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The Web-Integration of a Decision Support System Tools for Medical

Diagnosis

Belacel, Nabil; Matthews, Bradley

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National Research Council Canada Institute for Information Technology Conseil national de recherches Canada Institut de technologie de l’information

The Web-Integration of a Decision Support System

Tools for Medical Diagnosis *

Belacel, N., and Matthews, B.

October 2002

* published in The 5th Annual Meeting of the Canadian Society of Telehealth "E-Health Care: What Constitutes Return on Investment", October 3-5, 2002. Vancouver, Canada. NRC 44988.

Copyright 2002 by

National Research Council of Canada

Permission is granted to quote short excerpts and to reproduce figures and tables from this report, provided that the source of such material is fully acknowledged.

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Corresponding author: Dr. Belacel, Nabil

National Research Council Canada

Institute for Information and Technology-e-business, e-health group c/o The Electronic Commerce Centre

P.O. Box 20044, 127 Carleton Street Saint John, NB, Canada E2L 5B2 E-mail: Nabil.Belacel@nrc.ca Telephone : 506-636-4774 Fax : 506-636-4491

Preference: Oral presentation

Topic area: #10- Technology Development #13 – Decision support system

THE WEB INTEGRATION OF A DECISION SUPPORT SYSTEM TOOLS FOR

CLINICAL APPLICATIONS

Nabil Belacel

1

, Bradley Matthews

2

1

National Research Council, Institute for Information and Technology-e-business, e-health group, Saint John, New Brunswick, Canada E2L 5B2

2

National Research Council, Institute for Information and Technology-e-business, Fredericton, New Brunswick, Canada,

Introduction: The need for effective and efficient exchange of clinical knowledge is increasing. In this context, we will focus on the web-clinical activity and on ways to improve the quality of the exchanging the health information.

Methods: The challenge of this work is to provide secure, remote access to decision support tools and a standard framework for the exchange of health information over inexpensive Internet communication pathways using web-based technologies. At beginning of our development we have used the acute leukemia disease as illustration. For this purpose, we recently developed a new fuzzy classification method called

PROAFTN to help medical diagnosis.

Results: The results obtained by the PROAFTN method on acute leukemia show a good efficacy of this procedure. In this context, we will integrate the PROAFTN method and develop a web-based clinical database system using standard JSP, JavaBean, servlet, and XML technologies. The developed system will help to: (a) make online diagnosis and to compare its performances with human practitioners of medicine; (b) implement a platform neutral XML framework for the electronic exchange of hematological data between physicians, hematologists and Biologists-hematologists (c) assist online learning and simulation for training practitioners (d) provide a secure environment to ensure that health data transactions can occur with trust, confidentiality and integrity.

Conclusion: By using the proposed system, the physicians will be able to exchange the information with the biologist-hematologists. This will aid them in making more informed

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and objective life decisions in real time. In the next step, we will extend this system to other types of pathologies

.

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