Hi Tim,

Pieces of the 33 hits are included below:

-Sarcomatoid carcinoma of the cervix
-An evaluation of the usefulness of two terminology models for 
integrating nursing diagnosis concepts into SNOMED Clinical Terms
-Improved coding of the primary reason for visit to the emergency 
department using SNOMED
-Which coding system for therapeutic information in evidence-based medicine
-Automating SNOMED coding using medical language understanding: a 
feasibility study
-An evaluation of the utility of the CEN categorical structure for 
nursing diagnoses as a terminology model for integrating nursing 
diagnosis concepts into SNOMED
-Semantic features of an enterprise interface terminology for SNOMED RT
-Evaluation of a method that supports pathology report coding
-Evaluation of SNOMED3.5 in representing concepts in chest radiology 
reports: integration of a SNOMED mapper with a radiology reporting 
workstation
-Representation by standard terminologies of health status concepts 
contained in two health status assessment instruments used in rheumatic 
disease management
-An evaluation of ICNP intervention axes as terminology model components
-[Medical data in pathology--evaluation of a large collection. (530,000 
diagnoses coded in SNOMED II)]
-Scalable methodologies for distributed development of logic-based 
convergent medical terminology
-The role of peer review in internal quality assurance in cytopathology
-Evaluation of a "lexically assign, logically refine" strategy for 
semi-automated integration of overlapping terminologies
-Phase II evaluation of clinical coding schemes: completeness, taxonomy, 
mapping, definitions, and clarity. CPRI Work Group on Codes and Structures
-The surgical pathologist in a client/server computer network: work 
support, quality assurance, and the graphical user interface
-Comparison of the reproducibility of the WHO classifications of 1975 
and 1994 of endometrial hyperplasia
-Planned NLM/AHCPR large-scale vocabulary test: using UMLS technology to 
determine the extent to which controlled vocabularies cover terminology 
needed for health care and public health
-Mass screening for cervical cancer in Norway: evaluation of the pilot 
project
-The LBI-method for automated indexing of diagnoses by using SNOMED. 
Part 2. Evaluation
-Representing HIV clinical terminology with SNOMED
-The LBI-method for automated indexing of diagnoses by using SNOMED. 
Part 1. Design and realization
-A comparison of four schemes for codification of problem lists
-Can SNOMED International represent patients' perceptions of 
health-related problems for the computer-based patient record?
-Extraction of SNOMED concepts from medical record texts
-Terms used by nurses to describe patient problems: can SNOMED III 
represent nursing concepts in the patient record?
-[Descriptive epidemiology from autopsies at the Ospedale Maggiore di 
Milano from 1986 to 1987]
-[Development of a findings and results data system for forensic 
medicine autopsy cases]
-Medical linguistics: automated indexing into SNOMED
-Evaluation of the CAP microcomputer-based SNOMED encoding system
-[A new microglossary for biopsy pathology]

None of these hits can be related in any significant way to to the 
implementation and deployment of a system with SNOMED functionality, 
i.e., based wholly on SNOMED or integrating it as a plug-in or an 
integral function.

My original posting included some major review topics typically 
encountered in a software product design (the focus immaterial).

There is an old saying where I come from:
Quiting playing with the design and produce something before the 
competition does.

Design, develop, deploy sustain and upgrade later.

The motivation to charge for SNOMED may well prompt competition to 
action . Right now, in my opinion, SNOMED needs relevant 
Google/developer entries.

Additional comments in your text.

Thanks!

-Thomas Clark

Tim Churches wrote:

>On Fri, 2003-09-26 at 04:04, lakewood at copper.net wrote:
>  
>
>>3)Rigorous testing, including scalability, of SNOMED seems to be sparse:
>>
>>PERFORMANCE; Google search: "SNOMED performance |"
>>http://etbsun2.nlm.nih.gov:8000/publis-ob-offi/pdf/2000-tal-ob-Ft.pdf
>>(1 hit)
>>
>>SCALABILITY: Google search: "SNOMED scalability |"
>>(no hits)
>>
>>EFFECTIVENESS: Google search: "SNOMED effectiveness |"
>>(no hits)
>>
>>RELIABILITY: Google search: "SNOMED reliability |"
>>(no hits)
>>
>>AVAILABILITY: Google search: "SNOMED availability |"
>>http://quickstart.clari.net/qs_se/webnews/wed/bx/Bga-mckesson-info-sols.Rn1s_Dl9.html
>>(1 hit); DIFFERENT KIND OF 'availability', i.e., availabile for use
>>
>>COMPLAINTS: Google search: "SNOMED complaint |"
>>(no hits)
>>
>>ERRORS: Google search: "SNOMED error |"
>>(no hits)
>>
>>SUSTAINABILITY: Google search: "SNOMED sustain |"
>>(no hits)
>>
>>OK! I give up!
>>
>>SNOMED, it appears, has never been subjected to any kind of analysis. It 
>>appears to be in the same category as home repair contractors who 
>>provide an on-the-spot 'tail-light' warranty.
>>    
>>
>
>Only a tiny percentage of the biomedical literature is accessible to
>Google - you need to search PubMed - see
>http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
>
>A completely naive search on "SNOMED evaluation" yielded 33 hits, most
>of which we on topic. More extensive searches would flush out a lot more
>papers, I'm sure.
>
>BTW, please talk about "SNOMED CT" which is the original SNOMED
>classification combined with a clinical terms, including the Read codes.
>  
>
None of the 33 hits listed above refers to SNOMED CT. This looks like an 
issue that should be resolved.

>Personally I think that SNOMED CT is far from perfect (as has been
>discussed on this list in the past), but it is the best show in town for
>the near and medium future.  The fact that there is a universal license
>to use it in the US, and some form of NHS-wide license in the UK, makes
>it attractive to software developers. I understand that serious
>consideration is being given to negotiating a national license for
>SNOMED CT for Australia, but there is some due process to be gone
>through first before a decision is made.
>
>Tim C
>
>  
>
Have the current set of licensees subjected SNOMED CT to an IT WORLD 
review, analysis and performance/evaluation? If so, did they publish?

-Thomas Clark


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