WO2023191319A1 - Dispositif, procédé et système de fourniture d'informations médicales - Google Patents

Dispositif, procédé et système de fourniture d'informations médicales Download PDF

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Publication number
WO2023191319A1
WO2023191319A1 PCT/KR2023/002783 KR2023002783W WO2023191319A1 WO 2023191319 A1 WO2023191319 A1 WO 2023191319A1 KR 2023002783 W KR2023002783 W KR 2023002783W WO 2023191319 A1 WO2023191319 A1 WO 2023191319A1
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Prior art keywords
medical
information
medical information
data
medical diagnosis
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PCT/KR2023/002783
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English (en)
Korean (ko)
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조광욱
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가톨릭대학교 산학협력단
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Publication of WO2023191319A1 publication Critical patent/WO2023191319A1/fr

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients

Definitions

  • the present invention relates to the provision of medical information, and more specifically, to a device, method, and system that provides customized medical information according to the disease or physical condition of a target patient without being limited to a specific medical field.
  • the above phenomenon may be due to structural influences rather than simply a problem of lack of knowledge or experience of medical personnel.
  • there is always a shortage of medical personnel in the field and this is not easy to solve in a short time. Therefore, systematic support is needed to reduce the burden on medical personnel and ensure the health of patients, and a device that can help medical personnel make decisions by synthesizing a lot of medical information is required.
  • the problem that the present disclosure aims to solve is to provide medical personnel with appropriate medical information for the patient depending on the situation, so as to reduce the burden on medical personnel with limited information and ensure the patient's health.
  • Another problem that the present disclosure aims to solve is to define various medical diagnosis factors related to the patient's physical condition and create a learned artificial intelligence model based on data related thereto to quickly determine the patient's physical condition and provide related medical guidance. Based on line data, the information requested by medical personnel, that is, medical information, is provided so that it can be intuitively identified to enable quick and accurate response.
  • Another challenge that this disclosure aims to solve is to build big data for precision medicine that provides customized treatment plans according to each patient's disease, so that it can be applied flexibly despite changes in medical institutions or medical environments and is limited to specific medical fields.
  • the goal is to provide a medical information provision platform or solution that is not currently available.
  • a medical information providing device for solving the above-described problem includes a learned artificial intelligence model for each of a plurality of predefined medical diagnosis factors and medical guidelines for the plurality of medical diagnosis factors.
  • memory to store data; and at least one processor that communicates with the memory, wherein the processor generates the learned artificial intelligence model and, when the body condition data of the target patient is collected, preprocesses the collected body condition data of the target patient.
  • a medical information system includes a terminal that outputs medical information; and a medical information provision device, wherein the medical information provision device generates a learned artificial intelligence model for each of a plurality of predefined medical diagnosis factors, generates the learned artificial intelligence model, and When physical condition data is collected, the collected physical condition data of the target patient is preprocessed and classified into data corresponding to the medical diagnosis factors, and a preset reference value for the determined at least one medical diagnosis factor and the classified target patient's data are preprocessed. Compare and analyze the corresponding body condition data among the body condition data, and control the provision of medical information generated based on preset medical guideline data for the medical diagnosis factor determined to be abnormal as a result of the comparative analysis. Do it as
  • a method of providing medical information performed by an apparatus includes generating a learned artificial intelligence model for each of a plurality of predefined medical diagnosis factors; collecting physical condition data of a target patient; preprocessing the collected physical condition data of the target patient and classifying it into data corresponding to the medical diagnosis factors; Comparing and analyzing a preset reference value for at least one determined medical diagnosis factor and corresponding physical state data among the classified physical state data of the target patient; and controlling to provide medical information generated based on preset medical guideline data for medical diagnosis factors determined to be abnormal as a result of the comparative analysis.
  • the present disclosure it is possible to quickly determine the physical condition of a patient through a predefined medical diagnosis factor, and provide medical information regarding corresponding medical actions by medical personnel with respect to the identified physical condition of the patient.
  • requested corresponding medical information can be provided regardless of the medical personnel's specialty.
  • FIG. 1 is a diagram illustrating a medical information providing system according to an embodiment of the present disclosure.
  • Figure 2 is a diagram illustrating a medical information providing system according to another embodiment of the present disclosure.
  • FIG. 3 is a block diagram of the control unit of a medical information providing device according to an embodiment of the present disclosure.
  • FIG. 4 is a flowchart illustrating another method of providing medical information according to an embodiment of the present disclosure.
