CN111028936A - Method, system and equipment for medical examination and reasonable compliance analysis of inspection - Google Patents

Method, system and equipment for medical examination and reasonable compliance analysis of inspection Download PDF

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CN111028936A
CN111028936A CN201911286628.1A CN201911286628A CN111028936A CN 111028936 A CN111028936 A CN 111028936A CN 201911286628 A CN201911286628 A CN 201911286628A CN 111028936 A CN111028936 A CN 111028936A
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examination
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不公告发明人
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/40ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients

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Abstract

The invention discloses a method, a system and equipment for analyzing the reasonable compliance of medical examination and inspection, which can analyze the reasonable compliance of the medical examination and inspection by establishing a medical examination and inspection database, extracting information of inspectors, information of the medical examination and inspection and relevant element actual information of the inspectors for the medical examination and inspection, and comparing the extracted information with the medical examination and inspection database. By the method, the system and the equipment for reasonably analyzing the compliance of medical examination and inspection, the analysis result is provided for different users in different forms, so that the users are assisted to realize effective management of the medical examination and inspection, and inspectors are helped to safely, effectively, economically and properly carry out the medical examination and inspection; the medical examination and inspection can be better managed by the medical administration management department, the medical insurance management department, the medical institution, the insurance company, the market/quality supervision management department and the commercial circulation management department.

Description

Method, system and equipment for medical examination and reasonable compliance analysis of inspection
Technical Field
The invention relates to the technical field of intelligent medical information processing, in particular to a method, a system and equipment for intelligently analyzing medical examination and checking reasonableness.
Background
The examiner often needs to perform various medical examinations and examinations in outpatient service/emergency service/hospitalization/physical examination, and the examination and examinations of the human tissues and materials, human metabolites, human biological information, and physiological indexes of the examiner in the medical examinations and examinations are performed in the aspects of microbiology, immunology, biochemistry, genetics, pathology, hematology, physiology, physics, cytology, psychology, and the like, so as to provide information for the prevention, diagnosis, treatment of human diseases, and assessment of human health and physiological functions. Medical examination and inspection are directly related to human health assessment, effective treatment of diseases, reasonable distribution of medical resources, safety and health of inspectors and the like, and are the key points for guaranteeing medical quality, controlling unreasonable medical expenses and maintaining rights and interests of inspectors.
Documents such as medical orders, prescriptions, examination papers, and physical examination papers are key medical documents for judging the rationality of medical examination and examination performed by an examiner as the proof of performing medical examination and examination by a doctor/nurse/examination or an examiner. When a doctor/nurse/examination or a checker prescribes a medical examiner to have medical examinations and examination-related orders, the doctor/nurse/examination or the checker should select an applicable product according to the use object, function and application range of the medical examination and examination based on the actual needs of the checker in outpatient service/emergency service/hospitalization/physical examination. Meanwhile, the individual information of the examiner is combined, the medical examination and the inspection which are seriously harmful to the examiner are eliminated by considering the contraindications, the cautions, the warning/prompting contents, the potential safety hazards, the use limitation and other factors of the medical examination and the inspection, and the medical examination and the inspection which are potentially dangerous to the examiner need to fully evaluate the risks and balance the necessity. In addition, the medical insurance condition and economic payment ability of the examiner and the convenience of medical examination and verification should be considered. Only by comprehensively considering the factors closely related to medical examination and inspection, the optimal target can be achieved, and the benefit of the examiner is fully guaranteed.
In the process of actually determining whether to perform medical examination and inspection, unreasonable and non-compliant phenomena may occur due to various subjective and objective reasons. The method for applying medical examination and examination, auditing and commenting and comprehensively analyzing and evaluating the safety, effectiveness, economy and convenience of medical examination and examination of examinees on the basis of technical data such as medical examination and examination specifications is an important method for guaranteeing the examinees to reasonably carry out the medical examination and examination. Especially, with the development and application of modern information technology, the appearance of intelligent medical analysis systems makes it possible to comprehensively examine massive medical examination and examination data and examiner information, and will gradually play a great role in ensuring that the examiner reasonably performs medical examination and examination.
Disclosure of Invention
The main purposes of the invention are: aiming at the possible risks related to the reasonable compliance use of medical examination and inspection in the aspects of effectiveness, safety, economy, convenience and the like in the process of medical examination and inspection by inspectors, a method, a system and equipment for intelligently analyzing, including auditing, commenting and evaluating the reasonable compliance of the medical examination and inspection are provided, so that the medical examination and inspection can be reasonably performed by prescribers/operators and inspectors.
To achieve the above objects, the present invention provides a method for analyzing the rational compliance of medical examinations and tests, comprising:
establishing a medical examination and inspection database;
extracting basic information of an inspector;
extracting medical examination and inspection information;
extracting relevant element actual information of medical examination and inspection performed by an inspector;
and calculating and comparing the basic information of the examiner, the information of the medical examination and inspection and the actual information of relevant elements of the medical examination and inspection performed by the examiner with relevant information and rules in the medical examination and inspection database, and analyzing the rationality and compliance of the medical examination and inspection performed by the examiner.
A method for the analysis of the sound compliance of medical examinations and tests as described above, said medical examination and test database comprising at least one of information and rules relating to the sound and compliance of medical examinations and tests, the impact on the examiner and the measures to be taken.
A method for analyzing the health compliance of medical examination and verification as described above, wherein the information and rules related to health check and verification health and compliance include: information and rules of medical examination and test applicability/applicability, information and rules of medical examination and test contraindications, information and rules of medical examination and test caution/attention, information and rules of medical examination and test interaction/interaction, information and rules of medical examination and test allergies, information and rules of medical examination and test expiration, information and rules of medical examination and test time, information and rules of medical examination and test method, information and rules of medical examination and test volume, information and rules of medical examination and test adverse reactions, information and rules of medical examination and test convenience/comfort/compliance, information and rules of medical examination and test monitoring/assessment at various stages before/during/after medical examination and test, at least one of information and rules of preparation/protection measures before/during medical examination and verification and recovery measures thereafter, information and rules of medical insurance/medical welfare of medical examination and verification, information and rules of economic management and control of medical examination and verification, information and rules of administrative requirements of medical examination and verification, information and rules of examination and verification conditions of medical examination and verification.
The method for analyzing the reasonable compliance of the medical examination and verification comprises the medical examination and verification multi-dimensional element attribute dictionary, and is used for processing the basic information of an examiner, the information of the medical examination and verification, and the matching/comparison of the actual information of the relevant elements of the examiner for the medical examination and verification with the relevant information and rules of a medical examination and verification database.
The method for analyzing the reasonable compliance of the medical examination and verification comprises the steps that the multi-dimensional element attribute dictionary for the medical examination and verification comprises a standard dictionary, a synonym corresponding dictionary and a fuzzy matching dictionary of all element attributes related to the medical examination and verification, and the extracted information is compared with the information and rules in the medical examination and verification database by comparing the extracted original information with the synonym corresponding dictionary, or comparing the original information after converting the original information into the format of the corresponding standard dictionary, or comparing the original information by fuzzy matching, or mixing the methods.
The method for analyzing the reasonable compliance of the medical examination and test further comprises reminding an examiner/operator/doctor/nurse/pharmacist/nurse, a method for detecting/discovering various conditions and risks which may occur when/after the examiner performs the relevant medical examination and test, a method for preparing and dealing with the conditions, and sending out an alarm, prompting or starting remedial measures when the conditions of the medical examination and test are discovered.
A method of a proper compliance analysis of medical examinations and tests as described above, said method comprising: the method comprises the steps of analyzing and comparing analysis results of analysis items obtained by medical examination and inspection under various conditions according to relevant rules of a medical examination and inspection database, setting grades/scores of the analysis items under the conditions reasonably performed by the medical examination and inspection, and setting relative weights of the analysis items according to actual conditions of inspectors, so that when the medical examination and inspection are reasonably compliant and analyzed, comprehensive grades/scores of the medical examination and inspection can be calculated according to the grades/scores corresponding to the analysis items and the weights of the analysis items, and comprehensive analysis results can be provided for reasonable and compliant analysis of the medical examination and inspection under the conditions.
According to the method for reasonably analyzing the compliance of the medical examination and test, different intelligent analysis models can be generated by correspondingly generating the grade/score set according to the analysis result of each analysis item and the weight of each analysis item under various conditions of the medical examination and test, so that the related intelligent analysis models can be used/referred under the same/similar use conditions, and the setting of the intelligent analysis models can be continuously optimized and adjusted in the use process.
A method of medical examination and verification of proper compliance analysis as described above, the method comprising encrypting identification, confirmation, login, electronic signature of examiner, prescriber/operator and associated roles, as well as storage, transmission and application of personal information, prescription/order information and results of each analysis.
The invention also provides a system for analyzing the reasonable compliance of medical examination and inspection, which comprises:
the medical examination and inspection database unit is used for storing a medical examination and inspection database, and the medical examination and inspection database comprises at least one of information and rules related to the reasonability and compliance of medical examination and inspection, the influence on an inspector and related measures required to be taken;
the examiner basic information extraction unit is used for extracting the examiner basic information;
a medical examination and inspection information extraction unit for extracting medical examination and inspection information;
the relevant element actual information extraction unit is used for extracting the relevant element actual information for the medical examination and inspection of the examiner according to the elements contained in the information and the rules of all the items of medical examination and inspection reasonableness and compliance analysis;
the reasonable compliance analysis unit for medical examination and inspection is used for analyzing the reasonable compliance of the medical examination and inspection;
the medical examination and inspection reasonable compliance analysis unit is used for calculating and comparing the basic information, the medical examination and inspection information and the relevant information and rules in the medical examination and inspection database, and analyzing the reasonable compliance of the medical examination and inspection performed by the inspector.
The invention also provides a device for analyzing the reasonable compliance of medical examination and inspection, comprising:
the medical examination and inspection database module is used for storing a medical examination and inspection database;
the inspector basic information extraction module is used for extracting basic information of an inspector;
the medical examination and inspection information extraction module is used for extracting medical examination and inspection information;
the relevant element actual information extraction module is used for extracting relevant element actual information for medical examination and inspection of the examiner;
and the reasonable compliance analysis module for medical examination and inspection is used for analyzing the reasonable compliance of the medical examination and inspection.
