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Development of a Knowledge-Based Clinical Decision Support System for Community Medicine using PDA

使用 PDA 开发基于知识的社区医学临床决策支持系统

基本信息

批准号：
15300047
负责人：
TSUMOTO Shusaku
金额：
$ 3.39万
依托单位：
Shimane University (2004)Shimane Medical University (2003)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15300047/
关键词：
Computer-aided diagnosis Mobile communication systems Community medicine Knowledge-based Systems

项目摘要

This research aims at developing a mobile, knowledge-based clinical decision support system for community medicine and evaluating the usefulness of the developed system on-site. The system has a client-server architecture and consists of the following components.1.server system : (a)A knowledge generation subsystem that generates diagnostic knowledge from medical data stored on the hospital information systems. (b)An inference system that infers possible candidates of diagnosis based on the generated knowledge. (c)A server application that receives queries from client systems and returns inference results.2.client system : A client application that provides an interface for inputting patient's symptoms and displaying the inference results.In 2004, we have equipped server systems for software development on Shimane University, and implemented the previously developed knowledge generation system and inference systems thereon. We then developed a server application that communicates with client systems, and performed communication experiments with a note PC and a PDA.In 2005, we have implemented the client systems on 2 note PCs and 8 PDAs. After that, we performed an on-site communication experiment in a hospital who is a member of the Shimane network for community medicine.Consequently, we have confirmed that the system can be used with note PCs under the support areas of personal handyphone system services. However, we've also faced the following problems. (1)Current software development environments for PDA are suitable for building the user interface, however, are not sufficient for building intelligent client systems. Therefore, we have to use a Web interface on PDA. (2)In some underpopulated regions, PHS services were not available. Therefore, we had to use other communication devices. These results suggested the limitation of the use of PDA-based mobile telemedicine systems in current regional communication environments.

本研究旨在发展一个移动的，以知识为基础的社区医疗临床决策支持系统，并评估所开发的系统的实用性现场。该系统有一个客户端-服务器架构，并包括以下组件。1.服务器系统：（a）知识生成子系统，从存储在医院信息系统的医疗数据生成诊断知识。(b)An推理系统，其基于所生成的知识来推断可能的诊断候选。(c)A 2.客户端系统：提供输入患者症状和显示推理结果的界面的客户端应用程序。2004年，我们为岛根大学的软件开发配备了服务器系统，并在其上实现了以前开发的知识生成系统和推理系统。然后，我们开发了一个服务器应用程序，与客户端系统进行通信，并进行了通信实验与笔记本电脑和PDA。在2005年，我们已经实现了2笔记本电脑和8 PDA的客户端系统。之后，在岛根社区医疗网络的一家医院进行了现场通信实验，确认了在个人手持电话系统服务的支援范围内，该系统可以与笔记本电脑一起使用。然而，我们也面临着以下问题。（1）目前PDA的软件开发环境适合于建立用户界面，但不足以建立智能客户系统。因此，我们必须在PDA上使用Web界面。(2)In在一些人口稀少的地区，没有PHS服务。因此，我们不得不使用其他通信设备。这些结果表明，在目前的区域通信环境中，使用基于PDA的移动的远程医疗系统的局限性。