CN111933242B

CN111933242B - Medicine usage coding information processing method, system, storage medium and terminal

Info

Publication number: CN111933242B
Application number: CN202010806197.3A
Authority: CN
Inventors: 袁冬冬; 陈忠东; 陈灿
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-08-12
Filing date: 2020-08-12
Publication date: 2024-08-06
Anticipated expiration: 2040-08-12
Also published as: CN111933242A

Abstract

The invention belongs to the technical field of intelligent prescription medicine information processing, and discloses a medicine usage coding information processing method, a system, a storage medium and a terminal, wherein usage expressions in a usage knowledge base table are established and directly matched with HIS usage, and a usage code is assigned to the HIS usage; establishing and based on a medicine knowledge base usage table, presetting usage types for all HIS preset usage of each medicine in a hospital, and establishing an HIS medicine usage table; the HIS user can adjust the usage type of each drug for each usage to be user-defined data; after a doctor issues a prescription drug in the HIS, pushing recommended usage in an HIS drug usage table to the HIS for selection by the doctor; when checking and ordering the prescription, whether the prescription belongs to an unreasonable prescription is confirmed according to the comparison of the medicine & usage in the prescription and the usage type of the usage in the HIS medicine usage table. The invention is more convenient, rapid and visual to maintain the related data, and does not need the terminal user to carry out usage correspondence.

Description

Medicine usage coding information processing method, system, storage medium and terminal

Technical Field

The invention belongs to the technical field of intelligent prescription medicine information processing, and particularly relates to a medicine usage coding information processing method, a system, a storage medium and a terminal.

Background

At present, reasonable medication is a constant topic in the medical field. Unreasonable administration can aggravate the primary disease or cause secondary drug-induced diseases, and serious usage or incorrect administration route can lead to death or disability of patients, thereby bringing immeasurable loss to the life health of people. The reasons for the misuse or the medication route include incorrect prescription (order) of doctors, incorrect delivery of medications by pharmacists, incorrect medication by nurses, incorrect medication by patients, etc. Wherein, errors of prescription (doctor's advice) and medical consultation of doctors can be avoided by informatization means, and errors of nurses and patients can be avoided by informatization means under partial conditions. Usage errors or route of administration errors in physician prescribing (order) errors are manifold, including:

1. understanding errors:

The route of administration is not exactly the same as the use, and conventional routes of administration include: oral, parenteral, inhalation, transdermal, sublingual/buccal/oral mucosal, ocular, nasal, vaginal, rectal, intra-luminal infusion, implantation, and the like; the administration rule is more complex than the administration route, and one administration route can comprise a plurality of administration methods, such as administration methods of oral administration route including swallowing, taking with water, containing, decocting and the like; the administration route of injection includes subcutaneous injection, intradermal injection, intramuscular injection, intravenous drip, intravenous bolus injection, arterial injection, cerebrospinal fluid injection, intraperitoneal injection, and the like. A variety of routes of administration are also possible, such as "nebulized" routes of administration may include oral nebulization, nasal nebulization, dermal nebulization, vaginal nebulization, and the like.

The patient or nurse may need to obtain more detailed usage, noted at the time of prescribing, including: 1. time of use: such as before meals, after meals, before sleeping, before and after operation, pain, fever, half an hour before operation, immediately after navel breaking, etc.; 2. the preparation method comprises the following steps: such as decoction, soaking in water, and decocting with milk tea; 3. temperature: such as boiled water infusion, warm water infusion, cold water infusion, etc.; 4. the special materials are as follows: taking ginger water and yellow wine; 5. the operation requirement is as follows: such as deep intramuscular injection, continuous intravenous drip, intramuscular multipoint injection, etc.; 6. the purpose of medication is as follows: such as dialysis, tube sealing, wash-out, etc.; 7. subtle differences in use of the same site of administration: such as painting, wiping, coating film, etc., are among the different uses.

2. The hospital management information system (hereinafter abbreviated as HIS system or HIS) is designed to give more functions or achieve multiple purposes

The usage is a functional operation in the medical advice, and the HIS system is expected to realize multiple functions or achieve multiple purposes in one operation in design, so as to simplify the operation process when a doctor inputs the medical advice, which results in more complex expression of the usage. One function or purpose that an operation is intended to achieve includes:

associated with a charging item: such as intravenous drip (bottle 1), intravenous drip (bottle added), because bottle 1 and bottle added are different for nurses' workload and charging price;

Associated with the formulation site: such as static center (PIVA), single dose drug delivery, etc.;

Associated with the administration site: such as outpatient service, emergency, hospitalization, operating room, endoscope room, CT room, etc.;

The device for use is taken into consideration: such as various pumps, various syringes, light-shielding appliances;

associated with a drug class: such as herbal medicine, chinese medicine injection, etc.

3. Unprofitable preset usage increases redundancy of data

Because of different input habits and different calling methods, the preset usage is not professional enough under the same HIS system, so that a large amount of data redundancy is caused, such as intravenous drip is identical to intravenous infusion and intravenous infusion; intramuscular injection is identical to intramuscular injection; the hemispherical back injection is identical to the spherical side injection; pre-meal oral administration is exactly the same as oral administration (pre-meal); murphy's dropper drop, kettle-in, side tube drop, etc. are all synonymous; the drug Ding Yongfa is present with chinese, such as i.h. with subcutaneous injection, i.m. with intramuscular injection, po with oral administration, etc.

The frequency of administration is included in the usage also in a non-professional preset usage and causes redundancy of data, since in general the frequency of administration is included in another field in the order.

Other factors that contribute to data redundancy also include: the usage method is reversed with the medicine application position, the wrongly written characters are recorded, the usage is expressed by Chinese phonetic alphabet, the punctuation marks are different, the full angle and the half angle are different, and the English is different from the Chinese punctuation marks.

Excessive redundancy of data results in increased potential for misoperation when the physician chooses to use.

4. Non-professional maintenance leads to ambiguity in usage

Preset fuzzy usage causes the patient or nurse to be unable to perform, for example, intravenous injection actually comprises two usage methods of intravenous drip and intravenous push, and intradermal subcutaneous injection comprises two injection methods; the term "external application" includes various methods for external application, such as eye, ear and nose drops, which are used for external application, plaster, coating, smear, wipe, etc., and vaginal and anal applications. Anesthesia includes both general anesthesia and local infiltration anesthesia, as well as surface anesthesia; the vague usage also includes: according to instruction, according to order, conventional usage, special usage, prescription, taking, standby and adding medicine.

The use of only a method without a medication site or a medication site without a method, writing only a use time or a use place without a method, only a surgical name, an inspection name or an operation name without a medicine is also non-professional maintenance which causes confusion of the use.

