Intelligent reminder and supervision method and system for repeated medical examinations and tests in the region

Abstract

The present invention discloses a method and system for intelligent reminder and supervision of repeated medical examinations and tests in a region, which includes the following steps: S1, collecting historical examination and test data of medical institutions; S2, extracting corresponding examination and test item information from historical examination and test data; S3, establishing mapping rules between examination and test item information and regional medical examination and test mutual recognition items; S4, mapping through mapping rules, and outputting mapping results; S5, storing historical examination and test data with associated labels in an examination and test history database with mutual recognition item labels; S6, iteratively optimizing the mapping rules; S7, repeated examination and test intelligent reminder engine performs intelligent reminders; S8, repeated examination and test monitoring engine regularly monitors the examination and test history database with mutual recognition item labels. Beneficial effects: standardize and improve medical behavior and services through automatic matching of intelligent reminders, etc.

Description

Technical Field

[0001] The present invention relates to the technical field of medical resource management, and in particular to a method and system for intelligently reminding and supervising repeated medical examinations and tests in a region. Background Art

[0002] Patients often encounter excessive examinations and tests, unreasonable examinations and tests, and repeated examinations and tests during their visits to medical institutions. After the patient is transferred, the examination and test results done in the previous hospital cannot be recognized by the next hospital, so they are required to undergo repeated examinations and tests. This series of unreasonable medical examinations and tests has a negative impact on the patient's physical and financial health. In order to standardize medical behavior, improve medical services, reduce patient medical expenses, simplify the patient's medical links, reflect the people-oriented service concept in the medical process, and make rational and effective use of medical resources, the national and local government health management departments have issued relevant policies to promote reasonable examinations and tests, requiring medical institutions to mutually recognize the results of the examinations and tests that patients have previously undergone under the conditions of mutual recognition.

[0003] At present, no effective solution has been proposed to cooperate with relevant policies to discover problems of repeated inspections and tests, and to systematically reduce the unreasonable medical behavior of repeated inspections and tests in the region through timely reminders during the process and post-event supervision and assessment. Summary of the invention

[0004] In response to the problems in the related technology, the present invention proposes a method and system for intelligent reminder and supervision of repeated medical examinations and tests within a region to overcome the above-mentioned technical problems existing in the existing related technology.

[0005] To this end, the specific technical solution adopted by the present invention is as follows:

[0006] According to one aspect of the present invention, a method for intelligent reminder and supervision of repeated medical examinations and tests within a region is provided, the method comprising the following steps:

[0007] S1. Collect historical inspection and testing data of medical institutions within the preset coverage area and preset time period in the region through the health-specific network, and store them on the regional medical data cloud platform;

[0008] S2. extracting corresponding inspection and test item information from each piece of the historical inspection and test data;

[0009] S3, establishing mapping rules between the inspection and testing item information and regional medical inspection and testing mutual recognition items;

[0010] S4, mapping the inspection and test item information extracted from each piece of the historical inspection and test data respectively according to the mapping rules, and outputting a mapping result, wherein the mapping result includes corresponding regional medical inspection and test mutual recognition items and space;

[0011] S5, associating each mapping result with the historical examination and inspection data of the corresponding regional medical examination and inspection mutual recognition project with the corresponding mutual recognition project label, and storing them in the examination and inspection history database with the mutual recognition project label;

[0012] S6. Regularly analyze the historical inspection and test data in the inspection and test history database with empty mapping results and with the mutual recognition project label, and iteratively optimize the mapping rules;

[0013] S7. When a doctor issues an examination or test application form for a patient through the doctor's workstation, the repeated examination or test intelligent reminder engine automatically maps the new data and matches it with the historical examination or test data in the examination or test history database with mutual recognition project labels; if the match is successful, an intelligent reminder is issued;

[0014] S8. The duplicate inspection and testing monitoring engine regularly monitors the inspection and testing history database with the mutual recognition project labels, and reports the monitoring results to the regional health management agency.

[0015] Further, the historical inspection and test data includes historical inspection data and historical test data;

[0016] The historical inspection data includes inspection application forms, inspection reports and image files, and the historical test data includes inspection application forms and inspection reports.

