Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Skip to main content

Advertisement

Using OWL ontologies for adaptive patient information modelling and preoperative clinical decision support

  • Regular Paper
  • Published:
Knowledge and Information Systems Aims and scope Submit manuscript

Abstract

We here present our research and experience regarding the design and implementation of a knowledge-based preoperative assessment decision support system. We discuss generic design considerations as well as the practical system implementation. We developed the system using semantic web technology, including modular ontologies developed in the OWL web ontology language, the OWL Java application programming interface and an automated logic reasoner. We discuss how the system enables to tailor patient information collection according to personalized medical context. The use of ontologies at the core of the system’s architecture permits to efficiently manage a vast repository of preoperative assessment domain knowledge, including classification of surgical procedures, classification of morbidities and guidelines for routine preoperative tests. Logical inference on the domain knowledge according to individual patient’s medical context enables personalized patients’ reports consisting of a risk assessment and clinical recommendations such as relevant preoperative tests.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Reason J (2000) Human error: models and management. BMJ 320: 768–770

    Article  Google Scholar 

  2. Johnston ME, Langton KB, Haynes RB, Mathieu A (1994) Effects of computer-based clinical decision support systems on clinician performance and patient outcome: a critical appraisal of research. Ann Intern Med 120(2): 135–142

    Google Scholar 

  3. Hunt DL, Haynes RB, Hanna SE, Smith K (1998) Effects of computer-based clinical decision support systems on physician performance and patient outcomes—a systematic review. JAMA 280(15): 1339–1346

    Article  Google Scholar 

  4. Kaplan B (2001) Evaluating informatics applications—clinical decision support systems literature review. Int J Med Inform 64(1): 15–37

    Article  Google Scholar 

  5. Bates DW, Cohen M, Leape LL, Overhage JM, Shabot MM, Sheridan T (2001) Reducing the frequency of errors in medicine using information technology. JAMIA 8: 299–308

    Google Scholar 

  6. Sim I, Gorman P, Greenes RA, Haynes RB, Kaplan B, Lehmann H, Tang PC (2001) Clinical decision support systems for the practice of evidence-based medicine. JAMIA 8(6): 527–534

    Google Scholar 

  7. Morris AH (2002) Decision support and safety of clinical environments. Qual Saf Health Care 11: 69–75

    Article  Google Scholar 

  8. Garg AX, Adhikari NKJ, McDonald H, Rosas-Arellano MP, Devereaux PJ, Beyene J, Sam J, Haynes RB (2005) Effects of computerized clinical decision support systems on practitioner performance and patient outcomes. JAMA 293(10): 1223–1238

    Article  Google Scholar 

  9. Kawamoto K, Houlihan CA, Balas EA, Lobach DF (2005) Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. Br Med J BMJ 330:765 (8p)

    Google Scholar 

  10. Randell R, Mitchell N, Dowding D, Cullum N, Thompson C (2007) Effects of computerized decision support systems on nursing performance and patient outcomes: a systematic review. J Health Serv Res Policy 12(14): 242–249

    Article  Google Scholar 

  11. Liu S, Duffy AHB, Whitfield RI, Boyle IM (2010) Integration of decision support systems to improve decision support performance. Knowl Inf Syst, Springer, London 22(3): 261–286

    Google Scholar 

  12. Maruster L, van Beest NRTP (2009) Redesigning business processes: a methodology based on simulation and process mining techniques. Knowl Inf Syst, Springer 21(3): 267–297

    Article  Google Scholar 

  13. Taylor P (2006) From patient data to medical knowledge: the principles and practice of health informatics. Blackwell, London, p 263

    Book  Google Scholar 

  14. García-Miguel F, Serrano-Aguilar P, López-Bastida J (2003) Preoperative assessment. The Lancet 362(9397): 1749–1757

    Article  Google Scholar 

  15. Xu K, Feng J, Crowe M (2009) Defining the notion of information content and reasoning about it in a database. Knowl Inf Syst 18(1): 29–59

    Article  Google Scholar 

  16. Yixin Jing DJ, Baik DK (2009) Sparql graph pattern rewriting for owl-dl inference queries. Knowl Inf Syst 20(2): 243–262

    Article  Google Scholar 

  17. Motik B, Shearer R, Horrocks I (2009) Hypertableau reasoning for description logics. J Artif Intell Res 36: 165–228

    MathSciNet  MATH  Google Scholar 

  18. Bouamrane MM, Rector A, Hurrell M (2008) Gathering precise patient medical history with an ontology-driven adaptive questionnaire. In: Proceedings of computer-based medical systems, CBMS’08, Jyväskylä. IEEE Computer Society Press, Finland, pp 539–541

