Authors:
Andres El-Fakdi
;
Joaquim Meléndez
and
Roberto Petite
Affiliation:
University of Girona, Spain
Keyword(s):
Clinical decision support systems, Case-based reasoning, TAVI, Clinical workflow.
Related
Ontology
Subjects/Areas/Topics:
Biomedical Engineering
;
Data Engineering
;
Decision Support Systems
;
Enterprise Information Systems
;
Health Information Systems
;
Information Systems Analysis and Specification
;
Knowledge Management
;
Ontologies and the Semantic Web
;
Society, e-Business and e-Government
;
Software Systems in Medicine
;
Web Information Systems and Technologies
Abstract:
A Clinical Decision Support System (CDSS) is an interactive software designed to assist physicians, and other health professionals, with health decision-making tasks through an inference process that associates observations with conclusions supported by objective and expert knowledge on a specific application domain. As complexity of surgical processes arises, there is a demand from the clinicians to extend the capabilities from a pure research database towards a clinically integrated decision support system. The work presented in this paper details a proposal of a CDSS designed to to assess clinicians during interventions by retrieving and reusing past similar cases. Following an operative workflow, the designed software will use a Case-Based Reasoning (CBR) methodology to retrieve similar past cases from a case base to give case-specific advice at any particular point of the process, specially during preoperative and intraoperative stages. The proposal intends to develop a monitori
ng mechanism capable to recognize relevant data to every stage in the intervention workflow. Thus, measures and observations generated during the intervention will be used to retrieve the most similar cases occurred in previous occasions. The paper proposes an example application of the CBR strategy, where it is adapted to a recent complex minimally invasive intervention which is receiving growing attention lately, the Transcatheter Aortic Valve Implantation (TAVI).
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