The Community for Technology Leaders
RSS Icon
Issue No.11 - Nov. (2013 vol.19)
pp: 1895-1910
Zhiyuan Zhang , Comput. Sci. Dept., Stony Brook Univ., Stony Brook, NY, USA
Bing Wang , Comput. Sci. Dept., Stony Brook Univ., Stony Brook, NY, USA
F. Ahmed , Comput. Sci. Dept., Stony Brook Univ., Stony Brook, NY, USA
I. V. Ramakrishnan , Comput. Sci. Dept., Stony Brook Univ., Stony Brook, NY, USA
Rong Zhao , Comput. Sci. Dept., Stony Brook Univ., Stony Brook, NY, USA
A. Viccellio , Dept. of Emergency Med., Stony Brook Univ. Hosp., Stony Brook, NY, USA
K. Mueller , Comput. Sci. Dept., Stony Brook Univ., Stony Brook, NY, USA
The Five Ws is a popular concept for information gathering in journalistic reporting. It captures all aspects of a story or incidence: who, when, what, where, and why. We propose a framework composed of a suite of cooperating visual information displays to represent the Five Ws and demonstrate its use within a healthcare informatics application. Here, the who is the patient, the where is the patient's body, and the when, what, why is a reasoning chain which can be interactively sorted and brushed. The patient is represented as a radial sunburst visualization integrated with a stylized body map. This display captures all health conditions of the past and present to serve as a quick overview to the interrogating physician. The reasoning chain is represented as a multistage flow chart, composed of date, symptom, data, diagnosis, treatment, and outcome. Our system seeks to improve the usability of information captured in the electronic medical record (EMR) and we show via multiple examples that our framework can significantly lower the time and effort needed to access the medical patient information required to arrive at a diagnostic conclusion.
Medical diagnostic imaging, Data visualization, Diseases, Color, Visualization, History,electronic health record (EHR), Visual knowledge representation, data fusion and integration, coordinated and multiple views, focus and context, health informatics, electronic medical record (EMR)
Zhiyuan Zhang, Bing Wang, F. Ahmed, I. V. Ramakrishnan, Rong Zhao, A. Viccellio, K. Mueller, "The Five Ws for Information Visualization with Application to Healthcare Informatics", IEEE Transactions on Visualization & Computer Graphics, vol.19, no. 11, pp. 1895-1910, Nov. 2013, doi:10.1109/TVCG.2013.89
[1] W. Aigner and S. Miksch, "Supporting Protocol-Based Care in Medicine via Multiple Coordinated Views," Proc. Second Int'l Conf. Coordinated and Multiple Views in Exploratory Visualization, pp. 118-129, 2004.
[2] W. Aigner, S. Miksch, W. Müller, H. Schumann, and C. Tominski, "Visual Methods for Analyzing Time-Oriented Data," IEEE Trans. Visualization and Computer Graphics, vol. 14, no. 1, pp. 47-60, Jan./Feb. 2008.
[3] R. Bade, S. Schlechtweg, and S. Miksch, "Connecting Time-Oriented Data and Information to a Coherent Interactive Visualization," Proc. SIGCHI Conf. Human Factors Computing Systems (CHI), pp. 105-112, 2004.
[4] J. Bertin, Semiology of Graphics: Diagrams, Networks, Maps. Univ. of Wisconsin Press, 1983.
[5] C. Brewer, "Color Use Guidelines for Data Representation," Proc. Section Statistical Graphics, pp. 55-60, 1999.
[6] W. Cleveland, Dynamic Graphics for Statistics. Springer, 1988.
[7] C. Collins, S. Carpendale, and G. Penn, "Docuburst: Visualizing Document Content Using Language Structure," Proc. Eurographics/IEEE-VGTC Symp. Visualization (EuroVis), pp. 1039-1046, 2009.
[8] S. Diehl, F. Beck, and M. Burch, "Uncovering Strengths and Weaknesses of Radial Visualizations—An Empirical Approach," IEEE Trans. Visualization and Computer Graphics, vol. 16, no. 6, pp. 935-942, Nov./Dec. 2010.
