KR102160831B1 - Method and server apparatus for clinical decision support - Google Patents

Abstract

The present invention relates to a clinical decision support method and a server device. The disclosed clinical decision support method includes the steps of collecting and outputting a patient's clinical test results from a medical information providing device provided for a plurality of regions, and threshold information that can be used to make a clinical decision on the output clinical test results for each region. And adjusting by applying a low weight, and providing support to a plurality of medical information providing apparatuses with weighted threshold information for each of a plurality of regions so that they can be used for clinical decision making on a clinical test result. Therefore, when it is necessary to intensively manage diseases with a high incidence rate for each region, it is possible to provide assistance through a clinical decision support message in consideration of regional characteristics even when determining a clinical decision for a clinical test result.

Description

Clinical decision support method and server device {METHOD AND SERVER APPARATUS FOR CLINICAL DECISION SUPPORT}

The present invention relates to a clinical decision support (clinical decision support), and more particularly, to a clinical decision support method and a server device that provides threshold information that can be used for clinical decision-making on a clinical test result.

In recent years, instead of recording patient-related information on paper or film according to the traditional method, many medical institutions store and manage patient medical records using EMR (Electronic Medical Record), etc. It is now possible to conveniently and accurately manage information about the company.

In addition, a Clinical Decision Support System (CDSS) has been developed that can support judgment on whether a patient has a specific disease or whether a patient has a specific disease based on electronic medical record information on the patient's health status. Became.

This clinical decision support system is a computer-based system designed to support more accurate decision making through appropriate data, information and knowledge management at the time when clinical decision making is needed. In other words, it can be said to be a collection of programs that provide the necessary base knowledge and help the doctor who is in the medical treatment to make a decision and judgment on a diagnosis or treatment policy.

On the other hand, the incidence rate of various diseases varies by region. Based on the annual report of the National Cancer Registration Project of Korea's National Approval Statistical Approval No. 11744, the number of cancer incidences per 100,000 population by region was found to be 3.7 in Seoul, 5.9 in Chungbuk, and 9.0 in Jeonnam. In the case of gastric cancer, 60.3 in Seoul, 45.9 in Jeju, and 82.4 in Gyeongbuk, and in the case of colon cancer, 51.4 in Seoul, 42.3 in Ulsan, and 64.3 in Chungnam.

As such, the incidence rate of various diseases varies by region, which can be said to be due to differences in characteristics in natural or social conditions of each region.

Therefore, it is necessary to intensively manage diseases with a high incidence rate by region, and in the case of diseases selected for intensive management, it is necessary to actively cope with the disease by adjusting the threshold that can be used to make clinical decisions about the clinical test results. There is.

However, since the clinical decision support system according to the prior art provides uniform threshold information regardless of regional characteristics, there is a problem in that it does not help in decision making when trying to determine a clinical decision in consideration of regional characteristics.

Korean Patent Laid-Open Patent No. 10-2009-0000196, Publication date January 7, 2009.

The present invention has been proposed to solve the problems of the prior art as described above, and a clinical decision support method for providing threshold information in consideration of regional characteristics so that it can be used for clinical decision making on clinical test results collected by region, and Provide a server device.

The problem to be solved of the present invention is not limited to those mentioned above, and another problem to be solved that is not mentioned will be clearly understood by those of ordinary skill in the art from the following description.

A clinical decision support method according to an aspect of the present invention includes the steps of collecting and outputting a clinical test result of a patient from a medical information providing device provided for a plurality of regions, and using the outputted clinical test result for clinical decision The step of adjusting the possible threshold information by applying weights for each of the plurality of regions, and providing the threshold information to which the weights are applied for each of the plurality of regions to a corresponding medical information providing device among the medical information providing devices provided for each of the plurality of regions It may include the step of supporting so that the clinical test results can be used for clinical decision making.

A clinical decision support server device according to another aspect of the present invention includes a clinical information collection unit that collects a clinical test result of a patient from a medical information providing device provided for each region, and is used for clinical decision making on the clinical test result. A clinical information adjusting unit that adjusts the threshold information that can be performed by applying weights for each of the plurality of regions, and the medical information providing apparatus provided for each of the plurality of regions for the threshold information to which the weights are applied for each of the plurality of regions. It may include a clinical information providing unit that provides support to be used for clinical decision-making on the clinical test result.

