Open Innovation

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							The Integration of Biological Data
Using Semantic Web Technologies
Agenda
• Introduction to Semantic Web
• Semantic Solutions at Lilly

• W3C’s Semantic Web for Health Care and Life
Sciences Interest Group
Introduction to the Semantic Web
Drivers for the Semantic Web
• Business models develop rapidly these days, so infrastructure
that supports change is needed

• Organizations are increasingly forming and disbanding
collaborations

• Data is growing so quickly that it is no longer possible for
individuals to identify patterns in their heads

• Increasing recognition of the benefits of collective intelligence
Characterizing the Semantic Web
• Semantic Web is an interoperability technology

• An architecture for interconnected communities and
vocabularies

• A set of interoperable standards for knowledge exchange
Creating a Web of Data


         Applications




         Graph representation




         Data in various formats



                                   Source: Ivan Herman
Resource Description Framework (RDF)




                          Source: W3C
RDFS and OWL
• RDFS
•   Is a simple vocabulary for describing properties and classes of RDF
    resources
•   Provides semantics for hierarchies of properties and classes
•   Designed to support inferencing

• OWL
•   Explicitly represents meaning of terms in vocabularies and the
    relationships between those terms
•   Separate layers have been defined balancing expressibility vs.
    implementability (OWL Lite, OWL DL, OWL Full)
•   Supports inferencing
SPARQL as a Unifying Source




                         Source: Ivan Herman
Semantic Web Solutions at Lilly
Discovery Metadata: Goals
• Integrate master data throughout the discovery
process to enable information sharing/integration for
the scientific community
• Model key relationships between master data classes
• Provide ability to integrate disparate data sets quicker than the
  normal warehouse paradigm typically allows
• Create a re-usable and sustainable semantic implementation
• Allow for user-driven, manual curation of key data
  relationships
Discovery Metadata: Ontology




                               SAP     Legacy

                               REFDB   GSM
                                       Manual
                               NCBI    Curation
Discovery Metadata: Architecture
   A
   P        Application 1          Application 2            Application 3           …
   P
   S


   S                         SOA Layer/Enterprise Service Bus
   O                                                                                         Authentication
                 (WebServices, Visualizers, DataAccess Components )
   A


                                         SQL                     SPARQL
                                                                                                              ETL

   D
   A
       Source      Source      Source    Source       Other
                                                      Other
                                                      Source         Local    Top Level
   T   Model 1     Model 2     Model 3   Model 4        …
                                                     Sources
                                                     Sources       Assertions Ontology
                                                                                          Provenance
   A                                                                                                          Other
                                                                                                              Tools




                                                                   Spreadsheets
                                                   Rdbm s
CATIE: Overview
• Clinical Antipsychotic Trials of Intervention
Effectiveness (CATIE)
• Was the most comprehensive independent trial ever
completed to examine existing anti-psychotic therapies
for schizophrenia
• Provides detailed information comparing the
effectiveness and side effects of five medications
currently used to treat schizophrenia
• Greatly enhances the knowledge available to guide
treatment choices for people with schizophrenia
CATIE: Goals
• Determine whether semantic integration and analysis
of the CATIE data set in the context of metabolic and
signal transduction pathways with receptor affinities
can provide answers to specific scientific questions:
• Which pathways are associated with response to the 5
  different schizophrenia drugs?
• How do these pathways compare between treatment arms?
• Which receptors are associated with response to the 5
  schizophrenia drugs?
• How are the pathways, receptors and the drug response
  genes from the CATIE data set related?
CATIE: Drugs and Data Sets
• CATIE Drugs:
 •   Olanzapine
 •   Perphenazine
 •   Quetiapine
 •   Risperidone
 •   Ziprasidone

• Datasets:
 • Entrez Gene
 • Pubchem
 • Assay (Receptor Affinity Data)
 • KEGG
 • Reactome
 • Biocyc
 • Transpath
CATIE: Architecture
 Data in Multiple Formats                                                Top – Level Ontology
(Flat file, Tab limited, XML)




                                       RDF integrated using Jena
                                           Programming API




                                                                   Allegrograph
                        Oracle 11g
                                                                   Native RDF
                        RDF store
                                                                   Triple Store


                      Perform SPARQL                               Perform SPARQL
                          Querying                                     Querying
CATIE: Conclusions
• Efficient semantic integration can be accomplished by
using RDF

• Powerful complex data modeling can be achieved by
using graph principles inherent in RDF

