A Core Reference Hierarchical Primitive Ontology for Electronic Medical Records Semantics Interoperability

Currently, electronic medical records (EMR) cannot be exchanged among hospitals, clinics, laboratories, pharmacies, and insurance providers or made available to patients outside of local networks. Hospital, laboratory, pharmacy, and insurance provider legacy databases can share medical data within a respective network and limited data with patients. The lack of interoperability has its roots in the historical development of electronic medical records. Two issues contribute to interoperability failure. The first is that legacy medical record databases and expert systems were designed with semantics that support only internal information exchange. The second is ontological commitment to the semantics of a particular knowledge representation language formalism. This research seeks to address these interoperability failures through demonstration of the capability of a core reference, hierarchical primitive ontological architecture with concept primitive attributes definitions to integrate and resolve non-interoperable semantics among and extend coverage across existing clinical, drug, and hospital ontologies and terminologies

Computing Healthcare Quality Indicators Automatically: Secondary Use of Patient Data and Semantic Interoperability

Harmelen, F.A.H. van [Promotor]Keizer, N.F. de [Copromotor]Cornet, R. [Copromotor]Teije, A.C.M. [Copromotor

Data quality issues in electronic health records for large-scale databases

Data Quality (DQ) in Electronic Health Records (EHRs) is one of the core functions that play a decisive role to improve the healthcare service quality. The DQ issues in EHRs are a noticeable trend to improve the introduction of an adaptive framework for interoperability and standards in Large-Scale Databases (LSDB) management systems. Therefore, large data communications are challenging in the traditional approaches to satisfy the needs of the consumers, as data is often not capture directly into the Database Management Systems (DBMS) in a seasonably enough fashion to enable their subsequent uses. In addition, large data plays a vital role in containing plenty of treasures for all the fields in the DBMS. EHRs technology provides portfolio management systems that allow HealthCare Organisations (HCOs) to deliver a higher quality of care to their patients than that which is possible with paper-based records. EHRs are in high demand for HCOs to run their daily services as increasing numbers of huge datasets occur every day. Efficient EHR systems reduce the data redundancy as well as the system application failure and increase the possibility to draw all necessary reports. However, one of the main challenges in developing efficient EHR systems is the inherent difficulty to coherently manage data from diverse heterogeneous sources. It is practically challenging to integrate diverse data into a global schema, which satisfies the need of users. The efficient management of EHR systems using an existing DBMS present challenges because of incompatibility and sometimes inconsistency of data structures. As a result, no common methodological approach is currently in existence to effectively solve every data integration problem. The challenges of the DQ issue raised the need to find an efficient way to integrate large EHRs from diverse heterogeneous sources. To handle and align a large dataset efficiently, the hybrid algorithm method with the logical combination of Fuzzy-Ontology along with a large-scale EHRs analysis platform has shown the results in term of improved accuracy. This study investigated and addressed the raised DQ issues to interventions to overcome these barriers and challenges, including the provision of EHRs as they pertain to DQ and has combined features to search, extract, filter, clean and integrate data to ensure that users can coherently create new consistent data sets. The study researched the design of a hybrid method based on Fuzzy-Ontology with performed mathematical simulations based on the Markov Chain Probability Model. The similarity measurement based on dynamic Hungarian algorithm was followed by the Design Science Research (DSR) methodology, which will increase the quality of service over HCOs in adaptive frameworks

Computing the compliance of physician drug orders with guidelines using an OWL2 reasoner and standard drug resources.

Assessing the conformity of a physician's prescription to a given recommended prescription is not obvious since both prescriptions are expressed at different levels of abstraction and may concern only a subpart of the whole order. Recent formalisms (OWL2) and tools (reasoners) from the semantic web technologies are becoming available to represent defined concepts and to handle classification services. We propose a generic framework based on such technologies, using available standardized drug resources, to compute the compliance of a given drug order to a recommended prescription, such that the subsumption relationship yields the conformity relationship between the order and the recommendation. The ATC drug classification has been used as a local ontology. The method has been successfully implemented for arterial hypertension management for which we had a sample of antihypertensive orders. However, supplemental standardized drug knowledge is needed to correctly compare drug orders to recommended orders

Front-Line Physicians' Satisfaction with Information Systems in Hospitals

Day-to-day operations management in hospital units is difficult due to continuously varying situations, several actors involved and a vast number of information systems in use. The aim of this study was to describe front-line physicians' satisfaction with existing information systems needed to support the day-to-day operations management in hospitals. A cross-sectional survey was used and data chosen with stratified random sampling were collected in nine hospitals. Data were analyzed with descriptive and inferential statistical methods. The response rate was 65 % (n = 111). The physicians reported that information systems support their decision making to some extent, but they do not improve access to information nor are they tailored for physicians. The respondents also reported that they need to use several information systems to support decision making and that they would prefer one information system to access important information. Improved information access would better support physicians' decision making and has the potential to improve the quality of decisions and speed up the decision making process.Peer reviewe

New Fundamental Technologies in Data Mining

The progress of data mining technology and large public popularity establish a need for a comprehensive text on the subject. The series of books entitled by "Data Mining" address the need by presenting in-depth description of novel mining algorithms and many useful applications. In addition to understanding each section deeply, the two books present useful hints and strategies to solving problems in the following chapters. The contributing authors have highlighted many future research directions that will foster multi-disciplinary collaborations and hence will lead to significant development in the field of data mining

Enhanced Living Environments

This open access book was prepared as a Final Publication of the COST Action IC1303 “Algorithms, Architectures and Platforms for Enhanced Living Environments (AAPELE)”. The concept of Enhanced Living Environments (ELE) refers to the area of Ambient Assisted Living (AAL) that is more related with Information and Communication Technologies (ICT). Effective ELE solutions require appropriate ICT algorithms, architectures, platforms, and systems, having in view the advance of science and technology in this area and the development of new and innovative solutions that can provide improvements in the quality of life for people in their homes and can reduce the financial burden on the budgets of the healthcare providers. The aim of this book is to become a state-of-the-art reference, discussing progress made, as well as prompting future directions on theories, practices, standards, and strategies related to the ELE area. The book contains 12 chapters and can serve as a valuable reference for undergraduate students, post-graduate students, educators, faculty members, researchers, engineers, medical doctors, healthcare organizations, insurance companies, and research strategists working in this area