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DEVELOPMENT OF A MONITORING SYSTEM OF CLINICAL INFORMATION,INTEGRATED WITH HOSPITAL INFORMATION SYSTEM

Research Project

Project/Area Number 04557033
Research Category

Grant-in-Aid for Developmental Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field 内科学一般
Research InstitutionUniversity of Tokyo

Principal Investigator

OHE Kazuhiko  UNIVERSITY OF TOKYO,HOSPITAL,ASSISTANT PROFESSOR, 医学部(病), 講師 (40221121)

Co-Investigator(Kenkyū-buntansha) KOYAMA Teruo  NATIONAL CENTER OF SCIENCE AND INFORMATION,R&D DEPT., PROFESSOR, 研究開発部, 助教授 (80124410)
TOMIYA Tomoaki  UNIVERSITY OF TOKYO,HOSPITAL,INSTRUCTOR, 医学部(病), 助手
HASHIMOTO Naoaki  UNIVERSITY OF TOKYO,HOSPITAL,INSTRUCTOR, 医学部(病), 助手 (00167579)
KAIHARA Shigekoto  UNIVERSITY OF TOKYO,HOSPITAL,PROFESSOR, 医学部(病), 教授 (30010234)
Project Period (FY) 1992 – 1993
Project Status Completed (Fiscal Year 1993)
Budget Amount *help
¥5,700,000 (Direct Cost: ¥5,700,000)
Fiscal Year 1993: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1992: ¥5,100,000 (Direct Cost: ¥5,100,000)
KeywordsEXPERT SYSTEM / HOSPITAL INFORMATION SYSTEM / KNOWLEDGE BASE OF INTERNAL MEDICINE / DECISION SUPPORT SYSTEM / OBJECT ORIENTED SYSTEM / HL7
Research Abstract

(1) Refinement of symptom-disease knowledge-base in internal medicine domain, and a development of algorithm for matching medical terms
We developed a specific knowledge-base (KB) editor for the refinement of the KB in internal medicine, the KB which was developed in the previous year. Using this KB editor, representation of symptom characteristics are analyzed, and that of symptoms used in the KB are categorized into similar groups. Algorithm for matching semantics of medical terms was developed to make groups of the terms. This algorithm is based a technique of breaking a complicated term into several semantically primitive terms. To apply this algorithm, a basic set of medical terms is also developed using a master database of our hospital information system and Medical Electronic Dictionary.
(2) A experimental development of a system which generates disease hypotheses from symptoms
Usin the above KB,we developed a prototype system which generates disease hypotheses from symptoms. Thro … More ugh this system, a process, which infers probable diseases from clinical complications or from clinical manifestations, was revealed and confirmed.
(3) A experimental development of a system which utilize clinical data stored in hospital information system
A prototype system, which monitors clinical events and tells alarming reports about results of clinical examinations stored in hospital information system. This system consists of three sub-components : the first is a rule-base system which is designed to activate a previously defined action when a certain condition is satisfied about some clinical results at a certain time, the second is a monitoring system which watches the rule-base and the third is a sub-system which extracts necessary data directory from hospital information system. A feature of this monitoring system is integrated with temporal reasoning which is able to compare two two clinical data derived from different time points.
(4) HL7-based message communication system between monitoring system and hospital information system
We tried to implement a Japanese modified version of HL7 message communication protocol which is used in U.S.This implementation is a first prctical trial in Japan. The inferring engine described above is working on UNIX workstation, and necessary information to proceed the inference is transferred from the hospital information system using this modified HL7 message communication protocol. Less

Report

(3 results)
  • 1993 Annual Research Report   Final Research Report Summary
  • 1992 Annual Research Report
  • Research Products

    (17 results)

All Other

All Publications (17 results)

  • [Publications] 大江和彦: "東大病院情報システムの変革--次世代システムへの布石--" 第13回医療情報学連合大会論文集. 34-35 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Teruo Koyama, Kazuhiko Ohe: "Building a Common Knowledge Base for Internal Medicine" Proc.of '93 Kaera/Japan Joint Conference on Expert Systems.876-888 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] 大江和彦, 日紫喜光, 開原成允, 小山照夫: "内科疾患症状知識ベースの作成--診断仮説生成と検証への適用--" 第13回医療情報学連合大会論文集. 287-290 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] 北河見予志, 大江和彦, 開原成允: "診療情報のモニタリングシステムの開発" 第13回医療情報学連合大会論文集. 557-558 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Kazuhiko Ohe: "A Change of Hospital Information System of University of Tokyo Hospital--an Infrastructure towards the next generation systems--" Proc.of 13rd Japan Joint Conference of Medical Informatics Tokyo. 34-35 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Teruo Koyama and Kazuhik Ohe: "Building a Common Knowledge Base for Internal Medicine" Proc.of '93 Korea/Japan Joint Conference on Expert Systems. 876-888 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Kazuhiko Ohe, Teruyoshi Hishiki, Shigekoto Kaihara, and Teruo Koyama: "Development of a knowledge base for internal medicine to be used in the process of making and validating diagnostic hypotheses" Proc.of 13rd Japan Joint Conference of Medical Informatics Tokyo. 287-290 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Miyoshi Kitagawa, Kazuhiko Ohe, and Shigekoto Kaihara: "Development of a Monitoring System of Clinical Information" Proc.of 13rd Japan Joint Conference of Medical Informatics Tokyo. 557-558 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] 大江和彦: "東大病院情報システムの変革--次世代システムへの布石--" 第13回医療情報学連合大会論文集. 34-35 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Teruo Koyama,Kazuhiko Ohe: "Building a Common Knowledge Base for Internal Medicine" Proc.of '93 Kaera/Japan Joint Conference on Expert Systems.876-888 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] 大江和彦、日紫喜光、開原成允、小山照夫: "内科疾患症状知識ベースの作成--診断仮説生成と検証への適用--" 第13回医療情報学連合大会論文集. 287-290 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] 北河見予志、大江和彦、開原成允: "診療情報のモニタリングシステムの開発" 第13回医療情報学連合大会論文集. 557-558 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Kazuhiko Ohe: "An Object-Oriented Model of Physicians'Strategy at First Encounters-An Approach to sharing Distributed Knowledge-bases" K.C.Lun et al.(eds),Elsevier Science Publichers B.V.(North-Holland),Proceedings of MEDINFO92. 434-439 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] 大江 和彦: "医師の初診患者問診中の疾患仮説生成過程の考察" 人口知能学会第20回知識ベースシステム研究会論文集. 41-45 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] 小山 照夫: "初診患者問診時の疾患仮説生成プロセスタスク並列化について" 人口知能学会第21回知識ベースシステム研究会論文集. 51-56 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] 小山 照夫: "内科学共通知識ベースの開発" 第12回医療情報学連合大会論文集. 143-146 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] 小山 照夫: "初診患者問診時の疾患仮説生成プロセスタスク構造の考察" 学術情報センター紀要. 5. 41-51 (1992)

    • Related Report
      1992 Annual Research Report

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Published: 1992-04-01   Modified: 2016-04-21  

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