CN107633884A - A kind of medical cases big data intelligent management system - Google Patents
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Abstract
A kind of medical cases big data intelligent management system is disclosed, its entitled BigCase.On the one hand, the principle and practical application for medical field being diagnosed and being imparted knowledge to students using classical case, with realizing, form Case-based reasoning systems approach to system design（Case‑based Reasoning Systems）, the diagnosis of current case, treatment and rehabilitation are instructed with classical case.On the other hand, in order to solve the more educated problem of case data, it is proposed that define case template with artificial intelligence middle frame systematic knowledge method for expressing, medical cases big data is directly changed into available knowledge；The complex reasoning method based on case frame system, medical guide and process standard rule is developed simultaneously, so as to fundamentally solve the knowledge representation and reasoning intelligence questions of medical big data, and the intellectuality for medical services, regulation and standardization, personalization provide technology and means.
Description
Technical field
The application belong to medical data management, medical treatment and rehabilitation monitor in real time, intelligent decision and health service technical field,
More particularly to a kind of intelligent decision system based on medical science case data.
Background technology
For modern medicine based on data, the Ministry of Public Health of China has promulgated electronic health record basic framework and number in December, 2009
According to standard, the specification collection and storage of China's medical data.Modern medical equipment, Wearable particularly of new generation go out
Now and use, greatly facilitate the acquisition and storage of medical data.To such substantial amounts of medical data, effective analysis and utilization
Method and kit for, turn into the task of top priority.
Many medical knowledges can not be stated with clear and definite rule, and the rule-based and method of data mining is to medical data
It is not largely effective.Diagnosis, treatment, teaching, the academic exchange of medical field, generally all based on case.It is most natural and feasible
Method be that medical science big data is organized into case, carry out simulative medicine expert's thinking in reasoning by cases method：Case library is expert
Knowledge, new case's treatment method is formulated with the method for searching for and analyzing similar successful case.A series of " bases are have developed in the world
In the medical decision support systems of case ".Typically have：(1) DKFZ of Washington, DC university is in 1996-2000
The stem cell transplantation long-term follow service system CARE-PARTNER of exploitation, (2) U.S. Ohio University Medical Colleges were opened from 2004
The begin 4DSS type 1 diabetes injection of insulin Case management of research and development supports system, and (3) Italian Vigevano hospitals are from 2004
Begin the kidney patient dialysis management system for tracking RHENE developed, and Malardalen universities of (4) Sweden research and develop in 2002-2011
The diagnosis lacked of proper care caused by pressure and treatment system MSS.These research work are the medical intelligent system skill based on case
Extraordinary exploration has been done in art and application.However, these systems are relatively easy, scale is all little, and some are also simply experimental.
Chinese patent《A kind of medical diagnosis system based on big data》, application number：CN201610339263.4, " utilize
Big data technology establishes diagnosis and treatment scheme database, can be automatic with all inspection result datas of comprehensive patient by prescription generation module
Prescription or therapeutic scheme are provided, can avoid drug effect conflict between medicine or medication taboo, and feedback letter the effect of comprising patient
Breath ".However, how to represent diagnosis and treatment scheme, in face of complicated case, prescription how is generated, does not provide feasible side
Method.Chinese patent《A kind of traditional Chinese medical science case data processing method and system for the acute infectious disease that happens suddenly》, application number
CN201510308844.7 receives user's inquiry, uses the case in the method output traditional Chinese medical science clinical record data base of similar to search.It is logical
The appropriate application of the artificial intelligence technologys such as data mining, case-based reasioning is crossed, with reference to " five big syndromes " diagnostic rule of chinese medicine
And extensive Consensus of experts, the evidence rank of solution formulation can be effectively improved.Without reference to the expression of middle Medical Records, do not have yet
There is feasible method and system.Chinese patent《A kind of heart disease intelligent diagnostic method of case-based reasioning》, application number：
CN201310067819.5 is found out with it most using every Index for examination of patient as being scanned in case example storehouse on record
Diagnostic result is used as similar record, the distribution of each characteristic attributes weight of case is at the same time obtained using water-filling
Scheme, and the attribute of redundancy is rejected according to the weight of attribute.A kind of case retrieving method is which disclose, is not related to
How classical case is used in diagnosis and treatment.
