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<div xmlns="http://www.tei-c.org/ns/1.0"><p>Biomedical ontologies such as the 11 th revision of the International Classification of Diseases and others are increasingly produced with the help of collaborative ontology engineering platforms that facilitate cooperation and coordination among a large number of users and contributors. While collaborative approaches to engineering biomedical ontologies can be expected to yield a number of advantages, such as increased participation and coverage, they come with a number of novel challenges and risks. For example, they might suffer from low participation, lack of coordination, lack of control or other related problems that are neither well understood nor addressed by the current state of research. In this paper, we aim to tackle some of these problems by exploring techniques for recommending concepts to experts on collaborative ontology engineering platforms. In detail, this paper will (i) discuss different recommendation techniques from the literature (ii) map and apply these categories to the domain of collaboratively engineered biomedical ontologies and (iii) present prototypical implementations of selected recommendation techniques as a proof-of-concept.</p></div>
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<div xmlns="http://www.tei-c.org/ns/1.0"><head n="1">INTRODUCTION</head><p>In the field of biomedical research, an increasing number of ontologies are created collaboratively by a large group of people. Examples include biomedical ontologies such as the Gene Ontology (GO), the Ontology of Biomedical Investigations (OBI), the National Cancer Institute Thesaurus (NCI) or the 11 th revision of the International Classification of Diseases . While collaborative approaches to engineering biomedical ontologies can be expected to yield a number of advantages, such as increased participation and coverage, higher acceptance or improved quality, they come with a number of novel challenges and risks. For example, recent research on collaborative authoring environments indicates that the quality of collaboratively constructed products depends on the number of active participants, the ability to direct qualified participants to relevant content, amongst other factors <ref type="bibr" target="#b6">(Kittur and Kraut, 2008)</ref>. In addition, collaborative ontology engineering projects might suffer from a lack of coordination, lack of control, low quality and other related problems that are neither well understood nor addressed by the current state of research. These problems hinder progress and have the potential to jeopardize success of future ontology engineering projects in the biomedical domain. To tackle these challenges, new approaches for coordinating work and for supporting contributors are needed.</p><p>One way of augmenting users in collaborative systems is to provide them with adequate support and guidance for contributing their expertise <ref type="bibr" target="#b7">(Ling et al., 2005)</ref>. In systems such as Wikipedia <ref type="bibr" target="#b3">(Cosley et al., 2007)</ref>, recommender techniques are already used to help coordinate collaborative tasks and support users in identifying articles to work on. In the context of collaboratively engineering biomedical ontologies, no such tools exist yet.</p><p>The main focus of this paper is to explore recommender techniques for collaborative ontology engineering platforms in the biomedical domain. The paper is structured as follows: In Section 2 we will discuss related work on collaborative engineering of biomedical ontologies as well as existing work on recommender techniques. In Section 3 we will map different recommender techniques to the biomedical ontology engineering domain. In Section 4 we will provide a short introduction to an exemplary collaborative ontology engineering project from the biomedical domain: the ICD-11 project. In Section 5 we will present results from three proof-of-concept recommender implementations. In section 6, we will conclude by discussing our approaches and point to future work.</p><p>The overall contributions of this paper are a high level mapping of recommender techniques to collaborative ontology engineering platforms in the biomedical domain, and a proof-of-concept in the form of implementations in the context of the ICD-11 project.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="2">RELATED WORK</head></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="2.1">Collaborative Authoring &amp; Ontology Engineering</head><p>In the context of collaboration platforms, many factors are known to influence the motivation and activity of individuals. For example, we know that transparent and well defined goals can affect groups and their performance. Making contributors aware of the utility of their contributions represents another important factor <ref type="bibr" target="#b7">(Ling et al., 2005)</ref>. Restructuring the payoff function, i.e. reducing the costs and increasing the benefits of contributions, has also been identified as a potential intervention to increase participation <ref type="bibr" target="#b2">(Cabrera and Cabrera, 2002)</ref>.