CN111223546A - Method, system and equipment for intelligently auditing treatment scheme - Google Patents

Abstract

The invention discloses a method, a system and equipment for intelligently auditing a treatment scheme. By the method, the system and the equipment for intelligently auditing the treatment scheme, the condition that the treatment scheme is unreasonable and not compliant due to insufficient professional skills of medical staff, individualized differences of patients, human errors and the like can be avoided, the effective management of the treatment scheme is realized for a user, and the safe, effective, economic and appropriate treatment of the patient is facilitated; help medical administration, medical insurance management, medical institution, insurance company, market/quality supervision management better manage the progress and payment of treatment.

Description

Method, system and equipment for intelligently auditing treatment scheme

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 auditing a treatment scheme.

Background

With the continuous improvement of living standard, the demand of people for medical treatment is also greatly increased. The treatment plan is a plan for treating a patient by a doctor according to the symptoms of the patient and by making an appropriate treatment method or a combination of treatment methods according to the specific condition of the patient under the condition of fully knowing the condition, the history, the diagnosis and the examination result. Whether the treatment scheme is reasonable and directly related to effective treatment of diseases, reasonable distribution of medical resources, safety and health of patients and the like is the key for guaranteeing medical quality, controlling unreasonable medical expenses and maintaining rights and interests of patients.

The documents such as medical advice, prescriptions, diagnostic books, surgical orders, examination orders, execution orders and the like are key medical documents for judging the rationality of the treatment scheme of the patient. When a doctor makes a treatment plan for a patient, effective treatment methods or a combination thereof are selected according to actual conditions of the patient and individual information of the patient, and factors such as indications, contraindications, cautions, warning/prompting contents, potential safety hazards and use limitations of various treatment methods are considered, so that treatment methods which are seriously harmful to the patient are excluded, and treatment methods which are potentially dangerous to the patient need to fully evaluate risks and balance necessity. In addition, the patient's medical insurance and financial payment capabilities should be considered as well as the suitability of the treatment regimen. Only by comprehensively considering the factors closely related to the treatment scheme can the optimal target be achieved, and the benefits of the patients can be fully guaranteed.

In the course of actually determining the treatment plan, the medical staff may not know the information of the treatment plan sufficiently, or have insufficient information to the individual patient, or have human errors, etc., which may cause the unreasonable and non-compliant treatment plan. Therefore, an intelligent examination and verification method for the treatment scheme is urgently needed, and the safety, effectiveness, economy and suitability of the treatment scheme of the patient are comprehensively analyzed and evaluated in the whole process on the basis of technical data such as a prescription set and the like, so that the method is an important method for ensuring the reasonable compliance of the treatment scheme of the patient. Particularly, with the development and application of modern information technology, the appearance of intelligent medical analysis systems makes full examination of massive medical data and patient information possible, and will gradually play a great role in ensuring reasonable compliance of patient treatment schemes.

Disclosure of Invention

The main purposes of the invention are: aiming at the related risks caused by unreasonable and non-compliant aspects such as effectiveness, safety, economy, suitability and the like of a treatment scheme possibly existing when the treatment scheme is formulated for a patient, the method, the system and the equipment for intelligently auditing the treatment scheme are provided, so that medical personnel and the patient are helped to avoid the unreasonable and non-compliant treatment scheme.

In order to achieve the above object, the present invention provides a method for intelligently auditing treatment plans, which comprises:

establishing a treatment scheme database;

acquiring information of a treatment scheme;

acquiring relevant element actual information of a patient treatment scheme;

and (4) calculating and comparing the information of the treatment scheme and the relevant element actual information of the patient treatment scheme with relevant information and rules in a treatment scheme database, and analyzing the reasonability and the compliance of the patient treatment scheme.

The method for intelligently auditing the treatment scheme to achieve one or more treatment targets comprises one or more treatment methods which are combined according to the interrelation among certain time, method, space, strength and treatment method, wherein the treatment methods can be drug treatment, medical instrument treatment, examination, surgery, chemotherapy, radiotherapy, thermotherapy, magnetotherapy, electrotherapy, magnetotherapy, immunotherapy, gene therapy, physiotherapy, rehabilitation, sports, health care, psychological intervention, nutrition support and Chinese medicine therapy.

A method for intelligent auditing of treatment plans as described above, said treatment plan database comprising information and rules regarding the rationality and compliance of treatment plans, the impact on patients and the measures to be taken.

The method for intelligently auditing the treatment scheme comprises the following steps of: at least one of rules related to applicability, rules related to contraindications, rules related to need of caution/attention, rules related to presence of interaction, rules related to allergy, rules related to treatment condition, rules related to treatment occasion, rules related to treatment-related examination, rules related to time, rules related to development/use method, rules related to dosage, rules related to adverse reaction, rules related to preparation/protective measures, rules related to treatment effect evaluation, rules related to suitability/comfort/compliance, rules related to medical insurance/welfare, rules related to economic regulation, and rules related to administrative management.

The method for intelligently auditing the treatment scheme further comprises a multi-dimensional element attribute dictionary of the treatment scheme, wherein the multi-dimensional element attribute dictionary is used for processing the matching/comparison of the information of the treatment scheme, the actual information of the relevant elements of the treatment scheme of the patient and the relevant information and rules in the treatment scheme database.

The method for intelligently auditing the treatment scheme comprises the steps that the multidimensional element attribute dictionary of the treatment scheme comprises a standard dictionary, a synonym corresponding dictionary and a fuzzy matching dictionary of the attributes of all elements related to the treatment scheme, and the comparison of the acquired information and the rules in the treatment scheme database is realized by comparing the acquired 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 a combination of the methods.

The method for intelligently auditing the treatment scheme further comprises a patient personal information database, wherein the patient personal information database comprises relevant information of the patient, is used for acquiring relevant element actual information of the treatment scheme of the patient and provides or supplements relevant information of the patient when analyzing the reasonability and the compliance of the treatment scheme of the patient.

The method for intelligently auditing the treatment scheme further comprises a medical staff personal information database, wherein the medical staff personal information database comprises relevant information of medical staff, and is used for acquiring relevant element actual information of the patient treatment scheme and providing or supplementing relevant information of the medical staff when the rationality and the compliance of the patient treatment scheme are analyzed.

A method for intelligent auditing of a treatment regimen as described above, the method further comprising: analyzing and comparing each treatment scheme under various conditions according to related rules in the treatment scheme database to obtain analysis results of the treatment scheme in each analysis item or each specific treatment method, respectively setting corresponding grade/score, and can set the relative weight of each analysis item of the treatment scheme and each treatment method in the treatment scheme according to the actual situation, therefore, when the treatment scheme is reasonable and the compliance analysis is carried out, the comprehensive grade/score of the relevant treatment scheme can be calculated according to the grade/score corresponding to the analysis result of the relevant treatment scheme in each analysis item or each treatment method and the relative weight of each analysis item and each treatment method, so as to give comprehensive analysis results for reasonable and compliance analysis of the relevant treatment protocols under the conditions, including comparison between the relevant treatment protocols.

The invention also provides a system for intelligently auditing treatment schemes, which comprises:

a database unit for storing a treatment plan database;

a first information acquisition unit for acquiring information of a treatment plan;

a second information acquisition unit for acquiring relevant element actual information of the patient treatment plan;

and the intelligent auditing unit is used for calculating and comparing the information of the treatment scheme, the relevant element actual information of the patient treatment scheme and the relevant information and rules in the treatment scheme database, and analyzing the reasonability and the compliance of the patient treatment scheme.

The invention also provides a device for intelligently auditing treatment schemes, which comprises:

the database module is used for storing a treatment scheme database;

the first information acquisition module is used for acquiring the information of the treatment scheme;

the second information acquisition module is used for acquiring relevant element actual information of the patient treatment scheme;

and the intelligent auditing module is used for calculating and comparing the information of the treatment scheme, the relevant element actual information of the patient treatment scheme and the relevant information and rules in the treatment scheme database, and analyzing the reasonability and the compliance of the patient treatment scheme.

