WO2018010379A1 - System and method for automatically generating clinical path - Google Patents
System and method for automatically generating clinical path Download PDFInfo
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- WO2018010379A1 WO2018010379A1 PCT/CN2016/111166 CN2016111166W WO2018010379A1 WO 2018010379 A1 WO2018010379 A1 WO 2018010379A1 CN 2016111166 W CN2016111166 W CN 2016111166W WO 2018010379 A1 WO2018010379 A1 WO 2018010379A1
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- 238000000034 method Methods 0.000 title claims abstract description 33
- 230000000694 effects Effects 0.000 claims abstract description 94
- 238000011282 treatment Methods 0.000 claims abstract description 92
- 238000003745 diagnosis Methods 0.000 claims abstract description 60
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims abstract description 50
- 201000010099 disease Diseases 0.000 claims abstract description 49
- 230000007721 medicinal effect Effects 0.000 claims description 108
- 230000037361 pathway Effects 0.000 claims description 52
- 238000004458 analytical method Methods 0.000 abstract description 2
- 238000004891 communication Methods 0.000 description 22
- 238000012545 processing Methods 0.000 description 11
- 238000012216 screening Methods 0.000 description 7
- 230000006870 function Effects 0.000 description 6
- 230000000474 nursing effect Effects 0.000 description 6
- 238000000605 extraction Methods 0.000 description 4
- 230000010365 information processing Effects 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 3
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- 230000006399 behavior Effects 0.000 description 1
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- 230000009466 transformation Effects 0.000 description 1
- 238000000844 transformation Methods 0.000 description 1
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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
- 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
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q50/00—Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
- G06Q50/10—Services
- G06Q50/22—Social work or social welfare, e.g. community support activities or counselling services
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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
- G16H70/00—ICT specially adapted for the handling or processing of medical references
- G16H70/20—ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
Definitions
- the present invention relates to the field of medical information technology, and in particular, to a system and method for automatically generating a clinical path.
- the clinical pathway is an effective way to improve the quality of clinical care, improve medical quality, and control medical costs.
- the Health Planning Commission has vigorously promoted the implementation of clinical pathways in the country, issued the “Clinical Path Management Pilot Work Plan”, and formulated a series of clinical pathway standards, hoping to standardize medical behavior through clinical pathways, optimize hospital resource allocation, and then rationally control Medical expenses.
- a primary object of the present invention is to provide a system and method for automatically generating a clinical path, which aims to solve the technical problem that the clinical path of the target disorder cannot be automatically generated according to the individualized characteristics of the disease itself in different patients.
- the present invention provides a clinical path automatic generation system.
- the clinical path automatic generation system includes a node setting module, a medical activity acquisition module, a diagnosis and treatment activity determination module, and a clinical path generation module, wherein:
- the node setting module is configured to set multiple nodes of a clinical path of a target disease by means of key node identification;
- the medical activity acquisition module is configured to acquire, for each of the plurality of nodes, a diagnosis and treatment activity of each of the plurality of patients having the target disease and having been cured;
- the medical activity determining module is configured to select, from among the plurality of medical treatment activities in each of the acquired nodes, a medical activity whose number of occurrences reaches a preset number of times, or select a medical activity whose frequency of occurrence reaches a preset frequency , as the medical activity of each node;
- the clinical path generation module is configured to generate a standard clinical path corresponding to the target disease according to each node, and the medical activity of each node.
- the medical activity acquisition module is further configured to acquire, for each node of the standard clinical path, respectively, the target disease in the designated inter-segment, and has been cured by the standard clinical path. All patients' medical activities.
- the clinical path generating module is further configured to: select, from the plurality of medical treatment activities in each node of the obtained standard clinical path, the number of occurrences to reach the predetermined number of medical activities, or The medical activities with the frequency of reaching the preset frequency are selected, and the medical activities of each node in the standard clinical path are updated.
- the clinical path automatic generation system further includes a node editing module, where the node editing module is configured to display the designation after receiving an update instruction for the medical activity of the designated node in the standard clinical path All medical activities of the node for users to update.
- the clinical path automatic generation system further includes a clinical path update module, where the clinical path update module is configured to replace the pre-update medical activity with the updated medical activity after receiving the update completion instruction To update the diagnosis and treatment activities of each node in the standard clinical pathway.
- the present invention also provides a method for automatically generating a clinical path.
- the clinical path automatic generation method includes the following steps:
- the method further comprises the following steps:
- the method further comprises the following steps:
- the step of updating the medical activity of each node in the standard clinical path includes
- the step of updating the medical activity of each node in the standard clinical path further comprises: after receiving the update completion instruction, replacing the pre-update medical activity with the updated medical activity To update the diagnosis and treatment activities of each node in the standard clinical pathway.
- the clinical path automatic generation system and method provided by the present invention acquires the diagnosis and treatment activities of each of the plurality of cured patients for each node by setting a plurality of nodes of the clinical path, and Selecting, from each node, the medical activity that reaches the preset number of times or the frequency reaches the preset frequency as the medical activity of the node, so that the standard clinical path can be automatically analyzed according to the diagnosis and treatment activities in the clinical path of the plurality of cured patients. No need for doctors to spend a lot of time and effort to create a clinical pathway for a given condition, reducing the workload of the doctor and improving the efficiency of the clinical pathway.
- Brief description of the drawing
- 1 is a schematic diagram of functional modules of a preferred embodiment of a clinical path automatic generation system according to the present invention
- 2 is a schematic flow chart of a preferred embodiment of a method for automatically generating a clinical path according to the present invention.
- the present invention provides a clinical pathway automatic generation system and method.
- a clinical pathway automatic generation system and method By setting a plurality of nodes of the clinical path, obtaining the diagnosis and treatment activities of each of the plurality of cured patients for each node, and selecting, from each node, the medical activity that the number of occurrences reaches a preset number of times or the frequency reaches a preset frequency as
- the node's diagnosis and treatment activities enable automatic analysis of the clinical pathways based on the diagnosis and treatment activities in the clinical pathways of multiple cured patients, eliminating the need for doctors to spend a lot of time and effort to create a clinical pathway for a given condition, reducing the doctor's Workload, and improve the efficiency of clinical pathway generation.
- FIG. 1 is a schematic diagram of functional modules of a preferred embodiment of a clinical path automatic generation system of the present invention.
- the clinical path automatic generation system 10 runs in a doctor workstation 1, which is a computer having communication and information processing capabilities, including but not limited to a portable computer or a desktop computer.
- the doctor workstation 1 further includes a storage unit 12, a processing unit 14, and a communication unit 16.
- the storage unit 12 can be a read only storage unit ROM, an electrically erasable storage unit EEPROM, a flash storage unit FLASH or a solid hard disk.
- the processing unit 14 may be a central processing unit (CPU), a microcontroller (MCU), a data processing chip, or an information processing unit having a data processing function.
- the communication unit 16 is a wireless communication interface or a wired interface with a remote communication function, for example, wireless supporting communication technologies such as GSM, GPRS, WCDMA, CDMA, TD-SCD MA, WiMAX, TD-LTE, FDD-LTE. Or wired communication interface.
- wireless supporting communication technologies such as GSM, GPRS, WCDMA, CDMA, TD-SCD MA, WiMAX, TD-LTE, FDD-LTE. Or wired communication interface.
- the clinical path automatic generation system 10 includes a node setting module 101, a medical activity acquisition module 102, a medical activity determination module 103, and a clinical path generation module 104.
- a module referred to in the present invention refers to a series of meters that can be executed by the processing unit 14 and that can perform a fixed function.
- a computer program instruction segment which is stored in the storage unit 12.
- the node setting module 101 is configured to set a plurality of nodes of the clinical path of the target disease by means of key node identification.
- the plurality of nodes of the clinical pathway include, but are not limited to, a day of admission, a day before surgery, a day of surgery, a day after surgery, a day of discharge, and a day of hospitalization.
- identifying at multiple nodes of the clinical pathway multiple nodes of the clinical pathway of the corresponding target disease are set.
- different key nodes can be set for different target diseases to obtain targeted information at the diagnosis and treatment activities of each node.
- the medical activity acquisition module 102 is configured to acquire, for each of the plurality of nodes, a medical activity of each of the plurality of patients suffering from the target disease and having been cured.
- the medical treatment activity comprises: a treatment activity, a medical order and/or a care activity.
- the medical activity acquisition module 102 includes a rule determination sub-module 1021 and an extraction sub-module 102 2, and the rule determination sub-module 1021 is configured to formulate a screening rule for the diagnosis and treatment activity, and remove according to the established screening rule.
- the diagnosis and treatment activities related to the diagnosis and the medical treatment activities that are not directly related to the treatment are selected for the diagnosis and treatment activities corresponding to the target disease.
- the extraction sub-module 1022 is configured to extract the selected medical activities. Specifically, first, a case of a plurality of patients having the target disease and having been cured is selected, and for each case, the selected medical activities are extracted.
- the medical activities include treatment activities, medical orders, and/or care activities.
- each case is stored in the storage unit 12 according to the template of the existing electronic medical record, or the electronic medical record of each case is read from the electronic medical record database system communicated with the doctor workstation 1 through the communication unit 16. .