United States Patent (USP)《Matching of cases based on attributes including an attribute
relating to flow of activities》, the patent No.：9,646,054, disclose a kind of case based on active flow
Method of completing the square.United States Patent (USP)《System and method to present a summarized task view in a case
management system》The patent No.：9,646,081, disclose case cluster, task cluster method in a kind of case management.
The arrival in big data epoch, the popularization of electronic health record, all proposed more to the most promising reasoning by cases of medical field
Big challenge.The research-and-development activity of conventional case big data, does not all fully take into account answering for medical such a application
Polygamy." a kind of medical cases big data intelligent management system of the invention（BigCase）" innovation include：
1st, the frame system knowledge representation method in artificial intelligence is used to define medical cases template by BigCase, makes case big
Data conversion is into the knowledge that can be used；Case template based on frame system, says from computer software angle, is that one kind is more
The dynamic data structure of dimension, the not only basic data comprising patient, inspection result, diagnostic comments, therapeutic advance, in addition to treatment
With the dynamic data such as the real-time monitoring during Monitoring Rehabilitation.
2nd, BigCase merges the inference method based on framework and rule with Case-based reasoning method, is formed
Unique and effective medical and healthy reasoning and decision-making technique, it is standardizing, being intelligent for medical treatment and health service management
Technical support is provided.Case management creates new case example, more new case instance data, inspection according to frame system case template
Investigate into a case the uniformity and security of an instance data.And reasoning by cases is except including the diagnosis based on classical case and the system of prescription
It is fixed outer, also include the reasoning based on guide and normal process.Make medical treatment flow more science and standard, ensure medical and strong
The front and rear uniformity of health service, will not reduce service level because of community is gone to from tertiary hospitals.
3rd, overall processes of the BigCase towards the prevention of disease, treatment and rehabilitation.Therefore, it is patient-centered health care, for disease
People provides lifetime service.Therefore, BigCase is focusing on people, using medical treatment and health service as objective；It is not with disease
Centered on, it is the theme with diagnosis and treatment difficult and complicated cases.
4th, medical institutions of the BigCase user including different stage, medical personnel, patient, family members etc..Need across
Unit, trans-regional tissue data, both guaranteed data security, and ensured sharing for data again.
The content of the invention
In order to adapt to the demand in medical big data epoch, meet the increasingly stronger life-long health demand for services of people, it is full
Sufficient medical expert and medical personnel effectively use the demand of big data, and the purpose of the present invention is by proposing to support and realize doctor
The technology and method of the knowledge representation and reasoning intelligence of case big data are treated, is allowed to and hospital HIS system and various inspections and prison
Measurement equipment is connected with instrument, obtains data, realizes that diagnosis, the in real time scientific management for the treatment of and rehabilitation training, monitoring and safety are protected
Barrier.
The invention provides a kind of medical cases big data intelligent management system, including：Its core medical cases management and
Inference system, and including：Case library and classical case library, case template, case management module, guide and process standard, with
And reasoning by cases module；Interactive interface, including doctor's client, family members' client, attendant's client；Check and rehabilitation is set
Standby interface, checked and assessment equipment, rehabilitation training equipment and miniature wearable device and patient's intelligence with standard interface connection
Cell phone application.
Preferably, case library and classical case library include center case in its described core medical cases management and inference system
Example storehouse and classical case library, belong to the case library of Different hospital, they are all by unified case management module and reasoning by cases
Module is managed and operated.
Preferably, case template is by artificial intelligence middle frame system in its described core medical cases management and inference system
Medical cases frame system defined in system knowledge representation method, each medical cases example is according to this case framework system
Thus system completes the conversion from data to knowledge, makes each case example of generation can participate in reasoning, directly come what is generated
It is connected in diagnosis, prescription, rehabilitation service.
Preferably, in its described core medical cases management and inference system case management module according to case frame system
In value and assignment program defined in each groove, by being connect with electronic health record, inspection and evaluation and monitoring device, doctor's client
Mouthful, generation or deletion case example, are each groove assignment in case example.
Preferably, guide and process standard are on a certain disease in its described core medical cases management and inference system
Diagnosis, treatment, the guide and process standard of rehabilitation, and the inference rule thus generated.
