Strategies for Referent Tracking in Electronic Health Records

Strategies+for+Referent+Tracking+in+Electronic+Health+Records.%0d%0aArguments+to+Werner+Ceusters+presentation+Imia+WG6+Workshop+on+Ontology+and+Biomedical+Informatics+Roma+29+April-2+May+2005%0d%0aIs+Ontology+needed+in+Biomedical+Informatics+%3f%0d%0a%0d%0aJean+marie+Rodrigues+rodrigues%40univ-st-etienne.fr%0d%0aDpt+of+public+health+and+medical+informatics+%2c+University+of+Saint+Etienne+USE%2c+France%0d%0a%0d%0a%0cTracking+%e2%80%9cParticular%2fInstance%e2%80%9d+a+sufficient+Ontology%3f%0d%0a%0d%0a1+RTS+IS+NOT+ADRESSING+AN+UNKNOWN+ISSUE+BY+EHR+EITHER+EXISTING+OR+DEVELOPING+(Cimino%2cHL7%2cOpen+EHR%2c+CEN+TC+251+et.)+ex+CEN+Archetype+2+IT+IS+AN+INTERESTING+CONTRIBUTION+TO+SEMANTIC+INTEROPERABILITY+3+IT+IS+NOT+EASY+TO+IMPLEMENT+FOR+TOO+MUCH+BASED+ON+AN+HOLISTIC+MODEL+%3aPUI%2fIUI%0d%0a%0d%0aDpt+of+public+health+and+medical+informatics+%2c+University+of+Saint+Etienne+USE%2c+France%0d%0a%0d%0a%0cTracking+%e2%80%9cParticular%2fInstance%e2%80%9d+a+sufficient+Ontology%3f+4+IT+IS+CONTRADICTORY+WITH+THE+NECESSARY+DISJUNCTION+BETWEEN+MODEL+OF+KNOWLEDGE+(Ontology)+and+MODEL+OF+USE+(clinical+terminology%3asnomed+ct)+5+IT+ADRESSES+INTERESTING+SIDE+POINTS+-Definition+of+ontology+in+Biomedicine+-Philosophical+based+oppositions+.Particular%2fUniversal+.Assignment%2fReservation+6+A+VERY+GOOD+ANALYSIS+OF+NEEDS+FOR+SEMANTIC+INTEROPERABILITY+BETWEEN+EHR+BUT+NOT+THE+MOST+EFFICIENT+(EVEN+IF+ELEGANT)WAY+TO+SOLVE+THE+PROBLEM+IF+USED+ALONE%0d%0aDpt+of+public+health+and+medical+informatics+%2c+University+of+Saint+Etienne+USE%2c+France%0d%0a%0d%0a%0c1+IT+IS+NOT+AN+UNKNOWN+ISSUE%0d%0a%0d%0aPARTICULAR+INSTANCE+IN+CONCRETE+REALITY+(introduction+and+case+study)+Vs+CONTEXT+LONGITUDINAL+EHR+EXISTING+TERMINOLOGY+TOOLS+RELATION+INFORMATION+MODEL+TERMINOLOGY+RELATION+TERMINOLOGY+ONTOLOGY%0d%0a%0d%0aDpt+of+public+health+and+medical+informatics+%2c+University+of+Saint+Etienne+USE%2c+France%0d%0a%0d%0a%0c-Electronic%0d%0a%0d%0aCEN+prEN13606+Archetype+%3a%0d%0a%0d%0ahealthcare+record+prEN13606+Part+2+%3a+Archetypes%0d%0a%0d%0aset+of+minimal+terminology+and+context+structure+constraints+to+support+the+production+of+meaningful+units+of+restricted+knowledge(not+only+information+but+not+full+knowledge)+to+be+interchanged+without+ambiguity+No+language+priority%3a+Person+status+Point+of+time+Terminology+%2fontology+used+Type+of+event+%2cordered+or+fixed+Observation%2cevaluation%2cinstruction+an+archetype+must+be+designed+to+constrain+configurations+of+instances+of+a+simple+node%2farc+information+model%2c+that+express+for+instance+%e2%80%9cmicrobiology+test+result%e2%80%9d+or+a+%e2%80%9cphysical+examination%e2%80%9d.+It+is+the+interface+between+the+formalisms+used+for+generic+EHR+classes+representation(reference+architecture%2cdata+types%2cformat+)and+information+on+PARTICULAR%2fINSTANCE+encapsulating+context+and+terminologies+based+or+not+on+ontology.