WO2018000770A1

WO2018000770A1 - Medical assistance system and method based on clinical pathway

Info

Publication number: WO2018000770A1
Application number: PCT/CN2016/111163
Authority: WO
Inventors: 张贯京
Original assignee: 深圳市前海安测信息技术有限公司
Priority date: 2016-07-01
Filing date: 2016-12-20
Publication date: 2018-01-04
Also published as: CN106156497A

Abstract

A medical assistance system and method based on a clinical pathway, the method comprising the following steps: acquiring patient information (S10); matching clinical pathway information corresponding to a target disease from a pre-established clinical pathway database according to the target disease (S20); correcting clinical pathway decision information of the patient based on the clinical pathway information corresponding to the target disease and the patient information (S30); and monitoring implementation of the clinical pathway decision information of the patient based on the clinical pathway decision information (S40). In this method, during guiding the diagnosis and treatment using the clinical pathway information, the actual case is combined with the clinical pathway information when the patient has a specific condition to correct the clinical pathway information so as to form the clinical pathway decision information of the patient, thereby achieving an optimized treatment of the actual case, and in the implementation of clinical pathway decision information, the implementation of each node is monitored to effectively control costs of medical care, to reduce medical expenses and to improve the utilization of medical resources according to different conditions of the patient.

Description

Title: Invention Name: Medical Assistance System and Method Based on Clinical Pathway

[0001] The present invention relates to the field of medical information technology, and in particular, to a medical assistance system and method based on a clinical path.

Background technique

[0002] With the continuous development of population and medical information, how to effectively control medical costs, reduce medical expenses, and improve the utilization of medical resources have become the norm in ensuring medical quality and clinician productivity. The common goal of government agencies, medical institutions and insurance agencies. The clinical pathway is to establish a standardized treatment model and treatment procedure for a certain disease, which plays an important role in regulating medical behavior, improving medical quality, controlling medical costs, and optimizing medical service procedures. It has been widely used in hospital management at home and abroad. Applications. As a standardized treatment model, the clinical pathway has been widely used in medical institutions. However, due to the different medical treatment data of patients, their responses to medical services will be different due to individual differences in the implementation of clinical pathways. The clinical pathway needs to be dynamically adjusted for different patients to be able to cope with different patient situations.

technical problem

[0003] The main objective of the present invention is to provide a medical assistance system and method based on a clinical path, which aims to solve the problem that the clinical path and the patient information are not organically combined in the existing medical information system, and cannot be effectively controlled according to different conditions of the patient. Medical costs, reduced medical costs, and improved technical utilization of medical resources.

Problem solution

Technical solution

To achieve the above object, the present invention provides a medical pathway-based medical assistance system.

[0005] The clinical path-based medical assistance system includes a patient information acquisition module, a clinical path information acquisition module, a clinical path correction module, and a clinical path execution monitoring module, wherein:

[0006] the patient information acquisition module is configured to acquire patient information;

[0007] The clinical path information acquisition module is configured to use a pre-established clinical path database according to a target disease Matching clinical path information corresponding to the target disease;

[0008] the clinical path correction module is configured to correct the clinical path decision information of the patient according to the patient information and the clinical path information corresponding to the target disease;

[0009] The clinical path execution monitoring module is configured to monitor the implementation of the clinical path decision information of the patient according to the clinical path decision information.

[0010] Preferably, the patient information includes vital signs information related to the target disease and demographic characteristics information of the patient.

[0011] Preferably, the patient information acquisition module includes a vital sign information acquisition sub-module and a demographic information acquisition sub-module, wherein:

[0012] the vital sign information acquisition sub-module is configured to acquire clinical information of the patient, and extract physical sign information related to the target disease from the clinical information of the patient;

[0013] The demographic information acquisition sub-module is configured to acquire demographic characteristics information of the patient, and the demographic characteristic information of the patient includes at least a patient's name, gender, date of birth, and medical record number.

[0014] Preferably, the clinical path execution monitoring module is further configured to dynamically monitor a fee state during the execution of the clinical path.

