Re: Inconsistent models, mapping, interoperability, and the SUO
Rich,
I'm assuming that formatting looks good in Outlook.
I can't see the "WordNet 2.0 definition of a drug" gif at all. Can you send it
separately.
-Rob
On Friday 25 March 2005 00:46, Rich Cooper wrote:
> Rob Freeman wrote
>
> > Rich,
> >
> > What kinds of rules are you looking for exactly?
> >
> > Can you give me an example of the kind of query you want your system to
> > answer?
> >
> > -Rob
>
> For example, in drug to drug interactions, there are classes of drugs that
> interfere with other classes. There are at least 10,000 prescriptions
> drugs, and I've gotten estimates as high as 100,000. So the number of
> 2-way and 3-way drug interactions is far too large to treat with keyword
> search alone. Watching patient medical records for cases where the wrong
> combination slipped through the system is one application. For the average
> hospital stay, your chances are about 30% that you will get the wrong drug
> at least once during your stay. So the pharmacist's commputerized
> interaction checker isn't enough to head off this kind of danger. So you
> need a drug classification system to specify the ones to look for, and to
> recognize them in real time in medical records.
>
> >From a slide I made:
>
> • On admission 08/22/01 resident’s height was 68
> inches and weight was 143. At the acute care hospital his height was
> listed as 72.4 inches and weight 153 pounds. This discrepancy was never
> brought to the physician’s attention.
>
> • Significant weight losses and gains not called
> to the physician. On 10/03/01 –10 lbs MD not notified. On 10/10/01 weekly
> weight gain of +3 lbs. Not called to MD. On 10/17/01 weekly weight loss of
> -3 lbs. Not called to MD. On 11/24/01 monthly weight gain of +7 lbs not
> called to MD. On 05/24/02 monthly weight loss of –6 ¾ lbs not called to
> MD. Malnutrition and weight loss should have been monitored very closely.
>
> • On 10/25/01 nurse’s documented “coughing and
> unable to swallow breakfast, has congestion, suctioned and kept
> comfortable” physician was not notified of increased coughing which
> required suctioning. An MD order for suctioning PRN/excessive secretions
> should have been obtained. No assessment of lung sounds documented.
> Resident has history of chronic aspirations and pneumonias, which increases
> risk for dehydration.
>
> • On 01/23/02 Mr. Patient was noted coughing up
> milky colored phlegm and some coming out of his nose. Noted with rhonchi.
> Dr. Doctor paged and message left for him at the office. No documentation
> if physician ever called back. Mr. Patient has history of chronic
> aspiration.
>
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> Markup Color Codes:
>
> Anaphoric reference
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> Operational Discrepancy
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> Nonsyntactic Phrase
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> Patient Condition Alert
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> Lexical Dialect
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> Failure to Notify MD of Change of Condition
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> Fragment of Actual Medical Record
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> And another slide:
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> WordNet 2.0's definition of drug:
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> and finally, an example deduction from the prototype tool I'm developing:
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> As you can see, WordNet 2.0 models the English usage for drug naming and
> classification conventions, so it provides an initial charge of words,
> relationships among words, and knowledge about drugs that helps reach a
> fully capable system faster than if you just start with the words alone.
>
>
>
> HTH,
>
> Rich