  • FIG. 5 is a flowchart illustrating a method of providing medical information according to another embodiment of the present disclosure.
  • FIG. 6 is a flowchart illustrating a method of providing medical information according to another embodiment of the present disclosure.
  • FIG. 7 is a diagram illustrating a medical diagnosis factor according to an embodiment of the present disclosure.
  • FIG. 8 is a diagram illustrating a DB built according to an embodiment of the present disclosure.
  • FIG. 9 is a diagram illustrating a user interface screen related to medical information according to an embodiment of the present disclosure.
  • Spatially relative terms such as “below”, “beneath”, “lower”, “above”, “upper”, etc. are used as a single term as shown in the drawing. It can be used to easily describe the correlation between a component and other components. Spatially relative terms should be understood as terms that include different directions of components during use or operation in addition to the directions shown in the drawings. For example, if a component shown in a drawing is flipped over, a component described as “below” or “beneath” another component will be placed “above” the other component. You can. Accordingly, the illustrative term “down” may include both downward and upward directions. Components can also be oriented in other directions, so spatially relative terms can be interpreted according to orientation.
  • the medical information provision device may include all of a computer, a server device, and a portable terminal, or may take the form of any one.
  • the computer includes, for example, a laptop, desktop, laptop, tablet PC, slate PC, etc. equipped with a web browser, and the server device communicates with external devices.
  • Servers that process information include application servers, computing servers, database servers, file servers, game servers, mail servers, proxy servers, and web servers, and the portable terminal ensures portability and mobility, for example.
  • PCS Personal Communication System
  • GSM Global System for Mobile communications
  • PDC Personal Digital Cellular
  • PHS Personal Handyphone System
  • PDA Personal Digital Assistant
  • IMT International Mobile Telecommunication
  • CDMA Code Division Multiple Access
  • W-CDMA Wide-Code Division Multiple Access
  • WiBro Wireless Broadband Internet
  • the method of providing medical information according to the present disclosure will be created and provided by a computing device based on big data and artificial intelligence technology.
  • virtual convergence technology XR, eXtended Reality
  • VR virtual reality
  • AR augmented reality
  • MR mixed reality
  • ICT information and communication technology
  • the detailed description of the ICT technology related to the present disclosure refers to known technology and a separate description thereof is omitted.
  • This disclosure describes various embodiments of a method for determining the physical condition of a target patient and providing medical information based on medical guidelines corresponding to the determined physical condition of the target patient.
  • medical staff refers to medical professionals such as doctors, medical assistants such as nurses, and pharmacists for drug prescriptions, who directly or indirectly perform medical treatment on target patients without restrictions of time and space. can include everyone involved.
  • “medical activities” may include all activities performed on the target patient, such as diagnosis, treatment, prescription, and surgery.
  • medical diagnosis factor refers to data used to determine the physical condition of a target patient, and can be defined as shown in Table 1 described later.
  • the medical diagnosis factor according to the present disclosure is not limited to the content defined in Table 1, and may be updated, added, or newly created by medical staff in the relevant medical specialty.
  • medical guideline data may include guidelines for medical practice by medical staff according to the physical condition of the target patient identified through medical diagnosis factors.
  • Such medical guideline data may be collected from the hospital server of the medical information system of FIG. 1 or external sources, which will be described later, and may be updated, modified, added, etc. according to verified medical information.
  • the external source may include a server of a medical professional institution, a server providing a medical information DB, a server providing a medical journal or thesis DB, or a server of an administrative office related to a medical institution (for example, the Ministry of Health and Welfare).
  • medical information refers to or includes information for medical treatment provided to the relevant medical staff based on medical guideline data corresponding to the physical condition of the target patient identified based on the medical diagnosis factor. You can.
  • the information for the medical practice may include not only information about simple treatments or procedures, but also provision of information such as the treatment area and demonstration of the procedure when the procedure is necessary.
  • the present disclosure described in this specification will be explained using the example of providing medical information to medical personnel in charge of a patient hospitalized in an intensive care unit.
  • the present disclosure is not limited to a specific medical field and applies to all fields of the medical industry. It can be applied.
  • FIG. 1 is a diagram illustrating a medical information providing system according to an embodiment of the present disclosure.
  • Figure 2 is a diagram illustrating a medical information providing system according to another embodiment of the present disclosure.
  • Figure 3 is a block diagram of the control unit 240 of the medical information providing device 200 according to an embodiment of the present disclosure.
  • the medical information provision system may be configured to include a hospital server 100 and a medical information provision device 200.
  • the medical information provision information system may also include an external source 300.
