DESIGN OF AN ENTITY–RELATIONSHIP MODEL FOR AN AI-ASSISTED CARDIOVASCULAR DISEASE DIAGNOSTIC INFORMATION SYSTEM
DOI:
https://doi.org/10.57033/mijournals-2026-9-0159Keywords:
artificial intelligence; cardiovascular disease; medical diagnosis; entity–relationship model; database design; clinical decision support; machine learning; electronic health records; data normalization; healthcare informatics.Abstract
Background: Cardiovascular diseases remain the leading cause of mortality
worldwide, and early diagnostic support requires not only predictive algorithms but also
reliable clinical data infrastructure. Objective: This study proposes a conceptual and
logical database design based on the Entity–Relationship (ER) model for an AI-assisted
cardiovascular disease diagnostic information system. Methods: The database model
was developed through requirement analysis, entity identification, attribute specification,
relationship mapping, key definition, normalization, and relational transformation. The
proposed structure integrates patient demographics, medical history, clinical visits, vital
signs, laboratory results, electrocardiogram records, AI-based risk assessments, treatment
plans, user roles, and audit logs. A proof-of-concept evaluation was performed using
a 500-record synthetic test database to assess data consistency, redundancy reduction,
query readiness, and technical compatibility with a machine-learning diagnostic
workflow. Results: The proposed ER model separates clinical objects into normalized
entities and defines explicit one-to-many and one-to-one relationships among patient
records, examinations, diagnostic inputs, AI outputs, and treatment recommendations.
Compared with an initial flat schema, normalization reduced duplicated fields by 27%
in the prototype database. In the synthetic workflow test, the AI module achieved 92.0%
accuracy, 92.2% precision, 92.2% recall, 91.8% specificity, and a 92.2% F1-score; these
figures demonstrate technical feasibility rather than clinical efficacy. Conclusion: The
proposed ER model provides a structured foundation for AI-assisted cardiovascular
diagnostic systems by improving data integrity, traceability, security, and readiness
for machine-learning analysis. Future work should validate the model using ethically
approved, anonymized real-world clinical datasets.
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