WO2020082799A1

WO2020082799A1 - Data analysis-based medical treatment information processing method, device, equipment and medium

Info

Publication number: WO2020082799A1
Application number: PCT/CN2019/095034
Authority: WO
Inventors: 车惯红
Original assignee: 平安医疗健康管理股份有限公司
Priority date: 2018-10-27
Filing date: 2019-07-08
Publication date: 2020-04-30
Also published as: CN109524098A

Abstract

Disclosed by the embodiments of the present application are data analysis-based medical treatment information processing method, device, equipment and medium, the method comprising: acquiring medical treatment information associated with a target medical consumable; obtaining historical characteristic data of the abnormal use of the target medical consumable according to historical medical treatment information, and screening out target medical treatment information from the medical treatment information according to the historical characteristic data; determining whether the target medical consumable is abnormally used or not according to the target medical treatment information; and flagging the target medical information when determined that the target medical consumable is abnormally used. Thus, the abnormal use of the medical consumable may be automatically identified so as to achieve effective management of medical consumables.

Description

Medical treatment information processing method, device, equipment and medium based on data analysis

This application requires the priority of the Chinese patent application submitted to the China Patent Office on October 27, 2018, with the application number 201811265502.1 and the application name "Data analysis-based medical information processing methods, devices, equipment and media", all of its content Incorporated by reference in this application.

Technical field

The present application relates to the medical technology field, and in particular, to medical treatment information processing methods, devices, equipment, and media based on data analysis.

Background technique

With the continuous advancement of medical technology and the continuous improvement of the level of medical services, the types of medical consumables are also increasing year by year. The rational use of medical consumables can shorten the treatment time of patients and reduce the pain of patients. However, the unreasonable application of medical consumables has become an important factor that triggers medical accidents, aggravates the economic burden of patients, and affects the economic benefits of hospitals. At present, hospitals mainly review the medical information provided by patients through manual review to review the use of medical consumables to reduce the unreasonable application of medical consumables. However, manual review is time-consuming and laborious.

Summary of the invention

Embodiments of the present application provide a medical information processing method, device, equipment, and medium based on data analysis, which can automatically and conveniently identify abnormal use of medical consumables based on the medical information to achieve effective management of medical consumables.

In a first aspect, an embodiment of the present application provides a medical information processing method based on data analysis. The method includes:

Obtain medical information related to the target medical consumable, the medical information includes at least any one or more of the following: the name of the target medical consumable, the encoding value of the target medical consumable, the time of the visit, and the target medical consumable The charging time, diagnosis and treatment items, the use of the target medical consumables and the name of the disease;

Acquiring historical feature data of the abnormal use of the target medical consumable according to historical visit information, and filtering out target visit information from the visit information according to the historical feature data;

Judging whether there is an abnormal use of the target medical consumable according to the target medical information;

When it is determined that there is an abnormal use of the target medical consumable, the target medical information is marked.

In a second aspect, an embodiment of the present application provides a medical information processing device, which includes:

The obtaining module is used to obtain the medical information associated with the target medical consumables, the medical information includes at least any one or more of the following: the name of the target medical consumables, the encoding value of the target medical consumables, the time of the medical visit, the The charging time of the target medical consumables, diagnosis and treatment items, the amount of use of the target medical consumables, and the name of the disease; obtaining historical characteristic data of abnormal use of the target medical consumables according to the historical consultation information.

The screening module is configured to filter out target medical information from the medical information based on the historical feature data.

The judging module is used to judge whether there is an abnormal use of the target medical consumable according to the target medical information.

The labeling module is configured to label the target medical information when it is determined that there is an abnormal behavior of using the target medical consumable.

In a third aspect, an embodiment of the present application provides another medical management device, the device includes: a processor and a memory, the processor and the memory are interconnected; wherein the memory stores one or more instructions, The one or more instructions are suitable to be loaded by the processor and execute the following steps:

According to a fourth aspect, an embodiment of the present application provides a computer-readable storage medium, including: the computer-readable storage medium stores one or more instructions, the one or more instructions are suitable for being loaded and executed by a processor The following steps:

In the embodiments of the present application, the target medical information is used to determine whether there is an abnormal use of medical consumables, which can automatically and conveniently identify the abnormal use of medical consumables, and can improve the efficiency of identifying abnormal use of medical consumables and reduce medical management equipment Resource consumption; by identifying the medical information when it is determined that there is abnormal use of the target medical consumable, so that the doctor can timely understand which patients have abnormal use of the target medical consumable according to the label, so as to take remedial measures and reduce the probability of medical accidents .

BRIEF DESCRIPTION

In order to more clearly explain the embodiments of the present application or the technical solutions in the prior art, the following will briefly introduce the drawings required in the embodiments. Obviously, the drawings in the following description are only some of the applications For the embodiment, for those of ordinary skill in the art, without paying any creative labor, other drawings may be obtained based on these drawings.

1 is a schematic flowchart of a method for processing medical information based on data analysis provided by an embodiment of the present application;

2 is a schematic flowchart of a method for processing medical information based on data analysis according to another embodiment of the present application;

3 is a schematic structural diagram of a medical treatment information processing device provided by an embodiment of the present application;

4 is a schematic structural diagram of a medical management device according to another embodiment of the present application.

detailed description

The technical solutions in the embodiments of the present application will be described clearly and completely in conjunction with the drawings in the embodiments of the present application. Obviously, the described embodiments are part of the embodiments of the present application, but not all of the embodiments. Based on the embodiments in this application, all other embodiments obtained by a person of ordinary skill in the art without creative work fall within the scope of protection of this application.

