Min Yul Ha, Park Hyeoun-Ae, Jeon Eunjoo, Lee Joo Yun, Jo Soo Jung
College of Nursing, Seoul National University, Seoul, Korea.
Stud Health Technol Inform. 2013;192:962.
The purpose of this study was to develop an ontology model to generate nursing narratives as natural as human language from the entity-attribute-value triplets of a detailed clinical model using natural language generation technology. The model was based on the types of information and documentation time of the information along the nursing process. The typesof information are data characterizing the patient status, inferences made by the nurse from the patient data, and nursing actions selected by the nurse to change the patient status. This information was linked to the nursing process based on the time of documentation. We describe a case study illustrating the application of this model in an acute-care setting. The proposed model provides a strategy for designing an electronic nursing record system.
本研究的目的是开发一种本体模型,利用自然语言生成技术从详细临床模型的实体-属性-值三元组中生成尽可能自然的护理记录。该模型基于护理过程中的信息类型和信息记录时间。信息类型包括表征患者状态的数据、护士从患者数据中得出的推论以及护士选择的用于改变患者状态的护理行动。这些信息根据记录时间与护理过程相关联。我们描述了一个案例研究,展示了该模型在急性护理环境中的应用。所提出的模型为设计电子护理记录系统提供了一种策略。