Abstract
Regardless of the often-claimed success of artificial intelligence (AI) and machine learning (ML), AI-based Digital Decision Support Systems (DDSSs) still suffer from low adoption rates. Much algorithmic research is done, but examples of AI bringing tangible benefits to the healthcare industry are rare. We argue that one of the reasons for low adoption rates is missing domain understanding and/or the heterogeneity of domain understanding among the DDSS developers and domain experts. To overcome this, we are working towards a methodology to utilize the Domain Engineering approach to create a shared common understanding of key concepts and relationships within the healthcare domain in a structured, formalized way. In the realm of complex interdisciplinary DDSS development within healthcare, the Domain Engineering approach can serve as a valuable instrument for bridging the gap between IT professionals and domain experts. It facilitates establishing a shared comprehension of the domain and hopefully contributes significantly to increasing the value and adoption rates of DDSSs in the clinical process. In this paper, we are proposing our work-in-progress ideas and preliminary results.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Arlow, J., Neustadt, I.: Enterprise Patterns and MDA: Building Better Software with Archetype Patterns and UML. Object Technology Series, Boston, Addison-Wesley (2003)
Beale, T.: Archetypes: constraint-based domain models for future-proof information systems. In: OOPSLA 2002 Workshop on Behavioural Semantics, November 4–8, Washington State Convention and Trade Center, vol. 105, pp. 1–69. Citeseer, Seattle, Washington, USA (2002)
Bertl, M.: News analysis for the detection of cyber security issues in digital healthcare: a text mining approach to uncover actors, attack methods and technologies for cyber defense. Young Inf. Sci. 4, 1–15 (2019)
Bertl, M., Bignoumba, N., Ross, P., Yahia, S.B., Draheim, D.: Evaluation of deep learning-based depression detection using medical claims data. SSRN (2023). https://doi.org/10.2139/ssrn.4478987
Bertl, M., Kankainen, K.J.I., Piho, G., Draheim, D., Ross, P.: Evaluation of data quality in the Estonia national health information system for digital decision support. In: Proceedings of the 3rd International Health Data Workshop (2023)
Bertl, M., Metsallik, J., Ross, P.: A systematic literature review of AI-based digital decision support systems for post-traumatic stress disorder. Front. Psychiatry 13 (2022). https://doi.org/10.3389/fpsyt.2022.923613. https://www.frontiersin.org/articles/10.3389/fpsyt.2022.923613
Bertl, M., Ross, P., Draheim, D.: A survey on AI and decision support systems in psychiatry - uncovering a dilemma. Expert Syst. Appl. 202, 117464 (2022). https://doi.org/10.1016/j.eswa.2022.117464. https://www.sciencedirect.com/science/article/pii/S0957417422007965
Bertl, M., Ross, P., Draheim, D.: Systematic AI support for decision making in the healthcare sector: obstacles and success factors. Health Policy Technol. (2023)
Bézivin, J., Gerbé, O.: Towards a precise definition of the OMG/MDA framework. In: Proceedings 16th Annual International Conference on Automated Software Engineering (ASE 2001), pp. 273–280. IEEE (2001)
Bjørner, D.: Software Engineering 1: Abstraction and Modelling. Springer Science & Business Media, Berlin Heidelberg (2006)
Bjørner, D.: Software Engineering 3: Domains, Requirements, and Software Design. Springer Science & Business Media, Berlin Heidelberg (2006)
Bjørner, D.: Domain theory: practice and theories a discussion of possible research topics. In: Jones, C.B., Liu, Z., Woodcock, J. (eds.) ICTAC 2007. LNCS, vol. 4711, pp. 1–17. Springer, Heidelberg (2007). https://doi.org/10.1007/978-3-540-75292-9_1
Blobel, B., Oemig, F., Ruotsalainen, P., Lopez, D.M.: Transformation of health and social care systems-an interdisciplinary approach toward a foundational architecture. Front. Med. 9, 802487 (2022)
Chockley, K., Emanuel, E.: The end of radiology? Three threats to the future practice of radiology. J. Am. College Radiol. 13(12, Part A), 1415–1420 (2016). https://doi.org/10.1016/j.jacr.2016.07.010
Chui, M., Hall, B., Mayhew, H., Singla, A., Sukharevsky, A.: The state of AI in 2022 - and a half decade in review (2022). https://www.mckinsey.com/capabilities/quantumblack/our-insights/the-state-of-ai-in-2022-and-a-half-decade-in-review. Accessed 04 Apr 2023
Clements, P., Northrop, L.: Software Product Lines. Addison-Wesley Boston (2002)
Fast, E., Horvitz, E.: Long-term trends in the public perception of artificial intelligence. In: Proceedings of the AAAI Conference on Artificial Intelligence, vol. 31, pp. 963–969 (2017)
Fowler, M.: Analysis Patterns: Reusable Object Models. Addison-Wesley Professional (1997)
Gansel, X., Mary, M., van Belkum, A.: Semantic data interoperability, digital medicine, and e-health in infectious disease management: a review. Europ. J. Clin. Microbiol. Infect. Dis. 38(6), 1023–1034 (2019). https://doi.org/10.1007/s10096-019-03501-6
