KR20150063659A - Clinical decision supporting system - Google Patents

Abstract

The present invention relates to a system for providing support information for clinical decision making using various data such as check results, vital signs, appeal contents, and an observation opinion of a patient. According to the present invention, a decision making support system for a medical team comprises: a patient information input unit to input basic information of a patient; a patient information inquiry unit to control medical records of the patient with the inputted basic information of the patient; a support work control unit to control work to provide data for supporting decision making by being connected to the patient information input unit and the patient information inquiry unit; a rule definition unit to define decision making rules related to a treatment or a measure for the patient by being connected to the support work control unit; and a process execution unit to execute a process for supporting decision making based on the rules defined in the rule definition unit. The present invention can establish an appropriate measure and a treatment plan for the patient and can expect a technology effect to improve the quality of medical services.

Description

Clinical decision supporting system for medical staff {

More particularly, the present invention relates to a technique for providing information for helping decision-making when preparing a treatment plan for a patient or for prescribing a prescription, and more particularly, To a system for providing support information for clinical decision making using various data such as observation findings.

Today, technological advances in medical computation have been dramatic. The inspection result data extracted from various inspection equipments provides information to the user in real time, and using this information, the information is displayed to the medical staff in an appropriate form.

However, the diagnosis of the condition of the patient and the proper treatment are not made only by such information. You need to know more information that can not be measured numerically, such as the patient's complaint, the patient's appearance, and the guardian's statement.

However, since it is difficult to grasp the patient's condition only by the result of a specific test, it is necessary to synthesize various types of test results or to derive the results by various formulas such as the ABGA test values. However, in the conventional medical system, And the treatment plan of the patient is determined according to the individual ability of the medical staff. Therefore, there is a problem that it is difficult to secure accuracy and reliability in providing the medical service.

In order to solve such a problem, as described in Korean Patent Registration No. 10-0800977 (2008.01.29), based on information on the health state of a patient, it is determined whether or not the patient has suffered from a specific disease, Clinical Decision Support System (CDSS), which can support the judgment of patients, has been developed variously. However, until now, technologies to judge patients' condition and support appropriate treatment and prescription actions It is a fact that it is not.

Korean Registered Patent Publication No. 10-0800977B1, Jan. 29, 2008, page 6, page 8.

The object of the present invention is to provide a decision support system for a medical staff according to the present invention, which is based on an electronic medical record system, And to provide a system for executing a decision process based on defined rules for support.

Another object is to apply the observation information of the medical staff, the observations of the patient, and the observation information of the patient caregiver to the decision support work including the observation input section.

Another goal is to define rules for decision support, including rules definition, and to manage defined rules.

Another object is to apply a combination of a comparison condition and a logic condition, including a rule rule part.

Another object is to define a factor to be used as a variable when executing a process according to a rule rule, further including a function definition part.

Another object of the present invention is to provide a rule service application section so as to apply decision support rules in other programs.

Another object is to further manage content for decision support, including a content management unit.

A decision support system for a medical staff according to the present invention includes a patient information input unit for inputting basic information of a patient, a patient information inquiry unit for controlling the patient's medical record as basic information of the inputted patient, A rule definition unit that is connected to the inquiry unit and controls an operation of providing data for decision support; a rule definition unit that is connected to the support operation control unit and defines a decision rule rule for treatment or treatment for the patient; And a process execution unit for executing a process for decision support based on a rule rule defined in the rule definition unit.

In addition, the decision support system for the medical staff according to the present invention is connected to the support task control unit, and inputs observation information inputting at least one of information of the patient observation, the observation of the patient, And further comprising:

Further, in the decision support system for a medical staff according to the present invention, the rule defining unit may include a rule list unit for listing a rule list defined in advance, a setting for defining a selected rule, And a rule rule unit for defining a value setting unit and a rule rule.

Further, in the decision support system for a medical staff according to the present invention, the rule rule unit includes a comparison condition part for comparing the condition of the rule rule and a logical condition part for logically determining the rule rule condition, Is defined as the above-mentioned comparison condition.

In addition, the decision support system for a medical staff according to the present invention is characterized by further comprising a feature defining unit connected to the support task controller and defining a factor used as a variable when a process according to a rule rule is executed.