According to an embodiment of the present invention, threshold information is provided in consideration of regional characteristics so that it can be used for clinical decision-making on clinical test results collected by a plurality of regions.

Therefore, when it is necessary to intensively manage diseases with a high incidence rate for each region, there is an effect of providing assistance through a clinical decision support message in consideration of regional characteristics even when determining a clinical decision for a clinical test result.

1 is a network configuration diagram of a clinical decision support system employing a clinical decision support server device according to an embodiment of the present invention.
2 is a block diagram of a clinical decision support server apparatus according to an embodiment of the present invention.
3 is a flowchart illustrating a clinical decision support method according to an embodiment of the present invention.

Advantages and features of the present invention, and a method of achieving them will become apparent with reference to the embodiments described below in detail together with the accompanying drawings. However, the present invention is not limited to the embodiments disclosed below, but may be implemented in various different forms. It is provided to completely inform the scope of the invention to those who have, and the invention is only defined by the scope of the claims.

In describing the embodiments of the present invention, if it is determined that a detailed description of a known function or configuration may unnecessarily obscure the subject matter of the present invention, a detailed description thereof will be omitted. In addition, terms to be described later are terms defined in consideration of functions in an embodiment of the present invention, which may vary according to the intention or custom of users or operators. Therefore, the definition should be made based on the contents throughout this specification.

1 is a network configuration diagram of a clinical decision support system employing a clinical decision support server device according to an embodiment of the present invention.

As shown, in the clinical decision support system according to the embodiment, a plurality of medical information providing devices 110, 120, and 130 provided for each region may be connected to the clinical decision support server device 200 through the communication network 10. I can.

Each of the medical information providing apparatuses 110, 120, and 130 may be installed in individual areas requiring medical support, and may be operated by medical personnel who can provide medical services. For example, it may be disposed in a primary health center and operated by a doctor or a nurse.

The medical information providing apparatuses 110, 120, and 130 receive results of various clinical tests such as blood glucose tests, blood pressure tests, lipid tests, immunity tests, and biochemical tests performed on patients. Then, various clinical test results are transmitted to the clinical decision support server apparatus 200 through the communication network 10. In addition, by receiving and outputting a clinical decision support message including threshold information to which regional weights are applied from the clinical decision support server apparatus 200, it is possible to help in determining a clinical decision for a clinical test result.

The clinical decision support server device 200 collects the patient's clinical test results from the medical information providing devices 110, 120, and 130 provided for each region and outputs the results through the management window, and makes a clinical decision on the clinical test results. Threshold information that can be used for is received through the management window with weights applied for each region. Threshold information to which weights for each region are applied can be continuously accumulated.

Alternatively, the clinical decision support server apparatus 200 may adjust threshold information for a test item corresponding to an intensive management disease set for each region among the clinical test results according to a preset regional adjustment rule.

In addition, the clinical decision support server device 200 provides threshold information to which weights are applied for a plurality of regions to a plurality of medical information providing devices 110, 120, and 130 so that they can be used for clinical decision making on clinical test results. Support.

This clinical decision support server device 200 may be referred to as a Smart Primary Health Center (SPHC) server if it provides a clinical decision support message to the medical information providing devices 110, 120, and 130 provided in regional health centers. .

2 is a block diagram of a clinical decision support server apparatus 200 according to an embodiment of the present invention.

As shown, the clinical decision support server apparatus 200 according to the embodiment includes a clinical information collection unit 210, a clinical information adjustment unit 220, a clinical information providing unit 230, an interface unit 240, and the like. do.

The clinical information collection unit 210 collects clinical test results of a patient from the medical information providing devices 110, 120, and 130 provided for each region.

The interface unit 240 outputs a management window in which threshold information can be registered or modified by region, displays the clinical test results collected by the clinical information collection unit 210 through the management window, and displays a plurality of Threshold information on a state in which the weight is applied by region is input.

The clinical information adjustment unit 220 classifies and stores the clinical test results of the patient collected by the clinical information collection unit 210 by region, and the threshold information to which regional weights inputted through the management window by the interface unit 240 are applied. Corresponds to the patient's clinical test results, and stores them by classification by region.

