CN111627546A - Method, system and equipment for managing use rules of medical instruments - Google Patents
Method, system and equipment for managing use rules of medical instruments Download PDFInfo
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Abstract
The invention discloses a management method, a system and equipment for medical appliance use rules of an intelligent medical system. By the method, the system and the equipment for managing the use rules of the medical instruments of the intelligent medical system, a user can select a rule set meeting the self-requirement based on the current situation of different business units as a self-defined rule base for the use of the medical instruments of the intelligent medical system, and can adjust the rules in real time, so that an informatization rule management system is quickly established by taking the reasonable use and the compliance control requirements of the medical instruments as targets, and the aims of improving the medical safety of patients, improving the medical quality, reducing the unreasonable medical cost and reasonably distributing medical resources are fulfilled.
Description
Technical Field
The invention relates to the technical field of intelligent medical information processing, in particular to a method, a system and equipment for managing the use rationality and compliance rules of medical instruments.
Background
With the continuous improvement of living standard, the demand of people for medical treatment is also greatly increased. In the process of examination, treatment, rehabilitation and health care, people often need to use various medical instruments, whether the medical instruments are used reasonably or not is directly related to effective treatment of diseases, reasonable distribution of medical resources, safety and health of users and the like, and the medical instruments are the keys for guaranteeing medical quality, controlling unreasonable medical expenses and maintaining rights and interests of the users.
With the development and application of modern information technology, the appearance of the intelligent medical system provides a good auxiliary tool for intelligent analysis, intelligent management and intelligent recommendation of medical instruments, so that comprehensive acquisition, analysis and application of mass data become possible, and great effects are gradually exerted on guaranteeing the reasonability and compliance of the medical instruments of patients.
The operating principle of the intelligent medical system in the aspect of medical instrument use rationality and compliance analysis is that the rationality and compliance of the medical instrument use are often analyzed according to actual clinical disease information by taking a rule determined in advance as a standard, or corresponding medical instruments are intelligently recommended according to the condition of a patient. Therefore, the key point of the auxiliary treatment by using the intelligent medical system is to establish a set of practical, balanced and scientific medical instrument use standard rules, so that doctors, pharmacists and related managers can be assisted to analyze the rationality and the compliance of the use of the medical instruments according to the actual business of users, or the related medical instruments are recommended to the doctors, the pharmacists, patients and the like so as to achieve the purposes of preventing, finding and avoiding the use related risks of various medical instruments. The rules in the intelligent medical system are based on medical related data and data, and then are combined with the actual conditions of user business, and the specific medical business rules are generated by adopting methods such as manual processing, big data mining, artificial intelligent deep learning and the like, so the range of the rule sources and the actual application level are of great importance to the practicability of the system.
By taking rationality and compliance analysis of the use of the intelligent medical system for assisting medical instruments as an example, if the standard of the system rule is too low, a large number of false negative analysis results may occur, so that many risks cannot be found by the system, the targets of controlling and inhibiting the use of unreasonable and non-normative medical instruments cannot be achieved, a large number of unreasonable expenses cannot be effectively controlled, and the treatment of patients faces huge risks. On the contrary, if the standard of the system rule is too high, a large number of false positive analysis results may occur, some practical and reasonable medical instruments are used as problems, a large amount of manual examination workload is brought to an examination and verification organization, conflicts between management departments and doctors are caused, an ideal intelligent pre-examination function is not achieved, and unnecessary burden is added to daily diagnosis and treatment work of doctors and information systems of the medical organization.
The product specification, clinical treatment path, guideline, diagnosis and treatment standard, medical regulation and other data are used as the professional basis for the doctor to set up the use scheme of the medical instrument and relevant departments to carry out reasonable use and compliance control on the medical instrument, and the relevant content is the source of the rules for reasonable use and compliance use of the medical instrument. The existing medical scheme auxiliary analysis system basically establishes system standard rules by taking a large number of drug specifications, clinical guidelines, clinical studies and other authoritative data as sources. However, since some of the data source standards, updated versions, changed sources, etc. including the standard rules have great randomness, the user cannot conveniently know which rules of the specifications, guidelines, prescription sets, etc. are included in the standard rules during the process of using the system, and also cannot know what version of the data is specifically included, there is no way to manage the standard rules used by the user, and the rationality and compliance of the use of the medical apparatus analyzed according to the standard rules cannot be accurately controlled, and a medical apparatus use rationality and compliance rule standard data system conforming to the user's own conditions cannot be established. Therefore, a set of method, system and device for managing the use rules of the medical apparatus and instruments by the user according to the self condition is needed, so that the user can conveniently, accurately and scientifically generate and maintain the relevant rule base, the intelligent medical system can better meet the actual business requirements, and relevant persons and mechanisms are assisted to discover and avoid relevant risks possibly occurring in the use of the medical apparatus and instruments.
