Jay
In followup to our discussion yesterday, post the i2b2 metadata to the website 
of Jeff’s choosing for his analysis
Jim

From: Klann, Jeffrey G. [mailto:jeff.kl...@mgh.harvard.edu]
Sent: Thursday, May 11, 2017 3:39 PM
To: Pedersen, Jay G <jay.peder...@unmc.edu>; Campbell, James R 
<campb...@unmc.edu>; gpc-dev@listserv.kumc.edu; huhick...@nebraskamed.com; 
dconno...@kumc.edu; rwait...@kumc.edu
Cc: mprit...@kumc.edu
Subject: Re: [gpc-informatics] #280: Medication ontology orgainzed by ingredient

Jay, have you posted this ontology anywhere we could download it and take a 
look?

Thanks,

Jeffrey Klann, PhD
Instructor of Medicine, Harvard Medical School
Director, SCILHS Query Core


From: "Pedersen, Jay G" <jay.peder...@unmc.edu<mailto:jay.peder...@unmc.edu>>
Date: Wednesday, April 12, 2017 at 5:03 PM
To: Jeffrey KLANN 
<jeff.kl...@mgh.harvard.edu<mailto:jeff.kl...@mgh.harvard.edu>>, "Campbell, 
James R" <campb...@unmc.edu<mailto:campb...@unmc.edu>>, 
"gpc-dev@listserv.kumc.edu<mailto:gpc-dev@listserv.kumc.edu>" 
<gpc-dev@listserv.kumc.edu<mailto:gpc-dev@listserv.kumc.edu>>, 
"huhick...@nebraskamed.com<mailto:huhick...@nebraskamed.com>" 
<huhick...@nebraskamed.com<mailto:huhick...@nebraskamed.com>>, 
"dconno...@kumc.edu<mailto:dconno...@kumc.edu>" 
<dconno...@kumc.edu<mailto:dconno...@kumc.edu>>, 
"rwait...@kumc.edu<mailto:rwait...@kumc.edu>" 
<rwait...@kumc.edu<mailto:rwait...@kumc.edu>>
Cc: "mprit...@kumc.edu<mailto:mprit...@kumc.edu>" 
<mprit...@kumc.edu<mailto:mprit...@kumc.edu>>
Subject: Re: [gpc-informatics] #280: Medication ontology orgainzed by ingredient


Hi,



We are using the VA drug classes (NDF-RT) for building Medications metadata for 
SCILHS.



The medications metadata can be seen in the following folders in BABEL:



   UNMC: SCILHS

     Medications

       RxNorm code (by VA Drug Class)

       Drugs by Ingredient



I am guessing that you were looking at the following folder (which does use the 
ATC hierarchy):



   UNMC: Medications (UNMC)



Jay Pedersen, M.A.
Department of Pathology/Microbiology
University of Nebraska Medical Center
985900 Nebraska Medical Center
Omaha NE  68198-5900
402-559-9487<tel:402-559-9593> (office)
402-739-3496<tel:402-350-7851> (mobile)

________________________________
From: Klann, Jeffrey G. 
<jeff.kl...@mgh.harvard.edu<mailto:jeff.kl...@mgh.harvard.edu>>
Sent: Wednesday, April 12, 2017 3:35:31 PM
To: Campbell, James R; 
gpc-dev@listserv.kumc.edu<mailto:gpc-dev@listserv.kumc.edu>; Pedersen, Jay G; 
huhick...@nebraskamed.com<mailto:huhick...@nebraskamed.com>; 
dconno...@kumc.edu<mailto:dconno...@kumc.edu>; 
rwait...@kumc.edu<mailto:rwait...@kumc.edu>
Cc: mprit...@kumc.edu<mailto:mprit...@kumc.edu>
Subject: Re: [gpc-informatics] #280: Medication ontology orgainzed by ingredient

Great, I see that Dan opened a ticket about BABELing. Not sure where you’re 
pushing it but please let me know when you have and we’ll be glad to take a 
look.

It looks like you are using ATC, not NDF-RT (VA)?