  • the medical information provision system may be configured to include a terminal (400 in FIG. 2) that outputs medical information.
  • the terminal 400 is a terminal device that outputs medical information for medical staff, and includes fixed terminal devices such as PCs, monitors, signage, TVs, smartphones, tablet PCs, laptops, and wearable devices.
  • fixed terminal devices such as PCs, monitors, signage, TVs, smartphones, tablet PCs, laptops, and wearable devices.
  • a device dedicated to outputting medical information may be included.
  • the hospital server 100 can collect and store various medical data collected within the hospital and/or from external sources 300, and can store medical guideline data, parasitic medical information, patient information, etc.
  • patient information may refer to patient information related to the provision of medical information, including information about the patient's physical condition and the patient's personal information.
  • the medical information providing device 200 may be configured to include a communication unit 210, an output unit 220, a memory 230, and a control unit 240.
  • the communication unit 210 supports a communication interface environment not only with the hospital server 100 but also with the terminal 400 of FIG. 2 and can exchange various data.
  • the communication interface environment may be related to wired/wireless communication protocols.
  • the communication unit 210 can provide a communication interface environment. That is, the communication unit 210 may support or provide a communication environment for data communication not only between the internal components of the medical information providing device 200 but also with external devices such as the hospital server 100.
  • the communication unit 210 may include one or more components that enable communication with external devices, including the hospital server 100, for example, a wired communication module, a wireless communication module, and short-distance communication. It may include at least one of a module, a location information module, etc.
  • the wired communication module is a variety of wired communication modules such as a local area network (LAN) module, a wide area network (WAN) module, or a value added network (VAN) module, as well as a USB ( Can include a variety of cable communication modules, such as Universal Serial Bus (HDMI), High Definition Multimedia Interface (HDMI), Digital Visual Interface (DVI), recommended standard-232 (RS-232), power line communication, or plain old telephone service (POTS).
  • HDMI Universal Serial Bus
  • HDMI High Definition Multimedia Interface
  • DVI Digital Visual Interface
  • RS-232 recommended standard-232
  • POTS plain old telephone service
  • the wireless communication module includes, in addition to Wi-Fi module and WiBro (Wireless broadband) module, GSM (global system for mobile communication), CDMA (Code Division Multiple Access), WCDMA (Wideband Code Division Multiple Access), and UMTS. It may include a wireless communication module that supports various wireless communication methods such as (universal mobile telecommunications system), Time Division Multiple Access (TDMA), Long Term Evolution (LTE), 4G (generation), 5G, and 6G.
  • GSM global system for mobile communication
  • CDMA Code Division Multiple Access
  • WCDMA Wideband Code Division Multiple Access
  • UMTS Wideband Code Division Multiple Access
  • It may include a wireless communication module that supports various wireless communication methods such as (universal mobile telecommunications system), Time Division Multiple Access (TDMA), Long Term Evolution (LTE), 4G (generation), 5G, and 6G.
  • TDMA Time Division Multiple Access
  • LTE Long Term Evolution
  • 4G generation
  • 5G and 6G.
  • the short-range communication module is for short-range communication and includes BluetoothTM, Radio Frequency Identification (RFID), Infrared Data Association (IrDA), Ultra Wideband (UWB), ZigBee, and NFC (Near).
  • RFID Radio Frequency Identification
  • IrDA Infrared Data Association
  • UWB Ultra Wideband
  • ZigBee ZigBee
  • NFC Near
  • Short-distance communication can be supported using at least one of (Field Communication), Wi-Fi (Wireless-Fidelity), Wi-Fi Direct, and Wireless USB (Wireless Universal Serial Bus) technologies.
  • the location information module is, for example, a module for acquiring the terminal 400, and representative examples thereof include a Global Positioning System (GPS) module or a Wi-Fi module.
  • GPS Global Positioning System
  • Wi-Fi Wireless Fidelity
  • the location of the terminal 100 can be acquired using signals sent from GPS satellites.
  • the location of the device can be obtained based on information from the Wi-Fi module and a wireless AP (Wireless Access Point) that transmits or receives wireless signals.
  • the location information module can replace or additionally perform any of the functions of other modules of the communication module to obtain data about the location of the terminal 100.
  • the location information module is a module used to obtain location information of the medical information provision device 200 and/or the terminal 400, and directly determines the location of the medical information provision device 200 and/or the terminal 400. It is not limited to modules that compute or acquire.
  • the output unit 220 may transmit or directly output medical information generated by the medical information providing device 200.