The method, the system and the equipment for analyzing the reasonable compliance of the medical examination and the inspection can analyze the reasonable compliance of the medical examination and the inspection by establishing a medical examination and inspection database, extracting the basic information and the information of the medical examination and the inspection of an inspector and the actual information of relevant elements of the medical examination and the inspection of the inspector and comparing the extracted information with the medical examination and inspection database. By the method, the system and the equipment for reasonably analyzing the compliance of medical examination and inspection, the analysis result is provided for different users in different forms, so that the users are assisted to realize effective management of the medical examination and inspection, and inspectors are helped to safely, effectively, economically and properly carry out the medical examination and inspection; help medical administration, medical insurance management, medical institution, insurance company, market/quality supervision management to better manage the use and payment of medical examinations and examinations.
Drawings
FIG. 1 is a flow chart of a method for the rational compliance analysis of medical examinations and tests of the present invention.
FIG. 2 is a block diagram of a system for proper compliance analysis of medical examinations and tests in accordance with the present invention.
FIG. 3 is a hardware block diagram of an apparatus for proper compliance analysis of medical examinations and examinations according to the present invention.
Detailed Description
To further explain the technical means and effects of the present invention adopted to achieve the intended purpose, the following detailed description of the embodiments of the present invention is provided in conjunction with the accompanying drawings and examples.
In the present invention, the examiner refers to an object which is actually acted upon by the medical examination and the examination, and includes a healthy person who performs the medical examination and the examination. The prescribers/operators refer to doctors, nurses, examiners, nursing staff, physical therapists, rehabilitation doctors, other related technical staff and the like who prescribe and operate non-medical examinations of medical examinations and who examine actual subjects. The prescription represents the proof for medical examination and examination, including medical advice, prescription, examination order, laboratory test order, material requisition, execution order, etc. issued by examiner.
A first embodiment of the present invention is described with reference to fig. 1. FIG. 1 is a flow chart of a method of the invention for the analysis of the rational compliance of medical examinations and tests. As shown in the figure, the method for analyzing the reasonable compliance of medical examination and inspection comprises the following steps:
step 1: and establishing a medical examination and inspection database.
The medical examination and inspection database is established according to various information and rules related to the medical examination and inspection rationality and compliance, the influence of medical examination and inspection examiners and related measures required to be taken, and comprises analysis, application and data of various items related to the medical examination and inspection rationality/compliance, specifically comprises various related element attributes and values/ranges/calculation methods/sources/limiting conditions/exclusion conditions of the various element attributes, and interrelations/influences/interconversions/rules/calculation methods among various/groups/various element attributes. In the present invention, the medical examination and inspection refers to the examination and inspection of the aspects of microbiology, immunology, biochemistry, genetics, pathology, hematology, physiology, physics, cytology, psychology, etc. on the human tissue and material, human metabolites/excretions/secretions, various human sound information, various human image information, human metabolism related information, human biology information, microorganism related information in human body, human immunity information, growth and development information, physiological functions/functions, physiological indexes, intelligence status, psychological status, etc. of the examinee, thereby providing information for the prevention, diagnosis, treatment of human diseases and evaluation/prediction/adjustment of human body status and ability, and the specific methods include B ultrasound, color ultrasound, electrocardiogram, CT, nuclear magnetism, chest dialysis, blood examination, etc. During medical examination and verification, various related medical instruments may be used, including instruments, devices, apparatuses, tools, machines, robots, implants, materials, extracorporeal reagents, topical agents, or other similar or related products, props, models, systems, and their components or accessories, consumables, systems, databases, and the like.
The medical examination and inspection database of the present invention is based on various medical examination and inspection operation flows, guidelines, clinical treatment routes, prescription sets, pharmacopoeias, expert consensus, conference disciplines and consensus within the conjunctions/hospitals/departments, industry norms, textbooks, treatises, monographs, inventions, scientific inferences, experimental reports, data analysis reports, test reports, examination reports, approval documents, relevant regulations, relevant guidance opinions, relevant policies, relevant regimes, relevant catalogs, relevant literature data, relevant price regulations, relevant price catalogs, relevant bidding results, relevant price policies, relevant insurance payment terms, relevant insurance payment protocols, relevant bidding results, relevant purchase catalogs, relevant doctor/nurse/inspector/caregiver/inspector/salesperson/evaluation/inspection results/monitoring reports/safety reports, Other literature data, other research results with professionalism/authority, a evidence-based medical method, or probability speculation based on existing data, a database established by sources such as various weights, various levels, various orders and the like needing to be set manually, a database established based on information reforming, information analysis and big data analysis, a database established by artificial intelligence deep learning, a database obtained by data mining analysis, rules and indexes manually set by data statistical analysis and artificial intelligence deep learning, and related information and rules of the database continuously accumulated and refined in the using process of a user. The medical examination and verification database may be a database created by combining the above methods. The database can be updated according to versions or can be updated in real time according to actual data. The medical examination and inspection database can be a relational database or a non-relational database; can be a table database or a graph database; the related data may be structured data or unstructured data.
The information and rules associated with the performance of medical examinations and checks in the medical examination and check database as to the reasonableness and compliance of the examinations include: information and rules of medical examination and test applicability/applicability, information and rules of medical examination and test contraindications, information and rules of medical examination and test caution/attention, information and rules of medical examination and test interaction/interaction, information and rules of medical examination and test allergies, information and rules of medical examination and test expiration, information and rules of medical examination and test time, information and rules of medical examination and test method, information and rules of medical examination and test volume, information and rules of medical examination and test adverse reactions, information and rules of medical examination and test convenience/comfort/compliance, information and rules of medical examination and test monitoring/assessment at various stages before/during/after medical examination and test, information and rules of preparation/protection measures and recovery measures after before/during medical examination and verification, information and rules of medical insurance/medical welfare of medical examination and verification, information and rules of economic management and control of medical examination and verification, information and rules of administrative requirements of medical examination and verification, information and rules of examination and verification conditions of medical examination and verification, and the like.
The elements involved in the various information and rules related to the rationality and compliance of medical examinations and examinations in the medical examination and examination database may include: basic information of examiner, population information, genetic-related information, disease information, medical history information, medication history information, medical instrument use history information, operation items, objects, methods, procedures, time, physiological development information, marriage and child care information, physiological conditions, psychological/intellectual conditions, life/work/study/sport/entertainment information, environmental information, medicine/medical instrument/health care product/cosmetic use-related information, medical insurance-related information, medical expense payment ability/will, medical institution information, prescriber/caregiver/operator information, medical instrument/consumable/device/instrument/medicine required for examination or examination, cost of examination/examination, and the like. The crowd information may include specific crowd information such as specific age, gender, development status, marital status, fertility status, work status, learning status, exercise status, life status, physiological status, psychological status, and genetic status. The genetically related information includes: genetic information, genetic information mutation/change information, genetic defect information, genetic medical history, family medical history, and the like. The disease information includes: disease, diagnosis, symptom type, symptom, index, pulse condition, tongue diagnosis, etc. The medical history information includes medical history, surgical history, radiotherapy history, chemotherapy history, psychotherapy history, physical therapy history, immunotherapy history, gene therapy history and the like. The medication history information includes: medication history, drug efficacy, adverse drug reactions, drug allergy history, drug tolerance and the like. The medical instrument use history information includes: medical instrument use history, medical instrument use curative effect, medical instrument use adverse reaction, medical instrument tolerance and the like. The operation items include operation, examination, test, detection, operation, health promotion, rehabilitation, psychotherapy, radiotherapy, chemotherapy, physiotherapy, thermotherapy, phototherapy, magnetotherapy, electrotherapy, cryotherapy, electromagnetic therapy, phonotherapy, immunotherapy, gene therapy, weight reduction, body building, shaping, and skin caring. The objects include related samples, related descriptions/feelings, related body basic data, related functions of each system/organ/tissue, related physical abilities, related intelligence, related emotions, and the like. The correlation samples include: body tissue/fluids, metabolism/excretion, images, sounds, electrical/magnetic signals, odors, etc. The physiological development information includes: growth and development conditions, physiological stages, fertility and the like. The marriage and childbirth information comprises marriage history, birth history, sexual life and the like. The physiological conditions include: physical performance, nutritional status, hearing, vision, taste, smell, touch, respiration, motor coordination, digestion, absorption, excretion, sexual function, and the like, and levels of related abilities. Psychological/intellectual status includes: psychological disorders, mood, feeling, intelligence, attention, memory, perception, communication ability, expression ability, and the like. Life/work/learning/sports/entertainment information includes: diet, work and rest, sleep, work, study, entertainment, sports and other related information. The environment information includes the examiner's living/working/learning environment/environment for medical examination and examination: temperature, humidity, air pressure, season, altitude, air quality, terrain, topography, oxygen content, light, ultraviolet light, radiation, electromagnetic waves, noise, epidemics, vegetation and other information. The medical insurance-related information includes medical welfare, medical insurance, business insurance, and the like. The medical institution information includes medical institution level, specialty, attribute, region, department, etc. The prescriber/caregiver/operator information includes: age, gender, job title, professional qualification, professional training, protective measures and the like.
The rules in the medical examination and verification database also include the condition that each element needs to be combined to be effective, the related rules can be defined by the comprehensive conditions after the elements are combined according to the multi-level and/or non-relation and the relation defined by the related formula, and the related conditions of the related rules and the time dimension can also be included.
Step 2: and extracting basic information of the examiners.
The basic information of the examiner includes information such as sex, age, weight, height and the like of the examiner.
And step 3: information of medical examination and inspection is extracted.
The medical examination and verification information may include: the name, type, purpose, procedure, object, method, medical instrument to be used, and the like of the medical examination and examination.
And 4, step 4: and extracting relevant element actual information of medical examination and inspection performed by an examiner.
The extraction of the actual information of the relevant elements for medical examination and inspection by the examiner refers to the actual information corresponding to the medical examination and inspection performed by the examiner extracted according to the relevant elements for reasonable compliance of medical examination and inspection in the medical examination and inspection database.
And 5: and calculating and comparing the basic information of the examiner, the information of the medical examination and inspection and the actual information of relevant elements of the medical examination and inspection performed by the examiner with relevant information and rules in the medical examination and inspection database, and analyzing the rationality and compliance of the medical examination and inspection performed by the examiner.
For example: when doctors make medical examination and inspection for inspectors in outpatient service, emergency treatment, operating room or ward, in order to ensure that the inspectors can reasonably perform the medical examination and inspection, after the examination and inspection by the method for reasonably analyzing compliance of the medical examination and inspection, relevant examination orders/inspection orders can take effect, and the inspectors can only perform the relevant medical examination and inspection. The specific business process is as follows: the doctor issues the medical examination and inspection related examination order/inspection order, the medical examination and inspection reasonable compliance analysis method according to the invention checks the examination order/inspection order issued by the doctor, extracts the relevant element actual information of the examiner for the medical examination and inspection from the relevant system or the information input by the doctor according to the information and the elements contained in the rules of each reasonable compliance analysis item of the medical examination and inspection in the medical examination and inspection database, extracts the basic information of the examiner, calculates and compares the basic information of the examiner, the medical examination and inspection information and the relevant element actual information of the examiner for the medical examination and inspection with the relevant information and the rules in the medical examination and inspection database, analyzes the rationality and compliance of each analysis item of the medical examination and inspection, if the examination result is in accordance with the examination result, the examination order/examination order can take effect, and the examiner can perform related medical examination and examination. Therefore, the phenomena of unreasonable medical examination and inspection and non-compliance caused by wrong medical orders can be greatly reduced.