Alternatively, the clinical information adjusting unit 220 actively generates threshold information according to preset regional adjustment rules for test items corresponding to intensive management diseases set for each region among the clinical test results of the patient collected by the clinical information collecting unit 210. After adjusting to, it is classified by region and stored.

The clinical information providing unit 230 transmits a plurality of region-specific threshold information input through a management window by the interface unit 240 or adjusted according to a regional adjustment rule preset in the clinical information adjustment unit 220. 110, 120, 130) to support clinical decision-making about clinical test results.

Hereinafter, a process of providing a service for supporting clinical decision making by a clinical decision support system employing a clinical decision support server device according to an embodiment of the present invention will be described with reference to FIGS. 1 to 3.

First, the medical information providing apparatuses 110, 120, and 130 are installed in individual areas requiring medical support, and may be operated by medical personnel who can provide medical services. For example, if it is placed in a public health center, it can be operated by a doctor or a nurse. In other words, doctors or nurses perform various clinical tests such as blood sugar tests, blood pressure tests, lipid tests, immunity tests, biochemical tests, etc. for patients who visit a public health center or visit patients, and the results of the various clinical tests are provided with medical information. It is input to the providing device (110, 120, 130).

Then, the medical information providing apparatuses 110, 120, and 130 transmit various input clinical test results to the clinical decision support server apparatus 200, and the clinical information collection unit 210 of the clinical decision support server apparatus 200 ) Collects clinical test results transmitted from the medical information providing devices 110, 120, and 130 for each region.

Here, the medical information providing device (110, 120, 130) may transmit the health center unique information, device identification information, or region identification information together, and the clinical information collection unit 210 collects these information together with the clinical test results. Can be (S301).

Subsequently, the clinical information adjustment unit 220 classifies and stores the clinical test results of the patient collected by the clinical information collection unit 210 by region. At this time, the clinical information adjustment unit 220 stores the health center unique information, device identification information, or region identification information in correspondence with the clinical test results. That is, the clinical test results are stored in a form that can be searched for each region by using health center unique information, device identification information, or regional identification information.

In addition, the interface unit 240 outputs a management window for registering or modifying threshold information for each region. At this time, the interface unit 240 displays the clinical test results collected by the clinical information collection unit 210 through the management window (S303).

As described above, since the incidence of various diseases varies widely by region, it is necessary to intensively manage diseases with high incidence by region.In the case of diseases selected for intensive management, it is used for clinical decision-making regarding clinical test results. It is necessary to respond more actively to the disease by adjusting the threshold that can be used.

To this end, a specialist, etc., checks the clinical test results of the patient for each region through the management window provided by the interface unit 240, and selects test items requiring intensive management by inquiring the result values outside the threshold range. In addition, the threshold that can be used for clinical decision-making is adjusted and input. In this case, a clinical decision support message may be input together according to the clinical test result (S305).

Then, the clinical information adjustment unit 220 matches the threshold information to which regional weights are applied and the clinical decision support message inputted through the management window by the interface unit 240 with the patient's clinical examination results, and classifies and stores them by region. (S307).

Here, the clinical information adjustment unit 220 is, irrespective of steps S303 and S305, among the clinical test results of the patient collected by the clinical information collection unit 210, the test items corresponding to the intensive management diseases set for each region are preset by region. After actively adjusting the threshold information according to the adjustment rules, it can be classified and stored by region. To this end, information on the intensive management disease selected for each region is registered in advance in the clinical information adjustment unit 220, and clinical test items for determining the intensive management disease are registered in advance in the clinical information adjustment unit 220. In addition, regional adjustment rules indicating how high or how low the threshold value is adjusted for the corresponding clinical examination item is preset in the clinical information adjustment unit 220.

Next, the clinical information providing unit 230 stores a plurality of regional threshold information and clinical decision support messages stored in the clinical information adjustment unit 220 for each region using health center unique information, device identification information, or regional identification information. The search is performed and a clinical decision support message including the searched threshold information is provided to the plurality of medical information providing apparatuses 110, 120, and 130 (S309).