- the electronic medical record of each case has a keyword for describing the medical activity, and the keyword is used as a matching object, and the medical activity corresponding to the selected target disease is extracted from the electronic medical record of each case.
- the medical activity determining module 103 is configured to select, from among the plurality of medical activities in each of the acquired nodes, a medical activity whose number of occurrences reaches a preset number of times, or select a medical treatment whose frequency of occurrence reaches a preset frequency Activities, as a diagnosis and treatment activity for each of the nodes.
- the preset number of times is a number greater than or equal to half of the number of the plurality of patients.
- the preset number of times can be increased.
- the frequency of occurrence may also be selected.
- the rate of diagnosis and treatment activities reached the preset frequency.
- the preset frequency is 50%.
- the frequency or frequency of treatment activities, medical orders, and nursing activities of each node can be calculated by a probabilistic statistical method.
- the clinical path generation module 104 is configured to generate a standard clinical path corresponding to the target disease according to each node, and the diagnosis and treatment activity of each node. Specifically, a clinical pathway is generated based on the frequency or number of medical activities. For example, the treatment activity, the medical order, and the nursing activity whose frequency value is greater than or equal to the preset frequency (for example, 50%) form a standard clinical path; or, the number of extractions reaches a preset number of treatment activities, medical orders, and nursing activities, forming a standard clinical path. . After the standard clinical path is formed, it can also be sent to the corresponding expert's doctor workstation through the communication unit 16 for review to determine the accuracy of the standard clinical path. After the approval is passed, the standard clinical path is stored in the storage unit 12 for use or It is sent through the communication unit 16 to a standard clinical path database system that is in communication with the doctor's workstation.
- the preset frequency for example, 50%
- the diagnosis and treatment activities can automatically generate a standard clinical path according to the diagnosis and treatment activities in the clinical pathways of a plurality of cured patients, without requiring the doctor to spend a lot of time and energy to make a clinical path for the specified disease, and reduce The workload of the doctor is increased and the efficiency of the clinical pathway is increased.
- the medical activity acquisition module 102 is further configured to acquire, for each node of the standard clinical path, the target disease in the designated session, and have passed the standard. Clinical path to cure all patients' medical activities. Specifically, updating the medical activity in each node of the standard clinical path that has been generated, obtaining the medical activity of each node in the standard clinical path, increasing the designated inter-segment, and thus acquiring the target disease, And an electronic medical record of all patients who have been cured by the standard clinical route, screening an electronic medical record of the patient in the designated inter-segment, and extracting the selected medical activity corresponding to the target disease from the electronic medical record of each patient .
- the clinical path generation module 103 is further configured to: select, from the plurality of medical treatment activities in each node of the obtained standard clinical path, the number of occurrences to reach the predetermined number of medical activities, or select the frequency of occurrence to reach the pre-prevention A frequency-based diagnosis and treatment activity is performed to update the diagnosis and treatment activities of each node in the standard clinical pathway.
- the generated clinical pathway can be corrected to perfect the clinical pathway and make it a more standard clinical pathway.
- the clinical path automatic generation system 10 further includes a node editing module 105 and a clinical path update module 106, and the node editing module 105 is configured to receive a node in the standard clinical path.
- the update instruction of the medical activity displays all the medical activities of the designated node for the user to update.
- the clinical path update module 106 is configured to replace the pre-update medical activity with the updated medical activity after receiving the update completion instruction to update the medical activity of each node in the standard clinical path.
- the diagnosis and treatment activities of the designated nodes in the clinical path are updated, and by updating the medical treatment activities in the node, the user can modify the medical treatment activities in the clinical path to make the clinical path more standardized.
- FIG. 2 is a schematic flow chart of a preferred embodiment of a method for automatically generating a clinical path according to the present invention.
- the automatic clinical path generation method runs in the doctor workstation 1, and the method includes the following steps:
- S10 setting a plurality of nodes of a clinical path of the target disease by means of key node identification.
- the node setting module 101 sets a plurality of nodes of the clinical path of the target disease by means of key node identification.
- the plurality of nodes of the clinical pathway include, but are not limited to, a hospital admission day, a preoperative day, a surgery day, a postoperative day, a discharge day, and a hospitalization day.
- identifying at multiple nodes of the clinical pathway multiple nodes of the clinical pathway of the corresponding target disease are set.
- different key nodes may be set for different target diseases, so that the diagnosis and treatment activities at each node are targeted.
- S20 acquiring, for each of the plurality of nodes, a medical activity of each of the plurality of patients having the target disease and having been cured.
- the medical activity acquisition module 102 acquires, for each of the plurality of nodes, the medical activities of each of the plurality of patients suffering from the target disease and having been cured.
- the medical activities include: treatment activities, medical orders, and/or care activities.
- Step S20 specifically includes the following steps:
- Extracting the selected medical activities Specifically, first, a case of a plurality of patients having the target disease and having been cured is selected, and for each case, the selected medical activities are extracted. It can be understood that each case is stored in the storage unit 12 according to the template of the existing electronic medical record, or the electronic medical record of each case is read from the electronic medical record database system communicated with the doctor workstation 1 through the communication unit 16. .
- the electronic medical record of each case has a keyword for describing the medical activity, and the keyword is used as a matching object, and the selected medical disease corresponding to the target disease is extracted from the electronic medical record of each case.
- S30 selecting, from the obtained plurality of medical treatment activities in each node, a medical activity that occurs a preset number of times, or selecting a medical activity whose frequency of occurrence reaches a preset frequency, as each of the The node's medical activities.
- the medical activity determining module 103 selects, from among the plurality of medical treatment activities in each of the acquired nodes, a medical activity whose occurrence frequency reaches a preset number of times, or selects a medical activity whose frequency of occurrence reaches a preset frequency As the medical activity of each node mentioned.
- the preset number of times is a number greater than or equal to half of the number of the plurality of patients.
- the preset frequency is 50%.
- S40 Generate a standard clinical path corresponding to the target disease according to each node, and the medical activity of each node.
- the clinical pathway generation module 104 generates a standard clinical path corresponding to the target disease according to the frequency or frequency of the diagnosis activities of each node. For example, the treatment activity, the medical order, and the nursing activity whose frequency value is greater than or equal to the preset frequency (for example, 50%) form a standard clinical path; or, the number of extractions reaches a preset number of treatment activities, medical orders, and nursing activities, forming a standard clinical path. . After the standard clinical path is formed, it can also be sent to the corresponding expert's doctor workstation through the communication unit 16 for review to determine the accuracy of the standard clinical path.
- the preset frequency for example 50%
- the standard clinical path is stored in the storage unit 12 for use or It is sent through the communication unit 16 to a standard clinical path database system that is in communication with the doctor's workstation.
- the diagnosis and treatment activities can automatically generate a standard clinical path according to the diagnosis and treatment activities in the clinical pathways of a plurality of cured patients, without requiring the doctor to spend a lot of time and energy to make a clinical path for the specified disease, and reduce The workload of the doctor is increased and the efficiency of the clinical pathway is increased.
- the method for automatically generating a clinical path further includes:
- S50 For each node of the standard clinical pathway, the medical activities of all patients who have the target disease and have been cured by the standard clinical path within the designated inter-segment are respectively acquired.
- the method for obtaining the medical activity in each node of the standard clinical path that has been generated is updated, and the method for obtaining the medical activity of each node in the standard clinical path is added to the designated interval based on step S20. Therefore, in obtaining an electronic medical record of all patients suffering from the target disease and having been cured by the standard clinical route, screening an electronic medical record of the patient within the designated inter-segment, from each patient's electronic medical record The diagnosis and treatment activities corresponding to the target diseases selected are selected.
- S60 selecting, from the plurality of medical treatment activities in each node of the standard clinical path that the number of occurrences reaches the predetermined number of medical activities, or selecting the frequency of occurrence to reach the preset frequency
- the diagnosis and treatment activities update the medical activities of each node in the standard clinical pathway.
- the resulting clinical pathway can be corrected to refine the clinical pathway to a more standard clinical pathway.
- the step of updating the medical activity of each node in the standard clinical path includes
- the node editing module 105 after receiving an update command for the medical activity of the designated node in the standard clinical path, displays all the medical activities of the designated node for the user to update.
- the clinical path update module 106 After receiving the update completion instruction, the clinical path update module 106 replaces the pre-update medical activity with the updated medical activity to update the medical activity of each node in the standard clinical path.
- the user can modify the medical treatment activities in the clinical path to make the clinical path more standard Normalization.
- the clinical path automatic generation system and method provided by the present invention may also be run in a server communicatively connected to the doctor workstation 1, and the server performs information interaction with the doctor workstation 1 to implement automatic standard path.
- the build process is a large computer with communication and information processing capabilities, including but not limited to a standalone server or a subserver of a distributed server.
- the server also includes a storage unit, a processing unit, and a communication unit.
- the storage unit may be a read only memory unit ROM, an electrically erasable storage unit EEPROM, a flash memory unit FLASH or a solid hard disk.
