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Present: Aslak, Hans, Øystein, Rune, Arezoo

Status

Rune:

We still don't have enough access to the data.

A: Remove Gender, Age, Identity.

AG: We have diagnosis code, and the number of days since day0.

We need to sign Non-Disclosure-Agrements.

We need informed consent from patients to work on free text.

Arezoo:

ICD-10 codes from Australia ...

(ICD-9 from America, convert it to ICD-10).

2012-version is much more detailed than the versions we map to.

Aslak: A81.09-level is deep enough

UMLS-semantic type: Ø: Pointing into the UMLS-ID? Maybe we can use the semantic types from UMLS.

The ICD-10 codes are from the upper level. Is that ok?

Summary: First look at one trajectories, then start splitting them into meaningful separate trajectories.

Øystein

talks to the people who translated ICD-10 into Norwegian.

Co-morbidity data from Karolinska (No answer yet)

Still not found any research on the temporal aspect of events, diagnoses, (Stefan Darmoni might know about this).

-We want to keep developing our own Norwegian ICD-10 ontology with chronic, temporal, etc...

A: Content of Ontology? ICD-10++ Example: Did Peter have this disease in 1940? Yes, if ....

A: Who validates the ontology? If they behave in a useful way, that's the validation.

Summary: We need to classify trajectories (but first we do just ONE big multi-year trajectory for each patient)

Aslak

How is co-morbidity related to trajectories?

Ø: We group events (for one individual) according to weak relationships (given by co-morbidity)

This will give us a classification system to split one patient into several trajectories. (Per Disease, Treatment, ...)

Ø: We need the background knowledge, can use data from Karolinska (Sjukehus, ikke institutt).

Ø: Segmentation based on clinical data (Japanese: Tanushi/Hercules).

There are existing classification about what is Chronic diseases or not. Ø: We have done some of this already.

-R: Where is this data? Ask Gro about where this data can be found in the research literature.

Summary: We need (ASAP) a graph showing That Patient, visiting That Department. Next Step: Show this in PE. (Rune, just do it ;-)

Hans

What about mapping between text/ontology? Ø: We don't have any text... Just classifying chronic or not, etc.

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