In the invention, the method for analyzing the reasonable compliance of the medical examination and inspection also comprises a medical examination and inspection multi-dimensional element attribute dictionary which is used for processing the matching/comparison of data from different sources, different data structures, different descriptions and different data standards, such as the basic information of an inspector, the information of the medical examination and inspection, the actual information of relevant elements of the medical examination and inspection performed by the inspector, and the relevant information and rules of a medical examination and inspection database, and comprises a fuzzy matching algorithm. The medical examination and inspection multi-dimensional element attribute dictionary comprises at least one of a standard dictionary, a synonym corresponding dictionary and a fuzzy matching dictionary of medical examination and inspection related element attributes, and comprises data such as synonyms, structures, combinations and mutual corresponding relations of the dimensional element attributes related to the items. The medical examination and inspection multi-dimensional element attribute dictionary can be established independently or can be included in a medical examination and inspection database.
The extracted information can be compared with the information and rules in the medical examination and inspection database by comparing the extracted original information with the synonym corresponding dictionary, or the original information is firstly converted into the format of the corresponding standard dictionary and then compared, or the original information is directly subjected to fuzzy matching comparison, or the method is a mixture of the above methods.
In the invention, besides adopting the medical examination and inspection multi-dimensional element attribute dictionary for matching, the basic information of the examiner, the information of the medical examination and inspection, the matching/comparison between the actual information of the relevant elements of the examiner for the medical examination and inspection and the relevant information and rules of the medical examination and inspection database can be processed by methods such as a voice recognition technology, a word segmentation technology, a semantic recognition technology, translation of different languages, an OCR recognition technology, a virtual reality technology, an augmented reality technology, a gesture recognition technology and the like.
In the invention, the method for analyzing the reasonable compliance of the medical examination and the inspection also comprises the step of establishing a personal database related to the medical examination and the inspection of the inspector, which is used for extracting the basic information of the inspector, the actual information of related elements of the medical examination and the inspection of the inspector and providing the related information of the inspector when the rationality of the medical examination and the inspection is analyzed. The extraction of the actual information of the relevant elements for medical examination and inspection by the examiner sometimes requires the examiner's relevant information in the examiner's medical examination and inspection-related personal database in addition to the extraction of the relevant elements for medical examination and inspection compliance in the medical examination and inspection database. The personal database related to medical examination and inspection of examiners is composed of information related to medical examination and inspection performed by examiners, and the content of the personal database can include: examiner basic information, genetic related information, family health related information such as family medical history, allergy history, regional epidemic medical history, medication history, surgical history, medical device use history, learning conditions, working conditions, exercise conditions, family conditions, living environment, hobbies, medical insurance conditions, and information such as physiology/psychology/learning/work/physical/sleep/exercise/mood/metabolism/vision/hearing/intelligence/attention/diet/immunity/growth development/memory/fertility conditions and time of work and rest.
In the invention, the method for reasonably analyzing the compliance of medical examination and inspection also comprises the step of establishing a medical examination and inspection personal business database of a prescriber, which is used for extracting the actual information of relevant elements of the medical examination and inspection performed by the examiner and providing relevant prescription habits of the prescriber for analyzing the rationality of the medical examination and inspection so as to accurately analyze the true situation of the medical examination and inspection. Extracting the relevant element actual information of medical examination and inspection performed by the examiner sometimes requires medical examination and inspection of the prescriber relevant information in the personal business database, in addition to the extraction based on the relevant elements of medical examination and inspection reasonable compliance in the medical examination and inspection database. The medical examination and inspection personal business database of the prescriber is composed of information related to the prescriber, and the content of the database comprises the following components: the relevant habits of the prescriber, including the relevant experience, prescription writing habits, general medical examination and prescription rule checking, etc., such as the age, sex, academic calendar, specialty, title, job title, practice hospital, department, medical examination and prescription/advice checking.
The method for obtaining data in the examiner medical examination and verification-related personal database, the prescriber medical examination and verification personal business database and the medical examination and verification database can be extracting or accessing from other information systems, equipment or databases, obtaining from other data, manually or automatically entering, continuously obtaining and analyzing new data in the using process and the like.
In the present invention, the method for analyzing the rational compliance of medical examination and test further comprises the analysis of the applicability/scope of the medical examination and test. Extracting the relevant element actual information of the medical examination and inspection performed by the inspector according to the relevant rules of the medical examination and inspection applicability/applicability in the medical examination and inspection database, comparing the basic information of the inspector, the information of the medical examination and inspection, and the relevant element actual information of the medical examination and inspection performed by the inspector with the relevant rules of the medical examination and inspection applicability/applicability in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meets the relevant rules of the medical examination and inspection applicability/applicability.
The relevant rules and elements of the medical examination and test applicability/application scope may include the relationship between the reasonable performance of the medical examination and test and the basic information of the examiner and the actual information of the relevant elements of the examiner performing the medical examination and test, the necessity, the level, the degree, the sequence, the effectiveness, the evaluation of the applicability of the medical examination and test applicability/application scope, the reasonable and compliant suitability of the applicable population, the reasonable and compliant use purpose, the reasonable and compliant adaptation/adaptation conditions, the reasonable and compliant use items, and the like.
In the present invention, the method for analyzing the rational compliance of medical examination and test further comprises the contraindication analysis of medical examination and test for examiners. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of the medical examination and inspection contraindication in the medical examination and inspection database, comparing the essential information of the inspector, the information of the medical examination and inspection, and the relevant element actual information of the medical examination and inspection performed by the inspector with the relevant rules of the medical examination and inspection contraindication in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meets the relevant rules of the medical examination and inspection contraindication.
The medical examination and verification contraindication rules in the medical examination and verification database may include, in addition to the relationship between the reasonable performance of the medical examination and verification and the basic information of the examiner and the actual information of the relevant elements of the medical examination and verification performed by the examiner: the reason for the contraindication of the above situation when the examiner performs the medical examination and verification, the guidance and prompt/alarm information of the relevant examiner/operator/doctor/nurse/pharmacist/caregiver, the result of the contraindication of the above situation, the level, degree, sequence, occurrence rate of the corresponding contraindication, the evaluation of the contraindication of the examiner/operator/doctor/pharmacist/nurse/caregiver, the discovery of the contraindication of the above situation, the remedial measures, and the like.
In the present invention, the method for analyzing the reasonable compliance of medical examination and inspection further comprises the analysis that the examiner needs to take care or remind the content of caution. Extracting the relevant element actual information of the examiner for medical examination and inspection according to the relevant rules of medical examination and inspection in the medical examination and inspection database which need caution/attention, comparing the basic information of the examiner, the information of medical examination and inspection and the relevant element actual information of the examiner for medical examination and inspection with the relevant rules of medical examination and inspection in the medical examination and inspection database which need caution/attention, and analyzing whether the medical examination and inspection performed by the examiner accords with the relevant rules of medical examination and inspection which need caution/attention.
The rules requiring caution/attention for medical examination and inspection in the medical examination and inspection database may include, in addition to the relationship between the reasonable performance of medical examination and inspection and the basic information of the examiner and the actual information of the relevant elements of the medical examination and inspection performed by the examiner: the reason for the cautions or attentions of the relevant rules when the examiner performs the medical examination and verification, the use guidance/warning information of the relevant examiner/operator/doctor/nurse/pharmacist/caregiver, the grade, degree, sequence, occurrence probability, danger degree of the cautions/attentions, possible consequences of the above situations, the evaluation of the cautions or attentions of the examiner/operator/doctor/pharmacist/nurse/caregiver, the discovery of the relevant consequences and the remedial measures of the above situations, and the like.
In the present invention, the method of rational compliance analysis of medical examinations and tests also includes analysis of the presence or absence of interactions/interactions of medical examinations and tests. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of the medical examination and inspection interaction/interaction in the medical examination and inspection database, comparing essential information of the inspector, the information of the medical examination and inspection, and the relevant element actual information of the medical examination and inspection performed by the inspector with relevant rules of the medical examination and inspection interaction/interaction in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector accords with the relevant rules of the medical examination and inspection interaction/interaction.
The rule that the medical examination and check in the medical examination and check database has interaction/interaction refers to the rule that the medical examination and check has interaction/interaction with other medical examination and check, medicine, diet, operation, health care product, cosmetics, treatment scheme, operation, and the like, and includes the relationship between the reasonable execution of the medical examination and check and the basic information of the examiner and the actual information of the relevant elements of the examiner for the medical examination and check, that is, if the interaction/interaction exists, the medical examination and check should be performed cautiously or care should be paid and the medical care should be prepared during the examination.
The rules for medical examination and verification of the presence of interactions may further include: medical examination and verification and drug/medical instrument/operation/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/electromagnetic therapy/acoustics therapy/immunotherapy/gene therapy/operation/physiotherapy/rehabilitation/health care/sport/psychology intervention/health care product/health care food/cosmetic/diet and other factors or items exist at the same time/are interacted/interacted, and medical examination and verification and related drug/medical instrument/operation/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/magnetotherapy/phonotherapy/immunotherapy/gene therapy/operation/physiotherapy/rehabilitation/health care/sport/psychology intervention/health care product The effect of such factors as the site/route/method/time of interaction/dose/time of interaction of the respective nutraceutical/cosmetic/diet on such interaction/interaction, and the effect of other factors that may have an effect on such interaction/interaction on the medical examination and testing of the presence of such interaction/interaction.
Other factors that may have an effect on the above interactions/interactions include: genetic related factors of examiners, life and rest related factors, diet related factors, diseases/treatment history related factors, family medical history, allergy related factors, work/study/exercise/activity related factors, environment related factors, physiological/psychological/study/sleep/exercise/emotion/metabolism/vision/hearing/intelligence/attention/appetite/immunity/growth/development/memory/fertility etc. state/status/level factors, age related factors, physiological function related factors, fertility status related factors, sexual life status related factors, and other factors and items that may enhance/reduce/change the above-mentioned interactions/interactions, and the specific way these factors and items affect the relevant interactions/interactions, the disease/treatment history related factors, the family medical history, the allergy related factors, the work/study/exercise/activity related factors, the age related factors, the physiological function related factors, the fertility related factors, the sexual life status related factors, and, Influence the result and degree of influence, etc.
