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Rescuing Data from Decaying and Moribund Clinical Information Systems

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Health Informatics New Zealand
Health Informatics New Zealand

Professor Jon Patrick Health Information Technology Research Laboratory (HITRL - www.it.usyd.edu.au/~hitru) School of Information Technologies University of Sydney (P39, 17/10/08, Systems & Methods stream, 1.50pm)

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Rescuing Data from Decaying and Moribund Clinical Information Systems Jon Patrick, Peng Gao, Xin Li, Victor Zhou Health Information Technology Research Laboratory School of Information Technologies www.it.usyd.edu.au/~hitru
Objectives ,[object Object],[object Object]
Background
Methods ,[object Object],[object Object],[object Object]
Data Model Reverse Engineering (DMRE ) ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Data Model Minimisation (DMM) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Figure 2
Data Migration (DM) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Data Analytics Language - CliniDAL ,[object Object],[object Object],[object Object],[object Object]
CliniDAL Glossary ,[object Object],[object Object],[object Object],[object Object]
Using TTSCT to identify Snomed concepts within clinical texts
Project objectives ,[object Object],[object Object]
CliniDAL indexing process ,[object Object],[object Object],[object Object],Request_id is being used as an internal unique id in the SWAPS database referring to every single patient medical record. Request_id_list records the list of request ids whose text contains a specific concept and freq records how many times the concept appeared on the corresponding text. Description Text Text Integer Text Text Datetime Datetime Datetime Conceptid Request_id_list Frequency Version_id Index_created_date_time First_seen_date_time Last_seen_date_time Data_type Column_name
Some statistics from the index ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Most frequent concept top 10 37.84% 151357 One (qualifier value) 38112003 39.12% 156476 On examination - soft tissue swelling-local (finding) 164600000 39.12% 156482 mL/s/100mL of tissue (qualifier value) 259075005 39.12% 156482 Tissue used (attribute) 272742005 39.12% 156487 Structure of peri-ileal tissue (body structure) 81743008 39.12% 156487 Structure of periesophageal tissue (body structure) 113282007 39.12% 156488 Body tissue structure (body structure) 85756007 39.12% 156489 Entire periesophageal tissue (body structure) 322937007 39.12% 156489 Entire peri-ileal tissue (body structure) 264454007 40.50% 162009 Histocompatibility crossmatch (procedure) 72845001 Frequency Occurrences Concept Description Concept ID
CliniDAL system architecture
CliniDAL interface
CliniDAL query result sample
CliniDAL on SWAPS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Rescuing Data from Decaying and Moribund Clinical Information Systems

  • 1. Rescuing Data from Decaying and Moribund Clinical Information Systems Jon Patrick, Peng Gao, Xin Li, Victor Zhou Health Information Technology Research Laboratory School of Information Technologies www.it.usyd.edu.au/~hitru
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  • 14. Using TTSCT to identify Snomed concepts within clinical texts
  • 15.
  • 16.
  • 17.
  • 18. Most frequent concept top 10 37.84% 151357 One (qualifier value) 38112003 39.12% 156476 On examination - soft tissue swelling-local (finding) 164600000 39.12% 156482 mL/s/100mL of tissue (qualifier value) 259075005 39.12% 156482 Tissue used (attribute) 272742005 39.12% 156487 Structure of peri-ileal tissue (body structure) 81743008 39.12% 156487 Structure of periesophageal tissue (body structure) 113282007 39.12% 156488 Body tissue structure (body structure) 85756007 39.12% 156489 Entire periesophageal tissue (body structure) 322937007 39.12% 156489 Entire peri-ileal tissue (body structure) 264454007 40.50% 162009 Histocompatibility crossmatch (procedure) 72845001 Frequency Occurrences Concept Description Concept ID
  • 22.
  • 23.
  • 24.