CN102521501A - Simulation doctor system of intelligent medicine based on composite diagnosis and treatment template - Google Patents
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Abstract
The invention discloses a simulation doctor system of intelligent medicine based on a composite diagnosis and treatment template, comprising a diagnosis and treatment template module for providing an interactive interface for doctor to build and maintain the diagnosis and treatment template; a synthesis simulation doctor module for synthesizing the diagnosis and treatment templates to be a simulation doctor to provide diagnosis and treatment service for patients. The simulation doctor system of intelligent medicine based on the composite diagnosis and treatment template has the advantages of high simulation degree, high efficiency, high accessibility and high timeliness. The system can provide the simulation doctor with all experience and wisdom of the doctor to provide 24-hour service in 365 days for patients, so that the patient can enjoy comprehensive care of the simulation doctor at any time and any place.
Description
Technical field
The invention belongs to medical field, be specifically related to a kind of emulation doctor system of wisdom medical science service.
Background technology
Realities such as the current high cost of getting medical treatment, the difficulty of seeking medical advice, the aging of population and chronic disease spread have proposed challenge serious to health system; In the various solutions of this challenge of reply, important means are to make full use of the flourishing infotech means medical assistance of Present Attitude.
The wisdom medical skill is the highest form of various infotech means, is the ultimate aim of medical information technology from the information-based à intelligent development of digitizing à.Following wisdom medical science must possess " P4 " characteristics: predictability, and preventative, personalized service, doctors and patients' property of participation in many ways.There will be future the wisdom medical skill of huge growth potentiality that four characteristics is arranged: one, the relevant health knowledge that lets the patient regain the initiative can be provided; Two, promote the platform tools of doctor's efficiency of service and quality; Three, improve common people's prevention and health care consciousness; Four, can " preventive treatment of disease " technological means and theory.
Current medical information technology also is in digitizing and information-based stage; Also has very big gap with wisdom medical science and wisdom medical skill; Often be confined to the collection transmission and the accessibility of data message, still lack artificial doctor's wisdom and reach assurance patient's holistic health.For example; Electronic health record, health account, tele-medicine; Portable medical and Internet of Things etc., though the collection and the information analysis and shared of these technology ability implementation part basic datas, the doctors and patients' that furthered space-time distance; But they can't alleviate doctor's workload veritably, and the doctor still will spend great amount of time and energy Analysis and Screening raw data; Because doctor's time energy is limited, adds that personal experience's limitation and raw data possibly imply factor affecting such as mistake, the efficient of doctor's service and the lifting of quality have fundamentally been restricted.At present, the medical information technological system all is to adopt common electronic health record mode to preserve patient's medical records and state of an illness data mostly, but these data are disperseed; Data deficiency association between the different syndromes; Degree of intelligence is low, and is poor for applicability, and intuitive is not high; The doctor need read the state of an illness characteristic that a large amount of historical medical history record of current patient could be understood patient, is difficult to hold on the whole very intuitively at short notice the current physiological situation of patient.
How a kind of wisdom medical skill is provided, and is computing machine the problem of needing solution at present badly from the wisdom assistant that the aid decision making aspect rises to truly.World today's Computer Simulation doctor technology also is not very ripe, does not have perfect scheme to simulate the doctor and carries out diagnosis and treatment.Its main difficult point has the medical domain enchancement factor many, and isomerism is outstanding, and individualized feature is obvious, and computing machine often is confined to repeatably the robotization of simple process flow relatively.
The object of the invention will address this problem exactly, hope to set up the super wisdom doctor who compiles numerous doctor collective experience, and " duplicating the doctor " simultaneously is hundreds and thousands of electronics wisdom doctors, and 365 days real time individual service is provided for patient.As far as patient, the service through a doctor is equal to the wisdom service of having enjoyed numerous high in the clouds electronics doctors.When high-quality and efficient medical services such as diagnosis and treatment, prognosis, treatment, prevention and health care are provided, reduce medical treatment cost, promote curative effect; For patient, family, doctor, medical institutions and medical insurance etc. provide the support of wisdom medical treatment platform, forming with prevention and health care is the super quality and competitive price at center and the wisdom medical model of sustainable development.
Summary of the invention
The present invention provides a kind of solution of the above problems, and a kind of wisdom medical science emulation doctor system based on computer compound diagnosis and treatment template is provided, and the technical solution of doctor's wisdom of manual work is provided for the service of wisdom medical science.
