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CN109859815A - A kind of auxiliary medicine decision-making method and intelligent auxiliary medicine system - Google Patents

A kind of auxiliary medicine decision-making method and intelligent auxiliary medicine system Download PDF

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CN109859815A
CN109859815A CN201910067659.1A CN201910067659A CN109859815A CN 109859815 A CN109859815 A CN 109859815A CN 201910067659 A CN201910067659 A CN 201910067659A CN 109859815 A CN109859815 A CN 109859815A
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data
drug
patient
medication
decision
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钱步月
李扬
董亚琳
王陶陶
尹畅畅
张先礼
赵荣建
郑庆华
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Xian Jiaotong University
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Xian Jiaotong University
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Abstract

本发明公开了一种辅助用药决策方法及智能辅助用药系统,包括以下步骤:步骤1,采集获取患者医疗数据,将其进行预处理,获得结构统一的患者标准临床数据;步骤2,根据步骤1获得的患者标准临床数据,通过分类回归树算法对患者适用药物进行预测,结合药品数据库内药品信息,自动生成用药提议,完成辅助用药决策;用药提议用于提供给医师审核使用。本发明可智能化的提供具有科学性、专业性与精确性的用药依据,能够辅助临床医生及临床药师制定药物最佳使用决策,从而进一步规范药物使用。

The invention discloses an auxiliary medication decision-making method and an intelligent auxiliary medication system, comprising the following steps: step 1, collecting and obtaining patient medical data, preprocessing the same, and obtaining patient standard clinical data with a unified structure; step 2, according to step 1 The obtained standard clinical data of patients is used to predict the suitable drugs for patients through the classification and regression tree algorithm, and combined with the drug information in the drug database, the drug recommendations are automatically generated to complete the auxiliary drug decision-making; the drug recommendations are provided to the physicians for review and use. The present invention can intelligently provide scientific, professional and accurate medication basis, and can assist clinicians and clinical pharmacists to make optimal drug use decisions, so as to further standardize drug use.

Description

A kind of adjuvant drug decision-making technique and intelligent adjuvant drug system
Technical field
The invention belongs to medical domain and technical field of data processing, in particular to a kind of adjuvant drug decision-making technique and intelligence It can adjuvant drug system.
Background technique
In current therapeutic regimen formulation process, it is the medication suggestion provided according to package insert first, is manually looked into Patient medical data is ask, then formulates initial therapeutic regimen according to experience and drug operation instructions by doctor or pharmacist, and It is adjusted optimization over the course for the treatment of.Current method has the skill of apparent hysteresis quality, adjustment effect and doctor or pharmacist Art level is related, the influence vulnerable to human factor.
In addition, infectious diseases disease incidence height, the course of disease are fast in patient with severe symptoms, antimicrobial DP finish pharmacokinetic parameter is because of weight Disease patient sign difference is to generate greatly variation.For how effectively to formulate optimal antibacterials dosage regimen, mention The problem of high antibacterial Medication safety and validity, at present more effective patient with severe symptoms's infectious diseases dosage regimen system The method of determining include: be that the medication suggestion provided according to package insert is treated first, pass through multiple blood over the course for the treatment of Concentration sample detecting adjusts dosage.According to the dosage regimen that above-mentioned existing method is formulated, artificial enquiry patient is needed Medical data, then initial therapeutic regimen is formulated according to experience and drug operation instructions by doctor or pharmacist, and treating It is adjusted optimization in the process.The method has apparent hysteresis quality, and adjustment effect is related with the technical level of doctor or pharmacist, It is affected by human factors seriously, causes anti-infective medication to be unable to reach desired effect, and then patient with severe symptoms's treatment of infection can be made Failure rate is high, patient survival is low.
In conclusion needing a kind of novel adjuvant drug decision-making technique.
Summary of the invention
It is above-mentioned to solve the purpose of the present invention is to provide a kind of adjuvant drug decision-making technique and intelligent adjuvant drug system ?.The present invention, which intelligentized can provide, has scientific, the professional medication foundation with accuracy, Neng Goufu Clinician and clinical pharmacist is helped to formulate drug optimal use decision, so that further specification drug uses.
