Disclosure of Invention
In view of the problems in the prior art, the present invention provides a medical risk assessment system for performing medical risk assessment on a patient to be treated and a patient under treatment, the medical risk assessment system comprising:
a patient management module for storing coded identity information for a plurality of past patients, a plurality of said patients to be treated and a plurality of said patients under treatment;
the electronic medical record module is used for storing the electronic medical record information of each past patient, each patient to be treated and each patient in treatment;
the data module is respectively connected with the patient management module and the electronic medical record module and used for acquiring corresponding electronic medical record information according to the codes of the previous patients, the patients to be treated and the patients in treatment, and counting the age, the initial symptoms, the disease types, the adopted treatment scheme, the adverse symptoms in the treatment process and a plurality of physiological indexes recorded in the treatment process in the electronic medical record information;
the detection module is used for detecting and outputting a plurality of physiological indexes of the patient in each treatment in real time;
the pretreatment module is connected with the detection module and is used for pretreating each physiological index of the patient in each treatment to obtain a real-time numerical value of a high-risk physiological index;
the first analysis module is connected with the data module and used for establishing a first risk assessment model according to the age, initial symptoms and disease types of each previous patient, the adopted treatment scheme and the adverse symptoms in the treatment process, and inputting the initial symptoms of each patient to be treated into the first risk assessment model to be processed to obtain a plurality of treatment schemes, a plurality of adverse symptoms in the treatment process of each treatment scheme and the occurrence probability of each adverse symptom so as to assist a doctor in medical risk assessment;
and the second risk evaluation model is used for setting a plurality of intervals for the numerical values of the physiological indexes, counting the number of the numerical values of the physiological indexes and processing the numerical values to obtain the proportion of all the intervals, and processing the interval in which the real-time numerical value of the high-risk physiological index is located and the corresponding proportion according to the input real-time numerical value of the high-risk physiological index so as to assist a doctor in medical risk evaluation.
Preferably, the first analysis module comprises:
a first model unit for establishing the first risk assessment model according to the age, initial condition, disease type, treatment scheme and adverse symptoms during treatment of each previous patient;
and the first analysis unit is connected with the first model unit and used for inputting the initial symptoms of the patients to be treated into the first risk assessment model and processing the initial symptoms to obtain a plurality of treatment schemes, a plurality of adverse symptoms appearing in the treatment process of each treatment scheme and the occurrence probability of each adverse symptom.
Preferably, the preprocessing module comprises:
the first processing unit is used for processing the real-time numerical value of each physiological index of the patient in each treatment and the preset standard numerical value of each physiological index to obtain a plurality of difference values;
the storage unit is used for storing a low risk interval, a medium risk interval and a high risk interval, wherein the upper limit value of the low risk interval is not more than the lower limit value of the medium risk interval, and the upper limit value of the medium risk interval is not more than the lower limit value of the high risk interval;
the second processing unit is respectively connected with the first processing unit and the storage unit and used for judging whether each difference value belongs to the low-risk interval or the medium-risk interval or the high-risk interval, and when the difference value belongs to the low-risk interval, the physiological index corresponding to the difference value is judged to be a low-risk physiological index;
when the difference value belongs to the intermediate risk interval, judging that the physiological index corresponding to the difference value is an intermediate risk physiological index;
and when the difference belongs to the high-risk interval, judging that the physiological index corresponding to the difference is a high-risk physiological index and outputting a real-time numerical value corresponding to the high-risk physiological index.
Preferably, the second analysis module comprises:
the second risk assessment model is set up into a plurality of intervals according to the values of the physiological indexes recorded in the previous patient treatment process, the number of the physiological index values is counted, and the proportion of each interval in all the intervals is obtained through processing;
and the second analysis unit is connected with the second model unit and used for inputting the real-time value of the high-risk physiological index into the second risk assessment model and processing the real-time value to obtain the interval where the real-time value of the high-risk physiological index is located and the corresponding proportion.
Preferably, the medical risk assessment method is applied to the medical risk assessment system, and specifically includes the following steps:
step S1, the medical risk assessment system obtains corresponding electronic medical record information according to the codes of the previous patients, the patients to be treated, and the patients under treatment, and counts the age, initial condition, disease type, treatment plan, adverse symptoms during treatment, and physiological indexes recorded during treatment in the electronic medical record information, and determines whether the patients are the patients under treatment:
if yes, go to step S2;
if not, go to step S3;
step S2, the medical risk assessment system inputs the initial condition of each patient to be treated into the first risk assessment model configured in advance, and processes the initial condition to obtain a plurality of treatment plans, a plurality of adverse symptoms occurring in the treatment process of each treatment plan, and the occurrence probability of each adverse symptom, so as to assist a doctor in performing medical risk assessment;
step S3, the medical risk assessment system inputs the real-time value of the high-risk physiological index into the second risk assessment model configured in advance, and processes the real-time value to obtain an interval where the real-time value of the high-risk physiological index is located and a corresponding proportion, so as to assist a doctor in performing medical assessment.