- the processing unit may be a central processing unit (CPU), a microcontroller (MCU), a data processing chip, or an information processing unit having data processing functions.
- the communication unit is a wireless communication interface or a wired interface with remote communication function, for example, wireless or wired support for communication technologies such as GSM, GPRS, WCDMA, CDMA, TD-SCDMA, WiMAX, TD-LTE, FDD-LTE, etc. Communication Interface.
- the clinical path automatic generation system and method provided by the present invention acquires the diagnosis and treatment activities of each of the plurality of cured patients for each node by setting a plurality of nodes of the clinical path, and Selecting, from each node, the medical activity that reaches the preset number of times or the frequency reaches the preset frequency as the medical activity of the node, so that the standard clinical path can be automatically analyzed according to the diagnosis and treatment activities in the clinical path of the plurality of cured patients. No need for doctors to spend a lot of time and effort to create a clinical pathway for a given condition, reducing the workload of the doctor and improving the efficiency of the clinical pathway.
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Abstract
A system and method for automatically generating a clinical path. The method comprises the following steps: setting a plurality of nodes of a clinical path of a target disease in a key node identification mode (S10); with regard to each node of the plurality of nodes, respectively acquiring a diagnosis and treatment activity of each patient of a plurality of cured patients who have suffered from the target disease (S20); from a plurality of acquired diagnosis and treatment activities of each node, selecting a diagnosis and treatment activity with the number of appearance times reaching a pre-set number of times or selecting a diagnosis and treatment activity with an appearance frequency reaching a pre-set frequency as the diagnosis and treatment activity of each node (S30); and according to each node and the diagnosis and treatment activity of each node, generating a standard clinical path corresponding to the target disease (S40). By means of the method and system, automatic analysis can be performed according to diagnosis and treatment activities in the clinical paths of a plurality of cured patients so as to generate a standard clinical path, thereby reducing the workload of doctors, and improving the generation efficiency of a clinical path.
Description
说明书 发明名称:临床路径自动生成系统和方法 技术领域 Specification Name of Invention: Clinical Path Automatic Generation System and Method Technical Field
[0001] 本发明涉及医疗信息化技术领域, 尤其涉及一种临床路径自动生成系统和方法 背景技术 [0001] The present invention relates to the field of medical information technology, and in particular, to a system and method for automatically generating a clinical path.
[0002] 临床路径是对提高临床医疗护理质量、 改善医疗品质和控制医疗成本行之有效 的办法。 近年来, 卫计委在全国大力推广临床路径的实施, 发布了 《临床路径 管理试点工作方案》 , 制定了一系列临床路径标准, 希望通过临床路径规范医 疗行为、 优化医院资源配置, 进而合理控制医疗费用。 [0002] The clinical pathway is an effective way to improve the quality of clinical care, improve medical quality, and control medical costs. In recent years, the Health Planning Commission has vigorously promoted the implementation of clinical pathways in the country, issued the “Clinical Path Management Pilot Work Plan”, and formulated a series of clinical pathway standards, hoping to standardize medical behavior through clinical pathways, optimize hospital resource allocation, and then rationally control Medical expenses.
[0003] 但在临床路径的推广过程中, 也面临了一些问题, 比如卫计委发布的临床路径 标准虽然具有普遍的指导意义, 但是, 由于全国各地医院的差异性, 以及疾病 本身在不同的患者具有个性化的特点, 使得应用临床路径吋, 必须以地区、 医 院的具体情况相结合。 [0003] However, in the process of promoting the clinical path, it also faces some problems. For example, the clinical path standard issued by the Health Planning Commission has general guiding significance, but because of the differences in hospitals across the country, and the disease itself is different. The patient's individualized characteristics make the application of the clinical path flawed and must be combined with the specific conditions of the region and hospital.
[0004] 因此, 如何有效地生成临床路径, 以及提高临床路径的生成效率成为亟待解决 的技术问题。 [0004] Therefore, how to effectively generate a clinical pathway and improve the efficiency of clinical pathway generation have become a technical problem to be solved.
技术问题 technical problem
[0005] 本发明的主要目的在于提供一种临床路径自动生成系统和方法, 旨在解决现有 无法根据疾病本身在不同患者身上的个性化特点自动生成目标病症的临床路径 的技术问题。 [0005] A primary object of the present invention is to provide a system and method for automatically generating a clinical path, which aims to solve the technical problem that the clinical path of the target disorder cannot be automatically generated according to the individualized characteristics of the disease itself in different patients.
问题的解决方案 Problem solution
技术解决方案 Technical solution
[0006] 为实现上述目的, 本发明提供了一种临床路径自动生成系统。 In order to achieve the above object, the present invention provides a clinical path automatic generation system.
[0007] 所述临床路径自动生成系统包括节点设置模块、 诊疗活动获取模块、 诊疗活动 确定模块以及临床路径生成模块, 其中: [0007] The clinical path automatic generation system includes a node setting module, a medical activity acquisition module, a diagnosis and treatment activity determination module, and a clinical path generation module, wherein:
[0008] 所述节点设置模块用于通过关键节点标识的方式设置目标疾病的临床路径的多 个节点;
[0009] 所述诊疗活动获取模块用于针对所述多个节点中的每个节点, 分别获取患有所 述目标疾病、 且已治愈的多个患者中每个患者的诊疗活动; [0008] the node setting module is configured to set multiple nodes of a clinical path of a target disease by means of key node identification; [0009] the medical activity acquisition module is configured to acquire, for each of the plurality of nodes, a diagnosis and treatment activity of each of the plurality of patients having the target disease and having been cured;
[0010] 所述诊疗活动确定模块用于从获取到的所述每个节点中的多个诊疗活动中, 选 取出现次数达到预设次数的诊疗活动, 或者选取出现频率达到预设频率的诊疗 活动, 作为所述每个节点的诊疗活动; [0010] The medical activity determining module is configured to select, from among the plurality of medical treatment activities in each of the acquired nodes, a medical activity whose number of occurrences reaches a preset number of times, or select a medical activity whose frequency of occurrence reaches a preset frequency , as the medical activity of each node;
[0011] 所述临床路径生成模块用于根据所述每个节点, 以及所述每个节点的诊疗活动 生成对应于所述目标疾病的标准临床路径。 [0011] The clinical path generation module is configured to generate a standard clinical path corresponding to the target disease according to each node, and the medical activity of each node.
[0012] 优选地, 所述诊疗活动获取模块还用于针对标准临床路径的每个节点, 分别获 取在指定吋间段内, 患有所述目标疾病、 且已通过所述标准临床路径治愈的所 有患者的诊疗活动。 [0012] Preferably, the medical activity acquisition module is further configured to acquire, for each node of the standard clinical path, respectively, the target disease in the designated inter-segment, and has been cured by the standard clinical path. All patients' medical activities.
[0013] 优选地, 所述临床路径生成模块还用于从获取到的所述标准临床路径的每个节 点中的多个诊疗活动中, 选取出现次数达到所述预设次数的诊疗活动, 或者选 取出现频率达到预设频率的诊疗活动, 对所述标准临床路径中每个节点的诊疗 活动进行更新。 [0013] Preferably, the clinical path generating module is further configured to: select, from the plurality of medical treatment activities in each node of the obtained standard clinical path, the number of occurrences to reach the predetermined number of medical activities, or The medical activities with the frequency of reaching the preset frequency are selected, and the medical activities of each node in the standard clinical path are updated.
[0014] 优选地, 所述临床路径自动生成系统还包括节点编辑模块, 所述节点编辑模块 用于在接收到对所述标准临床路径中指定节点的诊疗活动的更新指令吋, 显示 所述指定节点的所有诊疗活动, 以供用户进行更新。 [0014] Preferably, the clinical path automatic generation system further includes a node editing module, where the node editing module is configured to display the designation after receiving an update instruction for the medical activity of the designated node in the standard clinical path All medical activities of the node for users to update.
[0015] 优选地, 所述临床路径自动生成系统还包括临床路径更新模块, 所述临床路径 更新模块用于在接收到更新完成的指令吋, 将更新前的诊疗活动替换为更新后 的诊疗活动, 以对所述标准临床路径中每个节点的诊疗活动进行更新。 [0015] Preferably, the clinical path automatic generation system further includes a clinical path update module, where the clinical path update module is configured to replace the pre-update medical activity with the updated medical activity after receiving the update completion instruction To update the diagnosis and treatment activities of each node in the standard clinical pathway.
[0016] [0016]
[0017] 本发明还提供了一种临床路径自动生成方法。 [0017] The present invention also provides a method for automatically generating a clinical path.
