Evidence map›Paper›PMID 22142948›Full record

ArticleJournal of biomedical informatics2012

Mapping Partners Master Drug Dictionary to RxNorm using an NLP-based approach.

Li Zhou, Joseph M Plasek, Lisa M Mahoney, Frank Y Chang, Dana DiMaggio, Roberto A Rocha

Registry-linked trialAbstract read
In one paragraph

Article in Journal of biomedical informatics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03911687 (Communicating Narrative Concerns Entered by RNs), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03911687 nacompletednot on this mapstarted 2020, after this paper: background citation

Communicating Narrative Concerns Entered by RNs (CONCERN) Clinical Decision Support (CDS) System

TypeinterventionalSponsorColumbia UniversityRan2020 to 2022Enrolled60,893ConditionsHospital Acquired ConditionArmsCONCERN CDS system notification
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Manual chart review reveals bisphosphonate exposure misclassification in atypical femur fracture patients: auditing medical records in two international cohorts.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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  3. Article
  4. Review
  5. Toward a unified understanding of drug-drug interactions: mapping Japanese drug codes to RxNorm concepts.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Criteria2Query: a natural language interface to clinical databases for cohort definition.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  12. Observational
  13. Food entries in a large allergy data repository.Journal of the American Medical Informatics Association : JAMIA · 2016
    Article
  14. Drug Normalization for Cancer Therapeutic and Druggable Genome Target Discovery.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2015
    Article
  15. Evaluation of RxNorm for Medication Clinical Decision Support.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2014
    Article
  16. Article
  17. An effective method of large scale ontology matching.Journal of biomedical semantics · 2014
    Article
  18. Standardizing adverse drug event reporting data.Journal of biomedical semantics · 2014
    Article
  19. Automated identification of drug and food allergies entered using non-standard terminology.Journal of the American Medical Informatics Association : JAMIA
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Li ZhouClinical Informatics Research & Development, Partners HealthCare System, Inc., Wellesley, USA. Lzhou2@partners.org
Joseph M Plasek
Lisa M Mahoney
Frank Y Chang
Dana DiMaggio
Roberto A Rocha

Funding

Improving Outpatient Medication Lists Using Temporal Reasoning and Clinical TextsR03HS018288 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI ZHOU, LI · 2009 to 2010
$99k
AHRQ HHS 1R03HS018288-01AHRQ HHS R03 HS018288
6 · The paper itself

Abstract

objectiveTo develop an automated method based on natural language processing (NLP) to facilitate the creation and maintenance of a mapping between RxNorm and a local medication terminology for interoperability and meaningful use purposes.

methodsWe mapped 5961 terms from Partners Master Drug Dictionary (MDD) and 99 of the top prescribed medications to RxNorm. The mapping was conducted at both term and concept levels using an NLP tool, called MTERMS, followed by a manual review conducted by domain experts who created a gold standard mapping. The gold standard was used to assess the overall mapping between MDD and RxNorm and evaluate the performance of MTERMS.

resultsOverall, 74.7% of MDD terms and 82.8% of the top 99 terms had an exact semantic match to RxNorm. Compared to the gold standard, MTERMS achieved a precision of 99.8% and a recall of 73.9% when mapping all MDD terms, and a precision of 100% and a recall of 72.6% when mapping the top prescribed medications.

conclusionThe challenges and gaps in mapping MDD to RxNorm are mainly due to unique user or application requirements for representing drug concepts and the different modeling approaches inherent in the two terminologies. An automated approach based on NLP followed by human expert review is an efficient and feasible way for conducting dynamic mapping.

Indexed as

Dictionaries, Pharmaceutic as TopicNatural Language ProcessingRxNormVocabulary, ControlledHumansMedical InformaticsPharmaceutical PreparationsPharmaceutical Preparations

Identifiers

PMID22142948
PMCPMC12834468

What OpenQuestion holds

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Registered trials

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.