CN111599480A - Method, device, terminal and readable medium for evaluating adverse drug reactions - Google Patents

Method, device, terminal and readable medium for evaluating adverse drug reactions Download PDF

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CN111599480A
CN111599480A CN202010313239.XA CN202010313239A CN111599480A CN 111599480 A CN111599480 A CN 111599480A CN 202010313239 A CN202010313239 A CN 202010313239A CN 111599480 A CN111599480 A CN 111599480A
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宋海波
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Abstract

A method for assessing adverse drug reactions, comprising: acquiring medical data of a patient; analyzing the medical data of the patient based on the assessment scale to obtain an analysis result for assessing the possibility that the disease of the patient is caused by adverse drug reactions.

Description

药品不良反应的评估方法、装置、终端及可读介质Evaluation method, device, terminal and readable medium for adverse drug reaction

技术领域technical field

本文涉及但不限于数据处理技术领域,尤指一种药品不良反应的评估方法、装置、终端及可读介质。This article relates to, but is not limited to, the technical field of data processing, and in particular, refers to a method, device, terminal and readable medium for evaluating adverse drug reactions.

背景技术Background technique

药品不良反应(Adverse Drug Reaction,ADR)是指在使用常用剂量的药物过程中,因药物本身的作用或药物间相互作用而产生的与用药目的无关而又不利于病人的各种反应。药品不良反应一般可分为副作用、毒性反应、过敏反应和继发感染四大类。在现实生活中,药品不良反应的发生率极高,尤其是在长期使用药物或用药量较大时,药品不良反应会危害人类健康,情况严重时甚至危及人类性命。随着医药市场的发展、新药品品种的不断增多,增加了公众在正确使用药品上的难度。不安全用药在全球都难以完全避免,ADR监测是对药品安全性监测的主要手段,开展ADR监测有利于了解不良反应发生情况,便于及时采取安全防范措施,防止ADR危害情况范围的扩大。Adverse Drug Reaction (ADR) refers to various reactions that are unrelated to the purpose of the drug and unfavorable to the patient due to the effect of the drug itself or the interaction between the drugs during the use of commonly used doses of drugs. Adverse drug reactions can generally be divided into four categories: side effects, toxic reactions, allergic reactions and secondary infections. In real life, the incidence of adverse drug reactions is extremely high, especially when drugs are used for a long time or in large doses, adverse drug reactions can endanger human health, and even endanger human life in severe cases. With the development of the pharmaceutical market and the increasing variety of new drugs, it has increased the difficulty for the public to use drugs correctly. Unsafe drug use cannot be completely avoided in the world. ADR monitoring is the main means of monitoring drug safety. Carrying out ADR monitoring is conducive to understanding the occurrence of adverse reactions, facilitating timely adoption of safety precautions and preventing the expansion of the scope of ADR hazards.

然而,目前的ADR监测主要基于自发呈报模式,被动地收集来自全国医疗机构(监测主体)、药品生产厂家、经营企业的ADR病例报告。其中,现行医疗机构内的ADR监测工作主要以人工评估病历数据并填报表单的方式来开展,极大地依赖上报人的个人主观能动性,且人力成本高,并耗费较长时间。而且,人工评估的准确度高度依赖于评估人的医学知识素养和临床诊疗经验,评估结果会存在由于人的主观因素带来的偏差。However, the current ADR monitoring is mainly based on the spontaneous reporting model, which passively collects ADR case reports from medical institutions (monitoring subjects), drug manufacturers, and operating enterprises across the country. Among them, the current ADR monitoring work in medical institutions is mainly carried out by manually evaluating the medical record data and filling in the form, which greatly depends on the personal initiative of the reporting person, and the labor cost is high and it takes a long time. Moreover, the accuracy of manual evaluation is highly dependent on the evaluator's medical knowledge literacy and clinical diagnosis and treatment experience, and the evaluation results may be biased due to human subjective factors.

发明内容SUMMARY OF THE INVENTION

本申请提供了一种药品不良反应的评估方法、装置、终端及可读介质,可以实现针对药品不良反应的自动评估,从而提高评估准确度和效率。The present application provides an assessment method, device, terminal and readable medium for adverse drug reactions, which can realize automatic assessment of adverse drug reactions, thereby improving the accuracy and efficiency of assessment.

一方面,本申请提供一种药品不良反应的评估方法,包括:获取患者的医疗数据;基于评估量表,对所述患者的医疗数据进行分析,得到分析结果,用于评估所述患者的病种由药品不良反应造成的可能性。In one aspect, the present application provides a method for evaluating adverse drug reactions, comprising: obtaining medical data of a patient; analyzing the medical data of the patient based on an evaluation scale to obtain an analysis result, which is used to evaluate the patient's disease the possibility of adverse drug reactions.

另一方面,本申请提供一种药品不良反应的评估装置,包括:数据获取模块,配置为获取患者的医疗数据;评估处理模块,配置为基于评估量表,对所述患者的医疗数据进行分析,得到分析结果,用于评估所述患者的病种由药品不良反应造成的可能性。In another aspect, the present application provides an evaluation device for adverse drug reactions, comprising: a data acquisition module configured to acquire medical data of a patient; an evaluation processing module configured to analyze the medical data of the patient based on an evaluation scale , and the analysis result is obtained, which is used to evaluate the possibility that the disease of the patient is caused by the adverse drug reaction.

另一方面,本申请提供一种终端,包括:存储器和处理器,所述存储器配置为存储计算机程序,所述计算机程序被所述处理器执行时实现如上所述的药品不良反应的评估方法的步骤。In another aspect, the present application provides a terminal, comprising: a memory and a processor, the memory is configured to store a computer program, when the computer program is executed by the processor, the method for evaluating the adverse drug reaction described above is implemented. step.

另一方面,本申请提供一种计算机可读介质,存储有计算机程序,所述计算机程序被执行时实现如上所述的药品不良反应的评估方法的步骤。In another aspect, the present application provides a computer-readable medium storing a computer program that, when executed, implements the steps of the method for evaluating an adverse drug reaction as described above.

本申请提供的药品不良反应的评估方法,通过基于评估量表,对患者的医疗数据进行分析,得到分析结果,用于评估患者的病种由药品不良反应造成的可能性,如此一来,可以实现自动给出药品不良反应的分析结果,不仅降低了人力成本,加快了评估速度,而且,可以排除人工评估的主观干扰因素,提高评估准确度。The evaluation method for adverse drug reactions provided in this application is based on the evaluation scale, and the medical data of the patient is analyzed to obtain the analysis result, which is used to evaluate the possibility that the patient's disease is caused by the adverse drug reaction. In this way, it is possible to Realizing the automatic giving of the analysis results of adverse drug reactions not only reduces labor costs, but also accelerates the evaluation speed, and can eliminate the subjective interference factors of manual evaluation and improve the evaluation accuracy.

本申请的其它特征和优点将在随后的说明书中阐述,并且,部分地从说明书中变得显而易见,或者通过实施本申请而了解。本申请的其他优点可通过在说明书以及附图中所描述的方案来实现和获得。Other features and advantages of the present application will be set forth in the description which follows, and in part will be apparent from the description, or may be learned by practice of the present application. Other advantages of the present application may be realized and attained by the approaches described in the specification and drawings.

附图说明Description of drawings

附图用来提供对本申请技术方案的理解,并且构成说明书的一部分,与本申请的实施例一起用于解释本申请的技术方案,并不构成对本申请技术方案的限制。The accompanying drawings are used to provide an understanding of the technical solutions of the present application, and constitute a part of the specification. They are used to explain the technical solutions of the present application together with the embodiments of the present application, and do not constitute a limitation on the technical solutions of the present application.

