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Enhancing Guideline-Based Decision Support with Distributed Computation Through Local Mobile Application

  • Erez ShalomEmail author
  • Yuval Shahar
  • Ayelet Goldstein
  • Elior Ariel
  • Silvana Quaglini
  • Lucia Sacchi
  • Nick Fung
  • Valerie Jones
  • Tom Broens
  • Gema García-Sáez
  • Elena Hernando
Conference paper
Part of the Lecture Notes in Business Information Processing book series (LNBIP, volume 202)

Abstract

We introduce the need for a distributed guideline-based decision support (DSS) process, describe its characteristics, and explain how we implemented this process within the European Union’s MobiGuide project. In particular, we have developed a mechanism of sequential, piecemeal projection, i.e., ‘downloading’ small portions of the guideline from the central DSS server, to the local DSS in the patient’s mobile device, which then applies that portion, using the mobile device’s local resources. The mobile device sends a callback to the central DSS when it encounters a triggering pattern predefined in the projected module, which leads to an appropriate predefined action by the central DSS, including sending a new projected module, or directly controlling the rest of the workflow. We suggest that such a distributed architecture that explicitly defines a dialog between a central DSS server and a local DSS module, better balances the computational load and exploits the relative advantages of the central server and of the local mobile device.

Keywords

Clinical guidelines Decision support Distributed computing 

Notes

Acknowledgements

The MobiGuide project (http://www.mobiguide-project.eu/) has received funding from the EU’s Seventh Framework Programme for research, technological development and demonstration under grant agreement no. 287811.

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Erez Shalom
    • 1
    Email author
  • Yuval Shahar
    • 1
  • Ayelet Goldstein
    • 1
  • Elior Ariel
    • 1
  • Silvana Quaglini
    • 2
  • Lucia Sacchi
    • 2
  • Nick Fung
    • 3
  • Valerie Jones
    • 3
  • Tom Broens
    • 4
  • Gema García-Sáez
    • 5
    • 6
  • Elena Hernando
    • 5
    • 6
  1. 1.Department of Information System Engineering, The Medical Informatics Research CenterBen Gurion University of the NegevBeershebaIsrael
  2. 2.Dipartimento di Ingegneria Industriale e dell’InformazioneUniversity of PaviaPaviaItaly
  3. 3.University of TwenteEnschedeThe Netherlands
  4. 4.Mobihealth BVEnschedeThe Netherlands
  5. 5.Bioengineering and Telemedicine CentreUniversidad Politécnica de MadridMadridSpain
  6. 6.CIBER-BBN: Networking Research Centre for Bioengineering, Biomaterials and NanomedicineMadridSpain

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