CAJ | 학술논문

目前国内临床路径仍存在电子化程度不高,适应性差,与医院信息系统知识共享性不足等问题.在深入了解医院临床路径实际运行环境的基础上,抽取关键领域知识,并对其进行规范化表达,提出了一种基于本体的临床路径知识库设计与实现方案;以肺叶切除术为例,建立其临床路径知识库,并实现知识库与电子病历(EMR)的集成;根据患者需求生成个性化诊疗计划方案,灵活处理由于患者病情指标改变或诊疗条件变化而引起的变异,从而有效地解决上述问题.临床路径本体知识库的建立为共享临床路径知识,规范诊疗行为提供了标准机制,为新一代智能化临床信息系统的发展奠定了基础.
목전국내림상로경잉존재전자화정도불고,괄응성차,여의원신식계통지식공향성불족등문제.재심입료해의원림상로경실제운행배경적기출상,추취관건영역지식,병대기진행규범화표체,제출료일충기우본체적림상로경지식고설계여실현방안;이폐협절제술위례,건립기림상로경지식고,병실현지식고여전자병력(EMR)적집성;근거환자수구생성개성화진료계화방안,령활처이유우환자병정지표개변혹진료조건변화이인기적변이,종이유효지해결상술문제.림상로경본체지식고적건립위공향림상로경지식,규범진료행위제공료표준궤제,위신일대지능화림상신식계통적발전전정료기출.
Nowadays domestic clinical pathways (CP) are still faced with the problems of immature electronization, lack of adaptability and insufficient knowledge sharing with hospital information systems. Based on in-depth understanding of CP execution environment, this paper extracts essential domain knowledge and formalizes it into a standardized expression, an ontology-based design and implementation scheme of CP knowledge base is proposed;a Lobectomia Pulmonalis CP knowledge base is built as an example, and further integration with electronic medical records (EMR) is realized;according to the needs of patients, a personalized diagnostic and treatment plan is generated with the flexibility to deal with the variation caused by changes of patients' clinical status or other care conditions in the healthcare settings, thus effectively solve the above mentioned problems. The establishment of ontology-based clinical pathway knowledge base provides a standard mechanism to share the knowledge involved in clinical pathways and normalize treatment activities, thus paves the way for the development of a new generation of intelligent clinical information systems.