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J Am Med Inform Assoc 15:174-183 doi:10.1197/jamia.M2498
  • The Practice of Informatics

Exchange of Computable Patient Data between the Department of Veterans Affairs (VA) and the Department of Defense (DoD): Terminology Mediation Strategy

Table 4

Actual Translation and Mediation Success Rates in the Allergies Domain for Four Time Periods

16-Sep to 22-Sep 23-Sep to 29-Sep 30-Sep to 13-Oct 14-Oct to 4-Nov Totals
VA-to-DoD Allergens Exchange
 Total VA-to-UMLS translation attempts 259 225 61 266 811
 Translation failures 51 54 12 47 164
 Total allergies sent to DoD CHDR 208 171 49 219 647
 Translation Success Rate: VA-to-UMLS 80% 76% 80% 82% 80%
 Total allergies received from VA CHDR 208 171 49 219 647
 Translation failures 50 25 11 31 117
 Total VA allergies sent to DoD CDR 158 146 38 188 530
 Translation Success Rate: UMLS-to-DoD 76% 85% 78% 86% 82%
 Mediation Success Rate VA-to-DoD 61% 65% 62% 71% 65%
DoD-to-VA Allergens Exchange
 Total DoD-to-UMLS translation attempts 203 265 477 749 1,694
 Translation failures 45 70 90 197 402
 Total allergies sent to VA CHDR 158 195 387 552 1,292
 Translation Success Rate: DoD-to-UMLS 78% 74% 81% 74% 76%
 Total allergies received from DoD CHDR 158 195 387 552 1,292
 Translation failures 28 41 86 119 274
 Total DoD allergies sent to VA HDR 130 154 301 433 1,018
 Translation success rate: UMLS-to-VA 82% 79% 78% 78% 79%
 Mediation Success Rate DoD-to-VA 64% 58% 63% 58% 60%

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