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==Sandbox begins below==
==Sandbox begins below==
<div class="nonumtoc">__TOC__</div>
<div class="nonumtoc">__TOC__</div>
[[File:Gamry Instruments Lab.jpg|right|350px]]
[[File:FAIRResourcesGraphic AustralianResearchDataCommons 2018.png|right|520px]]
'''Title''': ''What role does systems integration play in the laboratory and why is this important to address?''
'''Title''': ''What are the potential implications of the FAIR data principles to laboratory informatics applications?''


'''Author for citation''': Shawn E. Douglas
'''Author for citation''': Shawn E. Douglas
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'''License for content''': [https://creativecommons.org/licenses/by-sa/4.0/ Creative Commons Attribution-ShareAlike 4.0 International]
'''License for content''': [https://creativecommons.org/licenses/by-sa/4.0/ Creative Commons Attribution-ShareAlike 4.0 International]


'''Publication date''': February 2024
'''Publication date''': May 2024


==Introduction==
==Introduction==
https://www.limswiki.org/index.php/Journal:Infrastructure_tools_to_support_an_effective_radiation_oncology_learning_health_system


This brief topical article will examine


==Interoperability and systems integration==
==The "FAIR-ification" of research objects and software==
In order to answer this question, we first must discuss the concept of "interoperability," of which integration of other informatics systems is just one component. Interoperability is defined by the Healthcare Information and Management Systems Society (HIMSS) as “the ability of different information systems, devices and applications (‘systems’) to access, exchange, integrate and cooperatively use data in a coordinated manner, within and across organizational, regional and national boundaries” to, in the case of a [[laboratory]], ensure timely, portable, and accurate analytical results (the "deliverable" of most laboratories).<ref name="”HIMSSInterop20”">{{cite web |url=https://www.himss.org/resources/interoperability-healthcare |title=Interoperability in Healthcare |author=Healthcare Information and Management Systems Society |publisher=Healthcare Information and Management Systems |date=2024 |accessdate=27 February 2024}}</ref> While HIMSS' definition is focused on the clinical realm, their definition is robust enough that it, at least in part, can be applied to laboratory-based organizations serving most industries.
First discussed during a 2014 FORCE-11 workshop dedicated to "overcoming data discovery and reuse obstacles," the [[Journal:The FAIR Guiding Principles for scientific data management and stewardship|FAIR data principles]] were published by Wilkinson ''et al.'' in 2016 as a stakeholder collaboration driven to see research "objects" (i.e., research data and [[information]] of all shapes and formats) become more universally findable, accessible, interoperable, and reusable (FAIR) by both machines and people.<ref name="WilkinsonTheFAIR16">{{Cite journal |last=Wilkinson |first=Mark D. |last2=Dumontier |first2=Michel |last3=Aalbersberg |first3=IJsbrand Jan |last4=Appleton |first4=Gabrielle |last5=Axton |first5=Myles |last6=Baak |first6=Arie |last7=Blomberg |first7=Niklas |last8=Boiten |first8=Jan-Willem |last9=da Silva Santos |first9=Luiz Bonino |last10=Bourne |first10=Philip E. |last11=Bouwman |first11=Jildau |date=2016-03-15 |title=The FAIR Guiding Principles for scientific data management and stewardship |url=https://www.nature.com/articles/sdata201618 |journal=Scientific Data |language=en |volume=3 |issue=1 |pages=160018 |doi=10.1038/sdata.2016.18 |issn=2052-4463 |pmc=PMC4792175 |pmid=26978244}}</ref> The authors released the FAIR principles while recognizing that "one of the grand challenges of data-intensive science ... is to improve knowledge discovery through assisting both humans and their computational agents in the discovery of, access to, and integration and analysis of task-appropriate scientific data and other scholarly digital objects."<ref name="WilkinsonTheFAIR16" />


Since 2016, other research stakeholders have taken to publishing their thoughts about how the FAIR principles apply to their fields of study and practice<ref name="NIHPubMedSearch">{{cite web |url=https://pubmed.ncbi.nlm.nih.gov/?term=fair+data+principles |title=fair data principles |work=PubMed Search |publisher=National Institutes of Health, National Library of Medicine |accessdate=30 April 2024}}</ref>, including in ways beyond what perhaps was originally imagined by Wilkinson ''et al.''. For example, multiple authors have examined whether or not the software used in scientific endeavors itself can be considered a research object worth being developed and managed in tandem with the FAIR data principles.<ref>{{Cite journal |last=Hasselbring |first=Wilhelm |last2=Carr |first2=Leslie |last3=Hettrick |first3=Simon |last4=Packer |first4=Heather |last5=Tiropanis |first5=Thanassis |date=2020-02-25 |title=From FAIR research data toward FAIR and open research software |url=https://www.degruyter.com/document/doi/10.1515/itit-2019-0040/html |journal=it - Information Technology |language=en |volume=62 |issue=1 |pages=39–47 |doi=10.1515/itit-2019-0040 |issn=2196-7032}}</ref><ref name="GruenpeterFAIRPlus20">{{Cite web |last=Gruenpeter, M. |date=23 November 2020 |title=FAIR + Software: Decoding the principles |url=https://www.fairsfair.eu/sites/default/files/FAIR%20%2B%20software.pdf |format=PDF |publisher=FAIRsFAIR “Fostering FAIR Data Practices In Europe” |accessdate=30 April 2024}}</ref><ref>{{Cite journal |last=Barker |first=Michelle |last2=Chue Hong |first2=Neil P. |last3=Katz |first3=Daniel S. |last4=Lamprecht |first4=Anna-Lena |last5=Martinez-Ortiz |first5=Carlos |last6=Psomopoulos |first6=Fotis |last7=Harrow |first7=Jennifer |last8=Castro |first8=Leyla Jael |last9=Gruenpeter |first9=Morane |last10=Martinez |first10=Paula Andrea |last11=Honeyman |first11=Tom |date=2022-10-14 |title=Introducing the FAIR Principles for research software |url=https://www.nature.com/articles/s41597-022-01710-x |journal=Scientific Data |language=en |volume=9 |issue=1 |pages=622 |doi=10.1038/s41597-022-01710-x |issn=2052-4463 |pmc=PMC9562067 |pmid=36241754}}</ref><ref>{{Cite journal |last=Patel |first=Bhavesh |last2=Soundarajan |first2=Sanjay |last3=Ménager |first3=Hervé |last4=Hu |first4=Zicheng |date=2023-08-23 |title=Making Biomedical Research Software FAIR: Actionable Step-by-step Guidelines with a User-support Tool |url=https://www.nature.com/articles/s41597-023-02463-x |journal=Scientific Data |language=en |volume=10 |issue=1 |pages=557 |doi=10.1038/s41597-023-02463-x |issn=2052-4463 |pmc=PMC10447492 |pmid=37612312}}</ref><ref>{{Cite journal |last=Du |first=Xinsong |last2=Dastmalchi |first2=Farhad |last3=Ye |first3=Hao |last4=Garrett |first4=Timothy J. |last5=Diller |first5=Matthew A. |last6=Liu |first6=Mei |last7=Hogan |first7=William R. |last8=Brochhausen |first8=Mathias |last9=Lemas |first9=Dominick J. |date=2023-02-06 |title=Evaluating LC-HRMS metabolomics data processing software using FAIR principles for research software |url=https://link.springer.com/10.1007/s11306-023-01974-3 |journal=Metabolomics |language=en |volume=19 |issue=2 |pages=11 |doi=10.1007/s11306-023-01974-3 |issn=1573-3890}}</ref> Researchers quickly recognized that any planning around updating processes and systems to make research objects more FAIR would have to be tailored to specific research contexts, recognize that digital research objects go beyond data and information, and recognize "the specific nature of software" and not consider it "just data."<ref name="GruenpeterFAIRPlus20" /> The end result has been applying the core concepts of FAIR but differently from data, with the added context of research software being more than just data, requiring more nuance and a different type of planning from applying FAIR to digital data and information.


