WSEAS Transactions on Information Science and Applications
Print ISSN: 1790-0832, E-ISSN: 2224-3402
Volume 16, 2019
Semantic Interoperability of Clinical Observation Sketches - The Case of Hysteroscopy Findings
Authors: , ,
Abstract: The process of clinical practice can be represented as observations leading to diagnoses that trigger the appropriate actions on the patient’s status. In endoscopic surgeries for example, the physician’s observations play an essential role in the patient’s diagnosis. In such context, paper documents are frequently used to record and depict the medical endoscopic findings. They primarily rely on hand-drawn sketches to map the observations made of each endoscopic case. The Hysteroscopy procedure follows such practice of degrees of information, which generates heterogeneity and lack of interoperability in the process of recording digital medical information. In order to solve above mentioned problems and achieve semantic interoperability of Hysteroscopy findings between heterogeneous healthcare systems, the present study integrates an automatic mechanism for recording such findings with clinical archetypes, according to the two-level modeling. A combination of clinical image processing techniques with openEHR archetypes is used. In addition to formalizing the representation of Hysteroscopy, clinical archetypes include bindings to terminologies, such as SNOMED-CT, that semantically describe the findings. The workflow of the proposed approach can also be followed in clinical areas involving similar sketching process and images analysis.
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Keywords: semantic interoperability, clinical archetypes, Hysteroscopy, SNOMED-CT, electronic health record, image processing, clinical observation sketching
Pages: 146-156
WSEAS Transactions on Information Science and Applications, ISSN / E-ISSN: 1790-0832 / 2224-3402, Volume 16, 2019, Art. #17