The rules for medical examination and verification of the presence of interactions may further include: the medical examination and examination by the examiner may be performed by the examiner, the reason for the interaction/interaction, guidance/warning information of the relevant examiner/operator/doctor/nurse/pharmacist/caregiver, the consequences of the interaction/interaction, the level, degree, order, probability of occurrence, degree of danger/benefit of the interaction/interaction, evaluation of the relevant interaction/interaction by the examiner/operator/doctor/pharmacist/nurse/caregiver, discovery of the interaction/remedial action of the situation, and the like.
In the present invention, the method for analyzing the reasonable compliance of medical examination and test further comprises the allergy-related analysis of the medical examination and test on the examiner. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of the medical examination and inspection allergy in the medical examination and inspection database, comparing the essential information of the inspector, the information of the medical examination and inspection, and the relevant element actual information of the medical examination and inspection performed by the inspector with the relevant rules of the medical examination and inspection allergy in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meets the relevant rules of the medical examination and inspection allergy.
The rules for medical examination and detection of allergy include physicochemical properties and action principles/mechanisms of medical instruments used in medical examination and detection that may cause allergic reactions, and the specific elements include: the material comprises components, raw materials, electricity, magnetism, light, heat, radiation, irritation, size, weight, heavy metal, toxicity, smell, shape, specification, package, material, additive, preservative, antifreezing agent, consumable material and relevant information such as relevant concentration, content, strength, valence and the like.
The rules for medical examination and testing for allergies may also include: physical constitution, age, sex, height, weight, development related information, birth related information, sexual life related information, genetic related information of examinee, climate/air quality/humidity/season/temperature of environment where examinee is located, disease/symptom/index/feeling/emotion of examinee, work condition/learning condition/rest condition/exercise condition/nutrition condition/diet condition/work time/immunity condition of examinee, treatment history or treatment plan of examinee by medicine/operation/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/magnetotherapy/phonotherapy/immunotherapy/gene therapy, family history/medical history/allergy history/genetic history/regional epidemic disease history/smoking history of examinee, etc. may be Information on allergies when examiners perform medical examinations and examinations.
The rules for medical examination and testing for allergies may also include: the possible manifestations and consequences of allergic reactions under different conditions when the examiner performs the medical examination and verification, the reason and mechanism of the allergic reactions, the guidance/warning information of the relevant examiner/operator/doctor/nurse/pharmacist/caregiver, the level, severity, ranking and occurrence probability of the allergic reactions, the evaluation of the relevant allergic reactions by the examiner/operator/doctor/pharmacist/nurse/caregiver, the discovery and remedial measures of the relevant allergic reactions in the above situations, and the like.
The condition of allergy test can be set in the medical examination and inspection database, if the condition of medical examination and inspection by the inspector meets the relevant condition, the examinee needs to pass the allergy test first and the result is negative.
In the present invention, the method of proper compliance analysis of medical examinations and tests also includes the correlation of the expiration date of the medical examination and test. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of the medical examination and inspection validity period in the medical examination and inspection database, comparing the essential information of the inspector, the information of the medical examination and inspection, and the relevant element actual information of the medical examination and inspection performed by the inspector with the relevant rules of the medical examination and inspection validity period in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meets the relevant rules of the medical examination and inspection validity period.
The rules and related elements for medical examination and verification of expiration date include: the production date, the validity period, the quality guarantee period, the use times, the inspection validity period, the disinfection validity period and the maintenance validity period of the medical instruments and the consumables/auxiliary materials/parts thereof used for medical inspection and inspection, and the time for inspectors to carry out medical inspection and inspection comprise: time to start, time to interval, frequency of use, course of treatment, single session duration, end time, etc. The number of medical examinations and examinations can be calculated from the time of starting/ending of individual medical examinations and examinations, the time of interval, frequency of use, course of treatment, and the like.
In the present invention, the method for analyzing the reasonable compliance of medical examination and test further comprises the relevant analysis of the medical examination and test time. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of medical examination and inspection time in the medical examination and inspection database, comparing the essential information of the inspector, the information of the medical examination and inspection and the relevant element actual information of the medical examination and inspection performed by the inspector with the relevant rules of the medical examination and inspection time in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meets the relevant rules of the medical examination and inspection time.
The rules for medical examination and time of verification include: the starting time, duration, pause time, break time, progression cycle, progression frequency, duration, period, interval, number of courses, onset time, expiration time, end time, etc. of the medical examination and examination. The rules for medical examination and verification time may be defined and stored in different time attribute types, including time element attributes associated with natural rhythms such as: year, month, day/night, morning/noon/afternoon/evening/night, season, solar terms, lunar calendar year/month/day, etc.; the time element attributes associated with the time of day are: hours, minutes, hours, etc.; the time element attributes related to the personal work and rest life law are as follows: getting up, before/during/after meal, before sleep; time element attributes associated with a particular condition/symptom/index/psychological state/physiological state/sensation are as follows: body temperature above a certain value, pain, fatigue, vertigo, palpitation, nausea, creatinine clearance above a certain value, blood pressure below a certain value, heart rate above a certain value, emotional depression, feelings of fear, excitement, etc.; the time element attributes related to examiner examination/detection/operation/surgery/rehabilitation/psychological counseling/physical therapy/health care and the like are as follows: one day before a certain examination, 3 hours after a certain operation, when changing a certain medicine, after a certain physical therapy project, etc.; temporal element attributes associated with the age/developmental stage of the examiner are as follows: 2 weeks after birth, after eruption of deciduous teeth, after adolescent development, half a year after menopause, climacteric period, etc.; the time element attributes related to the physiological cycle of the examiner are as follows: first day of menstruation, etc.; time element attributes associated with examiner fertility/sexual life are: 24 hours after the sexual intercourse of the couple, 3 months before the preparation of pregnancy, 24 weeks of pregnancy, 3 days after the birth, and the like; time element attributes related to the examiner's work/activity/exercise/learning are as follows: before sitting on a car, before sitting on a boat, before high-altitude operation, after long-time reading and the like; the time element attributes associated with the examiner's medication/use of medical devices/use of health products/use of cosmetics are as follows: half an hour before taking the medicine, after removing makeup, etc.
The rules of the medical examination and examination time may further include the results or calculation methods corresponding to the factors such as the time possibly affected by the medical examination and examination purpose, the applicable population, the corresponding indication/indication, the corresponding health status evaluation item, the corresponding examination item, the corresponding operation item, the corresponding physical therapy item, the corresponding rehabilitation item, the corresponding health care item, the use environment, the product performance, the use amount of medical instruments, the use amount of drugs by the examiner, the use amount of health care products by the examiner, the diet of the examiner, the use amount of medical instruments, the use amount of cosmetics by the examiner, the work/study/exercise/related information of the examiner, the sexual life of the examiner, the work time of the examiner, the genetic information of the examiner, and the like, and the results or calculation methods corresponding to the respective influencing factors, and the, the method can also comprise the result which is possibly generated when medical examination and inspection are not carried out according to reasonable time in the relevant rules and relevant remedial measures, and also can comprise the interconversion relationship when different time attribute types are required to be interconverted between the time and the actual information of relevant elements of an examiner and a calculation method after the actual conditions are combined, such as the time attribute related to natural rhythm, the work and rest life law, the time attribute related to illness/symptom/index, the time attribute related to examination/detection/operation/rehabilitation/psychological consultation/physiotherapy/health care and the like, the time attribute related to age/development stage, the time attribute related to fertility/sexual life, the time attribute related to work/activity/movement/learning, the time attribute related to medicine/medical instrument use/health care product use/cosmetic use and the like Interconversion after actual condition of examiner and calculation and interconversion relationship with international standard time and time of each time zone.
In the present invention, the method for analyzing the rational compliance of medical examination and test further comprises the analysis related to the medical examination and test method. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of the medical examination and inspection method in the medical examination and inspection database, comparing the essential information of the inspector, the information of the medical examination and inspection and the relevant element actual information of the medical examination and inspection performed by the inspector with the relevant rules of the medical examination and inspection method in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meets the relevant rules of the medical examination and inspection method.
The rules of the method of medical examination and verification include: the medical examination and inspection comprises an examination route, an examination part, a distance, temperature, environment, conditions, equipment/consumables, an operation method, an operator requirement, protection conditions/protection measures, and related matters during examination. The method can also comprise the following steps: the examination method may be influenced by medical examination and examination purposes, applicable groups, corresponding indications/indications, corresponding health status evaluation items, corresponding examination items, corresponding operation items, corresponding physical therapy items, corresponding rehabilitation items, corresponding health care items, environment, product performance, usage amount of medical instruments, drug usage of examiners, usage of health care products of examiners, diet of examiners, other medical examination and examination, usage of cosmetics of examiners, work/study/exercise/related information of examiners, sexual lives of examiners, work and rest time of examiners, genetic information of examiners, medical examination and examination time, and the like, and influence results thereof. Possible consequences and associated remedial measures may also be included when medical examinations and checks are not performed in the correct manner.
In the present invention, the method of analysis of the sound compliance of medical examinations and tests also includes the correlation of the amount of medical examination and test. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of medical examination and inspection amount in the medical examination and inspection database, comparing essential information of the inspector, the information of the medical examination and inspection, and the relevant element actual information of the medical examination and inspection performed by the inspector with the relevant rules of the medical examination and inspection amount in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meets the relevant rules of the medical examination and inspection amount.
Rules for medical examination and verification quantities include: the specification, package, dosage, quantity, strength, frequency, wavelength, concentration, application range, usage duration, usage area, etc. of the medical apparatus used for medical examination and inspection include item information requiring unit/data conversion, and different purposes, people groups, corresponding indications/indications, corresponding health status evaluation items, corresponding examination items, corresponding detection items, corresponding operation items, corresponding physical therapy items, corresponding rehabilitation items, corresponding health care items, environment, product performance, drug usage of examiners, health care product usage of examiners, diet of examiners, other medical examination and inspection, cosmetic usage of examiners, work/study/exercise/related information of examiners, sexual lives of examiners, work and rest time of examiners, health condition information of patients, health condition information of the examiners, health condition information of, The genetic information of the examiner, the examination time, and the like. The rules for medical examination and verification quantities may also include: single dose/dose, single day or other time unit times/frequency, single day or other time unit dose/dose, total single treatment course, total treatment course times, total dose, and like information. It may also include consequences and associated remedial actions that may occur if medical checks and checks are not performed in the correct amounts.
