CN110021424B - Case prompt reflex method and device - Google Patents
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- CN110021424B CN110021424B CN201710953307.7A CN201710953307A CN110021424B CN 110021424 B CN110021424 B CN 110021424B CN 201710953307 A CN201710953307 A CN 201710953307A CN 110021424 B CN110021424 B CN 110021424B
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Abstract
The embodiment of the invention discloses a case prompt reflex method and a device, which are characterized in that a calling result of a test item to each rule in a rule base is obtained firstly, then one case indication template in the case indication base is triggered, a matching item in a preset database is searched according to the case indication template, a calling result of the matching item to each rule in the rule base is obtained, then a triggering result of the case indication template is obtained according to the calling result of the test item and the matching item to each rule, then the case reflex rule in the rule base is called according to the triggering result of the case indication template, the calling result of the case reflex rule is marked as being violated, the case reflex rule is called according to the triggering result of the case indication template, and therefore, the violated calling result of the case reflex rule can be used for subsequent early warning prompt or another case indication template is called, the function is more complete.
Description
Technical Field
The invention relates to the field of medical detection, in particular to a case prompt reflex method and device.
Background
In existing medical testing systems, the results of the test items typically require four procedures of submission, review, approval, and release. In the auditing process, each rule is called to audit the result and automatically indicate diseases. If the audit is not passed, corresponding early warning prompt is carried out according to preset conditions; and when the automatic indication of a certain disease is met, the indication result of the disease is displayed at the corresponding position. The existing disease indication is carried out according to a rule calling result in an auditing process, lacks of mapping from the disease indication to the rule, cannot utilize the mapping from the disease indication to the rule to carry out early warning prompt of a test item, and combines other rules to carry out indication of case classification or early warning that a certain disease causes an organism to generate interference of a certain substance on other detection results, so that the existing disease indication is not beneficial to establishing a perfect and automatic medical test system.
Disclosure of Invention
The embodiment of the invention aims to provide a case prompt reflection method and a case prompt reflection device, which solve the problem that the prior art still lacks mapping from disease indication to rule, and the reflection rule is called by using the case indication, so that the reflection rule is favorably used for subsequent project early warning and case typing.
In order to achieve the above object, an embodiment of the present invention provides a case-prompting reflex method, including:
responding to an auditing instruction of a detection result of any inspection item, calling a rule in a rule base to audit the detection result of the inspection item, and obtaining a calling result of each rule in the rule base by the inspection item; the rule base comprises a plurality of rules, and the rules are used for checking whether the detection result of the inspection item is abnormal or not; the calling results of the rules comprise not triggered, triggered not violated and violated;
triggering one case indication template in a case indication library according to the calling result of the test item to each rule, searching a matching item in a preset database according to the case indication template, and obtaining the calling result of the matching item to each rule in the rule library; wherein the case indication repository includes a number of case indication templates;
acquiring a trigger result of the case indication template according to the calling result of the test item and the matching item to each rule; wherein the trigger results for the case indication template include an unmatched and a full match;
and calling the case reflection rule in the rule base according to the triggering result of the case indication template, and marking the calling result of the case reflection rule as being violated.
Compared with the prior art, the case prompt reflex method disclosed by the invention can establish the rule-case-rule spiral relationship by firstly obtaining the calling result of the test item to each rule in the rule base, then triggering one case indication template in the case indication base according to the calling result of the test item to each rule, searching the matching item in the preset database according to the case indication template to obtain the calling result of the matching item to each rule in the rule base, then obtaining the triggering result of the case indication template according to the calling result of the test item and the matching item to each rule, then calling the case reflex rule in the rule base according to the triggering result of the case indication template, marking the calling result of the case reflex rule as being violated, and calling the case reflection rule according to the triggering result of the case indication template, so that the violated calling result of the case reflection rule can be utilized to carry out subsequent early warning prompt or call another case indication template, and the establishment of a medical examination system with complete functions is facilitated.
As an improvement of the above solution, marking the calling result of the case reflection rule as having been violated further comprises:
when the calling result of the preset case reflection rule is violated, triggering one case indication template in a case indication library, searching a matching item in a preset database according to the case indication template, and obtaining the calling result of the matching item to each rule in the rule library;
acquiring a trigger result of the case indication template according to the calling result of the case reflection rule and the matching item to each rule;
and calling the case reflection rule in the rule base according to the triggering result of the case indication template, and marking the calling result of the case reflection rule as being violated.