[0015] Preferably, the clinical path correction module is specifically configured to:

[0016] determining whether the vital sign information in the patient information is within a threshold range, and if so, the clinical path information corresponding to the target disease is the clinical path decision information of the patient; if not, correcting the clinical corresponding to the target disease Path information, and the corrected clinical path information is used as the clinical path decision information of the patient.

[0017]

[0018] The present invention also provides a medical pathway-based medical assistance method.

[0019] the clinical path-based medical assist method is applied to a doctor workstation, the method comprising the following steps: [0020] acquiring patient information;

[0021] matching a clinical path corresponding to the target disease from a pre-established clinical path database according to the target disease;

[0022] correcting the clinical path decision information of the patient according to the patient information and the clinical path information corresponding to the target disease [0023] monitoring the clinical path decision information execution status of the patient according to the clinical path decision information.

[0024] Preferably, the patient information includes vital signs information related to the target disease and demographic characteristics information of the patient.

[0025] Preferably, the step of acquiring patient information includes:

Obtaining clinical information of the patient, and extracting physical information related to the target disease from the clinical information of the patient

[0027] Obtaining demographic characteristics information of the patient, the demographic characteristic information of the patient includes at least a name, a sex, a date of birth, and a medical record number of the patient.

[0028] Preferably, the clinical path-based medical assistance method further comprises the steps of:

[0029] Dynamically monitoring the cost status during the execution of the clinical pathway.

[0030] Preferably, the step of modifying the clinical path decision information of the patient according to the patient information and the clinical path information corresponding to the target disease comprises:

[0031] determining whether the vital sign information in the patient information is within a threshold range, and if so, the clinical path information corresponding to the target disease is the clinical path decision information of the patient; if not, correcting the clinical corresponding to the target disease Path information, and the corrected clinical path information is used as the clinical path decision information of the patient.

Advantageous effects of the invention

Beneficial effect

[0032] Compared with the prior art, the clinical path-based medical assistant system and method provided by the present invention can use the clinical path information to guide the diagnosis and treatment process, and the actual case and the clinical path information can be Combine, modify the clinical path information to form the patient's clinical path decision information, realize the optimal treatment of the actual case, and monitor the implementation of each node during the implementation of the clinical path decision information, which can be effective according to different conditions of the patient Control medical costs, reduce medical expenditures, and improve the utilization of medical resources.

Brief description of the drawing

DRAWINGS

1 is a schematic diagram of functional modules of a preferred embodiment of a medical pathway-based medical assistance system according to the present invention; 2 is a schematic flow chart of a preferred embodiment of a medical pathway-based medical assistance method according to the present invention.

BEST MODE FOR CARRYING OUT THE INVENTION

The specific embodiments, structures, features and utilities of the present invention are described in detail below with reference to the accompanying drawings and preferred embodiments. It is understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.

[0036] In order to achieve the object of the present invention, the present invention provides a medical auxiliary system and method based on a clinical path, which is connected in a database by connecting various doctor workstations and databases of various departments in the entire hospital through a hospital information network. Unified storage of standardized clinical path information. After the actual case is diagnosed and treated in a specific department, the patient's patient information is collected through the doctor's workstation, and the target disease of the actual case is determined by the patient information, so that the corresponding clinical path information can be imported into the doctor workstation for guiding diagnosis and treatment. An example implementation of the clinical pathway information is implemented. In the process of guiding the diagnosis and treatment, various standardized clinical path documents are provided to remind the medical staff of important contents and links that cannot be missed in the medical treatment activities. The clinical pathway-based medical assistance system can use the clinical path information to guide the diagnosis and treatment process, and can combine the actual case with the clinical path information to modify the clinical path information to form the clinical path decision information of the patient during the patient's specific diagnosis and treatment. , to achieve optimal treatment of the actual case, and monitor the implementation of each node in the process of clinical path decision information implementation

It can effectively control medical costs, reduce medical expenses, and improve the utilization of medical resources according to different conditions of patients.

[0037]

Referring to FIG. 1, FIG. 1 is a schematic diagram of functional modules of a preferred embodiment of a clinical pathway-based medical assistance system according to the present invention.

The clinical pathway-based medical assistance system 10 provided by the present invention runs in a doctor workstation 1 which is a computer having communication and information processing capabilities, including but not limited to a portable computer or a desktop computer. The doctor workstation 1 further includes a storage unit 12, a processing unit 14, and a communication unit 16.