Also, if you are including all retired RxNorm codes, how do you arrange the 
ontology in the case where two RxNorm codes refer to exactly the same drug?

Thanks,
Jeff Klann, PhD

On 4/12/17, 9:46 AM, "Campbell, James R" 
<campb...@unmc.edu<mailto:campb...@unmc.edu>> wrote:

    Jeff
    I assume you are trying to review on BABEL?  I will leave indexing and 
efficiency there to KU's discretion.

    Jay is pushing a copy along with documentation up to your GITHUB site for 
you and the SCILHS community to comment.  We have set the procedures and 
software arranged with NLM and we will take responsibility for refreshing the 
metadata every six months for SCILHS (and GPC) if you approve.  The VA/class 
top level ontology is basically what you have done with the minor exception of 
renaming some of the ingredient level nodes where the VA has not deployed all 
formulations of that ingredient class (like CARDIOVASCULAR -BETA BLOCKERS- 
TIMOLOL  where the eye preps of timolol are not included as subtypes for 
searching.

    The need to have a metadata set that would index all US drugs is the reason 
that we added the second alpha ingredient list.  Speaking with NLM, NO drug 
classification - ATC, VA or whatever -is inclusive of all US pharmacopoeia.  
Ken Mandl co-authored a paper with Olivier Bodenreider discussing that very 
issue.

    I would be very interested in your thoughts about this metadata when you 
get a chance to review
    Jim

    -----Original Message-----
    From: Klann, Jeffrey G. [mailto:jeff.kl...@mgh.harvard.edu]
    Sent: Tuesday, April 11, 2017 10:37 PM
    To: gpc-dev@listserv.kumc.edu<mailto:gpc-dev@listserv.kumc.edu>; Pedersen, 
Jay G <jay.peder...@unmc.edu<mailto:jay.peder...@unmc.edu>>; Campbell, James R 
<campb...@unmc.edu<mailto:campb...@unmc.edu>>; 
huhick...@nebraskamed.com<mailto:huhick...@nebraskamed.com>; 
dconno...@kumc.edu<mailto:dconno...@kumc.edu>; 
rwait...@kumc.edu<mailto:rwait...@kumc.edu>
    Cc: mprit...@kumc.edu<mailto:mprit...@kumc.edu>
    Subject: Re: [gpc-informatics] #280: Medication ontology orgainzed by 
ingredient

    It is *extremely* slow to browse. Can you check your indexes? I’d like to 
explore your hard work but it’s unusable right now.

    ( I tried a few random other trees and they were also unbrowsably-slow. Is 
there an epidemic of bad indexes on babel? )

    Thanks,

    Jeffrey Klann, PhD
    Instructor of Medicine, Harvard Medical School Instructor in Investigation, 
Massachusetts General Hospital


    On 4/11/17, 12:00 PM, "GPC Informatics" 
<d...@madmode.com<mailto:d...@madmode.com>> wrote:

        #280: Medication ontology orgainzed by ingredient
        -------------------------+----------------------------
         Reporter:  preeder      |       Owner:  jay.pedersen
             Type:  enhancement  |      Status:  assigned
         Priority:  major        |   Milestone:  snow-shrine-2
        Component:  data-stds    |  Resolution:
         Keywords:               |  Blocked By:
         Blocking:               |
        -------------------------+----------------------------

        Comment (by dconnolly):

         Replying to [comment:19 campbell]:
         > SCILHS/Medication metadata issues addressed with load to BABEL 
toiday:

         Which folder has the updated medication metadata? is it **UNMC:
         Medications (UNMC)**?

         > •     (therefore) with VA drug classes as sole top-level ontology, 
not
         all clinical formulations or packages can be deployed

         So this is a wholesale re-organization of the ontology?

         If you can share the code you used to build it, please do.

        --
        Ticket URL: 
<http://informatics.gpcnetwork.org/trac/Project/ticket/280#comment:20>
        gpc-informatics <http://informatics.gpcnetwork.org/>
        Greater Plains Network - Informatics




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