[0018] 所述临床路径自动生成方法包括如下步骤: [0018] The clinical path automatic generation method includes the following steps:
[0019] 通过关键节点标识的方式设置目标疾病的临床路径的多个节点; [0019] setting a plurality of nodes of a clinical path of the target disease by means of key node identification;
[0020] 针对所述多个节点中的每个节点, 分别获取患有所述目标疾病、 且已治愈的多 个患者中每个患者的诊疗活动; [0020] obtaining, for each of the plurality of nodes, a medical activity of each of the plurality of patients having the target disease and having been cured;
[0021] 从获取到的所述每个节点中的多个诊疗活动中, 选取出现次数达到预设次数的 诊疗活动, 或者选取出现频率达到预设频率的诊疗活动, 作为所述每个节点的
诊疗活动; [0021] selecting, from the plurality of medical treatment activities in each of the nodes, a diagnosis activity whose number of occurrences reaches a preset number of times, or selecting a diagnosis and treatment activity whose frequency of occurrence reaches a preset frequency, as each node Medical treatment activities;
[0022] 根据所述每个节点, 以及所述每个节点的诊疗活动生成对应于所述目标疾病的 标准临床路径。 [0022] generating a standard clinical pathway corresponding to the target disease based on each of the nodes, and the medical activity of each of the nodes.
[0023] 优选地, 该方法还包括如下步骤: [0023] Preferably, the method further comprises the following steps:
[0024] 针对标准临床路径的每个节点, 分别获取在指定吋间段内, 患有所述目标疾病 [0024] for each node of the standard clinical pathway, respectively acquired within the designated inter-segment, suffering from the target disease
、 且已通过所述标准临床路径治愈的所有患者的诊疗活动。 And the diagnosis and treatment of all patients who have been cured by the standard clinical pathway.
[0025] 优选地, 该方法还包括如下步骤: [0025] Preferably, the method further comprises the following steps:
[0026] 从获取到的所述标准临床路径的每个节点中的多个诊疗活动中, 选取出现次数 达到所述预设次数的诊疗活动, 或者选取出现频率达到预设频率的诊疗活动, 对所述标准临床路径中每个节点的诊疗活动进行更新。 [0026] selecting, from the plurality of medical treatment activities in each node of the standard clinical path that the number of occurrences reaches the predetermined number of medical activities, or selecting a medical activity whose frequency of occurrence reaches a preset frequency, The diagnosis and treatment activities of each node in the standard clinical pathway are updated.
[0027] 优选地, 所述对所述标准临床路径中每个节点的诊疗活动进行更新的步骤包括 [0027] Preferably, the step of updating the medical activity of each node in the standard clinical path includes
[0028] 在接收到对所述标准临床路径中指定节点的诊疗活动的更新指令吋, 显示所述 指定节点的所有诊疗活动, 以供用户进行更新。 [0028] Upon receiving an update command for the medical activity of the designated node in the standard clinical pathway, all of the medical activities of the designated node are displayed for the user to update.
[0029] 优选地, 所述对所述标准临床路径中每个节点的诊疗活动进行更新的步骤还包 括: 在接收到更新完成的指令吋, 将更新前的诊疗活动替换为更新后的诊疗活 动, 以对所述标准临床路径中每个节点的诊疗活动进行更新。 [0029] Preferably, the step of updating the medical activity of each node in the standard clinical path further comprises: after receiving the update completion instruction, replacing the pre-update medical activity with the updated medical activity To update the diagnosis and treatment activities of each node in the standard clinical pathway.
发明的有益效果 Advantageous effects of the invention
有益效果 Beneficial effect
[0030] 相较于现有技术, 本发明提供的临床路径自动生成系统和方法, 通过设置临床 路径的多个节点, 针对每个节点获取多个已治愈患者中每个患者的诊疗活动, 并从每个节点中选取出现次数达到预设次数或者频率达到预设频率的诊疗活动 作为该节点的诊疗活动, 使得可以根据多个已治愈患者的临床路径中的诊疗活 动自动分析生成标准的临床路径, 无需医生花费大量的吋间与精力制作针对指 定病症的临床路径, 降低了医生的工作量, 并且提高了临床路径的生成效率。 对附图的简要说明 [0030] Compared with the prior art, the clinical path automatic generation system and method provided by the present invention acquires the diagnosis and treatment activities of each of the plurality of cured patients for each node by setting a plurality of nodes of the clinical path, and Selecting, from each node, the medical activity that reaches the preset number of times or the frequency reaches the preset frequency as the medical activity of the node, so that the standard clinical path can be automatically analyzed according to the diagnosis and treatment activities in the clinical path of the plurality of cured patients. No need for doctors to spend a lot of time and effort to create a clinical pathway for a given condition, reducing the workload of the doctor and improving the efficiency of the clinical pathway. Brief description of the drawing
附图说明 DRAWINGS
[0031] 图 1为本发明临床路径自动生成系统较佳实施例的功能模块示意图;
[0032] 图 2为本发明临床路径自动生成方法较佳实施例的流程示意图。 1 is a schematic diagram of functional modules of a preferred embodiment of a clinical path automatic generation system according to the present invention; 2 is a schematic flow chart of a preferred embodiment of a method for automatically generating a clinical path according to the present invention.
实施该发明的最佳实施例 BEST MODE FOR CARRYING OUT THE INVENTION
本发明的最佳实施方式 BEST MODE FOR CARRYING OUT THE INVENTION
[0033] 为更进一步阐述本发明为达成上述目的所采取的技术手段及功效, 以下结合附 图及较佳实施例, 对本发明的具体实施方式、 结构、 特征及其功效进行详细说 明。 应当理解, 此处所描述的具体实施例仅仅用以解释本发明, 并不用于限定 本发明。 The specific embodiments, structures, features and utilities of the present invention are described in detail below with reference to the drawings and the preferred embodiments. It is understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
[0034] 为实现本发明目的, 本发明提供了一种临床路径自动生成系统和方法。 通过设 置临床路径的多个节点, 针对每个节点获取多个已治愈患者中每个患者的诊疗 活动, 并从每个节点中选取出现次数达到预设次数或者频率达到预设频率的诊 疗活动作为该节点的诊疗活动, 使得可以根据多个已治愈患者的临床路径中的 诊疗活动自动分析生成标准的临床路径, 无需医生花费大量的吋间与精力制作 针对指定病症的临床路径, 降低了医生的工作量, 并且提高了临床路径的生成 效率。 [0034] To achieve the objectives of the present invention, the present invention provides a clinical pathway automatic generation system and method. By setting a plurality of nodes of the clinical path, obtaining the diagnosis and treatment activities of each of the plurality of cured patients for each node, and selecting, from each node, the medical activity that the number of occurrences reaches a preset number of times or the frequency reaches a preset frequency as The node's diagnosis and treatment activities enable automatic analysis of the clinical pathways based on the diagnosis and treatment activities in the clinical pathways of multiple cured patients, eliminating the need for doctors to spend a lot of time and effort to create a clinical pathway for a given condition, reducing the doctor's Workload, and improve the efficiency of clinical pathway generation.
[0035] 参照图 1所示, 图 1为本发明临床路径自动生成系统较佳实施例的功能模块示意 图。 Referring to FIG. 1, FIG. 1 is a schematic diagram of functional modules of a preferred embodiment of a clinical path automatic generation system of the present invention.
[0036] 本发明提供的临床路径自动生成系统 10运行于医生工作站 1中, 所述医生工作 站 1为具有通讯和信息处理能力的计算机, 包括但不限于便携式计算机或台式计 算机。 所述医生工作站 1还包括存储单元 12、 处理单元 14和通讯单元 16。 所述的 存储单元 12可以为一种只读存储单元 ROM, 电可擦写存储单元 EEPROM、 快闪 存储单元 FLASH或固体硬盘等。 所述的处理单元 14可以为一种中央处理器 (Cen tral Processing Unit, CPU) 、 微控制器 (MCU) 、 数据处理芯片、 或者具有数 据处理功能的信息处理单元。 所述通讯单元 16为一种具有远程通讯功能的无线 通讯接口或有线接口, 例如, 支持 GSM、 GPRS、 WCDMA、 CDMA、 TD-SCD MA、 WiMAX、 TD-LTE、 FDD-LTE等通讯技术的无线或有线通讯接口。 The clinical path automatic generation system 10 provided by the present invention runs in a doctor workstation 1, which is a computer having communication and information processing capabilities, including but not limited to a portable computer or a desktop computer. The doctor workstation 1 further includes a storage unit 12, a processing unit 14, and a communication unit 16. The storage unit 12 can be a read only storage unit ROM, an electrically erasable storage unit EEPROM, a flash storage unit FLASH or a solid hard disk. The processing unit 14 may be a central processing unit (CPU), a microcontroller (MCU), a data processing chip, or an information processing unit having a data processing function. The communication unit 16 is a wireless communication interface or a wired interface with a remote communication function, for example, wireless supporting communication technologies such as GSM, GPRS, WCDMA, CDMA, TD-SCD MA, WiMAX, TD-LTE, FDD-LTE. Or wired communication interface.
[0037] 在本实施例中, 所述临床路径自动生成系统 10包括节点设置模块 101、 诊疗活 动获取模块 102、 诊疗活动确定模块 103以及临床路径生成模块 104。 本发明所称 的模块是指一种能够被所述处理单元 14执行并且能够完成固定功能的一系列计
算机程序指令段, 其存储在存储单元 12中。 [0037] In the embodiment, the clinical path automatic generation system 10 includes a node setting module 101, a medical activity acquisition module 102, a medical activity determination module 103, and a clinical path generation module 104. A module referred to in the present invention refers to a series of meters that can be executed by the processing unit 14 and that can perform a fixed function. A computer program instruction segment, which is stored in the storage unit 12.
