Change Management of Shared and Local Versions of Health-Care Terminologies

D. E. Oliver; Y. Shahar

doi:10.1055/s-0038-1634396

Methods of Information in Medicine, Table of Contents

Methods Inf Med 2000; 39(04/05): 278-290
DOI: 10.1055/s-0038-1634396

Original Article

Schattauer GmbH

Change Management of Shared and Local Versions of Health-Care Terminologies

D. E. Oliver

¹Stanford Medical Informatics, Stanford University, Stanford CA, USA

,

Y. Shahar

¹Stanford Medical Informatics, Stanford University, Stanford CA, USA

› Author Affiliations

Abstract

Abstract:

Local sites that adopt a shared health-care terminology for computer-based systems have local needs that prompt the local-terminology maintainers to make changes to the local version of the shared terminology. If the local site is motivated to conform to the shared terminology, then the burden lies with the local site to manage its own changes and to incorporate the changes of the shared version at periodic intervals. We call this process synchronization. We survey current approaches that address problems of sharing and local modification, and we present the CONCORDIA model, which supports carefully controlled divergence of a local version from a shared terminology. CONCORDIA provides the underlying design and methodology for the implementation of a synchronization-support tool.

Keywords

Controlled Medical Terminology - Terminology Maintenance

Full Text

References

REFERENCES
1 Hammond W. Call for a standard clinical vocabulary. J Am Med Inform Assoc 1997; 4 (Suppl. 03) 254-5.
2 AMIA.. Standards for medical identifiers, codes, and messages needed to create an efficient computer-stored medical record. J Am Med Inform Assoc 1994; 1 (Suppl. 01) 1-7.
3 Tuttle MS, Sherertz D, Erlbaum M, Sperzel W, Fuller L, Olson N. Adding your terms and relationships to the UMLS Metathesaurus. In: Clayton PD. editor. Proceedings of the Fifteenth Annual Symposium on Computer Applications in Medical Care. New York: McGraw-Hill; 1991: 219-23.
4 Eagon J, Hurdle J, Lincoln M. Inter-rater reliability and review of the VA unresolved narratives. In: Cimino JJ. editor. Proceedings of the 1996 AMIA Annual Fall Symposium. Philadelphia: Hanley & Belfus; 1996: 130-4.
5 Cimino JJ, Clayton PD, Hripcsak G, Johnson SB. Knowledge-based approaches to the maintenance of a large controlled medical terminology. J Am Med Inform Assoc 1994; 1 (Suppl. 01) 35-50.
6 Cimino JJ. Formal descriptions and adaptive mechanisms for changes in controlled medical vocabularies. Method Inform Med 1996; 35 (Suppl. 03) 202-10.
7 Cimino JJ. An approach to coping with the annual changes in ICD-9-CM. Method Inform Med 1996; 35 (Suppl. 03) 220.
8 Tuttle M, Suarez-Munist O, Olson N, Sherertz D, Sperzel W, Erlbaum M. et al. Merging terminologies. Medinfo 1995; 8 Pt 1 162-6.
9 Tuttle M, Nelson S. A poor precedent. Method Inform Med 1996; 35 (Suppl. 03) 211-7.
10 Robinson D, Schulz E, Brown P, Price C. Updating the Read codes: User-interactive maintenance of a dynamic clinical vocabulary. J Am Med Inform Assoc 1997; 4 (Suppl. 06) 465-72.
11 Rogers JE, Rector AL. Terminological systems: Bridging the generation gap. In: Masys DR. editor. Proceedings of the 1997 AMIA Annual Fall Symposium. Philadelphia: Hanley & Belfus; 1997. p. 610-4.
12 Rector A, Solomon W, Nowlan W, Rush T, Zanstra P, Claassen W. A terminology server for medical language and medical information systems. Method Inform Med 1995; 34 1-2 147-57.
13 Olson NE, Erlbaum MS, Tuttle MS, Sherertz DD, Suarez-Munist O, Lipow SS. et al. Exploiting the Metathesaurus update model. In: Cimino JJ. editor. Proceedings of the 1996 AMIA Annual Fall Symposium. Philadelphia: Hanley & Belfus; 1996: 902.
