時序性醫療資訊的精簡表達式與決策運用

A Concise Representation of Temporal Medical Data and Its Application to Decision Support

許瑞麟(Ruei-Lin Shiu) ； 陳恭(Kung Chen) ； 王大爲(Da-Wei Wang)

《電子化優質健康照護》 2007年 (2007/11) Pp. 123-140

https://doi.org/10.29651/ECARE.200711.0123

摘要

時間在醫療診斷、預測或治療等決策行為都扮演重要的角色。許多的臨床指引以時序性資料為決策判別的重要依據，如何簡潔但精準地表達時序性的指引規則，以順利落實於臨床決策支援系統中遂成為重要的研究課題。本研究提出時序性資料描述與查詢語言－TempoCom(Temporal Comprehension)，以更簡潔的方式在原始的關聯式資料庫上查詢時序性醫學資料。並延伸臨床作業指引開發工具－CPGen(Clinical Practice Guideline Application Generator)，使其可以快速開發建制時序性臨床指引決策支援系統。

關鍵字

臨床作業指引 ； 時序性推理 ； 決策支援系統

並列摘要

Time plays a major role in clinical diagnosis, prediction, and therapy planning. Actually, time-oriented clinical data are a major decision making factor for many clinical guidelines. An important research problem is how to model guideline concisely and clearly so that temporal constraints can be implemented in guideline-based decision support systems in a straightforward manner. The contributions of this paper are twofold: (1) to develop a temporal query language for medical domain-TempoCom (Temporal Comprehension), which provides comprehensive yet concise expressions for querying temporal medical data and (2) to extend the clinical practice guideline development tool-CPGen (Clinical Practice Guideline application Generator) with the capability of supporting temporal decision rules expressed in TempoCom. With the extended CPGen, one can develop temporal guideline-based decision support systems for clinical treatment rapidly.

並列關鍵字

Clinical practice guideline ； Temporal reasoning ； Decision support system