</p><p>An increasing number of biomedical ontologies, such as the Gene Ontology, the National Cancer Institute Thesaurus, or the ICD-11, are created using collaborative ontology engineering platforms. Requirements for collaborative ontology engineering platforms have been discussed by, for example, <ref type="bibr" target="#b8">(Noy and Tudorache, 2008)</ref>. Examples of existing platforms include OntoEdit, different forms of Wikis such as Wiki@nt and OntoWiki or WebProtégé <ref type="bibr" target="#b13">(Tudorache et al., 2011)</ref>. While many tools put an emphasis on collaboration, we know little about how to effectively coordinate and shape collaborative ontology engineering projects. iCAT Analytics <ref type="bibr" target="#b9">(Pöschko et al., 2012)</ref> represents a first attempt to provide a detailed analysis of collaborative ontology engineering processes.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="2.2">Recommender systems</head><p>The main objective of recommender technology is to provide personalized suggestions that help an individual, or a group of individuals, to find objects or items of interest <ref type="bibr" target="#b1">(Burke et al., 2011)</ref>. Historically, recommendations were used on e-commerce websites to enhance impulsive buying behavior of customers.</p><p>In the literature, a distinction between three basic recommendation strategies can be identified: item/content based, collaborative filtering, and knowledge-based recommender techniques <ref type="bibr" target="#b1">(Burke et al., 2011)</ref>. While content based recommender strategies focus on recommending items that are similar with regard to their content, collaborative filtering strategies focuses on recommending items that are similar with regard to behavioral patterns of similar users. Knowledge-based recommender strategies focus on identifying similar items using background/domain knowledge.</p><p>In the context of collaborative authoring systems, such as Wikipedia, recommender systems can be useful not only to help finding items of interest, but also to increase participation <ref type="bibr" target="#b3">(Cosley et al., 2007)</ref>. While ontologies have been used as source of domain knowledge for generating recommendations <ref type="bibr" target="#b11">(Sieg et al., 2010)</ref>, applying recommender techniques to recommend concepts to experts is a novel problem.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="3">RECOMMENDING CONCEPTS TO EXPERTS</head><p>In the following, we aim to explore how the three identified recommender strategies map onto collaborative ontology engineering platforms in the biomedical domain.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="3.1">Recommending concepts based on content</head><p>The intuition behind content based recommender techniques is to find and identify similar items or concepts by calculating and comparing similarity between content-related features of each concept.</p><p>Content in an ontology can be defined as features of concepts, textual properties such as titles and descriptions, notes and discussions or ratings. In the context of collaboratively engineered biomedical ontologies, these properties can be term names, textual definitions of the concepts, clinical descriptions such as related/affected body parts, synonyms, signs and symptoms, investigation findings such as lab activities or measures needed to diagnose a disease or even treatment plans.</p><p>Similarity for content based recommender systems is usually calculated on a common set of features or properties that all items or concepts share, using similarity or correlation measures such as Pearson correlation, cosine similarity or the Jaccard coefficient. Other textual similarity measures that could be used include the Levenshtein distance, or simple overlap of textual properties of concepts. Depending on the environment, different similarity measures can yield different results when presented with the same input.</p><p>Potentials &amp; Limitations for content based recommender systems are closely tied to the properties and content of the concepts in the ontology. An advantage of content-based recommendations is that they can be generated even in the absence of social usage data (i.e. they do not suffer from the ramp-up problem). A lack of rich textual content however might impair the overall usefulness of content-based recommendations.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="3.2">Recommending concepts via collaborative filtering</head><p>The intuition behind collaborative filtering is to find concepts or items based on similar user behavior. This is accomplished by identifying behavioral patterns or usage patterns of users, and by grouping them according to their similarity <ref type="bibr" target="#b10">(Sarwar et al., 2001;</ref><ref type="bibr" target="#b4">Goldberg et al., 1992)</ref>.