Physicians are confronted with increasingly complex patient histories based on which they must make life-critical treatment decisions. At the same time, clinical researchers are eager to study the growing databases of patient histories to detect unknown patterns, ensure quality control, and discover surprising outcomes. Designers of Electronic Health Record systems (EHRs) have great potential to apply innovative visual methods to support clinical decision-making and research. This work surveys the state-of-the-art of information visualization systems for exploring and querying EHRs, as described in the scientific literature. We examine how systems differ in their features and highlight how these differences are related to their design and the medical scenarios they tackle. The systems are compared on a set of criteria: (1) data types covered, (2) multivariate analysis support, (3) number of patient records used (one or multiple), and (4) user intents addressed. Based on our survey and evidence gained from evaluation studies, we believe that effective information visualization can facilitate analysis of EHRs for patient treatment and clinical research. Thus, we encourage the information visualization community to study the application of their systems in health care. Our monograph is written for both scientific researchers and designers of future user interfaces for EHRs. We hope it will help them understand this vital domain and appreciate the features and virtues of existing systems, so they can create still more advanced systems. We identify potential future research topics in interactive support for data abstraction, in systems for intermittent users, such as patients, and in more detailed evaluations.
In 2014, more than 10 million people in the US were affected by an ambulatory disability. Thus, gait rehabilitation is a crucial part of health care systems. The quantification of human locomotion enables clinicians to describe and analyze a patient's gait performance in detail and allows them to base clinical decisions on objective data. These assessments generate a vast amount of complex data which need to be interpreted in a short time period. We conducted a design study in cooperation with gait analysis experts to develop a novel Knowledge-Assisted Visual Analytics solution for clinical Gait analysis (KAVAGait). KAVAGait allows the clinician to store and inspect complex data derived during clinical gait analysis. The system incorporates innovative and interactive visual interface concepts, which were developed based on the needs of clinicians. Additionally, an explicit knowledge store (EKS) allows externalization and storage of implicit knowledge from clinicians. It makes this information available for others, supporting the process of data inspection and clinical decision making. We validated our system by conducting expert reviews, a user study, and a case study. Results suggest that KAVAGait is able to support a clinician during clinical practice by visualizing complex gait data and providing knowledge of other clinicians.
User tasks play a pivotal role in visualization design and evaluation. However, the term ‘task’ is used ambiguously within the visualization community. In this article, we critically analyze the relevant literature and systematically compare definitions of ‘task’ and the usage of related terminology. In doing so, we identify a three-dimensional conceptual space of user tasks in visualization, referred to as the task cube, and the more precise concepts ‘objective’ and ‘action’ for tasks. We illustrate the usage of the task cube’s dimensions in an objective-driven visualization process, in different scenarios of visualization design and evaluation, and for comparing categorizations of abstract tasks. Thus, visualization researchers can better formulate their contributions which helps advance visualization as a whole.
16 October 2013 in IEEE Transactions on Visualization and Computer Graphics
Model selection in time series analysis is a challenging task for domain experts in many application areas such as epidemiology, economy, or environmental sciences. The methodology used for this task demands a close combination of human judgement and automated computation. However, statistical software tools do not adequately support this combination through interactive visual interfaces. We propose a Visual Analytics process to guide domain experts in this task. For this purpose, we developed the TiMoVA prototype that implements this process based on user stories and iterative expert feedback on user experience. The prototype was evaluated by usage scenarios with an example dataset from epidemiology and interviews with two external domain experts in statistics. The insights from the experts' feedback and the usage scenarios show that TiMoVA is able to support domain experts in model selection tasks through interactive visual interfaces with short feedback cycles.