Complex analyses on clinical information systems using restricted natural language querying to resolve time-event dependencies

J Biomed Inform. 2018 Jun:82:13-30. doi: 10.1016/j.jbi.2018.04.004. Epub 2018 Apr 9.

Abstract

Purpose: This paper reports on a generic framework to provide clinicians with the ability to conduct complex analyses on elaborate research topics using cascaded queries to resolve internal time-event dependencies in the research questions, as an extension to the proposed Clinical Data Analytics Language (CliniDAL).

Methods: A cascaded query model is proposed to resolve internal time-event dependencies in the queries which can have up to five levels of criteria starting with a query to define subjects to be admitted into a study, followed by a query to define the time span of the experiment. Three more cascaded queries can be required to define control groups, control variables and output variables which all together simulate a real scientific experiment. According to the complexity of the research questions, the cascaded query model has the flexibility of merging some lower level queries for simple research questions or adding a nested query to each level to compose more complex queries. Three different scenarios (one of them contains two studies) are described and used for evaluation of the proposed solution.

Results: CliniDAL's complex analyses solution enables answering complex queries with time-event dependencies at most in a few hours which manually would take many days.

Conclusion: An evaluation of results of the research studies based on the comparison between CliniDAL and SQL solutions reveals high usability and efficiency of CliniDAL's solution.

Keywords: Data analytics; Scientific experiment; Time-event dependency.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetaminophen / administration & dosage
  • Algorithms
  • Body Temperature
  • Brain Injuries, Traumatic / complications
  • Brain Injuries, Traumatic / diagnosis
  • Data Collection / methods
  • Data Science
  • Fever / drug therapy
  • Humans
  • Internet
  • Language
  • Liver / drug effects
  • Liver Function Tests
  • Medical Informatics / methods*
  • Medical Informatics / trends
  • Medical Records Systems, Computerized
  • Natural Language Processing*
  • Out-of-Hospital Cardiac Arrest / complications
  • Out-of-Hospital Cardiac Arrest / diagnosis
  • Programming Languages
  • Software
  • Time Factors
  • User-Computer Interface

Substances

  • Acetaminophen