5. The inability of doctors to use standard usage entirely and accurately when prescribing prescriptions (orders) is a major factor in the error in the route of administration

The inability of a doctor to use standard usage entirely and accurately when prescribing a prescription (order) is for the following reasons in addition to the above reasons: 1. no standard usage in the information system can be selected by doctors; 2. the physician prescribes (orders) for randomness; 3. part of information systems have no preset usage and are randomly recorded by doctors.

The drug delivery and delivery of the pharmacist and the dispensing and administration of the nurse are determined according to the prescription (doctor's advice) usage of the doctor, and once the doctor makes the wrong usage, the medication of the patient is finally wrong, and serious consequences are caused.

For the above reasons, software development enterprises have developed a series of software related to rational medication, such as clinical medication decision support systems, rational medication software, prescription auditing software, prescription review software, and the like. In most cases, the software is developed by a third party other than the HIS system, an interface is required to be made with the HIS system, all rules depend on the knowledge base of the third party software, and standard administration routes and administration methods in the knowledge base, and administration route errors and administration route error judgment depend on comparison of the HIS usage with the administration routes in the knowledge base of the third party, which is required to be realized through the interface between the third party software and the HIS system. The medication route in the hospital HIS system is chaotic, which presents difficulties for a reasonable medication software interface. In the process of interface matching, the usage in the HIS system of the hospital needs to be corresponding (mapped) to the usage or the administration route in the knowledge base, and confusion, redundancy and ambiguity of the usage of the HIS cause great difficulty to the corresponding (mapped) of the usage or the administration route, meanwhile, the newly added usage of the HIS system needs to be corresponding (mapped) to the knowledge base in time, so that timeliness is achieved, and otherwise misjudgment and missed judgment of third party software can be caused. In addition, the current third party software mainly judges that the administration route is incorrect, but the number of correct administration routes in the knowledge base is tens, the maintenance basis is the forbidden administration method or forbidden administration route which are clearly specified in the instruction, and for the fact that the administration route which is not specified in the instruction is incorrect and the administration route which is incorrect in the HIS system due to the error caused by the error under the pen cannot be found, for example, the administration order of the oral medicine is injection, and the administration order of the vaginal medicine is oral, and the like, obvious errors cannot be judged. In addition, there is no knowledge base module in the software that provides recommended usage for HIS systems.

Through the above analysis, the problems and defects existing in the prior art are as follows:

(1) The HIS preset usage is chaotic;

(2) The prior art cannot comprehensively and accurately judge whether the administration route is accurate or not, and cannot judge that the administration route which is not noted in the instruction book is incorrect and the administration route in the HIS system is incorrect due to error under the pen;

(3) At present, a knowledge base module for providing recommended usage for an HIS system is not available in the software;

(4) The maintenance workload of a knowledge base (standard dictionary base) is large;

(5) The corresponding workload of the terminal user is large, and real-time application is difficult to realize.

Disclosure of Invention

Aiming at the problems existing in the prior art, the invention provides a medicine usage coding information processing method, a system, a storage medium and a terminal.

The invention is realized in such a way that a medicine usage code information processing method comprises the following steps:

Step one, collecting a plurality of data sets expressed by HIS preset usage, performing de-duplication, arrangement, classification and coding on the collected data sets, and establishing a usage knowledge base table;

Step two, establishing a medicine knowledge base usage table, and adding usage information related fields to each medicine, wherein the usage information related fields comprise recommended usage code classes, alternative recommended usage code classes, forbidden usage code classes and forbidden usage code classes except for the recommended usage code classes; based on the information in the drug instruction book and other related public data, adding related usage information for each drug in the drug knowledge base usage table;

for each drug adding usage information, a drug knowledge base usage table is established, which comprises the following contents:

the fields of the drug knowledge base usage table at least comprise forbidden usage code class fields and are associated with the drug knowledge base through drug names and/or drug codes;

The recommended usage code class field can also be added in the usage table of the medicine knowledge base;

The forbidden usage code class field can be split to obtain an exclusion forbidden usage code class field;

The recommended usage code class field can be split to obtain alternative recommended usage code class fields;

The drug knowledge base usage table may also include a return value field and a remark field; the remark field is used for explaining the set usage category or is used as a return value in an application link;

The drug knowledge base usage table is detachable into a plurality of sub-tables, including: recommending a usage schedule and a forbidden usage schedule; the sub-table establishes association with a medicine knowledge base through a medicine name and/or a medicine code;

step three, when the terminal is applied, the usage expression in the usage knowledge base table is directly matched with the preset usage of the HIS system, and a usage code is assigned;

step four, when the terminal is applied, assigning usage types to all HIS preset usage of each medicine in the HIS system according to the medicine knowledge base usage table, and establishing an HIS medicine usage table; the usage type comprises recommended usage, alternative recommended usage and forbidden usage information;

Step five, when the terminal is applied, after a doctor issues a prescription drug, pushing a recommended usage or an alternative recommended usage of the drug in the HIS drug usage table to the HIS system for selection by the doctor;

step six, when the terminal is applied, the actual usage of the medicines in the prescription is compared with the forbidden usage and the non-recommended non-forbidden usage in the HIS medicine usage table during prescription auditing or prescription comment, and whether the prescription belongs to an unsuitable administration route is determined as one of the basis of prescription rationality judgment;

And step seven, when the terminal is applied, the HIS system user adjusts the usage type through the interface to become custom data when certain recommended usage, alternative recommended usage and forbidden usage of a certain medicine are unsatisfactory.

In the first step, the usage knowledge base table coding information processing method further includes:

The usage knowledge base table at least comprises two fields of usage codes and usage expressions, and a one-to-one correspondence is established between the usage codes and the usage expressions;

The usage expressions are classified according to meanings of the usage expressions, and each usage expression is classified into different categories of multiple layers according to a drug administration method, a drug administration route, a drug administration part, a special drug administration device, a drug administration time and a drug administration place;

The usage expression assigns usage codes according to different categories, and the code values of the same category usage expression of a certain bit number on the left side of the codes are the same; the more important the classification class represented by each classification class is, the more advanced the code rank is; the size of the code value on the specific level is assigned according to the usage risk size in ascending order or descending order;

the usage expressions are divided into two types of standard usage expressions and non-standard usage expressions; the standard usage expression is assigned with a full digital code; codes expressed by non-standard usage are expressed by numbers + separators + sequence numbers, wherein the numerical parts are the same as the codes expressed by standard usage with the same or similar meaning as the usage expression;

The usage knowledge base table can be added with input codes and remark fields for explaining usage expressions or codes or as return values of application links.

Further, in the second step, the expression method of the usage code class includes:

The expressions of the recommended usage code class, the alternative recommended usage code class, the forbidden usage code class and the excluded forbidden usage code class belong to a code set, wherein the expressions are digits with a certain bit number on the left side of the usage code in a usage knowledge base table, and the range of the digits on the left side of the code is represented by using operators >, <, +.; may also be equal to a particular numerical representation usage code; if a type of code class needs to represent multiple sets in one field of data, the multiple sets are separated by using agreed punctuation marks;

and maintaining each field of the usage table of the medicine knowledge base, and maintaining a certain type of code class of a specific medicine by combining the usage table and the usage code in the usage knowledge base table through information in the medicine specification and other related public data.