According to the method, the system and the equipment for intelligently auditing the treatment scheme, the treatment scheme database is established, the information of the treatment scheme and the relevant element actual information of the treatment scheme of the patient are obtained, the obtained information is compared with relevant rules in the treatment scheme database, and the reasonable compliance of the treatment scheme of the patient is analyzed. By the method, the system and the equipment for intelligently auditing the treatment scheme, the condition that the treatment scheme is unreasonable and not compliant due to wrong application of medical knowledge, carelessness or unknown actual conditions of patients can be avoided, effective management of the treatment scheme is realized for users, and medical staff and patients are helped to avoid the problems of the treatment scheme in the aspects of safety, effectiveness, economy and suitability.

Drawings

FIG. 1 is a flow chart of a method for intelligent review of treatment regimens in accordance with the present invention.

Fig. 2 is a block diagram of a system for intelligent review of treatment protocols in accordance with the present invention.

Fig. 3 is a hardware block diagram of an apparatus for intelligently auditing treatment plans 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, patient refers to the actual human being of the treatment regimen. Medical personnel refer to those who order and assist a patient in performing a treatment regimen, such as doctors, operators, nurses, checkers, reviewers, nursing personnel, and other related technical personnel. The medical orders represent important bases of treatment plans, including medical orders, prescriptions, surgical orders, diagnostic books, examination orders, laboratory orders, material requisition orders, execution orders, and the like.

A first embodiment of the present invention is described with reference to fig. 1. FIG. 1 is a flow chart of a method for intelligently auditing a treatment regimen according to the present invention. As shown in the figure, the method for intelligently auditing a treatment plan of the invention comprises the following steps:

step 1: and establishing a treatment scheme database.

In the present invention, the treatment plan is a plan for treating a patient by a doctor by making an appropriate treatment method according to the specific condition of the patient while fully knowing the condition, history, diagnosis and examination results of the patient according to the symptoms of the patient. The therapeutic scheme is to realize one or more therapeutic targets, and is formed by combining one or more therapeutic methods according to the mutual relations among certain time, methods, spaces, strength and therapeutic methods, wherein the therapeutic methods can be drug therapy, medical instrument therapy, examination, surgery, chemotherapy, radiotherapy, phototherapy, thermotherapy, magnetotherapy, electrotherapy, electromagnetic magnetotherapy, phonotherapy, immunotherapy, gene therapy, operation, physiotherapy, rehabilitation, sports, health care, psychological intervention, nutrition support, Chinese medicine therapy and the like, and can also be other therapeutic methods. The treatment method comprises the related specific medicines/instruments/equipment/materials/personnel/food/health food/actions/manipulations/sports and specific using method, using amount/intensity, using time and the like. The therapeutic targets may be treatment/diagnosis/prevention of disease, improvement of indices, delaying aging, reduction of pain, reduction of risk, alteration of body function and morphology, etc.

The treatment protocol database includes information and rules regarding the rationality and compliance of the treatment protocol, the impact on the patient and the measures that need to be taken. The method specifically comprises various related element attributes, values/ranges/calculation methods/sources/limiting conditions/exclusion conditions of the various related element attributes, and interrelations/interactions/interconversion/rules/calculation methods among various/various groups/various types of element attributes.

The treatment protocol may be divided into a plurality of segments, each employing a suitable treatment or combination thereof to achieve a respective therapeutic goal, such as: lowering blood pressure, controlling blood sugar, cutting off lesions, suturing wounds, preventing blood coagulation and the like, and all the parts are combined into a whole to realize the treatment goal of the whole treatment scheme. Therefore, when the treatment scheme is reasonable and compliant, the parts of the treatment scheme and the treatment methods are considered, and the influence among the parts of the treatment scheme and the treatment methods is also considered, so that the whole treatment scheme has the reasonability and compliance. The information and rules related to the reasonability and compliance of the treatment plan can not only comprise the information and rules related to the reasonability and compliance of the whole treatment plan, but also comprise the information and rules related to the reasonability and compliance of each part of the treatment plan and each treatment method.

The treatment plan database of the present invention is based on various clinical treatment routes, guidelines, diagnosis standards, industry standards, textbooks, medical specifications, medical equipment use/operation specifications, medical instrument use specifications, surgical operation specifications, examination/inspection standards, prescription sets, pharmacopoeias, expert consensus, conference disciplines and consensus within the conjunctions/hospitals/departments, treatises, monographs, inventions, scientific inferences, experimental reports, data analysis reports, test reports, examination and 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 object price policies, relevant insurance payment terms, relevant insurance payment protocols, relevant bidding results, teaching materials, medical specifications, medical instruments, the system comprises a relevant purchase catalogue, relevant doctors/nurses/inspectors/pharmacists/nursing staff/patients/salespeople evaluation/inspection result/monitoring report/safety report, other literature data, other research results with speciality/authority, a method based on evidence-based medicine, probability speculation based on the existing data, a database established by sources such as various weights/various levels/various sequencing and the like needing to be set manually, a database established based on information reforming/information analysis/big data analysis, a database established through artificial intelligence deep learning, a database obtained through data mining analysis, rules and indexes obtained through data statistical analysis/artificial intelligence deep learning and set manually, or the relevant information and rules which are continuously accumulated and refined in the disease treatment process by the clinician and the pharmacist. The treatment database may also be a database built by a combination of the above methods. The database can be updated according to versions or can be updated in real time according to actual data. The treatment database may 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.

Relevant rules for rationalization and compliance of treatment regimens in the treatment regimen database include: at least one of the relevant rules of applicability, contraindications, cautious/cautious, interaction, allergy, treatment conditions, treatment timing, treatment-related examinations, time, method of development/use, dosage, adverse reactions, preparation/protective measures, treatment effectiveness assessment, suitability/comfort/compliance, medical insurance/welfare, economic regulations, administrative regulations, and other rules related to the rationality and compliance of a treatment regimen.

The relevant information and rules of treatment plan reasonability and compliance in the treatment plan database comprise the following elements: the treatment method comprises various conditions/requirements/attributes/numerical values of the treatment methods such as medicament manufacturers, specifications, dosage forms, daily frequency, time interval, daily dose, application/day polar amount, application method, administration route and the like. Further comprising: basic information of a patient, population information, genetic-related information, disease information, medical history information, medication history information, medical device use history information, operation items, symptoms, indices, treatment plan, body position, operation object, operation method, operation target, physiological development information, marriage and care information, physiological condition, psychological/intellectual condition, life/work/study/sport/entertainment information, environmental information, drug/medical device/health product/cosmetic use-related information, medical insurance-related information, medical expense payment ability/will, medical institution information, medical staff information, medical device/consumable/device/instrument/drug/implant required for a treatment plan, expense for a treatment plan, care, risk assessment, Stage, phase, anaesthesia, respiration, haemostasis, infection prevention, pain, emergency measures, index control, preparation and requirements, training, indications, contraindications, relevant protection and emergency, nutritional support, doctor level and authority, ancillary software, imagery and other information of the respective elements.

In the present invention, the crowd information may include specific crowd information such as a 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 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: 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 medical staff information includes: age, gender, job title, professional qualification, professional training, protective measures and the like. The medical device comprises: active surgical instruments, passive surgical instruments, neurological and cardiovascular surgical instruments, orthopedic surgical instruments, radiation therapy instruments, medical imaging instruments, medical examination and monitoring instruments, respiratory/anesthesia and emergency medical instruments, physical therapy instruments, blood transfusion/dialysis and extracorporeal circulation instruments, medical instrument sterilization instruments, active implant instruments, passive implant instruments, injection/care and protection instruments, patient-carrying instruments, ophthalmic instruments, dental instruments, gynecological/assisted reproduction and contraception instruments, medical rehabilitation instruments, traditional Chinese medicine instruments, medical software, clinical laboratory instruments, surgical robots, nursing robots and other products belonging to the category of medical instruments or similar medical instruments, and other products with similar effects, including components or accessories, consumables, and the like. The implant comprises: grafts, cultures, gene vectors, implant chips, implant devices/apparatus, and the like. Nutritional support includes: detecting water, heat, protein, trace elements, sugar, salt, fat, carbohydrate, minerals, amino acids, vitamins, content standard, and supplement dosage.

