Abstract
With every advancement in mHealth sensing technology, we are presented with an abundance of data streams and models that enable us to make sense of health information we record. To distill this diverse and ever-growing data into meaningful information, we must first develop tools that can represent data intuitively and are flexible enough to handle the special characteristics of mHealth records. For example, whereas traditional health data such as electronic health records (EHR) often consist of discrete events that may be readily analyzed and visualized, mHealth entails sensor ensembles that generate continuous, multivariate data streams of high-resolution and often noisy measurements. Drawing from methodologies in machine learning and visualization, interactive visual analytics tools are an increasingly important aid to making sense of this complexity. Still, these computational and visual techniques must be employed attentively to represent this data not only intuitively, but also accurately, transparently, and in a way that is driven by user needs. Acknowledging these challenges, we review existing visual analytic tools to identify design solutions that are both useful for and adaptable to the demands of mHealth data analysis tasks. In doing so, we identify open problems for representing and understanding mHealth data, suggesting future research directions for developers in the field.
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An initiative proposed by U.S. President Barack Obama in his 2015 State of the Union address.
References
Obama proposes ‘precision medicine’ to end one-size-fits-all. http://www.dailynews.com/general-news/20150130/obama-proposes-precision-medicine-to-end-one-size-fits-all. Accessed: 2016-04-30
Aigner, W., Federico, P., Gschwandtner, T., Miksch, S., Rind, A.: Challenges of time-oriented data in visual analytics for healthcare. In: IEEE VisWeek Workshop on Visual Analytics in Healthcare, p. 4 (2012)
Angst, C.M., Agarwal, R.: Adoption of electronic health records in the presence of privacy concerns: The elaboration likelihood model and individual persuasion. MIS quarterly 33(2), 339–370 (2009)
Bade, R., Schlechtweg, S., Miksch, S.: Connecting time-oriented data and information to a coherent interactive visualization. In: Proceedings of the SIGCHI conference on Human factors in computing systems, pp. 105–112. ACM (2004)
Basole, R.C., Braunstein, M.L., Kumar, V., Park, H., Kahng, M., Chau, D.H.P., Tamersoy, A., Hirsh, D.A., Serban, N., Bost, J., et al.: Understanding variations in pediatric asthma care processes in the emergency department using visual analytics. Journal of the American Medical Informatics Association 22(2), 318–323 (2015)
Basole, R.C., Park, H., Gupta, M., Braunstein, M.L., Chau, D.H., Thompson, M., Kumar, V., Pienta, R., Kahng, M.: A visual analytics approach to understanding care process variation and conformance. In: Proceedings of the 2015 Workshop on Visual Analytics in Healthcare. ACM (2015)
Bertini, E., Tatu, A., Keim, D.: Quality metrics in high-dimensional data visualization: An overview and systematization. IEEE Transactions on Visualization and Computer Graphics 17(12), 2203–2212 (2011)
Bonneau, G.P., Hege, H.C., Johnson, C.R., Oliveira, M.M., Potter, K., Rheingans, P., Schultz, T.: Overview and state-of-the-art of uncertainty visualization. In: Scientific Visualization, pp. 3–27. Springer (2014)
Botsis, T., Hartvigsen, G., Chen, F., Weng, C.: Secondary use of ehr: data quality issues and informatics opportunities. AMIA Summits Transl Sci Proc 2010, 1–5 (2010)