In order to achieve the above objectives, the invention adopts the following technical scheme:
A kind of adjuvant drug decision-making technique, comprising the following steps:
Step 1, acquisition obtains patient medical data, is pre-processed, and it is clinical to obtain the unified patient criteria of structure Data;
Step 2, the patient criteria's clinical data obtained according to step 1, is applicable in medicine to patient by post-class processing algorithm Object is predicted, in conjunction with medicine information in drug data bank, is automatically generated medication proposal, is realized adjuvant drug decision;Medication mentions View audits use for being supplied to doctor.
It further, further include step 3 when drug used is antimicrobial;
Step 3, antimicrobial population pharmacokinetics used are calculated, population pharmacokinetics model is established;According to Patient criteria's clinical data that step 1 obtains is modified population pharmacokinetics model;It calculates and obtains individual medicine for power Parameter is learned, individual pharmacokinetics model is constructed;By individual pharmacokinetics model, the blood concentration for predicting patient becomes Change, the blood concentration variation obtained according to prediction generates medication and proposes.
Further, further includes: step 4, sample detecting is carried out to patient's blood concentration in the given time;If detected value Meet predicted value, then former dosage is maintained to carry out medication, if detected value and predicted value difference are more than threshold value, more new individual medicine generation is dynamic Mechanical model parameter, recalculates dosage, and the medication after obtaining optimization is proposed.
Further, in step 1, by data warehouse technology directly from the different business systems number of hospital or medical institutions Patient medical data is obtained according to extracting in library, data warehouse is arrived in storage after converting by data cleansing;Patient medical data includes: The diagnosis information of patient, individual sign information, clinical examination and result of laboratory test, diagnosis report and treatment and medication history.
Further, step 1 specifically includes: step 1.1, operation system data interconnection: to including all kinds of medical numbers of patient According to e commerce transactions system establish Open Database Connection, realize the data sharing between heterogeneous database;
Step 1.2, data pick-up: data extraction tool is used, the data of needs is extracted in the database, passes through TCP/IP Data delivery to target side is carried out parsing reduction by agreement;
Step 1.3, data cleansing: the data being drawn into are pre-processed, so that data format meets preset use It is required that;
Step 1.4, data normalization: by step 1.3, treated that data format, and obtains the unified trouble of structure Person's standard clinical data.
Further, step 1.3 specifically includes:
Step 1.3.1 the characteristics of according to data are extracted, carries out data analysis, determines data type, data scale and each The distribution situation of data under attributive character;
Step 1.3.2 finds the missing values in simultaneously completion data;
Step 1.3.3 judges the exceptional value in garbled data.
Further, step 2 specifically includes:
Step 2.1, drug data bank is constructed according to drug operation instructions;
Step 2.2, the drug data in drug data bank is grouped repeatedly using post-class processing algorithm, recursive generation Several child nodes stop decision tree growth when data set is inseparable, obtain drug decision-tree model;Wherein each leaf section Point represents a kind of conclusion, and each non-leaf nodes represents a kind of attributive character;
Step 2.3, patient criteria's clinical data that step 1 obtains is mapped to fixed length N-dimensional patient characteristic vector, dimension N Parameter or attribute type included in representation vector;
Step 2.4, in the drug decision-tree model patient characteristic vector input step 2.2 that step 2.3 obtains constructed, Is generated by medication and is proposed by patient classification by judging to complete item by item.
Further, step 3 specifically includes:
Step 3.1, using nonlinear mixed-effect model, antimicrobial population pharmacokinetics used are calculated, and Establish population pharmacokinetics model;
Step 3.2, population pharmacokinetics step 3.1 established using patient criteria's clinical data that step 1 obtains Model is modified;By Bayesian feedback method, individual pharmacokinetics parameter is obtained, building obtains individual pharmacokinetics mould Type;By individual pharmacokinetics model, predicts blood concentration in patient's predetermined time and change, become according to blood concentration Metaplasia is proposed at medication.