Further, the decision support system for a medical staff according to the present invention is characterized in that the decision support system further comprises a rule service application unit connected to the support job control unit and connecting the rule rules when calling for execution of rule rules in another program .

Further, the decision support system for a medical staff according to the present invention is characterized by further comprising a content management unit connected to the support job control unit and managing contents for decision support.

As described above, the decision support system for the medical staff according to the present invention is based on the electronic medical record system, and matches the patient's medical records and executes the decision process based on the defined rules for decision support By applying complex data on the patient's condition, it is possible to provide data that can be helpful in making decisions for patient treatment or treatment, thereby enabling appropriate medical treatment and treatment planning to be established for each patient, The quality of service can be greatly improved.

In addition, an accurate patient condition can be considered by applying the patient observation observation of the medical staff, the observation findings of the patient carrier, and the observation information of the patient guardian to the decision support work.

In addition, it is possible to provide an optimal decision support rule suitable for an actual medical situation by defining rules for decision support and applying various rule rules to user-defined rules.

In addition, when a process is executed according to a rule rule, the effect is defined and the system can be managed in a systematic manner.

In addition, by managing content for decision support and systematically managing processes according to contents, it is possible to provide various contents to the medical staff and to expand the area where decision support data can be applied.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a block diagram showing the entire configuration of a decision support system for a medical staff according to the present invention; FIG.
FIG. 2 is a diagram illustrating a detailed configuration of a rule defining unit in a decision support system for a medical staff according to the present invention. FIG.
FIG. 3 and FIG. 4 are diagrams illustrating a decision support system for a medical staff according to the present invention, showing operation of a comparison condition part and a logical condition part of a rule rule part;
5 is a diagram illustrating a decision support system for a medical staff according to the present invention, showing an operation of a rule defining unit according to execution of rule rules;
6 is an exemplary screen showing a detailed configuration of a feature definition unit in a decision support system for a medical staff according to the present invention;
FIG. 7 is a diagram illustrating a decision support system for a medical staff according to an embodiment of the present invention. FIG. 7 is an example screen showing another program reference operation for operation of a rule service application unit. FIG.
FIG. 8 is an exemplary screen showing a detailed configuration of a content management unit in a decision support system for a medical staff according to the present invention; FIG.
FIG. 9 is a diagram showing a detailed configuration of a content process management unit in a decision support system for a medical staff according to the present invention; FIG.
FIG. 10 is a diagram illustrating a decision support system for a medical staff according to the present invention, illustrating an operation of a process connection unit. FIG.
11 is a diagram showing a detailed configuration of a decision process management unit in a decision support system for a medical staff according to the present invention.
12 is a diagram illustrating an example of a decision support system for a medical staff according to the present invention, showing an operation of an item management unit.

Hereinafter, a detailed description will be made for a decision support system for a medical staff according to the present invention.

FIG. 1 is a block diagram illustrating the entire configuration of a decision support system for a medical staff according to the present invention. The system includes a patient information input unit 10, a support operation control unit 20, a patient information inquiry unit 30, A rule defining unit 50, a process executing unit 60, a function defining unit 70, a rule service applying unit 80, a content managing unit 90, and a decision process managing unit 100.

The patient information input unit 10 inputs basic patient information and transmits the basic information to the support operation control unit 20. At this time, the basic information of the patient includes patient information such as age, sex, name, family history, It can contain basic information that can be inquired.

The support operation control unit 20 transmits basic patient information inputted through the patient information input unit 10 to the patient information inquiry unit 30 and displays the patient information inquired through the patient information inquiry unit 30 And controls the operation of matching and providing data for decision support.

The patient information inquiry unit 30 is connected to the support operation control unit 20 to inquire the medical record of the patient inputted on the electronic medical record system and displays the vital signs and the test results Information, and the like.

The observation input unit 40 is connected to the support operation control unit 20 and inputs at least one or more of the patient observation information of the medical staff, the observation information of the patient transporter, and the statement information of the patient protector. Observation Finding According to the Observation Finding Input Unit 40, various data capable of grasping the patient's state other than the medical record of the patient can be applied to the decision support work.

The rule defining unit 50 defines a decision rule rule related to treatment or treatment for a patient, and the rule defining unit 50 according to the present invention is connected to the support operation control unit 20, A setting value setting unit 52 for defining a selected rule and setting a default setting value of the selected rule, and a rule rule unit 53 for defining a rule rule, .

