2020 年第 11 期 第 15 卷

基于场景的精准医学临床决策支持系统构建研究

Research on the construction of clinical decision support system for precision medicine 

作者：徐建武1翟运开2丁楠1吴晨溪1张兵涛1张秀梅1

英文作者：Xu Jianwu1 Zhai Yunkai2 Ding Nan1 Wu Chenxi1 Zhang Bingtao1 Zhang Xiumei1

单位：1北京万方数据股份有限公司医药事业部100038；2郑州大学管理工程学院450001

英文单位：1Pharmaceutical Business Department Beijing Wanfang Data Co. Ltd. Beijing 100038 China; 2School of Management Engineering Zhengzhou University Zhengzhou 450001 China

关键词：临床场景；临床业务流程；精准知识库；临床决策支持系统

英文关键词：Clinicalscene；Clinicalbusinessprocess;Preciseknowledgebase;Clinicaldecisionsupportsystem 

• 摘要：

• 通过深入分析临床医学的不同场景、不同角色和不同需求，研究建立与场景、角色和需求适配的精准医学知识库。在深入理解、分析临床工作业务流程及关键时刻的功能需求后，实现场景化信息服务适配与提醒，构建基于场景的精准医学临床决策支持系统。该系统可为临床诊断、鉴别诊断、多学科协同治疗、合理用药、院内护理及延伸照护、医院管理等不同场景提供决策参考，从而提高临床决策的精准度与治疗的效果和效率。 

• Through in-depth analysis of different scenarios, roles and needs of clinical medicine, the precise medical knowledge base corresponding to the scenes, roles and needs was established. After in-depth understanding and analysis of the clinical work process and functional requirements at critical moments, the scene-based information service adaptation and reminder were implemented, and a scene-based precision medicine clinical decision support system was built. This system can provide decision-making reference for different scenarios such as clinical diagnosis, differential diagnosis, multidisciplinary collaborative treatment, rational drug use, in-hospital nursing and extended care, and hospital management, so as to improve the accuracy of clinical decision-making and the effect and efficiency of treatment.