A 2019 survey by Europe's FAIRsFAIR found that researchers seeking and re-using relevant research software on the internet faced multiple challenges, including understanding and/or maintaining the necessary software environment and its dependencies, finding sufficient documentation, struggling with accessibility and licensing issues, having the time and skills to install and/or use the software, finding quality control of the source code lacking, and having an insufficient (or non-existent) software sustainability and management plan.<ref name="GruenpeterFAIRPlus20" /> These challenges highlight the importance of software to researchers and other stakeholders, and the roll FAIR has in better ensuring such software is findable, interoperable, and reusable, which in turn better ensures researchers' software-driven research is repeatable (by the same research team, with the same experimental setup), reproducible (by a different research team, with the same experimental setup), and replicable (by a different research team, with a different experimental setup).<ref name="GruenpeterFAIRPlus20" />


At this point, the topic of what "research software" represents must be addressed further, and, unsurprisingly, it's not straightforward. Ask 20 researchers what "research software" is, and you may get 20 different opinions. Some definitions can be more objectively viewed as too narrow, while others may be viewed as too broad, with some level of controversy inherent in any mutual discussion.<ref name="GruenpeterDefining21">{{Cite journal |last=Gruenpeter, Morane |last2=Katz, Daniel S. |last3=Lamprecht, Anna-Lena |last4=Honeyman, Tom |last5=Garijo, Daniel |last6=Struck, Alexander |last7=Niehues, Anna |last8=Martinez, Paula Andrea |last9=Castro, Leyla Jael |last10=Rabemanantsoa, Tovo |last11=Chue Hong, Neil P. |date=2021-09-13 |title=Defining Research Software: a controversial discussion |url=https://zenodo.org/record/5504016 |journal=Zenodo |doi=10.5281/zenodo.5504016}}</ref><ref name="JulichWhatIsRes24">{{cite web |url=https://www.fz-juelich.de/en/rse/about-rse/what-is-research-software |title=What is Research Software? |work=JuRSE, the Community of Practice for Research Software Engineering |publisher=Forschungszentrum Jülich |date=13 February 2024 |accessdate=30 April 2024}}</ref><ref name="vanNieuwpoortDefining24">{{Cite journal |last=van Nieuwpoort |first=Rob |last2=Katz |first2=Daniel S. |date=2023-03-14 |title=Defining the roles of research software |url=https://upstream.force11.org/defining-the-roles-of-research-software |language=en |doi=10.54900/9akm9y5-5ject5y}}</ref> In 2021, as part of the FAIRsFAIR initiative, Gruenpeter ''et al.'' made a good-faith effort to define "research software" with the feedback of multiple stakeholders. Their efforts resulted in this definition<ref name="GruenpeterDefining21" />:


<blockquote>Research software includes source code files, algorithms, scripts, computational workflows, and executables that were created during the research process, or for a research purpose. Software components (e.g., operating systems, libraries, dependencies, packages, scripts, etc.) that are used for research but were not created during, or with a clear research intent, should be considered "software [used] in research" and not research software. This differentiation may vary between disciplines. The minimal requirement for achieving computational reproducibility is that all the computational components (i.e., research software, software used in research, documentation, and hardware) used during the research are identified, described, and made accessible to the extent that is possible.</blockquote>


Note that while the definition primarily recognizes software created during the research process, software created (whether by the research group, other open-source software developers outside the organization, or even commercial software developers) "for a research purpose" outside the actual research process is also recognized as research software. This notably can lead to disagreement about whether a proprietary, commercial spreadsheet or [[laboratory information management system]] (LIMS) offering that conducts analyses and visualizations of research data can genuinely be called research software, or simply classified as software used in research. van Nieuwpoort and Katz further elaborated on this concept, at least indirectly, by formally defining the roles of research software in 2023. Their definition of the various roles of research software—without using terms such as "open-source," "commercial," or "proprietary"—essentially further defined what research software is<ref name="vanNieuwpoortDefining24" />:


Interoperability benefits and challenges show up elsewhere too. Take for example the value of phenotypes, a representation of the genetic analysis of the collective observable traits of an organism, traits caused by the interaction of its genome with the environment. The value of patient phenotyping data is increasingly useful in the fight against known and novel viruses, as well as a broad variety of non-viral diseases. As Ausiello and Shaw note, in order for medicine to advance and produce improved patient outcomes, "traditional clinical information must be combined with genetic data and non-traditional phenotypes and analyzed in a manner that yields actionable insights into disease diagnosis, prevention, or treatment."<ref name="AusielloQuant14">{{cite journal |title=Quantitative Human Phenotyping: The Next Frontier in Medicine |journal=Transactions of the American Clinical and Climatological Association |author=Ausiello, D.; Shaw, S. |volume=125 |pages=219–26 |year=2014 |pmid=25125736 |pmc=PMC4112685}}</ref> Whether it's identifying "the measurable phenotypic characteristics of patients that are most predictive of individual variation" in treatment outcomes for chronic pain<ref name="EdwardsPatient16">{{cite journal |title=Patient phenotyping in clinical trials of chronic pain treatments: IMMPACT recommendations |journal=Pain |author=Edwards, R.R.; Dworkin, R.H.; Turk, D.C. et al. |volume=157 |issue=9 |pages=1851–71 |year=2016 |doi=10.1097/j.pain.0000000000000602 |pmid=27152687 |pmc=PMC5965275}}</ref> or COVID-19<ref name="MousavizadehGenotype20">{{cite journal |title=Genotype and phenotype of COVID-19: Their roles in pathogenesis |journal=Journal of Microbiology, Immunology, and Infection |author=Mousavizadeh, L.; Ghasemi, S. |pages=30082-7 |year=2020 |doi=10.1016/j.jmii.2020.03.022 |pmid=32265180 |pmc=PMC7138183}}</ref><ref name="GattinoniCOVID20">{{cite journal |title=COVID-19 pneumonia: Different respiratory treatments for different phenotypes? |journal=Intensive Care Medicine |author=Gattinoni, L.; Chiumello, D.; Caironi, P. |year=2020 |doi=10.1007/s00134-020-06033-2 |pmid=32291463 |pmc=PMC7154064}}</ref>, phenotypes have utility in the clinical sector.  
*Research software is a component of our instruments.
*Research software is the instrument.
*Research software analyzes research data.
*Research software presents research results.
*Research software assembles or integrates existing components into a working whole.
*Research software is infrastructure or an underlying tool.
*Research software facilitates distinctively research-oriented collaboration.


Here again interoperability between EHRs and laboratory informatics systems comes into play. In a 2019 paper published by Zhang ''et al.'' in ''nph Digital Medicine'', the topic of extracting patient phenotypes from laboratory test results fed into EHRs is addressed.<ref name="ZhangSemantic19">{{cite journal |title=Semantic integration of clinical laboratory tests from electronic health records for deep phenotyping and biomarker discovery |journal=npj Digital Medicine |author=Zhang, X.A.; Yates, A.; Vasilevsky, N. et al. |volume=2 |at=32 |year=2019 |doi=10.1038/s41746-019-0110-4 |pmid=31119199 |pmc=PMC6527418}}</ref> The authors state that one of the more difficult aspects of their research is that while "[l]aboratory tests have broad applicability for translational research ... EHR-based research using laboratory data have been challenging because of their diversity and the lack of standardization of reporting laboratory test results." They add<ref name="ZhangSemantic19" />:
When considering these definitions<ref name="GruenpeterDefining21" /><ref name="vanNieuwpoortDefining24" /> of research software and their adoption by other entities<ref name="F1000Open24">{{cite web |url=https://www.f1000.com/resources-for-researchers/open-research/open-source-software-code/ |title=Open source software and code |publisher=F1000 Research Ltd |date=2024 |accessdate=30 April 2024}}</ref>, it would appear that at least in part some [[laboratory informatics]] software—whether open-source or commercially proprietary—fills these roles in academic, military, and industry research laboratories of many types. In particular, [[electronic laboratory notebook]]s (ELNs) like open-source [[Jupyter Notebook]] or proprietary ELNs from commercial software developers fill the role of analyzing and visualizing research data, including developing molecular models for new promising research routes.<ref name="vanNieuwpoortDefining24" /> Even more advanced LIMS solutions that go beyond simply collating, auditing, securing, and reporting analytical results could conceivably fall under the umbrella of research software, particularly if many of the analytical, integration, and collaboration tools required in modern research facilities are included in the LIMS.


<blockquote>Despite the great potential of EHR data, patient phenotyping from EHRs is still challenging because the phenotype information is distributed in many EHR locations (laboratories, notes, problem lists, imaging data, etc.) and since EHRs have vastly different structures across sites. This lack of integration represents a substantial barrier to widespread use of EHR data in translational research.</blockquote>
Ultimately, assuming that some laboratory informatics software can be considered research software and not just "software used in research," it's tough not to arrive at some deeper implications of research organizations' increasing need for FAIR data objects and software, particularly for laboratory informatics software and the developers of it.


The answer to the clinical and laboratory interoperability question is unclear. A 2019 article in the American Association for Clinical Chemistry's ''CLN Stat'' addressed remaining roadblocks, including lack of standards development, data quality issues, clinical data matching, lack of incentivizing health IT optimization, text-based reporting formats, differences in terminology, and HL7 messaging issues. They add that proposals from the Office of the National Coordinator for Health Information Technology (ONC) and the Centers for Medicare and Medicaid Services include possible fixes such as standardized [[application programming interface]]s (API). They also note that middleware may pick up the slack in connecting more laboratory devices, rather than depending on the LIS to handle all the interfacing.<ref name="AACCStrength19">{{cite web |url=https://www.aacc.org/cln/cln-stat/2019/february/21/strengthening-the-chain-of-interoperability |title=Strengthening the Chain of Interoperability |author=American Association for Clinical Chemistry |work=CLN Stat |date=21 February 2019 |accessdate=17 September 2021}}</ref> On a more positive note, the Office of the National Coordinator for Health Information Technology (ONC) updated its Interoperability Standards Advisory (ISA) [https://www.healthit.gov/isa/covid-19 Vocabulary/Code Set/Terminology page] in November to better "highlight critical public health interoperability needs on COVID-19 in an easily accessible way." Replying to the ONC, HIMSS's Senior Director Jeff Coughlin goes on to add<ref name="CoughlinCOVID20">{{cite web |url=https://www.healthit.gov/isa/covid-19 |archiveurl=https://web.archive.org/web/20201110225342/https://www.healthit.gov/isa/covid-19 |title=COVID-19 Novel Coronavirus Pandemic |author=Coughlin, J. |work=ISA - Vocabulary/Code Set/Terminology |publisher=Office of the National Coordinator |archivedate=10 November 2020 |accessdate=17 September 2021}}</ref>:
==Implications of the FAIR concept to laboratory informatics software==
===The global FAIR initiative affects, and even benefits, commercial laboratory informatics research software developers as much as it does academic and institutional ones===
To be clear, there is undoubtedly a difference in the software development approach of "homegrown" research software by academics and institutions, and the more streamlined and experienced approach of commercial software development houses as applied to research software. Moynihan of Invenia Technical Computing described the difference in software development approaches thusly in 2020, while discussing the concept of "research software engineering"<ref name="MoynihanTheHitch20">{{cite web |url=https://invenia.github.io/blog/2020/07/07/software-engineering/ |title=The Hitchhiker’s Guide to Research Software Engineering: From PhD to RSE |author=Moynihan, G. |work=Invenia Blog |publisher=Invenia Technical Computing Corporation |date=07 July 2020}}</ref>:


<blockquote>There is a growing need to consider data exchange for home settings and considerations around device interoperability. There are a number of applications in use and this setting requires work across a number of systems (emergency medical services, hospital electronic health records, telemedicine system [synchronous and asynchronous] and, remote patient monitoring and device management). ISA should provide guidance on specific standards to assist in exchange with this setting."</blockquote>
<blockquote>Since the environment and incentives around building academic research software are very different to those of industry, the workflows around the former are, in general, not guided by the same engineering practices that are valued in the latter. That is to say: there is a difference between what is important in writing software for research, and for a user-focused software product. Academic research software prioritizes scientific correctness and flexibility to experiment above all else in pursuit of the researchers’ end product: published papers. Industry software, on the other hand, prioritizes maintainability, robustness, and testing, as the software (generally speaking) is the product. However, the two tracks share many common goals as well, such as catering to “users” [and] emphasizing performance and reproducibility, but most importantly both ventures are collaborative. Arguably then, both sets of principles are needed to write and maintain high-quality research software.</blockquote>


Even so, it remains obvious that more work needs to be done in the development and standard use of clinical and laboratory informatics applications if the promise of personalized medicine and the need for improved disease testing and response are to be fulfilled. In particular, how we responsibly protect personal health information while putting its anonymized variants to beneficial use for disease testing and prevention remains a critical question that must be solved in order to better prepare for the next COVID-19.
This brings us to our first point: the application of small-scale, FAIR-driven academic research software engineering practices and elements to the larger development of more commercial laboratory informatics software, and vice versa with the application of commercial-scale development practices to small FAIR-focused academic and institutional research software engineering efforts, has the potential to help better support all research laboratories using both independently-developed and commercial research software.  


==The why and how of laboratory integration==
The concept of the research software engineer (RSE) began to take full form in 2012, and since then universities and institutions of many types have formally developed their own RSE groups and academic programs.<ref name="WoolstonWhySci22">{{Cite journal |last=Woolston |first=Chris |date=2022-05-31 |title=Why science needs more research software engineers |url=https://www.nature.com/articles/d41586-022-01516-2 |journal=Nature |language=en |pages=d41586–022–01516-2 |doi=10.1038/d41586-022-01516-2 |issn=0028-0836}}</ref><ref name="KITRSE@KIT24">{{cite web |url=https://www.rse-community.kit.edu/index.php |title=RSE@KIT |publisher=Karlsruhe Institute of Technology |date=20 February 2024 |accessdate=01 May 2024}}</ref><ref name="PUPurdueCenter">{{cite web |url=https://www.rcac.purdue.edu/rse |title=Purdue Center for Research Software Engineering |publisher=Purdue University |date=2024 |accessdate=01 May 2024}}</ref> RSEs range from pure software developers with little knowledge of a given research discipline, to scientific researchers just beginning to learn how to develop software for their research project(s). While in the past, broadly speaking, researchers often cobbled together research software with less a focus on quality and reproducibility and more on getting their research published, today's push for FAIR data and software by academic journals, institutions, and other researchers seeking to collaborate has placed a much greater focus on the concept of "better software, better research."<ref name="WoolstonWhySci22" /><ref name="CohenTheFour21">{{Cite journal |last=Cohen |first=Jeremy |last2=Katz |first2=Daniel S. |last3=Barker |first3=Michelle |last4=Chue Hong |first4=Neil |last5=Haines |first5=Robert |last6=Jay |first6=Caroline |date=2021-01 |title=The Four Pillars of Research Software Engineering |url=https://ieeexplore.ieee.org/document/8994167/ |journal=IEEE Software |volume=38 |issue=1 |pages=97–105 |doi=10.1109/MS.2020.2973362 |issn=0740-7459}}</ref> Elaborating on that concept, Cohen ''et al.'' add that "ultimately, good research software can make the difference between valid, sustainable, reproducible research outputs and short-lived, potentially unreliable or erroneous outputs."<ref name="CohenTheFour21" />


Why should labs focus on interoperability and systems integration? Let's look at a few industries.
The concept of [[software quality management]] (SQM) has traditionally not been lost on professional, commercial software development businesses. Good SQM practices have been less prevalent in homegrown research software development; however, the expanded adoption of FAIR data and FAIR software approaches has shifted the focus on to the repeatability, reproducibility, and interoperability of research results and data produced by a more sustainable research software. The adoption of FAIR by academic and institutional research labs not only brings commercial SQM and other software development approaches into their workflow, but also gives commercial laboratory informatics software developers an opportunity to embrace many aspects of the FAIR approach to laboratory research practices, including lessons learned and development practices from the growing number of RSEs. This doesn't mean commercial developers are going to suddenly take an open-source approach to their code, and it doesn't mean academic and institutional research labs are going to give up the benefits of the open-source paradigm as applied to research software.<ref>{{Cite journal |last=Hasselbring |first=Wilhelm |last2=Carr |first2=Leslie |last3=Hettrick |first3=Simon |last4=Packer |first4=Heather |last5=Tiropanis |first5=Thanassis |date=2020-02-25 |title=From FAIR research data toward FAIR and open research software |url=https://www.degruyter.com/document/doi/10.1515/itit-2019-0040/html |journal=it - Information Technology |language=en |volume=62 |issue=1 |pages=39–47 |doi=10.1515/itit-2019-0040 |issn=2196-7032}}</ref> However, as Moynihan noted, both research software development paradigms stand to gain from the shift to more FAIR data and software.<ref name="MoynihanTheHitch20" /> Additionally, if commercial laboratory informatics vendors want to continue to competitively market relevant and sustainable research software to research labs, they frankly have little choice but to commit extra resources to learning about the application of FAIR principles to their offerings tailored to those labs.