Preferably, reasoning by cases module includes two kinds of reasoning sides in its described core medical cases management and inference system
Method：A kind of is to start the inference procedure that If-Changed is defined in case frame system, is generated according to guide and process standard
Rule, using the data in corresponding case example, make inferences, diagnosed, treatment and rehabilitation needed for conclusion, opinion and ginseng
Number；The second is Case-based reasoning, finds out most like more than three in classical case library with present case example and passes through
Allusion quotation case, compare its state of an illness, prescription and recovery effects, reference is provided for doctor's decision-making.
Preferably, reasoning by cases module also includes in its described core medical cases management and inference system：When patient's disease
When feelings substantial improvement occur or deteriorated, If-Changed inference procedures meeting automatic start, send prompting Xiang doctor and suggest,
According to predetermined time and scene, information push configuration processor starts defined in If-Changed in case example, to
Family members and patient push customized information；According to service regulation and agreement, service management defined in If-Changed in example example
Program starts, and technology, medicine service are arranged to service department.
Preferably, the medical cases big data intelligent management system interactive interface passes through doctor's client, family members client
Patient, family members, medical worker and attendant are linked together by end, attendant's client, patient's smart mobile phone APP, shape
Into one using hospital, community, family as platform, medical treatment and health service system that patient and family members fully participate；Patient
Using monitoring device, by smart mobile phone APP, understand the state of an illness of oneself, receive doctor's advice, partner treatment；Doctor and nurse pass through
The monitoring in real time of doctor's client and the situation for analyzing patient, instruct and take measures；Family members understand patient by family members' client
Situation, with doctor link up.
Preferably, the medical cases big data intelligent management system inspection and rehabilitation equipment interface, are connected with standard interface
Connect and check equipment, treatment and rehabilitation equipment, and house monitoring device, realize total digitalization check and assess in real time, treatment and
Monitoring Rehabilitation, house rehabilitation guide and monitoring.
Preferably, the medical cases big data intelligent management system traditional Chinese medical science life client includes being arranged on doctor or nurse
The giant-screen client and cell phone client of office.
Brief description of the drawings
For a better understanding of the present invention, will the present invention will be described in detail according to the following drawings：
Fig. 1 is the medical cases big data intelligent management system for describing the embodiment of the present invention（BigCase）Diagnosed under support,
Treatment, rehabilitation and preventive management and the structural representation monitored in real time；
Fig. 2 is the management of core medical cases and reasoning for the medical cases big data intelligent management system for describing the embodiment of the present invention
The structural representation of system；
Fig. 3 is the structural representation of the distributed medical case big data intelligent management system of the embodiment of the present invention.
Embodiment
The specific embodiment of the present invention is described more fully below, it should be noted that the embodiments described herein is served only for illustrating
Illustrate, be not intended to limit the invention.In the following description, in order to provide thorough understanding of the present invention, a large amount of spies are elaborated
Determine details.It will be apparent, however, to one skilled in the art that：This hair need not be carried out using these specific details
It is bright.In other instances, in order to avoid obscuring the present invention, known structure, material or method are not specifically described.
Throughout the specification, meaning is referred to " one embodiment ", " embodiment ", " example " or " example "
：It is comprised in reference to special characteristic, structure or the characteristic that the embodiment or example describe at least one embodiment of the present invention.
Therefore, each local phrase " in one embodiment " occurred in entire disclosure, " in embodiment ", " example "
Or " example " is not necessarily all referring to the same embodiment or example.Furthermore, it is possible to will be specific with any appropriate combination and/or sub-portfolio
Feature, structure or property combination in one or more embodiments or example.In addition, those of ordinary skill in the art should manage
Solution, term "and/or" used herein include any and all combination for the project that one or more correlations are listed.
Fig. 1 is the medical cases big data intelligent management system of the embodiment of the present invention（BigCase）Diagnosed under support,
Treatment, rehabilitation and preventive management and the structural representation monitored in real time.Medical cases management and inference system 100 are entirely to examine
Disconnected, treatment, rehabilitation and the heart for preventing integral system.Case big data intelligent management is thought with medical field doctor using case
The principle of dimension, the data of a large amount of patients are organized into the case of standardization, using typical successful case as model, with medical professionalism
Guide and standard process provide physicians with diagnostic data and suggestion, handle current patient, formulate and optimize treatment and health to instruct
Compound case；By monitoring device, treatment and rehabilitation implementation status are checked in real time；To patient and family members push doctor's advice, personalization is known
Know, treatment and rehabilitation progress are reported；Data and analysis tool are provided to medical expert.
