Detailed Description
To further explain the technical means and effects of the present invention adopted to achieve the intended purpose, the following detailed description of the embodiments of the present invention is provided in conjunction with the accompanying drawings and examples.
In the present invention, the patient refers to a person who has received a surgical plan, and is the subject of actual operation. The medical staff refers to doctors, nurses, nursing staff, physical therapists, rehabilitation doctors, other related technical staff and other staff who are not actually used for operation related to the operation scheme. The medical order/prescription represents the proof of the operation scheme prescribed by the medical staff for the patient, including medical order, prescription, medical record, examination order, laboratory test order, material requisition order, execution order, etc.
A first embodiment of the present invention is described with reference to fig. 1. FIG. 1 is a flow chart of a method for intelligent guidance of a surgical plan in accordance with the present invention. As shown in the figure, the method for intelligently guiding the surgical plan comprises the following steps:
step 1: and establishing a surgery database.
The surgical database includes relevant rules for surgical protocol guidance. The related rules of the surgical plan guidance include analysis/application/usage rules of a plurality of items related to the surgical plan guidance, and the like, and include various elements related to the surgical plan guidance, interrelation between the elements, and the like. The surgical plan guidance information is included in the corresponding rules of the surgical plan guidance, and includes a plurality of items of information related to the surgical plan guidance that guide the patient to properly receive and cooperate with the surgical plan treatment.
In the present invention, the operation refers to a diagnostic and therapeutic operation directly performed on a patient, including a traditional surgical operation, a medical diagnostic and therapeutic operation, a laboratory operation, and a small number of diagnostic operations on a specimen, and specifically includes: nervous system surgery, endocrine system surgery, eye surgery, ear surgery, nasal/oral/pharyngeal surgery, respiratory system surgery, cardiovascular system surgery, hematopoietic and lymphatic system surgery, digestive system surgery, urinary system surgery, male/female genital organ surgery, musculoskeletal system surgery, corporal system surgery, immune system surgery, other kinds of diagnostic and therapeutic surgery, obstetric procedures, genetic information optimization/modification procedures, other diagnostic and therapeutic procedures, and the like. The surgical plan is a plan prepared for the patient to perform surgery, and may include: surgical medicine, surgical medical instruments, blood and blood extracts/products, implants, surgical preparations, surgical diet/nutrition, surgical talking/counseling, surgical procedures, surgical site, surgical position, number of operations, surgical time, surgical timing, surgical methods, surgical care, post-operative treatment/management, complication management, post-operative examination/detection, post-operative rehabilitation, and the like.
The surgical plan guide information includes surgical plan guide information for a patient and surgical plan guide information for medical staff, and the surgical plan guide information for the medical staff includes surgical plan guide information for guiding the medical staff themselves, surgical plan guide information requiring the medical staff to assist the patient, and surgical plan guide information provided to the patient by the medical staff. The operation plan guidance information for guiding the medical staff is guidance information for the medical staff to use and operate the relevant content of the operation plan, such as: operating specifications, use notes, etc. The surgical plan guidance information requiring the medical staff to help the patient refers to guidance information that the medical staff helps the patient to correctly use the relevant contents of the surgical plan or accept or cooperate with the surgical plan, such as: and (5) opening a test bill to allow the patient to go to test on time, draw blood for the patient and the like. The surgical plan guidance information provided to the patient by the medical staff means that the surgical plan guidance information for the patient is provided to the patient by the medical staff, and the degree of importance and the memory of the patient are enhanced.
The surgical database of the present invention is based on various surgical procedures descriptions, guidelines, clinical treatment routes, prescription sets, pharmacopoeias, expert consensus, proceedings and consensus within a hospital/department, industry norms, textbooks, treatises, writings, inventions, scientific inferences, experimental reports, data analysis reports, test reports, examination reports, approval documents, relevant regulations, relevant guidelines, relevant policies, relevant institutional systems, relevant catalogs, relevant documentation, relevant price regulations, relevant price catalogs, relevant bidding results, relevant price policies, relevant insurance payment terms, relevant insurance payment protocols, relevant bidding results, relevant purchasing catalogs, relevant doctor/nurse/caregiver/patient/salesperson's use evaluations/use results/use monitoring reports/safety reports, Other literature data and other research results with professionalism/authority can be based on evidence-based medical methods or probability speculation based on existing data, can also comprise databases established by sources such as various weights, various levels, various sequences and the like needing to be set manually, databases established by information reforming, information analysis and big data analysis, databases established by artificial intelligence deep learning, databases obtained by data mining analysis, rules and indexes manually set after data statistical analysis/artificial intelligence deep learning, and therefore the method has guidance in the actual use process. The surgical database may also be a database built by a combination of the above methods. The database can be updated according to versions or can be updated in real time according to actual data. The operation database can be a relational database or a non-relational database; can be a table database or a graph database; the related data may be structured data or unstructured data. The data form of the surgical database may be text, graphics, audio, video, or other suitable form.
