Evidence map›Paper›PMID 29024958›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2018

A computable pathology report for precision medicine: extending an observables ontology unifying SNOMED CT and LOINC.

Walter S Campbell, Daniel Karlsson, Daniel J Vreeman, Audrey J Lazenby, Geoffrey A Talmon, James R Campbell

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Diagnostic Value of MAML2 Rearrangements in Mucoepidermoid Carcinoma.International journal of molecular sciences · 2022
    Article
  6. Review
  7. Article
  8. Article
  9. Logical Observation Identifiers Names and Codes (LOINCDiagnostics (Basel, Switzerland) · 2021
    Article
  10. Structured Data Capture for Oncology.JCO clinical cancer informatics · 2021
    Article
  11. Article
  12. Article
  13. SNOMEDtxt: Natural Language Generation from SNOMED Ontology.Studies in health technology and informatics · 2019
    Article
  14. Semantic data interoperability, digital medicine, and e-health in infectious disease management: a review.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019
    Review
  15. 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.

Walter S CampbellDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE, USA.
Daniel KarlssonDepartment of Biomedical Engineering, Linköping University, Linköping, Sweden.
Daniel J VreemanRegenstrief Institute, Indiana University School of Medicine, Indianapolis, IN, USA.
Audrey J LazenbyDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE, USA.
Geoffrey A TalmonDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE, USA.
James R CampbellDepartment of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.

Funding

Deploying ONC national Standards in Support of Metadata for Big Data Research Warehouse Management of Repurposed Laboratory, Pathology & Patient Findings Data From the EHR.U01HG009455 · NHGRI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI CAMPBELL, WALTER SCOTT · 2016 to 2018
$1.7M
NHGRI NIH HHS U01 HG009455
6 · The paper itself

Abstract

backgroundThe College of American Pathologists (CAP) introduced the first cancer synoptic reporting protocols in 1998. However, the objective of a fully computable and machine-readable cancer synoptic report remains elusive due to insufficient definitional content in Systematized Nomenclature of Medicine - Clinical Terms (SNOMED CT) and Logical Observation Identifiers Names and Codes (LOINC). To address this terminology gap, investigators at the University of Nebraska Medical Center (UNMC) are developing, authoring, and testing a SNOMED CT observable ontology to represent the data elements identified by the synoptic worksheets of CAP.

methodsInvestigators along with collaborators from the US National Library of Medicine, CAP, the International Health Terminology Standards Development Organization, and the UK Health and Social Care Information Centre analyzed and assessed required data elements for colorectal cancer and invasive breast cancer synoptic reporting. SNOMED CT concept expressions were developed at UNMC in the Nebraska Lexicon© SNOMED CT namespace. LOINC codes for each SNOMED CT expression were issued by the Regenstrief Institute. SNOMED CT concepts represented observation answer value sets.

resultsUNMC investigators created a total of 194 SNOMED CT observable entity concept definitions to represent required data elements for CAP colorectal and breast cancer synoptic worksheets, including biomarkers. Concepts were bound to colorectal and invasive breast cancer reports in the UNMC pathology system and successfully used to populate a UNMC biobank. DISCUSSION: The absence of a robust observables ontology represents a barrier to data capture and reuse in clinical areas founded upon observational information. Terminology developed in this project establishes the model to characterize pathology data for information exchange, public health, and research analytics.

Indexed as

cancer synoptic reportsinteroperabilityLOINCOntologySNOMED CT

Identifiers

PMID29024958
PMCPMC7378880

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.