临床路径工作流建模工具的分析和实现-计算机软件与理论专业论文.docxVIP

摘要 摘要 临床路径，是 20 世纪 80 年代美国医疗机构为顺应当时医院内部和外部环境 的改变而产生的一种新的医疗服务模式，是针对特定的诊断、疾病或手术，在最 适当的时间所采取的经过最佳顺序安排的最优治疗过程。国内外虽然已有单个疾 病的临床决策支持系统(Clinical Decision Support System, CDSS)用以规范临床路 径，但其智能性与开放性差，不能满足临床医师提高诊疗水平的知识和信息需求。 因此，如何能够制定出一套符合医学规范的临床路径是当前医院普遍面临而又急 需解决的问题。工作流技术在医院信息系统的应用日益受到重视。它的一些规范 在一定程度上和临床路径的制定规范有很大的共性，利用工作流可以对临床路径 进行准确的描述。 本文的重点在于基于工作流技术，提出一种将临床路径与工作流结合起来的 临床路径构建模型及其若干核心策略与算法。本文首先讨论了临床路径跟工作流 关联方面的工作。对各种临床路径建模方法进行比较。然后将临床路径跟工作流 进行比较详细的参考比较，得出用工作流来进行临床路径建模的优势，从而确立 了用工作流进行临床路径建模的可行性和必须性。然后分析了临床路径和工作流 建模需求，定义出一套具有临床路径特色的工作流关键元素。然后给出一种基于 工作流的临床路径建模框架，介绍了工具的工作步骤，设计临床路径工作流 XML 文件。之后，本文围绕临床路径工作流建模过程中的关键点进行分析设计，提出 用 MVC 分层的模式来实现该工具。最后，通过典型病情案例与测试来验证本文所 提的临床路径与工作流结合进行建模以及相应关键技术的可行性，并对实验结果 进行分析。 关键词：临床路径 工作流建模 XML 语言 MVC 分层 ABSTRACT ABSTRACT Clinical pathway was in the 1980 of the 20th century United States medical institutions to adapt to changing internal and external environment of the hospital at the time and produced a new model of medical service, was for a specific diagnosis, illness or surgery, after best taken at the most appropriate time sequencing of optimal treatment procedures. At home and abroad while a single disease: a clinical decision support system (Clinical Decision Support System, CDSS) governing clinical pathway, but its intelligent and open poor and did not meet the knowledge and information needs of clinicians improve the level of diagnosis and treatment. Therefore, how can we develop a clinical path in line with medical norms are current and pressing problems facing the hospital generally. Application of workflow technology in hospital information systems gaining in importance. Some of its specifications and to some extent in clinical pathway is very different from the norm in common, the use of clinical path can be an accurate description of the workflow. The focus of this article is based on the workflow technology, submission of a clinical pathway and clinical path construction combining workflow model and a number of core strategies a