中医临床医疗科研信息共享系统建设及其应用

摘要

Objective According to the data standards of traditional Chinese medicine (TCM) ,by using the TCM clinical research information integration system (CRIIS) ,the clinical and research data of structured collection can build the disease medical knowledge base and provide support for the analysis on the latter stage of the disease. Methods The overall architecture of the system is designed with Client/Webservice/DBServer (C/S/S) . Results The system has three parts: the outpatient medical workstation, the hospital doctor workstation and the research doctor workstation. The system has three major features: the standardization of clinical terminology, the structured medical record acquisition and the heterogeneous system information integration center. Conclusions Standard clinical data provide premises for the specification of the structured medical records. Canonical structured medical record templates provide the basis for the realization of TCM scientific research and analysis.%目的 建立中医数据标准,通过中医临床医疗科研信息共享系统,结构化采集临床医疗及其科研数据,构建病种医学知识库,为病种的后期分析提供数据支持.方法 采用C/S/S(Client/Webservice/DBServer)进行系统的整体构架设计.结果 本系统分为三大部分:门诊医生工作站、住院医生工作站以及科研医生工作站.系统具有三大特点:标准化临床术语、结构化病历采集以及异构系统信息共享中心.结论 标准的临床数据为规范的结构化病历提供前提,规范的结构化病历模板为中医科研分析的实现提供了基础.