Hi William, YES!
From the IT viewpoint there will be limited responses on the 'health oriented search engines' that would be of significance to the operational aspects of a global distributed co-operative information system. Should I require detailed information on the proper content of an EHR or a medical/health condition I would include a PubMed search. As you imply 'research' belongs in a /'health orinted'/PubMed search. When you cross the border into topics involving deployment try leaving 'health oriented search engines' behind and climb into the IT world. At some point research should turn into reality. Prior to reaching that 'border' research has to adopt. Tried the same exercise using PubMed. Recognize from an IT viewpoint the terms often do not match, e.g., performance, scalability, sustainability (e.g., web services). A SUMMARY is included at the end of the following data. PUBMED SEARCH ---------------------- PERFORMANCE; search: SNOMED performance (8 hits; first 3) *1)The CardioOP-Data Clas (CDC). Development and application of a thesaurus for content management and multi-user teleteaching in cardiac surgery.* *Friedl R, Klas W, Westermann U, Rose T, Tremper J, Stracke S, Godje O, Hannekum A, Preisack MB.* Dept. of Heart Surgery, University of Ulm, Germany. reinhard.friedl at medizin.uni-ulm.de *2)Evaluation of a method that supports pathology report coding.* *Hasman A, de Bruijn LM, Arends JW.* Department of Medical Informatics, University of Maastricht, The Netherlands. hasman at mi.unimaas.nl *3)Integrated patient data for optimal patient management: the value of laboratory data in quality improvement.* *Emons MF.* Protocare Sciences, 2400 Broadway, Suite 100, Santa Monica, CA 90404, USA. SCALABILITY; search: SNOMED scalability (1 hit): *Scalable methodologies for distributed development of logic-based convergent medical terminology.* *Campbell KE, Cohn SP, Chute CG, Shortliffe EH, Rennels G.* Stanford University School of Medicine, CA, USA. campbell at informatics.com As the size and complexity of medical terminologies increase, terminology modelers are increasingly hampered by lack of tools and methods to manage the development process. This paper presents our use and ongoing evaluation of a description-logic classifier to support cognitive scalability of the underlying terminology and our enhancements to that classifier to support concurrent development utilizing semantics-based concurrency control methods. Our enhancements, collectively referred to as the Galapagos, consist of several applications that take locally-developed terminology enhancements from multiple sites, identify conflicting design decisions, support the modelers' reconciliation of the conflicting designs, and efficiently disseminate updates tailored for locally enhanced terminologies. We have tested our ideas through concurrent evolutionary enhancement of SNOMED International at three Kaiser Permanente regions and the Mayo Clinic. We have found that the underlying environment has met our design objectives, and supports semantic-based concurrency control, and identification and resolution of conflicting design decisions. PMID: 9865041 [PubMed - indexed for MEDLINE] EFFECTIVENESS; search: SNOMED effectiveness (1 hit): *Integrated patient data for optimal patient management: the value of laboratory data in quality improvement.* *Emons MF.* Protocare Sciences, 2400 Broadway, Suite 100, Santa Monica, CA 90404, USA. (a repeat) RELIABILITY; search: SNOMED reliability (2 hits): *1)Evaluation of a method that supports pathology report coding.* *Hasman A, de Bruijn LM, Arends JW.* Department of Medical Informatics, University of Maastricht, The Netherlands. hasman at mi.unimaas.nl *2)[Medical data in pathology--evaluation of a large collection. (530,000 diagnoses coded in SNOMED II)]* [Article in French] *Baumann RP.* Institut neuchatelois d'anatomie pathologique, Neuchatel RELIABILITY; search: SNOMED reliability (5 hits): *1)Using semantic distance for the efficient coding of medical concepts.* *Bousquet C, Jaulent MC, Chatellier G, Degoulet P.* Medical Informatics Department, Broussais Hospital, Paris, France * 2)Analysis of 24,444 surgical specimens accessioned over 55 years in an ophthalmic pathology laboratory.* *Spraul CW, Grossniklaus HE* *3)Coding medical information: classification versus nomenclature and implications to the Israeli medical system.* *Vardy DA, Gill RP, Israeli A.* Soroka University Medical Center, Beer-Sheva, Israel *4)A Russian version of SNOMED-International.* *Emelin IV, Levenson R, Perov YL, Rykov VV* *5)Classification of perinatal deaths.* *Wigglesworth JS.* Histopathology Department Hammersmith Hospital, Royal Postgraduate Medical School, London COMPLAINTS; search: SNOMED complaint (no hits): ERRORS; search: SNOMED error (6 hits): *1)A randomized controlled trial of the accuracy of clinical record retrieval using SNOMED-RT as compared with ICD9-CM.* *Elkin PL, Ruggieri AP, Brown SH, Buntrock J, Bauer BA, Wahner-Roedler D, Litin SC, Beinborn J, Bailey KR, Bergstrom L* *2)Semantic features of an enterprise interface terminology for SNOMED RT.* *Campbell J* *3)[OPS-301/ICPM: experiences and problems]* [Article in German] *Thurmayr R, Thurmayr GR* *4)[Weighted kappa statistics for measuring the divergence of rapid section and definitive diagnosis]* [Article in German] *Baumann RP, Moret J* *5)Local audit of surgical pathology. 18 month's experience of peer review-based quality assessment in an English teaching hospital.* *Ramsay AD, Gallagher PJ* *6)Comparison of manual data coding errors in two hospitals.* *Hall PA, Lemoine NR* SUSTAINABILITY; search: SNOMED sustain (no hits): SUMMARY: -INSUFFICIENT AT THE MOST BASIC LEVELS!!! -NO TESTING/QA EFFORT APPARENT -NO TEST EFFORT EVIDENT COVERING MORE THAN A LIMITED TARGET -NO SUGGESTION THAT THIS WILL SCALE TO HANDLE WITHOUT ERROR THE WORLD'S POPULATION OR A FRACTION THEREOF -THE ONE HIT ON SCALABILITY PUBLISHES THE APPARENT LIMITATIONS AND OMMISSIONS -THE NUMBER OF HITS OVERALL, AND FOR EACH TOPIC ARE REALLY VERY SMALL IN NUMBER AND OTHERWISE LIMITED -A PUBMED SEARCH IS OBVIOUSLY FOR RESEARCHERS FOCUSED ON SPECIFIC TOPICS In the future a large distributed system will have to be developed, tested, re-tested, verified by QA, deployed, maintained, upgraged, fixed and other wise supported. Very little will be 'static' One should not even expect to derive the basic goals and objectives from PubMed searches. Try Google once in a while. Then try some of the developer sites for more detailed information. If one is really not interested in deploying SNOMED in any form then there is no problem and remain with PubMed and research. -Thomas Clark Williamtfgoossen at cs.com wrote: > Hi Thomas, > > Are you still googling? I understood that Google is setting up a > database of all peoples searches and stores it forever for future > analysis. But that is hear say from the grapevine. > > Have you thought of re-doing your search with health oriented search > engines and / or in PubMed? It might be that research is more likely > popping up in these databases than in Google. > > Just a half Euro cent (With our Dutch queen on one side only). > > > :-) > > > William - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