[9] N. Elmqvist and J. Fekete, "Hierarchical Aggregation for Information Visualization: Overview, Techniques, and Design Guidelines," IEEE Trans. Visualization and Computer Graphics, vol. 16, no. 3, pp. 439-454, May 2010.
[10] A. Faiola and S. Hillier, "Multivariate Relational Visualization of Complex Clinical Datasets in a Critical Care Setting: A Data Visualization Interactive Prototype," Proc. 10th Int'l Conf. Information Visualization, pp. 460-468, 2006.
[11] J. Fox and R. Thomson, "Decision Support and Disease Management: A Logic Engineering Approach," IEEE Trans. Information Technology in Biomedicine, vol. 2, no. 4, pp. 217-228, Dec. 1998.
[12] D. Hadorn, "Use of Algorithms in Clinical Practice Guideline Development: Methodology Perspectives," AHCPR Publication, vol. 9, no. 95 pp. 93-104, 1995.
[13] J. Heer, M. Bostock, and V. Ogievetsky, "A Tour through the Visualization Zoo," Comm. ACM, vol. 53, no. 6, pp. 59-67, 2010.
[14] D. Holten, "Hierarchical Edge Bundles: Visualization of Adjacency Relations in Hierarchical Data," IEEE Trans. Visualization and Computer Graphics, vol. 12, no. 5, pp. 741-748, Sept./Oct. 2006.
[15] W. Horn, C. Popow, and L. Unterasinger, "Support for Fast Comprehension of ICU Data: Visualization Using Metaphor Graphics," Methods of Information in Medicine, vol. 40, pp. 421-424, 2001.
[16] B. Johnson and B. Shneiderman, "Tree Maps: A Space-Filling Approach to the Visualization of Hierarchical Information Structures," Proc. IEEE Conf. Visualization, pp. 284-291, 1991.
[17] R. Kosara and S. Miksch, "Visualization Techniques for Time-Oriented, Skeletal Plans in Medical Therapy Planning," Proc. Joint European Conf. Artificial Intelligence in Medicine and Medical Decision Making, pp. 291-300, 1999.
[18] G. Langelier, H. Sahraoui, and P. Poulin, "Visualization-based Analysis of Quality for Large-Scale Software Systems," Proc. IEEE/ACM Int'l Conf. Automated Software Eng., pp. 214-223, 2005.
[19] L. Lins, M. Heilbrun, J. Freire, and C. Silva, "VisCareTrails: Visualizing Trails in the Electronic Health Record with Timed Word Trees, a Pancreas Cancer Use Case," Proc. IEEE Visual Analytics in Health Care (VAHC) Workshop, 2011.
[20] C. North and B. Shneiderman, "Snap-Together Visualization: Can Users Construct and Operate Coordinated Visualizations?" Int'l J. Human-Computer Studies, vol. 53, no. 5, pp. 715-739, 2000.
[21] P. Ordonez, M. desJardins, M. Lombardi, C. Lehmann, and J. Fackler, "An Animated Multivariate Visualization for Physiological and Clinical Data," Proc. ACM Int'l Health Informatics Symp., pp. 771-779, 2010.
[22] C. Plaisant, R. Mushlin, A. Snyder, J. Li, D. Heller, and B. Shneiderman, "Lifelines: Using Visualization to Enhance Navigation and Analysis of Patient Records," Proc. AMIA Ann. Symp., pp. 76-80, 1998.
[23] S. Powsner and E. Tufte, "Graphical Summary of Patient Status," The Lancet, vol. 344, no. 8919, pp. 386-389, 1994.
[24] T. Ropinski, I. Viola, M. Bierman, H. Hauser, and K. Hinrichs, "Multimodal Visualization with Interactive Closeups," Proc. EGUK Theory and Practice of Computer Graphics (TPCG), 2009.