As an improvement of the above solution, the searching for the matching item in a preset database, and obtaining a result of invoking each rule in the rule base by the matching item includes:
if the preset search range of the matched items comprises the matched items under the same bar code but does not comprise the matched items under different bar codes, obtaining M detection results of the matched items according to a first database; wherein M is more than or equal to 0; wherein the first database comprises detection results of a plurality of items under the bar code;
if the preset search range of the matched items comprises the matched items under the same bar code and the matched items under different bar codes, obtaining N detection results of the matched items according to a first database; wherein N is more than or equal to 0;
when N is 0, obtaining X detection results of the matching items according to a second database; wherein X is more than or equal to 0; the second database comprises detection results of a plurality of items under different bar codes; and matching the matched items obtained according to the second database to meet preset conditions, wherein the preset conditions are that the patient information of other barcodes where the matched items are located is matched with the patient information of the barcodes where the inspection items are located.
As an improvement of the above scheme, the obtaining of the detection result of the matching item according to the second database specifically includes:
acquiring other bar codes of the matched items according to the second database;
and acquiring corresponding patient information obtained by the other bar codes, comparing the patient information of the other bar codes with the patient information of the bar code of the inspection item, and acquiring the detection result of the matching item according to the other bar codes when the patient conditions of the other bar codes and the patient conditions of the bar code of the inspection item meet the condition that the difference value between hospital matching, sex matching, name matching and age is less than a preset threshold value.
As an improvement of the above scheme, the obtaining of the detection result of the matching item according to the second database specifically includes:
comparing the patient information of other bar codes in the second database with the patient information of the bar code of the inspection item;
and if the patient information of any other bar code and the patient information of the bar code where the inspection item is located meet the condition that the difference value between hospital matching, gender matching, name matching and age is less than a preset threshold value, acquiring the detection result of the matching item.
As an improvement of the above solution, the method for marking the case reflection rule as violated further comprises the following steps:
and carrying out early warning prompt for non-passing of the audit on the corresponding inspection item.
As an improvement of the above solution, the obtaining of the trigger result of the case indication template according to the call result of the test item and the matching item to each rule includes:
obtaining the calling result of each rule in the case indication template according to the calling result of each rule of the test item and the matching item, thereby obtaining the calling result of each rule set in the case indication template;
obtaining a trigger result of the case indication template according to the calling result of each rule set in the case indication template; wherein the case indication template includes a number of the rule sets, each of the rule sets including a number of rules.
As an improvement of the above scheme, the rule set types include a full violation, a partial strong violation and a partial weak violation, and the invocation results of the rule set include a full match, a half match and a mismatch; the calling result of each rule set in the case indication template is determined by:
when any rule set type is a full violation and the calling results of the rules in the rule sets are all violated, determining that the calling results of the rule sets are completely matched;
when any rule set type is a full violation, and a rule with a calling result of being not triggered exists in the rule set and a rule with a calling result of being triggered but not being violated does not exist in the rule set, determining that the calling result of the rule set is a half match;
when any rule set type is a full violation and a rule with a triggered non-violation calling result exists in the rule set, determining that the calling result of the rule set is not matched;
when any rule set type is a partial strong violation, the number of rules with violated calling results in the rule set is greater than or equal to the size of the subset, and when no rule with triggered and not violated calling results exists, the calling results of the rule sets are determined to be complete matching;
when any rule set type is a partial strong violation, the number of rules with violated calling results in the rule set is smaller than the size of the subset, and no rule with triggered and non-violated calling results exists, determining that the calling results of the rule set are half-matched;
when any rule set type is a partial strong violation and a rule with a triggered non-violation calling result exists in the rule set, determining that the calling result of the rule set is not matched;
when any rule set type is a partial weak violation and the number of the violated rules in the rule set is greater than or equal to the size of the subset, determining that the invocation result of the rule set is a complete match;
when any rule set type is partial weak violation, the number of the violated rules of the call result in the rule set is smaller than the size of the subset, and the number of the violated rules and the number of the untethered rules of the call result are larger than or equal to the size of the subset, the call result of the rule set is determined to be half-matched;
and when any rule set type is a partial weak violation and the number of the violated rules and the number of the triggerless rules are smaller than the size of the subset as a calling result, determining that the calling result of the rule set is not matched.
The embodiment of the invention also provides a case prompting reflecting device, which comprises:
the auditing module is used for responding to an auditing instruction of the detection result of any inspection item, calling the rules in the rule base to audit the detection result of the inspection item, and obtaining the calling result of the inspection item to each rule in the rule base; the rule base comprises a plurality of rules, and the rules are used for checking whether the detection result of the inspection item is abnormal or not; the calling results of the rules comprise not triggered, triggered not violated and violated;
the first matching item searching module is used for triggering one case indication template in a case indication library according to the calling result of the test item to each rule, searching a matching item in a preset database according to the case indication template, and obtaining the calling result of the matching item to each rule in the rule library; wherein the case indication repository includes a number of case indication templates;
the first trigger result acquisition module is used for acquiring the trigger result of the case indication template according to the calling result of the test item and the matching item to each rule; wherein the trigger results for the case indication template include an unmatched and a full match;
the first case reflection rule calling module is used for calling the case reflection rules in the rule base according to the triggering result of the case indication template and marking the calling result of the case reflection rules as being violated.
