Construction And Application Of TCM Clinical Information Classification And Code System

With the development of information technology and big data technology,traditional Chinese medicine has gradually entered the process of standardization,modernization and scientific application.It also provides means and opportunities for the digital processing and research of traditional Chinese medicine information resources.In order to promote the two-way integration of informatization and standardization,under the guidance of the big data world view and methodology,through the "standardized data,diversified collection,thematic aggregation,intensive storage and knowledge processing" to form "data speak,data management,data decision And data innovation " big data governance capabilities to realize the management and decision-making of the hospital's clinical,scientific research,teaching and operation.Because traditional Chinese medicine uses natural language methods in the process of diagnosing and treating diseases,it is difficult to standardize and unify the expression of rich and complex clinical information,resulting in the computer being unable to quickly identify and store this information and the connotation of traditional Chinese medicine clinical information.In-depth exploration of attributes.Therefore,building a TCM clinical information classification and code system,standardizing TCM digitization process,carrying out application research,and providing data support for TCM big data mining is an urgent and basic task for TCM big data governance research.Objective: To build a TCM clinical information classification and code system,in real world clinical electronic medical records,for the raw data,based on the data of traditional Chinese medicine standard,unified,standard of traditional Chinese medicine clinical information digitization process,through the application research,validation standard system and the digital process is scientific,feasibility and operability,lay the foundation for the computer identification and treatment of traditional Chinese medicine clinical information,viewed from different angles,cognitive treatment based on syndrome differentiation of traditional Chinese medicine comprehensive view,to explore the TCM clinical information processing and utilization of new thinking and new ways.Methods: Using the unified modeling language(UML)listening,asking and the activity diagram to understand traditional Chinese medicine,syndrome differentiation and treatment of the whole activity process,analysis of traditional Chinese medicine clinical diagnosis information business flow,analyzes the information flow by using the method of static modeling to establish the corresponding concept model of TCM clinical information,provide basic information for the construction of TCM clinical information model.After the establishment of the information model,the information elements that need to be classified and coded are extracted to construct the TCM clinical information classification and code system,and the TCM data standard and information classification and coding technology are applied to standardize the process and method of TCM clinical information digitization.Finally,a demonstration study on the application of electronic medical record data of 319 patients with tympanitis was conducted to explore the application methods of clinical data analysis of traditional Chinese medicine and the existing deficiencies.Results:(1)Designed TCM clinical information model.Use the Unified Modeling Language dynamic modeling activity diagram to analyze the behavior of the object,describe the entire process of diagnosis and treatment of traditional Chinese medicine clinicians,and further analyze the business information flow of traditional Chinese medicine clinical information diagnosis and treatment activities,and establish it through static modeling Corresponding TCM clinical information conceptual model,construct TCM clinical information model.(2)Constructed a framework for classification and code system of clinical information of traditional Chinese medicine.Based on the TCM clinical information model,referring to the hierarchical structure of the TCM industry standard system framework,the classification and coding needs to be extracted from the four categories of information such as basic information,TCM clinical diagnosis information,TCM clinical intervention information and TCM clinical evaluation information Information,establish a classification and code system for clinical information of traditional Chinese medicine.A total of 77 information elements have been extracted from the system,and 38 need to be classified and coded,including 12 basic information,12 TCM clinical diagnosis information,10 TCM clinical intervention information,and 4 TCM clinical evaluation information.(3)applied research.Guided by the concepts of data and technology method,application of traditional Chinese medicine data standards and information classification and coding technology,the standardized TCM clinical information digitization process,on the basis of selecting one of traditional Chinese medicine hospital electronic medical record data of 319 cases of tympanitis patients,according to the TCM clinical information model to simulate the clinical information standardization of data collection andsorting,according to the TCM clinical information to digital data collected by digital process,form the subject database.After the establishment of TCM clinical information database,it can be discussed and analyzed from many aspects,such as the analysis of the basic situation of disease species and the mining of the correlation between symptoms and disease species,prescription drugs,Chinese medicine properties and efficacy.Conclusion: Constructing the classification and code system of traditional Chinese medicine clinical information,standardizing and standardizing the clinical information,and solving the problem of the inconsistency of the data interface and standards between current information systems.At the same time,build a digital model of traditional Chinese medicine clinical information,fully excavate its clinical information connotation attributes and digitize it,provide a basis for the computer to recognize and process traditional Chinese medicine clinical diagnosis and treatment information,analyze and mine valuable revealing real-world conditions and laws,and provide electronic medical record information for traditional Chinese medicine.The deep excavation and utilization of the software have been deeply explored.However,in the process of system construction,there are still some deficiencies such as insufficient attribute classification and insufficient comprehensive content considering the content of information content.The next step will continue to conduct research and optimizing.