</p><p>Usage patterns are patterns that define the interest of a user for items or concepts. They either can be explicitly entered information such as ratings or implicit measures deducted from the amount of previously viewed, bought, or changed items by a single user. In the context of collaboratively engineered biomedical ontologies, usage patterns could be defined by grouping different behavior of users on a collaborative platform such as adding, editing or even moving or deleting a concept, property or individual. Notes can be used as an indication for interest as well as viewing patterns or viewing times.</p><p>Similarity for collaborative filtering is usually calculated by identifying users with common interests which can be done by calculating the similarity between their usage patterns. In collaborative systems, interest is often modeled by explicit item rankings entered by the users. Since this kind of information is typically not available in biomedical contexts (users do not rate their favorite concepts), other features, such as the number of times a concept has been viewed or changed or even other properties assigned to users and concepts, can be used. To calculate similarity, a series of different similarity measures, including Pearson correlation or cosine similarity <ref type="bibr" target="#b10">(Sarwar et al., 2001)</ref>, is available.</p><p>Potentials &amp; Limitations for collaborative filters are closely tied to the extent that usage data is available. Collaborative filtering approaches are particularly prone to the early phases of collaborative ontology engineering projects, where little data about user interactions is available. However, once sufficient data is collected, collaborative filtering approaches can recommend concepts that are not necessarily related content-wise, but through other usage pattern based characteristic.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="3.3">Recommending concepts using domain knowledge</head><p>The intuition behind knowledge based recommender systems is to find similar concepts based on specific domain knowledge. They represent a sub-class of content based recommender systems and differ from them by using domain knowledge to create rules to determine the best item or concept to recommend, instead of simple properties.</p><p>Domain knowledge is specific knowledge extracted from the environment of the system or the system itself. The biggest challenge in creating knowledge based recommendations is identifying viable domain knowledge, that will produce good results when used to calculate similarity. Recommendations can be produced by traversing along the edges in an ontology to identify related sub, super or sibling concepts. In addition, linkages between ontologies can be exploited to generate knowledge based recommendations as well.</p><p>Similarity for knowledge based recommender techniques can be calculated using properties that could either be actively collected, by querying users for input, or implicitly by analyzing previous behavior of a user. </p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="4">THE ICD PROJECT AND iCAT</head><p>In the following, we will briefly introduce the ICD-11 project. We will use the project later as an example to illustrate the adoption of recommender techniques for collaborative ontology engineering platforms in the biomedical domain. The International Classification of Diseases is a taxonomy maintained by the World Health Organization and is updated to a new revision around every decade. It is used worldwide for monitoring health related expenses, to inform policy makings, and to collect disease statistics. ICD-10 and all other predecessors of the ICD-11 were created by selected international experts; the production process was closed to the public. For ICD-11, the WHO decided on a more open, collaborative approach. This new approach allows experts all over the world to contribute to ICD-11, using a web based collaboration platform called the ICD-11 Collaborative Authoring Tool (iCAT, as depicted in Figure <ref type="figure" target="#fig_0">1</ref>) (Tudorache et al., 2010). There are currently around 100 international experts working on ICD-11.</p><p>Next, we will present a number of proof-of-concept implementations of recommender techniques aiming to demonstrate how recommenders could be applied to collaborative ontology engineering platforms in the biomedical domain.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="5">VALIDATION: PROOF OF CONCEPT</head><p>To study the general feasibility of recommending concepts to experts, we implemented three selected recommendation techniques for the ICD-11 project as a proof-of-concept. In the following we will illustrate the implications of different recommender techniques through examples using actual interaction data obtained from selected ICD-11 users. We will refer to these users as LB, AR and RC from here on.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="5.1">Content-based concept recommendations</head><p>We used real data excerpts, extracted from the ICD-11 and its log of changes, to demonstrate how content based recommender systems can be applied to collaborative ontology engineering platforms in the biomedical domain.</p><p>For all users U and the set of all concepts C, we extracted their previously changed concepts Cu ⊆ C, together with all words from the title and the words included in the definition of a concept c ∈ Cu.