#In the realm of clinical laboratories, improving interoperability among clinical informatics systems is recognized as an important step towards improving health outcomes.<ref name="KunImprov08">{{cite journal |title=Improving outcomes with interoperable EHRs and secure global health information infrastructure |journal=Studies in Health Technology and Informatics |author=Kun, L.; Coatrieux, G.; Quantin, C. et al. |volume=137 |pages=68–79 |year=2008 |pmid=18560070 |doi=10.1109/IEMBS.2007.4353759}}</ref><ref name="GCHIImproving">{{cite web |url=http://s3.amazonaws.com/rdcms-himss/files/production/public/Improving-Patient-Carethrough-Interoperability.pdf |archiveurl=https://web.archive.org/web/20210913205610/http://s3.amazonaws.com/rdcms-himss/files/production/public/Improving-Patient-Carethrough-Interoperability.pdf |format=PDF |title=Improving Patient Care through Interoperability |author=Global Center for Health Innovation |publisher=Global Center for Health Innovation |date=n.d. |archivedate=13 September 2021 |accessdate=27 February 2024}}</ref> The National Academies of Sciences, Engineering, and Medicine had much to say on this topic in their 2015 publication ''Improving Diagnosis in Health Care''<ref name="NASEMImprov15">{{cite book |url=https://www.nap.edu/read/21794/chapter/7 |chapter=Chapter 5: Technology and Tools in the Diagnostic Process |title=Improving Diagnosis in Health Care |author=National Academies of Sciences, Engineering, and Medicine |publisher=The National Academies Press |pages=217–62 |year=2015 |doi=10.17226/21794 |isbn=9780309377720}}</ref>:<br /><blockquote>Improved interoperability across different health care organizations—as well as across laboratory and [[radiology information system]]s—is critical to improving the diagnostic process. Challenges to interoperability include the inconsistent and slow adoption of standards, particularly among organizations that are not subject to EHR certification programs, as well as a lack of incentives, including a business model that generates revenue for health IT vendors via fees associated with transmitting and receiving data.</blockquote><br />In particular, the National Academies discussed an additional concern, one that still causes issues today: interfaces between [[electronic health record]]s (EHR) and the laboratory and other clinical information systems that feed medical diagnostic information into the EHRs. In particular, they found "the interface between EHRs and laboratory and radiology information systems typically has limited clinical information, and the lack of sufficiently detailed information makes it difficult for a pathologist or radiologist to determine the proper context for interpreting findings or to decide whether diagnostic testing is appropriate."<ref name="NASEMImprov15" /> EHR integration was also a problem at the peak of the [[COVID-19]] [[pandemic]]. In early April 2020, a report from ''Nature'' revealed that academic research laboratories wanting to assist with COVID-19 testing efforts had at times been stymied by the incompatibility between academic informatics systems and hospital EHRs. Not only were hospitals using EHRs of differing types, but many of those EHRs were not designed to talk to other EHRs, let alone to academic and research laboratories' informatics systems. Combine this with strict account procedures and the costs of developing interfaces on-the-fly, more than a few medical systems turned away the offer of help from academic and research labs during the height of the pandemic.<ref name="MaxmenThousands20">{{cite journal |title=Thousands of coronavirus tests are going unused in US labs |journal=Nature |author=Maxmen, A. |volume=580 |issue=7803 |pages=312–13 |year=2020 |doi=10.1038/d41586-020-01068-3 |pmid=32273619}}</ref> Had there been greater systems integration across these two essentially disparate lab types, it's possible even more academic laboratories with the necessary testing equipment could have assisted with running patient-based clinical testing. While this constitutes an extreme example, it's possible that a push for improved interoperability across the systems used in commercial clinical diagnostic labs and more academic clinical research labs could have other benefits, for example with improving the state of interdisciplinary research, diagnosis, and treatment of cancer.<ref>{{Cite journal |last=Bellah |first=Md Motasim |date=2017-11-28 |title=The Emergence of Interdisciplinary Research in Cancer Diagnostics |url=https://medcraveonline.com/JNMR/the-emergence-of-interdisciplinary-research-in-cancer-diagnostics.html |journal=Journal of Nanomedicine Research |volume=6 |issue=3 |doi=10.15406/jnmr.2017.06.00161}}</ref>
===The focus on data types and metadata within the scope of FAIR is shifting how laboratory informatics software developers and RSEs make their research software and choose their database approaches===
Close to the core of any deep discussion of the FAIR data principles are the concepts of data models, data types, [[metadata]], and persistent unique identifiers (PIDs). Making research objects more findable, accessible, interoperable, and reusable is no easy task when data types and approaches to metadata assignment (if there even is such an approach) are widely differing and inconsistent. Metadata is a means for better storing and characterizing research objects for the purposes of ensuring provenance and reproducibility of those research objects.<ref name="GhiringhelliShared23">{{Cite journal |last=Ghiringhelli |first=Luca M. |last2=Baldauf |first2=Carsten |last3=Bereau |first3=Tristan |last4=Brockhauser |first4=Sandor |last5=Carbogno |first5=Christian |last6=Chamanara |first6=Javad |last7=Cozzini |first7=Stefano |last8=Curtarolo |first8=Stefano |last9=Draxl |first9=Claudia |last10=Dwaraknath |first10=Shyam |last11=Fekete |first11=Ádám |date=2023-09-14 |title=Shared metadata for data-centric materials science |url=https://www.nature.com/articles/s41597-023-02501-8 |journal=Scientific Data |language=en |volume=10 |issue=1 |pages=626 |doi=10.1038/s41597-023-02501-8 |issn=2052-4463 |pmc=PMC10502089 |pmid=37709811}}</ref><ref name="FirschenAgile22">{{Cite journal |last=Fitschen |first=Timm |last2=tom Wörden |first2=Henrik |last3=Schlemmer |first3=Alexander |last4=Spreckelsen |first4=Florian |last5=Hornung |first5=Daniel |date=2022-10-12 |title=Agile Research Data Management with FDOs using LinkAhead |url=https://riojournal.com/article/96075/ |journal=Research Ideas and Outcomes |volume=8 |pages=e96075 |doi=10.3897/rio.8.e96075 |issn=2367-7163}}</ref> This means as early as possible implementing a software-based approach that is FAIR-driven, capturing FAIR metadata using flexible domain-driven [[Ontology (information science)|ontologies]] (i.e., controlled vocabularies) at the source and cleaning up old research objects that aren't FAIR-ready while also limiting hindrances to research processes as much as possible.<ref name="FirschenAgile22" /> And that approach must value the importance of metadata and PIDs. As Weigel ''et al.'' note in a discussion on making laboratory data and workflows more machine-findable: "Metadata capture must be highly automated and reliable, both in terms of technical reliability and ensured metadata quality. This requires an approach that may be very different from established procedures."<ref>{{Cite journal |last=Weigel |first=Tobias |last2=Schwardmann |first2=Ulrich |last3=Klump |first3=Jens |last4=Bendoukha |first4=Sofiane |last5=Quick |first5=Robert |date=2020-01 |title=Making Data and Workflows Findable for Machines |url=https://direct.mit.edu/dint/article/2/1-2/40-46/9994 |journal=Data Intelligence |language=en |volume=2 |issue=1-2 |pages=40–46 |doi=10.1162/dint_a_00026 |issn=2641-435X}}</ref> Enter non-relational RDF [[knowledge graph]] [[database]]s.


#
This brings us to our second point: given the importance of metadata and PIDs to FAIRifying research objects (and even research software), established, more traditional research software development methods using common relational databases may not be enough, even for commercial laboratory informatics software developers. Non-relational [[Resource Description Framework]] (RDF) knowledge graph databases used in FAIR-driven, well-designed laboratory informatics software help make research objects more FAIR for all research labs.


Research objects can take many forms (i.e., data types), making the storage and management of those objects challenging, particularly in research settings with great diversity of data, as with materials research. Some have approached this challenge by combining different database and systems technologies that are best suited for each data type.<ref name="AggourSemantics24">{{Cite journal |last=Aggour |first=Kareem S. |last2=Kumar |first2=Vijay S. |last3=Gupta |first3=Vipul K. |last4=Gabaldon |first4=Alfredo |last5=Cuddihy |first5=Paul |last6=Mulwad |first6=Varish |date=2024-04-09 |title=Semantics-Enabled Data Federation: Bringing Materials Scientists Closer to FAIR Data |url=https://link.springer.com/10.1007/s40192-024-00348-4 |journal=Integrating Materials and Manufacturing Innovation |language=en |doi=10.1007/s40192-024-00348-4 |issn=2193-9764}}</ref> However, while query performance and storage footprint improves with this approach, data across the different storage mechanisms typically remains unlinked and non-compliant with FAIR principles. Here, either a full RDF knowledge graph database or similar integration layer is required to better make the research objects more interoperable and reusable, whether it's materials records or specimen data.<ref name="AggourSemantics24" /><ref name="GrobeFromData19">{{Cite journal |last=Grobe |first=Peter |last2=Baum |first2=Roman |last3=Bhatty |first3=Philipp |last4=Köhler |first4=Christian |last5=Meid |first5=Sandra |last6=Quast |first6=Björn |last7=Vogt |first7=Lars |date=2019-06-26 |title=From Data to Knowledge: A semantic knowledge graph application for curating specimen data |url=https://biss.pensoft.net/article/37412/ |journal=Biodiversity Information Science and Standards |language=en |volume=3 |pages=e37412 |doi=10.3897/biss.3.37412 |issn=2535-0897}}</ref>


