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

    4 Citations (Scopus)
    85 Downloads (Pure)

    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 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
    PublisherSpringer
    Pages111-125
    Number of pages15
    ISBN (Print)978-3-319-26585-8
    DOIs
    Publication statusPublished - 2015

    Publication series

    NameLecture Notes in Computer Science
    PublisherSpringer International Publishing
    Volume9485
    ISSN (Print)0302-9743
    ISSN (Electronic)1611-3349

    Keywords

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

    Cite this

    Shalom, E., Shahar, Y., Goldstein, A., Ariel, E., Sheinberger, M., Fung, L. S. N., ... van Schooten, B. W. (2015). Implementation of a distributed guideline-based decision support model within a patient-guidance framework. In D. Riaño, R. Lenz, S. Miksch, M. Peleg, M. U. Reichert, & A. ten Teije (Eds.), Knowledge Representation for Health Care: AIME 2015 International Joint Workshop, KR4HC/ProHealth 2015 (pp. 111-125). (Lecture Notes in Computer Science; Vol. 9485). Switzerland: Springer. https://doi.org/10.1007/978-3-319-26585-8_8