# US 2018/0322952 A1 · Decision support arbitration system and method of operation thereof > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2018/0322952 A1 - Document ID: US20180322952A1 - Status: Published application - Kind: A1 - Application number: 15/773,744 - Filed: 2016-10-26 - Published: 2018-11-08 - Earliest claimed: 2015-11-05 - Assignees: Koninklijke Philips N.V. - Applicants: Koninklijke Philips N.V. - Inventors: MICHAEL L ERNANDEZ; HERBERT PITTMAN; ERIC PAUL WIGFORSS - Web page: https://patentgrep.com/patent/US20180322952A1 ## CPC - G16H 50/20: for computer-aided diagnosis, e.g. based on medical expert systems - G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA ## Abstract Disclosed is a clinical-care decision support (CCDS) system (100, 400). The CCDS system may include at least two controllers (102, 410) which may determine parameter conditions (PCs) for each of a plurality of advisors (104); determine, for each corresponding advisor, whether to perform advisor processing or exception processing based upon the determined PCs for each advisor; form advisor information (AI), for each corresponding advisor, when it is determined to perform advisor processing for the corresponding advisor; form exception information (EI), for each corresponding advisor, when it is determined to perform exception processing for the corresponding advisor; and/or may generate decision support information (DSI) based on at least one of the AI and the EI. ## Claims ### Claim 1 A clinical-care decision support system, comprising: at least two controllers configured to: determine parameter condition (PCs) for each of a plurality of advisors; determine, for each corresponding advisor, whether to perform advisor processing or exception processing based upon the determined PCs for each advisor; form advisor information (AI), for each corresponding advisor, when it is determined to perform advisor processing for the corresponding advisor; form exception information (EI), for each corresponding advisor, when it is determined to perform exception processing for the corresponding advisor; and generate decision support information (DSI) based on at least one of the AI and the EI. ### Claim 2 (depends on 1) The system of claim 1, further comprising a display wherein at least one controller is configured to render the generated DSI upon the display. ### Claim 3 (depends on 1) The system of claim 1, wherein the at least two controllers are configured to determine parameter conditions for at least pressure support, ventilation and oxygenation advisors. ### Claim 4 (depends on 3) The system of claim 3, wherein at least one controller is configured to render DSI instructing to connect one or more sensors to the controller. ### Claim 5 (depends on 1) The system of claim 1, further comprising sensors to generate corresponding sensor information (SI), wherein at least one controller determines the PCs based at least in part upon the SI. ### Claim 6 (depends on 1) The system of claim 1, wherein a further controller controls each of the plurality of advisors to generate the corresponding DSI based at least in part upon parameter rule information for each of the plurality of advisors. ### Claim 7 (depends on 1) The system of claim 1, further comprising an arbitrator controlled by a further controller and which is configured to generate the DSI further in accordance with parameter rule information for each of the plurality of advisors. ### Claim 8 A clinical-care support (CCS) method performed by a clinical-care decision support system having at least two controllers, the CCS method controlled by the at least two controllers and comprising acts of: determining parameter condition (PCs) for each of a plurality of advisors; determining, for each corresponding advisor, whether to perform advisor processing or exception processing based upon the determined PCs for each advisor; forming advisor information (AI), for each corresponding advisor, when it is determined to perform advisor processing for the corresponding advisor; forming exception information (EI), for each corresponding advisor, when it is determined to perform exception processing for the corresponding advisor; and generating decision support information (DSI) based on at least one of the AI and the EI. ### Claim 9 (depends on 8) The CCS method of claim 8, further comprising an act of rendering, by at least one controller, the generated DSI upon a display. ### Claim 10 (depends on 8) The CCS method of claim 8, further comprising an act of the at least two controllers determining parameter conditions for at least pressure support, ventilation and oxygenation advisors. ### Claim 11 (depends on 10) The CCS method of claim 10, further comprising an act of at least one controller rendering DSI instructions to connect one or more sensors to the controller. ### Claim 12 (depends on 8) The CCS method of claim 8, further comprising an act of generating, by sensors, sensor information (SI), wherein at least one controller determines the PCs based at least in part upon the SI. ### Claim 13 (depends on 8) The CCS method of claim 8, further comprising an act of controlling, by a further controller, each of the plurality of advisors to generate the corresponding DSI based at least in part upon parameter rule information for each of the plurality of advisors. ### Claim 14 (depends on 8) The CCS method of claim 8, further comprising an act of controlling an arbitrator to generate the DSI further in accordance with parameter rule information for each of the plurality of advisors. ### Claim 15 A computer program stored on a computer readable memory medium, the computer program configured to control a controller of a clinical-care decision support system to perform a clinical-care support (CCS) method, the computer program comprising: a program portion configured to: determine parameter condition (PCs) for each of a plurality of advisors; determine, for each corresponding advisor, whether to perform advisor processing or exception processing based upon the determined PCs for each advisor; form advisor information (AI), for each corresponding advisor, when it is determined to perform advisor processing for the corresponding advisor; form exception information (EI), for each corresponding advisor, when it is determined to perform exception processing for the corresponding advisor; and generate decision support information (DSI) based upon at least one of the AI and the EI. ### Claim 16 (depends on 15) The computer program of claim 15, wherein the program portion is further configured to render the generated DSI upon a display. ### Claim 17 (depends on 15) The computer program of claim 15, wherein the program portion is further configured to determine parameter conditions for at least pressure support, ventilation and oxygenation advisors, and wherein the program portion is further configured to render DSI instructing to connect one or more sensors to the controller. ### Claim 18 (canceled) ### Claim 19 (depends on 15) The computer program of claim 15, wherein the program portion is further configured to: generate sensor information (SI); and determine the PCs based at least in part upon the SI. ### Claim 20 (depends on 15) The computer program of claim 15, wherein the program portion is further configured generate the corresponding DSI based at least in part upon parameter rule information for each of the plurality of advisors. ### Claim 21 (depends on 8) The CCS method of claim 8, wherein the AI includes decision support advice from the determined PCs for each of the corresponding advisors; and the EI includes a set of conditions to override the AI for at least one of the corresponding advisors.