G A L E N GALEN-IN-USE: Tools and MethodologySlide 1 Rubrics to Dissections to GRAIL to...

G A L E NGALEN-IN-USE: Tools and Methodology Slide 1

Rubrics to Dissections to GRAIL to Classifications

GALEN-IN-USE

A graphical overview of the tools and methodologies being used in the GALEN-IN-USE project to develop a

classification of surgical procedures

The slides in this presentation have accompanying notes. These are visible from the ‘View…Notes Pages’ option on the main PowerPoint menu.

http://www.galen-organisation.com/

http://www.cs.man.ac.uk/mig/galen/


GALEN-IN-USE Partners

University of Manchester, VAMP Health, UK

University of Nijmegen, Holland

EFCC and its affiliates: WCC, NOMESCO, CNR Rome, U St EtienneWCC, NOMESCO, CNR Rome, U St Etienne IASIST, IDGmbH, CMITD, STAKE, U LouvainIASIST, IDGmbH, CMITD, STAKE, U Louvain

University Hospital of Geneva, LNAT, Switzerland

OLE, RAMIT, Datasoft, Belgium

GSF Medis, U Hildesheim, Germany

CNR, Rome, Italy

SPRI, U Linköping, Sweden

VTT, Oulu Univ Hospital, Medici Data, Finland


Surgical

Procedure

Entry

Tool

SPET

ICD

ICPC

SN

OM

ED


RUBRIC "dividing of papillary muscle"CODE "35.31.i1"MAIN dividing

ACTS_ON papillary muscleHAS_OTHER_FEATURE method VALUE induced arrest of heart

Dissection

SPET


RUBRIC "operations on papillary muscle"CODE "35.31"MAIN surgical deed




RUBRIC "reattachment of papillary muscle"CODE "35.31.i2"MAIN repairing

ACTS_ON papillary muscleBY_TECHNIQUE reattaching


RUBRIC "repair of papillary muscle"CODE "35.31.i3"MAIN repairing


‘Sibling’ codes

Dissections


RUBRIC "operations on papillary muscle"CODE "35.31"MAIN surgical deed




RUBRIC "reattachment of papillary muscle"CODE "35.31.i2"MAIN repairing

ACTS_ON papillary muscleBY_TECHNIQUE reattaching


RUBRIC "repair of papillary muscle"CODE "35.31.i3"MAIN repairing


TemplateInterpreterandGRAILGenerator

Dissections


Expansion Algorithm

Map ‘descriptors’Map ‘descriptors’to GRAIL concepts to GRAIL concepts

(usually one-to-one)(usually one-to-one)

Map ‘Links’Map ‘Links’to GRAIL link-concept-link fragmentsto GRAIL link-concept-link fragments

usually one to manyusually one to many


Dissection

GRAIL


Automatic GRAIL Classification

GALEN Terminology

Server

Browse...

GRAIL


GALEN Terminology

Server

Classification of original rubrics

Browse...

GRAILGALEN

Terminology Server


Different organisationNew organisation calculated automatically, based on the structure provided in the dissection, and in the GRAIL Common Reference Model.

[35.31.i2] is now a child of [35.31.i3], not a sibling (as in the original source).


Browse...

GRAIL

Multilingual Natural Language

DissectionRubric


'037 Biopsie rénale isolée par lombotomie'

SurgicalDeed which isCharacterisedBy (performance whichG isEnactmentOf (BiopsyingProcess whichG < actsSpecificallyOn Kidney hasSpecificSubprocess (SurgicalApproaching whichG hasPhysicalMeans ((Route whichG passesThrough Loin))) >))

en: 'kidney biopsy by lumbotomie'fr: 'biopsie rénale par lombotomie'ge: 'Biopsie der Niere durch Lumbotomie'du: 'biopsie van de nier door lombotomie?'

GRAIL


Rubric

Language Generation: example 1


'109 Echographie prostatique transrectale'

SurgicalDeed which isCharacterisedBy (performance whichG isEnactmentOf ((ImagingProcess which playsClinicalRole SurgicalRole) whichG < actsSpecificallyOn ProstateGland hasSpecificPhysicalMeans UltrasonographyMachine hasSpecificSubprocess (SurgicalApproaching whichG hasPhysicalMeans ((Route which hasColinearityWith Rectum))) >))

en: 'transrectal prostate echographie'fr: 'echographie transrectale de la prostate'ge: 'transrektale Sonographie der Prostata'du: 'transrectale echografie van de prostaat'

GRAIL


Rubric



'252 Exérèse d''une tumeur de la glande surrénale à ciel ouvert'

SurgicalDeed which isCharacterisedBy (performance whichG isEnactmentOf ((Excising which playsClinicalRole SurgicalRole) whichG < actsSpecificallyOn (NeoplasticLesion whichG hasSpecificLocation AdrenalGland) hasSpecificSubprocess (SurgicalApproaching whichG hasSurgicalOpenClosedness (SurgicalOpenClosedness whichG hasAbsoluteState surgicallyOpen)) >))

en: 'surgically open extracting of an adrenal gland neoplastic lesion'fr: 'extraction d''une tumeur de la glande surrénale à ciel ouvert'ge: 'offene Extraktion eines Tumors der Nebenniere'du: 'open extractie van een tumor van de bijnier'

