Ontologies Applied in Clinical Decision Support System Rules: Systematic Review.
Ontologies Applied in Clinical Decision Support System Rules: Systematic Review.
复制标题
临床决策支持系统规则中应用的本体论：系统审查。
DOI：
10.2196/43053
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发表时间：
2023-01-19
影响因子：
3.2
通讯作者：
Gimbel, Ronald
中科院分区：
文献类型：
--
作者：
Jing, Xia;Min, Hua;Gong, Yang;Biondich, Paul;Robinson, David;Law, Timothy;Nohr, Christian;Faxvaag, Arild;Rennert, Lior;Hubig, Nina;Gimbel, Ronald
关键词：
临床决策支持系统（CDSS）对医疗服务的质量和安全至关重要。虽然CDSS规则指导CDSS行为，但它们并不经常共享和重用。本体具有促进CDSS规则重用的潜力。因此，我们系统地筛选了文献，阐述了CDSS规则中应用的本体的现状，如规则管理，它使用捕获的CDSS规则使用数据和用户反馈数据来定制CDSS服务，使其更准确，和维护，更新CDSS规则。通过这一系统的文献综述，我们的目标是确定CDSS规则中使用的本体论的前沿。文献检索的重点是本体论的交叉;临床决策支持;以及PubMed、计算机协会（ACM）数字图书馆和护理与联合健康数据库中的规则。遵循扎根理论和PRISMA（系统性综述和荟萃分析的首选报告项目）2020指南。1名作者启动了筛选和文献综述，2名作者独立验证了过程和结果。反复制定和完善入选和排除标准。CDSS主要用于管理慢性病、药物处方警报、免疫接种和预防服务提醒、诊断和治疗建议，共纳入81篇出版物。CDSS规则以语义Web规则语言、Jess或Jena格式表示。尽管本体已经被用于提供医学知识、CDSS规则和术语，但它们还没有被用于CDSS规则管理或促进CDSS规则的重用。本体已被用来组织和表示医学知识，控制词汇表，CDSS规则的内容。到目前为止，CDSS规则很少被重用。需要做更多的工作来提高CDSS规则的可重用性和互操作性。这篇评论确定并描述了本体，尽管它们的局限性，使语义Web技术和它们的应用程序中的CDSS规则。
Clinical decision support systems (CDSSs) are important for the quality and safety of health care delivery. Although CDSS rules guide CDSS behavior, they are not routinely shared and reused. Ontologies have the potential to promote the reuse of CDSS rules. Therefore, we systematically screened the literature to elaborate on the current status of ontologies applied in CDSS rules, such as rule management, which uses captured CDSS rule usage data and user feedback data to tailor CDSS services to be more accurate, and maintenance, which updates CDSS rules. Through this systematic literature review, we aim to identify the frontiers of ontologies used in CDSS rules. The literature search was focused on the intersection of ontologies; clinical decision support; and rules in PubMed, the Association for Computing Machinery (ACM) Digital Library, and the Nursing & Allied Health Database. Grounded theory and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 guidelines were followed. One author initiated the screening and literature review, while 2 authors validated the processes and results independently. The inclusion and exclusion criteria were developed and refined iteratively. CDSSs were primarily used to manage chronic conditions, alerts for medication prescriptions, reminders for immunizations and preventive services, diagnoses, and treatment recommendations among 81 included publications. The CDSS rules were presented in Semantic Web Rule Language, Jess, or Jena formats. Despite the fact that ontologies have been used to provide medical knowledge, CDSS rules, and terminologies, they have not been used in CDSS rule management or to facilitate the reuse of CDSS rules. Ontologies have been used to organize and represent medical knowledge, controlled vocabularies, and the content of CDSS rules. So far, there has been little reuse of CDSS rules. More work is needed to improve the reusability and interoperability of CDSS rules. This review identified and described the ontologies that, despite their limitations, enable Semantic Web technologies and their applications in CDSS rules.
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影响因子：
4.9
作者：
Sittig, Dean F.;Wright, Adam;Simonaitis, Linas;Carpenter, James D.;Allen, George O.;Doebbeling, Bradley N.;Sirajuddin, Anwar Mohammad;Ash, Joan S.;Middleton, Blackford
通讯作者：
Middleton, Blackford
DOI：
10.4018/jswis.2009081901
发表时间：
2009-01-01
影响因子：
3.2
作者：
Bizer, Christian;Heath, Tom;Berners-Lee, Tim
通讯作者：
Berners-Lee, Tim
DOI：
10.1109/titb.2008.920781
发表时间：
2008-09-01
影响因子：
--
作者：
Cornalba, Chiara;Bellazzi, Roberto G.;Bellazzi, Riccardo
通讯作者：
Bellazzi, Riccardo
影响因子：
2.7
作者：
Bouamrane, Matt-Mouley;Rector, Alan;Hurrell, Martin
通讯作者：
Hurrell, Martin
影响因子：
5.3
作者：
Abidi, Samina
通讯作者：
Abidi, Samina