[0040] The storage unit 12 may be a read only storage unit ROM, an electrically erasable storage unit EEPRO M, a flash storage unit FLASH or a solid hard disk. The processing unit 14 can be a central office Central Processing Unit (CPU), microcontroller (MCU), data processing chip, or information processing unit with data processing function. The communication unit 16 is a wireless communication interface or a wired interface with remote communication functions, for example, wireless or communication technologies supporting GSM, GPRS, WCDMA, CDMA, TD-SCDMA, WiMAX, TD-LTE, FDD-LTE, etc. Wired communication interface

[0041] In the present embodiment, the clinical pathway-based medical assistance system 10 includes a patient information acquisition module 101, a clinical pathway information acquisition module 102, a clinical pathway correction module 103, and a clinical pathway execution monitoring module 104. A module referred to in the present invention refers to a series of computer program instruction segments that can be executed by the processing unit 14 and that are capable of performing a fixed function, which are stored in the storage unit 12.

[0042] The patient information obtaining module 101 is configured to acquire patient information, where the patient information includes vital signs information related to the target disease and demographic characteristics information of the patient. The patient information acquisition module 101 includes a vital information acquisition sub-module 1011 and a demographic information acquisition sub-module 1012.

[0043] The vital sign information obtaining sub-module 1011 is configured to acquire clinical information of the patient, and extract vital sign information related to the target disease from the clinical information of the patient. Specifically, the clinical information of the patient is obtained from a medical information system that is in communication with the doctor's workstation 1. It includes the sign information of the patient's visit, the information of the test result after the necessary examination, and the doctor's diagnosis information about the patient's disease. The doctor's disease diagnosis information for the patient includes the target disease.

[0044] Further, the clinical pathway-based medical assistance system 10 further includes a disease database in which a mapping relationship between the target disease and the vital sign information is stored. The disease database can be pre-established, and the mapping between target disease and vital signs information in the disease database can be synchronized during the operation of the clinical pathway-based medical assistance system 10. For example, adding new target diseases and vital signs related to the target disease, or increasing or decreasing the information about the existing target disease-related signs, makes the disease database more accurate as a basis for disease diagnosis. The vital sign information acquisition sub-module 1011 uses the target disease of the patient as a key to match the vital sign information related to the target disease from the disease database, and further extracts the vital sign information related to the target disease from the clinical information of the patient. Sign information is a necessary condition for disease diagnosis.

[0045] The demographic information acquisition sub-module 1012 is configured to acquire demographic characteristics information of the patient. Specifically, the demographic characteristics of the patient include at least the patient's name, gender, date of birth, and medical record number. The last name The name, gender, and date of birth are created in the patient's first electronic medical record, and the patient's medical record number is created. Preferably, the information is stored in the patient's visit card. Before the patient's subsequent visits, the demographic information of the patient's holding card is read by the card reader, and the patient's visit is generated in the clinical pathway-based medical assistant system 10, and the patient can also be recorded. The consumption situation of each visit and the diagnosis results. As the storage capacity of the visit card increases, more and more information can be stored in the visit card. Preferably, only the patient's demographic information is recorded in the medical card to identify the patient's identity.

[0046] The clinical path information obtaining module 102 is configured to match the clinical path information corresponding to the target disease from the pre-established clinical path database according to the target disease. Specifically, the mapping relationship between the target disease and the clinical path information is stored in the clinical path database. The clinical path information obtaining module 102 matches the clinical path information corresponding to the target disease from the clinical path database with the target disease as a keyword, and presents the information to the doctor in the form of a flowchart or a node map.

