面向中医诊疗知识库的医案元数据模型构建研究

The Construction of Medical Case Metadata Model for the Knowledge Base of Traditional Chinese Medical Diagnosis and Treatment

[目的/意义]在中医医案管理过程中存在中医医案元数据不统一、精度不足等问题,不利于中医医案知识库的信息检索、知识共享和挖掘,研究建立规范的中医医案元数据模型,对于支持中医医案的深度多维检索、知识共享和挖掘具有重要作用。[方法/过程]通过文献调研法对现用中医相关标准规范、元数据标准进行总结;通过网络调查法收集中医医案实例,结合内容分析法对医案内容进行分析,初步界定医案元数据元素;再通过实地调查法,在中医诊疗现场对中医诊疗过程进行观察和访问,对初步界定的医案元数据元素进行优化,得到最终医案元数据元素集。[结果/结论]构建了面向中医诊疗知识库的医案元数据模型,全面描述中医诊疗过程,为统一中医医案元数据提供参考。

[Purpose/significance]In the process of traditional Chinese medical record management,there are a lot of problems such as inconformity and insufficient accuracy of the traditional Chinese medical record metadata,which is not conducive to the information retrieval,knowledge sharing and mining of the traditional Chinese medical record knowledge base.This research establishes a standardized traditional Chinese medical record metadata model,which plays an important role in the deep multi-dimensional retrieval,knowledge sharing and mining of traditional Chinese medical records.[Method/process]This paper summarized the relevant standards and metadata standards of current Chinese medicine through literature survey method;by collecting examples of traditional Chinese medicine cases through network survey method,analyzed the contents of medical cases in conjunction with content analysis method,and initially defined the metadata of medical cases elements;then through the field investigation method,observed and visited the Chinese medicine diagnosis and treatment process at the Chinese medicine diagnosis and treatment site,optimized the preliminary defined medical record metadata elements,and obtained the final medical record metadata element set.[Result/conclusion]A medical record metadata model oriented to the knowledge base of Chinese medicine diagnosis and treatment is constructed to fully describe the diagnosis and treatment process of Chinese medicine and provide a reference for the unified metadata of Chinese medicine treatment records.