• Easy translation of scientific questions to graph
queries using SPARQL and SEM_MATCH

• Customized outputs can easily be generated by
making slight changes in the SPARQL query pattern
Competitive Intelligence: Overview
• Competitive  Intelligence is a purposeful, ethical and
co-coordinated monitoring of the competitors in any
industry within a specific market place to:
•   Strategically gain foreknowledge of recent developments of
    your competitor's plans
•   Make calculated informed business decisions and formulate
    operational strategy

• Provide a mechanism for actively surveying the public
information for competitive intelligence in Endocrine
Competitive Intelligence: Goals
• Does such a CI effort significantly benefit from a
semantic component?

• Does the project significantly benefit from semantic
integration?

• Are there pre-existing ontologies for company and
method of action domains?

• Does NLP or text mining work for this kind of data?

• Does “buried” knowledge exist within datasets that can
be discovered using inference and reasoning?
Competitive Intelligence: Integration Challenges
           Syntactic Variations                                            Parent – Child Relations
            Merck & Co

            Merck & Co Inc
 Company
            Merck

            Merck & Co Ltd

            Alpha-glucosidase inhibitor

            Glucosidase inhibitor alpha

  MOA
            IGF binding protein-3 stimulator

            IGF binding protein stimulator-3


            Semantic Variations
            Amgen Boulder Inc

            Applied Molecular Genetics Inc
 Company
            Synergen Inc

            Amgen

            Serotonin 2A receptor antagonists

            5-HT 2 receptor antagonist

            5-HT2a antagonist



            Peroxisome proliferator-activated receptor delta antagonist
  MOA
            PPAR delta antagonist



            Melanin concentrating hormone receptor 1 antagonists

            MCH receptor-1 antagonist
                         Competitive Intelligence: NLP
                                                                         Terms from
                                Raw Endocrine Data
                                                                      Thomson – Pharma

                          Bayer Corp                            Bayer Corp
                          Dopamide receptor agonist             Dopamide receptor agonist
                                                                                              NLP Methods Used:
                          SGLT inhibitor                        SGLT inhibitor
                                                                                              •   Semantic Normalization
Increase in Complexity




                          Eli Lilly                             Eli Lilly & Co Ltd            •   Fuzzy Distance
                          STAT transcription factor stimulant   STAT stimulator               •   Ignoring Stop Words
                          Alpha-glucosidase inhibitors          Glucosidase inhibitor-alpha
                                                                                              •   Regular Expressions
                          Peroxisome proliferator-activated     PPAR delta antagonist         •   Tokenization
                          receptor delta antagonist
                                                                                              •   Rule-based Mapping
                          5 Hydroxytryptamine 2C agonist        5HT 1c agonist

                          Opioid kappa receptor antagonists     Kappa opioid antagonist

                          Serotonin 1B receptor agonists        5-HT 1d beta agonist
Competitive Intelligence: Data Model
                                                      Melanin-concentrating hormone
                                                           receptor antagonists
                                                                                                                  GPR-24
                                                                                                                 antagonist
                                                                     hasSubClass


                                     rdf:type         Melanin concentrating hormone
                         MOA                              receptor 1 antagonists




                                                                         hasMOA
                        MCH 1                                                                                   MCH receptor-1
                                       hasDrug
                      antagonists                                                                                 antagonist
  Drug

                                        hasStatus               Blank
                       Phase 2
                                                                Node
                                                                                                              Applied Molecular




                                                                    hasCompa
 Disease
                                                                                                                Genetics Inc
                                    hasTherapeuticArea




                                                                       ny
           rdf:type
                       Obesity


                                                rdf:type                              alternativeLabel        Amgen Boulder
                       Company                                   Amgen                                             Inc




                                                                                                                Synergen Inc
                         Abgenix
                                                                                                 Avidia Inc
  Competitive Intelligence: Inferencing
Given Company Name: Applied Molecular Genetics Inc                Get MOA’s that this company is working on



       PREFIX TLO: <http://www.lilly.com/POC/TopLevel-ontology#>
       PREFIX xsd: <http://www.w3.org/2001/XMLSchema#>
       Select Distinct ?Endo_MOA ?Company_All_Labels
       Where{
              ?Company_Res           TLO:SynonymousLabels      "Applied Molecular Genetics Inc"^^xsd:string.
              ?Company_Res           TLO:preferredLabel        ?Company_Pref_Label          .
              ?Company_Res           TLO:SynonymousLabels      ?Company_All_Labels .
               ?Drug_Info            TLO:hasAssociatedCompany ?Company_All_Labels .
                ?Drug_Info           TLO:hasMOA                ?Endo_MOA
       }