The example of the present application may be executed by a medical management device, and the medical management device may refer to a device such as an intelligent terminal, server, computer, or medical service terminal. The application example can be applied to medical surveillance scenarios, including medical fraud risk control application scenarios or medical behavior monitoring application scenarios, etc. For example, in fraud insurance risk control application scenarios, patients can upload target medical consumables to medical management devices Medical information, the medical management device can receive medical information about the target medical consumables, and obtain historical feature data of abnormal use of the target medical consumables. The historical feature data is used to indicate the law of abnormal use of the target medical consumables, and the abnormality is determined according to the target medical information Using the behavior of the target medical consumable, when there is an abnormal behavior of using the target medical consumable, the target medical information is marked, such as marking the reason for the abnormal use of the target medical consumable, or the suspicious degree of the abnormal use of the target medical consumable, and other information. When there is an abnormal behavior of using the target medical consumables, it indicates that the patient corresponding to the medical information may be fraudulent. Therefore, the medical management device can reduce the reimbursement rate of the patient and reimburse the patient's medical expenses, which can be automatically identified Abnormal use of target medical consumables, severely crack down on fraudulent insurance, reduce national economic losses, ensure public interest, and make medical reimbursements more regular.

In the application scenario of the monitoring behavior monitoring, after receiving a patient, the doctor can upload the patient's medical information about the target medical consumables to the medical management device, and the medical management device reviews the medical information about the target medical consumables passed by the target patient. When the result of the audit is that the target medical consumable is abnormal, the medical information of the target medical consumable may be marked, for example, the identification information of the doctor is used to indicate that the patient is received by the doctor so that the blame can be quickly pursued. Further, the reason for the abnormal use of the target medical consumable is obtained, and the cause and the medical information of the target medical consumable are sent to the doctor, so that the doctor can make corresponding remedial measures in time to reduce the probability of a medical accident.

Please refer to FIG. 1, which is a schematic flowchart of a medical information processing method based on data analysis provided by an embodiment of the present application. The method in the embodiment of the present application may be performed by the medical management device mentioned above. In this embodiment, the medical information processing method based on data analysis includes the following steps.

S101. Obtain medical information related to the target medical consumable. The medical information includes at least one or more of the following: the name of the target medical consumable, the encoding value of the target medical consumable, the time of the visit, the charging time for the target medical consumable, and the diagnosis and treatment items , The amount of target medical supplies and the name of the disease.

In the embodiment of the present application, when a doctor diagnoses a certain patient, he can directly enter the medical treatment information into the database in the medical management device, and when the quality of the medical examination of a certain hospital or a doctor or the behavior of the medical treatment is required During the review, the medical management device can obtain the patient's medical information about the target medical consumables from the local database, or the medical management device can receive the medical information about the target medical consumables sent by other devices. In one embodiment, when the patient needs to reimburse the medical expenses, the patient can submit the medical information associated with the target medical consumables to the medical management device, so that the medical management device can review the medical expenses of the patient based on the medical information, and according to The audit results will be reimbursed for medical expenses. The medical information here refers to the current medical information.

Medical consumables can include medical devices and medical materials, medical devices include: disposable sterile syringes, venous blood collection needles, venous indwelling needles and disposable biopsy needles, etc. Medical materials include: gelatin sponges, bioprotein glues, hemostatic sponges , Gauze pads, degreased gauze pieces, medical cotton balls, gauze bandages, medical splints, surgical gowns, petrolatum, breathable tape, protective clothing and medical masks, etc.

In one embodiment, the higher the frequency of use of medical consumables, the greater the probability of abnormal usage behavior. Therefore, the target medical consumables may refer to medical consumables that are used more frequently in a hospital. The medical management device obtains usage data of various medical consumables, screens out medical consumables whose usage frequency is greater than a preset frequency value based on the usage data, and uses the selected medical consumables as the target medical consumables.

In another embodiment, doctors are unskilled in the use of newly introduced medical consumables in hospitals, resulting in a higher probability of abnormal use of medical consumables. Therefore, target medical consumables may refer to medical consumables recently introduced by a hospital. The medical management equipment obtains the introduction time of various medical consumables, selects the medical consumables whose interval between the introduction time and the current time is less than the preset time interval according to the introduction time, and uses the selected medical consumables as the target medical consumables.

In yet another embodiment, for medical consumables with higher prices, the probability of being used to defraud insurance is greater. Therefore, the target medical consumables may refer to medical consumables with higher charges. The medical management equipment can obtain the price information of various medical consumables, select medical consumables whose price is greater than the preset price according to the price information, and use the selected medical consumables as the target medical consumables.

Wherein, when the medical management device stores the medical consultation information associated with the target medical consumable, the medical consultation information may be stored in the medical management device in an image, table, or plain text format.

In one embodiment, the consultation information may be stored in the medical management device in the form of an image, and the medical management device may obtain the consultation information through the image. Specifically, the medical management device may use a text recognition method to obtain from the image corresponding to the consultation information For initial consultation information, in order to improve the recognition accuracy, the initial consultation information can be corrected to obtain the consultation information associated with the target medical consumables. Here, the character recognition method may refer to an optical character recognition method (Optical Character Recognition, OCR), etc. Correcting the initial consultation information here refers to correcting the erroneous characters in character recognition, filtering out redundant characters, or normalizing the format of the characters, and so on.

In another embodiment, when the visit information is stored in the medical management device in a table format, the visit information is shown in Table 1, which includes the identity information of the target patient, the disease name, and the identification of the target medical consumables, etc. Etc., the target patient's identification can refer to an identity, such as an ID card or name, the target patient's identification can also refer to the number of the hospitalization, etc., the target medical consumables identification can refer to the coded value or name of the medical consumables Wait. The medical management device can retrieve medical information associated with the target medical consumables in the form of field retrieval.

Table 1

Identification information of the target patient

Identification of target medical consumables

...

Name of illness

In yet another embodiment, when the medical treatment information is stored in the medical management device in a text format, the medical management device may obtain the medical treatment information associated with the target medical consumable in a field search manner.

