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WO2018010379A1 - Système et procédé de production automatique d'un cheminement clinique - Google Patents

Système et procédé de production automatique d'un cheminement clinique Download PDF

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Publication number
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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Prior art keywords
node
clinical path
medical
activity
treatment
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PCT/CN2016/111166
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English (en)
Chinese (zh)
Inventor
张贯京
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深圳市前海安测信息技术有限公司
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Publication of WO2018010379A1 publication Critical patent/WO2018010379A1/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
    • 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
    • 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
    • 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

L'invention concerne un système et un procédé de production automatique d'un cheminement clinique. Le procédé comprend les étapes suivantes, consistant à : définir une pluralité de nœuds d'un cheminement clinique d'une maladie cible dans un mode d'identification de nœud clé (S10) ; en ce qui concerne chaque nœud de la pluralité de nœuds, l'acquisition respectivement d'une activité de diagnostic et de traitement de chaque patient parmi une pluralité de patients guéris, qui ont souffert de la maladie cible (S20) ; à partir d'une pluralité d'activités de diagnostic et de traitement acquises de chaque nœud, sélectionner une activité de diagnostic et de traitement avec le nombre d'occurrences atteignant un nombre prédéfini d'occurrences, ou sélectionner une activité de diagnostic et de traitement avec une fréquence d'occurrence atteignant une fréquence prédéfinie en tant qu'activité de diagnostic et de traitement de chaque nœud (S30) ; et, en fonction de chaque nœud et de l'activité de diagnostic et de traitement de chaque nœud, produire un cheminement clinique standard correspondant à la maladie cible (S40). Au moyen du procédé et du système, une analyse automatique peut être réalisée selon des activités de diagnostic et de traitement dans les cheminements cliniques d'une pluralité de patients guéris, de manière à produire un cheminement clinique standard, en réduisant ainsi la charge de travail des médecins et en améliorant le rendement de production d'un cheminement clinique.
PCT/CN2016/111166 2016-07-14 2016-12-20 Système et procédé de production automatique d'un cheminement clinique WO2018010379A1 (fr)

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CN112259243A (zh) * 2020-09-20 2021-01-22 南昌大学第二附属医院 一种基于双向GRUs的单病种临床路径构建方法及系统
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CN114023425A (zh) * 2021-11-15 2022-02-08 北京嘉和美康信息技术有限公司 临床路径医嘱维护方法、装置及电子设备
CN114743660A (zh) * 2022-05-20 2022-07-12 北京嘉和美康信息技术有限公司 临床路径维护方法、装置、电子设备及存储介质
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CN107038344A (zh) * 2017-04-24 2017-08-11 大连诺道认知医学技术有限公司 一种病种实际临床路径与标准临床路径比较方法及装置
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CN109545370B (zh) * 2018-10-27 2023-08-22 平安医疗健康管理股份有限公司 基于样本处理的病种确定方法、装置及终端
CN109559819B (zh) * 2018-10-27 2024-06-18 平安医疗健康管理股份有限公司 基于样本处理的病种确定方法、装置及终端
CN111192644B (zh) * 2019-12-11 2023-02-03 平安医疗健康管理股份有限公司 临床路径的构建方法、装置、计算机设备和存储介质
CN115188482B (zh) * 2022-07-12 2023-05-19 曜立科技(北京)有限公司 一种用于追踪胸痛患者的临床诊疗路径生成系统

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CN103617355A (zh) * 2013-11-25 2014-03-05 方正国际软件有限公司 临床路径的生成装置和临床路径的生成方法
CN104834826A (zh) * 2015-05-25 2015-08-12 南京伯索网络科技有限公司 基于数据挖掘和图论技术的临床路径建立和优化方法及系统
CN106202942A (zh) * 2016-07-14 2016-12-07 深圳市前海安测信息技术有限公司 临床路径自动生成系统和方法

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CN112259243A (zh) * 2020-09-20 2021-01-22 南昌大学第二附属医院 一种基于双向GRUs的单病种临床路径构建方法及系统
CN112259243B (zh) * 2020-09-20 2024-01-02 南昌大学第二附属医院 一种基于双向GRUs的单病种临床路径构建方法及系统
CN114842929A (zh) * 2021-02-02 2022-08-02 北京金山云网络技术有限公司 临床路径的构建方法、装置、电子设备及存储介质
CN113658691A (zh) * 2021-08-31 2021-11-16 平安医疗健康管理股份有限公司 临床路径的构建方法、装置、设备及存储介质
CN113658691B (zh) * 2021-08-31 2025-04-22 深圳平安医疗健康科技服务有限公司 临床路径的构建方法、装置、设备及存储介质
CN114023425A (zh) * 2021-11-15 2022-02-08 北京嘉和美康信息技术有限公司 临床路径医嘱维护方法、装置及电子设备
CN114743660A (zh) * 2022-05-20 2022-07-12 北京嘉和美康信息技术有限公司 临床路径维护方法、装置、电子设备及存储介质

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