Automated Mapping of Clinical Terms into SNOMED-CT. An Application to Codify Procedures in Pathology
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Abstract
Clinical terminologies are considered a key technology for capturing clinical data in a precise and standardized manner, which is critical to accurately exchange information among different applications, medical records and decision support systems. An important step to promote the real use of clinical terminologies, such as SNOMED-CT, is to facilitate the process of finding mappings between local terms of medical records and concepts of terminologies. In this paper, we propose a mapping tool to discover text-to-concept mappings in SNOMED-CT. Name-based techniques were combined with a query expansion system to generate alternative search terms, and with a strategy to analyze and take advantage of the semantic relationships of the SNOMED-CT concepts. The developed tool was evaluated and compared to the search services provided by two SNOMED-CT browsers. Our tool automatically mapped clinical terms from a Spanish glossary of procedures in pathology with 88.0 % precision and 51.4 % recall, providing a substantial improvement of recall (28 % and 60 %) over other publicly accessible mapping services. The improvements reached by the mapping tool are encouraging. Our results demonstrate the feasibility of accurately mapping clinical glossaries to SNOMED-CT concepts, by means a combination of structural, query expansion and named-based techniques. We have shown that SNOMED-CT is a great source of knowledge to infer synonyms for the medical domain. Results show that an automated query expansion system overcomes the challenge of vocabulary mismatch partially.
Keywords
SNOMED CT Mapping Ontology matching Query expansion Information retrieval Clinical terminologyNotes
Acknowledgements
The work presented in this paper has been developed in the funded National Project OntoNeuroPhen (FIS2012-PI12/00373) by the Instituto de Salud Carlos III.
Supplementary material
References
- 1.Stroetmann VN, Kalra D, Lewalle P, Rector A, Rodrigues JM, Stroetmann KA Semantic interoperability for better health and safer healthcare. <http://ec.europa.eu/information_society/activities/health/docs/publications/2009/2009semantic-health-report.pdf> [accessed July 2014].
- 2.Qamar R. Semantic mapping of clinical model data to biomedical terminologies to facilitate interoperability. PhD thesis, University of Manchester; 2008.Google Scholar
- 3.SNOMED-CT. Systematized nomenclature of medicine-clinical terms. <http://www.ihtsdo.org/snomed-ct/> [accessed July 2014].
- 4.Lee, D. H., De Keizer NF, Lau FY. Cornet R; Literature Review of SNOMED-CT Use; J Am Med Inform Assoc. 21:e11–e19, 2014.CrossRefGoogle Scholar
- 5.De Lusignan, S., Chan, T., and Jones, S., Large complex terminologies: more coding choice, but harder to find data - reflections on introduction of SNOMED-CT (Systematized Nomenclature of Medicine - Clinical Terms) as an NHS standard. Inform Prim Care 19(1):3–5, 2011.Google Scholar
- 6.Ruch, P., Gobeill, J., Lovis, C., and Geissbühler, A., Automatic medical encoding with SNOMED categories. BMC Medical Informatics and Decision Making 8(Suppl 1):S6, 2008.CrossRefGoogle Scholar
- 7.Young S, Hoi H, Hwa K, Sun H, Lee J, Kwan B. Comparison of Knowledge Levels Required for SNOMED-CT Coding of Diagnosis and Operation Names in Clinical Records. Healthcare Informatics Research 2012 Vol: 18 (3)Google Scholar
- 8.Rogers J, Bodenreider O. SNOMED-CT: browsing the browsers. Proceedings of the 3rd international conference on Knowledge Representation in Medicine (KR-MED 2008). May 31-Jun 2 2008.Google Scholar
- 9.Chiang MF, et al. Reliability of SNOMED- CT Coding by Three Physicians using Two Terminology Browsers. in American Medical Informatics Association Annual Symposium. 2006. Washington, D.C.Google Scholar
- 10.NLM SNOMED-CT Browser <https://uts.nlm.nih.gov/> [accessed July 2014].
- 11.ITServer - Online SNOMED-CT browser <http://www.itserver.es/ITServer/Browser/snomedctbrowser.faces> [accessed July 2014].