Relevant rules for surgical protocol guidance in the surgical database include: rules of time-related guidance of surgical plan-related content, rules of dosage-related guidance of surgical plan-related content, rules of method-related guidance of surgical plan-related content, rules of contraindication guidance of surgical plan-related content, rules of interaction guidance of surgical plan-related content, rules of adverse reaction guidance of surgical plan-related content, rules of self-treatment guidance of surgical plan, rules of self-test guidance of surgical plan, rules of clinical examination guidance of surgical plan, rules of ineffective guidance of surgical plan-related content, rules of allergy guidance of surgical plan-related content, rules of protective measures guidance of surgical plan, rules of dietary note guidance, rules of restful note guidance, rules of exercise note guidance, rules of learning note guidance, rules of work note guidance, rules of quantitative analysis, rules of clinical analysis, rules of medical analysis, rules, At least one of a lifestyle note guidance rule, a fertility/sexual lifestyle note guidance rule, a nursing note guidance rule, an emotional note guidance rule, a surgical protocol-related content convenience/comfort/compliance guidance rule, a surgical protocol-related content medicare/medicare guidance rule. Other rules related to surgical protocol guidance may also be included.
The elements involved in the rules related to the surgical plan guidance in the surgical database may include: drugs, medical instruments, blood and blood extracts/products, implants, surgical preparations, surgical diet/nutrition, surgical talking/counseling, surgical procedures, surgical sites, surgical positions, number of operations, surgical time, surgical timing, surgical methods, surgical care, post-operative treatment/management, complication treatment, post-operative examination/detection, post-operative rehabilitation, etc. Further comprising: basic information of a patient, population information, genetic-related information, disease information, medical history information, medication history information, medical instrument use history information, operation items, symptoms, indices, treatment plan, body position, operation subject, operation method, operation target, physiological development information, marriage and care information, physiological condition, psychological/intellectual condition, life/work/study/sport/entertainment information, environmental information, drug/medical instrument/health product/cosmetic use-related information, medical insurance-related information, medical expense payment ability/will, medical institution information, medical staff information, medical instrument/consumable/instrument/drug/implant required for surgery, expense, care, risk assessment, staging, stage, medical condition, health condition, or medical condition, Anesthesia, respiration, hemostasis, infection prevention, pain, emergency treatment measures, preoperative/intermediate/post-index control, preoperative/intermediate/post-patient preparation and requirements, preoperative/intermediate/post-training, indications/indications, contraindications, surgical conditions, related protection and first aid, nutritional support, doctor level and authority, auxiliary software, images and other element information.
In the present invention, the crowd information may include specific crowd information such as a specific age, gender, development status, marital status, fertility status, work status, learning status, exercise status, life status, physiological status, psychological status, and genetic status. The genetically related information includes: genetic information, genetic information mutation/change information, genetic defect information, genetic medical history, family medical history, and the like. The disease information includes: disease, diagnosis, symptom type, symptom, index, pulse condition, tongue diagnosis, etc. The medical history information includes medical history, surgical history, radiotherapy history, chemotherapy history, psychotherapy history, physical therapy history, immunotherapy history, gene therapy history and the like. The medication history information includes: the medication history, the curative effect of the medicine, the adverse reaction of the medicine, the allergic history of the medicine, the tolerance condition of the medicine and the like. The medical instrument use history information includes: medical instrument use history, medical instrument use curative effect, medical instrument use adverse reaction, medical instrument tolerance and the like. The operation items include operation, examination, test, detection, operation, health promotion, rehabilitation, psychotherapy, radiotherapy, chemotherapy, physiotherapy, thermotherapy, phototherapy, magnetotherapy, electrotherapy, cryotherapy, electromagnetic therapy, phonotherapy, immunotherapy, gene therapy, weight reduction, body building, shaping, and skin caring. The physiological development information includes: growth and development conditions, physiological stages, fertility and the like. The marriage and childbirth information comprises marriage history, birth history, sexual life and the like. The physiological conditions include: physical performance, nutritional status, hearing, vision, taste, smell, touch, respiration, motor coordination, digestion, absorption, excretion, sexual function, and the like, and levels of related abilities. Psychological/intellectual status includes: psychological disorders, mood, feeling, intelligence, attention, memory, perception, communication ability, expression ability, and the like. Life/work/learning/sports/entertainment information includes: diet, work and rest, sleep, work, study, entertainment, sports and other related information. The environment information includes: temperature, humidity, air pressure, season, altitude, air quality, terrain, topography, oxygen content, light, ultraviolet light, radiation, electromagnetic waves, noise, epidemics, vegetation and other information. The medical insurance-related information includes medical welfare, medical insurance, business insurance, and the like. The medical institution information includes medical institution level, specialty, attribute, region, department, etc. The medical staff information includes: age, gender, job title, professional qualification, professional training, protective measures and the like. The medical device comprises: active surgical instruments, passive surgical instruments, neurological and cardiovascular surgical instruments, orthopedic surgical instruments, radiation therapy instruments, medical imaging instruments, medical examination and monitoring instruments, respiratory/anesthesia and emergency medical instruments, physical therapy instruments, blood transfusion/dialysis and extracorporeal circulation instruments, medical instrument sterilization instruments, active implant instruments, passive implant instruments, injection/care and protection instruments, patient-carrying instruments, ophthalmic instruments, dental instruments, gynecological/assisted reproduction and contraception instruments, medical rehabilitation instruments, traditional Chinese medicine instruments, medical software, clinical laboratory instruments, surgical robots, nursing robots and other products belonging to the category of medical instruments or similar medical instruments, and other products with similar effects, including components or accessories, consumables, and the like. The implant comprises: grafts, cultures, gene vectors, implant chips, implant devices/apparatus, and the like.
