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

Erez Shalom, Yuval Shahar, Ayelet Goldstein, Elior Ariel, Moshe Sheinberger, L.S.N. Fung, Valerie M. Jones, B.W. van Schooten

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

    5 Citations (Scopus)
    173 Downloads (Pure)


    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 languageUndefined
    Title of host publicationKnowledge Representation for Health Care: AIME 2015 International Joint Workshop, KR4HC/ProHealth 2015
    EditorsDavid Riaño, Richard Lenz, Silvia Miksch, Mor Peleg, M.U. Reichert, Anette ten Teije
    Place of PublicationSwitzerland
    Number of pages15
    ISBN (Print)978-3-319-26585-8
    Publication statusPublished - 2015
    EventInternational Joint Workshop KR4HC/ProHealth 2015 - Pavia, Italy
    Duration: 20 Jun 201520 Jun 2015

    Publication series

    NameLecture Notes in Computer Science
    PublisherSpringer International Publishing
    ISSN (Print)0302-9743
    ISSN (Electronic)1611-3349


    WorkshopInternational Joint Workshop KR4HC/ProHealth 2015
    Other20 June 2015


    • EWI-26598
    • BSS-Technology supported cognitive training
    • Decision support
    • METIS-312727
    • IR-98861
    • Clinical guidelines
    • Distributed Computing

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