Disclosure of Invention
The technical problem to be solved by the invention is as follows: the method helps a user to select a proper data range and a proper data level as a basis according to the self requirement, establish scientific, practical and balanced medical appliance use rules, and dynamically manage rules corresponding to related contents and data to realize the services of reasonable compliance analysis, recommendation, guidance, management, evaluation and the like related to the use of medical appliances aiming at different medical service units, and can apply a related intelligent system to assist doctors, pharmacists, medical quality control personnel, medical expense management personnel, managers and the like to ensure the medical quality of different medical institutions by the intelligent medical system of the user, particularly the medical appliance use analysis system, to control unreasonable medical expenses, maintain the safety and rights and interests of patients, and promote the reasonable distribution and use of medical resources.
The invention is realized by the following technical scheme:
the invention provides a management method of medical appliance use rules of an intelligent medical system, wherein the medical appliance use rules comprise related rules of medical appliance use rationality and compliance, and the method comprises the following steps:
marking each/each group of medical appliance usage related rules in the database according to the sources of the medical appliance usage related rules and the content of the rules;
selecting a proper rule according to the mark according to the service requirement of the user, and generating a medical instrument use custom rule base which meets the requirement of the user;
the medical device is applied to the user's intelligent medical system using a custom rule base.
The method for managing the intelligent medical system medical instrument usage rule as described above, wherein the source mark of the rule includes at least one of a geographical source related mark, an institution source related mark, a material source category related mark, an author source related mark, an evidence level related mark, an administrative certification/recommendation level related mark, and a time/version related mark.
The method for managing the medical instrument use rule of the intelligent medical system comprises the following steps of marking related to medical instruments, marking related to analysis items, marking related to use purposes, marking related to people, marking related to diseases, marking related to operation, marking related to treatment effects, marking related to personnel and marking related to use of users.
The method for managing the use rules of the medical instruments of the intelligent medical system further comprises the following steps: corresponding grades/scores are respectively set for part/all marks of each rule/each group of rules according to user services, and relative weights of each mark classification can be set according to actual conditions, so that when a user selects a proper rule, the comprehensive grade/score of the related rule can be calculated according to the grade/score corresponding to each mark of the related rule and the relative weight of each mark classification, and the user can conveniently select the proper rule.
The method for managing the use rules of the medical instruments of the intelligent medical system further comprises the following steps: the user can set different business subunit custom rule systems according to the business requirements of each subunit on the basis of the unified custom rule base, and each subunit can adjust on the basis of the unified custom rule base according to the business requirements of the subunit, including the adjustment of the selection of the rules and the adjustment of the rule application level, so as to support the relevant requirements of each subunit on the rules.
The method for managing the use rules of the medical instruments of the intelligent medical system further comprises the step that a user optimizes a self-defined rule base for using the medical instruments according to the needs of the user, wherein the self-defined rule base is optimized by adjusting and adding rule marks, or modifying selection conditions of rules of the self-defined rule base, or modifying related rules.
The method for managing the use rules of the medical instruments of the intelligent medical system further comprises the following steps: and comparing the medical appliance use data of the user with relevant rules in the medical appliance use rules in the database, and analyzing the rules related to the medical appliance use of the user, the rule source distribution and the specific content.
The method for managing the use rules of the medical instruments of the intelligent medical system further comprises the following steps: the usage of rules may be ranked according to the business needs of different users, and may include: the system comprises at least one level of non-enabling, mandatory, fixed, recommended, suggested, fair, conditional fair, prompt, alert, warning, limit, conditional pass, forbidden, strict forbidden, mandatory forbidden, etc., to support the relevant application requirements of the user for different rules.
The method for managing the use rules of the medical instruments of the intelligent medical system further comprises the following steps: according to the requirements of different users, rules and display methods of the marks can be set, so that the users can view related marks of the medical instrument use rules used in the intelligent medical system or view rules corresponding to the related marks.
The invention also provides a management system for the medical appliance use rules of the intelligent medical system, the medical appliance use rules comprise related rules of reasonable use and compliance of the medical appliance, and the management system comprises:
a rule marking unit for marking each rule/group of rules in the relevant rules for use of the medical instrument in the database according to the source of the rules and the content of the rules;
a rule selecting unit, which is used for selecting a proper rule according to the mark according to the service requirement of the user;
and the rule base generation unit is used for generating a user-defined rule base which meets the requirements of the user according to the selected rule and applying the user-defined rule base to the intelligent medical system of the user.
The invention also provides a management device for the medical appliance use rules of the intelligent medical system, wherein the medical appliance use rules comprise related rules of medical appliance use rationality and compliance, and the management device comprises:
the rule marking module is used for marking each/each group of medical instruments in the database by using related rules according to the source of the rules and the content of the rules;
the rule selection module is used for selecting a proper rule according to the mark according to the service requirement of the user;
and the rule base generation module is used for generating the selected rules into a user-defined rule base for the medical apparatus meeting the requirements of the user, and applying the user-defined rule base to the intelligent medical system of the user.
