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An Ontology based Scheme for Formal Care Plan Meta-Description

CARRE project
CARRE project
CARRE projectCARRE project

E. Kaldoudi, G. Drosatos, N. Portokallidis, A. Third. An Ontology based Scheme for Formal Care Plan Meta-Description. In Proc. of the 14th Mediterranean Conference on Medical and Biological Engineering and Computing (MEDICON 2016), Paphos, Cyprus, 31 Mar. – 2 Apr. 2016

An Ontology based Scheme for Formal Care Plan Meta-Description

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An Ontology based Scheme for Formal Care
Plan Meta-Description
Eleni Kaldoudi1, George Drosatos1, Nick Portokallidis1 and Allan Third2
1School of Medicine, Democritus University of Thrace,
Alexandroupoli, Greece
2Knowledge Media Institute, The Open University,
Milton Keynes, United Kingdom
MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 2
Overview
‒ Propose a conceptual model and an ontology for a meta-description of
formal care plans
 Focusing on care plans as a whole and not addressing internal
algorithmic steps
‒ The proposed care plans model allows
 Semantic tagging
 Semantic enrichment
‒ Advantages
 Use and re-use care plans across platforms [searching]
 Link to other scientific information (e.g. papers in PubMed, PHR, etc)
[management]
 Modeling of the provenance [organization]
 Justifications for modifications [organization]
 Alterations to care plans [organization]
eCP Meta-Description Ontology:
MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 3
e-ClinPro: Clinical protocol management system
‒ A heterogeneous semantic social
network to describe and organize
clinical protocols
‒ The protocols’ organization is
based on their provenance,
evolution and modifications
eCP Meta-Description Ontology:
MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 4
Formal care plans
‒ Clinical guidelines
 Systematically developed recommendations to address various
clinical problems
‒ Clinical protocols
 Detailed algorithms on how to address a particular clinical
problem (based on guidelines)
‒ Care pathways
 Care algorithms integrating multidisciplinary tasks for patient
care in and outside the hospital (based on guidelines)
‒ …
eCP Meta-Description Ontology:
MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 5
Examples of formal care plans
eCP Meta-Description Ontology:
MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 6
Conceptual model of care plan meta-description
eCP Meta-Description Ontology:
formal care plan
title
genre type
related health issue
description
quality of
evidence
low
very low
is a value of
observable
observable
condition
is part of
1…N
initiated by
source file
identifier
formatlocation
copyright
1…N
has
1…N0…1
1…N
0…1
1
outcomes
has
1…N
has
issuing body evidence source
is a deviation of
0…N
1
is issued by is endorsed by
1…N
strength of
recommendation
high
moderate
strong
weak
has
isavalueof
resource
requires
0…N
general
description
classification
quality&levelof
recommendation
has
has
Ad

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An Ontology based Scheme for Formal Care Plan Meta-Description

  • 1. An Ontology based Scheme for Formal Care Plan Meta-Description Eleni Kaldoudi1, George Drosatos1, Nick Portokallidis1 and Allan Third2 1School of Medicine, Democritus University of Thrace, Alexandroupoli, Greece 2Knowledge Media Institute, The Open University, Milton Keynes, United Kingdom
  • 2. MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 2 Overview ‒ Propose a conceptual model and an ontology for a meta-description of formal care plans  Focusing on care plans as a whole and not addressing internal algorithmic steps ‒ The proposed care plans model allows  Semantic tagging  Semantic enrichment ‒ Advantages  Use and re-use care plans across platforms [searching]  Link to other scientific information (e.g. papers in PubMed, PHR, etc) [management]  Modeling of the provenance [organization]  Justifications for modifications [organization]  Alterations to care plans [organization] eCP Meta-Description Ontology:
  • 3. MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 3 e-ClinPro: Clinical protocol management system ‒ A heterogeneous semantic social network to describe and organize clinical protocols ‒ The protocols’ organization is based on their provenance, evolution and modifications eCP Meta-Description Ontology:
  • 4. MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 4 Formal care plans ‒ Clinical guidelines  Systematically developed recommendations to address various clinical problems ‒ Clinical protocols  Detailed algorithms on how to address a particular clinical problem (based on guidelines) ‒ Care pathways  Care algorithms integrating multidisciplinary tasks for patient care in and outside the hospital (based on guidelines) ‒ … eCP Meta-Description Ontology:
  • 5. MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 5 Examples of formal care plans eCP Meta-Description Ontology:
  • 6. MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 6 Conceptual model of care plan meta-description eCP Meta-Description Ontology: formal care plan title genre type related health issue description quality of evidence low very low is a value of observable observable condition is part of 1…N initiated by source file identifier formatlocation copyright 1…N has 1…N0…1 1…N 0…1 1 outcomes has 1…N has issuing body evidence source is a deviation of 0…N 1 is issued by is endorsed by 1…N strength of recommendation high moderate strong weak has isavalueof resource requires 0…N general description classification quality&levelof recommendation has has
  • 7. MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 7 Ontology implementation ‒ Implemented with OWL2 using Protégé ‒ Available online in: http://purl.bioontology.org/ontology/ECP ‒ Integrated with commonly used standards and controlled vocabularies:  ICD-10, SNOMED-CT, QUDT, UO, GRADE and UMLS eCP Meta-Description Ontology:
  • 8. MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 8 Development process and evaluation ‒ Development by health care professionals (4 medical & 4 technology experts) ‒ Testing with 20 clinical protocols and guidelines (by NICE, NKF KDOQI, ADA, Hellenic Society of Nephrology and 2 Greek National University Hospitals) ‒ Medical experts found:  The model was straightforward to use  The terminology was familiar and easy to understand and apply  The only difficulty identified in the expression of initial logical condition eCP Meta-Description Ontology:
  • 9. MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 9 Conclusion ‒ Introduced a metadata scheme and ontology for the description of formal care plans ‒ Goal of the proposed scheme is to support: a) care plan management in electronic repositories b) organization and classification c) universal tracking queries of care plans used by search engines or medical portals d) literature of evidence provenance e) institutional provenance ‒ Our aim was to define in a formal, ontology-based, platform- independent metadata set to describe formal care plans and their relationships eCP Meta-Description Ontology:
  • 10. MEDICON 2016, 31 Mar – 2 Apr 2016, Paphos, Cyprus 10 This work was supported by eCP: Electronic Clinical Protocols project (MIS 375876), funded under the Greek National Programme Thales and the FP7-ICT project CARRE (No. 611140), both co-funded by the European Commission. CARRE Project: Personalized patient empowerment and shared decision support for cardiorenal disease and comorbidities Acknowledgement eCP: Development of electronic clinical protocols eCP Meta-Description Ontology:
  • 11. Contact Eleni Kaldoudi CARRE Coordinator Associate Professor School of Medicine Democritus University of Thrace Alexandroupoli, Greece Email: kaldoudi@med.duth.gr http://iris.med.duth.gr/kaldoudi Cite as E. Kaldoudi, George Drosatos, Nick Portokallidis and Allan Third An Ontology based Scheme for Formal Care Plan Meta-Description MEDICON 2016, Paphos, Cyprus, 2 April 2016