Haug P J
Department of Medical Informatics, University of Utah.
Proc Annu Symp Comput Appl Med Care. 1993:379-83.
The development and testing of computerized systems to assist in the diagnostic process is a time honored research activity in medical information science. The focus of the majority of the applications produced is on providing accurate diagnostic suggestions when appropriate clinical information is entered. We believe that diagnostic knowledge has a much wider range of uses than that of simply assigning diagnostic labels. Below we describe three applications which illustrate alternate uses for diagnostic systems. Applications that assist in data collection, assess the quality of medical reports, and extract relevant clinical data from natural language x-ray reports are discussed. We believe that more effort should be directed toward studying the use of diagnostic knowledge bases in processes that help plan diagnostic strategies, in quality assurance applications, and in processes that facilitate all aspects of medical communication.
开发和测试用于辅助诊断过程的计算机系统是医学信息科学中一项历史悠久的研究活动。所产生的大多数应用程序的重点是在输入适当的临床信息时提供准确的诊断建议。我们认为，诊断知识的用途比简单地给出诊断标签要广泛得多。下面我们描述三个应用程序，它们说明了诊断系统的其他用途。讨论了有助于数据收集、评估医学报告质量以及从自然语言X射线报告中提取相关临床数据的应用程序。我们认为，应该更加努力地研究诊断知识库在有助于规划诊断策略的过程、质量保证应用程序以及促进医疗沟通各个方面的过程中的使用。