S102. Acquire historical characteristic data of abnormal use target medical consumables according to the historical consultation information, and filter out target consultation information from the consultation information according to the historical characteristic data.

In the embodiment of the present application, the medical management device may obtain a certain doctor, a certain hospital, all the hospitals in a certain area, or a certain level of hospital to obtain historical visit information within a preset time period (such as within the past year), according to The historical visit information obtains historical characteristic data of abnormal use of target medical consumables. The historical characteristic data is used to indicate the law of abnormal use of target medical consumables. For example, the law of abnormal use of target medical consumables is that the frequency of excessive use of target consumables is high and abused. The frequency of target medical consumables is high, or the frequency of abnormal charges for target medical consumables is high. When all medical information is used to check whether there is any abnormal use of the target medical consumables, the review process takes a long time and consumes a lot of resources of medical management equipment. Therefore, in order to reduce the resource consumption of medical management equipment and improve the audit efficiency, Filter out target visit information from the visit information based on historical feature data. For example, historical feature data indicates that the frequency of excessive use of target consumables is high, and target visit information on the use of medical consumables is filtered from the visit information; historical feature data Indicate the frequency of misuse of target medical consumables, and filter out target visit information about the disease name, diagnosis and treatment items from the visit information; historical feature data indicate that the frequency of abnormal charges for target medical consumables is higher, and filter out about Target medical information for the charging of target consumables.

In one embodiment, the medical management device stores the correspondence between historical feature data and target medical information, and the medical management device can filter the target medical information from the medical information based on the corresponding relationship. The target medical consumable information is determined.

S103. Determine whether there is an abnormal use of the target medical consumable according to the target medical information.

In the embodiment of the present application, it is determined whether there is an abnormal use of the target medical consumables such as excessive use of the target medical consumables or abuse of medical consumables based on the target visit information. When there is no abnormal use of the target medical consumables, it indicates the use of the target medical consumables Comply with the usage rules; when there is an abnormal use of the target medical consumables, it indicates that the use of the target medical consumables does not comply with the use rules, or there is an act of providing counterfeit medical information, and step S104 is performed to mark the medical information.

S104. When it is determined that there is an abnormal behavior of using the target medical consumable, the target medical information is marked.

In the embodiment of the present application, when it is determined that there is an abnormal use of the target medical consumable, it indicates that the use of the target medical consumable does not comply with the rules of use, or there is an act of providing counterfeit medical information. The target medical information is marked. The label can be used In order to instruct the doctor who issued the medical consultation information to perform abnormal medical treatment, or to indicate the existence of the medical treatment information to provide counterfeit medical treatment, labeling refers to labeling medical treatment information, for example, abnormal use of the target medical consumable label , And the identification label of the patient corresponding to the medical information, the identification label of the receiving patient, the hospital label of the patient, etc.

In one embodiment, when it is determined that there is an abnormal use of the target medical consumable, the medical management device may output prompt information according to the application scenario. In the application scenario of the visit behavior monitoring, when it is determined that there is abnormal behavior of using the target medical consumable, the first prompt information is output, the first prompt information is used to remind the doctor that there is an abnormal visit behavior of the target medical consumable, so that the doctor can Prompt information to take timely remedial measures to reduce the probability of medical accidents. In fraud insurance risk control application scenarios, when it is determined that there is an abnormal use of target medical consumables, a second prompt message is output. The second prompt message is used to remind the staff that there is a fraudulent insurance visit to the target medical consumable to facilitate work Staff can choose a reimbursement strategy based on the prompt information, and reimburse medical expenses according to the reimbursement strategy.

In one embodiment, the visit information belongs to the visit information of the target patient. When there is an abnormal use of the target medical consumable, the reason for the abnormal use of the target medical consumable is obtained, and the contact information of the doctor receiving the target patient is obtained by The doctor's contact information sends the reason for the abnormal use of the target medical consumables and the diagnosis and treatment information of the target patient to the device bound to the doctor's contact information, so that the doctor can timely understand the reason for the abnormal use of the target medical consumables and make corresponding actions Remedies to reduce the probability of medical accidents. The reasons for abnormal use of medical consumables include excessive use of medical consumables or wrong way of using medical consumables, etc. The doctor's contact information includes the doctor's instant call contact information, such as phone number, medical login account or social account.

For example, when there is an abnormal use of the target medical consumable, the reason for the abnormal use of the target medical consumable is that the target medical consumable is used excessively, and the phone number of the doctor receiving the target patient is automatically obtained. The device bound with the phone number sends a short message including the reason for abnormal use of the target medical consumables and the diagnosis and treatment information of the target patient.

In one embodiment, when there is an abnormal use of the target medical consumable, the number of times the doctor receiving the target patient abnormally uses the medical consumable is obtained, and when the number of acquisitions is greater than a certain value (such as 5 times), the target is received The identity information of the patient's doctor records the doctor's identity information in a blacklist, and the blacklist records the identity information of the doctor who does not have the authority to use medical consumables, so as to prohibit the doctor from using the medical consumables.

In one embodiment, when there is an abnormal use of the target medical consumable, the number of times the doctor receiving the target patient abnormally uses the medical consumable is obtained, and when the number of acquisitions is greater than a certain value (such as 3 times), the doctor ’s The contact information of the superior manager uses the contact information of the superior manager to send the number of times the doctor abnormally uses medical consumables to the device bound to the contact information of the superior manager.

Please refer to FIG. 2, which is a schematic flowchart of another medical information processing method based on data analysis provided by an embodiment of the present application. The method in the embodiment of the present application may be performed by the medical management device mentioned above. In this embodiment, the medical information processing method based on data analysis includes the following steps.

S201. Obtain medical information related to the target medical consumable. The medical information includes at least one or more of the following: the name of the target medical consumable, the encoding value of the target medical consumable, the time of the visit, the charging time for the target medical consumable, and the diagnosis and treatment items , The amount of target medical supplies and the name of the disease.

S202. Acquire historical characteristic data of the abnormal use target medical consumables according to the historical consultation information.

In one embodiment, the consultation information further includes the identification of the hospital using the target medical consumables, and step S202 includes: determining the address of the target hospital based on the identification of the hospital using the target medical consumables; acquiring all hospitals in the area where the address of the target hospital is abnormally used The historical characteristic data of the target medical consumables; or, determine the rank of the target hospital according to the identification of the hospital using the target medical consumables, and obtain the historical characteristic data of the abnormal use of the target medical consumables in all hospitals with the same rank as the target hospital.

Because the hospitals in the same area use the target medical consumables abnormally or have the same or similar laws, or the hospitals with the same level use the target medical consumables abnormally have the same or similar laws, therefore, the medical management equipment can be based on the use of target medical consumables The identification of the hospital determines the address of the target hospital, and obtains the historical characteristic data of the abnormal use of the target medical consumables by all the hospitals in the area where the address of the target hospital is located, or the medical management equipment can determine the level of the target hospital based on the identification of the hospital using the target medical consumables, Obtain historical feature data of abnormal use of target medical consumables in all hospitals with the same level as the target hospital. Among them, the historical feature data may be pre-stored in the medical management device, or may be obtained by the medical management device based on the statistics of the medical treatment information issued by the hospital in the area where the address of the target hospital is located, or according to the same level as the target hospital The medical information issued by the hospital is statistically obtained. The area where the address of the target hospital is located may refer to the province, city, or county where the address of the target hospital is located.

For example, the medical management device can determine the address of the target hospital from the database according to the identification of the hospital using the target medical consumables. For example, if the address of the target hospital is Shenzhen, the level of the target hospital is Grade A, etc. All hospitals in Shenzhen within the preset time period (such as within a month) regarding the medical information of the target medical consumables, based on the acquired medical information, statistics on the historical feature data of abnormal use of the target medical consumables.

For another example, the medical management device may determine the level of the target hospital from the database according to the identification of the hospital using the target medical consumables, such as the level of the target hospital is Grade A, etc., and obtain all the hospitals with the level of Grade A. Within a preset time period (such as within a month), regarding the medical information of the target medical consumable, the historical characteristic data of the abnormal use of the target medical consumable is counted according to the acquired medical information.

S203. Filter target medical information from medical information based on historical feature data. The target visit information includes the first target visit information and the second target visit information. The first target visit information includes any one or more of the following: the name of the target medical consumable, the encoding value of the target medical consumable, the time of the visit, the target The charging time and diagnosis items of target medical consumables. The second type of target medical information includes the amount of target medical consumables and the name of the disease.

In the embodiment of the present application, the medical management device may filter out the target medical information from the medical information based on the historical characteristic data, and when the medical information of the first category is selected from the medical information based on the historical characteristic data, step S204 is performed according to the first Class target visit information to determine whether there is abnormal use of target medical consumables; when the first class visit information is selected from the visit information based on historical feature data, and step S205 is performed to determine whether there is abnormal use based on the second class target visit information Behavior of target medical consumables.

In one embodiment, step S203 includes: when the historical feature data indicates that the usage pattern of the target medical consumable does not satisfy the preset rule more than the preset number of times, the first type of target visit information is filtered from the visit information; when the history When the characteristic data indicates that the usage amount of the target medical consumable is greater than the preset usage amount and greater than the preset number of times, the second type of target visit information is selected from the visit information.

When the historical feature data indicates that the usage pattern of the target medical consumables does not satisfy the preset rules more than the preset number, it indicates that the frequency of misuse of the target medical consumables is abnormal, and the first type of target medical treatment is selected from the medical information Information to determine whether there is any misuse of the target medical consumable; when the historical feature data indicates that the use of the target medical consumable is greater than the preset number of uses greater than the preset number of times, it indicates the abnormal use of the target medical consumable The frequency is high, and the second type of target medical information is selected from the medical information in order to determine whether there is excessive use of target medical consumables. The usage mode here refers to the timing of using the target medical consumables, for example, under what conditions the patient has the target medical consumables, or which diagnosis and treatment program is performed on the patient, the target medical consumables, etc. The timing of using the target medical consumables is wrong, for example, the disease does not match the target medical consumables, the diagnosis and treatment items do not match the target medical consumables, etc.

S204. Determine whether there is an abnormal use of the target medical consumable according to the first-class target medical information.

In the embodiment of the present application, the medical management device may determine whether there is abnormal use of medical consumables according to the first type of target medical information. When it is determined that there is abnormal use of the target medical consumables, step S206 is executed to mark the medical information.

In one embodiment, the target visit information includes the first type of target visit information, the first type of target visit information includes the visit time and the charging time for the target medical consumable; step S206 includes: obtaining the time between the visit time and the target medical consumable charge time Time interval; when the time interval is greater than the preset time interval, it is determined that there is an abnormal use of the target medical consumable.

The medical management equipment can determine whether there is an abuse of the target medical consumable according to the time of the visit and the charging time for the target medical consumable. Specifically, the time interval between the time of the visit and the charge time of the target medical consumable is obtained. When the time interval is greater than the preset At the time interval, it indicates that the patient did not perform the corresponding consultation operation within the preset time period for the patient to pay the target medical consumables, or that the patient is not using the target medical treatment within the preset time period (such as 5 days) after the consultation The consumable, further, indicates that there is an abuse of the target medical consumable, and it is determined that there is an abnormal use of the target medical consumable.

In one embodiment, the target visit information includes the first type of target visit information. The first target visit information includes the name of the target medical consumable and the encoding value of the target medical consumable. Step S204 includes: searching the target medical consumable from the medical knowledge base. The code value corresponding to the name, the code values of multiple medical consumables are recorded in the medical knowledge base; when the code value of the search is not the same as the code value of the target medical consumable in the first type of target medical information, it is determined that there is an abnormal use Target medical supplies.

The medical management equipment can determine whether there is an abuse of the target medical consumable according to the name of the target medical consumable and the code value of the target medical consumable. Specifically, look up the code value corresponding to the name of the target medical consumable from the medical knowledge base and obtain the code value The target medical consumable can be uniquely identified. When the searched code value is not the same as the target medical consumable code value in the first type of target medical information, it indicates that the target medical consumable code value does not correspond to the target medical consumable name. Further , Indicating that the target medical consumable may be a counterfeit medical consumable, or that the target medical consumable used is wrong, for example, medical consumable A should be used, and medical consumable B actually used, to determine the existence of misuse of the target medical consumable, that is, to determine the existence Abnormal use of the target medical consumables.

In one embodiment, the target visit information includes the first type of target visit information, and the first type of target visit information includes the name of the diagnosis and treatment item and the target medical consumable; step S204 includes: searching the medical consumable associated with the visit item according to the medical knowledge base Name, the medical knowledge base records the association between the medical treatment item and the medical consumable; when the name of the found medical consumable does not match the name of the target medical consumable, it is determined that there is an abnormal use of the target medical consumable.

The medical management equipment can determine whether there is any misuse of the target medical consumable according to the diagnosis and treatment item and the name of the target medical consumable. Specifically, according to the medical knowledge base, the name of the medical consumable related to the medical treatment item is found, that is, the medical consumable found can be used for In the diagnosis and treatment project, such as the disposable sterile syringe used in the basic care project, when the name of the found medical consumable does not match the name of the target medical consumable, it indicates that the target medical consumable is used incorrectly, and it is determined that there is storage abuse of target medical The behavior of the consumable is to determine that there is an abnormal use of the target medical consumable.

For example, the diagnosis and treatment item is a basic nursing item, the name of the target medical consumable is a surgical blade, and the name of the medical consumable associated with the medical treatment item is searched according to the medical knowledge base, and the name of the medical consumable found is sterile for single use. Syringes, disposable dental pads or disposable sterilized rubber gloves, etc. Make sure that the name of the medical consumables you find does not match the name of the target medical consumables. Because the target medical consumables are used for surgical diagnosis and treatment, it is determined that there is abuse of the target medical consumable The behavior is to determine that there is an abnormal use of the target medical consumable.

S205. Determine whether there is an abnormal use of the target medical consumable according to the second-type target medical information.

In the embodiment of the present application, the medical management device may determine whether there is an abnormal use behavior of excessive use of the target medical consumable according to the second type of target medical information. When it is determined that there is an abnormal use of the target medical consumable, the step S206 is performed to perform the medical information Callout.

In one embodiment, the target visit information includes a second type of target visit information, and the second type of target visit information includes the amount of target medical consumables and the disease name; step S205 includes: querying the difficulty index for treating the disease according to the disease name; Determine the amount of use of the target medical consumable according to the difficulty index for treating the condition; when the difference between the determined amount of use and the amount of use included in the second type of target medical information is greater than a preset value, determine There is an abnormal use of the target medical consumable.

The medical management equipment can determine whether there is excessive use of the target medical consumables according to the amount of the target medical consumables and the name of the disease. Specifically, query the difficulty index for treating the disease based on the disease name; determine the use of the target medical treatment according to the difficulty index for treating the disease The consumption of consumables, when the difference between the determined usage and the usage included in the second type of target medical information is greater than a preset value, it indicates that there is an abnormal use of the target medical consumables, and it is determined that there is an abnormal use of the target For medical consumables, the amount used can refer to the number of uses or the dose of the target medical consumables.

For example, the target medical consumable is petroleum jelly, the usage of the target medical consumable is 5 bottles, the default value is 1, query the difficulty index for treating the disease according to the disease name, and determine the use of the target medical according to the difficulty index for treating the disease The usage of consumables, if the target medical consumables usage is determined to be 2 bottles, the difference between the determined usage and the usage included in the second type of target medical information, the difference is 3, because the difference is greater than the Set the value to determine the abnormal use of target medical consumables.

S206. When it is determined that there is an abnormal use of the target medical consumable, the target medical information is marked.

In the embodiment of the present application, when it is determined that there is an abnormal use of the target medical consumable, it indicates that the use of the target medical consumable does not comply with the rules of use, or there is an act of providing counterfeit medical information, and the target medical information is marked so that it can be understood in time Which patients have abnormal behavior of using the target medical consumables.

Please refer to FIG. 3, which is a schematic structural diagram of a medical information processing device provided in an embodiment of the present application. The device in the embodiment of the present application may be in the medical management device mentioned above. In this embodiment, the medical information processing device includes:

The obtaining module 301 is used to obtain the medical consultation information associated with the target medical consumables according to the historical medical consultation information, and the medical consultation information includes at least one or more of the following: the name of the target medical consumables and the encoding value of the target medical consumables , The time of consultation, the charging time for the target medical consumables, the diagnosis and treatment items, the amount of use of the target medical consumables, and the name of the disease; obtaining historical feature data of the abnormal use of the target medical consumables.

The screening module 302 is configured to filter out target medical information from the medical information based on the historical feature data.

The judging module 303 is used to judge whether there is an abnormal use of the target medical consumable according to the target medical information.

The labeling module 304 is configured to label the target medical information when it is determined that there is an abnormal behavior of using the target medical consumable.

Optionally, the medical information further includes an identification of a hospital using the target medical consumables, and an acquisition module 301 is specifically configured to determine the address or rank of the target hospital according to the identification of the hospital using the target medical consumables; All hospitals in the area where the address of the target hospital is abnormally use historical feature data of the target medical consumables; or, acquire historical feature data of the target medical consumables abnormally used by all hospitals with the same grade as the target hospital.

