The Internet-based Knowledge Acquisition and Management Method to Construct Large-scale Distributed Medical Expert Systems

The Internet offers an unprecedented opportunity to construct powerful large-scale medical expert systems (MES). In these systems, a cost-effective medical knowledge acquisition (KA) and management scheme is highly desirable to handle the large quantities of, often conflicting, medical information collected from medical experts in different medical fields and from different geographical regions. In this paper, we demonstrate that a medical KA/management system can be built upon a three-tier distributed client/server architecture. The knowledge in the system is stored/managed in three knowledge bases. The maturity of the medical know-how controls the knowledge flow through these knowledge bases. In addition, to facilitate the knowledge representation and application in these knowledge bases as well as information retrieval across the Internet, an 8-digit numeric coding scheme with a weight value system is proposed. At present, a medical KA and management system based on the proposed method is being tested in clinics. Current results have showed that the method is a viable solution to construct, modify, and expand a distributed MES through the Internet

A novel data-driven robust framework based on machine learning and knowledge graph for disease classification

Abstract(#br)As Noncommunicable Diseases (NCDs) are affected or controlled by diverse factors such as age, regionalism, timeliness or seasonality, they are always challenging to be treated accurately, which has impacted on daily life and work of patients. Unfortunately, although a number of researchers have already made some achievements (including clinical or even computer-based) on certain diseases, current situation is eager to be improved via computer technologies such as data mining and Deep Learning. In addition, the progress of NCD research has been hampered by privacy of health and medical data. In this paper, a hierarchical idea has been proposed to study the effects of various factors on diseases, and a data-driven framework named d-DC with good extensibility is presented. d-DC is able to classify the disease according to the occupation on the premise where the disease is occurring in a certain region. During collecting data, we used a combination of personal or family medical records and traditional methods to build a data acquisition model. Not only can it realize automatic collection and replenishment of data, but it can also effectively tackle the cold start problem of the model with relatively few data effectively. The diversity of information gathering includes structured data and unstructured data (such as plain texts, images or videos), which contributes to improve the classification accuracy and new knowledge acquisition. Apart from adopting machine learning methods, d-DC has employed knowledge graph (KG) to classify diseases for the first time. The vectorization of medical texts by using knowledge embedding is a novel consideration in the classification of diseases. When results are singular, the medical expert system was proposed to address inconsistencies through knowledge bases or online experts. The results of d-DC are displayed by using a combination of KG and traditional methods, which intuitively provides a reasonable interpretation to the results (highly descriptive). Experiments show that d-DC achieved the improved accuracy than the other previous methods. Especially, a fusion method called RKRE based on both ResNet and the expert system attained an average correct proportion of 86.95%, which is a good feasibility study in the field of disease classification

Information Systems and Healthcare XXXIV: Clinical Knowledge Management Systems—Literature Review and Research Issues for Information Systems

Knowledge Management (KM) has emerged as a possible solution to many of the challenges facing U.S. and international healthcare systems. These challenges include concerns regarding the safety and quality of patient care, critical inefficiency, disparate technologies and information standards, rapidly rising costs and clinical information overload. In this paper, we focus on clinical knowledge management systems (CKMS) research. The objectives of the paper are to evaluate the current state of knowledge management systems diffusion in the clinical setting, assess the present status and focus of CKMS research efforts, and identify research gaps and opportunities for future work across the medical informatics and information systems disciplines. The study analyzes the literature along two dimensions: (1) the knowledge management processes of creation, capture, transfer, and application, and (2) the clinical processes of diagnosis, treatment, monitoring and prognosis. The study reveals that the vast majority of CKMS research has been conducted by the medical and health informatics communities. Information systems (IS) researchers have played a limited role in past CKMS research. Overall, the results indicate that there is considerable potential for IS researchers to contribute their expertise to the improvement of clinical process through technology-based KM approaches