- 12.Euzenat, J., and Shvaiko, P., Ontology Matching. Springer, Heidelberg, DE, 2007.MATHGoogle Scholar
- 13.Taboada M, Lalín R, Martínez D. An automated approach to mapping externalGoogle Scholar
- 14.terminologies to the UMLS. IEEE Trans Biomed Eng 2009; 56:1598–605.Google Scholar
- 15.Jonquet, C., LePendu, P., Falconer, S., Coulet, A., Noy, N. F., Musen, M. A., and Shah, N. H., NCBO Resource Index: Ontology-based search and mining of biomedical resources. Web Semantics: Science, Services and Agents on the. World Wide Web. 9(3):316–324, September 2011.CrossRefGoogle Scholar
- 16.Varelas G, Voutsakis E, Raftopoulou P, Petrakis EG, Milios EE. 2005. Semantic similarity methods in wordNet and their application to information retrieval on the web. In Proceedings of the 7th annual ACM international workshop on Web information and data management (WIDM '05). ACM, New York, NY, USA, 10–16.Google Scholar
- 17.Huang K, Geller J, Halper M, Perl Y, Xu J. Using WordNet synonym substitution to enhance UMLS source integration.. In: Artificial Intelligence in Medicine, 46 (2009), Nr. 2, S. 97–109Google Scholar
- 18.Huang KC, Geller G, Halper M, Cimino JJ. Piecewise Synonyms for Enhanced UMLS Source Terminology Integration. In: Proc. AMIA Annual Symp. Chicago, IL: 2007. pp. 339–343.Google Scholar
- 19.Hole WT, Srinivasan S. Discovering missed synonymy in a large concept-oriented metathesaurus. Proc AMIA Symp, pp. 354–358Google Scholar
- 20.García, M., Allones, J. L., Hernández, D., and Taboada-Iglesias, M. J., Semantic similarity-based alignment between clinical archetypes and SNOMED-CT: An application to observations. International Journal of Medical Informatic 81(8):566–78, 2012 Aug.CrossRefGoogle Scholar
- 21.[20] Koopman B, Zuccon G, Nguyen A, Vickers D, Butt L, Bruza P. Exploiting SNOMED-CT Concepts & Relationships for Clinical Information Retrieval: Australian e-Health Research Centre and Queensland University of Technology at the TREC 2012 Medical Track. In Proceedings of 21st Text REtrieval Conference (TREC 2012).Google Scholar
- 22.Van der Kooij, J., Goossen, W. T., Goossen-Baremans, A. T., Jong-Fintelman, M., and Van Beek, L., Using SNOMED-CT codes for coding information in electronic health records for stroke patients. Stud Health Technol Inform. 124:815–23, 2006.Google Scholar
- 23.Spanish Society of Anatomic Pathology. Normalized catalogue for Anatomic Pathology Specimens and Procedures (2011). <http://www.seap.es/enlaces-de-interes/-/asset_publisher/h3M6/content/id/114697> [accessed July 2014].
- 24.Yu S, Damon B, and Bisbal J. “An Investigation of Semantic Links to Archetypes in an External Clinical Terminology through the Construction of Terminological" Shadows”, in: IADIS, International Association for Development of the Information Society, July 26–28; Freiburg, Germany, 2010Google Scholar
- 25.Lezcano, L., Sánchez-Alonso, S., and Sicilia, M. A., Associating clinical archetypes through UMLS metathesaurus term clusters. Journal of medical systems 36(3):1249–1258, 2012.CrossRefGoogle Scholar
- 26.Khan, W. A., Khattak, A. M., Hussain, M., Amin, M. B., Afzal, M., Nugent, C., and Lee, S., An Adaptive Semantic based Mediation System for Data Interoperability among Health Information Systems. Journal of medical systems 38(8):1–18, 2014.CrossRefGoogle Scholar
- 27.Yu S, Berry D, Bisbal J. Performance analysis and assessment of a tf-idf based archetype-SNOMED-CT binding algorithm. In Computer-Based Medical Systems (CBMS), 2011 24th International Symposium on (pp. 1–6). IEEE.Google Scholar
- 28.Mikroyannidi, E., Stevens, R., Iannone, L., and Rector, A., Analysing Syntactic Regularities and Irregularities in SNOMED-CT. J. Biomedical Semantics 3:8, 2012.CrossRefGoogle Scholar
- 29.Dentler K, Cornet R. Redundant Elements in SNOMED CT Concept Definitions. In Artificial Intelligence in Medicine, pp. 186–195. Springer Berlin Heidelberg, 2013.Google Scholar