The rules in the operation database also include the condition that each element needs to be combined to be effective, the related rules can be defined by the comprehensive conditions between the elements according to the multilevel and/or non-relation and the relation combination defined by the related formula, and also include the condition that the related rules are related to the time dimension.
Step 2: information of the surgical plan is extracted.
The surgical plan is a plan established by a doctor for the surgery of a patient. The surgical plan may include: surgical medicine, surgical medical instruments, blood and blood extracts/products, implants, surgical preparations, surgical diet/nutrition, surgical talking/counseling, surgical procedures, surgical site, surgical position, number of operations, surgical time, surgical timing, surgical methods, surgical care, post-operative treatment/management, complication management, post-operative examination/detection, post-operative rehabilitation, and the like. The information of the surgical plan includes information related to each item in the surgical plan.
And step 3: and extracting relevant element actual information of the patient for operation.
The extraction of the relevant element actual information of the patient for the operation is to extract the relevant element actual information of the patient for the operation according to the relevant rules in the operation database.
And 4, step 4: and comparing the information of the surgical plan, the actual information of the relevant elements of the patient for performing the surgery with relevant rules guided by the surgical plan in the surgical database, and acquiring and outputting the surgical plan guide information.
And comparing the extracted information of the surgical plan and the actual information of the relevant elements of the patient for performing the surgery with relevant rules guided by the surgical plan in the surgical database to obtain the surgical plan guided information corresponding to the matched rules guided by the surgical plan. The surgical plan guidance information includes a plurality of items of information related to the surgical plan guidance that guide the patient to properly receive and coordinate the surgical plan treatment.
The rules for time-dependent guidance of surgical plan-related content include: the starting time, the duration, the intermission time, the medication period, the frequency, the treatment period, the treatment interval, the treatment course number, the onset time, the failure time, the ending time and the like of the relevant contents of the operation schemes such as medicines, medical instruments, blood products and the like which are guided to be used or received by the patients, and the relation between each factor which can influence the time and the time.
The rules of the usage-related guidance of the relevant content of the surgical plan include: according to the specification, package, quantity, use range and use amount of the related content of the surgical plan such as medicine, medical apparatus and blood products, which are possibly influenced by different purposes, crowds, corresponding indications/indications, corresponding health state evaluation items, corresponding examination items, corresponding detection items, corresponding surgical items, corresponding operation items, corresponding physical therapy items, corresponding rehabilitation items, corresponding health care items, use environment, product performance, medicine use of patients, health care product use of patients, diet of patients, use of other surgical plans, cosmetic use of patients, work, study, exercise and related information of patients, sexual life of patients, work time of patients, genetic information of patients, use time and other factors, the single use amount/extreme amount, the number/frequency of single-day or other time units, the use amount of the related content of the surgical plan is provided, And guiding information such as usage amount/extreme amount of single day or other time units, total amount of single treatment course, total treatment course times, total amount, extreme amount and the like. And translation of dosage and interconversion calculations between different dosage units. The consequences that may occur when the relevant content of the surgical plan is not used or accepted in the correct amount, as well as the associated remedial measures, may also be included.
Rules for method-related guidance of surgical plan-related content include: guiding the use or receiving part, temperature, environment, condition, method, path, protection condition/protection measure, and related attention measure of the related content of the surgical plan according to the purpose, population, corresponding indication/indication, corresponding health status evaluation item, corresponding examination item, corresponding detection item, corresponding surgical item, corresponding operation item, corresponding physical therapy item, corresponding rehabilitation item, corresponding health care item, using environment, product performance, drug usage, patient health care product usage, patient diet, surgical plan usage, patient cosmetic usage, patient work/study/exercise/related information, patient sexual life, patient work and rest time, patient genetic information, related time, and other factors of the related content of the surgical plan. But also the consequences and associated remedial actions that may occur if the relevant content of the surgical plan is not used or accepted in the correct way.
The rules of contraindication guidance of the relevant contents of the surgical plan comprise: the patient is guided to avoid the possible related contraindications when receiving or matching or using the related contents of the surgical schemes such as surgical medicines, surgical medical instruments, blood and blood extracts/products, implants, surgical preparations, surgical diet/nutrition, surgical talking/guidance, surgical processes, surgical sites, surgical positions, surgical times, surgical time, surgical methods, surgical nursing, post-operative treatment/management, complication treatment, post-operative inspection/detection, post-operative rehabilitation and the like, and the contents of the relationship between each factor possibly influencing the contraindications and the contraindications, the consequences, the grade, the degree, the sequencing, the occurrence rate of the related contraindications, the discovery and the remedial measures of the contraindications in the situations are included.