Case1 : ‘Without’ Semantic Integration and Inference                 Case2 : ‘With’ Semantic Integration and Inference

       ‘0’ Results                                                   Leptin stimulator                  Amgen

                                                                     Agouti related protein inhibitor   Amgen Inc   18 Results
                                                                     Neuropeptide Y antagonist          Amgen

                                                                     Melanocortin MC4 antagonist        Amgen Inc
Competitive Intelligence: Conclusions
• Semantic Integration (instance mapping using NLP) coupled with
RDF data model was successful in answering questions in
Competitive Intelligence

• Ontologies provide a powerful framework in providing dictionaries
and taxonomical relations that help to reason and inference the
data for knowledge discovery

• Manual curation is a tedious, error prone and labor intensive-task

• A semi-automated computer-based solution that utilizes
ontologies, semantic integration and NLP could drastically reduce
manual curation process and maintain high quality information
Metadata Repository: Goals
• Aggregate experiment metadata from diverse relational
databases into an Oracle 11g for scientific investigation
•   Provide a unified vocabulary for scientific investigation
•   Avoid a complex architecture and extended development effort
•   Realize benefits in the near-term
•   Preprocess metadata to improve efficiency
•   Characterize the type of questions that ontology should answer
•   Identify stable semantic technologies, do not employ parsers
•   Allow semantic and relational databases to work together
•   Provide browser, visualization, and query access into repository
  Metadata Repository: Ontology
              Project                 hasProject       Study                   hasStudy            Experiment

                                                                                                                    hasPlate
          hasDiseaseState
                                                          Assay                     hasAssay          hasChip
          DiseaseState                                                                                                             Plate
                                                        hasProtocol
                                                                                                          Chip
                                                         Protocol
          Compound                                                                                                               hasPlate
                                                                                                                                                                              Sample
                                                                                                      hasChipType                     hasSample
                                                      subclass    subclass

                                                                                                                                Plate                                                 hasModel
          Reagent                                                                                     Chip Type
                                                   Software           Hardware                                                  Well                                  hasTissue
                                                                                                                                                                              hasCellline
                                         hasCompound
   subclass                                                                                                                                                                                 Model
                      subclass
                                        hasReagent
                                                                                                                 hasChipType                                 Tissue
           subclass                      hasGene                                                                               hasTreatment
 DNA                                                                                                                                                                           CellLine
Reagent                                                                      Treatment
                          RNA Reagent                                                                                                               hasSource   hasSourceTissue

       Protein                                                                        hasGene               Probe
       Reagent               hasReagent
                                                                 Gene               IsPartOf                                                  ClinicalData
                             ViralBatch
                                                                                               GeneList
                                                                 hasMESHId
                                                      hasGOId
                                                                                   MESH
                                 GO
Metadata Repository: Architecture
• Iterative queries on
metadata defined items
                                  Query                      Visualization
• Metadata and raw
data are aggregated to
provide additional
context for analysis            Experimental
                                                              Annotation
                                  Metadata
                                                               Services
                                 Repository




                                 Agilent                RNAi
                                             aCGH                       TMA
                               Expression              Database

                            Affy     Illumina                Mutation    Analysis
                                                 Screening
                         Expression Expression                SNP        Results
Metadata Repository: Implementation
• Protégé Ontology Editor
• Oracle Semantic Technologies 11g
• D2R Map (Database to RDF Mapping)
• C# development in Visual Studio 2005
• Current data sources include:
 •   Expression Data : Affymetrix, Illumina, Agilent
 •   aCGH Data
 •   RNAi Screening Data
 •   Reagent Data
 •   Gene Ontology (GO)
 •   Medical Subject Headings (MeSH)

• Currently ~30 million triples
Metadata Repository: Conclusion
•   It’s now possible for users to ask questions such as:
    •   Get all the interactions for methylases that are involved in
        Colon cancer. For all these genes, get the expression and
        aCGH values for all LSCDD colon cancer samples
    •   Find cell lines in which RNAi data has been generated
        using Dharmacon reagents
    •   Retrieve the antibodies that have been used to assess the
        AKT1 pathway activity in MCF7
    •   Find all the experiments that were done using my sample
    •   Find all samples which are grade III colorectal cancer. For
        these sample, retrieve the expression, mutation and
        aCGH data
External Collaborations
• RDF Access to Relational Databases - Chris Bizer, Eric Prud'hommeaux
 • Scalability testing of relational to RDF mapping approaches