</p><p>Before doing so, we performed three additional tasks: (i) stop word (e.g.: is, as, and, so etc.) removal, (ii) stemming, a mechanism used in natural language processing to reduce words to their stem and (iii) data cleaning, i.e. we have removed special characters from the textual properties of the concepts. For this example, we used the stop word list available from the Natural Language Toolkit.</p><p>For similarity calculations, we used cosine similarity, as there is evidence that it provides good results for existing collaborative environments <ref type="bibr" target="#b0">(Adomavicius and Tuzhilin, 2005)</ref>. Results range from 0 (= completely unsimilar) to 1 (= identical).</p><p>W LB = {disease : 906, skin : 125, contact : 33, acute : 97} W AR = {disease : 386, skin : 34, contact : 0, acute : 39} W RC = {disease : 272, skin : 841, contact : 399, acute : 65} V LZ1 = {disease : 1, skin : 1, contact : 0, acute : 0} V L56 = {disease : 0, skin : 1, contact : 0, acute : 1} V Z20 = {disease : 1, skin : 0, contact : 1, acute : 0} Table <ref type="table">1</ref>. Wu and Vc (left) displaying excerpts of processed word-count lists (right) from users and concepts used for cosine similarity calculations.</p><p>Wu represents all words and their respective number of appearances in the title and definition of all d ∈ Cu and Vc collects all words and word counts per concept c ∈ C. Table <ref type="table">1</ref> shows excerpts of W and V depicting word lists for the users LB, AR and RC as well as excerpts of the concepts LZ1 ("LZ1 Impairment of normal functioning resulting from skin disease"), L56 ("Other acute skin changes due to ultraviolet radiation") and Z20 ("Contact with and exposure to communicable diseases"), after stemming and stop word removal.</p><p>Cosine similarity was calculated for every pair cos( Wu, Vc) where u ∈ U and c ∈ C and stored in the user-concept similarity matrix MU,C (see Table <ref type="table">2</ref>).</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>LZ1</head><p>L56 Z20 LB 0, 792159 0, 170571 0, 721471 AR 0, 762570 0, 132542 0, 700839 RC 0, 809721 0, 659126 0, 488160 Table <ref type="table">2</ref>. The user-concept similarity matrix M U,C depicts the similarity between users and concepts. The higher a value, the more similar a concept is to previously changed concepts of the user.</p><p>In Table <ref type="table">2</ref>, recommendations for LB can be generated from MU,C by suggesting those concepts that have the highest similarity values. In our example, this approach would recommend LZ1 and Z20.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="5.2">Collaborative filtering-based concept recommendations</head><p>To demonstrate collaborative filtering-based recommendations, we used log data from iCAT to calculate similarity between all user u ∈ U . In this approach, two users are similar if they have modified similar concepts. The c ∈ C that have been changed by u from November 2009 to 30 th August 2011, are denoted as sets Cu (as seen in Table <ref type="table">3</ref>). For the users LB, AR and RC these concepts are H40.1 ("Primary open-angle glaucoma"), BP N CS ("Benign proliferations, neoplasms and cysts of the skin"), XII ("Diseases of the skin") and DBS ("De Barsy syndrome"). Based on this matrix, we used the Jaccard coefficient to calculate similarity between users based on the set of all concepts cu for all u ∈ U resulting in a user-user similarity matrix MU,U (see Table <ref type="table">4</ref>) as Mi,j = J(ui, uj).</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>LB AR</head><p>RC LB 1 0 0,5 AR 0 1 0,33 RC 0,5 0,33 1 Table <ref type="table">4</ref>. The user-user similarity matrix M U,U lists the Jaccard coefficient similarity values between all pairs of users.</p><p>We introduced an arbitrary threshold minSimilarity set at 0.0001 which excludes user pairs with very little similarity. Based on that modified table, we start to count the number of changes done by uj on every single concept c ∈ Cu j and store the results in the matrix NU,C (see Table <ref type="table">5</ref>). The values for the user concept similarity matrix OU,C are calculated as depicted in Equation <ref type="formula" target="#formula_0">1</ref>.</p><formula xml:id="formula_0">O(i, j) = n k=0,k =i N (k, j) + N (k, j) * M (i, k)<label>(1)</label></formula><p>The final results are illustrated in Table <ref type="table">6</ref>. Collaborative filtering recommends concepts for a user based on the concepts that similar users found interesting. In our example, the user LB and RC have a high similarity rating of 0, 5, and user RC has contributed to DBS many times. Hence, the concept DBS is recommended (similarity of 21) to LB.  <ref type="table">6</ref>. User-concept similarity matrix O U,C holds the similarity results according to Equation 1 for the collaborative filtering approach. The higher the similarity the likelier it is, that the user is interested in that concept.