14 Suarez-Munist ON, Tuttle MS, Olson NE, Erlbaum MS, Sherertz DD, Lipow SS. et al. MEME-II supports the cooperative management of terminology. In: Cimino JJ. editor. Proceedings of the 1996 AMIA Annual Fall Symposium. Philadelphia: Hanley & Belfus; 1996. p. 84-8.
15 Campbell K, Cohn S, Chute C, Shortliffe E, Rennels G. Scalable methodologies for distributed development of logic-based convergent medical terminology. Method Inform Med 1998; 37 4-5 426-39.
16 Brachman R, Schmolze J. An overview of the KL-ONE knowledge representation system. Cognitive Science 1985; 9: 171-216.
17 Brachman RJ, Fikes R, Levesque H. Krypton: A functional approach to knowledge representation. Computer 1983; 16 (Suppl. 10) 67-73.
18 Peltason C. The BACK system: An overview. SIGART Bulletin 1991; 2 (Suppl. 03) 114-9.
19 Brachman RJ, McGuinness DL, Patel-Schneider PF, Resnick LA, Borgida A. Living with CLASSIC: When and how to use a KLONE-like language. In: Sowa JF. editor. Principles of Semantic Networks: Explorations in the Representation of Knowledge. San Mateo, CA: Morgan Kaufmann; 1991. p. 401-56.
20 MacGregor RM. Inside the Loom description classifier. SIGART Bulletin 1991; 2 (Suppl. 03) 88-92.
21 Mays E, Dionne R, Weida R. K-Rep system overview. SIGART Bulletin 1991; 2 (Suppl. 03) 93-7.
22 Mays E, Weida R, Dionne R, Laker M, White B, Liang C. et al. Scalable and expressive medical terminologies. In: Cimino JJ. editor. Proceedings of the 1996 AMIA Annual Fall Symposium. Philadelphia: Hanley & Belfus; 1996: 259-63.
23 Rector A, Bechhofer S, Goble C, Horrocks I, Nowlan W, Solomon W. The GRAIL concept modelling language for medical terminology. Artif Int Med 1997; 9 (Suppl. 02) 139-71.
24 Horrocks I, Sattler U. A description logic with transitive and inverse roles and role hierarchies. J Log Compu 1999; 9 (Suppl. 03) 385-410.
25 Valente A, Russ T, MacGregor R, Swartout W. Building and (re)using an ontology of air-campaign planning. IEEE Intelligent Systems 1999; 14 (Suppl. 01) 27-36.
26 Swartout B, Patil R, Knight K, Russ T. Toward distributed use of large-scale ontologies. In: Gaines B, Musen M. editors. KAW 96. Proceedings of the Tenth Knowledge Acquisition for Knowledge-Based Systems Workshop. 1996. Nov. 9-14; Banff, Alberta, Canada: 1996: 32.1-19.
27 Guarino N, Giaretta P. Ontologies and knowledge bases: Towards a terminological classification. In: Mars N. editor. Towards Very Large Knowledge Bases. 1995. IOS Press; 1995
28 Webster’s New Collegiate Dictionary. 9th ed. Springfield, MA: Merriam-Webster; 1991. Ontology; 825.
29 Gruber T. A translation approach to portable ontology specifications. Knowledge Acquisition 1993; 5 (Suppl. 02) 199-220.
30 Neches R, Fikes R, Finin T, Gruber T, Sanator T, Swartout W. Enabling technology for knowledge sharing. AI Magazine 1991; 12: 36-56.
31 Farquhar A, Fikes R, Rice J. The Ontolingua server: A tool for collaborative ontology construction. Int J Human-Computer Studies 1997; 46 (Suppl. 06) 707-27.
32 Chaudhri VK, Farquhar A, Fikes R, Karp PD, Rice JP. OKBC: A programmatic foundation for knowledge base interoperability. In: AAAI-98. Proceedings of the Fifteenth National Conference on Artificial Intelligence;. 1998 July 26-30; Madison, WI: 1998. p. 600-7.
33 Chaudhri V, Farquhar A, Fikes R, Karp P, Rice J. Open Knowledge Base Connectivity 2.0. Stanford, CA: Knowledge Systems Laboratory, Stanford University; 1998. Report No.: KSL Technical Report KSL-98-06.
34 Patil R, Fikes R, Patel-Schneider P, McKay D, Finin T, Gruber T. et al. The DARPA knowledge-sharing effort: Progress report. In: Rich C, Nebel B, Swartout W. editors. Principles of Knowledge Representation and Reasoning: Proceedings of the Third International Conference; 1992 Oct. 25-29. Cambridge, MA: Morgan Kaufmann; 1992: 777-88.
