Data and Knowledge for Medical Decision Support: Proceedings of the EFMI Special Topic Conference, 17-19 April 2013, Prague, Czech Republic

222 Pages·2013·2.53 MB·English

by  B. Blobel

DATA AND KNOWLEDGE FOR MEDICAL DECISION
SUPPORT
Studies in Health Technology and
Informatics
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programmes’ Advanced Informatics in Medicine (AIM) and Biomedical and Health Research
(BHR) bioengineering branch. A driving aspect of international health informatics is that
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Prof. A. Hasman, Prof. E.J.S. Hovenga, Prof. L. Hunter, Dr. I. Iakovidis, Dr. Z. Kolitsi,
Mr. O. Le Dour, Dr. A. Lymberis, Prof. J. Mantas, Prof. M.A. Musen, Prof. P.F. Niederer,
Prof. A. Pedotti, Prof. O. Rienhoff, Prof. F.H. Roger France, Dr. N. Rossing,
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Volume 186
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ISSN 0926-9630 (print)
ISSN 1879-8365 (online)
DData annd Knoowledgge
for Meedical Decission Suupportt
Proceedings of the EEFMI Special Topic CConferencee
17––19 April 22013
Praguee, Czech Republic
Edited byy
Beernd Blobbel
eHeaalth Competeence Center, University ooff Regensburrgg Medical CCenter,
Regeensburg, Gerrmany
Chair EEditorial Commmittee
Arrie Hasmman
DDepartment ooff Medical Innfformatics, AAcademic Meedical Centerr –
Unniversity of AAmsterdam, TThe Netherlaands
Chair PProgram Commmittee
and
Janna Zvároová
Eurooppean Centerr for Medicall Informaticss, Statistics aand Epidemioology,
Charrles Universiity in Praguee, Czech Reppublic
Chair OOrganizing Coommittee
Amstterdam • Berrlin • Tokyo •• Washington, DC
© 2013 European Federation for Medical Informatics and IOS Press.
All rights reserved. No part of this book may be reproduced, stored in a retrieval system,
or transmitted, in any form or by any means, without prior written permission from the publisher.
ISBN 978-1-61499-239-4 (print)
ISBN 978-1-61499-240-0 (online)
Library of Congress Control Number: 2013934901
Cover image by Marie Zítková
Publisher
IOS Press BV
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LEGAL NOTICE
The publisher is not responsible for the use which might be made of the following information.
PRINTED IN THE NETHERLANDS
Data and Knowledge for Medical Decision Support v
B. Blobel et al. (Eds.)
IOS Press, 2013
© 2013 European Federation for Medical Informatics and IOS Press. All rights reserved.
Preface
This volume contains the proceedings of the Thirteenth EFMI Special Topic Confer-
ence, held in Prague, Czech Republic, from 17–19 April 2013. The EFMI STC 2013 is
Europe’s leading forum for presenting the results of current scientific work in health-
informatics processes, systems, and technologies this year.
EFMI STC 2013 has been organized by the European Federation for Medical In-
formatics (EFMI) in cooperation with the Czech Society of Biomedical Engineering
and Medical Informatics and the Czech Medical Society J.E. Purkyne. It follows previ-
ous conferences in Bucharest, Romania (2001), Nicosia, Cyprus (2002), Rome, Italy
(2003), Munich, Germany (2004), Athens, Greece (2005), Timisoara, Romania (2006),
Brijuni Island, Croatia (2007), London, UK (2008), Antalya, Turkey (2009), Reykjavik,
Iceland (2010), Laško, Slovenia (2011) and Moscow, Russia (2012).
Ensuring patient safety and providing high quality health services are the dominant
challenges faced by healthcare systems around the world. The sharing of advanced
knowledge and best practice in diagnosis, therapy, process optimization and prevention,
the inclusion of public health and social sciences, as well as the deployment of any
relevant information, is of vital importance. This includes enhanced networking, so-
cially and technologically, based on advanced interoperability.
EFMI STC 2013 is entitled “Data and Knowledge for Medical Decision Support”,
and addresses this important field, linking traditional and translational medicine with
natural sciences and technology with a view to the design, implementation and de-
ployment of intelligent systems. Medical decision support is an important part of this
strategy. It has spawned research in the areas of knowledge discovery, formalization
and distribution of knowledge, different ways of reasoning based on that knowledge
depending on the nature of facts and processes, establishment and exchange of clinical
guidelines, and also the inclusion of decisions not based on knowledge, such as neu-
ronal networks and genetic algorithms. Data and knowledge sharing also confronts
aspects of concept representation and languages, i.e. terminologies and ontologies.
Most of the developed decision support systems can be integrated more or less easily
into clinical information systems, both as part of those systems connected through
standardized interfaces or as services to be remotely accessed. Knowledge representa-
tion must be appropriate for the different stakeholder groups for decision support sys-
tems to be accepted. Such systems must meet the expectations of developers, of users,
such as physicians, nurses and other health professionals, but also those of patients.
The usability of the system and the comprehensibility of the knowledge and decision
support offered are critical in this regard. The standardization of principles, methodolo-
gies and means, and also the availability of specifications and tools such as open source
products and artefacts are crucial to ensure wide and harmonized use. Another impor-
tant factor for success is the careful evaluation and certification of systems as regards
quality and functionality. EFMI STC 2013 is the latest in a series of events in Prague
dedicated to the subject of STC, including the IMIA International Working Conference
on Computer-Aided Medical Decision Making in 1985 and the Symposium on Com-
puterized Guidelines and Protocols in 2004, which augurs well for a successful confer-
ence. The conference will be introduced by two Keynotes: Prof. Marion Ball (Balti-
vi
more, USA) presents Social and Cognitive Computing for Patient Engagement and
Decision Support, in cooperation with Dr. Joseph M. Jasinski, and Prof. Jan van Bem-
mel (Rotterdam, The Netherlands) addresses The Future of Computer-Assisted Medical
Decision Making: Can We Learn from the Past? Additionally, two invited speeches
will frame basics, principles, methods, and advanced results relevant for the main
streams of the conference. A rigorous review process has selected the best of the sub-
missions, resulting in a scientific programme of 49 oral presentations, 31 poster presen-
tations, 1 panel and 7 workshops, bringing active participants from 31 countries to the
conference.
EFMI STC 2013 is complemented with panels on special topics, plenary poster
sessions, and workshops. Most of the workshops are organized by EFMI Working
Groups, such as “Sharing Knowledge and Tools for Decision Support in Biomedicine
and Health Care”, realized by the EFMI WG Education in Health Informatics, “Deci-
sion Support and Decision Making Enabled by Personal Portable Devices”, organized
by the EFMI WG Personal Portable Devices, “Using Information to Improve the Qual-
ity of Care in Type 2 Diabetes in Primary Care”, performed by the EFMI WG Primary
Care Informatics, “Socio-economic Features of Traceability, ePrescription and Phar-
macovigilance”, managed by the EFMI WG Traceability, and “Health Information
Management for Europe-Ways and Perspectives”, established by the EFMI Project
Group Health Information Management Europe. Another workshop addresses “Clinical
Decision Support – From Research to Practice”. Finally, HL7 International performs a
special workshop on “Standardization of knowledge management and innovations in
science – Prerequisite or conflict?”
The editors would like to thank all the contributing authors for their excellent work,
and the reviewers for lending their expertise to the conference, thereby enabling the
final achievement. Furthermore, they are indebted to HL7 International, GS1 Europe,
and HL7 Germany for sponsoring the printing of the proceedings. Last but not least,
they would also like to thank Thomas Schabetsberger (Innsbruck, Austria), who col-
laboratively responded to all requests related to the Online-Submission System, and
Roman Muška and Tereza Jeníkova from AIM Group International for managing the
EFMI STC 2013 Website, the registration process and a number of communications.
Bernd Blobel, Arie Hasman and Jana Zvárová
Editors
vii