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="5.3">Knowledge-based concept recommendations</head><p>Our final proof-of-concept implementation will assume that users are most likely interested in concepts that are ontologically related to the ones they have already shown interest in. The more a concept is interlinked or referred to by previously changed concepts in the ontology, the more related it is to the interests of that specific individual. An excerpt of the ICD-11 ontology, represented as directed graph using the is-a relationships, is depicted in Figure <ref type="figure" target="#fig_4">2</ref>. We assumed that user LB has only changed the concept B57.1 ("Acute Chagas disease without heart involvement"). To explore related concepts, we followed links in the ontology until either a predefined depth level was reached or enough highly interlinked concepts were discovered. Table <ref type="table" target="#tab_1">7</ref> depicts all values for expansions of concepts B57 ("Chagas' disease"), B57.2 ("Chagas disease (chronic) with heart involvement"), B57.3 ("Chagas disease (chronic) with digestive system involvement"), SC1 ("Selected Cause is Remainder of certain infectious and parasitic diseases in the Condensed and Selected Infant and child mortality lists"), SC2 ("Selected Cause is Trypanosomiasis") and M ortality ("Tabulation list for mortality").</p><p>Next we traversed along all paths, as shown in Figure <ref type="figure" target="#fig_4">2</ref> and Table <ref type="table" target="#tab_1">7</ref>, from all previously edited concepts, counting the number of encounters of each concept. The higher the number of encounters, the more weight it will receive in a ranking of concepts for user u. </p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head n="6">DISCUSSION &amp; FUTURE WORK</head><p>The final recommendations for RC (see Table <ref type="table" target="#tab_0">8</ref>) produced by our different proof-of-concept recommendation algorithms differ significantly with regard to level of detail, scope and sub-domain. Recently or currently browsed concepts could be included in the similarity calculations to increase the scope of the generated recommendations. While we believe that concept recommender systems could represent a useful instrument to augment user experience on collaborative ontology engineering platforms in the biomedical domain, we have not performed evaluations of our implementations yet. Understanding what kinds of recommender techniques are useful in what kind of contexts, including a more sophisticated analysis of user-behavior similar to <ref type="bibr" target="#b5">(Kern et al., 2010)</ref>, represent important next steps for future research. We believe that understanding the utility of recommender systems to steer and augment user activity in collaborative ontology engineering projects represents an exciting avenue for future biomedical research. This work is relevant for the future design of collaborative ontology engineering platforms, and for operators of such systems as well as for users and contributors.</p></div><figure xmlns="http://www.tei-c.org/ns/1.0" xml:id="fig_0"><head>Fig. 1 .</head><label>1</label><figDesc>Fig. 1. Example of a collaborative ontology engineering platform: The iCAT user interfacePotentials &amp; Limitations for knowledge based recommender systems are mostly related to the problem of distinguishing between basic content and domain knowledge. In addition, not every domain knowledge property will provide an equal basis for good recommendations. An advantage of knowledge based recommender techniques is that, at least in some way, they are less dependent on the quantity of content and contributions.</figDesc><graphic coords="3,48.34,94.48,494.07,200.81" type="bitmap" /></figure>
<figure xmlns="http://www.tei-c.org/ns/1.0" xml:id="fig_1"><head>C</head><label></label><figDesc>LB = {H40.1, BPNCS, XII} C AR = {DBS} C RC = {BPNCS, XII, DBS} Table 3. The set Cu (left) represents an excerpt of the set of all concepts (right) modified by u from November 2009 to 30 th August 2011 that was used for calculating similarity between users.</figDesc></figure>
<figure xmlns="http://www.tei-c.org/ns/1.0" xml:id="fig_2"><head></head><label></label><figDesc>N U,C , the user-concept change count matrix lists the number of changes done by every user u ∈ U to every concept c ∈ C.</figDesc></figure>
<figure xmlns="http://www.tei-c.org/ns/1.0" xml:id="fig_4"><head>Fig. 2 .</head><label>2</label><figDesc>Fig. 2. Representation of an ICD-11 excerpt as a directed graph. Nodes refer to concepts while edges represent isA relationships. Dotted lines indicate modified concepts.</figDesc><graphic coords="4,324.84,396.43,207.90,102.90" type="bitmap" /></figure>