The rules for surgical plan-related content interaction guidance include: according to the possible interaction/interaction of the related contents of the operation scheme such as the operation medicine, the medical apparatus, the blood and blood extract/product, the implant, the operation preparation, the operation diet/nutrition, the operation talk/guidance, the operation process, the operation position, the operation times, the operation time, the operation method, the operation nursing, the operation treatment/management, the complication treatment, the operation examination/detection, the operation rehabilitation, or the like, or the related contents of the operation scheme and the medicine/medical apparatus/other operation scheme and the contents thereof/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/electromagnetism/phototherapy/immunotherapy/gene therapy/physical therapy/rehabilitation/physical therapy/psychological intervention/health care product/health care food The factors or items such as cosmetic/diet may interact/interact simultaneously, or the relationship between the factors and interactions that may affect the interaction may guide the patient to receive and coordinate the treatment with the surgical plan.
The rules for the adverse reaction guidance of the relevant contents of the surgical plan comprise: according to adverse reactions possibly occurring when a patient receives or cooperates with or uses surgical medicines, surgical medical instruments, blood and blood extracts/products, implants, surgical preparations, surgical diet/nutrition, surgical talking/counseling, surgical procedures, surgical sites, surgical positions, surgical times, surgical occasions, surgical methods, surgical nursing, post-operative treatment/management, complication treatment, post-operative examination/detection, post-operative rehabilitation and other surgical plan related contents, factors possibly influencing the adverse reactions and treatment measures after the adverse reactions occur, the patient is guided to receive or cooperate with or use methods/dosage/time/frequency/interval and the like of the surgical plan related contents. Further comprising: the relationship between the relevant influence factors of the adverse reactions and the adverse reactions, the symptoms/index signals/expression/feeling/severity/harm of the adverse reactions, the adverse reaction treatment, the adverse reaction prevention method, the remedial measures after the adverse reactions appear and the like.
The rules for surgical protocol self-treatment guidance include: a self-treatment measure for guiding a patient to receive or cooperate or use a surgical medicine, a surgical medical instrument, blood and blood extracts/products, an implant, surgical preparation, surgical diet/nutrition, surgical conversation/guidance, a surgical procedure, a surgical site, a surgical position, a surgical frequency, a surgical time, a surgical opportunity, a surgical method, surgical care, post-surgical treatment/management, complication treatment, post-surgical examination/detection, post-surgical rehabilitation and other related content occurrence conditions of a surgical plan, comprising: the adoption/stopping/changing/adjusting/continuing of the method and the measures of the medicine/medical appliance/operation/chemotherapy/radiotherapy/phototherapy/thermotherapy/magnetotherapy/electrotherapy/magnetotherapy/phonotherapy/immunotherapy/gene therapy/operation/physiotherapy/rehabilitation/health care/psychological intervention/health care product/health care food/cosmetics and the like, and the change/adjusting of the factors of life/work/study/sport/diet/entertainment/rest/sexual life/fertility/social contact/environment and the like.
The rules for the self-test guidance of the surgical plan include: the patient is guided to receive or cooperate or use the operation medicine, the operation medical apparatus, the blood and the blood extract/product, the implant, the operation preparation, the operation diet/nutrition, the operation talking/guidance, the operation process, the operation position, the operation times, the operation time, the operation method, the operation nursing, the operation treatment/management, the complication treatment, the operation examination/detection, the operation rehabilitation and other operation plan related contents before, during and after the use, the self-detection is carried out on the index/symptom/feeling/state/capability and other items needing to be detected, including the preparation, the method, the time, the condition, the caution item, the result interpretation, the subsequent treatment and the like of the self-detection.
The rules for clinical examination guidance of the surgical protocol include: the patient is guided to receive or cooperate or use the operation medicine, the operation medical apparatus, the blood and the blood extract/product, the implant, the operation preparation, the operation diet/nutrition, the operation talking/guidance, the operation process, the operation position, the operation times, the operation time, the operation method, the operation nursing, the operation treatment/management, the complication treatment, the operation examination/detection, the operation rehabilitation and other operation plan related contents before, during and after the use of the items such as the index/symptom/feeling/state/ability and the like which need to be detected, and the items comprise the clinical examination preparation, the purpose, the items, the time, the conditions, the caution items, the result interpretation, the follow-up treatment and the like.
The rules for guidance on invalidation of surgical plan related content include: guiding the patient to judge and take measures related to ineffective surgical plan contents such as surgical medicine, surgical medical instruments, blood and blood extracts/products, implants, surgical preparation, surgical diet/nutrition, surgical talking/guidance, surgical processes, surgical sites, surgical positions, surgical times, surgical time, surgical opportunities, surgical methods, surgical nursing, post-surgical treatment/management, complication treatment, post-surgical examination/detection, post-surgical rehabilitation and the like, including changes of indexes/symptoms/feelings/states/abilities and the like, influencing factors related to ineffective surgical plan contents, measures needed to be taken when the surgical plan related contents are ineffective and the like.
