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An Ostensive Information Architecture to Enhance Semantic Interoperability for Healthcare Information Systems

Author

Listed:
  • Hua Guo

    (Queen Mary University of London
    Dublin City University
    University of Reading)

  • Michael Scriney

    (Queen Mary University of London
    Dublin City University
    University of Reading)

  • Kecheng Liu

    (Queen Mary University of London
    Dublin City University
    University of Reading)

Abstract

Semantic interoperability establishes intercommunications and enables data sharing across disparate systems. In this study, we propose an ostensive information architecture for healthcare information systems to decrease ambiguity caused by using signs in different contexts for different purposes. The ostensive information architecture adopts a consensus-based approach initiated from the perspective of information systems re-design and can be applied to other domains where information exchange is required between heterogeneous systems. Driven by the issues in FHIR (Fast Health Interoperability Resources) implementation, an ostensive approach that supplements the current lexical approach in semantic exchange is proposed. A Semantic Engine with an FHIR knowledge graph as the core is constructed using Neo4j to provide semantic interpretation and examples. The MIMIC III (Medical Information Mart for Intensive Care) datasets and diabetes datasets have been employed to demonstrate the effectiveness of the proposed information architecture. We further discuss the benefits of the separation of semantic interpretation and data storage from the perspective of information system design, and the semantic reasoning towards patient-centric care underpinned by the Semantic Engine.

Suggested Citation

  • Hua Guo & Michael Scriney & Kecheng Liu, 2024. "An Ostensive Information Architecture to Enhance Semantic Interoperability for Healthcare Information Systems," Information Systems Frontiers, Springer, vol. 26(1), pages 277-300, February.
    • Handle: RePEc:spr:infosf:v:26:y:2024:i:1:d:10.1007_s10796-023-10379-5
    DOI: 10.1007/s10796-023-10379-5
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    References listed on IDEAS

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    1. Andrew Whitmore & Anurag Agarwal & Li Xu, 2015. "The Internet of Things—A survey of topics and trends," Information Systems Frontiers, Springer, vol. 17(2), pages 261-274, April.
    2. Atreyi Kankanhalli & Jungpil Hahn & Sharon Tan & Gordon Gao, 2016. "Big data and analytics in healthcare: Introduction to the special section," Information Systems Frontiers, Springer, vol. 18(2), pages 233-235, April.
    3. Alain Mouttham & Craig Kuziemsky & Dishant Langayan & Liam Peyton & Jose Pereira, 2012. "Interoperable support for collaborative, mobile, and accessible health care," Information Systems Frontiers, Springer, vol. 14(1), pages 73-85, March.
    4. Shancang Li & Li Da Xu & Shanshan Zhao, 2015. "The internet of things: a survey," Information Systems Frontiers, Springer, vol. 17(2), pages 243-259, April.
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