CN111128401A - Method, system and equipment for intelligently recommending surgical items - Google Patents

Method, system and equipment for intelligently recommending surgical items Download PDF

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CN111128401A
CN111128401A CN202010002749.5A CN202010002749A CN111128401A CN 111128401 A CN111128401 A CN 111128401A CN 202010002749 A CN202010002749 A CN 202010002749A CN 111128401 A CN111128401 A CN 111128401A
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00ICT specially adapted for the handling or processing of medical references
    • G16H70/20ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

The invention discloses a method, a system and equipment for intelligently recommending surgical items. By the method, the system and the equipment for intelligently recommending the surgical items, the problem that the surgical items are unreasonable and not compliant due to insufficient professional skills of medical staff, individualized differences of patients, human errors and the like can be effectively solved, the medical staff and the patients are helped to reasonably select the surgical items, and therefore related risks in the aspects of effectiveness, safety, economy, suitability and the like of the surgery are effectively reduced.

Description

Method, system and equipment for intelligently recommending surgical items
Technical Field
The invention relates to the technical field of intelligent medical information processing, in particular to a method, a system and equipment for intelligently recommending surgical items.
Background
Surgery refers to diagnostic and therapeutic procedures performed directly on a patient, including surgery, medical diagnostic and therapeutic procedures, laboratory procedures, and small diagnostic procedures on specimens in the traditional sense. The purpose of the surgery is to treat/diagnose/prevent diseases, delay aging, reduce pain, reduce risks, change body functions and forms, etc., such as removal of diseased tissues, repair of injuries, transplantation of organs, plastic surgery, blood transfusion, caesarean section, etc. Whether the operation is reasonable or not is directly related to effective treatment of diseases, reasonable distribution of medical resources, safety and health of patients and the like, and is the key for guaranteeing medical quality, controlling unreasonable medical expenses and maintaining rights and interests of patients.
Before the operation, doctors need to fully understand the illness state, medical history, diagnosis and examination results, and according to the specific situation, the difficult cases need to go through consultation discussion to make a thorough plan. The medical advice, prescription, diagnostic book, surgical list, examination list, executive list and other documents are key medical documents for judging the rationality of the operation of the patient. When a doctor makes a treatment plan for a patient, the doctor should select an appropriate surgical item based on the actual condition of the patient. The operation item refers to a specific operation which is selected by a doctor for a patient according to the actual condition of the patient and is suitable for the patient, and comprises the following steps: nervous system surgery, endocrine system surgery, eye surgery, ear surgery, nasal/oral/pharyngeal surgery, respiratory system surgery, cardiovascular system surgery, hematopoietic and lymphatic system surgery, digestive system surgery, urinary system surgery, male/female genital organ surgery, musculoskeletal system surgery, corporal system surgery, immune system surgery, other kinds of diagnostic and therapeutic surgery, obstetric procedures, genetic information optimization/modification procedures, other diagnostic and therapeutic procedures, and the like. Meanwhile, the individual information of the patient is combined, the factors of contraindications, cautionary matters, warning/prompting contents, potential safety hazards, use limitation and the like of the operation are considered, the operation which has serious hazards to the patient is eliminated, and the operation which has potential hazards to the patient needs to fully evaluate risks and balance necessity. In addition, the patient's medical insurance and financial payment capabilities should be considered as well as the suitability for surgery. Only by comprehensively considering the factors closely related to the operation, the optimal target can be achieved, and the benefit of the patient is fully guaranteed.
In the course of actually determining the surgical procedure, there may be various subjective or objective reasons that cause unreasonable and non-compliant situations. The method for intelligently recommending the surgical items is applied, is based on technical data such as surgical operation specifications and the like, and is used for comprehensively analyzing and recommending the safety, effectiveness, economy and suitability of the surgery performed on the patient in the whole process by combining the condition of the patient, so that the method is an important method for ensuring the reasonability and compliance of the surgical items of the patient. Especially, with the development and application of modern information technology, the appearance of intelligent medical analysis systems makes it possible to comprehensively grasp massive surgical data and patient information, and will gradually play a great role in intelligently recommending surgical items.
Disclosure of Invention
The main purposes of the invention are: aiming at the related risks caused by unreasonable non-compliance in the aspects of effectiveness, safety, economy, suitability and the like of operation items possibly existing when the operation items are determined for a patient, a method, a system and equipment for intelligently recommending the operation items are provided, so that medical personnel and the patient are helped to avoid the unreasonable non-compliance operation items, and the related risks in the aspects of effectiveness, safety, economy, suitability and the like of the operation items are effectively reduced.
In order to achieve the above object, the present invention provides a method for intelligently recommending surgical items, comprising:
establishing an operation database;
extracting requirement information of an operation project;
extracting relevant element actual information of a patient for operation;
and calculating and comparing the requirement information of the operation items and the actual information of the relevant elements of the patient for performing the operation with the relevant information and rules in the operation database, and intelligently recommending the operation items suitable for the patient.
The method for intelligently recommending the surgical project comprises the steps that the surgical project is reasonable and is in compliance, the influence on the patient is achieved, and the required measures are taken.
The method for intelligently recommending the surgical project comprises the following steps of: at least one of a rule related to applicability of a surgical project, a rule related to contraindication of a surgical project, a rule related to caution/attention required for a surgical project, a rule related to interaction of a surgical project, a rule related to allergy of a surgical project, a rule related to surgical condition of a surgical project, a rule related to inspection related to a surgical project, a rule related to surgical occasion of a surgical project, a rule related to suitability/comfort/compliance of a surgical project, a rule related to medical insurance/welfare of a surgical project, a rule related to economic regulation of a surgical project, and a rule related to administrative management of a surgical project.
A method of intelligently recommending surgical items as described above, the method further comprising: preliminarily screening out surgical projects which can meet related requirements according to the requirement information of the surgical projects; and comparing the requirement information of the operation projects, the actual information of the relevant elements of the patient for performing the operation, the preliminarily screened relevant information of the operation projects which can meet the relevant requirements with the relevant information and rules in the operation database, and screening the operation projects which are suitable for the patient from the preliminarily screened operation projects which can meet the relevant requirements.
A method of intelligently recommending surgical items as described above, the method further comprising: analyzing and comparing analysis results of the analysis items obtained by analyzing and comparing the related operation items under various conditions according to related rules in the operation database, respectively setting corresponding levels/scores, and setting relative weight of each analysis item according to actual conditions, so that when the operation items are intelligently recommended, comprehensive levels/scores of the related operation items can be respectively calculated according to the levels/scores corresponding to the analysis items of the related operation items under the current conditions and the weight of each analysis item, so that comprehensive recommendation results or comprehensive priority ranking can be conveniently given to the intelligent recommendation of the operation items, including comparison among the related operation items.
The method for intelligently recommending the surgical items intelligently recommends the surgical items, wherein the condition for intelligently recommending the surgical items is that the comprehensive grade/score of the surgical items is higher than the set grade/score.
According to the method for intelligently recommending the surgical items, different intelligent analysis models can be generated by corresponding the levels/scores of the related surgical items under various conditions according to the analysis results of the analysis items and the weights of the analysis items, so that the related intelligent analysis models can be used/referenced under the same/similar use conditions, and the setting of the intelligent analysis models can be continuously optimized and adjusted in the use process.
The method for intelligently recommending the surgical project further comprises a surgery multi-dimensional element attribute dictionary, wherein the surgery multi-dimensional element attribute dictionary is used for processing matching/comparison of requirement information of the surgical project, actual information of relevant elements of a patient for surgery and relevant information and rules in a surgery database.
The method for intelligently recommending the surgical items includes that the surgical multidimensional element attribute dictionary includes a standard dictionary, a synonym corresponding dictionary and a fuzzy matching dictionary of surgical related element attributes, and the comparison of the extracted information with the information and rules in the surgical database is performed by comparing the extracted original information with the synonym corresponding dictionary, or comparing the original information after converting the original information into a format corresponding to the standard dictionary, or performing fuzzy matching comparison on the original information, or a combination of the above methods.
The method for intelligently recommending the surgical items further comprises a patient personal information database, wherein the patient personal information database comprises the relevant information of the patient, and is used for extracting the requirement information of the surgical items and the relevant element actual information of the patient for performing the surgery and providing the relevant information of the patient for analyzing the surgical items suitable for the patient.
The method for intelligently recommending the surgical item further comprises a medical staff personal information database, wherein the medical staff personal information database comprises the relevant information of the medical staff, and is used for extracting the requirement information of the surgical item and the actual information of the relevant elements of the patient for performing the surgery and providing the relevant information of the medical staff for analyzing the surgical item suitable for the patient.
The method for intelligently recommending the surgical items also comprises the steps of reminding patients/medical staff, various conditions and risks which can occur when/after the patients perform the related surgery and detection/discovery methods of the conditions and the risks, and related preparation and handling methods, and sending out warnings, prompts or starting remedial measures when the conditions occurring in the surgery are discovered.
The method for intelligently recommending the surgical items can also be used for carrying out combined intelligent recommendation on the surgical item combinations of two or more surgeries.
A method for intelligently recommending surgical procedures as above, said method further comprising encrypting identification, confirmation, login, electronic signature of patient, medical personnel and related roles, and storage, transmission and application of personal information, medical order information and analysis results.
The invention also provides a system for intelligently recommending surgical items, which comprises the following components:
a database unit for storing a surgical database;
a first information extraction unit for extracting requirement information of an operation project;
a second information extraction unit for extracting relevant element actual information of the patient performing the operation;
and the intelligent auditing unit is used for calculating and comparing the requirement information of the operation items, the actual information of relevant elements of the patient for performing the operation with relevant information and rules in the operation database, and intelligently recommending the operation items suitable for the patient.
The invention also provides equipment for intelligently recommending surgical items, which comprises:
the database module is used for storing a surgical database;
the first information extraction module is used for extracting the requirement information of the operation project;
the second information extraction module is used for extracting relevant element actual information of the patient for operation;
and the intelligent auditing module is used for calculating and comparing the requirement information of the operation items, the actual information of relevant elements of the patient for performing the operation with relevant information and rules in the operation database, and intelligently recommending the operation items suitable for the patient.
According to the method, the system and the equipment for intelligently recommending the surgical items, disclosed by the invention, the surgical item is intelligently recommended by establishing the surgical database, extracting the required information of the surgical items and the relevant element actual information of the patient for performing surgery, and comparing the extracted information with the relevant rules in the surgical database. By the method, the system and the equipment for intelligently recommending the surgical projects, the problem that the surgical projects are unreasonable and not compliant due to insufficient professional skills of medical staff, individualized differences of patients, human errors and the like can be effectively solved, the medical staff and the patients are helped to reasonably select the surgical projects, and therefore related risks in the aspects of effectiveness, safety, economy, suitability and the like of the surgical projects are effectively reduced.
Drawings
Fig. 1 is a flowchart of a method for intelligently recommending surgical items according to the present invention.
Fig. 2 is a block diagram of a system for intelligently recommending surgical items according to the present invention.
Fig. 3 is a hardware block diagram of an apparatus for intelligently recommending surgical items according to the present invention.
Detailed Description
To further explain the technical means and effects of the present invention adopted to achieve the intended purpose, the following detailed description of the embodiments of the present invention is provided in conjunction with the accompanying drawings and examples.
In the present invention, the patient refers to a person who has undergone a surgery. Medical personnel refer to doctors, nurses, inspectors, nursing staff, other related technical personnel, and the like who order and operate the non-operative actual subjects of the operation. The medical orders represent important basis of the operation, including medical orders, prescriptions, surgical orders, diagnosis books, examination orders, laboratory orders, material requisition orders, execution orders, and the like.
A first embodiment of the present invention is described with reference to fig. 1. FIG. 1 is a flow chart of a method for intelligently recommending surgical items according to the present invention. As shown in the figure, the method for intelligently recommending the surgical items comprises the following steps:
step 1: and establishing a surgery database.
The surgical database includes information and rules regarding the rationality and compliance of surgical projects, the impact on patients and the measures that need to be taken. The method specifically comprises various related element attributes, values/ranges/calculation methods/sources/limiting conditions/exclusion conditions of the various related element attributes, and interrelations/interactions/interconversion/rules/calculation methods among various/various groups/various types of element attributes.
In the present invention, the operation refers to a diagnostic and therapeutic operation directly performed on a patient, including a traditional surgical operation, a medical diagnostic and therapeutic operation, a laboratory operation, and a small number of diagnostic operations on a specimen, and specifically includes: nervous system surgery, endocrine system surgery, eye surgery, ear surgery, nasal/oral/pharyngeal surgery, respiratory system surgery, cardiovascular system surgery, hematopoietic and lymphatic system surgery, digestive system surgery, urinary system surgery, male/female genital organ surgery, musculoskeletal system surgery, corporal system surgery, immune system surgery, other kinds of diagnostic and therapeutic surgery, obstetric procedures, genetic information optimization/modification procedures, other diagnostic and therapeutic procedures, and the like. The surgical item refers to a specific surgery that the doctor selects for the patient according to the actual condition of the patient and is suitable for the patient, for example: thyroidectomy, breast adenoidectomy, inguinal direct hernia tension-free repair, cataract aspiration, coronary stenting, total hip replacement, nephrofixation, and the like.
The surgical database of the present invention is based on various surgical operation criteria, guidelines, clinical treatment routes, prescription sets, pharmacopoeias, expert consensus, proceedings and consensus within a hospital/department, industry criteria, textbooks, treatises, monographs, inventions, scientific inferences, experimental reports, data analysis reports, test reports, examination reports, approval documents, relevant regulations, relevant guidelines, relevant policies, relevant regimes, relevant catalogs, relevant documentation, relevant price specifications, relevant price catalogs, relevant bidding results, relevant price policies, relevant insurance payment terms, relevant insurance payment protocols, relevant bidding results, relevant purchasing catalogs, relevant doctors/nurses/pharmacists/paramedics/patients/salesmen' evaluations/examination results/monitoring reports/safety reports, Other literature data, other research results with professionalism/authority, a evidence-based medical method, or probability speculation based on existing data, a database established by sources such as various weights, various levels, various orders and the like needing to be set manually, a database established based on information reforming, information analysis and big data analysis, a database established by artificial intelligence deep learning, a database obtained by data mining analysis, rules and indexes manually set by data statistical analysis and artificial intelligence deep learning, and related information and rules of the database continuously accumulated and refined in the using process of a user. The surgical database may also be a database built by a combination of the above methods. The database can be updated according to versions or can be updated in real time according to actual data. The operation database can be a relational database or a non-relational database; can be a table database or a graph database; the related data may be structured data or unstructured data.
Relevant rules for the rationality and compliance of the surgical programs in the surgical database include: at least one of the rules related to the applicability of the surgical project, the rules related to the contraindications of the surgical project, the rules related to the caution/attention required for the surgical project, the rules related to the interaction of the surgical project, the rules related to the allergy of the surgical project, the rules related to the surgical conditions of the surgical project, the rules related to the examination related to the surgical project, the rules related to the operation time of the surgical project, the rules related to the suitability/comfort/compliance of the surgical project, the rules related to the medical insurance/welfare of the surgical project, the rules related to the economic control of the surgical project, and the rules related to the administrative management of the surgical project, and may further include other rules related to the rationality and compliance of the surgical project.
The relevant information and rules of the reasonableness and compliance of the surgical project in the surgical database include the following elements: drugs, medical instruments, blood and blood extracts/products, implants, surgical preparations, surgical diet/nutrition, surgical talking/counseling, surgical procedures, surgical sites, surgical positions, number of operations, surgical time, surgical timing, surgical methods, surgical care, post-operative treatment/management, complication treatment, post-operative examination/detection, post-operative rehabilitation, etc. Further comprising: basic information of a patient, population information, genetic-related information, disease information, medical history information, medication history information, medical instrument use history information, allergy history, operation items, symptoms, indices, treatment plan, body position, operation object, operation method, operation target, physiological development information, marriage and care information, physiological condition, psychological/intellectual condition, life/work/study/exercise/entertainment information, environmental information, drug/medical instrument/health product/cosmetic use-related information, medical insurance-related information, medical expense payment ability/will, medical institution information, medical staff information, medical instrument/consumable/instrument/drug/implant required for surgery, cost of surgery, care, risk assessment, health care, or care, stage, phase, anesthesia, respiration, hemostasis, infection prevention, pain, emergency measures, pre/mid/post-operative index control, pre/mid/post-operative preparation and requirements of the patient, pre/mid/post-operative training, indications/indications, contraindications, operative conditions, related protection and emergency, nutritional support, doctor grade and authority, ancillary software, images, etc.