Preferably, the step S2 includes:
step S21, the medical risk assessment system inputs the initial condition of each patient to be treated into the first risk assessment model, and the first risk assessment model sequentially screens a plurality of treatment plans, a plurality of adverse symptoms occurring in the treatment process of each treatment plan, and the occurrence probability of each adverse symptom according to the age, the disease type, and the initial condition of each patient to be treated;
step S22, the medical risk assessment system compares the occurrence probability of each adverse symptom with a preset threshold, and outputs the corresponding adverse symptom and the occurrence probability when the occurrence probability of the adverse symptom is greater than the preset threshold.
Preferably, if the medical risk assessment system stores a low risk section, a medium risk section, and a high risk section in advance, the upper limit value of the low risk section is not greater than the lower limit value of the medium risk section, and the upper limit value of the medium risk section is not greater than the lower limit value of the high risk section, the step S3 further includes:
step S31, the medical risk assessment system processes the real-time values of the physiological indexes of the patients in the treatment and the preset standard values of the physiological indexes to obtain a plurality of difference values;
step S32, the medical risk assessment system determines whether each difference belongs to the high risk section:
if yes, judging that the physiological index corresponding to the difference value is a high-risk physiological index, acquiring a real-time numerical value corresponding to the high-risk physiological index, and turning to the step S33;
if not, exiting;
step S33, the medical risk assessment system inputs the real-time value of the high-risk physiological index into the second risk assessment model, and processes the real-time value to obtain an interval and a corresponding proportion of the real-time value of the high-risk physiological index, and a proportion of a previous patient in the interval in which a treatment plan is changed.
The technical scheme has the following advantages or beneficial effects: the system and the method respectively carry out the risk assessment of the treatment scheme on the patient to be treated and the patient in treatment, and the obtained risk assessment result can effectively help a doctor to select or replace the optimal treatment scheme.
Detailed Description
The invention is described in detail below with reference to the figures and specific embodiments. The present invention is not limited to the embodiment, and other embodiments may be included in the scope of the present invention as long as the gist of the present invention is satisfied.
In accordance with the above-mentioned problems of the prior art, there is provided a medical risk assessment system for performing medical risk assessment on a patient to be treated and a patient under treatment, as shown in fig. 1, the medical risk assessment system comprising:
apatient management module 1 for storing identity information with codes of a plurality of past patients, a plurality of patients to be treated and a plurality of patients under treatment;
an electronicmedical record module 2, which is used for storing the electronic medical record information of each previous patient, each patient to be treated and each patient in treatment;
the data module 3 is respectively connected with thepatient management module 1 and the electronicmedical record module 2 and is used for acquiring corresponding electronic medical record information according to the codes of the previous patients, the patients to be treated and the patients in treatment, and counting the age, the initial symptoms and the disease types in the electronic medical record information, the adopted treatment scheme, the adverse symptoms in the treatment process and a plurality of physiological indexes recorded in the treatment process;
adetection module 4 for detecting and outputting multiple physiological indexes of patients in each treatment in real time;
thepretreatment module 5 is connected with thedetection module 4 and is used for pretreating all physiological indexes of patients in all treatments to obtain real-time numerical values of high-risk physiological indexes;
thefirst analysis module 6 is connected with the data module 3 and used for establishing a first risk assessment model according to the age, initial symptoms and disease types of previous patients, the adopted treatment scheme and adverse symptoms in the treatment process, and inputting the initial symptoms of the patients to be treated into the first risk assessment model to be processed to obtain a plurality of treatment schemes, a plurality of adverse symptoms in the treatment process of each treatment scheme and the occurrence probability of each adverse symptom so as to assist doctors in medical risk assessment;
and the second analysis module 7 is respectively connected with the data module 3 and thepreprocessing module 5 and is used for establishing a second risk assessment model according to the physiological indexes recorded in the previous treatment process of the patient, the second risk assessment model sets a plurality of intervals for the values of the physiological indexes, the number of the values of the physiological indexes is counted and the proportion of the intervals in all the intervals is obtained through processing, and the second risk assessment model processes the intervals where the real-time values of the high-risk physiological indexes are located and the corresponding proportion according to the input real-time values of the high-risk physiological indexes so as to assist a doctor in medical risk assessment.
