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Querying the National Drug File Reference Terminology (NDFRT) to Assign Drugs to Decision Support Categories

机译:查询国家药物文件参考术语(NDFRT)将药物分配给决策支持类别

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Introduction: The accurate categorization of drugs is a prerequisite for decision support rules. The manual process of creating drug classes can be laborious and error-prone. Methods: All 142 drug classes currently used at Regenstrief Institute for drug interaction alerts were extracted. These dnig classes were replicated as fully-defined concepts in our local instance of the NDFRT knowledge base. The performance of these two sfrategies (manual classification vs. NDFRT-based queries) was compared, and the sensitivity and specificity of each was calculated. Results: Compared to existing manual classifications, NDFRT-based queries made a greater number of correct class-drug assignments: 1528 vs. 1266. NDFRT queries have greater sensitivity (74.9% vs. 62.1%) to classify drugs. However, they have less specificity (85.6% vs. 99.8%). Conclusion: The NDFRT Icnowledge base shows promise for use in an automated strategy to improve the creation and update of drug classes. The chief disadvantage of our NDFRT-based approach was a greater number of false positive assignments due to the inclusion of non-systemic doseforms.
机译:介绍:药物准确分类是决策支持规则的先决条件。创建药物课程的手动过程可能是费力和出错的。方法:提取目前用于药物相互作用警报的Egenstrief Institucts目前使用的所有142种药物课程。这些DNIG类被复制为NDFRT知识库的本地实例中的完全定义概念。比较了这两个SFRATCHIGIES(手动分类与NDFRT的查询)的性能,并计算了每个敏感性和特异性。结果:与现有的手动分类相比,基于NDFRT的查询使得更多的正确类药物分配:1528与1266. NDFRT查询具有更大的敏感性(74.9%与62.1%)进行分类。但是,它们的特异性较小(85.6%与99.8%)。结论:NDFRT授权基础显示了在自动化策略中使用的承诺,以改善药物课程的创建和更新。基于NDFRT的方法的主要缺点是由于包含非全身剂量形状而导致的虚假阳性划分。

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