National Pingtung University of Science and Technology Taiwan, Republic of China.
Health Inf Manag. 2013;42(2):23-30. doi: 10.1177/183335831304200204.
Currently, interpretation of health examination reports relies primarily on the physician's own experience. If health screening data could be integrated with outpatient medical records to uncover correlations between disease and abnormal test results, the physician could benefit from having additional reference resources for medical examination report interpretation and clinic diagnosis. This study used the medical database of a regional hospital in Taiwan to illustrate how association rules can be found between abnormal health examination results and outpatient illnesses. The rules can help to build up a disease-prevention knowledge database that assists healthcare providers in follow-up treatment and prevention. Furthermore, this study proposes a new algorithm, the data cutting and sorting method, or DCSM, in place of the traditional Apriori algorithm. DCSM significantly improves the mining performance of Apriori by reducing the time to scan health examination and outpatient medical records, both of which are databases of immense sizes.
目前,健康检查报告的解读主要依赖于医生自身的经验。如果能将健康筛检数据与门诊病历相结合,揭示疾病与异常检验结果之间的关联,医生就能在解读体检报告和临床诊断方面获得更多参考资源。本研究以台湾某地区医院的医疗数据库为例,说明如何利用关联规则找出异常健康检查结果与门诊疾病之间的关系。这些规则有助于建立疾病预防知识库,帮助医疗服务提供者进行后续治疗和预防。此外,本研究还提出了一种新的算法,即数据切块和排序方法(Data Cutting and Sorting Method,简称 DCSM),以替代传统的 Apriori 算法。DCSM 通过减少扫描健康检查和门诊病历的时间来显著提高 Apriori 的挖掘性能,这两个数据库都非常庞大。