  • the output may be provided in the form of text and images on the display unit or in the form of audio including voice.
  • the output unit 220 is implemented in the form of a head-mounted display (HMD) or transmits medical information to an external HMD device, output is made based on virtual reality or augmented reality on the HMD device.
  • the medical information may be processed to provide the medical information.
  • the medical information providing device 200 may receive various requests from medical staff, including an input device (not shown) such as a microphone.
  • the input device may be replaced with the input device of the terminal (400 in FIG. 2). That is, the medical staff can make various requests to the medical information providing device 200 in the form of voice or text through the input device of the terminal 400.
  • the memory unit 230 can temporarily store various data input/output to/from the medical information providing device 200.
  • the memory unit 155 stores data on the learned artificial intelligence model for providing medical information according to the present disclosure, medical guideline data, medical information, etc., and algorithms necessary for generating the medical information, and a program including the above data. You can save it in advance.
  • the role of the memory unit 230 can be replaced by the medical server 100.
  • the memory unit 230 may include various database units shown in FIG. 8, which will be described later. This is described separately in FIG. 8.
  • the control unit 240 may control the overall operation of the medical information providing device 200, including various components that make up the medical information providing device 200.
  • control unit 240 may include a data collection unit 241, a data classification unit 242, a data analysis unit 243, and a data generation unit 244.
  • the control unit 240 generates a learned artificial intelligence model for each of a plurality of predefined medical diagnosis factors as shown in FIG. 7 (or a learned artificial intelligence model for a combination of at least two or more medical diagnosis factors) It can be stored in the memory unit 230.
  • the data collection unit 241 may collect physical condition data of the target patient.
  • the data collection unit 241 may receive sensing data (i.e., body condition data) in real time from the body image of the target patient or various sensors (not shown) installed around the patient. Meanwhile, the data collection unit 241 may preprocess the collected data for data processing through the created artificial intelligence model. At this time, the preprocessing may be performed in the data classification unit 242, which will be described later.
  • the data collection unit 241 may not immediately process the physical condition data of the target patient collected in real time, but may process it regularly at a preset cycle, or may process it irregularly only at the request of a medical staff or when a separate situation occurs.
  • the data classification unit 242 may classify the target patient's physical condition data collected (or preprocessed) through the data collection unit 241 into data corresponding to the medical diagnosis factors.
  • the data analysis unit 243 may compare and analyze a preset reference value for at least one medical diagnosis factor determined by the control unit 240 and the corresponding physical condition data among the classified physical condition data of the target patient.
  • the data generator 244 bases the medical diagnosis factor on preset medical guideline data. Thus, medical information can be generated.
  • the control unit 240 may control the medical information generated by the data generation unit 244 to be provided to the medical staff through at least one terminal 400.
  • the medical information may be provided in the form of any one of text, image, voice, etc., or a combination thereof.
  • the control unit 240 may control the data generation unit 244 to generate only medical information based on the comparative analysis results of the target patient's physical condition data requested by the medical staff.
  • the medical information can be generated not only when the target patient's physical condition is determined to be abnormal in relation to the corresponding diagnostic factor as a result of comparative analysis through the data analysis unit 243, but also in cases where this is not the case.
  • FIG. 9 is a diagram illustrating a user interface screen related to medical information according to an embodiment of the present disclosure, and may represent a user interface screen related to medical information output on the terminal 400 in an actual field.
  • Figure 9 shows, for example, a user interface screen for 24-hour blood pressure measurement test results.
  • a user interface screen regarding the overall physical condition of the target patient, including heart rate may be further displayed. In this way, the data included in the user interface shown in FIG. 9 can be used as data for the medical diagnosis factor according to the present disclosure.
  • the medical information providing system may be configured by adding one or more components in relation to performing operations according to the present disclosure, in addition to the components shown in FIGS. 1 to 3.
  • FIG. 4 is a flowchart illustrating another method of providing medical information according to an embodiment of the present disclosure.
  • FIG. 5 is a flowchart illustrating a method of providing medical information according to another embodiment of the present disclosure.
  • FIG. 6 is a flowchart illustrating a method of providing medical information according to another embodiment of the present disclosure.
  • FIG. 7 is a diagram illustrating a medical diagnosis factor according to an embodiment of the present disclosure.
  • FIG. 8 is a diagram illustrating a DB built according to an embodiment of the present disclosure.
  • FIGS. 4 to 6 may be performed in the medical information providing device 200 shown in FIGS. 1 to 2 or the control unit 240 shown in FIG. 3 .
