Microservice chatbot architecture for chronic patient support

Chatbots are able to provide support to patients suffering from very different conditions. Patients with chronic diseases or comorbidities could benefit the most from chatbots which can keep track of their condition, provide specific information, encourage adherence to medication, etc. To perform these functions, chatbots need a suitable underlying software architecture. In this paper, we introduce a chatbot architecture for chronic patient support grounded on three pillars: scalability by means of microservices, standard data sharing models through HL7 FHIR and standard conversation modeling using AIML. We also propose an innovative automation mechanism to convert FHIR resources into AIML files, thus facilitating the interaction and data gathering of medical and personal information that ends up in patient health records. To align the way people interact with each other using messaging platforms with the chatbot architecture, we propose these very same channels for the chatbot-patient interaction, paying special attention to security and privacy issues. Finally, we present a monitored-data study performed in different chronic diseases, and we present a prototype implementation tailored for one specific chronic disease, psoriasis, showing how this new architecture allows the change, the addition or the improvement of different parts of the chatbot in a dynamic and flexible way, providing a substantial improvement in the development of chatbots used as virtual assistants for chronic patients

Alternative Approaches to Correction of Malapropisms in AIML Based Conversational Agents

The use of Conversational Agents (CAs) utilizing Artificial Intelligence Markup Language (AIML) has been studied in a number of disciplines. Previous research has shown a great deal of promise. It has also documented significant limitations in the abilities of these CAs. Many of these limitations are related specifically to the method employed by AIML to resolve ambiguities in the meaning and context of words. While methods exist to detect and correct common errors in spelling and grammar of sentences and queries submitted by a user, one class of input error that is particularly difficult to detect and correct is the malapropism. In this research a malapropism is defined a verbal blunder in which one word is replaced by another similar in sound but different in meaning ( malapropism, 2013). This research explored the use of alternative methods of correcting malapropisms in sentences input to AIML CAs using measures of Semantic Distance and tri-gram probabilities. Results of these alternate methods were compared against AIML CAs using only the Symbolic Reductions built into AIML. This research found that the use of the two methodologies studied here did indeed lead to a small, but measurable improvement in the performance of the CA in terms of the appropriateness of its responses as classified by human judges. However, it was also noted that in a large number of cases, the CA simply ignored the existence of a malapropism altogether in formulating its responses. In most of these cases, the interpretation and response to the user\u27s input was of such a general nature that one might question the overall efficacy of the AIML engine. The answer to this question is a matter for further study

A Modular Framework for Versatile Conversational Agent Building

This paper illustrates a web-based infrastructure of an architecture for conversational agents equipped with a modular knowledge base. This solution has the advantage to allow the building of specific modules that deal with particular features of a conversation (ranging from its topic to the manner of reasoning of the chatbot). This enhances the agent interaction capabilities. The approach simplifies the chatbot knowledge base design process: extending, generalizing or even restricting the chatbot knowledge base in order to suit it to manage specific dialoguing tasks as much as possible