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Semantic Technology for
the Data Warehousing
Practitioner
Shattering Traditional DW/BI Best Practices to
Drive Intelligent Analytics
June 2-5, 2013

Speaker

Thomas Kelly
Practice Director, Life Sciences
Enterprise Information Management
Cognizant Technology Solutions, Inc.
©2013, Cognizant
Agenda

1

Why the Data Warehouse is Important

2

Observations on Project Execution

3

Changing DW/BI Practices through Semantic Technology

4

A New Generation of Data Warehousing and Business Intelligence

2 | ©2013, Cognizant
Data Warehousing Keeps the Business Running, While Delivering Information &
Insights
Objectives

• Performance
• Predictable Results; Consistent
Reports
• Maintain History
Traditional Enablers

• Most data was well-understood
• New data sources emerged only
occasionally
• Relational and well-structured
data (sources)
3 | ©2013, Cognizant
Many Successful DW Projects have had Challenges

•
•

Get the … right, or the … breaks

•

Speed of business change

•

More data is available, from new sources

•

We need data faster – closer to time of creation

•

4 | ©2013, Cognizant

Lengthy time-to-business value

Developing expertise
Semantic Technology is about Standards, Products, and Techniques

5 | ©2013, Cognizant
Semantic Technology Features that enable Agile Data Warehousing

Extensible Ontologies
Entity Resolution

Expert Knowledge
Data Virtualization

Provenance
Data Federation
Linked Data

6 | ©2013, Cognizant
Fresh, Never Frozen Requirements

Requirements
described during the
“Requirements”
phase

Requirements that
are unearthed in
later phases

Now that we’ve discussed my requirements,
how soon can I get my new reports?
7 | ©2013, Cognizant

• Semantic Technology provides
highly flexible and extensible
features

• Better support for agile
development (ongoing
requirements definition and
prioritization, managed through
timeboxing)
• Extend the data model without
breaking dependent data loading
and analytics functions
Evolutionary Data Modeling
ISBN
ISBN

Title
Language

Title

Author
Author

Publisher
Publisher

ISBN
ISBN

ISBN

Language

bookURI
ISBN

title
8 | ©2013, Cognizant

Title

ISBN

Language

Language

Publisher

Author

“A Game of Thrones (A Song of Ice and Fire, Book 1)” @en
“Le trône de fer : L'intégrale, tome 1 “ @fr
“漫画系列•冰与火之歌漫画:权力的游戏(第1卷) [平装]“ @ch
“Игра Престолов” @ru
“Juego de Tronos” @es
Multi-Dimensional Data Quality Management
And
Here

Traditional Data Warehouse
Data Quality
Happens Here
Data
Source A

Data
Source B

Data
Warehouse

Data Quality
Happens Here

Data
Source C

Data
Store B

9 | ©2013, Cognizant

Data
Store C

And
Here

DepartmentLevel View

DivisionLevel View

Data
Store A

Semantic Data Warehouse

My
View

And
Here

And
Here
Enterprise
Data
Warehouse

DivisionLevel View

DivisionLevel View

And
Here

Your
View

And
Here
Minimizing Data Movement
Traditional Data Warehouse

Data Warehouse
Data Mart
Data
Source

Landing
Zone

Staging
Area

Integrated
Store

Analytics
Layer
Data Mart

Semantic Data Warehouse

Data
Source

10 | ©2013, Cognizant

Data Warehouse
Build Links, Not Storage Farms
Traditional Data Warehouse
Data
Source
Data
Source

Data
Source

Data
Source

Data Warehouse
Data
Source

“The Preferred
Repository”

Data
Source

Semantic Data Warehouse

Data
Source

Data
Source

Data
Source

11 | ©2013, Cognizant

Data
Source

Data
Source

Data
Source

One Stop
Access Point
Embedding Expert Knowledge
SNOMED Clinical Terms Ontology
Integrating Expertise: Selecting for Hypothyroidism
Case Medications
Levothyroxine, synthroid,
levoxyl unithroid, armour
thyroid, desicated thyroid,
cytomel, triostat,
liothyronine, synthetic
trilodothyronine, liotrix,
thyrolar
Pregnancy Exclusion
ICD-9 Codes
Any pregnancy billing code
or lab test if all Case
Definition codes, labs, or
medications fall within 6
months before pregnancy
to one year after
pregnancy
V22.1, V22.2, 631, 633,
633.0, 633.00, 633.1,
633.10, 633.20, 633.8,
633.80, 633.9, 633.90,
645.1, 645.2, 646.8, etc.