  • FIGS. 4 to 6 are described from the perspective of the medical information providing device 200, but are not limited thereto.
  • FIGS. 4 to 6 may be operated differently than shown. Depending on the embodiment, some operations may be performed simultaneously.
  • the medical information providing device 200 may generate m (where m is a natural number) learned artificial intelligence models corresponding to each of a plurality of predefined medical diagnosis factors.
  • m may be equal to the number of medical diagnosis factors.
  • m may be greater than the number of medical diagnosis factors.
  • a learned artificial intelligence model corresponding to a combination of at least two or more medical diagnosis factors may be further included.
  • the combined at least two medical diagnosis factors may be, for example, arbitrarily determined, there may be a correlation between the medical diagnosis factors, there may be a risk of functional conflict with the patient's physical condition due to the provision of medical information, or the medical diagnosis factors may be determined by the settings of the medical staff. there is.
  • the medical information providing device 200 may collect physical condition data of the target patient.
  • the medical information providing device 200 pre-processes the collected physical condition data of the target patient, classifies it into data corresponding to the medical diagnosis factors, and pre-processes a preset reference value for the determined at least one medical diagnosis factor. Among the classified physical condition data of the target patient, the corresponding physical condition data can be compared and analyzed.
  • the medical information providing device 200 generates medical information based on preset medical guideline data for the medical diagnosis factor determined to be abnormal as a result of the comparative analysis in operation 13, and outputs the generated medical information. It can be controlled as much as possible.
  • FIG. 5 may be, for example, a procedure after operation 14 of FIG. 4 , that is, after medical treatment such as treatment or prescription by a medical staff according to the provision of the medical information.
  • the medical information providing device 200 may monitor a target patient. At this time, the monitoring may include re-collection of physical condition data of the target patient.
  • the medical information providing device 200 may analyze the monitoring result of operation 21, that is, the re-collected physical condition data of the target patient.
  • the medical information providing device 200 determines whether the abnormal condition of the corresponding medical diagnosis factor according to the medical information has improved after providing the medical information according to operation 14 of FIG. 4, based on the analysis result of operation 22. You can judge.
  • the medical information providing device 200 may output medical information if, as a result of determining whether the abnormal condition has improved in operation 23, if the abnormal condition for the corresponding medical diagnosis factor has not improved.
  • the content of the medical information output in operation 24 may be the same as or different from the medical information according to operation 14 of FIG. 4 described above.
  • a detailed analysis of the reason why the abnormal condition related to the relevant diagnostic factor does not improve may first be conducted. This may be performed automatically by the medical information provision device 200, and the results of the analysis performed in this way are provided in advance before providing medical information, and if there is content entered according to the judgment of the medical staff, the content is stored in the medical guideline. The content level of the medical information may be determined by comparison with the data.
  • the medical information providing device 200 may determine whether the abnormal condition of the corresponding diagnostic factor has improved or the physical condition of the target patient has improved according to the medical information newly provided in operation 24.
  • the medical information providing device 200 determines in operation 25 that if the abnormal condition related to the corresponding diagnostic factor of the target patient has improved according to the medical information provided in operation 24, diagnostic factor(s) other than the diagnostic factor ), it is possible to determine whether a new abnormality has been discovered (or occurred).
  • the medical information providing device 200 may create a new process related to the corresponding diagnosis factors. At this time, the new process created may be similar to the process in FIG. 5, for example.
  • Figure 6 may be unrelated to Figures 4 to 5 or may be an operation subsequent to Figures 4 or 5.
  • the medical information providing device 200 may monitor the target patient.
  • the medical information providing device 200 may recognize the occurrence of a situation regarding the target patient through operation 31.
  • the medical information providing device 200 collects, classifies, and analyzes physical condition information about the target patient, as in operations 12 to 13 of FIG. 4 described above. can do.
  • the medical information providing device 200 may identify the person in charge of the target patient, that is, the medical staff.
  • the medical information providing device 200 may determine whether the medical diagnosis factor related to the occurrence of the situation is the specialty of the identified medical staff, based on the analysis result in operation 33 and the medical staff identification result in operation 34. there is.
  • the medical information providing device 200 configures the minimum medical information because it is the medical staff's specialty. You can print it out.
  • the medical information providing device 200 determines in operation 35 that, if the medical diagnosis factor related to the occurrence of the situation is not the specialty of the identified medical staff, the situation occurred even if the person in charge is a medical staff member. In order to induce an accurate response, full medical information can be configured and printed.
  • the structure of medical information may be different depending on the identified medical staff.
