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16:17:50 <dbooth> topic: Support for Building WHO Terminologies
16:17:58 <dbooth> mark: WHO is working on ICD, which has been around since the 19th century, and gets an upgrade every decade
16:18:00 <ericP> ... this explosion of codes has made people leary of ICD10
16:18:11 <dbooth> ... 11 will be next major rev
16:18:11 <ericP> scribenick: dbooth
16:18:44 <dbooth> mark: ICD currently published as a book. WHO sees a need for change
16:18:51 <dbooth> ... ICD9-CM is a laundry list of terms.
16:19:09 <ericP> scribenick: ericP
16:19:34 <ericP> mark: [WHO slide: ICD-11 -- An Enriched Information Model]
16:19:46 <ericP> ... describes the high-level components
16:20:13 <ericP> ... these are part of the content model for ICD11
16:20:27 <ericP> ... these are represented as OWL classes
16:20:37 <ericP> ... the terms are OWL individuals
16:21:15 <ericP> ... WHO was afraid of the postcoordination model but more afraid of the "exploding bicycle" precoordination model
16:21:36 <ericP> ... WHO wants ICD to be useful in urban US and rural developing countries.
16:22:08 <ericP> ... "linearaizations" result in practice-specific terminologies, etc.
16:22:22 <ericP> ... [slide ICD is no longer just a list of terms ...]
16:22:51 <ericP> ... the goal is not to create a general KB of medicine but to capture enough for machines to do some reasoning.
16:23:11 <ericP> ... [slide ICD-11 "Linearizations"]
16:23:23 <ericP> ... morbidity for public health
16:23:34 <ericP> ... mortatily for death certificates
16:23:48 <ericP> ... [sldie Revision Org Structure]
16:24:06 <ericP> ... not a big yelling competition in geneva
16:24:21 <ericP> ... distributed contributions reviewed by peers
16:24:38 <ericP> ... reduces "last man standing" standards
16:24:56 <ericP> ... [iCAT slide]
16:25:12 <ericP> ... iCAT is Web Protege with some custom interface conventions
16:25:45 <ericP> ... e.g. comments left for developers
16:25:53 <ericP> ... on the right is the WHO content model
16:26:16 <ericP> ... as applied to the code in the hierarchy on the left
16:26:36 <ericP> ... [slide: iCAT Functionalities]
16:27:38 <ericP> ... some turf battles around what tag applies to the hierarchy
16:27:53 <ericP> ... intense discussions, multimedia, pointing to web docs
16:28:13 <ericP> ... shows how webprotege features are used for the development of a very large ontology
16:28:23 <ericP> ... [slide: weekly changes]
16:28:59 <ericP> ... ICD11 has gone from a prototype to what WHO calls a "data phase" ready for testing
16:29:10 <ericP> ... [slide: Post-coord]
16:29:25 <ericP> ... "what are the ways that asma can be post-coordinated?"
16:29:53 <ericP> ... specify with selections of terms
16:30:04 <ericP> ... [slide: logical definition tab]
16:30:48 <ericP> ... important to relate asthma with occurance "intermitten" with "intermittent asthma"
16:31:14 <ericP> ... [slide: WHO adopted the same approache for international classification of traditional medicine]
16:31:32 <ericP> ... same approach applied to ICTM
16:31:54 <ericP> ... e.g. TCM, korean, japanese traditional medicine
16:32:17 <ericP> ... WHO considers all medical care important.
16:32:40 <ericP> ... much of the world recieves these traditional meds but currently no representation
16:32:57 <ericP> ... [slide: Bioportal screenshot]
16:33:15 <ericP> ... ~350 ontologies from Allen Brain to Zebra fish
16:33:46 <ericP> ... goal: use the terms and value sets in bioportabl to unify WHO terminologies with existing terminologies
16:34:02 <ericP> ... [slide: iCat allows users...]
