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

doi:10.1007/978-3-319-26585-8_8

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

Department of Software and Information Systems Engineering

Ben-Gurion University of the Negev

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

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 language	American English
Title of host publication	Knowledge Representation for Health Care - AIME 2015 International Joint Workshop, KR4HC/ProHealth 2015, Revised Selected Papers
Editors	Manfred Reichert, David Riaño, Mor Peleg, Annette ten Teije, Richard Lenz, Silvia Miksch
Publisher	Springer Verlag
Pages	111-125
Number of pages	15
ISBN (Print)	9783319265841
DOIs	https://doi.org/10.1007/978-3-319-26585-8_8
State	Published - 1 Jan 2015
Event	Artificial 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 2015 → 20 Jun 2015

Publication series

Name	Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume	9485

Conference

Conference	Artificial 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/Territory	Italy
City	Pavia
Period	20/06/15 → 20/06/15

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Clinical guidelines
Decision support
Distributed computing

All Science Journal Classification (ASJC) codes

Theoretical Computer Science
General Computer Science

Access to Document

10.1007/978-3-319-26585-8_8

Cite this

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

Shalom, Erez ; Shahar, Yuval ; Goldstein, Ayelet et al. / Implementation of a distributed guideline-based decision support model within a patient-guidance framework. Knowledge Representation for Health Care - AIME 2015 International Joint Workshop, KR4HC/ProHealth 2015, Revised Selected Papers. editor / Manfred Reichert ; David Riaño ; Mor Peleg ; Annette ten Teije ; Richard Lenz ; Silvia Miksch. Springer Verlag, 2015. pp. 111-125 (Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)).

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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. {\textquoteleft}downloaded{\textquoteright}, from a central DSS server to a local DSS in the patient{\textquoteright}s mobile device, which then applies that knowledge using the mobile device{\textquoteright}s local resources. Furthermore, the projection engine generates guideline projections which are adapted to the patient{\textquoteright}s previously defined preferences and, implicitly, to the patient{\textquoteright}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.",

keywords = "Clinical guidelines, Decision support, Distributed computing",

author = "Erez Shalom and Yuval Shahar and Ayelet Goldstein and Elior Ariel and Moshe Sheinberger and Nick Fung and Val Jones and \{van Schooten\}, Boris",

note = "Funding Information: The MobiGuide project ( http://www.mobiguide-project.eu/ ) has received funding from the EU{\textquoteright}s Seventh Framework Programme for research, technological development and demonstration under grant agreement no. 287811. Publisher Copyright: {\textcopyright} Springer International Publishing Switzerland 2015.; Artificial 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 ; Conference date: 20-06-2015 Through 20-06-2015",

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editor = "Manfred Reichert and David Ria{\~n}o and Mor Peleg and \{ten Teije\}, Annette and Richard Lenz and Silvia Miksch",

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Shalom, E, Shahar, Y, Goldstein, A, Ariel, E, Sheinberger, M, Fung, N, Jones, V & van Schooten, B 2015, Implementation of a distributed guideline-based decision support model within a patient-guidance framework. in M Reichert, D Riaño, M Peleg, A ten Teije, R Lenz & S Miksch (eds), Knowledge Representation for Health Care - AIME 2015 International Joint Workshop, KR4HC/ProHealth 2015, Revised Selected Papers. Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), vol. 9485, Springer Verlag, pp. 111-125, Artificial 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, 20/06/15. https://doi.org/10.1007/978-3-319-26585-8_8

Implementation of a distributed guideline-based decision support model within a patient-guidance framework. / Shalom, Erez; Shahar, Yuval; Goldstein, Ayelet et al.
Knowledge Representation for Health Care - AIME 2015 International Joint Workshop, KR4HC/ProHealth 2015, Revised Selected Papers. ed. / Manfred Reichert; David Riaño; Mor Peleg; Annette ten Teije; Richard Lenz; Silvia Miksch. Springer Verlag, 2015. p. 111-125 (Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics); Vol. 9485).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

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Shalom E, Shahar Y, Goldstein A, Ariel E, Sheinberger M, Fung N et al. Implementation of a distributed guideline-based decision support model within a patient-guidance framework. In Reichert M, Riaño D, Peleg M, ten Teije A, Lenz R, Miksch S, editors, Knowledge Representation for Health Care - AIME 2015 International Joint Workshop, KR4HC/ProHealth 2015, Revised Selected Papers. Springer Verlag. 2015. p. 111-125. (Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)). doi: 10.1007/978-3-319-26585-8_8

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

Abstract

Publication series

Conference

UN SDGs

Keywords

All Science Journal Classification (ASJC) codes

Access to Document

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