Evidence map›Paper›PMID 29635469›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2018

Toward a normalized clinical drug knowledge base in China-applying the RxNorm model to Chinese clinical drugs.

Li Wang, Yaoyun Zhang, Min Jiang, Jingqi Wang, Jiancheng Dong, Yun Liu, Cui Tao, Guoqian Jiang, Yi Zhou, Hua Xu

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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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
  7. Article
  8. Review
  9. iDISK: the integrated DIetary Supplements Knowledge base.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  10. Normalizing Dietary Supplement Product Names Using the RxNorm Model.Studies in health technology and informatics · 2019
    Article
  11. 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

10 authors.

Li WangDepartment of Medical Informatics, Medical School, Nantong University, Nantong, Jiangsu 226001, China.
Yaoyun ZhangSchool of Biomedical Informatics, the University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
Min JiangSchool of Biomedical Informatics, the University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
Jingqi WangSchool of Biomedical Informatics, the University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
Jiancheng DongDepartment of Medical Informatics, Medical School, Nantong University, Nantong, Jiangsu 226001, China.
Yun LiuInstitute of Medical Informatics and Management, Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Cui TaoSchool of Biomedical Informatics, the University of Texas Health Science Center at Houston, Houston, TX 77030, USA.
Guoqian JiangDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, 55905, USA.
Yi ZhouDepartment of Biomedical Engineering, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, 510080, China.
Hua XuSchool of Biomedical Informatics, the University of Texas Health Science Center at Houston, Houston, TX 77030, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: In recent years, electronic health record systems have been widely implemented in China, making clinical data available electronically. However, little effort has been devoted to making drug information exchangeable among these systems. This study aimed to build a Normalized Chinese Clinical Drug (NCCD) knowledge base, by applying and extending the information model of RxNorm to Chinese clinical drugs. Methods: Chinese drugs were collected from 4 major resources-China Food and Drug Administration, China Health Insurance Systems, Hospital Pharmacy Systems, and China Pharmacopoeia-for integration and normalization in NCCD. Chemical drugs were normalized using the information model in RxNorm without much change. Chinese patent drugs (i.e., Chinese herbal extracts), however, were represented using an expanded RxNorm model to incorporate the unique characteristics of these drugs. A hybrid approach combining automated natural language processing technologies and manual review by domain experts was then applied to drug attribute extraction, normalization, and further generation of drug names at different specification levels. Lastly, we reported the statistics of NCCD, as well as the evaluation results using several sets of randomly selected Chinese drugs. Results: The current version of NCCD contains 16 976 chemical drugs and 2663 Chinese patent medicines, resulting in 19 639 clinical drugs, 250 267 unique concepts, and 2 602 760 relations. By manual review of 1700 chemical drugs and 250 Chinese patent drugs randomly selected from NCCD (about 10%), we showed that the hybrid approach could achieve an accuracy of 98.60% for drug name extraction and normalization. Using a collection of 500 chemical drugs and 500 Chinese patent drugs from other resources, we showed that NCCD achieved coverages of 97.0% and 90.0% for chemical drugs and Chinese patent drugs, respectively. Conclusion: Evaluation results demonstrated the potential to improve interoperability across various electronic drug systems in China.

Indexed as

Databases, FactualHealth Information InteroperabilityKnowledge BasesPharmaceutical PreparationsRxNormChinaInformation SystemsInsurance, HealthNonprescription DrugsPharmacopoeias as TopicPharmacy Service, HospitalNonprescription DrugsPharmaceutical Preparations

Identifiers

PMID29635469
PMCPMC7647010

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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.