arXiv:2509.11507cs.AI2025-09被引 3

用自然语言操作医疗系统,让医生专注诊疗而非软件操作。

MedicalOS: An LLM Agent based Operating System for Digital Healthcare

  • 通过大模型代理将自然语言指令转为医疗操作命令。
  • 214个病例验证诊断准确、检查合理、报告结构化。
  • 专为临床规范设计,适合希望提升效率的医生和医院。

数字健康技术(如电子病历)虽已优化常规流程,但多数系统难学难用:医生需在多个工具间切换,重复手动操作,绕复杂界面寻找功能,耗费大量时间在行政事务上。近年来基于大语言模型的智能体在编程与计算机操作中表现卓越,显示人类可借助自然语言指令操控系统。这亟需一个抽象层——将人话转化为机器可执行命令。在医疗领域,该层必须严格遵循临床指南与规程以保障安全、透明与合规。为此,我们提出「MedicalOS」,一个面向医疗领域的统一代理操作系统,作为专用抽象层。它将自然语言指令转化为预定义的医疗操作,如患者问询、病史查询、检查管理、报告生成、转诊、治疗方案制定等,并通过Python、API、MCP、Linux等机器语言封装为即插即用工具。我们在22个专科的214例患者数据上实证验证,结果表明其具备高诊断准确率与置信度,检查请求符合临床逻辑,且能持续生成结构化报告与用药建议。这些成果证明MedicalOS是推动临床工作流自动化的可信、可扩展基础。

原文摘要 · Abstract (English)

Decades' advances in digital health technologies, such as electronic health records, have largely streamlined routine clinical processes. Yet, most these systems are still hard to learn and use: Clinicians often face the burden of managing multiple tools, repeating manual actions for each patient, navigating complicated UI trees to locate functions, and spending significant time on administration instead of caring for patients. The recent rise of large language model (LLM) based agents demonstrates exceptional capability in coding and computer operation, revealing the potential for humans to interact with operating systems and software not by direct manipulation, but by instructing agents through natural language. This shift highlights the need for an abstraction layer, an agent-computer interface, that translates human language into machine-executable commands. In digital healthcare, however, requires a more domain-specific abstractions that strictly follow trusted clinical guidelines and procedural standards to ensure safety, transparency, and compliance. To address this need, we present \textbf{MedicalOS}, a unified agent-based operational system designed as such a domain-specific abstract layer for healthcare. It translates human instructions into pre-defined digital healthcare commands, such as patient inquiry, history retrieval, exam management, report generation, referrals, treatment planning, that we wrapped as off-the-shelf tools using machine languages (e.g., Python, APIs, MCP, Linux). We empirically validate MedicalOS on 214 patient cases across 22 specialties, demonstrating high diagnostic accuracy and confidence, clinically sound examination requests, and consistent generation of structured reports and medication recommendations. These results highlight MedicalOS as a trustworthy and scalable foundation for advancing workflow automation in clinical practice.

医疗AI大模型应用工作流自动化

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