Such as helicobacter pylori eradication therapy: relevant guidelines and clinical routes recommend triple or quadruple therapy including eradication of helicobacter pylori using a combination of drug therapies such as the use of a proton pump inhibitor in combination with an antibacterial agent. According to this treatment principle, actual treatment-related factors of different patients are considered, including: age, sex, genetic factors, past medical history, surgical history, family medical history, diet condition, exercise condition, work and rest condition, medicine taking, related examination and examination indexes, related allergy condition, related medication compliance condition, related adverse reaction condition, etc., and the relation between the related factors and the specific treatment schemes such as the types of various medicines, the dosage forms of the medicines, the manufacturers of the medicines, the prices, the payment conditions of medical insurance, the taking methods, the taking time, the taking dosage, contraindications, the interaction, the combined use conditions of the medicines and the like in the triple or quadruple treatment scheme, namely, the concrete scheme and the related rules of the helicobacter pylori treatment under different patients and different treatment conditions in the treatment scheme database can be established, and the specific scheme and related rules are continuously perfected and optimized according to the analysis of the effect data of different treatment schemes under different conditions in the clinical treatment practice.

For example, the establishment of relevant rules for treatment regimens associated with acute appendicitis requires consideration of the relevant treatment regimens and their specific regimens and interrelationships: 1. the applicability of the treatment scheme and the related rules of contraindication to confirm whether the patient is suitable for operation treatment or should select conservative treatment and the like (indication: 1. acute appendicitis or acute perforated appendicitis and localized peritonitis or diffuse necrotic appendicitis.2. suppurative or necrotic appendicitis.3. acute appendicitis in gestation period.4. acute appendicitis initiator.5. periappendiceal abscess still has symptoms 3 months after incision drainage or non-operation treatment), contraindication: 1. acute appendicitis has occurred for more than 12 hours, or a mass has formed, and local tissue edema of the appendix is evident and is not suitable for surgery. And 2, treating the periappendiceal abscess without symptoms and forcibly operating. If the patient diagnoses the acute attack of the chronic appendicitis and the local appendiceal edema is simultaneously caused, the related scheme of the operation treatment is reasonably selected); 2. the relevant rules of the patient according to the treatment relevant examination for the applicable range of the operation treatment scheme comprise: the method comprises the following steps of (1) examination such as blood routine examination, urine routine examination, blood coagulation function examination, biochemical combination examination, infectious disease screening and the like, wherein an affected area of a patient is probed through imaging examination, and if the situation that the normal operation of the operation is possibly influenced is found, intervention (such as using drugs) is firstly required to ensure that the affected area meets the operation conditions and the like (such as preoperative blood coagulation function examination, examination of indexes such as plasma Prothrombin Time (PT), PT activity calculated by PT, international standard ratio INR, Activated Partial Thromboplastin Time (APTT) and Fibrinogen (FIB) and the like are required to be carried out routinely, and if relevant indexes of the patient meet the normal condition, relevant treatment schemes on the analysis items are reasonable); 3. the related rules of the applicability of the drug treatment method comprise antibacterial drugs, narcotics, analgesic drugs and specific use schemes thereof which are applicable according to the conditions (such as allergic history, adverse reaction history, drug-resistant bacteria condition and the like) of a patient/hospital and related examination results (such as the antibacterial drug principle uses second-generation cephalosporins and anti-anaerobic drugs: cefuroxime or cefoxitin or cefotiam, if the patient is allergic to cephalosporins, levofloxacin or amikacin can be selected); 4. developing relevant rules of the method, including rationality/compliance correspondence between the condition of the patient and the operation mode, the operation body position, the position of the operation incision, the anesthesia mode and the like; 5. checking (in treatment) relevant rules, including postoperative specimen pathological examination, intraoperative exudate culture, drug sensitivity test and subsequent treatment of results thereof (for example, bacterial culture and drug sensitivity test examination can be performed on intraoperative local exudate, if the bacterial culture result exceeds the antibacterial spectrum of the previous antibacterial drug, the corresponding effective drug needs to be adjusted according to the bacterial culture result, and meanwhile, if the original drug of the drug sensitivity test result is negative insensitivity, the sensitive drug also needs to be adjusted according to the result); 6. checking (after treatment) related rules, including wound healing conditions, body temperature check, pain relieving effects, postoperative infection, operative complications and treatment thereof; 7. recovering relevant rules, including postoperative care rules, postoperative nutrition management, postoperative physiotherapy, postoperative activities, postoperative dressing change schemes, postoperative examinations, etc.; 8. and (4) evaluating relevant rules of treatment effect, including diet condition, exhaust condition, action condition and the like. 9. For patients suffering from other diseases, the relevant factors of the combined treatment need to be considered in the corresponding treatment scheme rules.

The rules in the treatment plan 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 also include the condition that the related rules are related to the time dimension.

Step 2: information of a treatment plan is acquired.

The information on the treatment plan includes: the information of the treatment purpose, the specific scheme, the treatment object, the relevant medical staff and the like of the treatment scheme also comprises the relevant specific information of each treatment method forming the treatment scheme and the interrelation among each treatment method.

And step 3: obtaining relevant element actual information of patient treatment scheme

The acquisition of the relevant element actual information of the patient treatment plan refers to the acquisition of the relevant element actual information of the patient treatment plan according to the relevant rules in the treatment plan database. The relevant element actual information of the patient treatment plan is the patient actual information related to the rule. For example, if the contraindication rule of a certain treatment scheme is that the patient with hypertension cautiously uses the treatment scheme, the fact that whether the patient has hypertension is the relevant essential actual information of the treatment scheme of the patient.

And 4, step 4: and (4) calculating and comparing the information of the treatment scheme and the relevant element actual information of the patient treatment scheme with relevant information and rules in a treatment scheme database, and analyzing the reasonability and the compliance of the patient treatment scheme.

The information of the treatment scheme and the relevant element actual information of the treatment scheme of the patient are compared with the relevant information and rules in the treatment scheme database, and the whole information and the relevant information and rules in the treatment scheme database can be compared, so that whether the treatment scheme is reasonable and compliant or not is analyzed. Or respectively calculating and comparing each treatment method in the treatment scheme with the related information and rules in the treatment scheme database, considering the influence among the treatment methods, analyzing whether each treatment method is reasonable and compliant, and comprehensively considering whether the treatment scheme is reasonable and compliant.

For example: when a doctor makes a treatment scheme for a patient, in order to ensure that the patient can be reasonably treated, the treatment scheme can take effect only after the treatment scheme is audited by the intelligent auditing method for the treatment scheme, and medical staff can treat the patient according to the treatment scheme. The specific business process is as follows: a doctor formulates a treatment scheme, the treatment scheme formulated by the doctor is audited according to the intelligent auditing method of the treatment scheme, the information of the treatment scheme is obtained from a related system or the information input by the doctor, the relevant element actual information of the treatment scheme of a patient is obtained according to the relevant information and rules in the treatment scheme database, the information of the treatment scheme and the relevant element actual information of the treatment scheme of the patient are calculated and compared with the relevant information and rules in the treatment scheme database, the rationality and the compliance of the treatment scheme of the patient are analyzed, and the treatment scheme can be effective only through auditing if the treatment scheme has the rationality and the compliance, so that the phenomena of unreasonable treatment scheme and non-compliance can be greatly reduced. Taking the blood sugar reduction treatment of the diabetic as an example, the treatment scheme designed by the doctor for the patient is drug treatment combined with food therapy. Firstly, according to the relevant rule of applicability that the drug treatment is applicable to type 2 diabetes, the relevant element actual information of the treatment scheme of the patient is obtained, the patient is really type 2 diabetes, and the comparison result of the relevant rule of applicability conforms to the result. Secondly, acquiring relevant element actual information of a treatment scheme of a patient according to a relevant rule of contraindication that the contraindication of the glimepiride is allergic to sulfonylurea or sulfonamides, wherein the patient does not have the allergic history of the sulfonylurea or sulfonamides and the comparison result of the contraindication relevant rule accords with the contraindication relevant rule. And acquiring relevant element actual information of a treatment scheme of a patient according to a relevant rule of dosage, namely that the glimepiride recommends a low initial dosage for the elderly, wherein the patient is 65 years old and belongs to the elderly, the dosage of the glimepiride given in the treatment scheme is 1mg/d, the glimepiride belongs to the low initial dosage, and a comparison result of the dosage and the relevant rule conforms to a comparison result. Then, according to the relevant rule of the existence of interaction, the glimepiride is not suitable for eating the copper-rich food, so the copper-rich food is avoided in the food therapy, and the adverse interaction is avoided. The comprehensive examination and verification of the treatment scheme has reasonability and compliance. Of course, other rules may be included to further examine the reasonable compliance of a treatment regimen.