16:34:40 <ericP> ... we can map all of the bioportal terms related to meridian systems to ICTM
16:34:55 <ericP> ... [slide: Next up: CPT]
16:35:09 <ericP> ... AMA's "Current Procedural Terminology"
16:35:20 <ericP> ... currently distributed as a book
16:35:33 <ericP> ... working with AMA to clean up CPT
16:36:12 <ericP> ... also working with AMA and WHO to reconcile ICPT with ICHI (intl classif health interventions)
16:36:34 <ericP> ... discussed with WHO heatlh interventions meeting in barcelona
16:37:01 <ericP> ... can have all of these in OWL, instantiated by particular terminology, supported by bioportal
16:37:20 <ericP> ... [slide: family of OWL-based ontologies]
16:37:52 <ericP> ... Bioportal provides a modacum of the yosemite vision
16:38:07 <ericP> dbooth: questions?
16:38:51 <ericP> rafael: can icat link to freebase or dbpedia?
16:39:16 <ericP> mark: no. iCAT has limited the webprotege interface.
16:39:22 <ericP> ... but a good idea.
16:39:41 <ericP> Tony: structure of ICD11 IRIs in OWL
16:39:55 <ericP> mark: there's no attempt to be compatible with IHTSDO
16:40:03 <ericP> ... structure dicated by WHO
16:40:25 <ericP> ... agreement between WHO and IHTSDO to have shared content, but not started yet
16:40:43 <ericP> Tony: the SNOMED seems like the same structure.
16:41:12 <ericP> ... SNOMED has a standoff to the code
16:41:38 <ericP> ... when we examine the binding of a health record.
16:41:57 <ericP> Hung: how can we access bioportal
16:42:17 <ericP> mark: NCBO website, bioportal website
16:42:29 <ericP> ... no workshops planned at this point
16:42:40 <ericP> annete: what programming langs?
16:42:48 <ericP> mark: java/google web toolkit
16:43:05 <ericP> claude: goal for linking terminologies?
16:43:09 <dbooth> Claude: How successful was iCat for use by medical experts who are not familiar with ontologies, RDF or OWL?
16:43:24 <ericP> mark: desire for convergance, but money to be made in terminologies
16:43:41 <ericP> ... AMA makes more money from CPT than its membership dues
16:43:56 <ericP> ... IHTSDO has of course a licenseing model
16:44:13 <ericP> ... WHO has a need to do this for financing in the future
16:44:27 <ericP> ... desire is there, but the economics favor the status quo
16:44:33 <dbooth> How does this relate to CDISC/HL7 RDF-ization efforts?
16:44:54 <ericP> mark: parallel play. desire for more coordinated activity
16:45:28 <ericP> dbooth: what would it take to make iCAT support linkage to multiple standards?
16:45:38 <ericP> ... suppposed you want to link them after development.
16:46:04 <ericP> mark: we do this in a less-than-ideal way. we can store them all in bioportal.
16:46:27 <ericP> ... anything that we put into bioportal is linked to every other ontology by mappings.
16:46:38 <ericP> ... most programmatic, but accuracy isn't bad
16:47:06 <ericP> ... surprisingly, we get lots of web interface and bioportal API use of the linkages.
16:47:28 <ericP> ... the mappings are complex (how created, provenance, accuracy via user feedback)
16:47:51 <ericP> ... we don't have a compact linkage but the mappings are a step in the right direction
16:47:59 <ericP> dbooth: are the maps separate ontologies?
16:48:13 <ericP> mark: instances of OWL classes. readable through the API
16:48:29 <ericP> ... a user can flag an incorrect mapping.
16:48:44 <ericP> ... can flag concepts or mappings.
16:49:00 <ericP> ... we also allow users to select mappings from particular provenance.
16:49:11 <ericP> ... we don't have a well-defined governance process.
16:49:23 <ericP> ... adjustment is done on an ad-hoc basis.
16:49:36 <dbooth> http://en.wikipedia.org/wiki/ISO/IEC_11179
16:49:41 <ericP> ... we don't have enough feedback to motivate automation
16:50:02 <ericP> ... there's been no effort to map to 11179. parallel universes.