Further, in the third step, when the terminal applies, the directly matching the usage expression in the usage knowledge base table with the usage preset in the HIS system includes:

When the HIS system has a preset usage, the HIS preset usage can be directly matched with a usage code with a usage expression field in a usage knowledge base table; the unmatched HIS preset usage directly matches codes after space removal and all punctuation marks are removed by the unmatched HIS preset usage; HIS preset usage that has not yet been matched is matched by the following order: the method comprises the steps of (1) sorting space-removed punctuation marks of usage expression fields in a usage knowledge base table according to the number of characters in an inverted order, searching the fields one by one in unmatched usage, and manually confirming matching after finding; meanwhile, adding the HIS preset usage which cannot be directly matched into a usage knowledge base table;

When the HIS system has no preset usage, pushing standard usage in the usage knowledge base table to the HIS system for the user of the HIS system to select to become the HIS preset usage, and associating usage codes.

In the fourth step, when the terminal is applied, the step of assigning information such as recommended usage, alternative recommended usage, forbidden usage and the like to each drug in the HIS system is as follows:

Firstly, establishing an HIS medicine usage table for each medicine in an HIS system, wherein the fields at least comprise HIS usage, usage codes and usage types; the data source of the HIS usage of each medicine comprises all HIS preset usage, the usage codes are matched usage codes in the fourth step, the usage types are single selections, and the selectable content comprises recommended usage, alternative recommended usage, forbidden usage and null values, wherein the null values represent that the usage is a non-recommended non-forbidden usage;

In the HIS medicine usage table, if the HIS usage code accords with the recommended usage code class condition of the medicine knowledge base usage table, the usage type is the recommended usage; if the HIS usage codes meet the conditions of the alternative recommended usage codes of the drug knowledge base usage table, the usage type is an alternative recommended usage; if the HIS usage code accords with the forbidden usage code class condition of the drug knowledge base usage table, the usage type is forbidden usage; if the HIS usage code is not in the condition of the exclusion forbidden usage code class of the drug knowledge base usage table, the usage type is forbidden usage; if the HIS usage does not meet the conditions, the usage type value is null or a non-recommended non-prohibited usage is assigned.

In the fifth step, when the terminal is applied, the doctor recommends the usage to the doctor when the doctor makes the prescription, and the method comprises the following steps:

After a doctor issues a prescription drug, pushing all HIS usage which is recommended usage or alternative recommended usage according to the type of the drug usage in the HIS drug usage table to an HIS system for selection by the doctor; the doctor can also input the code through inputting, the system provides all non-forbidden usage meeting the condition for the user to select rapidly;

In the sixth step, when the terminal is applied, the steps of checking the prescription or judging the rationality of the prescription comment medicine are as follows:

when checking or ordering the prescription, if the actual usage of the medicines in the prescription belongs to the usage type of the HIS medicine usage table, the prescription belongs to the unsuitable administration route; if the actual usage of the medicines in the prescription belongs to the usage type of the HIS medicine usage table, and is non-recommended and non-forbidden, the prescription possibly belongs to the unsuitable administration route;

in the seventh step, when the terminal is applied, the HIS system user adjusts the usage type through the interface to be the self-defined data when certain recommended usage, alternative recommended usage and forbidden usage of a certain medicine are unsatisfactory, and the method comprises the following steps:

When the user of the HIS system is dissatisfied with the usage types of certain medicines, the user can customize the data by changing the usage type options of the HIS through the interface or changing the usage type options through programs at the position of the interface where the mobile usage is located.

Another object of the present invention is to provide a storage medium for implementing a program for creating a usage knowledge base table and a drug knowledge base usage table, where the storage medium may be a database, a disk, a usb disk, a CD, a DVD-ROM, a cloud, etc., and the computer program stored for implementing the purpose of terminal application causes an electronic device to execute the following steps:

Step one, collecting a plurality of data sets expressed by HIS preset usage, carrying out de-duplication, arrangement, classification and coding on the collected data sets, namely, using codes to express each usage expression, and establishing a usage knowledge base table for information such as usage expression application codes;

Step two, establishing a medicine knowledge base usage table, and adding usage information related fields to each medicine, wherein the usage information related fields comprise recommended usage code classes, alternative recommended usage code classes, forbidden usage code classes except for the recommended usage code classes and the like; for each of the drug knowledge base usage tables, the relevant usage information is added.

Another object of the present invention is to provide a terminal on which the drug usage code information processing system is mounted, the terminal executing the steps of:

step one, when the terminal is applied, directly matching the usage expression in the usage knowledge base table with the preset usage of the HIS system;

Step two, when the terminal is applied, information such as recommended usage, alternative recommended usage, forbidden usage and the like is assigned to each drug in the HIS according to the drug knowledge base usage table, and an HIS drug usage table is established;

Step three, when the terminal is applied, after a doctor issues a prescription drug, pushing a recommended usage or an alternative recommended usage of the drug in the HIS drug usage table to the HIS system for selection by the doctor;

when the terminal is applied, comparing the actual usage of the medicines in the prescription with the forbidden usage and the non-recommended non-forbidden usage in the HIS medicine usage table during prescription auditing or prescription comment, and determining whether the prescription belongs to an unsuitable administration route or not as a basis for prescription rationality judgment;

Fifthly, when the terminal is applied, the HIS system user adjusts the usage type through the interface to become the custom data when certain recommended usage, alternative recommended usage and forbidden usage of a certain medicine are unsatisfactory.

The system for carrying the medicine usage coding information processing can be realized by using Fox, foxpro, pacical, C languages, C++, delphi, net, JAVA, phython and other programming languages and combining WebService with XML.

The invention further aims to provide an application of the medicine usage coding information processing method in judging the rationality of usage in cloud prescription comment, cloud prescription audit or prescription big data analysis, wherein when the cloud prescription comment, cloud prescription audit or prescription big data analysis is performed, if the usage in the prescription is matched with a knowledge base usage table in advance, the medicine usage coding information processing method is used for realizing the prescription comment, the prescription audit and the big data analysis; if the usage codes are not matched in advance, after the prescription is acquired, the usage in each medicine in the prescription is directly matched with the usage expression in the knowledge base usage table, the usage codes are acquired, and the usage codes are compared with the forbidden usage codes or the exclusion forbidden usage codes of the medicine in the medicine knowledge base usage table, so that whether the medicine belongs to the unsuitable administration route is determined.