Medical cases management and inference system 100 and all inspection equipment 201, treatment and rehabilitation equipments 202, and at home
The grade of monitoring device 203 realizes total digitalization connection, is connected with hospital patient electronic record 204 and obtains related data, and passes through doctor
Client 301, patient's cell phone application, family members' client 302 and professional service client 303 are given birth to by related patient, family members, medical matters
Personnel and attendant are linked together, and form one using hospital, community, family as platform, patient and family fully participate in it
In service system.Patient uses house monitoring device, by smart mobile phone APP, understands the state of an illness of oneself, receives doctor's advice, match somebody with somebody
Close treatment；Doctor and nurse can pass through the client in doctor's office, or the monitoring in real time of hand-held mobile client and analysis
The situation of patient, to instruct and to take measures；Family members can also understand the situation of patient by mobile client, with doctor's ditch
It is logical.The system can be completed：
A) check and diagnose quantification, therapeutic scheme personalization.BigCase is with checking that equipment 201 is connected, acquisition inspection result,
Personal case is improved, by reasoning by cases, formulates personalized treatment and rehabilitation programme.
B) monitoring visualization, intellectual management.BigCase with treatment and rehabilitation equipment 202 be connected, according to therapeutic scheme with
Prescription, real-time monitoring treatment and instructs rehabilitation, to the patient under convalescent home or Miao people center, and house state
Exercise rehabilitation training monitors in real time and intelligent management.Pass through the intensity and fortune of house rehabilitation assistant, in real time monitoring rehabilitation exercise
Momentum, visual intelligent prompting is carried out, supervises and instruct training；And warning is sent in abnormal cases and is reminded.
C) service regulation.BigCase carries out cardiovascular disease and other slow diseases according to professional guideline and classical reasoning by cases
The standardization of management.To patient, according to rehabilitation progress situation, there is provided progress report, push relevant knowledge and 5 big prescriptions
（Medicine, motion, spirit, diet, smoking cessation）It is recommended that be the expert that can be trusted and improve health conditions with quality of life according to
Lean on；To family members, push customization report, Real Time Observation patients ' recovery scene, is the convenience for understanding patient's condition and being linked up with doctor
And effective channel；To doctor, social worker, nurse, volunteer, according to guide and specification, tissue case data, offer are optional
Rehabilitation programme scheme, the efficiency and level of their services are not only greatly improved, more provide and carry out medical research, service mode is ground
The ideal platform studied carefully.
Fig. 2 is the structural representation for the medical cases management and inference system 100 for describing the embodiment of the present invention.Case library classics case
Example includes two major class case examples in storehouse 120：The case example of current patient is stored in case library, classical case library storage is cured
Treat expert to be known as claiming classics in method, flow, result etc. in a certain typical disease for the treatment of, and there is reference value
Classical case example.Medical cases management and inference system 100 also include two big modules, when case management module 110, two
It is reasoning by cases module 130.
Case management module 110 is used for：The foundation of new case and the deletion of invalid case and data, from hospital's electronic medical recordses
It is middle obtain data carry out case data filling, by equipment Real time data acquisition, processing and analysis from check and monitoring device
The data come, the compatibility detection of case data, the security of case data, the maintenance of case data, etc..
BigCase intelligence comes from the Structure of Knowledge Representation of case template.We use frame system（Frame
System）Method for expressing.So, case template 150 is exactly the case knowledge representation defined with frame system, and case library is classical
Each case in case library 120 is exactly the case example of frame system defined in case template.Frame knowledge representation is
Minsky was in the paper at him in 1975《A Framework for Representing Knowledge》It is proposed.
Intelligence based on case frame system and reasoning in BigCase include two aspects：Case framework system in case template 150
Defined in If-Changed in system, the reasoning using guide and process standard as rule, in reasoning by cases module 130 with warp
Case inquiry and reasoning based on allusion quotation case.Here is cardiac rehabilitation case template framework Frame<CardiacRehab
Case Class>Example, its method and principle are applied to other medical treatment and health fields.
Frame <CardiacRehab Case Class>
{ patient's essential information
Patient information：If-Needed starts<PatientInfo>, fill in the dialog box of patient information typing；
Disease type：If-Needed starts the dialog box of selection patient disease's type；
Symptom and drug therapy situation at present：If-Needed starts<SymptomMedication>, obtain corresponding information；
Surgery situation：If-Needed starts<Operations>, obtain operation names and effect information；
Hazards：If-Needed starts<RiskFactor>, obtain every hazards information.
