摘要
中医临床规范术语如何为结构化电子病历(临床科研信息共享系统)提供支撑服务,不仅是国内亟待解决的问题,也是国际上面临的重要难题。研究以既往研究成果—借鉴SNOMED构建模型研制的《中医临床术语集》为基础,以中医结构化电子病历及数据挖掘平台为技术平台,通过建立术语字典这个中间体,将《中医临床术语集》中的术语集成映射到术语字典,实现了术语字典与病历模板编辑器的有机衔接,构建了中医临床规范术语在结构化电子病历中应用的方法及技术体系。
How to TCM clinical Standard terms applying in the electronic medical records system, which not only is domestic problems need to be solved, but is the important international Problem. This study, we made preliminary research results- ＂TCM clinical terms set＂ which was learned from SNOMED CT clinical terminology set to establish as the research base, We made TCM structured electronic medical records system （TCM clinical research information collection system） as technology platform, We established terms dictionary which is a intermediate. Based on the clinical needs of ,concept of the terms, synonymous terms, coding and other property records will be extracted out fi＇om the ＂TCM clinical terms set＂ and re-organized to the terms dictitonarv, We achieve Organic convergence ofterminology dictionary and medical record template editor. We form method and technology research system of ＂TCM clinical terms set＂ applying in the TCM structured electronic medical records system.
出处
《中国数字医学》
2012年第8期41-44,共4页
China Digital Medicine
基金
国家中医药行业科研专项-基于临床科研一体化技术平台的中风等疾病中医药临床诊疗研究(编号:200707001)
北京市科委重大项目-中医药防治重大疾病临床规律挖掘与验证(编号:D08050703020804)~~
关键词
中医临床术语集
结构化电子病历
术语应用体系
TCM clinical terms set, structured electronic medical record, tem application system
