CHARMing Clinical Pathways - Modeling of Clinical Pathways based on the Goal-Oriented Ontological Framework CHARM
CHARMing Clinical Pathways - Modeling of Clinical Pathways based on the Goal-Oriented Ontological Framework CHARM
复制标题
CHARMing 临床路径 - 基于目标导向本体框架 CHARM 的临床路径建模
DOI：
10.5220/0004747002110221
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
R. Mizoguchi
中科院分区：
文献类型：
--
作者：
Satoshi Nishimura;G. Nishijima;Y. Kitamura;M. Sasajima;Toshihiro Takeda;Y. Matsumura;R. Mizoguchi
医学领域的许多程序性知识，如临床实践指南、护理手册和临床路径(缩写为CPS)，都被记录和分享。本文集中于CP，它代表了临床工作人员针对每种疾病所采取的行动的标准时间序列。为了在临床环境中取代传统的CPS形式，而是为了促进知识管理者对知识的描述和修改，我们提出了Charm，这是一个基于动作本体的面向目标的树形模型。本研究的目的是以大阪大学医院的八个真实的CPS为例，用计算机可解释的方式来验证Charm在CPS中表现医疗行为的实际能力。在本体论中明确定义的动作方面的魅力树显式地表示动作的目标，即为什么应该需要动作等，这在传统的CP中是隐含的。我们还通过对CPS中行为的比较，证实了知识管理者描述/修改CPS的魅力所带来的好处，如发现CPS之间的共性，从目标导向的角度轻松比较CPS，以及解释产生差异的原因。
Much procedural knowledge in the medical domain, such as clinical practice guidelines, nursing manuals, and clinical pathways (abbreviated to CPs), is documented and shared. This paper concentrates on the CP, which represents a standard time-sequence of actions carried out by clinical staff for each disease. With the aim not of replacing the conventional form of CPs in a clinical setting but of facilitating description and revision of knowledge by knowledge managers, we have proposed CHARM, which is a goal-oriented, tree-structured model based on an ontology of actions. The aim of the work described in this paper is to confirm the practical ability of CHARM to represent medical actions in CPs in a computer-interpretable way, using eight real CPs in Osaka University Hospital. CHARM trees in terms of actions defined clearly in the ontology explicitly represent goals of actions, i.e., why the actions should be needed, and so on, which are implicit in the conventional CPs. We also confirmed the benefits of CHARM for describing/revising CPs by the knowledge mangers in a comparison of the actions in CPs, such as finding commonality among CPs, easy comparison of CPs from a goal-oriented perspective, and explanation of the reasons for differences.