Skip to main content
Top
Published in: BMC Medical Informatics and Decision Making 1/2008

Open Access 01-10-2008 | Proceedings

Experiences mapping a legacy interface terminology to SNOMED CT

Authors: Geraldine Wade, S Trent Rosenbloom

Published in: BMC Medical Informatics and Decision Making | Special Issue 1/2008

Login to get access

Abstract

Background

SNOMED CT is being increasingly adopted as the standard clinical terminology for health care applications. Existing clinical applications that use legacy interface terminology need to migrate to the preferred SNOMED CT standard. In this paper, we describe our experience and methodology for mapping concepts from a legacy system to SNOMED CT.

Methods

Our approach includes the establishment of mapping rules between terminologists and back and forth collaboration of the mapped results through one or more iterations in order to reach consensus on the final maps.

Results

We highlight our results not only in terms of the number of matches, quality of maps, use of post-coordination, and multiple maps but also include our observations about SNOMED CT including inconsistencies, redundancies and omissions related to our legacy mapping.

Conclusion

Our methodology and lessons learned from this mapping exercise may be helpful to other terminologists who may be similarly challenged to migrate their legacy terminology to SNOMED CT. This mapping process and resulting discoveries about SNOMED CT may further contribute to refinement of this dynamic, clinical terminology standard.
Literature
1.
go back to reference National Committee on Vital and Health Statistics: Report to the Secretary of the U.S. Department of Health and Human Services Uniform Data Standards for Patient Medical Record Information. July 6, 2000 National Committee on Vital and Health Statistics: Report to the Secretary of the U.S. Department of Health and Human Services Uniform Data Standards for Patient Medical Record Information. July 6, 2000
2.
go back to reference Rosenbloom ST, Miller RA, Johnson KB, Elkin PL, Brown SH: Interface terminologies: facilitating direct entry of clinical data into electronic health record systems. J Am Med Inform Assoc. 2006, 13 (3): 277-288. 10.1197/jamia.M1957.PubMedCentralCrossRefPubMed Rosenbloom ST, Miller RA, Johnson KB, Elkin PL, Brown SH: Interface terminologies: facilitating direct entry of clinical data into electronic health record systems. J Am Med Inform Assoc. 2006, 13 (3): 277-288. 10.1197/jamia.M1957.PubMedCentralCrossRefPubMed
3.
go back to reference Chute CG, Elkin PL, Sherertz DD, Tuttle MS: Desiderata for a clinical terminology server. Proc AMIA Symp. 1999, 42-46. Chute CG, Elkin PL, Sherertz DD, Tuttle MS: Desiderata for a clinical terminology server. Proc AMIA Symp. 1999, 42-46.
4.
go back to reference Elkin PL, Brown SH, Carter J, Bauer BA, Wahner-Roedler D, Bergstrom L, et al: Guideline and quality indicators for development, purchase and use of controlled health vocabularies. Int J Med Inform. 2002, 68 (1–3): 175-186. 10.1016/S1386-5056(02)00075-8.CrossRefPubMed Elkin PL, Brown SH, Carter J, Bauer BA, Wahner-Roedler D, Bergstrom L, et al: Guideline and quality indicators for development, purchase and use of controlled health vocabularies. Int J Med Inform. 2002, 68 (1–3): 175-186. 10.1016/S1386-5056(02)00075-8.CrossRefPubMed
5.
go back to reference Spackman KA, Campbell KE, Cote RA: SNOMED RT: a reference terminology for health care. Proc AMIA Annu Fall Symp. 1997, 640-4. Spackman KA, Campbell KE, Cote RA: SNOMED RT: a reference terminology for health care. Proc AMIA Annu Fall Symp. 1997, 640-4.
6.
go back to reference Office of the Secretary, HHS: HIPAA administrative simplification: standards or electronic health care claims attachments. Proposed rule. Fed. Regist. 70 (184): 55989-6025. 2005 Sep 23 Office of the Secretary, HHS: HIPAA administrative simplification: standards or electronic health care claims attachments. Proposed rule. Fed. Regist. 70 (184): 55989-6025. 2005 Sep 23
7.
go back to reference Miller RA, Pople HE, Myers JD: Internist-1, an experimental computer-based diagnostic consultant for general internal medicine. N Engl J Med. 1982, 307 (8): 468-476.CrossRefPubMed Miller RA, Pople HE, Myers JD: Internist-1, an experimental computer-based diagnostic consultant for general internal medicine. N Engl J Med. 1982, 307 (8): 468-476.CrossRefPubMed