[0038] 所述节点设置模块 101用于通过关键节点标识的方式设置目标疾病的临床路径 的多个节点。 具体地, 所述临床路径的多个节点包括但不限于: 入院日、 手术 前日、 手术日、 手术后日、 出院日以及住院日。 通过在临床路径的多个节点处 标识, 以设置对应的目标疾病的临床路径的多个节点。 具体地, 针对不同的目 标疾病, 可以设置不同的关键节点, 以在每个节点的诊疗活动获取吋有针对性 [0038] The node setting module 101 is configured to set a plurality of nodes of the clinical path of the target disease by means of key node identification. Specifically, the plurality of nodes of the clinical pathway include, but are not limited to, a day of admission, a day before surgery, a day of surgery, a day after surgery, a day of discharge, and a day of hospitalization. By identifying at multiple nodes of the clinical pathway, multiple nodes of the clinical pathway of the corresponding target disease are set. Specifically, different key nodes can be set for different target diseases to obtain targeted information at the diagnosis and treatment activities of each node.
[0039] 所述诊疗活动获取模块 102用于针对所述多个节点中的每个节点, 分别获取患 有所述目标疾病、 且已治愈的多个患者中每个患者的诊疗活动。 优选地, 所述 诊疗活动包括: 治疗活动、 医嘱和 /或护理活动。 [0039] The medical activity acquisition module 102 is configured to acquire, for each of the plurality of nodes, a medical activity of each of the plurality of patients suffering from the target disease and having been cured. Preferably, the medical treatment activity comprises: a treatment activity, a medical order and/or a care activity.
[0040] 具体地, 所述诊疗活动获取模块 102包括规则确定子模块 1021和抽取子模块 102 2, 所述规则确定子模块 1021用于制定诊疗活动的筛选规则, 并根据制定的筛选 规则, 去掉与诊断相关的诊疗活动以及和治疗非直接相关的诊疗活动, 筛选出 目标疾病对应的诊疗活动。 所述抽取子模块 1022用于抽取筛选出的诊疗活动。 具体地, 首先选取患有所述目标疾病、 且已治愈的多个患者的案例, 针对每个 案例, 从中抽取筛选出的诊疗活动。 所述诊疗活动包括治疗活动、 医嘱和 /或护 理活动。 可以理解地, 所述每个案例按照现有的电子病历的模板存储于存储单 元 12中, 或者通过通讯单元 16从与医生工作站 1通讯连接的电子病历数据库系统 中读取每个案例的电子病历。 每个案例的电子病历都有记载所述诊疗活动的关 键字, 以该关键字为匹配对象, 从所述每个案例的电子病历中抽取筛选出的目 标疾病对应的诊疗活动。 [0040] Specifically, the medical activity acquisition module 102 includes a rule determination sub-module 1021 and an extraction sub-module 102 2, and the rule determination sub-module 1021 is configured to formulate a screening rule for the diagnosis and treatment activity, and remove according to the established screening rule. The diagnosis and treatment activities related to the diagnosis and the medical treatment activities that are not directly related to the treatment are selected for the diagnosis and treatment activities corresponding to the target disease. The extraction sub-module 1022 is configured to extract the selected medical activities. Specifically, first, a case of a plurality of patients having the target disease and having been cured is selected, and for each case, the selected medical activities are extracted. The medical activities include treatment activities, medical orders, and/or care activities. It can be understood that each case is stored in the storage unit 12 according to the template of the existing electronic medical record, or the electronic medical record of each case is read from the electronic medical record database system communicated with the doctor workstation 1 through the communication unit 16. . The electronic medical record of each case has a keyword for describing the medical activity, and the keyword is used as a matching object, and the medical activity corresponding to the selected target disease is extracted from the electronic medical record of each case.
[0041] 所述诊疗活动确定模块 103用于从获取到的所述每个节点中的多个诊疗活动中 , 选取出现次数达到预设次数的诊疗活动, 或者选取出现频率达到预设频率的 诊疗活动, 作为所述每个节点的诊疗活动。 所述预设次数为大于或等于所述多 个患者数量的一半的次数。 通过使预设次数为大于或等于多个患者数量的一半 的次数, 使得临床路径的节点中的诊疗活动能够综合多个患者的情况进行制定 , 提高了节点中诊疗活动的准确性。 可以理解地, 为了提高精度, 可以增大预 设次数。 在其他实施例中, 在选取每个节点的诊疗活动吋, 也可以选取出现频
率达到预设频率的诊疗活动。 优选地, 所述预设频率为 50%。 具体地, 可通过概 率统计学方法, 计算每个节点的治疗活动、 医嘱、 护理活动出现的频率或次数 [0041] The medical activity determining module 103 is configured to select, from among the plurality of medical activities in each of the acquired nodes, a medical activity whose number of occurrences reaches a preset number of times, or select a medical treatment whose frequency of occurrence reaches a preset frequency Activities, as a diagnosis and treatment activity for each of the nodes. The preset number of times is a number greater than or equal to half of the number of the plurality of patients. By making the preset number of times greater than or equal to half of the number of the plurality of patients, the diagnosis and treatment activities in the nodes of the clinical pathway can be combined to form a plurality of patients, thereby improving the accuracy of the diagnosis and treatment activities in the nodes. Understandably, in order to improve the accuracy, the preset number of times can be increased. In other embodiments, after selecting the medical activity of each node, the frequency of occurrence may also be selected. The rate of diagnosis and treatment activities reached the preset frequency. Preferably, the preset frequency is 50%. Specifically, the frequency or frequency of treatment activities, medical orders, and nursing activities of each node can be calculated by a probabilistic statistical method.
[0042] 所述临床路径生成模块 104用于根据所述每个节点, 以及所述每个节点的诊疗 活动生成对应于所述目标疾病的标准临床路径。 具体地, 根据诊疗活动的频率 或次数, 生成临床路径。 例如, 抽取频率值大于等于预设频率 (比如 50%) 的治 疗活动、 医嘱、 护理活动, 形成标准临床路径; 或者, 抽取次数达到预设次数 的治疗活动、 医嘱、 护理活动, 形成标准临床路径。 在形成标准临床路径之后 , 还可以通过通讯单元 16发送给对应专家的医生工作站进行审核, 以确定标准 临床路径的准确性, 在审核通过后, 将标准临床路径存储于存储单元 12中投入 使用或通过通讯单元 16发送至与医生工作站通讯连接的标准临床路径数据库系 统中投入使用。 [0042] The clinical path generation module 104 is configured to generate a standard clinical path corresponding to the target disease according to each node, and the diagnosis and treatment activity of each node. Specifically, a clinical pathway is generated based on the frequency or number of medical activities. For example, the treatment activity, the medical order, and the nursing activity whose frequency value is greater than or equal to the preset frequency (for example, 50%) form a standard clinical path; or, the number of extractions reaches a preset number of treatment activities, medical orders, and nursing activities, forming a standard clinical path. . After the standard clinical path is formed, it can also be sent to the corresponding expert's doctor workstation through the communication unit 16 for review to determine the accuracy of the standard clinical path. After the approval is passed, the standard clinical path is stored in the storage unit 12 for use or It is sent through the communication unit 16 to a standard clinical path database system that is in communication with the doctor's workstation.
[0043] 在本实施例中, 通过设置临床路径的多个节点, 针对每个节点获取多个已治愈 患者中每个患者的诊疗活动, 并从每个节点中选取出现次数达到预设次数的诊 疗活动作为该节点的诊疗活动, 使得可以根据多个已治愈患者的临床路径中的 诊疗活动自动分析生成标准的临床路径, 无需医生花费大量的吋间与精力制作 针对指定病症的临床路径, 降低了医生的工作量, 并且提高了临床路径的生成 效率。 [0043] In this embodiment, by setting a plurality of nodes of the clinical path, obtaining, for each node, the diagnosis and treatment activities of each of the plurality of cured patients, and selecting the number of occurrences from each node to reach a preset number of times As a diagnosis and treatment activity of the node, the diagnosis and treatment activities can automatically generate a standard clinical path according to the diagnosis and treatment activities in the clinical pathways of a plurality of cured patients, without requiring the doctor to spend a lot of time and energy to make a clinical path for the specified disease, and reduce The workload of the doctor is increased and the efficiency of the clinical pathway is increased.
