Uses and Challenges. Care. Health C. ents in H. ive Age. Normati. Javier Vazquez-Salceda Utrecht University.

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ve Agealth : Uses and Challenges Javier Vazquez-Salceda Utrecht University it http://www.cs.uu.nl/people/javier lk Invited tal

Motivation ealth

Motivation o (I) New environment for Health services Need to promote innovative HC services patient-centered services inter-connectivity the European e-health Area Aims: Target IST s: improve patient care European electronic HC card more efficient & responsive EU Heath Information Networks HC services On-line services Means: info on illness prevention integrate EU health policies Patient teleconsultation concentrate resources electronic records Mobility avoid duplicity of effort e-reimbursement [EU Health Strategy, [Health 2000] Council report, [eeurope 2005 priorities, 2002] December 2003]

Motivation (II) Application in a distributed, highly regulated ehealth environment Distributed software solutions should address: Data exchange problem: standard data interchange formats Agent Communication Communication problem: international Languages notations or translation mechanisms Coordination issues: Variety of regulations: Trust: policies,planners, Agent-Mediated shared dietaries. Coordination?? Agent-Mediated Electronic Institutions

Case Study (I) Distributed organ and tissue allocation. 2 kinds of transplants: organs You can not conserve them on banks Every new organ donation (manual) search for the recipient tissues You can keep them on banks, (not very long) Every new recipient (manual) search for tissue

Case Study (II) Organ and tissue allocation not only a national, but a trans-national problem Scarcity of donors led to international coalitions United Network for Organ Sharing (USA) EUROTRANSPLANT (AS, B, D, LUX, NL, Slovenia) Scandiatransplant (Denmark, Finland, Iceland, Norway, Sweden) Donor Action Foundation (USA, Spain, EUROTRANSPLANT) Variety of regulations EU projects only cover data format or networking gproblems RETRANSPLANT, TECN (data formats, distributed DB) ESCULAPE (tissue histocompatibility) Other MAS for organ allocation [Callisti et al], [Moreno et al] do not cover the normative dimension

Contents A Language for Norms ve Agents Norms and Agent Platforms: Electronic Institutions Conclusions and Challenges

A Language for Norms ealth

Representing ese Norms (I) Formal representation of norms needed Which logic? Norms permit, oblige or prohibit Norms may be conditional Norms may have temporal aspects Norms are relativized to roles variant of Deontic Logic OBLIGED, PERMITTED, FORBIDDEN IF C BEFORE D, AFTER D

Representing ese Norms (II) Type 1: Unconditional norms about predicates the norms on the value of P are active at all times: an example: Type 2: Unconditional norms about actions the norms on the execution of A are active at all times: an example:

Representing ese Norms (III) Type 3: Conditional norms ealth C the activation of the norms is conditional under C C may be a predicate about the system or the state of an action: an example:

Representing ese Norms (IV) Type 4: Conditional norms with Deadlines the activation of norms is defined by a deadline absolute and relative deadlines: an example:

Representing ese Norms (V) ealth C Type 5: Obligations of enforcement of norms norms concerning agent b generate obligations on agent a: an example:

Norms and Agents ealth

ve Agents (I) Ensuring proper agent behaviour with norms Medicine is a very sensible domain We mush ensure proper behaviour of agents Agents should keep a certain autonomy We can express agents acceptable behaviour with norms WARNING: it is not straight-forward! Agents Autonomy VS Control

ve Agents (II) We should first analyse the impact of norms on cognitive agents Our norms are expressed in deontic logic with proper Kripke semantics Kripke model of the impact of norms Possible worlds Our model is composed by 2 dimensions Epistemic dimension (states and behaviours as Possible Worlds) ve dimension (norms applying to the agent)

ve Agents (III) L w B i G i N i K i W role i N w ealth

ve Agents (IV) Safety and Soundness The concept of legally accessible worlds allows to describe wanted (legal) and unwanted (illegal) behaviour acceptable (safe) and unnacceptable (unsafe) states Violations when agents breaks L w one or more norms, entering in an illegal (unsafe) state. Sanctions are actions to make agents become legal (safe) again. Sanctions include the actions to N recover the system from a violation afety S ess Soundne violation N i sanction W

ve Agents (V) Context In real domains norms are not universally valid but bounded to a given context. HC norms bounded to trans-national, national and regional contexts A Context tis a set of worlds with a shared W vocabulary and a normative framework C n e-inst X is a context defining a ontology and a normative specification Usually nested contexts there are super-contexts that have an influence in e-inst X ontology and norms Special impact on the Ontologies Proposal: not to force a single representation for all contexts, but interconnected ontologies (multi-contextual ontologies). C a org x e-inst x

ve Agents (VI) L a B i G i N i K i C a W role n N w CN a ealth

Implementing ve Agents (I) Influence of norms in the BDI deliberation cycle Health percepts beliefs desires norms (obligations, i permissions...) (joint) intentionsi plans actions