  • the medical information providing device 200 can generate and provide stratified medical information based on medical guideline data matched or mapped to diagnosis factors.
  • the stratification may refer to the composition of medical information, that is, varying the level of detail of the content of medical information. For example, depending on stratification, at least two pieces of medical information (minimum medical information and full medical information) may be generated for the same situation. In this case, a plurality of pre-layered pieces of medical information are generated, and medical information selected according to the situation (for example, the specialty of the identified medical staff in FIG. 6) may be provided.
  • the stratification of the medical information is not always performed and may be determined according to the identified medical staff.
  • the identified medical staff may indicate whether the medical staff has a specialty or whether the medical staff is a specialist.
  • the medical information is stratified and a plurality of pieces are created in advance, but when the first medical information is provided depending on the situation, Min medical information or average medical information is provided in advance, and as shown in FIG. 5, despite the initial medical information provided, And if the abnormality related to the medical diagnosis factor of the target patient does not improve, full medical information may be provided.
  • the stratification of medical information described in this specification may mean, for example, differences in intensity or prescription levels for the same medical treatment, or may be achieved by whether any of the contents included in predefined guideline data are included.
  • the plurality of medical diagnosis factors include patient disease and underlying disease information, vital sign information, blood sugar information, systemic condition and neurological condition information, infection information, blood test finding information, and nutritional supply of the target patient. Status information, body fluid retention status determination information, TCD information, and imaging test information may be included. However, the present disclosure is not limited thereto. For example, a specific medical diagnosis factor shown in FIG. 7 may be omitted or a new medical diagnosis factor may be additionally included.
  • the patient's disease and underlying disease information may represent the target patient's current disease information or underlying disease information. At this time, the patient's disease and underlying disease information may also include family history, etc.
  • vital sign information can be collected using data analysis on blood pressure and medication, and guideline DB.
  • the medical information providing device 200 may determine whether there is an abnormality in vital signs based on whether the value of the collected data changes by a predetermined percentage or more than the reference value (eg, average).
  • the predetermined ratio may be, for example, 10 to 50%, and preferably 20%.
  • Blood sugar information as one of the medical diagnosis factors, can be provided by collecting blood sugar data of the target patient and extracting the appropriate amount of insulin dosage for the blood sugar data collected as medical information.
  • the general condition and neurological condition information are GCS (Glasgow Coma Scale) score - regarding the patient's level of consciousness, whether sedation or barbiturate is used, RASS (Richmond agitation sedation scale) score - Through confirmation of data information, including the tool used to express the degree of patient's sedation or agitation in numbers, APACHE (Acute Physiology and Chronic Health. Evaluation) score, Motor Response, and pupil response, the corresponding data It can be determined whether the change in value is more than the standard value.
  • GCS Gargow Coma Scale
  • RASS Rowmond agitation sedation scale
  • Infection information as one of the medical diagnosis factors, is intended to be determined based on the patient's chest . Additionally, antibiotic recommendation information may be provided as medical information according to such infection information.
  • blood test findings information is, for example, related to the findings of an arterial blood test, that is, interpretation. Result values for each of pH-pCO2-pO2-SaPO2-Base Excess can be received and output from test data. , Appropriate drug recommendation information may be included in the DB as medical information.
  • nutritional supply status information is, for example, an optimal nutritional support method using deep learning and reinforcement learning to learn nutritional requirements corresponding to the optimal metabolic rate by body temperature and optimal nutritional product recommendations for each body condition in critically ill neurological patients.
  • customized nutritional support for critically ill patients based on artificial intelligence that can recommend nutritional products can be included in medical information.
  • information for determining body fluid retention includes the previous day's intake and output (I/O), whole body edema, and blood urea nitrogen/creatinine (BUN/Cr), which is one of the kidney function tests.
  • creatinine) ratio - used when determining whether kidney disease is present and where the problem is - by checking Na/Osm, central venous pressure (CVP) levels, and chest radiograph findings, if FloTrac is available, based on the information , corresponding medical information may be generated.
  • transcranial Doppler Ultrasonography (TCD) information includes middle cerebral artery (MCA) velocity, Lindegaard Ratio, and cerebral blood flow (CBF). Flow) can be automatically calculated, and medical information can be generated based on the calculation results.
  • MCA middle cerebral artery
  • CBF cerebral blood flow
  • imaging test information is, for example, about content read by a radiology professor, and this information can be directly reflected or referenced in generating medical information. Meanwhile, such image examination information may be converted into audio form before generating medical information and provided, or may be provided in text form on the screen of the terminal 400.
