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Graph Based Clinical Decision Support System Using Ontological Framework

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Computational Intelligence, Communications, and Business Analytics (CICBA 2017)

Abstract

Scarcity of doctors in rural areas of developing countries is a major problem and has serious impact in health sector of villages. Health kiosks driven by the health assistants in different remote places are the backbone of rural healthcare services. However, due to limited knowledge and experience of the health assistants, diagnosis is often ambiguous. Therefore, there is an increasing demand to develop a knowledge based decision-making system to treat the rural patients at primary level. In this paper, a graph based clinical decision support system (CDSS) has been proposed to facilitate the health assistants for provisional disease diagnosis of the patients. The graph-based knowledge base is developed by integrating the medical knowledge represented of different ontologies. We apply the modified depth first search algorithm and topological sort algorithm for achieving minimum cost in graph traversal for differential diagnosis of the diseases. Diagnosis may be performed in two modes – online and offline, in the presence of the patient and using patient records respectively.

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References

  1. Abbasi, M., Kashiyarndi, S.: Clinical decision support systems: a discussion on different methodologies used in health care. Marlaedalen University Sweden (2006)

    Google Scholar 

  2. Jadhav, V., Sattikar, A.: Review of application of expert systems in the medicine. National Conference on Innovations in IT and Management (2014)

    Google Scholar 

  3. Internist-I: https://en.wikipedia.org/wiki/Internist-I. Accessed 19 Jan 2016

  4. Wolfram, D.: An appraisal of INTERNIST-I. Artif. Intell. Med. 7(2), 93–116 (1995)

    Article  Google Scholar 

  5. Introduction to Expert Systems: MYCIN: 2016. http://psy.haifa.ac.il/~ep/Lecture%20Files/AI/Secure/Download/Introduction%20to%20expert%20systems%20-%20MYCIN.pdf. Accessed 19 Jan 2016

  6. Samwald, M., et al.: The Arden Syntax standard for clinical decision support: experiences and directions. J. Biomed. Inf. 45(4), 711–718 (2012)

    Article  Google Scholar 

  7. Ohno-Machado, L., et al.: The guideline interchange format: a model for representing guidelines. J. Am. Med. Inform. Assoc. 5(4), 357–372 (1998)

    Article  Google Scholar 

  8. Anbarasi, M., et al.: Ontology based medical diagnosis decision support system. Int. J. Eng. Res. Technol. 2(4) (2013)

    Google Scholar 

  9. ICD - ICD-9-CM - International Classification of Diseases, Ninth Revision, Clinical Modification (2016). http://www.cdc.gov/nchs/icd/icd9cm.htm. Accessed 19 Aug 2016

  10. Spackman, K., et al.: SNOMED RT: a reference terminology for health care. AMIA 1997 Annual Symposium (1997)

    Google Scholar 

  11. Lowe, H.: Understanding and using the medical subject headings (MeSH) vocabulary to perform literature searches. JAMA: J. Am. Med. Assoc. 271(14), 1103–1108 (1994)

    Article  Google Scholar 

  12. Bodenreider, O.: The unified medical language system (UMLS): integrating biomedical terminology. Nucleic Acids Res. 32(90001), 267–270 (2004)

    Article  Google Scholar 

  13. SNOMED CT: https://en.wikipedia.org/wiki/SNOMED_CT. Accessed 20 Oct 2016

  14. Ciolko, E., et al.: Intelligent clinical decision support systems based on SNOMED CT. In: 32nd Annual International Conference of the IEEE EMBS Buenos Aires, Argentina, 31 August – 4 September (2010)

    Google Scholar 

  15. Human Disease Ontology | NCBO BioPortal (2016). https://bioportal.bioontology.org/ontologies/DOID. Accessed 20 Aug 2016

  16. Mohammed, O., et al.: Building a diseases symptoms ontology for medical diagnosis: an integrative approach. In: The First International Conference on Future Generation Communication Technologies (2012)

    Google Scholar 

  17. ProtegeOWL API Programmers Guide - Protege Wiki (2016). http://protegewiki.stanford.edu/wiki/ProtegeOWL_API_Programmers_Guide. Accessed 20 Aug 2016

  18. Dam, J.S., Dalgaard, T., Fabricius, P.E., Andersson-Engels, S.: Multiple polynomial regression method for determination of biomedical optical properties from integrating sphere measurements. Appl. Optics 39(7), 1202–1209 (2000)

    Article  Google Scholar 

  19. Pearce, D.J., Kelly, P.H.: A dynamic topological sort algorithm for directed acyclic graphs. J. Exp. Algorithmics (JEA) 11, 1–7 (2007)

    MathSciNet  Google Scholar 

  20. Rokach, L., Maimon, O., Averbuch, M.: Information retrieval system for medical narrative reports. In: Christiansen, H., Hacid, M.S., Andreasen, T., Larsen, H.L. (eds.) FQAS 2004. LNCS, vol. 3055, pp. 217–228. Springer, Berlin, Heidelberg (2004)

    Chapter  Google Scholar 

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Acknowledgement

This work is supported by Information Technology Research Academy (ITRA), Govt. of India, under ITRA-Mobile Grant (ITRA/15(59)/Mobile/Remote Health/01).

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Correspondence to Indrani Bhattacharya .

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Lodh, N., Sil, J., Bhattacharya, I. (2017). Graph Based Clinical Decision Support System Using Ontological Framework. In: Mandal, J., Dutta, P., Mukhopadhyay, S. (eds) Computational Intelligence, Communications, and Business Analytics. CICBA 2017. Communications in Computer and Information Science, vol 776. Springer, Singapore. https://doi.org/10.1007/978-981-10-6430-2_12

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  • DOI: https://doi.org/10.1007/978-981-10-6430-2_12

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-6429-6

  • Online ISBN: 978-981-10-6430-2

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