[0017] Further, the inspection and test item information includes inspection item information and test item information;

[0018] Among them, the examination item information includes the examination part, examination method, examination item name, examination item code, examination item charging code and medical institution code, and the inspection item information includes the inspection item name, inspection item content, inspection item code, inspection item charging code and medical institution code.

[0019] Furthermore, the regional medical examination and testing mutual recognition items refer to the medical examination and testing items that are clearly included in the mutual recognition scope by the regional health management agency, and the mutual recognition item label includes the standard item name and unique code.

[0020] Furthermore, the method for establishing mapping rules between the examination and testing item information and regional medical examination and testing mutual recognition items includes at least one of manual, statistical or machine learning.

[0021] Furthermore, the duplicate inspection and testing intelligent reminder engine automatically maps the new data and matches it with the historical inspection and testing data in the inspection and testing history database with mutual recognition project labels. If the match is successful, the method for intelligent reminder is one query or two queries.

[0022] Furthermore, the one-time query method is used to realize the repeated inspection and test intelligent reminder engine to automatically map the new data and match it with the historical inspection and test data in the inspection and test history database with the mutual recognition project label. If the match is successful, an intelligent reminder is performed, including the following steps:

[0023] S71. When a doctor opens an examination and test application form for a patient through a doctor's workstation, after the doctor clicks Save, the doctor's workstation will send a query request to the repeated examination and test intelligent reminder engine with the patient's identity information and examination and test item information;

[0024] S72, after receiving the query request, the duplicate inspection and test intelligent reminder engine maps the received inspection and test item information according to the mapping rule and outputs the mapping result;

[0025] S73. When the mapping result is a corresponding regional medical examination or testing mutual recognition project, the repeated examination or testing intelligent reminder engine uses the standard project name, unique code and received patient identity information corresponding to the project to match the data within the mutual recognition period in the examination or testing history database with the mutual recognition project label, and returns the result to the doctor's workstation;

[0026] S74. If the match is successful, a pop-up window will appear on the doctor's workstation to remind the doctor that the doctor can view the patient's historical examination and test data and decide whether to cancel the application for duplicate examinations and test items based on the actual situation.

[0027] Furthermore, the method of secondary query is adopted to realize the repeated inspection and test intelligent reminder engine to automatically map the new data and match it with the historical inspection and test data in the inspection and test history database with the mutual recognition project label. If the match is successful, an intelligent reminder is given, including the following steps:

[0028] S71′, when the doctor opens an examination and test application form for the patient through the doctor workstation and selects the patient to open the electronic medical record, the doctor workstation will send a first query request to the repeated examination and test intelligent reminder engine with the patient's identity information;

[0029] S72′, after receiving the first query request, the repeated examination and test intelligent reminder engine matches the received patient identity information with the data within the mutual recognition time limit in the examination and test history database with the mutual recognition item label, and returns the result to the doctor's workstation. At the same time, the repeated examination and test intelligent reminder engine caches the examination and test history data of the patient within the mutual recognition time limit matched in the database into the memory to speed up the second query;

[0030] S73′, the doctor workstation receives the first query result, and if the patient has not undergone the mutual recognition project within the mutual recognition period, the reminder of repeated examination and testing will not be triggered; if the patient has undergone the mutual recognition project within the mutual recognition period, the second query will be triggered;

[0031] S74′, when the doctor has checked the examination and test items and clicked Save, if the first query result is that the patient has done the mutual recognition items within the mutual recognition period, a second query is triggered, and the doctor's workstation sends a second query request to the repeated examination and test intelligent reminder engine with the patient's identity information and the examination and test item information;

[0032] S75′, after receiving the second query request, the repeated inspection and test intelligent reminder engine maps the received inspection and test item information according to the mapping rule and outputs the mapping result;

[0033] S76′, when the mapping result is the corresponding regional medical examination and testing mutual recognition project, the repeated examination and testing intelligent reminder engine uses the standard project name, unique code and received patient identity information corresponding to the project to match the patient mutual recognition time limit examination and testing history data in the cache, and returns the result to the doctor's workstation;

[0034] S77′, if the match is successful, the doctor's workstation will pop up a reminder window, and the doctor can view the patient's historical examination and test data, and decide whether to cancel the application for repeated examinations and test items based on the actual situation.

