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Representing the Patient's Therapeutic History in Medical Records and in Guideline Recommendations for Chronic Diseases Using a Unique Model

机译：代表患者在医疗记录中的治疗史以及使用独特模型的慢性疾病的指导建议

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Computer-interpretable guidelines (CIGs) are more likely to affect the clinician's behavior when they deliver patient-specific and just-in-time clinical advice. CIGs must take into account the data stored in the patient's electronic medical records (EMR). For chronic diseases, the outcome of past and ongoing treatments (therapeutic history) is used in the clinical guidelines. We propose a model for the conceptualization of therapeutic history, facilitating data sharing between EMRs and CIGs and the representation of therapeutic history and recommended treatments in clinical guidelines. Based on medical literature review and an existing treatment model, a core structure is first defined taking into account drug and non-drug treatment components and treatment type (eg bitherapy). These elements together with additional concepts obtained by analyzing a sample guideline relating to diabetes, are then organized into an object-oriented model, using UML formalism. We show how this model can be used to store the patient's therapeutic history in the EMR, together with other attributes such as treatment efficacy and tolerance We also explain how this model can efficiently code guidelines therapeutic rules. We evaluated this model, using additional guidelines for hypertension, hypercholesterolemia and asthma. We found it capable for representing guideline recommendations in several domains of chronic diseases.

机译：计算机可解释的准则（CIGS）更有可能影响临床医生的行为，当他们提供患者特定和即时临床建议时。 CIGS必须考虑到患者电子医疗记录（EMR）中存储的数据。对于慢性疾病，过去和持续治疗的结果（治疗史）用于临床指南。我们为治疗史的概念化提出了一种模型，促进EMRS和CIG之间的数据共享以及在临床指南中的治疗史和推荐治疗的代表性。基于医学文献综述和现有的治疗模型，首先考虑药物和非药物治疗组分和治疗型（例如腔遗址）定义核心结构。这些元素与通过分析与糖尿病有关的样品指南获得的额外概念，然后使用UML形式主义组织成面向对象的模型。我们展示该模型如何用于将患者的治疗历史存储在EMR中，以及其他属性，如治疗效率和宽容，我们还解释了该模型如何有效地编制准则治疗规则。我们使用高血压，高胆固醇血症和哮喘的其他准则进行了评估。我们发现它能够在几个慢性疾病领域代表指导建议。

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《Medical Informatics in Europe Conference.》|2005年|OpenAccess|共6页
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Vahid Ebrahiminia; Catherine Duclos; Massoud E Toussi; Christine Rio;
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中图分类 R-058;
关键词
Computerized Medical Records; Computer Interpretable Guidelines; Decision Support Systems; Treatments; Models; Chronic Disease;

机译：计算机化的医疗记录;计算机可解释指南;决策支持系统;治疗;模型;慢性病;

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1. Representing the Patient's Therapeutic History in Medical Records and in Guideline Recommendations for Chronic Diseases Using a Unique Model [J] . Vahid Ebrahiminia, Catherine Duclos, Massoud E Toussi, Studies in Health Technology and Informatics . 2005,第期

机译：使用唯一模型在病历和慢性病指南建议中代表患者的治疗史
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3. Guideline-based modeling of therapeutic strategies in the special case of chronic diseases [J] . B. Seroussi, J. Bouaud, G. Chatellier International journal of medical informatics . 2005,第2a4期

机译：基于指南的慢性疾病特殊病例的治疗策略建模
4. Representing the Patient's Therapeutic History in Medical Records and in Guideline Recommendations for Chronic Diseases Using a Unique Model [C] . Vahid Ebrahiminia, Catherine Duclos, Massoud E Toussi, Medical Informatics in Europe Conference. . 2005

机译：代表患者在医疗记录中的治疗史以及使用独特模型的慢性疾病的指导建议
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机译：了解，评估和增强在初级护理环境中采用电子病历的方案：一项旨在提高电子病历数据质量及其对家庭实践的激励措施的计划，该方案为慢性病患者提供激励和加强护理
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机译：将ASTI患者的治疗数据模型映射到虚拟病历：VMR是否可以代表ASTI在临床指南实施中使用的治疗数据元素？
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机译：根据免疫规范咨询委员会（aCIp）的建议总结接种肾透析患者和慢性肾病患者的指南

Representing the Patient's Therapeutic History in Medical Records and in Guideline Recommendations for Chronic Diseases Using a Unique Model

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