ArticleJournal of the American Medical Informatics Association : JAMIA
Migrating existing clinical content from ICD-9 to SNOMED.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
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- Association Between Portal Vein Thrombosis and Pouchitis in Patients with Ulcerative Colitis.Digestive diseases and sciences · 2022Article
- Predictors of Deep Venous Thrombosis in Hospitalized Patients With Liver Cirrhosis in the US.Cureus · 2022Article
- The Risk of Acute and Chronic Pancreatitis in Celiac Disease.Digestive diseases and sciences · 2021Article
- Underutilization of prophylactic rectal indomethacin and pancreatic duct stent for prevention of post-ERCP Pancreatitis.Endoscopy international open · 2021Article
- Mapping three versions of the international classification of diseases to categories of chronic conditions.International journal of population data science · 2021Article
- Opportunistic Infections Are More Prevalent in Crohn's Disease and Ulcerative Colitis: A Large Population-Based Study.Inflammatory bowel diseases · 2020Article
- Epidemiology of Whipple's Disease in the USA Between 2012 and 2017: A Population-Based National Study.Digestive diseases and sciences · 2019Article
- Prevalence of Small Intestine Carcinoid Tumors: A US Population-Based Study 2012-2017.Digestive diseases and sciences · 2019Article
- Classification, Ontology, and Precision Medicine.The New England journal of medicine · 2018Review
- Leveraging Shannon Entropy to Validate the Transition between ICD-10 and ICD-11.Entropy (Basel, Switzerland) · 2018Article
- Rates of Prevalent Colorectal Cancer Occurrence in Persons 75 Years of Age and Older: A Population-Based National Study.Digestive diseases and sciences · 2018Article
- A review of medical terminology standards and structured reporting.Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2018Review
- Web-based Real-Time Case Finding for the Population Health Management of Patients With Diabetes Mellitus: A Prospective Validation of the Natural Language Processing-Based Algorithm With Statewide Electronic Medical Records.JMIR medical informatics · 2016Article
- The 2010-2015 Prevalence of Eosinophilic Esophagitis in the USA: A Population-Based Study.Digestive diseases and sciences · 2016Article
- An exploration of the properties of the CORE problem list subset and how it facilitates the implementation of SNOMED CT.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- An integrated billing application to streamline clinician workflow.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2014Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectiveTo identify challenges in mapping internal International Classification of Disease, 9th edition, Clinical Modification (ICD-9-CM) encoded legacy data to Systematic Nomenclature of Medicine (SNOMED), using SNOMED-prescribed compositional approaches where appropriate, and to explore the mapping coverage provided by the US National Library of Medicine (NLM)'s SNOMED clinical core subset.
designThis study selected ICD-CM codes that occurred at least 100 times in the organization's problem list or diagnosis data in 2008. After eliminating codes whose exact mappings were already available in UMLS, the remainder were mapped manually with software assistance.
resultsOf the 2194 codes, 784 (35.7%) required manual mapping. 435 of these represented concept types documented in SNOMED as deprecated: these included the qualifying phrases such as 'not elsewhere classified'. A third of the codes were composite, requiring multiple SNOMED code to map. Representing 45 composite concepts required introducing disjunction ('or') or set-difference ('without') operators, which are not currently defined in SNOMED. Only 47% of the concepts required for composition were present in the clinical core subset. Search of SNOMED for the correct concepts often required extensive application of knowledge of both English and medical synonymy.
conclusionStrategies to deal with legacy ICD data must address the issue of codes created by non-taxonomist users. The NLM core subset possibly needs augmentation with concepts from certain SNOMED hierarchies, notably qualifiers, body structures, substances/products and organisms. Concept-matching software needs to utilize query expansion strategies, but these may be effective in production settings only if a large but non-redundant SNOMED subset that minimizes the proportion of extensively pre-coordinated concepts is also available.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.