By combining all the technical schemes, the invention has the advantages and positive effects that: the invention can push the most suitable usage to the HIS system for the doctor to select (front list) when the doctor makes a prescription (doctor's advice); or whether the drug administration route is wrong or not at the time of prescription audit and prescription comment (negative list). The invention relates to a usage coding design scheme, which classifies and designs as many existing usage as possible and uses codes to represent the existing usage as a usage knowledge base table. And maintaining a drug knowledge base usage table according to the drug specification and the usage knowledge base table. When the terminal is applied, the usage expression in the usage knowledge base table is directly matched with the preset usage of the HIS system without manual maintenance; under the condition that the HIS usage is not preset, pushing the usage expressions corresponding to all standard usage codes to the HIS system for selection by a hospital; according to the usage table of the medicine knowledge base, the usage type of all HIS preset usage of each medicine in the HIS system is assigned, and the usage type value comprises information such as recommended usage, alternative recommended usage, forbidden usage, null value (the null value represents that the usage is non-recommended and non-forbidden usage) and the like; after the HIS system issues the prescription drugs, a doctor can select recommended usage or alternative recommended usage list in the HIS drug usage list, and can also rapidly select non-forbidden usage by inputting an input code; when checking or ordering the prescription, comparing the actual usage of the medicines in the prescription with the forbidden usage and the non-recommended non-forbidden usage as one of the basis for judging the rationality of the prescription; when the HIS system user is not satisfied with the usage type set in the HIS drug usage table, the HIS system user may modify the interface into custom data.

Drawings

Fig. 1 is a flowchart of a method for processing medicine usage coding information according to an embodiment of the present invention.

Fig. 2 is a schematic diagram of a method for processing coded information of medicine usage according to an embodiment of the present invention.

Detailed Description

The present invention will be described in further detail with reference to the following examples in order to make the objects, technical solutions and advantages of the present invention more apparent. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.

In view of the problems existing in the prior art, the present invention provides a method, a system, a storage medium, and a terminal for processing coded information of medicine usage, and the present invention is described in detail below with reference to the accompanying drawings.

As shown in fig. 1, the method for processing medicine usage coding information provided by the embodiment of the invention comprises the following steps:

s101, collecting a plurality of data sets expressed by HIS preset usage, performing de-duplication, arrangement, classification and coding on the collected data sets (namely, representing each usage expression by different codes), and establishing a usage knowledge base table.

S102, establishing a medicine knowledge base usage table, and adding usage information related fields to each medicine, wherein the usage information related fields comprise recommended usage code classes, alternative recommended usage code classes, forbidden usage code classes except for the recommended usage code classes and the like; and based on information in the drug instruction book and other relevant public data, relevant usage information is added for each drug in the drug knowledge base usage table.

S103, when the terminal is applied, the usage expression in the usage knowledge base table is directly matched with the preset usage of the HIS system, and a usage code is assigned.

S104, when the terminal is applied, information such as recommended usage, alternative recommended usage, forbidden usage and the like is assigned to each drug in the HIS according to the drug knowledge base usage table, and an HIS drug usage table is established;

S105, when the terminal is applied, after a doctor issues a prescription drug, pushing a recommended usage or an alternative recommended usage of the drug in the HIS drug usage table to the HIS system for selection by the doctor;

s106, comparing the actual usage of the medicines in the prescription with the forbidden usage and the non-recommended non-forbidden usage in the HIS medicine usage table when checking or ordering the prescription during terminal application, and determining whether the prescription belongs to an unsuitable administration way or not as one of the basis of prescription rationality judgment;

S107, when the terminal is applied, the HIS system user adjusts the usage type through the interface to become the custom data when certain recommended usage, alternative recommended usage and forbidden usage of a certain medicine are unsatisfactory.

In step S101, the embodiment of the present invention provides a table field content and table content maintenance method for creating a usage knowledge base table and a partial maintenance example.

The usage knowledge base table at least comprises two fields of usage codes and usage expressions, and a one-to-one correspondence is established between the usage codes and the usage expressions.

The usage knowledge base table can be added with fields such as 'input codes', 'remarks', and the like, so as to explain the usage expression or the codes, or be used as a return value of an application link.

The usage expressions are classified according to their meanings, and each usage expression may be classified into a plurality of different categories according to the administration method, administration route, administration site, special administration device, administration time, administration place, and the like.

The usage expression is used for assigning the usage codes according to different categories, and the same category usage expression has the same code value of a certain bit number on the left side of the codes; the more important the classification class represented by each classification class is, the more advanced the code rank is; the size of the code value on the specific level is assigned according to the usage risk size in ascending order or descending order;

The usage expressions are divided into two types of standard usage expressions and non-standard usage expressions; the standard usage expression is assigned with a full digital code; codes expressed by non-standard usage are represented by numbers + separators + sequence numbers, wherein the numerical parts are the same as the codes expressed by standard usage that the usage means the same or similar.

In step S102, an embodiment of the present invention provides an established usage table of a drug knowledge base, and adds usage information to each drug, including:

The drug knowledge base usage table may also include, but is not limited to, a return value field and a remark field; the remark field is used for explaining the set usage category or is used as a return value in an application link;

The medicine knowledge base usage table can be split into a plurality of sub-tables; comprising the following steps: a recommendation usage table, an alternative recommendation usage table, a prohibition usage table, and an exclusionary prohibition usage table; the sub-table establishes association with a medicine knowledge base through a medicine name and/or a medicine code;

based on information in the drug specifications and other related publications, adding related usage information for each drug in the drug knowledge base usage table includes:

Assigning recommended usage code classes, alternative recommended usage code classes or forbidden usage code classes to each drug in the drug knowledge base usage table;

The expressions of recommended usage code class, alternative recommended usage code class, forbidden usage code class and exclusionary forbidden usage code class belong to a code set, and the expressions can be digits with a certain bit number on the left side of the usage code in a usage knowledge base table, and the range of the digits on the left side of the code is represented by using operators >, <, +.; may also be equal to a particular numerical representation usage code; if a type of code class needs to represent multiple sets in one field of data, the multiple sets are separated by using agreed punctuation marks;

the maintenance of each field of the usage table of the medicine knowledge base can be combined with the usage table and the usage code in the usage knowledge base table through the information in the medicine specification and other related public data to maintain a certain type of code class of a specific medicine.

In step S103, the method for matching the HIS preset usage with the usage knowledge base table and the standard usage in the usage knowledge base table are provided for the non-preset HIS usage.

when the HIS system has no preset usage, standard usage (namely, the usage code is the data of pure numbers) in the usage table of the medicine knowledge base is pushed to the HIS system, so that the user of the HIS system can select the usage to be the HIS preset usage, and the usage code is associated.

In step S104, the steps of providing information such as recommended usage, alternative recommended usage, prohibited usage, etc. for each drug in the HIS system according to the embodiment of the present invention are:

Firstly, establishing an HIS medicine usage table for each medicine in an HIS system, wherein the fields at least comprise HIS usage, usage codes and usage types; wherein the data source of the HIS usage of each drug contains all HIS preset usage, the usage code is the usage code matched in step S103, the usage type is a single choice, and the selectable content includes recommended usage, alternative recommended usage, prohibited usage, and null value (null value represents that the usage is a non-recommended non-prohibited usage).

In the HIS medicine usage table, if the HIS usage code accords with the recommended usage code class condition of the medicine knowledge base usage table, the usage type is the recommended usage; if the HIS usage code accords with the condition of the alternative recommended usage code class of the medicine knowledge base usage table, the usage type is the alternative recommended usage; if the HIS usage code accords with the condition of the forbidden usage code class of the drug knowledge base usage table, the usage type is forbidden usage; if the HIS usage code is not in the condition of the exclusion forbidden usage code class of the drug knowledge base usage table, the usage type is forbidden usage; if the HIS usage does not meet the conditions, the usage type value is null or a non-recommended non-prohibited usage is assigned.

In step S105, the steps for recommending usage to a doctor when the doctor issues a prescription according to the embodiment of the present invention are as follows:

after a doctor prescribes a medicine, pushing the medicine usage type in the HIS medicine usage table to an HIS system for selection by the doctor according to the medicine usage type, and pushing all HIS usage of alternative recommended usage to the HIS system for selection by the doctor if the recommended usage is empty; the doctor can also input the code through inputting, the system provides all non-forbidden usage meeting the condition for the user to select rapidly;

in step S106, the steps for providing prescription auditing or prescription comment administration route rationality judgment according to the embodiment of the present invention are as follows:

When checking or ordering the prescription, if the actual usage of the medicines in the prescription belongs to the usage type of the HIS medicine usage table, the prescription belongs to the unsuitable administration route; if the actual usage of the medicines in the prescription belongs to the type of the usage of the HIS medicine usage table and is a non-recommended non-forbidden usage, the prescription possibly belongs to an improper administration route, is further judged manually, and is correspondingly processed based on a judgment result.

In step S107, when the user of the HIS system is dissatisfied with some recommended usage, alternative recommended usage, or forbidden usage of a certain drug, the method of the present invention includes:

The technical scheme of the invention is further described below with reference to specific embodiments.

Example 1: and establishing the table field content and the maintenance example of the usage knowledge base table.

The invention collects 20000 more than 150 HIS preset usage of hospitals, and the 5500 more than 5500 usage expression is remained after the duplication elimination and the arrangement.

The above-mentioned administration forms are classified into 9 kinds according to practical situations, namely injection, aseptic site, sublingual, oral, inhalation, ear-nose-throat-oral, wound-skin external, urinary system/female genital system/rectum and others, and the 1 st place of the codes of the administration is 1-9 in turn.

The definition and the code of the usage expression are illustrated by the injection usage of class 1, and the meanings represented by the first 3 codes and the usage expression are respectively as follows: 101 subcutaneous injection, 102 intradermal injection, 103 intramuscular injection, 104 intravenous injection, 105 arterial injection, 106 intracranial injection, 107 local injection anesthesia, 108 intraocular injection, 110 oral injection, 111 aural injection, 112 nasal injection, 120-129 tissue and organ internal injection, 130-139 pleuroperitoneal and subserosal injection, 140-149 bone joint and synovial cavity internal injection, 150-159 various local injections, 160-169 acupoint injection, 170-179 closure, 180-189 other injections, 190-199 non-canonical injection methods.

Further details and codes for 104 intravenous injection are represented by the first 4-digit codes and the usage expressions: 1041 intravenous drip, 1042 Murphy's dropper drop, 1043 intravenous bolus, 1044 intravenous anesthesia, 1045 dialysis and blood purification, 1049 irregular intravenous injection.

Further details and codes are given for 1043 intravenous bolus injection, and the first 5-bit codes and the meaning represented by the usage expression are respectively: 10430 pressurized intravenous bolus, 10431 slow intravenous bolus, 10432 micropump intravenous bolus, 10433 foam test use, 10434 cost related intravenous bolus, 10435 injection site related intravenous bolus, 10436 chemotherapeutic drug intravenous bolus, 10437 administration site related intravenous bolus (clinic, emergency, hospitalization, etc.), 10438 administration time related intravenous bolus.

The above subdivision may be followed by further subdivision and assignment of a digital code of a subsequent digit number.

When all the usage expressions are classified into the types which cannot be subdivided or the types which cannot be subdivided have no application value, one of the usage expressions is selected as a standard usage expression for each type of usage expression, for example, 1042 "mafic dropper drop" is a standard usage expression, and the expressions of mafic dropper drop, murphy dropper drop, mofic dropper drop, murphy dropper drop, intravenous injection [ into a kettle ], intravenous drip (into a hopper), intravenous side tube administration, small addition kettle, intravenous into a kettle and the like have the same meanings as those of "mafic dropper drop", so that standard usage codes 1042 and separators are used (representing alternative usage), and the codes of the above non-standard usage are respectively assigned to 1042T0, 1042T1, 1042T2, 1042T3, 1042T 4.

All 5500 more than one usage expression and usage code coding of the usage knowledge base table are completed through the above process.

The input codes in the usage knowledge base table are directly expressed by using each usage expression Chinese phonetic initial.

The usage of the table of the usage knowledge base is partially expressed in practical application, and needs to be described in remark fields because the usage does not meet the requirements of relevant standards, such as usage specification, conventional usage, light-shielding treatment, treatment and the like, which are prohibited by regulations of regulations such as prescription management methods and the like, and the usage can be maintained as 'usage ambiguity and need clear usage' in remarks, and the remarks can also be endowed with 'usage ambiguity and need clear usage' as return values when prescription critique or prescription audit use the usage.

The usage expressions, usage codes, input codes, remarks described above may be used as fields of the usage knowledge base table.

Example 2: establishment of usage table of medicine knowledge base and maintenance instance of usage code class

The drug knowledge base usage table contains fields including: drug name and/or drug code, recommended usage code class, alternative recommended usage code class, prohibited usage code class, except prohibited usage code class. If the drug name or drug code is used as the table name of the drug knowledge base usage table, the drug name or drug code field is not required.

The maintenance method of each field will be described below by taking pamidronate disodium injection as an example.

The usage amount of the instruction book is as follows: intravenous administration: diluted in 0.9% physiological saline or 5% glucose solution without calcium ion. The intravenous drip is carried out slowly for more than 4 hours, the concentration is not more than 15mg/125ml, and the dripping speed is not more than 15-30 mg/2 hours. 30-60 mg of the medicine is taken once.