ICD-9 Codes for Hypothyroidism
244, 244.8, 244.9, 245, 245.2, 245.8, 245.9

sno:40930008 ID
sno:40930008 Preferred Name
Case Definition

ICD-9 Codes for Secondary
Causes of Hypothyroidism
244.0, 244.1, 244.2, 244.3

40930008
Hypothyroidism

ICD-9 Codes for Post
Surgical or Post Radiation
Hypothyroidism
All three conditions required:
193*, 242.0, 242.1, 242.2,
1. ICD-9 code for hypothyroidism OR abnormal TSH/FT4
icd9:244
ID
244
242.3, 242.9, 244.0, 244.1,
2. Thyroid replacement medication use
icd9:244 at least Preferred Name medication or lab
Acquired hypothyroidism
244.2, 244.3, 258*
3. Require
2 instances of either
icd9:244.8
ID
244.8
with at least 3 months between the first and last
icd9:244.8 of medication and lab
Preferred Name Other specified acquired CPT Codes for Post
instance
Radiation Hypothyroidism
hypothyroidism
77261, 77262, 77263, 77280,
77285, 77290, 77295, 77299,
ind:4093008
40930008
Case Exclusions ID
77300, 77301, 77305, 77310,
{ SELECT the following information occurssno:40930008
Exclude if DISTINCT ?patientID,any time in
at ?patientName etc.
ind:4093008
Defined By
the record:
ind:4093008
Inclusion ICD
icd9:244
• Secondary causes of hypothyroidism
Exclusion Keywords
icd9:244.8
WHERE surgical or post radiation hypothyroidism
• Post
Multiple endocrine neoplasia,
ind:4093008
Exclusion ICD
icd9:631
•{ Other thyroid diseases
MEN I, MENII, thyroid cancer,
icd9:633
• Thyroid altering medication
thyroid carcinoma
?patient ?indication “HYPOTHYROIDISM”

SPARQL query (abbrieviated)

}

}

Case Exclusions
Exclusion Keywords
Time dependent case exclusions:
Optiray, radiocontrast,
• Recent pregnancy TSH/FT4
iodine, omnipaque,
• Recent contrast exposure
visipaque, hypaque,
ioversol, diatrizoate,
iodixanol, isovue,
iopamidol, conray,
iothalamate, renografin,
sinografin, cystografin,
Source: SNOMED-CT Ontology, IHTSDO
conray, iodipamide

12 | ©2013, Cognizant

Abnormal Lab Values
TSH > 5 OR FT4 < 0.5

Conway et al.; Denny et al.

Thyroid-Altering Medications
Phenytoin, Dilantin, Infatabs,
Dilantin Kapseals, Dilantin-125,
Phenytek, Amiocarone
Pacerone, Cordarone, Lithium,
Eskalith, Lithobid,
Methimazole, Tapazole,
Northyx, Propylthiouracil, PTU

Reprinted with permission from Jyotishman Pathak, Ph.D., Mayo Clinic
Researching, Analyzing, Justifying, Socializing, and Pleading for Approval of the
Project Business Case

• Justify an exploratory project to
prove and demonstrate value
• Focus efforts on incremental
improvements that achieve a positive
result
• Justify further work based on success

13 | ©2013, Cognizant
Semantic Technology-enabled Data Warehousing: Features at a Glance

Features

Traditional Technology
and Practices

Semantic Technology
and Practices

Requirements Gathering and Analysis

• Capture requirements and freeze
early
• Manage change

• Capture and validate initial
requirements
• Adjust and fine tune
• Prioritize new requirements

Data Modeling

Thorough upfront analysis to avoid
rework later

• Expect change
• Agile, evolutionary

Data Latency

“Yesterday’s data is available today, if
it all loaded ontime”

“The pricing data is updated in realtime”

Data Infrastructure

Bring all of the data in house

• Leverage external data
• Cache locally to address
performance / reliability

Deliver Business Value

Correctly define, design, build, and
document everything before
delivering value

Deliver value early and often

14 | ©2013, Cognizant
Questions?

