Engineering Research Center of EMR and Intelligent Expert System, Ministry of Education, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, College of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, China.
J Med Syst. 2015 Jul;39(7):73. doi: 10.1007/s10916-015-0257-8. Epub 2015 Jun 13.
The clinical pathway (CP) as a novel medical management schema is beneficial for reducing the length of stay, decreasing heath care costs, standardizing clinical activities, and improving medical quality. However, the practicability of CPs is limited by the complexity and expense of adding the standard functions of electronic CPs to existing electronic medical record (EMR) systems. The purpose of this study was to design and develop an independent clinical pathway (ICP) system that is sharable with different EMR systems. An innovative knowledge base pattern was designed with separate namespaces for global knowledge, local knowledge, and real-time instances. Semantic web technologies were introduced to support knowledge sharing and intelligent reasoning. The proposed system, which was developed in a Java integrated development environment, achieved standard functions of electronic CPs without modifying existing EMR systems and integration environments in hospitals. The interaction solution between the pathway system and the EMR system simplifies the integration procedures with other hospital information systems. Five categories of transmission information were summarized to ensure the interaction process. Detailed procedures for the application of CPs to patients and managing exceptional alerts are presented by explicit data flow analysis. Compared to embedded pathway systems, independent pathway systems feature greater feasibility and practicability and are more advantageous for achieving the normalized management of standard CPs.
临床路径（CP）作为一种新颖的医疗管理方案，有利于缩短住院时间、降低医疗成本、规范临床活动和提高医疗质量。然而，CP 的实用性受到将电子 CP 的标准功能添加到现有电子病历（EMR）系统的复杂性和费用的限制。本研究旨在设计和开发一种与不同 EMR 系统共享的独立临床路径（ICP）系统。设计了一种创新的知识库模式，为全局知识、本地知识和实时实例分别设置了单独的命名空间。引入语义 Web 技术来支持知识共享和智能推理。所提出的系统是在 Java 集成开发环境中开发的，实现了电子 CP 的标准功能，而无需修改医院现有的 EMR 系统和集成环境。路径系统和 EMR 系统之间的交互解决方案简化了与其他医院信息系统的集成过程。总结了五类传输信息，以确保交互过程。通过明确的数据流分析，展示了 CP 应用于患者和管理异常警报的详细过程。与嵌入式路径系统相比，独立路径系统具有更大的可行性和实用性，更有利于实现标准 CP 的规范化管理。
