Abstract
Medical problems during flight have become an important issue as the number of passengers and miles flown continues to increase. The case of an incident in the plane falls within the scope of the healthcare management in the context of scarce resources associated with isolation of medical actors working in very complex conditions, both in terms of human and material resources. Telemedicine uses information and communication technologies to provide remote and flexible medical services, especially for geographically isolated people. Therefore, telemedicine can generate interesting solutions to the medical problems during flight. Our aim is to build a knowledge-based system able to help health professionals or staff members addressing an urgent situation by given them relevant information, some knowledge, and some judicious advice. In this context, knowledge representation and reasoning can be correctly realized using an ontology that is a representation of concepts, their attributes, and the relationships between them in a particular domain. Particularly, a medical ontology is a formal representation of a vocabulary related to a specific health domain. We propose a new approach to explain the arrangement of different ontological models (task ontology, inference ontology, and domain ontology), which are useful for monitoring remote medical activities and generating required information. These layers of ontologies facilitate the semantic modeling and structuring of health information. The incorporation of existing ontologies [for instance, Systematic Nomenclature Medical Clinical Terms (SNOMED CT)] guarantees improved health concept coverage with experienced knowledge. The proposal comprises conceptual means to generate substantial reasoning and relevant knowledge supporting telemedicine activities during the management of a medical incident and its characterization in the context of air travel. The considered modeling framework is sufficiently generic to cover complex medical situations for isolated and vulnerable populations needing some care and support services.
Similar content being viewed by others
Explore related subjects
Discover the latest articles, news and stories from top researchers in related subjects.References
Abacha AB, Zweigenbaum P (2015) MEANS: a medical question-answering system combining NLP techniques and semantic Web technologies. Inf Process Manag 51(5):570–594
AlDossary S, Martin-Khan MG, Bradford NK, Smith AC (2017) A systematic review of the methodologies used to evaluate telemedicine service initiatives in hospital facilities. Int J Med Inform 97:171–194
Amirkhani A, Papageorgiou EI, Mohseni A, Mosavi MR (2017) A review of fuzzy cognitive maps in medicine: Taxonomy, methods, and applications. Comput Methods Programs Biomed 142:129–145
Baader F, Calvanese D, McGuinness DL, Nardi D, Patel-Schneider PF (2003) The description logic handbook: theory, implementation, applications. Cambridge University Press, Cambridge. ISBN 0-521-78176-0
Burgun A, Rosier A, Temal L, Jacques J, Messai R, Duchemin L, Deleger L, Grouin C, Van Hille P, Zweigenbaum P, Beuscart R, Delerue D, Dameron O, Mabo P, Henry C (2011) Aide à la décision en télécardiologie par une approche basée ontologie et centrée patient. IRBM 32(3):191–194
Cacciabue PC, Cassani M, Licata V, Oddone I, Ottomaniello A (2015) A practical approach to assess risk in aviation domains for safety management systems. Cogn Technol Work 17(2):249–267
Chein M, Mugnier M-L (2009) Graph-based knowledge representation: computational foundations of conceptual graphs. Series: Advanced Information and Knowledge Processing. Springer, London
Cho IS, Kim JA, Kim JH, Kim HY, Kim Y (2010) Design and implementation of a standards-based interoperable clinical decision support architecture in the context of the Korean EHR. Int J Med Inform 79:611–622
Delaune EF, Lucas RH, Illig P (2003) In-flight medical events and aircraft diversions: one airline’s experience. Aviat Space Environ Med 74:62–68
Download the US Edition of SNOMED CT. (Online). https://www.nlm.nih.gov/healthit/snomedct/us_edition.html. Accessed 15 Oct 2016
Doumbouya MB, Kamsu-Foguem B, Kenfack H, Foguem C (2018) Argumentation graphs with constraint-based reasoning for collaborative expertise. Future Gener Comput Syst 81:16–29
