Semantic processing of EHR data for clinical research

There is a growing need to semantically process and integrate clinical data from different sources for clinical research. This paper presents an approach to integrate EHRs from heterogeneous resources and generate integrated data in different data formats or semantics to support various clinical research applications. The proposed approach builds semantic data virtualization layers on top of data sources, which generate data in the requested semantics or formats on demand. This approach avoids upfront dumping to and synchronizing of the data with various representations. Data from different EHR systems are first mapped to RDF data with source semantics, and then converted to representations with harmonized domain semantics where domain ontologies and terminologies are used to improve reusability. It is also possible to further convert data to application semantics and store the converted results in clinical research databases, e.g. i2b2, OMOP, to support different clinical research settings. Semantic conversions between different representations are explicitly expressed using N3 rules and executed by an N3 Reasoner (EYE), which can also generate proofs of the conversion processes. The solution presented in this paper has been applied to real-world applications that process large scale EHR data.Comment: Accepted for publication in Journal of Biomedical Informatics, 2015, preprint versio

The pragmatic proof: hypermedia API composition and execution

Machine clients are increasingly making use of the Web to perform tasks. While Web services traditionally mimic remote procedure calling interfaces, a new generation of so-called hypermedia APIs works through hyperlinks and forms, in a way similar to how people browse the Web. This means that existing composition techniques, which determine a procedural plan upfront, are not sufficient to consume hypermedia APIs, which need to be navigated at runtime. Clients instead need a more dynamic plan that allows them to follow hyperlinks and use forms with a preset goal. Therefore, in this paper, we show how compositions of hypermedia APIs can be created by generic Semantic Web reasoners. This is achieved through the generation of a proof based on semantic descriptions of the APIs' functionality. To pragmatically verify the applicability of compositions, we introduce the notion of pre-execution and post-execution proofs. The runtime interaction between a client and a server is guided by proofs but driven by hypermedia, allowing the client to react to the application's actual state indicated by the server's response. We describe how to generate compositions from descriptions, discuss a computer-assisted process to generate descriptions, and verify reasoner performance on various composition tasks using a benchmark suite. The experimental results lead to the conclusion that proof-based consumption of hypermedia APIs is a feasible strategy at Web scale.Peer ReviewedPostprint (author's final draft

Une approche ontologique pour l'exploitation de données cliniques

National audienceL'utilisation des outils et techniques du web sémantique pour intégrer, modéliser et interroger des bases de données relationnelles est un moyen de prendre en compte la dimension sémantique des données et d'en faciliter l'exploitation. Les données issues des systèmes d'information hospitaliers (SIH) peuvent êtres inutilisables dans leur format d'origine en raison de l'absence d'informations ou de connaissances. Elles nécessitent donc d'être réorganisées et liées à des ressources externes de connaissances telles que des ontologies ou terminologies. Dans le cadre de cette étude, nous utilisons des données opérationnelles du SIH de l'hôpital européen Georges Pompidou, une ontologie comme source de connaissances et des outils du web sémantique pour interroger notre base de données opérationnelle et répondre ainsi à des questions médicales dans le domaine de la résistance des bactéries aux antibiotiques. Le champ d'application de contrôle des infections des parties prenantes de cette étude est délimité par le biais de plusieurs requêtes, par exemple « la liste des patients ayant une infection spécifique (ex : infection urinaire) par un agent pathogène donné (ex : E. coli) résistante à un antibiotique donné (ex : amoxicilline) »

Interoperability driven integration of biomedical data sources

Abstract. In this paper, we introduce a data integration methodology that promotes technical, syntactic and semantic interoperability for operational healthcare data sources. ETL processes provide access to different operational databases at the technical level. Furthermore, data instances have they syntax aligned according to biomedical terminologies using natural language processing. Finally, semantic web technologies are used to ensure common meaning and to provide ubiquitous access to the data. The system’s performance and solvability assessments were carried out using clinical questions against seven healthcare institutions distributed across Europe. The architecture managed to provide interoperability within the limited heterogeneous grid of hospitals. Preliminary scalability result tests are provided

Interoperability driven integration of biomedical data sources

In this paper, we introduce a data integration methodology that promotes technical, syntactic and semantic interoperability for operational healthcare data sources. ETL processes provide access to different operational databases at the technical level. Furthermore, data instances have they syntax aligned according to biomedical terminologies using natural language processing. Finally, semantic web technologies are used to ensure common meaning and to provide ubiquitous access to the data. The system's performance and solvability assessments were carried out using clinical questions against seven healthcare institutions distributed across Europe. The architecture managed to provide interoperability within the limited heterogeneous grid of hospitals. Preliminary scalability result tests are provided

The pragmatic proof: hypermedia API composition and execution

Machine clients are increasingly making use of the Web to perform tasks. While Web services traditionally mimic remote procedure calling interfaces, a new generation of so-called hypermedia APIs works through hyperlinks and forms, in a way similar to how people browse the Web. This means that existing composition techniques, which determine a procedural plan upfront, are not sufficient to consume hypermedia APIs, which need to be navigated at runtime. Clients instead need a more dynamic plan that allows them to follow hyperlinks and use forms with a preset goal. Therefore, in this paper, we show how compositions of hypermedia APIs can be created by generic Semantic Web reasoners. This is achieved through the generation of a proof based on semantic descriptions of the APIs' functionality. To pragmatically verify the applicability of compositions, we introduce the notion of pre-execution and post-execution proofs. The runtime interaction between a client and a server is guided by proofs but driven by hypermedia, allowing the client to react to the application's actual state indicated by the server's response. We describe how to generate compositions from descriptions, discuss a computer-assisted process to generate descriptions, and verify reasoner performance on various composition tasks using a benchmark suite. The experimental results lead to the conclusion that proof-based consumption of hypermedia APIs is a feasible strategy at Web scale.Peer Reviewe