图1为本申请实施例提供的药品不良反应的评估方法的流程图;Fig. 1 is the flow chart of the evaluation method of the adverse drug reaction provided by the embodiment of this application;

图2为本申请实施例提供的药品不良反应的评估装置的示意图;2 is a schematic diagram of an evaluation device for adverse drug reactions provided by an embodiment of the present application;

图3为本申请实施例提供的一种终端的示例图。FIG. 3 is an example diagram of a terminal provided by an embodiment of the present application.

具体实施方式Detailed ways

本申请描述了多个实施例,但是该描述是示例性的,而不是限制性的,并且对于本领域的普通技术人员来说显而易见的是,在本申请所描述的实施例包含的范围内可以有更多的实施例和实现方案。尽管在附图中示出了许多可能的特征组合,并在实施方式中进行了讨论,但是所公开的特征的许多其它组合方式也是可能的。除非特意加以限制的情况以外,任何实施例的任何特征或元件可以与任何其它实施例中的任何其他特征或元件结合使用,或可以替代任何其它实施例中的任何其他特征或元件。This application describes a number of embodiments, but the description is exemplary rather than restrictive, and it will be apparent to those of ordinary skill in the art that within the scope of the embodiments described in this application can be There are many more examples and implementations. Although many possible combinations of features are shown in the drawings and discussed in the embodiments, many other combinations of the disclosed features are possible. Unless expressly limited, any feature or element of any embodiment may be used in combination with, or may be substituted for, any other feature or element of any other embodiment.

本申请包括并设想了与本领域普通技术人员已知的特征和元件的组合。本申请已经公开的实施例、特征和元件也可以与任何常规特征或元件组合,以形成由权利要求限定的独特的发明方案。任何实施例的任何特征或元件也可以与来自其它发明方案的特征或元件组合,以形成另一个由权利要求限定的独特的发明方案。因此,应当理解,在本申请中示出和/或讨论的任何特征可以单独地或以任何适当的组合来实现。因此,除了根据所附权利要求及其等同替换所做的限制以外,实施例不受其它限制。此外,可以在所附权利要求的保护范围内进行各种修改和改变。This application includes and contemplates combinations with features and elements known to those of ordinary skill in the art. The embodiments, features and elements that have been disclosed in this application can also be combined with any conventional features or elements to form unique inventive solutions as defined by the claims. Any features or elements of any embodiment may also be combined with features or elements from other inventive arrangements to form another unique inventive arrangement defined by the claims. Accordingly, it should be understood that any of the features shown and/or discussed in this application may be implemented alone or in any suitable combination. Accordingly, the embodiments are not to be limited except in accordance with the appended claims and their equivalents. Furthermore, various modifications and changes may be made within the scope of the appended claims.

此外,在描述具有代表性的实施例时,说明书可能已经将方法或过程呈现为特定的步骤序列。然而,在该方法或过程不依赖于本文所述步骤的特定顺序的程度上,该方法或过程不应限于所述的特定顺序的步骤。如本领域普通技术人员将理解的,其它的步骤顺序也是可能的。因此,说明书中阐述的步骤的特定顺序不应被解释为对权利要求的限制。此外,针对该方法和/或过程的权利要求不应限于按照所写顺序执行它们的步骤,本领域技术人员可以容易地理解,这些顺序可以变化,并且仍然保持在本申请实施例的精神和范围内。Furthermore, in describing representative embodiments, the specification may have presented a method or process as a particular sequence of steps. However, to the extent that the method or process does not depend on the specific order of steps described herein, the method or process should not be limited to the specific order of steps described. Other sequences of steps are possible, as will be understood by those of ordinary skill in the art. Therefore, the specific order of steps set forth in the specification should not be construed as limitations on the claims. Furthermore, the claims directed to the method and/or process should not be limited to performing their steps in the order written, as those skilled in the art will readily appreciate that these orders may be varied and still remain within the spirit and scope of the embodiments of the present application Inside.

本申请提供一种药品不良反应的评估方法、装置、终端及可读介质,通过对患者的医疗数据进行分析,可以快速自动得出评估结果,不仅降低了人力成本,加快了评价速度,提高了评估效率,而且可以排除人工评估的主观干扰因素,提高评价准确度。The present application provides an evaluation method, device, terminal and readable medium for adverse drug reactions. By analyzing the medical data of a patient, an evaluation result can be obtained quickly and automatically, which not only reduces labor costs, but also speeds up evaluation and improves the efficiency of evaluation. The evaluation efficiency can be eliminated, and the subjective interference factors of manual evaluation can be excluded, and the evaluation accuracy can be improved.

图1为本申请实施例提供的药品不良反应的评估方法的流程图。如图1所示,本实施例提供的药品不良反应的评估方法,包括以下步骤:FIG. 1 is a flowchart of the method for evaluating adverse drug reactions provided in the embodiment of the present application. As shown in Figure 1, the method for evaluating adverse drug reactions provided in this embodiment includes the following steps:

步骤101、获取患者的医疗数据;Step 101, obtaining medical data of a patient;

步骤102、基于评估量表,对患者的医疗数据进行分析,得到分析结果,用于评估患者的病种由药品不良反应造成的可能性。Step 102 , based on the evaluation scale, analyze the medical data of the patient to obtain an analysis result, which is used to evaluate the possibility that the patient's disease is caused by an adverse drug reaction.

本实施例提供的评估方法可以应用于客户端计算设备(比如,便携式电脑等移动终端,或者台式电脑等固定终端)。示例性地,客户端计算设备可以根据本地存储的医疗数据,结合评估量表进行分析,得到分析结果。然而,本申请对此并不限定。在其他实现方式中,本实施例提供的评估方法也可以由客户端计算设备和服务端计算设备(比如,服务器)配合执行;比如,客户端计算设备可以从服务端计算设备获取医疗数据和评估量表,然后进行分析;或者,客户端计算设备可以向服务端计算设备发送评估指令,服务端计算设备接收到评估指令后,基于评估量表对相应的医疗数据进行分析。The evaluation method provided in this embodiment can be applied to a client computing device (for example, a mobile terminal such as a portable computer, or a fixed terminal such as a desktop computer). Exemplarily, the client computing device may perform analysis based on locally stored medical data in combination with an assessment scale to obtain an analysis result. However, this application is not limited to this. In other implementation manners, the evaluation method provided in this embodiment may also be executed cooperatively by a client computing device and a server computing device (eg, a server); for example, the client computing device may acquire medical data and evaluation from the server computing device Alternatively, the client computing device may send an evaluation instruction to the server computing device, and after receiving the evaluation instruction, the server computing device analyzes the corresponding medical data based on the evaluation scale.

以本实施例提供的评估方法应用于客户端计算设备为例,客户端计算设备可以在接收到触发指令后执行上述评估方法,比如,医生通过在客户端计算设备的显示界面上点击自动评估按钮来发出触发指令;或者,客户端计算设备可以根据预设条件执行上述评估方法,比如,按照设定周期执行上述评估方法。然而,本申请对此并不限定。Taking the application of the evaluation method provided in this embodiment to a client computing device as an example, the client computing device may execute the above evaluation method after receiving a trigger instruction. For example, a doctor clicks an automatic evaluation button on the display interface of the client computing device. to issue a trigger instruction; or, the client computing device may execute the foregoing evaluation method according to a preset condition, for example, execute the foregoing evaluation method according to a set period. However, this application is not limited to this.