The specific calculation and comparison formula is as follows:

the relevant rules R of reasonable and compliance treatment schemes comprise m items, such as relevant rules of applicability of treatment methods, relevant rules of contraindications of treatment methods and the like.

When the whole is considered, the light-emitting diode is,

indicates whether the treatment plan X conforms to the itemized rule

As a result of (a) the process of (b),

representing itemized rules

The rule related to the treatment scheme X is shown in the specification, P represents the actual condition, and P accords with the itemized rule

The rules in (1) relating to treatment regime X,

，

and, if not,

。

a result indicating whether the treatment regimen X complies with the rule R, i.e. whether the treatment regimen X is reasonably compliant. If all of the treatment protocols X conform to the respective sub-rules of the relevant rules R for the rational and compliance of the treatment protocol, then the treatment protocol also possesses reasonable compliance.

When considered separately, treatment regime X comprises n treatment methods.

Indicating a method of treatment

Whether the branch rule is met

As a result of (a) the process of (b),

representing itemized rules

Neutralization treatment method

Related rules, P representing the actual situation, P complying with the itemization rule

Neutralization treatment method

The rules of relevance are such that,

，

and, if not,

。

results indicating whether treatment regimen X was reasonably compliant. If all the treatment methods in the treatment scheme X conform to the branch rules of the relevant rules R of reasonable treatment scheme and compliance, all the treatment methods have reasonable compliance, and the treatment scheme also has reasonable compliance.

If a certain subentry rule

Is not included in a certain treatment method

The relevant rules may not be analyzed to determine whether the treatment method complies with the subentry rule.

Relevant rules for applicability and elements thereof may include: the necessity, level, degree, ranking, effectiveness of the suitability of the whole or a part of the treatment regimen or each specific treatment method therein, the suitability evaluation of the patient/operator/doctor/pharmacist/nurse/caregiver, the reasonability and compliance of the applicable population, the reasonability and compliance of the applicable purpose, the reasonability and compliance of the indication/applicable condition, each factor influencing the suitability and the relationship thereof with the suitability, and the like.

The relevant rules for contraindications and their elements may include: the reason for the contraindication of the whole or part of the treatment scheme or each specific treatment method therein, the relationship between each factor possibly influencing the contraindication and the contraindication, the guidance and prompt/warning information of the relevant patient/operator/doctor/nurse/pharmacist/caregiver, the consequences of the contraindication in the above situations, the level, degree, sequence and occurrence rate of the corresponding contraindication, the evaluation on the contraindication of the patient/operator/doctor/pharmacist/nurse/caregiver, the discovery and remedy of the contraindication in the above situations, and the like.

Relevant rules that require caution/attention and their elements may include: the reason for the need for caution or caution, the relationship of each factor that may affect caution or caution to caution or caution, the instructional/warning information of the relevant patient/operator/doctor/nurse/pharmacist/caregiver, the level, degree, ranking, probability of occurrence, risk level of caution/caution, the possible consequences of the above, the evaluation of caution or caution by the patient/operator/doctor/pharmacist/nurse/caregiver, the discovery of relevant consequences and remedial measures of the above, etc. are relevant to the whole or part of the treatment regimen or each particular treatment method therein.

The relevant rules for the existence of interaction means that the therapeutic methods of the treatment scheme itself including pharmacotherapy/medical instrument therapy/examination/surgery/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/magnetotherapy/phonotherapy/immunotherapy/gene therapy/operation/physiotherapy/dietotherapy/rehabilitation/sport/health care/psychological intervention/nutritional support/chinese medical therapy have interaction/interaction with each other, or the whole or a part of the treatment scheme or the relevant rules in which each specific treatment method has interaction/interaction with other drugs, surgery, medical examination and examination, diet, health products, cosmetics, treatment schemes, operations, etc., i.e., treatment methods should be avoided or used with caution if there is interaction/interaction and care should be taken and rescue preparation should be taken during the procedure.

The relevant rules and their elements for which there is an interaction may include: the interaction/interaction may occur when the whole or a part of the treatment scheme or each specific treatment method is simultaneously present/performed with other factors or items such as medicine/medical instrument/examination/surgery/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/electromagnetic therapy/magnetotherapy/rehabilitation/sports/psycho-intervention/health food/cosmetics/diet, and the interaction/interaction may occur when the whole or a part of the treatment scheme or each specific treatment method is simultaneously present/performed with the relevant factors or items such as medicine/medical instrument/examination/surgery/chemotherapy/radiotherapy/thermotherapy/magnetotherapy/electrotherapy/magnetotherapy/immunotherapy/gene therapy The influence of/factors such as/manipulation/physical therapy/rehabilitation/health care/physical exercise/psychological intervention/health care/health food/cosmetic/diet/their respective site of action/route/method/mutual interval/dose/time on/interaction as well as the influence that other factors that may have an influence on/interaction may have on/interaction.

Other factors that may have an effect on the above interactions/interactions include: patient genetic-related factors, lifestyle-related factors, diet-related factors, disease/treatment history-related factors, family medical history, allergy factors, work/learning/exercise/activity-related factors, environment-related factors, physiological/psychological/learning/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/alter the above-mentioned interactions/interactions, and the specific way in which these factors and items affect the relevant interactions/interactions, the disease/treatment history-related factors, family medical history, allergy factors, work/learning/exercise/activity-related factors, environment-related factors, age-related factors, physiological function-related factors, influence the result and degree of influence, etc.

The rules relating to the presence of interactions may further include: the reason for the interaction/interaction, the guidance/warning information of the relevant patient/operator/doctor/nurse/pharmacist/caregiver, the possible consequences of the interaction/interaction, the level, degree, ranking, probability of occurrence, degree of risk/benefit of the interaction/interaction, the evaluation of the relevant interaction/interaction by the patient/operator/doctor/pharmacist/nurse/caregiver, the discovery and remedy of the above-mentioned interaction/interaction, and the like, for the whole or part of the treatment plan or for each specific treatment method.

The relevant rules and elements of allergy may include the physicochemical properties and the principle of action/mechanism of the whole or part of a treatment regimen that may cause an allergic reaction or of each particular treatment regimen therein, specific elements including: 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 relevant rules for allergy may also include: the physical constitution, age, sex, height, weight, development related information, birth related information, sexual life related information, genetic related information of the patient, climate/air quality/humidity/season/temperature of the environment, disease/symptom/index/feeling/emotion of the patient, treatment history or treatment plan of the patient, family history/disease history/allergy history/genetic history/regional epidemic history/smoking history of the patient and the like which may possibly have allergy, working condition/learning condition/rest condition/exercise condition/nutritional condition/eating condition/work time/immunity condition of the patient, medicine/operation/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/magnetotherapy/phonotherapy/immunotherapy/gene therapy and the like The information of concern.