In the present invention, the method for analyzing the reasonable compliance of medical examination and test also comprises the relevant analysis of adverse reaction of medical examination and test. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of the medical examination and inspection adverse reaction in the medical examination and inspection database, comparing the essential information of the inspector, the information of the medical examination and inspection, and the relevant element actual information of the medical examination and inspection performed by the inspector with the relevant rules of the medical examination and inspection adverse reaction in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meets the relevant rules of the medical examination and inspection adverse reaction.
The rules for medical examination and testing for adverse reactions include: the method for medical examination and inspection/the relationship between the examination dosage/examination time/examination frequency/examination interval/examination protective measures and the like and the adverse reaction, the adverse reaction possibly occurring in the medical examination and inspection, the factors possibly influencing the adverse reaction and the treatment measures after the adverse reaction occur specifically comprise: adverse reaction related influencing factors, adverse reaction symptoms/index signals/expression/feeling/severity/harm, adverse reaction treatment, adverse reaction prevention methods, remedial measures after adverse reactions appear and the like.
In the present invention, the method of the analysis of the sound compliance of medical examinations and tests also includes the relevant analysis of the convenience/comfort/compliance of medical examinations and tests. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of convenience/comfort/compliance of the medical examination and inspection in the medical examination and inspection database, comparing the basic information of the inspector, the information of the medical examination and inspection, and the relevant element actual information of the medical examination and inspection performed by the inspector with relevant rules of convenience/comfort/compliance of the medical examination and inspection performed in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meet the relevant rules of convenience/comfort/compliance of the medical examination and inspection.
The rules for convenience/comfort/compliance for medical examinations and tests include: the medical examination and examination equipment, instruments, reagents, consumables, operation methods, operation parts, operation intensity and the like, and the comfort, convenience, difficulty, compliance difficulty, aesthetic degree, wearing weight, shape, size, volume, floor area, taste, smell, hand feeling, temperature, hardness, irritation, portability, storage convenience and the like, and the method for adjusting the convenience/comfort/compliance, including various auxiliary conditions, auxiliary measures, auxiliary methods, auxiliary operations and the like.
The rules for convenience/comfort/compliance for medical examinations and tests may also include: according to the conditions of the age, the sex, the physical condition, the sensitivity, the tolerance of electrical stimulation/magnetic field/pressure/pain, the taste preference, the athletic ability, the physical strength, the work/study/exercise/activity/travel rule and characteristic, the work and rest time, the aesthetic requirement, the study ability, the operational ability, the executive ability and the like of the examiner, the weights and the combined calculation methods of various items related to the medical examination and examination convenience/comfort/compliance are set, and the target setting of the medical examination and examination convenience/comfort/compliance of the examiner is carried out. The rules for convenience/comfort/compliance for medical examinations and tests may also include methods that require prompting the relevant doctor, nurse, pharmacist, examiner, caregiver to adjust the respective convenience/comfort/compliance when the target setting is not reached.
It may also include a method of prompting the relevant doctor, nurse, pharmacist, examiner, caregiver to adjust the respective convenience/comfort/compliance if the target setting is not reached.
In the present invention, the method for analyzing the reasonable compliance of medical examination and test also includes the related analysis of the monitoring/evaluation required at different stages before/during/after the medical examination and test. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules required to be monitored/evaluated at different stages before/during/after the medical examination and inspection in the medical examination and inspection database, comparing the essential information of the inspector, the information of the medical examination and inspection, and the relevant element actual information of the medical examination and inspection performed by the inspector with relevant rules required to be monitored/evaluated at different stages before/during/after the medical examination and inspection in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meet the relevant rules required to be monitored/evaluated at different stages before/during/after the medical examination and inspection.
The rules for monitoring/evaluation required at different stages before/during/after medical examination and examination include: the examiner performs medical examination and examination of symptoms, indices, feelings, emotions, physiological functions, motor abilities, learning abilities, work skills, etc. at various stages before/during/after examination and the like, which may need to be monitored/evaluated, and the significance/qualitative or quantitative rating in the aspects of effectiveness, safety, economy, convenience/comfort/compliance of the medical examination and inspection corresponding to different values/intervals of the monitoring/evaluation result of each item, and can also comprise the reminding level setting of the monitoring/evaluation items required to be carried out at different stages of the medical examination and inspection, the setting of the target range required to be reached by the monitoring/evaluation result of each item and relevant information of adjustment and control required to be carried out when the monitoring/evaluation result of each item does not reach the target range. The method can also comprise the possible consequences when the monitoring/evaluation result of each item does not reach the target range and relevant remedial measures. The reminding grades can be set according to the target to be achieved by the monitoring/evaluation result of each project. Relevant information for adjustment and control includes: items, methods, means, steps, time, equipment required, materials required, drugs required, conditions required, personnel required, etc.
The related monitoring/evaluation items specially performed by the examiner during the medical examination and inspection can be analyzed according to the possibility and the importance level or the score, which can be set in advance/in real time, the prescriber and the examiner are reminded, and the medical examination and inspection can be adjusted according to the monitoring/evaluation result.
And the relevant measures can be taken when the results of monitoring/evaluation before/during/after medical examination and inspection by the examiner cannot meet the requirements or target setting, and relevant doctors, nurses, pharmacists, examiners and caregivers are prompted according to reminding level setting and level selection or the relevant measures are started.
In the present invention, the method for the analysis of the sound compliance of medical examinations and tests also includes the relevant analysis of preparatory/protective measures before/during medical examination and test and recovery measures thereafter. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of preparation/protection measures before/during medical examination and inspection and recovery measures after the medical examination and inspection in a medical examination and inspection database, comparing essential information of the inspector, information of the medical examination and inspection and relevant element actual information of the medical examination and inspection performed by the inspector with relevant rules of the preparation/protection measures before/during medical examination and inspection and the recovery measures after the medical examination and inspection in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meet the relevant rules of the preparation/protection measures before/during medical examination and inspection and the recovery measures after the medical examination and inspection.
The rules for preparation/protective measures before/during medical examination and verification and recovery measures thereafter include: the physical, chemical, pharmaceutical, food, health care, rehabilitation, biological, psychological intervention, humanistic, and other types of protection/intervention/remediation/restoration-related measures taken to avoid or reduce the risk and damage that may exist during and after the medical examination and verification, may also include a reminder level setting of the preparation/protection measures and the subsequent restoration measures that need to be taken before/during the medical examination and verification. It may also include the level of consequences and their risks that may occur when preparatory/protective measures before/during medical examination and verification and recovery measures thereafter are not taken according to the relevant rules, as well as the relevant remedial measures.
The protective measures and recovery measures which are particularly required by the examiner when the medical examination and check is performed can be analyzed according to the possibility and the importance level or the score which can be set in advance/in real time, and the prescriber and the examiner can be reminded.
The relevant doctor, nurse, pharmacist, examiner, caregiver, etc. may also be prompted to take preparatory/protective measures before/during the examination and recovery measures thereafter, respectively. It is also possible to prompt possible consequences and associated remedial actions or initiate associated actions when the analysis finds conditions without associated rules to take preparatory/protective measures before/during medical examination and verification and recovery measures thereafter.
In the present invention, the method of analysis of the sound compliance of medical examinations and tests also includes the analysis of the medical insurance/medical welfare of medical examinations and tests. Extracting the relevant element actual information of the medical examination and examination performed by the examiner according to the relevant rules of the medical examination and the medical insurance/medical welfare of the medical examination and examination in the medical examination and examination database, comparing the basic information of the examiner, the information of the medical examination and examination, and the relevant element actual information of the medical examination and examination performed by the examiner with the relevant rules of the medical examination and the medical insurance/medical welfare of the medical examination and examination in the medical examination and examination database, and analyzing whether the medical examination and examination performed by the examiner meets the relevant rules of the medical insurance/medical welfare of the medical examination and examination.
The rules for medical insurance/medical welfare for medical examinations and verifications include: the medical examination and examination may be in the form of medical welfare/medical insurance or business insurance coverage and conditions, objects, rates, calculation methods, amounts, etc., may include restrictions of the relevant constraint terms hospital/department/doctor/nurse/operator, etc., may include information on price, single examination cost, single day examination cost, single course cost, total cost, etc. Medical examinations and checks whether they fall within the medical welfare/medical insurance or business insurance scope and conditions include: people, diagnoses, symptoms, symptom types, operations, examinations, operations, projects, rehabilitation, psychotherapy, physical therapy, health care, nursing, accompanying, areas, medical institutions, departments, doctors, drugstores, examination centers, physical examination centers, treatment centers, rehabilitation centers, usage amounts and other elements and the combination of the elements. Relevant constraint terms such as violation, inspection, violation penalty, etc.
In the present invention, the method for analyzing the reasonable compliance of medical examination and inspection further comprises the relevant analysis of the economic management and control of medical examination and inspection. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of the medical examination and economic management and control of the inspection in the medical examination and inspection database, comparing essential information of the inspector, information of the medical examination and inspection, and relevant element actual information of the medical examination and inspection performed by the inspector with relevant rules of the medical examination and economic management and control of the inspection in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meet the relevant rules of the economic management and control of the medical examination and inspection.
The rules governing the economics of medical inspection and verification include: the medical examination and examination system comprises a medical examination system, a.
In the present invention, the method for analyzing the rational compliance of medical examinations and examinations further comprises the analysis of the administrative requirements of medical examinations and examinations. Extracting the relevant element actual information of the medical examination and inspection performed by the inspector according to the relevant rules of the administrative management requirements of the medical examination and inspection in the medical examination and inspection database, comparing the basic information of the inspector, the information of the medical examination and inspection and the relevant element actual information of the medical examination and inspection performed by the inspector with the relevant rules of the administrative management requirements of the medical examination and inspection in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meets the relevant rules of the administrative management requirements of the medical examination and inspection.
The rules for the administrative requirements of medical examinations and checks include: regional regulations/requirements for medical examination and inspection, hospital-level regulations/requirements for medical examination and inspection, hospital-property regulations/requirements for medical examination and inspection, department regulations/requirements for medical examination and inspection, prescribing doctor regulations/requirements for medical examination and inspection, operator-related regulations/requirements for medical examination and inspection, examiner-related regulations/requirements for medical examination and inspection, disease-type regulations/requirements for medical examination and inspection, major monitoring regulations/requirements for medical examination and inspection, extraordinary warning regulations/requirements for medical examination and inspection, bidding results for medical examination and inspection, price policy-related regulations/requirements, days-related regulations/requirements for medical examination and inspection, and the like, Medical examination and examination money-related regulation/requirements, DRGs (disease-related classification) related regulation/requirements, clinical pathway-related regulation/requirements, and the like. Examiner-related specifications/requirements include: medical insurance, self-service charge, industrial injury, new agriculture and agriculture, dry insurance, chronic diseases, inconvenient movement, old people, disabled people and the like. The amount-related stipulations/requirements for medical examinations and examinations include: whether the price accords with the related expense amount such as single disease payment, total amount prepayment, medical examination and inspection expense proportion control, the amount limit of single variety purchase/examination, the amount limit of type purchase/examination and the like.
