A physician advisory system for chronic heart failure management based on knowledge patterns

DOI10.1017/S1471068416000429zbMATH Open1379.68307arXiv1610.08115MaRDI QIDQ4593045FDOQ4593045

Kyle Marple, Zhuo Chen, Gopal Gupta, Lakshman S. Tamil, Elmer Salazar

Publication date: 9 November 2017

Published in: Theory and Practice of Logic Programming (Search for Journal in Brave)

Abstract: Management of chronic diseases such as heart failure, diabetes, and chronic obstructive pulmonary disease (COPD) is a major problem in health care. A standard approach that the medical community has devised to manage widely prevalent chronic diseases such as chronic heart failure (CHF) is to have a committee of experts develop guidelines that all physicians should follow. These guidelines typically consist of a series of complex rules that make recommendations based on a patient's information. Due to their complexity, often the guidelines are either ignored or not complied with at all, which can result in poor medical practices. It is not even clear whether it is humanly possible to follow these guidelines due to their length and complexity. In the case of CHF management, the guidelines run nearly 80 pages. In this paper we describe a physician-advisory system for CHF management that codes the entire set of clinical practice guidelines for CHF using answer set programming. Our approach is based on developing reasoning templates (that we call knowledge patterns) and using these patterns to systemically code the clinical guidelines for CHF as ASP rules. Use of the knowledge patterns greatly facilitates the development of our system. Given a patient's medical information, our system generates a recommendation for treatment just as a human physician would, using the guidelines. Our system will work even in the presence of incomplete information. Our work makes two contributions: (i) it shows that highly complex guidelines can be successfully coded as ASP rules, and (ii) it develops a series of knowledge patterns that facilitate the coding of knowledge expressed in a natural language and that can be used for other application domains. This paper is under consideration for acceptance in TPLP.

Full work available at URL: https://arxiv.org/abs/1610.08115

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zbMATH Keywords

answer set programmingknowledge representationautomated reasoningchronic disease managementknowledge pattern

Mathematics Subject Classification ID

Medical applications (general) (92C50) Knowledge representation (68T30) Theory of languages and software systems (knowledge-based systems, expert systems, etc.) for artificial intelligence (68T35) Logic programming (68N17)

Cites Work

• Knowledge Representation, Reasoning and Declarative Problem Solving
• Conflict-driven answer set solving: from theory to practice

Cited In (5)

• Title not available (Why is that?)
• Synthesizing Imperative Code from Answer Set Programming Specifications
• An ASP-based Approach to Answering Natural Language Questions for Texts
• Proof-theoretic foundations of normal logic programs
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