  • other information includes, for example, checking information on current drug administration, automatically searching for side effects due to interactions between drugs being administered to the patient, and drugs prescribed by medical staff, etc. It can be included as part of medical information or included in medical information based on the drug information DB to determine whether there are any problems.
  • a plurality of medical diagnosis factors for determining the physical condition of a target patient are determined, medical information is generated and provided respectively according to medical guideline data for each medical diagnosis factor, It is also possible to determine in advance whether there is a conflict between the plurality of generated medical information. At this time, the determination of whether there is a conflict may be reflected before generating the medical information if there is an artificial intelligence model learned in advance regarding the combination of the relevant medical information.
  • the medical information providing device 200 may process the method of providing the medical information differently from the case where only one medical diagnosis factor is considered. For example, the medical information providing device 200 may modify the generated at least one medical information according to priority among the plurality of medical diagnosis factors.
  • the above modification may refer to modifying the structure or content of medical information.
  • the modification may also include an operation of sequentially providing medical information that was initially scheduled to be applied simultaneously. Additionally, the modification may also include a combination of the above.
  • the medical information providing device 200 when there are a plurality of determined medical diagnosis factors, provides the plurality of medical diagnosis factors in the form of a list sorted according to a predefined priority. can do. At this time, the medical information providing device 200 includes information on whether there is a conflict when simultaneously prescribing medical diagnosis factors of the next highest priority based on the highest priority medical diagnosis factor, the possibility of conflict, problems resulting from the conflict, etc. in the provided medical diagnosis factor list. can be provided together. Meanwhile, the medical information providing device 200 may only generate medical information corresponding to at least one medical diagnosis factor selected from the provided medical diagnosis factor list.
  • the medical information providing device 200 targets the target according to the priority determined based on at least one of the target patient's disease name data, surgical site data, personnel input data, current treatment or prescription data, and severity and medical history data. It is also possible to determine a medical diagnosis factor for comparative analysis of the patient's physical condition.
  • the medical information providing device 200 may only provide information requested by the medical staff of the target patient according to priority. At this time, when determining the information requested by the medical staff of the target patient, if there is a plurality of medical information belonging to the same category, only certain medical information may be provided according to priority.
  • the predetermined medical information may indicate highest priority and second highest priority medical information.
  • the database unit may be implemented as a plurality of separated databases.
  • each database may be created for one medical diagnosis factor or the one medical diagnosis factor and medical guideline data matched or mapped thereto.
  • the number of databases formed may be equal to the number of medical diagnosis factors.
  • each database in FIG. 8 is generated by one medical information providing device 200 for one medical diagnosis factor or the one medical diagnosis factor and medical guideline data matched or mapped thereto.
  • it can be generated for a combination of at least two or more medical diagnosis factors or medical guideline data matched or mapped thereto. Therefore, in this case, the number of databases formed is greater than the number of medical diagnosis factors.
  • each database in FIG. 8 may be created for one patient.
  • all medical diagnosis factor information, etc. may be classified and stored based on the target patient.
  • each database in FIG. 8 may be created in relation to grouping, where the grouping may be based on at least one of symptoms, type of disease, age, gender, current severity, medical staff, etc. there is.
  • conflict may include any content that has been proven to cause a rapid change in the physical condition of the target patient or to pose a risk during treatment or prescription.
  • the medical information providing device 200 can determine the scope and form of provision of the generated medical information.
  • the scope of provision of medical information may indicate, for example, the scope of medical personnel who will receive the same medical information.
  • the form of medical information provision may indicate the level of medical practice or prescription information in accordance with the medical guidelines.
  • the scope and form of provision of such generated medical information may be determined, for example, depending on the identified medical staff.
  • the identification may be made based on at least one of data such as data on whether the medical staff in question is a doctor, data on whether the medical staff is a specialist, data on specialty areas, and whether collaboration with other departments is necessary.
  • the medical information provision device 200 can receive medical information not only when medical staff stay in a ward or hospital, but also in a mobile environment without time and space constraints. Additionally, when providing medical information, the medical information providing device 200 may differentiate access or modification rights to items constituting the medical information. This means that even though medical information is basically generated based on medical guideline data, for example, if there is no improvement in the target patient's signs or physical condition even after medical treatment based on the initial medical information, quick response through field experience or on-site is not possible. This is to ensure that the content is reflected.