The rules for allergy guidance for relevant content of surgical protocols include: the patient receives or cooperates or uses the medicine for operation, the medical apparatus for operation, the blood and the blood extract/product, the implant, the operation preparation, the operation diet/nutrition, the operation talking/guidance, the operation process, the operation position, the operation times, the operation time, the operation method, the operation nursing, the operation treatment/management, the complication treatment, the operation examination/detection, the operation recovery and other operation plan related contents, the possible expression and the consequence of anaphylactic reaction under different conditions, the relationship between each factor which can affect the anaphylactic reaction and the anaphylactic reaction, the related guidance/warning information of the patient/doctor/nurse/pharmacist/nurse, the related anaphylactic reaction discovery and the remedial measure and other contents.
The rules for surgical protocol safeguard guidance include: in order to avoid or reduce the risk and damage of the related contents of the operation scheme such as the medicine, medical apparatus, blood and blood extract/product, implant, operation preparation, diet/nutrition, operation talking/guidance, operation process, operation position, operation frequency, operation time, operation method, operation nursing, operation treatment/management, complication treatment, operation examination/detection, operation rehabilitation, and the like, the protection/intervention/recovery related measures of the physical, chemical, drug, food, health product, rehabilitation, biological product, psychological intervention, humanity and the like are taken, factors that may affect risk and damage, as well as consequences and associated remedial actions that may occur if a surgical plan protective action is not taken according to the relevant rules.
The rules for dietary note guidance include: the patient is guided to take care of the diet before, during and after the treatment of the operation scheme and the related content and personal information of the patient, and the consequences and the related remedial measures which can occur when the diet is not taken care of according to the related rules.
The rules for the work and rest attention guide include: the patient is guided to take care of matters in work and rest before, during and after the operation scheme and the related content and personal information of the patient, and the consequences and the related remedial measures which can occur when the patient is not paid care in the work and rest according to the related rules.
The rules for the athletic attention guide include: the patient is guided to take care of the matters in the aspect of sports before, during and after the surgical plan and the related contents thereof and the personal information of the patient, and the consequences which can occur in the aspect of sports without paying attention to the relevant rules and the related remedial measures thereof.
Rules for learning the notice guide include: the patient is guided to take care of matters which need to be taken in learning before, during and after the surgical plan and relevant contents thereof and the personal information of the patient, and the consequences which can occur in learning and relevant remedial measures thereof are not taken care of according to relevant rules.
The rules for the work attention guide include: the patient is guided to take care of matters in the work before, during and after the operation scheme and the related content and the personal information of the patient, and the consequences and the related remedial measures which can occur in the work without taking care of the matters in the work according to the related rules.
The rules for the living notice guide include: the patient is guided to take care of matters in life before, during and after the operation scheme and the related content and personal information of the patient, and the consequences and the related remedial measures which can occur when the patient is not noticed in life according to the related rules.
The rules for birth/sexual attention guide include: the patient is guided to take care of the birth/sex life before, during and/or after receiving or cooperating with the treatment of the surgical plan according to the surgical plan and the related contents and personal information of the patient, and the consequences and the related remedial measures which can occur in the birth/sex life are not noticed according to the related rules.
The rules for nursing notice guidance include: according to the operation scheme and the related content and the personal information of the patient, the patient is guided to take care about matters which need to be taken in the nursing aspect before, during and after the operation scheme is received or matched with the treatment, and the consequences which can occur in the nursing aspect without taking care according to the related rules and the related remedial measures.
The rules for the emotional attention guide include: guiding the patient to take care of the matters which need to be noticed in the aspect of emotion before, during and after the operation scheme and the related contents thereof and the personal information of the patient, and to pay attention to the consequences which can occur in the aspect of emotion without following the related rules and the related remedial measures thereof.
The rules for the surgical protocol-related content convenience/comfort/compliance guidelines include: comfort, convenience, difficulty of use, compliance, aesthetics, shape, size, volume, taste, odor, hand feel, temperature, hardness, irritation, portability, ease of storage, and patient age, gender, physical condition, sensitivity, tolerance to pain, taste preference, exercise capacity, physical strength, work/study/exercise/activity/travel laws and characteristics of surgical protocols, surgical procedures, dietary/nutrition, surgical conversations/coaching, surgical procedures, surgical sites, surgical positions, surgical times, surgical opportunities, surgical procedures, surgical care, post-operative treatment/management, complications management, post-operative examinations/detection, post-operative rehabilitation, etc, The rest time, the aesthetic requirements, the learning ability, the operation ability, the execution ability and the like, and guides the patient to receive or cooperate with the operation scheme for treatment more reasonably/conveniently/comfortably.
The rules for medicare/medicaid guidance of surgical plan related content include: the patient is guided to reasonably use the relevant content of the operation scheme in the medical insurance/medical benefit range according to the information of operation drugs, operation medical instruments, blood and blood extracts/products, implants, operation preparation, operation diet/nutrition, operation talk/guidance, operation process, operation position, operation frequency, operation time, operation method, operation nursing, operation treatment/management, complication treatment, operation examination/detection, operation rehabilitation and other operation scheme relevant contents, such as medical benefit/medical insurance or business insurance range and condition, object, ratio, calculation method, money amount, relevant constraint terms, limitation of hospital/department/doctor/nurse and the like.