©2013, Cognizant
Thank you

©2013, Cognizant
Speaker
Thomas (Tom) Kelly
Practice Director, EIM Life Sciences, Cognizant

Thomas is a Practice Leader in Cognizant’s Enterprise
Information Management (EIM) Practice, with over 30
years of experience, focusing on leading Data
Warehousing, Business Intelligence, and Big Data
projects that deliver value to Life Sciences and related
health industries clients.
thomas.kelly@cognizant.com

©2013, Cognizant

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Semantic Technology for the Data Warehousing Practitioner

  • 1. Semantic Technology for the Data Warehousing Practitioner Shattering Traditional DW/BI Best Practices to Drive Intelligent Analytics June 2-5, 2013 Speaker Thomas Kelly Practice Director, Life Sciences Enterprise Information Management Cognizant Technology Solutions, Inc. ©2013, Cognizant
  • 2. Agenda 1 Why the Data Warehouse is Important 2 Observations on Project Execution 3 Changing DW/BI Practices through Semantic Technology 4 A New Generation of Data Warehousing and Business Intelligence 2 | ©2013, Cognizant
  • 3. Data Warehousing Keeps the Business Running, While Delivering Information & Insights Objectives • Performance • Predictable Results; Consistent Reports • Maintain History Traditional Enablers • Most data was well-understood • New data sources emerged only occasionally • Relational and well-structured data (sources) 3 | ©2013, Cognizant
  • 4. Many Successful DW Projects have had Challenges • • Get the … right, or the … breaks • Speed of business change • More data is available, from new sources • We need data faster – closer to time of creation • 4 | ©2013, Cognizant Lengthy time-to-business value Developing expertise
  • 5. Semantic Technology is about Standards, Products, and Techniques 5 | ©2013, Cognizant
  • 6. Semantic Technology Features that enable Agile Data Warehousing Extensible Ontologies Entity Resolution Expert Knowledge Data Virtualization Provenance Data Federation Linked Data 6 | ©2013, Cognizant
  • 7. Fresh, Never Frozen Requirements Requirements described during the “Requirements” phase Requirements that are unearthed in later phases Now that we’ve discussed my requirements, how soon can I get my new reports? 7 | ©2013, Cognizant • Semantic Technology provides highly flexible and extensible features • Better support for agile development (ongoing requirements definition and prioritization, managed through timeboxing) • Extend the data model without breaking dependent data loading and analytics functions
  • 8. Evolutionary Data Modeling ISBN ISBN Title Language Title Author Author Publisher Publisher ISBN ISBN ISBN Language bookURI ISBN title 8 | ©2013, Cognizant Title ISBN Language Language Publisher Author “A Game of Thrones (A Song of Ice and Fire, Book 1)” @en “Le trône de fer : L'intégrale, tome 1 “ @fr “漫画系列•冰与火之歌漫画:权力的游戏(第1卷) [平装]“ @ch “Игра Престолов” @ru “Juego de Tronos” @es
  • 9. Multi-Dimensional Data Quality Management And Here Traditional Data Warehouse Data Quality Happens Here Data Source A Data Source B Data Warehouse Data Quality Happens Here Data Source C Data Store B 9 | ©2013, Cognizant Data Store C And Here DepartmentLevel View DivisionLevel View Data Store A Semantic Data Warehouse My View And Here And Here Enterprise Data Warehouse DivisionLevel View DivisionLevel View And Here Your View And Here
  • 10. Minimizing Data Movement Traditional Data Warehouse Data Warehouse Data Mart Data Source Landing Zone Staging Area Integrated Store Analytics Layer Data Mart Semantic Data Warehouse Data Source 10 | ©2013, Cognizant Data Warehouse
  • 11. Build Links, Not Storage Farms Traditional Data Warehouse Data Source Data Source Data Source Data Source Data Warehouse Data Source “The Preferred Repository” Data Source Semantic Data Warehouse Data Source Data Source Data Source 11 | ©2013, Cognizant Data Source Data Source Data Source One Stop Access Point