Compared with the prior art, the case prompt reflecting device disclosed by the invention can establish the rule-case-rule spiral relationship by obtaining the calling result of the inspection item to each rule in the rule base, triggering one case indication template in the case indication base according to the calling result of the inspection item to each rule, searching the matching item in the preset database according to the case indication template to obtain the calling result of the matching item to each rule in the rule base, obtaining the triggering result of the case indication template according to the calling result of the inspection item and the matching item to each rule, calling the case reflection rule in the rule base according to the triggering result of the case indication template, marking the calling result of the case reflection rule as being violated, and calling the case reflection rule according to the triggering result of the case indication template, so that the violated calling result of the case reflection rule can be utilized to carry out subsequent early warning prompt or call another case indication template, and the establishment of a medical examination system with complete functions is facilitated.
As an improvement of the above, the apparatus further comprises:
the second matching item searching module is used for triggering one case indication template in a case indication library when the calling result of the preset case reflection rule is violated, searching a matching item in a preset database according to the case indication template, and obtaining the calling result of the matching item to each rule in the rule library;
the second trigger result acquisition module is used for acquiring the trigger result of the case indication template according to the case reflection rule and the calling result of the matching item to each rule;
and the second case reflection rule calling module is used for calling the case reflection rules in the rule base according to the triggering result of the case indication template and marking the calling result of the case reflection rules as being violated.
Drawings
Fig. 1 is a flow chart of a case prompting reflex method according to an embodiment of the present invention.
Fig. 2 is an interface diagram of a case indication template provided by an embodiment of the present invention.
Fig. 3 is an interface diagram of a case indication template provided by an embodiment of the invention.
Fig. 4 is a schematic diagram of a setting interface of the case reflection rule according to an embodiment of the present invention.
Fig. 5 is a schematic diagram of an early warning prompt according to an embodiment of the present invention.
Fig. 6 is a schematic structural diagram of a case-prompting reflecting device according to an embodiment of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1, a schematic flow chart of a case-prompting reflex method provided in embodiment 1 of the present invention includes the steps of:
s1, responding to an auditing instruction of the detection result of any inspection item, calling a rule in a rule base to audit the detection result of the inspection item, and obtaining the calling result of the inspection item to each rule in the rule base; the rule base comprises a plurality of rules, and the rules are used for checking whether the detection result of the inspection item is abnormal or not; the calling results of the rules comprise not triggered, triggered not violated and violated;
it can be understood that the examination of the inspection item is performed by calling a rule, different rules preset different examination conditions, and when the examination conditions are met or violated, it is determined that the detection result of the inspection item violates the rule. It should be noted that different rules are applied to different rule templates, for example, the auditing condition of the rule template 3 may be "when the detection result of a preset inspection item exceeds a preset range, it may be determined that the detection result of the inspection item has violated a corresponding rule code (the rule code employs the rule template 3), and the call result of the rule code is violated". Different rules can be called by different inspection projects, and different rules adopt different rule templates, so that the calling results of different inspection projects to different rules can be obtained.
S2, triggering one case indication template in a case indication library according to the calling result of the test item to each rule, searching the detection result of the matching item in a preset database according to the case indication template, and obtaining the calling result of the matching item to each rule in the rule library; wherein the case indication repository includes a number of case indication templates;
in the medical inspection system, the matching item and the inspection item may be located on the same bar code or different bar codes, and in this case, the search range can be determined according to different requirements; preferably, the searching for the detection result of the matching item in the preset database includes:
if the preset search range of the matched items comprises the matched items under the same bar code but does not comprise the matched items under different bar codes, obtaining M detection results of the matched items according to a first database; wherein M is more than or equal to 0; wherein the first database comprises detection results of a plurality of items under the bar code;
if the preset search range of the matched items comprises the matched items under the same bar code and the matched items under different bar codes, obtaining N detection results of the matched items according to a first database; wherein N is more than or equal to 0;
when N is 0, obtaining X detection results of the matching items according to a second database; wherein X is more than or equal to 0; the second database comprises detection results of a plurality of items under different bar codes; and matching the matched items obtained according to the second database to meet preset conditions, wherein the preset conditions are that the patient information of other barcodes where the matched items are located is matched with the patient information of the barcodes where the inspection items are located.
Further, the obtaining of the detection result of the matching item according to the second database specifically includes:
acquiring other bar codes of the matched items according to the second database;
and acquiring corresponding patient information obtained by the other bar codes, comparing the patient information of the other bar codes with the patient information of the bar code of the inspection item, and acquiring the detection result of the matching item according to the other bar codes when the patient conditions of the other bar codes and the patient conditions of the bar code of the inspection item meet the condition that the difference value between hospital matching, sex matching, name matching and age is less than a preset threshold value.
In another preferred embodiment, the patient information of other barcodes in the second database can also be compared with the patient information of the barcode where the inspection item is located; and if the patient information of any other bar code and the patient information of the bar code where the inspection item is located meet the condition that the difference value between hospital matching, gender matching, name matching and age is less than a preset threshold value, acquiring the detection result of the matching item.
By automatically searching for matched items under the same bar code or different bar codes, the purpose is to obtain the detection results of different inspection items of the same patient, and the inspection items in the self-checking time effectiveness can be used for carrying out corresponding rule early warning and case indication, so that the efficiency of disease diagnosis is improved, the same inspection item does not need to be tested repeatedly, and medical resources and human resources are saved.
S3, acquiring a trigger result of the case indication template according to the calling result of the test item and the matching item to each rule; wherein the trigger results for the case indication template include an unmatched and a full match;
wherein the obtaining of the trigger result of the case indication template according to the calling result of the test item and the matching item to each rule comprises:
obtaining the calling result of each rule in the case indication template according to the calling result of each rule of the test item and the matching item, thereby obtaining the calling result of each rule set in the case indication template;
obtaining a trigger result of the case indication template according to the calling result of each rule set in the case indication template; wherein the case indication template includes a number of the rule sets, each of the rule sets including a number of rules.
As shown in fig. 2, the case indication template includes:
a rule code for representing different rules employed in the case indication template;
the rule template is used for representing a template adopted by a corresponding rule in the case indication template;
the rule setting wizard is used for explaining the auditing conditions of the corresponding rules in the case indication template on the inspection items;
the local rule codes are used for marking the rule codes of the local rule base called in the case indication template;
a case name for designating a disease of the case indication template; wherein the disease name includes a three-digit code case name and a four-digit code disease name.
Preferably, the case indication template further comprises a literature source for identifying scientific grounds for the disease of the case indication template. The scientific basis is shown, so that medical practitioners can check the basis, and the case instruction template can be correctly and scientifically set. It should be noted that, in the following description,
further, the case indication template further includes a rule set code and a subset size; wherein the rule set code is to represent a different rule set. The rule set types comprise full violation, partial strong violation and partial weak violation, and the calling results of the rule set comprise full match, half match and no match; the calling result of each rule set in the case indication template is determined by:
when any rule set type is a full violation and the calling results of the rules in the rule sets are all violated, determining that the calling results of the rule sets are completely matched;
when any rule set type is a full violation, and a rule with a calling result of being not triggered exists in the rule set and a rule with a calling result of being triggered but not being violated does not exist in the rule set, determining that the calling result of the rule set is a half match;
when any rule set type is a full violation and a rule with a triggered non-violation calling result exists in the rule set, determining that the calling result of the rule set is not matched;
when any rule set type is a partial strong violation, the number of the rules with violated calling results in the rule set is larger than or equal to the size of the subset, and when no rule with triggered and not violated calling results exists, the calling results of the rule sets are determined to be complete matching;
when any rule set type is a partial strong violation, the number of rules with violated calling results in the rule set is smaller than the size of the subset, and no rule with triggered and non-violated calling results exists, determining that the calling results of the rule set are half-matched;
when any rule set type is a partial strong violation and a rule with a triggered non-violation calling result exists in the rule set, determining that the calling result of the rule set is not matched;
when any rule set type is a partial weak violation and the number of the violated rules in the rule set is greater than or equal to the size of the subset, determining that the invocation result of the rule set is a complete match;
when any rule set type is partial weak violation, the number of the violated rules of the call result in the rule set is smaller than the size of the subset, and the number of the violated rules and the number of the untethered rules of the call result are larger than or equal to the size of the subset, the call result of the rule set is determined to be half-matched;
and when any rule set type is a partial weak violation and the number of the violated rules and the number of the triggerless rules are smaller than the size of the subset as a calling result, determining that the calling result of the rule set is not matched.
When the calling result of any rule set in the case indication template is not matched, determining that the triggering result of the case indication template is not matched;
when the calling result of the experiment number to any rule set in the case indication template is half-matched and no rule set with a unmatched calling result exists, determining that the triggering result of the case indication template is half-matched;
and when the calling results of all the rule sets in the case indication template are completely matched, determining that the triggering result of the case indication template is completely matched.
The above process is a process of calling the priority sequence of the result by one rule set, i.e. mismatch > half match > full match. The priority sequence accords with the logic of disease prediction, has higher practicability and can more accurately indicate medical staff.
S4, according to the trigger result of the case indication template, calling the case reflection rule in the rule base, and marking the calling result of the case reflection rule as being violated.
As shown in fig. 3, the schematic diagram of a case indication template includes three rule sets, which are 1, 2 and 3, respectively, where rule set 1 includes rule a, rule set 2 includes rule B, and rule set 3 includes rule C, and the types of the three rule sets are all completely violated, and when the invocation result satisfying the three rule sets satisfies a certain condition, it is determined that the invocation result of the case indication template (numbered C01) is a complete match. As shown in fig. 4, the setting diagram of the case reflection rule is shown, when the calling result of the case indication template (numbered C01) is a complete match, the case indication rule is triggered, the case indication rule is marked as a violation, and an early warning prompt of "add HBV-DNA" is displayed. It should be noted that when "no warning, only when the added content is displayed" is checked, it is not marked that the review is not passed in the corresponding review result of the inspection item (generally, a red warning prompt is performed), and when "no warning, only when the added content is displayed" is detected, "it is not checked, it is required to mark that the warning is not passed in the corresponding review result of the inspection item (as shown in fig. 5), and red warning is generally performed to prompt the medical examiner to perform corresponding measures.
Therefore, based on the above scheme, by obtaining the calling result of the test item for each rule in the rule base, triggering one case indication template in the case indication library according to the calling result of the test item for each rule, searching the matching item in the preset database according to the case indication template, obtaining the calling result of the matching item for each rule in the rule base, obtaining the triggering result of the case indication template according to the calling result of the test item and the matching item for each rule, calling the case reflection rule in the rule base according to the triggering result of the case indication template, marking the calling result of the case reflection rule as violated, establishing a spiral relationship of rule-case-rule, calling the case reflection rule according to the triggering result of the case indication template, therefore, the violated calling result of the case reflex rule can be used for carrying out subsequent early warning prompt or calling another case instruction template, and the establishment of a medical examination system with complete functions is facilitated.
As mentioned above, the case reflex rule can be used for warning prompt of the test item, and therefore, the step of marking the calling result of the case reflex rule as violated further comprises the following steps:
and carrying out early warning prompt for non-passing of the audit on the corresponding inspection item.
In addition, when the calling result of the case reflection rule is that the case reflection rule is violated, another case prompt template is triggered, specifically:
when the calling result of the preset case reflection rule is violated, triggering one case indication template in a case indication library, searching a matching item in a preset database according to the case indication template, and obtaining the calling result of the matching item to each rule in the rule library;
acquiring a trigger result of the case indication template according to the calling result of the case reflection rule and the matching item to each rule;
and calling the case reflection rule in the rule base according to the triggering result of the case indication template, and marking the calling result of the case reflection rule as being violated.
For example, when TSH increases, then the result of the corresponding rule code number (e.g., using rule template 3) call is violated; when the FT4 increases, the result of calling the corresponding rule code (for example, using the rule template 3) is violated, the result of calling the violated rule code (both using the rule template 3) calls a case indication template of subclinical hyperthyroidism, and the result of calling the case indication template of subclinical hyperthyroidism is a complete match, the case indication template reflects back to trigger the corresponding case reflection rule, and the result of calling the case reflection rule is violated; the case reflex rule further triggers the T3 type a low case indication template and triggers the search of another checking item under the rule (e.g. TT3 item under rule template 3) in the T3 type a low case indication template; then when the retrieved TT3 entry is heightened and the result of its corresponding rule code number (e.g., using rule template 3) invocation is violated, it is determined that the case with T3 type a low indicates that the template invocation result is a full match. However, in the prior art, when a medical staff obtains a case indication result of a certain report and needs to know a further case classification result, a scheme is generally adopted in which a report is re-opened to obtain a detection result of another inspection item, and then a medical professional carries out further diagnosis according to the detection result, which causes waste of medical resources (including equipment resources, human resources and the like) for the inspection item executed within the time limit, and still needs manual operation, and does not meet the requirements of modern medical automation and intellectualization. Therefore, according to the scheme, the case indication template is triggered through the calling result of the rule, the corresponding case reflection rule is called through the case indication template in turn, and then the calling result that the case reflection rule is violated is triggered into another case indication template again, so that infinite circulation from the rule, the case and the rule to the case can be realized, case typing is further automatically performed on the basis of the original case indication, a good guiding effect on clinical diagnosis is achieved, the method is beneficial to being popularized into a medical inspection system, and the intelligent development of medical inspection is greatly improved.