[0047] The clinical path correction module 103 is configured to correct the clinical path decision information of the patient according to the patient information and the clinical path information corresponding to the target disease. Specifically, the clinical path correction module 103 determines whether the vital sign information in the patient information is within a threshold range. If yes, the patient belongs to the general patient, and the clinical path correction module 103 sets the clinical path information corresponding to the target disease. As the patient's clinical pathway decision information. If not, it indicates that the patient's vital sign information is beyond the scope of the general patient's vital sign information, and the clinical path correction module 103 corrects the clinical path information corresponding to the target disease. The threshold range refers to a threshold range of corresponding vital sign information set according to doctor experience and target disease information. Secondly, when correction is needed, the clinical path correction module 103 provides the doctor with a way to correct the clinical path information, and uses the corrected clinical path information as the clinical path decision information of the patient. Specifically, in the flowchart or the node diagram, the process module or the node module may be added, deleted or modified to flexibly modify the clinical path information according to the patient information. It can be understood that the clinical path correction module 103 sets some important process modules or node modules to be freely modified or deleted. If modification or deletion is required, the superior personnel need to be approved. Avoiding the doctor's random modification of clinical path information leads to misdiagnosis or misjudgment.

[0048] The clinical path execution monitoring module 104 is configured to monitor the implementation of the clinical path decision information of the patient according to the clinical path decision information, so as to ensure that the medical staff cannot be missed in the medical activity. Content and links. Specifically, the clinical path execution monitoring module 104 determines whether the corresponding medical activity item in the corresponding inter-day interval is executed according to a predetermined order in the clinical path decision information. If there is a corresponding item that is not executed within the specified interval, a reminder message is displayed on the display of the doctor workstation 1. For items that have already been completed, a tick (or other means) indicates that execution has been performed, while an unfinished item is left blank to indicate a reminder. Preferably, the clinical pathway execution monitoring module 104 may also deepen or color different fonts of outstanding items. Specifically, different medical treatment items are assigned to different performers for execution. Once a certain medical treatment item is completed, the corresponding performer will tick the corresponding item, and the clinical path execution monitoring module 104 automatically synchronizes the execution status of the item, and then The executed prompt information is displayed on the display screen of the doctor workstation 1, and the completed project execution result is stored in the storage unit 12, such as an inspection report, a medication record, a disease record, and the like.

[0049] In addition, the clinical pathway execution monitoring module 104 is also used to dynamically monitor the cost status during the execution of the clinical pathway. The clinical path execution monitoring module 104 compares the actual cost value with the corresponding cost reference value in the storage storage unit 12, and if there is a difference, displays the information of the cost difference on the display screen of the doctor workstation 1 so that the doctor can analyze the difference. And if there is a problem, you can correct it.

[0050] The clinical pathway-based medical assistant system provided by the present invention can combine the actual case with the clinical path information and correct the clinical path information to form the patient during the process of using the clinical path information to guide the diagnosis and treatment. The patient's clinical path decision information realizes the optimal treatment of the actual case, and monitors the implementation of each node during the implementation of the clinical path decision information, and can effectively control the medical cost and reduce the medical expenses according to the different conditions of the patient. Improve the utilization of medical resources.

[0051]

In another aspect of the invention, a method corresponding to the above-described clinical pathway-based medical assistance system is provided.

Referring to FIG. 2, FIG. 2 is a schematic flow chart of a preferred embodiment of a medical pathway-based medical assistance method according to the present invention.

[0054] In this embodiment, the clinical path-based medical assistance method runs in the doctor workstation 1, and the method includes the following steps:

[0055] S10: Obtain patient information. [0056] The patient information includes vital signs information related to the target disease and demographic characteristics information of the patient. Specifically, the vital information acquisition sub-module 1011 in the patient information acquisition module 101 acquires clinical information of the patient, and extracts vital sign information related to the target disease from the clinical information of the patient. The clinical information of the patient is obtained from a medical information system that is in communication with the doctor workstation 1 . It includes the sign information of the patient's visit, the information of the test result after passing the necessary examination, and the doctor's diagnosis information about the patient's disease. The doctor's disease diagnosis information for the patient includes the target disease.

[0057] Further, a mapping relationship between the target disease and the vital sign information is stored in the disease database. The disease database can be pre-established, and the mapping relationship between the target disease and the vital information in the disease database can be synchronized during the operation of the method. For example, adding new target diseases and physical signs related to the target diseases, or increasing or decreasing the information about the existing target disease-related signs, makes the disease database more accurate as a basis for disease diagnosis. Using the target disease of the patient as a key, the vital information related to the target disease is matched from the disease database, and the vital signs related to the target disease are extracted from the clinical information of the patient, and the vital signs are used as a necessary condition for disease diagnosis. .

