The readiness of SNOMED problem list concepts for meaningful use of electronic health records

Artificial Intelligence in Medicine

Volumn 58, Issue 2, 2013, Pages 73-80

  Agrawal, Ankur ^a   He, Zhe ^a   Perl, Yehoshua ^a   Wei, Duo ^b   Halper, Michael ^c   Elhanan, Gai ^d   Chen, Yan ^e  

^a University Heights   (United States)

^b RICHARD STOCKTON COLLEGE OF NEW JERSEY   (United States)

^c NEW JERSEY INSTITUTE OF TECHNOLOGY   (United States)

^d Halfpenny Technologies Inc   (United States)

^e CITY UNIVERSITY OF NEW YORK   (United States)

Author keywords

Electronic health record; Meaningful use; Problem list; Quality assurance; SNOMED CT

Indexed keywords

ELECTRONIC HEALTH RECORD; ELECTRONIC HEALTH RECORD (EHRS); MEANINGFUL USE; METHODS AND MATERIALS; NATIONAL LIBRARY OF MEDICINES; PROBLEM LIST; SNOMED-CT; VETERANS HEALTH ADMINISTRATIONS;

DIAGNOSIS; ENCODING (SYMBOLS); ERRORS; QUALITY ASSURANCE;

RECORDS MANAGEMENT;

ARTICLE; CLINICAL EFFECTIVENESS; COMPUTERIZED PROVIDER ORDER ENTRY; DECISION SUPPORT SYSTEM; ELECTRONIC MEDICAL RECORD; HUMAN; MEANINGFUL USE CRITERIA; MEDICAL INFORMATION SYSTEM; MEDICAL TERMINOLOGY; OUTCOMES RESEARCH; PRIORITY JOURNAL; QUALITY CONTROL; SYSTEMATIZED NOMENCLATURE OF MEDICINE;

ARTIFICIAL INTELLIGENCE; DATA MINING; ELECTRONIC HEALTH RECORDS; HUMANS; MEANINGFUL USE; MEDICAL RECORDS, PROBLEM-ORIENTED; NATIONAL LIBRARY OF MEDICINE (U.S.); QUALITY ASSURANCE, HEALTH CARE; SYSTEMATIZED NOMENCLATURE OF MEDICINE; TERMINOLOGY AS TOPIC; UNIFIED MEDICAL LANGUAGE SYSTEM; UNITED STATES;

EID: 84878114254     PISSN: 09333657     EISSN: 18732860     Source Type: Journal    
DOI: 10.1016/j.artmed.2013.03.008     Document Type: Article

References (51)