  19. Bouamrane MM, Rector A, Hurrell M (2008) Ontology-driven adaptive medical information collection system. In: Proceedings of 17th international symposium on methodologies for intelligent systems, ISMIS’08, Toronto, Canada, Lecture notes in artificial intelligence LNAI 4994/2008. Springer-Verlag, Berlin, Heidelberg, pp 574–584

  20. Bouamrane MM, Rector A, Hurrell M (2009) Semi-automatic generation of a patient preoperative knowledge-based from a legacy clinical database. In: Proceedings of 8th international conference on ontologies, DataBases, and applications of semantics, ODBASE’09, on the move to meaningful internet systems conferences, Lecture Notes in Computer Science, vol LNCS 5871/2009. Springer, Vilamoura, Algarve, Portugal, pp 1224–1237

  21. Bouamrane MM, Rector AL, Hurrell M (2008) Using ontologies for an intelligent patient modelling, adaptation and management system. In: Proceedings of 7th international conference on ontologies, DataBases, and applications of semantics, ODBASE’08, on the move to meaningful internet systems conferences, lecture notes in computer science, LNCS 5332/2008, vol 2. Springer, Monterrey, Mexico, pp 1458–1470

  22. OWL (2004) Web ontology language. http://www.w3org/2004/owl

  23. Rector A (2003) Modularisation of domain ontologies implemented in description logics and related formalisms including OWL. In: Proceedings of the 2nd international conference on knowledge capture, K-CAP’03. ACM, Sanibel Island, FL, USA, pp 121–128, October 23–25

  24. Rector A, Horridge M, Iannone L, Drummond N (2008) Use cases for building OWL ontologies as modules: localizing, ontology and programming interfaces & extensions. In: Proceedings of 4th int workshop on semantic web enabled software engineering, SWESE’08, with ISWC 2008, Karlsruhe, Germany, October

  25. Bouamrane MM, Rector A, Hurrell M (2009) Development of an ontology of preoperative risk assessment for a clinical decision support system. In: Proceedings of the 22nd IEEE international symposium on computer-based medical systems, CBMS’09, 4th special track on ontologies for biomedical systems. IEEE Computer Society Press, IEEE Computer Society, Albuquerque, USA, August 2009

  26. Bouamrane MM, Rector A, Hurrell M (2009) A hybrid architecture for a preoperative decision support system using a rule engine and a reasoner on a clinical ontology. In: Proceedings of third international conference on web reasoning and rule systems, RR2009, collocated with the 8th international semantic web conference ISWC09, Lecture Notes in Computer Science vol LNCS 5837/2009. Chantilly. Springer, Virginia, USA, pp 242–253, October 09

  27. Horridge M, Bechhofer S, Noppens O (2007) Igniting the OWL 1.1 touch paper: the OWL API. In: Proceedings of the third international workshop of OWL experiences and directions, OWLED 2007, Innsbruck, Austria

  28. Knublauch H, Fergerson RW, Noy NF, Musen MA (2004) The protégé OWL plugin: an open development environment for semantic web applications. In: Proceedings of the third international semantic web conference, ISWC’04, Hiroshima, Japan, vol LNCS 3298/2004. Springer, Heidelberg, pp 229–243, Nov

  29. Sirin E, Parsia B, Grau BC, Kalyanpur A, Katz Y (2007) Pellet: a practical OWL-DL reasoner. J Web Semant 5(2): 51–53

    Article  Google Scholar 

  30. Palda VA, Detsky AS (1997) Perioperative assessment and management of risk from coronary artery disease. Ann Intern Med 127(4): 313–328

    Google Scholar 

  31. Copeland G, Jones D, Walters M (1991) Possum: a scoring system for surgical audit. Br J Surg 78(3): 355–360

    Article  Google Scholar 

  32. WHO Global Report (2005) Preventing chronic diseases: a vital investment. World Health Organization, Geneva. Technical report

  33. Fortin M, Dubois MF, Hudon C, Soubhi H, Almirall J (2007) Multimorbidity and quality of life a closer look. Health Qual Life Outcomes 5(52): 8

    Google Scholar 

  34. Mercer SW, Smith SM, Wyke S, ODowd T, Watt GC (2009) Multimorbidity in primary care: developing the research agenda. J Fam Pract 26(2): 79–80

    Article  Google Scholar 

  35. Valderas JM, Starfield B, Sibbald B, Salisbury C, Roland M (2009) Defining comorbidity: implications for understanding health and health services. Ann Fam Med 7(4): 357–363

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Matt-Mouley Bouamrane.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bouamrane, MM., Rector, A. & Hurrell, M. Using OWL ontologies for adaptive patient information modelling and preoperative clinical decision support. Knowl Inf Syst 29, 405–418 (2011). https://doi.org/10.1007/s10115-010-0351-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10115-010-0351-7

Keywords