Easier than Excel: Social Network Analysis of DocGraph with Gephi
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1 Easier than Excel: Social Network Analysis of DocGraph with Gephi Janos G. Hajagos Stony Brook School of Medicine Fred Trotter fredtrotter.com
2 DocGraph Based on FOIA request to CMS by Fred Trotter Pre-released at Strata RX 2012 Medicare providers (more than doctors) CY 2011 dates of service Share 11 or more patients in a 30 day forward window Initial access restricted to MedStartr funders 2
3 DocGraph by the numbers Directed graph Average total degree ,492 providers (graph nodes/vertices) 49,685,810 shared edges 3
4 Geographic visualization 4
5 DocGraph data 5
6 6
7 NPPES National Plan and Provider Enumeration System Source of NPI (National Provider Identifier) No cost download Information is entered and updated by provider - Data quality is good to poor CSV file with 314 columns A custom MySQL load script is used to normalize the database Bloom.api open source project to make data easier to access - 7
8 Tabular data 8
9 Things we can do with tabular data 9
10 Graph data Relation between authors and MeSH terms from PubMed 10
11 Graph types Undirected graph - Facebook friendships Directed graph - Twitter: follow and be followed Bipartite graph Multipartite - RDF graph model - Property graph model Allow parallel edges - RDF graph Model 11
12 Components of a network/graph 12
13 Graphs in healthcare Prescriber and patient (bipartite) - NCPDP data with NPI Referral data sets Shared patients - DocGraph Social networks - Tweeting about a disease Limited by imagination 13
14 Generating GraphML XML based file format for graphs Readable by a large number of tools - Gephi - Mathematica - igraph (R) NetworkX a Python library for graphs which can export to GraphML GraphML is not a file format for really large graphs GraphML is not readable by d3.js 14
15 GraphML can be loaded into Mathematica 15
16 Gephi 16
17 Gephi Java based open source tool Focused on interactivity - Fast graphics - Multi-threaded - Visual updates Strong graph analytics Graphs stored in memory - Upper limit is about 100,000 nodes Netbeans plugin architecture - Integration with Neo4J - Additional layout algorithms 17
18 Downloading Gephi 18
19 Downloading sample files 19
20 Subsets are generated using a Python script python extract_providers_to_graphml.py "npi=' '" sterrence Leaf-edges Opening connection referral Configuration Selection criteria for subset graph: npi=' ' Referral table _name: referral.referral2011 NPI detail table name: referral.npi_summary_primary_taxonomy Nodes will be labeled by: provider_name Leaf-to-leaf edges will be exported? False Imported 1 nodes Imported 986 nodes Imported 1724 edges Edge types imported {'core-to-leaf': 866, 'leaf-to-core': 856: None : 2} Leaf-to-leaf edges were not selected for export Writing GraphML file 20
21 Generating a subset: some concepts Core nodes Connecting core nodes Adding leaf nodes Connecting to leaf nodes Connecting leaf nodes 21
22 Sample files jamestown_core_provider_graph.graphml - Providers selected with practice addresses in Jamestown, NY - Small city in far western New York (approximately 30,000 residents) nodes with 5,560 edges jamestown_core_and_leaf_provider_graph.graphml - Includes providers above and those who are linked to them - 1,322 nodes with 12,457 edges albany_core_provider_graph.graphml - Providers selected with practice addresses in Albany, NY - A small city in New York (approximately 100,000 residents) - 1,368 nodes with 44,711 edges 22
23 Sample files (continued) bronx_core_provider_graph.graphml - Providers selected with practice addresses in Bronx, NY - Urban community (1.4 million residents) - 3,268 nodes and 53,828 edges 23
24 Opening a graph file 24
25 Import report 25
26 Force directed layout of the graph 26
27 Results of the layout 27
28 ForceAtlas 2 works well for larger graphs 28
29 Navigating the graph Best experience with a three button mouse with a scroll wheel - Right click and hold to pan - Scroll wheel to zoom in and out - Left click to select - Right click for context menus MacBook users - command key and click and hold down on trackpad to pan - Two fingers to zoom on trackpad - Click on trackpad to select - Control click for context menus 29
30 Coloring the graph (partitioning) 30
31 Coloring the graph (partitioning) 31
32 Varying node size based on importance Step 1: Need to select a measure for node importance - Degree - PageRank - Eigenvector centrality Step 2: Run the measure against the graph Step 3: Ranking tab and Size/Weight Step 4: Set size range 32
33 Graph measures Degree - In-degree - Out-degree Graph structure measures - Clustering (global and local) - Network diameter Centrality Measures - Eigenvector centrality - PageRank (Google search) Community measures And more
34 Interactively viewing node attributes Click the T icon on the bottom to turn on node labeling 34
35 Data Laboratory 35
36 Selecting visible fields 36
37 Viewing edge attributes 37
38 Saving your graph Save your graph in.gephi format - xml based format - preserves layout, size, and color Save in GraphML format for use with outside programs 38
39 Filtering nodes by attributes 39
40 Hints for filtering nodes Drag field filter is_physician from the top pane to the lower pane Set the value to filter on - Value should equal 1-1 is equivalent to true Click Filter to apply 40
41 Producing a final graph We need to rescale the edge weights in the graph 41
42 Producing a final graph after scaling 42
43 Bronx core provider graph 43
44 Challenge questions Which institution is the most important provider for the Bronx? - Hint: try a centrality measure Can you determine if geography plays a role in patient sharing in the Bronx? - Which parameter could be used to partition the graph? Can you filter the graph to show only radiologists? Which radiologist has the highest authority in the graph? 44
45 Other tools for graph analysis NetworkX - Python - Lots of algorithms igraph - R and Python Gremlin graph traversal and manipulation - Groovy shell - Gremlin interface is implemented for Neo4J And more... 45
46 Scaling the analysis to the entire DocGraph Most healthcare graphs will be big (millions of nodes) What we learn at the local level can be applied at the global level - Importance of geography - Supernodes (radiologist, ER docs, pathologist, transportation, ) Many graph measures don t scale well - Maximal cliques Currently exploring how to use Faunus to scale the analysis with Hadoop 46
47 Links (information) (code) (open source $1 covers bandwidth fees) (mailing list) 47
48 Questions Try to publish your own healthcare dataset as a graph! 48
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