临床实践指南实施性促进研究之九:临床实践指南诊疗流程知识可计算化与知识图谱构建框架设计OA
Research on the promotion of clinical practice guidelines implementation(Ⅸ):a framework design for computable formalization of diagnostic and therapeutic process knowledge and construction of knowledge praphs in clinical practice guidelines
临床实践指南包含大量可用于指导临床决策的诊疗流程知识,但其通常以自然语言形式呈现,难以被计算机直接理解、执行,从而影响指南智能化实施应用.为此,本研究提出一种系统性框架,覆盖从流程概念规范化、本体建模、流程语句自动识别至流程可视化表达的技术路径.研究首先明确临床实践指南诊疗流程的规范化定义与核心构成要素,构建统一的语义框架;其次,基于本体工程方法与业务流程建模符号流程模型,构建可计算、可推理的诊疗流程本体;接着,结合大语言模型与提示工程策略,实现诊疗流程语句的高精度自动识别及关键要素抽取;最后,通过流程建模与可视化技术将抽取的知识转化为结构化的图形表达,为临床决策支持系统提供智能化的知识图谱支持.本研究为临床实践指南诊疗流程知识的结构化表达与智能化应用提供了可复用的技术基础.
Clinical practice guidelines contain substantial diagnostic and therapeutic process knowledge to guide clinical decisions.However,since this knowledge is often expressed in natural language,it is difficult for computers to directly understand and execute,which limits its intelligent application.To address this issue,this study proposes a systematic framework to achieve the computability of guideline process knowledge.The framework covers the full technical path from process concept standardization,ontology modeling,sentence recognition,to process visualization.The study first clarifies the standardized definition of diagnostic and therapeutic processes and their core elements,constructing a unified semantic framework.Next,based on ontology engineering methods and business process model and notation process models,a computable and inferable diagnostic process ontology was built.Then,combining manually annotated corpus with large language model prompt engineering strategies,high-precision automatic recognition and key element extraction of diagnostic process sentences were achieved.Finally,process modeling and visualization techniques were used to transform the extracted knowledge into structured graphical representations,providing intelligent knowledge graph support for clinical decision support systems.This study provides a reproducible technical foundation for the structured expression and intelligent application of clinical practice guideline diagnostic and therapeutic process knowledge.
阮思媛;陈健;帕尔温阿依·它力甫;朱淑琼;任相颖;阎思宇;黄桥;靳英辉;王永博
武汉大学第二临床学院(武汉 430071)||武汉大学中南医院循证与转化医学中心(武汉 430071)武汉科技大学计算机科学与技术学院(武汉 430065)武汉大学第二临床学院(武汉 430071)||武汉大学中南医院循证与转化医学中心(武汉 430071)武汉大学第二临床学院(武汉 430071)||武汉大学中南医院循证与转化医学中心(武汉 430071)武汉大学中南医院循证与转化医学中心(武汉 430071)武汉大学中南医院循证与转化医学中心(武汉 430071)武汉大学中南医院循证与转化医学中心(武汉 430071)武汉大学中南医院循证与转化医学中心(武汉 430071)武汉大学中南医院循证与转化医学中心(武汉 430071)
医药卫生
临床实践指南诊疗流程可计算化知识图谱本体建模
Clinical practice guidelinesDiagnostic and therapeutic processComputabilityKnowledge graphOntology modeling
《医学新知》 2026 (5)
487-494,8
国家自然科学基金面上项目(82174230)国家自然科学基金青年科学基金项目(82505373)
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