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Electronic health records (EHRs) are representative examples of multimodal/multisource data collections; including measurements, images and free texts. The diversity of such information sources and the increasing amounts of medical data produced by healthcare institutes annually, pose significant challenges in data mining. In this paper we present a novel semantic model that describes knowledge extracted from the lowest-level of a data mining process, where information is represented by multiple features i.e. measurements or numerical descriptors extracted from measurements, images, texts or other medical data, forming multidimensional feature spaces. Knowledge collected by manual annotation or extracted by unsupervised data mining from one or more feature spaces is modeled through generalized qualitative spatial semantics. This model enables a unified representation of knowledge across multimodal data repositories. It contributes to bridging the semantic gap, by enabling direct links between low-level features and higher-level concepts e.g. describing body parts, anatomies and pathological findings. The proposed model has been developed in web ontology language based on description logics (OWL-DL) and can be applied to a variety of data mining tasks in medical informatics. It utility is demonstrated for automatic annotation of medical data.
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