• End User Semantic Web Authoring - David Karger
  • Enhancing the scalability and robustness of the Exhibit and Potluck tools

• Scientist-Driven Semantic Integration of Knowledge in Alzheimer's
Disease - Tim Clark, June Kinoshita
 • Project to develop an integrated knowledge infrastructure for the neuromedical
   research community, pairing rich digital semantic context with the ever-growing
   digital scientific content on the web

• Provenance Collection and Management - Carole Goble, Beth Plale
 • Project to develop a metadata taxonomy for global data at Lilly which enables
   the rapid integration of data and mining/analysis algorithms into dataflows
   which support clinical and discovery decisions

• W3C’s Health Care and Life Sciences Interest Group
Conclusion
• Semantic Web provides a flexible framework for data
integration
• Data integration needs (and issues) abound at Lilly
• Lilly is seeing tangible benefits in multiple projects
from semantic Web
• Focus on incremental adoption of the technology
• Tools are improving, but more work is needed
• Lilly use of Semantic Web technology isn’t atypical in
health care and life sciences organizations
W3C Semantic Web for Health Care
and Life Sciences Interest Group
What is the Mission of HCLS IG?
The mission of HCLS is to develop, advocate for, and
support the use of Semantic Web technologies for
biological science, translational medicine and health
care. These domains stand to gain tremendous benefit
by adoption of Semantic Web technologies, as they
depend on the interoperability of information from many
domains and processes for efficient decision support.
Task Forces
• Terminology – Semantic Web representation of existing resources
•   Task lead - John Madden

• BioRDF – integrated neuroscience knowledge base
•   Task lead - Kei Cheung

• Linking Open Drug Data – aggregation of Web-based drug data
•   Task lead - Chris Bizer

• Scientific Discourse – building communities through networking
•   Task leads - Tim Clark, John Breslin

• Clinical Observations Interoperability – patient recruitment in trials
•   Task lead - Vipul Kashyap

• Other Projects: Clinical Decision Support, URI Workshop,
Collaborations with CDISC & HL7
Terminology Task Force
Task Lead: John Madden
Participants: Chimezie Ogbuji, Helen Chen, Holger
Stenzhorn, Mary Kennedy, Xiashu Wang, Rob Frost,
Jonathan Borden, Guoqian Jiang
Terminology: Overview
• Goal is to identify use cases and methods for extracting
Semantic Web representations from existing, standard
medical record terminologies, e.g. UMLS
• Methods should be reproducible and, to the extent
possible, not lossy
• Identify and document issues along the way related to
identification schemes, expressiveness of the relevant
languages
• Initial effort will start with SNOMED-CT and UMLS
Semantic Networks and focus on a particular sub-
domain (e.g. pharmacological classification)
BioRDF Task Force
Task Lead: Kei Cheung
Participants: Scott Marshall, Eric Prud’hommeaux,
Susie Stephens, Andrew Su, Steven Larson, Huajun
Chen, TN Bhat, Matthias Samwald, Erick Antezana,
Rob Frost, Ward Blonde, Holger Stenzhorn, Don
Doherty
BioRDF: Answering Questions
Goals: Get answers to questions posed to a body of
collective knowledge in an effective way

Knowledge used: Publicly available databases, and text
mining

Strategy: Integrate knowledge using careful modeling,
exploiting Semantic Web standards and technologies
BioRDF: Looking for Targets for Alzheimer’s
 • Signal transduction pathways are
 considered to be rich in “druggable”
 targets

 • CA1 Pyramidal Neurons are
 known to be particularly damaged
 in Alzheimer’s disease
 • Casting a wide net, can we find
 candidate genes known to be
 involved in signal transduction and
 active in Pyramidal Neurons?