在一示例性实施方式中,在步骤101中,获取患者的医疗数据可以包括:根据患者的标识信息从电子病历数据库获取患者的医疗数据;其中,医疗数据可以包括:患者基本数据、病情诊断数据、检查检验数据以及医嘱用药数据。In an exemplary embodiment, in step 101, acquiring the patient's medical data may include: acquiring the patient's medical data from an electronic medical record database according to the patient's identification information; wherein the medical data may include: patient basic data, condition diagnosis data , Check test data and doctor's order medication data.

在本示例性实施方式中,医疗数据可以从医疗机构的电子病历数据库中获取,通过利用电子病历数据来进行药品不良反应评估,可以实现对电子病历数据的主动监测。In this exemplary embodiment, medical data can be obtained from an electronic medical record database of a medical institution, and active monitoring of the electronic medical record data can be realized by using the electronic medical record data to evaluate adverse drug reactions.

在本示例性实施方式中,患者的标识信息可以具有唯一性,比如,标识信息可以为身份证号、医疗保障号、在医疗机构的病历号、手机号码等。医疗机构的信息数据库(比如,电子病历数据库)用于实时存储患者在就诊过程的各类数据。通过患者的标识信息,可以从医疗机构的信息数据库中查找到该患者在该医疗机构的每一次就诊记录,从患者的就诊记录中可以获取患者的医疗数据。其中,患者基本数据可以包括:年龄、性别、血型、身高、体重、是否特殊人群(如儿童、妇女)、是否有过敏史等生理特征数据;病情诊断数据可以包括患者在就医过程中医生给出的诊断数据;检查检验数据包括患者在就医过程中进行的各项检查的数据;医嘱用药数据包括患者在就医过程中的用药情况数据。In this exemplary embodiment, the identification information of the patient may be unique, for example, the identification information may be an ID number, a medical insurance number, a medical record number in a medical institution, a mobile phone number, and the like. The information database (for example, the electronic medical record database) of the medical institution is used to store all kinds of data of the patient in the process of seeing a doctor in real time. Through the identification information of the patient, each visit record of the patient in the medical institution can be found from the information database of the medical institution, and the medical data of the patient can be obtained from the patient's visit record. Among them, the basic data of the patient may include: age, gender, blood type, height, weight, whether there are special groups (such as children, women), whether there is an allergy history and other physiological characteristic data; disease diagnosis data may include the patient's medical treatment process given by the doctor The diagnostic data of the medical device; the inspection data includes the data of various inspections performed by the patient during the medical treatment; the doctor's order medication data includes the patient's medication data during the medical treatment.

在本示例性实施方式中,可以根据患者的标识信息从医疗机构的电子病历数据库中获取该患者的电子病历数据;然后,对该患者的电子病历数据进行脱敏处理,以保护患者的隐私;针对脱敏后的电子病历数据,基于评估量表进行分析。In this exemplary embodiment, the patient's electronic medical record data can be obtained from the electronic medical record database of a medical institution according to the patient's identification information; then, the patient's electronic medical record data is desensitized to protect the patient's privacy; The desensitized electronic medical record data were analyzed based on the evaluation scale.

在一示例性实施方式中,评估量表的选择可以由医生人工确定,比如,针对某一患者,医生在初步得出该患者的病种为肝损伤时,可以选择药物性肝损伤的评估量表对该患者的医疗数据进行自动分析,以评估该患者的肝损伤由某种药品引起的可能性。或者,评估量表可以由计算机程序自动确定,比如,通过检测病情诊断数据获知该患者目前诊断病种为肝损伤,则计算机程序可以自动确定采用药物性肝损伤的评估量表对该患者的医疗数据进行分析,以评估该患者的肝损伤由某种药品引起的可能性。然而,本申请对此并不限定。In an exemplary embodiment, the selection of the evaluation scale may be manually determined by a doctor, for example, for a certain patient, when the doctor initially concludes that the patient's disease is liver injury, the doctor may select the evaluation amount of drug-induced liver injury. The table performs automated analysis of the patient's medical data to assess the likelihood that the patient's liver damage was caused by a drug. Alternatively, the assessment scale can be automatically determined by a computer program. For example, by detecting disease diagnosis data, it is known that the patient is currently diagnosed with liver injury, and the computer program can automatically determine the medical treatment of the patient using the drug-induced liver injury assessment scale. The data were analyzed to assess the likelihood that the patient's liver injury was caused by a drug. However, this application is not limited to this.

在一示例性实施方式中,评估量表可以包括至少一个评估项目,通过对患者的医疗数据进行分析,可以得到患者的医疗数据在每个评估项目的评估分值;评估量表中全部评估项目的总评分可以反映患者的病种由药品不良反应造成的可能性。比如,针对肝损伤,可以采用药物性肝损伤的评估量表进行评分;针对肾损伤,可以采用药物性肾损伤的评估量表进行评分。需要说明的是,本实施例的评估量表包括针对研究相对完善的药品不良反应病种的已存在的权威的可量化分析的量表。如此一来,可以确保药品不良反应的准确性。In an exemplary embodiment, the assessment scale may include at least one assessment item, and by analyzing the patient's medical data, an assessment score of the patient's medical data in each assessment item may be obtained; all assessment items in the assessment scale The total score can reflect the possibility that the patient's disease is caused by adverse drug reactions. For example, for liver injury, the assessment scale for drug-induced liver injury can be used for scoring; for kidney injury, the assessment scale for drug-induced kidney injury can be used for scoring. It should be noted that the evaluation scale in this embodiment includes an existing authoritative and quantifiable analysis scale for adverse drug reaction diseases that have been relatively well-researched. In this way, the accuracy of adverse drug reactions can be ensured.

在一示例性实施方式中,步骤102可以包括:针对评估量表中的任一评估项目,根据所述评估项目所属的问题类型,确定所述评估项目对应的分析策略;采用所述评估项目对应的分析策略,对患者的医疗数据进行分析,得到所述患者的医疗数据在所述评估项目的评估分值;根据评估量表中全部评估项目的评估分值,得到分析结果。比如,通过对患者的医疗数据进行分析,对评估量表中的每个评估项目进行评分,完成评分后计算全部评估项目的总评分分值,可以得到最终的分析结果。In an exemplary embodiment, step 102 may include: for any evaluation item in the evaluation scale, according to the question type to which the evaluation item belongs, determining an analysis strategy corresponding to the evaluation item; According to the analysis strategy, the medical data of the patient is analyzed to obtain the evaluation score of the medical data of the patient in the evaluation item; the analysis result is obtained according to the evaluation score of all the evaluation items in the evaluation scale. For example, by analyzing the medical data of the patient, scoring each evaluation item in the evaluation scale, and calculating the total score of all the evaluation items after completing the scoring, the final analysis result can be obtained.

在一示例性实施方式中,问题类型可以包括:用于通过映射医疗数据中的数据字段来分析的第一类问题(例如,第一类问题包括以下至少一种类型:用于通过映射医疗数据中的数据字段的字段值、并根据字段值的计算结果来分析的问题;用于通过映射医疗数据中的数据字段的字段值来分析的问题)、用于从医疗数据和药品说明数据的至少一项中抽取数据来分析的第二类问题、用于对医疗数据进行逻辑计算来分析的第三类问题。In an exemplary embodiment, the question type may include: a first type of question for analysis by mapping data fields in medical data (eg, the first type of question includes at least one of the following types: for analysis by mapping medical data The field value of the data field in the data field, and the problem that is analyzed according to the calculation result of the field value; for the problem of analyzing by mapping the field value of the data field in the medical data), for at least the medical data and the drug description data. The second type of problem in one item is to extract data for analysis, and the third type of problem is used to analyze medical data by logical calculation.

