Event sequence data is common in many domains, ranging from electronic medical records (EMRs) to sports events. Moreover, such sequences often result in measurable outcomes (e.g., life or death, win or loss). Collections of event sequences can be aggregated together to form event progression pathways. These pathways can then be connected with outcomes to model how alternative chains of events may lead to different results. This paper describes the Outflow visualization technique, designed to (1) aggregate multiple event sequences, (2) display the aggregate pathways through different event states with timing and cardinality, (3) summarize the pathways' corresponding outcomes, and (4) allow users to explore external factors that correlate with specific pathway state transitions. Results from a user study with twelve participants show that users were able to learn how to use Outflow easily with limited training and perform a range of tasks both accurately and rapidly.
An increasing number of temporal categorical databases are being collected: Electronic Health Records in healthcare organizations, traffic incident logs in transportation systems, or student records in universities. Finding similar records within these large databases requires effective similarity measures that capture the searcher's intent. Many similarity measures exist for numerical time series, but temporal categorical records are different. We propose a temporal categorical similarity measure, the M&M (Match & Mismatch) measure, which is based on the concept of aligning records by sentinel events, then matching events between the target and the compared records. The M&M measure combines the time differences between pairs of events and the number of mismatches. To accommodate customization of parameters in the M&M measure and results interpretation, we implemented Similan, an interactive search and visualization tool for temporal categorical records. A usability study with 8 participants demonstrated that Similan was easy to learn and enabled them to find similar records, but users had difficulty understanding the M&M measure. The usability study feedback, led to an improved version with a continuous timeline, which was tested in a pilot study with 5 participants.
Current electronic health record (EHR) systems facilitate the storage, retrieval, persistence, and sharing of patient data. However, the way physicians interact with EHRs has not changed much. More specifically, support for temporal analysis of a large number of EHRs has been lacking. A number of information visualization techniques have been proposed to alleviate this problem. Unfortunately, due to their limited application to a single case study, the results are often difficult to generalize across medical scenarios. We present the usage data of Lifelines2 [22], our information visualization system, and user comments, both collected over eight different medical case studies. We generalize our experience into a visual analytics process model for multiple EHRs. Based on our analysis, we make seven design recommendations to information visualization tools to explore EHR systems.
Specifying event sequence queries is challenging even for skilled computer professionals familiar with SQL. Most graphical user interfaces for database search use an exact match approach, which is often effective, but near misses may also be of interest. We describe a new similarity search interface, in which users specify a query by simply placing events on a blank timeline and retrieve a similarity-ranked list of results. Behind this user interface is a new similarity measure for event sequences which the users can customize by four decision criteria, enabling them to adjust the impact of missing, extra, or swapped events or the impact of time shifts. We describe a use case with Electronic Health Records based on our ongoing collaboration with hospital physicians. A controlled experiment with 18 participants compared exact match and similarity search interfaces. We report on the advantages and disadvantages of each interface and suggest a hybrid interface combining the best of both.
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