[0035] Furthermore, the repeated inspection and testing monitoring engine regularly monitors the inspection and testing history database with the mutual recognition project label and reports the monitoring results to the regional health management agency, including the following steps:

[0036] S81, the repeated examination and testing monitoring engine matches the patient identity information and mutual recognition item labels corresponding to each newly added data in the examination and testing history database with the mutual recognition item labels within the specified time interval with the patient identity information and mutual recognition item labels corresponding to all data within the mutual recognition time limit in the database;

[0037] S82. Report the successfully matched data to the regional health management agency for targeted supervision.

[0038] According to another aspect of the present invention, a regional medical duplicate examination and test intelligent reminder and supervision system is also provided, which includes the following components:

[0039] Doctor workstation, an information system used in medical institutions to help clinicians complete daily prescriptions, writing and maintaining medical records;

[0040] Duplicate inspection and test intelligent reminder engine is used to automatically map new data and match it with historical inspection and test data in the inspection and test history database with mutual recognition project tags. If the match is successful, intelligent reminder will be issued;

[0041] Duplicate inspection and testing monitoring engine, which is used to monitor the inspection and testing history database with mutual recognition project labels, identify duplicate inspection and testing data, and report the monitoring results to the regional health management agency;

[0042] Among them, the basic database of the duplicate inspection and testing intelligent reminder engine and the duplicate inspection and testing monitoring engine is an inspection and testing history database with mutually recognized project labels.

[0043] The beneficial effects of the present invention are as follows: through the steps of data collection, data governance, establishment of mapping rules, formation of inspection and test history database with mutual recognition project labels, etc., combined with the repeated inspection and test intelligent reminder engine and the repeated inspection and test monitoring engine, it is possible to automatically identify repeated inspections and tests during the process and remind doctors in time, and provide regular and targeted supervision services to regional health management agencies afterwards, effectively reducing the occurrence of repeated medical inspections and tests in the region, thereby further standardizing medical behavior, improving medical services, reducing patients' medical expenses, simplifying patients' medical links, and at the same time enabling medical resources to be used reasonably and effectively, bringing people's livelihood value to the general public. BRIEF DESCRIPTION OF THE DRAWINGS

[0044] In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required for use in the embodiments will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.

[0045] Figure 1 is a flow chart of a method for intelligent reminder and supervision of repeated medical examinations and tests within a region according to an embodiment of the present invention;

[0046] Figure 2 It is a flow chart of a one-time query mode in a method for intelligent reminder and supervision of repeated medical examinations and tests in a region according to an embodiment of the present invention;

[0047] Figure 3 It is a flow chart of a secondary query mode in a method for intelligent reminder and supervision of repeated medical examinations and tests in a region according to an embodiment of the present invention;

[0048] Figure 4 It is a flowchart of the overall solution in the method for intelligent reminder and supervision of repeated medical examinations and tests in a region according to an embodiment of the present invention;

[0049] Figure 5 It is a system block diagram of a regional medical duplicate examination and test intelligent reminder and supervision system according to an embodiment of the present invention.

[0050] In the figure:

[0051] 1. Doctor workstation; 2. Duplicate examination and test intelligent reminder engine; 3. Duplicate examination and test monitoring engine. DETAILED DESCRIPTION

[0052] According to one embodiment of the present invention, a method for intelligent reminder and supervision of repeated medical examinations and tests within a region is provided.

[0053] The present invention will now be further described with reference to the accompanying drawings and specific embodiments. Figure 1-Figure 4 As shown, according to the method for intelligent reminder and supervision of repeated medical examinations and tests in a region according to an embodiment of the present invention, the method comprises the following steps:

[0054] S1. Collect historical inspection and testing data of medical institutions within the preset coverage area and preset time period in the region through the health-specific network, and store them on the regional medical data cloud platform;

[0055] Among them, the preset coverage scope within the region can be some medical institutions in the region (such as secondary and above medical institutions in the region), or all medical institutions in the region, which will be determined based on the scope of mutual recognition institutions specified by the health management department of the region; the preset time period can also be adjusted according to the mutual recognition time limit specified by the health management department of the region.

