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Integration of the HL7 Standard in a Multiagent System to Support Personalized Access to e-Health Services
August 2011 (vol. 23 no. 8)
pp. 1244-1260
Pasquale De Meo, University Mediterranea de Reggio Calabria, Reggio Calabria
Giovanni Quattrone, University Mediterranea de Reggio Calabria, Reggio Calabria
Domenico Ursino, University Mediterranea de Reggio Calabria, Reggio Calabria
In this paper, we present a multiagent system to support patients in search of healthcare services in an e-health scenario. The proposed system is HL7-aware in that it represents both patient and service information according to the directives of HL7, the information management standard adopted in medical context. Our system builds a profile for each patient and uses it to detect Healthcare Service Providers delivering e-health services potentially capable of satisfying his needs. In order to handle this search it can exploit three different algorithms: the first, called PPB, uses only information stored in the patient profile; the second, called DS-PPB, considers both information stored in the patient profile and similarities among the e-health services delivered by the involved providers; the third, called AB, relies on {\rm A}{\bf^*}, a popular search algorithm in Artificial Intelligence. Our system builds also a social network of patients; once a patient submits a query and retrieves a set of services relevant to him, our system applies a spreading activation technique on this social network to find other patients who may benefit from these services.

[1] Health Level Seven (HL7), http:/, 2011.
[2] Logical Observation Identifiers Names and Codes (LOINC), http://www.regenstrief.orgloinc/, 2011.
[3] Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT), http:/, 2011.
[4] O. Baujard, V. Baujard, S. Aurel, C. Boyer, and R.D. Appel, "MARVIN, Multi-Agent Softbot to Retrieve Multilingual Medical Information on the Web," Medical Informatics, vol. 23, no. 3, pp. 187-191, 1998.
[5] N.J. Belkin, D. Kelly, G. Kim, J.Y. Kim, H.J. Lee, G. Muresan, M.C. Tang, X.J. Yuan, and C. Cool, "Query Length in Interactive Information Retrieval," Proc. ACM SIGIR, pp. 205-212, 2003.
[6] L. Braun, F. Wiesman, H.J. van den Herik, A. Hasmanb, and E. Korstenc, "Towards Patient-Related Information Needs," Int'l J. Medical Informatics, vol. 76, nos. 2/3, pp. 246-251, 2007.
[7] L. Braun, F. Wiesman, J. van den Herik, and A. Hasman, "Agent Support in Medical Information Retrieval," Proc. Int'l Joint Conf. Artificial Intelligence (IJCAI) Workshop Agents Applied in Health Care, pp. 16-25, 2005.
[8] C. Cáceres, A. Fernández, S. Ossowski, and M. Vasirani, "Agent-Based Semantic Service Discovery for Healthcare: An Organizational Approach," IEEE Intelligent Systems, vol. 21, no. 6, pp. 11-20, Nov./Dec. 2006.
[9] A. Cesta and D. D'Aloisi, "Building Interfaces as Personal Agents: A Case Study," ACM SIGCHI Bulletin, vol. 28, no. 3, pp. 108-113, 1996.
[10] W.W. Chu, V. Liu, W. Mao, and Q. Zou, "KMeX: A Knowledge-Based Approach for Retrieving Scenario-Specific Medical Text Documents," Biomedical Information Technology, D. Feng, ed., chapter 14, pp. 307-342, Elsevier Academic Press, 2008.
[11] M. Eichelberg, T. Aden, J. Riesmeier, A. Dogac, and G.B. Laleci, "A Survey and Analysis of Electronic Healthcare Record Standards," ACM Computing Surveys, vol. 37, no. 4, pp. 277-315, 2005.
[12] European Commission, "Reliable Health Information at the Click of a Mouse European Commission Launches New Health Portal," technical report, 06597&format= HTML&aged=0&language=EN&guiLanguage=en , 2006.
[13] L. Francisco-Revilla and F.M. Shipman III, , "Adaptive Medical Information Delivery Combining User, Task and Situation Models," Proc. ACM Int'l Conf. Intelligent User Interfaces (IUI '00), pp. 94-97, 2000.
