integrating snomed ct with other meaningful use vocabulary standards (loinc, rxnorm, hcpcs, cpt-4)...

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.