1. American Recovery and Reinvestment Act. 111 United States Congress. Available at: 2009 [accessed 15.9.12]. http://www.recovery.gov/About/Pages/The_Act.aspx.
2. Office of the National Coordinator for Health Information Technology (ONC) DpoHaHS Health information technology: initial set of standards, implementation specifications, and certification criteria for electronic health record technology. Final rule. Federal Register 2010, 75:44589-44654.
3. Fung K.W., McDonald C., Srinivasan S. The UMLS-CORE project: a study of the problem list terminologies used in large healthcare institutions. Journal of the American Medical Informatics Association 2010, 17:675-680.
4. The CORE Problem List Subset of SNOMED CT. Available at: [accessed 15.9.12]. http://www.nlm.nih.gov/research/umls/Snomed/core_subset.html.
5. UMLS enhanced VA/KP Problem List Subset of SNOMED. Available at: [accessed 15.9.12]. http://www.nlm.nih.gov/research/umls/licensedcontent/vakpproblemlist.html.
6. Cimino J.J., Elhanan G., Zeng Q. Supporting infobuttons with terminological knowledge. Proceedings: AMIA Annual Fall Symposium 1997, 528-532.
7. Elhanan G., Socratous S.A., Cimino J.J. Integrating DXplain into a clinical information system using the World Wide Web. Proceedings: AMIA Annual Fall Symposium 1996, 348-352.
8. Zeng Q., Cimino J.J. Automated knowledge extraction from the UMLS. Proceedings AMIA Symposium 1998, 568-572.
9. Zeng Q., Cimino J.J. A knowledge-based, concept-oriented view generation system for clinical data. Journal of Biomedical Informatics 2001, 34:112-128.
10. Zeng Q., Cimino J.J., Zou K.H. Providing concept-oriented views for clinical data using a knowledge-based system: an evaluation. Journal of the American Medical Informatics Association 2002, 9:294-305.
11. Cimino J.J. From data to knowledge through concept-oriented terminologies: experience with the medical entities dictionary. Journal of the American Medical Informatics Association 2000, 7:288-297.
12. Mendonca E.A., Cimino J.J., Johnson S.B., Seol Y.H. Accessing heterogeneous sources of evidence to answer clinical questions. Journal of Biomedical Informatics 2001, 34:85-98.
13. Elhanan G., Cimino J.J. Controlled vocabulary and design of laboratory results displays. Proceedings: AMIA Annual Fall Symposium 1997, 719-723.
14. Rector A.L., Brandt S., Schneider T. Getting the foot out of the pelvis: modeling problems affecting use of SNOMED CT hierarchies in practical applications. Journal of the American Medical Informatics Association 2011, 18:432-440.
15. Schulz S., Hahn U., Rogers J. Semantic clarification of the representation of procedures and diseases in SNOMED((R))CT. Studies in Health Technology and Informatics 2005, 116:773-778.
16. Schulz S., Hanser S., Hahn U., Rogers J. The semantics of procedures and diseases in SNOMED CT. Methods of Information in Medicine 2006, 45:354-358.
17. Schulz S., Suntisrivaraporn B., Baader F., Boeker M. SNOMED reaching its adolescence: ontologists' and logicians' health check. International Journal of Medical Informatics 2009, 78(Suppl. (1)):S86-S94.
18. Dolin R.H., Mattison J.E., Cohn S., Campbell K.E., Wiesenthal A.M., Hochhalter B., et al. Kaiser Permanente's Convergent Medical Terminology. Studies in Health Technology and Informatics 2004, 107:346-350.
19. Lincoln M.J., Brown S.H., Nguyen V., Cromwell T., Carter J., Erlbaum M., et al. U.S. Department of Veterans Affairs Enterprise Reference Terminology strategic overview. Studies in Health Technology and Informatics 2004, 107:391-395.
20. IHTSDO Concept Model Special Interest Group. Available at: [accessed 29.4.12]. https://thecap.basecamphq.com/projects/388747/posts/31226264/comments.
21. SNOMED CT. Available at: [accessed 23.10.12]. http://www.ihtsdo.org/snomed-ct.
22. Hoskins H.D., Hildebrand P.L., Lum F. The American Academy Of Ophthalmology adopts SNOMED CT as its official clinical terminology. Ophthalmology 2008, 115:225-226.
23. Cornet R., de Keizer N. Forty years of SNOMED: a literature review. BMC Medical Informatics and Decision Making 2008, 8(Suppl. (1)):S2.
24. Shahpori R., Doig C. Systematized nomenclature of medicine-clinical terms direction and its implications on critical care. Journal of Critical Care 2009.
25. James A.G., Spackman K.A. Representation of disorders of the newborn infant by SNOMED CT. Studies in Health Technology and Informatics 2008, 136:833-838.
26. Kim H., Harris M.R., Savova G., Chute C.G. Content coverage of SNOMED-CT toward the ICU nursing flowsheets and the acuity indicators. Studies in Health Technology and Informatics 2006, 122:722-726.
