Method, system and equipment for managing rule base of reasonable and compliant medication system

文档序号:1407017 发布日期:2020-03-06 浏览:8次 中文

阅读说明:本技术 一种对合理及合规用药系统的规则库进行管理的方法、系统和设备 (Method, system and equipment for managing rule base of reasonable and compliant medication system ) 是由 不公告发明人 于 2019-11-15 设计创作,主要内容包括:本发明公开了一种对合理用药系统的规则库进行管理的方法、系统和设备,根据规则的来源和内容对药品使用数据库中的每条合理用药规则进行标记,用户根据自身业务需求,按照标记选择适当的合理用药规则,生成符合用户需求的自定义合理用药规则库,应用于用户的合理用药系统。通过本发明的一种对合理用药系统的规则库进行管理的方法、系统和设备,可以让用户基于不同的业务单元合理用药现状选择符合自身需求的资料集合作为用药管控系统内置规则标准来源,并可实时对资料集合进行调整,实现了以合理用药管控要求为目标的快速建立合理用药信息化规则管理体系,达到提升患者用药安全,提升医疗质量,降低不合理医疗费用、合理分配医疗资源的目的。(The invention discloses a method, a system and equipment for managing a rule base of a rational medication system. By the method, the system and the equipment for managing the rule base of the rational medication system, a user can select a data set meeting the self requirement as a built-in rule standard source of the medication management and control system based on the current situation of rational medication of different business units, and can adjust the data set in real time, so that a rational medication informatization rule management system is quickly established by taking the rational medication management and control requirement as a target, and the purposes of improving medication safety of patients, improving medical quality, reducing unreasonable medical cost and reasonably distributing medical resources are achieved.)

1. A method of managing a rule base of a rational and compliant medication administration system, the rational and compliant medication administration system comprising a drug usage database, the drug usage database comprising rational and compliant medication administration rules, the method comprising: marking each reasonable and compliant medication rule in the medicine use database according to the source and the content, selecting proper reasonable and compliant medication rules by a user according to the mark and the business requirement of the user, generating a self-defined reasonable and compliant medication rule base meeting the requirement of the user, and applying the self-defined reasonable and compliant medication rule base to a reasonable and compliant medication system of the user.

2. The method of claim 1, wherein the method further comprises the step of: the source tags for legitimate and compliant medication rules include at least one of geographic source, organizational source, data source, author source, evidence level of the source, time/version of the source.

3. The method of claim 2, wherein the method further comprises: when the relevant rules are marked according to the sources of the reasonable and compliant medication rules in the medicine use database, the source marks of the rules can be graded according to the business requirements of different users, so that the users can conveniently select the reasonable and compliant medication rules suitable for themselves.

4. The method of claim 1, wherein the method further comprises the step of: the content marks of the reasonable and compliant medication rules comprise at least one of medicine related marks, analysis item related marks, crowd related marks, disease related marks, use purpose marks, operation related marks, personnel related marks and user related marks.

5. The method of claim 4, wherein the method further comprises: when marking the relevant rules according to the contents of the reasonable and compliant medication rules in the drug use database, the content marks of the rules can be graded according to the business requirements of different users, so that the users can conveniently select the reasonable and compliant medication rules suitable for themselves.

6. A method of managing a rule base of a rational and compliant medication administration system according to any one of claims 1 to 5 wherein: sources of said rational and compliance medication rules are various product specifications, guidelines, clinical treatment routes, prescription sets, pharmacopoeias, expert consensus, conference disciplines and consensus within the conjunctions of physicians/hospitals/departments, 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 regimes, relevant catalogs, relevant documentation, relevant price specifications, relevant price catalogs, relevant bidding results, relevant price policies, relevant insurance payment agreements, relevant insurance payment terms, relevant bidding results, relevant purchasing catalogs, relevant doctors/nurses/pharmacists/nursing staff/users/salesmen's use evaluations/results/use monitoring reports/safety reports, Other literature data and other research results with professionalism and authority can be based on evidence-based medical methods or probability speculation based on existing data, and can also comprise databases established by sources such as various weights, various grades, 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, and at least one of rules set manually by data statistical analysis and artificial intelligence deep learning.

7. The method of any one of claims 1-6, wherein the method further comprises: the user can set different business subunit user-defined reasonable and compliance medication rule systems according to the needs of each subunit business on the basis of a unified user-defined reasonable and compliance medication rule base, and each subunit performs adjustment on the basis of the unified user-defined reasonable and compliance medication rule base according to the business needs of the subunit, including adjustment of rule selection and adjustment of rule application levels, so as to support the related needs of the reasonable and compliance medication management of each subunit on the rules.

8. A method of managing a rule base of a rational and compliant medication administration system according to any one of claims 1 to 7 wherein: the method also comprises the step that the user optimizes the user-defined reasonable and compliance medication rule base according to the self needs, wherein the optimization, the user-defined reasonable and compliance medication rule base is realized by adjusting rule marks with different dimensions, and adding or modifying rules in the user-defined reasonable and compliance medication rule base.

9. The method of any one of claims 1-8, wherein the method further comprises: and comparing the prescription/medical advice information of the user with relevant rules in the medicine use database, and analyzing medication rules related to the actual medication scheme of the user, rule source distribution and specific contents.

10. A method of managing a rule base of a rational and compliant medication administration system according to any one of claims 1 to 9 wherein: the method also includes matching/comparing data from different sources, different data structures, different descriptions, different data standards with data and rules associated with a drug usage database using a multi-dimensional element property dictionary for drug usage.

11. The method of claim 10, wherein the method further comprises the step of: the multi-dimensional element attribute dictionary for medicine use comprises a standard dictionary, a synonym corresponding dictionary, a multi-dimensional element attribute corresponding dictionary and a fuzzy matching dictionary of each element attribute related to medicine reasonable and compliance medication rules, and the matching/comparison of data with different sources, different data structures, different descriptions and different data standards and related data and rules of a medicine use database is realized by comparing original data with the synonym corresponding dictionary, or firstly converting the original data into a format corresponding to the standard dictionary and then comparing the original data, or carrying out fuzzy matching comparison on the original data, or mixing the methods.

12. A system for managing a rule base of a rational and compliant medication administration system, the rational and compliant medication administration system comprising a drug usage database, the drug usage database comprising rational and compliant medication administration rules, the system for managing the rule base of the rational and compliant medication administration system comprising:

a rule marking unit for marking each reasonable and compliant medication rule in the medication use database according to the source and content;

the rule selection unit is used for selecting proper reasonable and compliant medication rules according to the marks by the user according to the self service requirements;

and the user-defined rule base generation unit is used for generating a user-defined reasonable and compliant medication rule base which meets the requirements of the user and applying the user-defined reasonable and compliant medication rule base to the user's reasonable and compliant medication system.

13. An apparatus for managing a rule base of a rational and compliant medication administration system, the rational and compliant medication administration system comprising a drug usage database, the drug usage database comprising rational and compliant medication administration rules, the apparatus for managing the rule base of the rational and compliant medication administration system comprising:

the rule marking module is used for marking each reasonable and compliant medication rule in the medicine use database according to the source and the content;

the rule selection module is used for selecting proper reasonable and compliant medication rules according to the marks by the user according to the self business requirements;

and the user-defined rule base generation module is used for generating a user-defined reasonable and compliance medication rule base which meets the requirements of the user and applying the user-defined reasonable and compliance medication rule base to the user's reasonable and compliance medication system.

Technical Field

The invention relates to the technical field of intelligent medical information processing, in particular to a method, a system and equipment for managing a rule base of a reasonable and compliant medication system.

Background

Whether the medicine is taken by the patient is reasonable or not is directly related to effective treatment of diseases, reasonable distribution of medical resources, medicine taking safety of the patient and the like, and is the key for controlling medical quality, controlling unreasonable medical expenses and guaranteeing the rights and interests of the patient. The prescription/medical advice is used as a medication proof for a patient by a doctor and is a key medical file for judging the medication rationality of the patient, and a pharmacist extracts effective data related to the medication rationality from information provided by the prescription so as to analyze and examine the rationality of each prescription.

When a doctor actually prescribes a patient, the doctor selects a treatment rule or a rule combination which meets the disease condition of the patient to perform treatment on the patient, including selection of a medication treatment plan, based on patient information and disease information in most cases.

By applying the method of prescription auditing and prescription commenting, the comprehensive analysis of the safety, effectiveness, suitability and economy of the medicine taking of the patient by professional pharmacists becomes a basic flow for ensuring the reasonable and compliant medicine taking of the patient. Particularly, with the development and application of modern information technology, the appearance of the intelligent prescription analysis system provides a good auxiliary tool for pharmacists, so that comprehensive examination of massive prescription data becomes possible, and great effects are gradually exerted on ensuring the reasonability of patients and on compliance medication. At present, in almost all developed countries, intelligent examination of the reasonability of medication for patients has become a necessary means for medical insurance payment.

The working principle of the existing intelligent prescription analysis system is to screen suspected problem prescriptions according to a predetermined reasonable and compliance medication rule as a standard, the system extracts various medication bases from prescription information, for example, if medication of a certain prescription rationality evaluation item of a medicine provided by the prescription information does not meet the confirmed reasonable and compliance medication rule standard, the system prompts that the evaluation item has a suspected unreasonable problem, and the evaluation item is handed to a pharmacist or a medical insurance auditor to perform manual analysis and processing of the prescription information. Therefore, the key to applying the intelligent prescription analysis system is to establish a set of practical and balanced prescription quality control rule standards. If the prescription quality control standard is too low, the objectives of prescription control and unreasonable medical expense suppression cannot be achieved, a large amount of medication risks cannot be discovered by the system, and unreasonable expenses of a large amount of medicines cannot be effectively controlled. And if the standard is too high, a large amount of manual auditing workload can be brought to an auditing mechanism, the intelligent pre-auditing function is not realized, and unnecessary burden is also added to daily diagnosis and treatment work of doctors and information systems of medical institutions.