According to the method, the system and the equipment for managing the medical instrument use rules of the intelligent medical system, each rule in the medical instrument use rules in the intelligent medical system is marked according to the source and the content of the rule, and a user generates a medical instrument use custom rule base which meets the user requirements according to the self business requirements and the marked proper rule, so that the method, the system and the equipment are applied to the intelligent medical system of the user. By the method, the system and the equipment for managing the use rules of the medical instruments of the intelligent medical system, different users can select practical and balanced medical instrument use rule construction standards according to different business units according to self requirements, and can establish a medical instrument use rule base to be applied to the intelligent medical system on the basis of selecting proper data ranges and data levels, and can dynamically manage related data, so that the intelligent medical system of the users can play a greater role in guaranteeing the reasonable and standard use of the medical instruments, reducing medical related risks, controlling unreasonable medical expenses, maintaining the safety and rights and interests of patients and promoting the reasonable distribution and use of medical resources.
Drawings
Fig. 1 is a flowchart of a method for managing usage rules of medical devices in an intelligent medical system according to a first embodiment of the present invention.
Fig. 2 is a system block diagram of a system for managing usage rules of medical devices in an intelligent medical system according to a second embodiment of the present invention.
Fig. 3 is a hardware block diagram of a management device for medical device usage rules of an intelligent medical system according to a third embodiment of the present invention.
Detailed Description
To further explain the technical means and effects of the present invention adopted to achieve the intended purpose, the following detailed description of the embodiments of the present invention is provided in conjunction with the accompanying drawings and examples.
A first embodiment of the present invention is described with reference to fig. 1. FIG. 1 is a flow chart of a method for managing usage rules of medical devices in an intelligent medical system according to the present invention. The invention relates to a management method of an intelligent medical system rule base, wherein the intelligent medical system rule base comprises relevant rules of reasonable use and compliance of medical instruments, and the management method of the intelligent medical system rule base comprises the following steps:
s1: each piece/group of medical instruments in the database is tagged with the relevant rule according to the source of the rule and the content of the rule.
S2: and selecting a proper rule by the user according to the service requirement and the mark, and generating a medical instrument use custom rule base which meets the requirement of the user.
S3: the medical device is applied to the user's intelligent medical system using a custom rule base.
In the present invention, the mark is a name, and may include various marks, classifications, labels, features, keywords, etc., and if the data is classified according to the issuing organization, the organizations with different attributes, the organization levels and the specific organization names are the classified paths and the classification names, that is, the corresponding marks.
If a user needs to use the intelligent medical system, particularly the medical instrument use related system to analyze, recommend and guide the use of medical instruments of a patient, the system firstly comprises medical instrument use rules, the intelligent medical system rule base comprises the related rules of the reasonable use and the compliance of the medical instruments, and the intelligent medical system screens the related problems of the use of the medical instruments according to the related rules of the reasonable use and the compliance of the medical instruments in the rule base. The database in S1 may be a public database, a database provided by a relevant government department/business platform/enterprise/academic organization, or a database created by a user. The source of rules related to the use of medical devices in the database is based on product specifications, clinical treatment routes, guidelines, clinical standards, medical practice specifications, industry specifications, textbooks, pharmaceutical specifications, medical device use/operation specifications, medical device use specifications, surgical operation specifications, examination/inspection specifications, prescription sets, pharmacopoeias, expert consensus, expert experience, conference disciplines and consensus within conjunctions/hospitals/departments, treatises, monographs, inventions, scientific inferences, experimental reports, data analysis reports, test reports, examination reports, approval documents, relevant regulations, relevant instructional opinions, relevant policies, relevant regimes, relevant catalogs, relevant literature data, relevant price specifications, relevant price catalogs, relevant bidding results, relevant object prices, relevant insurance payment terms, The relevant DRGS standards, the relevant insurance payment agreement, the relevant bidding result, the relevant purchasing catalogue, the evaluation/inspection result/monitoring report/safety report of the relevant doctor/nurse/checker/pharmacist/nursing staff/patient/salesperson, other literature data, other research results with specialty/authority, a data base established by sources such as various weights/various grades/various sequencing needing to be set manually, a data base established by information reforming/information analysis/big data analysis, a data base established by artificial intelligence deep learning, a data base obtained by data mining analysis, and the like based on evidence-based medical method or probability speculation based on the existing data, or the data can be derived from rules and indexes which are manually set after data statistical analysis/artificial intelligence deep learning, or at least one of relevant information and rules which are continuously accumulated and refined by clinicians and pharmacists in the process of treating diseases.
In the present invention, medical devices include, but are not limited to: an instrument, device, apparatus, tool, machine, implant, material, extracorporeal agent, topical agent, or other similar or related product, including a component or accessory, a consumable. The method specifically comprises the following steps: active surgical instruments, passive surgical instruments, neurological and cardiovascular surgical instruments, orthopedic surgical instruments, radiation therapy instruments, medical imaging instruments, medical examination and monitoring instruments, respiratory/anesthesia and emergency medical instruments, physical therapy instruments, blood transfusion/dialysis and extracorporeal circulation instruments, medical instrument sterilization instruments, active implant instruments, passive implant instruments, injection/care and protection instruments, user carrying instruments, ophthalmic instruments, stomatological instruments, gynecological/assisted reproduction and contraception instruments, medical rehabilitation instruments, traditional Chinese medicine instruments, medical software, clinical laboratory instruments, surgical robots, nursing robots and other products belonging to the category of medical instruments or similar medical instruments, and other products with similar effects.