[0056] S2. extracting corresponding inspection and test item information from each piece of the historical inspection and test data;

[0057] Wherein, the historical inspection and test data includes historical inspection data and historical test data, and the inspection and test item information includes inspection item information and test item information;

[0058] Among them, the historical examination data includes examination application forms, examination reports and image files (the examination application form, examination report, image files and other data corresponding to a single examination of the patient are regarded as a historical examination data); the historical inspection data includes inspection application forms and inspection reports (the inspection application form, inspection report and other data corresponding to a single inspection of the patient are regarded as a historical inspection data); the inspection item information includes the inspection site, inspection method, inspection item name, inspection item code, inspection item charging code and medical institution code, and the inspection item information includes the inspection item name, inspection item content, inspection item code, inspection item charging code and medical institution code.

[0059] S3, establishing mapping rules between the inspection and testing item information and regional medical inspection and testing mutual recognition items;

[0060] Because doctors have different habits and different hospitals have different management standards and information levels, the information content of the same examination and test items extracted is also different. Therefore, it is necessary to establish mapping rules to match the collected historical examination and test data with standardized regional medical examination and test mutual recognition items, so as to facilitate the subsequent matching of repeated examination and test items using unified standards.

[0061] Furthermore, when establishing mapping rules, some or all of the fields in the inspection and testing project information can be used as source data for mapping, and the specific fields to be used can be flexibly selected according to different methods to be used.

[0062] In addition, the regional medical examination and inspection mutual recognition projects refer to the medical examination and inspection projects that are clearly included in the mutual recognition scope by the health management agency. The mutual recognition project labels include the standard project name and unique code. Taking Chongqing as an example, the Chongqing Municipal Health Commission issued a document to clarify 41 radiological examination projects as the first batch of medical examination mutual recognition projects, and set unique codes for these 41 examination projects.

[0063] Among them, the method for establishing the mapping rules between the inspection and testing item information and the regional medical inspection and testing mutual recognition items includes at least one of manual, statistical or machine learning, and the specific usage method can be flexibly selected according to the actual data volume, available resources and other conditions of each region.

[0064] The following takes manually establishing mapping rules as an example to illustrate:

[0065] 1. Inspection and test item name splitting: If the inspection and test item name extracted from a historical inspection and test data actually contains multiple inspection and test items, split it into multiple inspection and test item names;

[0066] 2. De-noising of inspection and test item names: De-noise all the inspection and test item names after splitting to remove meaningless symbols;

[0067] The purpose of denoising is to make the names of inspection and testing items more aggregated.

[0068] 3. Sort the names of inspection and test items by frequency: Sort the names of the inspection and test items after splitting and denoising by their frequency of occurrence in all historical data from high to low;

[0069] By analyzing the aggregation degree of high and low frequency distribution of inspection and test item names, it is found that the occurrence frequency of the Top 500 inspection and test item names accounts for more than 90% of the total number of historical data, which means that solving the Top 500 inspection and test item names can solve the mapping problems of more than 90% of the inspection and test items.

[0070] 4. Establish a mapping table for inspection and testing items: Through manual analysis, establish a mapping relationship table between the names of top inspection and testing items and regional medical inspection and testing mutual recognition items.

[0071] The specific value of Top can be flexibly set according to the actual application scenario, and it is recommended to be at least Top 500. If it is found during analysis that some of the names of the Top examination and inspection items do not belong to the regional medical examination and inspection mutual recognition items, it means that there is no mapping relationship between these names and the regional medical examination and inspection mutual recognition items, and the mapping result is empty.

[0072] In addition to manually establishing mapping rules, the machine learning method can be FastText, TextCNN, TextRNN, Hierarchical Attention Network, etc.

[0073] The following uses FastText as an example:

[0074] 1. Convert the inspection and test item information extracted from historical inspection and test data into corresponding vocabulary text sequences;

[0075] 2. Pass the vocabulary text sequence through the input layer to obtain the corresponding word vector;

[0076] 3. The word vectors and standardized regional medical examination and inspection mutual recognition items are passed through the hidden layer and the output layer, and are fitted and trained in combination with the AUC, ROC, and LOSS curves to output the corresponding mapping rules.