It is beyond the scope of this Q&A article to discuss RDF knowledge graph databases at length. (For a deeper dive on this topic, see Rocca-Serra ''et al.'' and the FAIR Cookbook.<ref name="Rocca-SerraFAIRCook22">{{Cite book |last=Rocca-Serra, Philippe |last2=Sansone, Susanna-Assunta |last3=Gu, Wei |last4=Welter, Danielle |last5=Abbassi Daloii, Tooba |last6=Portell-Silva, Laura |date=2022-06-30 |title=D2.1 FAIR Cookbook |url=https://zenodo.org/record/6783564 |chapter=FAIR and Knowledge graphs |doi=10.5281/ZENODO.6783564}}</ref>) However, know that the primary strength of these databases to FAIRification of research objects is their ability to provide [[Semantics|semantic]] transparency (i.e., provide a framework for better understanding and reusing the greater research object through basic examination of the relationships of its associated metadata and their constituents), making these objects more easily accessible, interoperable, and machine-readable.<ref name="AggourSemantics24" /> The resulting knowledge graphs, with their "subject-property-object" syntax and PIDs or uniform resource identifiers (URIs) helping to link data, metadata, ontology classes, and more, can be interpreted, searched, and linked by machines, and made human-readable, resulting in better research through derivation of new knowledge from the existing research objects. The end result is a representation of heterogeneous data and metadata that complies with the FAIR guiding principles.<ref name="AggourSemantics24" /><ref name="GrobeFromData19" /><ref name="Rocca-SerraFAIRCook22" /><ref name="TomlinsonRDF23">{{cite web |url=https://21624527.fs1.hubspotusercontent-na1.net/hubfs/21624527/Resources/RDF%20Knowledge%20Graph%20Databases%20White%20Paper.pdf |format=PDF |title=RDF Knowledge Graph Databases: A Better Choice for Life Science Lab Software |author=Tomlinson, E. |publisher=Semaphore Solutions, Inc |date=28 July 2023 |accessdate=01 May 2024}}</ref><ref name="DeagenFAIRAnd22">{{Cite journal |last=Deagen |first=Michael E. |last2=McCusker |first2=Jamie P. |last3=Fateye |first3=Tolulomo |last4=Stouffer |first4=Samuel |last5=Brinson |first5=L. Cate |last6=McGuinness |first6=Deborah L. |last7=Schadler |first7=Linda S. |date=2022-05-27 |title=FAIR and Interactive Data Graphics from a Scientific Knowledge Graph |url=https://www.nature.com/articles/s41597-022-01352-z |journal=Scientific Data |language=en |volume=9 |issue=1 |pages=239 |doi=10.1038/s41597-022-01352-z |issn=2052-4463 |pmc=PMC9142568 |pmid=35624233}}</ref><ref>{{Cite journal |last=Brandizi |first=Marco |last2=Singh |first2=Ajit |last3=Rawlings |first3=Christopher |last4=Hassani-Pak |first4=Keywan |date=2018-09-25 |title=Towards FAIRer Biological Knowledge Networks Using a Hybrid Linked Data and Graph Database Approach |url=https://www.degruyter.com/document/doi/10.1515/jib-2018-0023/html |journal=Journal of Integrative Bioinformatics |language=en |volume=15 |issue=3 |pages=20180023 |doi=10.1515/jib-2018-0023 |issn=1613-4516 |pmc=PMC6340125 |pmid=30085931}}</ref> This concept can even be extended to ''post factum'' visualizations of the knowledge graph data<ref name="DeagenFAIRAnd22" />, as well as the FAIR management of computational laboratory [[workflow]]s.<ref>{{Cite journal |last=de Visser |first=Casper |last2=Johansson |first2=Lennart F. |last3=Kulkarni |first3=Purva |last4=Mei |first4=Hailiang |last5=Neerincx |first5=Pieter |last6=Joeri van der Velde |first6=K. |last7=Horvatovich |first7=Péter |last8=van Gool |first8=Alain J. |last9=Swertz |first9=Morris A. |last10=Hoen |first10=Peter A. C. ‘t |last11=Niehues |first11=Anna |date=2023-09-28 |editor-last=Palagi |editor-first=Patricia M. |title=Ten quick tips for building FAIR workflows |url=https://dx.plos.org/10.1371/journal.pcbi.1011369 |journal=PLOS Computational Biology |language=en |volume=19 |issue=9 |pages=e1011369 |doi=10.1371/journal.pcbi.1011369 |issn=1553-7358 |pmc=PMC10538699 |pmid=37768885}}</ref>


While rare, some commercial laboratory informatics vendors like Semaphore Solutions have already recognized the potential of RDF knowledge graph databases to FAIR-driven laboratory research, having implemented such structures into their offerings.<ref name="TomlinsonRDF23" /> (The use of knowledge graphs has already been demonstrated in academic research software, such as with the ELN tools developed by RSEs at the University of Rostock and University of Amsterdam.<ref>{{Cite journal |last=Schröder |first=Max |last2=Staehlke |first2=Susanne |last3=Groth |first3=Paul |last4=Nebe |first4=J. Barbara |last5=Spors |first5=Sascha |last6=Krüger |first6=Frank |date=2022-12 |title=Structure-based knowledge acquisition from electronic lab notebooks for research data provenance documentation |url=https://jbiomedsem.biomedcentral.com/articles/10.1186/s13326-021-00257-x |journal=Journal of Biomedical Semantics |language=en |volume=13 |issue=1 |pages=4 |doi=10.1186/s13326-021-00257-x |issn=2041-1480 |pmc=PMC8802522 |pmid=35101121}}</ref>) As noted in the prior point, it is potentially advantageous to not only laboratory informatics vendors to provide but also research labs to use relevant and sustainable research software that has the FAIR principles embedded in the software's design. Turning to knowledge graph databases is another example of keeping such software relevant and FAIR to research labs.


===Applying FAIR-driven metadata schemes to laboratory informatics software development gives data a FAIRer chance at being ready for machine learning and artificial intelligence applications===
The third and final point for this Q&A article highlights another positive consequence of engineering laboratory informatics software with FAIR in mind: FAIRified research objects are much closer to being usable for the trending inclusion of [[machine learning]] (ML) and [[artificial intelligence]] (AI) tools in laboratory informatics platforms and other companion research software. By developing laboratory informatics software with a focus on FAIR-driven metadata and database schemes, not only are research objects more FAIR but also "cleaner" and more machine-ready for advanced analytical uses as with ML and AI.


As it turns out, [[HL7]]- and other standard-based interfaces have long been expensive for many vendors to implement<ref name="John3504HL7_11">{{cite web |url=https://community.spiceworks.com/topic/175107-hl7-interface-cost-and-maintenance |title=HL7 Interface cost and maintenance |author=John3504 |work=Spiceworks |date=07 December 2011 |accessdate=25 April 2020}}</ref>
To be sure, the FAIRness of any structured dataset alone is not enough to make it ready for ML and AI applications. Factors such as classification, completeness, context, correctness, duplicity, integrity, mislabeling, outliers, relevancy, sample size, and timeliness of the research object and its contents are also important to consider.<ref name="HinidumaDataRead24">{{Cite journal |last=Hiniduma |first=Kaveen |last2=Byna |first2=Suren |last3=Bez |first3=Jean Luca |date=2024 |title=Data Readiness for AI: A 360-Degree Survey |url=https://arxiv.org/abs/2404.05779 |journal=arXiv |doi=10.48550/ARXIV.2404.05779}}</ref><ref name="FletcherFAIRRe24">{{Cite journal |last=Fletcher |first=Lydia |date=2024-04-16 |others=The University Of Texas At Austin, The University Of Texas At Austin |title=FAIR Re-use: Implications for AI-Readiness |url=https://repositories.lib.utexas.edu/handle/2152/124873 |doi=10.26153/TSW/51475}}</ref> When those factors aren't appropriately addressed as part of a FAIRification effort towards AI readiness (as well as part of the development of research software of all types), research data and metadata have a higher likelihood of revealing themselves to be inconsistent. As such, searches and analytics using that data and metadata become muddled, and the ultimate ML or AI output will also be muddled (i.e., "garbage in, garbage out"). Whether retroactively updating existing research objects to a more FAIRified state or ensuring research objects (e.g., those originating in an ELN or LIMS) are more FAIR and AI-ready from the start, research software updating or generating those research objects has to address ontologies, data models, data types, identifiers, and more in a thorough yet flexible way.<ref name="OlsenEmbracing23">{{cite web |url=https://www.pharmasalmanac.com/articles/embracing-fair-data-on-the-path-to-ai-readiness |title=Embracing FAIR Data on the Path to AI-Readiness |author=Olsen, C. |work=Pharma's Almanac |date=01 September 2023 |accessdate=03 May 2024}}</ref>