3 and 4, in defining a rule rule, the rule rule unit 53 according to the present invention includes a comparison condition unit 531 for comparing conditions and a rule rule condition And a logical condition part 532 for logically judging.

In the embodiment of the present invention, the comparison condition part 531 is a combination of a conditional expression such as! = (Not equal), == (same case), <(small case) = (Less than or equal to), comparison types compare values to compare with input values, comparison of SQL result values comparing structured query language (SQL) query execution results, and other rule invocation To compare the result values of the rules.

In the embodiment of the present invention, the logical condition unit 532 can apply logic such as NOT, AND, and OR in the logical condition region. In the present invention, when defining rules of a rule, Is defined as a comparison condition.

When a rule rule is defined in this manner, the rule rule process determines true and false result values according to the results of the comparison condition and the logical condition condition, and the rule definition unit 50 sets the behavior type and the rating type .

In the present invention, the rule defining unit 50 is defined according to behavior types such as no action, attribute value setting, Alert call, other rule call, SQL call, etc., and the user of another link program defines .

The process execution unit 60 executes a process for decision support based on the rule rules defined in the rule definition unit.

The feature definition unit 70 is connected to the support task control unit and defines a factor to be used as a variable when a process according to a rule rule is executed. The feature definition unit 70 according to the present invention is shown in FIG. 5 As shown in the figure, the apparatus includes a feature list unit 71 for providing a list of predefined effects, and a feature editing unit 72 for defining the definition of the feature and further editing the new feature.

In the embodiment of the present invention, the feature has a data type, and the data type is composed of String, integer, double, datetime, and Boolean.

The rule service application unit 80 is connected to the support job control unit 20 and connects the rule rules when calling for execution of rule rules in another program. In the embodiment of the present invention, As indicated, the rules are coded (81) in the program after reference in the program to be applied.

The content management unit 90 is connected to the support job control unit 20 and manages content for decision support. The content management unit 90 according to the present invention registers A content list unit 91 for providing a list of managed content, a content information unit 92 for managing at least one or more information of the name, version, use history, and change history information of the content, And a content process management unit 93.

In the present invention, the content process management unit 93 includes a process connection unit 931, a process repeat execution unit 932, and a preceding execution unit 933, as shown in FIG.

The process connection unit 931 adds a process of the content or controls a connection order as shown in FIG. 10, and the process repeat execution unit 932 repeatedly executes the process of the content, Is specified, a process is repeatedly executed a specified number of times.

The pre-executing unit 933 examines whether the process of the content can be executed before execution of the content, and confirms the execution and the result of the process only when the precondition is true.

The decision process management unit 100 is connected to the support task control unit 20 to manage a process for supporting decision support, and the decision process management unit 100 according to the present invention is configured as shown in FIG. 11 The process information section 12, and the item management section 130, as shown in FIG.

The process list unit 110 provides a list of processes, and the process information unit 12 manages basic information including version, name, use and specified rule information of the process, Manages the object information defining the object variable name so that it can be used before, and manages the changed version history information of the process.

The item management unit 13 adds or deletes items of the process and the item management unit 13 according to the present invention registers the title of the process, the name of the scene, the display status, the readability, the input type, A conditional expression, and a query.

In the present invention, the title is an information title (item) provided to the user or a question displayed to the medical staff, and the effect name is a name of the object variable name according to the effect name designated by designating the effect name defined by the effect definition unit 70 Is determined, and whether or not the display is determined is determined by whether or not the added item is displayed to the user. If the calculation is calculated by the internal logic, the display state is set to 'No'.

The information is provided to the medical staff whether or not to read, but when the user specifies that the item can not be changed, the attribute is set to 'Yes'. In the embodiment of the present invention, the corresponding input type includes 'direct input', 'query input', 'object column input', 'conditional expression input', etc. Four types are provided.

The control control is activated when the input type is 'direct input', 'object column input', or 'query input', and defines a method to be displayed to the user. In the embodiment of the present invention, , 'Combo box', 'radio button', and 'label'.

The object variable name designates a default value to be provided to the medical staff when the input type is' object column input ', and the object selects the object defined by the above-described' object information ', and the conditional expression is' ', And in the embodiment of the present invention, all of the conditional expressions used in the Excel function, which is the MS office program, are available.

