Abstract
Decision support systems for patients can benefit from adopting knowledge engineering-based architectures. In this paper, we describe how decision support systems for patients differ from decision support systems for health professionals and knowledge engineering principles that can be used to improve the efficiency of developing patient support systems. We discuss a five-step process model for patient-computer dialogue and its incorporation into an architecture based on knowledge engineering ontologies. The architecture's components are grouped into transient and persistent application layers that support a general framework for patient decision support. The implementation of the object-based model using a relational database management system is also discussed.
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Selected References
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- Cher D. J., Lenert L. A. Rapid approximation of confidence intervals for Markov process decision models: applications in decision support systems. J Am Med Inform Assoc. 1997 Jul-Aug;4(4):301–312. doi: 10.1136/jamia.1997.0040301. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gustafson D. H., Bosworth K., Hawkins R. P., Boberg E. W., Bricker E. CHESS: a computer-based system for providing information, referrals, decision support and social support to people facing medical and other health-related crises. Proc Annu Symp Comput Appl Med Care. 1992:161–165. [PMC free article] [PubMed] [Google Scholar]
- Hickam D. H., Shortliffe E. H., Bischoff M. B., Scott A. C., Jacobs C. D. The treatment advice of a computer-based cancer chemotherapy protocol advisor. Ann Intern Med. 1985 Dec;103(6 ):928–936. doi: 10.7326/0003-4819-103-6-928. [DOI] [PubMed] [Google Scholar]
- Kent D. L., Shortliffe E. H., Carlson R. W., Bischoff M. B., Jacobs C. D. Improvements in data collection through physician use of a computer-based chemotherapy treatment consultant. J Clin Oncol. 1985 Oct;3(10):1409–1417. doi: 10.1200/JCO.1985.3.10.1409. [DOI] [PubMed] [Google Scholar]
- Lenert L. A., Morss S., Goldstein M. K., Bergen M. R., Faustman W. O., Garber A. M. Measurement of the validity of utility elicitations performed by computerized interview. Med Care. 1997 Sep;35(9):915–920. doi: 10.1097/00005650-199709000-00004. [DOI] [PubMed] [Google Scholar]
- McTavish F. M., Gustafson D. H., Owens B. H., Wise M., Taylor J. O., Apantaku F. M., Berhe H., Thorson B. CHESS: An interactive computer system for women with breast cancer piloted with an under-served population. Proc Annu Symp Comput Appl Med Care. 1994:599–603. [PMC free article] [PubMed] [Google Scholar]
- Miller P. L., Blumenfrucht S. J., Black H. R. An expert system which critiques patient workup: modeling conflicting expertise. Comput Biomed Res. 1984 Dec;17(6):554–569. doi: 10.1016/0010-4809(84)90020-x. [DOI] [PubMed] [Google Scholar]
- Miller P. L. Medical plan-analysis by computer. Comput Programs Biomed. 1984 Feb-Apr;18(1-2):15–19. doi: 10.1016/0010-468x(84)90019-9. [DOI] [PubMed] [Google Scholar]
- Musen M. A., Eriksson H., Gennari J. H., Tu S. W., Puerta A. R. PROTEGE-II: a suite of tools for development of intelligent systems from reusable components. Proc Annu Symp Comput Appl Med Care. 1994:1065–1065. [PMC free article] [PubMed] [Google Scholar]
- Musen M. A., Gennari J. H., Eriksson H., Tu S. W., Puerta A. R. PROTEGE-II: computer support for development of intelligent systems from libraries of components. Medinfo. 1995;8(Pt 1):766–770. [PubMed] [Google Scholar]
- Scott G. C., Cher D. J., Lenert L. A. SecondOpinion: interactive Web-based access to a decision model. Proc AMIA Annu Fall Symp. 1997:769–773. [PMC free article] [PubMed] [Google Scholar]