                                        Source: Alan Ruttenberg
BioRDF: Integrating Heterogeneous Data

                                             PDSPki
          Gene           Reactome                     NeuronDB
         Ontology
                                              BAMS

      Antibodies               Allen Brain            BrainPharm
                     Entrez       Atlas
                     Gene                     MESH
      Literature                                        PubChem
                                  Mammalian
                                  Phenotype
          SWAN
                   AlzGene
                             Homologene




                                                                 Source: Susie Stephens
BioRDF: SPARQL Query




                       Source: Alan Ruttenberg
BioRDF: Results: Genes, Processes
DRD1, 1812      adenylate cyclase activation
ADRB2, 154      adenylate cyclase activation
ADRB2, 154      arrestin mediated desensitization of G-protein coupled receptor protein signaling pathway
DRD1IP, 50632   dopamine receptor signaling pathway
DRD1, 1812      dopamine receptor, adenylate cyclase activating pathway
DRD2, 1813      dopamine receptor, adenylate cyclase inhibiting pathway
GRM7, 2917      G-protein coupled receptor protein signaling pathway
GNG3, 2785      G-protein coupled receptor protein signaling pathway
GNG12, 55970
DRD2, 1813
                G-protein coupled receptor protein signaling pathway
                G-protein coupled receptor protein signaling pathway
                                                                                            Many of the genes
ADRB2, 154
CALM3, 808
                G-protein coupled receptor protein signaling pathway
                G-protein coupled receptor protein signaling pathway
                                                                                             are related to AD
HTR2A, 3356
DRD1, 1812
                G-protein coupled receptor protein signaling pathway
                G-protein signaling, coupled to cyclic nucleotide second messenger            through gamma
SSTR5, 6755     G-protein signaling, coupled to cyclic nucleotide second messenger
MTNR1A, 4543    G-protein signaling, coupled to cyclic nucleotide second messenger               secretase
CNR2, 1269      G-protein signaling, coupled to cyclic nucleotide second messenger
HTR6, 3362
GRIK2, 2898
                G-protein signaling, coupled to cyclic nucleotide second messenger
                glutamate signaling pathway
                                                                                            (presenilin) activity
GRIN1, 2902     glutamate signaling pathway
GRIN2A, 2903    glutamate signaling pathway
GRIN2B, 2904    glutamate signaling pathway
ADAM10, 102     integrin-mediated signaling pathway
GRM7, 2917      negative regulation of adenylate cyclase activity
LRP1, 4035      negative regulation of Wnt receptor signaling pathway
ADAM10, 102     Notch receptor processing
ASCL1, 429      Notch signaling pathway
HTR2A, 3356     serotonin receptor signaling pathway
ADRB2, 154      transmembrane receptor protein tyrosine kinase activation (dimerization)
PTPRG, 5793     ransmembrane receptor protein tyrosine kinase signaling pathway
EPHA4, 2043     transmembrane receptor protein tyrosine kinase signaling pathway
NRTN, 4902      transmembrane receptor protein tyrosine kinase signaling pathway
CTNND1, 1500    Wnt receptor signaling pathway




                                                                                              Source: Alan Ruttenberg
LODD Task Force
Task Lead: Chris Bizer
Participants: Anja Jentzsch, Kristin Tolle, Eric
Prud’hommeaux, Don Doherty, Susie Stephens, Bosse
Andersson, Scott Marshall, Glen Newton, Michel
Dumontier, TN Bhat, Oktie Hassanzadeh
LODD: Introduction
Use Semantic Web technologies to
1. publish structured data on the Web
2. set links between data from one data source to data within other data sources


          Linked Data                Linked Data                  Search
           Browsers                   Mashups                     Engines




         Thing            Thing            Thing            Thing            Thing

         Thing            Thing            Thing            Thing            Thing

                 typed            typed            typed            typed
                  links            links            links            links


            A               B               C                 D               E

                                                                              Source: Chris Bizer
LODD: Potential Links between Data Sets




                             Source: Chris Bizer
LODD: Data Set Evaluation




                            Source: Chris Bizer
LODD: Potential questions to answer
• Physicians and Pharmacists
   • What are alternative drugs for a given indication (disease)?
   • What are equivalent drugs (generic version of a brand name, or the
     chemical name of a active ingredient)?
   • Are there ongoing clinical trials for a drug?

• Patients
   •   What background information is available about a drug?
   •   What are the contraindications of a drug?
   •   Which alternative drugs are available?
   •   What are the results of clinical trials for a drug?

• Pharmaceutical Companies
   •   What are other companies with drugs in similar areas?
   •   Which companies have a similar therapeutic focus?