[0077] S4, mapping the inspection and test item information extracted from each piece of the historical inspection and test data respectively according to the mapping rules, and outputting a mapping result, wherein the mapping result includes corresponding regional medical inspection and test mutual recognition items and space;

[0078] S5, associating each mapping result with the historical examination and inspection data of the corresponding regional medical examination and inspection mutual recognition project with the corresponding mutual recognition project label, and storing them in the examination and inspection history database with the mutual recognition project label;

[0079] Among them, the inspection and testing history database with mutual recognition project labels will be updated in real time. As long as the medical institutions within the preset coverage area of ​​the said area generate new inspection and testing mutual recognition project data, they will be stored in the inspection and testing history database with mutual recognition project labels through the above steps.

[0080] S6. Regularly analyze the historical inspection and test data in the inspection and test history database with empty mapping results and with the mutual recognition project label, and iteratively optimize the mapping rules;

[0081] There are many methods for periodically analyzing and iteratively optimizing mapping rules, which need to be flexibly selected according to the method used when establishing the mapping rules and the actual application scenario. Examples are as follows:

[0082] For example, the names of the inspection and test items corresponding to the historical inspection and test data with empty mapping results within the preset time period are sorted from high to low according to the frequency of occurrence, and the relationship between the high-frequency (high and low frequency thresholds can be set according to the actual scenario) inspection and test item names and the regional medical examinations and test mutual recognition items are manually analyzed, and the mapping rules established in step S3 are updated accordingly.

[0083] For example, random sampling is performed on the data in the inspection and testing history database with mutual recognition project labels, a preset number of samples are extracted for manual verification, the data with mapping errors is analyzed, and the mapping rules established in step S3 are further iterated and optimized.

[0084] S7. When a doctor issues an examination or test application form for a patient through the doctor's workstation, the repeated examination or test intelligent reminder engine automatically maps the new data and matches it with the historical examination or test data in the examination or test history database with mutual recognition project labels; if the match is successful, an intelligent reminder is issued;

[0085] Among them, the repeated examination and inspection intelligent reminder engine automatically maps the new data and matches it with the historical examination and inspection data in the examination and inspection history database with mutual recognition project labels. If the match is successful, the method of intelligent reminder is one query or two queries. Medical institutions can choose the query method that suits them according to their actual situation (server performance, business volume, etc.).

[0086] Among them, Figure 2 As shown, the one-time query method is used to realize the repeated inspection and test intelligent reminder engine to automatically map the new data and match it with the historical inspection and test data in the inspection and test history database with mutual recognition project labels. If the match is successful, an intelligent reminder is performed, including the following steps:

[0087] S71. When a doctor opens an examination and test application form for a patient through a doctor's workstation, after the doctor clicks Save, the doctor's workstation will send a query request to the repeated examination and test intelligent reminder engine with the patient's identity information and examination and test item information;

[0088] Among them, the patient identity information includes the patient's name, age, gender, ID number and medical insurance card number.

[0089] S72, after receiving the query request, the duplicate inspection and test intelligent reminder engine maps the received inspection and test item information according to the mapping rule and outputs the mapping result;

[0090] Specifically, which fields in the inspection and testing project information are used as source data, and what preliminary processing (such as disassembly, denoising, etc.) is required for the source data before mapping, all need to be set according to the mapping rules established in step S3 in the actual application scenario.

[0091] S73. When the mapping result is a corresponding regional medical examination or testing mutual recognition project, the repeated examination or testing intelligent reminder engine uses the standard project name, unique code and received patient identity information corresponding to the project to match the data within the mutual recognition period in the examination or testing history database with the mutual recognition project label, and returns the result to the doctor's workstation;

[0092] S74. If the match is successful, a pop-up window will appear on the doctor's workstation to remind the doctor that the doctor can view the patient's historical examination and test data and decide whether to cancel the application for duplicate examinations and test items based on the actual situation.

[0093] Among them, Figure 3As shown, the method of secondary query is used to realize repeated inspection and test intelligent reminder engine to automatically map new data and match it with the historical inspection and test data in the inspection and test history database with mutual recognition project labels. If the match is successful, intelligent reminder is performed, including the following steps:

[0094] S71′, when the doctor opens an examination and test application form for the patient through the doctor workstation and selects the patient to open the electronic medical record, the doctor workstation will send a first query request to the repeated examination and test intelligent reminder engine with the patient's identity information;

[0095] Among them, the patient identity information includes the patient's name, age, gender, ID number and medical insurance card number.

