title: How to represent the decision process in a medication plan: the case of the Swiss cohort of inflammatory bowel diseases.
abstract: Inflammatory bowel diseases (IBD) belong to healthcare problems impacting the quality of life and inducing important costs for the healthcare system. There is still no magical cure against this kind of diseases, but many promising therapies are under investigation. In order to study the efficiency and side effects of the existing drugs and to evaluate new ones, large numbers of patients are followed in long term cohort studies. The particular constraints associated to the follow up of patients with IBD require the implementation of adapted and efficient tools. On the one hand, clinicians must be able to perform daily changes to the patient treatment in order to adapt it for its best efficiency and react to side effects. On the other hand, the tool must provide long term view on the data to allow large scale analyses regarding the efficiency of the investigated treatment. There are few solutions allowing a clear visualization of the treatment plan of the patients in the long term that indicates clearly the changes and the adverse events. In this work, we propose a new integrated tool that offers a clear temporal view over the patients' treatment.
authors.affiliation: University Hospitals of Geneva, Division of Medical Information Sciences, Geneva, Switzerland.
authors.forename: Frederic
authors.initials: F
authors.lastname: Ehrler
authors.affiliation: University Hospitals of Geneva, Division of Medical Information Sciences, Geneva, Switzerland.
authors.forename: Philippe
authors.initials: P
authors.lastname: Baumann
authors.affiliation: University Hospitals of Geneva, Division of Medical Information Sciences, Geneva, Switzerland.
authors.forename: Christian
authors.initials: C
authors.lastname: Lovis
mesh_terms: D016907:Adverse Drug Reaction Reporting Systems / Q000458:organization & administration*; D015331:Cohort Studies; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D003661:Decision Support Techniques; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis / Q000188:drug therapy*; D050316:Medical Order Entry Systems / Q000458:organization & administration*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration; D010347:Patient Care Planning / Q000458:organization & administration*; D013557:Switzerland; D018511:Systems Integration; D016896:Treatment Outcome