Enrichment of SNOMED CT Ophthalmology Component to Support EHR Coding

Hao Liu, P. Lloyd Hildebrand, Yehoshua Perl, James Geller

Research output: Chapter in Book/Report/Conference proceedingConference contribution

2 Scopus citations

Abstract

The US government has offered major financial incentives to encourage MDs, including ophthalmologists, to adopt Electronic Health Records (EHRs) in their practices. SNOMED CT was designated to be the EHR clinical terminology of choice. However, ophthalmologists in the US do not use SNOMED CT coding in their EHRs in spite of the Convergent Ophthalmology Terminology project by the American Academy of Ophthalmology, which added about 9,000 ophthalmology concepts to SNOMED CT. Hence, the intended interoperability and meaningful use have not been achieved. We examine the various reasons causing this lack of adoption of SNOMED CT, and we address how to enrich the ophthalmology component (OC) of SNOMED CT to create an interface terminology that better supports the EHR coding needs of ophthalmologists. Our proposed enhancements take into consideration the systematic workflow of eye patient visits, enriching the modeling of OC by adding extra part\-of relationships that accelerate access to necessary concepts.

Original languageEnglish (US)
Title of host publicationProceedings - 2018 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2018
EditorsHarald Schmidt, David Griol, Haiying Wang, Jan Baumbach, Huiru Zheng, Zoraida Callejas, Xiaohua Hu, Julie Dickerson, Le Zhang
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages1990-1997
Number of pages8
ISBN (Electronic)9781538654880
DOIs
StatePublished - Jan 21 2019
Event2018 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2018 - Madrid, Spain
Duration: Dec 3 2018Dec 6 2018

Publication series

NameProceedings - 2018 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2018

Conference

Conference2018 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2018
Country/TerritorySpain
CityMadrid
Period12/3/1812/6/18

All Science Journal Classification (ASJC) codes

  • Biomedical Engineering
  • Health Informatics

Keywords

  • EHR coding
  • Interface ontology
  • Ophthalmology
  • SNOMED CT
  • Terminology enrichment

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