In the invention, various marks are established by using reasonable and compliant related rules for medical instruments, so that a user can conveniently and quickly select the rules with the suitable marks according to the self needs to generate a medical instrument use self-defined rule base meeting the user needs, and the method is applied to an intelligent medical system to carry out intelligent analysis on the use of the medical instruments, and the specific application mode comprises the auditing, recommending, guiding, managing and the like of the use of the medical instruments. The marking of the medical device with the relevant rules may be based on the source of the rules and the content of the rules.
The source tags for the rules associated with the use of the medical device may include geographic source related tags, institution source related tags, material source category related tags, author source related tags, evidence level related tags, administrative certification/recommendation level related tags, time/version related tags, etc., or other tags related to the source of the rules.
The geographical origin related mark may be marked in a hierarchical manner according to geographical related information, such as continent, region (large), country, region, province (direct prefecture city), city/state/region (small), county, district, and the like. Such as: southeast Asia, USA, Beijing, etc.
The organization source related indicia may be marked according to a drafting/editing/publishing/distributing/issuing/promulgating/publishing/offering organization or platform of the rule source. Including but not limited to: marking according to professional attributes of relevant mechanisms, organizations or platforms; marking according to the administrative attributes of related mechanisms, organizations or platforms; labeling according to authority, specialty and influence of relevant organizations, organizations or platforms; tagging is performed according to the relevance of the relevant organization, organization or platform to the user. Professional attributes of the relevant organization, organization or platform may include: medical management, medicamentization, medical insurance, medicine, pharmacy, finance, administration, regulation, price, tender purchase, and the like. Administrative attributes of a relevant organization, or platform may include: professional academic groups, industry associations/colleges, academic unions/platforms, government agencies, legislative bodies, judicial bodies, medical insurance agencies, medical groups/conjunctions/alliances/institutions, schools/colleges, research institutes, data analysis agencies, consulting agencies, magazines/journals/newspapers/publishers/professional websites/professional network platforms, and the like. Such as: the guidelines issued by the world health organization, the institutional source names of the rules generated by the guidelines being labeled: the world health organization; the institutional administration attributes are labeled: the international organization belongs to a special institution; the authoritative label is: one stage, etc.
The related mark of the data source category can be marked according to the data type of the rule source and the value of the specific element thereof, and the data type includes but is not limited to: instructions, guidelines, consensus, guidelines, pharmacopoeia, prescription sets, specifications, standards, META analysis reports, data/literature analysis reports, experiments/test reports, research reports, survey reports, monographs/monographs, classical works, classical parties, expert biographies, educational materials, science popularization articles, medical records/courses, reports, databases, base drug catalogues, insurance payment drug catalogues, winning bid catalogues, purchasing catalogues, price catalogues, and the like.
Author source related tags may be tagged according to the drafter/researcher/author/designer of the rule source.
Evidence level related indicia may be based on evidence levels of rule sources such as: the sources from related laws and regulations or future sources are marked according to evidence grading of evidence based medical methods, including relevant national laws and regulations and relevant international organization laws and regulations, and relevant evidence based medical grading, and specific evidence based medical grading methods include but are not limited to: the method comprises the following steps of carrying out source evidence grade/recommendation grade grading according to the method in the generation process of rule sources and marking the method and the grade according to the method. And the user can also define an evidence level division method according to the business needs and mark the related evidence.
The administrative certification/recommendation level related marks can be marked according to the administrative certification/recommendation level of the rule source, including the authorities authenticating or rating the related sources by the administrative authorities, industry management authorities, credit evaluation authorities, certification authorities, social organizations, industry organizations and the like, and specific certification or evaluation levels, such as: mandatory level, recommended level, advised level, rational level, prompt level, warning level, restricted level, forbidden level, etc. If the 'improvement scheme of high-value medical consumables' released by the office of the State Council, the administrative institution is marked as: the national office, recommendation level are labeled as: and (4) forcing the stage.
The time/version related tags may be tagged according to the time and version of the rule source, including but not limited to: source material discussion, formulation, release, revision, publication, validation, revocation, time/version numbers, or related meetings, etc. Such as: the source of the relevant rules of the medical consumable management method (trial) of the medical institution is marked as follows: geographical origin-china; institutional sources-now national Wei-Jian Wei; data source-medical institution medical consumables management method (trial); time/version-2019.
When the relevant rules are marked according to the sources of the relevant rules of the medical instruments reasonable in use and compliance in the database, various marks of the rule sources can be graded or scored according to the business requirements of different users, so that the users can conveniently select the relevant rules which are suitable for the medical instruments reasonable in use and compliance. The source tags may be ranked in terms of authority/expertise/credibility/influence/applicability, etc. Such as: for the relevant mark of the data source, according to the existing relevant regulations, the medical instrument use instruction book is the legal medical instrument use basis, the relevant mark of the data source from the rule of the medical instrument instruction book can be set to 1 grade, and for the medical institution medical consumable management method (trial) for the medical institution user, the relevant mark grade of the authoritative data source can be set to 2 grade, which is next to the medical instrument instruction book.
Content indicia for a rule in the database may include analysis item-related indicia, medical device-related indicia, purpose-of-use-related indicia, crowd-related indicia, disease-related indicia, treatment-effect-related indicia, personnel-related indicia, user-use-related indicia, and other indicia related to the content of the rule.
