Evidence map›Paper›PMID 36089199›Full record

ArticleJournal of biomedical informatics2022

FHIR-Ontop-OMOP: Building clinical knowledge graphs in FHIR RDF with the OMOP Common data Model.

Guohui Xiao, Emily Pfaff, Eric Prud'hommeaux, David Booth, Deepak K Sharma, Nan Huo, Yue Yu, Nansu Zong, Kathryn J Ruddy, Christopher G Chute and 1 more

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Guohui XiaoUniversity of Bergen, Norway; University of Oslo, Norway; Ontopic S.r.l., Italy. Electronic address: guohui.xiao@uib.no.
Emily PfaffUniversity of North Carolina, Chapel Hill, NC, USA.
Eric Prud'hommeauxJaneiro Digital, Boston, MA, USA.
David BoothYosemite Project, Somerville, MA, USA.
Deepak K SharmaMayo Clinic, Rochester, MN, USA.
Nan HuoMayo Clinic, Rochester, MN, USA.
Yue YuMayo Clinic, Rochester, MN, USA.
Nansu ZongMayo Clinic, Rochester, MN, USA.
Kathryn J RuddyMayo Clinic, Rochester, MN, USA.
Christopher G ChuteJohns Hopkins University, Baltimore, MD, USA.
Guoqian JiangMayo Clinic, Rochester, MN, USA. Electronic address: jiang.guoqian@mayo.edu.

Funding

CD2H - The National COVID Cohort Collaborative (N3C) IDeA CTR CollaborationU24TR002306 · NCATS · UNIVERSITY OF COLORADO DENVER · PI CHUTE, CHRISTOPHER G, EICHMANN, DAVID A. · 2017 to 2021
$28.9M
FHIRCat: Enabling the Semantics of FHIR and Terminologies for Clinical and Translational ResearchR01EB030529 · NIBIB · MAYO CLINIC ROCHESTER · PI FREIMUTH, ROBERT RICHARD · 2021 to 2024
$2.7M
NCATS NIH HHS U24 TR002306NIBIB NIH HHS R01 EB030529
6 · The paper itself

Abstract

backgroundKnowledge graphs (KGs) play a key role to enable explainable artificial intelligence (AI) applications in healthcare. Constructing clinical knowledge graphs (CKGs) against heterogeneous electronic health records (EHRs) has been desired by the research and healthcare AI communities. From the standardization perspective, community-based standards such as the Fast Healthcare Interoperability Resources (FHIR) and the Observational Medical Outcomes Partnership (OMOP) Common Data Model (CDM) are increasingly used to represent and standardize EHR data for clinical data analytics, however, the potential of such a standard on building CKG has not been well investigated.

objectiveTo develop and evaluate methods and tools that expose the OMOP CDM-based clinical data repositories into virtual clinical KGs that are compliant with FHIR Resource Description Framework (RDF) specification.

methodsWe developed a system called FHIR-Ontop-OMOP to generate virtual clinical KGs from the OMOP relational databases. We leveraged an OMOP CDM-based Medical Information Mart for Intensive Care (MIMIC-III) data repository to evaluate the FHIR-Ontop-OMOP system in terms of the faithfulness of data transformation and the conformance of the generated CKGs to the FHIR RDF specification.

resultsA beta version of the system has been released. A total of more than 100 data element mappings from 11 OMOP CDM clinical data, health system and vocabulary tables were implemented in the system, covering 11 FHIR resources. The generated virtual CKG from MIMIC-III contains 46,520 instances of FHIR Patient, 716,595 instances of Condition, 1,063,525 instances of Procedure, 24,934,751 instances of MedicationStatement, 365,181,104 instances of Observations, and 4,779,672 instances of CodeableConcept. Patient counts identified by five pairs of SQL (over the MIMIC database) and SPARQL (over the virtual CKG) queries were identical, ensuring the faithfulness of the data transformation. Generated CKG in RDF triples for 100 patients were fully conformant with the FHIR RDF specification.

conclusionThe FHIR-Ontop-OMOP system can expose OMOP database as a FHIR-compliant RDF graph. It provides a meaningful use case demonstrating the potentials that can be enabled by the interoperability between FHIR and OMOP CDM. Generated clinical KGs in FHIR RDF provide a semantic foundation to enable explainable AI applications in healthcare.

Indexed as

Artificial IntelligencePattern Recognition, AutomatedData WarehousingDelivery of Health CareElectronic Health RecordsHumansClinical Knowledge GraphsData StandardsFast Healthcare Interoperability Resources (FHIR)Semantic WebShape Expressions (ShEx)Virtual Knowledge Graphs

Identifiers

PMID36089199
PMCPMC9561043

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.