Evidence map›Paper›PMID 29274386›Full record

ArticleJournal of biomedical informatics2018

Auditing SNOMED CT hierarchical relations based on lexical features of concepts in non-lattice subgraphs.

Licong Cui, Olivier Bodenreider, Jay Shi, Guo-Qiang Zhang

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

23 citing papers in PubMed.

  1. Article
  2. Quantitatively assessing the impact of the quality of SNOMED CT subtype hierarchy on cohort queries.Journal of the American Medical Informatics Association : JAMIA · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. A deep learning approach to identify missing is-a relations in SNOMED CT.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  7. A substring replacement approach for identifying missing IS-A relations in SNOMED CT.Proceedings. IEEE International Conference on Bioinformatics and Biomedicine · 2022
    Article
  8. Identifying Missing IS-A Relations in Orphanet Rare Disease Ontology.Proceedings. IEEE International Conference on Bioinformatics and Biomedicine · 2022
    Article
  9. Article
  10. Article
  11. Automated Identification of Missing IS-A Relations in the Human Phenotype Ontology.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Analysis of readability and structural accuracy in SNOMED CT.BMC medical informatics and decision making · 2020
    Article
  16. Article
  17. Article
  18. Article
  19. Characterizing database granularity using SNOMED-CT hierarchy.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020
    Observational
  20. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Licong CuiDepartment of Computer Science, University of Kentucky, Lexington, KY, USA; Institute for Biomedical Informatics, University of Kentucky, Lexington, KY, USA. Electronic address: licong.cui@uky.edu.
Olivier BodenreiderNational Library of Medicine, Bethesda, MD, USA.
Jay ShiDepartment of Internal Medicine, University of Kentucky, Lexington, KY, USA.
Guo-Qiang ZhangDepartment of Computer Science, University of Kentucky, Lexington, KY, USA; Institute for Biomedical Informatics, University of Kentucky, Lexington, KY, USA; Department of Internal Medicine, University of Kentucky, Lexington, KY, USA.

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
Evaluating the quality and interoperability of biomedical terminologiesZIALM010010 · NLM · NATIONAL LIBRARY OF MEDICINE · PI BODENREIDER, OLIVIER · 2018 to 2020
$1.2M
NCATS NIH HHS UL1 TR001998
6 · The paper itself

Abstract

objectiveWe introduce a structural-lexical approach for auditing SNOMED CT using a combination of non-lattice subgraphs of the underlying hierarchical relations and enriched lexical attributes of fully specified concept names. Our goal is to develop a scalable and effective approach that automatically identifies missing hierarchical IS-A relations.

methodsOur approach involves 3 stages. In stage 1, all non-lattice subgraphs of SNOMED CT's IS-A hierarchical relations are extracted. In stage 2, lexical attributes of fully-specified concept names in such non-lattice subgraphs are extracted. For each concept in a non-lattice subgraph, we enrich its set of attributes with attributes from its ancestor concepts within the non-lattice subgraph. In stage 3, subset inclusion relations between the lexical attribute sets of each pair of concepts in each non-lattice subgraph are compared to existing IS-A relations in SNOMED CT. For concept pairs within each non-lattice subgraph, if a subset relation is identified but an IS-A relation is not present in SNOMED CT IS-A transitive closure, then a missing IS-A relation is reported. The September 2017 release of SNOMED CT (US edition) was used in this investigation.

resultsA total of 14,380 non-lattice subgraphs were extracted, from which we suggested a total of 41,357 missing IS-A relations. For evaluation purposes, 200 non-lattice subgraphs were randomly selected from 996 smaller subgraphs (of size 4, 5, or 6) within the "Clinical Finding" and "Procedure" sub-hierarchies. Two domain experts confirmed 185 (among 223) suggested missing IS-A relations, a precision of 82.96%.

conclusionsOur results demonstrate that analyzing the lexical features of concepts in non-lattice subgraphs is an effective approach for auditing SNOMED CT.

Indexed as

Biological OntologiesSystematized Nomenclature of MedicineAlgorithmsData MiningElectronic Health RecordsHumansMedical AuditQuality Assurance, Health CareSemanticsBiomedical ontologiesLexical attributesNon-lattice subgraphsQuality assuranceSNOMED CT

Identifiers

PMID29274386
PMCPMC5835197

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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.