Computer technologies to integrate medical treatments to manage multimorbidity.

The high prevalence of multimorbid cases is a challenge for Health-Care Systems today. Clinical practice guidelines are the means to register and transmit the available evidence-based medical knowledge concerning concrete diseases. Several computer languages have been defined to represent this knowledge in a way that computers could use to help physicians in the daily practice of medicine. The generation of guidelines for all possible multimorbidities entails several issues that are difficult to address. Consequently, numerous medical informatics technologies have appeared merging computer information structures in a way that the treatment knowledge about single diseases could be combined in order to deliver health-care to patients suffering from multimorbidity. This paper proposes a classification of the most promising current technologies addressing this issue and provides an analysis of their maturity, strengths, and weaknesses. We conclude with an enumeration of ten relevant issues to consider when developing such technologies.