an ontology for clinical trial data integration

7
Copyright 2011 Digital Enterprise Research Institute. All rights reserved. Digital Enterprise Research Institute www.deri.i e Enabling Networked Knowledge An Ontology for Clinical Trial Data Integration Dr. Ratnesh Sahay SMC 2013, Manchester, UK 15-10-2013

Upload: alma

Post on 09-Feb-2016

62 views

Category:

Documents


4 download

DESCRIPTION

An Ontology for Clinical Trial Data Integration. Dr. Ratnesh Sahay SMC 2013, Manchester, UK 15-10-2013. If you have heterogeneous clinical terminologies and you want to integrate them…. and if scale of integration grows …. ?. E. A. B8. A4. F. A1. B3. The Problem. - PowerPoint PPT Presentation

TRANSCRIPT

Page 1: An Ontology for Clinical Trial Data Integration

Copyright 2011 Digital Enterprise Research Institute. All rights reserved.

Digital Enterprise Research Institute www.deri.ie

Enabling Networked Knowledge

An Ontology for Clinical Trial Data Integration

Dr. Ratnesh SahaySMC 2013, Manchester, UK

15-10-2013

Page 2: An Ontology for Clinical Trial Data Integration

Digital Enterprise Research Institute www.deri.ie

Enabling Networked Knowledge2

A4A1

A4A1 A2

A1 A2

A1

B3A4 A2

A1

B3

A1

B3A1

A1A2

A1

A4

A4 A2A1

A4A4

A2

A1

A2A2

A1

B3

A1

A1A2

A1A1A1

B3 A1

A1A1

A1

A4

A4

A4

A1A1

A2A1

A4

A1

A1

A1 A1

B3B3

A2A4

A1A1

A2

A1

A1 A2

A1 A1

A1A1 B3 A4

A1A1

A1

A1 A1A1

A4

B3B3

B3

B3

A1

B3

A4

B3

A1A4

A1

A4 A2A2A1 A1

A1

A1

A4

A1

A1

A1

A2

A1

A4

A1A4

B3

A1 A1A4

A2

A4A1

A1A2

B3

A1 A2

A2

A1

A1B3

A1A1

A1A1

A1A4

B3

A2

A1

A4

A1 A1 A1

A4

A1

B3

A1A2

A2

A1

A4 A2

A1

A2

A1

A1

A1

A2A1

A1A1

A1A1 A1

A1

B3

B3

A4 A4

A1

A4A2

A1

A4

The Problem

If you have heterogeneous clinical terminologies and you want to integrate them….

and if scale of integration grows…

A

?

A1 B3

B8 A4 FE

B8A1

A4 A1 A2

A4

B3A1

A4 A6A2

A5

A4 A1 A4A1A1B3

B3A1

A1

B3 A1

A1 A4

A4 A1A1

A4 A1 A2

A1 B3A1

A4

A4A1A2

A2

B3A2

Heterogeneous Clinical Terminologies

Terminology Integration

Lot of complex terminologies

2/7

Page 3: An Ontology for Clinical Trial Data Integration

Digital Enterprise Research Institute www.deri.ie

Enabling Networked Knowledge

Integrating Clinical Terminologies

return number of subjects (i.e., patients) that have been administered the drug

Insulin and exhibit BMI > 25 and Dyslipidemia and Agoraphobia as adverse events

RxNorm LOINC SNOMED DSM-4

Legal and Ethical Regulations

HL7/openEHR

3/7

Page 4: An Ontology for Clinical Trial Data Integration

Digital Enterprise Research Institute www.deri.ie

Enabling Networked Knowledge

Semantic EHR Ontology

The Semantic EHR Ontology represents the clinical trail domain and described as a domain level ontology

Objectives Enable sharing and linking of healthcare and clinical

terminologies Sharing consistent and unambiguous knowledge for

decision making in medical and clinical research domains (Sub)Domains

Partially covers Breast Cancer, Diabetic, Adverse Event (AE), Concomitant Medication (CE), Neurology, Genetics, Psychiatric Disorder, and Respiratory

Local institute (domain)-specific variables

4/7

Page 5: An Ontology for Clinical Trial Data Integration

Digital Enterprise Research Institute www.deri.ie

Enabling Networked Knowledge

Layering: Semantic EHR Ontology

ACGT

BFO

imports

imports

Dom

ain

SEHR

CHUVCardiovascularPsychiatricAdverse Events

CINGBreast CancerDiabeticNeurologyGeneticsAdverse Event (AE)

ZEINCROAdverse Event (AE) Concomitant Medication (CE)Respiratory

UPP

ER

UMLS, OBO Foundry(Basic Formal Ontology)

Advancing Clinico-Genomic Trials on Cancer (ACGT)

5/7

Class 1859Object Property 225Data Property 575

Page 6: An Ontology for Clinical Trial Data Integration

Digital Enterprise Research Institute www.deri.ie

Enabling Networked Knowledge

Evaluating Semantic EHR Ontology

The questionnaires were answered by clinical experts from various sub-domain of Healthcare and Life Sciences

Clinical experts suggested conceptualisation fixes (i.e., hierarchy and/or names of classes and properties) that suit their local requirements

Clinical experts agree that SEHR ontology covers the needs of the clinical trial domain

We are doing a final (fourth) round of evaluation

6/7

Page 7: An Ontology for Clinical Trial Data Integration

Digital Enterprise Research Institute www.deri.ie

Enabling Networked Knowledge

Thank you

7/7