<figure xmlns="http://www.tei-c.org/ns/1.0" type="table" xml:id="tab_0"><head>Table 8 .</head><label>8</label><figDesc>Ranked concept recommendations for the user RC according to our three different recommender techniques. The higher the score, the better the concept is ranked for recommendation. Every approach provides different results regarding level of detail, scope and sub-domain.</figDesc><table><row><cell cols="3">Rk. Content Based</cell><cell></cell><cell></cell><cell>Score</cell><cell></cell><cell>Collaborative Filtering</cell><cell>Score</cell><cell>Knowledge Based</cell><cell>Score</cell></row><row><cell>1</cell><cell cols="4">L02.9 'Cutaneous abscess, furuncle</cell><cell cols="2">0.381792</cell><cell>II Neoplasms</cell><cell>9.120824</cell><cell>'Selected Cause is Remainder of</cell><cell>42</cell></row><row><cell></cell><cell cols="3">and carbuncle, unspecified'</cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>certain infectious and parasitic dise-</cell></row><row><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>ases in the Condensed and Selected</cell></row><row><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>General mortality lists'</cell></row><row><cell>2</cell><cell cols="4">L02.8 'Cutaneous abscess, furuncle</cell><cell cols="2">0.372091</cell><cell cols="2">VI 'Diseases of the nervous system' 9.119071</cell><cell>'Ectodermal dysplasia syndromes'</cell><cell>34</cell></row><row><cell></cell><cell cols="3">and carbuncle of other sites'</cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell></row><row><cell>3</cell><cell cols="2">'Chronic ulcer skin'</cell><cell></cell><cell></cell><cell cols="2">0.359489</cell><cell>XI 'Diseases of the digestive</cell><cell>8.155308</cell><cell>'Chromosomal disorders affecting</cell><cell>28</cell></row><row><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>system'</cell><cell></cell><cell>the skin '</cell></row><row><cell>4</cell><cell cols="4">'Congenital skin anomaly other'</cell><cell cols="2">0.359119</cell><cell>E09-E1B 'Diabetes mellitus'</cell><cell>8.136958</cell><cell>'Genetic, chromosomal and develo-</cell><cell>24</cell></row><row><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>pmental disorders affecting the skin</cell></row><row><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>'</cell></row><row><cell>5</cell><cell cols="4">'Pediculosis/skin infestation other'</cell><cell cols="2">0.356631</cell><cell>V 'Mental and behavioural disor-</cell><cell>8.117054</cell><cell>XII 'Diseases of the skin'</cell><cell>23</cell></row><row><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>ders'</cell><cell></cell></row><row><cell>6</cell><cell cols="3">'Fear of skin disease other'</cell><cell></cell><cell cols="2">0.350870</cell><cell>IX 'Diseases of the circulatory</cell><cell>8.106256</cell><cell>'Genetic syndromes affecting nails' 19</cell></row><row><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>system'</cell><cell></cell></row><row><cell>7</cell><cell cols="3">'Malignant neoplasm of skin'</cell><cell></cell><cell cols="2">0.345841</cell><cell>A15 'Respiratory tuberculosis,</cell><cell>8.100946</cell><cell>'Tabulated -Other diseases of the</cell><cell>18</cell></row><row><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>bacteriologically and histologically</cell><cell></cell><cell>skin and subcutaneous'</cell></row><row><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>confirmed'</cell><cell></cell></row><row><cell>8</cell><cell>'Dysplasia</cell><cell cols="2">syndromes</cell><cell>with</cell><cell cols="2">0.338079</cell><cell>I21 'Acute myocardial infarction'</cell><cell>8.058171</cell><cell>L20-L30 'Dermatitis and eczema'</cell><cell>17</cell></row><row><cell></cell><cell cols="3">skin/mucosae involvement'</cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell></row><row><cell>9</cell><cell cols="4">'Tabulated -Other diseases of the</cell><cell cols="2">0.333487</cell><cell>H25 'Senile cataract'</cell><cell>7.100532</cell><cell>'Dysplasia syndromes with prema-</cell><cell>17</cell></row><row><cell></cell><cell cols="3">skin and subcutaneous'</cell><cell></cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>ture ageing appearance'</cell></row><row><cell>10</cell><cell cols="4">'Tabulated -Other malignant neo-</cell><cell cols="2">0.327885</cell><cell>VII 'Diseases of the eye and</cell><cell>6.137702</cell><cell>'Parasitic infestations affecting the</cell><cell>16</cell></row><row><cell></cell><cell cols="2">plasms of skin'</cell><cell></cell><cell></cell><cell></cell><cell></cell><cell>adnexa'</cell><cell></cell><cell>skin'</cell></row><row><cell cols="8">Depth B57.1 B57.2 B57.3 B57 SC1 SC2 Mortality</cell><cell></cell></row><row><cell>1</cell><cell>1</cell><cell>0</cell><cell>0</cell><cell>1</cell><cell>0</cell><cell>0</cell><cell>0</cell><cell></cell></row><row><cell>2</cell><cell>1</cell><cell>0</cell><cell>0</cell><cell>2</cell><cell>1</cell><cell>1</cell><cell>0</cell><cell></cell></row><row><cell>3</cell><cell>1</cell><cell>0</cell><cell>0</cell><cell>2</cell><cell>2</cell><cell>2</cell><cell>2</cell><cell></cell></row><row><cell>4</cell><cell>1</cell><cell>0</cell><cell>0</cell><cell>2</cell><cell>2</cell><cell>2</cell><cell>3</cell><cell></cell></row></table></figure>
<figure xmlns="http://www.tei-c.org/ns/1.0" type="table" xml:id="tab_1"><head>Table 7 .</head><label>7</label><figDesc>A listing of the number of encounters on different depth levels for concepts C LB of user LB when path traversing Figure2to find most interlinked concepts for calculating knowledge based recommendations.</figDesc><table /></figure>
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