CN111161891B - Traditional Chinese medicine information management platform - Google Patents

Traditional Chinese medicine information management platform Download PDF

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CN111161891B
CN111161891B CN201911422098.9A CN201911422098A CN111161891B CN 111161891 B CN111161891 B CN 111161891B CN 201911422098 A CN201911422098 A CN 201911422098A CN 111161891 B CN111161891 B CN 111161891B
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medicine
doctor
information
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drug
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CN111161891A (en
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季科
刘震
寇晓明
张建贞
陈伟
古海
黄元森
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CHONGQING YADE TECHNOLOGY CO LTD
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CHONGQING YADE TECHNOLOGY CO LTD
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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
    • G16H70/40ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage
    • 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
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A90/00Technologies having an indirect contribution to adaptation to climate change
    • Y02A90/10Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

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Abstract

The invention relates to the technical field of medical management, in particular to a traditional Chinese medicine information management platform, which comprises a medical supervision subsystem, wherein the medical supervision subsystem is used for giving item symptomatic rates to examination items in an examination item list according to patient symptoms and historical visit records; and is further configured to generate a treatment alert signal when any of the item symptomatic rates is less than a preset symptomatic rate; the medical supervision subsystem is also used for generating predicted dosage according to the therapeutic drug list, the drug instruction book and the preset dosage time length, acquiring a dosage specification according to the therapeutic drug list, generating a dosage difference value according to the dosage specification and the predicted dosage, and taking the drug corresponding to the dosage specification as the predicted therapeutic drug when the dosage difference value is smaller than the preset difference value; and generating a medication start warning signal when the therapeutic drug for which the drug instruction is acquired does not belong to the predicted therapeutic drug. By adopting the scheme, abnormal medical behaviors of excessive medical treatment and exceeding drug quantity can be detected.

Description

Traditional Chinese medicine information management platform
Technical Field
The invention relates to the technical field of medical management, in particular to a traditional Chinese medicine information management platform.
Background
In the medical industry, there are phenomena of excessive medical treatment and overdose. Wherein, the excessive medical treatment refers to the diagnosis and treatment behavior that medical institutions or medical staff violate clinical medical specifications and ethical guidelines, so that the diagnosis and treatment value is not really improved for patients, but only the medical resource consumption is increased. Overdose refers to the act of a medical institution or healthcare worker issuing a list of drugs that are not compatible with the patient's condition and that are overdose. The abnormal medical behavior seriously breaks trust between doctors and patients, causes tension of the relationship between the doctors and the patients, damages the property rights and the health rights of the patients, wastes a large amount of limited medical resources and even hinders the progress of the medical science. However, due to the diversity of the disease conditions, the diagnosis and treatment of each disease condition and the quantification of the therapeutic drugs cannot be performed, and therefore, a method for clearly detecting the abnormal medical behavior is not found.
With rapid development of computer networking and database technology, mass data is generated. For example, a database system in a general hospital stores a large amount of basic information about a patient, such as clinical information about the patient's medical history, diagnosis, examination, and treatment, which provides a research basis for various fields of the medical industry. Similarly, the massive data also provides a research basis for detecting abnormal medical behaviors, so an information management platform for detecting abnormal medical behaviors such as excessive medical treatment and excessive drug quantity by utilizing the massive medical data is needed.
Disclosure of Invention
The invention aims to provide a traditional Chinese medicine information management platform which can detect abnormal medical behaviors of excessive medical treatment and excessive medicine quantity.
The basic scheme provided by the invention is as follows: a Chinese medicine information management platform comprises a database, wherein the database is pre-stored with the history visit records of all patients, and the medicine specifications and the medicine dosage specifications of all medicines; the medical monitoring subsystem is used for acquiring patient symptoms, examination item lists prescribed by doctors and therapeutic drug lists;
the medical monitoring subsystem is also used for screening predicted examination items from the historical visit records according to the symptoms of the patient, assigning item matching rates to each predicted examination item, and assigning item symptomatic rates to the examination items in the examination item list according to the item matching rates; and is further configured to generate a treatment alert signal when any of the item symptomatic rates is less than a preset symptomatic rate;
the medical supervision subsystem is also used for sequentially acquiring a medicine instruction according to the therapeutic medicines in the therapeutic medicine list, generating predicted medicine consumption according to the medicine instruction and the preset medicine duration, generating a medicine consumption difference value according to the medicine consumption specification and the predicted medicine consumption according to the medicine consumption specification, and taking the medicine corresponding to the medicine consumption specification as the predicted therapeutic medicine when the medicine consumption difference value is smaller than the preset difference value; and generating a medication start warning signal when the therapeutic drug for which the drug instruction is acquired does not belong to the predicted therapeutic drug.
Noun description: the history visit records comprise basic information of patients, disease records, examination item records, examination result records, diagnosis result records, treatment drugs, dosage records and other information; the drug instruction book is an instruction book for a production enterprise to facilitate doctors and patients to take the drug; the dosage specification is the dosage of one box or bottle of each medicine; the symptoms of the patient are the symptoms reflected by the patient which are known by doctors through looking and asking; the examination item list is a list of related items which are prescribed by doctors and need patient detection; the list of therapeutic drugs is a list of drugs prescribed by a doctor for administration to a patient.
The basic scheme has the working principle and beneficial effects that: when a patient is in a hospital for diagnosing a disease, a doctor needs to know the disease of the patient and record the disease of the patient, and meanwhile, in order to help the doctor analyze the disease of the patient, a series of examinations are needed to be carried out on the patient, and the doctor is assisted in judging the disease through the examination results, so that the doctor can present an examination item list. In this case, the medical monitoring subsystem screens out predicted examination items from the history of patient visits according to the patient condition of the patient, and the predicted examination items are examination items performed by patients similar to the patient condition, so that a plurality of predicted examination items exist, and a item matching rate is given to each predicted examination item, and the item matching rate reflects the number of times the predicted examination item is screened out, that is, the ratio among the screened out plurality of predicted examination items. And assigning a project matching rate to the examination projects in the examination project list according to the project matching rate, wherein a higher project matching rate indicates that most of patients with similar symptoms are subjected to the examination projects, a lower project matching rate indicates that only a small part of patients with similar symptoms are subjected to the examination projects, and when the project matching rate is smaller than the preset matching rate, the examination projects can be considered to be hardly performed in the patients with similar symptoms, and at the moment, the doctor is considered to have the possibility of overstock, and a treatment warning signal is generated to remind the doctor or the medical institution.
After diagnosing the disease of the patient, the doctor also needs to prescribe a treatment drug list for the patient according to the diagnosis result, and the existing hospital also can require the treatment drug list to avoid the condition that the drug amount exceeds the standard, for example, the drug amount prescribed by the doctor is the drug amount taken by the patient for three days, and as the drugs sold by the hospital are usually one box or one bottle and other whole packages, the drug amount for three days is less than the openable box of one box. When a doctor opens a treatment drug list for a patient, the medical supervision subsystem acquires a drug instruction according to the treatment drugs in the treatment drug list, the usage amount of the treatment drugs is recorded in the drug instruction, and a predicted usage amount is generated according to the usage amount and the preset usage duration, wherein the predicted usage amount is the total usage amount in the preset usage duration calculated according to the usage amount recorded in the drug instruction. Because the drug specifications generated by different manufacturers are different, namely, the situation that one box of 12 capsules and one box of 24 capsules possibly exist in the same drug, the situation that one box of 12 capsules exists in the drugs of different manufacturers also exists, the drug quantity specification corresponding to the therapeutic drug is obtained according to the therapeutic drug, when the drug quantity difference between the drug quantity specification and the predicted drug quantity is smaller than the preset difference, the therapeutic drug corresponding to the drug specification can be considered to avoid the waste of the drug to the maximum extent, so that the therapeutic drug is taken as the predicted therapeutic drug, a plurality of predicted therapeutic drugs are obtained, and when the therapeutic drug corresponding to a drug instruction book does not belong to any one of the plurality of predicted therapeutic drugs, the drug quantity prescribed by a doctor is considered to be out of standard, and a drug-opening warning signal is generated to remind the doctor or a medical institution to which the doctor belongs.
Through managing examination items prescribed by doctors, prompt can be timely carried out when abnormal medical behaviors of excessive medical treatment occur; meanwhile, through the management of the therapeutic drugs prescribed by doctors, prompt can be timely carried out when abnormal medical behaviors of exceeding the drug dosage occur; by reminding doctors or medical institutions, abnormal medical behaviors of excessive medical treatment and excessive medicine amount are reduced, doctor-patient relations are relieved, and waste of a large amount of limited medical resources is reduced.
Further, the medical supervision subsystem is further configured to generate a medication alert signal when the therapeutic dosage of the therapeutic agent is greater than the dosage in the medication instruction or the number of treatments of the therapeutic agent is greater than the usage in the medication instruction. The beneficial effects are that: the medicine instruction comprises dosage and usage, the dosage is dosage of single medicine taking of patients, and the usage is the times of single medicine taking of patients. The therapeutic drugs in the therapeutic drug list comprise drug names, therapeutic doses and therapeutic times, wherein the therapeutic doses refer to doses required to be taken by a patient once, and the therapeutic times refer to times required to be taken by the patient once. Judging according to the treatment dosage and the dosage in the drug instruction, and when the treatment dosage is larger than the dosage in the drug instruction, considering that the dosage of the therapeutic drug prescribed by the doctor is excessive, generating a medication warning signal to remind the doctor to confirm the list of the therapeutic drug. Judging according to the treatment times and the usage in the drug instruction, when the treatment times are larger than the usage in the drug instruction, namely, the times of the treatment drugs prescribed by the doctor are considered to be excessive, a medication warning signal is generated to remind the doctor to confirm the treatment drug list, so that the situation that the patient takes the drugs incorrectly due to the fact that the doctor prescribed the treatment drug list incorrectly is avoided.
Further, the history visit records comprise disorder records and examination item records, the medical supervision subsystem comprises an item screening module, the item screening module is used for matching the disorder records of the patient according to the disorder records of the patient, obtaining examination item records corresponding to disorder records with matching degree larger than a preset matching value, and taking the examination item records as prediction examination items.
Noun description: the condition record is a patient condition in a history of hospital visits; the examination item record is an prescribed examination item in a history of hospital visits.
The beneficial effects are that: according to the disease of the patient, the disease records are screened from the historical treatment records and the disease records with higher matching degree, so that the examination item records of patients with similar disease are obtained, and as the disease is similar, the examination items in the examination item list of the patient, which is proposed by doctors, are considered to be similar to the examination item records, and the examination item records are taken as prediction examination items, so that the follow-up judgment of whether abnormal medical behaviors of excessive medical treatment exist is facilitated.
Further, the medical monitoring subsystem comprises a dosage calculation module, wherein the dosage calculation module is used for calculating predicted dosage according to the dosage and the usage of the drug instruction book and the preset drug duration. The beneficial effects are that: for example, the dosage is three times a day, the dosage is two tablets at a time, the preset dosage time is three days, and the predicted dosage is 3×2×3=18 tablets. The medicine corresponding to the medicine dosage specification is obtained through predicting the medicine dosage, so that a therapeutic medicine list prescribed by a doctor is judged, and the doctor is reminded in time under the condition that the medicine dosage exceeds the standard, and the waste of limited medical resources is reduced.
Further, the medical monitoring subsystem comprises a specification judging module, wherein the specification judging module is used for taking the medicine quantity specification as a first calculated value, taking the predicted medicine quantity as a second calculated value, subtracting the second calculated value from the first calculated value to obtain a calculated result, taking the calculated result as a medicine quantity difference value when the calculated result is not less than zero, summing the calculated result and the first calculated value to update the calculated result when the calculated result is less than zero, and judging the calculated result again until the calculated result is not less than zero. The beneficial effects are that: the medicine difference is obtained through the medicine dosage specification and the predicted medicine dosage, when the predicted medicine dosage is smaller than the medicine dosage specification of one medicine box, the medicine difference can be directly obtained, when the predicted medicine dosage is larger than the medicine dosage specification of one medicine box, a plurality of medicine boxes are possibly needed, and therefore the medicine difference is obtained through overlapping the medicine dosage specifications, further, the medicine which is most suitable for patients is conveniently screened out, and the medicine waste is avoided.
The medical monitoring system further comprises a doctor terminal and an information reservation subsystem, wherein the information reservation subsystem is used for generating reminding information to be sent to the doctor terminal when the medical monitoring subsystem generates a treatment warning signal or a medicine-taking warning signal; the doctor terminal is used for displaying reminding information, acquiring the acknowledgement information of a doctor and sending the acknowledgement information to the information reservation subsystem; the information retention subsystem is used for storing the confirmation information and the patient symptoms, the examination item list prescribed by the doctor and the treatment drug list in a correlated way when the confirmation information is the confirmation authentication. The beneficial effects are that: when the doctor needs to check the examination item list and the treatment drug list, the confirmation information is a cancel check, when the doctor considers that the examination item list and the treatment drug list are correct, the confirmation information is a confirmation authentication, and at the moment, the confirmation information, the patient symptoms, the examination item list and the treatment drug list which are prescribed by the doctor are stored in a correlated mode for keeping records, so that the follow-up check is facilitated.
Further, the confirmation authentication is one of electronic signature, video authentication and fingerprint authentication. The beneficial effects are that: the electronic signature, the video authentication and the fingerprint authentication are unique to each person, so that malicious operation of other people using doctor accounts or terminals is avoided.
Further, the information reservation subsystem is also used for sending the examination item list and the reminding information to the doctor terminal when the medical supervision subsystem generates a treatment warning signal; and the medical supervision subsystem is also used for sending the therapeutic drug list and the reminding information to the doctor terminal when the medical supervision subsystem generates a drug administration warning signal or a drug administration warning signal. The beneficial effects are that: and sending the examination item list and the treatment drug list to a doctor terminal along with the reminding information, so that the doctor can conveniently and rapidly check the examination item list and the treatment drug list, and the treatment time of the patient is shortened.
The system further comprises an alarm statistics subsystem, wherein the alarm statistics subsystem is used for counting treatment alarm signals, medicine-taking alarm signals and medicine-taking alarm signals generated in a preset period, and when the counted times are not less than the preset times, a supervision signal is generated. The beneficial effects are that: when the treatment warning signal, the medication warning signal and the medication warning signal occur more frequently, the doctor can be considered to have abnormal medical behaviors of excessive medical treatment, or the doctor has carelessness and does not know the condition of the medicine in the diagnosis and treatment process, and a supervision signal is generated to remind relevant management personnel or medical institutions of paying attention to the condition of the doctor.
Further, the supervision signals include a treatment supervision signal and a doctor supervision signal, the warning statistics subsystem is further used for respectively counting confirmation authentication and cancellation verification in a preset period, when the statistical result of confirmation authentication is not smaller than the statistical result of cancellation verification, the supervision signal is a treatment supervision signal, and when the statistical result of confirmation authentication is smaller than the statistical result of cancellation verification, the supervision signal is a doctor supervision signal. The beneficial effects are that: when the number of times of verification is greater than or equal to the number of times of verification cancellation, the doctor is indicated to have abnormal medical behaviors of excessive medical treatment, and a treatment supervision signal is generated at the moment, so that relevant management staff can conveniently search a checking project list and a treatment medicine list which are set by the doctor; when the number of times of confirmation authentication is smaller than the number of times of cancellation of verification, the condition that the doctor has carelessness or does not know the medicine in the diagnosis and treatment process is indicated, and a doctor supervision signal is generated at the moment, so that the capability of the doctor can be conveniently inspected by related management staff.
Drawings
FIG. 1 is a logic block diagram of a first embodiment of a traditional Chinese medicine information management platform of the present invention;
fig. 2 is a logic block diagram of a second embodiment of a traditional Chinese medicine information management platform according to the present invention.
Detailed Description
The following is a further detailed description of the embodiments:
example 1
A Chinese medicine information management platform, as shown in figure 1, comprises a database, a medical supervision subsystem, an information reservation subsystem and a doctor terminal. The database is pre-stored with the history visit records of all patients, the drug specifications and the drug dosage specifications of all drugs and reminding information. The historical visit records include condition records and examination item records.
The doctor terminal is used for acquiring the symptoms of the patient, the examination item list and the treatment drug list prescribed by the doctor, and sending the examination item list and the treatment drug list to the medical supervision subsystem.
A medical administration subsystem comprising:
the project screening module is used for matching the disease of the patient with the disease record, obtaining an inspection project record corresponding to the disease record with the matching degree larger than a preset matching value, and taking the inspection project record as a prediction inspection project. In this embodiment, the preset matching degree is 95%, and the preset matching degree is sequentially decreased by 5% in order, that is, when there is no disorder record with matching degree greater than 95%, the preset matching degree is adjusted to 90%.
And the matching calculation module is used for acquiring all the prediction inspection items, counting the times of each prediction inspection item, and calculating the item matching rate of each prediction inspection item according to the times of each prediction inspection item. Specifically, if the predicted inspection item a is 15 times, the predicted inspection item B is 6 times, and the predicted inspection item C is 9 times, the item matching rate of the predicted inspection item a is 15/(15+6+9) ×100% =50%, and similarly, the item matching rate of the predicted inspection item B is 20% and the item matching rate of the predicted inspection item C is 30%.
And the symptomatic judgment module is used for matching and predicting the inspection items according to the inspection item list sequentially recorded, taking the item matching rate of the matched and predicted inspection items as the item symptomatic rate of the inspection item when the matching item exists, and giving 0% of the item symptomatic rate to the inspection item when the matching item does not exist. Specifically, when the inspection item in the inspection item list is A, B, D, the inspection item is predicted to have an item-to-item qualification rate of 50%, the inspection item B has an item-to-item qualification rate of 30%, and the inspection item D has an item-to-item qualification rate of 0%. The symptomatic judgment module is also used for generating a treatment warning signal and sending the treatment warning signal to the information reservation subsystem when the symptomatic rate of any item is smaller than the preset symptomatic rate. In this embodiment, the preset symptomatic rate is 5%, and the preset symptomatic rate can be set by the hospital according to the needs.
The instruction manual screening module is used for sequentially acquiring the instruction manual from the database according to the therapeutic drugs in the therapeutic drug list, wherein the therapeutic drugs comprise drug names and drug lot numbers, the instruction manual comprises drug names, drug lot numbers, usage and dosage, and the instruction manual is screened out according to the drug names and the drug lot numbers of the therapeutic drugs.
And the medicine amount calculation module is used for calculating the predicted medicine amount according to the usage and the dosage of the medicine instruction book and the preset medicine duration. In this embodiment, the preset medication time period is set by the hospital according to the requirement, for example, three days.
The difference value calculating module is used for obtaining the drug quantity specification of the drugs with the same drug name according to the drug name, taking the drug quantity specification as a first calculated value, taking the predicted drug quantity as a second calculated value, subtracting the second calculated value from the first calculated value to obtain a calculated result, taking the calculated result as a drug quantity difference value when the calculated result is not less than zero, summing the calculated result and the first calculated value to update the calculated result when the calculated result is less than zero, judging the calculated result again until the calculated result is not less than zero, and taking the calculated result as the drug quantity difference value.
The medicine judging module is used for taking the medicine corresponding to the medicine dosage specification as a predicted therapeutic medicine when the medicine dosage difference value is smaller than a preset difference value; when the therapeutic drug of the acquired drug instruction does not belong to the predicted therapeutic drug, a drug-opening warning signal is generated and sent to the information reservation subsystem. In this embodiment, the preset difference is 3, when the preset difference is 3, if the number of the predicted therapeutic drugs is zero, the preset difference is sequentially increased by taking the preset difference as a step, that is, when the preset difference is 3, if the number of the predicted therapeutic drugs is zero, the preset difference is adjusted to be 6 until the number of the predicted therapeutic drugs is not zero.
Therapeutic agents also include therapeutic amounts and times of treatment.
And the medication judgment module is used for generating a medication warning signal and sending the medication warning signal to the information reservation subsystem when the treatment dosage of the therapeutic drug is larger than the dosage in the drug instruction book or the treatment times of the therapeutic drug is larger than the usage in the drug instruction book.
An information retention subsystem comprising:
the information screening module is used for acquiring an inspection item list and reminding information from the database when receiving the treatment warning signal, the medicine-opening warning signal or the medicine-taking warning signal; when a medicine-opening warning signal or a medicine-taking warning signal is received, a treatment medicine list is acquired, and reminding information is acquired from a database; and transmitting the examination item list and the reminding information or the treatment drug list and the reminding information to the doctor terminal.
The doctor terminal is used for displaying the examination item list and the reminding information or the treatment drug list and the reminding information, acquiring the confirmation information of the doctor and sending the confirmation information to the information reservation subsystem. The confirmation information includes confirmation authentication and cancellation verification, the confirmation authentication is one of electronic signature, video authentication, fingerprint authentication, and in this embodiment, the confirmation authentication is an electronic signature.
The information reservation subsystem further comprises:
and the information retaining module is used for associating the confirmation authentication with the patient symptoms, the examination item list and the treatment drug list when the confirmation information is the confirmation authentication, and storing the confirmation authentication and the patient symptoms, the examination item list and the treatment drug list in the database after the association.
Example two
The present embodiment is different from the first embodiment in that: as shown in fig. 2, the system also comprises a management terminal and a warning statistics subsystem, wherein the management terminal is used by relevant medical management personnel in a hospital.
A warning statistics subsystem, comprising:
the signal statistics module presets a preset period, and the statistics period is set by a manager through the management terminal, and in this embodiment, the preset period is 1 month. The signal statistics module is used for counting the treatment warning signal, the dosing warning signal and the dosing warning signal in a preset period to obtain statistics times when any one of the treatment warning signal, the dosing warning signal and the dosing warning signal is generated. Specifically, if any signal is generated on, for example, 10 th 11 th 2019, the treatment warning signal, the medication warning signal, and the medication warning signal are generated on 10 th 2019 to 10 th 11 th 2019.
The monitoring judgment module is used for respectively counting the confirmation authentication and the cancellation verification in a preset period when the counting times are not less than the preset times, and generating a monitoring signal when the counting result of the confirmation authentication is not less than the counting result of the cancellation verification, wherein the monitoring signal is a treatment monitoring signal; and when the statistical result of the verification is smaller than the statistical result of the verification cancellation, generating a supervision signal, wherein the supervision signal is a doctor supervision signal at the moment, and transmitting the treatment supervision signal or the doctor supervision signal to the management terminal.
The management terminal is used for displaying the treatment supervision signal or the doctor supervision signal for the manager to check.
Example III
The present embodiment is different from the first embodiment in that: for the patient in the re-diagnosis, because the doctor is not in place in the treatment or excessively medical treatment, the behavior of communication disorder is easy to generate, and in order to avoid the expansion of the influence of the communication disorder behavior, the patient and the doctor should be stimulated in time, so that the occurrence of the communication disorder behavior is avoided, and when the communication disorder behavior occurs, the influence can be controlled in time, and the accidental injury to other people is avoided.
The utility model provides a traditional chinese medical science information management platform still includes hospital monitoring subsystem, a plurality of monitor terminal and security terminal, and monitor terminal all has unique terminal number, and monitor terminal sets up in doctor's department, and monitor terminal is used for gathering doctor and patient's inquiry video. The database is also preset with a doctor and terminal number mapping table, a doctor and contact telephone mapping table and a terminal number and position mapping table.
A hospital monitoring subsystem comprising:
the re-diagnosis judging module is used for acquiring registration information of the patient, wherein the registration information comprises the name of the patient, the age of the patient, a registration department, a contact way and a registration type, and the registration type comprises initial diagnosis or re-diagnosis. The information comparison module is also used for judging whether the patient is a re-diagnosis according to the registration information and generating a re-diagnosis signal when the patient is in the re-diagnosis.
The doctor matching module is used for acquiring a history visit record of the patient according to the name of the patient when receiving the re-diagnosis signal, acquiring a first doctor of the patient according to the history visit record, acquiring doctors of the same department according to the registration department as doctors to be matched, extracting and eliminating the first doctor from the doctors to be matched, randomly matching out the registration doctor according to the eliminated doctors to be matched, namely, the registration doctor is a treatment doctor of the patient for the re-diagnosis, and sending the registration doctor to the monitoring control module. When the patient is in multiple re-diagnosis, the doctor in the last re-diagnosis is removed from the doctors to be matched.
The monitoring control module is used for acquiring the registering doctor, screening out the terminal number from the doctor and terminal number mapping table of the database according to the registering doctor, and starting the corresponding monitoring terminal according to the terminal number.
In other embodiments, a registering doctor may be designated during registration, that is, the registering information further includes a registering doctor, the review judging module is configured to send a review signal to the monitoring control module, and the monitoring control module is configured to obtain the registering doctor from the registering information when receiving the review signal, so as to start a corresponding monitoring terminal.
And the monitoring terminal is used for acquiring the inquiry video of the registering doctor when the monitoring terminal is started, and uploading the inquiry video to the monitoring subsystem of the hospital in real time.
The hospital monitoring subsystem further comprises:
the image recognition module is used for receiving the inquiry video, recognizing the inquiry video to generate action recognition information, sight line facing information, mouth change information and distance change information of the patient and the doctor, and sending the action recognition information, the sight line facing information, the mouth change information and the distance change information to the action early warning module.
The behavior early warning module is preset with a behavior analysis model, and in the embodiment, the behavior analysis model adopts a BP neural network model. The behavior early warning module is used for inputting the motion identification information, the sight line facing information, the mouth change information and the distance change information of the patient and the doctor into the behavior analysis model, outputting analysis results generated by the behavior analysis model according to the motion identification information, the sight line facing information, the mouth change information and the distance change information of the patient and the doctor, wherein the analysis results comprise communication obstacle early warning, communication obstacle warning and normal inquiry, sending the analysis results to the cold processing module when the analysis results are communication obstacle early warning, and sending the analysis results to the prompting module when the analysis results are communication obstacle warning.
And the cold processing module is used for screening the contact way of the registering doctor from the doctor and contact phone mapping table of the database according to the registering doctor when the analysis result is communication obstacle early warning, acquiring the contact way of the patient from the registering information, and respectively making a call to the registering doctor and the patient. Thereby interrupting and suspending the quarrying behavior of the patient and the registering doctor, in other embodiments, the telephone call can be continuously made to the doctor and the patient, thereby increasing the suspending time, in still other embodiments, the manager can be arranged to respectively conduct telephone communication with the registering doctor and the patient, and guide the registering doctor and the patient to different areas, thereby reducing the occurrence of communication obstacle behavior.
And the dissuading module is used for screening the monitoring position from the terminal number and position mapping table of the database according to the terminal number when the analysis result is a communication obstacle alarm, and sending the monitoring position to the security terminal. The security terminal is used for receiving and broadcasting the monitoring position, so that security personnel can quickly arrive at a department of a registering doctor and carry out a recommendation on the registering doctor and a patient.
In other embodiments, the hospital monitoring subsystem further comprises a distance alarm module, the security terminal is further used for uploading positioning information in real time, the recommendation module is used for sending the monitoring position to the distance alarm module, the distance alarm module is used for receiving the monitoring position and the positioning information, generating arrival time according to the monitoring position and the positioning information, arranging according to the arrival time, and sequentially sending the monitoring position to the security terminal according to an arrangement result. Therefore, security personnel at different positions can arrive at the scene at the same time, further accidental injury of the security personnel is avoided, and meanwhile, registered doctors and patients can be rapidly separated, and influence of communication obstacle behaviors is reduced.
The foregoing is merely an embodiment of the present invention, and a specific structure and characteristics of common knowledge in the art, which are well known in the scheme, are not described herein, so that a person of ordinary skill in the art knows all the prior art in the application day or before the priority date of the present invention, and can know all the prior art in the field, and have the capability of applying the conventional experimental means before the date, so that a person of ordinary skill in the art can complete and implement the present embodiment in combination with his own capability in the light of the present application, and some typical known structures or known methods should not be an obstacle for a person of ordinary skill in the art to implement the present application. It should be noted that modifications and improvements can be made by those skilled in the art without departing from the structure of the present invention, and these should also be considered as the scope of the present invention, which does not affect the effect of the implementation of the present invention and the utility of the patent. The protection scope of the present application shall be subject to the content of the claims, and the description of the specific embodiments and the like in the specification can be used for explaining the content of the claims.

Claims (9)

1. A Chinese medicine information management platform comprises a database, wherein the database is pre-stored with the history visit records of all patients, and the medicine specifications and the medicine dosage specifications of all medicines; the method is characterized in that: the medical monitoring subsystem is used for acquiring patient symptoms, examination item lists prescribed by doctors and therapeutic drug lists;
the medical monitoring subsystem is also used for screening predicted examination items from the historical visit records according to the symptoms of the patient, assigning item matching rates to each predicted examination item, and assigning item symptomatic rates to the examination items in the examination item list according to the item matching rates; and is further configured to generate a treatment alert signal when any of the item symptomatic rates is less than a preset symptomatic rate;
the medical supervision subsystem is also used for sequentially acquiring a medicine instruction according to the therapeutic medicines in the therapeutic medicine list, generating predicted medicine consumption according to the medicine instruction and the preset medicine duration, generating a medicine consumption difference value according to the medicine consumption specification and the predicted medicine consumption according to the medicine consumption specification, and taking the medicine corresponding to the medicine consumption specification as the predicted therapeutic medicine when the medicine consumption difference value is smaller than the preset difference value; generating a medication-on warning signal when the therapeutic drug for which the drug specification is acquired does not belong to the predicted therapeutic drug;
the medical supervision subsystem comprises an item screening module, wherein the item screening module is used for matching the patient symptoms with the symptom records, acquiring an inspection item record corresponding to the symptom record with the matching degree larger than a preset matching value, and taking the inspection item record as a prediction inspection item;
the system also comprises a hospital monitoring subsystem and a plurality of monitoring terminals, and a doctor and terminal number mapping table, a doctor and contact telephone mapping table and a terminal number and position mapping table are preset in the database;
the hospital monitoring subsystem is used for acquiring registration information of a patient, judging whether the patient is a re-diagnosis according to the registration information, acquiring a history visit record of the patient according to the name of the patient during re-diagnosis of the patient, acquiring a first doctor of the patient according to the history visit record, acquiring doctors of the same department as doctors to be matched according to a registration department, extracting and eliminating the first doctor from the doctors to be matched, and randomly matching the registration doctors according to the doctors to be matched after being removed; the terminal number is also used for screening out the terminal number from the doctor and terminal number mapping table of the database according to the registering doctor, and the corresponding monitoring terminal is started according to the terminal number;
the monitoring terminal is used for acquiring inquiry videos of registered doctors when the monitoring terminal is started, and uploading the inquiry videos to the hospital monitoring subsystem in real time;
the hospital monitoring subsystem is also used for identifying the inquiry video to generate action identification information, sight line facing information, mouth change information and distance change information of the patient and the doctor; inputting the action identification information, the sight line orientation information, the mouth change information and the distance change information of the patient and the doctor into a preset behavior analysis model, and outputting an analysis result by the behavior analysis model, wherein the analysis result comprises medical alarm early warning;
and the hospital monitoring subsystem is also used for screening the contact way of the registering doctor from the doctor and contact phone mapping table of the database according to the registering doctor when the analysis result is medical alarm early warning, acquiring the contact way of the patient from the registering information, and respectively making a call to the registering doctor and the patient.
