Skip to main content

An Architecture for the Semantic Enhancement of Clinical Decision Support Systems

  • Conference paper
Knowlege-Based and Intelligent Information and Engineering Systems (KES 2011)

Abstract

Clinical Decision Support Systems (CDSS) are useful tools that aid physicians during different tasks such as diagnosis, treatment and patient monitoring. Multidisciplinary, heterogeneous and disperse clinical information and decision criteria have to be handled by CDSSs. For such tasks, Knowledge Engineering (KE) techniques and semantic technologies are very suitable, as they support (i) the integration of heterogeneous knowledge, (ii) the expression of rich and well-defined models for knowledge aggregation, and (iii) the application of logic reasoning for the generation of new knowledge.

In this paper we propose a generic architecture of a CDSS based on semantic technologies, which also considers the reutilization and enhancement of former CDSS in an organization. Particularly, an implementation of the proposed architecture is also presented, aiming to support the early diagnosis of AD.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Joseph, L., Wyatt, J.C., Altman, D.G.: Decision tools in health care: focus on the problem, not the solution. BMC Medical Informatics and Decision Making 6(4) (2006)

    Google Scholar 

  2. Vaquero, J., Toro, C., Palenzuela, C., Azpeitia, E.: Using Semantics to Bridge the Information and Knowledge Sharing Gaps in Virtual Engineering. In: Setchi, R., Jordanov, I., Howlett, R.J., Jain, L.C. (eds.) KES 2010. LNCS, vol. 6277, pp. 495–504. Springer, Heidelberg (2010)

    Chapter  Google Scholar 

  3. Wright, A., Sittig, D.F.: A four-phase model of the evolution of clinical decision support architectures. International Journal of Medical Informatics 77(10), 641–649 (2008)

    Article  Google Scholar 

  4. Dumontier, M., Andersson, B., Batchelor, C., Denney, C., Domarew, C., Jentzsch, A., Luciano, J., Pichler, E., Prud’hommeaux, E., Whetzel, P., Bodenreider, O., Clark, T., Harland, L., Kashyap, V., Kos, P., Kozlovsky, J., McGurk, J., Ogbuji, C., Samwald, M., Schriml, L., Tonellato, P.J., Zhao, J., Stephens, S.: The Translational Medicine Ontology: Driving personalized medicine by bridging the gap from bedside to bench. In: Proceedings of the 13th Annual Bio-Ontologies Meeting, Bio-Ontologies, Boston, USA (2010)

    Google Scholar 

  5. Gnanambal, S., Thangaraj, M.: Research Directions in Semantic Web on Healthcare. Journal of Computer Science 1, 449–453 (2010)

    Google Scholar 

  6. Yu, W.D., Jonnalagadda, S.R.: Semantic Web and Mining in Healthcare. In: e-Health Networking, Applications and Services, pp. 198–201 (2006)

    Google Scholar 

  7. Zhou, Q., Wang, W.: The Automatic Inference of Arden Medical Logic Modules. In: Proceedings of the International Conference on BioMedical Engineering and Informatics (2008)

    Google Scholar 

  8. Peleg, M., Rubin, D.L.: Querying Radiology Appropriateness Criteria from a virtual Medical Record using GELLO. In: Proceedings of the Workshop on Knowledge Representation for Health-Care: Patient Data, Processes and Guidelines, in conjunction with Artificial Intelligence in Medicine Europe (2009)

    Google Scholar 

  9. Johnson, P.D., Tu, S.W., Musen, M.A., Purves, I.: A Virtual Medical Record for Guideline-Based Decision Support. Medinfo, 294–298 (2001)

    Google Scholar 

  10. Kawamoto, K., Lobach, D.F.: Proposal for Fulfilling Strategic Objectives of the U.S. Roadmap for National Action on Decision Support through a Service-oriented Architecture Leveraging HL7 Services. Journal of the American Medical Informatics Association 14(2), 146–155 (2007)