[0044] 在本实施例中, 所述诊疗活动获取模块 102还用于针对标准临床路径的每个节 点, 分别获取在指定吋间段内, 患有所述目标疾病、 且已通过所述标准临床路 径治愈的所有患者的诊疗活动。 具体地, 针对已经生成的标准临床路径的每个 节点中的诊疗活动进行更新, 获取标准临床路径中每个节点的诊疗活动, 增加 了指定吋间段, 因此在获取患有所述目标疾病、 且已通过所述标准临床路径治 愈的所有患者的电子病历吋, 筛选在指定吋间段内的患者的电子病历, 从所述 每个患者的电子病历中抽取筛选出的目标疾病对应的诊疗活动。 所述临床路径 生成模块 103还用于从获取到的所述标准临床路径的每个节点中的多个诊疗活动 中, 选取出现次数达到所述预设次数的诊疗活动, 或者选取出现频率达到预设 频率的诊疗活动, 对所述标准临床路径中每个节点的诊疗活动进行更新。 在本
实施例中通过对标准临床路径中每个节点的诊疗活动进行更新, 可以对生成的 临床路径进行校正, 以对临床路径进行完善, 使之成为更加标准的临床路径。 [0044] In this embodiment, the medical activity acquisition module 102 is further configured to acquire, for each node of the standard clinical path, the target disease in the designated session, and have passed the standard. Clinical path to cure all patients' medical activities. Specifically, updating the medical activity in each node of the standard clinical path that has been generated, obtaining the medical activity of each node in the standard clinical path, increasing the designated inter-segment, and thus acquiring the target disease, And an electronic medical record of all patients who have been cured by the standard clinical route, screening an electronic medical record of the patient in the designated inter-segment, and extracting the selected medical activity corresponding to the target disease from the electronic medical record of each patient . The clinical path generation module 103 is further configured to: select, from the plurality of medical treatment activities in each node of the obtained standard clinical path, the number of occurrences to reach the predetermined number of medical activities, or select the frequency of occurrence to reach the pre-prevention A frequency-based diagnosis and treatment activity is performed to update the diagnosis and treatment activities of each node in the standard clinical pathway. In this In the embodiment, by updating the diagnosis and treatment activities of each node in the standard clinical pathway, the generated clinical pathway can be corrected to perfect the clinical pathway and make it a more standard clinical pathway.
[0045] 作为较佳实施例, 所述临床路径自动生成系统 10还包括节点编辑模块 105和临 床路径更新模块 106, 所述节点编辑模块 105用于在接收到对所述标准临床路径 中指定节点的诊疗活动的更新指令吋, 显示所述指定节点的所有诊疗活动, 以 供用户进行更新。 所述临床路径更新模块 106用于在接收到更新完成的指令吋, 将更新前的诊疗活动替换为更新后的诊疗活动, 以对所述标准临床路径中每个 节点的诊疗活动进行更新。 在本实施例中通过对临床路径中指定节点的诊疗活 动进行更新, 并通过更新该节点中的诊疗活动, 使得用户可以对临床路径中的 诊疗活动进行修改, 以使临床路径更加标准化。 [0045] As a preferred embodiment, the clinical path automatic generation system 10 further includes a node editing module 105 and a clinical path update module 106, and the node editing module 105 is configured to receive a node in the standard clinical path. The update instruction of the medical activity displays all the medical activities of the designated node for the user to update. The clinical path update module 106 is configured to replace the pre-update medical activity with the updated medical activity after receiving the update completion instruction to update the medical activity of each node in the standard clinical path. In this embodiment, the diagnosis and treatment activities of the designated nodes in the clinical path are updated, and by updating the medical treatment activities in the node, the user can modify the medical treatment activities in the clinical path to make the clinical path more standardized.
[0046] [0046]
[0047] 本发明的另外一个方面, 提供了一种与上述临床路径自动生成系统对应的方法 [0047] According to another aspect of the present invention, a method corresponding to the above-described clinical path automatic generation system is provided
[0048] 参照图 2所示, 图 2为本发明临床路径自动生成方法较佳实施例的流程示意图。 [0048] Referring to FIG. 2, FIG. 2 is a schematic flow chart of a preferred embodiment of a method for automatically generating a clinical path according to the present invention.
[0049] 在本实施例中, 所述临床路径自动生成方法运行于医生工作站 1中, 该方法包 括如下步骤: [0049] In this embodiment, the automatic clinical path generation method runs in the doctor workstation 1, and the method includes the following steps:
[0050] S10: 通过关键节点标识的方式设置目标疾病的临床路径的多个节点。 [0050] S10: setting a plurality of nodes of a clinical path of the target disease by means of key node identification.
[0051] 具体地, 节点设置模块 101通过关键节点标识的方式设置目标疾病的临床路径 的多个节点。 所述临床路径的多个节点包括但不限于: 入院日、 手术前日、 手 术日、 手术后日、 出院日以及住院日。 通过在临床路径的多个节点处标识, 以 设置对应的目标疾病的临床路径的多个节点。 具体地, 针对不同的目标疾病, 可以设置不同的关键节点, 以在每个节点的诊疗活动获取吋有针对性。 [0051] Specifically, the node setting module 101 sets a plurality of nodes of the clinical path of the target disease by means of key node identification. The plurality of nodes of the clinical pathway include, but are not limited to, a hospital admission day, a preoperative day, a surgery day, a postoperative day, a discharge day, and a hospitalization day. By identifying at multiple nodes of the clinical pathway, multiple nodes of the clinical pathway of the corresponding target disease are set. Specifically, different key nodes may be set for different target diseases, so that the diagnosis and treatment activities at each node are targeted.
[0052] S20: 针对所述多个节点中的每个节点, 分别获取患有所述目标疾病、 且已治 愈的多个患者中每个患者的诊疗活动。 [2020] S20: acquiring, for each of the plurality of nodes, a medical activity of each of the plurality of patients having the target disease and having been cured.
[0053] 具体地, 诊疗活动获取模块 102针对所述多个节点中的每个节点, 分别获取患 有所述目标疾病、 且已治愈的多个患者中每个患者的诊疗活动。 所述诊疗活动 包括: 治疗活动、 医嘱和 /或护理活动。 步骤 S20具体包括如下步骤: [0053] Specifically, the medical activity acquisition module 102 acquires, for each of the plurality of nodes, the medical activities of each of the plurality of patients suffering from the target disease and having been cured. The medical activities include: treatment activities, medical orders, and/or care activities. Step S20 specifically includes the following steps:
[0054] 制定诊疗活动的筛选规则, 并根据制定的筛选规则, 去掉与诊断相关的诊疗活
动以及和治疗非直接相关的诊疗活动, 筛选出目标疾病的诊疗活动; [0054] formulating screening rules for medical activities, and removing diagnostic-related medical treatments according to established screening rules And the treatment activities that are not directly related to treatment, screening out the diagnosis and treatment activities of the target diseases;
[0055] 抽取筛选出的诊疗活动。 具体地, 首先选取患有所述目标疾病、 且已治愈的多 个患者的案例, 针对每个案例, 从中抽取筛选出的诊疗活动。 可以理解地, 所 述每个案例按照现有的电子病历的模板存储于存储单元 12中, 或者通过通讯单 元 16从与医生工作站 1通讯连接的电子病历数据库系统中读取每个案例的电子病 历。 每个案例的电子病历都有记载所述诊疗活动的关键字, 以该关键字为匹配 对象, 从所述每个案例的电子病历中抽取筛选出的目标疾病对应的诊疗活动。 [0055] Extracting the selected medical activities. Specifically, first, a case of a plurality of patients having the target disease and having been cured is selected, and for each case, the selected medical activities are extracted. It can be understood that each case is stored in the storage unit 12 according to the template of the existing electronic medical record, or the electronic medical record of each case is read from the electronic medical record database system communicated with the doctor workstation 1 through the communication unit 16. . The electronic medical record of each case has a keyword for describing the medical activity, and the keyword is used as a matching object, and the selected medical disease corresponding to the target disease is extracted from the electronic medical record of each case.
[0056] S30: 从获取到的所述每个节点中的多个诊疗活动中, 选取出现次数达到预设 次数的诊疗活动, 或者选取出现频率达到预设频率的诊疗活动, 作为所述每个 节点的诊疗活动。 [0056] S30: selecting, from the obtained plurality of medical treatment activities in each node, a medical activity that occurs a preset number of times, or selecting a medical activity whose frequency of occurrence reaches a preset frequency, as each of the The node's medical activities.
[0057] 具体地, 诊疗活动确定模块 103从获取到的所述每个节点中的多个诊疗活动中 , 选取出现次数达到预设次数的诊疗活动, 或者选取出现频率达到预设频率的 诊疗活动, 作为所述每个节点的诊疗活动。 所述预设次数为大于或等于所述多 个患者数量的一半的次数。 通过使预设次数为大于或等于多个患者数量的一半 的次数, 使得临床路径的节点中的诊疗活动能够综合多个患者的情况进行制定 , 提高了节点中诊疗活动的准确性。 可以理解地, 为了提高精度, 可以增大预 设次数。 所述预设频率为 50%。 通过概率统计学方法, 计算每个节点的治疗活动 、 医嘱、 护理活动出现的频率或次数。 [0057] Specifically, the medical activity determining module 103 selects, from among the plurality of medical treatment activities in each of the acquired nodes, a medical activity whose occurrence frequency reaches a preset number of times, or selects a medical activity whose frequency of occurrence reaches a preset frequency As the medical activity of each node mentioned. The preset number of times is a number greater than or equal to half of the number of the plurality of patients. By making the preset number of times greater than or equal to half the number of the plurality of patients, the diagnosis and treatment activities in the nodes of the clinical pathway can be integrated into the situation of the plurality of patients, and the accuracy of the diagnosis and treatment activities in the nodes is improved. Understandably, in order to improve the accuracy, the number of presets can be increased. The preset frequency is 50%. Through the probabilistic statistical method, the frequency or frequency of treatment activities, medical orders, and nursing activities of each node are calculated.