[0096] S72′, after receiving the first query request, the repeated examination and test intelligent reminder engine matches the received patient identity information with the data within the mutual recognition time limit in the examination and test history database with the mutual recognition item label, and returns the result to the doctor's workstation. At the same time, the repeated examination and test intelligent reminder engine caches the examination and test history data of the patient within the mutual recognition time limit matched in the database into the memory to speed up the second query;

[0097] S73′, the doctor workstation receives the first query result, and if the patient has not undergone the mutual recognition project within the mutual recognition period, the reminder of repeated examination and testing will not be triggered; if the patient has undergone the mutual recognition project within the mutual recognition period, the second query will be triggered;

[0098] S74′, when the doctor has checked the examination and test items and clicked Save, if the first query result is that the patient has done the mutual recognition items within the mutual recognition period, a second query is triggered, and the doctor's workstation sends a second query request to the repeated examination and test intelligent reminder engine with the patient's identity information and the examination and test item information;

[0099] S75′, after receiving the second query request, the repeated inspection and test intelligent reminder engine maps the received inspection and test item information according to the mapping rule and outputs the mapping result;

[0100] Specifically, which fields in the inspection and testing project information are used as source data, and what preliminary processing (such as disassembly, denoising, etc.) is required for the source data before mapping, all need to be set according to the mapping rules established in step S3 in the actual application scenario.

[0101] S76′, when the mapping result is the corresponding regional medical examination and testing mutual recognition project, the repeated examination and testing intelligent reminder engine uses the standard project name, unique code and received patient identity information corresponding to the project to match the patient mutual recognition time limit examination and testing history data in the cache, and returns the result to the doctor's workstation;

[0102] S77′, if the match is successful, the doctor's workstation will pop up a reminder window, and the doctor can view the patient's historical examination and test data, and decide whether to cancel the application for repeated examinations and test items based on the actual situation.

[0103] S8. The duplicate inspection and testing monitoring engine regularly monitors the inspection and testing history database with the mutual recognition project labels, and reports the monitoring results to the regional health management agency.

[0104] The repeated inspection and testing monitoring engine regularly monitors the inspection and testing history database with mutual recognition project labels and reports the monitoring results to the regional health management agency, including the following steps:

[0105] S81, the repeated examination and testing monitoring engine matches the patient identity information and mutual recognition project labels corresponding to each newly added data in the examination and testing history database with the mutual recognition project labels within the specified time interval with the patient identity information and mutual recognition project labels corresponding to all data within the mutual recognition time limit in the database;

[0106] S82. Report the successfully matched data to the regional health management agency for targeted supervision.

[0107] According to another embodiment of the present invention, Figure 5 As shown, a regional medical duplicate examination and test intelligent reminder and supervision system is also provided, which includes the following components:

[0108] Doctor workstation 1, an information system used in medical institutions to help clinicians complete the writing and maintenance of daily prescriptions and medical records;

[0109] Duplicate inspection and testing intelligent reminder engine 2 is used to automatically map new data and match it with historical inspection and testing data in the inspection and testing history database with mutual recognition project tags. If the match is successful, intelligent reminder will be given;

[0110] Duplicate inspection and testing monitoring engine 3, used to monitor the inspection and testing history database with mutual recognition project labels, identify duplicate inspection and testing data, and report the monitoring results to the regional health management agency;

[0111] Among them, the basic databases of the duplicate inspection and testing intelligent reminder engine 2 and the duplicate inspection and testing monitoring engine 3 are inspection and testing history databases with mutually recognized project labels.

[0112] Example:

[0113] The regional medical repeated examination and test intelligent reminder and supervision system has been implemented in Chongqing Municipal Health Commission and its 17 subordinate hospitals. Chongqing Municipal Health Commission has approved the first batch of 41 radiological examination projects as regional medical examination mutual recognition projects.

[0114] At present, 6.6 million inspection data from 17 hospitals have been collected, of which 2.12 million belong to the scope of 41 mutual recognition projects in Chongqing, and about 5,000 new mutual recognition project data are added every day. At the same time, the integration of the intelligent reminder system has been completed in the doctor workstations of 17 hospitals, with an average of 20 reminders for repeated inspections per day. In addition, the repeated inspection monitoring engine monitors the daily new data. Within one month after going online, an average of 6 repeated inspection problems were found every day. The accuracy rate of repeated inspections found by manual verification is as high as over 90%.