Specifically, in this embodiment, considering that a patient to be treated and a patient under treatment exist in a daily medical event, and therefore, medical risk assessment needs to be performed on both the patient to be treated and the patient under treatment, for the patient under treatment, the system can give a plurality of treatment plans suitable for the patient under treatment, a plurality of adverse symptoms occurring in the treatment process of each treatment plan, and occurrence probabilities of the adverse symptoms according to the first risk assessment model and the initial condition of the patient under treatment, a doctor selects a treatment plan most suitable for the patient under treatment and can make corresponding plan preparation for the adverse symptoms that may occur in the future, for the patient under treatment, the system gives an interval and a specific gravity of a value according to the second risk assessment model and a real-time value of a high-risk physiological index of the patient under treatment, and if the real-time value is in a higher interval and the specific gravity of the interval is smaller, the doctor needs to consider whether to adjust the treatment plan of the patient under treatment, and if the real-time value is in the middle and lower intervals and the proportion of the interval is large, the doctor does not need to adjust the treatment plan of the patient under treatment.
In a preferred embodiment of the invention, thefirst analysis module 6 comprises:
afirst model unit 61 for establishing a first risk assessment model according to the age, initial condition, disease type, treatment plan and adverse symptoms occurring during treatment of each previous patient;
and thefirst analysis unit 62 is connected with thefirst model unit 61 and is used for inputting the initial symptoms of each patient to be treated into the first risk assessment model and processing the initial symptoms to obtain a plurality of treatment schemes, a plurality of adverse symptoms appearing in the treatment process of each treatment scheme and the occurrence probability of each adverse symptom.
Specifically, in this embodiment, the system uses big data technology to collect the age, initial condition, and disease type of the previous patient, adopt the treatment scheme, and the adverse symptoms occurring during the treatment process, and integrate the data, and uses the age, initial condition, and disease type of the previous patient as the data in the first risk assessment model input set, uses the treatment scheme adopted by the previous patient, and the adverse symptoms occurring during the treatment process as the data in the first risk assessment model output set, and associates the input set with the output set with the data, and the treatment scheme can be obtained by inputting the initial condition, age, and disease type of the patient to be treated to the first risk assessment model.
In a preferred embodiment of the present invention, thepreprocessing module 5 includes:
afirst processing unit 51, for processing the real-time values of the physiological indexes of the patients under treatment and the preset standard values of the physiological indexes to obtain a plurality of difference values;
astorage unit 52, configured to store a low risk interval, a medium risk interval, and a high risk interval, where an upper limit value of the low risk interval is not greater than a lower limit value of the medium risk interval, and an upper limit value of the medium risk interval is not greater than a lower limit value of the high risk interval;
thesecond processing unit 53 is respectively connected with thefirst processing unit 51 and thestorage unit 52, and is used for judging whether each difference value belongs to a low risk interval or a medium risk interval or a high risk interval, and when the difference value belongs to the low risk interval, judging the physiological index corresponding to the difference value as a low risk physiological index;
when the difference value belongs to the medium risk interval, judging the physiological index corresponding to the difference value as a medium risk physiological index;
and when the difference belongs to the high-risk interval, judging the physiological index corresponding to the difference as the high-risk physiological index and outputting a real-time value corresponding to the high-risk physiological index.
Specifically, in this embodiment, in consideration of the fact that the hospital needs to regularly acquire the physiological indexes of the patient during treatment in the actual application scenario, the detection results presented to the doctor and the patient during treatment often have a plurality of pages, and many normal or slightly changed physiological indexes exist in the pages, so that the system distinguishes the physiological indexes by setting a low risk interval, a medium risk interval and a high risk interval, and only extracts the physiological indexes in the high risk interval, thereby greatly reducing the viewing time of the doctor and the patient to be treated.
In a preferred embodiment of the invention, the second analysis module 7 comprises:
asecond model unit 71, configured to establish a second risk assessment model according to each physiological index recorded in each previous patient treatment process, where the second risk assessment model sets multiple intervals for the value of each physiological index, counts the number of the values of each physiological index, and processes the number to obtain the specific gravity of each interval in all the intervals;
and thesecond analysis unit 72 is connected with thesecond model unit 71 and is used for inputting the real-time value of the high-risk physiological index into the second risk assessment model and processing the interval in which the real-time value of the high-risk physiological index is located and the corresponding proportion.