The analysis item related mark may be marked according to the level and content of the analysis item and its analysis result related to the rule, and may include: applicability/indication, applicable population, contraindicated population, contraindications, situations requiring caution/attention, interaction, re-use, co-use, allergy, use condition, use occasion, use-related examination, use time, use method, dosage, adverse reaction, preparation/protective measure, use effect assessment, storage condition, validity period, suitability/comfort/compliance, medical insurance/welfare, economic management, administrative management, and the like. For example, the contraindication related markers can comprise specific contraindications, and can be classified into markers of strict, forbidden, unreliability, cautious development, balanced profit and disadvantage development and the like according to severity.
The medical-instrument-related label may be labeled according to the name of the medical instrument to which the rule relates and the value of the specific element to which it relates. Medical devices include, but are not limited to: an instrument, device, apparatus, tool, machine, implant, material, extracorporeal agent, topical agent, or other similar or related product, including a component or accessory, a consumable. The method specifically comprises the following steps: active surgical instruments, passive surgical instruments, neurological and cardiovascular surgical instruments, orthopedic surgical instruments, radiation therapy instruments, medical imaging instruments, medical examination and monitoring instruments, respiratory/anesthesia and emergency medical instruments, physical therapy instruments, blood transfusion/dialysis and extracorporeal circulation instruments, medical instrument sterilization instruments, active implant instruments, passive implant instruments, injection/care and protection instruments, user carrying instruments, ophthalmic instruments, stomatological instruments, gynecological/assisted reproduction and contraception instruments, medical rehabilitation instruments, traditional Chinese medicine instruments, medical software, clinical laboratory instruments, surgical robots, nursing robots and other products belonging to the category of medical instruments or similar medical instruments, and other products with similar effects. The medicine can also comprise the factors related to the classification, components, action mechanism, application range, contraindications, adverse reactions, interaction, manufacturers, dosage forms, packages, specifications, prices, medical insurance attributes, winning bid condition, usage amount, use approaches and the like of medical instruments.
The usage purpose related mark can be marked according to the usage purpose related by the rule and the value of the specific element thereof, and comprises the following steps: treatment, prevention, health care, comfort, examination, detection, weight loss, beauty, anti-aging, index adjustment, status maintenance, nutrition supplementation, fertility/sex correlation, and the like.
The population-related markers may be marked according to a patient population to which the rule relates, including: age, sex, race, weight, genetic-related conditions, family health-related conditions, allergy history, living environment, medication history, surgical history, learning conditions, working conditions, family conditions, hobbies, growth and development, physiological stage, marriage and childbirth conditions, eating conditions, work and rest habits, physical disability conditions, mental health conditions, intelligence conditions, immunity conditions, and the like. The patients herein may also include healthy persons who need to be treated, such as subjects who undergo cosmetic surgery, healthy subjects who participate in clinical trials, donor providers who undergo transplant surgery, persons who participate in physical examination, and the like.
Disease-associated markers may be labeled according to the disease to which the rule relates, including specifically: disease, symptom, index, feeling, medical history, symptom type, examination result, risk factor, medical history, surgical history, medication history, family medical history, etc. Such as: family history of hemophilia, history of heart bypass surgery, hypertension, high body temperature rise, etc.
The therapeutic effect related marker can be marked according to the therapeutic effect related to the rule and the value of the specific element thereof, and comprises the following steps: the effectiveness of disease prevention and prevention, the cure and cure rate of diseases, index improvement and improvement, aging delay, pain reduction, risk reduction, body function and shape change and the like.
The person-related tags may be tagged according to the persons involved in the rule, including: doctors, pharmacists, nurses, test/assay technicians, managers, medical insurance auditors, patients, caregivers, and the like.
The user usage related mark can be marked according to the user usage related by the rule, and comprises the following steps: usage rule user number, usage rule user rating, user data analysis, expert opinion, and the like.
When the relevant rules are marked according to the contents of the relevant rules of reasonable use and compliance of the medical instruments in the database, various marks of the rule contents can be graded or scored according to the business requirements of different users, so that the users can conveniently select the relevant rules which are suitable for the reasonable use and compliance of the medical instruments. Such as: the contraindication mark in the related marks of the analysis items is set as a first level, and the level of the contraindication related rule is higher, so that the influence of the medical appliance on the safety of a patient is highlighted when the intelligent medical system is used for analyzing the medical appliance.
The method for managing the use rules of the medical instruments of the intelligent medical system further comprises the following steps: corresponding grades/scores are respectively set for part/all marks of each rule/each group of rules according to user services, and relative weights of each mark classification can be set according to actual conditions, so that when a user selects a proper rule, the comprehensive grade/score of the related rule can be calculated according to the grade/score corresponding to each mark of the related rule and the relative weight of each mark classification, and the user can conveniently select the proper rule.
When the level/score is set for the medical instrument usage-related rule flags in the database, each rule may be flagged, or rule flag groupings may be set based on the relationship between the rules. Such as: when the level is set for the mechanism source related mark, the users of the domestic medical mechanisms can be divided into one group, the national health committee is uniformly set as the first level, and the city health committee of each province is set as the second level.
