School of management, HeFei University of Technology, HeFei 230009, People's Republic of China.
J Med Syst. 2010 Apr;34(2):213-22. doi: 10.1007/s10916-008-9232-y.
With the rapid development of both information technology and the management of modern medical regulation, the generation of medical records tends to be increasingly intelligent. In this paper, Case-Based Reasoning is applied to the process of generating records of dental cases. Based on the analysis of the features of dental records, a case base is constructed. A mixed case retrieval method (FAIES) is proposed for the knowledge reuse of dental records by adopting Fuzzy Mathematics, which improves similarity algorithm based on Euclidian-Lagrangian Distance, and PULL & PUSH weight adjustment strategy. Finally, an intelligent system of dental cases generation (CBR-DENT) is constructed. The effectiveness of the system, the efficiency of the retrieval method, the extent of adaptation and the adaptation efficiency are tested using the constructed case base. It is demonstrated that FAIES is very effective in terms of reducing the time of writing medical records and improving the efficiency and quality. FAIES is also proven to be an effective aid for diagnoses and provides a new idea for the management of medical records and its applications.
随着信息技术和现代医疗管理的飞速发展,病历的生成也日趋智能化。本文将基于案例推理(Case-Based Reasoning)应用于牙科病例记录的生成过程中。通过对牙科记录特点的分析,构建了案例库。采用模糊数学方法,提出了一种混合案例检索方法(FAIES),用于牙科记录的知识复用,改进了基于欧几里得-拉格朗日距离的相似性算法,以及 PULL 和 PUSH 权重调整策略。最后,构建了一个牙科病例生成智能系统(CBR-DENT)。利用构建的案例库,对系统的有效性、检索方法的效率、适应程度和适应效率进行了测试。结果表明,FAIES 在减少书写病历的时间和提高效率和质量方面非常有效。FAIES 还被证明是诊断的有效辅助工具,并为病历管理及其应用提供了新的思路。