[25] J. Stasko and E. Zhang, "Focus+Context Display and Navigation Techniques for Enhancing Radial, Space-Filling Hierarchy Visualizations," Proc. IEEE Symp. Information Visualization, pp. 57-65, 2000.
[26] S. Quaglini, M. Stefanelli, G. Lanzola, V. Caporusso, and S. Panzarasa, "Flexible Guideline-Based Patient Careflow Systems," Artificial Intelligence in Medicine, vol. 22, no. 1, pp. 65-80, 2001.
[27] A. Rind, S. Miksch, W. Aigner, T. Turic, and M. Pohl, "VisuExplore: Gaining New Medical Insights from Visual Exploration," Proc. Int'l Workshop Interactive Systems Healthcare, pp. 149-152, 2010.
[28] G. Savov et al., "Mayo Clinical Text Analysis and Knowledge Extraction System (cTAKES): Architecture, Component Evaluation and Applications," J. Am. Medical Informatics Assoc., vol. 17, no. 5, pp. 507-513, 2010.
[29] E. Segel and J. Heer, "Narrative Visualization: Telling Stories with Data," IEEE Trans. Visualization and Computer Graphics, vol. 16, no. 6, pp. 1139-1148, Nov. 2010.
[30] Y. Shahar, D. Goren-bar, D. Boaz, and G. Tahan, Tistributed, Intelligent, Interactive Visualization and Exploration of Time-Oriented Clinical Data and Their Abstractions," J. Artificial Intelligence in Medicine, vol. 38, no. 2, pp. 115-135, 2006.
[31] B. Shneiderman, "The Eyes Have It: A Task by Data Type Taxonomy for Information Visualizations," Proc. IEEE Symp. Visual Languages, pp. 336-343, 1996.
[32] C. Weaver, "Cross-Filtered Views for Multidimensional Visual Analysis," IEEE Trans. Visualization and Computer Graphics, vol. 16, no. 2, pp. 192-204, Mar./Apr. 2010.
[33] K. Wongsuphasawat and D. Gotz, "Exploring Flow, Factors, and Outcomes of Temporal Event Sequences with the Outflow Visualization," IEEE Trans. Visualization and Computer Graphics, vol. 18, no. 12, pp. 2659- 2668, Dec. 2012.
[34] M. Workman, M.F. Lesser, and J. Kim, "An Exploratory Study of Cognitive Load in Diagnosing Patient Conditions," Int'l J. Quality in Health Care, vol. 19, no. 3 pp. 127-133, 2007.
[35] L. Young, H. Bazari, M. Durand, and J. Branda, "Case 33-2010 — A 22-Year-Old Woman with Blurred Vision and Renal Failure," New England J Medicine, vol. 363, 1749-1758, 2010.
[36] Z. Zhang, A. Mittal, S. Garg, A. Dimitriyadi, I.V. Ramakrishnan, R. Zhao, A. Viccellio, and K. Mueller, "A Visual Analytics Framework for Emergency Room Clinical Encounters," Proc. IEEE Visual Analytics in Health Care (VAHC) Workshop, 2010.
[37] Z. Zhang, F. Ahmed, A. Mittal, I.V. Ramakrishnan, R. Zhao, and A. Viccellio, and K. Mueller, "AnamneVis: A Framework for the Visualization of Patient History and Medical Diagnostics Chains," Proc. IEEE Visual Analytics in Health Care (VAHC) Workshop, 2011.
[38] Z. Zhang, D. Gotz, and A. Perer, "Interactive Visual Patient Cohort Analysis," Proc. IEEE Visual Analytics in Health Care (VAHC) Workshop, 2012.
[39] FLARE: http:/, 2013.
[40] "Defining and Testing EMR Usability, Healthcare Information and Management Systems Society (HIMSS)," testingemrusability.pdf , June 2009.
[41] 0-10_Pain_Scale.pdf, 2013.
74 ms
(Ver 2.0)

Marketing Automation Platform Marketing Automation Tool