Methods Inf Med 1997; 36(01): 20-29
DOI: 10.1055/s-0038-1634684
Original Article
Schattauer GmbH

An Ontology-based Multi-agent Architecture for Distributed Health-care Information Systems

S. Falasconi
1   Medical Informatics Laboratory, Dept. of Informatics and Systems Science, University of Pavia, Pavia, Italy
,
G. Lanzola
1   Medical Informatics Laboratory, Dept. of Informatics and Systems Science, University of Pavia, Pavia, Italy
,
M. Stefanelli
1   Medical Informatics Laboratory, Dept. of Informatics and Systems Science, University of Pavia, Pavia, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
20 February 2018 (online)

Abstract:

Managing patients in a shared-care context is a knowledge-intensive activity. To support cooperative work in medical care, computer technology should both augment the capabilities of individual specialists and enhance their ability of interacting with each other and with computational resources. Thus, a major shift is needed from centralized first generation health-care information systems to distributed environments composed of several interconnected agents, cooperating in maintaining a full track of the patient clinical history and supporting health-care providers in all the phases of the patient-management process. This paper outlines a general methodology to make architectural choices while designing or integrating new software components into a distributed health-care information system. A particular stress is laid on the specification of shared conceptual models, or ontologies, providing agents committing to them with the common semantic foundation required for effective interoperation.

