Purpose To provide a summary of research on ontology development in the Centre of eIntegrated Care at Dublin City University, Ireland. Design Design science methods using Open Innovation 2.0. Methods This was a co‐participatory study focusing on adoption of health informatics standards and translation of nursing knowledge to advance nursing theory through a nursing knowledge graph (NKG). In this article we outline groundwork research conducted through a focused analysis to advance structural interoperability and to inform integrated care in Ireland. We provide illustrated details on a simple example of initial research available through open access. Findings For this phase of development, the initial completed research is presented and discussed. Conclusions We conclude by promoting the use of knowledge graphs for visualization of diverse knowledge translation, which can be used as a primer to gain valuable insights into nursing interventions to inform big data science in the future. Clinical Relevance In line with stated global policy, the uptake and use of health informatics standards in design science within the profession of nursing is a priority. Nursing leaders should initially focus on health informatics standards relating to structural interoperability to inform development of NKGs. This will provide a robust foundation to gain valuable insights into articulating the nursing contribution in relation to the design of digital health and progress the nursing contribution to targeted data sources for the advancement of United Nations Sustainable Development Goal Three.
The global pandemic over the past two years has reset societal agendas by identifying both strengths and weaknesses across all sectors. Focusing in particular on global health delivery, the ability of health care facilities to scale requirements and to meet service demands has detected the need for some national services and organisations to modernise their organisational processes and infrastructures. Core to requirements for modernisation is infrastructure to share information, specifically structural standardised approaches for both operational procedures and terminology services. Problems of data sharing (aka interoperability) is a main obstacle when patients are moving across healthcare facilities or travelling across border countries in cases where emergency treatment is needed. Experts in healthcare service delivery suggest that the best possible way to manage individual care is at home, using remote patient monitoring which ultimately reduces cost burden both for the citizen and service provider. Core to this practice will be advancing digitalisation of health care underpinned with safe integration and access to relevant and timely information. To tackle the data interoperability issue and provide a quality driven continuous flow of information from different health care information systems semantic terminology needs to be provided intact. In this paper we propose and present ContSonto a formal ontology for continuity of care based on ISO 13940:2015 ContSy and W3C Semantic Web Standards Language OWL (Web Ontology Language). ContSonto has several benefits including semantic interoperability, data harmonization and data linking. It can be use as a base model for data integration for different healthcare information models to generate knowledge graph to support shared care and decision making.
In the midst of a global pandemic, perspectives on how digital can enhance healthcare service delivery and workflow to address the global crisis is underway. Action plans collating existing digital transformation programs are being scrutinized to set in place core infrastructure and foundations for sustainable healthcare solutions. Reforming health and social care to personalize the home care setting can for example assist in avoiding treatment in a crowed acute hospital setting and improve the experience and impact on both health care professionals and service users alike. In this information intensive domain addressing the interoperability challenge through standards based roadmaps is the lynchpin to enable health and social care services to connect effectively. Thus facilitating safe and trustworthy data workflow from one healthcare systems provider to another. In this paper we showcase a methodology on how we can extract, transform and load data in a semi-automated process using a Common Semantic Standardized Data Model (CSSDM) to generate personalized healthcare knowledge graph (KG). CSSDM is based on formal ontology of ISO 13940:2015 ContSys for conceptual grounding and FHIR based specification to accommodate structural attributes to generate KG. CSSDM we suggest enables data harmonization and data linking. The goal of CSSDM is to offer an alternative pathway to speak about interoperability by supporting a different kind of collaboration between a company creating a health information system and a cloud enabled health service. This pathway of communication provides access to multiple stakeholders for sharing high quality data and information.
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