Indexing the Event Calculus with Kd-trees to Monitor Diabetes

TL;DR

This paper introduces ekd, an extension of event calculus using kd-trees to efficiently index and query large streams of diabetic patient data, aiding doctors in monitoring and decision-making.

Contribution

It presents ekd, a novel event calculus extension that leverages kd-trees for scalable indexing of physiological time series data in diabetes monitoring.

Findings

ekd improves scalability over existing event calculus methods.

Indexing with kd-trees enhances query performance for large event streams.

The approach supports a graphical interface for medical rule representation.

Abstract

Personal Health Systems (PHS) are mobile solutions tailored to monitoring patients affected by chronic non communicable diseases. A patient affected by a chronic disease can generate large amounts of events. Type 1 Diabetic patients generate several glucose events per day, ranging from at least 6 events per day (under normal monitoring) to 288 per day when wearing a continuous glucose monitor (CGM) that samples the blood every 5 minutes for several days. This is a large number of events to monitor for medical doctors, in particular when considering that they may have to take decisions concerning adjusting the treatment, which may impact the life of the patients for a long time. Given the need to analyse such a large stream of data, doctors need a simple approach towards physiological time series that allows them to promptly transfer their knowledge into queries to identify interesting patterns in the data. Achieving this with current technology is not an easy task, as on one hand it cannot be expected that medical doctors have the technical knowledge to query databases and on the other hand these time series include thousands of events, which requires to re-think the way data is indexed. In order to tackle the knowledge representation and efficiency problem, this contribution presents the kd-tree cached event calculus (\ceckd) an event calculus extension for knowledge engineering of temporal rules capable to handle many thousands events produced by a diabetic patient. \ceckd\ is built as a support to a graphical interface to represent monitoring rules for diabetes type 1. In addition, the paper evaluates the \ceckd\ with respect to the cached event calculus (CEC) to show how indexing events using kd-trees improves scalability with respect to the current state of the art.