健康状态的模式识别及其电子病历设计和应用
——附老年病电子病历系统
彭明德彭明德,男,1950-,绵阳市中医院主任中医师。研究方向:中医内科,老年病,模式识别与智能化辨证论治。E-mail:pmingde@
,彭涛彭涛,男,1976-,四川海思达信息技术有限公司软件开发部软件工程师。研究方向:医院信息系统软件开发。E-mail: pengtao999@
(1. 四川省绵阳市中医院 621000,四川省江油市人民医院 621700;
2. 四川海思达信息技术有限公司 610041)
摘要:本文从临床实用角度探讨人类健康问题的分类,以及与现有调控措施的关联和优化,从而充分吸纳现有科研成果和经验,整合中西医资源。通过基于个人经验传承的主客观健康状态观控模型,探讨了把系统生物学的组学方法和中医“取象比类”、“四诊合参”等传统方法结合,设计了以模式识别和辨证为特点的富客户端电子病历平台,提出了一个我国中西医并存的医院信息系统的结构化病历的解决方案。并且介绍了在该平台上的老年病应用。
关键词:电子病历;系统生物学;中医数字化;模式识别;证型
Pattern Recognition of Health Status
with its Design and Application of Electronic Patient record
- Elderly Patients Electronic Patient Records System
Abstract: This article from the perspective of clinical application to discuss the classification of human health problems, and match the existing treatment, and gradually optimized. Fully absorb the existing research results and experience to facilitate the integration of Traditional Chinese Medicine and Western Medicine resources. Intervention based on personal experience in the health status of subjective and objective view of the model control approach to systems biology and Chinese “comparative states and category"," correlation of all four examinations" bined. Designed to pattern recognition and syndrome characterized by a rich client platform for electronic medical records, proposed a coexistence of Traditional Chinese Medicine and Western Medicine Hospital Information System solution for structured medical records. Introduced in the application of elderly patients on the platform.
Key words: electronic patient record; systems biology; TCM digital; pattern recognition; pattern class
随着人口结构老龄化,及慢性疾病上升为人类健康的主要威胁,重视预警、预防和个体化治疗[1] 李振光,蒋东晓,周丽,等.“3P“医学新概念[J].,(8):608-611.
,整合一切医药卫生资源应对人类面临的健康问题,中西医在二十一世纪有了共同的语言[2] ——21世纪医学和生物学发展的核心驱动力[J].,(3):2-6.
。一方面从系统生物学及系统生物医学角度,整体上考虑不同层次、不同尺度的动态生物信息,来尝试干预多基因、多因素引起的复杂疾病;另一方面,中医现代化研究在充分吸收现代科技的基础上,对中医“取象比类”、“四诊合参”等传统理论方法进行挖掘,从模式识别角度,对计量指标的中医病因、病位、病性、病势表述进行了研究[3] 彭明德,杨殿兴,林红,等.
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