In the present invention, the method for analyzing the reasonable compliance of medical examination and test further comprises the relevant analysis of the examination and test conditions of the medical examination and test. Extracting relevant element actual information of medical examination and inspection performed by an inspector according to relevant rules of medical examination and inspection conditions of the medical examination and inspection in the medical examination and inspection database, comparing essential information of the inspector, information of the medical examination and inspection, and relevant element actual information of the medical examination and inspection performed by the inspector with relevant rules of the medical examination and inspection conditions of the medical examination and inspection in the medical examination and inspection database, and analyzing whether the medical examination and inspection performed by the inspector meets the relevant rules of the medical examination and inspection conditions of the inspection.
The rules of medical examination and examination conditions for examination and examination include: equipment conditions required for medical examination and inspection, drug conditions required for medical examination and inspection, consumable conditions required for medical examination and inspection, reagent conditions required for medical examination and inspection, and personnel conditions required for medical examination and inspection.
The method for reasonably analyzing the compliance of medical examination and inspection also comprises a method for reminding an inspector/operator/doctor/nurse/pharmacist/nurse, various conditions and risks which can occur when/after the inspector performs relevant medical examination and inspection and detecting/finding the conditions and risks, a relevant preparation and coping method, and a method for giving an alarm, prompting or starting remedial measures when the conditions of the medical examination and inspection are found. The remedial action includes: monitoring/detecting/observing/evaluating related indexes/symptoms/feeling/state/ability and the like, stopping/changing/adjusting medical examination and inspection after risk occurrence, adopting/stopping/changing/adjusting/continuing methods and measures such as medicine/medical apparatus/operation/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/electromagnetic therapy/magnetotherapy/phototherapy/immunotherapy/gene therapy/operation/physiotherapy/rehabilitation/health care/psychological intervention/health care product/health food/cosmetics and the like, change/adjustment of factors like life/work/learning/exercise/diet/entertainment/rest/sexual life/birth/social/environmental.
In the present invention, various items and rules relating to a method for analyzing the rational compliance of medical examination and test may be used in combination or individually. The method for reasonably analyzing the compliance of the medical examination and inspection can realize effective management of the medical examination and inspection, and avoid unreasonable and non-compliant use of the medical examination and inspection, thereby helping inspectors to safely, effectively, economically and properly carry out the medical examination and inspection.
Taking the reasonable compliance analysis method of medical examination and inspection of the invention for coronary angiography examination using CT as an example: firstly, the applicability/applicability range examination can be carried out, and when a doctor orders for examination, the system extracts the examiner diagnosis from the doctor order information: the coronary heart disease is compared with the application range of CT examination in the medical examination and inspection database, and the applicability/application range of the coronary artery angiography examination performed by the examiner is examined, and the examiner diagnosis accords with the application range, so that the applicability/application range examination result is reasonable. In addition, contraindication auditing can be carried out, the contraindication of CT coronary angiography in a medical examination and inspection database is obvious arrhythmia, the symptom of no arrhythmia of an inspector is analyzed through the electrocardiogram inspection result before the inspector, so that the contraindication auditing result is analyzed to be reasonable, namely, no contraindication exists, for necessary information which is not obtained by a way, a doctor or a laboratory operator who orders the examiner can be prompted to inquire the related information of the examiner, and the medical examination and inspection can be carried out after the fact that no related contraindication exists is confirmed; the examination requiring caution/attention can be carried out, when CT is obtained from a medical examination and inspection database for coronary angiography, if coronary artery calcification is serious, the CT is used cautiously, the carotid artery ultrasonic examination result before the examinee is obtained through a hospital HIS as a calcification-free signal, the examination result is prompted to a doctor, and after the doctor judges that the possibility of serious calcification of the coronary artery of the examinee is very small, the doctor orders are confirmed to be effective, and the examination requiring caution/attention items is completed; the examination of medical examination and examination time can be carried out, according to the medical examination and examination database, the examination of the CT coronary angiography for the heart rate of over 70 times/minute is carried out after the heart rate of the examiner taking the heart rate reducing medicine is well controlled for 30-60 minutes, the time for the examiner to take the metoprolol is obtained through a nurse workstation, and when the examiner prepares to carry out the CT coronary angiography examination, whether the time is proper or not is judged through calculation, and the examination of the use time item is completed; the medical examination and examination can be carried out, and whether the examination and the examination of the interaction/the interaction exist in other medical examination and examination, medicines, diet, operations, health products, cosmetics, treatment schemes, operations and the like or not can be carried out, according to the medical examination and examination database, an examiner can not wear metal equipment during CT coronary angiography, the fact that the examiner is wearing the dynamic electrocardiograph is obtained through the examiner personal information base, a doctor or the examiner is prompted to wear the dynamic electrocardiograph after the examination and the examination need to be carried out after the removal of the dynamic electrocardiograph after the examination, and the examination can be carried out after the operation of the doctor is confirmed, so that the examination of the interaction/the interaction is completed; the method can also carry out relevant analysis on monitoring/evaluation required in different stages before/during/after medical examination and examination, according to a medical examination and examination database, the heart rate of an examiner is required to be measured before CT coronary angiography, the heart rate of the examiner is obtained by connected heart rate measuring equipment before using CT to carry out coronary angiography examination, if the heart rate exceeds the set range of relevant rules, a doctor or an operator is prompted to prompt that the heart rate of the examiner is too fast, CT examination cannot be carried out, the doctor can also be prompted to give the examiner medicines in advance, and examination is carried out after the heart rate is well controlled.
In the present invention, the source of the actual information for extracting the relevant elements of the medical examination and examination performed by the examiner can be the examiner's personal information database, health file, family or family member health record, medical advice, medical record, medical calendar, prescription, electronic medical record, medical institution information system, pharmacy information system, medical record, treatment record, evaluation report, consultation record, survey record, work record/plan, diet record/plan, medication record/plan, treatment record/plan, exercise record/plan, work record/plan, learning record/plan, rehabilitation record/plan, health record/plan, examination/examination sheet, operation plan/record, health management plan, charge sheet, clinical treatment path, examination/examination result, health record/plan, health management plan, charge sheet, medical treatment path, examination/examination result, health record/plan, treatment record/, The medical examination, examination setting/record and gene detection result can be obtained from the use information/use record of the medical examination and examination, or from the use/prescription/recommended record of the examiner/doctor/nurse/caregiver, or provided by various wearable devices, sensors, electronic devices, electronic positioning systems, weather forecast systems, electronic temperature/humidity/air pressure detection devices, smart speakers, smart home systems, smart monitoring/monitoring systems, smart glasses, smart toilets, smart floors, smart scales, smart detection/analysis devices, electronic infusion systems, surgical robots, face recognition analysis, fingerprint recognition, voice recognition, gait recognition, positioning systems, social platforms, or the like, or provided by devices or systems of the examiner's life, medical examination, examination setting/record, and gene detection results, or provided by devices or systems of the examiner's life, medical examination, and examination, The information of study, work, sport, trip, social contact, shopping, diet, work and rest, entertainment and the like is obtained by big data analysis, and can also be obtained by the analysis of related information of examiner such as race/family/region/age/marital/birth and the like. The missing information can also be provided or refined by the examiner/doctor/nurse/caregiver, or the examiner/doctor/nurse/caregiver can be actively prompted by the information with high relevance to observe, monitor, check, query, analyze, confirm, record whether the relevant condition appears or obtain the relevant index/performance/feeling/symptom/physiological change. When the relevant element actual information of medical examination and inspection performed by the examiner is extracted, the medical examination and inspection relevant prescription/medical advice information issued by a specific prescriber can be analyzed according to the prescriber medical examination and inspection personal business database, so that the medical examination and inspection relevant element attribute actual information can be further accurately mastered. The personal information database of the examiner includes the personal database related to medical examination and inspection performed by the examiner. Assessment reports include physiological, psychological, economic, credit, athletic ability, and the like. The intelligent detection/analysis device includes: odor, image, sound, pulse condition, X-ray film, CT, nuclear magnetic, ultrasonic examination, brain wave, mass spectrum analyzer, tongue analysis, fundus examination, gastroscope, enteroscope, catheter, minimally invasive scope, heart rate, blood oxygen, blood pressure, blood sugar, blood fat, body temperature, blood examination, urine examination, stool examination, pulse measurement/analysis device. The relevance is set or analyzed by data, and the relevant elements are graded or sorted according to the importance of reasonable medical examination and inspection and compliance use in the aspects of effectiveness, safety, economy, convenience/comfort/compliance and the like, and the information with higher importance can be set as the information which must be perfected or cannot be carried out next step.
The method for analyzing the reasonable compliance of the medical examination and the test further comprises the steps of analyzing and comparing the analysis results of the analysis items obtained by the medical examination and the test under various conditions according to the relevant rules of the medical examination and the test database, setting the grade/score of each analysis item under the condition of the corresponding medical examination and the test, and setting the relative weight of each analysis item according to the actual condition of a tester, so that when the medical examination and the test are analyzed reasonably, the comprehensive grade/score of the medical examination and the test can be calculated according to the grade/score corresponding to each analysis item of the medical examination and the test and the weight of each analysis item, and the comprehensive analysis result can be conveniently obtained by analyzing the reasonable compliance of the medical examination and the test under the condition. The reasonability and the compliance of medical examination and inspection can be set to be reasonable, reminded, limited by warning, rejected, locked, alarmed and the like according to different comprehensive grades/scores of analysis results, or related personnel are reminded to modify the set grades/scores and weights, so that the set range is reached.
The medical examination and inspection can be correspondingly generated into different intelligent analysis models according to the grade/score and the weight of each analysis item set according to the analysis result of each analysis item under various conditions, so that the related intelligent analysis models can be used/referred under the same/similar use conditions, and the setting of the intelligent analysis models can be continuously optimized and adjusted in the use process.
In the present invention, it is also possible to set a starting point level/score for a reasonable compliance of medical examination and verification, and it is reasonable to calculate a comprehensive level/score of medical examination and verification based on the level/score corresponding to each analysis item and the weight of each analysis item according to the medical examination and verification that the medical examination and verification is more reasonable than the starting point level/score. The setting of the starting point level/score may be continuously optimized and adjusted during use.
