Milan Zdravković, Miroslav Trajanović, Dragan Pavlović

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Efficiency and effectiveness of orthopedic surgery can be achieved by enabling proper decision-making in a shortest period of time, based on complete and updated information on the status, type of fracture and fixators used for a particular fracture. In this way, the risk of possible complications caused by a late intervention can be reduced. In such circumstances, there exist critical needs for an effective and efficient knowledge management approach where different domain models are combined and formally interrelated, so that the decisions are based on the consistent and complete information. In this paper, ontologies are used to propose a framework for implementing such an approach in the domain of orthopedic surgery. The framework combines formal models of the generic products and supply chains for their manufacturing and delivery, anatomical elements, e.g. bones, types of their fractures and fixators – the medical products which are used in the fracture treatments. Then the possible uses of this framework for the purpose of knowledge management in orthopedic surgery are discussed in the context of the assumptions of development of Next Generation Enterprise Information Systems.

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Jiang, G., Ogasawara, K., Endoh, A., Sakurai, T., 2003, Context-based ontology building support in clinical domains using formal concept analysis, International Journal of Medical Informatics, 71(1), pp. 71-81.

Gruber, T., 1993, A Translation approach to portable ontology specifications, Knowledge Acquisition, 5(2), pp. 199-220.

Pisanelli, D.M., 2004, Ontologies in Medicine, IOS Press, Netherlands.

Saripalle, R.K., 2004, Current Status of Ontologies in Biomedical and Clinical Informatics. University of Connecticut.

Dean, M., Schreiber, G., 2004, OWL Web Ontology Language Reference, W3C recommendation.

Rosse, C., Mejino, J.L., Modayur, B.R., Jakobovitz, R., Hinshaw, K.P., Brinkley, J.F., 1998, Motivation and organizational principles for anatomical knowledge representation, Journal of American Medical Informatics Association, 5(1), pp. 17-40.

Burger, A., Davidson, D., Baldock, R., 2008, Anatomy Ontologies for Bioinformatics. Springer, New York.

Bard, J., 2012, The AEO, an ontology of anatomical entities for classifying animal tissues and organs, Frontiers in Genetics, 3(18), pp. 1-7.

Rosse, C., Mejino, J.L., 2003, A reference ontology for biomedical informatics: the foundational model of anatomy, Journal of Biomedical Informatics, 36(6), pp. 478-500.

HL7 Clinical Document Architecture, Release 2.0, http://www.hl7.org/, (last access: 19.08.2015.)

openEHR Foundation, http://www.openehr.org/, (last access: 19.08.2015.)

prEN 13606, Health informatics – Electronic health record communication, http://cen.iso.org/livelink/livelink?func=ll&objId=12425&objAction=RunReport&InputLabel1=259827, (last access: 19.11.2015.)

Roman, I., OpenEHR ontology. http://trajano.us.es/~isabel/EHR/, (last access: 19.08.2015.)

Rector, A.L., Brandt, S., 2008, Why Do It the Hard Way? The Case for an Expressive Description Logic for SNOMED, Journal of the American Medical Informatics Association, 15(6), pp. 744-751

Zdravković, M., Trajanović, M., 2009, Integrated product ontologies for inter-organizational networks, Computer Science and Information Systems, 6(2), pp. 29-46.

Klein, M., 2002, DAML+OIL and RDF Schema representation of UNSPSC, http://www.cs.vu.nl/~mcaklein/unspsc/, (last access: 19.08.2015.)

van Assem, M., Malaise, V., Miles, A., Schreiber, G., 2006, A Method to Convert Thesauri to SKOS, Proceedings of 3rd European Semantic Web Conference, ESWC 2006, Budva, Montenegro

Pavlović, D., Veselinović, M., Zdravković, M., Trajanović, M., Mitković, M., 2014, Conceptual Model of External Fixators for Fractures of the Long Bones, Proceedings of 4th International Conference on Information Society and Technology (ICIST 2014). 9-12 March, 2014. Kopaonik, Serbia. In: Zdravkovic, M., Trajanovic, M., Konjovic, Z. (Eds.): ICIST 2014 Proceedings, ISBN 978-86-85525-14-8 pp.468-472

Zdravković, M., Trajanović, M., 2013, On the extended clinical workflows for personalized healthcare, International IFIP Working Conference On Enterprise Interoperability (IWEI 2013), March 27th - 28th, 2013, Enschede, The Netherlands. In: M. van Sinderen et al. (Eds.): IWEI 2013, LNBIP 144, pp.65-76, 2013

Stewart, G., 1997, Supply-chain operations reference model (SCOR): the first cross-industry framework for integrated supply-chain management. Logistics Information Management, 10(2), pp. 62-67.

Zdravković. M., Panetto, H., Trajanović, M., Aubrey, A., 2011, An approach for formalising the supply chain operations, Enterprise Information Systems, 5(4), pp. 401-421.

Panetto, H., Zdravković, M., Jardim-Goncalves, R., Romero, D., Cecil, J., Mezgar, I., 2014, New Perspectives for the Future Interoperable Enterprise Systems. Computers in Industry, doi:10.1016/j.compind.2015.08.001. In Press

Ko, J., Lu, C., Srivastava, M.B., Stankovic, J.A., Terzis, A., Welsh, M., 2010, Wireless sensor networks for healthcare. Proceedings of the IEEE, 98(11), pp. 1947-1960.

Webster T.J. (Ed), 2011, Nanotechnology Enabled In situ Sensors for Monitoring Health, Springer

Parvizi, J., Antoci, V. , Hickok, N., Shapiro, I., 2007, Selfprotective smart orthopedic implants. Expert Review of Medical Devices, 4(1), pp. 55-64.

France, R., Rumpe, B., 2007, Model-driven Development of Complex Software: A Research Roadmap, Proceedings of Future of Software Engineering (FOSE 07), Washington, DC, USA: IEEE Computer Society, pp. 37 – 54.

Wachs, R.A., Ellstein, D., Drazan, J., Healey, C.P., Uhl, R.L., Connor, K.A., Ledet, E.H., 2013, Elementary Implantable Force Sensor for Smart Orthopedic Implants, Advances in Biosensors and Bioelectronics, 2(4), pp.57-64.

Huff, S.M., Rocha, R.A., McDonald, C.J., De Moor, G.J.E., Fiers, T., Dean Bidgood Jr, W., Forrey, A.W., Francis, W.G., Tracy, W.R., Leavelle, D., Stalling, F., Griffin, B., Maloney, P., Leland, D., Charles, L., Hutchins, K., Baenyiger, J., 1998, Development of the Logical Observation Identifier Names and Codes (LOINC) Vocabulary. Journal of the American Medical Informatics Association, 5(3), pp.276-292.

Cote, R.A., Robboy, S., 1980, Progress in Medical Information Management Systematized Nomenclature of Medicine (SNOMED), The Journal of American Medical Association, 243(8), pp.756-762.


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