The significance of the existence of clinical practice guidelines lies in their implementation, however, there are still many problems in the implementation of guidelines and bottlenecks in the translation of clinical evidence. The introduction of knowledge graph technology provides a solid foundation for guideline intel-ligence and a good tool for solving guideline implementation problems. The combined Traditional Chinese Medi-cine (TCM)/ Integrated Traditional Chinese and Western Medicine (IM) reflect the characteristics of the healthcare system in China. Using the current status of TCM/IM diagnosis and treatment of cardiovascular diseases and the current problems in the application of TCM/IM guidelines for cardiovascular diseases, this study defined the objectives of constructing a knowledge graph for TCM/IM clinical guidelines for cardiovascular diseases, and accordingly designed a knowledge graph framework for TCM/IM clinical guidelines that is con-sistent with professional knowledge and practical application. We analyzed the scope of the guidelines, ar-ranged their content and summarized their knowledge structure. We then established concept structure tables and entity semantic relationship tables. The design of the knowledge graph framework for TCM/IM guidelines proposed in this paper provides a basis for the digitization and communication of guidelines, and is conducive to promoting their implementation and dissemination.
HomeArticlesVol 32,2022 No.1Detail
Research on the promotion of implementation of clinical practice guidelines(III): conceptual level de-sign of a knowledge graph for clinical guidelines for Traditional Chinese Medicine/Integrated Tradi-tional Chinese and Western Medicine
Published on Feb. 25, 2022Total Views: 15751 timesTotal Downloads: 4393 timesDownloadMobile
- Abstract
- Full-text
- References
Abstract
Full-text
References
1. Institute of Medicine (US) Committee on Standards for Developing Trustworthy Clinical Practice Guidelines. Clinical practice guidelines we can trust[M]. Washington (DC): National Academies Press, 2011. DOI: 10.17226/ 13058.
2. Hesketh T, Zhu WX. Health in China. Traditional Chinese medicine: one country, two systems[J]. BMJ, 1997, 315(7100): 115-117. DOI: 10.1136/bmj.315.7100.115.
3. Chen Y, Wang C, Shang H, et al. Clinical practice guidelines in China[J]. BMJ, 2018, 360: j5158. DOI: 10.1136/bmj.j5158.
4. 靳英辉, 邓通, 曾宪涛, 等. 临床实践指南制订方法——指南的实施与转化[J]. 中国循证心血管医学杂志, 2019, 11(9): 1040-1042, 1046. [Jin YH, Deng T, Zeng XT, et al. Methodology for clinical practice guide-lines--implementation and transformation of guidelines[J]. Chinese Journal of Evidence-Based Cardio-vascular Medicine, 2019, 11(9): 1040-1042, 1046.] DOI: 10.3969/j.issn.1674-4055.2019.09.03.
5. 董斐, 刘建平. 从“经验”到“证据”:循证医学促进中医药传承创新发展[J]. 南京中医药大学学报, 2021, 37(5): 642-647. [Dong F, Liu JP. From "Exprerience" to "evidence": evidence-based medicine facilitates the in-teritance and innovation of traditional Chinese medicine[J]. Journal of Nanjing University of Traditional Chinese Medicine, 2021, 37(5): 642-647.] DOI: 10.14148/j.issn.1672- 0482.2021.0642.
6. 尹梓名, 吕旭东, 段会龙. 基于临床指南的决策支持系统[J]. 中国医疗器械信息, 2015, 21(3): 1-5, 23..[Yin ZM, Lyu XD, Duan JL. Guideline-based clinical decision support system[J]. China Medical Device Information, 2015, 21(3): 1-5, 23.] DOI: 10.15971/j.cnki.cmdi.2015.03.001.
7. 陈耀龙, 史乾灵, 赵俊强, 等. 从知到行:跨越指南理论与实践的鸿沟[J]. 协和医学杂志, 2020, 11(6): 746-753. [Chen YL, Shi QL, Zhao JQ, et al. From knowledge to action: bridging the gap between theory and practice in clinical practice guidelines[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(6): 746-753.] DOI: 10.3969/j.issn.1674-9081.2020.06.020.
8. Murdoch TB, Detsky AS. The inevitable application of big data to health care[J]. JAMA, 2013, 309(13): 1351-1352.DOI: 10.1001/jama.2013.393.
9. He J, Baxter SL, Xu J, et al. The practical implementation of artificial intelligence technologies in medi-cine[J]. Nat Med, 2019, 25(1): 30-36. DOI: 10.1038/s41591-018-0307-0.
10.侯梦薇, 卫荣, 陆亮, 等. 知识图谱研究综述及其在医疗领域的应用[J]. 计算机研究与发展, 2018, 55(12): 2587-2599. [Hou MW, Wei R, Lu L, et al. Research review of knowledge graph and its application in medical domain[J]. Journal of Computer Research and Development, 2018, 55(12): 2587-2599.] DOI: 10.7544/issn1000-1239.2018.20180623.
11.孙华君, 李海燕, 聂莹, 等. 知识图谱及其在中医药领域应用研究进展[J]. 世界科学技术-中医药现代化, 2020, 22(6): 1969-1974. [Sun HJ, Li HY, Nie Y, et al. Research progress on knowledge graphs and their application in traditional Chinese medicine[J]. World Science and Technology-Modernization of Traditional Chinese Medicine, 2020, 22(6): 1969-1974.] DOI: 10.11842/wst.2019 0429007.
