Computerization of workflows, guidelines and care pathways: a review of implementation challenges for process-oriented health information systems

There is a need to integrate the various theoretical frameworks and formalisms for modeling clinical guidelines, workflows, and pathways, in order to move beyond providing support for individual clinical decisions and toward the provision of process-oriented, patient-centered, health information systems (HIS). In this review, we analyze the challenges in developing process-oriented HIS that formally model guidelines, workflows, and care pathways. A qualitative meta-synthesis was performed on studies published in English between 1995 and 2010 that addressed the modeling process and reported the exposition of a new methodology, model, system implementation, or system architecture. Thematic analysis, principal component analysis (PCA) and data visualisation techniques were used to identify and cluster the underlying implementation ‘challenge’ themes. One hundred and eight relevant studies were selected for review. Twenty-five underlying ‘challenge’ themes were identified. These were clustered into 10 distinct groups, from which a conceptual model of the implementation process was developed. We found that the development of systems supporting individual clinical decisions is evolving toward the implementation of adaptable care pathways on the semantic web, incorporating formal, clinical, and organizational ontologies, and the use of workflow management systems. These architectures now need to be implemented and evaluated on a wider scale within clinical settings

BIM semantic-enrichment for built heritage representation

In the built heritage context, BIM has shown difficulties in representing and managing the large and complex knowledge related to non-geometrical aspects of the heritage. Within this scope, this paper focuses on a domain-specific semantic-enrichment of BIM methodology, aimed at fulfilling semantic representation requirements of built heritage through Semantic Web technologies. To develop this semantic-enriched BIM approach, this research relies on the integration of a BIM environment with a knowledge base created through information ontologies. The result is knowledge base system - and a prototypal platform - that enhances semantic representation capabilities of BIM application to architectural heritage processes. It solves the issue of knowledge formalization in cultural heritage informative models, favouring a deeper comprehension and interpretation of all the building aspects. Its open structure allows future research to customize, scale and adapt the knowledge base different typologies of artefacts and heritage activities

Living Knowledge

Diversity, especially manifested in language and knowledge, is a function of local goals, needs, competences, beliefs, culture, opinions and personal experience. The Living Knowledge project considers diversity as an asset rather than a problem. With the project, foundational ideas emerged from the synergic contribution of different disciplines, methodologies (with which many partners were previously unfamiliar) and technologies flowed in concrete diversity-aware applications such as the Future Predictor and the Media Content Analyser providing users with better structured information while coping with Web scale complexities. The key notions of diversity, fact, opinion and bias have been defined in relation to three methodologies: Media Content Analysis (MCA) which operates from a social sciences perspective; Multimodal Genre Analysis (MGA) which operates from a semiotic perspective and Facet Analysis (FA) which operates from a knowledge representation and organization perspective. A conceptual architecture that pulls all of them together has become the core of the tools for automatic extraction and the way they interact. In particular, the conceptual architecture has been implemented with the Media Content Analyser application. The scientific and technological results obtained are described in the following

Integration of Legacy Appliances into Home Energy Management Systems

The progressive installation of renewable energy sources requires the coordination of energy consuming devices. At consumer level, this coordination can be done by a home energy management system (HEMS). Interoperability issues need to be solved among smart appliances as well as between smart and non-smart, i.e., legacy devices. We expect current standardization efforts to soon provide technologies to design smart appliances in order to cope with the current interoperability issues. Nevertheless, common electrical devices affect energy consumption significantly and therefore deserve consideration within energy management applications. This paper discusses the integration of smart and legacy devices into a generic system architecture and, subsequently, elaborates the requirements and components which are necessary to realize such an architecture including an application of load detection for the identification of running loads and their integration into existing HEM systems. We assess the feasibility of such an approach with a case study based on a measurement campaign on real households. We show how the information of detected appliances can be extracted in order to create device profiles allowing for their integration and management within a HEMS

Data DNA: The Next Generation of Statistical Metadata

Describes the components of a complete statistical metadata system and suggests ways to create and structure metadata for better access and understanding of data sets by diverse users

Internet of robotic things : converging sensing/actuating, hypoconnectivity, artificial intelligence and IoT Platforms

The Internet of Things (IoT) concept is evolving rapidly and influencing newdevelopments in various application domains, such as the Internet of MobileThings (IoMT), Autonomous Internet of Things (A-IoT), Autonomous Systemof Things (ASoT), Internet of Autonomous Things (IoAT), Internetof Things Clouds (IoT-C) and the Internet of Robotic Things (IoRT) etc.that are progressing/advancing by using IoT technology. The IoT influencerepresents new development and deployment challenges in different areassuch as seamless platform integration, context based cognitive network integration,new mobile sensor/actuator network paradigms, things identification(addressing, naming in IoT) and dynamic things discoverability and manyothers. The IoRT represents new convergence challenges and their need to be addressed, in one side the programmability and the communication ofmultiple heterogeneous mobile/autonomous/robotic things for cooperating,their coordination, configuration, exchange of information, security, safetyand protection. Developments in IoT heterogeneous parallel processing/communication and dynamic systems based on parallelism and concurrencyrequire new ideas for integrating the intelligent “devices”, collaborativerobots (COBOTS), into IoT applications. Dynamic maintainability, selfhealing,self-repair of resources, changing resource state, (re-) configurationand context based IoT systems for service implementation and integrationwith IoT network service composition are of paramount importance whennew “cognitive devices” are becoming active participants in IoT applications.This chapter aims to be an overview of the IoRT concept, technologies,architectures and applications and to provide a comprehensive coverage offuture challenges, developments and applications

Optimising the value of the evidence generated in Implementation Science : the use of ontologies to address the challenges

Our thanks to Marta Marques, Emma Norris, Ildiko Tombor, Holly Walton, Olga Perski and Hilary Groarke for comments on an earlier draft of this editorial. The project is funded by a Wellcome Trust collaborative award [The Human Behaviour-Change Project: Building the science of behaviour change for complex intervention development’, 201,524/Z/16/Z].Peer reviewedPublisher PD

The Semantic Grid: A future e-Science infrastructure

e-Science offers a promising vision of how computer and communication technology can support and enhance the scientific process. It does this by enabling scientists to generate, analyse, share and discuss their insights, experiments and results in an effective manner. The underlying computer infrastructure that provides these facilities is commonly referred to as the Grid. At this time, there are a number of grid applications being developed and there is a whole raft of computer technologies that provide fragments of the necessary functionality. However there is currently a major gap between these endeavours and the vision of e-Science in which there is a high degree of easy-to-use and seamless automation and in which there are flexible collaborations and computations on a global scale. To bridge this practice–aspiration divide, this paper presents a research agenda whose aim is to move from the current state of the art in e-Science infrastructure, to the future infrastructure that is needed to support the full richness of the e-Science vision. Here the future e-Science research infrastructure is termed the Semantic Grid (Semantic Grid to Grid is meant to connote a similar relationship to the one that exists between the Semantic Web and the Web). In particular, we present a conceptual architecture for the Semantic Grid. This architecture adopts a service-oriented perspective in which distinct stakeholders in the scientific process, represented as software agents, provide services to one another, under various service level agreements, in various forms of marketplace. We then focus predominantly on the issues concerned with the way that knowledge is acquired and used in such environments since we believe this is the key differentiator between current grid endeavours and those envisioned for the Semantic Grid