Optionally, the target visit information includes the first-type target visit information and the second type of target visit information, and the first type of target visit information includes any one or more of the following: the name and location of the target medical consumable The coding value of the target medical consumable, the time of visit, the charging time for the target medical consumable, and the diagnosis and treatment items, and the second type of target medical information includes the amount of use of the target medical consumable and the name of the disease.

Optionally, the screening module 302 is specifically configured to filter the first out of the medical information when the historical characteristic data indicates that the usage pattern of the target medical consumable does not satisfy the preset rule more than the preset number of times Class target visit information; when the historical characteristic data indicates that the usage of the target medical consumable is greater than the preset use amount greater than the preset number of times, the second class of target visit information is selected from the visit information.

Optionally, the target visit information includes a first type of target visit information, and the first type of target visit information includes a visit time and a charging time for the target medical consumable; a judgment module 303 is specifically used to obtain the visit A time interval between the time and the charging time of the target medical consumable; when the time interval is greater than a preset time interval, it is determined that there is an abnormal use of the target medical consumable.

Optionally, the target visit information includes the first-class target visit information, the first target visit information includes the name of the target medical consumable and the encoding value of the target medical consumable; the judgment module 303 specifically uses Searching for the code value corresponding to the name of the target medical consumable from the medical knowledge base, where the code value of multiple medical consumables is recorded in the medical knowledge base;

When the searched code value is different from the code value of the target medical consumable in the first-type target medical information, it is determined that there is an abnormal use of the target medical consumable.

Optionally, the target visit information includes the first-class target visit information, and the first target visit information includes the diagnosis and treatment item and the name of the target medical consumable; the judgment module 303 is specifically configured to The knowledge base searches for the names of medical consumables associated with the medical treatment items, and the medical knowledge base records the association relationship between the medical treatment items and medical consumables;

When the name of the found medical consumable does not match the name of the target medical consumable, it is determined that there is an abnormal use of the target medical consumable.

Optionally, the target visit information includes a second type of target visit information, the second type of target visit information includes the amount of use of the target medical consumables and the name of the disease; the judgment module 303 is specifically configured to The name of the disease queries the difficulty index for treating the disease; determining the amount of use of the target medical consumable according to the degree of difficulty in treating the disease; when the determined amount of use is the same as the amount of use included in the second type of target medical information When the difference between them is greater than the preset value, it is determined that there is an abnormal use of the target medical consumable.

Please refer to FIG. 4, which is a schematic structural diagram of a medical management device according to an embodiment of the present application. As shown in the figure, the medical management device in this embodiment may include: one or more processors 401; one or more inputs Device 402, one or more output devices 403 and memory 404. The processor 401, the input device 402, the output device 403, and the memory 404 are connected via a bus 405.

The processor 401 may be a central processing unit (Central Processing Unit, CPU), the processor may also be other general-purpose processors, digital signal processors (Digital Signal Processor, DSP), application specific integrated circuits (Application Specific Integrated Circuit, ASIC ), Ready-made programmable gate array (Field-Programmable Gate Array, FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, etc. The general-purpose processor may be a microprocessor or the processor may be any conventional processor or the like.

The input device 402 may include a touchpad, a fingerprint sensor (for collecting user's fingerprint information and fingerprint direction information), a microphone, etc. The output device 403 may include a display (LCD, etc.), a speaker, etc. The output device 403 may output a medical consultation Annotation information of information, which can be used to prompt the abnormal use of target medical consumables.

The memory 404 may include a read-only memory and a random access memory, and provide instructions and data to the processor 401. A part of the memory 404 may further include a non-volatile random access memory, the memory 404 is used to store a computer program, the computer program includes program instructions, and the processor 401 is used to execute the program instructions stored in the memory 404 to be used to execute a A medical information processing method based on data analysis is used to perform the following operations:

Optionally, the medical consultation information further includes an identification of a hospital using the target medical consumable, and the processor 401 is used to execute program instructions stored in the memory 404 to perform the following operations:

Determine the address or grade of the target hospital according to the identification of the hospital using the target medical consumables;

Acquiring historical characteristic data of abnormal use of the target medical consumables by all hospitals in the area where the address of the target hospital is located; or,

Acquire historical characteristic data of abnormal use of the target medical consumables in all hospitals with the same level as the target hospital.

Optionally, the target visit information includes the first-type target visit information and the second type of target visit information, and the first type of target visit information includes any one or more of the following: the name and location of the target medical consumable The coding value of the target medical consumables, the time of consultation, the charging time for the target medical consumables, and the diagnosis and treatment items. The second type of target consultation information includes the amount of use of the target medical consumables and the name of the disease; the processor 401 is used for The program instructions stored in the execution memory 404 are used to perform the following operations:

When the history characteristic data indicates that the usage pattern of the target medical consumable does not satisfy the preset rule more than a preset number of times, the first type of target visit information is selected from the visit information;

When the history characteristic data indicates that the usage amount of the target medical consumable is greater than the preset usage amount greater than the preset number of times, the second type of target visit information is selected from the visit information.

Optionally, the target visit information includes a first type of target visit information, the first type of target visit information includes a visit time and a charging time for the target medical consumable; the processor 401 is used to execute a program stored in the memory 404 Instructions for performing the following operations:

Obtaining a time interval between the time of the consultation and the charging time of the target medical consumable;

When the time interval is greater than the preset time interval, it is determined that there is an abnormal use of the target medical consumable.