本示例性实施方式中,基于目前对药品不良反应影响的研究,判断是否存在药品不良反应的评估方式通常包括以下几个方面:起病时间与使用相应药物时间的重合度、病人本身是否具有形成此种不良影响的危险因子、在要评价的时间范围内是否存在伴随用药或其他可以导致不良影响的因素的干扰、药物是否已有导致此不良影响的案例和案例的数量等等。基于此,在本示例性实施方式中,可以将评估量表中需要分析的问题归为上述三个类型。In this exemplary embodiment, based on the current research on the impact of adverse drug reactions, the evaluation method for judging whether there is an adverse drug reaction usually includes the following aspects: the degree of overlap between the onset time and the time of using the corresponding drug, whether the patient itself has the Risk factors for such adverse effects, presence of concomitant medication or interference from other factors that can lead to adverse effects within the time frame to be evaluated, whether the drug has caused such adverse effects and the number of cases, etc. Based on this, in this exemplary embodiment, the questions to be analyzed in the evaluation scale can be classified into the above three types.

在一示例性实施方式中,属于第一类问题的评估项目对应的分析策略包括以下至少之一:从医疗数据中查找与所述评估项目映射的数据字段,并根据查找到的数据字段的字段值,确定所述医疗数据在所述评估项目上的评估分值;从医疗数据中查找与所述评估项目映射的数据字段,对查找到的数据字段的字段值进行计算(例如,按照设定计算式或要求对查找到的数据字段的字段值进行计算),并按照计算结果,确定所述医疗数据在所述评估项目上的评估分值;In an exemplary embodiment, the analysis strategy corresponding to the evaluation item belonging to the first type of question includes at least one of the following: searching the medical data for a data field mapped with the evaluation item, value, determine the evaluation score of the medical data on the evaluation item; look up the data field mapped with the evaluation item from the medical data, and calculate the field value of the found data field (for example, according to the setting The calculation formula or the field value of the found data field is required to be calculated), and according to the calculation result, the evaluation score of the medical data on the evaluation item is determined;

属于第二类问题的评估项目对应的分析策略包括:按照设定格式从医疗和药品说明数据的至少一项中抽取与所述评估项目相关的数据,或者,通过自然语言分析从医疗数据和药品说明数据的至少一项中抽取与所述评估项目相关的数据;根据抽取的数据,确定所述医疗数据在所述评估项目上的评估分值;The analysis strategy corresponding to the evaluation item belonging to the second type of question includes: extracting data related to the evaluation item from at least one item of medical and drug description data according to a set format, or, through natural language analysis, from medical data and drug data. Extracting data related to the evaluation item from at least one item of the description data; determining the evaluation score of the medical data on the evaluation item according to the extracted data;

属于第三类问题的评估项目对应的分析策略包括:从医疗数据中抽取与所述评估项目相关的数据,按照设定逻辑计算规则对抽取的数据进行逻辑计算,得到所述医疗数据在所述评估项目上的评估分值。The analysis strategy corresponding to the evaluation item belonging to the third type of problem includes: extracting data related to the evaluation item from the medical data, performing logical calculation on the extracted data according to the set logical calculation rules, and obtaining the medical data in the The assessment score on the assessment item.

在本示例性实施方式中,患者的医疗数据可以为结构化的数据;针对属于第一类问题的评估项目,可以直接与医疗数据中的数据字段名称进行映射,根据映射的数据字段的字段值来进行评分;针对属于第二类问题的评估项目,可以从医疗数据或者药品说明数据(比如,药品说明书)的大段文字中抽取相关数据来进行评分;针对属于第三类问题的评估项目,可以从医疗数据中抽取多个数据字段,然后对字段值进行逻辑计算来评分。In this exemplary embodiment, the patient's medical data may be structured data; for the evaluation items belonging to the first type of questions, it may be directly mapped with the data field names in the medical data, according to the field values of the mapped data fields For the evaluation items that belong to the second type of questions, relevant data can be extracted from large paragraphs of text in medical data or drug description data (for example, drug instructions) for scoring; for the evaluation items that belong to the third type of questions, Multiple data fields can be extracted from medical data, and then logical calculations are performed on the field values to score.

在一示例性实施方式中,本实施例的评估方法还可以包括:将医疗数据中用于得出分析结果的数据记录到数据库中。本示例性实施方式中,通过将评估量表的评估过程使用的数据进行记录,可以确保得到分析结果所使用的原始数据可被追溯,从而保证自动评估过程的严谨性。In an exemplary embodiment, the evaluation method of this embodiment may further include: recording the data in the medical data for obtaining the analysis result into a database. In this exemplary embodiment, by recording the data used in the evaluation process of the evaluation scale, it can be ensured that the original data used to obtain the analysis result can be traced back, thereby ensuring the rigor of the automatic evaluation process.

在一示例性实施方式中,本实施例的评估方法还可以包括:记录得到分析结果的分析过程;在接收到控制指令后,显示得到分析结果的分析过程。在本示例性实施方式中,在显示分析过程时,针对属于第一类问题的评估项目,可以直接显示所采用的数据字段的字段名称和字段值;针对属于第二类问题的评估项目,可以显示从医疗数据或药品说明数据中抽取的文档内容,并将其中的相关语句进行标注(比如,标红);针对属于第三类问题的评估项目,可以显示从医疗数据中抽取的数据字段的字段名称和字段值,然后按照设定格式显示字段值之间的逻辑计算过程,以使逻辑计算过程一目了然。通过显示分析过程可以便于数据追溯,而且便于人工进行查阅,确保自动评估过程的严谨性。In an exemplary implementation, the evaluation method of this embodiment may further include: recording the analysis process for obtaining the analysis result; and displaying the analysis process for obtaining the analysis result after receiving the control instruction. In this exemplary embodiment, when displaying the analysis process, for the evaluation items belonging to the first type of questions, the field names and field values of the data fields used can be directly displayed; for the evaluation items belonging to the second type of questions, you can Display the content of documents extracted from medical data or drug description data, and mark the relevant sentences in it (for example, marked in red); for the evaluation items belonging to the third type of problems, you can display the data fields extracted from medical data. Field name and field value, and then display the logical calculation process between field values according to the set format, so that the logical calculation process is clear at a glance. By displaying the analysis process, it is easy to trace the data, and it is convenient for manual review to ensure the rigor of the automatic evaluation process.

下面通过一个示例对本申请实施例提供的评估方法进行举例说明。在本示例中,以评估量表为Roussel Uclaf因果关系评价法(the Roussel Uclaf CausalityAssessment Method,RUCAM)量表为例,用于评估肝细胞型药物性肝损伤,即通过对肝损伤的临床、生化、血清学及放射学特征进行评分,最后得出一个全面总分,反映肝损伤由某种药物引起的可能性。在本示例中,RUCAM量表如下所示。The evaluation method provided by the embodiment of the present application is illustrated below by using an example. In this example, the Roussel Uclaf Causality Assessment Method (RUCAM) scale is used as an example to evaluate hepatocellular drug-induced liver injury, that is, through the clinical, biochemical and , serological and radiological characteristics were scored, and finally a comprehensive total score was obtained, reflecting the possibility of liver injury caused by a certain drug. In this example, the RUCAM scale is shown below.

