Enhancing guideline-based decision support with distributed computation through local mobile application

Erez Shalom, Yuval Shahar, Ayelet Goldstein, Elior Ariel, Silvana Quaglini, Lucia Sacchi, L.S.N. Fung, Valerie M. Jones, T.H.F. Broens, Gema García-Sáez, Elena Hernando

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    1 Citation (Scopus)
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    Abstract

    We introduce the need for a distributed guideline-based decision support (DSS) process, describe its characteristics, and explain how we implemented this process within the European Union’s MobiGuide project. In particular, we have developed a mechanism of sequential, piecemeal projection, i.e., 'downloading' small portions of the guideline from the central DSS server, to the local DSS in the patient's mobile device, which then applies that portion, using the mobile device's local resources. The mobile device sends a callback to the central DSS when it encounters a triggering pattern predefined in the projected module, which leads to an appropriate predefined action by the central DSS, including sending a new projected module, or directly controlling the rest of the workflow. We suggest that such a distributed architecture that explicitly defines a dialog between a central DSS server and a local DSS module, better balances the computational load and exploits the relative advantages of the central server and of the local mobile device.
    Original languageUndefined
    Title of host publicationProceedings of the 7th International Workshop on Process-oriented Information Systems in Healthcare (ProHealth 2014)
    PublisherProHealth
    Pages53-58
    Number of pages7
    ISBN (Print)978-3-319-15894-5
    DOIs
    Publication statusPublished - 2014
    Event7th International Workshop on Process-oriented Information Systems in Healthcare (ProHealth 2014), Eindhoven, The Netherlands: Proceedings of the 7th International Workshop on Process-oriented Information Systems in Healthcare (ProHealth 2014) -
    Duration: 1 Jan 2014 → …

    Publication series

    Name
    PublisherProHealth

    Conference

    Conference7th International Workshop on Process-oriented Information Systems in Healthcare (ProHealth 2014), Eindhoven, The Netherlands
    Period1/01/14 → …

    Keywords

    • EWI-25856
    • BSS-Technology supported cognitive training
    • Decision support
    • METIS-309935
    • IR-94707
    • Clinical guidelines
    • Distributed Computing

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