Distributed Reuse of Knowledge in a Computerized Decision Support System for Bone-Marrow Post-Transplant Care Over the World Wide Web

Overview. The Computerized Decision Support System project (CDSS) develops and evaluates a web-based computer system for bone marrow transplant (BMT) long-term follow-up (LTFU) at the Fred Hutchinson Cancer Research Center (FHCRC). The CDSS system aims at providing an information and knowledge resource capable of assisting the clinical work of users having very diverse expertise levels in BMT post-transplant care. It is made available on the World-Wide Web (WWW) both as an Intranet and an internet network, with appropriate security guards, so that the knowledge and assistance sharing depends mainly on the users' expertise level, and as little as possible on their geographical and/or institutional location. The final goal of the system is to promote the central importance of the patient care, by providing useful information to the right person at the right time.