Cimino J J, Johnson S B, Aguirre A, Roderer N, Clayton P D
Center for Medical Informatics, Columbia University College of Physicians and Surgeons, New York, New York 10032.
Proc Annu Symp Comput Appl Med Care. 1992:81-5.
We have developed a computerized method for performing bibliographic searches directly from patient data involving five steps: 1) identifying specific patient data which raises a question in the mind of the user, 2) selection (from a list of generic questions) of a small number of questions which fit the selected patient data, 3) automated translation of the patient data into appropriate terms used for bibliographic indexing, 4) conversion of the question selected by the user into a search strategy, and 5) transfer of the search strategy to a search engine for a bibliographic database. We have modified the Columbia-Presbyterian Clinical Information System to experiment with this method. The first implementation converts patient diagnoses and procedures coded in ICD9-CM into Medical Subject Headings (MeSH) and searches Medline using BRS/Onsite. Challenges include development of a useful set of generic questions and translation from ICD9-CM to MeSH using the Unified Medical Language System (UMLS).
我们开发了一种计算机化方法，可直接从患者数据进行文献检索，该方法包括五个步骤：1）识别在用户脑海中引发问题的特定患者数据；2）从一系列通用问题中选择少量适合所选患者数据的问题；3）将患者数据自动翻译成用于文献索引的适当术语；4）将用户选择的问题转换为搜索策略；5）将搜索策略传输到文献数据库的搜索引擎。我们对哥伦比亚长老会临床信息系统进行了修改，以试验这种方法。首次实施是将ICD9-CM编码的患者诊断和程序转换为医学主题词（MeSH），并使用BRS/Onsite搜索Medline。挑战包括开发一组有用的通用问题，以及使用统一医学语言系统（UMLS）从ICD9-CM转换为MeSH。