Take the case that the patient adopts the intelligent guiding method of the operation scheme to guide the operation scheme of the coronary artery bypass grafting as an example. The operation scheme contains the content of CT coronary angiography examination before operation, the extracted information of the operation scheme and the actual information of relevant elements of the patient for operation are compared with relevant rules of self-detection guidance of the operation scheme in an operation database, the heart rate of the patient needs to be measured before CT coronary angiography, and corresponding guidance information is obtained: acquiring, by a connected heart rate measuring device, a heart rate of a patient before a coronary angiography examination using CT; and then comparing with the related rule of the operation scheme related content using time guidance, wherein the CT coronary angiography is performed after the heart rate of a patient with the heart rate of more than 70 times/minute is well controlled by taking the heart rate reducing medicine for 30-60 minutes to obtain corresponding guidance information: if the heart rate exceeds 70 times/minute, the CT examination cannot be carried out, the heart rate reducing medicine is taken firstly, and the examination is carried out after the heart rate is well controlled after 30-60 minutes. And then comparing with the related rules of the operation scheme related content interaction guidance, so that the patient can not wear metal equipment during CT coronary angiography, and the patient can be known to wear the dynamic electrocardiograph through the extracted information to obtain corresponding guidance information: the patient is prompted to wear a dynamic cardiograph and needs to be subjected to a contrast examination after being removed. Therefore, the method for intelligently guiding the surgical plan provides personalized surgical plan guidance for the patient, so that the patient can correctly complete the content of CT coronary angiography examination before the surgical plan of coronary artery bypass grafting, and other contents in the surgical plan can be finished under the guidance of the personalized surgical plan provided by the method for intelligently guiding the surgical plan, thereby greatly relieving the problem that the patient cannot correctly accept or cooperate with the surgical plan for treatment due to lack of relevant knowledge and ability of the patient, and improving the safety, effectiveness, economy and convenience of the surgical plan.
Since various information such as the extracted information of the surgical plan and the actual information of the relevant elements of the patient performing the surgery may come from different sources, the data structure, format and description standard may be different from the relevant information in the surgical database, so the method for intelligently guiding the surgical plan further comprises a multi-dimensional element attribute dictionary of the surgical plan for processing the matching/comparison of the information of the surgical plan, the actual information of the relevant elements of the patient performing the surgery and the relevant rules in the surgical database. The multi-dimensional element attribute dictionary of the operation scheme can be established independently or can be included in an operation database.
The operation scheme multi-dimensional element attribute dictionary comprises a standard dictionary, a synonym corresponding dictionary and a fuzzy matching dictionary of operation scheme using related element attributes, and the comparison of the extracted information of the operation scheme, the actual information of related elements of a patient for operation and related rules in an operation database is that the extracted original information is compared with the synonym corresponding dictionary; or firstly, converting the original information into a format corresponding to a standard dictionary and then comparing the original information with the standard dictionary; or fuzzy matching comparison is carried out on the original information.
Besides the operation scheme multi-dimensional element attribute dictionary, the information of the operation scheme, the matching/comparison between the actual information of the relevant elements of the patient for performing the operation and the relevant rules in the operation database can be processed by methods such as a voice recognition technology, a semantic recognition technology, a word segmentation technology, an image recognition and analysis technology, a sound recognition and analysis technology, translation of different languages, an OCR recognition technology, a virtual reality technology, an augmented reality technology, a gesture recognition technology and the like.
The method for intelligently guiding the surgical plan further comprises a patient personal information database and a medical personnel personal information database. The patient personal information database comprises the relevant information of the patient, and is used for extracting the relevant element actual information of the patient for performing the operation and providing the relevant information of the patient when the relevant element actual information is compared with the relevant rules in the operation database. The relevant information of the patient may include basic information, genetic related information, family health related information such as family medical history, allergy history, regional epidemic medical history, medication history, surgical plan use history, learning condition, work condition, exercise condition, family condition, living environment, hobbies, compliance condition, tolerance condition, medical insurance condition, and information of physiology/psychology/learning/work/physical ability/sleep/sports/emotional/metabolic/visual ability/hearing/intelligence/attention/diet/immune/growth development/memory/fertility condition and rest time of the patient. The medical staff personal information database comprises the relevant information of the medical staff, and is used for extracting the relevant element actual information of the patient for operation and providing the relevant information of the medical staff when the relevant element actual information is compared with the relevant rules in the operation database. The related information of the medical staff includes information of age, sex, academic calendar, specialty, title, job title, medical practice hospital, department, and related habit of making prescription. The related habits include related experience, prescription writing habits, common prescription rules, and the like.
The patient personal information database and the medical personnel personal information database can be separately established and can also be included in the operation database. The data acquisition method of the patient personal information database, the medical personnel personal information database and the operation database can comprise the steps of extracting or accessing from other information systems, equipment or databases, or manually inputting, or new data which is continuously acquired and analyzed in the using process of the related information of the databases, or the combination of the methods.
