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Identifying problematic concepts in SNOMED CT using a lexical approach.

Ankur Agrawal1, Yehoshua Perl, Gai Elhanan

  • 1Department of Computer Science, New Jersey Institute of Technology, Newark, NJ, USA.

Studies in Health Technology and Informatics
|August 8, 2013
PubMed
Summary
This summary is machine-generated.

A study found 38% of tested concept sets in SNOMED CT (SCT) had inconsistencies. This research introduces a group auditing technique to improve clinical terminology quality and aid SCT adoption.

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Area of Science:

  • Medical Informatics
  • Clinical Terminology Management
  • Health Data Standards

Background:

  • SNOMED CT (SCT) is a premier clinical terminology widely endorsed for electronic health records.
  • Current indications suggest SCT may not be optimally structured for healthcare practitioner use.
  • Ensuring terminology quality is crucial for effective clinical information systems.

Purpose of the Study:

  • To investigate the extent of inconsistencies within SNOMED CT concepts.
  • To introduce and evaluate a group auditing technique for improving SCT quality.
  • To identify problematic concepts with high probability for targeted refinement.

Main Methods:

  • Definition of positional similarity sets: groups of lexically similar concepts.
  • Manual auditing of sample positional similarity sets.
  • Analysis of inconsistencies based on differing words in fully specified names.

Main Results:

  • A manual audit revealed that 38% of the sampled positional similarity sets contained one or more inconsistent concepts.
  • The group auditing technique demonstrated potential for identifying quality issues in SCT.
  • Inconsistencies were found in a significant proportion of the audited concept groups.

Conclusions:

  • The developed group auditing technique is effective in identifying inconsistencies within SNOMED CT.
  • Assuring the quality of SNOMED CT through such auditing methods can expedite its adoption as a reference terminology.
  • Improving SCT quality is essential for its successful integration and utilization in clinical practice.