Callahan, S.P., Freire, J., Santos, E., Scheidegger, C.E., Silva, C.T., Vo, H.T.: Vistrails: visualization meets data management. In: Proceedings of the 2006 ACM SIGMOD international conference on Management of data, pp. 745–747. ACM (2006)
Cao, N., Gotz, D., Sun, J., Qu, H.: Dicon: Interactive visual analysis of multidimensional clusters. IEEE Transactions on Visualization and Computer Graphics 17(12), 2581–2590 (2011)
Cavazza, M., Charles, F.: Towards interactive narrative medicine. In: MMVR, pp. 59–65 (2013)
Charon, R.: Narrative medicine: a model for empathy, reflection, profession, and trust. Jama 286(15), 1897–1902 (2001)
Charon, R.: Narrative medicine: form, function, and ethics. Annals of internal medicine 134(1), 83–87 (2001)
Chiu, B., Keogh, E., Lonardi, S.: Probabilistic discovery of time series motifs. In: Proceedings of the 9th ACM SIGKDD international conference on Knowledge discovery and data mining, pp. 493–498. ACM (2003)
Fails, J.A., Karlson, A., Shahamat, L., Shneiderman, B.: A visual interface for multivariate temporal data: Finding patterns of events across multiple histories. In: Visual Analytics Science And Technology, 2006 IEEE Symposium On, pp. 167–174. IEEE (2006)
Gaber, M.M., Krishnaswamy, S., Gillick, B., Nicoloudis, N., Liono, J., AlTaiar, H., Zaslavsky, A.: Adaptive clutter-aware visualization for mobile data stream mining. In: Tools with Artificial Intelligence (ICTAI), 2010 22nd IEEE International Conference on, vol. 2, pp. 304–311. IEEE (2010)
Goernitz, N., Braun, M., Kloft, M.: Hidden markov anomaly detection. In: Proceedings of the 32nd International Conference on Machine Learning (ICML-15), pp. 1833–1842 (2015)
Goetz Ducas, S.Z.F.F.A.R.E.D.L.S.R.M.N.O.L.: Visualizing health (2014)
Gotz, D., Sun, S., Cao, N.: Adaptive contextualization: Combating bias during high-dimensional visualization and data selection. In: Proceedings of the 21st International Conference on Intelligent User Interfaces, pp. 85–95. ACM (2016)
Gotz, D., Zhou, M.X.: Characterizing users’ visual analytic activity for insight provenance. Information Visualization 8(1), 42–55 (2009)
Greenhalgh, T.: Narrative based medicine in an evidence based world. BMJ 318(7179), 323–325 (1999)
Groth, D.P., Streefkerk, K.: Provenance and annotation for visual exploration systems. IEEE Transactions on Visualization and Computer Graphics 12(6), 1500–1510 (2006)
Gschwandtner, T., Aigner, W., Kaiser, K., Miksch, S., Seyfang, A.: Carecruiser: Exploring and visualizing plans, events, and effects interactively. In: IEEE Pacific Visualization Symposium (PacificVis), pp. 43–50. IEEE (2011)
Haas, S., Wohlgemuth, S., Echizen, I., Sonehara, N., Müller, G.: Aspects of privacy for electronic health records. International journal of medical informatics 80(2), e26–e31 (2011)
Hensley, Z., Sanyal, J., New, J.: Provenance in sensor data management. Queue 11(12), 50 (2013)
Hochheiser, H., Shneiderman, B.: Visual queries for finding patterns in time series data. University of Maryland, Computer Science Dept. Tech Report, CS-TR-4365 (2002)
Hong, T.P., Wang, C.Y., Tseng, S.S.: An incremental mining algorithm for maintaining sequential patterns using pre-large sequences. Expert Systems with Applications 38(6), 7051–7058 (2011)
Huang, D., Tory, M., Aseniero, B.A., Bartram, L., Bateman, S., Carpendale, S., Tang, A., Woodbury, R.: Personal visualization and personal visual analytics. IEEE Transactions on Visualization and Computer Graphics 21(3), 420–433 (2015)
Joshi, R., Szolovits, P.: Prognostic physiology: modeling patient severity in intensive care units using radial domain folding. In: AMIA Annual Symposium Proceedings, vol. 2012, p. 1276. American Medical Informatics Association (2012)
