Elsevier Content Enrichment Center (CEC) NFAIS Annual Conference 2013 February 25, 2013 Helen Parr Moran Vice President, Smart Content Elsevier Operations,

Elsevier Content Enrichment Center (CEC)

NFAIS Annual Conference 2013

February 25, 2013

Helen Parr Moran

Vice President, Smart Content

Elsevier Operations, CEC

[email protected]

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

The Challenge


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


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


The Approach:Smart Content


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


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


Smart Content is Infrastructure

ClinicalKey Workflow


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


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.


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


Smart Content In Action:ClinicalKey


EMMeT Powered Auto-Suggest


Speed to Answer: Content Filters & Previews

Workflow: Presentation Maker, Reading List & Saved Searches

User Response


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

What’s Next?


Internationalization: French EMMeT (FrEMMeT)


BETA

Curation: Smart Collection Tool & Specialty Collections


Questions?


Helen Moran

Vice President, Smart Content

Elsevier Operations, CEC

[email protected]

Elsevier Content Enrichment Center (CEC) NFAIS Annual Conference 2013 February 25, 2013 Helen Parr Moran Vice President, Smart Content Elsevier Operations,

Documents

elsevier slide

smart content content

smart content copyright

emmet elsevier

rights reserved slide

clinicalkey slide

structured xml content

infrastructure slide