Method and device for determining clinical pathway variation, and electronic equipment

Abstract

The application provides a clinical pathway variation determination method and device and electronic equipment, acquires a pre-constructed standardized term dictionary, a clinical pathway standardized medical order list corresponding to a target disease, and a target medical order dictionary for the target disease acquired from a pre-set hospital medical order dictionary; if the target medical order dictionary matches the standardized term dictionary, a matching result is determined; and a medical order category to which the target medical order dictionary belongs is determined according to the matching result. If the clinical pathway standardized medical order list contains the medical order category, it is determined that the target medical order dictionary does not belong to the clinical pathway variation. The method forms a matching relationship between the standardized term dictionary and the hospital medical order dictionary, and provides the medical order category confirmed after matching to the clinical pathway standardized medical order list. The method of confirming whether the clinical pathway variation exists according to the medical order category can solve the problem of excessive reminders of the same medical order.

Description

TECHNICAL FIELD

[0001] The present application relates to the technical field of information processing, and in particular to a clinical pathway variation determination method and device and electronic equipment. BACKGROUND

[0002] A clinical pathway is a programmed and standardized diagnosis and treatment plan with strict work sequence and standard time requirements. A plan inconsistent with a clinical pathway is referred to as a clinical pathway variation. The mainstream clinical pathway information system on the market prompts a doctor for a clinical pathway variation when the doctor issues a medical order inconsistent with a clinical pathway plan for a patient entering the clinical pathway, and requires the doctor to fill in the reason for the variation. Due to the specificity of diseases and the diversity of in-hospital medical order dictionaries, the clinical pathway information system is difficult to cover all similar medical orders or examination orders, resulting in the problem of excessive prompting of the doctor for a clinical pathway variation even if the doctor issues a similar medical order in the clinical pathway. SUMMARY

[0003] The present application aims to provide a clinical pathway variation determination method and device and electronic equipment to reduce excessive prompting of a clinical pathway variation.

[0004] The present application provides a clinical pathway variation determination method, which comprises: obtaining a pre-constructed standardized term dictionary, a clinical pathway standardized medical order list corresponding to a target disease, and a target medical order dictionary for the target disease obtained from a pre-set in-hospital medical order dictionary; wherein at least part of the medical order dictionaries in the standardized term dictionary and the in-hospital medical order dictionary have a matching relationship pre-established according to a pre-set matching rule; if the target medical order dictionary matches the standardized term dictionary, a matching result is determined; the medical order category to which the target medical order dictionary belongs is determined according to the matching result; and if the medical order category is contained in the clinical pathway standardized medical order list, it is determined that the target medical order dictionary does not belong to a clinical pathway variation.

[0005] Further, the method further comprises: if the medical order category is not contained in the clinical pathway standardized medical order list, it is determined that the target medical order dictionary belongs to a clinical pathway variation.

[0006] Further, the method further comprises: if the target medical order dictionary does not match the standardized term dictionary, it is determined that the target medical order dictionary is a newly added target medical order dictionary; the dictionary type to which the newly added target medical order dictionary belongs is obtained; and the medical order category to which the newly added target medical order dictionary belongs is determined based on the dictionary type and the standardized term dictionary.

[0007] Further, based on the dictionary type and the standardized term dictionary, the step of determining the order category to which the newly added target medical order dictionary belongs comprises: obtaining, according to the dictionary type, a target standardized term dictionary belonging to the dictionary type from the standardized term dictionary; canceling the matching relationship between the current target standardized term dictionary and the hospital medical order dictionary; re-establishing the matching relationship between the target standardized term dictionary and the hospital medical order dictionary according to the matching rule; and determining the order category to which the newly added target medical order dictionary belongs according to the matching relationship.

[0008] Further, the method further comprises: if the matching relationship between the target standardized term dictionary and the newly added target medical order dictionary in the hospital medical order dictionary cannot be established according to the matching rule, determining that the newly added target medical order dictionary belongs to a clinical pathway variation.