EFMI STC 2013 Program Committee
and Reviewers
Program Committee
Arie Hasman, The Netherlands, Chair
Bernd Blobel, Germany, Vice-Chair
Pirkko Nykanen, Finland, Vice-Chair
Riccardo Bellazzi, Italy
Rolf Engelbrecht, Germany
Josipa Kern, Croatia
Ioana Moisil, Romania
Jana Zvárová, Czech Republic, Chair LOC
Reviewers
Elske Ammenwerth, Austria
Isabelle Andoulsi, Belgium
Riccardo Bellazzi, Italy
Petr Berka, Czech Republic
Bernd Blobel, Germany
Ronald Cornet, The Netherlands
Persephone Doupi, Finland
Rolf Engelbrecht, Germany
Arie Hasman, The Netherlands
Mira Hercigonja-Szekeres, Croatia
Jacob Hofdijk, The Netherlands
Evelyn Hovenga, Australia
Josipa Kern, Croatia
Petr Lánský, Czech Republic
Lenka Lhotská, Czech Republic
John Mantas, Greece
George Mihalas, Romania
Anne Moen, Norway
Ioana Moisil, Romania
Pirkko Nykanen, Finland
Andrej Orel, Slovenia
Jan Paralic, Slovak Republic
Niels Peek, The Netherlands
Jan Rauch, Denmark
Pekka Ruotsalainen, Finland
Thomas Schabetsberger, Austria
viii
Brigitte Seroussi, France
Mary Sharp, Ireland
Michael Shifrin, Russia
Patrick Weber, Switzerland
Jana Zvárová, Czech Republic
ix

