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2016 ; 4
(2
): e12
Nephropedia Template TP
gab.com Text
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English Wikipedia
A Querying Method over RDF-ized Health Level Seven v2 5 Messages Using Life
Science Knowledge Resources
#MMPMID27050304
Kawazoe Y
; Imai T
; Ohe K
JMIR Med Inform
2016[Apr]; 4
(2
): e12
PMID27050304
show ga
BACKGROUND: Health level seven version 2.5 (HL7 v2.5) is a widespread messaging
standard for information exchange between clinical information systems. By
applying Semantic Web technologies for handling HL7 v2.5 messages, it is possible
to integrate large-scale clinical data with life science knowledge resources.
OBJECTIVE: Showing feasibility of a querying method over large-scale resource
description framework (RDF)-ized HL7 v2.5 messages using publicly available drug
databases. METHODS: We developed a method to convert HL7 v2.5 messages into the
RDF. We also converted five kinds of drug databases into RDF and provided
explicit links between the corresponding items among them. With those linked drug
data, we then developed a method for query expansion to search the clinical data
using semantic information on drug classes along with four types of temporal
patterns. For evaluation purpose, medication orders and laboratory test results
for a 3-year period at the University of Tokyo Hospital were used, and the query
execution times were measured. RESULTS: Approximately 650 million RDF triples for
medication orders and 790 million RDF triples for laboratory test results were
converted. Taking three types of query in use cases for detecting adverse events
of drugs as an example, we confirmed these queries were represented in SPARQL
Protocol and RDF Query Language (SPARQL) using our methods and comparison with
conventional query expressions were performed. The measurement results confirm
that the query time is feasible and increases logarithmically or linearly with
the amount of data and without diverging. CONCLUSIONS: The proposed methods
enabled query expressions that separate knowledge resources and clinical data,
thereby suggesting the feasibility for improving the usability of clinical data
by enhancing the knowledge resources. We also demonstrate that when HL7 v2.5
messages are automatically converted into RDF, searches are still possible
through SPARQL without modifying the structure. As such, the proposed method
benefits not only our hospitals, but also numerous hospitals that handle HL7 v2.5
messages. Our approach highlights a potential of large-scale data federation
techniques to retrieve clinical information, which could be applied as
applications of clinical intelligence to improve clinical practices, such as
adverse drug event monitoring and cohort selection for a clinical study as well
as discovering new knowledge from clinical information.