A kind of intelligence adjuvant drug system, comprising:
Reading data and preprocessing module obtain patient medical data for acquiring, are pre-processed, obtain structure Unified patient criteria's clinical data;
Drug intelligent Matching module, patient criteria's clinical data for being obtained according to reading data and preprocessing module, Drug is applicable in patient by post-class processing algorithm to predict, in conjunction with medicine information in drug data bank, automatically generates use Medicine is proposed, adjuvant drug decision is completed;Medication is proposed to audit use for being supplied to doctor.
Further, when drug used is antimicrobial, further includes: personalized medicine module, for calculating antibacterial used Drug population pharmacokinetics establish population pharmacokinetics model;It is obtained according to reading data and preprocessing module Patient criteria's clinical data is modified population pharmacokinetics model;It calculates and obtains individual pharmacokinetics parameter, building Individual pharmacokinetics model;By individual pharmacokinetics model, the blood concentration variation of patient is predicted, is obtained according to prediction The blood concentration variation obtained generates medication and proposes.
Compared with prior art, the invention has the following advantages:
In the present invention, according to drug using standard, patient characteristic parameter, population pharmacokinetics, bass leaf feedback transmitter and Post-class processing etc. establishes drug medication and medication Optimized model, intelligentized can provide have it is scientific, professional with it is smart The medication foundation of true property formulates antibacterials optimal treatment decision with adjuvant clinical doctor and clinical pharmacist, to improve drug Safety, validity and economy in use.
Further, the present invention provides the antimicrobial DP finish intelligence of a kind of combination computer field and pharmaceutical field the relevant technologies Energy adjuvant drug system, by the extraction of patients clinical data, drug matching and personalized medicine solution formulation can be quick, quasi- It really formulates and meets the therapeutic regimen of patient clinical parameter, to improve safety of the antimicrobial DP finish in anti-infective therapy, effectively Property and economy, patient with severe symptoms's infectious age and cause of disease Bacteria drug tolorance rate can be reduced, specification antimicrobial DP finish uses.
Detailed description of the invention
Fig. 1 is a kind of schematic process flow diagram of antimicrobial DP finish adjuvant drug decision-making technique of the embodiment of the present invention;
Fig. 2 is the drug decision-tree model schematic diagram constructed in the embodiment of the present invention;
Fig. 3 is a kind of structural schematic block diagram of intelligent adjuvant drug system of the embodiment of the present invention.
Specific embodiment
Invention is further described in detail in the following with reference to the drawings and specific embodiments.
Referring to Fig. 1, a kind of antimicrobial DP finish adjuvant drug decision-making technique of the invention, specifically includes the following steps:
Step 1, reading data and pretreatment: by ETL (Extract-Transform-Load, data warehouse technology), Patient medical data directly is extracted from the different business systems database of hospital or medical institutions, after converting by data cleansing Store data warehouse.Patient medical data includes that diagnosis information, individual sign information, clinical examination and the chemical examination of patient is tied Fruit, diagnosis report and treatment and medication history.
In step 1, reading data includes: with pretreatment concrete methods of realizing
(1) operation system data interconnect: under general feelings, patient medical data can be stored in different electronic systems, and each A system cannot achieve effective data sharing between system by specific storage format and reading manner, therefore be unable to complete pair The unified access and extraction of the complete medical data of patient.ODBC is established to the electronic system comprising all kinds of medical datas of patient (to open Put Database Connectivity), it is only necessary to partial software upgrading is carried out on the hardware foundation of original electronic system, is provided for database access Unified interface, thus the data sharing between reaching heterogeneous database.It is low in cost in this way, can directly with existing electricity Subsystem docking, and operational effect is stablized.
(2) data pick-up: data extraction tool is used, the data of needs is extracted in the database, passes through ICP/IP protocol By data delivery to target side, parsing reduction is carried out.
(3) data cleansing: in order to make the data format being drawn into meet the basic demand that further uses, need to its into Row pretreatment.
Data cleansing specific steps include:
Step1: according to data characteristics are extracted, data analysis is carried out, determines data type, data scale and each attributive character The distribution situation of lower data.