12.中华中医药学会心血管病分会. 冠心病稳定型心绞痛中医诊疗指南[J]. 中医杂志, 2019, 60(21): 1880-1890. [China Association of Chinese Medicine Cardiovascular Disease Section. Guidelines of the traditonal Chinese medicine for stable angina pectoris in coronary artery disease[J]. Journal of Traditional Chinese Medi-cine, 2019, 60(21): 1880-1890.] DOI: 10.13288/j.11-2166/r.2019.21.015.
13.中华中医药学会心血管病分会. 冠心病心绞痛介入前后中医诊疗指南[J]. 中国实验方剂学杂志, 2018, 24(15): 4-6. [China Association of Chinese Medicine Cardiovascular Disease Section. Guidelines of the traditonal Chinese medicine for before and after coronary heart disease angina pectoris intervention treat-ment[J]. Chinese Journal of Experimental Traditional Medical Formulae, 2018, 24(15): 4-6.] DOI: 10.13422/j.cnki.syfjx.20184101.
14.中国医师协会中西医结合医师分会, 中国中西医结合学会心血管病专业委员会, 中国中西医结合学会重症医学专业委员会, 等. 急性心肌梗死中西医结合诊疗指南[J]. 中国中西医结合杂志, 2018, 38(3): 272-284. [Doctor Society of integrative Medicine of Chinese Medical Doctor Association, Specialist Committee on Cardiovascu-lar Disease of Chinese Integrative Medicine Association, Committee of Intensive Care Medicine of Chinese Association of Integrative Medicine, et al. Guidelines for the integrated traditional Chinese and Western medicine treatment of acute myocardial infarction[J]. Chinese Journal of Integrated Tra-ditional and Western Medicine, 2018, 38(3): 272-284.] DOI: 10.7661/j.cjim.20180119.038.
15.世界中医药联合会心血管病专业委员会, 中国中西医结合学会心血管病专业委员会, 中华中医药学会介入心脏病学会, 等. 冠状动脉血运重建术后心绞痛中西医结合诊疗指南[J]. 中国中西医结合杂志, 2020, 40(11): 1298-1307. [Specialist Committee on Cardiovascular Disease of World Federation of Chinese Medicine, Specialist Committee on Cardiovascular Disease of Chinese Integrative Medicine Association, China Association of Chinese Medicine Interventional Cardiology Society, et al. Guidelines for the integrated treatment of angina pectoris after coronary revascularization[J]. Chinese Journal of Integrated Traditional and Western Medicine, 2020, 40(11): 1298-1307.] DOI: 10.7661/j.cjim.20200917.181.
16.OMAHA Schema[EB/OL]. (2021-11-12) [Access on 2021-12-08]. http://wiki.omaha.org.cn/display/KG/OMAHA+Schema.
17.何丽云, 李新龙, 刘岩, 等. 中医师辨证论治知识图谱构建的思路与方法[J]. 中医杂志, 2017, 58(19): 1650-1653. [He LY, Li XL, Liu Y, et al. Ideas and methods for the construction of a knowledge graph for the identi-fication and treatment of Chinese medicine practitioners[J]. Journal of Traditional Chinese Medicine, 2017, 58(19): 1650-1653.] DOI: 10.13288/j.11-2166/r.2017.19.008.
Popular Papers
-
Mediating effects of social support and health literacy on self-efficacy and self-advocacy in patients with postoperative chemotherapy for breast cancer
Aug. 25, 202511010
-
Frontier progress and future strategies in the treatment of pulmonary fibrosis
Aug. 25, 202510607
-
Analysis of depression burden and attribution risk factors among Chinese adolescents aged 10~24 from 1990 to 2021
Sep. 26, 202510423
-
Analysis of cancer disease burden in China from 1990 to 2021
Aug. 25, 20258449
-
A case report on chemotherapy-free treatment for small cell lung cancer
Aug. 25, 20256449
-
The disease burden of infertility in China from 1992 to 2021 based on an age-period-cohort model
Sep. 26, 20256304
-
Prediction of incidence and mortality rates of nasopharyngeal carcinoma in China from 2022 to 2026: based on GM(1,1) and ARIMA models
Sep. 26, 20256193
-
Systematic review and Meta-analysis of prediction models: a case study on the risk prediction model for hepatocellular carcinoma in patients with chronic hepatitis B
Aug. 25, 20255978
-
Research progress on neutrophil extracellular traps in tumors
Sep. 26, 20255846
-
A study on the implementation and effect of formative evaluation ability training for clinical teachers
Sep. 26, 20255643
-
Systematic evaluation of predictive models for deep vein thrombosis risk in patients undergoing hip surgery
Aug. 25, 20255635
-
Progress of gut microbiota in tumor immunotherapy
Sep. 26, 20255601
-
Relationship between the ratio of non-HDL-C and HDL-C and the risk of all-cause mortality in a population with abnormal glucose metabolism: base on CHARLS database
Aug. 25, 20255547
-
The association between sleep duration, overweight/obesity, and multimorbidity among primary care medical staff
Sep. 26, 20255546
-
Relationship between serum NF-κB, CXCL13, ADAM17 levels and prognosis in children with primary immune thrombocytopenia
Sep. 26, 20255497
Welcome to visit Zhongnan Medical Journal Press Series journal website!