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    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Semantically: A Framework for Structured Biomedical Content Authoring and Publishing</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Steve Fonin Mbouadeu</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Fazel Keshtkar</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Syed Ahmad Chan Bukhari</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Division of Computer Science</institution>
          ,
          <addr-line>Mathematics and Science</addr-line>
          ,
          <institution>Collins College of Professional Studies, St. John's University 8000</institution>
          <addr-line>Utopia Parkway Jamaica NY US 11439-9000</addr-line>
          ,
          <country country="US">USA</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>We demonstrate Semantically, an open-source framework that enables biomedical researchers and authors at di erent expertise levels to write and publish biomedical semantic content. We showcase the work ow of Semantically with a real-world use case of biomedical semantic content authoring using biomedical ontologies. Additionally, we exhibit Web publishing steps of ontology-enriched content by expanding Schema.org to enhance biomedical content search. Semantically is available at: semantically.bukharilab.org</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Introduction</title>
      <p>
        Due to unprecedented growth in biomedical research and clinical practices, a
huge volume of biomedical content such as research papers, clinical notes,
biomedical reports, have been produced in recent years. According to the 2018
online molecular biology database collection, there are 1737 large-scale biological
databases and over 30 million citations for biomedical literature available on
PubMed with a tenfold increase annually [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. E cient practices for accessing
biomedical publications are vital to allowing a timely transfer of information
from the scienti c research community to peer investigators and other
healthcare practitioners. This explosive growth in the biomedical domain has
introduced several access-level challenges for researchers and practitioners. Shah et
al. de ne researchers struggle as '`a researcher studying the allelic variations in
a gene would want to know all the pathways that are a ected by that gene, the
drugs whose e ects could be modulated by the allelic variations in the gene, and
any disease that could be caused by the gene and the clinical trials that have
studied drugs or diseases related to that gene [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. Despite this valuable information
being available as content on the web, it still remains opaque to information
retrieval and knowledge extraction search engines because of the missing
machineinterpretable metadata (semantic annotations). Search engines require metadata
to properly index contents in a context-aware fashion for the precise search of
biomedical literature and to foster secondary activities such as automatic
integration for meta-analysis [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ][
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. Incorporating machine-interpretable semantic
annotations at the pre-publication stage of biomedical content and preserving
them during online publishing is indeed desirable and will be a great value
addition towards the broader semantic web vision [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ]. However, both these processes
are complex and require deep technical and/or domain knowledge. Therefore,
a state-of-the-art freely accessible biomedical semantic content authoring and
publishing framework would be a game-changer.
2
      </p>
    </sec>
    <sec id="sec-2">
      <title>System Overview</title>
      <p>
        Semantically is a web application that uses React JS and LAMP (Linux, Apache,
MySQL, and PHP) architecture. The system is optimized by performing various
processing on the client-side, enabled by React JS. As outlined in Fig. 1, the
Semantically interacts with two external entities: BioPortal [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] and Schema.org
[
        <xref ref-type="bibr" rid="ref8">8</xref>
        ].
The preparation process before annotating includes basic NLP tasks such as
biomedical entity identi cation, disambiguation, and extraction. Bioportal serves
as the ontology repository and as a general-purpose biomedical annotator through
its recommender API. Having general-purpose annotations at the beginning is
crucial for the system to achieve acceptable real-time content annotation speeds.
Afterward, the general annotations are further tailored for the content using
Bioportal's context-aware recommendations. This speci c combination and
order were chosen to optimize our system for accuracy and speed, which we found
equally important. An additional advantage of utilizing general-purpose
annotations rst in our system was to maximize the eld of content and
terminologies it can recognize and therefore annotate. Once the annotations have been
processed, they are clustered by terminology. During annotation selection,
candidate annotations are organized by both relevancy based on the context and
a frequency index compiled by Bioportal. Once the annotation candidates have
been retrieved, the user is free to choose between annotations candidates for
the ones that best aligns with the de nitions they intended from the annotation
management panel (Fig. 2).
After annotating the content, our system provides various publishing format
options to choose from, all of which utilize the schema.org structure. Our approach
explicitly takes full advantage of the medical entity meta tags from Schema.org
[
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. This structure is recognized and endorsed by widely used search engines such
as Google and Yahoo for the search engine optimization (SEO). Semantically
preserves semantic annotations made on the biomedical contents and embeds them
into the HTML le's head tag as metadata following the schema.org structure.
Search engines utilize the embedded semantic tags for context-aware indexing
and retrieval of precise information. In addition, Semantically also o ers a
JSONLD [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ] export format that is based on the schema.org entity structure. JSON-LD
is a standardized format for semantic annotations, allowing authors to convert
it into other formats of their choice.
3
      </p>
    </sec>
    <sec id="sec-3">
      <title>Demonstration Scenario: Annotating and Publishing a</title>
    </sec>
    <sec id="sec-4">
      <title>Biomedical Research Article</title>
      <p>The demonstration session will consist of a run-through of semantically
using a biomedical research paper. We will take a biomedical article text from
Pubmed.org and will paste it to the Semantically editor. The user interface and
controls will be explained to the conference attendees. Attendee volunteers may
access the Semantically framework simultaneously and follow the steps below to
annotate a biomedical text to observe the system in action.</p>
      <p>
        { Copy and Paste any biomedical text from Pubmed.org to the Semantically
editor. We will demonstrate with a Covid-19 paper [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]
{ Choose the annotation mode All to select ontology list from NCBO
Bioportal repository.
{ Click on Annotate.
{ Once the annotations are retrieved, users can edit annotations by clicking
on each context in the text editor and clicking on the edit button.
      </p>
      <p>Completion of annotation retrieval is indicated by the loading icon
terminating and the highlights appearing on the content.
{ Publish the content as plain HTML as shown in Figure 2 ready to be hosted
as ontology-embedded Web page.
4</p>
    </sec>
    <sec id="sec-5">
      <title>Conclusion and Future work</title>
      <p>Semantic rich content authoring and sharing is the least explored aspect of the
semantic content life-cycle and this research develops and advances state-of-the-art
in semantic web research and systems. The proposed framework democratizes
the process of semantic content authoring currently available to sophisticated
users by extending cutting-edge semantic web infrastructure to research and
education communities at large. The amount of accuracy that can be attained
using machine learning techniques is limited as only the author(s) and domain
experts truly know the intended meaning of the content. To address this
shortcoming, the next phase of Semantically involves implementing a social-technical
solution to complement annotation selection. Our system still remains in a
prototype state where key features for convenience such as importing documents,
persisting documents throughout sessions, and connectivity to popular
external utilities are still missing. We look forward to add such features in future as
Semantically moves towards production.</p>
      <p>Acknowledgment: This work is supported by the National Science Foundation
grant ID: 2101350.</p>
    </sec>
  </body>
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