Our approach offers several advantages. During the guideline acquisition phase, it enables to represent temporal constraints, and to check their consistency. In the execution phase, it checks the consistency between the execution times of the actions and the constraints in the guidelines, and provides query answering and simulation facilities.
Supporting decision making in domains in which the observed phenomenon dynamics have to be dealt with, can greatly benefit of retrieval of past cases, provided that proper representation and retrieval techniques are implemented. In particular, when the parameters of interest take the form of time series, dimensionality reduction and flexible retrieval have to be addresses to this end. Classical methodological solutions proposed to cope with these issues, typically based on mathematical transforms, are characterized by strong limitations, such as a difficult interpretation of retrieval results for end users, reduced flexibility and interactivity, or inefficiency. In this paper, we describe a novel framework, in which time-series features are summarized by means of Temporal Abstractions, and then retrieved resorting to abstraction similarity. Our approach grants for interpretability of the output results, and understandability of the (user-guided) retrieval process. In particular, multilevel abstraction mechanisms and proper indexing techniques are provided, for flexible query issuing, and efficient and interactive query answering. Experimental results have shown the efficiency of our approach in a scalability test, and its superiority with respect to the use of a classical mathematical technique in flexibility, user friendliness, and also quality of results.Index Terms-Decision support, knowledge representation formalisms and methods, knowledge retrieval, information search and retrieval Ç . The authors are with the DISIT,
Abstract. In this paper, we present GLARE, a domain-independent system for acquiring, representing and executing clinical guidelines. GLARE is characterized by the adoption of Artificial Intelligence (AI) techniques at different levels in the definition and implementation of the system. First of all, a high-level and user-friendly knowledge representation language has been designed, providing a set of representation primitives. Second, a user-friendly acquisition tool has been designed and implemented, on the basis of the knowledge representation formalism. The acquisition tool provides various forms of help for the expert physicians, including different levels of syntactic and semantic tests in order to check the "well-formedness" of the guidelines being acquired. In particular, extended AI temporal reasoning techniques are used to check the consistency of temporal constraints. Third, a tool for executing guidelines on a specific patient has been made available. The tool relies on an "agenda" technique, which provides great flexibility, including the possibility of managing repeated and/or concurrent actions. The execution module also provides hypothetical reasoning facilities, to support physicians in the comparison of alternative diagnostic and/or therapeutic strategies. The GLARE approach has been successfully tested on clinical guidelines in different domains such as bladder cancer, reflux esophagitis, heart failure and stroke.
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