Noting that Wilkinson ''et al.'' originally highlighted the importance of machine-readability of FAIR data, Huerta ''et al.'' add that that core principle of FAIRness "is synergistic with the rapid adoption and increased use of AI in research."<ref name="HuertaFAIRForAI23">{{Cite journal |last=Huerta |first=E. A. |last2=Blaiszik |first2=Ben |last3=Brinson |first3=L. Catherine |last4=Bouchard |first4=Kristofer E. |last5=Diaz |first5=Daniel |last6=Doglioni |first6=Caterina |last7=Duarte |first7=Javier M. |last8=Emani |first8=Murali |last9=Foster |first9=Ian |last10=Fox |first10=Geoffrey |last11=Harris |first11=Philip |date=2023-07-26 |title=FAIR for AI: An interdisciplinary and international community building perspective |url=https://www.nature.com/articles/s41597-023-02298-6 |journal=Scientific Data |language=en |volume=10 |issue=1 |pages=487 |doi=10.1038/s41597-023-02298-6 |issn=2052-4463 |pmc=PMC10372139 |pmid=37495591}}</ref> They go on to discuss the positive interactions of FAIR research objects with FAIR-driven, AI-based research. Among the benefits include<ref name="HuertaFAIRForAI23" />:
*greater findability of FAIR research objects for further AI-driven scientific discovery;
*greater reproducibility of FAIR research objects and any AI models published with them;
*improved generalization of AI-driven medical research models when exposed to diverse and FAIR research objects;
*improved reporting of AI-driven research results using FAIRified research objects, lending further credibility to those results;
*more uniform comparison of AI models using well-defined hyperstructure and information training conditions from FAIRified research objects;
*more developed and interoperable "data e-infrastructure," which can further drive a more effective "AI services layer";
*reduced bias in AI-driven processes through the use of FAIR research objects and AI models; and
*improved surety of scientific correctness where reproducibility in AI-driven research can't be guaranteed.
In the end, developers of research software (whether discipline-specific research software or broader laboratory informatics solutions) would be advised to keep in mind the growing trends of FAIR research, FAIR software, and ML- and AI-driven research, especially in the [[life sciences]], but also a variety of other fields.<ref name="HuertaFAIRForAI23" />
===Restricted clinical data and its FAIRification for greater research innovation===
Broader discussion in the research community continues to occur in regards to how best to ethically make restricted or privacy-protected clinical data and information FAIR for greater innovation and, by extension, improved patient outcomes, particularly in the wake of the [[COVID-19]] [[pandemic]].<ref name="MaxwellFAIREthic23">{{Cite journal |last=Maxwell |first=Lauren |last2=Shreedhar |first2=Priya |last3=Dauga |first3=Delphine |last4=McQuilton |first4=Peter |last5=Terry |first5=Robert F |last6=Denisiuk |first6=Alisa |last7=Molnar-Gabor |first7=Fruzsina |last8=Saxena |first8=Abha |last9=Sansone |first9=Susanna-Assunta |date=2023-10 |title=FAIR, ethical, and coordinated data sharing for COVID-19 response: a scoping review and cross-sectional survey of COVID-19 data sharing platforms and registries |url=https://linkinghub.elsevier.com/retrieve/pii/S2589750023001292 |journal=The Lancet Digital Health |language=en |volume=5 |issue=10 |pages=e712–e736 |doi=10.1016/S2589-7500(23)00129-2 |pmc=PMC10552001 |pmid=37775189}}</ref><ref name="Queralt-RosinachApplying22">{{Cite journal |last=Queralt-Rosinach |first=Núria |last2=Kaliyaperumal |first2=Rajaram |last3=Bernabé |first3=César H. |last4=Long |first4=Qinqin |last5=Joosten |first5=Simone A. |last6=van der Wijk |first6=Henk Jan |last7=Flikkenschild |first7=Erik L.A. |last8=Burger |first8=Kees |last9=Jacobsen |first9=Annika |last10=Mons |first10=Barend |last11=Roos |first11=Marco |date=2022-12 |title=Applying the FAIR principles to data in a hospital: challenges and opportunities in a pandemic |url=https://jbiomedsem.biomedcentral.com/articles/10.1186/s13326-022-00263-7 |journal=Journal of Biomedical Semantics |language=en |volume=13 |issue=1 |pages=12 |doi=10.1186/s13326-022-00263-7 |issn=2041-1480 |pmc=PMC9036506 |pmid=35468846}}</ref><ref>{{Cite journal |last=Martínez-García |first=Alicia |last2=Alvarez-Romero |first2=Celia |last3=Román-Villarán |first3=Esther |last4=Bernabeu-Wittel |first4=Máximo |last5=Luis Parra-Calderón |first5=Carlos |date=2023-05 |title=FAIR principles to improve the impact on health research management outcomes |url=https://linkinghub.elsevier.com/retrieve/pii/S2405844023029407 |journal=Heliyon |language=en |volume=9 |issue=5 |pages=e15733 |doi=10.1016/j.heliyon.2023.e15733 |pmc=PMC10189186 |pmid=37205991}}</ref> (Note that while there are other types of restricted and privacy-protected data, this section will focus largely on clinical data and research objects as the most obvious type.)
These efforts have usually revolved around pulling reusable clinical patient or research data from [[hospital information system]]s (HIS), [[electronic medical record]]s (EMRs), [[clinical trial management system]]s (CTMSs), and research databases (often relational in nature) that either contain de-identified data or can de-identify aspects of data and information before access and extraction. Sometimes that clinical data or research object may have already in part been FAIRified, but often it may not be. In all cases, the concepts of privacy, security, and anonymization come up as part of any desire to gain access to that clinical material. However, any FAIRified clinical data isn't necessarily readily open for access. As Snoeijer ''et al.'' note: "The authors of the FAIR principles, however, clearly indicate that 'accessible' does not mean open. It means that clarity and transparency is required around the conditions governing access and reuse."<ref name="SnoeijerProcess19">{{cite book |url=https://phuse.s3.eu-central-1.amazonaws.com/Archive/2019/Connect/EU/Amsterdam/PAP_SA04.pdf |format=PDF |chapter=Paper SA04 - Processing big data from multiple sources |title=Proceedings of PHUSE Connect EU 2019 |author=Snoeijer, B.; Pasapula, V.; Covucci, A. et al. |publisher=PHUSE Limited |year=2019 |accessdate=03 May 2024}}</ref>
This is being mentioned in the context of laboratory informatics applications for a couple of reasons. First, a well-designed commercial LIMS that supports clinical research laboratory workflows is already going to address privacy and security aspects, as part of the developer recognizing the need for those labs to adhere to regulations such as the [[Health Insurance Portability and Accountability Act]] (HIPAA) and comply with standards such as [[ISO 15189]]. However, such a system may not have been developed with FAIR data principles in mind, and any built-in metadata and ontology schemes may be insufficient for full FAIRification of laboratory-based clinical trial research objects. As Queralt-Rosinach ''et al.'' note, however, "interestingly, ontologies may also be used to describe data access restrictions to complement FAIR metadata with information that supports data safety and patient privacy."<ref name="Queralt-RosinachApplying22" /> Essentially, the authors are suggesting that while a HIS or LIS may have built-in access management tools, setting up ontologies and metadata mechanisms that link privacy aspects of a research object (e.g., "has consent form for," "is de-identified," etc.) to the object's metadata allows for even more flexible, FAIR-driven approaches to privacy and security. Research software developers creating such information management tools for the regulated clinical research space may want to apply FAIR concepts such as this to how access control and privacy restrictions are managed. This will inevitably mean any research objects exported with machine-readable privacy-concerning metadata will be more reusable in a way that still "supports data safety and patient privacy."<ref name="Queralt-RosinachApplying22" />
Second, a well-designed research software solution working with clinical data will provide not only support for open, community-supported data models and vocabularies for clinical data, but also standardized community-driven ontologies that are specifically developed for access control and privacy. Queralt-Rosinach ''et al.'' continue<ref name="Queralt-RosinachApplying22" />:
<blockquote>Also, very important for accessibility and data privacy is that the digital objects ''per se'' can accommodate the criteria and protocols necessary to comply with regulatory and governance frameworks. Ontologies can aid in opening and protecting patient data by exposing logical definitions of data use conditions. Indeed, there are ontologies to define access and reuse conditions for patient data such as the Informed Consent Ontology (ICO), the Global Alliance for Genomics and Health Data Use Ontology (DUO) standard, and the Open Digital Rights Language (ODRL) vocabulary recommended by W3C.</blockquote>
Also of note here is the Observational Medical Outcomes Partnership (OMOP) Common Data Model (CDM) and its OHDSI standardized vocabularies. In all these cases, a developer-driven approach to research software that incorporates community-driven standards that support FAIR principles is welcome. However, as Maxwell ''et al.'' noted in their ''Lancet'' review article in late 2023, "few platforms or registries applied community-developed standards for participant-level data, further restricting the interoperability of ... data-sharing initiatives [like FAIR]."<ref name="MaxwellFAIREthic23" /> As the FAIR principles continue to gain ground in clinical research and diagnostics settings, software developers will need to be more attuned to translating old ways of development to ones that incorporate FAIR data and software principles. Demand for FAIR data will only continue to grow, and any efforts to improve interoperability and reusability while honoring (and enhancing) privacy and security aspects of restricted data will be appreciated by clinical researchers. However, just as FAIR is not an overall goal for researchers, software built with FAIR principles in mind is not the end point of research organizations managing restricted and privacy-protected research objects. Ultimately, those organizations will have make other considerations about restricted data in the scope of FAIR, including addressing data management plans, data use agreements, disclosure review practices, and training as it applies to their research software and generated research objects.<ref>{{Cite journal |last=Jang |first=Joy Bohyun |last2=Pienta |first2=Amy |last3=Levenstein |first3=Margaret |last4=Saul |first4=Joe |date=2023-12-06 |title=Restricted data management: the current practice and the future |url=https://journalprivacyconfidentiality.org/index.php/jpc/article/view/844 |journal=Journal of Privacy and Confidentiality |volume=13 |issue=2 |doi=10.29012/jpc.844 |issn=2575-8527 |pmc=PMC10956935 |pmid=38515607}}</ref>


==Conclusion==
==Conclusion==
 
Laboratory informatics developers will also need to remember that FAIRification of research in itself is not a goal for research laboratories; it is a continual process that recognizes improved scientific research and greater innovation as a more likely outcome.<ref name="WilkinsonTheFAIR16" /><ref name="OlsenEmbracing23" /><ref name="HuertaFAIRForAI23" />


==References==
==References==
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Latest revision as of 13:29, 13 May 2024

Sandbox begins below

FAIRResourcesGraphic AustralianResearchDataCommons 2018.png

Title: What are the potential implications of the FAIR data principles to laboratory informatics applications?

