Ontologies in Hearing Impairment

Structural Analysis and Perspectives on Semantic Interoperability

Authors

Keywords:

Hearing Health, Interoperability, Ontology

Abstract

Hearing impairment requires solutions that promote semantic interoperability and clinical data integration. In this context, ontologies play a fundamental role in the formal representation and standardization of biomedical knowledge, supporting data sharing across heterogeneous health information systems. This study maps, characterizes, compares, and analyzes ontologies related to hearing impairment, aiming to identify conceptual overlaps and potential points of interoperability. An exploratory-descriptive approach was adopted, following PRISMA guidelines to identify and evaluate ontologies associated with hearing health. Based on thematic relevance and conceptual scope, the Hearing Impairment Ontology (HIO) and the Systematized Nomenclature of Medicine – Clinical Terms (SNOMED CT) were selected for comparative analysis. Ontology alignment was performed using AgreementMakerLight (AML) with a similarity threshold of 0.5. The comparison identified 39 valid correspondences among 797 classes in SNOMED CT and 495 classes in HIO, indicating a low direct semantic overlap between the ontologies. Correspondences were concentrated in established clinical concepts related to hearing loss, while differences were observed in genetic, phenotypic, and therapeutic domains. The results suggest complementarity between the ontologies and reinforce the importance of semantic alignment strategies to support interoperability among clinical and biomedical data in hearing healthcare and computational audiology.

Downloads

Download data is not yet available.

Author Biographies

Ana Paula Lopes De Abreu Ferreira, Universidade do Vale do Rio do Sinos - Unisinos

Ana Paula Lopes de Abreu Ferreira  received the M.Sc. degree in Management and Business from the Universidade do Vale do Rio dos Sinos (Unisinos) and the Université de Poitiers, France, in 2024. She is currently a Ph.D. candidate in Applied Computing at the Universidade do Vale do Rio dos Sinos, Brazil. Her research interests include semantic interoperability in healthcare, biomedical ontologies, and intelligent systems applied to hearing healthcare.

Sandro José Rigo, UNISINOS

Sandro José Rigo  received the B.Sc. degree in Computer Science from the Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Brazil, in 1990, the M.Sc. degree in Computer Science from the Universidade Federal do Rio Grande do Sul (UFRGS), Brazil, in 1993, and the Ph.D. degree in Computer Science from the Universidade Federal do Rio Grande do Sul (UFRGS), Brazil, in 2008. He completed a postdoctoral fellowship at the Friedrich-Alexander Universität Erlangen–Nürnberg, Germany, in 2018.

Luis Felipe Maldaner, Unisinos

Luis Felipe Maldaner received the B.A. degree in Business Administration from Universidade Feevale, Brazil, the M.Sc. degree in Business Administration from the Universidade do Vale do Rio dos Sinos (Unisinos), Brazil, and the Ph.D. degree in Latin American Studies from Hankuk University of Foreign Studies, Seoul, South Korea.

References

REFERENCES

Instituto Brasileiro de Geografia e Estatística (IBGE), “Pessoas com deficiência auditiva, por sexo e situação do domicílio,” 2019. [Online]. Available: https://sidra.ibge.gov.br/tabela/8217

J. W. A. Wasmann, C. P. Lanting, W. J. Huinck, E. A. M. Mylanus, J. W. M. van der Laak, P. J. Govaerts, D. W. Swanepoel, D. R. Moore and D. L. Barbour, “Computational Audiology: New Approaches to Advance Hearing Health Care in the Digital Age,” Ear Hear., vol. 42, no. 6, pp. 1499–1507, 2021, doi: 10.1097/AUD.0000000000001041.

C. Bouton et al., “Ontologies in biomedical sciences and healthcare: a review,” Yearb. Med. Inform., vol. 30, no. 1, pp. 237–247, 2021, doi: 10.1055/s-0041-1726481.

D. W. Swanepoel and J. L. Clark, “Hearing healthcare in remote or resource-constrained environments,” J. Am. Acad. Audiol., vol. 30, no. 7, pp. 578–584, 2019, doi: 10.3766/jaaa.17064.

M. Lewis, W.-T. Yih, T. Rocktäschel, S. Riedel, and D. Kiela, "Retrieval-augmented generation for knowledge-intensive NLP tasks," in Proc. 34th Conf. Neural Inf. Process. Syst. (NeurIPS), Vancouver, Canada, 2020. [Online]. Available: https://proceedings.neurips.cc/paper/2020/file/6b493230205f780e1bc26945df7481e5-Paper.pdf

W. Ceusters, A. Michelotti, K. G. Raphael, J. Durham, and R. Ohrbach, “Perspectives on next steps in classification of oro-facial pain – part 1: role of ontology,” J. Oral Rehabil., vol. 42, no. 12, pp. 926–940, Dec. 2015, doi: 10.1111/joor.12340.