[0058] The demographic information acquisition sub-module 1012 in the patient information acquisition module 101 acquires demographic characteristics information of the patient. Specifically, the demographic characteristics of the patient include at least the patient's name, gender, date of birth, and medical record number. The name, gender, and date of birth are created in the patient's first electronic medical record, and the patient's medical record number is created. Preferably, the information is stored in the patient's visit card. Before the patient's subsequent visits, the demographic information of the patient's medical card is read by the card reader, and the patient's consumption and diagnosis can be recorded during the time of the visit. Results, etc. As the storage capacity of the visit card increases, more and more information can be stored in the visit card. Preferably, only the patient's demographic information is recorded in the medical card to identify the patient's identity.

[0059] S20: matching the clinical path information corresponding to the target disease from the pre-established clinical path database according to the target disease.

[0060] Specifically, the mapping relationship between the target disease and the clinical path information is stored in the clinical path database.

The clinical path information obtaining module 102 matches the clinical path information corresponding to the target disease from the clinical path database with the target disease as a keyword, and presents it to the doctor in the form of a flowchart or a node map.

[0061] S30: correcting the clinical path of the patient according to the patient information and the clinical path information corresponding to the target disease Policy information.

Specifically, the clinical path correction module 103 determines whether the vital sign information in the patient information is within a threshold range, and if so, indicating that the patient belongs to a general patient, the clinical path correction module 103 uses the clinical path information corresponding to the target disease as The patient's clinical pathway decision information. If not, it indicates that the patient's physical information exceeds the range of the general patient's vital information, and the clinical path information corresponding to the target disease needs to be corrected. The threshold range refers to a threshold range of corresponding vital information set according to doctor experience and target disease information. Secondly, when correction is required, the clinical path correction module 103 provides the physician with a means to correct the clinical path information and uses the corrected clinical path information as the clinical path decision information for the patient. Specifically, in the flowchart or the node diagram, the process module or the node module may be added, deleted or modified to flexibly modify the clinical path information according to the patient information. It can be understood that the clinical path correction module 103 sets certain important process modules or node modules so as not to be modified or deleted at will. If it is necessary to modify or delete, it needs to be approved by the superior. Avoiding the doctor's random modification of clinical path information leads to misdiagnosis or misjudgment.

[0063] S40: Monitor the implementation of the clinical path decision information of the patient according to the clinical path decision information.

[0064] Specifically, the clinical path execution monitoring module 104 determines whether the corresponding medical activity item in the corresponding inter-day interval is executed according to a predetermined order in the clinical path decision information. If there is a corresponding item that is not executed within the specified interval, a reminder message is displayed on the display of the doctor workstation 1. For items that have already been completed, a tick (or other means) indicates that execution has been performed, while an unfinished item is left blank to indicate a reminder. Preferably, the clinical pathway execution monitoring module 104 may also deepen or color different fonts for outstanding items. Specifically, different medical treatment items are assigned to different performers for execution. Once a certain medical treatment item is completed, the corresponding performer will tick the corresponding item, and the clinical path execution monitoring module 104 automatically synchronizes the execution status of the item, and then The executed prompt information is displayed on the display screen of the doctor workstation 1, and the completed project execution result is stored in the storage unit 12, such as an inspection report, a medication record, a disease record, and the like.

[0065] In addition, the clinical pathway execution monitoring module 104 also dynamically monitors the cost status during the execution of the clinical pathway. The clinical path execution monitoring module 104 compares the actual cost value with the corresponding cost reference value in the storage storage unit 12, and if there is a difference, displays the information of the cost difference on the display screen of the doctor workstation 1 so that the doctor can analyze the difference. And if there is a problem, you can correct it. [0066] The clinical path-based medical assistant method provided by the present invention can combine the actual case with the clinical path information to correct the clinical path information to form the patient during the process of using the clinical path information to guide the diagnosis and treatment. The patient's clinical path decision information realizes the optimal treatment of the actual case, and monitors the implementation of each node during the implementation of the clinical path decision information, and can effectively control the medical cost and reduce the medical expenses according to the different conditions of the patient. Improve the utilization of medical resources.