As shown in fig. 6, a schematic structural diagram of a case prompting reflecting device provided in embodiment 2 of the present invention includes:
the auditing module 101 is configured to respond to an auditing instruction of a detection result of any inspection item, invoke a rule in a rule base to audit the detection result of the inspection item, and obtain an invoking result of the inspection item to each rule in the rule base; the rule base comprises a plurality of rules, and the rules are used for checking whether the detection result of the inspection item is abnormal or not; the calling results of the rules comprise not triggered, triggered not violated and violated;
the first matching item searching module 102 is configured to trigger one of case indication templates in a case indication library according to a calling result of a test item to each rule, search a matching item in a preset database according to the case indication template, and obtain a calling result of the matching item to each rule in the rule library; wherein the case indication repository includes a number of case indication templates;
a first trigger result obtaining module 103, configured to obtain a trigger result of the case indication template according to a call result of the test item and the matching item to each rule; wherein the trigger results for the case indication template include an unmatched and a full match;
the first case reflection rule calling module 104 is configured to call the case reflection rule in the rule base according to the trigger result of the case indication template, and mark the calling result of the case reflection rule as violated.
Preferably, the searching for the detection result of the matching item in the preset database includes:
if the preset search range of the matched items comprises the matched items under the same bar code but does not comprise the matched items under different bar codes, obtaining M detection results of the matched items according to a first database; wherein M is more than or equal to 0; wherein the first database comprises detection results of a plurality of items under the bar code;
if the preset search range of the matched items comprises the matched items under the same bar code and the matched items under different bar codes, obtaining N detection results of the matched items according to a first database; wherein N is more than or equal to 0;
when N is 0, obtaining X detection results of the matching items according to a second database; wherein X is more than or equal to 0; the second database comprises detection results of a plurality of items under different bar codes; and matching the matched items obtained according to the second database to meet preset conditions, wherein the preset conditions are that the patient information of other barcodes where the matched items are located is matched with the patient information of the barcodes where the inspection items are located.
The obtaining of the detection result of the matching item according to the second database specifically includes:
acquiring other bar codes of the matched items according to the second database;
and acquiring corresponding patient information obtained by the other bar codes, comparing the patient information of the other bar codes with the patient information of the bar code of the inspection item, and acquiring the detection result of the matching item according to the other bar codes when the patient conditions of the other bar codes and the patient conditions of the bar code of the inspection item meet the condition that the difference value between hospital matching, sex matching, name matching and age is less than a preset threshold value.
In another preferred embodiment, the patient information of other barcodes in the second database is compared with the patient information of the barcode where the inspection item is located;
and if the patient information of any other bar code and the patient information of the bar code where the inspection item is located meet the condition that the difference value between hospital matching, gender matching, name matching and age is less than a preset threshold value, acquiring the detection result of the matching item.
The apparatus 100 further comprises:
the second matching item searching module is used for triggering one case indication template in a case indication library when the calling result of the preset case reflection rule is violated, searching a matching item in a preset database according to the case indication template, and obtaining the calling result of the matching item to each rule in the rule library;
the second trigger result acquisition module is used for acquiring the trigger result of the case indication template according to the case reflection rule and the calling result of the matching item to each rule;
and the second case reflection rule calling module calls the case reflection rules in the rule base according to the triggering result of the case indication template and marks the calling result of the case reflection rules as being violated.
Preferably, the apparatus further comprises:
and the early warning prompting module is used for carrying out early warning prompting that the corresponding inspection item is not approved.
Preferably, the obtaining a trigger result of the case indication template according to the calling result of the test item and the matching item to each rule includes:
obtaining the calling result of each rule in the case indication template according to the calling result of each rule of the test item and the matching item, thereby obtaining the calling result of each rule set in the case indication template;
obtaining a trigger result of the case indication template according to the calling result of each rule set in the case indication template; wherein the case indication template includes a number of the rule sets, each of the rule sets including a number of rules.
