Reconciliation of SNOMED CT and domain clinical model for interoperable medical knowledge creation

Ubiquitous Health Profile (UHPr): a big data curation platform for supporting health data interoperability

The lack of Interoperable healthcare data presents a major challenge, towards achieving ubiquitous health care. The plethora of diverse medical standards, rather than common standards, is widening the gap of interoperability. While many organizations are working towards a standardized solution, there is a need for an alternate strategy, which can intelligently mediate amongst a variety of medical systems, not complying with any mainstream healthcare standards while utilizing the benefits of several standard merging initiates, to eventually create digital health personas. The existence and efficiency of such a platform is dependent upon the underlying storage and processing engine, which can acquire, manage and retrieve the relevant medical data. In this paper, we present the Ubiquitous Health Profile (UHPr), a multi-dimensional data storage solution in a semi-structured data curation engine, which provides foundational support for archiving heterogeneous medical data and achieving partial data interoperability in the healthcare domain. Additionally, we present the evaluation results of this proposed platform in terms of its timeliness, accuracy, and scalability. Our results indicate that the UHPr is able to retrieve an error free comprehensive medical profile of a single patient, from a set of slightly over 116.5 million serialized medical fragments for 390,101 patients while maintaining a good scalablity ratio between amount of data and its retrieval speed.

Artificial Intelligence in Clinical Decision Support: a Focused Literature Survey

OBJECTIVES

This survey analyses the latest literature contributions to clinical decision support systems (DSSs) on a two-year period (2017-2018), focusing on the approaches that adopt Artificial Intelligence (AI) techniques in a broad sense. The goal is to analyse the distribution of data-driven AI approaches with respect to "classical" knowledge-based ones, and to consider the issues raised and their possible solutions.

METHODS

We included PubMed and Web of ScienceTM publications, focusing on contributions describing clinical DSSs that adopted one or more AI methodologies.

RESULTS

We selected 75 papers, 49 of which describe approaches in the data-driven AI area, 20 present purely knowledge-based DSSs, and 6 adopt hybrid approaches relying on both formalized knowledge and data.

CONCLUSIONS

Recent studies in the clinical DSS area demonstrate a prevalence of data-driven AI, which can be adopted autonomously in purely data-driven systems, or in cooperation with domain knowledge in hybrid systems. Such hybrid approaches, able to conjugate all available knowledge sources through proper knowledge integration steps, represent an interesting example of synergy between the two AI categories. This synergy can lead to the resolution of some existing issues, such as the need for transparency and explainability, nowadays recognized as central themes to be addressed by both AI and medical informatics research.