Telemed J E Health - Construction of a clinical decision support system for undergoing surgery based on domain ontology and rules reasoning.

Tópicos

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{ patient(2315) diseas(1263) diabet(1191) }
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Resumo

JECTIVE: To construct a clinical decision support system (CDSS) for undergoing surgery based on domain ontology and rules reasoning in the setting of hospitalized diabetic patients.MATERIALS AND METHODS: The ontology was created with a modified ontology development method, including specification and conceptualization, formalization, implementation, and evaluation and maintenance. The Prot?g?-Web Ontology Language editor was used to implement the ontology. Embedded clinical knowledge was elicited to complement the domain ontology with formal concept analysis. The decision rules were translated into JENA format, which JENA can use to infer recommendations based on patient clinical situations.RESULTS: The ontology includes 31 classes and 13 properties, plus 38 JENA rules that were built to generate recommendations. The evaluation studies confirmed the correctness of the ontology, acceptance of recommendations, satisfaction with the system, and usefulness of the ontology for glycemic management of diabetic patients undergoing surgery, especially for domain experts.CONCLUSIONS: The contribution of this research is to set up an evidence-based hybrid ontology and an evaluation method for CDSS. The system can help clinicians to achieve inpatient glycemic control in diabetic patients undergoing surgery while avoiding hypoglycemia.

Resumo Limpo

jectiv construct clinic decis support system cdss undergo surgeri base domain ontolog rule reason set hospit diabet patientsmateri method ontolog creat modifi ontolog develop method includ specif conceptu formal implement evalu mainten protgweb ontolog languag editor use implement ontolog embed clinic knowledg elicit complement domain ontolog formal concept analysi decis rule translat jena format jena can use infer recommend base patient clinic situationsresult ontolog includ class properti plus jena rule built generat recommend evalu studi confirm correct ontolog accept recommend satisfact system use ontolog glycem manag diabet patient undergo surgeri especi domain expertsconclus contribut research set evidencebas hybrid ontolog evalu method cdss system can help clinician achiev inpati glycem control diabet patient undergo surgeri avoid hypoglycemia

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