Optionally, the target visit information includes the first-class target visit information, the first target visit information includes the name of the target medical consumable and the encoding value of the target medical consumable; the processor 401 is used to execute The program instructions stored in the memory 404 are used to perform the following operations:

Searching for a code value corresponding to the name of the target medical consumable from the medical knowledge base, where the code value of multiple medical consumables is recorded in the medical knowledge base;

Optionally, the target visit information includes the first-class target visit information, and the first target visit information includes the diagnosis and treatment item and the name of the target medical consumable; the processor 401 is used to execute the memory 404 to store Program instructions for performing the following operations:

Searching for the name of the medical consumable associated with the medical treatment item according to the medical knowledge base, the medical knowledge base records the association relationship between the medical treatment item and the medical consumable;

Optionally, the target visit information includes a second type of target visit information, the second type of target visit information includes the amount of use of the target medical consumables and the name of the disease; the processor 401 is used to execute the Program instructions for performing the following operations:

Query the difficulty index for treating the disease according to the disease name;

Determine the use amount of the target medical consumables according to the difficulty index for treating the disease;

When the difference between the determined usage amount and the usage amount included in the second-type target medical information is greater than a preset value, it is determined that there is an abnormal use of the target medical consumable.

The processor 401, the input device 402, and the output device 403 described in the embodiments of the present application can execute the implementation methods described in the first and second embodiments of the information prompt method provided by the embodiments of the present application, and can also be executed The implementation of the medical management device described in the embodiments of the present application will not be repeated here.

An embodiment of the present application also provides a computer-readable storage medium. The computer-readable storage medium stores a computer program, and the computer program includes program instructions. The program instructions are implemented by a processor as shown in FIG. 1 and FIG. 2 The medical information processing method based on data analysis shown in the embodiment.

In the several embodiments provided in this application, it should be understood that the disclosed control device and method may be implemented in other ways. For example, the device embodiments described above are schematic. For example, the division of the unit may be a logical function division. In actual implementation, there may be another division manner, for example, multiple units or components may be combined or may Integration into another system, or some features can be ignored, or not implemented. The above is only the specific implementation of this application, but the scope of protection of this application is not limited to this, any person skilled in the art can easily think of various equivalents within the technical scope disclosed in this application Modifications or replacements, these modifications or replacements should be covered within the scope of protection of this application. Therefore, the protection scope of the present application shall be subject to the protection scope of the claims.

Claims

A medical information processing method based on data analysis, characterized in that it includes:

Obtain medical information related to the target medical consumable, the medical information includes at least any one or more of the following: the name of the target medical consumable, the encoding value of the target medical consumable, the time of the visit, and the target medical consumable The charging time, diagnosis and treatment items, the use of the target medical consumables and the name of the disease;

Acquiring historical feature data of the abnormal use of the target medical consumable according to historical visit information, and filtering out target visit information from the visit information according to the historical feature data;

Judging whether there is an abnormal use of the target medical consumable according to the target medical information;

When it is determined that there is an abnormal use of the target medical consumable, the target medical information is marked.
The method according to claim 1, wherein the medical information further includes an identification of a hospital using the target medical consumable, and the acquiring historical characteristic data of abnormal use of the target medical consumable according to the historical medical information includes: :

Determine the address of the target hospital according to the identification of the hospital using the target medical consumable; obtain historical characteristic data of abnormal use of the target medical consumable by all hospitals in the area where the address of the target hospital is located; or,

The rank of the target hospital is determined according to the identification of the hospital using the target medical consumable; the historical feature data of the abnormal use of the target medical consumable by all hospitals with the same rank as the target hospital is obtained.
The method according to claim 1 or 2, wherein the target visit information includes a first type of target visit information and a second type of target visit information, and the first type of target visit information includes any one or more of the following Item: the name of the target medical consumable, the coding value of the target medical consumable, the time of visit, the charging time for the target medical consumable, and the diagnosis and treatment items, the second type of target medical information includes the target medical consumable information Usage and disease name;

The filtering out target medical information from the medical information based on the historical feature data includes:

When the history characteristic data indicates that the usage pattern of the target medical consumable does not satisfy the preset rule more than a preset number of times, the first type of target visit information is selected from the visit information;

When the history characteristic data indicates that the usage amount of the target medical consumable is greater than the preset usage amount greater than the preset number of times, the second type of target visit information is selected from the visit information.
The method according to claim 3, wherein the target visit information includes a first type of target visit information, and the first type of target visit information includes a visit time and a charging time for the target medical consumable;

The judging whether there is an abnormal use of the target medical consumable according to the target medical information includes:

Obtaining a time interval between the time of the consultation and the charging time of the target medical consumable;

When the time interval is greater than the preset time interval, it is determined that there is an abnormal use of the target medical consumable.
The method according to claim 3, wherein the target visit information includes the first type of target visit information, and the first target visit information includes the name of the target medical consumable and the target medical consumable Coded value

The judging whether there is an abnormal use of the target medical consumable according to the target medical information includes:

Searching for a code value corresponding to the name of the target medical consumable from the medical knowledge base, where the code value of multiple medical consumables is recorded in the medical knowledge base;

When the searched code value is different from the code value of the target medical consumable in the first-type target medical information, it is determined that there is an abnormal use of the target medical consumable.
The method according to claim 3, wherein the target visit information includes the first type target visit information, and the first type target visit information includes the name of the diagnosis and treatment item and the target medical consumable;

The judging whether there is an abnormal use of the target medical consumable according to the target medical information includes:

Searching for the name of the medical consumable associated with the medical treatment item according to the medical knowledge base, the medical knowledge base records the association relationship between the medical treatment item and the medical consumable;

When the name of the found medical consumable does not match the name of the target medical consumable, it is determined that there is an abnormal use of the target medical consumable.
The method of claim 3, wherein the target visit information includes a second type of target visit information, and the second type of target visit information includes the amount of use of the target medical consumable and the name of the disease;

The judging whether there is an abnormal use of the target medical consumable according to the target medical information includes:

Query the difficulty index for treating the disease according to the disease name;

Determine the use amount of the target medical consumables according to the difficulty index for treating the disease;

When the difference between the determined usage amount and the usage amount included in the second-type target medical information is greater than a preset value, it is determined that there is an abnormal use of the target medical consumable.
The method according to claim 1, wherein the method further comprises:

Obtaining the frequency of use of the target consumable;

When the frequency of use of the target consumable is greater than a preset frequency value, the step of acquiring medical information associated with the target medical consumable is performed.
The method according to claim 1, wherein the method further comprises:

Acquiring the introduction time of the target consumable, and acquiring the time interval between the introduction time of the target consumable and the current time;

When the time interval is greater than the preset time interval, the step of acquiring medical information associated with the target medical consumable is performed.
The method according to claim 1, wherein the method further comprises:

When it is determined that there is an abnormal use of the target medical consumable, the reason for the abnormal use of the target medical consumable is obtained;

The reason for abnormal use of the target medical consumable and the diagnosis and treatment information are sent to the terminal device.
A medical information processing device, characterized by comprising:

The obtaining module is used to obtain the medical information associated with the target medical consumables, the medical information includes at least any one or more of the following: the name of the target medical consumables, the encoding value of the target medical consumables, the time of the medical visit, Charging time of the target medical consumables, diagnosis and treatment items, the amount of use of the target medical consumables, and the name of the disease; obtaining historical characteristic data of abnormal use of the target medical consumables based on historical medical information;

A screening module, configured to screen out target medical information from the medical information based on the historical feature data;

The judgment module is used for judging whether there is an abnormal use of the target medical consumable according to the target medical information;

The labeling module is configured to label the target medical information when it is determined that there is an abnormal behavior of using the target medical consumable.
The apparatus according to claim 11, wherein the medical information further includes an identification of a hospital using the target medical consumable; the acquisition module is specifically configured to be determined according to the identification of the hospital using the target medical consumable The address of the target hospital; acquiring historical characteristic data of all the hospitals in the area where the target hospital's address is abnormally using the target medical consumables; or, determining the level of the target hospital based on the identification of the hospital using the target medical consumables; obtaining the level All hospitals with the same rank as the target hospital abnormally use the historical feature data of the target medical consumable.
The device according to claim 11 or 12, wherein the target visit information includes a first type of target visit information and a second type of target visit information, and the first type of target visit information includes any one or more of the following Item: the name of the target medical consumable, the coding value of the target medical consumable, the time of visit, the charging time for the target medical consumable, and the diagnosis and treatment items, the second type of target medical information includes the target medical consumable information Usage and disease name;

The screening module is specifically configured to filter out the first type of target medical treatment from the medical information when the historical characteristic data indicates that the usage pattern of the target medical consumable does not satisfy the preset rule more than the preset number of times Information; when the historical characteristic data indicates that the number of times the target medical consumables are used is greater than the preset number of uses is greater than the preset number of times, the second type of target medical information is selected from the medical information.
The device according to claim 13, wherein the target visit information includes a first type of target visit information, and the first type of target visit information includes a visit time and a charging time for the target medical consumable;

The judging module is specifically configured to obtain a time interval between the consultation time and the charging time of the target medical consumable; when the time interval is greater than a preset time interval, it is determined that there is an abnormal use of the target medical consumable.
The device according to claim 13, wherein the target visit information includes the first-class target visit information, and the first target visit information includes the name of the target medical consumable and the target medical consumable Coded value

The judgment module is specifically used to search for a code value corresponding to the name of the target medical consumable from the medical knowledge base, and the code value of a plurality of medical consumables is recorded in the medical knowledge base; When the encoding value of the target medical consumable in the first type of target medical information is different, it is determined that there is an abnormal use of the target medical consumable.
The device according to claim 13, wherein the target visit information includes the first-type target visit information, and the first target visit information includes the name of the diagnosis and treatment item and the target medical consumable;

The judgment module is specifically used to find the name of the medical consumable associated with the medical treatment item according to the medical knowledge base, the medical knowledge base records the association relationship between the medical treatment item and the medical consumable; the name of the medical consumable found When the name of the target medical consumable does not match, it is determined that there is an abnormal use of the target medical consumable.
The device according to claim 13, wherein the target visit information includes a second type of target visit information, and the second type of target visit information includes the use amount of the target medical consumable and the name of the disease;

The judgment module is specifically configured to query the difficulty index for treating the disorder according to the name of the disorder; determine the usage amount of the target medical consumable according to the difficulty index for treating the disorder; when the determined usage amount is equal to the When the difference between the usage amounts included in the second-class target medical information is greater than a preset value, it is determined that there is an abnormal use of the target medical consumable.
A medical management device, characterized in that it includes:

A processor and a memory, the processor and the memory are connected to each other;

Wherein, the memory stores one or more instructions, and the one or more instructions are suitable to be loaded by the processor and execute the following steps:

Obtain medical information related to the target medical consumable, the medical information includes at least any one or more of the following: the name of the target medical consumable, the encoding value of the target medical consumable, the time of the visit, and the target medical consumable The charging time, diagnosis and treatment items, the use of the target medical consumables and the name of the disease;

Acquiring historical feature data of the abnormal use of the target medical consumable according to historical visit information, and filtering out target visit information from the visit information according to the historical feature data;

Judging whether there is an abnormal use of the target medical consumable according to the target medical information;

When it is determined that there is an abnormal use of the target medical consumable, the target medical information is marked.
The device according to claim 18, wherein the processor is specifically configured to determine the address of the target hospital based on the identification of the hospital using the target medical consumable; obtain all the hospitals in the area where the address of the target hospital is located Abnormal use of the historical feature data of the target medical consumables; or, determining the level of the target hospital based on the identification of the hospital using the target medical consumables; acquiring all hospitals with the same level as the target hospital to use the target medical abnormally Historical characteristic data of consumables.
A computer-readable storage medium, characterized in that the computer-readable storage medium stores one or more instructions, the one or more instructions are suitable for being loaded by a processor and executed as claimed in any one of claims 1-7 Item.