}
{ phase inpatient rehabilitation
Patient and ramily education：If-Needed starts<PatientEducation>, fill in education content and effect；
Rehabilitation training designs：If-Changed starts<ExercisePrescription>, it is regular according to determined by guide, make
With patient's indices, time, intensity and the duration of early rehabilitation training are inferred, is referred to for doctor；
Monitoring Rehabilitation：If-Changed starts<RehabMonitor>, according to rehabilitation prescription, remind rehabilitation prescription to perform on time,
Rehabilitation equipment and monitoring device are connected, carries out rehabilitation training and monitoring, the report of generation exercise rehabilitation training and other prescriptions perform
Report；
Discharge checks：If-Needed starts<Examination>, selection discharge inspection project, to selected checking workstation
Request is sent, preparation checks data and report；
5 big prescriptions：If-Needed starts<RiskStratify>, according to guide rule, using patient's achievement data, endangered
Dangerous hierarchical reasoning；Start<MedicinePrescription>、<ExercisePrescription>、<
FoodPrescription>、<MentalPrescription>、<SmokePrescription>, the rule according to determined by guide
Then, using patient's indices data, 5 big prescriptions are inferred.Start simultaneously<CaseReasoning>, in classical case library
Three the most similar cases are inquired, compare the state of an illness, prescription respectively, predict rehabilitation progress, are referred to for doctor.
}
{ the second stage of outpatient rehabilitation
Admission examination:Start<Examination>, selection discharge inspection project, send and ask to selected checking workstation,
Preparation checks data and report；
5 big formulation optimizations：Start<RiskStratify>, according to guide rule, using patient's achievement data, carry out risk stratification
Reasoning；Start<MedicinePrescription>、<ExercisePrescription>、<FoodPrescription>、<
MentalPrescription>、<SmokePrescription>, it is regular according to determined by guide, use patient's indices
Data, infer 5 big prescriptions.Start simultaneously<CaseReasoning>, the most similar three are inquired in classical case library
Case, the state of an illness, prescription are compareed respectively, predict rehabilitation progress, referred to for doctor.
Monitoring Rehabilitation：If-Changed starts<RehabMonitor>, according to exploitation prescription, remind rehabilitation prescription to hold on time
OK, rehabilitation equipment and monitoring device are connected, carries out rehabilitation training and monitoring, the report of generation exercise rehabilitation training and other prescriptions are held
Row report；
Discharge checks：If-Needed starts<Examination>, selection discharge inspection project, to selected checking workstation
Request is sent, preparation checks data and report.
}
{ three phases house rehabilitation
Monitoring Rehabilitation：If-Changed starts<RehabMonitor>, according to exploitation prescription, remind rehabilitation prescription to perform on time,
Rehabilitation equipment and monitoring device are connected, carries out rehabilitation training and monitoring, the report of generation exercise rehabilitation training and other prescriptions perform
Report；
Institute is gone back to check:If-Needed starts<Examination>, selection discharge inspection project, to selected checking workstation
Request is sent, preparation checks data and report；
5 big formulation optimizations：Start<RiskStratify>, according to guide rule, using patient's achievement data, carry out risk stratification
Reasoning；Start<MedicinePrescription>、<ExercisePrescription>、<FoodPrescription>、<
MentalPrescription>、<SmokePrescription>, it is regular according to determined by guide, use patient's indices
Data, infer 5 big prescriptions.Start simultaneously<CaseReasoning>, the most similar three are inquired in classical case library
Case, the state of an illness, prescription are compareed respectively, predict rehabilitation progress, referred to for doctor.
Family members' information：If-Changed, start<FamilyMessage>Push customized information.
Service arrangement：If-Changed, start<ServiceDelivery>Offer technology, medicine and other make house calls.