The information of the medicine use instruction, the medication guide, the national prescription set and the like is used as the professional basis for the doctor to make a prescription and the pharmacist to carry out reasonable and compliant medication management and control, and the relevant content of the medicine use is the source of the reasonable and compliant medication rules of different levels. The existing domestic general prescription rationality analysis system basically establishes the prescription quality control rule standard by taking a medicine specification and other authoritative data as sources. However, the data source standard, the updated version, the changed source and the like of the incorporated rule standard have great randomness, so that a user cannot clearly know which relevant rules of the data such as specifications, guidelines and prescription sets are incorporated into the data standard in the process of using the system, and also cannot know what version of the data is specifically incorporated, so that the data standard used by the user cannot be managed, the quality of the medication scheme analyzed according to the data standard cannot be controlled, and a reasonable and compliant medication quality control data system which meets the self condition of the user cannot be established.

Disclosure of Invention

The technical problem to be solved by the invention is as follows: in the process of evaluating and controlling prescription quality by using a reasonable and compliant medication system, such as clinical and treatment, medical insurance payment, health administration normative management, hospital medical quality control and the like, because the application objects are different: the requirements and standards for rational and compliance medication of various business units formed by combining different areas, different hospital levels, hospital specialties, hospital departments, different diseases, different patients, different medicines, different medical insurance payment systems and the like often differ. Meanwhile, the rules forming the auditing standard bottom layer of the reasonable and compliance medication system are derived from various data, and have different research backgrounds, different professional levels and different authoritativeness and legal effectiveness. Therefore, a user needs to select appropriate data as a professional data source constituting a reasonable and compliant medication management and control system built-in rule standard according to own business conditions and management and control requirements, and needs to dynamically manage relevant data, including updating versions and adjusting the data source entering the rule standard.

Aiming at the current business situation and the requirement, the invention provides a method which can realize the reasonable and compliant medication management and control requirements based on the reasonable and compliant medication current situations of different business units, help users of health administration departments, drug supervision and management departments, medical insurance companies, medical institutions, drug stores, medical institution departments, doctors, pharmaceutical factories, medical companies, patients and the like to select data sets meeting the self requirements as the built-in rule standard sources of the medication management and control system, adjust the data sets in real time and establish a reasonable and compliant medication informatization rule management system.

The invention is realized by the following technical scheme:

the invention provides a method for managing a rule base of a rational and compliant medication system, wherein the rational and compliant medication system comprises a drug use database, the drug use database comprises rational and compliant medication rules, and the method comprises the following steps: marking each reasonable and compliant medication rule in the medicine use database according to the source and the content, selecting proper reasonable and compliant medication rules by a user according to the mark and the business requirement of the user, generating a self-defined reasonable and compliant medication rule base meeting the requirement of the user, and applying the self-defined reasonable and compliant medication rule base to a reasonable and compliant medication system of the user.

A method for managing a rule base of a rational and compliant medication administration system as described above, wherein the source tags of the rational and compliant medication administration rules include at least one of geographic source, institutional source, data source, author source, evidence level of the source, time/version of the source.

When the relevant rules are marked according to the sources of the reasonable and compliant medication rules in the medicine use database, the method for managing the rule base of the reasonable and compliant medication system can grade the source marks of the rules according to the business requirements of different users, so that the users can conveniently select the reasonable and compliant medication rules suitable for themselves.

The method for managing the rule base of the rational and compliant medication administration system as described above, wherein the content mark of the rational and compliant medication administration rule includes at least one of a medicine related mark, an analysis item related mark, a crowd related mark, a disease related mark, a use purpose mark, an operation related mark, a personnel related mark and a user related mark.

When the related rules are marked according to the contents of the reasonable and compliant medication rules in the medicine use database, the content marks of the rules can be graded according to the business requirements of different users, so that the users can conveniently select the reasonable and compliant medication rules suitable for themselves.

A method for managing a rule base of a rational and compliant medication administration system as described above, wherein the source of the rational and compliant medication administration rules is various product specifications, guidelines, clinical treatment routes, prescription sets, pharmacopoeias, expert consensus, conference disciplines and consensus inside the conjunctions/hospitals/departments, industry norms, textbooks, treatises, writings, inventions, scientific inferences, experimental reports, data analysis reports, test reports, examination documents, approval documents, relevant regulations, relevant guidelines, relevant policies, relevant regimes, relevant catalogs, relevant documentation, relevant price regulations, relevant price catalogs, relevant bidding results, relevant object price policies, relevant insurance payment terms, relevant insurance payment protocols, relevant bidding results, relevant purchasing catalogs, relevant doctor/nurse/care provider/user/salesperson use evaluation/use The result/usage monitoring report/safety report, other literature data, other research results with professionalism/authority, the probability inference based on the existing data, the database established by sources such as various weights/various levels/various orders needing to be set manually, the database established by information reforming/information analysis/big data analysis, the database established by artificial intelligence deep learning, the database obtained by data mining analysis, or at least one of the rules set manually after data statistics analysis/artificial intelligence deep learning.

The method for managing the rule base of the rational and compliant medication system further comprises the following steps: the user can set different business subunit user-defined reasonable and compliance medication rule systems according to the needs of each subunit business on the basis of the unified user-defined reasonable and compliance medication rule base. And each sub-business unit is adjusted on the basis of a unified self-defined reasonable and compliance medication rule base according to the business requirements of the sub-business unit, wherein the adjustment comprises the adjustment of the selection of the rules and the adjustment of the rule application level so as to support the related requirements of the reasonable and compliance medication management of each sub-business unit on the rules.

The method for managing the rule base of the rational and compliant medication system further comprises the step that the user optimizes and defines the rational and compliant medication rule base according to the needs of the user, wherein the optimization and optimization of the rational and compliant medication rule base are realized by adjusting rule marks with different dimensions, and adding or modifying rules in the rational and compliant medication rule base.

The method for managing the rule base of the rational and compliant medication system further comprises the following steps: and comparing the prescription/medical advice information of the user with relevant rules in the medicine use database, and analyzing medication rules related to the actual medication scheme of the user, rule source distribution and specific contents.

The method for managing the rule base of the rational and compliant medication system further comprises the step of matching/comparing the data of different sources, different data structures, different descriptions and different data standards with the related data and rules of the medicine use database by using the multi-dimensional element attribute dictionary for medicine use.

The method for managing the rule base of the rational and compliant medication system as described above, the multidimensional element attribute dictionary for drug use includes a standard dictionary, a synonym corresponding dictionary, a multidimensional element attribute corresponding dictionary and a fuzzy matching dictionary for the attribute of each element related to the rational and compliant medication rule of the drug, and the matching/comparison between the data of different sources, different data structures, different descriptions and different data standards and the related data and rule of the drug use database is performed by comparing the original data with the synonym corresponding dictionary, or comparing the original data after converting the original data into the format of the corresponding standard dictionary, or performing fuzzy matching comparison on the original data, or a mixture of the above methods.

The invention also provides a system for managing the rule base of a rational and compliant medication system, the rational and compliant medication system comprising a drug usage database, the drug usage database comprising rational and compliant medication rules, the system for managing the rule base of the rational and compliant medication system comprising:

a rule marking unit for marking each reasonable and compliant medication rule in the medication use database according to the source and content;

the rule selection unit is used for selecting proper reasonable and compliant medication rules according to the marks by the user according to the self service requirements;

and the user-defined rule base generation unit is used for generating a user-defined reasonable and compliant medication rule base which meets the requirements of the user and applying the user-defined reasonable and compliant medication rule base to the user's reasonable and compliant medication system.

The invention also provides a device for managing the rule base of a rational and compliant medication system, the rational and compliant medication system comprising a drug usage database, the drug usage database comprising rational and compliant medication rules, the device for managing the rule base of the rational and compliant medication system comprising:

the rule marking module is used for marking each reasonable and compliant medication rule in the medicine use database according to the source and the content;

the rule selection module is used for selecting proper reasonable and compliant medication rules according to the marks by the user according to the self business requirements;

and the user-defined rule base generation module is used for generating a user-defined reasonable and compliance medication rule base which meets the requirements of the user and applying the user-defined reasonable and compliance medication rule base to the user's reasonable and compliance medication system.

The invention discloses a method, a system and equipment for managing a rule base of a rational and compliance medication system, which are used for marking each rational and compliance medication rule in a medicine use database according to the source and content of the rule, and generating a self-defined rational and compliance medication rule base which meets the requirements of a user according to the user business requirements by selecting the appropriate rational and compliance medication rule according to the mark, and are applied to the rational and compliance medication system of the user. By the method, the system and the equipment for managing the rule base of the rational and compliance medication system, a user can select a data set meeting the self requirement as a built-in rule standard source of the medication management and control system based on different business units and the current situation of compliance medication, and can adjust the data set in real time, so that a rational and compliance medication informatization rule management system is quickly established by taking the rational and compliance medication management and control requirements as targets, and the purposes of improving medication safety of patients, improving medical quality, reducing unreasonable medical cost and reasonably distributing medical resources are achieved.

Drawings

Fig. 1 is a flowchart of a method for managing a rule base of a rational and compliance medication system according to a first embodiment of the present invention.

Fig. 2 is a system block diagram of a system for managing a rule base of a rational and compliance medication system according to a second embodiment of the present invention.

Fig. 3 is a hardware block diagram of an apparatus for managing rule bases of a rational and compliance medication system according to a third embodiment of the present invention.

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.

A first embodiment of the present invention is described with reference to fig. 1. FIG. 1 is a method flow diagram of a method of managing a rule base of a rational and compliance medication administration system in accordance with the present invention. The invention relates to a method for managing a rule base of a reasonable and compliant medication system, which comprises the following steps:

s1: each of the rational and compliant medication rules in the drug use database is labeled according to source and content.

S2: and selecting proper reasonable and compliant medication rules by the user according to the marks according to the self business requirements, and generating a self-defined reasonable and compliant medication rule base which meets the requirements of the user.

S3: the user-defined rational and compliant medication rule base is applied to a user's rational and compliant medication system.

The rational and compliant medication system includes a drug use database including rational and compliant medication rules, and the rational and compliant medication system screens the suspected problem prescriptions according to the rational and compliant medication rules in the drug use database as criteria. Sources of rational and compliant medication rules are various drug specifications, guidelines, clinical treatment routes, prescription sets, pharmacopoeias, expert consensus, proceedings and consensus within the conjunctions/hospitals/departments of the doctor, 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 regimes, relevant catalogs, relevant documentation, relevant price specifications, relevant price catalogs, relevant bidding results, relevant price policies, relevant insurance payment terms, relevant insurance payment protocols, relevant bidding results, relevant purchasing catalogs, relevant doctors/nurses/pharmacists/caregivers/users/salesmen's assessment/use/monitoring of use/report/safety report, Other literature data and other research results with professionalism and authority can be based on evidence-based medical methods or probability speculation based on existing data, and can also comprise databases established by sources such as various weights, various grades, 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, and at least one of rules set manually by data statistical analysis and artificial intelligence deep learning.

In the invention, various marks are established for the reasonable and compliant medication rules, so that a user can conveniently and quickly select the reasonable and compliant medication rules with suitable marks according to the self needs, and a self-defined reasonable and compliant medication rule base meeting the user needs is generated and applied to a reasonable and compliant medication system to audit prescriptions. Labeling rational and compliant medication rules can be based on the source and content of the rules.

Source tags for legitimate and compliant medication rules may include geographic sources, institutional sources, data sources, author sources, evidence level of the source, time/version of the source, and the like.

The geographical sources are marked according to geographical related information in a range grading way of continent, region (big), country, region, province (direct prefecture city), city/state/region (small), county, district and the like.

The organization source is marked by an organization or platform that drafts/writes/edits/publishes/distributes/issues/publishes/provides according to the rules. Including but not limited to: marking according to professional attributes of relevant mechanisms, organizations or platforms; marking according to the administrative attributes of related mechanisms, organizations or platforms; labeling according to authority, specialty and influence of relevant organizations, organizations or platforms; tagging is performed according to the relevance of the relevant organization, organization or platform to the user. Professional attributes of the relevant organization, organization or platform may include: medical management, medicamentization, medical insurance, medicine, pharmacy, finance, administration, regulation, price, tender purchase, and the like. Administrative attributes of a relevant organization, or platform may include: professional academic groups, industry associations/colleges, academic unions/platforms, government agencies, legislative bodies, judicial bodies, medical insurance agencies, medical groups/conjunctions/alliances/institutions, schools/colleges, research institutes, data analysis agencies, consulting agencies, magazines/journals/newspapers/publishers/professional websites/professional network platforms, and the like.

The data sources are labeled according to the data types of the rule sources, including but not limited to: instructions, guidelines, consensus, guidelines, pharmacopoeia, prescription sets, specifications, standards, META analysis reports, data/literature analysis reports, experiments/test reports, research reports, survey reports, monographs/monographs, classical works, classical parties, expert biographies, educational materials, science popularization articles, medical records/courses, reports, databases, base drug catalogues, insurance payment drug catalogues, winning bid catalogues, purchasing catalogues, price catalogues, and the like.

Author source is tagged according to the drafter/researcher/author/designer of the rule source.

The evidence level of the source is marked according to evidence level division of the evidence-based medical method, including but not limited to: the method comprises the following steps of carrying out hierarchical marking on evidence levels/recommendation levels of sources according to the generation process of rule sources by using methods such as an evidence grouping/recommendation strength method of a Canada prevention and health care working group, an evidence/recommendation grading method of a American prevention medical working group, an evidence/recommendation grading method of a American health and policy research institution, an evidence/recommendation grading method of the university of Jork, the evidence/recommendation grading method of the Oxford evidence center, and the like.

The time/version of the source is marked according to the time and version of the source, including but not limited to: source material discussion, formulation, release, revision, time/version number of publication, or related meeting, etc.

For example: the source of the 2010 version of the chinese national formulary is labeled as: geographical origin-china; institutional source — department of health (now national health and wellness committee); data source-recipe set; time/version-2010 version.

When the relevant rules are marked according to the sources of the reasonable and compliant medication rules in the medicine use database, the source marks of the rules can be graded according to the business requirements of different users, so that the users can conveniently select the reasonable and compliant medication rules suitable for themselves. The source tags may be ranked in terms of authority/expertise/credibility/influence/applicability, etc.

For example: the 2010 version of the chinese national formulary may be set to a level of authority of 2 for the medical institution users, second only to the drug order.

Content indicia for sound and compliance medication rules may include drug related indicia, analysis item related indicia, crowd related indicia, disease related indicia, purpose of use indicia, operation related indicia, personnel related indicia, user related indicia, and the like.