GRAIL


Rubric



RUBRIC "valgiserende osteotomie van overig gespecificeerd bot"PARAPHRASE "osteotomy of bone with purpose to create a valgising position, without humerus, without radius, without ulna, without metacarpalen and phalanx of hand, without femur, without tibia, without fibula and without metatarsalen and phalanx of foot"CODE "5-781.29"ENGLISH_RUBRIC "valgising osteotomy of other specified bone"

MAIN cuttingTO_ACHIEVE Deed:valgising

ACTS_ON Pathology:pathological postureACTS_ON bone

WITHOUT cuttingTO_ACHIEVE Deed:valgising

ACTS_ON Pathology:pathological postureACTS_ON humerus / radius / ulna / femur / tibia / fibula /

os metacarpale / os metatarsale / phalanx

Why Templates?

Small template produces large Grail ...


#printTime.#printMessage 'valgiserende osteotomie van overig gespecificeerd bot'.((SurgicalDeed which <

isCharacterisedBy (performance whichG isEnactmentOf ((Incising which playsClinicalRole SurgicalRole) whichG <

hasSpecificGoal ((Valgising which playsClinicalRole SurgicalRole) whichG

actsSpecificallyOn PathologicalStandingPosture)actsSpecificallyOn Bone

>))isCharacterisedBy (nonPerformance whichG

isEnactmentOf ((Incising which playsClinicalRole SurgicalRole) whichG <hasSpecificGoal ((Valgising which playsClinicalRole SurgicalRole)

whichG

actsSpecificallyOn PathologicalStandingPosture)actsSpecificallyOn Humerus

>))>)extrinsically hasRubric 'valgiserende osteotomie van overig gespecificeerd bot';extrinsically hasParaphrase 'osteotomy of bone with purpose to create a valgising position, without humerus, without radius, without ulna,

without metacarpalen and phalanx of hand, without femur, without tibia, without fibula and without metatarsalen and phalanx of foot';extrinsically hasCode '5-781.29';extrinsically hasEnglishRubric 'valgising osteotomy of other specified bone')extrinsically hasPhysicalSource 'wccfix.txt'.

((SurgicalDeed which <isCharacterisedBy (performance whichG


whichG




whichG

actsSpecificallyOn PathologicalStandingPosture)actsSpecificallyOn Radius

>))>)

1 2 3 4 5Grail


extrinsically hasRubric 'valgiserende osteotomie van overig gespecificeerd bot';extrinsically hasParaphrase 'osteotomy of bone with purpose to create a valgising position, without humerus, without radius, without ulna,




whichG




whichG

actsSpecificallyOn PathologicalStandingPosture)actsSpecificallyOn Ulna





whichG


>))

1 2 3 4 5Grail


isCharacterisedBy (nonPerformance whichG isEnactmentOf ((Incising which playsClinicalRole SurgicalRole) whichG <


actsSpecificallyOn PathologicalStandingPosture)actsSpecificallyOn Femur





whichG




whichG

actsSpecificallyOn PathologicalStandingPosture)actsSpecificallyOn Tibia





whichG

1 2 3 4 5Grail




isEnactmentOf ((Incising which playsClinicalRole SurgicalRole) whichG <hasSpecificGoal ((Valgising which playsClinicalRole SurgicalRole) whichG

actsSpecificallyOn PathologicalStandingPosture)

actsSpecificallyOn Fibula>))>)extrinsically hasRubric 'valgiserende osteotomie van overig gespecificeerd bot';extrinsically hasParaphrase 'osteotomy of bone with purpose to create a valgising position, without humerus, without radius, without ulna, without

metacarpalen and phalanx of hand, without femur, without tibia, without fibula and without metatarsalen and phalanx of foot';extrinsically hasCode '5-781.29';extrinsically hasEnglishRubric 'valgising osteotomy of other specified bone')extrinsically hasPhysicalSource 'wccfix.txt'.




actsSpecificallyOn Bone>))isCharacterisedBy (nonPerformance whichG



actsSpecificallyOn Metacarpal>))>)extrinsically hasRubric 'valgiserende osteotomie van overig gespecificeerd bot';extrinsically hasParaphrase 'osteotomy of bone with purpose to create a valgising position, without humerus, without radius, without ulna, without

metacarpalen and phalanx of hand, without femur, without tibia, without fibula and without metatarsalen and phalanx of foot';extrinsically hasCode '5-781.29';extrinsically hasEnglishRubric 'valgising osteotomy of other specified bone')extrinsically hasPhysicalSource 'wccfix.txt'.

((SurgicalDeed which <

1 2 3 4 5Grail


isCharacterisedBy (performance whichG isEnactmentOf ((Incising which playsClinicalRole SurgicalRole) whichG <





whichG

actsSpecificallyOn PathologicalStandingPosture)actsSpecificallyOn Metatarsal





whichG




whichG

actsSpecificallyOn PathologicalStandingPosture)actsSpecificallyOn Phalanx

>))>)

1 2 3 4 5Grail

G A L E N GALEN-IN-USE: Tools and MethodologySlide 1 Rubrics to Dissections to GRAIL to...

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