The usage keyword is "intravenous drip", and in the usage knowledge base table, codes and usage expressions which can represent "intravenous drip" include: 1041010 (slow intravenous infusion, slow instillation.) 1041602 (slow infusion pump in, slow pump in.) wherein x represents the code followed by other content such as non-standard usage expressions and separators thereof, the recommended usage code class for the drug is "l= 1041010; l= 1041602 "(L represents that the number on the left side of the code coincides with the number behind the" = "number, the following is the same), and the number portion indicating the left side of the usage code can be used as the recommended usage code as long as it coincides with the above two codes. Since the usage expression may not be included in some HIS preset usage, it is necessary to use an intravenous drip type as an alternative usage, i.e., the code type is "l=1041", and all the usage in the code type can be understood as "intravenous drip", so that the problem that the drug usage knowledge base cannot be used due to insufficient HIS maintenance code is avoided.

The use method is ' intravenous drip ' and the intravenous push injection and the murphy dropper drop-in intravenous medication speed is higher, and intravenous anesthesia, dialysis and blood purification are not suitable use methods of pamidronate disodium injection, so the use method of the medicine should avoid intravenous push injection, murphy dropper drop-in and the like, and the forbidden use codes are ' L=1042; l=1043; l=1044; l=1045 ".

Since the medicine is an injection, the price is high, the toxicity is high, and other administration routes except vascular administration are not optimal administration routes, so the medicine is not suitable for other administration methods except intravenous administration, and codes except forbidden administration methods can be maintained as' L=104; l=9 "means that the administration other than intravenous administration and other administration is prohibited, wherein l=9 belongs to other administration routes such as" standby "and the like are common in hospital order administration, and thus other administration should not be taken as prohibited.

Example 3: the usage expression in the usage knowledge base table is directly matched with the HIS preset usage example:

The usage expression in the usage knowledge base table is from more than 5500 kinds of HIS preset usage in total of 150 hospitals, but in general, about 100 HIS preset usage of one hospital is included in the usage expression, most of the preset usage commonly used by the HIS can be directly matched, but a certain hospital may have few usage which are not present (usually not more than 10%) in the usage expression of the usage knowledge base table, and the problem needs to be solved.

The solution method comprises the following steps: for the HIS preset usage which cannot be corresponded, firstly, space and punctuation marks are removed by expressing the HIS preset usage and the usage in the usage knowledge base table, and then matching is carried out, so that the problem that the space and punctuation marks cannot be matched due to inconsistency of the type of the space and the punctuation marks of the HIS preset usage and the expression of the usage in the usage knowledge base table can be avoided.

The parts which cannot be matched through the above process are sorted according to the number of characters in an inverted order by removing space and punctuation marks from the usage expression fields in the usage knowledge base table, searching is contained in the unmatched usage one by using the fields, and matching is confirmed manually after the searching (the purpose of inverted order sorting is to describe longer content in the unmatched usage as much as possible by using the usage expression, so that the content is more likely to have similarity).

Data that fails to match needs to be added to the usage knowledge base table in order to be able to match directly when the same HIS usage occurs in other hospitals.

And synchronously copying the contents such as the input codes, remarks and the like in the usage knowledge base table according to the matched usage codes.

Example 4: assigning recommended usage, alternative recommended usage, prohibited usage instances to each drug in the HIS system

Firstly, an HIS medicine usage table is established, and the fields at least comprise HIS usage, usage codes and usage types.

The data source for the HIS usage for each drug in the HIS drug usage table contains all HIS preset usage and its code (which has been matched to the HIS drug usage table).

The usage type is a single choice, and the selectable content includes recommended usage, alternative recommended usage, prohibited usage, and null values (null values represent that the usage is a non-recommended non-prohibited usage).

The data maintenance of the usage type field is carried out by comparing the usage code class of each medicine with the code of the HIS preset usage in the medicine knowledge base usage table, and the specific method is as follows: if the HIS usage codes in the HIS drug usage table accord with recommended usage code class conditions of the drug knowledge base usage table, the usage type is recommended usage; if the HIS usage codes meet the conditions of the alternative recommended usage codes of the drug knowledge base usage table, the usage type is an alternative recommended usage; if the HIS usage code accords with the forbidden usage code class condition of the drug knowledge base usage table, the usage type is forbidden usage; if the HIS usage code is not in the condition of the exclusion forbidden usage code class of the drug knowledge base usage table, the usage type is forbidden usage; if the HIS usage does not meet the various conditions described above, the usage type value is null (otherwise referred to as non-recommended non-prohibited usage).

Still take pamidronate disodium injection as an example for further explanation (the following is automatically realized by the program), the logic is as follows:

Establishing a pamidronate disodium injection usage table, adding all HIS preset usage into an HIS usage field of the table, adding corresponding usage codes into the usage code field, and searching for a code field meeting L= 1041010; the usage code of l= 1041602 "may include 1041602T0 intravenous infusion (slow pump in), 1041010 slow intravenous drip, 1041010T2 intravenous infusion continuation point (slow), these usage types being selected as" recommended usage "; since the alternative recommended usage code class is "l=1041", the usage type of all the usages with 4 bits 1041 on the left side of all the codes is selected as "alternative recommended usage"; since the forbidden usage code class is "l=1042; l=1043; l=1044; l=1045 ", and the usage type of all the usages where the left 4 bits of all the codes are 1042, 1043, 1044, 1045 is selected as" prohibited recommended usage ". Since the exclusion prohibition use code class is "l=104; l=9 ", and the usage type of all the usages in which the number of bits 3 on the left side of the code is not equal to 104 and the number of bits 1 on the left side of the code is not equal to 9 is selected as" recommended use prohibited ".

Example 5: recommending usage instances to a doctor when the doctor prescribes

After the doctor prescribes the medicine, displaying the recommended usage list of all the usage types of the medicine in the HIS medicine usage list for the doctor to select.

If the recommended usage of the drug in the HIS drug usage table does not exist, displaying a list of all usage types of the drug as alternative recommended usage types for selection by doctors.

If the doctor is not satisfied with the recommended usage or the alternative recommended usage, the doctor can also input the code, and the system provides all the usage which meets the conditions for the doctor to select, but does not contain the forbidden usage, namely the non-forbidden usage (whether the doctor can select the non-recommended non-forbidden usage or not, and the application system is determined by the user through the switch setting).

When a doctor opens pamidronate disodium injection, the list display recommended usage includes "intravenous infusion (slow pumping)", "slow intravenous drip", "intravenous infusion continuation point (slow)" for selection by the doctor, and since "recommended usage" is not empty, the usage of "usage type=alternative recommended usage" is not displayed in the list.

The physician may also enter an "input code" at the interface, such as CXJMDZ, and the list displays all of the uses for which the input code meets CXJMDZ (but does not include "use type = no use"), such as "continuous intravenous drip", "continuous intravenous drip (first bottle)", "continuous intravenous drip (bottle-in)", and the like, for the physician to choose from.