The drug related indicia referred to by the rules include: the medicine types such as chemical medicines, Chinese patent medicines, decoction pieces, biological preparations and the like, the pharmacological classification of medicines, the clinical classification of medicines, the action parts of medicines, the administration routes of medicines, the components of medicines, the dosage forms of medicines, the specifications of medicines, the packaging of medicines, general medicines, basic medicines, commodity medicines, the safety levels of medicines, the price grading of medicines, the categories of medical insurance, manufacturers, winning bid catalogues, auxiliary medicine catalogues, key monitoring catalogues and the like.

The reasonable/compliant medication analysis item related labels that the rules relate to include: indications/indications, applicable populations, contraindications, contraindicated populations, interactions, repeated use of medication, adverse reactions, cautious use, incompatibility, choice of solvents, usage amounts, time of use, precautions, methods of storage, expiration dates, medical insurance policies, use restrictions, drug ratios, graded management of antibacterial drugs, individual disease charges, other administrative regulations, and the like.

The rules relate to crowd-related indicia including: age, sex, weight, genetic-related condition, family health-related condition, allergy history, living environment, medical history, surgical history, learning condition, working condition, family condition, hobbies, growth and development, physiological stage, marriage and breeding condition, diet condition, work and rest habit, physical disability condition, mental health condition, intelligence condition, immunity condition, etc.

Disease-related markers involved in the rules include: disease, symptom, index, feeling, history, symptom, type of symptom, examination result, risk factor, etc.

The usage purpose tags involved in the rules include: treatment, prevention, health care, comfort, examination, detection, weight loss, anti-aging, index adjustment, status maintenance, nutrition supplementation, fertility/sex correlation, and the like.

The operation-related flags involved in the rules include: examination, inspection, physiotherapy, chemotherapy, radiotherapy, gene therapy, surgery, rehabilitation, other operations, and the like.

The person-related labels to which the rules relate include: doctors, pharmacists, nurses, test/assay technicians, managers, medical insurance auditors, patients, caregivers, and the like.

The user-related labels to which the rules relate include: number of users used, user level used, user rating, user data analysis, expert opinion, etc.

For example: 5 mg/tablet of Luo Huo Xi (amlodipine besylate tablet) produced by the pfeiri, and indications are as follows: hypertension is caused. The usage and dosage are as follows: adults routinely take one tablet at a time once a day. Note that: the product should be added slowly when used for severe hepatic insufficiency. The content tags of its rules may be marked as:

drug related labeling: drug type-chemical; clinical classification of drugs-antihypertensives; common drug-amlodipine besylate; commercial drug-Luo Huo Xi; manufacturer-pfeiri pharmacy; medical insurance category-medical insurance payment drugs; the specification is-5 mg/tablet;

analyzing the item-related indicia: indication-hypertension; usage amount-one tablet per day for adults; note that: patients with severe hepatic insufficiency should be dosed slowly.

When marking the relevant rules according to the contents of the reasonable and compliant medication rules in the drug use database, the content marks of the rules can be graded according to the business requirements of different users, so that the users can conveniently select the reasonable and compliant medication rules suitable for themselves. Content tags may be ranked according to different application levels, and may include: non-enabled, mandatory, fixed, recommended, suggested, rational, conditionally rational, prompting, alerting, warning, restrictive, conditional pass, forbidden, strictly forbidden, mandatory forbidden, etc. to support the relevant application requirements of rational and compliant medication to rules.

For example: according to the clinical medicine catalog and the business requirements of the hospital, the indication rule in the commercial medicine specification of the chorus is selected as a fixed-level rule for prescription examination, and the notice in the commercial medicine specification of the chorus is used as a prompt-level rule for medicine recommendation.

In the present invention, the uses of the custom rational and compliance drug rule base include: prescription/medical advice review, medication recommendation, medication evaluation, medical insurance review/payment, medical institution evaluation/assessment/examination, doctor and pharmacist evaluation/assessment/examination, medication guidance, medication use management, medication use monitoring, medication research and development, medication evaluation, treatment plan evaluation, patient calendar management, and the like.

For example: the mobile terminal can be loaded with the self-defined reasonable and compliance medication rule base of the hospital, so that the doctor can conveniently inquire the use information of the related medicines when making a ward round or the pharmacist can check the medical advice of the patient in real time when making a ward round. The system can put a user-defined reasonable and compliance medication rule base of a chain pharmacy at the cloud end, and audits a prescription of a customer in real time or recommends a medicine to the customer according to medication demand information of the customer through a pharmacy business reasonable and compliance medication system. The medical insurance company self-defined reasonable and compliance medication rule base can be installed at a medical insurance auditing end, each expense of the medicine is pre-audited, and auditors are assisted to find the medication which does not accord with payment conditions.

The method for managing the rule base of the reasonable and compliant medication system further comprises the following steps: the user can set different business subunit user-defined reasonable and compliance medication rule systems according to the needs of each subunit business on the basis of the unified user-defined reasonable and compliance medication rule base. And each sub-business unit is adjusted on the basis of a unified self-defined reasonable and compliance medication rule base according to the business requirements of the sub-business unit, wherein the adjustment comprises the adjustment of the selection of the rules and the adjustment of the rule application level so as to support the related requirements of the reasonable and compliance medication management of each sub-business unit on the rules.