Information on EFMI Working Groups
EFMI is a nonprofit organization concerned with the theory and practice of Information
Science and Technology within Health and Health Science in a European context. Its
activities focus on annual conferences, MIE (Medical Informatics Europe), STC (Spe-
cial Topic conference), tutorials and workshops. EFMI publishes proceedings and spe-
cial issues of its activities in scientific journals and books. It has national societies in
31 member countries in the WHO-region Europe and 12 institutional members globally.
Personal members are welcome in working groups. The EFMI portal provides very
actual international news and information about research and use of computers in
health care. http://www.EFMI.org.

EDU – Education in Health Informatics MCRO – Casemix, Resources Management
John Mantas, Athens; Arie Hasman, Amsterdam and Outcomes of Care
([email protected], [email protected]) Francis Roger-France, Brussels; Jacob Hofdijk,
Utrecht
EHR – Electronic Health Records ([email protected], [email protected])
Bernd Blobel, Regensburg; Dipak Kalra, London
([email protected], MIP – Medical Image Processing
[email protected]) Alexander Horsch, Munich/Tromsø; Thomas
Wittenberg, Germany; Vytenis Punys, Kaunas
EVAL – Assessment of Health Information ([email protected], [email protected];
Systems [email protected], [email protected])
Elske Ammenwerth, Innsbruck; Pirkko Nykanen,
Tampere; Jytte Brender, Aalborg NLU – Natural Language Understanding
([email protected], Patrick Ruch; Robert Baud, Geneva
[email protected], [email protected]) ([email protected],
[email protected])

HIIC – Health Informatics for Interregional
Cooperation NURSIE – Nursing Informatics in Europe
Lacramioara Stoicu-Tivadar, Timisoara Patrick Weber, Lausanne; Thomas Buerkle,
([email protected]) Erlangen
([email protected],
HIME – Health Information Management [email protected])

Europe
Rolf Engelbrecht, Ismaning; Angelika Händel, PCI – Primary Care Informatics
Erlangen Simon De Lusignan, Guildford
([email protected])

HOFMI – Human and Organisational Factors
of Medical Informatics PPD – Personal Portable Devices
Jos Aarts, Rotterdam; Marie-Catherine Lenka Lhotská, Prague; Peter Pharow, Ilmenau
Beuscart-Zéphir, Lille ([email protected], [email protected])
([email protected], [email protected])

SSE – Safety, Security and Ethics
IDR – Informatics for the Disabled and Bernd Blobel, Regensburg;
Rehabilitation (inactive) Pekka Ruotsalainen, Tampere
Cristina Mazzoleni, Pavia ([email protected]) ([email protected],
[email protected])

LIFOSS – Libre/Free and Open Source
Software in Health Informatics TRACE – Traceability of Supply Chains
Thomas Karopka, Germany Christian Lovis, Christian Hay, Geneva
([email protected]) ([email protected], [email protected])
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