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Natural language processing to develop a standardized lexicon for precision medicine in oncology
Tianyi Wang1, Kimberly Tsai2, Steven S Kheloussi3
1Omnicom Health Market Access, New York, NY.
Journal of Managed Care & Specialty Pharmacy
|August 8, 2026
Summary
Precision medicine terminology is often inconsistent, causing confusion for stakeholders. A new lexicon was developed to clarify terms and improve understanding for better patient access to precision oncology testing and treatment.
Area of Science:
- Biomedical Sciences
- Health Policy
- Oncology
Background:
- Precision medicine terminology is used inconsistently across clinical, laboratory, payer, regulatory, and policy settings.
- This inconsistency can lead to confusion among multidisciplinary stakeholders with varying expertise.
- Misalignment in understanding precision medicine concepts may impact patient access to testing and treatment.
Purpose of the Study:
- To develop a consolidated lexicon of commonly used precision medicine terms.
- To support clearer communication and foundational understanding across stakeholders in precision medicine.
- To clarify distinctions between related precision medicine concepts for managed care stakeholders.
Main Methods:
- A 2-day partnership forum was held to discuss advancing precision medicine in oncology.
- A comprehensive literature review identified precision medicine terminology sources.
- Natural language processing (NLP) and expert review were used to generate and refine 19 definitions.
Main Results:
- A lexicon of 19 definitions for precision medicine terms was generated.
- Definitions cover foundational concepts, biological underpinnings, biomarker testing, and regulatory aspects.
- The lexicon provides a single reference framework for managed care stakeholders.
Conclusions:
- A standardized lexicon is crucial for consistent understanding of precision medicine terminology.
- Clearer terminology facilitates navigation of guidelines and coverage policies.
- Improved understanding can enhance patient access to precision oncology care.
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