The generation of the customized reasonable and compliance medication rule base can be finished by the user, can also be finished by a third party assisting the user, and can also be generated by a rule selection scheme which is used by the user and is consistent with other users.

The sub-business units can be divided and defined according to the nature and the level of the user by the dimensions of administrative regions, administrative affiliations, medical institution levels, medical institution specials, medical institution medical insurance payment qualifications, various rating levels of medical institutions, departments, ward areas, doctors, diseases, treatment schemes, patients, medicines and the like and the combination of different levels of the dimensions. Administrative affiliation includes: national Weijian Commission, provincial Weijian Commission, City Weijian Commission, county Weijian Commission, medical group, medical alliance, civil and camp hospital, etc. The medical institution ratings include: informatization rating, management rating, medical quality rating, business management rating, patient service rating, and the like.

For example: the medicine taking catalogs of different hospitals under the medical group are different, and each hospital can select the medicine range covered by the reasonable and compliance medicine taking rule base of the hospital according to the medicine taking catalog thereof on the basis of uniformly self-defining the reasonable and compliance medicine taking rule base of the medical group, so as to generate the reasonable and compliance medicine taking rule base of each hospital sub-business unit. The medical group uniformly defines a reasonable and compliance medication rule base and the selected and adjusted sub-business unit reasonable and compliance medication rule base of each hospital to form a complete reasonable and compliance medication rule system.

The method for managing the rule base of the rational and compliant medication system further comprises the step of optimizing and customizing the rational and compliant medication rule base by the user according to the needs of the user, wherein the optimization, the customization, the reasonability and the compliant medication rule base are realized by adjusting rule marks with different dimensions, and adding or modifying rules in the rational and compliant medication rule base.

The method for managing the rule base of the reasonable and compliant medication system further comprises the following steps: and comparing the prescription/medical advice information of the user with relevant reasonable and compliance medication rules in the medicine use database, and analyzing the reasonable and compliance medication rules, rule source distribution and specific content related to the actual medication scheme of the sub-business unit of the user/user. By analyzing reasonable and compliant medication rules, rule source distribution and specific content related to the actual medication scheme of the sub-business unit of the user/user, on one hand, the user can be further helped to master the actual medication situation of the user, the reasonable and compliant medication rules in the medicine use database are better selected and updated through marks of different dimensions of sources and content, and a customized reasonable and compliant medication rule base/system suitable for business requirements of the user is generated. On the other hand, the defects of the self-medication treatment scheme can be analyzed through the comparison of the self-actual medication rule with the relevant standard or a medical institution with higher specialty, and improvement measures can be made. And when a doctor makes a prescription/medical advice or a pharmacist reviews and reviews the prescription/medical advice, the doctor and the pharmacist are prompted to accord with the reasonable and compliant medication rules and the relevant marks of the source and the content of the reasonable and compliant medication rules, so that the rules can be checked, and the doctor and the pharmacist can judge and analyze the medication rationality better.

The data extracted by the method for managing the rule base of the reasonable and compliant medication system comprises the prescription, can be data in the whole time range, and can also be set as data in a certain time period according to needs. 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.

The method for managing the rule base of the rational and compliance medication system further comprises the step of matching/comparing the data of different sources, different data structures, different descriptions and different data standards with the related data and rules of the medicine use database by using the medicine use multidimensional element attribute dictionary.

The multi-dimensional element attribute dictionary for medicine use comprises a standard dictionary, a synonym corresponding dictionary, a multi-dimensional element attribute corresponding dictionary and a fuzzy matching dictionary of each element attribute related to medicine reasonable and compliance medication rules, and the matching/comparison of data with different sources, different data structures, different descriptions and different data standards and related data and rules of a medicine use database is realized by comparing original data with the synonym corresponding dictionary, or firstly converting the original data into a format corresponding to the standard dictionary and then comparing the original data, or carrying out fuzzy matching comparison on the original data, or mixing the methods.