[0115] To sum up, with the help of the above-mentioned technical scheme of the present invention, through data collection, data governance, establishment of mapping rules, formation of inspection and test history database with mutual recognition project labels and other steps, combined with repeated inspection and test intelligent reminder engine and repeated inspection and test monitoring engine, it is realized that repeated inspections and tests are automatically identified during the process and doctors are reminded in time, and regular and targeted supervision services are provided to regional health management agencies afterwards, which effectively reduces the occurrence of repeated medical inspections and tests in the region, thereby further standardizing medical behavior, improving medical services, reducing patients' medical expenses, simplifying patients' medical links, and at the same time enabling medical resources to be used reasonably and effectively, bringing people's livelihood value to the general public.

[0116] The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims

1. An intelligent reminder and supervision method for repeated medical examinations and tests within a region, characterized in that: The method comprises the following steps: S1. Collect historical inspection and testing data of medical institutions within the preset coverage area and preset time period in the region through the health-specific network, and store them on the regional medical data cloud platform; S2. extracting corresponding inspection and test item information from each piece of the historical inspection and test data; S3, establishing mapping rules between the inspection and testing item information and regional medical inspection and testing mutual recognition items; S4, mapping the inspection and test item information extracted from each piece of the historical inspection and test data respectively according to the mapping rules, and outputting a mapping result, wherein the mapping result includes corresponding regional medical inspection and test mutual recognition items and space; S5, associating each mapping result with the historical examination and inspection data of the corresponding regional medical examination and inspection mutual recognition project with the corresponding mutual recognition project label, and storing them in the examination and inspection history database with the mutual recognition project label; S6. Regularly analyze the historical inspection and test data in the inspection and test history database with empty mapping results and with the mutual recognition project label, and iteratively optimize the mapping rules; S7. When a doctor issues an examination or test application form for a patient through the doctor's workstation, the repeated examination or test intelligent reminder engine automatically maps the new data and matches it with the historical examination or test data in the examination or test history database with mutual recognition project labels; if the match is successful, an intelligent reminder is issued; S8. The repeated inspection and testing monitoring engine regularly monitors the inspection and testing history database with the mutual recognition project labels, and reports the monitoring results to the regional health management agency; The duplicate inspection and test intelligent reminder engine automatically maps the new data and matches it with the historical inspection and test data in the inspection and test history database with the mutual recognition project label. If the match is successful, the method of performing the intelligent reminder is a single query or a secondary query; The one-time query method is used to realize the repeated inspection and test intelligent reminder engine to automatically map the new data and match it with the historical inspection and test data in the inspection and test history database with the mutual recognition project label. If the match is successful, an intelligent reminder is made, including the following steps: S71. When a doctor opens an examination and test application form for a patient through a doctor's workstation, after the doctor clicks Save, the doctor's workstation will send a query request to the repeated examination and test intelligent reminder engine with the patient's identity information and examination and test item information; S72, after receiving the query request, the duplicate inspection and test intelligent reminder engine maps the received inspection and test item information according to the mapping rule and outputs the mapping result; S73. When the mapping result is a corresponding regional medical examination or testing mutual recognition project, the repeated examination or testing intelligent reminder engine uses the standard project name, unique code and received patient identity information corresponding to the project to match the data within the mutual recognition period in the examination or testing history database with the mutual recognition project label, and returns the result to the doctor's workstation; S74. If the match is successful, a pop-up window will appear on the doctor's workstation to remind the doctor that the doctor can view the patient's historical examination and test data and decide whether to cancel the application for repeated examinations and tests based on the actual situation; The method of secondary query is adopted to realize repeated inspection and test intelligent reminder engine to automatically map new data and match it with the historical inspection and test data in the inspection and test history database with mutual recognition project labels. If the match is successful, intelligent reminder is performed, including the following steps: S71′, when the doctor opens an examination and test application form for the patient through the doctor workstation and selects the patient to open the electronic medical record, the doctor workstation will send a first query request to the repeated examination and test intelligent reminder engine with the patient's identity information; S72′, after receiving the first query request, the repeated examination and test intelligent reminder engine matches the received patient identity information with the data within the mutual recognition time limit in the examination and test history database with the mutual recognition item label, and returns the result to the doctor's workstation. At the same time, the repeated examination and test intelligent reminder engine caches the examination and test history data of the patient within the mutual recognition time limit matched in the database into the memory to speed up the second query; S73′, the doctor workstation receives the first query result, and if the patient has not undergone the mutual recognition project within the mutual recognition period, the reminder of repeated examination and testing will not be triggered; if the patient has undergone the mutual recognition project within the mutual recognition period, the second query will be triggered; S74′, when the doctor has checked the examination and test items and clicked Save, if the first query result is that the patient has done the mutual recognition items within the mutual recognition period, a second query is triggered, and the doctor's workstation sends a second query request to the repeated examination and test intelligent reminder engine with the patient's identity information and the examination and test item information; S75′, after receiving the second query request, the repeated inspection and test intelligent reminder engine maps the received inspection and test item information according to the mapping rule and outputs the mapping result; S76′, when the mapping result is the corresponding regional medical examination and testing mutual recognition project, the repeated examination and testing intelligent reminder engine uses the standard project name, unique code and received patient identity information corresponding to the project to match the patient mutual recognition time limit examination and testing history data in the cache, and returns the result to the doctor's workstation; S77′, if the match is successful, the doctor's workstation will pop up a reminder window, and the doctor can view the patient's historical examination and test data, and decide whether to cancel the application for repeated examinations and test items based on the actual situation.

