Welcome to Scribd. Sign in or start your free trial to enjoy unlimited e-books, audiobooks & documents.Find out more
Download
Standard view
Full view
of .
Look up keyword
Like this
2Activity
0 of .
Results for:
No results containing your search query
P. 1
Combining Ontologies and Cognitive Engineering to Innovate Electronic Health

Combining Ontologies and Cognitive Engineering to Innovate Electronic Health

Ratings: (0)|Views: 122|Likes:
Several challenges exist for implementing electronic health records (EHRs). Tantamount
to these challenges are issues surrounding the most effective ways to model medical
information and subsequently deliver that information to necessary stakeholders.
Therefore, it is important to design and implement EHR systems that are robust in terms
of their content and intuitive in terms of their use value. Ontologies can provide robust
and intuitive EHR capabilities, since ontological approaches more closely mirror the
ordinary ways in which people interact (and problem solve) with the world. In a like
manner, cognitive systems engineering – particularly the area of cognitive work analysis
(CWA) – offers empirically-based methodologies for better understanding the ways in
which people interact with data. By combining ontologies and CWA methodologies in
healthcare settings, it is possible to build systems that both model information in correct
ways and present it to those that need to utilize it in their day-to-day work environments.
Several challenges exist for implementing electronic health records (EHRs). Tantamount
to these challenges are issues surrounding the most effective ways to model medical
information and subsequently deliver that information to necessary stakeholders.
Therefore, it is important to design and implement EHR systems that are robust in terms
of their content and intuitive in terms of their use value. Ontologies can provide robust
and intuitive EHR capabilities, since ontological approaches more closely mirror the
ordinary ways in which people interact (and problem solve) with the world. In a like
manner, cognitive systems engineering – particularly the area of cognitive work analysis
(CWA) – offers empirically-based methodologies for better understanding the ways in
which people interact with data. By combining ontologies and CWA methodologies in
healthcare settings, it is possible to build systems that both model information in correct
ways and present it to those that need to utilize it in their day-to-day work environments.

More info:

Published by: International Journal of Innovation Science on Jan 23, 2011
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

02/02/2011

pdf

text

original

 
Volume 2 · Number 1 · 201029
Combining Ontologies and CognitiveEngineering to Innovate Electronic HealthRecords
Eric Little, Ph.D
Chief Knowledge EngineerComputer Task Group (CTG), Buffalo, NY
 Abstract
Several challenges exist for implementing electronic health records (EHRs). Tantamountto these challenges are issues surrounding the most effective ways to model medicalinformation and subsequently deliver that information to necessary stakeholders.Therefore, it is important to design and implement EHR systems that are robust in termsof their content and intuitive in terms of their use value. Ontologies can provide robustand intuitive EHR capabilities, since ontological approaches more closely mirror theordinary ways in which people interact (and problem solve) with the world. In a likemanner, cognitive systems engineering – particularly the area of cognitive work analysis(CWA) – offers empirically-based methodologies for better understanding the ways inwhich people interact with data. By combining ontologies and CWAmethodologies inhealthcare settings, it is possible to build systems that both model information in correctways and present it to those that need to utilize it in their day-to-day work environments.
Keywords
: ontology, cognitive engineering, electronic health records, knowledgemanagement, semantics, life sciences.
1. INTRODUCTION
Ontologies are being applied to ever expanding areas of investigation to provide improved capabilitiesfor knowledge management, data modeling, data querying, relationship discovery/definition, and rulemanipulation [1-7]. Electronic health records (EHRs) are a growing technology, which are becomingmore prevalent throughout healthcare systems, but where challenges exist in terms of theirimplementation and use [8-10]. The purpose of this paper is to provide an argument for how ontologies,combined with certain practices from cognitive systems engineering, can be utilized , in tandem, toprovide for better structured, and easier to use, EHRs. Ontologies can be utilized to enhance EHRs inknowledge management applications by providing: better realist models of reality, explicitly definedsemantics, more flexibility in the system’s design/use, and improved capabilities for mergingheterogeneous data sources, ultimately resulting in improved knowledge sharing, retrieval andcollaboration across medical areas [11-13]. Likewise, cognitive systems engineering practices,particularly those in the area of work domain analysis (WDA) can be utilized to empirically study thetasks and work environment of medical professionals and utilize that information to better design EHRsfrom the standpoint of system functionality, visualization and ease of use. In this sense, ontologiescoupled with WDAcan serve to augment heritage medical record systems, databases, and the like,providing an improved overarching structure which can allow better manipulation of medicalinformation for a variety of user communities [14].This approach understands ontologies as providing a metaphysical structure in the form of anoverarching upper ontology that sits above numerous domain-level sub-ontologies, providing a unifiedclassification system and semantic framework for all entities, attributes, processes and relations of interest [15-17]. Transactional data specific to a given enterprise remains housed within heritage datasystems and is ingested by the ontology as needed, thereby becoming transformed into instances withinthe domain represented by the ontology. This allows for improved reasoning capabilities across varioussorts of heterogeneous data, since numerous perspectives can be captured from subject matter experts(SMEs) within the enterprise and added to the ontology over time. Subsequently, through the utilizationof WDA(and its capabilities to model tasks, user needs and the like) SME knowledge can be moreeffectively utilized without the need for retooling the heritage systems themselves.
 
The remainder of this article can be purchased instantly athttp://innovationscience.org Even better, knowledge is power so buy a subscription for your organization and have access to allour articles at a very reasonable price!
If you are still undecided email the editorand he can provide you with this article as a free sample!
International Journal of Innovation Science
http://InnovationScience.orgEditor-in-Chief: Brett E. Trusko, PhD
Mount Sinai School of Medicine, New York, NY, USABrett.Trusko@mssm.edu Work phone - 212-824-7639
ISSN Number: 1757-2223 · Published quarterly£275 (print + on-line)£264 (print only)£231 (online only)
Open call for articles:
Researchers, academics, and practitioners are invited to submit an article for review in our journal. IJISalso welcomes short research notes, research communications, survey and review papers on allinnovation topics. Prospective author are warmly encouraged to contact the editor, we love talkingabout innovation.
About the Journal
The International Journal of innovation science is leading the way in transforming innovation from an artinto a science and hopes to expand the literature by discussing advanced innovation in many differentfunctional areas, industries, and countries. Visit us for more info http://www.InnovationScience.org
 
[5] Rosse C, Mejino JLV. Areference ontology for bioinformatics: The Foundational Model of Anatomy.
 Journal of Biomedical Informatics
. 2003;36:478-500.[6] Scheuermann RH, Ceusters W, Smith B. Toward an Ontological Treatment of Disease andDiagnosis.
Proceedings of the 2009 AMIASummit on Translational Bioinformatics
, SanFrancisco, California, March 15-17, 2009: American Medical Informatics Association; 2009. p.116-20.[7] Grenon, P., Smith, B. (2003)
SNAPand SPAN: Towards Dynamic Spatial Ontology, SpatialCognition and Computation
.[8] Lawrence, K. Implementing EHR applications: a Canadian experience,
 Br J Healthcare Comput  Info Manage
2007; 24(4): 17–19. May 2007[9] Zandieh, S. et al. Challenges to EHR Implementation in Electronic- Versus Paper-based OfficePractices,
 Journal of General Internal Medicine
, Vol. 3, no. 6, June 2008, pp. 755-761.[10]Goldaschmidt, P. HITand MIS: implications of health information technology and medicalinformation systems,
Communications of the ACM 
, 48 (10), Oct 2005, pp. 68-74.[11]Smith B, Ceusters W. An Ontology-Based Methodology for the Migration of BiomedicalTerminologies to Electronic Health Records.
 AMIA2005
. Washington DC; 2005. p. 669-73.[12]Ceusters W, Smith B. ARealism-Based Approach to the Evolution of Biomedical Ontologies.Biomedical and Health Informatics:
Proceedings of the 2006 AMIAAnnual Symposium
.Washington DC: American Medical Informatics Association; 2006. p. 121-5.[13] Smith B, Ashburner M, Ceusters W, et al. The OBO Foundry: coordinated evolution of ontologiesto support biomedical data integration.
 Nature Biotechnology
. 2007;25:1251-5.[14] Little, E. On an Ontological Foundation for Work Domain Analysis, CH 11 in
 Applications of Cognitive Work Analysis
(Bisantz and Burns, eds.), CRC Press, 2008.[15] Smith, B. "Basic Formal Ontology," 2002. http://ontology.buffalo.edu/bfo/.[16] Grenon, P. "Spatiotemporality in Basic Formal Ontology: SNAPand SPAN, Upper-LevelOntology and Framework for Formalization, IFOMIS Technical Report Series, (http://ifomis.de),2003[17] Bittner, T& Smith, B. Normalizing Medical Ontologies using Basic Formal Ontology inKooperative Versorgung, Vernetzte Forschung, Ubiquitäre Information (
Proceedings of GMDS  Innsbruck 
, 26-30 September 2004), Niebüll: Videel OHG, 199–201.[18] Smith B, Ceusters W. HL7 RIM: An Incoherent Standard. In: Hasman A, Haux R, Lei Jvd, ClercqED, Roger-France F, editors. Studies in Health Technology and Informatics Ubiquity:Technologies for Better Health in Aging Societies -
Proceedings of MIE2006 
. Amsterdam: IOSPress; 2006. p. 133-8.[19] Rudnicki R, Ceusters W, Manzoor S, Smith B. What Particulars are Referred to in EHR Data? ACase Study in Integrating Referent Tracking into an Electronic Health Record Application. In:Teich JM, Suermondt J, C H, editors.
 American Medical Informatics Association 2007 AnnualSymposium Proceedings, Biomedical and Health Informatics: From Foundations to Applicationsto Policy
. Chicago, IL; 2007. p. 630-4.[20] Smith. B.
Ontology and Information Systems
http://ontology.buffalo.edu/ontology(PIC).pdf,2001.[21] Little, E. AProposed Methodology for Application-Based Formal Ontologies,
Proceedings of theWorkshop on Reference Ontologies vs. Application Ontologies
, 15-18 Sept. 2003, University of Hamburg, CEUR-WS.org.[22]Little, E. & Vizenor, L. Principles for the Development of Upper Ontologies in Higher-levelInformation Fusion Applications, in
Proceedings of the 2006 Formal Ontology for InformationSystems Conference
, Baltimore, Maryland, November 9-11, 2006.[23]Smith B. and Grenon, P. (2004) The Cornucopia of Formal-Ontological Relations,
 Dialectica
58, No. 3, pp. 279-296.[24]Vicente, K.J. (1999). Cognitive work analysis: Toward safe, productive, and healthycomputerbased work. Mahwah, NJ: Lawrence Erlbaum Associates.[25]Rasmussen, J., Pejtersen, A.M., & Goodstein, L.P. (1994).
Cognitive Systems Engineering
. NewYork: Wiley-Interscience.
Eric Little37Volume 2 · Number 1 · 2010

Activity (2)

You've already reviewed this. Edit your review.
1 hundred reads
Academic innovation articles provided me with great insights, For this I highly recommend reading the International Journal of Innovation Science http://innovationscience.org or http://www.multi-science.co.uk/ijis.htm

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->