[0067]

The above is only a preferred embodiment of the present invention, and is not intended to limit the scope of the invention, and the equivalent structure or equivalent function changes made by the description of the present invention and the contents of the drawings, or directly or indirectly applied to other related The technical field is equally included in the scope of patent protection of the present invention.

Industrial applicability

[0069] Compared with the prior art, the clinical path-based medical assistant system and method provided by the present invention can use the clinical path information to guide the diagnosis and treatment process, and the actual case and the clinical path information can be Combine, modify the clinical path information to form the patient's clinical path decision information, realize the optimal treatment of the actual case, and monitor the implementation of each node during the implementation of the clinical path decision information, which can be effective according to different conditions of the patient Control medical costs, reduce medical expenditures, and improve the utilization of medical resources.

Claims

Claim

A medical pathway-based medical assistance system running in a doctor workstation, wherein the clinical pathway-based medical assistance system comprises a patient information acquisition module, a clinical pathway information acquisition module, a clinical path correction module, and a clinical path execution monitoring a module, wherein: the patient information acquisition module is configured to acquire patient information; the clinical path information acquisition module is configured to match clinical path information corresponding to the target disease from a pre-established clinical path database according to the target disease; The correction module is configured to modify the clinical path decision information of the patient according to the patient information and the clinical path information corresponding to the target disease; the clinical path execution monitoring module is configured to monitor the implementation of the clinical path decision information of the patient according to the clinical path decision information .

The clinical pathway-based medical assistance system according to claim 1, wherein the patient information includes vital signs information related to the target disease of the patient and demographic characteristic information of the patient.

The clinical path-based medical assistance system according to claim 2, wherein the patient information acquisition module includes a vital sign information acquisition sub-module and a demographic information acquisition sub-module, wherein: the vital sign information acquisition sub-module is used for Obtaining clinical information of the patient, and extracting vital information related to the target disease from the clinical information of the patient; the demographic information acquisition sub-module is configured to acquire demographic characteristics information of the patient, where the demographic characteristic information of the patient includes at least the patient's Name, gender, date of birth, and medical record number.

The clinical pathway-based medical assistance system of claim 1, wherein the clinical pathway execution monitoring module is further for dynamically monitoring a cost status during clinical path execution.

The clinical path-based medical assistance system according to claim 1, wherein the clinical path correction module is specifically configured to: determine whether the vital sign information in the patient information is within a threshold range, and if yes, the target disease corresponds to The clinical path information is the clinical path decision information of the patient; if not, the clinical path information corresponding to the target disease is corrected, and the corrected clinical path information is used as the clinical path decision information of the patient. A medical pathway-based medical aid method for use in a doctor workstation, characterized by The method includes the following steps: acquiring patient information; matching clinical path information corresponding to the target disease from a pre-established clinical path database according to the target disease; and correcting the clinical path of the patient according to the patient information and the clinical path information corresponding to the target disease Decision information; monitoring the clinical path decision information execution of the patient according to the clinical path decision information.

[Claim 7] The clinical pathway-based medical assistance method according to claim 6, wherein the patient information includes vital information related to the target disease of the patient and demographic characteristic information of the patient.

[Claim 8] The clinical path-based medical assistance method according to claim 7, wherein the step of acquiring patient information comprises: acquiring clinical information of the patient, and extracting the target disease from the clinical information of the patient Relevant vital information; obtaining demographic characteristics information of the patient, the demographic characteristic information of the patient includes at least a patient's name, gender, date of birth, and medical record number.

[Claim 9] The clinical pathway-based medical assistance method according to claim 6, wherein the clinical pathway-based medical assistance method further comprises the step of: dynamically monitoring a fee status during clinical path execution.

[Claim 10] The clinical path-based medical assistance method according to claim 6, wherein the step of modifying the clinical path decision information of the patient according to the patient information and the clinical path information corresponding to the target disease comprises: determining Whether the vital sign information in the patient information is within a threshold range, and if so, the clinical path information corresponding to the target disease is the clinical path decision information of the patient; if not, correcting the clinical path information corresponding to the target disease, and The corrected clinical path information is used as the clinical path decision information of the patient.