Authors:
Alessio Bottrighi
;
Luca Piovesan
and
Paolo Terenziani
Affiliation:
Computer Science Institute and Università del Piemonte Orientale, Italy
Keyword(s):
Computer Interpretable Guideline (CIG), Concurrent Execution of Multiple CIGs, CIG-exception Handler, System Architecture.
Related
Ontology
Subjects/Areas/Topics:
Artificial Intelligence
;
Business Analytics
;
Cardiovascular Technologies
;
Computing and Telecommunications in Cardiology
;
Data Engineering
;
Decision Support Systems
;
Decision Support Systems, Remote Data Analysis
;
Health Engineering and Technology Applications
;
Knowledge-Based Systems
;
Symbolic Systems
Abstract:
In the last decades, many different computer-assisted management systems for Computer Interpretable Guidelines
(CIGs) have been developed. While CIGs propose a “standard” evidence-based treatments of “typical”
patients, exceptions may arise, as well the need to cope with comorbidities. The treatment of deviation from
“standard” execution has attracted a lot of attention in the recent literature, but the approaches proposed are
focused on the treatment either of exceptions or of comorbities. However, this is a clear limitation, since during
a CIG execution, both these issues can occur. In this paper, we propose the first approach which supports
the integrated treatment of both exceptions and comorbidities. To achieve such a goal, we propose a modular
client-server architecture supporting the concurrent execution of multiple guidelines. The architecture proposed
has been designed as a further layer building upon “traditional” execution engines for a single CIG.
Thus, our metho
dology is general and can be used to extend the CIG systems in the literature. Finally, we
describe our approach in action on a case study, in which a comorbid patient is treated for Peptic Ulcer and for
deep Venous Thrombosis and, during the treatment, she manifests a heart failure.
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