Embodiments facilitate determining patient preferences with respect to treatment attributes. A set of treatment options, comprising attributes, for a medical condition may be accessed. A first subset of treatment options may be selected and displayed to a patient. An indication may be received from the patient of a most preferred treatment option and/or a least preferred treatment option. Using the indications received from the patient regarding the first subset of treatment options, another subset of treatment options may be adaptively selected. An indication from the patient of a most preferred treatment option and/or a least preferred treatment option of the adaptively selected subset of treatment options may be received. Based at least in part on the indications received from the patient, a utility function may be generated. The utility function may be used to generate, optionally in substantially real-time, scoring and/or ranking information with respect to the plurality of attributes.