The specific calculation method of the comprehensive grade/score is as follows:
rule X includes n markers, such as data source related markers, institution source related markers, disease related markers, and the like.
M＝m1+…+mn
gi(X) a marker m representing a rule XiThe corresponding level/score. T isiIndicates a mark miRelative weight of the label class in which it is located.
G (X) represents the overall level/score of rule X.
The user can set the comprehensive level/score condition of the rule which needs to be included in the self-defined rule base, and for the rule in the database, if the comprehensive level/score of the rule is higher than the comprehensive level/score condition set by the user, the rule is selected as the rule in the self-defined rule base of the user. Therefore, the user can quickly select the rule to construct the custom rule base.
The user may also set the usage levels of different overall level/score range rules at different business units after selecting the rule range. Specifically, the usage of the rule may be set as follows according to the comprehensive level/score range of the rule: no-enable, force, fixed, recommended, advise, sound, condition sound, prompt, alert, warning, limit, condition pass, inhibit, strictly inhibit, force inhibit, etc. to support the relevant requirements of the system for rule use.
Different intelligent models can be correspondingly generated according to the grade/score set by each mark of each rule and the relative weight of each mark classification, so that the related intelligent models can be used/referenced under the same/similar conditions, and the setting of the intelligent models can be continuously optimized and adjusted in the using process.
In the invention, the medical appliance can be independent by using the self-defined rule base, can also be a part of the whole rule base of the intelligent medical system, and can also be a part of the knowledge base of the intelligent medical system.
The method for managing the use rule of the medical instrument further comprises the following steps: the user can set different business subunit custom rule systems according to the business requirements of each subunit on the basis of the unified custom rule base, and each subunit can adjust on the basis of the unified custom rule base according to the business requirements of the subunit, including the adjustment of the selection of the rules and the adjustment of the rule application level, so as to support the relevant requirements of each subunit on the rules.
The generation of the relevant rule base with reasonable use and compliance of the self-defined medical instrument can be finished by the user, can also be finished by assisting the user by a third party, and can also be generated by a rule selection scheme which is consistent with the use of other users by the user.
In the present invention, different sub-service units can be set according to different uses of users, such as: auditing, recommending, instructing, medical insurance settlement and the like. Different sub-service units can select different rules according to the needs of the sub-service units, and configure different custom rule bases.
The sub-business units can also be divided and defined according to the nature and the level of the user by the dimensions of administrative regions, administrative affiliations, medical institution levels, medical institution specials, medical institution medical insurance payment qualifications, various rating levels of medical institutions, departments, ward areas, doctors, diseases, medical instruments, patients, medicines and the like and the combination of different levels of the dimensions. Administrative affiliation includes: national Weijian Commission, provincial Weijian Commission, City Weijian Commission, county Weijian Commission, medical group, medical alliance, civil and camp hospital, etc. The medical institution ratings include: informatization rating, management rating, medical quality rating, business management rating, patient service rating, and the like.
For example: the medicine taking catalogs of different hospitals under the medical group are different, and each hospital can select the medicine range covered by the self-defined rule base of the hospital according to the medicine taking catalogs thereof on the basis of unifying the self-defined rule base of the medical group to generate the self-defined rule base of each hospital sub-business unit. The unified self-defined rule base of the medical group and the self-defined rule base of the selected and adjusted sub-business units of each hospital form a complete related rule system of the intelligent medical system.
The management method of the intelligent medical system rule base further comprises the step that a user optimizes medical instruments according to self needs to use the self-defined rule base, wherein the user can optimize the self-defined rule base by adjusting and adding rule marks, or modifying selection conditions of the rules of the self-defined rule base, or modifying related rules.
The management method of the intelligent medical system rule base further comprises the following steps: and comparing the medical appliance use data of the user/user sub-service unit with the medical appliance use related rules in the database, and analyzing the rules related to the use of the medical appliances of the user and the source distribution and the specific content of the rules.
By analyzing the medical instrument use rules, rule source distribution and specific content in the database related to the actual medical instrument use data of the sub-service units of the user/user, on one hand, the user can be further helped to master the actual situation of the user, and relevant rules which are reasonable in use and compliant for the medical instrument in the database are better selected and updated through marks of different dimensions of the source and the content, so that a custom rule base/system suitable for the service requirements of the user is generated. On the other hand, the defects existing in the use of the medical instrument can be analyzed through the comparison between the actual use rule of the medical instrument and the relevant standard or the medical institution with higher specialty, and the improvement measures can be made. The medical instrument can be used by a doctor or can be audited and commented, and medical staff can be prompted to use the relevant rules of the medical instrument which is in accordance with the medical instrument, such as reasonable use and compliance, and the relevant marks of the source and the content of the relevant rules, so that the rules can be checked, and the medical staff can judge and analyze the reasonable compliance of the medical instrument.
The various data acquired by the method for managing the use rules of the medical instruments of the intelligent medical system can be all data, and can also be data of certain conditions according to needs, such as: data for a certain time period, data of a patient at a certain hospital/department/doctor, etc.
