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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. (More)

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Paper citation in several formats:
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 (BIOSTEC 2018) - HEALTHINF; ISBN 978-989-758-281-3; ISSN 2184-4305, SciTePress, pages 66-76. DOI: 10.5220/0006552800660076

@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 (BIOSTEC 2018) - HEALTHINF},
year={2018},
pages={66-76},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0006552800660076},
isbn={978-989-758-281-3},
issn={2184-4305},
}

TY - CONF

JO - Proceedings of the 11th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2018) - HEALTHINF
TI - A General Framework for the Distributed Management of Exceptions and Comorbidities
SN - 978-989-758-281-3
IS - 2184-4305
AU - Bottrighi, A.
AU - Piovesan, L.
AU - Terenziani, P.
PY - 2018
SP - 66
EP - 76
DO - 10.5220/0006552800660076
PB - SciTePress