The relevant rules for allergy may also include: the possible manifestations and consequences of allergic reactions under different conditions, the reasons and mechanisms of allergic reactions, the relationship between various factors and allergic reactions that may affect allergic reactions, guidance/warning information of related patients/operators/doctors/nurses/pharmacists/caregivers, the grade, severity, ranking, occurrence probability of allergic reactions, the evaluation of related allergic reactions by patients/operators/doctors/pharmacists/nurses/caregivers, the discovery of related allergic reactions and remedial measures in the above situations, and the like. It is also possible to set the conditions under which the allergy test is to be performed, and if the condition of the patient meets the relevant conditions, the patient needs to go through the allergy test first and the result is negative before the patient can pass the allergy test.

Relevant rules for treatment conditions and their elements may include: the requirements for the patient's own condition, the requirements for the hospital/department/doctor/nurse/operator/caregiver, the requirements for the drugs/medical instruments/devices/instruments, the requirements for rehabilitation/nursing/rehabilitation, the requirements for medical insurance/cost, the level/importance/ranking of the treatment conditions, situations that may result from the lack of corresponding treatment conditions, remedial measures, etc. are all or part of the treatment protocol or the treatment conditions of each particular treatment method therein.

The relevant rules and their elements for the timing of the treatment may include: the whole or part of the treatment scheme or the treatment time of each specific treatment method in the treatment scheme has requirements on the physique/age/height/weight/development related information/fertility related information/sexual life related information of the patient, the diseases/symptoms/indexes/feeling/emotion of the patient, the working condition/learning condition/rest condition/sports condition/nutritional condition/eating condition/work and rest time/immunity condition of the patient, the medicines/operation/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/phonotherapy/immunotherapy/gene therapy of the patient, the grade, the importance degree and the sequence of the related treatment time, the unreasonable treatment time may lead to conditions and remedial measures.

Relevant rules for treatment-related examinations may include: the whole or part of the treatment scheme or each examination item required to be done before/during/after the treatment of each specific treatment method, the quality of the relevant examination index/symptom, the grade, the degree of importance and the sequence of the examination, the guidance/warning information of relevant patients/operators/doctors/nurses/pharmacists/caregivers, the conditions possibly caused by the examination, remedial measures and the like.

The relevant rules of time and its elements may include: the start time, duration, pause time, break time, progression cycle, progression frequency, duration of treatment, period of treatment interval, number of treatments, onset time, time to failure, end time, etc., of the entire or a portion of the treatment regimen or of each particular treatment regimen therein. The correlation rules of time may be defined and stored in different time attribute types, and the time-related element attribute types include time element attributes related to 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.; time element attributes associated with the treatment method 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 a patient are as follows: 2 weeks after birth, after eruption of deciduous teeth, after adolescent development, half a year after menopause, climacteric period, etc.; time element attributes associated with a patient's physiological cycle are as follows: first day of menstruation, etc.; time element attributes associated with patient fertility/sexual life are such as: 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 patient work/activity/movement/learning are as follows: before sitting on the front of a car, before sitting on a boat, before high-altitude operation, after long-time reading and the like.

The time-related rules may further include: factors which may influence the time and the relationship between the factors and the time of the treatment method can also comprise possible consequences and relevant remedial measures when the medical means is not accepted or used according to reasonable time in relevant rules, and also can comprise the interconversion relationship when the time and the relevant element actual information of the patient treatment scheme need to be interconverted in different time attribute types, and the calculation and interconversion relationship between the international standard time and the time of each time zone.

Relevant rules and elements thereof for developing methods/methods of use may include: the route of acceptance or use, site, time, distance, temperature, environment, condition, equipment/consumables, method of operation, operator requirements, protective conditions/precautions, and related precautions for the particular treatment, in whole or in part, or in each particular treatment regimen. The method can also comprise the following steps: the method may be influenced by and influence the result of treatment objectives, applicable populations, corresponding indications/indications, corresponding health status assessment items, corresponding environments, performance, usage, patient drugs/medical devices/healthcare products/diets/cosmetics/medical examinations and examinations, patient work/study/exercise related information, patient sexual life/work time/genetic information, etc. It may also include consequences and associated remedial actions that may occur if the treatment regimen is not received or used in the correct manner.

Relevant rules for usage and its elements may include: the specification, package, dosage, quantity, intensity, frequency, wavelength, concentration, method, usage range, usage duration, usage area, etc. of the whole or a part of the treatment plan or the related items of each specific treatment method therein, including the item information that needs to be subjected to unit/data conversion, may further include: the dosage may be influenced by and influence the treatment purpose, applicable population, corresponding indication/indication, corresponding health status evaluation item, corresponding environment, performance, usage, patient drug/medical device/health product/diet/cosmetic/medical examination and inspection, patient work/study/exercise related information, patient sexual life/work time/genetic information, and the like. The method can also comprise the following steps: 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 the treatment regimen is not being accepted or used in the correct amount.

The relevant rules and elements of adverse reactions may include: the relationship between the methods/amounts/times/frequencies/intervals/precautions and the like of the whole or part of the treatment regimen or each specific treatment method therein, and the possible adverse effects, as well as the relationship between each factor that may affect the adverse effects and the adverse effects, may also include: symptoms/index signals/expression/feeling/severity/harm of adverse reactions, treatment of adverse reactions, a method for preventing adverse reactions, remedial measures after adverse reactions occur, and the like.

Relevant rules and their elements for preparation/protection measures may include: the types of preparation/protection/intervention/remediation/recovery-related measures that are taken to avoid or reduce the risk and damage that may exist to or from the whole or a part of a treatment regimen or each particular treatment regimen therein, may also include the level of consequences and their risks that may occur if the preparation/protection measures are not taken according to the relevant rules, and the associated remedial measures.

Relevant rules and elements thereof for treatment effect assessment may include: the whole or part of the treatment scheme or each specific treatment method thereof can be used for evaluating the improvement and effect of the indexes, images, performances, symptoms, forms, appearances, feelings, abilities, functions, dietary conditions, rest conditions and the like of the patients, the grade, the importance degree and the sequencing of related treatment effects, situations which are possibly caused by the fact that the related treatment effects are not estimated, remedial measures and the like.

The relevant rules for suitability/comfort/compliance and elements thereof may include: comfort, convenience, difficulty, compliance difficulty, aesthetics, weight to wear, shape, size, volume, footprint, taste, odor, feel, temperature, hardness, irritation, portability, ease of storage, etc., of the entire or a portion of a treatment regimen or of each particular treatment method therein, as well as methods of adjusting suitability/comfort/compliance, including various ancillary conditions, ancillary measures, ancillary methods, ancillary operations, etc.

The relevant rules for suitability/comfort/compliance 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 motor ability, the physical strength, the work/study/motion/activity/travel rule and characteristic, the work and rest time, the aesthetic requirement, the study ability, the operation ability, the execution ability and the like of the patient, the weight and the combined calculation method of each item related to the suitability/comfort/compliance are set, and the target setting of the suitability/comfort/compliance of the treatment scheme of the patient is set. The suitability/comfort/compliance-related rules of (a) may also include a method of prompting the relevant doctor, nurse, pharmacist, patient, caregiver to adjust the corresponding suitability/comfort/compliance when the target setting is not reached.

Relevant rules for medical insurance/welfare and their elements may include: the whole or part of the treatment plan or whether each specific treatment method belongs to the medical welfare/medical insurance or commercial insurance scope and condition, object, ratio, calculation method, amount and the like, and also can include the limit of the relevant constraint term hospital/department/doctor/nurse and the like, and also can include information of price, single charge, single daily charge, single course charge, total charge and the like. Whether or not the whole or a part of the treatment regimen or each specific treatment method thereof falls within the medical welfare/medical insurance or commercial 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, dosage of methods, and the like, and combinations thereof. And relevant constraint terms such as violation behaviors, inspection modes, violation punishment measures and the like.