In the present invention, the crowd information may include specific crowd information such as a specific age, gender, development status, marital status, fertility status, work status, learning status, exercise status, life status, physiological status, psychological status, and genetic status. The genetically related information includes: genetic information, genetic information mutation/change information, genetic defect information, genetic medical history, family medical history, and the like. The disease information includes: disease, diagnosis, symptom type, symptom, index, pulse condition, tongue diagnosis, etc. The medical history information includes medical history, surgical history, radiotherapy history, chemotherapy history, psychotherapy history, physical therapy history, immunotherapy history, gene therapy history and the like. The medication history information includes: the history of medication, the curative effect of the medicine, the adverse reaction of the medicine, the tolerance condition of the medicine and the like. The medical instrument use history information includes: medical instrument use history, medical instrument use curative effect, medical instrument use adverse reaction, medical instrument tolerance and the like. The allergy history information includes: drugs, medical devices, blood and blood extracts/products, implants, diet, environmental, etc. allergy history information. The operation items include operation, examination, test, detection, operation, health promotion, rehabilitation, psychotherapy, radiotherapy, chemotherapy, physiotherapy, thermotherapy, phototherapy, magnetotherapy, electrotherapy, cryotherapy, electromagnetic therapy, phonotherapy, immunotherapy, gene therapy, weight reduction, body building, shaping, and skin caring. The physiological development information includes: growth and development conditions, physiological stages, fertility and the like. The marriage and childbirth information comprises marriage history, birth history, sexual life and the like. The physiological conditions include: physical performance, nutritional status, hearing, vision, taste, smell, touch, respiration, motor coordination, digestion, absorption, excretion, sexual function, and the like, and levels of related abilities. Psychological/intellectual status includes: psychological disorders, mood, feeling, intelligence, attention, memory, perception, communication ability, expression ability, and the like. Life/work/learning/sports/entertainment information includes: diet, work and rest, sleep, work, study, entertainment, sports and other related information. The environment information includes: temperature, humidity, air pressure, season, altitude, air quality, terrain, topography, oxygen content, light, ultraviolet light, radiation, electromagnetic waves, noise, epidemics, vegetation and other information. The medical insurance-related information includes medical welfare, medical insurance, business insurance, and the like. The medical institution information includes medical institution level, specialty, attribute, region, department, etc. The medical staff information includes: age, gender, job title, professional qualification, professional training, protective measures and the like. The medical device comprises: active surgical instruments, passive surgical instruments, neurological and cardiovascular surgical instruments, orthopedic surgical instruments, radiation therapy instruments, medical imaging instruments, medical examination and monitoring instruments, respiratory/anesthesia and emergency medical instruments, physical therapy instruments, blood transfusion/dialysis and extracorporeal circulation instruments, medical instrument sterilization instruments, active implant instruments, passive implant instruments, injection/care and protection instruments, patient-carrying instruments, ophthalmic instruments, dental instruments, gynecological/assisted reproduction and contraception instruments, medical rehabilitation instruments, traditional Chinese medicine instruments, medical software, clinical laboratory instruments, surgical robots, nursing robots and other products belonging to the category of medical instruments or similar medical instruments, and other products with similar effects, including components or accessories, consumables, and the like. The implant comprises: grafts, cultures, gene vectors, implant chips, implant devices/apparatus, and the like.
The rules in the operation database also include the condition that each element needs to be combined to be effective, the related rules can be defined by the comprehensive conditions between the elements according to the multilevel and/or non-relation and the relation combination defined by the related formula, and also include the condition that the related rules are related to the time dimension.
Step 2: and extracting the requirement information of the operation project.
The requirement information of the surgical project may include: treatment, maintenance, diagnosis, prognosis, problem/risk prevention, testing, examination, detection, assessment, evaluation, adjustment, correction of the state or level of various indicators and parameters of physiological/psychological/learning/work/physical/sleep/exercise/mood/metabolism/vision/hearing/intelligence/attention/appetite/immunity/growth development/memory/fertility/genetic-related information; health/recovery/beauty/face-lift/weight-loss/anti-aging; diagnosis, treatment, maintenance, prediction, prevention, test, examination, detection, evaluation, adjustment of disease/symptom/index, etc.; for growth development/fertility/contraception/assisted reproduction/psychological/learning/work/exercise/recreation/nutritional/caloric etc; various surgeries/operations/examinations/detections/monitoring/assessments/evaluations/analyses/predictions/physiotherapy/heat therapy/phototherapy/magnetotherapy/electrotherapy/rehabilitation/healthcare/immunotherapy/gene therapy, etc.; information relating to the use of drugs/medical instruments/health products/cosmetics, etc.
The sources of the requirement information for acquiring the surgical project may be: advice prescribed by medical staff; patient medical records, electronic medical records, diagnosis reports, examination results, inspection results, monitoring results, assessment reports; patient-related symptoms, sensations, states, physiological functions self-statement; the state and the requirement of the patient for learning, working, living, sports, etc. are self-describing; preset time, season, time of day, interval, period and other information; monitoring the change of various physiological and pathological indexes in advance; the approach of self-purchase/self-selection operation of patients, the recommendation of operation by related sales personnel and the like.
And step 3: extracting relevant element actual information of patient for operation
The extraction of the relevant element actual information of the patient performing the operation refers to the relevant element actual information of the patient performing the operation extracted according to the relevant rules in the operation database.
And 4, step 4: and calculating and comparing the requirement information of the operation items and the actual information of the relevant elements of the patient for performing the operation with the relevant information and rules in the operation database, and intelligently recommending the operation items suitable for the patient.
For example: when a doctor orders a patient with a medical order containing an operation item, in order to ensure that the patient can perform an operation reasonably, the method for intelligently recommending the operation item can acquire the requirement Information of the operation item and the actual Information of relevant elements of the patient performing the operation from an HIS (Hospital Information System) or other Information sources, and the method can be used for calculating and comparing the relevant Information with relevant Information and rules of reasonableness and compliance of the operation item in an operation database, so that the operation item suitable for the patient is intelligently recommended, and the doctor selects a specific operation item according to an intelligent recommended operation item list and by combining with the actual condition of the patient. The problems that operation information is not completely mastered, or individualized information of a patient is not easy to obtain and operation items are unreasonable and not compliant due to human errors and the like in the process of doctor's advice prescription are solved, so that related risks in the aspects of effectiveness, safety, economy, suitability and the like of the operation items are effectively reduced.
In the invention, the method for intelligently recommending the surgical items can directly compare the requirement information of the surgical items and the actual information of the relevant elements of the patient for performing the surgery with the relevant information and rules in the surgery database, and intelligently recommend the surgical items suitable for the patient. Or preliminarily screening out the operation items which can meet the related requirements according to the requirement information of the operation items; and comparing the requirement information of the operation projects, the actual information of the relevant elements of the patient for performing the operation, the preliminarily screened relevant information of the operation projects which can meet the relevant requirements with the relevant information and rules in the operation database, and screening the operation projects which are suitable for the patient from the preliminarily screened operation projects which can meet the relevant requirements for recommending.
In the invention, the operation items suitable for the patient compared by the intelligent operation item recommending method can be unique or operation items suitable for a plurality of patients, so that the intelligent operation item recommending method can generate an intelligent operation item recommending list from all the operation items suitable for the patient for recommending.
The method for intelligently recommending the surgical items can extract the actual information of the relevant elements of the patient for performing the surgery according to the relevant rules of the applicability of the surgical items in the surgery database, compare the requirement information of the surgical items, the actual information of the relevant elements of the patient for performing the surgery with the relevant rules of the applicability of the surgical items in the surgery database, and optimize the list of the intelligently recommended surgical items according to the comparison result.
The optimization method comprises the following steps: and measures such as exclusion, backward adjustment of recommended ordering, subtraction and the like are taken for the surgical items which do not accord with the relevant rules in the intelligent recommended surgical item list, and measures such as forward adjustment of recommended ordering, adding and the like can be taken for the surgical items which accord with the relevant rules. The following method for optimizing the operation according to the comparison result of the relevant rules of the reasonability and the compliance of other operation projects is the same as the method.
The rules and elements related to the applicability of the surgical project may include, in addition to the relationship between the applicability of the surgical project and the actual information of the elements related to the operation performed by the patient, the necessity, level, degree, order, effectiveness, evaluation of the applicability of the patient/operator/pharmacist/nurse/caregiver, reasonable population and compliance, the relationship between the applicability of the surgical project and the actual information of the elements related to the operation performed by the patient, the necessity, level, degree, order, and effectiveness of the applicability of the patient/operator/pharmacist/nurse/caregiver, the necessity, level, degree, order, and effectiveness of the applicability of the surgical project and the medical materials, the medical instruments for the operation, the blood and blood extracts/products, the implants, the preparation for the operation, the diet/nutrition for the operation, the conversation/guidance for the operation, the operation process, the operation site, the operation, Reasonable and compliant operation purpose, reasonable and compliant indication/applicable condition, reasonable and compliant operation project and the like.
The method for intelligently recommending the surgical items can also extract the actual information of the relevant elements of the patient for performing the surgery according to the related rules of the taboo of the surgical items in the surgical database, compare the requirement information of the surgical items, the actual information of the relevant elements of the patient for performing the surgery with the related rules of the taboo of the surgical items in the surgical database, and optimize the list of the intelligently recommended surgical items according to the comparison result.
The rules and elements related to the contraindication of the surgical procedure may include, in addition to the relationship between the contraindication of the surgical procedure and the actual information related to the elements related to the surgery performed by the patient: the patient's operation items and operation drugs, operation medical instruments, blood and blood extracts/products, implants, operation preparations, operation diet/nutrition, operation talking/guidance, operation process, operation site, operation position, operation times, operation time, operation method, operation nursing, operation treatment/management, complication treatment, operation examination/detection, operation rehabilitation and other aspects have reasons of contraindication, guidance and prompt/alarm information of relevant patient/operator/doctor/nurse, the above conditions have consequences of contraindication, the grade, degree, sequence, occurrence rate of corresponding contraindication, and contraindication related evaluation of patient/operator/doctor/pharmacist/nurse, and finding and remedying the situation with contraindications.
The method for intelligently recommending the surgical items can also extract the actual information of the relevant elements of the patient for performing the surgery according to the relevant rules which are cautious/cautious to the surgical items in the surgical database, compare the requirement information of the surgical items, the actual information of the relevant elements of the patient for performing the surgery with the relevant rules which are cautious/cautious to the surgical items in the surgical database, and optimize the list of the intelligently recommended surgical items according to the comparison result.
The relevant rules and elements of the surgical project requiring caution/attention can include the relationship between the condition of the surgical project requiring caution/attention and the actual information of the relevant elements of the patient performing the surgery: the patient's operation items and operation drugs, operation medical instruments, blood and blood extracts/products, implants, operation preparations, operation diet/nutrition, operation talking/guidance, operation process, operation site, operation position, operation times, operation time, operation method, operation nursing, operation treatment/management, complication treatment, operation examination/detection, operation rehabilitation and so on, the use guidance/warning information of the relevant patient/operator/doctor/nurse/pharmacist/nurse, the grade, degree, sequence, occurrence probability, danger degree of caution, possible consequences of the above, the evaluation of caution or attention by the patient/operator/doctor/pharmacist/nurse, the above situations have related contents such as discovery of related consequences, remedial measures and the like.
When the intelligent recommended operation item list is optimized according to the comparison result of the relevant rules requiring caution/attention of the operation items, no operation items requiring caution/attention are preferred, and if the operation items in the recommended list have the condition requiring caution/attention to the patient, the operation items with lower caution/attention level, degree, sequencing, occurrence probability, risk degree and better safety are preferred.
The method for intelligently recommending the surgical items can also extract the relevant element actual information of the patient for performing the surgery according to the relevant rule that the surgical items in the surgical database have interaction, compare the requirement information of the surgical items, the relevant element actual information of the patient for performing the surgery with the relevant rule that the surgical items in the surgical database have interaction, and optimize the intelligent recommended surgical item list according to the comparison result.
The rules related to the interaction of the surgical items refer to the operation and the related rules of the operation such as the operation medicine, the medical instruments, the blood/blood extract/blood product, the implant, the operation preparation, the operation diet/nutrition, the operation talk/guidance, the operation process, the operation part, the operation position, the operation times, the operation time, the operation method, the operation nursing, the operation treatment/management, the complication treatment, the operation examination/detection, the operation rehabilitation and the like, and the rules related to the interaction/interaction of the medical examination and examination, the medicine, the diet, other operations, the health products, the cosmetics, the treatment plan, the operation and the like, i.e. if the interaction/interaction exists in the operation items, the operation items should be carefully monitored or the operation preparation should be made during the operation, the operation items are related to the actual information of relevant elements of the patient for operation.
The rules relating to the presence of interaction for the surgical project may further include: the operation item and the medicine/medical apparatus/check/other operation/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/electromagnetic therapy/acoustics therapy/immunotherapy/gene therapy/operation/physiotherapy/rehabilitation/health care/sport/psychology intervention/health care product/health care food/cosmetic/diet and other factors or items exist at the same time/are possibly interacted/interacted, and the operation item and the related medicine/medical apparatus/check/other operation/chemotherapy/radiotherapy/thermotherapy/magnetotherapy/electrotherapy/magnetotherapy/acoustics therapy/immunotherapy/gene therapy/operation/physiotherapy/rehabilitation/health care/sport/psychology intervention/psychology therapy The effect of the factors/health product/health food/cosmetic/diet's respective site/route/method/interaction time/dose/time on the above-mentioned interaction/interaction, and the effect that other factors that may have an effect on the above-mentioned interaction/interaction may have on the surgical presence interaction.
Other factors that may have an effect on the above interactions/interactions include: patient genetic-related factors, lifestyle-related factors, diet-related factors, disease/treatment history-related factors, family medical history, allergy factors, work/learning/exercise/activity-related factors, environment-related factors, physiological/psychological/learning/sleep/exercise/emotion/metabolism/vision/hearing/intelligence/attention/appetite/immunity/growth/development/memory/fertility etc. state/status/level factors, age-related factors, physiological function-related factors, fertility status-related factors, sexual life status-related factors, and other factors and items that may enhance/reduce/alter the above-mentioned interactions/interactions, and the specific way in which these factors and items affect the relevant interactions/interactions, the disease/treatment history-related factors, family medical history, allergy factors, work/learning/exercise/activity-related factors, environment-related factors, age-related factors, physiological function-related factors, influence the result and degree of influence, etc.
The rules relating to the presence of interaction for the surgical project may further include: patient surgical project the reasons for the interaction/interaction, guidance/warning information of the relevant patient/operator/doctor/nurse/pharmacist/caregiver, the consequences of the interaction/interaction that may occur, the level, degree, ranking, probability of occurrence, degree of danger/benefit of the interaction/interaction, the evaluation of the relevant interaction/interaction by the patient/operator/doctor/pharmacist/nurse/caregiver, and the discovery and remedial actions of the interaction/interaction of the situation.
The method for intelligently recommending the surgical items can also extract the relevant element actual information of the patient performing the surgery according to the relevant allergy rules of the surgical items in the surgical database, compare the requirement information of the surgical items and the relevant element actual information of the patient performing the surgery with the relevant allergy rules of the surgical items in the surgical database, and optimize the list of the intelligently recommended surgical items according to the comparison result.
The relevant rules of allergy of the surgical project comprise physicochemical properties of drugs/medical instruments/environments/contacts/smells and the like used in the surgery which may cause allergic reaction and action principles/mechanisms, and the specific elements comprise: the material comprises components, raw materials, electricity, magnetism, light, heat, radiation, irritation, size, weight, heavy metal, toxicity, smell, shape, specification, package, material, additive, preservative, antifreezing agent, consumable material and relevant information such as relevant concentration, content, strength, valence and the like.
The rules relating to allergies of a surgical program may also include: the physical constitution, age, sex, height, weight, development related information, birth related information, sexual life related information, heredity related information of the patient, the climate/air quality/humidity/season/temperature of the environment, the disease/symptom/index/feeling/emotion of the patient, the working condition/learning condition/rest condition/exercise condition/nutrition condition/eating condition/work time/immunity condition of the patient, the treatment history or treatment plan of the patient by the method of medicine/operation/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/magnetotherapy/phonotherapy/immunotherapy/gene therapy, the family history/disease history/allergy history/genetic history/regional epidemic history/smoking history of the patient and the like may be related to the hand condition of the patient Information about allergies in surgical procedures.
The rules relating to allergies of a surgical program may also include: the possible manifestations and consequences of allergic reactions in different conditions of a patient operation project, the causes and mechanisms of the allergic reactions, guidance/warning information of related patients/operators/doctors/nurses/pharmacists/caregivers, the grade, severity, sequence and occurrence probability of the allergic reactions, the evaluation of the related allergic reactions by the patients/operators/doctors/pharmacists/nurses/caregivers, the discovery and remedial measures of the related allergic reactions in the situations, and the like.
The conditions of allergy tests can be set in the operation database, and if the condition of the patient entering the operation project meets the relevant conditions, the patient needs to pass the allergy test first and can pass the allergy test only if the result is negative.
The method for intelligently recommending the surgical items can also extract the relevant element actual information of the patient for performing the surgery according to the relevant rules of the surgical conditions of the surgical items in the surgical database, compare the requirement information of the surgical items, the relevant element actual information of the patient for performing the surgery with the relevant rules of the surgical conditions of the surgical items in the surgical database, and optimize the intelligent recommended surgical item list according to the comparison result.
The rules and elements related to the surgical conditions of the surgical project may include, in addition to the relationship between the surgical conditions of the surgical project and the actual information of the elements related to the surgery performed by the patient: the surgical conditions of the surgical project require the condition of the patient, require the hospital, department, doctor, nurse, operator, caregiver, medicine, medical instrument, equipment, post-operative recovery, nursing, rehabilitation, medical insurance, surgical expense, rank, importance, or ranking of the surgical conditions of the surgical project, and do not have the conditions and remedial measures that may be caused by the surgical conditions.
The method for intelligently recommending the surgical items can also extract the relevant element actual information of the patient performing the surgery according to the relevant rules of the relevant examination of the surgical items in the surgical database, compare the requirement information of the surgical items, the relevant element actual information of the patient performing the surgery with the relevant rules of the relevant examination of the surgical items in the surgical database, and optimize the list of the intelligently recommended surgical items according to the comparison result.
The related rules and elements of the operation item related examination may include, in addition to the relationship between the operation item related examination and the actual information of the related elements of the patient performing the operation: the examination items required before/during/after the operation, whether the indexes/symptoms of the relevant examination are qualified, the grade, importance degree and sequence of the examination, guidance/warning information of the relevant patient/operator/doctor/nurse/pharmacist/caregiver, conditions possibly caused by the examination and remedial measures and the like.
The method for intelligently recommending the surgical items can also extract the relevant element actual information of the patient for performing the surgery according to the relevant rules of the surgery time of the surgical items in the surgery database, compare the requirement information of the surgical items, the relevant element actual information of the patient for performing the surgery with the relevant rules of the surgery time of the surgical items in the surgery database, and optimize the intelligent recommended surgical item list according to the comparison result.
The rules and elements related to the operation timing of the operation items may include, in addition to the relationship between the operation timing of the operation items and the actual information of the related elements of the patient performing the operation: the operation time of the operation project has requirements on the constitution/age/height/weight/development related information/birth related information/sexual life related information of the patient, requirements for patient's disease/symptoms/indices/feelings/emotions, requirements for patient's working condition/learning condition/resting condition/exercise condition/nutritional condition/eating condition/work and rest time/immunity condition, the requirements of the patients on medicine/other operations/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/electromagnetic therapy/sonic therapy/immunotherapy/gene therapy, the grade, importance degree and sequencing of relevant operation occasions, situations possibly caused by the fact that the operations are not carried out at proper time, remedial measures and the like.
The method for intelligently recommending the surgical items can also extract relevant element actual information of the patient for performing the surgery according to relevant rules of the suitability, comfort and compliance of the surgical items in the surgical database, compare the requirement information of the surgical items and the relevant element actual information of the patient for performing the surgery with the relevant rules of the suitability, comfort and compliance of the surgical items in the surgical database, and optimize the list of the intelligently recommended surgical items according to the comparison result.
Relevant rules for suitability/comfort/compliance of a surgical program and elements thereof include: the medical equipment, instrument, reagent, consumable material and operation method, operation position, operation intensity and the like, and the method for adjusting the suitability, comfort, hardness, irritation, portability, storage convenience and the like, and the method for adjusting the suitability, comfort and compliance, comprises various auxiliary conditions, auxiliary measures, auxiliary methods, auxiliary operations and the like.
The relevant rules for suitability/comfort/compliance of a surgical program may also include: according to the conditions of the age, the sex, the physical condition, the sensitivity, the tolerance of electrical stimulation/magnetic field/pressure/pain, the taste preference, the motor ability, the physical strength, the work/study/motion/activity/travel rule and characteristic, the work and rest time, the aesthetic requirement, the learning ability, the operation ability, the execution ability and the like of the patient, the suitability/comfort/compliance of the operation project is set, the weight of each project is related to the combination calculation method, and the target setting of the suitability/comfort/compliance of the operation project of the patient is set. The relevant rules for suitability/comfort/compliance for a surgical program may also include a method for prompting the relevant physician, nurse, pharmacist, patient, caregiver to adjust the corresponding suitability/comfort/compliance if the target setting is not met.
The method for intelligently recommending the surgical items can also extract the actual information of the relevant elements of the patient for performing the surgery according to the relevant rules of the medical insurance/welfare of the surgical items in the surgical database, compare the requirement information of the surgical items and the actual information of the relevant elements of the patient for performing the surgery with the relevant rules of the medical insurance/welfare of the surgical items in the surgical database, and optimize the list of the intelligently recommended surgical items according to the comparison result.
Relevant rules and their elements for medical insurance/welfare of surgical projects include: whether the operation item belongs to the medical welfare/medical insurance or business insurance scope and condition, object, ratio, calculation method, amount and the like, and also can include the limitation of relevant constraint terms hospital/department/doctor/nurse/operator and the like, and also can include information of price, single operation expense, single day operation expense, single treatment course expense, total expense and the like. Whether the surgical program belongs to the medical welfare/medical insurance or business insurance scope and conditions include: people, diagnoses, symptoms, symptom types, operations, examinations, operations, projects, rehabilitation, psychotherapy, physical therapy, health care, nursing, accompanying, areas, medical institutions, departments, doctors, drugstores, examination centers, physical examination centers, treatment centers, rehabilitation centers, usage amounts and other elements and the combination of the elements. And relevant constraint terms such as violation behaviors, inspection modes, violation punishment measures and the like.
The method for intelligently recommending the surgical items can also extract the actual information of the relevant elements of the patient for performing the surgery according to the relevant rules of the economic management and control of the surgical items in the surgical database, compare the requirement information of the surgical items, the actual information of the relevant elements of the patient for performing the surgery with the relevant rules of the economic management and control of the surgical items in the surgical database, and optimize the list of the intelligently recommended surgical items according to the comparison result.
The rules and elements of economic management and control of surgical projects include: the cost limit of single operation cost, single-day operation cost, single treatment course cost, total cost, operation times average, per-platform/per-operation average, per-person, per-day, per-month, cost limit in different departments/doctors/nurses, cost limit in different diseases/different treatment schemes/different projects/patients, etc., and may further include the economic related index of the operation project preset according to the actual economic capability and budget of the patient.
The method for intelligently recommending the surgical items can also extract the actual information of the relevant elements of the patient for performing the surgery according to the relevant rules of the administrative management of the surgical items in the surgical database, compare the requirement information of the surgical items, the actual information of the relevant elements of the patient for performing the surgery with the relevant rules of the administrative management of the surgical items in the surgical database, and optimize the list of the intelligently recommended surgical items according to the comparison result.
Relevant rules and their elements for the administrative management of surgical projects include: regional related provisions/requirements of surgical projects, hospital-level related provisions/requirements, hospital-property related provisions/requirements, department related provisions/requirements, doctor related provisions/requirements, operator related provisions/requirements, patient related provisions/requirements, disease-type related provisions/requirements, key monitoring related provisions/requirements, extraordinary warning related provisions/requirements, bidding results, price policy related provisions/requirements, day-related provisions/requirements, amount-related provisions/requirements, DRGs (disease-related classification) related provisions/requirements, clinical pathway related provisions/requirements, and the like. Patient-related prescriptions/requirements include: medical insurance, self-service charge, industrial injury, new agriculture and agriculture, dry insurance, chronic diseases, inconvenient movement, old people, disabled people and the like. The amount-related stipulations/requirements include: whether the method accords with the related expense limit such as single disease type payment, total amount prepayment, operation expense proportion control, single variety purchasing/checking amount limit, type purchasing/checking amount limit and the like.
The method for intelligently recommending the surgical items further comprises the steps of reminding patients/medical personnel, various conditions and risks which can occur when/after the patients perform the relevant surgery, detecting/discovering the conditions and the risks, preparing and coping with the conditions, and sending out warnings, prompts or starting remedial measures when the conditions occurring in the surgery are discovered.
The method for intelligently recommending the surgical items further comprises the steps of analyzing and comparing the analysis results of the obtained analysis items of the related surgical items under various conditions according to the related rules in the surgical database, respectively setting the corresponding levels/scores, and setting the relative weight of each analysis item according to the actual situation, so that when the surgical items are intelligently recommended, the comprehensive levels/scores of the related surgical items can be respectively calculated according to the levels/scores corresponding to the analysis items of the related surgical items under the current conditions and the weights of the analysis items, so that the comprehensive recommendation results or comprehensive priority ranking can be provided for the intelligent recommendation of the surgical items, including the comparison among the related surgical items. The condition for intelligently recommending the surgical items is that the comprehensive grade/score of the surgical items is higher than the set grade/score. The surgical item with the highest overall rating/score may be recommended, or a plurality of surgical items may be recommended in order of the overall rating/score. The level/score setting can be continuously optimized and adjusted during use.
The comprehensive grade/score of the surgical item can be used for evaluating the necessity of the surgical item, analyzing the relationship between the necessity of the surgical item and factors such as risk, cost and cost required to be paid, and obtaining the result of whether the surgical item needs to be developed or not.
The grade/score of each analysis item or the combination of the grade/scores of a plurality of analysis items can also be set as a necessary item for different situations of the patient, and if the necessary item does not pass, the operation item cannot be recommended. For example: the contraindication of the operation item can be set as an essential item, and if the contraindication exists in the operation item, the operation item can not be recommended; medical insurance may also be set as a necessary item, and if the surgical item is not within the medical insurance scope, the surgical item cannot be recommended.
The weight is set according to the importance of the analysis item. If a certain analysis item is important, the weight of the analysis item can be reset to be high; if an analysis item is not important, the weight of the analysis item can be reset to low; if it is not necessary to consider a certain analysis item at all when calculating the comprehensive level/score of the surgical item, the weight of the analysis item may be set to 0.
The level/score set according to the analysis result of each analysis item and the weight of each analysis item of the related operation item can be correspondingly generated into different intelligent analysis models under various conditions, so that the related intelligent analysis models can be used/referred under the same/similar use conditions, and the setting of the intelligent analysis models can be continuously optimized and adjusted in the use process.
The various data extracted by the method for intelligently recommending the surgical item can be all data, and data of certain conditions can be set according to requirements, such as: data for a certain time period, data of a patient at a certain hospital/department/doctor, etc.
The method for intelligently recommending the surgical items can also be used for carrying out combined intelligent recommendation on the surgical item combinations of two or more surgeries.
In the invention, the method for intelligently recommending the surgical item further comprises a surgery multidimensional element attribute dictionary, which is used for processing the matching/comparison of data from different sources, different data structures, different descriptions and different data standards, such as the requirement information of the surgical item, the actual information of relevant elements of a patient for surgery, and the relevant information and rules in a surgery database, and comprises a fuzzy matching algorithm. The operation multi-dimensional element attribute dictionary comprises at least one of a standard dictionary, a synonym corresponding dictionary and a fuzzy matching dictionary of operation related element attributes, and comprises data such as synonyms, structures, combinations and mutual corresponding relations of the dimensional element attributes related to the items. The comparison between the extracted requirement information of the surgical project and the actual information of the relevant elements of the patient for performing the surgery and the relevant information and rules in the surgical database may be a comparison between the extracted original information and the dictionary corresponding to the different names of the projects carried by the multi-dimensional attribute dictionary for performing the surgery in the surgical database, or a comparison between the extracted original information and the surgical database after being converted into the corresponding standard dictionaries, or a comparison between the extracted original information and the dictionary of the projects in the surgical database for performing fuzzy matching, or a combination of the above methods. The operation multi-dimensional element attribute dictionary can be established independently or can be included in an operation database.
In the invention, besides adopting the operation multi-dimensional element attribute dictionary for matching, the method can also process the required information of the operation project and the matching/comparison of the relevant element actual information of the patient for operation with the relevant information and rules in the operation database by methods such as a voice recognition technology, a semantic recognition technology, translation of different languages, an OCR recognition technology, a virtual reality technology, an augmented reality technology, a gesture recognition technology and the like.
In the invention, the method for intelligently recommending the surgical items can also comprise a patient personal information database which is used for extracting relevant element actual information of the patient performing the surgery and providing relevant information of the patient when intelligently recommending the surgical items suitable for the patient. The patient personal information database comprises the relevant information of the patient, and the content comprises: patient basic information, genetic related information, family health related information such as family medical history, allergy history, regional epidemic history, medication history, surgical history, medical device use history, learning conditions, work conditions, exercise conditions, family conditions, living environment, hobbies, compliance conditions, tolerance conditions, medical insurance conditions, and physiological/psychological/learning/work/physical/sleep/exercise/emotional/metabolic/visual/hearing/mental/attention/diet/immune/growth development/memory/fertility conditions, and time of rest.
In the invention, the method for intelligently recommending the surgical item can also comprise a medical personnel personal information database which is used for extracting the actual information of relevant elements of the surgery performed by the patient and providing the relevant information of the medical personnel when the surgical item suitable for the patient is intelligently recommended. The medical personnel personal information database comprises the related information of the medical personnel, and the content comprises the following components: the medical staff's study, specialty, title, job title, practice hospital, department, and practice advice related habits, including related experience, advice writing habits, general surgery advice rules, etc.
The data acquisition method of the patient personal information database and the medical personnel personal information database comprises the steps of extracting or accessing from other information systems, equipment or databases and then analyzing, or manually inputting, or continuously acquiring and analyzing new data in the using process of relevant information of the databases, or the combination of the methods.
In the present invention, the source of the actual information for extracting the relevant elements of the patient to perform the operation may be a patient personal information database, a health file, a family or family member health record, a medical order, a medical record, a medical calendar, a prescription, an electronic medical record, a medical institution information system, a pharmacy/medical instrument shop information system, a medical record, a treatment record, an evaluation report, a consultation record, a survey record, a work record/plan, a diet record/plan, a medication record/plan, a treatment record/plan, an exercise record/plan, a work record/plan, a study record/plan, a rehabilitation record/plan, a health record/plan, a test/examination order, a surgery plan/record, a health management plan, a charge order, a clinical treatment path, an examination/examination result, a test result, a health management plan, a charge order, a medical record, The operation setting/record and the gene detection result can be obtained from the use/prescription/recommendation record of the patient/doctor/nurse, or can be provided by various wearable devices, sensors, electronic devices, an electronic positioning system, a weather forecast system, an electronic temperature/humidity/air pressure detection device, an intelligent sound box, an intelligent home system, an intelligent monitoring/monitoring system, intelligent glasses, an intelligent closestool, an intelligent ground, an intelligent scale, an intelligent detection/analysis device, an electronic infusion system, an operation robot, face recognition analysis, fingerprint recognition, voice recognition, gait recognition, a positioning system, a social platform and other devices or systems, or can be obtained by analyzing the information of the life, study, work, movement, trip, social interaction, shopping, diet, work, entertainment and the like of the patient through big data, the information can also be analyzed by the patient's race/family/region/age/marital/birth, etc. The missing information may also be provided or refined by the patient/doctor/nurse/caregiver, or the information with high relevance may actively prompt the patient/doctor/nurse/caregiver to observe, monitor, check, query, analyze, confirm, record whether the relevant condition occurs or obtain the relevant index/performance/experience/symptom/physiological change, the relevance is set or analyzed by data, and the relevant elements are ranked or ordered according to the importance of the operation project rationality and compliance in the aspects of effectiveness, safety, economy, suitability/comfort/compliance, etc., and the information with high importance may be set as the information that must be refined or cannot be processed in the next step. When the actual information of the relevant elements of the patient for the operation is extracted, the information of the operation-related orders prescribed by specific medical personnel can be analyzed according to the personal information database of the medical personnel, so that the actual information of the attributes of the relevant elements of the operation can be further accurately mastered. Assessment reports include physiological, psychological, economic, credit, athletic ability, and the like. The intelligent detection/analysis device includes: odor, image, sound, pulse condition, X-ray film, CT, nuclear magnetic, ultrasonic examination, brain wave, mass spectrum analyzer, tongue analysis, fundus examination, gastroscope, enteroscope, catheter, minimally invasive scope, heart rate, blood oxygen, blood pressure, blood sugar, blood fat, body temperature, blood examination, urine examination, stool examination, pulse measurement/analysis equipment, etc.
