A general framework for the distributed management of exceptions and comorbidities
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Author(s)
Bottrighi, A
Piovesan, L
Terenziani, P
Griffith University Author(s)
Year published
2018
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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 ...
View more >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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View more >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.
View less >
Conference Title
HEALTHINF 2018 - 11th International Conference on Health Informatics, Proceedings; Part of 11th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2018
Volume
5
Copyright Statement
© 2018 SciTePress. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the conference's website for access to the definitive, published version.
Subject
Health informatics and information systems