[0009] Further, the matching rule comprises at least one of the following: a search field, a dictionary type, a keyword, a matching requirement of the keyword, and a relationship between a plurality of keywords.

[0010] The application provides a device for determining a clinical pathway variation, which comprises: an acquisition module, configured to acquire a pre-constructed standardized term dictionary, a clinical pathway standardized medical order list corresponding to a target disease, and a target medical order dictionary for the target disease acquired from a pre-set hospital medical order dictionary; wherein the standardized term dictionary and at least part of the medical order dictionaries in the hospital medical order dictionary have a pre-established matching relationship according to a pre-set matching rule; a first determination module, configured to determine a matching result if the target medical order dictionary matches the standardized term dictionary; and determine an order category to which the target medical order dictionary belongs according to the matching result; and a second determination module, configured to determine that the target medical order dictionary does not belong to a clinical pathway variation if the clinical pathway standardized medical order list contains the order category.

[0011] Further, the device is further configured to: determine that the target medical order dictionary belongs to a clinical pathway variation if the clinical pathway standardized medical order list does not contain the order category.

[0012] The application provides an electronic device, which comprises a processor and a memory, wherein the memory stores computer executable instructions capable of being executed by the processor, and the processor executes the computer executable instructions to implement any of the above methods.

[0013] The application provides a computer readable storage medium, which stores computer executable instructions, and the computer executable instructions, when called and executed by a processor, cause the processor to implement any of the above methods.

[0014] The application provides a clinical pathway variation determination method, device and electronic equipment. A standardized term dictionary, a clinical pathway standardized medical order list corresponding to a target disease, and a target medical order dictionary for the target disease obtained from a preset hospital medical order dictionary are acquired. If the target medical order dictionary matches the standardized term dictionary, a matching result is determined. The medical order category to which the target medical order dictionary belongs is determined according to the matching result. If the medical order category is included in the clinical pathway standardized medical order list, it is determined that the target medical order dictionary does not belong to the clinical pathway variation. The standardized term dictionary and the hospital medical order dictionary form a matching relationship, and the medical order category confirmed after matching is provided to the clinical pathway standardized medical order list. The method can solve the problem of excessive reminders of similar medical orders. BRIEF DESCRIPTION OF DRAWINGS

[0015] In order to more clearly illustrate the technical solutions in the specific embodiments of the present application or the prior art, the drawings needed in the specific embodiments or prior art description will be briefly introduced. Obviously, the drawings in the following description are some embodiments of the present application, and other drawings can be obtained by those skilled in the art without creative labor.

[0016] Figure 1 A flowchart of a clinical pathway variation determination method provided by an embodiment of the present application is provided.

[0017] Figure 2 A flowchart of another clinical pathway variation determination method provided by an embodiment of the present application is provided.

[0018] Figure 3 A structural schematic diagram of a clinical pathway variation determination device provided by an embodiment of the present application is provided.

[0019] Figure 4 A structural schematic diagram of an electronic device provided by an embodiment of the present application is provided. DETAILED DESCRIPTION

[0020] The technical solutions of the present application will be described in detail below with reference to the embodiments. Obviously, the described embodiments are only part of the embodiments of the present application, not all. Based on the embodiments in the present application, all other embodiments obtained by those skilled in the art without creative labor are within the scope of protection of the present application.

[0021] Clinical pathway is a programmed and standardized diagnosis and treatment plan with strict work order and standard time requirement, so as to standardize medical service behavior, reduce resource waste, and enable patients to obtain appropriate medical care service. If it is inconsistent with the clinical pathway plan, it is called clinical pathway variation. The management of clinical pathway generally requires that when the variation occurs, the doctor needs to fill in the reason for the variation. The mainstream clinical pathway information system on the market generally has the following characteristics: the clinical pathway plan is recorded into the clinical pathway system by maintenance personnel, and when the doctor selects the medical order in the clinical pathway plan, no clinical pathway variation occurs. When the doctor issues a medical order inconsistent with the clinical pathway plan, the doctor is prompted for clinical pathway variation, and the doctor is required to fill in the reason for the variation.