                                                               Source: Chris Bizer
LODD: Linked Version of ClinicalTrials.gov

• Total number of triples:
  6,998,851

• Number of Trials:
  61,920

• RDF links to other data
  sources: 177,975

• Links to:
   • DBpedia and YAGO
     (from intervention and conditions)
   • GeoNames (from locations)
   • Bio2RDF.org's PubMed (from references)
                                              Source: Chris Bizer
LODD: Mashing Clinical Trials and Geo




Classification
  of Places

   Geo
Coordinates




                             Source: Chris Bizer
Scientific Discourse Task Force
Task Lead: Tim Clark, John Breslin
Participants: Uldis Bojars, Paolo Ciccarese, Sudeshna
Das, Ronan Fox, Tudor Groza, Christoph Lange,
Matthias Samwald, Elizabeth Wu, Holger Stenzhorn,
Marco Ocana, Kei Cheung, Alexandre Passant
Scientific Discourse: Overview




                                 Source: Tim Clark
Scientific Discourse: Goals
• Provide a Semantic Web platform for scientific
discourse in biomedicine
•   Linked to
      – key concepts, entities and knowledge
•   Specified
      – by ontologies
•   Integrated with
      – existing software tools
•   Useful to
      – Web communities of working scientists




                                                Source: Tim Clark
Scientific Discourse: Some Parameters
• Discourse categories: research questions, scientific assertions
or claims, hypotheses, comments and discussion, and evidence
• Biomedical categories: genes, proteins, antibodies, animal
models, laboratory protocols, biological processes, reagents,
disease classifications, user-generated tags, and bibliographic
references
• Driving biological project: cross-application of discoveries,
methods and reagents in stem cell, Alzheimer and Parkinson
disease research
• Informatics use cases: interoperability of web-based research
communities with (a) each other (b) key biomedical ontologies (c)
algorithms for bibliographic annotation and text mining (d) key
resources

                                                       Source: Tim Clark
Scientific Discourse: SWAN+SIOC
• SIOC
•   Represent activities and contributions of online communities
•   Integration with blogging, wiki and CMS software
•   Use of existing ontologies, e.g. FOAF, SKOS, DC

• SWAN
•   Represents scientific discourse (hypotheses, claims, evidence,
    concepts, entities, citations)
•   Used to create the SWAN Alzheimer knowledge base
•   Active beta participation of 144 Alzheimer researchers
•   Ongoing integration into SCF Drupal toolkit




                                                           Source: Tim Clark
COI Task Force
Task Lead: Vipul Kashap
Participants: Eric Prud’hommeaux, Helen Chen,
Jyotishman Pathak, Rachel Richesson, Holger
Stenzhorn
COI: Bridging Bench to Bedside
• How can existing Electronic Health Records (EHR)
formats be reused for patient recruitment?
• Quasi standard formats for clinical data:
• HL7/RIM/DCM – healthcare delivery systems
• CDISC/SDTM – clinical trial systems

• How can we map across these formats?
• Can we ask questions in one format when the data is represented in
  another format?




                                                    Source: Holger Stenzhorn
COI: Use Case
Pharmaceutical companies pay a lot to test drugs
Pharmaceutical companies express protocol in CDISC

-- precipitous gap –

Hospitals exchange information in HL7/RIM

Hospitals have relational databases




                                        Source: Eric Prud’hommeaux
Inclusion Criteria

Type 2 diabetes on diet and exercise therapy or
monotherapy with metformin, insulin
secretagogue, or alpha-glucosidase inhibitors, or
a low-dose combination of these at 50%
maximal dose. Dosing is stable for 8 weeks prior
to randomization.
…
?patient takes meformin .




                                              Source: Holger Stenzhorn
Exclusion Criteria

Use of warfarin (Coumadin), clopidogrel
(Plavix) or other anticoagulants.
…

?patient doesNotTake anticoagulant .




                                          Source: Holger Stenzhorn
Criteria in SPARQL
?medication1 sdtm:subject ?patient ;
spl:activeIngredient ?ingredient1 .
?ingredient1 spl:classCode 6809 . #metformin
OPTIONAL {
  ?medication2 sdtm:subject ?patient ;
  spl:activeIngredient ?ingredient2 .
?ingredient2 spl:classCode 11289 .
                            #anticoagulant
} FILTER (!BOUND(?medication2))




                                             Source: Holger Stenzhorn
Getting Involved
• Benefits to getting involved include:
•   early access to use cases and best practice
•   influence standard recommends
•   cost effective exploration of new technology through collaboration

• Get involved by contacting the chairs:
•   team-hcls-chairs@w3.org

						
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