Design philosophy of the present invention is directly not make the emulation doctor, but the diagnosis and treatment template one by one of being made through the high in the clouds platform by doctor (or the medical personnel under physician guidance), and all templates are synthesized into the emulation doctor.Each diagnosis and treatment template is that the doctor is that patient is customized, the concrete diagnosis and treatment method that a certain disease provided of representing the doctor that a certain patient is held sometime.The wisdom of each diagnosis and treatment template all comes from doctor oneself, thus just represent the summation of doctor through the synthetic diagnosis and treatment template of computing machine in experience that affiliated professional domain has and wisdom, so be referred to as the emulation doctor.
Technical scheme of the present invention provides a kind of wisdom medical science emulation doctor system based on compound diagnosis and treatment template, and it is characterized in that: it comprises:
The diagnosis and treatment formwork module provides interactive interface to supply the doctor to create and safeguard the diagnosis and treatment template;
Synthesis of artificial doctor module is synthesized into the emulation doctor with all said diagnosis and treatment templates, for patient provides the diagnosis and treatment service.
Preferably, comprise the state of an illness, trigger condition and diagnosis and treatment suggestion in the said diagnosis and treatment template.
Preferably, said diagnosis and treatment formwork module is created and is safeguarded that the step of said diagnosis and treatment template is:
1) create the diagnosis and treatment template: the doctor is said diagnosis and treatment template for each patient creates, and be provided with said diagnosis and treatment template title, description, be provided with and training is classified to disease type, open degree;
2) physiological characteristic is set: the physiological characteristic confirming disease type and need use is set in the said diagnosis and treatment template, and is each physiological characteristic setting data type and unit;
3) condition is set: be step 2) in the said physiological characteristic that is provided with create condition, with the physiological characteristic that satisfies condition as the foundation of judging disease type;
4) the diagnosis and treatment rule is set: for the condition of creating in the step 3) is created the diagnosis and treatment rule, for the disease type of confirming is set diagnostic recommendations;
5) issue: issue said diagnosis and treatment template, create-rule file and state of an illness template.
Preferably, said step 1) and step 2) in also provide the TRIM medical vocabulary to supply the doctor to use.
Preferably, comprise synthesis module in the said synthesis of artificial doctor module, be responsible for similar a plurality of said diagnosis and treatment template is merged into a compound diagnosis and treatment template.
Preferably, the synthetic step of said synthesis module is:
1) goes automatically heavily to remove the trigger condition that repeats in the said diagnosis and treatment template;
2) medical science descriptive language standardization, according to the TRIM medical vocabulary to the replacement that standardizes of the literal in the state of an illness in the said diagnosis and treatment template, trigger condition and the diagnosis and treatment suggestion;
3) merge similar, merge the state of an illness, trigger condition and diagnosis and treatment suggestion identical with similar in all said diagnosis and treatment templates.
Preferably, it also comprises account number system, supplies doctor's registration and login to use.
The beneficial effect of the wisdom medical science emulation doctor system based on compound diagnosis and treatment template of the present invention is:
1, high emulation; Because the emulation doctor synthesizes through the diagnosis and treatment template that the doctor formulates one by one; Being to make through the own personalization of doctor fully, so the emulation doctor is representing up-to-date experience of doctor oneself and wisdom comprehensively, is true doctor's perfect simulation product; Moreover, each diagnosis and treatment template that the doctor makes not only quality high, be the complete personalization of making to measure for patient, and our the strong support of wisdom medical science high in the clouds platform that has obtained in the process of making coming;
2, efficientibility and high accessibility; In case synthesized the emulation doctor of oneself through our high in the clouds platform doctor; The doctor has just had " attending to anything else " function so; That is to say that the doctor not only can be in hospital for patient's diagnosis and treatment, can also oneself emulation doctor be duplicated thousands of parts and send to patient and bring in diagnosis and treatment into patient.The doctor patient that can serve will be more like this, and seeing a doctor efficient will be higher, and the accessibility of service improves and promotes;
3, high-timeliness, in a single day emulation the doctor design, and that is exactly can be service for patients in 1 year 365 days 24 hours.Patient can enjoy the omnibearing care of emulation doctor whenever and wherever possible.
