ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2011
Comparison of SNOMED CT versus Medcin terminology concept coverage for mild Traumatic Brain Injury.
Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed, 7 citations in OpenAlex.
- Association Patterns of Ontological Features Signify Electronic Health Records in Liver Cancer.Journal of healthcare engineering · 2017Article
- A Method to Compare ICF and SNOMED CT for Coverage of U.S. Social Security Administration's Disability Listing Criteria.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2015Article
- Key principles for a national clinical decision support knowledge sharing framework: synthesis of insights from leading subject matter experts.Journal of the American Medical Informatics Association : JAMIA · 2013Article
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Authors and funding
14 authors.
Funding
Abstract
backgroundTraumatic Brain Injury (TBI) is a "signature" injury of the current wars in Iraq and Afghanistan. Structured electronic data regarding TBI findings is important for research, population health and other secondary uses but requires appropriate underlying standard terminologies to ensure interoperability and reuse. Currently the U.S. Department of Veterans Affairs (VA) uses the terminology SNOMED CT and the Department of Defense (DOD) uses Medcin.
methodsWe developed a comprehensive case definition of mild TBI composed of 68 clinical terms. Using automated and manual techniques, we evaluated how well the mild TBI case definition terms could be represented by SNOMED CT and Medcin, and compared the results. We performed additional analysis stratified by whether the concepts were rated by a TBI expert panel as having High, Medium, or Low importance to the definition of mild TBI.
resultsSNOMED CT sensitivity (recall) was 90% overall for coverage of mild TBI concepts, and Medcin sensitivity was 49%, p < 0.001 (using McNemar's chi square). Positive predictive value (precision) for each was 100%. SNOMED CT outperformed Medcin for concept coverage independent of import rating by our TBI experts. DISCUSSION: SNOMED CT was significantly better able to represent mild TBI concepts than Medcin. This finding may inform data gathering, management and sharing, and data exchange strategies between the VA and DOD for active duty soldiers and veterans with mild TBI. Since mild TBI is an important condition in the civilian population as well, the current study results may be useful also for the general medical setting.
Indexed as
Identifiers
22195156PMC3243122W101870707What OpenQuestion holds
Registered trials
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