8.
go back to reference Spackman KA, (ed), et al: SNOMED Clinical terms January 2005 release. 2005, Northfield IL: College of American Pathologists Spackman KA, (ed), et al: SNOMED Clinical terms January 2005 release. 2005, Northfield IL: College of American Pathologists
12.
go back to reference College of American Pathologists: Attributes used in SNOMED CT. SNOMED Clinical terms® User's Guide-January 2005 release. Northfield, IL. 2005, 38-53. College of American Pathologists: Attributes used in SNOMED CT. SNOMED Clinical terms® User's Guide-January 2005 release. Northfield, IL. 2005, 38-53.
13.
go back to reference College of American Pathologists: Supporting post-coordination. SNOMED Clinical terms® Technical Implementation Guide-January 2005 release. Northfield, IL. 2005, 62-63. College of American Pathologists: Supporting post-coordination. SNOMED Clinical terms® Technical Implementation Guide-January 2005 release. Northfield, IL. 2005, 62-63.
15.
go back to reference Fung KW, Hole WT, Nelson SJ, Srinivasan S, Powell T, Roth L: Integrating SNOMED CT into the UMLS: an exploration of different views of synonymy and quality of editing. J Am Med Inform Assoc. 2005, 12 (4): 486-494. 10.1197/jamia.M1767.PubMedCentralCrossRefPubMed Fung KW, Hole WT, Nelson SJ, Srinivasan S, Powell T, Roth L: Integrating SNOMED CT into the UMLS: an exploration of different views of synonymy and quality of editing. J Am Med Inform Assoc. 2005, 12 (4): 486-494. 10.1197/jamia.M1767.PubMedCentralCrossRefPubMed
16.
go back to reference Kohler J, Munn K, Ruegg A, Skusa A, Smith B: Quality control for terms and definitions in ontologies and taxonomies. BMC Bioinformatics. 7: 212-10.1186/1471-2105-7-212. 2006 Apr 19 Kohler J, Munn K, Ruegg A, Skusa A, Smith B: Quality control for terms and definitions in ontologies and taxonomies. BMC Bioinformatics. 7: 212-10.1186/1471-2105-7-212. 2006 Apr 19
17.
go back to reference Bodenreider O, Burgun A: Aligning knowledge sources in the UMLS: methods, quantitative results, and applications. Stud Health Technol Inform. 2004, 107 (Pt 1): 327-331.PubMedCentralPubMed Bodenreider O, Burgun A: Aligning knowledge sources in the UMLS: methods, quantitative results, and applications. Stud Health Technol Inform. 2004, 107 (Pt 1): 327-331.PubMedCentralPubMed
18.
go back to reference Cornet R, Abu-Hanna A: Usability of expressive description logics – a case study in UMLS. Proc AMIA Symp. 2002, 180-4. Cornet R, Abu-Hanna A: Usability of expressive description logics – a case study in UMLS. Proc AMIA Symp. 2002, 180-4.
19.
go back to reference Smith B: From concepts to clinical reality: an essay on the benchmarking of biomedical terminologies. J Biomed Inform. 2006, 39 (3): 288-98. 10.1016/j.jbi.2005.09.005.CrossRefPubMed Smith B: From concepts to clinical reality: an essay on the benchmarking of biomedical terminologies. J Biomed Inform. 2006, 39 (3): 288-98. 10.1016/j.jbi.2005.09.005.CrossRefPubMed
20.
go back to reference Cimino JJ: In defense of the Desiderata. J Biomed Inform. 2006, 39 (3): 299-306. 10.1016/j.jbi.2005.11.008.CrossRefPubMed Cimino JJ: In defense of the Desiderata. J Biomed Inform. 2006, 39 (3): 299-306. 10.1016/j.jbi.2005.11.008.CrossRefPubMed
21.
go back to reference Elkin PL, Brown SH, Husser CS, Bauer BA, Wahner-Roedler D, Rosenbloom ST, et al: Evaluation of the content coverage of SNOMED CT: ability of SNOMED clinical terms to represent clinical problem lists. Mayo Clin Proc. 2006, 81 (6): 741-748.CrossRefPubMed Elkin PL, Brown SH, Husser CS, Bauer BA, Wahner-Roedler D, Rosenbloom ST, et al: Evaluation of the content coverage of SNOMED CT: ability of SNOMED clinical terms to represent clinical problem lists. Mayo Clin Proc. 2006, 81 (6): 741-748.CrossRefPubMed
Metadata
Title
Experiences mapping a legacy interface terminology to SNOMED CT
Authors
Geraldine Wade
S Trent Rosenbloom
Publication date
01-10-2008
Publisher
BioMed Central
DOI
https://doi.org/10.1186/1472-6947-8-S1-S3

Other articles of this Special Issue 1/2008

BMC Medical Informatics and Decision Making 1/2008 Go to the issue