Description of drawings
Fig. 1 is the use synoptic diagram of the wisdom medical science emulation doctor system based on compound diagnosis and treatment template of the present invention;
Fig. 2 is the operational flowchart of the wisdom medical science emulation doctor system based on compound diagnosis and treatment template of the present invention.
Embodiment
Following specific embodiments of the invention is described in further detail.
As shown in Figure 1, the wisdom medical science emulation doctor system based on compound diagnosis and treatment template of the present invention is integrated the back through all diagnosis and treatment templates that the doctor is created and is formed the emulation doctor who embodies whole wisdom of this doctor and experience, thereby serves vast patient.Comprising:
The doctor: usage platform provides the doctor of wisdom medical science service;
Diagnosis and treatment template: several diagnosis and treatment templates that the doctor formulates; Each diagnosis and treatment template is made to measure for patient;
Emulation doctor: through the synthetic emulation doctor of diagnosis and treatment template; Each synthetic emulation doctor also makes to measure for patient;
Patient: the some patients that enjoy the service of wisdom medical science.
As shown in Figure 2, the operating process of the wisdom medical science emulation doctor system based on compound diagnosis and treatment template of the present invention is:
1, register account number: the special-purpose number of the account of doctor registered doctor in system.Need the information of typing to be during registration: training that user name, password, Real Name, sex, date of birth, email address, affiliated medical organization title, affiliated medical organization organization, province, city, better address, password give the prompting problem for change, be good at etc.Behind submit applications, system will send the affirmation mail in the mailbox of user's input through encrypting mailbox automatically, and the user logins the mailbox of oneself and confirms to accomplish registration.The subscriber data unification is managed based on ldap protocol through the OpenDS directory service, and password is encrypted storage through the PKCS12 encrypted certificate.
2, login system: the doctor opens the system login interface, the number of the account login system good and that verified through mailbox with registration.If the user is just in case forgotten password because of carelessness, the password of filling in the time of can registering through input is given problem for change and is given password for change.If the user forgets password and has given the answer of problem for change, then can submit to customer service through client's personal information that oneself is remembered, customer service is through behind the artificial demonstration validation, user cipher reset and sent to subscriber mailbox prompting user carry out password and revise.
3, create the diagnosis and treatment template: the doctor gets into diagnosis and treatment template establishment module.After doctor's login system, on System menu, can see the menu of creating the diagnosis and treatment template, click to get into and to carry out the establishment of diagnosis and treatment template.
4, the diagnosis and treatment Template Information is set: the doctor is provided with diagnosis and treatment template name, description, the disease type that is directed against, the setting of open degree, training classification etc.When the diagnosis and treatment template name is set; System provides professional TRIM (Templated HL7 RIM) medical vocabulary to supply doctor's reference; The TRIM medical vocabulary can eject through the mode of double-clicking very easily, and can import filtercondition and carry out blur filter.Open degree setting is in order to protect doctor's privacy, and the doctor can be only thinks with him that disclosed diagnosis and treatment template is open and estimates to other people.The training classification of system, TRIM medical vocabulary are all from the most authoritative NIH of medical institutions of the U.S..
5, physiological characteristic is set: the doctor creates the physiological characteristic that need use in the diagnosis and treatment template, is each physiological characteristic definition of data type, unit etc.The doctor can name physiological characteristic based on the professional medical vocabulary of UMLS (integrated medical science language system) through double-clicking ejection system when physiological characteristic is set.
6, condition is set: the doctor creates condition according to the physiological characteristic of creating, and the condition support is created in batches.The setting of these conditions is exactly the function that tests doctor personal experience and wisdom, and the physiological characteristic that the doctor can will define through the mode that pulls very easily before pulls gets off to carry out conditional definition, such as whether intermittent headache can be used as a condition.The condition that is provided with is prepared for the back is provided with the diagnosis and treatment rule.
7, the diagnosis and treatment rule is set: the doctor creates the diagnosis and treatment rule according to the condition of creating, and the diagnosis and treatment rule is supported combination condition, supports order of severity setting, supports that the doctor sets diagnostic recommendations.Concrete steps are: the doctor carries out logical combination through the mode that pulls with the condition of above-mentioned definition, defines then under the satisfied situation of this set condition, can be diagnosed as a kind of what state of an illness.Can be provided with under the satisfied simultaneously condition of some symptom such as the doctor, patient is just probably diagnosed into hypertension.For each diagnosis and treatment rule, the doctor can be provided with the order of severity, and so all have the effect of meeting corresponding warning to patient doctor.Doctor's diagnosis and treatment suggesting system for wearing supports the doctor with descriptive language, supports the doctor to formulate the plan target to patient, supports doctor's prescribe (nomenclature of drug can be from system in the medical vocabulary storehouse of specialty selection as a reference).
