Abstract
Arden Syntax is a formal language for representing and processing medical knowledge that is employed by knowledge-based medical systems. In HL7 International’s Arden Syntax version 2.9 (Fuzzy Arden Syntax), the syntax was extended by formal constructs based on fuzzy set theory and fuzzy logic, including fuzzy control. These concepts are used to model linguistic and propositional uncertainty – which is inherent to medical knowledge – in a variety of clinical situations. Using these fuzzy methods, we can create medical fuzzy control systems (MFCSs), in which linguistic control rules are used and evaluated in parallel. Their results are aggregated so that gradual transitions between otherwise discrete control states are enabled. In this paper, we discuss the implementation of MFCSs in Fuzzy Arden Syntax. Through code examples from FuzzyArdenKBWean, an MFCS for weaning support in mechanically ventilated patients after cardiac surgery, we illustrate the implementation of fuzzy control.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hripcsak, G.: Writing Arden Syntax medical logic modules. Comput. Biol. Med. 24(5), 331–363 (1994)
Adlassnig, K.-P., Rappelsberger, A.: Medical knowledge packages and their integration into health-care information systems and the World Wide Web. Stud Health Technol Inform 136, 121–126 (2008)
Health Level Seven International (2013) HL7 Arden V2.9-2013: The Arden Syntax for Medical Logic Systems Version 2.9. Available at: http://www.hl7.org/implement/standards/product_brief.cfm?product_id=290. Accessed 27 Mar 2017
Adlassnig, K.-P.: Uniform representation of vagueness and imprecision in patient’s medical findings using fuzzy sets. In: Trappl, R. (ed.) Cybernetics and Systems’88, pp. 685–692. Kluwer Academic Publishers, Dordrecht (1988)
Abbod, M.F., von Keyserlingk, D.G., Linkens, D.A., Mahfouf, M.: Survey of utilisation of fuzzy technology in medicine and healthcare. Fuzzy Sets Syst. 120(2), 331–349 (2001)
Mahfouf, M., Abbod, M.F., Linkens, D.A.: A survey of fuzzy logic monitoring and control utilisation in medicine. Artif. Intell. Med. 21(1–3), 27–42 (2001)
Assawinchaichote, W.: Control of HIV/AIDS infection system with drug dosages design via robust H∞ fuzzy controller. Biomed Mater Eng 26(Suppl 1), S1945–S1951 (2015). doi:10.3233/BME-151497
Yang, P., Yue, H., Chen, L., Geng, Y.: Intelligent lower limb prosthesis following healthy leg gait based on fuzzy control. In: 2012 24th Chinese Control and Decision Conference (CCDC). IEEE, New York, pp. 3729–3731. (2012) doi:10.1109/CCDC.2012.6244597
Schuh, C.: Managing uncertainty with fuzzy-automata and control in an intensive care environment. In: Castillo, O., Melin, P., Ross, O.M., Cruz, R.S., Pedrycz, W., Kacprzyk, J. (eds.) Theoretical Advances and Applications of Fuzzy Logic and Soft Computing, pp. 263–271. Springer, Berlin (2007)
Schuh, C., Hiesmayr, M., Kaipel, M., Adlassnig, K-P.: Towards an intuitive expert system for weaning from artificial ventilation. In: Dick, S., Kurgan, L., Musilek, P., Pedrycz, W., Reformat, M. (eds.) NAFIPS 2004 – Annual Meeting of the North American Fuzzy Information Processing Society: Fuzzy Sets in the Heart of the Canadian Rockies, Vol. 2. IEEE, Piscataway, pp. 1008–1012 (2004). doi:10.1109/NAFIPS.2004.1337445
Medexter Healthcare (2015) ArdenSuite – Medical Knowledge Representation and Rule-Based Inference Software with Arden Syntax. Available at: http://www.medexter.com/component/jdownloads/send/3-public-articles/6-ardensuite-for-emrs. Accessed 27 Mar 2017
Samwald, M., Fehre, K., de Bruin, J., Adlassnig, K.-P.: The Arden Syntax standard for clinical decision support: experiences and directions. J. Biomed. Inform. 45(4), 711–718 (2012). doi:10.1016/j.jbi.2012.02.001
Vetterlein, T., Mandl, H., Adlassnig, K.-P.: Processing gradual information with Fuzzy Arden Syntax. Stud Health Technol Inform 160, 831–835 (2010)
Michael, D.: A propositional calculus with denumerable matrix. J Symbol Logic 24(2), 97–106 (1959)
European Centre for Disease Prevention and Control (ECDC) (2015) European Surveillance of Healthcare-Associated Infections in Intensive Care Units, HAI-Net ICU Protocol, Protocol Version 1.02. Available at: http://ecdc.europa.eu/en/publications/Publications/healthcare-associated-infections-HAI-ICU-protocol.pdf. Accessed 27 Mar 2017
Adlassnig, K.-P., Fehre, K.: Service-oriented Fuzzy-Arden-Syntax-based clinical decision support. Indian J Med Inform 8(2), 75–79 (2014)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this paper
Cite this paper
de Bruin, J.S., Schuh, C., Rappelsberger, A., Adlassnig, KP. (2018). Medical Fuzzy Control Systems with Fuzzy Arden Syntax. In: Kacprzyk, J., Szmidt, E., Zadrożny, S., Atanassov, K., Krawczak, M. (eds) Advances in Fuzzy Logic and Technology 2017. EUSFLAT IWIFSGN 2017 2017. Advances in Intelligent Systems and Computing, vol 641. Springer, Cham. https://doi.org/10.1007/978-3-319-66830-7_51
Download citation
DOI: https://doi.org/10.1007/978-3-319-66830-7_51
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-66829-1
Online ISBN: 978-3-319-66830-7
eBook Packages: EngineeringEngineering (R0)