The data extracted by the method for analyzing the reasonable compliance of medical examination and inspection of the invention can be data in the whole time range, and can also be set as data in a certain time period according to requirements. The prescription can be a single prescription or a group of prescriptions; the prescription can be a prescription made by a doctor or a prescription of a department/a hospital; the prescription can be a prescription in a certain area, or a prescription in a certain period of time, such as a prescription in the reimbursement year of medical insurance, and the like.
In the present invention, the method for analyzing the reasonableness and the compliance of the medical examination and the test can be used for reminding, warning, limiting, prohibiting, assisting, guiding the examiner/doctor/nurse caretaker to select, recommend, prescribe or operate the medical examination and the test according to the results of the medical examination and the test reasonableness and the compliance analysis performed by the examiner. It can also be used for the data base of the inspector/doctor/nurse and auditing/managing/instructing/consulting post or secondary auditing/managing/instructing/consulting center discussing the use/recommendation/purchase/payment/insurance of medical inspection and verification optimizing scheme and the data base of the advanced post reply/automatic reply. And the evaluation result can also be used as the basis for professional level evaluation/professional normative evaluation/performance assessment of personnel such as doctors, nurses, caregivers and the like afterwards. And can also be used as the basis for selling or refusing the selling of the vending machine/electric business/pharmacy/medical institution. The intelligent vending machine can also be communicated with various information systems/information platforms/various vending machines/intelligent wearable devices/intelligent household devices/intelligent medical devices/remote control medical devices to serve as configurable control items of relevant operations or processes under the triggering of the systems or the relevant devices, such as automatic vending, intelligent reminding, intelligent starting, intelligent closing and the like. The method can also be used as the basis for evaluating, checking, supervising, law enforcement, management and judgment medical institution/drugstore/medical instrument retail store related business behaviors of medical insurance management institution/medical insurance company/health administration/medical institution/credit evaluation institution/grade evaluation institution/judicial institution, the basis for treatment/rehabilitation/health care/examination of guardians/family doctors/family drugstores/health managers/family care management examiners, the part related to medical examination and examination reasonable use in the health management/disease management of the examiners by the intelligent health management system/disease management system, and the part related to medical examination and examination reasonable use in scientific research institution/scientific research personnel/medical instrument production enterprise/medical instrument sales enterprise/medical instrument using institution/medical instrument institution/examiners purchasing The data basis for selecting/evaluating/designing/researching and developing/selling medical instruments by related objects such as doctors/nurses/pharmacists/nurses/salespeople can also be used for the data basis when medical insurance management organization/medical insurance company/price management organization/health administration organization/medical institution makes medical examination and checks related policies/regulations/payment range/payment rate/payment amount/use range and the like. The analysis items and the feedback objects and applications of the analysis results can be set, the analysis results of the analysis items are fed back to different departments and different posts according to the needs of inspectors, the processing authorities and processes of all departments and posts and the processing time limit and processing requirements of all links are set, and corresponding various analysis result reports can be generated according to the management requirements. The analysis items can be set, and the analysis items are configured to be items which need to be checked or reminding items or items which do not need to be checked according to the needs of inspectors. The necessary examination item is that if the examination result of the item is unreasonable or not approved, the medical order/prescription/order for the medical examination and verification cannot be validated, and the related information needs to be forcibly supplemented to be examined and passed, and then analysis is continued. The reminding item is used for reminding related users that the item is not approved or not approved possibly to have risks if the item is not reasonable in the auditing result or not approved, and the reminding item can be graded according to the importance. The application of the rationality analysis to each analysis item may be a mode of examination in advance/in advance or a mode of comment after the fact. According to the analysis and evaluation results, a normative evaluation report for medical examination and inspection is issued and provided for medical administration and management personnel, medical insurance institutions, medical insurance management personnel and circulation field management personnel, so that various possible illegal and illegal behaviors are prompted, and support is provided for further standardizing the medical examination and inspection. The pre-treatment includes prescription, medical advice, recommendation and purchase. The term "in use" means.
In the invention, various analyses, evaluations, reports and other output information of the method for reasonably compliant analysis of medical examination and inspection can be manually completed by professionals according to a medical examination and inspection database and various data, or manually completed under the support of a system, or automatically completed by the system, or automatically completed by artificial intelligence, or completed by combining a system/artificial intelligence completion part with a manual completion part. The application/output form of the relevant medical examination and test reasonability and compliance analysis result can be realized by functions of reminding, informing, reporting, system authority limit, system flow limit, control of relevant systems/equipment/files/authorities and the like; or providing related interfaces to be realized by being in butt joint with other management systems; or providing the analysis result, and manually realizing the application of the related analysis result by a user.
In the invention, the identity recognition, confirmation, login and electronic signature of inspectors, prescriptions/operators and related roles, as well as the storage, transmission and application of personal information, prescription/medical advice information and various analysis results of the method for reasonably analyzing the compliance of medical examination and inspection can be encrypted by various methods, so that the related identity/authority can be prevented from being embezzled or information is prevented from being leaked. Wherein the encryption algorithm comprises a symmetric encryption algorithm and/or an asymmetric encryption algorithm, such as: the large integer decomposition problem encryption algorithm, the discrete logarithm problem encryption algorithm, the elliptic curve encryption algorithm, specifically, the block chain technique, etc., the encryption hardware may adopt a secret key, a dongle, an encrypted hard disk, etc., and may be encrypted in combination with user equipment hardware, a network address, etc., or may be encrypted in combination with each other.
In the method for analyzing the reasonable compliance of medical examination and inspection, the transmission modes of data and information such as various medical examination and inspection database data, medical examination and inspection information, inspector personal information, analysis results and the like can be a data line mode, a wired network mode, a wireless transmission mode, a radio frequency identification mode, a magnetic card read-write mode, a mobile hard disk mode, an NFC mode, a bar code mode, a two-dimensional code mode and the like. The wireless transmission mode comprises: infrared, bluetooth, wifi, microwave, visible light wave, telecommunication wireless network, ultrasonic/sound wave, radio, etc.
In the invention, the method for analyzing the reasonable compliance of medical examination and inspection can be used by a single machine, or accessed external hardware such as a mobile hard disk, a box, a card and the like can be used by a user, or the method can be installed on a local server to support the local user, or can be installed on a private cloud server to support the private cloud user, or can be installed on the Internet to provide services for Internet users.
Fig. 2 is a block diagram of a system for analyzing a medical examination and verification compliance according to a second embodiment of the present invention, the system for analyzing a medical examination and verification compliance includes:
a medical examination and inspection database unit 11 for storing a medical examination and inspection database including at least one of information and rules related to the rationality and compliance of medical examination and inspection, the influence on examiners, and related measures to be taken;
an examiner basic information extraction unit 12 for extracting examiner basic information;
a medical examination and examination information extraction unit 13 for extracting information of medical examination and examination;
a relevant element actual information extraction unit 14 for medical examination and inspection by the examiner, which is used for extracting relevant element actual information for medical examination and inspection by the examiner according to the elements contained in the information and rules of each item for reasonable and compliant analysis of medical examination and inspection;
a reasonable compliance analysis unit 15 for medical examination and inspection for analyzing the rationality and compliance of the medical examination and inspection;
the examiner basic information extraction means 12, the medical examination and inspection information extraction means 13, and the relevant element actual information extraction means 14 for the examiner to perform the medical examination and inspection respectively extract the examiner basic information, the medical examination and inspection information, and the relevant element actual information for the examiner to perform the medical examination and inspection, and the medical examination and inspection compliance analysis means 15 compares the extracted information with the relevant information and rules in the medical examination and inspection database to analyze the compliance of the examiner to perform the medical examination and inspection.
The system for analyzing the reasonable compliance of the medical examination and the test is formed by adopting a method for analyzing the reasonable compliance of the medical examination and the test, the structural characteristics correspond to each other one by one, and the explanation of the method for analyzing the reasonable compliance of the medical examination and the test can be referred to, and the explanation is not repeated herein.
The system for reasonably analyzing the compliance of medical examination and inspection can comprehensively analyze, remind and audit the whole process from the safety, effectiveness, economy and convenience of the medical examination and inspection, can effectively avoid the medical examination and unreasonable prescription/medical advice of inspection caused by insufficient professional skills of a prescriber, individual difference of the examiner, human errors and the like, and ensures that the examiner reasonably performs the medical examination and inspection. The following examples are given.
For example: the health administration departments at all levels can establish a reasonable compliance analysis system for medical examination and inspection of multiple versions in a unified or different region according to the actual conditions of the region, and when prescriptions/medical advice including the medical examination and inspection are provided by different medical institutions, clinics, health hospitals, health stations, departments, doctors, nurses, inspectors and the like in the jurisdiction, the reasonable compliance analysis system for the medical examination and inspection checks the rationality and compliance of the medical examination and inspection. The audit can be performed by a system installed locally or by a system installed on an internet/lan server. The system can automatically complete the process, or the system can output a formal verification result after the related result is confirmed/adjusted by the personnel at the verification post after the system completes the pre-verification. The audit result can be used for the management of medical examination and inspection of inspectors, can also be used as the basis for adjusting prescriptions/medical orders, and can also be used for examining the medical quality/work performance/professional ability evaluation/vogue evaluation/service quality evaluation/benefit accounting and the like of different medical institutions, departments, doctors, nurses, pharmacists, inspectors and the like. Assessment items for medical examination and compliance verification may include: the medical examination and examination system comprises the cost for single examination, the cost for single daily examination, the cost for single treatment course, the total cost, the cost for medical examination and examination, the cost limit for per-platform/per-operation, per-person, per-day and per-month, the cost limit for different departments/doctors/nurses, the cost limit for different DRGs (disease-related classifications), the cost limit for different diseases/different treatment schemes/different items/examiners, the region-related regulation/requirement for medical examination and examination, the hospital-level regulation/requirement for medical examination and examination, the hospital-property-related regulation/requirement for medical examination and examination, the department-related regulation/requirement for medical examination and examination, the prescribing doctor-for medical examination and examination, the examiners for medical examination and examination including medical insurance, self-charge, work wound, work-related regulation/requirement for medical examination and examination, New agriculture and rural union, dry insurance, chronic disease, inconvenient action, old people, disabled people and the like, medical examination and inspection disease type relevant regulation/requirement, medical instrument bidding result used in the medical examination and inspection, price policy relevant regulation/requirement, medical instrument using days relevant regulation/requirement used in the medical examination and inspection, medical examination and inspection amount including whether single disease type payment is met, total amount prepayment, medical examination and inspection cost proportion control, single variety purchase/use amount limitation, category purchase/use amount limitation, the related stipulations/requirements of the related expense amount, the related stipulations/requirements of the clinical path, the medical examination and the examination purpose comprise the related stipulations/requirements of the operation, the physical therapy, the rehabilitation, the health care, the rescue, the examination, the detection, the evaluation, the psychotherapy and the like.