RUCAM量表RUCAM scale

Figure BDA0002458467280000081
Figure BDA0002458467280000081

Figure BDA0002458467280000091
Figure BDA0002458467280000091

在上表中,组Ⅰ包括以下7类病因:甲型肝炎病毒(HAV)感染;乙型肝炎病毒(HBV)感染;丙型肝炎病毒(HCV)感染;戊型肝炎病毒(HEV)感染;肝胆超声波成像/肝血管彩色多普勒成像/腔内超声检查/CT/MRC;酒精中毒(谷草转氨酶(AST)/ALT≥2);近期有急性低血压病史(尤其是在有潜在心脏疾病时)。In the table above, Group I includes the following seven categories of etiology: Hepatitis A virus (HAV) infection; Hepatitis B virus (HBV) infection; Hepatitis C virus (HCV) infection; Hepatitis E virus (HEV) infection; Ultrasound imaging/hepatic vascular color Doppler imaging/intracavitary ultrasonography/CT/MRC; alcoholism (aspartate aminotransferase (AST)/ALT ≥2); recent history of acute hypotension (especially if underlying cardiac disease) .

组Ⅱ包括以下5类病因:合并脓毒症、转移性恶性肿瘤、自身免疫性肝炎、慢性乙型或丙型肝炎、原发性胆汁性胆管炎或原发性硬化性胆管炎、遗传性肝病等;巨细胞病毒(CMV)感染;EB病毒(EBV)感染;单纯疱疹病毒(HSV)感染;水痘-带状疱疹病毒(VZV)感染。Group II includes the following 5 etiologies: combined sepsis, metastatic malignancy, autoimmune hepatitis, chronic hepatitis B or C, primary biliary cholangitis or primary sclerosing cholangitis, and hereditary liver disease etc.; cytomegalovirus (CMV) infection; Epstein-Barr virus (EBV) infection; herpes simplex virus (HSV) infection; varicella-zoster virus (VZV) infection.

针对上表中的七个评估项目进行打分之后,对七个评估分值相加得到最终分值;其中,最终分值为0或低于0分,则表示排除该药物是肝损伤的病因;最终分值为1至2分,则表示该药物不可能(unlikely)是肝损伤的病因;最终分值为3至5分,则表示该药物可能(possible)是肝损伤的病因;最终分值为6至8分,则表示该药物很可能(probable)是肝损伤的病因;最终分值为大于8分,则表示该药物高度可能(highly probable)是肝损伤的病因。After scoring the seven evaluation items in the above table, the seven evaluation scores are added up to obtain the final score; where the final score is 0 or lower, it means that the drug is excluded as the cause of liver injury; A final score of 1 to 2 indicates that the drug is unlikely to be the cause of the liver injury; a final score of 3 to 5 indicates that the drug is likely to be the cause of the liver injury; the final score A score of 6 to 8 indicates that the drug is probable as the cause of liver injury; a final score greater than 8 indicates that the drug is highly probable as the cause of liver injury.

在本示例中,在对评估量表进行自动评分之前,可以先从医疗机构的电子病历数据库中获取患者的电子病历数据,并进行脱敏处理,得到该患者的医疗数据。然后,根据上述RUCAM量表,通过从患者的医疗数据中进行数据抽取和分析,对该患者存在药品不良反应的可能性进行评估。其中,可以根据患者的医嘱用药数据确定患者服用的药品信息,然后,依次针对其中的药物进行RUCAM量表评分处理,以根据得到的评分分值来判断该药物对该患者存在不良反应的可能性。In this example, before the evaluation scale is automatically scored, the patient's electronic medical record data may be obtained from the electronic medical record database of the medical institution, and desensitization processing is performed to obtain the patient's medical data. Then, according to the above-mentioned RUCAM scale, through data extraction and analysis from the patient's medical data, the possibility of the patient having adverse drug reactions is evaluated. Among them, the information of the medicines taken by the patients can be determined according to the data of the patients' doctor's orders, and then the RUCAM scale score processing is performed on the medicines in turn, so as to judge the possibility of the medicines having adverse reactions to the patient according to the obtained scores. .

在本示例中,基于RUCAM量表,可以将评估项目中需要分析的问题归为以下三个类型:用于通过映射医疗数据中的数据字段来分析的第一类问题、用于从医疗数据和药品说明数据(比如,药品说明书等文献材料)的至少一项中抽取数据来分析的第二类问题、用于对医疗数据进行逻辑计算来分析的第三类问题。In this example, based on the RUCAM scale, the questions that need to be analyzed in the assessment items can be classified into the following three types: first type questions for analysis by mapping data fields in medical data, questions for analysis from medical data and The second type of problems for analysis by extracting data from at least one item of drug description data (for example, document materials such as drug instructions), and the third type of problems for analysis by logical calculation of medical data.

在本示例中,RUCAM量表包括七个评估项目,其中,第一个评估项目(服药至起病时间)、第二个评估项目(停药后病程)、第四个评估项目(伴随用药)、第七个评估项目(药物再刺激)属于第一类问题;第六个评估项目(既往信息)属于第二类问题;第三个评估项目(危险因素)、第五个评估项目(其他原因)属于第三类问题。其中,每个评估项目的不同选项对应不同的得分,所有评估项目的得分相加即为总分,可以作为是否存在药物性肝损伤的判断标准。In this example, the RUCAM scale includes seven assessment items, of which the first assessment item (time from medication to onset), the second assessment item (duration after drug withdrawal), and the fourth assessment item (concomitant medication) , the seventh assessment item (drug restimulation) belongs to the first category of questions; the sixth assessment item (previous information) belongs to the second category of questions; the third assessment item (risk factors), the fifth assessment item (other reasons) ) belongs to the third category of problems. Among them, different options of each assessment item correspond to different scores, and the sum of the scores of all assessment items is the total score, which can be used as a criterion for judging whether there is drug-induced liver injury.

在本示例中,第一个评估项目为服药至发病时间的判断,属于第一类问题。其中,服药时间可以通过映射到医嘱用药数据中相关的时间字段得到,发病时间可以通过映射到病情诊断数据或检查检验数据中相关的时间字段得到,根据上述两个时间字段的字段值之差,可以得到服药至发病的天数,然后,确定得到的服药至发病的天数所对应的选项,并进行评分;比如,该患者为初次用药且得到的服药至发病的天数为20天,则根据RUCAM量表可以确定第一个评估项目的分值为+2。In this example, the first evaluation item is the judgment of the time from taking the medicine to the onset, which belongs to the first type of question. Among them, the medication time can be obtained by mapping to the relevant time field in the doctor's order medication data, and the onset time can be obtained by mapping to the relevant time field in the disease diagnosis data or inspection data. According to the difference between the field values of the above two time fields, The number of days from taking the medicine to the onset can be obtained, and then the options corresponding to the obtained days from taking the medicine to the onset can be determined and scored; for example, if the patient is taking the medicine for the first time and the number of days from taking the medicine to the onset is 20 days, then according to the amount of RUCAM The table determines that the first assessment item has a score of +2.

第二个评估项目为停药后病程,根据病程中ALT峰值与正常上限(ULN)之间的差值在一定时间内的降低幅度来确定,第二个评估项目属于第一类问题。其中,ALT水平下降的百分数=100%*(ALT峰值-ALT值)/(ALT峰值-ULN);上述计算式中的数据可以从检查检验数据中的相关数据字段得到,并根据计算结果来确定第二个评估项目的分值。The second assessment item is the course of the disease after drug withdrawal, which is determined according to the decrease in the difference between the peak ALT and the upper limit of normal (ULN) in a certain period of time. The second assessment item belongs to the first category of questions. Among them, the percentage of ALT level reduction=100%*(ALT peak value-ALT value)/(ALT peak value-ULN); the data in the above formula can be obtained from the relevant data fields in the inspection data, and determined according to the calculation results The score for the second assessment item.

