Traditionally, nurse call systems in hospitals are rather simple:
patients have a button next to their bed to call a nurse. Which specific
nurse is called cannot be controlled, as there is no extra information
available. This is different for solutions based on semantic knowledge:
if the state of care givers (busy or free), their current position, and for
example their skills are known, a system can always choose the best
suitable nurse for a call. In this paper we describe such a semantic nurse
call system implemented using the EYE reasoner and Notation3 rules.
The system is able to perform OWL-RL reasoning. Additionally, we use
rules to implement complex decision trees. We compare our solution to
an implementation using OWL-DL, the Pellet reasoner, and SPARQL
queries. We show that our purely rule-based approach gives promising
results. Further improvements will lead to a mature product which will
significantly change the organization of modern hospitals.
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RuleML 2015: Ontology Reasoning using Rules in an eHealth Context
1. ELIS – Multimedia Lab
Dörthe Arndt, Ben De Meester, Pieter Bonte, Jeroen Schaballie,
Jabran Bhatti, Wim Dereuddre, Ruben Verborgh, Femke Ongenae,
Filip De Turck, Rik Van de Walle, and Erik Mannens
Multimedia Lab, Ghent University - iMinds, Belgium
Internet Based Communication Networks and Services , Ghent University - iMinds, Belgium
Televic Healthcare - Izegem, Belgium
RuleML 2015, Berlin, August 05, 2015
Ontology Reasoning using Rules
in an eHealth Context
2. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Outline
Business Case
Technological Challenges
Rule Based Solution
Results
Importance and Impact
3. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Outline
Business Case
Technological Challenges
Rule Based Solution
Results
Importance and Impact
4. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Adaptable context aware nurse call system for
Why do they want that?
• Less distraction for nurses, if they are busy they don’t get
called
• Less walking distances for nurses and doctors
• No time loss by assigning calls to persons without the
necessary competences
• Trust between personell and patients
• Adaptivity to the requirements of any hospital
→More efficient organization of hospitals
Business Case
5. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Outline
Business Case
Technological Challenges
Rule Based Solution
Results
Importance and Impact
6. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Technological Challenges
• Scalability cope with data sets ranging from 1000 to 100 000
relevant triples
• Semantics be able to draw conclusions based on the
information it is aware of
• Functional complexity implement deterministic decision
trees with varying complexities
• Configuration have the ability to change these decision trees
at configuration time
• Real-time return a response within 5 seconds to any given
event
7. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Why rule based solution?
Classical
(Java, C++, …)
OWL DL +
SPARQL
Rule based
Scalability
Semantics
Functional
Complexity
Configuration
Real Time
8. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Outline
Business Case
Technological Challenges
Rule Based Solution
Results
Importance and Impact
9. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Available data
10. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Available data
Our ontology (ACCIO ontology) is filled with:
11. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Available data
Our ontology (ACCIO ontology) is filled with:
• Location of personnel and patients
12. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Available data
Our ontology (ACCIO ontology) is filled with:
• Location of personnel and patients
• Current task of care givers (what is he/she doing?)
13. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Available data
Our ontology (ACCIO ontology) is filled with:
• Location of personnel and patients
• Current task of care givers (what is he/she doing?)
• Competences of staff members
14. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Available data
Our ontology (ACCIO ontology) is filled with:
• Location of personnel and patients
• Current task of care givers (what is he/she doing?)
• Competences of staff members
• Special needs of patients
15. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Available data
Our ontology (ACCIO ontology) is filled with:
• Location of personnel and patients
• Current task of care givers (what is he/she doing?)
• Competences of staff members
• Special needs of patients
• Relationship of nurses and patients
16. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Available data
Our ontology (ACCIO ontology) is filled with:
• Location of personnel and patients
• Current task of care givers (what is he/she doing?)
• Competences of staff members
• Special needs of patients
• Relationship of nurses and patients
• (Possible) Reasons for calls
17. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Available data
Our ontology (ACCIO ontology) is filled with:
• Location of personnel and patients
• Current task of care givers (what is he/she doing?)
• Competences of staff members
• Special needs of patients
• Relationship of nurses and patients
• (Possible) Reasons for calls
And much more…
18. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
• For reasoning we used the EYE reasoner
• We used Notation3 Logic to express
• OWL RL rules
• Decision Trees
Rules
19. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
OWL RL in N3
As an example we take subClassOf:
{?C rdfs:subClassOf ?D. ?x a ?C.} => {?x a ?D.}.
20. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
OWL RL in N3
Knowledge:
:Call rdfs:subclassOf :Task. :call1 a :Call.
As an example we take subClassOf:
{?C rdfs:subClassOf ?D. ?x a ?C.} => {?x a ?D.}.
21. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
OWL RL in N3
Knowledge:
:Call rdfs:subclassOf :Task. :call1 a :Call.
As an example we take subClassOf:
{?C rdfs:subClassOf ?D. ?x a ?C.} => {?x a ?D.}.
22. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
OWL RL in N3
Knowledge:
:Call rdfs:subclassOf :Task. :call1 a :Call.
As an example we take subClassOf:
{?C rdfs:subClassOf ?D. ?x a ?C.} => {?x a ?D.}.
23. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
OWL RL in N3
Knowledge:
:Call rdfs:subclassOf :Task. :call1 a :Call.
As an example we take subClassOf:
{?C rdfs:subClassOf ?D. ?x a ?C.} => {?x a ?D.}.
24. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
OWL RL in N3
Knowledge:
:Call rdfs:subclassOf :Task. :call1 a :Call.
As an example we take subClassOf:
We get:
{?C rdfs:subClassOf ?D. ?x a ?C.} => {?x a ?D.}.
25. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
OWL RL in N3
Knowledge:
:Call rdfs:subclassOf :Task. :call1 a :Call.
As an example we take subClassOf:
We get:
{?C rdfs:subClassOf ?D. ?x a ?C.} => {?x a ?D.}.
26. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
OWL RL in N3
Knowledge:
:Call rdfs:subclassOf :Task. :call1 a :Call.
As an example we take subClassOf:
We get:
:call1 a :Task.
{?C rdfs:subClassOf ?D. ?x a ?C.} => {?x a ?D.}.
27. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Decision Tree
{
?c rdf : type : Call .
?c : hasStatus : Active .
?c : hasReason [rdf: type : CareReason ].
?p rdf : type : Person .
?p : hasStatus : Busy .
?p : hasRole [rdf: type : StaffMember ].
?p : hasCompetence [
rdf: type :
AnswerCareCallCompetence
].
}
=>
{
(?p ?c) : assigned 100.
}.
{
?c rdf : type : Call .
?c : hasStatus : Active .
?c : madeAtLocation ?loc.
?p : hasRole [rdf: type : StaffMember ].
?p : hasStatus : Free .
?p : closeTo ?loc.
}
=>
{
(?p ?c) : assigned 200.
}.
Priority
0
200
100
28. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Decision Tree
{
?c rdf : type : Call .
?c : hasStatus : Active .
?c : hasReason [rdf: type : CareReason ].
?p rdf : type : Person .
?p : hasStatus : Busy .
?p : hasRole [rdf: type : StaffMember ].
?p : hasCompetence [
rdf: type :
AnswerCareCallCompetence
].
}
=>
{
(?p ?c) : assigned 200.
}.
{
?c rdf : type : Call .
?c : hasStatus : Active .
?c : madeAtLocation ?loc.
?p : hasRole [rdf: type : StaffMember ].
?p : hasStatus : Free .
?p : closeTo ?loc.
}
=>
{
(?p ?c) : assigned 100.
}.
Priority
0
100
200
Priorities can be changed
easily
29. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Decision Tree
{
?c rdf : type : Call .
?c : hasStatus : Active .
?c : hasReason [rdf: type : CareReason ].
?p rdf : type : Person .
?p : hasStatus : Busy .
?p : hasRole [rdf: type : StaffMember ].
?p : hasCompetence [
rdf: type :
AnswerCareCallCompetence
].
?c :madeAtLocation ?loc.
?p :closeTo ?loc.
}
=>
{
(?p ?c) : assigned 200.
}.
New triples can be
added easily
30. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Outline
Business Case
Technological Challenges
Rule Based Solution
Results
Importance and Impact
31. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Testscenario
1. A patient launches a call (assign nurse and update call status)
2. The assigned nurse indicates that she is busy (assign other nurse)
3. The newly assigned nurse accepts the call task (update call
status)
4. The nurse moves to the corridor (update location)
5. The nurse arrives at the patients’ room (update location, turn on
lights and update nurse status)
6. The nurse logs in to the room’s terminal (update status call and
nurse, open lockers)
7. The nurse logs out again (update status call and nurse, close
lockers)
8. The nurse leaves the room (update location and call status and
turn off lights)
32. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Results: 1 ward
33. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Results: 10 wards
34. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
Outline
Business Case
Technological Challenges
Rule Based Solution
Results
Importance and Impact
35. ELIS – Multimedia Lab
Ontology Reasoning using Rules in an eHealth Context
We learned:
• Applying rule based reasoning instead of OWL DL & SPARQL
makes a difference
• First results are promising
• For small data sets we meet the requirements
• Reasoning times are stable
• Decision trees are easy to handle via rules
→ Further improvements will lead to faster implementations
Importance and Impact