ArticleJournal of the American Medical Informatics Association : JAMIA
Getting the foot out of the pelvis: modeling problems affecting use of SNOMED CT hierarchies in practical applications.
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 41 papers.
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Who cites it
41 citing papers in PubMed.
- Real-World Use of Controlled Terminologies, Ontologies, and Vocabularies for Evidence Generation Across a Large International Observational Network: Challenges and Lessons Learned From a Mixed Method Study.JMIR medical informatics · 2026Article
- Rendering knowledge graphs from aerospace dentistry processes for clinical decision support systems.Acta astronautica · 2026Article
- Accurate Clinical Entity Recognition and Code Mapping of Anatomopathological Reports Using BioClinicalBERT Enhanced by Retrieval-Augmented Generation: A Hybrid Deep Learning Approach.Bioengineering (Basel, Switzerland) · 2025Article
- Using logical constraints to validate statistical information about disease outbreaks in collaborative knowledge graphs: the case of COVID-19 epidemiology in Wikidata.PeerJ. Computer science · 2022Article
- The use of SNOMED CT, 2013-2020: a literature review.Journal of the American Medical Informatics Association : JAMIA · 2021Review
- What is the abdomen? Rationalising clinical and anatomical perspectives using formal semantics.Journal of anatomy · 2021Article
- A Neuro-ontology for the neurological examination.BMC medical informatics and decision making · 2020Article
- Characterizing database granularity using SNOMED-CT hierarchy.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020Observational
- Evaluating lexical similarity and modeling discrepancies in the procedure hierarchy of SNOMED CT.BMC medical informatics and decision making · 2018Article
- The New SNOMED CT International Medicinal Product Model.CEUR workshop proceedings. · 2018Article
- Complex overlapping concepts: An effective auditing methodology for families of similarly structured BioPortal ontologies.Journal of biomedical informatics · 2018Article
- Assessing the practice of biomedical ontology evaluation: Gaps and opportunities.Journal of biomedical informatics · 2018Review
- From SNOMED CT to Uberon: Transferability of evaluation methodology between similarly structured ontologies.Artificial intelligence in medicine · 2017Article
- Analyzing structural changes in SNOMED CT's Bacterial infectious diseases using a visual semantic delta.Journal of biomedical informatics · 2017Article
- Identifying Missing Hierarchical Relations in SNOMED CT from Logical Definitions Based on the Lexical Features of Concept Names.CEUR workshop proceedings · 2016Article
- ODMedit: uniform semantic annotation for data integration in medicine based on a public metadata repository.BMC medical research methodology · 2016Article
- Utilizing a structural meta-ontology for family-based quality assurance of the BioPortal ontologies.Journal of biomedical informatics · 2016Article
- Is the crowd better as an assistant or a replacement in ontology engineering? An exploration through the lens of the Gene Ontology.Journal of biomedical informatics · 2016Article
- Tracking the Remodeling of SNOMED CT's Bacterial Infectious Diseases.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016Article
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectives(a) To determine the extent and range of errors and issues in the Systematised Nomenclature of Medicine-Clinical Terms (SNOMED CT) hierarchies as they affect two practical projects. (b) To determine the origin of issues raised and propose methods to address them.
methodsThe hierarchies for concepts in the Core Problem List Subset published by the Unified Medical Language System were examined for their appropriateness in two applications. Anomalies were traced to their source to determine whether they were simple local errors, systematic inferences propagated by SNOMED's classification process, or the result of problems with SNOMED's schemas. Conclusions were confirmed by showing that altering the root cause and reclassifying had the intended effects, and not others. MAIN
resultsMajor problems were encountered, involving concepts central to medicine including myocardial infarction, diabetes, and hypertension. Most of the issues raised were systematic. Some exposed fundamental errors in SNOMED's schemas, particularly with regards to anatomy. In many cases, the root cause could only be identified and corrected with the aid of a classifier. LIMITATIONS: This is a preliminary 'experiment of opportunity.' The results are not exhaustive; nor is consensus on all points definitive.
conclusionsThe SNOMED CT hierarchies cannot be relied upon in their present state in our applications. However, systematic quality assurance and correction are possible and practical but require sound techniques analogous to software engineering and combined lexical and semantic techniques. Until this is done, anyone using SNOMED codes should exercise caution. Errors in the hierarchies, or attempts to compensate for them, are likely to compromise interoperability and meaningful use.
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