At this time, the clinical information providing unit 230 determines a medical information providing device that matches health center unique information, device identification information, or region identification information among the plurality of medical information providing devices 110, 120, 130, and A clinical decision support message may be transmitted to the information providing device through the communication network 10. Here, the clinical decision support message includes threshold information to which weights are applied according to regional characteristics.

Then, the plurality of medical information providing apparatuses 110, 120, and 130 receive a clinical decision support message including threshold information to which regional weights are applied from the clinical decision support server device 200, and support the received clinical decision making. It prints out a message to help in determining a clinical decision about the results of clinical tests.

For example, doctors or nurses at public health centers do not uniformly determine the clinical intention for clinical test results, but may refer to a clinical decision support message with adjusted threshold information to determine a clinical doctor according to regional characteristics. Can be provided to the patient. Therefore, diseases with high incidence rates can be tracked earlier, judged, and managed according to regional characteristics.

As described so far, according to an embodiment of the present invention, threshold information is provided in consideration of regional characteristics so as to be used for clinical decision-making on clinical test results collected for each region.

Therefore, when it is necessary to intensively manage diseases with a high incidence rate for each region, it is possible to provide assistance through a clinical decision support message in consideration of regional characteristics even when determining a clinical decision for a clinical test result.

Combinations of each step of the flowchart attached to the present invention may be performed by computer program instructions. Since these computer program instructions can be mounted on the processor of a general purpose computer, special purpose computer or other programmable data processing equipment, the instructions executed by the processor of the computer or other programmable data processing equipment are the functions described in each step of the flowchart. Will create a means of doing things. These computer program instructions can also be stored in computer-usable or computer-readable memory that can be directed to a computer or other programmable data processing equipment to implement a function in a particular way, so that the computer-usable or computer-readable memory It is also possible for the instructions stored in the flow chart to produce an article of manufacture containing instruction means for performing the functions described in each step. Computer program instructions can also be mounted on a computer or other programmable data processing equipment, so that a series of operating steps are performed on a computer or other programmable data processing equipment to create a computer-executable process to create a computer or other programmable data processing equipment. It is also possible for instructions to perform processing equipment to provide steps for executing the functions described in each step of the flowchart.

In addition, each step may represent a module, segment, or part of code that contains one or more executable instructions for executing the specified logical function(s). Further, it should be noted that in some alternative embodiments, the functions mentioned in the steps may occur out of order. For example, two steps shown in succession may in fact be performed substantially simultaneously, or the steps may sometimes be performed in the reverse order depending on the corresponding function.

The above description is merely illustrative of the technical idea of the present invention, and those of ordinary skill in the art to which the present invention pertains will be able to make various modifications and variations without departing from the essential characteristics of the present invention. Accordingly, the embodiments disclosed in the present invention are not intended to limit the technical idea of the present invention, but to explain the technical idea, and the scope of the technical idea of the present invention is not limited by these embodiments. The scope of protection of the present invention should be interpreted by the following claims, and all technical ideas within the scope equivalent thereto should be construed as being included in the scope of the present invention.

According to an embodiment of the present invention, threshold information to which regional weights are applied is provided so that a clinical intention for a clinical test result can be determined in consideration of regional characteristics. The present invention can be used in a clinical decision support system or a remote medical service system.

110, 120, 130: medical information providing device
200: Clinical decision support server device
210: Clinical information collection unit
220: Clinical information coordination department
230: Clinical information provider
240: interface unit

Claims (6)

delete delete delete A clinical information collection unit that collects clinical test results of a patient from a medical information providing device provided for a plurality of regions, and threshold information that can be used to make a clinical decision on the clinical test results by applying weights for each of the plurality of regions to adjust And a clinical information providing unit that provides a clinical information adjustment unit and an interface unit, and threshold information to which weights are applied for each of the plurality of regions to the plurality of medical information providing devices to be used for clinical decision making on the clinical test results. As a clinical decision support server device,
The clinical information controller adjusts the threshold information according to regional adjustment rules with respect to examination items for intensive management diseases set for each region, classifies and stores by region,
The interface unit outputs a management window for registering or modifying regional threshold information provided from the clinical information adjusting unit for each region, and providing the regional threshold information to a plurality of medical information providing devices.
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