2. The method for intelligent reminder and supervision of repeated medical examinations and tests in a region according to claim 1 is characterized in that: The historical inspection and testing data include historical inspection data and historical testing data; The historical inspection data includes inspection application forms, inspection reports and image files, and the historical test data includes inspection application forms and inspection reports.

3. The method for intelligent reminder and supervision of repeated medical examinations and tests in a region according to claim 2 is characterized in that: The inspection and test item information includes inspection item information and test item information; Among them, the examination item information includes the examination part, examination method, examination item name, examination item code, examination item charging code and medical institution code, and the inspection item information includes the inspection item name, inspection item content, inspection item code, inspection item charging code and medical institution code.

4. The method for intelligent reminder and supervision of repeated medical examinations and tests in a region according to claim 3 is characterized in that: The regional medical examination and testing mutual recognition items refer to the medical examination and testing items that are clearly included in the mutual recognition scope by the regional health management agencies. The mutual recognition item labels include the standard item name and unique code.

5. The method for intelligent reminder and supervision of repeated medical examinations and tests in a region according to claim 4 is characterized in that: The method for establishing mapping rules between the examination and testing item information and regional medical examination and testing mutual recognition items includes at least one of manual, statistical or machine learning.

6. The method for intelligent reminder and supervision of repeated medical examinations and tests in a region according to claim 5, characterized in that: The repeated inspection and testing monitoring engine regularly monitors the inspection and testing history database with the mutual recognition project label and reports the monitoring results to the regional health management agency, including the following steps: S81, the repeated examination and testing monitoring engine matches the patient identity information and mutual recognition item labels corresponding to each newly added data in the examination and testing history database with the mutual recognition item labels within the specified time interval with the patient identity information and mutual recognition item labels corresponding to all data within the mutual recognition time limit in the database; S82. Report the successfully matched data to the regional health management agency for targeted supervision.

7. An intelligent reminder and supervision system for repeated medical examinations and tests in a region, used for realizing the intelligent reminder and supervision method for repeated medical examinations and tests in a region as claimed in any one of claims 1 to 6, characterized in that: The system consists of the following components: Doctor workstation (1), an information system used in medical institutions to help clinicians complete daily prescriptions, medical record writing and maintenance; Duplicate inspection and test intelligent reminder engine (2), used to automatically map new data and match it with historical inspection and test data in the inspection and test history database with mutual recognition project tags, and if the match is successful, intelligent reminder is issued; Duplicate inspection and testing monitoring engine (3), which is used to monitor the inspection and testing history database with mutual recognition project labels, identify duplicate inspection and testing data, and report the monitoring results to the regional health management agency; The basic databases of the duplicate inspection and testing intelligent reminder engine (2) and the duplicate inspection and testing monitoring engine (3) are inspection and testing history databases with mutually recognized project labels.

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