 
  • References

  • 1 Llaurado JG, Hasman A. eds. The health care professional workstation. Int J Biomed Comput 1994; 34 (Special Issue).
  • 2 Minski M. The Society of Mind. New York: Simon and Schuster; 1985
  • 3 Burmeister B, Sundermeyer K. Cooperative problem-solving guided by intentions and perception. In: Werner E, Demazeau Y. eds. Decentralized A.I. 3. Proceedings of the Third European Workshop on Modelling Autonomous Agents in a Multi-Agent World. Amsterdam: North Holland Publ Comp; 1992: 77-92.
  • 4 Huang J, Jennings NR, Fox J. An agent-based approach to health care management. App Artif Intell 1995; 9: 401-20.
  • 5 Woolridge M, Jennings NR. Intelligent agents: theory and practice. Knowl Engin Rev 1995; 10: 115-52.
  • 6 Genesereth MR. An agent-based approach to software interoperability. In: Proceedings of the DARPA Software Technology Conference. Arlington, VA: Meridian Corporation; 1992: 359-66.
  • 7 Genesereth MR, Ketchpel SP. Software Agents. Comm ACM 1994; 7: 48-53.
  • 8 Newell A. The knowledge level. Artif Intell 1982; 18: 87-127.
  • 9 Lindberg D, Humphreys B, McCray A. The Unified Medical Language System:. In: Van Bemmel McCray AT. eds. Stuttgart: Schattauer Verlag; 1993: 41-53.
  • 10 Rector AL, Solomon WD, Nowlan W A, Rush TW. A terminology server for medical language and medical information systems. Meth Inform Med 1995; 34: 147-57.
  • 11 Falasconi S, Lanzola G, Stefanelli M. Ontology and terminology servers in agent-based healthcare information systems. (to be publ).
  • 12 Gruber TR. A translation approach to portable ontology specifications. Knowledge Acquisition 1993; 5: 199-220.
  • 13 Neches R, Fikes RE, Finin T. et al. Enabling technology for knowledge sharing. AI Magazine 1991; 12: 36-56.
  • 14 Olsen GR, Cutkoski M, Tenenbaum JM, Gruber TR. Collaborative engineering based on knowledge sharing agreements. In: Proceedings of the 1994 ASME Database Symposium. Minneapolis, MN: 1994: 118-27.
  • 15 Patil RS, Fikes RE, Patel-Schneider PF. et al. The DARPA Knowledge Sharing Effort: Progress Report. In: Rich C, Nebel B, Swartout W. eds. Principles of Knowledge Representation and Reasoning. Proceedings of the Third International Conference. Cambridge, MA: Morgan Kaufmann; 1992: 777-88.
  • 16 Genesereth MR, Fikes RE. Knowledge Interchange Format. Version 3.0 Reference Manual. Technical Report Logic 92-1. Computer Science Department, Stanford University; 1992
  • 17 Falasconi S, Stefanelli M. A library of medical ontologies. In: Mars NJI. eds. Proceedings of the ECAI94 Workshop Comparison of Implemented Ontologies. Amsterdam: 1994: 81-91.
  • 18 Van Heijst G, Falasconi S, Abu-Hanna A, Schreiber G, Stefanelli M. A case study in ontology library construction. Artif Intell Med 1995; 7: 227-55.
  • 19 Shoham Y. Agent-oriented programming. Artif Intell 1993; 60: 51-92.
  • 20 Finin T, McKay D, Fritzson R. eds. The KQML Advisory Group. An overview of KQML: A Knowledge Query and Manipulation Language (Draft). 1992
  • 21 Finin T, Weber J, Wiederhold G. et al. Specification of the KQML Agent Communication Language. Technical Report EIT 92-04, Enteprise Integration Technologies. Palo Alto, CA: 1993
  • 22 Schreiber AT. Pragmatics of the Knowledge Level. (Ph.D. Thesis). Amsterdam: University of Amsterdam; 1992
  • 23 Wielinga BJ, Schreiber ATh, Breuker J. KADS: a modelling approach to knowledge engineering. Knowledge Acquisition 1992; 4: 5-53.
  • 24 Gennari JH, Tu SW, Rothenfluh TE, Musen MA. Mapping domains to methods in support of reuse. Int J Human-Comput Stud 1994; 41: 399-424.
  • 25 Musen MA. Dimensions of knowledge sharing and reuse. Comp Biomed Res 1992; 25: 435-67.
  • 26 Engelman U, Jean FC, Degoulet P. eds. The HELIOS software engineering environment. Comp Meth Progr Biomed 1994; 45 (Suppl.).
  • 27 Van Mulligen EM, Timmers T, Van den Heuvel F, Van Bemmel JH. A prototype integrated medical workstation environment. Comp Meth Progr Biomed 1993; 39: 333-41.
  • 28 Ramoni M, Stefanelli M, Magnani L, Barosi G. An epistemological framework for medical knowledge-based systems. IEEE Trans Syst Man Cybern 1992; 6: 1361-75.
  • 29 Van Heijst G, Lanzola G, Schreiber G, Stefanelli M. Foundations for a Methodology for Medical KBS Development. Knowledge Acquisition 1994; 6: 395-434.
  • 30 Lanzola G, Stefanelli MA. Specialized framework for medical diagnostic knowledge-based systems. Comp Biomed Res 1992; 25: 351-65.
  • 31 Van Heijst G, Schreiber AT. CUE: Ontology-based knowledge acquisition. In: Steels L, Schreiber AT, Van de Velde W. eds. A Future for Knowledge Acquisition. Proceedings of the eight European Knowledge Acquisition Workshop. Berlin: Springer-Verlag; 1994: 178-99.
  • 32 Szolovits P, Doyle J, Long WJ, Kohane I, Puaker SG. Guardian Angel: Patient Centered Health Information Systems. Technical Report. Laboratory for Computer Science, Massachusetts Institute of Technology; 1994
  • 33 Lanzola G, Falasconi S, Stefanelli M. Cooperative software agents for patient management. In: Barahona P, Stefanelli M, Wyatt J. eds. Proceedings of the 5th Conference on Artificial Intelligence in Medicine Europe. Lecture Notes in Artificial Intelligence, vol. 934. Berlin: Springer-Verlag; 1995: 173-84.
  • 34 Lanzola G, Falasconi S, Stefanelli M. Cooperating agents implementing distributed patient management. In: Proceedings of the Seventh European Workshop on Modelling Autollomous Agents in a Multi-Agent World. Lecture Notes in Artificial Intelligence, Vol. 1038. Berlin: Springer-Verlag; 1996: 218-32.
  • 35 Riva A, Bellazzi R. Learning temporal probabilistic causal model from longitudinal data. Artif Intell Med 1996; 8: 217-34.