Applying intention-based guidelines for critiquing

This paper investigates the combination of expert cri- tiquing systems and formal medical guidelines. Medical guidelines mightserveasasuitable basisforanexpertcritiquingsystembecause of the ongoing acceptance of medical guidelines and the rise of both evidence-based practice and evidence-based guidelines. A prerequi- site for a critiquing system based on medical guidelines is the ability to match the actions a physician performs in practice to actions pre- scribed by a guideline. Previous research has shown that this is quite difficult, due to the fact that computerized systems are unable to han- dle deviations from a guideline, which are common in the medical domain. Our solution to this problem is based on extracting the in- tention underlying a physician's action and uses the intention as the basis for matching performed actions to prescribed actions. We pro- pose an algorithm for an intention-based matching process and we evaluate the matching algorithm on 12 cases of hyperbilirubinemia in healthy term newborns.