  • 12. Embedding Expert Knowledge SNOMED Clinical Terms Ontology Integrating Expertise: Selecting for Hypothyroidism Case Medications Levothyroxine, synthroid, levoxyl unithroid, armour thyroid, desicated thyroid, cytomel, triostat, liothyronine, synthetic trilodothyronine, liotrix, thyrolar Pregnancy Exclusion ICD-9 Codes Any pregnancy billing code or lab test if all Case Definition codes, labs, or medications fall within 6 months before pregnancy to one year after pregnancy V22.1, V22.2, 631, 633, 633.0, 633.00, 633.1, 633.10, 633.20, 633.8, 633.80, 633.9, 633.90, 645.1, 645.2, 646.8, etc. ICD-9 Codes for Hypothyroidism 244, 244.8, 244.9, 245, 245.2, 245.8, 245.9 sno:40930008 ID sno:40930008 Preferred Name Case Definition ICD-9 Codes for Secondary Causes of Hypothyroidism 244.0, 244.1, 244.2, 244.3 40930008 Hypothyroidism ICD-9 Codes for Post Surgical or Post Radiation Hypothyroidism All three conditions required: 193*, 242.0, 242.1, 242.2, 1. ICD-9 code for hypothyroidism OR abnormal TSH/FT4 icd9:244 ID 244 242.3, 242.9, 244.0, 244.1, 2. Thyroid replacement medication use icd9:244 at least Preferred Name medication or lab Acquired hypothyroidism 244.2, 244.3, 258* 3. Require 2 instances of either icd9:244.8 ID 244.8 with at least 3 months between the first and last icd9:244.8 of medication and lab Preferred Name Other specified acquired CPT Codes for Post instance Radiation Hypothyroidism hypothyroidism 77261, 77262, 77263, 77280, 77285, 77290, 77295, 77299, ind:4093008 40930008 Case Exclusions ID 77300, 77301, 77305, 77310, { SELECT the following information occurssno:40930008 Exclude if DISTINCT ?patientID,any time in at ?patientName etc. ind:4093008 Defined By the record: ind:4093008 Inclusion ICD icd9:244 • Secondary causes of hypothyroidism Exclusion Keywords icd9:244.8 WHERE surgical or post radiation hypothyroidism • Post Multiple endocrine neoplasia, ind:4093008 Exclusion ICD icd9:631 •{ Other thyroid diseases MEN I, MENII, thyroid cancer, icd9:633 • Thyroid altering medication thyroid carcinoma ?patient ?indication “HYPOTHYROIDISM” SPARQL query (abbrieviated) } } Case Exclusions Exclusion Keywords Time dependent case exclusions: Optiray, radiocontrast, • Recent pregnancy TSH/FT4 iodine, omnipaque, • Recent contrast exposure visipaque, hypaque, ioversol, diatrizoate, iodixanol, isovue, iopamidol, conray, iothalamate, renografin, sinografin, cystografin, Source: SNOMED-CT Ontology, IHTSDO conray, iodipamide 12 | ©2013, Cognizant Abnormal Lab Values TSH > 5 OR FT4 < 0.5 Conway et al.; Denny et al. Thyroid-Altering Medications Phenytoin, Dilantin, Infatabs, Dilantin Kapseals, Dilantin-125, Phenytek, Amiocarone Pacerone, Cordarone, Lithium, Eskalith, Lithobid, Methimazole, Tapazole, Northyx, Propylthiouracil, PTU Reprinted with permission from Jyotishman Pathak, Ph.D., Mayo Clinic
  • 13. Researching, Analyzing, Justifying, Socializing, and Pleading for Approval of the Project Business Case • Justify an exploratory project to prove and demonstrate value • Focus efforts on incremental improvements that achieve a positive result • Justify further work based on success 13 | ©2013, Cognizant
  • 14. Semantic Technology-enabled Data Warehousing: Features at a Glance Features Traditional Technology and Practices Semantic Technology and Practices Requirements Gathering and Analysis • Capture requirements and freeze early • Manage change • Capture and validate initial requirements • Adjust and fine tune • Prioritize new requirements Data Modeling Thorough upfront analysis to avoid rework later • Expect change • Agile, evolutionary Data Latency “Yesterday’s data is available today, if it all loaded ontime” “The pricing data is updated in realtime” Data Infrastructure Bring all of the data in house • Leverage external data • Cache locally to address performance / reliability Deliver Business Value Correctly define, design, build, and document everything before delivering value Deliver value early and often 14 | ©2013, Cognizant
  • 17. Speaker Thomas (Tom) Kelly Practice Director, EIM Life Sciences, Cognizant Thomas is a Practice Leader in Cognizant’s Enterprise Information Management (EIM) Practice, with over 30 years of experience, focusing on leading Data Warehousing, Business Intelligence, and Big Data projects that deliver value to Life Sciences and related health industries clients. thomas.kelly@cognizant.com ©2013, Cognizant