Kanarachos, S., Mathew, J., Chroneos, A., Fitzpatrick, M.: Anomaly detection in time series data using a combination of wavelets, neural networks and hilbert transform. In: 6th International Conference on Information, Intelligence, Systems and Applications, IISA 2015, Corfu, Greece, July 6–8, 2015, pp. 1–6 (2015)
Khovanskaya, V., Baumer, E.P., Cosley, D., Voida, S., Gay, G.: Everybody knows what you’re doing: a critical design approach to personal informatics. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, pp. 3403–3412. ACM (2013)
Klimov, D., Shahar, Y., Taieb-Maimon, M.: Intelligent selection and retrieval of multiple time-oriented records. Journal of Intelligent Information Systems 35(2), 261–300 (2010)
Krause, J., Perer, A., Stavropoulos, H.: Supporting iterative cohort construction with visual temporal queries. IEEE Transactions on Visualization and Computer Graphics 22(1), 91–100 (2016)
Kreuseler, M., Nocke, T., Schumann, H.: A history mechanism for visual data mining. In: Information Visualization, 2004. INFOVIS 2004. IEEE Symposium on, pp. 49–56. IEEE (2004)
Kumar, S., Nilsen, W.: State-of-the-science in mobile health for diagnostic, treatment, public health, and health research. AAAS Workshop on Exploring Legal Challenges to Fulfilling the Potential of mHealth in a Safe and Responsible Environment pp. 945–952 (2014)
Kumar, S., Nilsen, W., Pavel, M., Srivastava, M.: Mobile health: Revolutionizing healthcare through transdisciplinary research. IEEE Computer 46(1), 28–35 (2013)
Li, Y., Lin, J., Oates, T.: Visualizing variable-length time series motifs. In: SDM, pp. 895–906. SIAM (2012)
Lin, J., Keogh, E., Fu, A., Van Herle, H.: Approximations to magic: Finding unusual medical time series. In: Computer-Based Medical Systems, 2005. Proceedings. 18th IEEE Symposium on, pp. 329–334. IEEE (2005)
Malik, S., Du, F., Monroe, M., Onukwugha, E., Plaisant, C., Shneiderman, B.: Cohort comparison of event sequences with balanced integration of visual analytics and statistics. In: Proceedings of the 20th International Conference on Intelligent User Interfaces, pp. 38–49. ACM (2015)
Martin, C.M., Sturmberg, J.P.: Making sense: from complex systems theories, models, and analytics to adapting actions and practices in health and health care. In: Handbook of systems and complexity in health, pp. 797–813. Springer (2013)
Monroe, M., Lan, R., Lee, H., Plaisant, C., Shneiderman, B.: Temporal event sequence simplification. IEEE Transactions on Visualization and Computer Graphics 19(12), 2227–2236 (2013)
Noirhomme-Fraiture, M., Randolet, F., Chittaro, L., Custinne, G.: Data visualizations on small and very small screens. In: Proceedings of ASMDA. Citeseer (2005)
Parascandola, M., Hawkins, J.S., Danis, M.: Patient autonomy and the challenge of clinical uncertainty. Kennedy Institute of Ethics Journal 12(3), 245–264 (2002)
Pei, J., Han, J., Mortazavi-Asl, B., Pinto, H., Chen, Q., Dayal, U., Hsu, M.C.: Prefixspan: Mining sequential patterns efficiently by prefix-projected pattern growth. In: icccn, p. 0215. IEEE (2001)
Polack Jr, P.J., Chen, S.T., Kahng, M., Sharmin, M., Chau, D.H.: Timestitch: Interactive multi-focus cohort discovery and comparison. In: IEEE Conference on Visual Analytics Science and Technology (VAST), pp. 209–210. IEEE (2015)
Rind, A., Aigner, W., Miksch, S., Wiltner, S., Pohl, M., Drexler, F., Neubauer, B., Suchy, N.: Visually exploring multivariate trends in patient cohorts using animated scatter plots. In: Ergonomics and Health Aspects of Work with Computers, pp. 139–148. Springer (2011)
