Templates as a method for implementing data provenance in decision support systems

AbstractDecision support systems are used as a method of promoting consistent guideline-based diagnosis supporting clinical reasoning at point of care. However, despite the availability of numerous commercial products, the wider acceptance of these systems has been hampered by concerns about diagnostic performance and a perceived lack of transparency in the process of generating clinical recommendations. This resonates with the Learning Health System paradigm that promotes data-driven medicine relying on routine data capture and transformation, which also stresses the need for trust in an evidence-based system. Data provenance is a way of automatically capturing the trace of a research task and its resulting data, thereby facilitating trust and the principles of reproducible research. While computational domains have started to embrace this technology through provenance-enabled execution middlewares, traditionally non-computational disciplines, such as medical research, that do not rely on a single software platform, are still struggling with its adoption. In order to address these issues, we introduce provenance templates – abstract provenance fragments representing meaningful domain actions. Templates can be used to generate a model-driven service interface for domain software tools to routinely capture the provenance of their data and tasks. This paper specifies the requirements for a Decision Support tool based on the Learning Health System, introduces the theoretical model for provenance templates and demonstrates the resulting architecture. Our methods were tested and validated on the provenance infrastructure for a Diagnostic Decision Support System that was developed as part of the EU FP7 TRANSFoRm project

An Architecture for Provenance Systems

This document covers the logical and process architectures of provenance systems. The logical architecture identifies key roles and their interactions, whereas the process architecture discusses distribution and security. A fundamental aspect of our presentation is its technology-independent nature, which makes it reusable: the principles that are exposed in this document may be applied to different technologies

Enhancing Workflow with a Semantic Description of Scientific Intent

Peer reviewedPreprin

Integrating Provenance Capture and UML with UML2PROV: Principles and Experience

This document contains supplementary material for the paper entitled ''Integrating Provenance Capture and UML with UML2PROV: Principles and Experience'', submitted for publication in TSE

Requirements and validation of a prototype learning health system for clinical diagnosis

Introduction Diagnostic error is a major threat to patient safety in the context of family practice. The patient safety implications are severe for both patient and clinician. Traditional approaches to diagnostic decision support have lacked broad acceptance for a number of well-documented reasons: poor integration with electronic health records and clinician workflow, static evidence that lacks transparency and trust, and use of proprietary technical standards hindering wider interoperability. The learning health system (LHS) provides a suitable infrastructure for development of a new breed of learning decision support tools. These tools exploit the potential for appropriate use of the growing volumes of aggregated sources of electronic health records. Methods We describe the experiences of the TRANSFoRm project developing a diagnostic decision support infrastructure consistent with the wider goals of the LHS. We describe an architecture that is model driven, service oriented, constructed using open standards, and supports evidence derived from electronic sources of patient data. We describe the architecture and implementation of 2 critical aspects for a successful LHS: the model representation and translation of clinical evidence into effective practice and the generation of curated clinical evidence that can be used to populate those models, thus closing the LHS loop. Results/Conclusions Six core design requirements for implementing a diagnostic LHS are identified and successfully implemented as part of this research work. A number of significant technical and policy challenges are identified for the LHS community to consider, and these are discussed in the context of evaluating this work: medico-legal responsibility for generated diagnostic evidence, developing trust in the LHS (particularly important from the perspective of decision support), and constraints imposed by clinical terminologies on evidence generation

Guidance in the human–machine analytics process

In this paper, we list the goals for and the pros and cons of guidance, and we discuss the role that it can play not only in key low-level visualization tasks but also the more sophisticated model-generation tasks of visual analytics. Recent advances in artificial intelligence, particularly in machine learning, have led to high hopes regarding the possibilities of using automatic techniques to perform some of the tasks that are currently done manually using visualization by data analysts. However, visual analytics remains a complex activity, combining many different subtasks. Some of these tasks are relatively low-level, and it is clear how automation could play a role—for example, classification and clustering of data. Other tasks are much more abstract and require significant human creativity, for example, linking insights gleaned from a variety of disparate and heterogeneous data artifacts to build support for decision making. In this paper, we outline the potential applications of guidance, as well as the inputs to guidance. We discuss challenges in implementing guidance, including the inputs to guidance systems and how to provide guidance to users. We propose potential methods for evaluating the quality of guidance at different phases in the analytic process and introduce the potential negative effects of guidance as a source of bias in analytic decision making