Abstract
Handling comorbid diseases in a decision support framework is a challenging problem as it demands the synthesis of clinical procedures for two or more diseases whilst maintaining clinical pragmatics. In this paper we present a knowledge management approach for handling comorbid diseases by the systematic alignment of the Clinical Pathways (CP) of comorbid diseases. Our approach entails: (a) knowledge synthesis to derive disease-specific CP from evidence-bases sources; (b) knowledge modeling to abstract medical and procedural knowledge from the CP; (c) knowledge representation to computerize the CP in terms of a CP ontology; and (d) knowledge alignment by aligning multiple CP to develop a unified CP knowledge model for comorbid diseases. We present the COMET system that provides decision support to handle comorbid cardiac heart failure and atrial fibrillation.
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
Preview
Unable to display preview. Download preview PDF.
References
Tremblay, G.J.L., Drouin, D., Parker, J., Monette, C., Cote, D.F., Reid, R.D.: The Canadian Cardiovascular Society and knowledge translation: Turning best evidence into best practice. Can J. Cardiol. 20(12), 1195–1198 (2004)
Prcela, M., Gamberger, D., Jovic, A.: Semantic Web Ontology Utilization for Heart Failure Expert System Design. In: Andersen, S.K., et al. (eds.) eHealth Beyond the Horizon-Get IT There, pp. 851–856. IOS Press, Amsterdam (2008)
Colantonio, S., Martinelli, M., Moroni, D., Salvetti, O., Perticone, F., Sciacqua, A., Conforti, D., Gualtieri, A.: An Approach to Decision Support in Heart Failure. In: Semeraro, G., Di Sciasco, E., Morbidoni, C., Stoermer, H. (eds.) Proceedings of SWAP 2007, the 4th Italian Semantic Web Workshop, CEUR-WS.org, Bari, Italy (2007)
Casteliero, M.A., Diz, J.J.D.: Clinical Practice Guidelines: A case study of combining OWL-S, OWL and SWRL. Knowledge-Based Systems 21(3), 257–265 (2008)
Dasmahapatra, S., Dupplaw, D., Hu, B., Lewis, H., Lewis, P., Poissonnier, M., Shadbolt, N.: Ontology-Based Decision Support for Multidisciplinary Management of Breast Cancer. In: 7th International Workshop on Digital Mammography, Chapel Hill, NC (2004)
Abidi, S., Abidi, S.S.R., Butler, L., Hussain, S.: Operationalizing prostate cancer clinical pathways: An ontological model to computerize, merge and execute institution-specific clinical pathways. In: Riaño, D. (ed.) ECAI 2008. LNCS, vol. 5626, pp. 1–12. Springer, Heidelberg (2009)
Alexandrou, D., Xenikougakis, F., Mentzas, G.: SEMPATH: Semantic Adaptive and Personalized Clinical Pathways. In: International Conference on E Health, Telemedicine and Social Medicine, pp. 36–41. IEEE Computer Society, Los Alamitos (2009)
Ye, Y., Jiang, Z., Diao, X., Yang, D., Du, G.: An ontology-based hierarchical semantic modeling approach to clinical pathways workflow. Computer in Biology and Medicine 39, 722–732 (2009)
Danyal, A., Abidi, S.R., Abidi, S.S.R.: Computerizing Clinical Pathways: Ontology-Based Modeling and Execution. In: Adlassnig, K.-P., et al. (eds.) Medical Informatics in a United and Healthy Europe, pp. 643–647. IOS Press, Amsterdam (2009)
Abidi, S.R., Abidi, S.S.R.: Towards the Merging of Multiple Clinical Protocols and Guidelines via Ontology-Driven Modeling. In: Combi, C., Shahar, Y., Abu-Hanna, A. (eds.) AIME 2009. LNCS, vol. 5651, pp. 81–85. Springer, Heidelberg (2009)
Arnold, J.M.O., et al.: Canadian Cardiovascular Society consensus conference recommendations on heart failure 2006: Diagnosis and Management (Special Article). Can. J. Cardiol. 22(1), 23–45 (2006)
Hunt, S.A., et al.: ACC/AHA Guideline Update for Diagnosis and Management of Chronic Heart Failure in Adults-Summary Article. Circulation 112, 1825–1852 (2005)
Yturralde, F.R., Gaasch, W.H.: Diagnostic Criteria for Diastolic Heart Failure. Progress in Cardiovascular Diseases 47(5), 311–319 (2005)
Gómez-Pérez, A.: Ontology Evaluation. In: Handbook of Ontologies, pp. 251–271. Springer, Berlin (2004)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Abidi, S.R. (2011). Ontology-Based Knowledge Modeling to Provide Decision Support for Comorbid Diseases. In: Riaño, D., ten Teije, A., Miksch, S., Peleg, M. (eds) Knowledge Representation for Health-Care. KR4HC 2010. Lecture Notes in Computer Science(), vol 6512. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18050-7_3
Download citation
DOI: https://doi.org/10.1007/978-3-642-18050-7_3
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-18049-1
Online ISBN: 978-3-642-18050-7
eBook Packages: Computer ScienceComputer Science (R0)