    Article  Google Scholar 

  11. Hussain, S., Raza Abidi, S., Raza Abidi, S.S.: Semantic Web Framework for Knowledge-Centric Clinical Decision Support Systems. In: Bellazzi, R., Abu-Hanna, A., Hunter, J. (eds.) AIME 2007. LNCS (LNAI), vol. 4594, pp. 451–455. Springer, Heidelberg (2007)

    Chapter  Google Scholar 

  12. Wright, A., Sittig, D.F.: SANDS: A service-oriented architecture for clinical decision support in a National Health Information Networkstar, open. Journal of Biomedical Informatics 41(6), 962–981 (2008)

    Article  Google Scholar 

  13. Michalowski, W., Slowinski, R., Wilk, S., Farion, K.J., Pike, J., Rubin, S.: Design and development of a mobile system for supporting emergency triage. Methods of Information in Medicine 44(1), 14–24 (2005)

    Google Scholar 

  14. Gruber, T.R.: Toward principles for the design of ontologies used for knowledge sharing. International Journal of Human-Computer Studies 43(5–6), 907–928 (1995)

    Article  Google Scholar 

  15. Houshiaryan, k., Kim, H.S., Kim, H.H., Tung, T., Kim, I.K., Kwak, Y.S., Cho, H.: Customized Ontology-Based Intelligent Medical Terminology Tool. In: Proceedings of 7th International Workshop on Enterprise Networking and Computing in Healthcare Industry, pp. 320–324 (2005)

    Google Scholar 

  16. Ghawi, R., Cullot, N.: Database-to-Ontology Mapping Generation for Semantic Interoperability. In: Third International Workshop on Database Interoperability (InterDB 2007), held in conjunction with VLDB 2007, Vienna, Austria (2007)

    Google Scholar 

  17. Toro, C., Sanín, C., Szczerbicki, E., Posada, J.: Reflexive Ontologies: Enhancing Ontologies with self-contained queries. Cybernetics and Systems: An International Journal 39, 171–189 (2008)

    Article  MATH  Google Scholar 

  18. Lam, H.Y.K., Marenco, L., Clark, T., Gao, Y., Kinoshita, J., Shepherd, G., Miller, P., Wu, E., Wong, G., Liu, N., Crasto, C., Morse, T., Stephens, S., Cheung, K.H.: Semantic Web Meets e-Neuroscience: An RDF Use Case. In: Proceedings of the ASWC International Workshop on Semantic e-Science, pp. 158–170 (2006)

    Google Scholar 

  19. Nyström, M., Vikström, A., Nilsson, G.H., Ahlfeldt, H., Orman, H.: Enriching a primary health care version of ICD-10 using SNOMED CT mapping. Journal of Biomedical Semantics 1(7) (2010)

    Google Scholar 

  20. Lindgren, H.: Towards personalized decision support in the dementia domain based on clinical practice guidelines. In: User Modeling and User-Adapted Interaction, pp. 1–30 (2011)

    Google Scholar 

  21. Monien, B., Apostolova, L., Bitan, G.: Early diagnostics and therapeutics for Alzheimer’s disease – how early can we get there? Expert Review of Neurotherapeutics 6, 1293–1306 (2009)

    Article  Google Scholar 

  22. Sanín, C., Szczerbicki, E.: Experience-based knowledge representation: SOEKS. Cybernetics and Systems 40(2), 99–122 (2009)

    Article  MATH  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Sanchez, E. et al. (2011). An Architecture for the Semantic Enhancement of Clinical Decision Support Systems. In: König, A., Dengel, A., Hinkelmann, K., Kise, K., Howlett, R.J., Jain, L.C. (eds) Knowlege-Based and Intelligent Information and Engineering Systems. KES 2011. Lecture Notes in Computer Science(), vol 6882. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-23863-5_62

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-23863-5_62

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-23862-8

  • Online ISBN: 978-3-642-23863-5

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics