Abstract
In P4 medicine, which faces the challenge of building personalized medicine, a semantic-based personalized visualization is key to enhance both patient and other stakeholders’ experience. Ontologies are a formal way to represent knowledge, and their visualization depends considerably on the role or user who is visualizing them. In the same way, like databases have virtual tables or views to tailor the data to application needs, ontologies should facilitate different perspectives on semantic data, customized to the needs of all stakeholders. This is especially true in the case of medicine, where the data consumers have quite varied roles, like patient, professional or policymaker. This study presents the current state of the art of personalization in ontology visualization initiatives, a brief summary of the diabetes mellitus domain, and existing ontologies in the diabetes domain. It also presents an approach for the personalization of ontologies visualization based on the implementation of the overview, zoom/filter and details interaction patterns. This is done by adapting the Rhizomer tool so different views can be generated in the context of personalized medicine. All this is validated through a use-case of a new ontology to model the diabetes domain from an existing open dataset of around 70,000 diabetic patients extracted from American hospitals. The conclusion is that the application of this approach has the potential to enhance personalization of medicine ontologies and their visualization.
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Abbreviations
- ATC:
-
Anatomical Therapeutic Chemical Classification System
- BFO:
-
Basic Formal Ontology
- CBR:
-
Case-based reasoning
- CSS:
-
Cascading Style Sheets
- DDO:
-
Diabetes Mellitus Diagnosis Ontology
- DMTO:
-
Diabetes Mellitus treatment ontology
- EHR:
-
Electronic Health Records
- HbA1c:
-
Haemoglobin A1c or glicated haemoglobin
- HTML:
-
Hypertext Markup Language
- ICD:
-
International Classification of Diseases
- ICF:
-
International Classification of Functioning, Disability and Health
- OGMS:
-
Ontology for General Medical Science
- RDF:
-
Resource Description Framework
- SNOMED CT:
-
Systematized Nomenclature of Medicine – Clinical Terms
- SPARQL:
-
SPARQL Protocol and RDF Query Language
- VOWL:
-
Visual Notation for OWL ontologies
- WHO:
-
World Health Organization
References
Stratified, personalised or p4 medicine: a new direction for placing the patient at the centre of healthcare and health education. Technical Report Academy of Medical Sciences (2015)
Mayo Clinic, Patient Experience. https://www.mayoclinic.org/about-mayoclinic/quality/quality-measures/patient-satisfaction
Katifori, A., Halatsis, C., Lepouras, G., Vassilakis, C., Giannopoulou, E.: Ontology visualization methods–a survey. ACM Comput. Surv. 39(10) (2007)
Noy, N., Shah, N., Whetzel, P., Dai, B., Dorf, M., Griffith, N., Jonquet, C., Rubin, D., Storey, M., Chute, C., et al.: Bioportal: ontologies and integrated data resources at the click of a mouse. Nucl. Acids Res. 37, 170–173 (2009)
Donnelly, K.: SNOMED-CT: The advanced terminology and coding system for eHealth. Stud. Health Technol. Inform. 121, 279–290 (2006)
Whetzel, P., Noy, N., Shah, N., Alexander, P., Nyulas, C., Tudorache, T., Musen, M.: Bioportal: enhanced functionality via new web services from the national center for biomedical ontology to access and use ontologies in software applications. Nucl. Acids Res. 39, W541–W545 (2011)
Subirats, L., Lopez-Blazquez, R., Ceccaroni, L., Gifre, M., Miralles, F., García-Rudolph, A., Tormos, J.: Monitoring and prognosis system based on the ICF for people with traumatic brain injury. Int. J. Environ. Res. Publ. Health 12, 9832–9847 (2015)
Subirats, L., Ceccaroni, L., Lopez-Blazquez, R., Miralles, F., García-Rudolph, A., Tormos, J.: Circles of health: towards an advanced social network about disabilities of neurological origin. J. Biomed. Inform. 46, 1006–1029 (2013)
Calvo, M., Subirats, L., Ceccaroni, L., Maroto, J.M., de Pablo, C., Miralles, F.: Automatic assessment of socioeconomic impact in cardiac rehabilitation. Int. J. Environ. Res. Publ. Health 10, 5266–5283 (2013)
R. Treede, W. Rief, A. Barke, Q. Aziz, M. Bennett, R. Benoliel, M. Cohen, S. Evers, N. Finnerup, M. First, M. Giamberardino, S. Kaasa, E. Kosek, P. Lavand’homme, M. Nicholas, S. Perrot, J. Scholz, S. Schug, B. Smith, P. Svensson, J. Vlaeyen, and S. Wang, “A classification of chronic pain for icd-11,” 2015
World Health Organization (WHO), “Guidelines for ATC Classification and DDD Assignment. WHO Collaborating Centre for Drug Statistics Methodology (2018). https://www.whocc.no/filearchive/publications/guidelines.pdf
Lohmann, S., Negru, S., Haag, F., Ertl, T.: Visualizing Ontologies with VOWL. Semantic Web J. (2015)
Fukazawa, Y., Naganuma, T., Fujii, K., Kurakake, S.: Construction and use of role-ontology for task-based service navigation system. In: Cruz, I. et al. (eds.) International Semantic Web Conference 2006 (ISWC 2006), vol. 4273. Lecture Notes in Computer Science (2006)
Schraefel, M.C., Karger, D.: The Pathetic Fallacy of RDF,” in International Workshop on the Semantic Web and User Interaction (SWUI) (2006)
Shneiderman, B.: The eyes have it: a task by data type taxonomy for information visualizations. In: Proceedings of the IEEE Symposium on Visual Languages, (Boulder, CO, USA), pp. 336–343, IEEE (1996)
WHO, Facts and Figures About Diabetes (2017). http://www.who.int/diabetes/facts/en
Kocher, R., Adashi, E.: Hospital readmissions and the affordable care act: paying for coordinated quality care. JAMA 306 (2011)
Rubin, D.: Hospital readmission of patients with diabetes. Curr. Diab. Rep. 15(17) (2015)
“Gencat, Pautes per a l’harmonització del tractament farmacològic de la diabetis mellitus tipus 2. Barcelona: Servei Català de la Salut. Departament de Salut. Generalitat de Catalunya. (Programa d’harmonització farmacoteracèutica de medicaments en l’àmbit de l’atenció primària i comunitària del Servei Català de la Salut 01/2017),” 2017
El-Sappagh, S., Elmogy, M.: A fuzzy ontology modeling for case base knowledge in diabetes mellitus domain. Eng. Sci. Technol. Int. J 20, 1025–1040 (2017)
Aamodt, A., Plaza, E.: Case-based reasoning: Foundational issues, methodological variations, and system approaches. AI Commun. 7, 39–59 (1994)
Lee, C., Wang, M., Hagras, H.: A type-2 fuzzy ontology and its application to personal diabetic-diet recommendation. IEEE Trans. Fuzzy Syst. 18, 374–395 (2010)
Alfaifi, Y., Grasso, F., Tamma, V.: Towards an ontology to identify barriers to physical activity for type 2 diabetes. In: Proceedings of the 2017 International Conference on Digital Health (DH’17), pp. 16–20. ACM, New York, NY, USA (2017)
Rahimi, A., Liaw, S.-T., Taggart, J., Ray, P., Yu, H.: Validating an ontology-based algorithm to identify patients with type 2 diabetes mellitus in electronic health records. Int. J. Med. Informat. 83(10), 768–778 (2014)
Rahimi, A., Parameswaran, N., Ray, P.K., Taggart, J., Yu, H., Liaw, S.T.: Development of a methodological approach for data quality ontology in diabetes management. Int. J. E-Health Med. Commun. (IJEHMC), 5, 5877 (2014)
Vasant, D., Neff, F., Gormanns, P., Conte, N., Fritsche, A., Staiger, H., et al.: DIAB: An ontology of type 2 Diabetes stages and associated phenotypes. Phenotype Day ISMB 2015, 24–27 (2015)
El-Sappagh, S., Ali, F.: DDO: a diabetes mellitus diagnosis ontology. Appl. Informat. 3, 5 (2016)
El-Sappagh, S., Kwak, D., Ali, F., Kwak, K.-S.: DMTO: a realistic ontology for standard diabetes mellitus treatment. J. Biomed. Semant. 9, 8 (2018)
Scheuermann, R.H., Ceusters, W., Smith, B.: Toward an Ontological Treatment of Disease and Diagnosis, in Summit on Translational Bioinformatics, pp. 116–20, 2009
Arp, R., Smith, B., Spear, A.D.: Building Ontologies with Basic Formal Ontology. MIT Press (2015)
Morville, P., Rosenfeld, L.: Information Architecture for the World Wide Web. Cambridge, MA: O’Reilly Media, 3rd ed. (2006)
Shneiderman, B.: Tree visualization with tree-maps: 2-d space-filling approach. ACM Trans. Graph. 11, 92–99 (1992)
Elmqvist, N., Dragicevic, P., Fekete, J.D.: Colorlens: adaptive color scale optimization for visual exploration. IEEE Trans. Visualizat. Comput. Graph. 99 (2010)
Goldberg, J., Helfman, J.: Enterprise network monitoring using treemaps. Proceedings of the Human Factors and Ergonomics Society 49, 671–675 (2005)
Brunetti, J., García, R., Auer, S.: From overview to facets and pivoting for interactive exploration of semantic web data. Int. J. Semantic Web Inf. Syst. 9, 120 (2013)
González-Sánchez, J.L., García, R., Brunetti, J.M., Gil, R., Gimeno, J.M.: Using SWETQUM to compare the quality in use of semantic web exploration tools. J. Univers. Comput. Sci. 19(8), 1025–1045 (2013)
Brunetti, J.M., García, R.: User-centered design and evaluation of overview components for semantic data exploration. Aslib J. Informat. Manag. 66(5), 519–536 (2014)
García, R., Gil, R., Gimeno, J.M., Bakke, E., Karger, D.R.: BESDUI: a benchmark for end-user structured data user interfaces. In: The Semantic Web ISWC 2016, Lecture Notes in Computer Science, pp. 65–79. Springer, Cham (2016)
Strack, B., DeShazo, J.P., Gennings, C., Olmo, J.L., Ventura, S., Cios, K.J., Clore, J.N.: Impact of HbA1c measurement on hospital readmission rates: analysis of 70000 clinical database patient records. BioMed Res. Int. 11 (2014)
Smith, J., Everhart, J., Dickson, W., Knowler, W., Johannes, R.: Using the ADAP learning algorithm to forecast the onset of diabetes mellitus. In: Symposium on Computer Applications and Medical Care, pp. 261–265. IEEE Computer Society Press (1988)
Uschold, M., Gruninger, M.: Ontologies: principles, methods and applications. Knowl. Eng. Rev. 2(11) (1996)
Poveda-Villalón, M., Suárez-Figueroa, M., Gómez-Pérez, A.: Validating ontologies with oops! Knowl. Eng. Knowl. Manag. 267–281 (2012)
Acknowledgements
This research has been partially funded by the Catalonia Competitiveness Agency (ACC1Ó).
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R. García., R. Gil and L. Subirats conceived the use case; R. García and R. Gil developed Rhizomik, all authors contributed to the analysis and wrote the paper.
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Open data is used and it is extracted from UCI machine learning repository. The citation requested has been done.
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The authors declare that they have no competing interests.
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Data sharing and code is available under request and the visualization is openly available at http://rhizomik.net/diabetes.
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Subirats, L., Gil, R., García, R. (2019). Personalization of Ontologies Visualization: Use Case of Diabetes. In: Alor-Hernández, G., Sánchez-Cervantes, J., Rodríguez-González, A., Valencia-García, R. (eds) Current Trends in Semantic Web Technologies: Theory and Practice. Studies in Computational Intelligence, vol 815. Springer, Cham. https://doi.org/10.1007/978-3-030-06149-4_1
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