8, issue: after above operation was accomplished, the doctor carried out the issue of diagnosis and treatment template.The operation of issue is very simple and convenient concerning the doctor, has an issue button in system's diagnosis and treatment model customization interface final step, and the doctor clicks the issue that the issue button can be accomplished the diagnosis and treatment template.Rule analysis then can be carried out to the diagnosis and treatment template automatically in the system backstage, generates the rule file based on the Drools regulation engine, generates the state of an illness template of respective version simultaneously.Accomplish these back systems in several steps and again the data of diagnosis and treatment template are encrypted to resolve and store in the single file system, carry out old version for ease of doctor from now on and recover.
9, make a plurality of diagnosis and treatment templates: repeating step 3-8, make some diagnosis and treatment templates to other diseases for other patients again.
10, synthesis of artificial doctor: get into emulation doctor column, can see synthesis of artificial doctor's last time time and present emulation doctor's situation.Click synthetic button, will eject a page prompts doctor and operate the synthesis of artificial doctor.System with the diagnosis and treatment template be divided into the new template of not synthesizing, synthesized but template that renewal arranged with having synthesized the template that not have renewal, so that let the doctor that template is selected more intuitively.Give tacit consent to these templates and all choose, the doctor can select to remove the diagnosis and treatment template that need not synthesize.After template is chosen, can list the diagnosis and treatment rule synthetic below automatically according to these templates, these rules are arranged according to triggering frequency from high to low, and the doctor can delete operation to these diagnosis and treatment rules.After choosing the diagnosis and treatment rule, then can click the synthetic button of page below, system has just synthesized the emulation doctor with numerous diagnosis and treatment templates automatically.Adopt fuzzy synthetic technology in this process.Fuzzy synthetic technology be system in the synthesis of artificial doctor, automatically merge and become one according to forming similar diagnosis and treatment rule.The diagnosis and treatment template is made up of three parts: physiological characteristic item, condition entry, diagnosis and treatment regularization term.Wherein physiological characteristic item some symptoms of comprising patient are described such as dizzy, uncomfortable in chest etc., and patient's physiological characteristic data such as body temperature, blood pressure etc., and this part data is based on the medical vocabulary of standard, and system goes coincidence and gets final product.Condition entry is meant the required satisfied condition of specific physiological characteristic item, and whether such as dizzy, whether this is exactly the Boolean type condition, and blood pressure is greater than 140 mm Hg for another example, and this is exactly the logical type condition greater than 140 mm Hg.Because system is to support combination condition for condition entry, so the processing of this part can bother, system finally can find out the identical item of condition and merge.The diagnosis and treatment regularization term just is meant that working as the physiological characteristic item satisfies under the certain conditions; Doctor's diagnosis and treatment suggestion; Such as the doctor dizziness, nasal mucus, cough can be set, when these symptoms of sneeze satisfy; Can be diagnosed as cold symptoms, patient should be suitably more multiplexing the medicine of treatment flu, and strengthen taking exercise and build up resistance.When merging,, need carry out semantic analysis for this part data owing to related to one section descriptive suggestion of doctor's input.The system of considering is the singularity to medical industries; We adopt the fuzzy diagnosis and treatment suggestion that merges the doctor than the mode that is combined; Be the medical speciality lexicon that sets in the calling system, come to compare, the diagnosis and treatment suggestion is translated into the medical speciality vocabulary of standard with doctor's diagnosis and treatment suggestion content; After the standardization of diagnosis and treatment suggestion, it is synthetic to compare according to similarity.This step synthetic we be referred to as fuzzy syntheticly, be based on technology realizes that the binary tree algorithm of java language realizes.
11, the emulation doctor upgrades: in case the doctor has designed new diagnosis and treatment template, just can arrive emulation doctor interface and carry out the synthetic emulation doctor who improves oneself of emulation doctor.In the time of incremental update emulation doctor, system only handles diagnosis and treatment rule newly-increased, that renewal is arranged automatically, falls for the diagnosis and treatment algorithm automatic screening that has existed.