Step2: missing values in data are found.Diagnosis information and individual sign information for patient, can be patrolled by establishing Regression model is collected, missing data is predicted, obtains missing values in data.For patient clinical inspection and result of laboratory test, examine Disconnected report, treatment and the shortage of data in medication history, need to be by artificial completion.
Step3: judge exceptional value in data.For parameters and medication history in patient clinical inspection and result of laboratory test In dosage data establish model, filter out data value that model cannot be fitted as exceptional value by manual examination and verification.
(4) standardization of data: formatting the data extracted from different business systems, and such as unified metering is single Position, uniform data form of expression etc., to obtain the unified normal data of structure.
Through the above steps, it ultimately generates and meets requirement and meet the structuring of Uniform Access, standardized patient doctor Treat data.
Step 2, the normal data unified according to the structure of acquisition, by post-class processing algorithm to patient be suitble to drug into Row prediction automatically generates several medications and proposes in conjunction with medicine information in drug data bank, including antimicrobial DP finish type, medication Metering and drug side effect prompt, then audited by clinician and pharmacist.Wherein, had using post-class processing algorithm Advantage includes: that construction method is simple, and the speed of service is very fast, and prediction result is more accurate.
Referring to Fig. 2, step 2 specifically includes the following steps:
(1) it constructs anti-microbial type drug data bank: constructing structured database, major parameter packet according to drug operation instructions It includes indication, adapt to patients, different sexes and the reference of age dosage, medication taboo and adverse drug reflection.
(2) drug decision-tree model generates: using the drug data in drug data bank, passing through CART (post-class processing) Algorithm establishes antibacterial similar drug decision tree, as shown in Figure 2.The concrete mode that drug decision-tree model generates are as follows: calculated using CART Method is grouped drug data repeatedly, recursive to generate several child nodes, stops decision tree growth when data set is inseparable.Its In each leaf node represent a kind of conclusion, each non-leaf nodes represents a kind of attributive character.
(3) it constructs patient parameter feature vector: the normal data obtained by module one being mapped to using word2vec and is determined Long N-dimensional vector, parameter or attribute type included in dimension N representation vector, value represent the occurrence of certain attribute.
(4) medication matches: patient characteristic vector being inputted in drug decision-tree model, by judging to complete item by item to patient Classification, obtains suitable drug and exports relevant information, generates medication and proposes.
Step 3, using patient clinical physical sign parameters and antimicrobial population pharmacokinetics model has been chosen, has used Bayes Feedback algorithm obtains accurate individual pharmacokinetics model, makes personalized therapeutic regimen.Meanwhile passing through blood concentration Monitor value adjusts therapeutic regimen in real time, realizes the accurate medication of the individuation of different patients.
Step 3 specifically includes the following steps:
(1) population pharmacokinetics are calculated: using nonlinear mixed-effect model, calculate antimicrobial group used Pharmacokinetic parameter, and establish population pharmacokinetics model.
(2) individual pharmacokinetics parameter is calculated: using the patient criteria's clinical data obtained to population pharmacokinetics Model is modified, and by Bayesian feedback method, is obtained individual pharmacokinetics parameter, is constructed individual pharmacokinetics model; By individual pharmacokinetics model, predicts blood concentration in patient's certain time and change, change to obtain according to blood concentration Accurately initial medication is proposed.
(3) therapeutic drug monitoring and dosage are corrected: sample detecting is carried out to patient's blood concentration within a certain period of time, If meeting predicted value, former dosage is maintained to be treated, if differing greatly with predicted value, by updating individual pharmacokinetics Model parameter recalculates dosage, and the medication after obtaining optimization is proposed, to reach safely and effectively blood concentration.