Duarte J, Castro S, Santos M, Abelha A, Machado J (2014) Improving quality of electronic health records with SNOMED. Proc Technol 16:1342–1350
El-Sappagh S, Elmogy M, Riad AM (2015) A fuzzy-ontology-oriented case-based reasoning framework for semantic diabetes diagnosis. Artif Intell Med 65(3):179–208
Fassbender K, Grotta JC, Walter S, Grunwald IQ, Ragoschke-Schumm A, Saver JL (2017) Mobile stroke units for prehospital thrombolysis, triage, and beyond: benefits and challenges. Lancet Neurol 16(3):227–237
Fraccaro P, O’Sullivan D, Plastiras P, O’Sullivan H, Dentone C, Di Biagio A, Weller P (2015) Behind the screens: clinical decision support methodologies—a review. Health Policy Technol 4:29–38
Greenes RA (2014) Chapter 2: a brief history of clinical decision support: technical, social, cultural, economic, and governmental perspectives. Book chapter, 2014. In: Greenes R (ed) Clinical decision support (2nd Edition), The road to broad adoption, eBook ISBN: 9780128005422, Hardcover ISBN: 9780123984760, Imprint: Academic Press, Published Date: 15th April 2014, pp 49–109. https://doi.org/10.1016/B978-0-12-398476-0.00002-6
Gruber TR (1993) A translation approach to portable ontology specifications. Knowl Acquis 5:199–220
SNOMED CT - Starter Guide, Version: 2014-07-31, Status: Third release (US), publication of the International Health Standards Development Organisation (IHTSDO), Check for the latest version of this guide at www.snomed.org/starterguide.pdf
Hinkelbein J, Spelten O, Wetsch WA, Schier R, Neuhaus C (2013) Emergencies in the sky: in-flight medical emergencies during commercial air transport. Trends Anaesth Crit Care 3:179–182
International Classification of Diseases (ICD) (2014) World Health Organization. Archived from the original on 12 February 2014. Retrieved 14 March 2014
Janghorbani A, Moradi MH (2017) Fuzzy evidential network and its application as medical prognosis and diagnosis models. J Biomed Inform 72:96–107
Kamsu-Foguem B (2014a) Systemic modeling in telemedicine. Eur Res Telemed 3(2):57–65
Kamsu-Foguem B (2014b) Ontological view in telemedicine. Eur Res Telemed 3(2):67–76
Khattak AM, Pervez Z, Khan WA, Khan AM, Latif K, Lee SY (2015) Mapping evolution of dynamic web ontologies. Inf Sci 303:101–119
Kontogiannis T, Malakis S (2013) Strategies in controlling, coordinating and adapting performance in air traffic control: modelling ‘loss of control’ events. Cogn Technol Work 15(2):153–169
Lachter J, Brandt SL, Battiste V, Matessa M, Johnson WW (2017) Enhanced ground support: lessons from work on reduced crew operations. Cogn Technol Work 19(2–3):279–288
Lambert R, Cabardis S, Valance J, Borge E, Ducassé J-L, Arzalier J-J (2008) Thrombolyse et accident vasculaire cérébral, à propos d’un cas de secours en mer. Annales Françaises d’Anesthésie et de Réanimation 27(3):249–251
La-Ongsri SL-S, Roddick JF (2015) Incorporating ontology-based semantics into conceptual modeling. Inf Syst 52:1–20
Lapostolle F, Corège D, Sordelet D, Grave M, Lapandry C, Vivien B, Wipf P, Adnet F (2010) Y a t-il un médecin dans l’avion? La Presse Médicale 39(6):626–631
Lapostolle F, Orer P, Guynemer S, Adnet F (2014) Accidents thromboemboliques et voyages aériens: évaluation du risque et stratégie prophylactique (podcast). Le Praticien en Anesthésie Réanimation 18(1):45–51
Lee D, Cornet R, Lau F, de Keizer N (2013) A survey of SNOMED CT implementations. J Biomed Inform 46(1):87–96
Madkour M, Benhaddou D, Tao C (2016) Temporal data representation, normalization, extraction, and reasoning: a review from clinical domain. Comput Methods Programs Biomed 128:52–68
Mahony PH, Myers JA, Larsen PD, Powell DM, Griffiths RF (2011) Symptom-based categorization of in-flight passenger medical incidents. Aviat Space Environ Med 82(12):1131–1137
Mattison MLP, Zeidel M (2011) Navigating the challenges of in-flight emergencies. JAMA 2011 Published online May 6, 2011
Miled AB (2014) Reusing knowledge based on ontology and organizational model. Procedia Computer Science 35:766–775
Minotra D, McNeese MD (2017) Predictive aids can lead to sustained attention decrements in the detection of non-routine critical events in event monitoring. Cogn Technol Work 19(1):161–177
Morley JE (2016) Telemedicine: coming to nursing homes in the near future. J Am Med Dir Assoc 17(1):1–3