Preferably, the rule set types include a full violation, a partial strong violation, and a partial weak violation, and the invocation results of the rule set include a full match, a half match, and a no match; the calling result of each rule set in the case indication template is determined by:
when any rule set type is a full violation and the calling results of the rules in the rule sets are all violated, determining that the calling results of the rule sets are completely matched;
when any rule set type is a full violation, and a rule with a calling result of being not triggered exists in the rule set and a rule with a calling result of being triggered but not being violated does not exist in the rule set, determining that the calling result of the rule set is a half match;
when any rule set type is a full violation and a rule with a triggered non-violation calling result exists in the rule set, determining that the calling result of the rule set is not matched;
when any rule set type is a partial strong violation, the number of the rules with violated calling results in the rule set is larger than or equal to the size of the subset, and when no rule with triggered and not violated calling results exists, the calling results of the rule sets are determined to be complete matching;
when any rule set type is a partial strong violation, the number of rules with violated calling results in the rule set is smaller than the size of the subset, and no rule with triggered and non-violated calling results exists, determining that the calling results of the rule set are half-matched;
when any rule set type is a partial strong violation and a rule with a triggered non-violation calling result exists in the rule set, determining that the calling result of the rule set is not matched;
when any rule set type is a partial weak violation and the number of the violated rules in the rule set is greater than or equal to the size of the subset, determining that the invocation result of the rule set is a complete match;
when any rule set type is partial weak violation, the number of the violated rules of the call result in the rule set is smaller than the size of the subset, and the number of the violated rules and the number of the untethered rules of the call result are larger than or equal to the size of the subset, the call result of the rule set is determined to be half-matched;
and when any rule set type is a partial weak violation and the number of the violated rules and the number of the triggerless rules are smaller than the size of the subset as a calling result, determining that the calling result of the rule set is not matched.
The specific working process and principle of the case prompting reflex device in this embodiment can refer to the above description of the case prompting reflex method, and will not be described herein again.
To sum up, the embodiment of the present invention provides a case prompt reflex method and apparatus, which first obtain the calling result of the inspection item for each rule in the rule base, then trigger one case indication template in the case indication base according to the calling result of the inspection item for each rule, search the matching item in the preset database according to the case indication template, obtain the calling result of the matching item for each rule in the rule base, then obtain the triggering result of the case indication template according to the calling result of the inspection item and the matching item for each rule, then call the case reflex rule in the rule base according to the triggering result of the case indication template, mark the calling result of the case reflex rule as violated, and can establish a rule-case-rule spiral relationship, and calling the case reflection rule according to the triggering result of the case indication template, so that the violated calling result of the case reflection rule can be utilized to carry out subsequent early warning prompt or call another case indication template, and the establishment of a medical examination system with complete functions is facilitated.
While the foregoing is directed to the preferred embodiment of the present invention, it will be understood by those skilled in the art that various changes and modifications may be made without departing from the spirit and scope of the invention.
Claims (8)
1. A case indication reflex method, comprising the steps of:
responding to an auditing instruction of a detection result of any inspection item, calling a rule in a rule base to audit the detection result of the inspection item, and obtaining a calling result of each rule in the rule base by the inspection item; the rule base comprises a plurality of rules, and the rules are used for checking whether the detection result of the inspection item is abnormal or not; the calling results of the rules comprise not triggered, triggered not violated and violated;
triggering one case indication template in a case indication library according to the calling result of each rule of the test item, searching the detection result of the matching item in a preset database according to the case indication template, and obtaining the calling result of each rule in the rule library of the matching item; wherein the case indication repository includes a number of case indication templates;
acquiring a trigger result of the case indication template according to the calling result of the test item and the matching item to each rule; wherein the trigger results for the case indication template include an unmatched and a full match;
calling a case reflection rule in the rule base according to a trigger result of the case indication template, and marking a calling result of the case reflection rule as being violated;
when the calling result of the preset case reflection rule is violated, triggering one case indication template in a case indication library, searching a matching item in a preset database according to the case indication template, and obtaining the calling result of the matching item to each rule in the rule library;
acquiring a trigger result of the case indication template according to the calling result of the case reflection rule and the matching item to each rule;
and calling the case reflection rule in the rule base according to the triggering result of the case indication template, and marking the calling result of the case reflection rule as being violated.
2. The case cueing reflex method according to claim 1, wherein the finding of the detection result of the matching item in the preset database includes:
if the preset search range of the matched items comprises the matched items under the same bar code but does not comprise the matched items under different bar codes, obtaining M detection results of the matched items according to a first database; wherein M is more than or equal to 0; wherein the first database comprises detection results of a plurality of items under the bar code;
if the preset search range of the matched items comprises the matched items under the same bar code and the matched items under different bar codes, obtaining N detection results of the matched items according to a first database; wherein N is more than or equal to 0;
when N is 0, obtaining X detection results of the matching items according to a second database; wherein X is more than or equal to 0; the second database comprises detection results of a plurality of items under different bar codes; and matching the matched items obtained according to the second database to meet preset conditions, wherein the preset conditions are that the patient information of other barcodes where the matched items are located is matched with the patient information of the barcodes where the inspection items are located.
3. The case cueing reflex method according to claim 2, wherein the detection result of obtaining the matching item based on the second database is specifically:
acquiring other bar codes of the matched items according to the second database;
and acquiring corresponding patient information obtained by the other bar codes, comparing the patient information of the other bar codes with the patient information of the bar code of the inspection item, and acquiring the detection result of the matching item according to the other bar codes when the patient conditions of the other bar codes and the patient conditions of the bar code of the inspection item meet the condition that the difference value between hospital matching, sex matching, name matching and age is less than a preset threshold value.