To sum up, a kind of artificial intelligence antimicrobial DP finish adjuvant drug system advantage of the invention is: it is directed to general patient, By the present invention in that being matched with standard clinical data of the decision Tree algorithms to patient with drug storage, can fast and accurately mention Propose to refer to for doctor or pharmacist for medication, optimizes medical experience while guaranteeing patient's correctly taking drugs.For needing antibacterial The patient with severe symptoms for the treatment of when personalized medicine module used in the present invention can be according to patient criteria's clinical data, establishes quasi- True individual pharmacokinetics model, adjuvant clinical doctor and pharmacist fast and accurately formulate initial therapeutic regimen, and realization is directed to The personalized administration services of different patients.The present invention can be detected by blood concentration simultaneously, feedback drug effect promptly and accurately Fruit, and quickly complete the optimization of dosage.The accurate calculating of antimicrobial DP finish dosage is helped to reduce pathogen Resistant rate improves medication validity, reduces mortality, so that the medication effect and medication peace of antimicrobial DP finish be effectively ensured Entirely.For clinician and clinical pharmacist, intelligence medication auxiliary system proposed by the present invention combines patient clinical data and uses Medicine knowledge can be eliminated substantially and bring medication inaccuracy, dosage inaccurate by clinical experience, mistake, used being promoted It ensure that therapeutic effect while medicine quality.
The present invention is based on web systems to build, and code and data are hosted in SQL Server remote server, data storage In distributed system.User is in use, only need conventional browser that relevant operation can be completed, and without installation, other are subsidiary soft Part.Meanwhile the platform is not limited by operating system, can be used for a variety of operating platforms such as Windows, Mac and Linux.In addition, It is calculated when system-computed dosage regimen by server GPU, platform property is avoided to be limited by user terminal calculated performance.
Referring to Fig. 3, with reference to the accompanying drawing with clinical application specific steps to a kind of antimicrobial DP finish of the present invention Artificial intelligence adjuvant drug system.A kind of antimicrobial DP finish adjuvant drug system of the invention.This system is mainly by three modules It constitutes, is described in detail as follows:
Module one, reading data and preprocessing module: the module mainly realizes following functions: the data of calibration-based hearing loss evaluation It extracts, pretreatment.By reading data and preprocessing module read patient in hospital or medical institutions it is medical, check, chemical examination, The medical informations such as diagnosis and sign.By data mining ETL technology, misspelling because manual operation factor generates, no is removed Legitimate value, null value and repetition indicate, generate structuring, standardized medical data.
Module two, antimicrobial DP finish intelligent Matching module: the module mainly realizes following functions: patient information and anti-microbial type Drug matching.By the age of patient, gender, weight, infection site, symptom, result of laboratory test (hepatic and renal function, blood etc.), allergy History, bacteria cultivation results etc., by inquiry antibacterial similar drug knowledge base carry out similarity mode, search out match it is several Antimicrobial DP finish simultaneously provides suggestion dosage, and therapeutic regimen is suggested in output.It is recommended that therapeutic regimen by clinician or pharmacist into Row audit passes through, or generates initial administration scheme after carrying out manual change, can be used for patient anti-infective therapy.
Module three, personalized medicine module: the module mainly realizes following functions: passing through patient clinical parameter and antimicrobial Object population pharmacokinetics model foundation model, calculates patient's blood concentration in certain medication cycle, and predict and obtain The target value for obtaining optimum therapeuticing effect, as doctor and pharmacist's audit, the auxiliary information for correcting initial therapeutic regimen.According to patient Blood concentration measured value corrects individual pharmacokinetics parameter, recalculates dosage, it is ensured that medication effect.
Specific step is as follows in clinical application for system of the invention:
The first step, patient information extract.Clinician or pharmacist use personal workstation's proposition antimicrobial DP finish prescription Case formulates request, by reading data and preprocessing module, obtains treated clinical characteristic data and is audited, Manual amended record missing information.
Second step, medication matching.The first step obtains antibacterial in complete patient data and antimicrobial DP finish intelligent Matching module Class drug medication library is matched by post-class processing algorithm, is obtained and clinical characteristic drug the most matched, standard Dosage, and drug side-effect is prompted.For general patient, by generating initial use after clinician or pharmacist's audit Prescription case.For patient with severe symptoms, goes to third step and carry out personalized medicine solution formulation.
Third step calls drug pharmacokinetic model by the determined types of medicines of antimicrobial DP finish intelligent Matching module, Accurate individual pharmacokinetics parameter is calculated, to the blood concentration desired value of optimum therapeuticing effect according to clinical characteristic parameter With initial administration scheme, manual examination and verification are carried out by clinician or pharmacist, if there is particular/special requirement conscientious can modify parameter simultaneously by hand It recalculates.