The method for intelligently guiding the surgical plan compares the information of the surgical plan and the actual information of the relevant elements of the patient for performing the surgery with the relevant information and the rules in the surgical database to obtain the surgical plan guiding information corresponding to all the matched rules. The method can also compare the obtained guide information corresponding to each guide item of each content of the relevant operation scheme under various conditions according to the relevant rules in the operation database according to the importance levels of the guide of the relevant content of the operation scheme when different patients and different diseases use different operation schemes, respectively set the priority levels/scores, and can set the relative weight of each guide item and the relative weight of each content of the operation scheme according to the actual conditions, thereby when the operation scheme is guided, the comprehensive priority levels/scores of each piece of guide information of the relevant operation scheme can be calculated according to the priority levels/scores of each piece of guide information of the relevant operation scheme, the relative weights of each guide item and the relative weights of each piece of content of the operation scheme, and the obtained guide information is sequenced according to the comprehensive priority levels/scores, a surgical plan guidance list is generated.
When the surgical plan guidance information is output, flexible application can be performed according to the comprehensive priority/score of the surgical plan guidance information, for example: only the operation plan guidance information of which the comprehensive priority level/score is higher than the preset value is output, or the operation plan guidance information of preset number is output according to the sequence of the comprehensive priority level/score from high to low, and the operation plan guidance information of preset number of contents can be output for each content of the operation plan according to the sequence of the comprehensive priority level/score from high to low.
The method for intelligently guiding the surgical plan can also correspondingly generate different intelligent guiding models for each set content of the relevant surgical plan according to the priority/score of the guiding information corresponding to each guiding item, the relative weight of each guiding item and the relative weight of each content of the surgical plan, so that the relevant intelligent guiding models can be used/referenced under the same/similar conditions, and the setting of the intelligent guiding models can be continuously optimized and adjusted in the using process.
The mode of outputting the operation scheme guidance information of the operation scheme intelligent guidance method can comprise modes of displaying, printing, short messages, WeChat, voice, video, mobile phone APP information and the like, or a combination of various output modes. In the present invention, the surgical plan guidance information may be in various forms of text/picture/video/audio/braille/dumb language, etc.
The method for intelligently guiding the surgical plan can also select the form and the output mode of the surgical plan guide information which are most suitable for the patient according to the analysis of the patient information or the preset options. The method for intelligently guiding the surgical plan can also share the surgical plan guiding information with various intelligent devices under the authorization of the user, and the intelligent devices can realize the reminding of the surgical plan guiding.
The data extracted by the method for intelligently guiding the surgical plan can be data in the whole time range or data in a certain time period according to requirements. The prescription can be a single prescription or a group of prescriptions; the prescription can be a prescription made by a doctor or a prescription of a department/a hospital; the prescription can be a prescription in a certain area, or a prescription in a certain period of time, such as a prescription in the reimbursement year of medical insurance, and the like.
In the present invention, the sources of the information for extracting the surgical plan and the actual information of the relevant elements of the patient performing the surgery may be the related information of the patient in the surgery database, the patient personal information database, the medical staff personal information database, or the health record, the family/family member health record, the medical advice, the medical record, the medical calendar, the prescription, the electronic medical record, the medical institution information system, the pharmacy/surgical plan information system, the medical record, the treatment record, the evaluation report, the consultation record, the survey record, the work record/plan, the diet record/plan, the medication record/plan, the treatment record/plan, the exercise record/plan, the work record/plan, the study record/plan, the rehabilitation record/plan, the health record/plan, the examination/examination order, the medical staff information, the health record/plan, the medical staff information record/plan, the medical, The operation plan/record, the health management plan, the billing bill, the clinical treatment path, the examination/inspection result, the operation plan use setting/record, the gene detection result, the operation plan information/record, the patient/doctor/nurse/pharmacist/nurse/salesperson use/prescription/recommendation/sales record, the wearable devices, sensors, electronic devices, electronic positioning systems, weather forecast systems, electronic humiture/barometric pressure detection devices, intelligent speakers, intelligent home systems, intelligent monitoring/monitoring systems, intelligent glasses, intelligent toilets, intelligent ground, intelligent scales, intelligent detection/analysis devices, electronic transfusion systems, surgical robots, face recognition analysis, human face recognition, health management, billing bills, clinical treatment routes, examination/inspection results, operation plan use setting/record, gene detection results, the operation plan information/record, the patient, The device or system can be provided by fingerprint identification, voice identification, gait identification, positioning system, social platform and the like, can be obtained by analyzing big data of information of life, study, work, motion, trip, social contact, shopping, diet, work, entertainment and the like of the patient, and can also be obtained by analyzing related information of race/family/area/age/marital/fertility and the like of the patient. The missing information can also be provided or refined by the patient/doctor/nurse/pharmacist/caregiver, or the highly relevant information can be actively prompted to the patient/doctor/nurse/pharmacist/caregiver/salesperson to observe, monitor, check, inquire, analyze, confirm, record whether the relevant condition occurs or obtain the relevant index/performance/feeling/symptom/physiological change. When the relevant element actual information of the patient for the operation is extracted, the relevant medical advice information of the operation scheme prescribed by the specific medical staff can be analyzed according to the relevant information of the medical staff, so that the relevant element actual information of the patient for the operation can be further accurately mastered. The assessment report refers to the report of assessing physiological, psychological, economic, credit, motor ability, etc. The intelligent detection/analysis device includes: odor, image, sound, pulse condition, X-ray film, CT, nuclear magnetism, ultrasonic examination, brain wave, mass spectrum analyzer, tongue coating analysis, fundus examination, gastroscope, enteroscope, catheter, minimally invasive scope, heart rate, blood oxygen amount, blood pressure, blood sugar, blood fat, body temperature, blood examination, urine examination, stool examination, pulse measurement/analysis and the like.