}
According to cardiac rehabilitation case template framework Frame<CardiacRehab Case Class>The case of some patient of generation
Example example is referred to as Frame<CardiacRehab Case Instance>.Cardiac rehabilitation case template framework is believed substantially by patient
Breath, a phase inpatient rehabilitation, the second stage of outpatient rehabilitation, three phase house rehabilitations, four parts form.The assignment of each of which groove has three
The different mode of kind：One kind is the selection of several disease types such as ' disease type '；Its assignment is the encoded radio of disease type,
Or the title of disease type.Another kind is the group information artificially inserted or be transferred to from another information system, and such as ' patient believes
Breath '.To the assignment of this groove by means of If-Needed programs.It is the calling of If-Changed programs in the third groove.Bracket<>
In name be all next level framework.It defines the reasoning that the routine call carried out, the rule involved by reasoning
With data, the data structure of reasoning acquired results and definition.Such as according to Chinese cardiac rehabilitation association guide on risk stratification
Rule, framework Frame< RiskStratify>Define the inference procedure of a risk stratification：
Frame < RiskStratify Class>
{
Motion or convalescence symptom and ECG change：{ asymptomatic and change；Moderate activity angina pectoris or electrocardiogram ischemic change
Become；Low-level is moved（<5MET）Angina pectoris or electrocardiogram ischemic change }, If-Changed Stratify;
Arrhythmia cordis：{ arrhythmia cordis when no rest or motion；Not existing complicated ventricular arrhythmia when rest or motion；Rest
Or there is complicated ventricular arrhythmia during motion }, If-Changed Stratify;
Revascularization infectious-related complication：{ revascularization and without complication after AMI, PCI or CABG；Without merging after AMI, PCI, CABG
Cardiogenic shock or heart failure；Merge cardiogenic shock or heart failure after AMI, PCI, CABG }, If-Changed
Stratify;
Mental handicape：{ no mental handicape（Depression and anxiety）；Without serious mental handicape；Serious mental handicape }, If-Changed
Stratify;
Left ventricular ejection fraction：{> 50%;40-49%;<40%},If-Changed Stratify;
Motor function deposit（METS）：{ ≥7.0;5.0–7.0; ≤5.0}, If-Changed Stratify;
Blood Troponin concentration：It is { normal；Normally；Rise }, If-Changed Stratify;
Risk stratification：{ low danger；Middle danger；It is high-risk }
}
The title for all parameters for participating in risk stratification is listed in the risk stratification framework.Once the value hair of any of which parameter
Changing, risk stratification inference procedure Stratify will be triggered, produces new risk stratification.
Similar If-Changed routine calls also have<MedicienePrescription>、<
ExercisePrescription>Deng, according to guide provide rule, use patient's related data, carry out prescription reasoning.Herein
Repeat no more, the personage in the field is apparent that its principle and implementation method.
Framework in If-Changed routine calls<Examination>With<RehabMinitor>, relate to start with
The connected test of system and monitoring device, implement real-time testing and training and monitor, obtain and analyze patient data in real time, warning can
The exception of energy, finally integrate inspection and Surveillance.
Framework in If-Changed routine calls<CaseReasoning>Provide the reasoning side based on classical case
Method.For a certain case example, during rehabilitation prescription optimization is carried out, according to guide and process standard, prescription is inferred
Afterwards, framework is triggered<CaseReasoning>, perform following operation：
1st, the classical case example of three or more most like is found out in classical case library with present case example.Similarity measure
It is defined as the weighted sum of each slot value difference in case framework.
2nd, three classical case examples are arranged according to similarity measure and arranged according to rehabilitation efficacy respectively.
3rd, by the prescription of present case example compared with three classical case examples, propose to obtain most in the case of most like
The modification of good rehabilitation efficacy.
4th, com-parison and analysis is presented to doctor with visual means, foundation is provided for the decision-making of doctor.
Because the inference procedure in case frame system is started in the form of If-Changed is called, when patient's state of an illness goes out reality
When the improvement or deterioration of matter, inference procedure meeting automatic start, and send prompting Xiang doctor and suggest.
Equally, started according to predetermined time and scene, case frame system<FamilyMessage>, to family members
Customized information is pushed with patient.According to service regulation and agreement, case frame system starts<ServiceDelivery>, to clothes
Business department arranges technology, medicine and other services.
Fig. 3 is the structural representation of the distributed medical case big data intelligent management system of the embodiment of the present invention.Consider transregional
Service scenarios of the domain across hospital：Each Grade A hospital is intended to them and possesses the case database of oneself patient.Therefore, they
The ownership in patient cases storehouse is distribution.The case library 121 that is each distributed, 122 ..., 12N can have corresponding case management
Module 111,112 ..., 11N.Case managing process in each compartment system also comes from the program of center system.Meanwhile case
Reasoning module, case library classics case library, guide and process standard are to concentrate.It ensure that knowledge, rule, the unification of reasoning
While with quality, real-time processing and management of the hospital to the ownership of patient data and to this hospital patient case are also met
Convenience.
