Abstract
During the last years a high effort on standardization of Electronic Health Records has been made. Standards ISO EN 13606 and OpenEHR with their dual approach have promoted semantic interoperability in the real clinical practice. Recently, the focus has been set on the extraction of knowledge from the clinical information stored in EHR, but current approaches based on archetypes do not provide a complete solution regarding content structuration limitation. In this paper we propose an ontology for Hygehos Electronic Health Records (EHR), that we call the Hygehos Ontology. The introduction of such ontology on the EHR system will facilitate the development of reasoning and knowledge extraction tools over the stored clinical information. In our approach, we first align the Hygehos EHR to the dual model of OpenEHR and generate the corresponding archetypes for every part of the system. Secondly, we formalize a methodology for structuring the clinical contents of Hygehos EHR into the Hygehos Ontology.
The original version of this chapter was revised: Affected figure has been replaced. The erratum to this chapter is available at 10.1007/978-3-319-39687-3_33
An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-319-39687-3_33
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Notes
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Collaboration between La Asunción Clinic (http://www.clinicadelaasuncion.com/), Igarle (http://www.igarle.es/), and STT (http://www.stt-systems.com/).
References
Bellazi, R., Diomidous, M., Sarkar, I.N., Takabayashi, K., Ziegler, A., McCray, A.T.: Data analysis and data mining: current issues in biomedical informatics. Methods Inf. Med. 50, 536–544 (2011)
Jha, A.K., DesRoches, C.M., Campbell, E.G., Donelan, K., Rao, S.R., Ferris, T.G., Shields, A., Rosenbaum, S., Blumenthal, D.: Use of electronic health records in U.S. hospitals. N. Eng. J. Med. 360(16), 1628–1638 (2009)
Wollersheim, D., Anny, S., Wenny, R.: Archetype-based electronic health records: a literature review and evaluation of their applicability of health data interoperability and access. Health Inform. Manage. J. 38(2), 7–17 (2009)
Iqbal, A.M., Shepherd, M., Abibi S.S.R.: An ontology-based electronic medical record for chronic disease management. In: 44th Hawaii International Conference on System Science (HICSS) (2011)
Pathak, J., Kiefer, R.C., Chute, C.G.: Using semantic web technologies for cohort identification from electronic health records for clinical research. AMIA JT Summits Transl Sci Proc. pp. 10–19 (2012)
Lezcano, L., Sicilia, M.A., Rodríguez-Solano, C.: Integrating reasoning and clinical archetypes using OWL ontologies and SWRL rules. J. Biomed. Inform. 44(2), 343–353 (2010)
Carrasco, E., Sanchez, E., Artetxe, A., Toro, C., Graña, M., Guijarro, F., Susperregui, J.M., Aguirre, A.: Hygehos home: an innovative remote follow-up system for chronic patients. In: Studies in Health Technology and Informatics: Innovation in Medicine and Healthcare 2014, vol. 207, pp. 261–270, IOS Press (2014)
Gruber, T.: What is an Ontology (1993). http://www-ksl.stanford.edu/kst/whatis-an-ontology.html. Accessed 07 Sept 2004
Martinez-Costa, C., Menarguez-Tortosa, M., Fernandez-Breis, J.T., Maldonado, J.A.: A model-driven approach for representing clinical archetypes for semantic web enviroments. J. Biomed. Inform. 42(1), 150–164 (2009)
Gruber, T.R.: Toward principles for the design of ontologies used for knowledge sharing? Int. J. Hum Comput Stud. 43(5), 907–928 (1995)
Farion, K., Michalowski, W., Wilk, S., O’Sullivan, D.M., Rubin, S., Weiss, D.: Clinical decision support system for point of care use: ontology driven design and software implementation. Methods Inf. Med. 48(4), 381–390 (2009)
Beale, T., Heard, S.: An ontology-based model of clinical information. In: Medinfo 2007: Proceedings of the 12th World Congress on Health (Medical) Informatics; Building Sustainable Health Systems, p. 760. IOS Press (2007)
Martínez-Costa, C., Menárguez-Tortosa, M., Fernández-Breis, J.T.: An approach for the semantic interoperability of ISO EN 13606 and OpenEHR archetypes. J. Biomed. Inform. 43(5), 736–746 (2010). Gruber, T.R.: Toward principles for the design of ontologies used for knowledge sharing? Int. J. Human-Comput. Stud. 43(5), 907–928 (1995)
Garde, S., Knaup, P., Hovenga, E.J.S., Heard, S.: Towards semantic interoperability for electronic health records: domain knowledge governance for OpenEHR archetypes. Methods Inf. Med. 46(3), 332–343 (2007)
Hayrinen, K., Saranto, K., Nykanen, P.: Definition, structure, content, use and impacts of electronic health records: A review of the research literature. Int. J. Med. Informatics 77(5), 291–304 (2007)
Sanchez, E., Toro, C., Graña, M.: Integrating electronic health records in clinical decision support systems. Innov. Med. Healthcare, 407–416 (2016)
Blobel, B., Kalra, D., Koehn, M., Lunn, M., Pharow, P., Ruotsalainen, P., Schulz, S., Smith, B.: The role of ontologies for sustainable, semantically interoperable and trustworthy EHR solutions. In: European Federation for Medical Informatics (2009)
Sanchez, E., Toro, C., Artetxe A., Graña, M., Sanin, C., Szczerbicki, E., Carrasco, E., Guijarro, F.: Bridging challenges of clinical decision support systems with a semantic approach. A case study on breast cancer. Pattern Recogn. Lett. 34(14), 1758–1768 (2013)
Sanchez, E., Peng, W., Toro, C., Sanin, C., Graña, M., Szczerbicki, E., Carrasco, E., Guijarro, F., Brualla, L.: Decisional DNA for modeling and reuse of experiential clinical assessments in breast cancer diagnosis and treatment. Neurocomputing 146, 308–318 (2014)
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This research was partially funded by the Basque Business Development Agency (SPRI), dependent on the Basque Government, under the grant GAITEK2015-SemanHis.
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Muro, N. et al. (2016). Hygehos Ontology for Electronic Health Records. In: Chen, YW., Tanaka, S., Howlett, R., Jain, L. (eds) Innovation in Medicine and Healthcare 2016. InMed 2016. Smart Innovation, Systems and Technologies, vol 60. Springer, Cham. https://doi.org/10.1007/978-3-319-39687-3_30
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