D. R. Moore, “Computational audiology: Big data and machine learning in hearing health care,” Front. Digit. Health, vol. 4, Art. no. 841735, 2022, doi: 10.3389/fdgth.2022.841735.

D. Moher et al., “Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement,” PLoS Med., vol. 6, no. 7, Art. no. e1000097, 2009, doi: 10.1371/journal.pmed.1000097.

G. K. Mazandu, N. Manyisa, S. M. Adadey, and A. Wonkam, “Ontology of Deafness and Related Auditory Disorders (ODRAH): Integrating clinical and genetic knowledge of hearing loss,” Genes, vol. 11, Art. no. 1456, 2020, doi: 10.3390/genes11121456.

W. Ceusters, “Axiomatizing SNOMED CT disorders: Should there be a ‘Common Disease Ontology’?” Appl. Ontol., vol. 18, no. 2, pp. 157–174, 2023, doi: 10.3233/AO-230018.

B. Smith and W. Ceusters, “Ontology as the core discipline of biomedical informatics,” J. Biomed. Inform., vol. 43, no. 5, pp. 786–791, 2010, doi: 10.1016/j.jbi.2010.07.003.

J. Hotchkiss et al., “The Hearing Impairment Ontology: A tool for unifying hearing impairment knowledge to enhance collaborative research,” Genes, vol. 10, Art. no. 960, 2019, doi: 10.3390/genes10120960.

R. Cornet and N. de Keizer, “Forty years of SNOMED: A literature review,” BMC Med. Inform. Decis. Mak., vol. 8, suppl. 1, Art. no. S2, 2008, doi: 10.1186/1472-6947-8-S1-S2.

D. Lee, R. Cornet, and N. de Keizer, “Literature review of SNOMED CT use,” J. Am. Med. Inform. Assoc., vol. 21, suppl. 1, pp. e11–e19, 2014, doi: 10.1136/amiajnl-2013-001636.

E. Chang and J. Mostafa, “The use of SNOMED CT, 2013–2020: A literature review,” J. Am. Med. Inform. Assoc., vol. 28, no. 9, pp. 2017–2027, 2021, doi: 10.1093/jamia/ocab084.

SNOMED International, SNOMED CT International Release 2024-09, London, U.K.: SNOMED International, 2024. [Online]. Available: https://www.snomed.org/snomed-ct/releases/international-release.

W. R. Hogan, “Aligning the top level of SNOMED CT with Basic Formal Ontology,” Nature Precedings, 2008, doi: 10.1038/npre.2008.2373.1. [Online]. Available: https://www.nature.com/articles/npre.2008.2373.1

D. Faria et al., “AgreementMakerLight,” Semantic Web, IOS Press, 2025, doi: 10.3233/SW-233304.

D. Faria et al., “Automatic background knowledge selection for matching biomedical ontologies,” PLoS One, vol. 9, no. 11, Art. no. e111226, 2014, doi: 10.1371/journal.pone.0111226.

E. Santos et al., “Ontology alignment repair through modularization and confidence-based heuristics,” PLoS One, vol. 10, no. 12, Art. no. e0144807, 2015, doi: 10.1371/journal.pone.0144807.

D. Faria et al., “Tackling the challenges of matching biomedical ontologies,” J. Biomed. Semantics, vol. 9, Art. no. 1, 2018, doi: 10.1186/s13326-017-0170-9.

P. Shvaiko and J. Euzenat, “Ontology matching: State of the art and future challenges,” IEEE Trans. Knowl. Data Eng., vol. 25, no. 1, pp. 158–176, 2013, doi: 10.1109/TKDE.2011.253.

P. Grenon and B. Smith, “SNAP and SPAN: Towards dynamic spatial ontology,” Spatial Cogn. Comput., vol. 4, no. 1, pp. 69–104, 2004, doi: 10.1207/s15427633scc0401_5.

B. Smith et al., “The OBO Foundry: Coordinated evolution of ontologies to support biomedical data integration,” Nat. Biotechnol., vol. 25, no. 11, pp. 1251–1255, Nov. 2007, doi: 10.1038/nbt1346.

C. Bouton et al., “FHIR RDF: Semantic integration of health data using linked data standards,” J. Biomed. Inform., vol. 128, Art. no. 104072, 2022, doi: 10.1016/j.jbi.2022.104072.

Published

2026-07-14

How to Cite

Lopes De Abreu Ferreira, A. P., Rigo, S. J., & Maldaner, L. F. (2026). Ontologies in Hearing Impairment: Structural Analysis and Perspectives on Semantic Interoperability . IEEE Latin America Transactions, 24(9), 948–956. Retrieved from https://latamt.ieeer9.org/index.php/transactions/article/view/10652