TERMINOLOGICAL SERVER Proposal for short term complementary homeworks SEMINOP 28/10/2010

SUMMARY Terminology server – Controlled Medical Vocabulary – Link to classifications, languages – Intuitive data entry Context sensitive pick lists Syntactic search Semantic search (NLP) – Webservice, API – Enabler, alerter Rules vs Patient Record

Semantic search text typed by doctor/nurse Natural Language Processor Nuance Terms CMV

CMV further validation Validation and translation of French terms – Input of SNOMED ca Translation + 3BT – Collaboration with Swiss/France/Canada? Validation of Dutch terms – Collaboration with Holland? Standardisation of the terminology file in TMF (Terminological Markup Framework)- ISO 16642

CMV extension Extension of CMV based on existing dictionaries – EMD Proprietary dictionaries – Subset « drug information » (1830 central terms) – ICD-CM alphebetical list – Subset WHO-ART – Subset « nursing » (NANDA/ICNP/NIC) – Subset « kine » (To be studied)

CMV POSSIBLE TESTING FIELDS IN GP EHR (Only with selected targets) Medical problem List Hospitals Code Finder in soft for coding (RIM/RCM)

CMV – Primary care Suggested complementary work – Identification of central terms with the 7000 merged terms – Validation of the Double coding in ICD / ICPC of central terms – Identification of missing central terms (studying the primary care terminology system LOCAS and using an ontological version of the ICPC in Protégé) – Contact with international terminology projects in this field (Wonca International Classification Commission/Snomed)

WORKING GROUPS (content classification) Diagnoses Treatment Procedures – Examinations – Interventions Medication Medical devices Observations: – Lab (existing) – Parameters (Clinical) Geography Social factors Environmental factors Functioning

WORKING GROUPS (sectoral) Hospitals (FOD/SPF, RIZIV-INAMI) – Terms diagnoses, procedures Primary Care (WIV/ISP, RIZIV-INAMI) – Terms diagnoses, procedures, observations Nursing (Nl: NVKVV (ISV), Fr: SIXI)  Terms diagnoses, ADL, social factors, procedures, observations  Needed access to data EMD in function of type of nurse and type of care element  Guidelines orders in function of care element Physiotherapy Medication Anatomopathology, cancer Laboratory – Loinc Medical products Accidents, safety (FOD/SPF

TERMINOLOGY CENTER SEMINOP part of concertation comite of E- Health platform Executive comitee for: – Daily management – International contacts (including licences) – Coordination between domains – Links betwwen institutions ICT Coordination: E-Health/Smals

Licencing Need to approach « officially » snomed to negociate terms of licencing. Fully proprietary licences not an option for wide use.

SEMANTIC TERM FINDER Need to initiate discussion with Nuance – No exclusivity – Discuss modalities of use, development and update

Terminology and Ontology software -> (Limited) call for tender Collibra Workbench SNOMED Protege (Cetic) Linkfactory (Nuance)