Parallel Workflows to Personalize Clinical Guidelines Recommendations: Application to Gestational Diabetes Mellitus

Abstract

Abstract-TheMobiGuide system provides patients with personalized decision support tools, based on computerized clinical guidelines, in a mobile environment. The generic capabilities of the system will be demonstrated applied to the clinical domain of Gestational Diabetes (GD). This paper presents a methodology to identify personalized recommendations, obtained from the analysis of the GD guideline. We added a conceptual parallel part to the formalization of the GD guideline called "parallel workflow" that allows considering patient's personal context and preferences. As a result of analysing the GD guideline and eliciting medical knowledge, we identified three different types of personalized advices (therapy, measurements and upcoming events) that will be implemented to perform patients' guiding at home, supported by the MobiGuide system. These results will be essential to determine the distribution of functionalities between mobile and server decision support capabilities.

Assessment of a personalized and distributed patient guidance system

“…Formal specification of the CIG as two parallel, though interleaved, workflows [24,25], one for patients and one for care providers, using a formal CIG modeling language [10]. Examples of CIG-customized context include different monitoring schedule during vacation, or a temporary lack of support from family members.…”