The management method for the medical instrument use rule of the intelligent medical system further comprises the step that the medical instrument uses a multi-dimensional element attribute dictionary, and the multi-dimensional element attribute dictionary is used for processing matching/comparison between data of different sources, different data structures, different descriptions and different data standards and related information and rules in a rule base of the intelligent medical system.
The multi-dimensional element attribute dictionary used by the medical instrument comprises a standard dictionary, a synonym corresponding dictionary and a fuzzy matching dictionary of each element attribute used by the medical instrument, and the matching/comparison of data with different sources, different data structures, different descriptions and different data standards and related data and rules of the intelligent medical system rule base is realized by comparing original data with the synonym corresponding dictionary, or firstly converting the original data into a format corresponding to the standard dictionary and then comparing the original data, or carrying out fuzzy matching comparison on the original data, or mixing the methods.
The medical instrument uses a multi-dimensional element attribute dictionary, and can be established independently or included in an intelligent medical system rule base.
The real medical instrument use information is converted by using the multi-dimensional element attribute dictionary through the medical instrument, for example, the prescription information is as follows: male, age 65, diagnosis: primary hypercholesterolemia, creatinine clearance: 25 ml/min, drug: shujiang, initial dose: 10 mg/day; converting the creatinine clearance rate of 25 ml/min of a patient into serious renal insufficiency by using a multidimensional element attribute dictionary through a medical instrument, and finding a corresponding usage dosage rule in an intelligent medical system rule base: initial dose 5 ml/day; prompting by the intelligent medical system: the therapeutic use of drugs is problematic.
In the present invention, the marking of rules can be established automatically by big data analysis/artificial intelligence techniques, or manually. By means of big data analysis/artificial intelligence technology, the content of the rule and the key words contained in the source of the rule are automatically searched, compared and judged with the existing mark, and if the content of the rule and the key words are in accordance with the existing mark, the key words are automatically established as the mark. The big data analysis/artificial intelligence technique may include: keyword retrieval, speech recognition, semantic recognition, OCR recognition, gesture recognition, source recognition, reference data analysis, translation of different languages, virtual reality techniques, augmented reality techniques, and the like.
In the invention, the user-defined rule base can be established by automatic recommendation through an artificial intelligence technology according to the actual service/historical service data and the requirement analysis of the user on the service; or the rule base can be established by referring to a custom rule base of similar users after user confirmation. Finding out the most suitable rule of the user by analyzing the actual service/historical service data of the user and the requirement analysis of the user on the service; the user-defined rule base suitable for the user is generated by comparing the user-defined rule base with the user-defined rule base of similar users according to the attributes of the user such as the region, the level, the special subject and the like and adjusting the selection of the rules.
The method for managing the intelligent medical instrument use system rule further comprises the following steps: according to the requirements of different users, rules and display methods of the marks can be set, so that the users can view related marks of the medical instrument use rules used in the intelligent medical system or view rules corresponding to the related marks.
A second embodiment of the present invention is seen in figure 2. Fig. 2 is a system block diagram of a system for managing usage rules of medical devices in an intelligent medical system according to a second embodiment of the present invention. The invention relates to a management system for medical appliance use rules of an intelligent medical system, which comprises relevant rules of reasonable use and compliance of medical appliances, and comprises the following components:
a rule marking unit 11, configured to mark, according to a source of the rule and a content of the rule, each medical device in the database with the relevant rule;
a rule selecting unit 12, configured to select an appropriate rule according to the mark by the user according to the service requirement of the user;
and the rule base generation unit 13 is used for generating a user-defined rule base for the medical apparatus and instruments meeting the requirements of the user, and applying the user-defined rule base to the intelligent medical system of the user.
In this embodiment, the intelligent medical system includes a library of medical instrument usage rules.
The technical features of the management system for the medical instrument use rules of the intelligent medical system and the management method for the medical instrument use rules of the intelligent medical system correspond to each other one by one, and the description of the methods can be referred to, and is not repeated herein.
A third embodiment of the present invention is seen in fig. 3. Fig. 3 is a hardware block diagram of a management device for medical device usage rules of an intelligent medical system according to a third embodiment of the present invention. The invention relates to a management device for medical appliance use rules of an intelligent medical system, which comprises relevant rules of reasonable use and compliance of medical appliances, and comprises:
a rule marking module 21, configured to mark each medical device in the database with the relevant rule according to the source of the rule and the content of the rule;
a rule selection module 22, configured to select an appropriate rule according to the mark according to the service requirement of the user;
and the rule base generation module 23 is used for generating a user-defined rule base for the medical apparatus and instruments meeting the requirements of the user, and applying the user-defined rule base to the intelligent medical system of the user.
In this embodiment, the intelligent medical system includes a library of medical instrument usage rules.
The technical characteristics of the management device for the use rules of the medical instruments of the intelligent medical system and the management method for the use rules of the medical instruments of the intelligent medical system correspond to one another, and the description of the methods can be referred to, and is not repeated herein.
