临床决策支持系统的自动机模型验证

G. Shovkoplias, Ivan Smirnov, Mark Tkachenko, N. Gusarova, A. Vatian, A. Shalyto, R. Niyogi
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摘要

在治疗任何疾病时,医生都必须严格遵守临床规程。但是,这篇文档不能完全被认为是医生行为算法的图形图,因为其中的大部分过渡规则在没有医生知识参与的情况下是无法实现的。因此,在临床方案的基础上,有必要建立一个临床决策支持系统(CDSS)。现有的cdss不允许将临床方案描述为一系列行动。这个缺点可以通过使用自动机模型作为CDSS推理引擎来消除,因为处理过程本身的术语导致了一个自然的想法——在状态下对这个过程进行建模,即使用自动机方法。同时,确保自动机模型的可扩展性是至关重要的,这将允许在选择药物时考虑到已开处方药物的任何可能的不良反应。本文讨论了作为CDSS推理引擎的自动机模型的开发和验证过程。该过程基于Automata方法并离线执行,使用一系列改进,使您能够获得反映医生典型选择的更详细的模型。此外,每次更换或添加药物时,都会对模型进行在线测试,在此期间检查与已有处方药的兼容性和患者的病史。开发的过程应用于构建和验证的CDSS管理的多发性硬化症患者。对自动机
本文章由计算机程序翻译,如有差异,请以英文原文为准。
VERIFICATION OF AUTOMATA MODELS FOR CLINICAL DECISION SUPPORT SYSTEMS
In the treatment of any disease, the doctor must strictly follow the clinical protocol. However, this document cannot be fully considered as a graph diagram of the algorithm of the doctor’s actions, since most of the transition rules in it cannot be implemented without the involvement of the doctor’s knowledge. So, based on the clinical protocol, it is necessary to create a clinical decision support system (CDSS). Existing CDSSs do not allow describing the clinical protocol as a sequence of actions. This drawback can be eliminated by using the automata model as a CDSS inference engine, since the terminology of the treatment process itself leads to a natural thought - to model this process in states, i.e. use an automata approach. At the same time, it is vital to ensure the extensibility of the automata model, which will allow among other things for taking into account when choosing drugs any possible adverse reactions to drugs already prescribed. The article discusses the process of development and verification of an automata model as an inference engine for CDSS. The process, based on the Automata approach and performed offline, uses a sequence of refinements, which allows you to get a more detailed model that reflects the typical options for the doctor. In addition, with each replacement or addition of the drug, online testing of the model is performed, during which compatibility with the already prescribed drugs and the patient's history is checked. The developed process is applied to the construction and verification of CDSS for the management of patients with multiple sclerosis. to automata
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