27. Simpson C.R., Anandan C., Fischbacher C., Lefevre K., Sheikh A. Will systematized nomenclature of medicine-clinical terms improve our understanding of the disease burden posed by allergic disorders?. Clinical and Experimental Allergy 2007, 37:1586-1593.
28. Elkin P.L., Brown S.H., Husser C.S., Bauer B.A., Wahner-Roedler D., Rosenbloom S.T., et al. Evaluation of the content coverage of SNOMED CT: ability of SNOMED clinical terms to represent clinical problem lists. Mayo Clinic Proceedings 2006, 81:741-748.
29. Elevitch F.R. SNOMED CT: electronic health record enhances anesthesia patient safety. AANA Journal 2005, 73:361-366.
30. Bakhshi-Raiez F., Cornet R., de Keizer N.F. Cross-mapping APACHEIV "reasons for intensive care admission" classification to SNOMED CT. Studies in Health Technology and Informatics 2008, 136:779-784.
31. Alecu I., Bousquet C., Jaulent M.C. A case report: using SNOMED CT for grouping Adverse Drug Reactions Terms. BMC Medical Informatics and Decision Making 2008, 8(Suppl. (1)):S4.
32. Shah N.H., Rubin D.L., Supekar K.S., Musen M.A. Ontology-based annotation and query of tissue microarray data. AMIA: Annual Symposium Proceedings 2006, 709-713.
33. Campbell J.R., Carpenter P., Sneiderman C., Cohn S., Chute C.G., Warren J. Phase II evaluation of clinical coding schemes: completeness, taxonomy, mapping, definitions, and clarity, CPRI work group on codes and structures. Journal of the American Medical Informatics Association 1997, 4:238-251.
34. Humphreys B.L., McCray A.T., Cheh M.L. Evaluating the coverage of controlled health data terminologies: report on the results of the NLM/AHCPR large scale vocabulary test. Journal of the American Medical Informatics Association 1997, 4:484-500.
35. Wasserman H., Wang J. An applied evaluation of SNOMED CT as a clinical vocabulary for the computerized diagnosis and problem list. AMIA: Annual Symposium Proceedings 2003, 699-703.
36. Penz J.F., Brown S.H., Carter J.S., Elkin P.L., Nguyen V.N., Sims S.A., et al. Evaluation of SNOMED coverage of veterans health administration terms. Studies in Health Technology and Informatics 2004, 107:540-544.
37. Elhanan G., Perl Y., Geller J. A survey of direct users and uses of SNOMED CT: 2010 status. AMIA: Annual Symposium Proceedings 2010, 207-211.
38. Elhanan G., Perl Y., Geller J. A survey of SNOMED CT direct users 2010, impressions and preferences regarding content and quality. Journal of the American Medical Informatics Association 2011, 18(Suppl. (1)):i36-i44.
39. Rosenbloom S.T., Brown S.H., Froehling D., Bauer B.A., Wahner-Roedler D.L., Gregg F., et al. Using SNOMED CT to represent two interface terminologies. Journal of the American Medical Informatics Association 2009, 16:81-88.
40. Blumenthal D. Stimulating the adoption of health information technology. The New England Journal of Medicine 2009, 360:1477-1479.
41. Blumenthal D. Launching HITECH. The New England Journal of Medicine 2010, 362:382-385.
42. Medicare and Medicaid Programs. In: Department of Health and Human Services CfMaMS, editor. Electronic health record incentive program; final rule. Department of Health and Human Services, Centers for Medicare and Medicaid Services; 2010. p. 276.
43. Medicare and Medicaid Programs; Electronic Health Record Incentive Program - Stage 2. Available at: [accessed 4.10.12]. http://www.ofr.gov/OFRUpload/OFRData/2012-21050_PI.pdf.
44. CliniClue Xplore. Available at: [accessed 15.9.12]. http://www.cliniclue.com/.
45. Halper M., Wang Y., Min H., Chen Y., Hripcsak G., Perl Y., et al. Analysis of error concentrations in SNOMED. AMIA: Annual Symposium Proceedings 2007, 314-318.
46. Wang Y., Halper M., Min H., Perl Y., Chen Y., Spackman K.A. Structural methodologies for auditing SNOMED. Journal of Biomedical Informatics 2007, 40:561-581.
47. Wang Y., Wei D., Xu J., Elhanan G., Perl Y., Halper M., et al. Auditing complex concepts in overlapping subsets of SNOMED. AMIA: Annual Symposium Proceedings 2008, 273-277.
48. Wang Y., Halper M., Wei D., Gu H., Perl Y., Xu J., et al. Auditing complex concepts of SNOMED using a refined hierarchical abstraction network. Journal of Biomedical Informatics 2012, 45:1-14.
49. Elhanan G., Perl Y., Geller J. A survey of SNOMED CT direct users 2010, impressions and preferences regarding content and quality. Journal of the American Medical Informatics Association 2011, 18(Suppl. (1)):i36-i44.
50. Chen Y., Gu H.H., Perl Y., Geller J. Structural group-based auditing of missing hierarchical relationships in UMLS. Journal of Biomedical Informatics 2009, 42:452-467.
51. Wang Y., Halper M., Wei D., Perl Y., Geller J. Abstraction of complex concepts with a refined partial-area taxonomy of SNOMED. Journal of Biomedical Informatics 2012, 45:15-29.