  • the physical condition of a patient can be quickly identified through a predefined medical diagnosis factor, and medical information regarding corresponding medical actions by medical personnel for the identified physical condition of the patient is provided. It is possible to provide requested response medical information regardless of the medical staff's specialty, or to stratify the level of medical information provided according to the medical staff's specialty and situation to enable accurate response medical practice. And according to the present disclosure, when collaboration between specialized personnel in specialized medical fields is required, a tool that supports such collaboration can be provided quickly and conveniently without being bound by time and place, without requiring additional time and effort. Even without spending money, it may be possible to provide medical information for patient treatment that reflects updated medical guideline data. In addition, according to the present disclosure, it may be possible to provide medical information for adaptive response according to the results of monitoring the patient's physical condition after medical information through a learned artificial intelligence model and big data.
  • the steps of the method or algorithm described in connection with the embodiments of the present disclosure may be implemented directly in hardware, implemented as a software module executed by hardware, or a combination thereof.
  • the software module may be RAM (Random Access Memory), ROM (Read Only Memory), EPROM (Erasable Programmable ROM), EEPROM (Electrically Erasable Programmable ROM), Flash Memory, hard disk, removable disk, CD-ROM, or It may reside on any type of computer-readable recording medium well known in the art to which this disclosure pertains.

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Biomedical Technology (AREA)
  • Data Mining & Analysis (AREA)
  • Databases & Information Systems (AREA)
  • Pathology (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

L'invention concerne un dispositif, un procédé et un système de fourniture d'informations médicales. Selon la présente divulgation, un dispositif de fourniture d'informations médicales comprend : une mémoire configurée pour stocker un modèle d'intelligence artificielle formé pour chaque facteur d'une pluralité de facteurs de diagnostic médical prédéfinis et des données de directives médicales correspondant à la pluralité de facteurs de diagnostic médical ; et un processeur configuré pour effectuer une commande afin de générer le modèle d'intelligence artificielle formé, pour prétraiter, lorsque des données d'état corporel d'un patient cible sont collectées, les données d'état corporel collectées du patient cible afin de classer les données d'état corporel prétraitées en tant que données correspondant aux facteurs de diagnostic médical, et pour comparer et analyser une valeur de référence préconfigurée, pour au moins un facteur de diagnostic médical déterminé, et des données d'état corporel correspondantes parmi les données d'état corporel classées du patient cible, de façon à fournir des informations médicales par rapport à un facteur de diagnostic médical déterminé comme étant anormal à la suite de la comparaison et de l'analyse, les informations médicales étant générées sur la base des données de directives médicales.
PCT/KR2023/002783 2022-03-29 2023-02-28 Dispositif, procédé et système de fourniture d'informations médicales WO2023191319A1 (fr)

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KR101929752B1 (ko) * 2018-05-30 2018-12-17 (주)제이엘케이인스펙션 인공지능 기반 의료기기의 임상적 유효성 평가 방법 및 시스템
KR101993716B1 (ko) * 2012-09-28 2019-06-27 삼성전자주식회사 카테고리별 진단 모델을 이용한 병변 진단 장치 및 방법
EP3806107A1 (fr) * 2019-10-11 2021-04-14 C The Signs Limited Outil de diagnostic
KR102261092B1 (ko) * 2021-01-20 2021-06-03 이창엽 의료진단 관리 시스템
KR102346824B1 (ko) * 2020-06-12 2022-01-05 고려대학교 산학협력단 인공지능 기반 생체신호 모니터링 및 분석을 통한 복합 생활 지원 솔루션 제공 시스템 및 그 동작 방법

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Publication number Priority date Publication date Assignee Title
KR20210014863A (ko) 2019-07-31 2021-02-10 주식회사 파트너스앤코 인공지능 음성인식 기반의 홈 케어 장치 및 방법

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101993716B1 (ko) * 2012-09-28 2019-06-27 삼성전자주식회사 카테고리별 진단 모델을 이용한 병변 진단 장치 및 방법
KR101929752B1 (ko) * 2018-05-30 2018-12-17 (주)제이엘케이인스펙션 인공지능 기반 의료기기의 임상적 유효성 평가 방법 및 시스템
EP3806107A1 (fr) * 2019-10-11 2021-04-14 C The Signs Limited Outil de diagnostic
KR102346824B1 (ko) * 2020-06-12 2022-01-05 고려대학교 산학협력단 인공지능 기반 생체신호 모니터링 및 분석을 통한 복합 생활 지원 솔루션 제공 시스템 및 그 동작 방법
KR102261092B1 (ko) * 2021-01-20 2021-06-03 이창엽 의료진단 관리 시스템

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