elsevier content enrichment center (cec) nfais annual conference 2013 february 25, 2013 helen parr...
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Elsevier Content Enrichment Center (CEC)
NFAIS Annual Conference 2013
February 25, 2013
Helen Parr Moran
Vice President, Smart Content
Elsevier Operations, CEC
Smart Content for Clinical Practice: EMMeT and ClinicalKey
Elsevier is the largest Science, Technical and Medical (STM) Publisher in the world. In the area of Health Sciences, Elsevier publishes leading brands including The Lancet, Braunwald’s Heart Disease, Gray’s Anatomy, as well as leading online clinical support tools and products including ClinicalKey, Mosby’s Nursing Consult and Gold Standard Drug Database.
The Content Enrichment Center (CEC) in Elsevier Operations has more than 25 years of experience in creating and maintaining terminologies for use in manual and automated Abstracting and Indexing (A&I). Current taxonomies include EMTREE, Genetree, Geotree, and EMMeT and support products in a wide range of domains, such as life sciences, medicine, chemistry, pharmacology, and engineering.
Copyright © 2013 Elsevier, Inc. | All Rights Reserved
About Elsevier
No current offering delivers on all three components doctors need in a medical information product
The Physician’s Dilemma
The Physician’s Dilemma
The Challenge: Getting doctors the right information to make the best decisions and provide the best clinical care
Copyright © 2013 Elsevier, Inc. | All Rights Reserved
Keeping Current•Conferences/society meetings•Reading current literature
Collateral Workflows
22
ClinicalKey Complements Physician Workflows
Diagnosis
11
Create Care Plan
After-Treatment Care Plan
Patient Education & Compliance
Surgical Treatment
Procedures
Treatment
Patient Care Management Workflows
Medical Treatment
SharingInformation
•Patient specific information•Case presentation(within dept)
•Presentation to other bodies(eg, treatment committees, drug committees, etc.)
•External presentations(grand rounds, association presentations, etc)
33
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Copyright 2011 Outsell Gilbane Services, Inc. http://www.outsellinc.com
http://gilbane.com/xml/2009/11/what-is-smart-content.html#ixzz0hnuRhaBc
Copyright 2011 Outsell Gilbane Services, Inc. http://www.outsellinc.com
http://gilbane.com/xml/2009/11/what-is-smart-content.html#ixzz0hnuRhaBc
Taxonomy-Powered Content = Smart Content
Content with structured XML
Content with applied taxonomy
Copyright © 2013 Elsevier, Inc. | All Rights Reserved
Role of Smart Content
Product Development & Enhancement • More accurate search results• Faceted navigation• Improved content discoverability
Content Analytics• Greater insights into what we publish • Identification of co-occurring terms• Link to related external content & data
Personalization• Individual content recommendations• Targeted individual marketing • Contextual advertising
Editorial Productivity• Flexible product types – new collections,
image banks, etc. • Increased speed to market
Product Development & Enhancement • More accurate search results• Faceted navigation• Improved content discoverability
Content Analytics• Greater insights into what we publish • Identification of co-occurring terms• Link to related external content & data
Personalization• Individual content recommendations• Targeted individual marketing • Contextual advertising
Editorial Productivity• Flexible product types – new collections,
image banks, etc. • Increased speed to market
Copyright © 2013 Elsevier, Inc. | All Rights Reserved
Smart Content is Infrastructure
Introducing EMMeT (Elsevier Merged Medical Taxonomy)
Medical NameMalignant Neoplasm of the Breast
Consumer Friendly NameBreast Cancer
SynonymsMalignant Tumor of BreastMalignant Breast NeoplasmBreast Ca
CodesICD9 – 174.9MeSH – D001943SNOMED-CT – 190121004
Semantic Type/Group Neoplastic Process/Disease
• Breast Disorders• Cancer of the Thorax• Mammary Neoplasms• More….
• Breast Sarcoma• Familial Breast Cancer• Malignant lymphoma of the Breast• Malignant Neoplasm of the breast
outer quadrant• More…
Symptoms
Diagnostic Procedures
Treatment Procedures
Medications
Risk Factors
Prevention
Complications
Breast Lump, Nipple Retraction, …..
Mammography, Breast Biopsy, …..
Chemotherapy, Mastectomy, ….
Tamoxifen, Doxorubicin, …..
Family History, Genetics, Predisposition, ….
Screening, Preemptive Mastectomy, ….
Metastatic Cancer, ….
Parent Terms
Sem
anti
c R
ela
tionsh
ips
Children Terms
Copyright © 2012 Elsevier, Inc. | All Rights Reserved
Automated Indexing: Weighted Tags for Better Search
Paragraph-level SMART Content tags uncover highly-relevant information not necessarily evident from the title or abstract alone.
Paragraph-level SMART Content tags uncover highly-relevant information not necessarily evident from the title or abstract alone.
Article-level SMART Content tags help confirm relevance and provide a topical overview about a piece of content.
Article-level SMART Content tags help confirm relevance and provide a topical overview about a piece of content.
Copyright © 2013 Elsevier, Inc. | All Rights Reserved
Testing Quality: Multipronged QA
1. Technical Test Set• Validate the field selection and delivery format
2. Representative Gold Test• Establish recall, precision, and harmonic mean versus a manually tagged set
of content
3. Query Set• Compare product results with expected results from established search
queries
4. Search Logs• Analyze search logs for candidate terms and noise
5. Linguistic Intelligence (NLP) Use Cases• Test language parsing by rules engine using test cases (e.g., hepatitis B/C)
Semantic Enrichment Poll
Is your organization semantically enriching your content?
1.Yes
2.Not yet, but we’re working on it
3.No
4.Don’t know
Copyright © 2013 Elsevier, Inc. | All Rights Reserved
Smart Content for Doctors = Clinically Relevant Search
Actual Use-Case:
Non-invasive cardiologist wants the latest information on the use of biomarker guided therapy in treating congestive heart failure.
He enters search term: • BNP guided therapy in CHF
Actual Use-Case:
Non-invasive cardiologist wants the latest information on the use of biomarker guided therapy in treating congestive heart failure.
He enters search term: • BNP guided therapy in CHF
• 310,000 results—mostly news summaries
• Requires Google Scholar to produce a sublist of journal articles
• 10 results in reverse chronological order, burying several key papers
• 2nd result is an unwanted editorial comment
• Result set misses several key publications due to lack of term expansion and acronym confusion
• 1 relevant result, last updated in 2009
Clinical Search Results
*Based on an actual case study. Search conducted in March 2011.
Google is a trademark of Google Inc.
TM
BNP guided therapy for CHF Search
• 128 results• Results from various 12 content types appear in rank
order based on their currency and clinical impact • 1st four results are journals citing the most relevant and
current studies• Highly relevant and current content from various
information sources:• Clinical Trials• Books• First Consult
ClinicalKey: Finding the Needle in the Clinical Haystack
Internationalization: French EMMeT (FrEMMeT)
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BETA
Curation: Smart Collection Tool & Specialty Collections
Copyright © 2012 Elsevier, Inc. | All Rights Reserved
Questions?
Copyright © 2013 Elsevier, Inc. | All Rights Reserved
Helen Moran
Vice President, Smart Content
Elsevier Operations, CEC