12, serve patient: after the doctor had made own personalized emulation doctor, the emulation doctor just can imitate the doctor patient has been carried out diagnosis and treatment, just as doctor's diagnosis and treatment in person.The doctor is at emulation doctor interface, point selection patient's button, and system lists the patient list of having set up patient's doctor relation with the doctor automatically, and the doctor can select these patients that the emulation doctor is sent over.Patient end will be received the state of an illness template of corresponding comprehensive inspection.So patient just can enjoy emulation doctor omnibearing diagnosis and treatment in 24 hours and serve.
Wisdom medical science emulation doctor system based on compound diagnosis and treatment template of the present invention can be set up extensively and directly contact between vast doctor and the patient through the high in the clouds service, for the patient provides the medical services of efficient quick possibility is provided.
Above embodiment is merely the present invention's a kind of embodiment wherein, and it describes comparatively concrete and detailed, but can not therefore be interpreted as the restriction to claim of the present invention.Should be pointed out that for the person of ordinary skill of the art under the prerequisite that does not break away from the present invention's design, can also make some distortion and improvement, these all belong to protection scope of the present invention.Therefore, the protection domain of patent of the present invention should be as the criterion with accompanying claims.
Claims (7)
1. based on the wisdom medical science emulation doctor system of compound diagnosis and treatment template, it is characterized in that: it comprises:
The diagnosis and treatment formwork module provides interactive interface to supply the doctor to create and safeguard the diagnosis and treatment template;
Synthesis of artificial doctor module is synthesized into the emulation doctor with all said diagnosis and treatment templates, for patient provides the diagnosis and treatment service.
2. the wisdom medical science emulation doctor system based on compound diagnosis and treatment template according to claim 1 is characterized in that: comprise the state of an illness, trigger condition and diagnosis and treatment suggestion in the said diagnosis and treatment template.
3. according to claim 1 or 2 one of them described wisdom medical science emulation doctor system based on compound diagnosis and treatment template, it is characterized in that: said diagnosis and treatment formwork module is created and is safeguarded that the step of said diagnosis and treatment template is:
1) create the diagnosis and treatment template: the doctor is said diagnosis and treatment template for each patient creates, and be provided with said diagnosis and treatment template title, description, be provided with and training is classified to disease type, open degree;
2) physiological characteristic is set: the physiological characteristic confirming disease type and need use is set in the said diagnosis and treatment template, and is each physiological characteristic setting data type and unit;
3) condition is set: be step 2) in the said physiological characteristic that is provided with create condition, with the physiological characteristic that satisfies condition as the foundation of judging disease type;
4) the diagnosis and treatment rule is set: for the condition of creating in the step 3) is created the diagnosis and treatment rule, for the disease type of confirming is set diagnostic recommendations;
5) issue: issue said diagnosis and treatment template, create-rule file and state of an illness template.
4. the wisdom medical science emulation doctor system based on compound diagnosis and treatment template according to claim 3 is characterized in that: said step 1) and step 2) in also provide the TRIM medical vocabulary to supply the doctor to use.
5. the wisdom medical science emulation doctor system based on compound diagnosis and treatment template according to claim 1 is characterized in that: comprise synthesis module in the said synthesis of artificial doctor module, be responsible for similar a plurality of said diagnosis and treatment template is merged into a compound diagnosis and treatment template.
6. the wisdom medical science emulation doctor system based on compound diagnosis and treatment template according to claim 5 is characterized in that: the synthetic step of said synthesis module is:
1) goes automatically heavily to remove the trigger condition that repeats in the said diagnosis and treatment template;
2) medical science descriptive language standardization, according to the TRIM medical vocabulary to the replacement that standardizes of the literal in the state of an illness in the said diagnosis and treatment template, trigger condition and the diagnosis and treatment suggestion;
3) merge similar, merge the state of an illness, trigger condition and diagnosis and treatment suggestion identical with similar in all said diagnosis and treatment templates.
7. the wisdom medical science emulation doctor system based on compound diagnosis and treatment template according to claim 1, it is characterized in that: it also comprises account number system, supplies doctor's registration and login to use.
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Application publication date: 20120627 |