Transcript VT PowerPoint Template5

AAEP Diagnostic Terms:
An Equine Subset of SNOMED-CT
Suzanne Santamaria, DVM, MS
Nathaniel White, DVM, MS, DACVS
Jeff Wilcke, DVM, MS DACVCP
http://www.freewebs.com/silvermeadowsim/
AVMA Convention, August 6, 2012
In attempting to arrive at the truth, I
… applied everywhere for information,
but in scarcely an instance have I been
able to obtain hospital records fit for any
purposes of comparison.
Florence Nightingale
semwisdom.com
AAEP’s Goal
For Equine Diseases:
• Determine incidence of diseases
• Promote common resource for
communication and education
• Retrieve data
Important Health/Economic Questions
Unique outbreak?
Can I send information?
Approved for condition?
http://mippi.ornl.gov/areas/bioinfo.shtml#pubs;
Research for new treatment justified?
Therapy worked for other horses?
Standards Enable Comparison
nasa.gov
globalrph.com
Record and Aggregate
SNOMED
Concepts
1322
AAEP
Subset
Concepts
22
How many cases of
upper respiratory disease
AAEP Subset
Concepts
did I see in the past month? 22
SNOMED
Concepts
1322
“Google Search-Like” Interface
Google.com
SNOMED Power – Compact Size
Query power
 Synonyms
 International
SNOMED
Core

 British
English
 Spanish et al
Data sharing
 Vet med standard

SNOMED
Veterinary
Adaptation
(Extension)
AAEP
Diagnostic
Terms
Subset
Tailored to Equine Practice
~1100
~1100
Concept
Preferred (subset)
Description
~700
Acceptable (subset)
Description
Abdominal pain (finding)
Colic
Abdominal pain
Abortion associated with
Equine arteritis virus
infection (disorder)
Abortion associated with
Equine viral arteritis
Abortion associated with
Equine arteritis virus
infection
Infection of bursa of distal
sesamoid bone of equine
limb (disorder)
Infection of navicular bursa
Volvulus of large colon
(disorder)
Volvulus of large colon
Volvulus of large intestine
AAEP Subset on VTSL Website
AAEP Subset on VTSL Website
Lessons Learned from AAHA Subset
Documentation,
consultation
Requests
Additional
formats
XML confusing
Frustrations,
praise
Implementation and Improvement
Improving
content
Demonstrations,
Proof of concepts
Post-coordination
AAEP Subset:
• Robust data analysis
• Knowledge discovery
• Specific for equine practice
• Improvements in future
Acknowledgements
Funded by a grant from the AAEP Foundation
VTSL Members:
Dr. Gareth Moore
Dr. Julie Green
Dr. Suzanne Santamaria
Dr. Jeff Wilcke
Help develop subset
AAEP Members:
Dr. Martin Furr
Dr. Nathaniel White
Assistance with developing subset
content
Additional SNOMED Users
American Animal Hospital Association (AAHA)
US Department of Agriculture Animal and Plant Health Inspection
Services – Veterinary Services (USDA-APHIS-VS)
US Food and Drug Administration Center for Veterinary Medicine
Veterinary Medical Databases (VMDB)
Virginia Department of Health
Zoological Information Management System (ZIMS)
………
Resources
To obtain the subset, contact Dr. Jeff
Wilcke at [email protected]
View subset and education materials
at http://vtsl.vetmed.vt.edu/aaep/