[0058] S40: 根据所述每个节点, 以及所述每个节点的诊疗活动生成对应于所述目标 疾病的标准临床路径。 [0058] S40: Generate a standard clinical path corresponding to the target disease according to each node, and the medical activity of each node.
[0059] 具体地, 临床路径生成模块 104根据所述每个节点的诊疗活动的频率或次数, 生成对应于所述目标疾病的标准临床路径。 例如, 抽取频率值大于等于预设频 率 (比如 50%) 的治疗活动、 医嘱、 护理活动, 形成标准临床路径; 或者, 抽取 次数达到预设次数的治疗活动、 医嘱、 护理活动, 形成标准临床路径。 在形成 标准临床路径之后, 还可以通过通讯单元 16发送给对应专家的医生工作站进行 审核, 以确定标准临床路径的准确性, 在审核通过后, 将标准临床路径存储于 存储单元 12中投入使用或通过通讯单元 16发送至与医生工作站通讯连接的标准 临床路径数据库系统中投入使用。
[0060] 在本实施例中, 通过设置临床路径的多个节点, 针对每个节点获取多个已治愈 患者中每个患者的诊疗活动, 并从每个节点中选取出现次数达到预设次数的诊 疗活动作为该节点的诊疗活动, 使得可以根据多个已治愈患者的临床路径中的 诊疗活动自动分析生成标准的临床路径, 无需医生花费大量的吋间与精力制作 针对指定病症的临床路径, 降低了医生的工作量, 并且提高了临床路径的生成 效率。 [0059] Specifically, the clinical pathway generation module 104 generates a standard clinical path corresponding to the target disease according to the frequency or frequency of the diagnosis activities of each node. For example, the treatment activity, the medical order, and the nursing activity whose frequency value is greater than or equal to the preset frequency (for example, 50%) form a standard clinical path; or, the number of extractions reaches a preset number of treatment activities, medical orders, and nursing activities, forming a standard clinical path. . After the standard clinical path is formed, it can also be sent to the corresponding expert's doctor workstation through the communication unit 16 for review to determine the accuracy of the standard clinical path. After the approval is passed, the standard clinical path is stored in the storage unit 12 for use or It is sent through the communication unit 16 to a standard clinical path database system that is in communication with the doctor's workstation. [0060] In this embodiment, by setting a plurality of nodes of the clinical path, obtaining, for each node, the diagnosis and treatment activities of each of the plurality of cured patients, and selecting the number of occurrences from each node to reach a preset number of times As a diagnosis and treatment activity of the node, the diagnosis and treatment activities can automatically generate a standard clinical path according to the diagnosis and treatment activities in the clinical pathways of a plurality of cured patients, without requiring the doctor to spend a lot of time and energy to make a clinical path for the specified disease, and reduce The workload of the doctor is increased and the efficiency of the clinical pathway is increased.
[0061] 在本实施例中, 所述临床路径自动生成方法还包括: [0061] In this embodiment, the method for automatically generating a clinical path further includes:
[0062] S50: 针对标准临床路径的每个节点, 分别获取在指定吋间段内, 患有所述目 标疾病、 且已通过所述标准临床路径治愈的所有患者的诊疗活动。 [0062] S50: For each node of the standard clinical pathway, the medical activities of all patients who have the target disease and have been cured by the standard clinical path within the designated inter-segment are respectively acquired.
[0063] 具体地, 针对已经生成的标准临床路径的每个节点中的诊疗活动进行更新, 获 取标准临床路径中每个节点的诊疗活动的方法在步骤 S20的基础上, 增加了指定 吋间段, 因此在获取患有所述目标疾病、 且已通过所述标准临床路径治愈的所 有患者的电子病历吋, 筛选在指定吋间段内的患者的电子病历, 从所述每个患 者的电子病历中抽取筛选出的目标疾病对应的诊疗活动。 [0063] Specifically, the method for obtaining the medical activity in each node of the standard clinical path that has been generated is updated, and the method for obtaining the medical activity of each node in the standard clinical path is added to the designated interval based on step S20. Therefore, in obtaining an electronic medical record of all patients suffering from the target disease and having been cured by the standard clinical route, screening an electronic medical record of the patient within the designated inter-segment, from each patient's electronic medical record The diagnosis and treatment activities corresponding to the target diseases selected are selected.
[0064] S60: 从获取到的所述标准临床路径的每个节点中的多个诊疗活动中, 选取出 现次数达到所述预设次数的诊疗活动, 或者选取出现的频率达到所述预设频率 的诊疗活动, 对所述标准临床路径中每个节点的诊疗活动进行更新。 [0064] S60: selecting, from the plurality of medical treatment activities in each node of the standard clinical path that the number of occurrences reaches the predetermined number of medical activities, or selecting the frequency of occurrence to reach the preset frequency The diagnosis and treatment activities update the medical activities of each node in the standard clinical pathway.
[0065] 通过对标准临床路径中每个节点的诊疗活动进行更新, 可以对生成的临床路径 进行校正, 以对临床路径进行完善, 使之成为更加标准的临床路径。 [0065] By updating the diagnostic activities of each node in the standard clinical pathway, the resulting clinical pathway can be corrected to refine the clinical pathway to a more standard clinical pathway.
[0066] 具体地, 所述对所述标准临床路径中每个节点的诊疗活动进行更新的步骤包括 [0066] Specifically, the step of updating the medical activity of each node in the standard clinical path includes
[0067] 节点编辑模块 105在接收到对所述标准临床路径中指定节点的诊疗活动的更新 指令吋, 显示所述指定节点的所有诊疗活动, 以供用户进行更新。 [0067] The node editing module 105, after receiving an update command for the medical activity of the designated node in the standard clinical path, displays all the medical activities of the designated node for the user to update.
[0068] 临床路径更新模块 106在接收到更新完成的指令吋, 将更新前的诊疗活动替换 为更新后的诊疗活动, 以对所述标准临床路径中每个节点的诊疗活动进行更新 [0068] After receiving the update completion instruction, the clinical path update module 106 replaces the pre-update medical activity with the updated medical activity to update the medical activity of each node in the standard clinical path.
[0069] 通过对临床路径中指定节点的诊疗活动进行更新, 并通过更新该节点中的诊疗 活动, 使得用户可以对临床路径中的诊疗活动进行修改, 以使临床路径更加标
准化。 [0069] by updating the diagnosis and treatment activities of the designated nodes in the clinical path, and by updating the medical treatment activities in the node, the user can modify the medical treatment activities in the clinical path to make the clinical path more standard Normalization.
[0070] 在其他实施例中, 本发明提供的临床路径自动生成系统和方法还可以运行于与 医生工作站 1通讯连接的服务器中, 所述服务器与医生工作站 1进行信息交互实 现标准临床路径的自动生成过程。 所述服务器为具有通讯和信息处理能力的大 型计算机, 包括但不限于独立服务器或分布式服务器中的一个子服务器。 所述 服务器还包括存储单元、 处理单元和通讯单元。 所述的存储单元可以为一种只 读存储单元 ROM, 电可擦写存储单元 EEPROM、 快闪存储单元 FLASH或固体硬 盘等。 所述的处理单元可以为一种中央处理器 (Central Processing Unit, CPU) 、 微控制器 (MCU) 、 数据处理芯片、 或者具有数据处理功能的信息处理单元 。 所述通讯单元为一种具有远程通讯功能的无线通讯接口或有线接口, 例如, 支持 GSM、 GPRS、 WCDMA、 CDMA、 TD-SCDMA、 WiMAX、 TD-LTE、 FDD -LTE等通讯技术的无线或有线通讯接口。 [0070] In other embodiments, the clinical path automatic generation system and method provided by the present invention may also be run in a server communicatively connected to the doctor workstation 1, and the server performs information interaction with the doctor workstation 1 to implement automatic standard path. The build process. The server is a large computer with communication and information processing capabilities, including but not limited to a standalone server or a subserver of a distributed server. The server also includes a storage unit, a processing unit, and a communication unit. The storage unit may be a read only memory unit ROM, an electrically erasable storage unit EEPROM, a flash memory unit FLASH or a solid hard disk. The processing unit may be a central processing unit (CPU), a microcontroller (MCU), a data processing chip, or an information processing unit having data processing functions. The communication unit is a wireless communication interface or a wired interface with remote communication function, for example, wireless or wired support for communication technologies such as GSM, GPRS, WCDMA, CDMA, TD-SCDMA, WiMAX, TD-LTE, FDD-LTE, etc. Communication Interface.
[0071] [0071]
[0072] 以上仅为本发明的优选实施例, 并非因此限制本发明的专利范围, 凡是利用本 发明说明书及附图内容所作的等效结构或等效功能变换, 或直接或间接运用在 其他相关的技术领域, 均同理包括在本发明的专利保护范围内。 The above are only the preferred embodiments of the present invention, and are not intended to limit the scope of the present invention, and the equivalent structure or equivalent function transformations made by the description of the present invention and the contents of the drawings may be directly or indirectly applied to other related The technical field is equally included in the scope of patent protection of the present invention.