第三个评估项目为患者是否具有肝损伤危险因素,属于第三类问题。其中,可以从患者基本信息中抽取年龄、性别以及饮酒信息,然后对抽取的信息进行逻辑计算,确定所对应的选项,并确定得到第三个评估项目的分值。The third assessment item is whether the patient has risk factors for liver injury, which belongs to the third category of questions. Among them, age, gender and drinking information can be extracted from the basic information of the patient, and then logical calculation is performed on the extracted information to determine the corresponding options, and determine the score of the third evaluation item.

第四个评估项目为伴随用药与起病时间的吻合性,属于第一类问题。其中,伴随用药可以通过直接映射医嘱用药数据中相应数据字段的字段值来得到,然后根据映射到的字段值确定所对应的选项,并确定第四个评估项目的分值。The fourth evaluation item is the consistency of concomitant medication and onset time, which belongs to the first category. Among them, the concomitant medication can be obtained by directly mapping the field value of the corresponding data field in the medical order medication data, and then the corresponding option is determined according to the mapped field value, and the score of the fourth evaluation item is determined.

第五个评估项目为患者是否患过一些指定的会造成肝损伤的疾病,属于第三类问题。其中,可以从患者的疾病诊断数据中抽取相关数据(比如,之前存在HAV感染),根据抽取的数据进行逻辑判断确定所对应的选项,然后得到分值。The fifth assessment item is whether the patient has suffered from some specified diseases that can cause liver damage, which belongs to the third type of question. Among them, relevant data can be extracted from the disease diagnosis data of the patient (for example, HAV infection existed before), and the corresponding options can be determined by logical judgment according to the extracted data, and then the score can be obtained.

第六个评估项目为药物说明书等文献中是否提及会造成肝损伤的先例的情况,属于第二类问题。其中,通过对使用过药物的药品说明书进行数据提取,比如,根据说明书格式特征对药品说明书进行结构化,或使用自然语言分析方式,对药品说明书进行数据提取,根据提取出的数据,确定所对应的选项,并得到分值。The sixth evaluation item is whether there is a precedent for causing liver damage in the drug instructions and other documents, which belongs to the second category of questions. Among them, by extracting data from the drug instructions of the used drugs, for example, structuring the drug instructions according to the format characteristics of the instructions, or using natural language analysis to extract data from the drug instructions, and according to the extracted data, determine the corresponding drug instructions. options and get points.

其中,药物说明书中除了记载有不良反应描述信息,通常还会记载有药品的品名、规格、有效期、主要成分、适应症或功能主治、用法、用量、禁忌和注意事项等,可以通过文字识别技术将药品说明书中的不良反应描述进行提取。Among them, in addition to the description of adverse reactions, the drug insert usually also records the name of the drug, specifications, expiration date, main ingredients, indications or functions, usage, dosage, contraindications and precautions, etc., which can be recognized by text recognition technology. The adverse reaction descriptions in the drug inserts were extracted.

第七个评估项目为再次用药与发病的关系,属于第一类问题。其中,再次用药前后的ALT可以通过映射到检查检验数据中相关的数据字段得到,根据映射得到的数值来判断再次用药与发病关系,确定所对应的选项,并得到分值。The seventh assessment item is the relationship between drug re-use and disease incidence, which belongs to the first category. Among them, the ALT before and after re-medication can be obtained by mapping to the relevant data fields in the inspection data, and the relationship between the re-medication and the disease can be judged according to the value obtained by the mapping, the corresponding options are determined, and the score is obtained.

在上述评估过程中,可以将患者的医疗数据中使用到的数据记录到数据库中,可以做到评价过程和策略的可追溯。另外,还可以将记录的数据和评价过程进行显示。比如,针对第一类问题的分析过程,可直接显示从医疗数据中映射的数据字段名和字段值;针对第二类问题的分析过程,可以将抽取的具体语句加以记录,显示文档内容时对相关语句加以标红注明;针对第三类问题,可能涉及到多个字段,记录字段名称分别标红之后,可以将逻辑计算的过程按固定格式输出到显示页面上,使得计算过程一目了然。In the above evaluation process, the data used in the patient's medical data can be recorded in the database, and the evaluation process and strategy can be traced back. In addition, the recorded data and evaluation process can be displayed. For example, for the analysis process of the first type of problems, the data field names and field values mapped from medical data can be directly displayed; for the analysis process of the second type of problems, the extracted specific sentences can be recorded, and the relevant information can be displayed when the document content is displayed. Statements are marked in red; for the third type of problem, multiple fields may be involved. After the names of the record fields are marked in red, the logical calculation process can be output to the display page in a fixed format, making the calculation process clear at a glance.

本实施例提供的药品不良反应的评估方法,通过计算机程序实现自动评价和打分,可以提高评估速度,并排除人工评价的主观干扰因素,提高评价准确度。而且,针对评价中需要分析的问题进行分类并设置相应的自动分析策略,可以提高自动化评价的可行性,以及处理效率。另外,通过对分析过程进行记录和显示,可以实现评价过程可追溯,从而使得自动化评价更严谨。The evaluation method for adverse drug reactions provided by this embodiment realizes automatic evaluation and scoring through a computer program, which can improve the evaluation speed, eliminate the subjective interference factors of manual evaluation, and improve the evaluation accuracy. Moreover, classifying the problems to be analyzed in the evaluation and setting the corresponding automatic analysis strategy can improve the feasibility of automatic evaluation and the processing efficiency. In addition, by recording and displaying the analysis process, the evaluation process can be traced back, thereby making the automated evaluation more rigorous.

图2为本申请实施例提供的药品不良反应的评估装置的示意图。如图2所示,本实施例提供的评估装置,包括:数据获取模块201,配置为获取患者的医疗数据;评估处理模块202,配置为基于评估量表,对所述患者的医疗数据进行分析,得到分析结果,用于评估所述患者的病种由药品不良反应造成的可能性。FIG. 2 is a schematic diagram of an evaluation device for adverse drug reactions provided by an embodiment of the present application. As shown in FIG. 2 , the evaluation device provided in this embodiment includes: a data acquisition module 201 configured to acquire medical data of a patient; an evaluation processing module 202 configured to analyze the medical data of the patient based on an evaluation scale , and the analysis result is obtained, which is used to evaluate the possibility that the disease of the patient is caused by the adverse drug reaction.

在一示例性实施方式中,数据获取模块201配置为通过以下方式获取患者的医疗数据:根据所述患者的标识信息从电子病历数据库获取所述患者的医疗数据;其中,医疗数据包括:患者基本数据、病情诊断数据、检查检验数据以及医嘱用药数据。In an exemplary embodiment, the data acquisition module 201 is configured to acquire the medical data of the patient in the following manner: acquiring the medical data of the patient from the electronic medical record database according to the identification information of the patient; wherein the medical data includes: the basic information of the patient; Data, disease diagnosis data, inspection and test data, and doctor's order medication data.

在一示例性实施方式中,评估量表包括至少一个评估项目;In an exemplary embodiment, the assessment scale includes at least one assessment item;

其中,评估处理模块202配置为通过以下方式基于评估量表,对所述患者的医疗数据进行分析,得到分析结果:针对所述评估量表中的任一评估项目,根据所述评估项目所属的问题类型,确定所述评估项目对应的分析策略;采用所述评估项目对应的分析策略,对所述患者的医疗数据进行分析,得到所述患者的医疗数据在所述评估项目的评估分值;根据所述评估量表中全部评估项目的评估分值,得到分析结果。The evaluation processing module 202 is configured to analyze the medical data of the patient based on the evaluation scale in the following manner to obtain an analysis result: for any evaluation item in the evaluation scale, according to the Question type, determine the analysis strategy corresponding to the evaluation item; use the analysis strategy corresponding to the evaluation item to analyze the medical data of the patient, and obtain the evaluation score of the patient's medical data in the evaluation item; According to the evaluation scores of all evaluation items in the evaluation scale, the analysis result is obtained.

