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214     Abdulrahman Albar, Ahmad Elshennawy, Mohammed Basingab et al.

                       assigned  boundaries  to  create  evenly  distributed  classes  on  the  crowding  axis,  and
                       similarly to subsystem III and I, the degree of membership is equivalent to 1 among the
                       two classes existing at any given point. Only at the points 0, 25, 50, 75, and 100, do the
                       five respective classes individually obtain full degrees of membership.












                       Figure 19: Membership function of patient boarding.     Figure 20: Membership function of crowding.


                       Results of Expert Evaluation

                          This section presents the results of the fuzzy rule base development and the experts’
                       consensus  rate.  The  fuzzy  rule  base  assessments  are  divided  by  subsystem,  with
                       subsystem I producing 120 rules assessments, and subsystem II, III, and IV producing 90,
                       360,  and  800  rule assessments, respectively,  for  a total of  1370  assessments  obtained.
                       After reaching consensus, the final version of the fuzzy rules is listed in this section.
                          Table  7  details  the  results  from  the  expert  assessment  of  the  fuzzy  rules  from
                       subsystem I. This table consists of 12 columns, beginning with the rule code, followed by
                       ten  expert  evaluations,  and  ending  with  consensus  status.  Below  the  table  is  a  legend
                       comprising five linguistic classes which are color-coded. In this subsystem, two fuzzy
                       rules reached full consensus (100%); FLS1-11, and FLS1-12. Two rules achieved 90%
                       consensus: FLS1-05, and FLS1-06; four reached 80%: FLS1-01, FLS1-04, FLS1-07, and
                       FLS1-08; one rule reached 70% consensus: FLS1-03, and three reached 60% consensus:
                       FLS1-02, FLS1-09, and FLS1-10. The average consensus rate for this subsystem’s rule
                       assessments  is  79%.  Seven  of  the  twelve  evaluated  rules  received  assessments  across
                       only two linguistic classes, while two were assessed across three linguistic classes, and
                       only one received assessments exceeding more than three types of linguistic assessment.
                       Most the data in this subsystem is centralized around two linguistic classes. Regarding
                       the frequency of linguistic class use, “medium” was most frequently used to assess rules,
                       with 42 uses, while “high”, “low”, “very high”, and “very low” were used 30, 21, 15, and
                       12 times, respectively.
                          All of the fuzzy rule statements for subsystem I (Appendix A), after consensus, are
                       listed according to their rule number. This final version of the rules will be stored in the
                       fuzzy rule base of the knowledge base to fuel the fuzzy inference engine.
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