35 Patel-Schneider PF, Swartout B. Description-logic knowledge representation system specification from the KRSS group of the ARPA knowledge-sharing effort;. 1993 November 1.
36 Noy NF, Musen MA. SMART: Automated support for ontology merging and alignment. In: Gaines B, Kremer R, Musen M. editors. KAW 99. Twelfth Workshop on Knowledge Acquisition, Modeling and Management. 1999 October 16-21; Banff, Alberta, Canada: 1999. Track 4, No. 7 1-20.
37 Fikes R, Farquhar A, Rice J. Tools for assembling modular ontologies in Ontolingua. In: AAAI-97. Proceedings of the Fourteenth National Conference on Artificial Intelligence. 1997 July 27-31; Providence, RI: 1997: 436-41.
38 Weinstein PC, Birmingham WP. Comparing concepts in differentiated ontologies. In: Gaines B, Kremer R, Musen M. editors. KAW 99. Twelfth Workshop on Knowledge Acquisition, Modeling and Management;. 1999 October 16-21; Banff, Alberta, Canada: 1999. Track 5, No. 6 1-22.
39 Chute C, Elkin P, Sherertz D, Tuttle M. Desiderata of a clinical terminology server. In: Lorenzi NM. editor. Proceedings of the AMIA ‘99 Annual Symposium. Philadelphia: Hanley & Belfus; 1999: 42-6.
40 Schulz EB, Barrett JW, Price C. Semantic quality through semantic definition: Refining the Read codes through internal consistency. In: Masys DR. editor. Proceedings of the 1997 AMIA Annual Fall Symposium. Philadelphia: Hanley & Belfus; 1997: 615-9.
41 Spackman KA, Campbell KE, Cote RA. SNOMED RT: A reference terminology for health care. In: Masys DR. editor. Proceedings of the 1997 AMIA Annual Fall Symposium. Philadelphia: Hanley & Belfus; 1997: 640-4.
42 Spackman KA, Campbell KE. Compositional concept representation using SNOMED: Towards further convergence of clinical terminologies. In: Chute CG. editor. Proceedings of the AMIA ‘98 Annual Symposium. Philadelphia: Hanley & Belfus; 1998: 740-4.
43 Cimino J. Desiderata for controlled medical vocabularies in the twenty-first century. Method Inform Med 1998; 37 4-5 394-403.
44 Chute CG, Cohn SP, Campbell JR. A framework for comprehensive health terminology systems in the United States: Development guidelines, criteria for selection, and public policy implications. J Am Med Inform Assoc 1998; 5 (Suppl. 06) 503-10.
45 National Library of Medicine.. Medical Subject Headings files available to download. Last updated October 21 1999 http://www.nlm.nih.gov/mesh/filelist.html
46 National Library of Medicine.. MeSH vocabulary file: Data element descriptions. Last updated October 20, 1998 http://www.nlm.nih.gov/mesh/elmesh99.pdf
47 Oliver DE, Shahar Y, Shortliffe EH, Musen MA. Representation of change in controlled medical terminologies. Artif Intell Med 1999; 15 (Suppl. 01) 53-76.
48 O’Neil M, Payne C, Read J. Read codes Version 3: A user-led terminology. Method Inform Med 1995; 34 1-2 187-92.
49 Oliver DE. Synchronization of diverging versions of a controlled medical terminology. In: Chute CG. editor. Proceedings of the AMIA ‘98 Annual Symposium. Philadelphia: Hanley & Belfus; 1998: 850-4.
50 Bennett JC, Plum F. editors. Cecil Textbook of Medicine. 20th ed. Philadelphia: WB Saunders; 1996
51 Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL. et al., editors. Harrison’s Principles of Internal Medicine. New York: McGraw-Hill; 1998
52 Stitt E. The Diagnostics and Treatment of Tropical Diseases. 2nd ed. Philadelphia: P. Blakiston’s Son and Company; 1917
53 Brown P, O’Neil M, Price C. Semantic definition of disorders in version 3 of the Read codes. Method Inform Med 1998; 37 4-5 415-9.