4. The case cueing reflex method according to claim 2, wherein the detection result of obtaining the matching item based on the second database is specifically:
comparing the patient information of other bar codes in the second database with the patient information of the bar code of the inspection item;
and if the patient information of any other bar code and the patient information of the bar code where the inspection item is located meet the condition that the difference value between hospital matching, gender matching, name matching and age is less than a preset threshold value, acquiring the detection result of the matching item.
5. The case cueing reflex method according to claim 3 or 4, wherein the step of marking the calling result of the case reflex rule as having been violated further comprises the steps of:
and carrying out early warning prompt for non-passing of the audit on the corresponding inspection item.
6. The case cueing reflex method according to claim 1, wherein the acquiring of the trigger result of the case instruction template based on the calling result of the check item and the matching item for each of the rules includes:
obtaining the calling result of each rule in the case indication template according to the calling result of each rule of the test item and the matching item, thereby obtaining the calling result of each rule set in the case indication template;
obtaining a trigger result of the case indication template according to the calling result of each rule set in the case indication template; wherein the case indication template includes a number of the rule sets, each of the rule sets including a number of rules.
7. The case cueing reflex method according to claim 6, wherein the rule set types include a full violation, a partial strong violation and a partial weak violation, and the invocation results of the rule set include a full match, a half match and a no match; the calling result of each rule set in the case indication template is determined by:
when any rule set type is a full violation and the calling results of the rules in the rule sets are all violated, determining that the calling results of the rule sets are completely matched;
when any rule set type is a full violation, and a rule with a calling result of being not triggered exists in the rule set and a rule with a calling result of being triggered but not being violated does not exist in the rule set, determining that the calling result of the rule set is a half match;
when any rule set type is a full violation and a rule with a triggered non-violation calling result exists in the rule set, determining that the calling result of the rule set is not matched;
when any rule set type is a partial strong violation, the number of the rules with violated calling results in the rule set is larger than or equal to the size of the subset, and when no rule with triggered and not violated calling results exists, the calling results of the rule sets are determined to be complete matching;
when any rule set type is a partial strong violation, the number of rules with violated calling results in the rule set is smaller than the size of the subset, and no rule with triggered and non-violated calling results exists, determining that the calling results of the rule set are half-matched;
when any rule set type is a partial strong violation and a rule with a triggered non-violation calling result exists in the rule set, determining that the calling result of the rule set is not matched;
when any rule set type is a partial weak violation and the number of the violated rules in the rule set is greater than or equal to the size of the subset, determining that the invocation result of the rule set is a complete match;
when any rule set type is partial weak violation, the number of the violated rules of the call result in the rule set is smaller than the size of the subset, and the number of the violated rules and the number of the untethered rules of the call result are larger than or equal to the size of the subset, the call result of the rule set is determined to be half-matched;
and when any rule set type is a partial weak violation and the number of the violated rules and the number of the triggerless rules are smaller than the size of the subset as a calling result, determining that the calling result of the rule set is not matched.
8. A case-prompting reflex apparatus, comprising:
the auditing module is used for responding to an auditing instruction of the detection result of any inspection item, calling the rules in the rule base to audit the detection result of the inspection item, and obtaining the calling result of the inspection item to each rule in the rule base; the rule base comprises a plurality of rules, and the rules are used for checking whether the detection result of the inspection item is abnormal or not; the calling results of the rules comprise not triggered, triggered not violated and violated;
the first matching item searching module is used for triggering one case indication template in a case indication library according to the calling result of the test item to each rule, searching a matching item in a preset database according to the case indication template, and obtaining the calling result of the matching item to each rule in the rule library; wherein the case indication repository includes a number of case indication templates;
the first trigger result acquisition module is used for acquiring the trigger result of the case indication template according to the calling result of the test item and the matching item to each rule; wherein the trigger results for the case indication template include an unmatched and a full match;
the first case reflection rule calling module is used for calling the case reflection rules in the rule base according to the triggering result of the case indication template and marking the calling result of the case reflection rules as being violated;
the second matching item searching module is used for triggering one case indication template in a case indication library when the calling result of the preset case reflection rule is violated, searching a matching item in a preset database according to the case indication template, and obtaining the calling result of the matching item to each rule in the rule library;
the second trigger result acquisition module is used for acquiring the trigger result of the case indication template according to the case reflection rule and the calling result of the matching item to each rule;
and the second case reflection rule calling module is used for calling the case reflection rules in the rule base according to the triggering result of the case indication template and marking the calling result of the case reflection rules as being violated.
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