Example 6: rationality judgment basis example in prescription comment and prescription audit

In order to examine or comment the prescription, if the usage of the medicine in the prescription is the "forbidden usage" in the HIS medicine usage table, the usage is judged to be the wrong usage, and the rationality is judged to be the unsuitable administration route.

When checking or ordering the prescription, the medicine prescribed in the prescription is pamidronate disodium injection, if the usage in the prescription is intravenous injection, the usage type of the intravenous injection in the HIS usage table of the pamidronate disodium injection is forbidden, so that the usage can be judged as unsuitable administration route; similarly, if the formulation is used by "intramuscular", "subcutaneous", "oral", "inhalation", "topical" etc., the route of administration is not appropriate.

In another case, if the usage of pamidronate disodium injection in the prescription is "standby", since the code of the usage is 923, the usage is neither prohibited nor recommended or alternatively recommended in the HIS drug usage table, in which case the user determines whether the usage is unsuitable according to the specifications of the hospital; in another case, if the usage in the prescription is "for instruction book", since the usage code is 9501, the usage table of HIS medicine is neither prohibited nor recommended nor alternatively recommended, and it is necessary to judge whether the usage is unsuitable for the administration route by the user, but since the usage is clearly indicated in the usage knowledge base table as "usage is clearly indicated", the usage is clearly indicated and copied in the HIS usage table, and therefore "usage is clearly indicated" is required to be pushed to the user, and it is judged by the user which type of unreasonable prescription belongs to.

Example 7: user-defined usage

Still further describing pamidronate disodium injection (the following is implemented automatically by user operation and program), the logic is:

The method comprises the following steps: changing usage type attribute in interface to achieve the purpose of self-defining

The HIS usage and usage types of all pamidronate disodium injection are displayed in a list in an interface, wherein the usage type of 104161T4 intravenous drip (precise infusion set) is an alternative recommended usage, the HIS user hopes that the HIS user is used as the recommended usage, the HIS user only needs to change the attribute of the usage type into the recommended usage, and the recommended usage when a doctor prescriptes after preservation is divided into the original intravenous infusion (slow pumping) "," slow intravenous drip "," intravenous infusion continuous point (slow) ", and the intravenous drip (precise infusion set) is added in the list. Similarly, the "104162 insulin pump in" original usage type in the list is "alternative recommended usage", and after the user can set the usage as "prohibited usage" and save the usage, if the usage of the pamidronate disodium injection prescribed by the user is "insulin pump in" in the prescription audit or prescription comment, the medical advice is judged to belong to the unsuitable administration route.

The second method is as follows: changing the position of usage in a list in an interface to achieve the purpose of customization

When the user-defined usage is needed, all the usages of the pamidronate disodium injection are listed in a list 4 according to the attribute of the usage type, namely a recommended usage list, an alternative recommended usage list, a non-recommended non-prohibited usage list and a prohibited usage list, if the user wants to change 'silent drop (precision transfusion) in the alternative recommended usage list into the recommended usage, the user only needs to drag the' silent drop (precision transfusion) in the alternative recommended list into the recommended usage list. Likewise, "insulin pump in" in the alternative recommended usage list may also be dragged into the prohibited usage list. After the operation is finished, the operation is stored, and the method can be applied in real time when the prescription is checked and evaluated.

Example 8 application in cloud prescription critique, cloud prescription audit or usage rationality judgment in prescription big data analysis

When the cloud prescription is criticized, the cloud prescription is checked and the big data of the prescription are analyzed, if the usage in the prescriptions is matched with the usage table of the knowledge base in advance, the methods can be used for realizing the prescription criticizing, the prescription checking and the big data analysis. If the usage codes are not matched in advance, after the prescription is acquired, the usage in each medicine in the prescription is directly matched with the usage expression in the knowledge base usage table, the usage codes are acquired, and the usage codes are compared with the forbidden usage codes or the exclusion forbidden usage codes of the medicine in the medicine knowledge base usage table, so that whether the medicine belongs to the unsuitable administration route is determined.

The invention discloses a software design scheme based on a medicine usage coding system, which is used for pushing the most applicable method to a HIS system for a doctor to select (a positive list) when the doctor makes a prescription (doctor's advice); or judging whether the medicine is used incorrectly (negative list) during prescription auditing and prescription comment. The method comprises the following steps: ① Establishing a usage knowledge base table: the method comprises the steps of sorting, classifying and classifying enough HIS preset usage expressions, and representing each usage expression by codes, wherein the usage expressions can be associated with the administration route. ② A medicine knowledge base usage table is established by using information in public materials such as medicine specifications and the like, and information such as a recommended usage code class, an alternative recommended usage code class, a forbidden usage code class or an exclusion forbidden usage code class, a return value and the like is given to each medicine usage. ③ When the usage information is corresponding to (mapped by) the HIS system, enough usage expressions in the usage knowledge base table can be directly matched with most of preset usage of the HIS system of any hospital; or the HIS preset usage is expressed directly using standard usage in the usage knowledge base table. ④ When a doctor utilizes the HIS system to prescribe (doctor's advice), once a specific medicine is prescribed, the medicine knowledge base usage table can push the recommended usage or alternative recommended usage of the medicine for the HIS system, or the doctor selects the non-forbidden usage through a usage input code, and the hospital can also change the preset recommended usage, alternative recommended usage, non-recommended non-forbidden usage and forbidden usage of each medicine into a custom usage. ⑤ When the HIS system or the third party software is used for checking and ordering prescriptions, the usage in the prescription (medical advice) of a doctor is judged whether the administration route is unsuitable or not by using a drug knowledge base usage table or a custom usage, and proper subsequent treatment is given.

It should be noted that the embodiments of the present invention can be realized in hardware, software, or a combination of software and hardware. The hardware portion may be implemented using dedicated logic; the software portions may be stored in a memory and executed by a suitable instruction execution system, such as a microprocessor or special purpose design hardware. Those of ordinary skill in the art will appreciate that the apparatus and methods described above may be implemented using computer executable instructions and/or embodied in processor control code, such as provided on a carrier medium such as a magnetic disk, CD or DVD-ROM, a programmable memory such as read only memory (firmware), or a data carrier such as an optical or electronic signal carrier. The device of the present invention and its modules may be implemented by hardware circuitry, such as very large scale integrated circuits or gate arrays, semiconductors such as logic chips, transistors, etc., or programmable hardware devices such as field programmable gate arrays, programmable logic devices, etc., as well as software executed by various types of processors, or by a combination of the above hardware circuitry and software, such as firmware.

The foregoing is merely illustrative of specific embodiments of the present invention, and the scope of the invention is not limited thereto, but any modifications, equivalents, improvements and alternatives falling within the spirit and principles of the present invention will be apparent to those skilled in the art within the scope of the present invention.

