目的 针对肿瘤的多中心诊疗、病历数据繁杂等特点,设计了一种对肿瘤临床数据可进行有效管理、信息共享、查询统计及数据挖掘的数据库系统.方法 通过导出医院信息系统(hospital information system,HIS)中所需的信息到中间数据库,运用ASP.NET技术对中间库进一步过滤,将数据整理为具有结构化、标准化字段的肿瘤数据库.结果 本系统实现了病历分析、统计,并采用基于模糊数学的方法实现了临床辅助决策.结论 该系统可规范医生诊治流程,有利于多科室共同治疗,体现了多学科一体化模式在诊治肿瘤中的医疗价值和社会价值.%Objective In accordance with the characteristics of tumor as multicenter study and multifarious medical data, we designed a system with an effective management and functions of information sharing, statistics inquiring and data mining for the clinical tumor data. Methods The system exported some information from hospital information system (HIS) to the mid-database which was filtered by ASP. NET technology, and then organized the structured and standardized tumor database. Results The system realized case history analysis, statistics, and the clinical auxiliary decision-making based on the fuzzy mathematics through the tumor database records. Conclusions The system standardized the diagnosis and treatment procedure, which was propitious to the treatment of several departments, and reflected the medical and social values of the multidisciplinary mode in the diagnosis and treatment of tumor.
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