The rules and elements of economic regulation may include: the cost limits for the whole or a part of the treatment plan or each specific treatment method therein, such as the single cost, the single daily cost, the single treatment course cost, the total cost, the time average, the per-table/per-operation cost, the per-person cost, the per-day cost and the per-month cost, the cost limits for different hospitals/departments/doctors/nurses, the cost limits for different diseases/different treatment plans/different projects/patients, and the like, may further include the economic-related index of the treatment plan which is preset according to the actual economic capability and budget of the patient.

Relevant rules and their elements for administration may include: regional relevant provisions/requirements of the whole or part of the treatment plan or each specific treatment method therein, hospital-level relevant provisions/requirements, hospital property relevant provisions/requirements, department-related provisions/requirements, doctor-related provisions/requirements, operator-related provisions/requirements, patient-related provisions/requirements, disease-type relevant provisions/requirements, key monitoring-related provisions/requirements, extraordinary early warning-related provisions/requirements, bid results, price policy-related provisions/requirements, day-related provisions/requirements, amount-related provisions/requirements, DRGs (disease-related classification) -related provisions/requirements, clinical pathway-related provisions/requirements, and the like. Patient-related prescriptions/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 include: whether the system meets the related expense limit such as single disease type payment, total amount prepayment, expense proportion control, single variety purchasing/checking amount limit, type purchasing/checking amount limit and the like.

The method for intelligently auditing the treatment scheme of the invention also comprises a method for reminding a patient/operator/doctor/nurse/pharmacist/nurse, various conditions and risks which can occur when/after the patient receives or uses the relevant treatment scheme, a detection/discovery method of 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 are discovered.

The method for intelligently auditing a treatment plan of the invention can also comprise the following steps: analyzing and comparing each treatment scheme under various conditions according to related rules in the treatment scheme database to obtain analysis results of the treatment scheme in each analysis item or each specific treatment method, respectively setting corresponding grade/score, and can set the relative weight of each analysis item of the treatment scheme and each treatment method in the treatment scheme according to the actual situation, therefore, when the treatment scheme is reasonable and the compliance analysis is carried out, the comprehensive grade/score of the relevant treatment scheme can be calculated according to the grade/score corresponding to the analysis result of the relevant treatment scheme in each analysis item or each treatment method and the relative weight of each analysis item and each treatment method, so as to give comprehensive analysis results for reasonable and compliance analysis of the relevant treatment protocols under the conditions, including comparison between the relevant treatment protocols. The condition that the intelligent auditing treatment scheme is reasonable and compliant is that the comprehensive grade/score of the treatment scheme is higher than the set grade/score. The reasonable and compliance setting of the treatment scheme can be set to be reasonable, reminding, warning limiting, rejecting, locking, alarming and the like according to different comprehensive grades/scores of the analysis results, and the setting of the grades/scores can be continuously optimized and adjusted in the using process.

The specific calculation method of the comprehensive grade/score is as follows:

treatment regimen X comprises n treatment methods.

The relevant rules R of reasonable and compliance treatment schemes comprise m items, such as relevant rules of applicability of treatment methods, relevant rules of contraindications of treatment methods and the like.

Indicating a method of treatment

Rules in terms

Grade/score value corresponding to the result of the analysis item(s), and treatment method

Rules in terms

The analytical alignment in (1) may yield k results,

indicating a method of treatment

Rules in terms

Analyzing and comparing to obtain a set of actual conditions corresponding to the first analysis result,

indicating a method of treatment

Rules in terms

And analyzing and comparing to obtain a set of actual conditions corresponding to the kth analysis result. The grade/score corresponding to the first analysis result is set as

The grade/score corresponding to the kth analysis result is set as

. P represents the actual situation, to which set the result belongs,

it is equal to the corresponding set level/score.

Representing the overall grade/score for treatment regimen X.

Representing itemized rules

The relative weight of the analysis item of (a),

indicating a method of treatment

Relative weight of (c).

Because the treatment scheme is relatively complex, the problem that the information of the treatment scheme is incomplete due to incomplete acquisition of the treatment scheme information may exist. When the information of the treatment methods included in the treatment plan required by some analysis items is lacking due to incomplete information of the treatment plan, the treatment measures such as ignoring, reminding and supplementing, forced supplementing and the like can be taken according to the specific situation of the weight of the analysis items and the treatment methods.

The grade/score of each treatment of the treatment regimen can also be used to assess the necessity of a treatment of the treatment regimen, and the relationship between the necessity of each treatment of the treatment regimen and factors such as risk, cost to be paid, etc. can be analyzed to determine whether the treatment is needed. For example: for a patient with a certain treatment scheme, it is reasonable to monitor blood pressure after surgery to reduce the risk of the patient, but the monitoring of dynamic blood pressure is expensive, so that the problem of over-treatment exists, and therefore, a treatment method using dynamic blood pressure monitoring in the treatment scheme is unnecessary. The mode of monitoring the blood pressure at intervals can be adopted, the requirement of monitoring the blood pressure of a patient after operation is met, the cost is low, and the problem of overhigh cost does not exist, so that the treatment method of monitoring the blood pressure at intervals in the treatment scheme is necessary.

The grade/score of each analysis item or the grade/score combination of a plurality of analysis items can also be set as a necessary item for different situations of the patient, and if the necessary item does not pass, the auditing result of the treatment scheme is not passed. For example: the contraindication of the treatment method in the treatment scheme can be set as an essential item, and if the contraindication exists in the treatment method, the corresponding contraindicationSkThe value may be set to- ∞, then GX must also be below the set level/score, and the treatment plan is not approved.

The weight is set according to the importance of the analysis item or the treatment method of the treatment plan. If a certain analysis item or treatment method is important, the weight of the analysis item or treatment method can be set high; if a certain analysis item or treatment method is not important, the weight of the analysis item or treatment method may be set low; if it is not necessary to consider a certain analysis item or treatment method at all when calculating the comprehensive level/score of the treatment plan, the weight of the analysis item or treatment method may be set to 0.

Different intelligent analysis models can be correspondingly generated according to the grade/score, the weight of each analysis item and the weight of each treatment method set by each treatment method of the related treatment scheme under various conditions according to the analysis result of each analysis item, so that the related intelligent analysis models can be used/referred under the same/similar conditions, and the setting of the intelligent analysis models can be continuously optimized and adjusted in the using process.

The various data acquired by the intelligent treatment scheme auditing method of the invention can be all data, and can also be data of certain conditions set according to requirements, such as: data for a certain time period, data of a patient at a certain hospital/department/doctor, etc.

In the invention, the method for intelligently auditing the treatment scheme further comprises the step of using the multi-dimensional element attribute dictionary of the treatment scheme to process the matching/comparison of data from different sources, different data structures, different descriptions and different data standards, such as the information of the treatment scheme, the relevant element actual information of the treatment scheme of the patient, and the relevant information and rules in the treatment scheme database, wherein the matching/comparison comprises a fuzzy matching algorithm. The treatment scheme multi-dimensional element attribute dictionary comprises at least one of a standard dictionary, a synonym corresponding dictionary and a fuzzy matching dictionary of each element attribute related to the treatment scheme, and comprises data such as synonyms, structures, combinations and mutual corresponding relations of each dimension element attribute related to each item. The comparison between the acquired information of the treatment scheme and the actual information of the relevant elements of the treatment scheme of the patient and the relevant information and rules in the treatment scheme database may be performed by using the acquired original information to compare with the dictionary corresponding to the different names of the items carried by the multidimensional attribute dictionary of the treatment scheme in the treatment scheme database, or by converting the acquired original information into the corresponding standard dictionaries and then comparing with the treatment scheme database, or by performing fuzzy matching comparison between the acquired original information and the dictionaries in the treatment scheme database, or by a combination of the above methods. The treatment plan multi-dimensional element attribute dictionary can be established separately or included in the treatment plan database.