Sacha, D., Senaratne, H., Kwon, B.C., Keim, D.A.: Uncertainty propagation and trust building in visual analytics. In: IEEE VIS 2014 (2014)
Sharmin, M., Raij, A., Epstien, D., Nahum-Shani, I., Beck, J.G., Vhaduri, S., Preston, K., Kumar, S.: Visualization of time-series sensor data to inform the design of just-in-time adaptive stress interventions. In: Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing, pp. 505–516. ACM (2015)
Shneiderman, B., Plaisant, C., Hesse, B.W.: Improving health and healthcare with interactive visualization methods. Tech. rep., Citeseer (2013)
Sittig, D.F., Singh, H.: Defining health information technology–related errors: New developments since to err is human. Archives of internal medicine 171(14), 1281–1284 (2011)
Srikant, R., Agrawal, R.: Mining sequential patterns: Generalizations and performance improvements. Springer (1996)
Terry, N.P., Francis, L.P.: Ensuring the privacy and confidentiality of electronic health records. U. Ill. L. Rev. p. 681 (2007)
Vilalta, R., Ma, S.: Predicting rare events in temporal domains. In: Proceedings of the IEEE International Conference on Data Mining, pp. 474–481. IEEE (2002)
Walliser, M., Brantschen, S., Calisti, M., Schinkinger, S.: Whitestein series in software agent technologies and autonomic computing (2008)
Wang, T.D., Plaisant, C., Shneiderman, B., Spring, N., Roseman, D., Marchand, G., Mukherjee, V., Smith, M.: Temporal summaries: supporting temporal categorical searching, aggregation and comparison. IEEE Transactions on Visualization and Computer Graphics 15(6), 1049–1056 (2009)
Wang, T.D., Wongsuphasawat, K., Plaisant, C., Shneiderman, B.: Extracting insights from electronic health records: case studies, a visual analytics process model, and design recommendations. Journal of medical systems 35(5), 1135–1152 (2011)
West, V.L., Borland, D., Hammond, W.E.: Innovative information visualization of electronic health record data: a systematic review. Journal of the American Medical Informatics Association 22(2), 330–339 (2015)
Wilcox, L., Morris, D., Tan, D., Gatewood, J.: Designing patient-centric information displays for hospitals. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, pp. 2123–2132. ACM (2010)
Wilton, R., Pennisi, A.J.: Evaluating the accuracy of transcribed clinical data. In: Proceedings of the Annual Symposium on Computer Application in Medical Care, p. 279. American Medical Informatics Association (1993)
Wongsuphasawat, K., Gotz, D.: Outflow: Visualizing patient flow by symptoms and outcome. In: IEEE VisWeek Workshop on Visual Analytics in Healthcare, Providence, Rhode Island, USA, pp. 25–28. American Medical Informatics Association (2011)
Wongsuphasawat, K., Guerra Gómez, J.A., Plaisant, C., Wang, T.D., Taieb-Maimon, M., Shneiderman, B.: Lifeflow: visualizing an overview of event sequences. In: Proceedings of the SIGCHI conference on human factors in computing systems, pp. 1747–1756. ACM (2011)
Yackel, T.R., Embi, P.J.: Unintended errors with ehr-based result management: a case series. Journal of the American Medical Informatics Association 17(1), 104–107 (2010)
Zaki, M.J.: Spade: An efficient algorithm for mining frequent sequences. Machine learning 42(1–2), 31–60 (2001)
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Polack, P.J., Sharmin, M., de Barbaro, K., Kahng, M., Chen, ST., Chau, D.H. (2017). Exploratory Visual Analytics of Mobile Health Data: Sensemaking Challenges and Opportunities. In: Rehg, J., Murphy, S., Kumar, S. (eds) Mobile Health. Springer, Cham. https://doi.org/10.1007/978-3-319-51394-2_18
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