Specifically, in this embodiment, the system uses a big data technology to collect various physiological indexes recorded in the previous treatment process of the patient, and integrates the data, and uses the values of the various physiological indexes recorded in the previous treatment process of the patient as data in the input set of the second risk assessment model, uses the interval in which the values are located and the corresponding specific gravity as data in the output set of the second risk assessment model, and associates the input set with the output set, and the interval and the specific gravity described by the values can be obtained by outputting the real-time values of the patient in treatment to the second risk assessment model.
In a preferred embodiment of the present invention, a medical risk assessment method is applied to a medical risk assessment system, as shown in fig. 2, and specifically includes the following steps:
step S1, the medical risk assessment system obtains the corresponding electronic medical record information according to the codes of the previous patients, the patients to be treated and the patients in treatment, and counts the age, the initial symptoms and the disease types in the electronic medical record information, adopts the treatment scheme, the adverse symptoms in the treatment process and a plurality of physiological indexes recorded in the treatment process to judge whether the patients are the patients to be treated:
if yes, go to step S2;
if not, go to step S3;
step S2, the medical risk assessment system inputs the initial symptoms of each patient to be treated into a first risk assessment model which is configured in advance, and a plurality of treatment schemes, a plurality of adverse symptoms which appear in the treatment process of each treatment scheme and the occurrence probability of each adverse symptom are obtained through processing, so that doctors are assisted in medical risk assessment;
step S3, the medical risk assessment system inputs the real-time value of the high-risk physiological index into a second risk assessment model configured in advance, and processes the interval and the corresponding proportion where the real-time value of the high-risk physiological index is located, so as to assist a doctor in performing medical assessment.
In a preferred embodiment of the present invention, as shown in fig. 3, step S2 includes:
step S21, the medical risk assessment system inputs the initial symptoms of each patient to be treated into a first risk assessment model, and the first risk assessment model sequentially screens a plurality of treatment schemes, a plurality of adverse symptoms occurring in the treatment process of each treatment scheme and the occurrence probability of each adverse symptom according to the age, the disease type and the initial symptoms of each patient to be treated;
step S22, the medical risk assessment system compares the occurrence probability of each adverse symptom with a preset threshold, and outputs a corresponding adverse symptom and occurrence probability when the occurrence probability of the adverse symptom is greater than the preset threshold.
Specifically, in this embodiment, in an actual application scenario, the first risk assessment model is first screened according to the age of the current patient to be treated, data of the age range of the current patient to be treated can be obtained by processing through a set age range, then screened according to the disease type of the current patient to be treated, and then screened according to the initial condition of the current patient to be treated, and finally screened to obtain a treatment scheme meeting the condition of the patient to be treated by performing similarity calculation on the initial condition (including data of all initial conditions of the current patient to be treated or only one non-compliant data of the initial condition of the current patient to be treated).
In a preferred embodiment of the present invention, step S3 includes:
the medical risk assessment system counts the number of the previous patients in each interval who change the treatment scheme and processes to obtain the proportion of the previous patients in each interval who change the treatment scheme.
Specifically, in this embodiment, on the basis of the interval and the specific gravity provided for the doctor with real-time numerical values, the number of people who change the treatment plan for the past patient in each interval is counted, and the specific gravity of the past patient who changes the treatment plan in each interval is obtained through processing, and the doctor visually sees the specific gravity of the past patient who changes the treatment plan to more effectively judge whether the treatment plan needs to be adjusted.
In a preferred embodiment of the present invention, the medical risk assessment system pre-stores a low risk interval, a medium risk interval and a high risk interval, an upper limit of the low risk interval is not greater than a lower limit of the medium risk interval, and an upper limit of the medium risk interval is not greater than a lower limit of the high risk interval, as shown in fig. 4, step S3 further includes:
step S31, the medical risk assessment system processes the real-time values of the physiological indexes of the patients in the treatment and the preset standard values of the physiological indexes to obtain a plurality of difference values;
step S32, the medical risk assessment system determines whether each difference belongs to a high risk interval:
if yes, the physiological index corresponding to the difference value is judged to be a high-risk physiological index, a real-time numerical value corresponding to the high-risk physiological index is obtained, and the step S33 is switched to;
if not, exiting;
step S33, the medical risk assessment system inputs the real-time value of the high-risk physiological index into the second risk assessment model and processes the interval and the corresponding proportion of the real-time value of the high-risk physiological index, and the proportion of the previous patient in the interval with the treatment plan replaced.
While the invention has been described with reference to a preferred embodiment, it will be understood by those skilled in the art that various changes in form and detail may be made therein without departing from the spirit and scope of the invention.