CSSDM Ontology to Enable Continuity of Care Data Interoperability

The rapid advancement of digital technologies and recent global pandemic scenarios have led to a growing focus on how these technologies can enhance healthcare service delivery and workflow to address crises. Action plans that consolidate existing digital transformation programs are being reviewed to establish core infrastructure and foundations for sustainable healthcare solutions. Reforming health and social care to personalize home care, for example, can help avoid treatment in overcrowded acute hospital settings and improve the experiences and outcomes for both healthcare professionals and service users. In this information-intensive domain, addressing the interoperability challenge through standards-based roadmaps is crucial for enabling effective connections between health and social care services. This approach facilitates safe and trustworthy data workflows between different healthcare system providers. In this paper, we present a methodology for extracting, transforming, and loading data through a semi-automated process using a Common Semantic Standardized Data Model (CSSDM) to create personalized healthcare knowledge graph (KG). The CSSDM is grounded in the formal ontology of ISO 13940 ContSys and incorporates FHIR-based specifications to support structural attributes for generating KGs. We propose that the CSSDM facilitates data harmonization and linking, offering an alternative approach to interoperability. This approach promotes a novel form of collaboration between companies developing health information systems and cloud-enabled health services. Consequently, it provides multiple stakeholders with access to high-quality data and information sharing.

Automatically detecting activities of daily living from in-home sensors as indicators of routine behaviour in an older population

Objective: The NEX project has developed an integrated Internet of Things (IoT) system coupled with data analytics to offer unobtrusive health and wellness monitoring supporting older adults living independently at home. Monitoring {currently} involves visualising a set of automatically detected activities of daily living (ADLs) for each participant. The detection of ADLs is achieved {} to allow the incorporation of additional participants whose ADLs are detected without re-training the system. Methods: Following an extensive User Needs and Requirements study involving 426 participants, a pilot trial and a friendly trial of the deployment, an Action Research Cycle (ARC) trial was completed. This involved 23 participants over a 10-week period each with c.20 IoT sensors in their homes. During the ARC trial, participants each took part in two data-informed briefings which presented visualisations of their own in-home activities. The briefings also gathered training data on the accuracy of detected activities. Association rule mining was then used on the combination of data from sensors and participant feedback to improve the automatic detection of ADLs. Results: Association rule mining was used to detect a range of ADLs for each participant independently of others and was then used to detect ADLs across participants using a single set of rules {for each ADL}. This allows additional participants to be added without the necessity of them providing training data. Conclusions: Additional participants can be added to the NEX system without the necessity to re-train the system for automatic detection of the set of their activities of daily living.