Author for citation: Shawn E. Douglas

License for content: Creative Commons Attribution-ShareAlike 4.0 International

Publication date: May 2024

Introduction

https://www.limswiki.org/index.php/Journal:Infrastructure_tools_to_support_an_effective_radiation_oncology_learning_health_system

This brief topical article will examine

The "FAIR-ification" of research objects and software

First discussed during a 2014 FORCE-11 workshop dedicated to "overcoming data discovery and reuse obstacles," the FAIR data principles were published by Wilkinson et al. in 2016 as a stakeholder collaboration driven to see research "objects" (i.e., research data and information of all shapes and formats) become more universally findable, accessible, interoperable, and reusable (FAIR) by both machines and people.[1] The authors released the FAIR principles while recognizing that "one of the grand challenges of data-intensive science ... is to improve knowledge discovery through assisting both humans and their computational agents in the discovery of, access to, and integration and analysis of task-appropriate scientific data and other scholarly digital objects."[1]

Since 2016, other research stakeholders have taken to publishing their thoughts about how the FAIR principles apply to their fields of study and practice[2], including in ways beyond what perhaps was originally imagined by Wilkinson et al.. For example, multiple authors have examined whether or not the software used in scientific endeavors itself can be considered a research object worth being developed and managed in tandem with the FAIR data principles.[3][4][5][6][7] Researchers quickly recognized that any planning around updating processes and systems to make research objects more FAIR would have to be tailored to specific research contexts, recognize that digital research objects go beyond data and information, and recognize "the specific nature of software" and not consider it "just data."[4] The end result has been applying the core concepts of FAIR but differently from data, with the added context of research software being more than just data, requiring more nuance and a different type of planning from applying FAIR to digital data and information.

A 2019 survey by Europe's FAIRsFAIR found that researchers seeking and re-using relevant research software on the internet faced multiple challenges, including understanding and/or maintaining the necessary software environment and its dependencies, finding sufficient documentation, struggling with accessibility and licensing issues, having the time and skills to install and/or use the software, finding quality control of the source code lacking, and having an insufficient (or non-existent) software sustainability and management plan.[4] These challenges highlight the importance of software to researchers and other stakeholders, and the roll FAIR has in better ensuring such software is findable, interoperable, and reusable, which in turn better ensures researchers' software-driven research is repeatable (by the same research team, with the same experimental setup), reproducible (by a different research team, with the same experimental setup), and replicable (by a different research team, with a different experimental setup).[4]

At this point, the topic of what "research software" represents must be addressed further, and, unsurprisingly, it's not straightforward. Ask 20 researchers what "research software" is, and you may get 20 different opinions. Some definitions can be more objectively viewed as too narrow, while others may be viewed as too broad, with some level of controversy inherent in any mutual discussion.[8][9][10] In 2021, as part of the FAIRsFAIR initiative, Gruenpeter et al. made a good-faith effort to define "research software" with the feedback of multiple stakeholders. Their efforts resulted in this definition[8]:

Research software includes source code files, algorithms, scripts, computational workflows, and executables that were created during the research process, or for a research purpose. Software components (e.g., operating systems, libraries, dependencies, packages, scripts, etc.) that are used for research but were not created during, or with a clear research intent, should be considered "software [used] in research" and not research software. This differentiation may vary between disciplines. The minimal requirement for achieving computational reproducibility is that all the computational components (i.e., research software, software used in research, documentation, and hardware) used during the research are identified, described, and made accessible to the extent that is possible.

Note that while the definition primarily recognizes software created during the research process, software created (whether by the research group, other open-source software developers outside the organization, or even commercial software developers) "for a research purpose" outside the actual research process is also recognized as research software. This notably can lead to disagreement about whether a proprietary, commercial spreadsheet or laboratory information management system (LIMS) offering that conducts analyses and visualizations of research data can genuinely be called research software, or simply classified as software used in research. van Nieuwpoort and Katz further elaborated on this concept, at least indirectly, by formally defining the roles of research software in 2023. Their definition of the various roles of research software—without using terms such as "open-source," "commercial," or "proprietary"—essentially further defined what research software is[10]:

  • Research software is a component of our instruments.
  • Research software is the instrument.
  • Research software analyzes research data.
  • Research software presents research results.
  • Research software assembles or integrates existing components into a working whole.
  • Research software is infrastructure or an underlying tool.
  • Research software facilitates distinctively research-oriented collaboration.

When considering these definitions[8][10] of research software and their adoption by other entities[11], it would appear that at least in part some laboratory informatics software—whether open-source or commercially proprietary—fills these roles in academic, military, and industry research laboratories of many types. In particular, electronic laboratory notebooks (ELNs) like open-source Jupyter Notebook or proprietary ELNs from commercial software developers fill the role of analyzing and visualizing research data, including developing molecular models for new promising research routes.[10] Even more advanced LIMS solutions that go beyond simply collating, auditing, securing, and reporting analytical results could conceivably fall under the umbrella of research software, particularly if many of the analytical, integration, and collaboration tools required in modern research facilities are included in the LIMS.

Ultimately, assuming that some laboratory informatics software can be considered research software and not just "software used in research," it's tough not to arrive at some deeper implications of research organizations' increasing need for FAIR data objects and software, particularly for laboratory informatics software and the developers of it.

Implications of the FAIR concept to laboratory informatics software

The global FAIR initiative affects, and even benefits, commercial laboratory informatics research software developers as much as it does academic and institutional ones

To be clear, there is undoubtedly a difference in the software development approach of "homegrown" research software by academics and institutions, and the more streamlined and experienced approach of commercial software development houses as applied to research software. Moynihan of Invenia Technical Computing described the difference in software development approaches thusly in 2020, while discussing the concept of "research software engineering"[12]:

Since the environment and incentives around building academic research software are very different to those of industry, the workflows around the former are, in general, not guided by the same engineering practices that are valued in the latter. That is to say: there is a difference between what is important in writing software for research, and for a user-focused software product. Academic research software prioritizes scientific correctness and flexibility to experiment above all else in pursuit of the researchers’ end product: published papers. Industry software, on the other hand, prioritizes maintainability, robustness, and testing, as the software (generally speaking) is the product. However, the two tracks share many common goals as well, such as catering to “users” [and] emphasizing performance and reproducibility, but most importantly both ventures are collaborative. Arguably then, both sets of principles are needed to write and maintain high-quality research software.

This brings us to our first point: the application of small-scale, FAIR-driven academic research software engineering practices and elements to the larger development of more commercial laboratory informatics software, and vice versa with the application of commercial-scale development practices to small FAIR-focused academic and institutional research software engineering efforts, has the potential to help better support all research laboratories using both independently-developed and commercial research software.

The concept of the research software engineer (RSE) began to take full form in 2012, and since then universities and institutions of many types have formally developed their own RSE groups and academic programs.[13][14][15] RSEs range from pure software developers with little knowledge of a given research discipline, to scientific researchers just beginning to learn how to develop software for their research project(s). While in the past, broadly speaking, researchers often cobbled together research software with less a focus on quality and reproducibility and more on getting their research published, today's push for FAIR data and software by academic journals, institutions, and other researchers seeking to collaborate has placed a much greater focus on the concept of "better software, better research."[13][16] Elaborating on that concept, Cohen et al. add that "ultimately, good research software can make the difference between valid, sustainable, reproducible research outputs and short-lived, potentially unreliable or erroneous outputs."[16]

The concept of software quality management (SQM) has traditionally not been lost on professional, commercial software development businesses. Good SQM practices have been less prevalent in homegrown research software development; however, the expanded adoption of FAIR data and FAIR software approaches has shifted the focus on to the repeatability, reproducibility, and interoperability of research results and data produced by a more sustainable research software. The adoption of FAIR by academic and institutional research labs not only brings commercial SQM and other software development approaches into their workflow, but also gives commercial laboratory informatics software developers an opportunity to embrace many aspects of the FAIR approach to laboratory research practices, including lessons learned and development practices from the growing number of RSEs. This doesn't mean commercial developers are going to suddenly take an open-source approach to their code, and it doesn't mean academic and institutional research labs are going to give up the benefits of the open-source paradigm as applied to research software.[17] However, as Moynihan noted, both research software development paradigms stand to gain from the shift to more FAIR data and software.[12] Additionally, if commercial laboratory informatics vendors want to continue to competitively market relevant and sustainable research software to research labs, they frankly have little choice but to commit extra resources to learning about the application of FAIR principles to their offerings tailored to those labs.

The focus on data types and metadata within the scope of FAIR is shifting how laboratory informatics software developers and RSEs make their research software and choose their database approaches

Close to the core of any deep discussion of the FAIR data principles are the concepts of data models, data types, metadata, and persistent unique identifiers (PIDs). Making research objects more findable, accessible, interoperable, and reusable is no easy task when data types and approaches to metadata assignment (if there even is such an approach) are widely differing and inconsistent. Metadata is a means for better storing and characterizing research objects for the purposes of ensuring provenance and reproducibility of those research objects.[18][19] This means as early as possible implementing a software-based approach that is FAIR-driven, capturing FAIR metadata using flexible domain-driven ontologies (i.e., controlled vocabularies) at the source and cleaning up old research objects that aren't FAIR-ready while also limiting hindrances to research processes as much as possible.[19] And that approach must value the importance of metadata and PIDs. As Weigel et al. note in a discussion on making laboratory data and workflows more machine-findable: "Metadata capture must be highly automated and reliable, both in terms of technical reliability and ensured metadata quality. This requires an approach that may be very different from established procedures."[20] Enter non-relational RDF knowledge graph databases.

This brings us to our second point: given the importance of metadata and PIDs to FAIRifying research objects (and even research software), established, more traditional research software development methods using common relational databases may not be enough, even for commercial laboratory informatics software developers. Non-relational Resource Description Framework (RDF) knowledge graph databases used in FAIR-driven, well-designed laboratory informatics software help make research objects more FAIR for all research labs.