16:50:47 <ericP> Sal: ... clinical trials ... NCI ... 11179 ...
16:51:58 <ericP> ericP: i think PhUSE has done a mapping
16:52:13 <dbooth> David: How successful was iCat for use by medical experts who are not familiar with ontologies, RDF or OWL?
16:52:18 <ericP> dbooth: how successful was iCAT for non-RDF-expert medical folks
16:52:46 <ericP> ... folks managing these terminologies are esteemed medical professionals, not technocrats.
16:53:21 <ericP> ... we weren't getting funding for the UI, and ICD is complex, so we were pleased that the PAGs were able to do as well as they could
16:53:59 <ericP> ... that said, they shied away from iCAT, working in spreadsheets, but they were ultimately moved to iCAT and folks have used it.
16:54:27 <ericP> ... it was hard for iCAT to overcome the allure of Excel, but folks were more than happy to work online
16:54:40 <ericP> rafael: pipelines...
16:54:51 <dbooth> Rafael: What new features or directions are already planned or in the works?
16:55:28 <ericP> mark: in iCAT, lots of work done to customize to match WHO structure: governing body/topic advisory groups/...
16:55:45 <ericP> ... worried that iCAT is overfitted to WHO workflow
16:56:04 <ericP> dbooth: planned new features?
16:56:06 <dbooth> David: What new features or directions are already planned or in the works?
16:56:23 <ericP> mark: mainly in response to AMA CPT project
16:56:43 <ericP> ... AMA wants to share value sets, etc.
16:57:04 <ericP> ... precerticiation of procedures
16:57:20 <ericP> ... same work in WHO wrt ICTM
16:57:35 <ericP> ... we will have scalability issues
16:57:53 <dbooth> Claude: What new features or directions are already planned or in the works?
16:57:53 <ericP> ... also UI to deal with overwhelming scale
16:58:01 <dbooth> oops, bad paste
16:58:05 <ericP> Mark: iCAT is open source
16:58:14 <ericP> ... IHTSDO could use Protege
16:58:15 <dbooth> claude: Could iCAT be more generalized for adoption at, say, IHTSDO, that is, for general terminology management? Is iCAT open source (sorry, I may have missed this)?
16:58:27 <ericP> ... they are currently committed to their own tools and DL
16:58:32 <dbooth> Tony: What is the reperesentation of Value Sets? Are they just part of he Class hierarchy?
16:59:13 <ericP> mark: considering UI enhancements to browse sets.
16:59:38 <ericP> ... when users go to iCAT or webprotege, users want to browse stuff in its context. hard at large scale.
16:59:41 <dbooth> What about marrying iCat with BioPortal?   To what extent are they integrated?  Can or should they be integrated?
17:00:16 <ericP> mark: integration is such that iCAT and webprotege users can go to bioportal to grab terms from ontologies
17:00:37 <ericP> ... iCAT/webprotege comments can appear in bioportal
17:00:45 <ericP> ... shows user feedback in a nice way
17:00:54 <ericP> ... plan tighter coordination
17:01:18 <ericP> ... clicking a link in bioportal to bring up a webprotege interface
17:01:40 <ericP> ... also for folks using webprotege to use bioportal for the repo
17:04:11 <ericP> RRSAgent, please draft minutes
17:04:11 <RRSAgent> I have made the request to generate http://www.w3.org/2014/11/11-hcls-minutes.html ericP
17:05:01 <Zakim> disconnecting the lone participant, EricP, in SW_HCLS()11:00AM
17:05:03 <Zakim> SW_HCLS()11:00AM has ended
17:05:03 <Zakim> Attendees were +1.412.624.aaaa, ericP, [IPcaller], Vipul, Ingeborg, +1.978.794.aabb, +1.919.201.aacc, Ratnesh
17:05:23 <ericP> Zakim, please disconnect ericP
17:05:23 <Zakim> sorry, ericP, I don't know what conference this is
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