在一示例性实施方式中,问题类型包括:用于通过映射医疗数据中的数据字段来分析的第一类问题、用于从医疗数据和药品说明数据的至少一项中抽取数据来分析的第二类问题、用于对医疗数据进行逻辑计算来分析的第三类问题。In an exemplary embodiment, the question types include: a first type of question for analysis by mapping data fields in medical data, a first type of question for analysis by extracting data from at least one of medical data and drug description data. The second type of problem and the third type of problem are used to analyze the medical data by logical calculation.

在一示例性实施方式中,属于第一类问题的评估项目对应的分析策略包括以下至少之一:从医疗数据中查找与所述评估项目映射的数据字段,并根据查找到的数据字段的字段值,确定所述医疗数据在所述评估项目上的评估分值;从医疗数据中查找与所述评估项目映射的数据字段,对查找到的数据字段的字段值进行计算,并按照计算结果,确定所述医疗数据在所述评估项目上的评估分值;In an exemplary embodiment, the analysis strategy corresponding to the evaluation item belonging to the first type of question includes at least one of the following: searching the medical data for a data field mapped with the evaluation item, value, determine the evaluation score of the medical data on the evaluation item; find the data field mapped with the evaluation item from the medical data, calculate the field value of the found data field, and according to the calculation result, determining the evaluation score of the medical data on the evaluation item;

属于第二类问题的评估项目对应的分析策略包括:按照设定格式从医疗数据和药品说明数据的至少一项中抽取与所述评估项目相关的数据,或者,通过自然语言分析从医疗数据和药品说明数据的至少一项中抽取与所述评估项目相关的数据;根据抽取的数据,确定所述医疗数据在所述评估项目上的评估分值;The analysis strategy corresponding to the evaluation item belonging to the second type of question includes: extracting data related to the evaluation item from at least one of the medical data and the drug description data according to the set format, or, through natural language analysis, from the medical data and the drug description data. Extracting data related to the evaluation item from at least one item of the drug description data; determining the evaluation score of the medical data on the evaluation item according to the extracted data;

属于第三类问题的评估项目对应的分析策略包括:从医疗数据中抽取与所述评估项目相关的数据,按照设定逻辑计算规则对抽取的数据进行逻辑计算,得到所述医疗数据在所述评估项目上的评估分值。The analysis strategy corresponding to the evaluation item belonging to the third type of problem includes: extracting data related to the evaluation item from the medical data, performing logical calculation on the extracted data according to the set logical calculation rules, and obtaining the medical data in the The assessment score on the assessment item.

在一示例性实施方式中,本实施例提供的评估装置还可以包括:第一存储模块,配置为将所述医疗数据中用于得出分析结果的数据记录到数据库。In an exemplary implementation, the evaluation apparatus provided in this embodiment may further include: a first storage module, configured to record the data in the medical data for obtaining the analysis result into a database.

在一示例性实施方式中,本实施例提供的评估装置还可以包括:第二存储模块,配置为记录得到所述分析结果的分析过程;显示模块,配置为在接收到控制指令后,显示得到所述分析结果的分析过程。In an exemplary implementation, the evaluation device provided in this embodiment may further include: a second storage module, configured to record the analysis process for obtaining the analysis result; and a display module, configured to display the obtained result after receiving the control instruction. The analysis process of the analysis result.

关于本实施例提供的评估装置的相关说明可以参照上述评估方法的实施例的描述,故于此不再赘述。For the relevant description of the evaluation apparatus provided in this embodiment, reference may be made to the description of the above-mentioned embodiment of the evaluation method, so it will not be repeated here.

本申请实施例还提供一种终端,包括:存储器和处理器;存储器配置为存储计算机程序,所述计算机程序被所述处理器执行时实现如上所述的药品不良反应的评估方法的步骤。An embodiment of the present application further provides a terminal, including: a memory and a processor; the memory is configured to store a computer program, and when the computer program is executed by the processor, implements the steps of the above-mentioned method for evaluating adverse drug reactions.

图3为本申请实施例提供的一种终端的示例图。在一示例中,如图3所示,本实施例提供的终端,包括:处理器31、存储器32和总线系统33;其中,处理器31、存储器32通过该总线系统33相连;存储器32配置为存储指令,处理器31配置为执行存储器32存储的指令。FIG. 3 is an example diagram of a terminal provided by an embodiment of the present application. In an example, as shown in FIG. 3 , the terminal provided in this embodiment includes: a processor 31, a memory 32, and a bus system 33; wherein the processor 31 and the memory 32 are connected through the bus system 33; the memory 32 is configured as The instructions are stored, and the processor 31 is configured to execute the instructions stored by the memory 32 .

需要说明的是,图3中所示的终端的结构并不构成对终端的限定,可以包括比图示更多或更少的部件,或者组合某些部件,或者提供不同的部件布置。It should be noted that the structure of the terminal shown in FIG. 3 does not constitute a limitation on the terminal, and may include more or less components than shown, or combine some components, or provide different component arrangements.

应理解,处理器31可以是中央处理单元(Central Processing Unit,简称为“CPU”),处理器31还可以是其他通用处理器、数字信号处理器(DSP)、专用集成电路(ASIC)、现成可编程门阵列(FPGA)或者其他可编程逻辑器件、分立门或者晶体管逻辑器件、分立硬件组件等。通用处理器可以是微处理器或者该处理器也可以是任何常规的处理器等。It should be understood that the processor 31 may be a central processing unit (Central Processing Unit, “CPU” for short), and the processor 31 may also be other general-purpose processors, digital signal processors (DSPs), application specific integrated circuits (ASICs), off-the-shelf processors Programmable Gate Array (FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc. A general purpose processor may be a microprocessor or the processor may be any conventional processor or the like.

存储器32可以包括只读存储器和随机存取存储器,并向处理器31提供指令和数据。存储器32的一部分还可以包括非易失性随机存取存储器。例如,存储器32还可以存储设备类型的信息。Memory 32 may include read only memory and random access memory, and provides instructions and data to processor 31 . A portion of memory 32 may also include non-volatile random access memory. For example, memory 32 may also store device type information.

总线系统33除包括数据总线之外,还可以包括电源总线、控制总线和状态信号总线等。但是为了清楚说明起见,在图3中将各种总线都标为总线系统33。In addition to the data bus, the bus system 33 may also include a power bus, a control bus, a status signal bus, and the like. However, for the sake of clarity, the various buses are designated as bus system 33 in FIG. 3 .

在实现过程中,上述药品不良反应的评估装置所执行的处理可以通过处理器31中的硬件的集成逻辑电路或者软件形式的指令完成。即本申请实施例所公开的评估方法的步骤可以体现为硬件处理器执行完成,或者用处理器中的硬件及软件模块组合执行完成。软件模块可以位于随机存储器,闪存、只读存储器,可编程只读存储器或者电可擦写可编程存储器、寄存器等存储介质中。该存储介质位于存储器32,处理器31读取存储器32中的信息,结合其硬件完成上述方法的步骤。为避免重复,这里不再详细描述。In the implementation process, the processing performed by the above-mentioned device for evaluating adverse drug reaction may be completed by an integrated logic circuit of hardware in the processor 31 or an instruction in the form of software. That is, the steps of the evaluation method disclosed in the embodiments of the present application may be embodied as executed by a hardware processor, or executed by a combination of hardware and software modules in the processor. The software modules may be located in random access memory, flash memory, read-only memory, programmable read-only memory or electrically erasable programmable memory, registers and other storage media. The storage medium is located in the memory 32, and the processor 31 reads the information in the memory 32, and completes the steps of the above method in combination with its hardware. To avoid repetition, detailed description is omitted here.

