A General Framework for the Distributed Management of Exceptions and Comorbidities

Alessio Bottrighi, Luca Piovesan, Paolo Terenziani

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 methodology 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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Paper Citation


in Harvard Style

Bottrighi A., Piovesan L. and Terenziani P. (2018). A General Framework for the Distributed Management of Exceptions and Comorbidities.In Proceedings of the 11th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, ISBN 978-989-758-281-3, pages 66-76. DOI: 10.5220/0006552800660076


in Bibtex Style

@conference{healthinf18,
author={Alessio Bottrighi and Luca Piovesan and Paolo Terenziani},
title={A General Framework for the Distributed Management of Exceptions and Comorbidities},
booktitle={Proceedings of the 11th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF,},
year={2018},
pages={66-76},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0006552800660076},
isbn={978-989-758-281-3},
}


in EndNote Style

TY - CONF

JO - Proceedings of the 11th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF,
TI - A General Framework for the Distributed Management of Exceptions and Comorbidities
SN - 978-989-758-281-3
AU - Bottrighi A.
AU - Piovesan L.
AU - Terenziani P.
PY - 2018
SP - 66
EP - 76
DO - 10.5220/0006552800660076