4th step is compared with prediction result by blood concentration testing result, is counted automatically by personalized medicine module Dosage is calculated and corrected, expected blood concentration is finally reached.Meanwhile by calculating, patient's blood concentration trend is carried out quasi- Really prediction.
It should be understood by those skilled in the art that, embodiments herein can provide as method, system or computer program Product.Therefore, complete hardware embodiment, complete software embodiment or reality combining software and hardware aspects can be used in the application Apply the form of example.Moreover, it wherein includes the computer of computer usable program code that the application, which can be used in one or more, The computer program implemented in usable storage medium (including but not limited to magnetic disk storage, CD-ROM, optical memory etc.) produces The form of product.
The application is referring to method, the process of equipment (system) and computer program product according to the embodiment of the present application Figure and/or block diagram describe.It should be understood that every one stream in flowchart and/or the block diagram can be realized by computer program instructions The combination of process and/or box in journey and/or box and flowchart and/or the block diagram.It can provide these computer programs Instruct the processor of general purpose computer, special purpose computer, Embedded Processor or other programmable data processing devices to produce A raw machine, so that being generated by the instruction that computer or the processor of other programmable data processing devices execute for real The device for the function of being specified in present one or more flows of the flowchart and/or one or more blocks of the block diagram.
These computer program instructions, which may also be stored in, is able to guide computer or other programmable data processing devices with spy Determine in the computer-readable memory that mode works, so that it includes referring to that instruction stored in the computer readable memory, which generates, Enable the manufacture of device, the command device realize in one box of one or more flows of the flowchart and/or block diagram or The function of being specified in multiple boxes.
These computer program instructions also can be loaded onto a computer or other programmable data processing device, so that counting Series of operation steps are executed on calculation machine or other programmable devices to generate computer implemented processing, thus in computer or The instruction executed on other programmable devices is provided for realizing in one or more flows of the flowchart and/or block diagram one The step of function of being specified in a box or multiple boxes.
The above embodiments are merely illustrative of the technical scheme of the present invention and are not intended to be limiting thereof, although referring to above-described embodiment pair The present invention is described in detail, those of ordinary skill in the art still can to a specific embodiment of the invention into Row modification perhaps equivalent replacement these without departing from any modification of spirit and scope of the invention or equivalent replacement, applying Within pending claims of the invention.

Claims (10)

1. a kind of adjuvant drug decision-making technique, which comprises the following steps:
Step 1, acquisition obtains patient medical data, is pre-processed, and the unified patient criteria's clinical data of structure is obtained;
Step 2, according to step 1 obtain patient criteria's clinical data, by post-class processing algorithm to patient be applicable in drug into Row prediction automatically generates medication proposal, realizes adjuvant drug decision in conjunction with medicine information in drug data bank;Medication is proposed to use Use is audited in being supplied to doctor.
2. a kind of adjuvant drug decision-making technique according to claim 1, which is characterized in that drug used is antimicrobial When, it further include step 3;
Step 3, antimicrobial population pharmacokinetics used are calculated, population pharmacokinetics model is established;According to step 1 Patient criteria's clinical data of acquisition is modified population pharmacokinetics model;It calculates and obtains individual pharmacokinetics ginseng Number constructs individual pharmacokinetics model;By individual pharmacokinetics model, the blood concentration variation of patient, root are predicted It is predicted that the blood concentration variation obtained generates medication and proposes.
3. a kind of adjuvant drug decision-making technique according to claim 2, which is characterized in that further include:
Step 4, sample detecting is carried out to patient's blood concentration in the given time;If detected value meets predicted value, remain former Dosage carries out medication, if detected value and predicted value difference are more than threshold value, update individual pharmacokinetics model parameter, counts again Dosage is calculated, the medication after obtaining optimization is proposed.
