Designing for practice-based context-awareness in ubiquitous e-health environments

Existing approaches for supporting context-aware knowledge sharing in ubiquitous healthcare give little attention to practice-based structures of knowledge representation. They guide knowledge re-use at an abstract level and hardly incorporate details of actionable tasks and processes necessary for accomplishing work in a real-world context. This paper presents a context-aware model for supporting clinical knowledge sharing across organizational and geographical boundaries in ubiquitous e-health. The model draws on activity and situation awareness theories as well as the Belief-Desire Intention and Case-based Reasoning techniques in intelligent systems with the goal of enabling clinicians in disparate locations to gain a common representation of relevant situational information in each other's work contexts based on the notion of practice. We discuss the conceptual design of the model, present a formal approach for representing practice as context in a ubiquitous healthcare environment, and describe an application scenario and a prototype system to evaluate the proposed approach.