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A Semi-automated Method for Domain-Specific Ontology Creation from Medical Guidelines

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Enterprise, Business-Process and Information Systems Modeling (BPMDS 2022, EMMSAD 2022)

Abstract

The automated capturing and summarization of medical consultations has the potential to reduce the administrative burden in healthcare. Consultations are structured conversations that broadly follow a guideline with a systematic examination of predefined observations and symptoms to diagnose and treat well-defined medical conditions. A key component in automated conversation summarization is the matching of the knowledge graph of the consultation transcript with a medical domain ontology for the interpretation of the consultation conversation. Existing general medical ontologies such as SNOMED CT provide a taxonomic view on the terminology, but they do not capture the essence of the guidelines that define consultations. As part of our research on medical conversation summarization, this paper puts forward a semi-automated method for generating an ontological representation of a medical guideline. The method, which takes as input the well-known SNOMED CT nomenclature and a medical guideline, maps the guidelines to a so-called Medical Guideline Ontology (MGO), a machine-processable version of the guideline that can be used for interpreting the conversation during a consultation. We illustrate our approach by discussing the creation of an MGO of the medical condition of ear canal inflammation (Otitis Externa) given the corresponding guideline from a Dutch medical authority.

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References

  1. Federatie Medisch Specialisten FMS - Richtlijnen (Guidelines of The Dutch Federation of Medical Specialists). https://richtlijnendatabase.nl/. Accessed 11 Mar 2022

  2. Introducing the knowledge graph: things, not strings. https://blog.google/products/search/introducing-knowledge-graph-things-not/. Accessed 11 Mar 2022

  3. Nederlands Huisartsen Genootschap NHG - Richtlijnen (Guidelines of The Dutch College of General Practitioners). https://richtlijnen.nhg.org/. Accessed 11 Mar 2022

  4. NHG Otitis Externa Guidelines. https://richtlijnen.nhg.org/standaarden/otitis-externa. Accessed 11 Mar 2022

  5. SNOMED CT Basics. https://confluence.ihtsdotools.org/display/DOCSTART/4.+SNOMED+CT+Basics. Accessed 11 Mar 2022

  6. Asim, M.N., Wasim, M., Khan, M.U.G., Mahmood, W., Abbasi, H.M.: A survey of ontology learning techniques and applications. Database 2018 (2018)

    Google Scholar 

  7. Bodenreider, O., Cornet, R., Vreeman, D.J.: Recent developments in clinical terminologies: SNOMED CT, LOINC, and RxNorm. Yearb. Med. Inform. 27(01), 129–139 (2018)

    Article  Google Scholar 

  8. Cameron, S., Turtle-Song, I.: Learning to write case notes using the SOAP format. J. Couns. Dev. 80(3), 286–292 (2002)

    Article  Google Scholar 

  9. Ehrlinger, L., Wöß, W.: Towards a definition of knowledge graphs. SEMANTiCS (Posters Demos SuCCESS) 48(1–4), 2 (2016)

    Google Scholar 

  10. ElAssy, O., Dalpiaz, F., Brinkkemper, S.: Developing Ontologies of Medical Guidelines for Automated Conversation Summarization, April 2022. https://doi.org/10.5281/zenodo.6469617

  11. Latif, S., Qadir, J., Qayyum, A., Usama, M., Younis, S.: Speech technology for healthcare: opportunities, challenges, and state of the art. IEEE Rev. Biomed. Eng. 14, 342–356 (2020)

    Article  Google Scholar 

  12. LeBlond, R.F., et al.: DeGowin’s Diagnostic Examination. McGraw-Hill Education, New York (2015)

    Google Scholar 

  13. Lehmann, J., et al.: Dbpedia-a large-scale, multilingual knowledge base extracted from Wikipedia. Semant. Web 6(2), 167–195 (2015)

    Article  Google Scholar 

  14. Lohmann, S., Negru, S., Haag, F., Ertl, T.: Visualizing ontologies with VOWL. Semant. Web 7(4), 399–419 (2016)

    Article  Google Scholar 

  15. Maas, L., et al.: The Care2Report system: automated medical reporting as an integrated solution to reduce administrative burden in healthcare. In: Proceedings of HICSS (2020)

    Google Scholar 

  16. Molenaar, S., Maas, L., Burriel, V., Dalpiaz, F., Brinkkemper, S.: Medical dialogue summarization for automated reporting in healthcare. In: Dupuy-Chessa, S., Proper, H.A. (eds.) CAiSE 2020. LNBIP, vol. 382, pp. 76–88. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-49165-9_7

    Chapter  Google Scholar 

  17. World Health Organization. WHO handbook for guideline development. World Health Organization (2014)

    Google Scholar 

  18. Peleg, M.: Computer-interpretable clinical guidelines: a methodological review. J. Biomed. Inform. 46(4), 744–763 (2013)

    Article  Google Scholar 

  19. Rosse, C., Mejino, J.L., Modayur, B.R., Jakobovits, R., Hinshaw, K.P., Brinkley, J.F.: Motivation and organizational principles for the digital anatomist symbolic knowledge base: an approach toward standards in anatomical knowledge representation. J. Am. Med. Inform. Assoc. 5, 17–40 (1998)

    Article  Google Scholar 

  20. Rosse, C., Mejino Jr., J.L.V.: A reference ontology for biomedical informatics: the foundational model of anatomy. J. Biomed. Inform. 36(6), 478–500 (2003)

    Google Scholar 

  21. van de Weerd, I., Brinkkemper, S.: Meta-modeling for situational analysis and design methods. In: Handbook of Research on Modern Systems Analysis and Design Technologies and Applications, pp. 35–54. IGI Global (2009)

    Google Scholar 

  22. Wang, M., Wang, M., Fei, Y., Yang, Y., Walker, J., Mostafa, J.: A systematic review of automatic text summarization for biomedical literature and EHRs. J. Am. Med. Inform. Assoc. 28(10), 2287–2297 (2021)

    Article  Google Scholar 

  23. Wieringa, R.J.: Design Science Methodology for Information Systems and Software Engineering. Springer, Heidelberg (2014). https://doi.org/10.1007/978-3-662-43839-8

    Book  Google Scholar 

  24. Zhou, L.: Ontology learning: state of the art and open issues. Inf. Technol. Manag. 8(3), 241–252 (2007)

    Article  Google Scholar 

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Correspondence to Sjaak Brinkkemper .

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ElAssy, O., de Vendt, R., Dalpiaz, F., Brinkkemper, S. (2022). A Semi-automated Method for Domain-Specific Ontology Creation from Medical Guidelines. In: Augusto, A., Gill, A., Bork, D., Nurcan, S., Reinhartz-Berger, I., Schmidt, R. (eds) Enterprise, Business-Process and Information Systems Modeling. BPMDS EMMSAD 2022 2022. Lecture Notes in Business Information Processing, vol 450. Springer, Cham. https://doi.org/10.1007/978-3-031-07475-2_20

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  • DOI: https://doi.org/10.1007/978-3-031-07475-2_20

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