4. a kind of adjuvant drug decision-making technique according to claim 1, which is characterized in that in step 1, pass through data warehouse Technology extracts directly from the different business systems database of hospital or medical institutions and obtains patient medical data, clear by data Data warehouse is arrived in storage after washing conversion;Patient medical data includes: the diagnosis information of patient, individual sign information, clinical examination With result of laboratory test, diagnosis report and treatment and medication history.
5. a kind of adjuvant drug decision-making technique according to claim 1, which is characterized in that step 1 specifically includes:
Step 1.1, operation system data interconnect: establishing open data to the e commerce transactions system comprising all kinds of medical datas of patient Library interconnection, realizes the data sharing between heterogeneous database;
Step 1.2, data pick-up: data extraction tool is used, the data of needs is extracted in the database, passes through ICP/IP protocol By data delivery to target side, parsing reduction is carried out;
Step 1.3, data cleansing: the data being drawn into are pre-processed, so that data format meets preset requirement;
Step 1.4, data normalization: by step 1.3, treated that data format, and obtains the unified patient's mark of structure Quasi- clinical data.
6. a kind of adjuvant drug decision-making technique according to claim 5, which is characterized in that step 1.3 specifically includes:
Step 1.3.1, according to extract data the characteristics of, carry out data analysis, determine data type, data scale and each attribute The distribution situation of data under feature;
Step 1.3.2 finds the missing values in simultaneously completion data;
Step 1.3.3 judges the exceptional value in garbled data.
7. a kind of adjuvant drug decision-making technique according to claim 1, which is characterized in that step 2 specifically includes:
Step 2.1, drug data bank is constructed according to drug operation instructions;
Step 2.2, the drug data in drug data bank is grouped repeatedly using post-class processing algorithm, recursive generation is several Child node stops decision tree growth when data set is inseparable, obtains drug decision-tree model;Wherein each leaf node generation A kind of conclusion of table, each non-leaf nodes represent a kind of attributive character;
Step 2.3, patient criteria's clinical data that step 1 obtains is mapped to fixed length N-dimensional patient characteristic vector, dimension N is represented Parameter or attribute type included in vector;
Step 2.4, in the drug decision-tree model patient characteristic vector input step 2.2 that step 2.3 obtains constructed, pass through Judgement completes that patient classification is generated medication and proposed item by item.
8. a kind of adjuvant drug decision-making technique according to claim 2, which is characterized in that step 3 specifically includes:
Step 3.1, using nonlinear mixed-effect model, antimicrobial population pharmacokinetics used are calculated, and are established Population pharmacokinetics model;
Step 3.2, the population pharmacokinetics model that the patient criteria's clinical data obtained using step 1 establishes step 3.1 It is modified;By Bayesian feedback method, individual pharmacokinetics parameter is obtained, building obtains individual pharmacokinetics model; By individual pharmacokinetics model, predicts blood concentration in patient's predetermined time and change, changed according to blood concentration Medication is generated to propose.
9. a kind of intelligence adjuvant drug system characterized by comprising
Reading data and preprocessing module obtain patient medical data for acquiring, are pre-processed, it is unified to obtain structure Patient criteria's clinical data;
Drug intelligent Matching module passes through for patient criteria's clinical data according to reading data and preprocessing module acquisition Post-class processing algorithm is applicable in drug to patient and predicts, in conjunction with medicine information in drug data bank, automatically generates medication and mentions View completes adjuvant drug decision;Medication is proposed to audit use for being supplied to doctor.
10. a kind of intelligent adjuvant drug system according to claim 9, which is characterized in that drug used is antimicrobial When, further includes:
Personalized medicine module establishes population pharmacokinetics for calculating antimicrobial population pharmacokinetics used Model;Population pharmacokinetics model is repaired according to patient criteria's clinical data that reading data and preprocessing module obtain Just;It calculates and obtains individual pharmacokinetics parameter, construct individual pharmacokinetics model;By individual pharmacokinetics model, The blood concentration variation for predicting patient, the blood concentration variation obtained according to prediction generate medication and propose.
CN201910067659.1A 2019-01-24 2019-01-24 A kind of auxiliary medicine decision-making method and intelligent auxiliary medicine system Pending CN109859815A (en)

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Application publication date: 20190607