Claims (10)
1. a kind of medical cases big data intelligent management system, including：
Its core medical cases management and inference system, and including：Case library and classical case library, case template, case pipe
Manage module, guide and process standard and reasoning by cases module；
Interactive interface, including doctor's client, family members' client, attendant's client；
Check and rehabilitation equipment interface, checked and assessment equipment, rehabilitation training equipment and miniature worn with standard interface connection
Wear equipment and patient's smart mobile phone APP.
A kind of 2. medical cases big data intelligent management system according to claim 1, wherein the case library and classics
Case library includes center case library and classical case library, belongs to the case library of Different hospital, they are all by unified case pipe
Reason module and reasoning by cases module are managed and operated.
A kind of 3. medical cases big data intelligent management system according to claim 1, wherein the case template is served as reasons
Medical cases frame system defined in artificial intelligence middle frame systematic knowledge method for expressing, each medical cases example are
According to this case frame system come what is generated, the conversion from data to knowledge is thus completed, makes each case example of generation
Reasoning can be participated in, is directly diagnosis, prescription, rehabilitation service.
A kind of 4. medical cases big data intelligent management system according to claim 1, wherein the case management module
Value and assignment program according to defined in each groove in case frame system, by being set with electronic health record, inspection and evaluation and monitoring
It is standby, the interface of doctor's client, case example is generated or deleted, be each groove assignment in case example.
A kind of 5. medical cases big data intelligent management system according to claim 1, wherein the guide and flow mark
Standard be on the diagnosis of a certain disease, treatment, rehabilitation guide and process standard, and the inference rule thus generated.
A kind of 6. medical cases big data intelligent management system according to claim 1, wherein the reasoning by cases module
Including two kinds of inference methods：A kind of is to start the inference procedures that define of If-Changed in case frame system, according to guide and
The rule that process standard is generated, using the data in corresponding case example, make inferences, diagnosed, treatment and rehabilitation institute
Need conclusion, opinion and parameter；The second is Case-based reasoning, most phase is found out with present case example in classical case library
As more than three classical cases, compare its state of an illness, prescription and recovery effects, reference provided for doctor's decision-making.
A kind of 7. medical cases big data intelligent management system according to claim 1, wherein the reasoning by cases module
Also include：When there is substantial improvement or deteriorated in patient's state of an illness, If-Changed inference procedures meeting automatic start, Xiang doctor
Send prompting and suggest, according to predetermined time and scene, information defined in If-Changed pushes in case example
Configuration processor starts, and customized information is pushed to family members and patient；According to service regulation and agreement, If-Changed institutes in example example
The service manager of definition starts, and technology, medicine service are arranged to service department.
A kind of 8. medical cases big data intelligent management system according to claim 1, wherein the interactive interface passes through
Doctor's client, family members' client, attendant's client, patient's smart mobile phone APP are by patient, family members, medical worker's kimonos
Business personnel are linked together, and form one using hospital, community, family as platform, the medical treatment that patient and family members fully participate
With health service system；Patient uses monitoring device, by smart mobile phone APP, understands the state of an illness of oneself, receives doctor's advice, coordinates
Treatment；Doctor and nurse are monitored and analyzed in real time the situation of patient by doctor's client, are instructed and are taken measures；Family members pass through
Family members' client understands the situation of patient, is linked up with doctor.
A kind of 9. medical cases big data intelligent management system according to claim 1, wherein the inspection and rehabilitation are set
Standby interface, connected with standard interface and check equipment, treatment and rehabilitation equipment, and house monitoring device, realize that total digitalization is real
When check and assess, treatment and Monitoring Rehabilitation, house rehabilitation guide and monitoring.
10. interactive interface, wherein institute described in a kind of medical cases big data intelligent management system according to claim 8
State giant-screen client and cell phone client that doctor's client includes being arranged on doctor or nurses' office.
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| CN112768078A (en) * | 2021-01-07 | 2021-05-07 | 联仁健康医疗大数据科技股份有限公司 | Diagnosis and treatment sharing method and system, electronic equipment and storage medium |
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