Mortensen JM, Minty EP, Januszyk M, Sweeney TE, Rector AL, Noy NF, Musen MA (2015) Using the wisdom of the crowds to find critical errors in biomedical ontologies: a study of SNOMED CT. Am Med Inform Assoc 22:640–648. https://doi.org/10.1136/amiajnl-2014-002901
Osheroff JA, Teich JM, Middleton B, Steen EB, Wright A, Detmer DE (2007) A roadmap for national action on clinical decision support. J Am Med Inform Assoc 14(2):141–145
OWL API (2016) http://owlapi.sourceforge.net/. Accessed 15 Oct 2016
Pritchett AR, Ockerman JJ (2016) Supporting mixed-initiative emergency flight planning by portraying procedure context information. Cogn Technol Work 18(4):643–655
Pulver A, Wei R, Mann C (2016) Locating AED enabled medical drones to enhance cardiac arrest response times. Prehosp Emerg Care 20(3):378–389
Sampalli T, Shepherd M, Duffy J, Fox R (2010) An evaluation of SNOMED CT in the domain of complex chronic conditions. Int J Integr Care 24(10):e038
Sand M, Bachara FG, Sand D, Mann B (2009) Surgical and medical emergencies on board European aircraft; a retrospective study of 10189 cases. Crit Care 13:R3
Schreiber G, Akkermans H, Anjewierden A, de Hoog R, Shadbolt N, van de Velde W, Wielinga B (2000) Knowledge engineering and management: the common KADS methodology. The MIT Press, Cambridge. ISBN 0-262-19300-0
Sene A, Kamsu-Foguem B, Rumeau P (2015) Telemedecine framework using case-based reasoning with evidences. Comput Methods Programs Biomed 121(1):21–35
Sene A, Kamsu-Foguem B, Rumeau P (2018) Discovering frequent patterns for in-flight incidents. Cogn Syst Res. https://doi.org/10.1016/j.cogsys.2018.01.002
Shaner DM (2010) Up in the air-suspending ethical medical practice. N Engl J Med 363(21):1988–1989
Sirven JL, Claypool DW, Sahs KL, Wingerchuk DM, Bortz JJ, Drazkowski J, Caselli R, Zanick D (2002) Is there a neurologist on this flight? Neurology 58:1739–1744
SNOMED CT® A user guide for General Practice. © Crown Copyright 2012, UK Terminology Centre. www.nhscfh.nhs.uk/uktc
Sowa JF (1984) Conceptual structures: information processing in mind and machine. The Systems Programming Series (Hardcover). Addison-Wesley Longman Publishing Co., Inc., Boston
Sowa JF (2000) Knowledge representation: logical, philosophical, and computational foundations. Brooks Cole Publishing Co, Pacific Grove. ISBN 0-534-94965-7
SQLite Home Page (2016) https://sqlite.org/. Accessed 29 Oct 2016
Thiels CA, Aho JM, Zietlow SP, Jenkins DH (2015) Use of unmanned aerial vehicles for medical product transport. Air Med J 34:104–108
Tulu B, Chatterjee S, Maheshwari M (2007) Telemedicine taxonomy: a classification tool. Telemed E-Health 13:349–358
Valani R, Cornacchia M, Kube D (2010) Flight diversions due to onboard medical emergencies on an international commercial airline. Aviat Space Environ Med 81(11):1037–1040
Whetzel PL, Noy NF, Shah NH (2011) BioPortal: enhanced functionality via new Web services from the National Center for Biomedical Ontology to access and use ontologies in software applications. Nucleic Acids Res 39(suppl 1):W541–W545
Wright A, Sittig DF, Ash JS, Erickson JL, Hickman TT, Paterno M, Gebhardt E, McMullen C, Tsurikova R, Dixon BE, Fraser G, Simonaitis L, Sonnenberg FA, Middleton B (2015) Lessons learned from implementing service-oriented clinical decision support at four sites: a qualitative study. Int J Med Inform 84:901–911
Yu S, Berry D, Bisbal J (2012) Clinical coverage of an archetype repository over SNOMED-CT. J Biomed Inform 45(3):408–418
Welcome to PyMedTermino’s documentation! PyMedTermino 0.2 documentation (2016). http://pythonhosted.org/PyMedTermino/. Accessed 15 Oct 2016
Author information
Authors and Affiliations
Contributions
AS contributed to literature search and review, manuscript writing, and study conception and design. BKF contributed to analysis and interpretation of information, knowledge verification and enrichment. PR drafted and critically revised the manuscript.
Corresponding author
Rights and permissions
About this article
Cite this article
Sene, A., Kamsu-Foguem, B. & Rumeau, P. Decision support system for in-flight emergency events. Cogn Tech Work 20, 245–266 (2018). https://doi.org/10.1007/s10111-018-0466-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10111-018-0466-2