Implementation of a distributed guideline-based decision support model within a patient-guidance framework

Erez Shalom, Yuval Shahar, Ayelet Goldstein, Elior Ariel, Moshe Sheinberger, Nick Fung, Val Jones, Boris van Schooten

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

5 Scopus citations

Abstract

We report on new projection engine which was developed in order to implement a distributed guideline-based decision support system (DSS) within the European project MobiGuide.In this model, small portions of the guideline knowledge are projected, i.e. ‘downloaded’, from a central DSS server to a local DSS in the patient’s mobile device, which then applies that knowledge using the mobile device’s local resources. Furthermore, the projection engine generates guideline projections which are adapted to the patient’s previously defined preferences and, implicitly, to the patient’s current context, which is embodied in the projected knowledge. We evaluated this distributed guideline application model for two complex guidelines: one for Gestational Diabetes Mellitus, and one for Atrial Fibrillation. We found that the initial specification of what we refer to as the customized guideline should be in the terms of the distributed DSS, i.e., include two levels: one for the central DSS, and one for the local DSS. In addition, we found significant differences between the customized, distributed versions of the two guidelines, indicating further research directions and possibly additional ways to analyze and characterize guidelines.

Original languageEnglish
Title of host publicationKnowledge Representation for Health Care - AIME 2015 International Joint Workshop, KR4HC/ProHealth 2015, Revised Selected Papers
EditorsManfred Reichert, David Riaño, Mor Peleg, Annette ten Teije, Richard Lenz, Silvia Miksch
PublisherSpringer Verlag
Pages111-125
Number of pages15
ISBN (Print)9783319265841
DOIs
StatePublished - 1 Jan 2015
EventArtificial Intelligence in Medicine Conference, AIME 2015 held with International Joint Workshop on Knowledge-Representation for Health-Care and Process-Oriented Information Systems in Health-Care, KR4HC/ProHealth 2015 - Pavia, Italy
Duration: 20 Jun 201520 Jun 2015

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume9485
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

ConferenceArtificial Intelligence in Medicine Conference, AIME 2015 held with International Joint Workshop on Knowledge-Representation for Health-Care and Process-Oriented Information Systems in Health-Care, KR4HC/ProHealth 2015
Country/TerritoryItaly
CityPavia
Period20/06/1520/06/15

Keywords

  • Clinical guidelines
  • Decision support
  • Distributed computing

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