此外,本申请实施例还提供一种计算机可读介质,存储有计算机程序,所述计算机程序被执行时实现如上所述的药品不良反应的评估方法的步骤。In addition, the embodiments of the present application further provide a computer-readable medium storing a computer program, and when the computer program is executed, the steps of the above-mentioned method for evaluating an adverse drug reaction are implemented.

本领域普通技术人员可以理解,上文中所公开方法中的全部或某些步骤、系统、装置中的功能模块/单元可以被实施为软件、固件、硬件及其适当的组合。在硬件实施方式中,在以上描述中提及的功能模块/单元之间的划分不一定对应于物理组件的划分;例如,一个物理组件可以具有多个功能,或者一个功能或步骤可以由若干物理组件合作执行。某些组件或所有组件可以被实施为由处理器,如数字信号处理器或微处理器执行的软件,或者被实施为硬件,或者被实施为集成电路,如专用集成电路。这样的软件可以分布在计算机可读介质上,计算机可读介质可以包括计算机存储介质(或非暂时性介质)和通信介质(或暂时性介质)。如本领域普通技术人员公知的,术语计算机存储介质包括在用于存储信息(诸如计算机可读指令、数据结构、程序模块或其他数据)的任何方法或技术中实施的易失性和非易失性、可移除和不可移除介质。计算机存储介质包括但不限于RAM、ROM、EEPROM、闪存或其他存储器技术、CD-ROM、数字多功能盘(DVD)或其他光盘存储、磁盒、磁带、磁盘存储或其他磁存储装置、或者可以用于存储期望的信息并且可以被计算机访问的任何其他的介质。此外,本领域普通技术人员公知的是,通信介质通常包含计算机可读指令、数据结构、程序模块或者诸如载波或其他传输机制之类的调制数据信号中的其他数据,并且可包括任何信息递送介质。Those of ordinary skill in the art can understand that all or some of the steps in the methods disclosed above, functional modules/units in the systems, and devices can be implemented as software, firmware, hardware, and appropriate combinations thereof. In a hardware implementation, the division between functional modules/units mentioned in the above description does not necessarily correspond to the division of physical components; for example, one physical component may have multiple functions, or one function or step may be composed of several physical components Components execute cooperatively. Some or all of the components may be implemented as software executed by a processor, such as a digital signal processor or microprocessor, or as hardware, or as an integrated circuit, such as an application specific integrated circuit. Such software may be distributed on computer-readable media, which may include computer storage media (or non-transitory media) and communication media (or transitory media). As known to those of ordinary skill in the art, the term computer storage media includes both volatile and nonvolatile implemented in any method or technology for storage of information, such as computer readable instructions, data structures, program modules or other data flexible, removable and non-removable media. Computer storage media include, but are not limited to, RAM, ROM, EEPROM, flash memory or other memory technology, CD-ROM, digital versatile disk (DVD) or other optical disk storage, magnetic cartridges, magnetic tape, magnetic disk storage or other magnetic storage devices, or may Any other medium used to store desired information and which can be accessed by a computer. In addition, communication media typically embodies computer readable instructions, data structures, program modules, or other data in a modulated data signal such as a carrier wave or other transport mechanism, and can include any information delivery media, as is well known to those of ordinary skill in the art .

以上显示和描述了本申请的基本原理和主要特征和本申请的优点。本申请不受上述实施例的限制,上述实施例和说明书中描述的只是说明本申请的原理,在不脱离本申请精神和范围的前提下,本申请还会有各种变化和改进,这些变化和改进都落入要求保护的本申请范围内。The above shows and describes the basic principles and main features of the present application and the advantages of the present application. The present application is not limited by the above-mentioned embodiments. The above-mentioned embodiments and descriptions only describe the principles of the present application. Without departing from the spirit and scope of the present application, the present application will also have various changes and improvements. These changes and improvements are within the scope of the claimed application.

Claims (10)

1. A method for assessing adverse drug reactions, comprising:
acquiring medical data of a patient;
analyzing the medical data of the patient based on an assessment scale to obtain an analysis result for assessing the possibility that the disease of the patient is caused by adverse drug reactions.
2. The assessment method of claim 1, wherein said obtaining medical data of a patient comprises: acquiring medical data of the patient from an electronic medical record database according to the identification information of the patient; wherein the medical data comprises: patient profile data, patient condition diagnostic data, examination and test data, and medical order medication data.
3. The assessment method according to claim 1, wherein said assessment scale comprises at least one assessment item;
analyzing the medical data of the patient based on the assessment scale to obtain an analysis result, comprising: aiming at any evaluation item in the evaluation scale, determining an analysis strategy corresponding to the evaluation item according to the problem type of the evaluation item; analyzing the medical data of the patient by adopting an analysis strategy corresponding to the evaluation item to obtain an evaluation score of the medical data of the patient in the evaluation item; and obtaining an analysis result according to the evaluation scores of all the evaluation items in the evaluation scale.
4. The evaluation method according to claim 3, wherein the question type includes: a first category of questions for analysis by mapping data fields in the medical data, a second category of questions for analysis by extracting data from at least one of the medical data and the drug description data, and a third category of questions for analysis by performing logical calculations on the medical data.
5. The evaluation method according to claim 4, wherein the analysis policy corresponding to the evaluation item belonging to the first category of questions comprises at least one of: searching a data field mapped with the evaluation item from the medical data, and determining an evaluation score of the medical data on the evaluation item according to the field value of the searched data field; searching a data field mapped with the evaluation item from the medical data, calculating the field value of the searched data field, and determining the evaluation score of the medical data on the evaluation item according to the calculation result;
the analysis strategy corresponding to the evaluation items belonging to the second type of problems comprises the following steps: extracting data related to the evaluation item from at least one of medical data and medicine description data according to a set format, or extracting data related to the evaluation item from at least one of medical data and medicine description data through natural language analysis; determining an evaluation score of the medical data on the evaluation item according to the extracted data;
the analysis strategy corresponding to the evaluation item belonging to the third type of problem comprises the following steps: and extracting data related to the evaluation items from the medical data, and performing logic calculation on the extracted data according to a set logic calculation rule to obtain the evaluation score of the medical data on the evaluation items.
6. The evaluation method according to claim 1, further comprising: and recording data used for obtaining an analysis result in the medical data to a database.
7. The evaluation method according to claim 1, further comprising: recording an analysis process for obtaining the analysis result; and after receiving the control instruction, displaying the analysis process of the analysis result.
8. An apparatus for evaluating adverse drug reactions, comprising:
a data acquisition module configured to acquire medical data of a patient;
and the evaluation processing module is configured to analyze the medical data of the patient based on the evaluation scale to obtain an analysis result for evaluating the possibility that the disease of the patient is caused by adverse drug reactions.
9. A terminal, comprising: a memory and a processor, the memory configured to store a computer program that, when executed by the processor, carries out the steps of the method of assessing an adverse drug reaction of any one of claims 1 to 7.
10. A computer-readable medium, characterized in that a computer program is stored which, when executed, carries out the steps of the method for assessing adverse drug reactions of any one of claims 1 to 7.
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