Semantically steered clinical decision support system

  1. Eider Sanchez Herrero
Supervised by:
  1. Carlos Andrés Toro Rodríguez Director
  2. Manuel Graña Romay Director

Defence university: Universidad del País Vasco - Euskal Herriko Unibertsitatea

Year of defence: 2014

Committee:
  1. Alicia Emilia D'Anjou D'Anjou Chair
  2. Ana Isabel González Acuña Secretary
  3. Jorge León Posada Velasquez Committee member
  4. Cesar Augusto Maldonado Sanin Committee member
  5. Dora Blanco Heras Committee member

Type: Thesis

Teseo: 117566 DIALNET

Abstract

Clinical Decision Support Systems (CDSS) are currently a hot topic of research, offering the possibility of enhanced health care services and optimized management of resources. This doctoral dissertation provides an innovative architecture for semantically steered CDSS. We propose the use of domain modeling paradigms for enhancing classical CDSS with a Knowledge Engineering approach, coining the term S-CDSS. Our work focuses on the practical aspects of decision-making, commonly present in daily clinical practice. This Thesis contains contributions, such as (i) the use of pre-cached Knowledge, (ii) the generation of new architectures for clinical decision- making, and (iii) the Knowledge persistence during the clinical life cycle. Fundamental to our work is the pioneering use of the modeling and re-use of physicians' experience that leads towards a repository of the decisions performed. We have implemented our approach in two application domains within industrial projects developed in real world clinical environments: the early diagnosis of Alzheimer's Disease, and the diagnosis, treatment and follow-up of Breast Cancer.