RE: Our white paper on Semantic Node Labeling in Clinical models

We (Kaiser) have been doing this without the labels for many years.  We 
have an extensional model (which is just our proprietary E.H.R) and we 
limit SNOMED terms to the "what" using Clinical findings and Procedures. 
We first do SNOMED subsumptions independent of our clinical model.  That 
returns us a list of SNOMED codes. We then, in a separate step use those 
codes in an extensional (SQL) query to get the associated MRNs we need. 
This is a generalized way to so what we do.  If you are all in one 
organization and you have agreements that act in place of SNLs then you 
don't have to make them explicit.
This is a way to make them explicit in models we may get from elsewhere. 
We have about 9 million patients and have been doing this ever since we've 
had our E.H.R.  By keeping the SNOMED "walled off" we can always safely 
use the reasoners without worrying about non intensional junk on the 
nodes.










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"Lin MD, Simon" <LINMD.SIMON@mcrf.mfldclin.edu> 
09/17/2012 03:02 PM

To
Peter Hendler/CA/KAIPERM@KAIPERM, "ratnesh.sahay@deri.org" 
<ratnesh.sahay@deri.org>
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"eric@w3.org" <eric@w3.org>, "helena.deus@deri.org" 
<helena.deus@deri.org>, "kerstin.l.forsberg@gmail.com" 
<kerstin.l.forsberg@gmail.com>, "meadch@mail.nih.gov" 
<meadch@mail.nih.gov>, "mscottmarshall@gmail.com" 
<mscottmarshall@gmail.com>, "public-semweb-lifesci@w3.org" 
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Subject
RE: Our white paper on Semantic Node Labeling in Clinical models






Do you have a toy example running, or a fully functional system running? 
 
Simon
==================================================
Simon Lin, MD | Director, Biomedical Informatics Research Center | 
Marshfield Clinic Research Foundation | 1000 N Oak Ave, Marshfield, WI 
54449 | 715-221-7299 | Lin.Simon@mcrf.mfldclin.edu | 
www.marshfieldclinic.org/birc 
 
For scheduling assistance, please contact Crystal Gumz, Administrative 
Secretary | 715-221-6403 | gumz.crystal@mcrf.mfldclin.edu 
 
 
 
From: Peter.Hendler@kp.org [mailto:Peter.Hendler@kp.org] 
Sent: Monday, September 17, 2012 4:20 PM
To: ratnesh.sahay@deri.org
Cc: eric@w3.org; helena.deus@deri.org; kerstin.l.forsberg@gmail.com; Lin 
MD, Simon; meadch@mail.nih.gov; mscottmarshall@gmail.com; 
public-semweb-lifesci@w3.org
Subject: Our white paper on Semantic Node Labeling in Clinical models
 
This very clearly (to me at least) explains the problem and suggested 
solution to some of the problems we (Kaiser) see in clinical models. 

Wonder who agrees? 






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