Research objects can take many forms (i.e., data types), making the storage and management of those objects challenging, particularly in research settings with great diversity of data, as with materials research. Some have approached this challenge by combining different database and systems technologies that are best suited for each data type.[21] However, while query performance and storage footprint improves with this approach, data across the different storage mechanisms typically remains unlinked and non-compliant with FAIR principles. Here, either a full RDF knowledge graph database or similar integration layer is required to better make the research objects more interoperable and reusable, whether it's materials records or specimen data.[21][22]

It is beyond the scope of this Q&A article to discuss RDF knowledge graph databases at length. (For a deeper dive on this topic, see Rocca-Serra et al. and the FAIR Cookbook.[23]) However, know that the primary strength of these databases to FAIRification of research objects is their ability to provide semantic transparency (i.e., provide a framework for better understanding and reusing the greater research object through basic examination of the relationships of its associated metadata and their constituents), making these objects more easily accessible, interoperable, and machine-readable.[21] The resulting knowledge graphs, with their "subject-property-object" syntax and PIDs or uniform resource identifiers (URIs) helping to link data, metadata, ontology classes, and more, can be interpreted, searched, and linked by machines, and made human-readable, resulting in better research through derivation of new knowledge from the existing research objects. The end result is a representation of heterogeneous data and metadata that complies with the FAIR guiding principles.[21][22][23][24][25][26] This concept can even be extended to post factum visualizations of the knowledge graph data[25], as well as the FAIR management of computational laboratory workflows.[27]

While rare, some commercial laboratory informatics vendors like Semaphore Solutions have already recognized the potential of RDF knowledge graph databases to FAIR-driven laboratory research, having implemented such structures into their offerings.[24] (The use of knowledge graphs has already been demonstrated in academic research software, such as with the ELN tools developed by RSEs at the University of Rostock and University of Amsterdam.[28]) As noted in the prior point, it is potentially advantageous to not only laboratory informatics vendors to provide but also research labs to use relevant and sustainable research software that has the FAIR principles embedded in the software's design. Turning to knowledge graph databases is another example of keeping such software relevant and FAIR to research labs.

Applying FAIR-driven metadata schemes to laboratory informatics software development gives data a FAIRer chance at being ready for machine learning and artificial intelligence applications

The third and final point for this Q&A article highlights another positive consequence of engineering laboratory informatics software with FAIR in mind: FAIRified research objects are much closer to being usable for the trending inclusion of machine learning (ML) and artificial intelligence (AI) tools in laboratory informatics platforms and other companion research software. By developing laboratory informatics software with a focus on FAIR-driven metadata and database schemes, not only are research objects more FAIR but also "cleaner" and more machine-ready for advanced analytical uses as with ML and AI.

To be sure, the FAIRness of any structured dataset alone is not enough to make it ready for ML and AI applications. Factors such as classification, completeness, context, correctness, duplicity, integrity, mislabeling, outliers, relevancy, sample size, and timeliness of the research object and its contents are also important to consider.[29][30] When those factors aren't appropriately addressed as part of a FAIRification effort towards AI readiness (as well as part of the development of research software of all types), research data and metadata have a higher likelihood of revealing themselves to be inconsistent. As such, searches and analytics using that data and metadata become muddled, and the ultimate ML or AI output will also be muddled (i.e., "garbage in, garbage out"). Whether retroactively updating existing research objects to a more FAIRified state or ensuring research objects (e.g., those originating in an ELN or LIMS) are more FAIR and AI-ready from the start, research software updating or generating those research objects has to address ontologies, data models, data types, identifiers, and more in a thorough yet flexible way.[31]

Noting that Wilkinson et al. originally highlighted the importance of machine-readability of FAIR data, Huerta et al. add that that core principle of FAIRness "is synergistic with the rapid adoption and increased use of AI in research."[32] They go on to discuss the positive interactions of FAIR research objects with FAIR-driven, AI-based research. Among the benefits include[32]:

  • greater findability of FAIR research objects for further AI-driven scientific discovery;
  • greater reproducibility of FAIR research objects and any AI models published with them;
  • improved generalization of AI-driven medical research models when exposed to diverse and FAIR research objects;
  • improved reporting of AI-driven research results using FAIRified research objects, lending further credibility to those results;
  • more uniform comparison of AI models using well-defined hyperstructure and information training conditions from FAIRified research objects;
  • more developed and interoperable "data e-infrastructure," which can further drive a more effective "AI services layer";
  • reduced bias in AI-driven processes through the use of FAIR research objects and AI models; and
  • improved surety of scientific correctness where reproducibility in AI-driven research can't be guaranteed.

In the end, developers of research software (whether discipline-specific research software or broader laboratory informatics solutions) would be advised to keep in mind the growing trends of FAIR research, FAIR software, and ML- and AI-driven research, especially in the life sciences, but also a variety of other fields.[32]

Restricted clinical data and its FAIRification for greater research innovation

Broader discussion in the research community continues to occur in regards to how best to ethically make restricted or privacy-protected clinical data and information FAIR for greater innovation and, by extension, improved patient outcomes, particularly in the wake of the COVID-19 pandemic.[33][34][35] (Note that while there are other types of restricted and privacy-protected data, this section will focus largely on clinical data and research objects as the most obvious type.)

These efforts have usually revolved around pulling reusable clinical patient or research data from hospital information systems (HIS), electronic medical records (EMRs), clinical trial management systems (CTMSs), and research databases (often relational in nature) that either contain de-identified data or can de-identify aspects of data and information before access and extraction. Sometimes that clinical data or research object may have already in part been FAIRified, but often it may not be. In all cases, the concepts of privacy, security, and anonymization come up as part of any desire to gain access to that clinical material. However, any FAIRified clinical data isn't necessarily readily open for access. As Snoeijer et al. note: "The authors of the FAIR principles, however, clearly indicate that 'accessible' does not mean open. It means that clarity and transparency is required around the conditions governing access and reuse."[36]

This is being mentioned in the context of laboratory informatics applications for a couple of reasons. First, a well-designed commercial LIMS that supports clinical research laboratory workflows is already going to address privacy and security aspects, as part of the developer recognizing the need for those labs to adhere to regulations such as the Health Insurance Portability and Accountability Act (HIPAA) and comply with standards such as ISO 15189. However, such a system may not have been developed with FAIR data principles in mind, and any built-in metadata and ontology schemes may be insufficient for full FAIRification of laboratory-based clinical trial research objects. As Queralt-Rosinach et al. note, however, "interestingly, ontologies may also be used to describe data access restrictions to complement FAIR metadata with information that supports data safety and patient privacy."[34] Essentially, the authors are suggesting that while a HIS or LIS may have built-in access management tools, setting up ontologies and metadata mechanisms that link privacy aspects of a research object (e.g., "has consent form for," "is de-identified," etc.) to the object's metadata allows for even more flexible, FAIR-driven approaches to privacy and security. Research software developers creating such information management tools for the regulated clinical research space may want to apply FAIR concepts such as this to how access control and privacy restrictions are managed. This will inevitably mean any research objects exported with machine-readable privacy-concerning metadata will be more reusable in a way that still "supports data safety and patient privacy."[34]

Second, a well-designed research software solution working with clinical data will provide not only support for open, community-supported data models and vocabularies for clinical data, but also standardized community-driven ontologies that are specifically developed for access control and privacy. Queralt-Rosinach et al. continue[34]:

Also, very important for accessibility and data privacy is that the digital objects per se can accommodate the criteria and protocols necessary to comply with regulatory and governance frameworks. Ontologies can aid in opening and protecting patient data by exposing logical definitions of data use conditions. Indeed, there are ontologies to define access and reuse conditions for patient data such as the Informed Consent Ontology (ICO), the Global Alliance for Genomics and Health Data Use Ontology (DUO) standard, and the Open Digital Rights Language (ODRL) vocabulary recommended by W3C.

Also of note here is the Observational Medical Outcomes Partnership (OMOP) Common Data Model (CDM) and its OHDSI standardized vocabularies. In all these cases, a developer-driven approach to research software that incorporates community-driven standards that support FAIR principles is welcome. However, as Maxwell et al. noted in their Lancet review article in late 2023, "few platforms or registries applied community-developed standards for participant-level data, further restricting the interoperability of ... data-sharing initiatives [like FAIR]."[33] As the FAIR principles continue to gain ground in clinical research and diagnostics settings, software developers will need to be more attuned to translating old ways of development to ones that incorporate FAIR data and software principles. Demand for FAIR data will only continue to grow, and any efforts to improve interoperability and reusability while honoring (and enhancing) privacy and security aspects of restricted data will be appreciated by clinical researchers. However, just as FAIR is not an overall goal for researchers, software built with FAIR principles in mind is not the end point of research organizations managing restricted and privacy-protected research objects. Ultimately, those organizations will have make other considerations about restricted data in the scope of FAIR, including addressing data management plans, data use agreements, disclosure review practices, and training as it applies to their research software and generated research objects.[37]

Conclusion

Laboratory informatics developers will also need to remember that FAIRification of research in itself is not a goal for research laboratories; it is a continual process that recognizes improved scientific research and greater innovation as a more likely outcome.[1][31][32]

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