In summary, according to the method, the system and the device for managing the medical appliance use rules of the intelligent medical system, each medical appliance use related rule in the database is marked according to the source and the content of the rule, and the user selects an appropriate rule according to the self business requirement and the mark, so that a medical appliance use customized rule base meeting the user requirement is generated and applied to the intelligent medical system of the user. By the method, the system and the equipment for managing the use rules of the medical instruments of the intelligent medical system, a user can select a rule set meeting the self-requirement based on the current situation of different business units as a self-defined rule base for the use of the medical instruments of the intelligent medical system, and can adjust the rules in real time, so that an informatization rule management system is quickly established by taking the reasonable use and the compliance control requirements of the medical instruments as targets, and the aims of improving the medical safety of patients, improving the medical quality, reducing the unreasonable medical cost and reasonably distributing medical resources are fulfilled.
The above-mentioned embodiments are intended to illustrate the objects, technical solutions and advantages of the present invention in further detail, and it should be understood that the above-mentioned embodiments are merely exemplary embodiments of the present invention, and are not intended to limit the scope of the present invention, and any modifications, equivalent substitutions, improvements and the like made within the spirit and principle of the present invention should be included in the scope of the present invention.
Claims (11)
1. A method of managing medical device usage rules including rules relating to medical device usage rationality and compliance, the method comprising:
marking each/each group of medical appliance usage related rules in the database according to the sources of the medical appliance usage related rules and the content of the rules;
selecting a proper rule according to the mark according to the service requirement of the user, and generating a medical instrument use custom rule base which meets the requirement of the user;
the medical device is applied to the user's intelligent medical system using a custom rule base.
2. The method for managing usage rules of a medical device according to claim 1, wherein: the source mark of the rule comprises at least one of a geographic source related mark, an organization source related mark, a material source category related mark, an author source related mark, an evidence level related mark, an administrative certification/recommendation level related mark and a time/version related mark.
3. The method for managing usage rules of a medical device according to claim 1, wherein: the content tags of the rules comprise at least one of medical apparatus related tags, analysis item related tags, use purpose related tags, crowd related tags, disease related tags, operation related tags, treatment effect related tags, personnel related tags and user use related tags.
4. A method for managing usage rules of a medical device according to any one of claims 1-3, wherein the method further comprises: corresponding grades/scores are respectively set for part/all marks of each rule/each group of rules according to user services, and relative weights of each mark classification can be set according to actual conditions, so that when a user selects a proper rule, the comprehensive grade/score of the related rule can be calculated according to the grade/score corresponding to each mark of the related rule and the relative weight of each mark classification, and the user can conveniently select the proper rule.
5. A method for managing usage rules of a medical device according to any one of claims 1-4, wherein said method further comprises: the user can set different business subunit custom rule systems according to the business requirements of each subunit on the basis of the unified custom rule base, and each subunit can adjust on the basis of the unified custom rule base according to the business requirements of the subunit, including the adjustment of the selection of the rules and the adjustment of the rule application level, so as to support the relevant requirements of each subunit on the rules.
6. A method for managing usage rules of a medical device according to any one of claims 1-5, wherein: the method also comprises the step that the user optimizes the user-defined rule base according to the self requirement, wherein the user-defined rule base is realized by adjusting and adding the rule marks, or modifying the selection conditions of the rules of the user-defined rule base, or modifying the related rules.
7. A method for managing usage rules of a medical device according to any one of claims 1-6, wherein said method further comprises: and comparing the medical appliance use data of the user with relevant rules in the medical appliance use rules in the database, and analyzing the rules related to the medical appliance use of the user, the rule source distribution and the specific content.
8. The method for managing usage rules of a medical device according to any one of claims 1-7, further comprising: the usage of rules may be ranked according to the business needs of different users, and may include: the system comprises at least one level of non-enabling, mandatory, fixed, recommended, suggested, fair, conditional fair, prompt, alert, warning, limit, conditional pass, forbidden, strict forbidden, mandatory forbidden, etc., to support the relevant application requirements of the user for different rules.
9. The method for managing usage rules of a medical device according to any one of claims 1-8, further comprising: according to the requirements of different users, rules and display methods of the marks can be set, so that the users can view related marks of the medical instrument use rules used in the intelligent medical system or view rules corresponding to the related marks.
10. A system for managing usage rules of a medical device, the usage rules including relevant rules regarding reasonable and compliant usage of the medical device, the system comprising:
a rule marking unit for marking each/each group of rules related to the use of the medical instrument in the database according to the source of the rules and the content of the rules;
a rule selecting unit, which is used for selecting a proper rule according to the mark according to the service requirement of the user;
and the rule base generation unit is used for generating the selected rule into a medical instrument use custom rule base meeting the requirements of the user and applying the medical instrument use custom rule base to the intelligent medical system of the user.
11. A management apparatus for medical instrument use rules including rules relating to rationality and compliance of medical instrument use, characterized by comprising:
the rule marking module is used for marking each/each group of medical instruments in the database by using related rules according to the source of the rules and the content of the rules;
the rule selection module is used for selecting a proper rule according to the mark according to the service requirement of the user;
and the rule base generation module is used for generating the selected rules into a user-defined rule base for the medical apparatus meeting the requirements of the user, and applying the user-defined rule base to the intelligent medical system of the user.
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