%0d%0aUSE+Department+of+public+health+and+medical+informatics%0d%0a%0d%0a%0c2+IT+IS+AN+INTERESTING+CONTRIBUTION+TO+SEMANTIC+INTEROPERABILITY%0d%0a%0d%0aStarting+from+clear+%e2%80%9cphilosophical%e2%80%9d+assumptions+1+Particular+versus+Universal+2+Assignment+versus+reservation+The+use+of+PUI%2fIUI+in+EHR+statements+is+presented+with+%e2%80%9clogical%e2%80%9d+ELEGANCE%3a+-+Text-based+EHR+systems+-+Formally+structured+statements+(ontology)+-+Concept+based+systems+(Snomed)%0d%0a%0d%0aDpt+of+public+health+and+medical+informatics+%2c+University+of+Saint+Etienne+USE%2c+France%0d%0a%0d%0a%0c3+IT+IS+NOT+EASY+TO+IMPLEMENT+Questions+are+listed+1+Distinction+assignment+reservation+%e2%80%9ccan+be+problematic%e2%80%9d+2+The+existential+uniqueness+of+the+PUI%2fIUI+%e2%80%9cexistence+has+already+been+determined%e2%80%9d+3+Previous+assignment+%3f+4+Relevance+to+assign+different+across+EHRs+5+Management+of+PUI%2fIUI+generator%2cPUI%2fIUI+repository%2c+RTSDB+data+bases+To+what+extent+this+ideal+solution+can+be+operationalized+and+at+what+cost+to+be+practically+implemented+to+be+useful+%3f%0d%0a%0d%0aDpt+of+public+health+and+medical+informatics+%2c+University+of+Saint+Etienne+USE%2c+France%0d%0a%0d%0a%0c4+IT+IS+CONTRADICTORY+WITH+THE+NECESSARY+DISJUNCTION+BETWEEN+MODEL+OF+KNOWLEDGE+(Ontology)+AND+MODEL+OF+USE+(Clinical+terminology+%3asnomed+ct)+%e2%80%9calthough+none+of+these+architecture+take+particulars+into+account+%e2%80%a6the+modifications+to+be+made+are+minor%e2%80%9d+Text+based+EHR+Concept+Systems+Formally+structured+statements(ontology)+Some+curious+equivalence+as+ONTOLOGY%2fCONCEPT+SYSTEMS+To+what+extent+existing+applications+and+tools+can+be+improved+and+at+what+cost+to+come+useful+%3f%0d%0a%0d%0aDpt+of+public+health+and+medical+informatics+%2c+University+of+Saint+Etienne+USE%2c+France%0d%0a%0d%0a%0c4+IT+IS+CONTRADICTORY+WITH+THE+NECESSARY+DISJUNCTION+BETWEEN+MODEL+OF+KNOWLEDGE+(Ontology)+AND+MODEL+OF+USE+(Clinical+terminology+%3asnomed+ct)+BUT+IF+THIS+IS+TRUE%0d%0a%0d%0aSome+curious+equivalence+as+ONTOLOGY%2fCONCEPT+SYSTEMS%0d%0a%0d%0aIs+Ontology+needed+in+Biomedical+Informatics%3f+Tracking+%e2%80%9cParticular%2fInstance%e2%80%9d+a+sufficient+Ontology%3f%0d%0a%0d%0aDpt+of+public+health+and+medical+informatics+%2c+University+of+Saint+Etienne+USE%2c+France%0d%0a%0d%0a%0c5+IT+ADRESSES+INTERESTING+SIDE+POINTS%0d%0a%0d%0a-Definition+of+ontology+in+Biomedicine+-Philosophical+based+oppositions+.Particular%2fUniversal+.Assignment%2fReservation%0d%0a%0d%0aDpt+of+public+health+and+medical+informatics+%2c+University+of+Saint+Etienne+USE%2c+France%0d%0a%0d%0a%0c6+A+VERY+GOOD+ANALYSIS+OF+NEEDS+FOR+SEMANTIC+INTEROPERABILITY+BETWEEN+EHRs+BUT+NOT+THE+MOST+EFFICIENT+(EVEN+IF+ELEGANT)WAY+TO+SOLVE+THE+PROBLEM+IF+USED+ALONE%0d%0a%0d%0aDpt+of+public+health+and+medical+informatics+%2c+University+of+Saint+Etienne+USE%2c+France%0d%0a%0d%0a%0cEND%0d%0a%0d%0aUSE+Department+of+public+health+and+medical+informatics%0d%0a%0d%0a%0c