Greenfield, J., Short, K.: Software factories: assembling applications with patterns, models, frameworks and tools. In: Companion of the 18th Annual ACM SIGPLAN Conference on Object-Oriented Programming, Systems, Languages, and Applications, pp. 16–27 (2003)
Halevy, A.: Why your data won’t mix: new tools and techniques can help ease the pain of reconciling schemas. Queue 3(8), 50–58 (2005)
Hay, D.C.: Data Model Patterns: Conventions of Thought. Pearson Education (2013)
ISO: 13940:2015 Health informatics - system of concepts to support continuity of care. International Organization for Standardization, Geneva. Switzerland (2015)
Kankainen, K.: Usages of the ContSys standard: a position paper. In: Bellatreche, L., Chernishev, G., Corral, A., Ouchani, S., Vain, J. (eds.) MEDI 2021. CCIS, vol. 1481, pp. 314–324. Springer, Cham (2021). https://doi.org/10.1007/978-3-030-87657-9_24
Munir, K., Sheraz Anjum, M.: The use of ontologies for effective knowledge modelling and information retrieval. Appl. Comput. Inf. 14(2), 116–126 (2018). https://doi.org/10.1016/j.aci.2017.07.003. https://www.sciencedirect.com/science/article/pii/S2210832717300649
Piho, G., Roost, M., Perkins, D., Tepandi, J.: Towards archetypes-based software development. In: Sobh, T., Elleithy, K. (eds.) Innovations in Computing Sciences and Software Engineering, pp. 561–566. Springer, Dordrecht (2010)
Piho, G., Tepandi, J., Parman, M., Perkins, D.: From archetypes-based domain model of clinical laboratory to LIMS software. In: The 33rd International Convention MIPRO, pp. 1179–1184. IEEE, New York (2010)
Piho, G., Tepandi, J., Roost, M.: Domain analysis with archetype patterns based Zachman framework for enterprise architecture. In: 2010 International Symposium on Information Technology, vol. 3, pp. 1351–1356. IEEE, New York (2010)
Piho, G., Tepandi, J., Roost, M.: Evaluation of the archetypes based development. In: Databases and Information Systems VI, pp. 283–295. IOS Press, Amsterdam (2011)
Piho, G., Tepandi, J., Roost, M.: Archetypes based techniques for modelling of business domains, requirements and software. In: Information Modelling and Knowledge Bases XXIII, pp. 219–238. IOS Press, Amsterdam (2012)
Piho, G., Tepandi, J., Thompson, D., Tammer, T., Parman, M., Puusep, V.: Archetypes based meta-modeling towards evolutionary, dependable and interoperable healthcare information systems. Procedia Comput. Sci. 37, 457–464 (2014). https://doi.org/10.1016/j.procs.2014.08.069. https://www.sciencedirect.com/science/article/pii/S1877050914010345
Piho, G., Tepandi, J., Thompson, D., Woerner, A., Parman, M.: Business archetypes and archetype patterns from the HL7 RIM and openEHR RM perspectives: towards interoperability and evolution of healthcare models and software systems. Procedia Comput. Sci. 63, 553–560 (2015)
Prakash, A.V., Das, S.: Medical practitioner’s adoption of intelligent clinical diagnostic decision support systems: a mixed-methods study. Inf. Manage. 58(7), 103524 (2021)
Raavel, K.M., Kankainen (supervisor), K., Piho (supervisor), G.: Introduction of LOINC terminology to archetype patterns based ABC4HEDA base model (2022). https://digikogu.taltech.ee/et/Item/9086088f-5e01-446e-9e84-176dab21bfbe, B.Sc. thesis, in Estonian
Randmaa, R., Bossenko, I., Klementi, T., Piho, G., Ross, P.: Evaluating business meta-models for semantic interoperability with FHIR resources. In: HEDA-2022: The International Health Data Workshop, June 19–24, 2022, Bergen, p. 14. CEURAT, Norway (2022)
Schwartz, W.B.: Medicine and the computer: the promise and problems of change. In: Anderson, J.G., Jay, S.J. (eds.) Use and Impact of Computers in Clinical Medicine, pp. 321–335. Springer, New York (1987). https://doi.org/10.1007/978-1-4613-8674-2_20
Silverston, L.: The Data Model Resource Book, Volume 1: A Library of Universal Data Models for All Enterprises. John Wiley & Sons (2011)
Sõerd, T., Kankainen, K., Piho, G., Klementi, T., Ross, P.: Specification of medical processes in accordance with international standards and agreements. In: 11th International Conference on Model-Based Software and Systems Engineering (Modelsward’2023), Feb 2023, Lisbonne, Portugal, p. 14 (2022)
Sutton, R.T., Pincock, D., Baumgart, D.C., Sadowski, D.C., Fedorak, R.N., Kroeker, K.I.: An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ Digit. Med. 3(1), 17 (2020)
Acknowledgements
This work in the project ‘ICT programme’ was supported by the European Union through the European Social Fund.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Bertl, M., Klementi, T., Piho, G., Ross, P., Draheim, D. (2023). How Domain Engineering Can Help to Raise Adoption Rates of Artificial Intelligence in Healthcare. In: Delir Haghighi, P., et al. Information Integration and Web Intelligence. iiWAS 2023. Lecture Notes in Computer Science, vol 14416. Springer, Cham. https://doi.org/10.1007/978-3-031-48316-5_1
Download citation
DOI: https://doi.org/10.1007/978-3-031-48316-5_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-48315-8
Online ISBN: 978-3-031-48316-5
eBook Packages: Computer ScienceComputer Science (R0)