In the invention, besides adopting the treatment scheme multi-dimensional element attribute dictionary for matching, the information of the treatment scheme, the matching/comparison of the relevant element actual information of the patient treatment scheme and the relevant information and rules in the treatment scheme database can be processed by methods such as a voice recognition 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 intelligently auditing the treatment scheme can also comprise a patient personal information database which is used for acquiring relevant element actual information of the treatment scheme of the patient and providing or supplementing relevant information of the patient when analyzing the reasonability and the compliance of the treatment scheme of the patient. The patient personal information database comprises the relevant information of the patient, and the content comprises: patient basic information, genetic related information, family health related information such as family medical history, allergy history, regional epidemic history, medication history, surgical history, medical device use history, learning conditions, work conditions, exercise conditions, family conditions, living environment, hobbies, compliance conditions, tolerance conditions, medical insurance conditions, and physiological/psychological/learning/work/physical/sleep/exercise/emotional/metabolic/visual/hearing/mental/attention/diet/immune/growth development/memory/fertility conditions, and time of rest.

In the invention, the method for intelligently auditing the treatment scheme can also comprise a personal information database of medical personnel, which is used for acquiring the actual information of relevant elements of the treatment scheme of the patient and providing or supplementing the relevant information of the medical personnel when analyzing the reasonability and the compliance of the treatment scheme of the patient. The medical personnel personal information database comprises the related information of the medical personnel, and the content comprises the following components: the medical staff's study, profession, specialty, title, job title, practice hospital, department, and the related habits of prescribing medical advice, including related experience, medical advice writing habits, general medical advice rules, etc.

The data acquisition method of the patient personal information database and the medical personnel personal information database comprises the steps of acquiring or accessing from other information systems, equipment or databases and analyzing, or manually inputting, or continuously acquiring and analyzing new data in the using process of relevant information of the databases, or the combination of the methods.

In the present invention, the source of the actual information of the relevant elements of the patient treatment plan may be the patient personal information database, health file, family or family member health record, medical order, medical record, medical calendar, prescription, electronic medical record, medical institution information system, pharmacy/medical facility 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 order, operation plan/record, health management plan, charge order, clinical treatment path, examination/examination result, health management plan, charge order, health management plan, health examination result, health record/plan, health record/examination order, health record/examination result, health record, the operation setting/record and the gene detection result can be obtained from the use/prescription/recommendation record of the patient/doctor/nurse, or can be provided by various wearable devices, sensors, electronic devices, an electronic positioning system, a weather forecast system, an electronic temperature/humidity/air pressure detection device, an intelligent sound box, an intelligent home system, an intelligent monitoring/monitoring system, intelligent glasses, an intelligent closestool, an intelligent ground, an intelligent scale, an intelligent detection/analysis device, an electronic infusion system, an operation robot, face recognition analysis, fingerprint recognition, voice recognition, gait recognition, a positioning system, a social platform and other devices or systems, or can be obtained by analyzing the information of the life, study, work, movement, trip, social interaction, shopping, diet, work, entertainment and the like of the patient through big data, the information can also be analyzed by the patient's race/family/region/age/marital/birth, etc. The missing information may also be provided or refined by the patient/doctor/nurse/caregiver, or the information with high relevance may actively prompt the patient/doctor/nurse/caregiver to observe, monitor, check, query, analyze, confirm, record whether the relevant condition occurs or obtain the relevant index/performance/feeling/symptom/physiological change, the relevance is set or analyzed by data, the relevant elements are ranked or ordered according to the importance of the treatment scheme rationality and compliance in the aspects of effectiveness, safety, economy, suitability/comfort/compliance, etc., and the information with high importance may be set as the information that must be refined or cannot be processed in the next step. When the actual information of the relevant elements of the patient treatment scheme is obtained, the relevant medical advice information prescribed by specific medical personnel can be analyzed according to the personal information database of the medical personnel, so that the actual information of the relevant elements can be further accurately mastered. 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 equipment, etc.

In the invention, the results of the reasonable treatment scheme and the compliance analysis of the treatment scheme of the patient by the intelligent treatment scheme auditing method can be used for reminding, warning, limiting, prohibiting, assisting, guiding the patient/doctor/nurse/caregiver to select or recommend the treatment scheme. It can also be used for the data base of the patient/doctor/nurse and audit/administration/guidance/consultation station or secondary audit/administration/guidance/consultation center discussing the use/recommendation/purchase/payment/insurance audit optimization scheme of the treatment 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, referee 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 review institution/judicial institution, the basis for treatment/rehabilitation/health care/examination of guardians/family doctors/family drugstores/health managers/family nursing management patients, the basis for treatment scheme part in the health management/disease management of patients by the intelligent health management system/disease management system, the basis for scientific research institution/scientific research personnel/production enterprise/sales enterprise/use institution/purchase institution/patient/doctor/nurse/pharmacist/nurse/salesman and the like The data basis of related object selection/evaluation/design/research and development/sale can also be used for data basis of medical insurance management/medical insurance company/price management/health administration/medical institution for making operation-related policy/provision/payment range/payment rate/payment amount/use range and the like. The feedback objects and applications of the analysis items and the analysis results can also be set, the analysis results of the analysis items are fed back to different departments and different posts according to the requirements of patients, the processing authority and the flow of each department and post and the processing time limit and the processing requirements of each link are set, and various corresponding analysis result reports can also be generated according to the management requirements. The analysis items can be set, and the analysis items are configured to be required to be checked or reminded or not to be checked according to the requirements of the patient. The necessary examination item is that if the examination result of the item is unreasonable, the treatment scheme cannot be effective, and the reminding item is that if the examination result of the item is unreasonable, the related patients are reminded of the possible risks of the item, and the reminding 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 of the treatment scheme is provided for medical administration staff, medical insurance institutions, medical insurance management staff and circulation field management staff, and various possible illegal and illegal behaviors are prompted, so that support is provided for further standardizing the treatment scheme. The pre-treatment includes the time of doctor's advice, the time of recommendation and the time of purchase. The term "in progress" means in progress.

In the invention, the analysis, evaluation, report and other output information of the treatment scheme intelligent auditing method can be manually completed by professionals according to the treatment scheme database and various data, or manually completed under the support of the system, or automatically completed by the artificial intelligence, or completed by the combination of the system/artificial intelligence completion part and the manual completion part. The reasonable treatment scheme and the application/output form of the 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 an application that provides the analysis results and manually implements the relevant analysis results by the user.

In the invention, the identity recognition, confirmation, login and electronic signature of patients, medical staff and related roles, and the storage, transmission and application of personal information, medical advice information and various analysis results of the intelligent treatment scheme auditing method can be encrypted by various methods, so that the related identities/authorities are prevented from being stolen 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 invention, the data transmission mode of the intelligent treatment scheme auditing method 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 intelligently auditing the treatment scheme 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 can be installed on a local server to support the use of the local user, or can be installed on a private cloud server to support the use of 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 intelligently auditing treatment plans according to a second embodiment of the present invention. As shown, the system for intelligently auditing a treatment plan includes:

a database unit 11 for storing a treatment plan database;

a first information acquisition unit 12 for acquiring information of a treatment plan;

a second information acquisition unit 13 for acquiring relevant element actual information of the patient treatment plan;

and the intelligent auditing unit 14 is used for calculating and comparing the information of the treatment scheme, the actual information of relevant elements of the patient treatment scheme and relevant information and rules in the treatment scheme database, and analyzing the rationality and compliance of the patient treatment scheme.

The system for intelligently auditing the treatment scheme is formed by adopting the method for intelligently auditing the treatment scheme, the structural characteristics are in one-to-one correspondence, and the description of the method for intelligently auditing the treatment scheme can be referred to, and is not repeated herein.

The system for intelligently auditing the treatment scheme can comprehensively analyze, remind and audit the whole process from the safety, effectiveness, economy and suitability of the treatment scheme, can effectively avoid the problem of unreasonable treatment scheme caused by insufficient professional skills of medical staff, individualized differences of patients, human errors and the like, and ensures that the patients can be treated reasonably.

