  There is a growing need to semantically process and integrate clinical data
from different sources for clinical research. This paper presents an approach
to integrate EHRs from heterogeneous resources and generate integrated data in
different data formats or semantics to support various clinical research
applications. The proposed approach builds semantic data virtualization layers
on top of data sources, which generate data in the requested semantics or
formats on demand. This approach avoids upfront dumping to and synchronizing of
the data with various representations. Data from different EHR systems are
first mapped to RDF data with source semantics, and then converted to
representations with harmonized domain semantics where domain ontologies and
terminologies are used to improve reusability. It is also possible to further
convert data to application semantics and store the converted results in
clinical research databases, e.g. i2b2, OMOP, to support different clinical
research settings. Semantic conversions between different representations are
explicitly expressed using N3 rules and executed by an N3 Reasoner (EYE), which
can also generate proofs of the conversion processes. The solution presented in
this paper has been applied to real-world applications that process large scale
EHR data.