The method for intelligently guiding the surgical plan further comprises the steps of encrypting the identity identification, confirmation, login and electronic signature of the patient, medical personnel and related roles, and the storage, transmission and application of personal information, prescription/medical advice information and various analysis results. Encryption can be performed through various methods to prevent related identities/rights from being stolen or information from being leaked. Including but not limited to symmetric and asymmetric encryption algorithms. The method specifically comprises the following steps: large integer decomposition problem class encryption algorithms, discrete logarithm problem class encryption algorithms, elliptic curve class encryption algorithms, block chain techniques, and the like. The adopted encryption hardware can be a secret key, a dongle, an encrypted hard disk and the like, and can be used for encrypting by combining user equipment hardware, network addresses and the like, and can also be used for encrypting by combining the methods.
The data and information may be transmitted in a data line mode, a wired network, a wireless transmission mode, a radio frequency identification mode, a magnetic card read-write mode, a mobile hard disk mode, an NFC mode, a barcode mode, a two-dimensional code mode, or the like. The wireless transmission mode comprises: infrared, bluetooth, wifi, microwave, visible light wave, telecommunication wireless network, ultrasonic/sound wave, radio, etc.
A second embodiment of the present invention is seen in figure 2. Fig. 2 is a system block diagram of an intelligent surgical plan guidance system of the present invention. The invention relates to a system for intelligently guiding a surgical plan, which comprises:
a database unit 11 for storing a surgical database;
a first information extraction unit 12 for extracting information of a surgical plan;
a second information extraction unit 13 for extracting actual information of relevant elements of the patient performing the operation;
a guidance unit 14, configured to compare the information of the surgical plan, the actual information of the relevant elements of the patient performing the surgery with relevant rules guided by the surgical plan in the surgical database, and obtain surgical plan guidance information;
and an output unit 15 for outputting the surgical plan guidance information.
The system for intelligently guiding the surgical plan can be an independently used system or a system which is mutually called with other systems through a data interface; the system can be used by a single machine, and can also be installed on a local area network server for local users of the local area network to use; the system can also be installed in a private cloud server to support private cloud users to use, and can also be installed in the Internet to provide services for Internet users.
The system for intelligently guiding the surgical plan is formed by adopting the method for intelligently guiding the surgical plan, the technical characteristics are in one-to-one correspondence, and the description of the method for intelligently guiding the surgical plan can be referred to, so that the detailed description is omitted.
A third embodiment of the present invention is seen in fig. 3. Fig. 3 is a hardware block diagram of a surgical protocol intelligent guidance device of the present invention. The invention discloses a device for intelligently guiding a surgical plan, which comprises:
the database module 21 is used for storing a surgical database;
a first information extraction module 22 for extracting information of the surgical plan;
the second information extraction module 23 is used for extracting relevant element actual information of the patient for performing the operation;
the guiding module 24 is configured to compare the information of the surgical plan, the actual information of the relevant elements of the patient performing the surgery with relevant rules guided by the surgical plan in the surgical database, and obtain surgical plan guiding information;
and the output module 25 is used for outputting the surgical plan guidance information.
The equipment for intelligently guiding the surgical plan is formed by adopting the method for intelligently guiding the surgical plan, the technical characteristics correspond to each other, the description of the method for intelligently guiding the surgical plan can be referred to, and the description is omitted.
According to the method, the system and the equipment for intelligently guiding the surgical plan, the surgical plan guide information is obtained and output by establishing the surgical database, extracting the information of the surgical plan, comparing the actual information of relevant elements of the patient for performing the surgery with relevant rules guided by the surgical plan in the surgical database. Through the method, the system and the equipment for intelligently guiding the surgical plan, the medical service personnel is assisted or replaced to provide personalized surgical plan guidance for the patient, so that the problems that the patient is lack of related content for correctly using the surgical plan and related knowledge and capability for cooperating with the surgical plan for treatment are greatly reduced, and the patient cannot correctly accept and cooperate with the surgical plan for treatment due to guidance errors caused by the fact that individualized information of the patient is not easily obtained or human errors and the like are caused by the medical personnel are greatly solved, and the safety, the effectiveness, the economy and the convenience of the surgical plan are improved.
The above-mentioned embodiments are intended to illustrate the objects, technical solutions and advantages of the present invention in further detail, and it should be understood that the above-mentioned embodiments are merely exemplary embodiments of the present invention, and are not intended to limit the scope of the present invention, and any modifications, equivalent substitutions, improvements and the like made within the spirit and principle of the present invention should be included in the scope of the present invention.