临床实践指南是系统化制定的临床指导意见,能够帮助医生和患者在特定的临床场景下选择合适的医疗保健服务.然而基于文本的指南不便于推广和应用,如何实现指南的自动执行以辅助医生和患者提高医疗质量,已经成为近年来临床决策支持研究的重要内容.计算机可理解的指南表示语言是此类研究的关键,针对目前对高容变、语义直观的指南表示语言的需求,本文的主要工作是在严格定义了基于指南模型SDA*的治疗方案生成过程的基础上,将基于SDA*的治疗方案生成直观地转化为求解逻辑程序的回答集.
Clinical practice guidelines( CPGs),are defined as systematically developed statesments to assist physician and patient in making decisions about appropriate health care for specific circumstances. However,these paper-based guidelines are particularly difficult to be applied into real environment. How to realize the automatical execution of guidelines has become a research focus of clinical decision support. Computer-interpretable guideline modeling language is the key point in these researches. Intuitive semantics will facilitate the users to model CPGs in the language,and elaboration tolerance is required to faciliate the update of the models. In this paper,we present a precise definition of the clinical treatment based on a guideline model SDA*and transform it into a logic programming intuitively.