The standard dictionary, the synonym correspondence dictionary, the multi-dimensional element attribute correspondence dictionary and the fuzzy matching dictionary of the element attributes related to the drug rational and compliance medication rules may specifically include: a medication related dictionary, a medication use purpose related dictionary, a disease related dictionary, a population related dictionary, an operation related dictionary, and the like. The medication related dictionary includes: the medicine comprises the following components of medicine type, medicine pharmacology classification, medicine clinical classification, medicine main component, medicine composition, medicine effective component, medicine universal name, medicine trade name, medicine dosage form, medicine administration route, medicine action part, medicine specification, medicine package, medicine single dosage, medicine use frequency, medicine daily dose, medicine treatment course, medicine safety level, medicine price grading, medicine medical insurance classification, medicine use method, combined medicine and the like, and the value and range of various component data types/data, data units, data relation, different names, mutual calculation/conversion relation, combination correspondence/calculation relation and the like. The medication use purpose related dictionary includes: treatment, prevention, health care, comfort, examination, detection, weight reduction, aging prevention, index adjustment, state maintenance, nutrition supplementation, fertility/sex related factors and the values and ranges of data types/data of various factors, data units, data relations, synonyms, mutual calculation/conversion relations, combined correspondence/calculation relations and the like. The disease-related dictionary includes: the data type and range of the elements such as diseases, symptoms, indexes, feelings, medical histories, symptoms, symptom types, examination results, risk factors and the like and the values and ranges of the data types/data of various elements thereof, data units, data relations, synonyms, mutual calculation/conversion relations, combined correspondence/calculation relations and the like, such as the corresponding/conversion/calculation relations and the like of the indexes, the parts, the expressions, the combinations of the symptoms and the diseases. The crowd-related dictionary comprises: age, sex, weight, genetic related condition, family health related condition, allergy history, living environment, medical history, operation history, learning condition, working condition, family condition, hobbies, growth and development, physiological stage, marriage and childbirth condition, diet condition, work and rest habit, physical disability condition, mental health condition, intelligence condition, immunity condition and other factors, and the value and range of various factor data types/data, data unit, data relationship, synonym, mutual calculation/conversion relationship, combined correspondence/calculation relationship and the like. The operation-dependent dictionary includes: the data type and range of the elements such as examination, inspection, physiotherapy, chemotherapy, radiotherapy, gene therapy, operation, rehabilitation, other operations and the like, the data unit, the data relationship, the synonym, the mutual calculation/conversion relationship, the combined correspondence/calculation relationship and the like. The multi-dimensional element property dictionary for drug use may be established separately or may be included in a drug use database.

The real prescription information is converted by using the multidimensional element attribute dictionary through the medicine, for example, the prescription information is as follows: male, age 65, diagnosis: primary hypercholesterolemia, creatinine clearance: 25 ml/min, drug: shujiang, initial dose: 10 mg/day; converting patient creatinine clearance rate 25 ml/min into severe renal insufficiency by using a multidimensional element attribute dictionary, and finding corresponding usage dosage rules in a reasonable and compliant medication rule base: initial dose 5 ml/day; reasonable and compliant medication system prompt: the amount of the prescription used has a problem.

A second embodiment of the present invention is seen in figure 2. Fig. 2 is a system block diagram of a system for managing rule bases of a rational and compliance medication system according to a second embodiment of the present invention. The invention relates to a system for managing a rule base of a reasonable and compliant medication system, which comprises:

a rule marking unit 11, configured to mark each reasonable and compliant medication rule in the medication usage database according to source and content;

the rule selection unit 12 is used for selecting proper reasonable and compliant medication rules according to the marks by the user according to the self service requirements;

and the custom rule base generation unit 13 is used for generating a custom rational and compliant medication rule base which meets the requirements of the user, and applying the custom rational and compliant medication rule base to a rational and compliant medication system of the user.

In this embodiment, the rational and compliant medication administration system includes a drug usage database that includes rational and compliant medication rules.

The technical features of the system for managing the rule base of the rational and compliance medication system and the method for managing the rule base of the rational and compliance medication system of the present invention are in one-to-one correspondence, and reference may be made to the description of the foregoing method, which is not repeated herein.

A third embodiment of the present invention is seen in fig. 3. Fig. 3 is a hardware block diagram of an apparatus for managing rule bases of a rational and compliance medication system according to a third embodiment of the present invention. The invention relates to a device for managing a rule base of a reasonable and compliant medication system, which comprises:

a rule marking module 21 for marking each reasonable and compliant medication rule in the medication use database according to the source and content;

the rule selection module 22 is used for selecting proper reasonable and compliant medication rules according to the marks by the user according to the self service requirements;

and the custom rule base generation module 23 is used for generating a custom rational and compliance medication rule base which meets the requirements of the user, and applying the custom rational and compliance medication rule base to a rational and compliance medication system of the user.

In this embodiment, the rational and compliant medication administration system includes a drug usage database that includes rational and compliant medication rules.

The technical features of the device for managing the rule base of the rational and compliance medication system and the method for managing the rule base of the rational and compliance medication system correspond to each other, and the description of the method can be referred to, and is not repeated herein.

In summary, according to the method, the system and the device for managing the rule base of the rational and compliant medication system, each rational and compliant medication rule in the drug use database is marked according to the source and content of the rule, and the user selects the appropriate rational and compliant medication rule according to the mark according to the business requirement of the user, so that the user-defined rational and compliant medication rule base meeting the user requirement is generated and applied to the rational and compliant medication system of the user. By the method, the system and the equipment for managing the rule base of the rational and compliance medication system, a user can select a data set meeting the self requirement as a built-in rule standard source of the medication management and control system based on different business units and the current situation of compliance medication, and can adjust the data set in real time, so that a rational and compliance medication informatization rule management system is quickly established by taking the rational and compliance medication management and control requirements as targets, and the purposes of improving medication safety of patients, improving medical quality, reducing unreasonable medical cost and reasonably distributing medical resources are achieved.

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.

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