge 3BT - UZB Link Snomed, ICD-9-CM, ICD-10, ICPC Snomed CT Cross maps Translation Ontology 16 25-6-2010
Building Controlled Medical Dictionary UZB 15.000 3BT 12.500 diagnoses with Snomed CT, ICD9-CM, ICD10 2.500 procedures No synonyms 48.517 records 39.798 diagnoses with ICD-10 1.556 procedures with ICPC 2.000 synonyms 17 25-6-2010
Merge UZB 3BT Linking on ICD-10 (Snomed CT cross map) Snomed UZB 3BT 450.000 records, 150.000 done Dr. J.L. Mommaerts & dr. K. Mies Indicate exact matches Dr. Ph. Vandenbergh: spot check 18 25-6-2010
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
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 18081009 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
Merge UZB 3BT Expected nr of concepts: 30.000 Validation Full double coding desirable 21 25-6-2010
A Clinical Terminology Server at the University Hospital UZB, Brussels Dr. Benny Van Bruwaene, M.D. Demo 22 25-6-2010