In the present invention, the result of the surgical item suitable for the patient recommended by the method of intelligently recommending surgical items can be used for reminding, warning, limiting, prohibiting, assisting, guiding the patient/doctor/nurse/caregiver to select, recommend or operate the surgery. It can also be used for the data base of the patient/doctor/nurse and audit/administration/guidance/consultation station or secondary audit/administration/guidance/consultation center discussing the use/recommendation/purchase/payment/insurance audit optimization scheme of the operation and the data base of the advanced post reply/automatic reply. And the evaluation result can also be used as the basis for professional level evaluation/professional normative evaluation/performance assessment of personnel such as doctors, nurses, caregivers and the like afterwards. And can also be used as the basis for selling or refusing the selling of the vending machine/electric business/pharmacy/medical institution. The intelligent vending machine can also be communicated with various information systems/information platforms/various vending machines/intelligent wearable devices/intelligent household devices/intelligent medical devices/remote control medical devices to serve as configurable control items of relevant operations or processes under the triggering of the systems or the relevant devices, such as automatic vending, intelligent reminding, intelligent starting, intelligent closing and the like. The method can also be used as the basis for evaluating, checking, supervising, law enforcement, management, judgment medical institution/drugstore/medical instrument retail store related business behaviors of medical insurance management institution/medical insurance company/health administration/medical institution/credit evaluation institution/grade evaluation institution/judicial institution, the basis for treatment/rehabilitation/health care/examination of guardians/family doctors/family drugstores/health managers/family nursing management patients, the basis for reasonably performing operations in the health management/disease management of patients by the intelligent health management system/disease management system, and the basis for scientific research institution/scientific research personnel/medical instrument production enterprise/medical instrument sales enterprise/medical instrument using institution/medical instrument purchasing institution/patients/doctors/nurses The data basis for selecting/evaluating/designing/researching and developing/selling medical instruments by related objects such as pharmacists, caregivers, salespeople and the like can also be used for data basis for establishing operation-related policies/regulations/payment ranges/payment rates/payment amounts/use ranges and the like by medical insurance management organizations/medical insurance companies/price management organizations/health administration organizations. The feedback objects and applications of the analysis items and the analysis results can also be set, the analysis results of the analysis items are fed back to different departments and different posts according to the requirements of patients, the processing authority and the flow of each department and post and the processing time limit and the processing requirements of each link are set, and various corresponding analysis result reports can also be generated according to the management requirements. The analysis items can be set, and the analysis items are configured to be necessary analysis items or reminding items or not to be analyzed according to the requirements of the patient. The necessary analysis item is that if the analysis result of the item is unreasonable, the operation item can not be recommended, and the reminding item is that if the analysis result of the item is unreasonable, the related patient is reminded of the possible risks of the item, and the reminding can be graded according to the importance. According to the analysis and evaluation results, a normative evaluation report for the operation is provided for medical administration and management personnel, medical insurance institutions, medical insurance management personnel and circulation field management personnel, various possible illegal and illegal behaviors are prompted, and support is provided for further standardizing the operation.
In the invention, the analysis, evaluation, report and other output information of the method for intelligently recommending the surgical items can be manually completed by professional personnel according to the surgical database and various data, or manually completed under the support of the system, or automatically completed by the artificial intelligence, or completed by combining a system/artificial intelligence completion part with a manual completion part. The application/output form of the related operation reasonability and the compliance analysis result can be realized by functions of reminding, informing, reporting, system authority limit, system flow limit, control of related systems/equipment/files/authorities and the like; or providing related interfaces to be realized by being in butt joint with other management systems; or an application that provides the analysis results and manually implements the relevant analysis results by the user.
In the invention, the identity recognition, confirmation, login and electronic signature of the patient, medical personnel and related roles of the method for intelligently recommending the surgical items, and the storage, transmission and application of personal information, medical advice information and various analysis results can be encrypted by various methods, so that the related identity/authority can be prevented from being stolen or information is prevented from being leaked. Wherein the encryption algorithm comprises a symmetric encryption algorithm and/or an asymmetric encryption algorithm, such as: the large integer decomposition problem encryption algorithm, the discrete logarithm problem encryption algorithm, the elliptic curve encryption algorithm, specifically, the block chain technique, etc., the encryption hardware may adopt a secret key, a dongle, an encrypted hard disk, etc., and may be encrypted in combination with user equipment hardware, a network address, etc., or may be encrypted in combination with each other.
In the invention, the data transmission mode of the method for intelligently recommending the surgical item can be a data line mode, a wired network, a wireless transmission mode, a radio frequency identification mode, a magnetic card read-write mode, a mobile hard disk mode, an NFC mode, a bar code mode, a two-dimensional code mode and the like. The wireless transmission mode comprises: infrared, bluetooth, wifi, microwave, visible light wave, telecommunication wireless network, ultrasonic/sound wave, radio, etc.
In the invention, the method for intelligently recommending the surgical items can be used by a single machine, or accessed external hardware such as a mobile hard disk, a box, a card and the like can be used by a user, or can be installed on a local server to support the local user, or can be installed on a private cloud server to support the private cloud user, or can be installed on the Internet to provide services for Internet users.
Fig. 2 is a block diagram of a system for intelligently recommending surgical items according to a second embodiment of the present invention. As shown, the system for intelligently recommending surgical items comprises:
a database unit 11 for storing a surgical database;
a first information extraction unit 12 for extracting requirement information of the surgical item;
a second information extraction unit 13 for extracting actual information of relevant elements of the patient performing the operation;
and the intelligent recommendation unit 14 is used for calculating and comparing the requirement information of the operation items and the actual information of the relevant elements of the patient for performing the operation with the relevant information and rules in the operation database, and intelligently recommending the operation items suitable for the patient.
The system for intelligently recommending the surgical items is formed by adopting the method for intelligently recommending the surgical items, the structural characteristics are in one-to-one correspondence, the description of the method for intelligently recommending the surgical items can be referred, and the description is omitted.
The system for intelligently recommending the surgical items can perform overall process comprehensive analysis and intelligent recommendation according to the safety, effectiveness, economy and suitability of the surgical items, can effectively avoid the problem that the surgical items are unreasonable due to insufficient professional skills of medical staff, individual differences of patients, human errors and the like, and ensures that the patients perform operations reasonably.
For example: the system for intelligently recommending the surgical projects can be established by various levels of health administration departments in a unified or different region according to the actual conditions of the region, and the system for intelligently recommending the surgical projects recommends the surgical projects when medical orders containing the surgical projects are issued by different medical institutions, clinics, health hospitals, health stations, departments, doctors, nurses, inspectors and the like in the jurisdiction. The recommendation can be performed by a system installed locally or a system installed in an Internet/local area network server, can be automatically completed by the system, and can also be performed by outputting a formal recommendation result after a relevant result is confirmed/adjusted by relevant post personnel after the system completes pre-recommendation. The recommendation result can be used for managing the surgical items of the patient, can also be used as a basis for adjusting medical orders, and can also be used for assessing medical quality/work performance/professional ability assessment/wind-moving assessment/service quality assessment/benefit accounting and the like of different medical institutions, departments, doctors, nurses, pharmacists, inspectors and the like.
For example: the operation data service center can be established, and the system based on intelligent operation item recommendation provides intelligent operation item recommendation service for users such as medical institutions, clinics, health hospitals, health stations, medical insurance institutions, insurance companies, doctors, pharmacists, nurses, inspectors, patients, caregivers and the like. The operation data service center can assist the user to generate operation databases of different versions which are regulated and configured individually according to the characteristics and requirements of the user such as attributes, scale, service, region, economic condition, management system, use habit and the like, can customize different data transmission, storage, output and application processes/modes/formats according to different user service processes, and can be connected with different systems, networks, equipment and mechanisms.
Fig. 3 is a hardware block diagram of an apparatus for intelligently recommending surgical items according to a third embodiment of the present invention. As shown, the apparatus for intelligently recommending surgical items includes:
the database module 21 is used for storing a surgical database;
the first information extraction module 22 is used for extracting the requirement information of the operation project;
the second information extraction module 23 is used for extracting relevant element actual information of the patient for performing the operation;
and the intelligent recommending module 24 is used for calculating and comparing the requirement information of the operation items and the actual information of the relevant elements of the patient for performing the operation with the relevant information and rules in the operation database, and intelligently recommending the operation items suitable for the patient.
