The Design And Implement Of Clinical Decision Support System Based On Clinical Guideline

The implementation of clinical decision support system can effectively break through the clinicians' limitations of medical knowledge; avoid man-made mistake and cut down medical costs. The importance of clinical guidelines has already been widely recognized, owing to its scientific and normative features which make them to be suitable source of medical knowledge. The value of clinical decision support system based on clinical guideline is widely accepted. However, at home and abroad, most systems can not be applied in daily use too long. The insufficient of knowledge base which system owned can not satisfy clinician's need explains for one of this reason. The other reason is that most existed systems disengaged the clinicians from the daily work and system can not integrated with electronic medical record system. Thus, the inconvenience brings down clinicians' enthusiasm of using system.The work of this dissertation includes:1) Design a flow to construct medical knowledge base from manual to automated way.2) Analysis suitable decision support type and time according to clinical workflow. Design a localization mapping tool for clinical decision support system integration to heterogeneous electronic medical record system.After resolve these two problems, design the architecture of clinical decision support system based on clinical guideline. The feasibility of this architecture is proved by its application in the diagnosis and treatment of metabolic syndrome. Finally, this clinical application value of this system is evaluated in some departments of hospital. The results reveal that this system accord with the design aim. The system assists clinicians effectively especially for who are not seasoned, improves their level of diagnosis and treatment, decrease man-made mistake and the quality of medical care is improved finally.