工业实用性 Industrial applicability
[0073] 相较于现有技术, 本发明提供的临床路径自动生成系统和方法, 通过设置临床 路径的多个节点, 针对每个节点获取多个已治愈患者中每个患者的诊疗活动, 并从每个节点中选取出现次数达到预设次数或者频率达到预设频率的诊疗活动 作为该节点的诊疗活动, 使得可以根据多个已治愈患者的临床路径中的诊疗活 动自动分析生成标准的临床路径, 无需医生花费大量的吋间与精力制作针对指 定病症的临床路径, 降低了医生的工作量, 并且提高了临床路径的生成效率。
Compared with the prior art, the clinical path automatic generation system and method provided by the present invention acquires the diagnosis and treatment activities of each of the plurality of cured patients for each node by setting a plurality of nodes of the clinical path, and Selecting, from each node, the medical activity that reaches the preset number of times or the frequency reaches the preset frequency as the medical activity of the node, so that the standard clinical path can be automatically analyzed according to the diagnosis and treatment activities in the clinical path of the plurality of cured patients. No need for doctors to spend a lot of time and effort to create a clinical pathway for a given condition, reducing the workload of the doctor and improving the efficiency of the clinical pathway.
Claims
权利要求书 Claim
一种临床路径自动生成系统, 其特征在于, 所述临床路径自动生成系 统包括节点设置模块、 诊疗活动获取模块、 诊疗活动确定模块以及临 床路径生成模块, 其中: 所述节点设置模块用于通过关键节点标识的 方式设置目标疾病的临床路径的多个节点; 所述诊疗活动获取模块用 于针对所述多个节点中的每个节点, 分别获取患有所述目标疾病、 且 已治愈的多个患者中每个患者的诊疗活动; 所述诊疗活动确定模块用 于从获取到的所述每个节点中的多个诊疗活动中, 选取出现次数达到 预设次数的诊疗活动, 或者选取出现频率达到预设频率的诊疗活动, 作为所述每个节点的诊疗活动; 所述临床路径生成模块用于根据所述 每个节点, 以及所述每个节点的诊疗活动生成对应于所述目标疾病的 标准临床路径。 A clinical path automatic generation system, wherein the clinical path automatic generation system includes a node setting module, a medical activity acquisition module, a medical activity determination module, and a clinical path generation module, wherein: the node setting module is used to pass the key a node identifier setting a plurality of nodes of a clinical path of the target disease; the medical activity acquisition module is configured to acquire, for each of the plurality of nodes, a plurality of the target diseases that have been cured a diagnosis and treatment activity of each patient in the patient; the diagnosis and treatment activity determining module is configured to select, from the plurality of medical treatment activities in each of the acquired nodes, a diagnosis and treatment activity whose number of occurrences reaches a preset number of times, or select an occurrence frequency to reach a diagnosis and treatment activity of a preset frequency, as a diagnosis and treatment activity of each node; the clinical path generation module is configured to generate a standard corresponding to the target disease according to each node, and the diagnosis and treatment activity of each node Clinical pathway.
如权利要求 1所述的临床路径自动生成系统, 其特征在于, 所述诊疗 活动获取模块还用于针对标准临床路径的每个节点, 分别获取在指定 吋间段内, 患有所述目标疾病、 且已通过所述标准临床路径治愈的所 有患者的诊疗活动。 The clinical path automatic generation system according to claim 1, wherein the medical activity acquisition module is further configured to acquire, for each node of the standard clinical path, the target disease in the designated inter-segment And the diagnosis and treatment of all patients who have been cured by the standard clinical pathway.
如权利要求 2所述的临床路径自动生成系统, 其特征在于, 所述临床 路径生成模块还用于从获取到的所述标准临床路径的每个节点中的多 个诊疗活动中, 选取出现次数达到所述预设次数的诊疗活动, 或者选 取出现频率达到预设频率的诊疗活动, 对所述标准临床路径中每个节 点的诊疗活动进行更新。 The clinical path automatic generation system according to claim 2, wherein the clinical path generation module is further configured to select an occurrence number of the plurality of medical treatment activities in each node of the obtained standard clinical path The medical activity of the predetermined number of times is reached, or the medical activity whose frequency of occurrence reaches a preset frequency is selected, and the medical activity of each node in the standard clinical path is updated.
如权利要求 3所述的临床路径自动生成系统, 其特征在于, 所述临床 路径自动生成系统还包括节点编辑模块, 所述节点编辑模块用于在接 收到对所述标准临床路径中指定节点的诊疗活动的更新指令吋, 显示 所述指定节点的所有诊疗活动, 以供用户进行更新。 The clinical path automatic generation system according to claim 3, wherein the clinical path automatic generation system further comprises a node editing module, wherein the node editing module is configured to receive a designated node in the standard clinical path The update instruction of the medical activity displays all the medical activities of the designated node for the user to update.
如权利要求 4所述的临床路径自动生成系统, 其特征在于, 所述临床 路径自动生成系统还包括临床路径更新模块, 所述临床路径更新模块 用于在接收到更新完成的指令吋, 将更新前的诊疗活动替换为更新后
的诊疗活动, 以对所述标准临床路径中每个节点的诊疗活动进行更新 一种临床路径自动生成方法, 其特征在于, 该方法包括如下步骤: 通 过关键节点标识的方式设置目标疾病的临床路径的多个节点; 针对所 述多个节点中的每个节点, 分别获取患有所述目标疾病、 且已治愈的 多个患者中每个患者的诊疗活动; 从获取到的所述每个节点中的多个 诊疗活动中, 选取出现次数达到预设次数的诊疗活动, 或者选取出现 频率达到预设频率的诊疗活动, 作为所述每个节点的诊疗活动; 根据 所述每个节点, 以及所述每个节点的诊疗活动生成对应于所述目标疾 病的标准临床路径。 The clinical path automatic generation system according to claim 4, wherein the clinical path automatic generation system further comprises a clinical path update module, wherein the clinical path update module is configured to update the instruction after receiving the update completion Replace the previous medical activity with the update The medical treatment activity is an automatic method for automatically generating a clinical path for updating the medical activity of each node in the standard clinical path, characterized in that the method comprises the following steps: setting a clinical path of the target disease by means of key node identification And a plurality of nodes; respectively, for each of the plurality of nodes, respectively obtaining a medical activity of each of the plurality of patients having the target disease and having cured; from each of the acquired nodes Among the plurality of medical treatment activities, selecting the medical activity that has reached the preset number of times, or selecting the medical activity whose frequency of occurrence reaches the preset frequency, as the medical activity of each node; according to each node, The diagnostic activity of each node generates a standard clinical pathway corresponding to the target disease.
如权利要求 6所述的临床路径自动生成方法, 其特征在于, 该方法还 包括如下步骤: 针对标准临床路径的每个节点, 分别获取在指定吋间 段内, 患有所述目标疾病、 且已通过所述标准临床路径治愈的所有患 者的诊疗活动。 The method of automatically generating a clinical path according to claim 6, wherein the method further comprises the steps of: acquiring, for each node of the standard clinical path, the target disease in the designated inter-segment, and The diagnosis and treatment of all patients who have been cured by the standard clinical pathway.
如权利要求 7所述的临床路径自动生成方法, 其特征在于, 该方法还 包括如下步骤: 从获取到的所述标准临床路径的每个节点中的多个诊 疗活动中, 选取出现次数达到所述预设次数的诊疗活动, 或者选取出 现频率达到预设频率的诊疗活动, 对所述标准临床路径中每个节点的 诊疗活动进行更新。 The method of automatically generating a clinical path according to claim 7, wherein the method further comprises the steps of: selecting the number of occurrences from the plurality of medical treatment activities in each node of the obtained standard clinical path The predetermined number of medical treatment activities, or selecting a medical activity whose frequency of occurrence reaches a preset frequency, updates the medical activity of each node in the standard clinical path.
如权利要求 8所述的临床路径自动生成方法, 其特征在于, 所述对所 述标准临床路径中每个节点的诊疗活动进行更新的步骤包括: 在接收 到对所述标准临床路径中指定节点的诊疗活动的更新指令吋, 显示所 述指定节点的所有诊疗活动, 以供用户进行更新。 The method of automatically generating a clinical path according to claim 8, wherein the updating of the medical activity of each node in the standard clinical path comprises: receiving a designated node in the standard clinical path The update instruction of the medical activity displays all the medical activities of the designated node for the user to update.
如权利要求 9所述的临床路径自动生成方法, 其特征在于, 所述对所 述标准临床路径中每个节点的诊疗活动进行更新的步骤还包括: 在接 收到更新完成的指令吋, 将更新前的诊疗活动替换为更新后的诊疗活 动, 以对所述标准临床路径中每个节点的诊疗活动进行更新。
The method of automatically generating a clinical path according to claim 9, wherein the step of updating the medical activity of each node in the standard clinical path further comprises: updating the instruction after receiving the update The previous medical activity is replaced with an updated medical activity to update the medical activity of each node in the standard clinical pathway.
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