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Page de résumé pour ULgetd-11162017-160013

Auteur : Jamoulle, Marc
E-mail de l'auteur : marc@jamoulle.com
URN : ULgetd-11162017-160013
Langue : Anglais/English
Titre : Towards a system of concepts for Family Medicine. Multilingual indexing in General Practice/ Family Medicine in the era of Semantic Web
Intitulé du diplôme : Doctorat en sciences médicales
Département : Médecine - Département des sciences cliniques
Jury :
Nom : Titre :
BUNTINX, Franck Membre du jury/Committee Member
DARMONI, Stephan Membre du jury/Committee Member
DONNEAU, Anne-Françoise Membre du jury/Committee Member
LETRILLIART, Laurent Membre du jury/Committee Member
ROLAND, Michel Membre du jury/Committee Member
VAN BOVEN, Kees Membre du jury/Committee Member
VANDER STICHELE, Robert Membre du jury/Committee Member
GIET, Didier Président du jury/Committee Chair
ITTOO, Ashwin Promoteur/Director
VANMEERBEEK, Marc Promoteur/Director
Mots-clés :
  • general practice; classification; terminology ; abstract as topic; ICPC ; Q-Codes; 3CGP; ontology ;
Date de soutenance : 2017-12-08
Type d'accès : Public/Internet
Résumé :


Executive Summary

Faculty of Medicine

Département Universitaire de Médecine Générale.

Unité de recherche Soins Primaires et Santé

Doctor in biomedical sciences

Towards a system of concepts for Family Medicine.

Multilingual indexing in General Practice/ Family Medicine in the era

of SemanticWeb

by Dr. Marc JAMOULLE


This thesis is about giving visibility to the often overlooked work of family

physicians and consequently, is about grey literature in General Practice

and Family Medicine (GP/FM). It often seems that conference organizers

do not think of GP/FM as a knowledge-producing discipline that deserves

active dissemination. A conference is organized, but not much is done with

the knowledge shared at these meetings. In turn, the knowledge cannot be

reused or reapplied. This these is also about indexing. To find knowledge

back, indexing is mandatory. We must prepare tools that will automatically

index the thousands of abstracts that family doctors produce each year in

various languages. And finally this work is about semantics1. It is an introduction

to health terminologies, ontologies, semantic data, and linked

open data. All are expressions of the next step: Semantic Web for health

care data. Concepts, units of thought expressed by terms, will be our target

and must have the ability to be expressed in multiple languages. In turn,

three areas of knowledge are at stake in this study: (i) Family Medicine as a

pillar of primary health care, (ii) computational linguistics, and (iii) health

information systems.


• To identify knowledge produced by General practitioners (GPs) by

improving annotation of grey literature in Primary Health Care

• To propose an experimental indexing system, acting as draft for a

standardized table of content of GP/GM

• To improve the searchability of repositories for grey literature in GP/GM.

1For specific terms, see the Glossary page 257



The first step aimed to design the taxonomy by identifying relevant concepts

in a compiled corpus of GP/FM texts. We have studied the concepts

identified in nearly two thousand communications of GPs during

conferences. The relevant concepts belong to the fields that are focusing

on GP/FM activities (e.g. teaching, ethics, management or environmental

hazard issues).

The second step was the development of an on-line, multilingual, terminological

resource for each category of the resulting taxonomy, named

Q-Codes. We have designed this terminology in the form of a lightweight

ontology, accessible on-line for readers and ready for use by computers of

the semantic web. It is also fit for the Linked Open Data universe.


We propose 182 Q-Codes in an on-line multilingual database (10 languages)

(www.hetop.eu/Q) acting each as a filter for Medline. Q-Codes are also available

under the form of Unique Resource Identifiers (URIs) and are exportable

in Web Ontology Language (OWL). The International Classification of Primary

Care (ICPC) is linked to Q-Codes in order to form the Core Content

Classification in General Practice/Family Medicine (3CGP). So far, 3CGP is

in use by humans in pedagogy, in bibliographic studies, in indexing congresses,

master theses and other forms of grey literature in GP/FM. Use by

computers is experimented in automatic classifiers, annotators and natural

language processing.


To the best of our knowledge, this is the first attempt to expand the ICPC

coding system with an extension for family physician contextual issues,

thus covering non-clinical content of practice. It remains to be proven that

our proposed terminology will help in dealing with more complex systems,

such as MeSH, to support information storage and retrieval activities.

However, this exercise is proposed as a first step in the creation of an ontology

of GP/FM and as an opening to the complex world of Semantic Web



We expect that the creation of this terminological resource for indexing abstracts

and for facilitating Medline searches for general practitioners, researchers

and students in medicine will reduce loss of knowledge in the

domain of GP/FM. In addition, through better indexing of the grey literature

(congress abstracts, master’s and doctoral theses), we hope to enhance

the accessibility of research results and give visibility to the invisible work of family physicians.

Autre version : http://hdl.handle.net/2268/216132
Fichiers :
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