Claims

1. A medicine usage code information processing method, characterized in that the medicine usage code information processing method includes:

The drug knowledge base usage table is detachable into a plurality of sub-tables, including: a recommendation usage table, an alternative recommendation usage table, a prohibition usage table, and an exclusionary prohibition usage table; the sub-table establishes association with a medicine knowledge base through a medicine name and/or a medicine code;

step three, when the terminal is applied, the usage expression in the usage knowledge base table is directly matched with the preset usage of the hospital management information system, and a usage code is assigned;

step four, when the terminal is applied, assigning usage types to all HIS preset usage of each medicine in the HIS system according to the medicine knowledge base usage table, and establishing an HIS medicine usage table; the usage type value comprises recommended usage, alternative recommended usage and forbidden usage;

Step seven, when the terminal is applied, the user of the HIS system adjusts the usage type through an interface to become custom data when certain recommended usage, alternative recommended usage and forbidden usage of a certain medicine are unsatisfied;

The usage expression assigns usage codes according to different categories, and the same category usage expresses that the code values of a certain bit number on the left side of the codes are the same; the more important the classification class represented by each classification class is, the more advanced the code rank is; the size of the code value on the specific level is assigned according to the usage risk size in ascending order or descending order;

2. The method of processing medication use code information according to claim 1, wherein in the second step, the method of expressing the use code class includes:

The expressions of the recommended usage code class, the alternative recommended usage code class, the forbidden usage code class and the excluded forbidden usage code class belong to a code set, wherein the expressions are digits with a certain bit number on the left side of the usage code in a usage knowledge base table, and the range of the digits on the left side of the code is represented by using operators >, <, +.; or equal to a particular numerical representation usage code; if a type of code class needs to represent multiple sets in one field of data, the multiple sets are separated by using agreed punctuation marks;

3. The method for processing medicine usage coded information according to claim 1, wherein in the third step, when the terminal uses, the directly matching the usage expression in the usage knowledge base table with the HIS system preset usage includes:

4. The medicine usage code information processing method according to claim 1, wherein in the fourth step, when the terminal is applied, the recommended usage, the alternative recommended usage, and the usage prohibition information are assigned to each medicine in the HIS system, which includes:

firstly, establishing an HIS medicine usage table for each medicine in an HIS system, wherein the fields at least comprise HIS usage, usage codes and usage types; the data source of the HIS usage of each medicine comprises all HIS preset usage, the usage codes are matched usage codes in the third step, the usage types are single selections, and the selectable content comprises recommended usage, alternative recommended usage, forbidden usage and null value, wherein the null value represents that the usage is a non-recommended non-forbidden usage;

In the HIS medicine usage table, if the HIS usage code accords with the recommended usage code class condition of the medicine knowledge base usage table, the usage type is the recommended usage; if the HIS usage codes meet the conditions of the alternative recommended usage codes of the drug knowledge base usage table, the usage type is an alternative recommended usage; if the HIS usage code accords with the forbidden usage code class condition of the drug knowledge base usage table, the usage type is forbidden usage; if the HIS usage code is not in the condition of the exclusion forbidden usage code class of the drug knowledge base usage table, the usage type is forbidden usage; if the HIS usage does not meet the various conditions, the usage type value is null or a non-recommended non-prohibited usage is assigned.

5. The medicine usage code information processing method according to claim 1 or 4, wherein in the fifth step, the step of recommending usage to a doctor when a doctor prescribes the terminal application is:

After a doctor issues a prescription drug, pushing all HIS usage which is recommended usage or alternative recommended usage according to the type of the drug usage in the HIS drug usage table to an HIS system for selection by the doctor; by inputting the input codes, the doctor provides all non-forbidden usages meeting the conditions for the user to select quickly.

6. The method for processing coded information of medicine usage according to claim 1 or 4, wherein in the sixth step, when the terminal uses, the step of checking the prescription or evaluating the rationality of the medicine is:

When checking or ordering the prescription, if the actual usage of the medicines in the prescription belongs to the usage type of the HIS medicine usage table, the prescription belongs to the unsuitable administration route; if the actual usage of the medicine in the prescription belongs to the usage type of the HIS medicine usage table, the prescription possibly belongs to the unsuitable administration route and needs to be confirmed manually.

7. The method for processing medicine usage coded information according to claim 1 or 4, wherein in step seven, when the user of the HIS system is dissatisfied with certain recommended usage, alternative recommended usage, or forbidden usage of a certain medicine in the end application, the user-defined data is obtained by adjusting the usage type through an interface, and the method comprises the steps of:

8. A storage medium for implementing a program for creating a usage knowledge base table, a drug knowledge base usage table, the storage medium being a database, a magnetic disk, a U-disk, a CD, a DVD-ROM, a cloud, and a computer program stored for the purpose of implementing a terminal application, for causing an electronic device to execute the steps of any one of claims 1-7, comprising:

Step one, collecting a plurality of data sets expressed by HIS preset usage, carrying out de-duplication, arrangement, classification and coding on the collected data sets, namely, using codes to express each usage expression, using code information on the usage expressions, and establishing a usage knowledge base table;

Step two, establishing a medicine knowledge base usage table, and adding usage information related fields to each medicine, wherein the usage information related fields comprise recommended usage code classes, alternative recommended usage code classes, forbidden usage code classes and forbidden usage code classes except for the recommended usage code classes; and adding related usage information for each drug in the drug knowledge base usage table.

9. A terminal carrying the drug use code information processing method according to any one of claims 1, 3 to 7, wherein the terminal performs the steps of:

Step two, when the terminal is applied, a recommended usage, alternative recommended usage and forbidden usage information are assigned to each drug in the HIS according to the drug knowledge base usage table, and an HIS drug usage table is established;

fifthly, when the terminal is applied, the user of the HIS system adjusts the usage type through an interface to become custom data when certain recommended usage, alternative recommended usage and forbidden usage of a certain medicine are unsatisfied;

The system for processing the coded information of the carried medicine usage can be realized by Fox, foxpro, pacical, C languages, C++, delphi, net, JAVA, phython programming languages and WebService combined with XML.

10. Use of the method for processing medicine usage coding information according to any one of claims 1-7 in judging rationality of usage in cloud prescription review, cloud prescription audit or prescription big data analysis, wherein the usage in the prescription is matched with a knowledge base usage table in advance when the cloud prescription review, cloud prescription audit or prescription big data analysis is performed, and the method for processing medicine usage coding information is used for realizing the prescription review, prescription audit and big data analysis; if the usage codes are not matched in advance, after the prescription is acquired, the usage in each medicine in the prescription is directly matched with the usage expression in the knowledge base usage table, the usage codes are acquired, and the usage codes are compared with the forbidden usage codes or the exclusion forbidden usage codes of the medicine in the medicine knowledge base usage table, so that whether the medicine belongs to the unsuitable administration route is determined.