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Medical Concept Representation From Classification to从分类到医学概念的表示.ppt

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Medical Concept Representation From Classification to从分类到医学概念的表示

World Health Organization; Mayo Clinic - ICD-11 CG Chute WHO ICD-11 ? Mayo Clinic College of Medicine 2008 ICD 11Revision Update NCBO Forum April 29, 2008 Christopher G Chute, MD DrPH ICD-11 Revision Steering Group Chair World Health Organization Professor and Chair, Biomedical Informatics Mayo Clinic Familiar Points Along Continuum Modern Health Vocabularies Nomenclature – Highly Detailed Descriptions (SNOMED) Classification – Organized Aggregation of Descriptions into a Rubric (ICDs) Groupings – High Level Categories of Rubrics (DRGs) Aggregation Logics by domainrule-based aggregations The Genomic Era The genomic transformation of medicine far exceeds the introduction of antibiotics and aseptic surgery The binding of genomic biology and clinical medicine will accelerate The implications for shared semantics across the basic science and clinical communities are unprecedented The Continuum Of Health ClassificationBiology meets Clinical Medicine ICD11 Use Cases Scientific consensus of clinical phenotype Public Health Surveillance Mortality Public Health Morbidity Clinical data aggregation Metrics of clinical activity Quality management Patient Safety Financial administration Case mix Resource allocation Traditional Hierarchical SystemICD-10 and family Addition of structured attributes to concepts Addition of semantic arcs - Ontology Serialization of “the cloud”Algorithmic Derivation Linear views may serve multiple use-casesMorbidity, Mortality, Quality, … Task Distributed editing of a complex information resource (aka ICD family members) Intuitive and simple user interface No cost to users; open source resources Low-profile application; thin-client (web based) Capacity to set hierarchy of permissions Second Phase Requirements Robust back-end for content Capable of appropriate exports (e.g. ClaML) Description Logic capability Aggregation Logic (rule) support Leverage industry and community standards Semantic Web, DL, open-source tools Integrate with exist