For example: a reasonable compliance analysis system for medical examination and inspection can be established inside the integrated body/medical chain, and the reasonable compliance analysis system for medical examination and inspection can be used for auditing the rationality and compliance of the medical examination and inspection when prescriptions/medical advice including the medical examination and inspection are provided by different medical institutions, clinics, health hospitals, health stations, departments, doctors, nurses, pharmacists, inspectors and the like in the integrated body/medical chain. The audit can be performed by a system installed locally or by a system installed on an internet/lan server. The system can automatically complete the process, or the system can output a formal verification result after the related result is confirmed/adjusted by the personnel at the verification post after the system completes the pre-verification. The auditing result can be used for the use management of medical examination and inspection of inspectors, can also be used as the basis for adjusting prescriptions/medical orders, and can also be used for examining the medical quality/work performance/professional ability evaluation/vogue evaluation/service quality evaluation/benefit accounting and the like of different medical institutions, departments, doctors, nurses, pharmacists, inspectors and the like.
For example: a medical examination and inspection data service center can be established, and a reasonable compliance analysis system based on the medical examination and inspection provides reasonable compliance analysis services for medical examination and inspection for users such as medical institutions, clinics, health hospitals, health stations, medical and electronic commerce, medical insurance institutions, insurance companies, doctors, pharmacists, nurses, inspectors, caregivers and the like. The medical examination and inspection data service center can assist the user to generate medical examination and inspection databases of different versions which are subjected to personalized adjustment and configuration according to the characteristics and requirements of the user such as attributes, scale, service, region, economic condition, management system, use habit and the like, can customize different data transmission, storage, output, application processes/modes/formats according to different user service processes, and can be connected with different systems, networks, equipment and mechanisms.
Fig. 3 shows a reasonable compliance analysis device for medical examination and verification according to a third embodiment of the present invention, which comprises:
a medical examination and inspection database module 21 for storing a medical examination and inspection database;
the examiner basic information extraction module 22 is used for extracting the examiner basic information;
a medical examination and inspection information extraction module 23 for extracting medical examination and inspection information;
the relevant element actual information extraction module 24 is used for extracting the relevant element actual information for the medical examination and inspection of the examiner according to the elements contained in the information and rules of each item of medical examination and inspection reasonable compliance analysis;
and a reasonable compliance analysis module 25 for medical examination and inspection, for analyzing the reasonable compliance of the medical examination and inspection.
The equipment for reasonably analyzing the compliance of the medical examination and the inspection is formed by adopting a method for reasonably analyzing the compliance of the medical examination and the inspection, the structural characteristics correspond to each other one by one, the explanation of the method for intelligently recommending the medical examination and the inspection can be referred to, and the explanation is not repeated herein.
The method, the system and the equipment for analyzing the reasonable compliance of the medical examination and the inspection can analyze the reasonable compliance of the medical examination and the inspection by establishing a medical examination and inspection database, extracting the information of inspectors, the information of the medical examination and the inspection and the relevant element actual information of the inspectors for the medical examination and the inspection and comparing the extracted information with the medical examination and inspection database. By the method, the system and the equipment for reasonably analyzing the compliance of medical examination and inspection, the analysis result is provided for different users in different forms, so that the users are assisted to realize effective management of the medical examination and inspection, and inspectors are helped to safely, effectively, economically and properly carry out the medical examination and inspection; the medical examination and inspection can be better managed by the medical administration management department, the medical insurance management department, the medical institution, the insurance company, the market/quality supervision management department and the commercial circulation management department.
The above-mentioned embodiments are intended to illustrate the objects, technical solutions and advantages of the present invention in further detail, and it should be understood that the above-mentioned embodiments are merely exemplary embodiments of the present invention, and are not intended to limit the scope of the present invention, and any modifications, equivalent substitutions, improvements and the like made within the spirit and principle of the present invention should be included in the scope of the present invention.

Claims (11)

1. A method for rational compliance analysis of medical examinations and tests, comprising:
establishing a medical examination and inspection database;
extracting basic information of an inspector;
extracting medical examination and inspection information;
extracting relevant element actual information of medical examination and inspection performed by an inspector;
and calculating and comparing the basic information of the examiner, the information of the medical examination and inspection and the actual information of relevant elements of the medical examination and inspection performed by the examiner with relevant information and rules in the medical examination and inspection database, and analyzing the rationality and compliance of the medical examination and inspection performed by the examiner.
2. A method of proper compliance analysis for medical examinations and tests according to claim 1 wherein: the medical examination and verification database includes at least one of information and rules relating to the rationality and compliance of medical examination and verification, the impact on the examiner, and the related measures to be taken.
3. A method of proper compliance analysis for medical examinations and tests according to claim 1 or 2, characterized in that: the information and rules related to the medical examination and inspection rationality and compliance include: information and rules of medical examination and test applicability/applicability, information and rules of medical examination and test contraindications, information and rules of medical examination and test caution/attention, information and rules of medical examination and test interaction/interaction, information and rules of medical examination and test allergies, information and rules of medical examination and test expiration, information and rules of medical examination and test time, information and rules of medical examination and test method, information and rules of medical examination and test volume, information and rules of medical examination and test adverse reactions, information and rules of medical examination and test convenience/comfort/compliance, information and rules of medical examination and test monitoring/assessment at various stages before/during/after medical examination and test, at least one of information and rules of preparation/protection measures before/during medical examination and verification and recovery measures thereafter, information and rules of medical insurance/medical welfare of medical examination and verification, information and rules of economic management and control of medical examination and verification, information and rules of administrative requirements of medical examination and verification, information and rules of examination and verification conditions of medical examination and verification.
4. A method for proper compliance analysis in medical examinations and examinations according to any of claims 1-3 and comprising a multi-dimensional element property dictionary for medical examinations and examinations for processing the examiner's basic information, the medical examination and examination information, the actual information of the relevant elements of the examiner's medical examination and examination, and the matching/comparison of the relevant information and rules of the medical examination and examination database.
5. A method of proper compliance analysis for medical examinations and tests according to claim 4 wherein: the medical examination and inspection multi-dimensional element attribute dictionary comprises a standard dictionary, a synonym corresponding dictionary and a fuzzy matching dictionary of medical examination and inspection related element attributes, and the comparison of the extracted information with the information and rules in the medical examination and inspection database is realized by comparing the extracted original information with the synonym corresponding dictionary, or firstly converting the original information into a format corresponding to the standard dictionary and then comparing the original information, or performing fuzzy matching comparison on the original information, or mixing the methods.
6. A method of proper compliance analysis for medical examinations and tests according to any one of claims 1 to 5 wherein: the method also includes reminding the examiner/operator/doctor/nurse/pharmacist/caregiver of various conditions, risks and detection/discovery thereof that may occur during/after the relevant medical examination and examination by the examiner, and the relevant preparation and handling methods, and issuing an alarm, prompting or initiating remedial action when the medical examination and examination occurrence is discovered.
7. A method of performing a plausible compliance analysis of a medical examination and test according to any one of claims 1-6, wherein said method comprises: the method comprises the steps of analyzing and comparing analysis results of analysis items obtained by medical examination and inspection under various conditions according to relevant rules of a medical examination and inspection database, setting grades/scores of the analysis items under the conditions reasonably performed by the medical examination and inspection, and setting relative weights of the analysis items according to actual conditions of inspectors, so that when the medical examination and inspection are reasonably compliant and analyzed, comprehensive grades/scores of the medical examination and inspection can be calculated according to the grades/scores corresponding to the analysis items and the weights of the analysis items, and comprehensive analysis results can be provided for reasonable and compliant analysis of the medical examination and inspection under the conditions.
8. A method of proper compliance analysis for medical examinations and tests according to claim 7 wherein: the method can also correspondingly generate different intelligent analysis models according to the grade/score and the weight of each analysis item set according to the analysis result of each analysis item under various conditions for medical examination and inspection, so that the related intelligent analysis models can be used/referred under the same/similar use conditions, and the setting of the intelligent analysis models can be continuously optimized and adjusted in the use process.
9. A method of proper compliance analysis for medical examinations and tests according to any one of claims 1 to 8 wherein: the method includes encrypting identification, confirmation, login, electronic signature of examiner, prescriber/operator and related roles, as well as storage, transmission and application of personal information, prescription/order information and various analysis results.
10. A system for proper compliance analysis of medical examinations and tests, said system comprising:
the medical examination and inspection database unit is used for storing a medical examination and inspection database, and the medical examination and inspection database comprises at least one of information and rules related to the reasonability and compliance of medical examination and inspection, the influence on an inspector and related measures required to be taken;
the examiner basic information extraction unit is used for extracting the examiner basic information;
a medical examination and inspection information extraction unit for extracting medical examination and inspection information;
the relevant element actual information extraction unit is used for extracting the relevant element actual information for the medical examination and inspection of the examiner according to the elements contained in the information and the rules of all the items of medical examination and inspection reasonableness and compliance analysis;
the reasonable compliance analysis unit for medical examination and inspection is used for analyzing the reasonable compliance of the medical examination and inspection;
the medical examination and inspection reasonable compliance analysis unit is used for calculating and comparing the basic information, the medical examination and inspection information and the relevant information and rules in the medical examination and inspection database, and analyzing the reasonable compliance of the medical examination and inspection performed by the inspector.
11. A proper compliance analysis device for medical examination and verification, the device comprising:
the medical examination and inspection database module is used for storing a medical examination and inspection database;
the inspector basic information extraction module is used for extracting basic information of an inspector;
the medical examination and inspection information extraction module is used for extracting medical examination and inspection information;
the relevant element actual information extraction module is used for extracting relevant element actual information for medical examination and inspection of the examiner;
and the reasonable compliance analysis module for medical examination and inspection is used for analyzing the reasonable compliance of the medical examination and inspection.
CN201911286628.1A 2019-12-14 2019-12-14 Method, system and equipment for medical examination and reasonable compliance analysis of inspection Pending CN111028936A (en)

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CN111627545A (en) * 2020-06-04 2020-09-04 曹庆恒 Management method, system and equipment for medical examination and inspection rules
CN111652740A (en) * 2020-04-27 2020-09-11 平安医疗健康管理股份有限公司 Method and device for monitoring online behavior, computer equipment and storage medium
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CN114005525A (en) * 2021-12-31 2022-02-01 极限人工智能有限公司 State detection method and device of surgical consumables, electronic equipment and storage medium
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