Implementing ve Agents (II) Operationalization of Norms Norms should guide the behaviour of the Agent Problems: Norms are more abstract than the procedures Norms do not have operational semantics Example: Regulation: It is forbidden to discriminate potential recipients of an organ based on their age (race, religion,...) Formal norm: FORBIDDEN(discriminate(x,y,age)) Procedure: does not contain action discriminate

Implementing ve Agents (III) Standard BDI interpreter Health Problems: too simple there is no new perception until the previous plan has been executed overcommitment no support for norms

Implementing ve Agents (IV) Extending the BDI interpreter with norms options considers also the obligation events imposing new actions filter restricts unwanted actions. Checks not only feasibility but also legal allowance. reconsider decides when to check intentions and action plans sound checks if plan is still applicable. Avoids overcommitment to plans

Norms in Agent Platforms: Electronic Institutions ealth

Electronic c Institutions s (I) Need of a safe environment where proper behaviour is enforced. Institutions are a kind of social structure where a corpora of constraints (the institution) shape the behaviour of the members of a group (the organization) An e-institution is the computational model of an institution through the specification of its norms in (some) suitable formalism(s). In the context of MAS they: reduce uncertainty of other agents behaviour reduce misunderstanding in interaction allows agents to foresee the outcome of an interaction simplify the decision-making (reduce the possible actions) Agent behaviour guided by Norms

Electronic Institutions (II) The OMNI framework Abstract Level Statutes (values,objectives,context) Model Ontology Concrete Level Implementation Level Norm level Rule level ve Implementation Organizational Model Social Model Agents Interaction Model Concrete Domain Ontology Procedural Domain Ontology Generic Comm. Acts Specific Comm. Acts ve Dimension Organizational Dimension Ontological Dimension

Electronic Institutions (II) The OMNI framework ve Concrete Level Scene Norms Scene Rules Role Norms Rl Role Rules Transition Norms Transition Rules Organizational Model Architectural Templates Social structure norms ROLE objectives role relation ROLE Interaction structure SCENE SCRIPT scene transition SCENE SCRIPT results norms constraints landmarks player Ontological Concrete Level Ontologies Communication languages

Implementing pe e gnorms in einstitutions s() (I) Implementation of norms from institutional perspective = Implementing a theorem prover to check protocol compliance Implementation of a safe environment (norm enforcement) 2 options depending on control over agents Defining constraints on unwanted behaviour Defining violations and reacting to these violations our assumptions: Norms can be sometimes violated by agents The internal state of agents is neither observable nor controlable actions cannot be imposed on an agent s intentions agents as black boxes only their observable behaviour and actions

Implementing pe e gnorms in einstitutions s( (II) ealth C Norms describe which states/actions within the e-organization should ideally take place Norms are too abstract, no operational A norm implementation is composed by:

Implementing pe e gnorms in einstitutions s( (II) Norm enforcement is not centralized but distributed in a set of agents, the Police Agents They check if a given (observable) action was legal or illegal given the violation conditions defined for that context. The Agent Platform should assist the Police Agents, providing fast, very efficient aids for norm enforcement as additional platform services and mechanisms. A) Detection of the occurrence of an action Police Agents may become overloaded checking ALL actions black list mechanism (of actions to monitor) e.g., assign action alarm mechanism (alarm to the Police Agent) The Police Agent checks if conditions for a violation apply.

Implementing pe e gnorms in einstitutions s( (III) B) Detection ti of activation/deactivation of norms activation = when condition C is true deactivation = when P holds, A is done or C is false reaction time: time allowed between norm activation and reaction Depending on the complexity to check C, the platform should implement the apropriate fast-access data structures and/or processing mechanisms to reduce Police Agents computation burden C) Deadline control a clock trigger mechanism to detect that a deadline has passed

Conclusions and Challenges ealth

Conclusions o s New Health services interconnnected in trans-national scenarios Need to explicitly i l handle the problem of variety of regulations trust, coordiantion and communication between agents of different systems Proposal of a language for norms Concept of normative agents. Norms to define acceptable behaviour Impact on the agent implementation Concept of Electronic Institutions Norms to build a safe environment Implementation of enforcement mechanisms Police Agents and platform services

Challenges ges( (I) Human trust on MAS technologies Creation of ft tools ve Concrete Level Organizational Model Ontological t l i l Architectural Templates Concrete Level Scene Norms Scene Rules Role Norms Role Rules Transition Norms Transition Rules Social structure ROLE norms objectives role relation ROLE Interaction structure SCENE SCRIPT scene transition SCENE SCRIPT results norms constraints landmarks player Ontologies Communication languages

Challenges ges( (II) Multi-level, multi-contextual ontologies W W C C b a C C b a C ab org y org x e-org x a i org x e-org x a) change of context b) consensus C a C x C b W c) colision in context definition e-org y