Ontology-based time information representation of vaccine adverse events in VAERS for temporal analysis

BackgroundThe U.S. FDA/CDC Vaccine Adverse Event Reporting System (VAERS) provides a valuable data source for post-vaccination adverse event analyses. The structured data in the system has been widely used, but the information in the write-up narratives is rarely included in these kinds of analyses. In fact, the unstructured nature of the narratives makes the data embedded in them difficult to be used for any further studies.ResultsWe developed an ontology-based approach to represent the data in the narratives in a “machine-understandable” way, so that it can be easily queried and further analyzed. Our focus is the time aspect in the data for time trending analysis. The Time Event Ontology (TEO), Ontology of Adverse Events (OAE), and Vaccine Ontology (VO) are leveraged for the semantic representation of this purpose. A VAERS case report is presented as a use case for the ontological representations. The advantages of using our ontology-based Semantic web representation and data analysis are emphasized.ConclusionsWe believe that representing both the structured data and the data from write-up narratives in an integrated, unified, and “machine-understandable” way can improve research for vaccine safety analyses, causality assessments, and retrospective studies.

[1]  Vipul Kashyap,et al.  The Translational Medicine Ontology and Knowledge Base: driving personalized medicine by bridging the gap between bench and bedside , 2011, J. Biomed. Semant..

[2]  Christopher G. Chute,et al.  CNTRO 2.0: A Harmonized Semantic Web Ontology for Temporal Relation Inferencing in Clinical Narratives , 2011, AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science.

[3]  James F. Allen Maintaining knowledge about temporal intervals , 1983, CACM.

[4]  John Iskander,et al.  Internet-Based Reporting to the Vaccine Adverse Event Reporting System: A More Timely and Complete Way for Providers to Support Vaccine Safety , 2011, Pediatrics.

[5]  Jessica A. Turner,et al.  Modeling biomedical experimental processes with OBI , 2010, J. Biomed. Semant..

[6]  Bjoern Peters,et al.  VO: Vaccine Ontology , 2009 .

[7]  Werner Ceusters,et al.  AEO: A Realism-Based Biomedical Ontology for the Representation of Adverse Events , 2011, ICBO.

[8]  Herbert S. Lin,et al.  Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions , 2009 .

[9]  Ben Shneiderman,et al.  LifeFlow: visualizing an overview of event sequences , 2011, CHI.

[10]  Thomas Bittner,et al.  Normalizing medical ontologies using Basic Formal Ontology , 2004 .

[11]  M. Ashburner,et al.  The OBO Foundry: coordinated evolution of ontologies to support biomedical data integration , 2007, Nature Biotechnology.

[12]  A. Rector,et al.  Relations in biomedical ontologies , 2005, Genome Biology.

[13]  Cui Tao,et al.  Time-Oriented Question Answering from Clinical Narratives Using Semantic-Web Techniques , 2010, SEMWEB.

[14]  Cui Tao,et al.  Comprehensive temporal information detection from clinical text: medical events, time, and TLINK identification , 2013, J. Am. Medical Informatics Assoc..

[15]  Christopher G Chute,et al.  CNTRO: A Semantic Web Ontology for Temporal Relation Inferencing in Clinical Narratives. , 2010, AMIA ... Annual Symposium proceedings. AMIA Symposium.

[16]  Brian Edwards,et al.  Individual Case Safety Reports —How to Determine the Onset Date of an Adverse Reaction , 2011, Drug safety.

[17]  Johan de Kleer,et al.  Readings in qualitative reasoning about physical systems , 1990 .