2. The platform for information management of chinese medical science of claim 1, wherein: the medical supervision subsystem is also used for generating a medication warning signal when the therapeutic dosage of the therapeutic drug is greater than the dosage in the drug instruction or the therapeutic frequency of the therapeutic drug is greater than the usage in the drug instruction.
3. The platform for information management of chinese medical science of claim 2, wherein: the medical supervision subsystem comprises a medicine dosage calculation module, wherein the medicine dosage calculation module is used for calculating predicted medicine dosage according to the usage and the dosage of a medicine instruction book and preset medicine duration.
4. The platform for information management of chinese medical science of claim 2, wherein: the medical monitoring subsystem comprises a specification judging module, wherein the specification judging module is used for taking the medicine quantity specification as a first calculated value, taking the predicted medicine quantity as a second calculated value, subtracting the second calculated value from the first calculated value to obtain a calculated result, taking the calculated result as a medicine quantity difference value when the calculated result is not less than zero, summing the calculated result and the first calculated value to update the calculated result when the calculated result is less than zero, and judging the calculated result again until the calculated result is not less than zero.
5. The platform for information management of chinese medical science of claim 2, wherein: the medical monitoring system also comprises a doctor terminal and an information reservation subsystem, wherein the information reservation subsystem is used for generating reminding information to be sent to the doctor terminal when the medical monitoring subsystem generates a treatment warning signal or a medicine-starting warning signal or a medicine-taking warning signal; the doctor terminal is used for displaying reminding information, acquiring the acknowledgement information of a doctor and sending the acknowledgement information to the information reservation subsystem; the information retention subsystem is used for storing the confirmation information and the patient symptoms, the examination item list prescribed by the doctor and the treatment drug list in a correlated way when the confirmation information is the confirmation authentication.
6. The platform for information management of chinese medical science of claim 5, wherein: the confirmation authentication is one of electronic signature, video authentication and fingerprint authentication.
7. The platform for information management of chinese medical science of claim 5, wherein: the information reservation subsystem is also used for sending the examination item list and the reminding information to the doctor terminal when the medical supervision subsystem generates a treatment warning signal; and the medical supervision subsystem is also used for sending the therapeutic drug list and the reminding information to the doctor terminal when the medical supervision subsystem generates a drug administration warning signal or a drug administration warning signal.
8. The platform for information management of chinese medical science of claim 5, wherein: the system also comprises an alarm statistics subsystem, wherein the alarm statistics subsystem is used for counting treatment alarm signals, medicine-taking alarm signals and medicine-taking alarm signals generated in a preset period, and when the counted times are not less than the preset times, a supervision signal is generated.
9. The platform for information management of chinese medical science of claim 8, wherein: the monitoring signals comprise treatment monitoring signals and doctor monitoring signals, the warning statistics subsystem is further used for respectively carrying out statistics on confirmation authentication and cancellation verification in a preset period, the monitoring signals are treatment monitoring signals when the statistical result of the confirmation authentication is not smaller than the statistical result of the cancellation verification, and the monitoring signals are doctor monitoring signals when the statistical result of the confirmation authentication is smaller than the statistical result of the cancellation verification.
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