Telerehabilitation systems that support physical therapy sessions anywhere can help save healthcare costs while also improving the quality of life of the users that need rehabilitation. The main contribution of this paper is to present, as a whole, all the features supported by the innovative Kinect-based Telerehabilitation System (KiReS). In addition to the functionalities provided by current systems, it handles two new ones that could be incorporated into them, in order to give a step forward towards a new generation of telerehabilitation systems. The knowledge extraction functionality handles knowledge about the physical therapy record of patients and treatment protocols described in an ontology, named TrhOnt, to select the adequate exercises for the rehabilitation of patients. The teleimmersion functionality provides a convenient, effective and user-friendly experience when performing the telerehabilitation, through a two-way real-time multimedia communication. The ontology contains about 2300 classes and 100 properties, and the system allows a reliable transmission of Kinect video depth, audio and skeleton data, being able to adapt to various network conditions. Moreover, the system has been tested with patients who suffered from shoulder disorders or total hip replacement.

Although the goal of achieving semantic interoperability of electronic health records (EHRs) is pursued by many researchers, it has not been accomplished yet. In this paper, we present a proposal that smoothes out the way toward the achievement of that goal. In particular, our study focuses on medical diagnoses statements. In summary, the main contributions of our ontology-based proposal are the following: first, it includes a canonical ontology whose EHR-related terms focus on semantic aspects. As a result, their descriptions are independent of languages and technology aspects used in different organizations to represent EHRs. Moreover, those terms are related to their corresponding codes in well-known medical terminologies. Second, it deals with modules that allow obtaining rich ontological representations of EHR information managed by proprietary models of health information systems. The features of one specific module are shown as reference. Third, it considers the necessary mapping axioms between ontological terms enhanced with so-called path mappings. This feature smoothes out structural differences between heterogeneous EHR representations, allowing proper alignment of information.

BackgroundOne of the current research efforts in the area of biomedicine is the representation of knowledge in a structured way so that reasoning can be performed on it. More precisely, in the field of physiotherapy, information such as the physiotherapy record of a patient or treatment protocols for specific disorders must be adequately modeled, because they play a relevant role in the management of the evolutionary recovery process of a patient. In this scenario, we introduce TrhOnt, an application ontology that can assist physiotherapists in the management of the patients’ evolution via reasoning supported by semantic technology.MethodsThe ontology was developed following the NeOn Methodology. It integrates knowledge from ontological (e.g. FMA ontology) and non-ontological resources (e.g. a database of movements, exercises and treatment protocols) as well as additional physiotherapy-related knowledge.ResultsWe demonstrate how the ontology fulfills the purpose of providing a reference model for the representation of the physiotherapy-related information that is needed for the whole physiotherapy treatment of patients, since they step for the first time into the physiotherapist’s office, until they are discharged. More specifically, we present the results for each of the intended uses of the ontology listed in the document that specifies its requirements, and show how TrhOnt can answer the competency questions defined within that document. Moreover, we detail the main steps of the process followed to build the TrhOnt ontology in order to facilitate its reproducibility in a similar context. Finally, we show an evaluation of the ontology from different perspectives.Conclusions TrhOnt has achieved the purpose of allowing for a reasoning process that changes over time according to the patient’s state and performance.

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Abstract. One relevant aspect in the development of the Semantic Web framework is the achievement of a real inter-agents communication capability at the semantic level. The agents should be able to communicate and understand each other using standard communication protocols freely, that is, without needing a laborious a priori preparation, before the communication takes place.For that setting we present in this paper a proposal that promotes to describe standard communication protocols using Semantic Web technology (specifically, OWL-DL and SWRL). Those protocols are constituted by communication acts. In our proposal those communication acts are described as terms that belong to a communication acts ontology, that we have developed, called CommOnt. The intended semantics associated to the communication acts in the ontology is expressed through social commitments that are formalized as fluents in the Event Calculus.In summary, OWL-DL reasoners and rule engines help in our proposal for reasoning about protocols. We define some comparison relationships (dealing with notions of equivalence and specialization) between protocols used by agents from different systems.