For example: the intelligent treatment scheme auditing system can establish a plurality of versions of intelligent treatment scheme auditing systems in a unified or different region according to the actual conditions of the region, and can audit the reasonability and the compliance of the treatment scheme when different medical institutions, clinics, health hospitals, health stations, departments, doctors, nurses, inspectors and the like in the district formulate the treatment scheme. The auditing can be performed by a system installed locally or a system installed in an internet/local area network server, can be automatically completed by the system, or can be output as a formal auditing result after the relevant result is confirmed/adjusted by auditing post personnel after the system completes the pre-auditing. The auditing result can be used for managing the treatment scheme of the patient, can also be used as the basis for adjusting medical advice, and can also be used for assessing the medical quality/work performance/professional ability assessment/vogue assessment/service quality assessment/benefit accounting and the like of different medical institutions, departments, doctors, nurses, pharmacists, inspectors and the like.

For example: a treatment data service center can be established, and the system based on intelligent examination and verification of the treatment scheme provides reasonable compliance analysis service of the treatment scheme for users such as medical institutions, clinics, health hospitals, health stations, medical insurance institutions, insurance companies, doctors, pharmacists, nurses, inspectors, patients, caregivers and the like. The treatment data service center can assist the user to generate treatment scheme databases of different versions which are regulated and configured individually according to the characteristics and requirements of the user such as attribute, scale, service, region, economic condition, management system, use habit and the like, can customize different data transmission, storage, output and application processes/modes/formats according to different user service processes, and can be used for docking different systems, networks, equipment and mechanisms.

Fig. 3 is a hardware block diagram of an apparatus for intelligently auditing treatment plans according to a third embodiment of the present invention. As shown, the apparatus for intelligently auditing a treatment plan includes:

a database module 21 for storing a treatment plan database;

a first information acquisition module 22 for acquiring information of the treatment plan;

a second information obtaining module 23, configured to obtain actual information of relevant elements of the patient treatment plan;

and the intelligent auditing module 24 is used for calculating and comparing the information of the treatment scheme, the relevant element actual information of the patient treatment scheme and the relevant information and rules in the treatment scheme database, and analyzing the rationality and compliance of the patient treatment scheme.

The equipment for intelligently auditing the treatment scheme is formed by adopting the method for intelligently auditing the treatment scheme, the structural characteristics are in one-to-one correspondence, and the explanation of the method for intelligently auditing the treatment scheme can be referred to, and is not repeated herein.

According to the method, the system and the equipment for intelligently auditing the treatment scheme, the treatment scheme database is established, the information of the treatment scheme and the relevant element actual information of the treatment scheme of the patient are obtained, the obtained information is compared with relevant rules in the treatment scheme database, and the reasonable compliance of the treatment scheme of the patient is analyzed. By the method, the system and the equipment for intelligently auditing the treatment scheme, the condition that the treatment scheme is unreasonable and not compliant due to insufficient professional skills of medical staff, individualized differences of patients, human errors and the like can be avoided, the effective management of the treatment scheme is realized for a user, and the safe, effective, economic and appropriate treatment of the patient is facilitated; help medical administration, medical insurance management, medical institution, insurance company, market/quality supervision management better manage the progress and payment of treatment.

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 intelligent review of a treatment regimen, the method comprising:

establishing a treatment scheme database;

acquiring information of a treatment scheme;

acquiring relevant element actual information of a patient treatment scheme;

and (4) calculating and comparing the information of the treatment scheme and the relevant element actual information of the patient treatment scheme with relevant information and rules in a treatment scheme database, and analyzing the reasonability and the compliance of the patient treatment scheme.

2. The method of claim 1, wherein the treatment plan is combined by one or more treatment methods according to the relationship among time, method, space, intensity and treatment method, and the treatment method can be drug treatment/medical instrument treatment/examination/surgery/chemotherapy/radiotherapy/phototherapy/thermal therapy/magnetic therapy/electrotherapy/electric magnetotherapy/acoustic therapy/immunotherapy/gene therapy/operation/physiotherapy/rehabilitation/exercise/health care/psychological intervention/nutrition support/TCM therapy.

3. A method for intelligent auditing of a treatment regimen according to claim 2, wherein: the treatment protocol database includes information and rules regarding the rationality and compliance of the treatment protocol, the impact on the patient and the measures to be taken.

4. A method for intelligently auditing a treatment regimen according to claim 3, where the rules relating to rationality and compliance of a treatment regimen include: at least one of rules related to applicability, rules related to contraindications, rules related to need of caution/attention, rules related to presence of interaction, rules related to allergy, rules related to treatment condition, rules related to treatment occasion, rules related to treatment-related examination, rules related to time, rules related to development/use method, rules related to dosage, rules related to adverse reaction, rules related to preparation/protective measures, rules related to treatment effect evaluation, rules related to suitability/comfort/compliance, rules related to medical insurance/welfare, rules related to economic regulation, and rules related to administrative management.

5. A method for intelligent auditing of a treatment regimen according to any one of claims 1-4, wherein: the method also includes a treatment plan multi-dimensional element attribute dictionary for processing the information of the treatment plan, matching/comparing the relevant element actual information of the patient treatment plan with the relevant information and rules in the treatment plan database.

6. A method for intelligent auditing of a treatment regimen according to claim 5, wherein: the multi-dimensional element attribute dictionary of the treatment scheme comprises a standard dictionary, a synonym corresponding dictionary and a fuzzy matching dictionary of each element attribute related to the treatment scheme, and the comparison of the acquired information with the information and the rules in the treatment scheme database is realized by comparing the acquired original information with the synonym corresponding dictionary, or firstly converting the original information into the format of the corresponding standard dictionary and then comparing the original information, or carrying out fuzzy matching comparison on the original information, or the combination of the methods.

7. A method for intelligent auditing of a treatment regimen according to any one of claims 1-4, wherein: the method also comprises a patient personal information database, wherein the patient personal information database comprises relevant information of the patient, and is used for acquiring relevant element actual information of the patient treatment scheme and providing or supplementing relevant information of the patient when the reasonable and compliance of the patient treatment scheme is analyzed.

8. A method for intelligent auditing of a treatment regimen according to any one of claims 1-4, wherein: the method also comprises a medical staff personal information database which comprises relevant information of medical staff and is used for acquiring relevant element actual information of the patient treatment scheme and providing or supplementing relevant information of the medical staff when the rationality and the compliance of the patient treatment scheme are analyzed.

9. A method for intelligent auditing of a treatment regimen according to claim 4, further comprising: analyzing and comparing each treatment scheme under various conditions according to related rules in the treatment scheme database to obtain analysis results of the treatment scheme in each analysis item or each specific treatment method, respectively setting corresponding grade/score, and can set the relative weight of each analysis item of the treatment scheme and each treatment method in the treatment scheme according to the actual situation, therefore, when the treatment scheme is reasonable and the compliance analysis is carried out, the comprehensive grade/score of the relevant treatment scheme can be calculated according to the grade/score corresponding to the analysis result of the relevant treatment scheme in each analysis item or each treatment method and the relative weight of each analysis item and each treatment method, so as to give comprehensive analysis results for reasonable and compliance analysis of the relevant treatment protocols under the conditions, including comparison between the relevant treatment protocols.

10. A system for intelligent review of a treatment regimen, the system comprising:

a database unit for storing a treatment plan database;

a first information acquisition unit for acquiring information of a treatment plan;

a second information acquisition unit for acquiring relevant element actual information of the patient treatment plan;

and the intelligent auditing unit is used for calculating and comparing the information of the treatment scheme, the relevant element actual information of the patient treatment scheme and the relevant information and rules in the treatment scheme database, and analyzing the reasonability and the compliance of the patient treatment scheme.

11. An apparatus for intelligent auditing of a treatment plan, the apparatus comprising:

the database module is used for storing a treatment scheme database;

the first information acquisition module is used for acquiring the information of the treatment scheme;

the second information acquisition module is used for acquiring relevant element actual information of the patient treatment scheme;

and the intelligent auditing module is used for calculating and comparing the information of the treatment scheme, the relevant element actual information of the patient treatment scheme and the relevant information and rules in the treatment scheme database, and analyzing the reasonability and the compliance of the patient treatment scheme.

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