[14] M. Hay, G. Miklau, D. Jensen, D.F. Towsley, and P. Weis, "Resisting Structural Re-Identification in Anonymized Social Networks," Proc. VLDB Endowment, vol. 1, no. 1, pp. 102-114, 2008.
[15] A.L. Houston, H. Chen, B.R. Schatz, S.M. Hubbard, R.R. Sewell, and T.D. Ng, "Exploring the Use of Concept Spaces to Improve Medical Information Retrieval," Decision Support Systems, vol. 30, no. 2, pp. 171-186, 2000.
[16] D. Isern, D. Sánchez, and A. Moreno, "HeCaSe2: A Multi-Agent Ontology-Driven Guideline Enactment Engine," Proc. Int'l Central and Eastern European Conf. Multi-Agent Systems (CEEMAS '07), pp. 322-324, 2007.
[17] D. Isern, D. Sánchez, A. Moreno, and A. Valls, "HeCaSe: An Agent-Based System to Provide Personalised Medical Services," Proc. Workshop Agentes Inteligentes en el Tercer Milenio en X Conf. Asoc. Espanola Para la Inteligencia Artificial (CAEPIA '03), 2003.
[18] D. Isern, D. Sánchez, A. Moreno, and A. Valls, "HeCaSe: Provision of Secure Personalised Medical Services," Proc. European Workshop Multi-Agent Systems (EUMAS '03), 2003.
[19] D. Isern, A. Valls, and A. Moreno, "Using Aggregation Operators to Personalize Agent-Based Medical Services," Proc. Int'l Knowledge-Based Intelligent Information and Eng. Systems, (KES '06), part II, pp. 1256-1263, 2006.
[20] G. Koutrika and Y. Ioannidis, "Personalized Queries under a Generalized Preference Model," Proc. IEEE Int'l Conf. Data Eng. (ICDE '05), pp. 841-852, 2005.
[21] Z. Liu and W.W. Chu, "Knowledge-Based Query Expansion to Support Scenario-Specific Retrieval of Medical Free Text," Information Retrieval, vol. 10, no. 2, pp. 173-202, 2007.
[22] K.R. McKeown, N. Elhadad, and V. Hatzivassiloglou, "Leveraging a Common Representation for Personalized Search and Summarization in a Medical Digital Library," Proc. ACM/IEEE Joint Conf. Digital Libraries (JCDL '03), pp. 159-170, 2003.
[23] A. Moreno, A. Valls, D. Isern, and D. Sánchez, "Applying Agent Technology to Healthcare: The GruSMA Experience," IEEE Intelligent Systems, vol. 21, no. 6, pp. 63-67, Nov./Dec. 2006.
[24] S. Russell and P. Norvig, Artificial Intelligence: A Modern Approach. Prentice Hall, 2002.
[25] L. Sweeney, "K-Anonymity: A Model for Protecting Privacy," Int'l J. Uncertainty, Fuzziness and Knowledge-Based Systems, vol. 10, no. 5, pp. 557-570, 2002.
[26] A. Valls, A. Moreno, and D. Sánchez, "A Multi-Criteria Decision Aid Agent Applied to the Selection of the Best Receiver in a Transplant," Proc. Int'l Conf. Enterprise Information Systems (ICEIS '02), vol. 1, pp. 431-438, 2002.
[27] S. Walczak, "A Multiagent Architecture for Developing Medical Information Retrieval Agents," J. Medical Systems, vol. 27, no. 5, pp. 479-498, 2003.

Index Terms:
Intelligent agents, multiagent systems, healthcare, human-centered computing, knowledge personalization and customization, HL7, personalized search of services.
Pasquale De Meo, Giovanni Quattrone, Domenico Ursino, "Integration of the HL7 Standard in a Multiagent System to Support Personalized Access to e-Health Services," IEEE Transactions on Knowledge and Data Engineering, vol. 23, no. 8, pp. 1244-1260, Aug. 2011, doi:10.1109/TKDE.2010.174
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