Abstract

While drugs and related products have profoundly changed the lives of people around the world, ongoing challenges remain, including inappropriate use of a drug product. Inappropriate uses can be explained in part by ambiguous or incomplete information, for example, missing reasons for treatments, ambiguous information on how to take a medication, or lack of information on medication-related events outside the health care system. In order to fully assess the situation, data from multiple systems (electronic medical records, pharmacy and radiology information systems, laboratory management systems, etc.) from multiple organizations (outpatient clinics, hospitals, long-term care facilities, laboratories, pharmacies, registries, governments) on a large geographical scale is needed. Formal knowledge models like ontologies can help address such an information integration challenge. Existing approaches like the Observational Medical Outcomes Partnership are discussed and contrasted with the use of ontologies and systems using them for data integration. The PRescription Drug Ontology 2.0 (PDRO 2.0) is then presented and entities that are paramount in addressing this problematic are described. Finally, the benefits of using PDRO are discussed through a series of exemplar situation.

Highlights

  • Drugs and related products have profoundly changed the lives of people around the world, and new options are being discovered regularly

  • As part of the clinical knowledge model used by PARS3, we have developed several domain ontologies for domains such as drug prescriptions with the prescription of drugs ontology PDRO [24,25], or laboratory test reports with the clinical laboratory ontology

  • Following the Open Biological and Biomedical Ontology (OBO) Foundry methodology, we built these ontologies upon pre-existing ones from the OBO Foundry, including high-level, foundational ontologies like the Basic Formal ontology (BFO [27]), mid-level ontologies such as the Information

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Summary

Introduction

Drugs and related products have profoundly changed the lives of people around the world, and new options are being discovered regularly. This is true for disease prevention (vaccines, vitamins), acute illnesses (antibiotics, antithrombotics) or chronic ailments (insulin, hypotensive agents). Notwithstanding new discoveries, this new drug era is accompanied by two ongoing challenges: inappropriate use of drugs or missed opportunities to use a drug product to decrease morbidity or mortality. Let us consider some concrete examples of these challenges. Inappropriate usage can stem from multiple causes.

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