The equipment for intelligently recommending the surgical items is formed by adopting the method for intelligently recommending the surgical items, the structural characteristics are in one-to-one correspondence, the description of the method for intelligently recommending the surgical items can be referred, and the description is omitted.
According to the method, the system and the equipment for intelligently recommending the surgical items, disclosed by the invention, the surgical item is intelligently recommended by establishing the surgical database, extracting the required information of the surgical items and the relevant element actual information of the patient for performing surgery, and comparing the extracted information with the relevant rules in the surgical database. By the method, the system and the equipment for intelligently recommending the surgical projects, the problem that the surgical projects are unreasonable and not compliant due to insufficient professional skills of medical staff, individualized differences of patients, human errors and the like can be effectively solved, the medical staff and the patients are helped to reasonably select the surgical projects, and therefore related risks in the aspects of effectiveness, safety, economy, suitability and the like of the surgical projects are effectively reduced.
The above-mentioned embodiments are intended to illustrate the objects, technical solutions and advantages of the present invention in further detail, and it should be understood that the above-mentioned embodiments are merely exemplary embodiments of the present invention, and are not intended to limit the scope of the present invention, and any modifications, equivalent substitutions, improvements and the like made within the spirit and principle of the present invention should be included in the scope of the present invention.

Claims (16)

1. A method for intelligently recommending surgical items, the method comprising:
establishing an operation database;
extracting requirement information of an operation project;
extracting relevant element actual information of a patient for operation;
and calculating and comparing the requirement information of the operation items and the actual information of the relevant elements of the patient for performing the operation with the relevant information and rules in the operation database, and intelligently recommending the operation items suitable for the patient.
2. The method for intelligently recommending surgical items according to claim 1, wherein: the surgical database includes information and rules regarding the reasonableness and compliance of surgical programs, the impact on patients and the measures that need to be taken.
3. The method for intelligently recommending surgical items according to claim 1 or 2, wherein the relevant rules for rationalizing and compliance of the surgical items include: at least one of a rule related to applicability of a surgical project, a rule related to contraindication of a surgical project, a rule related to caution/attention required for a surgical project, a rule related to interaction of a surgical project, a rule related to allergy of a surgical project, a rule related to surgical condition of a surgical project, a rule related to inspection related to a surgical project, a rule related to surgical occasion of a surgical project, a rule related to suitability/comfort/compliance of a surgical project, a rule related to medical insurance/welfare of a surgical project, a rule related to economic regulation of a surgical project, and a rule related to administrative management of a surgical project.
4. The method for intelligently recommending surgical items according to any one of claims 1-3, further comprising: preliminarily screening out surgical projects which can meet related requirements according to the requirement information of the surgical projects; and comparing the requirement information of the operation projects, the actual information of the relevant elements of the patient for performing the operation, the preliminarily screened relevant information of the operation projects which can meet the relevant requirements with the relevant information and rules in the operation database, and screening the operation projects which are suitable for the patient from the preliminarily screened operation projects which can meet the relevant requirements.
5. The method for intelligently recommending surgical items according to any one of claims 1-4, further comprising: analyzing and comparing analysis results of the analysis items obtained by analyzing and comparing the related operation items under various conditions according to related rules in the operation database, respectively setting corresponding levels/scores, and setting relative weight of each analysis item according to actual conditions, so that when the operation items are intelligently recommended, comprehensive levels/scores of the related operation items can be respectively calculated according to the levels/scores corresponding to the analysis items of the related operation items under the current conditions and the weight of each analysis item, so that comprehensive recommendation results or comprehensive priority ranking can be conveniently given to the intelligent recommendation of the operation items, including comparison among the related operation items.
6. The method for intelligently recommending surgical items according to claim 5, wherein: the method intelligently recommends surgical items is conditioned on the condition that the overall grade/score of the surgical items is higher than a set grade/score.
7. The method for intelligently recommending surgical items according to claim 5 or 6, wherein: the method can also correspondingly generate different intelligent analysis models for the related operation projects under various conditions according to the levels/scores set by the analysis results of the analysis projects and the weights of the analysis projects, so that the related intelligent analysis models can be used/referred under the same/similar use conditions, and the setting of the intelligent analysis models can be continuously optimized and adjusted in the use process.
8. The method for intelligently recommending surgical items according to any one of claims 1-7, wherein: the method also comprises a surgery multi-dimensional element attribute dictionary which is used for processing the matching/comparison of the requirement information of surgery projects, the actual information of relevant elements of patients for surgery and relevant information and rules in a surgery database.
9. The method for intelligently recommending surgical items according to claim 8, wherein: the operation multi-dimensional element attribute dictionary comprises a standard dictionary, a synonym corresponding dictionary and a fuzzy matching dictionary of operation related element attributes, and the comparison of the extracted information with the information and rules in the operation database is carried out by comparing the extracted original information with the synonym corresponding dictionary, or firstly converting the original information into a format corresponding to the standard dictionary and then comparing the original information, or carrying out fuzzy matching comparison on the original information, or a combination of the above methods.
10. The method for intelligently recommending surgical items according to any one of claims 1-7, wherein: the method further comprises a patient personal information database, wherein the patient personal information database comprises relevant information of the patient, and is used for extracting the requirement information of the operation project and relevant element actual information of the patient for performing the operation and providing relevant information of the patient for analyzing the operation project suitable for the patient.
11. The method for intelligently recommending surgical items according to any one of claims 1-7, wherein: the method further comprises a medical staff personal information database, wherein the medical staff personal information database comprises relevant information of medical staff, and is used for extracting the requirement information of the operation project and relevant element actual information of the patient for performing the operation and providing the relevant information of the medical staff for analyzing the operation project suitable for the patient.
12. The method for intelligently recommending surgical items according to any one of claims 1-7, wherein: the method also includes reminding the patient/medical personnel of various conditions, risks and detection/discovery thereof which may occur during/after the relevant operation, and relevant preparation and handling methods, and issuing an alarm, prompting or initiating remedial action when the condition of the operation is discovered.
13. The method for intelligently recommending surgical items according to any one of claims 1-7, wherein: the method can also carry out combined intelligent recommendation on the operation item combination of two or more operations.
14. The method for intelligently recommending surgical items according to any one of claims 1-13, wherein: the method further includes encrypting identification, confirmation, login, electronic signature of the patient, medical personnel and related roles, and storage, transmission and application of personal information, medical advice information and various analysis results.
15. A system for intelligently recommending surgical items, the system comprising:
a database unit for storing a surgical database;
a first information extraction unit for extracting requirement information of an operation project;
a second information extraction unit for extracting relevant element actual information of the patient performing the operation;
and the intelligent auditing unit is used for calculating and comparing the requirement information of the operation items, the actual information of relevant elements of the patient for performing the operation with relevant information and rules in the operation database, and intelligently recommending the operation items suitable for the patient.
16. An apparatus for intelligently recommending surgical items, the apparatus comprising:
the database module is used for storing a surgical database;
the first information extraction module is used for extracting the requirement information of the operation project;
the second information extraction module is used for extracting relevant element actual information of the patient for operation;
and the intelligent auditing module is used for calculating and comparing the requirement information of the operation items, the actual information of relevant elements of the patient for performing the operation with relevant information and rules in the operation database, and intelligently recommending the operation items suitable for the patient.
CN202010002749.5A 2020-01-02 2020-01-02 Method, system and equipment for intelligently recommending surgical items Withdrawn CN111128401A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111627520A (en) * 2020-06-04 2020-09-04 曹庆恒 Method, system and equipment for managing operation related rules
CN112614598A (en) * 2021-01-06 2021-04-06 尚林梅 Medical information processing method and system based on big data
CN113160954A (en) * 2021-04-07 2021-07-23 泰康保险集团股份有限公司 Medical resource allocation method and device, storage medium and electronic equipment

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111627520A (en) * 2020-06-04 2020-09-04 曹庆恒 Method, system and equipment for managing operation related rules
CN112614598A (en) * 2021-01-06 2021-04-06 尚林梅 Medical information processing method and system based on big data
CN113160954A (en) * 2021-04-07 2021-07-23 泰康保险集团股份有限公司 Medical resource allocation method and device, storage medium and electronic equipment
CN113160954B (en) * 2021-04-07 2023-08-01 泰康保险集团股份有限公司 Medical resource allocation method and device, storage medium and electronic equipment

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Application publication date: 20200508