The query provides a query statement capable of querying data when the input type is 'query input', and the comment is an item provided to describe information about other items.

As described above, when the decision support system for the medical staff according to the present invention is applied, based on the electronic medical record system, the patient's medical record is matched, and decision based on defined rules for decision support By executing the process, complex data on the patient's condition can be applied, thereby providing data that can be helpful in making decisions for patient treatment or treatment.

In addition, through the decision support system, appropriate medical treatment and treatment plan can be established for each patient, and the quality of medical service can be greatly improved.

While the present invention has been described with reference to the exemplary embodiments, it is to be understood that the invention is not limited to the disclosed exemplary embodiments, and that various changes and modifications may be made without departing from the scope of the present invention.

10: patient information input unit 20: support operation control unit
30: Patient information inquiry unit 40: Observation finding input unit
50: rule defining section 51: rule list section
52: setting value setting unit 53: rule rule unit
531: comparison condition part 532: logical condition part
60: Process execution unit 70:
71: a feature list section 72: a picture editing section
80: Rule Service Application Unit 90: Content Management Unit
91: contents list section 92: contents information section
93: Content Process Management Unit 931: Process Connection Unit
932: Process repeat execution unit 933:
100: Decision process management section 110: Process list section
120: Process information section 130: Item management section
200: Decision Support System

Claims (14)

A patient information input unit for inputting basic information of the patient;
A patient information inquiry unit for controlling the medical record of the patient based on inputted basic information of the patient;
A support task controller connected to the patient information input unit and the patient information inquiry unit and controlling an operation of providing data for decision support;
A rule defining unit connected to the support task control unit and defining a decision rule rule relating to treatment or treatment for the patient,
And a process execution unit for executing a process for decision support based on a rule rule defined in the rule definition unit.
The method according to claim 1,
Further comprising an observation input unit for inputting at least one or more pieces of information associated with the support task control unit, the information including at least one of a patient observation observation of a medical staff, an observation observation of a patient carrier, and a statement of a patient guardian, Support system.
The method according to claim 1,
The rule-
A list of rules that lists pre-defined rule lists;
A setting value setting unit for defining a selected rule, defining a selected rule and setting a default setting value, and
And a rule rule unit for defining the rule rule.
The method of claim 3,
The rule-
A comparison condition part for comparing the condition of the rule rule and a logical condition part for logically judging the rule rule condition,
Wherein the at least one comparison condition is defined as at least one comparison condition in one logical condition.
5. The method of claim 4,
The rule-
And determines the true and false result values according to the result of the comparison condition part and the logical condition part defined in the rule rule part and provides the behavior type and the grade type according to true and false results. .
The method according to claim 1,
Further comprising a factor defining unit connected to the support task control unit and defining a factor to be used as a variable when executing a process according to a rule rule.
The method according to claim 6,
The effect definition unit,
A feature list portion for providing a list of predefined effects, and
And a picture editing unit for setting definition contents of the pictures and further editing the new pictures.
The method according to claim 1,
Further comprising a rule service application unit connected to the support job control unit and connecting the rule rule when calling for execution of a rule rule in another program.
The method according to claim 1,
And a content management unit connected to the support task control unit and managing contents for decision support.
10. The method of claim 9,
The content management unit,
A content list unit for providing a list of content managed and managed;
A content information section for managing information of at least one of name, version, use status, and change history information of the content;
And a content process management unit for managing a process connected to each content.
11. The method of claim 10,
The content-
A process connection unit for adding a process of the content or controlling connection order;
A process repetition executing section for repeatedly executing the process of the content;
And a pre-execution unit for reviewing a pre-condition of the process before executing the process of the content.
The method according to claim 1,
And a decision process management unit connected to the support task control unit and managing a process for decision support.
13. The method of claim 12,
Wherein the decision process management unit comprises:
A process list portion providing a list of processes;
A process information section for managing basic information, object information, and version history information of at least one of a version, a name, a use state, and specified rule information of the process,
And an item management unit for managing the addition or deletion of items of the process.
14. The method of claim 13,
The item management unit,
Wherein at least one of information on a title of a process, a name of a process, a display name, a read or not, an input type, a control control, an object variable name, a conditional expression, and a query is managed.

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