[0022] Due to the specificity of diseases and the diversity of in-hospital medical order dictionaries, the clinical pathway information system is difficult to cover all the same kind of medical orders or examination medical orders, which leads to a problem that sometimes the doctor will be prompted for variation even if he issues the same kind of medical order in the clinical pathway. The excessive prompting of clinical pathway variation has an impact on the doctor's implementation of the clinical pathway. For example, due to the reason of allergy, the patient needs to replace the same kind of drug, but when the replaced drug is not in the clinical pathway information system, the variation prompt will be caused.

[0023] In addition, the hospital will introduce new drugs and examination items from time to time, which means that the in-hospital medical order dictionary needs to be updated, but the clinical pathway information system is difficult to update in time, which also causes incorrect variation prompt. The excessive prompting of clinical pathway variation causes trouble for the hospital to implement the clinical pathway. Based on this, the embodiment of the present application provides a method and device for determining clinical pathway variation and electronic equipment. The technology can be applied to the scene where it is necessary to determine whether the medical order is a clinical pathway variation. For easy understanding, first, a method for determining clinical pathway variation provided by the embodiment of the present application is shown in Figure 1 The method comprises the following steps:

[0024] In step S102, a pre-constructed standardized term dictionary, a clinical pathway standardized medical order list corresponding to the target disease, and a target medical order dictionary for the target disease obtained from a pre-set in-hospital medical order dictionary are obtained. The standardized term dictionary and at least part of the medical order dictionaries in the in-hospital medical order dictionary have a matching relationship pre-established according to a pre-set matching rule.

[0025] The key information of the above-mentioned standardized term dictionary is usually maintained, such as drug, inspection item or test item, and can indicate the corresponding category, such as the drug key word is Wan Junya, and the category is antibacterial drug, etc. The standardized medical order list of the clinical pathway is usually maintained by category. The above-mentioned target disease can be the type of disease determined by the doctor for the patient, such as chronic obstructive pulmonary disease, etc. The above-mentioned target medical order dictionary can be the medical order dictionary selected by the doctor from the existing hospital medical order dictionary for the target disease, such as a specific drug name, inspection item, etc. In actual implementation, the matching relationship between the standardized term dictionary and the hospital medical order dictionary can be established in advance. The hospital medical order dictionary that is established to match the relationship is usually all the hospital medical order dictionary, or it can be a part of the hospital medical order dictionary, etc. For example, a part of the medical order dictionary is added, and the matching relationship between the added part of the medical order dictionary and the standardized term dictionary has not been maintained. The established matching relationship is usually a one-to-many relationship, that is, one item in the standardized term dictionary usually corresponds to multiple items in the hospital medical order dictionary. For example, a certain term dictionary in the standardized term dictionary is an immunosuppressant, which may include multiple drug key words. Each drug key word can correspond to multiple dictionary data in the hospital medical order dictionary that contains the drug key word.

[0026] In step S104, if the target medical order dictionary matches the standardized term dictionary, the matching result is determined. The medical order category to which the target medical order dictionary belongs is determined according to the matching result.

[0027] The number of target medical order dictionaries can be one or more, such as the doctor selecting an antiviral drug and an antibacterial drug from the existing hospital medical order dictionary for a certain disease, etc. Considering that the doctor usually does not prescribe two similar medical orders for one disease, each target medical order dictionary usually only contains one medical order, such as selecting only one drug for an antiviral drug, and selecting only one drug for an antibacterial drug, etc.

[0028] The above-mentioned medical order category is usually associated with the function or effect that can be achieved by the drug or inspection item, etc. For example, the target medical order dictionary is methotrexate tablets, which matches the key word methotrexate in the standardized term dictionary. The methotrexate can correspond to the above-mentioned matching result. In the standardized term dictionary, the category to which the methotrexate belongs is immunosuppressant, and the immunosuppressant can be determined as the medical order category to which the methotrexate tablets belong. For example, the target medical order dictionary is cefaclor capsule, which matches the key word cefaclor in the standardized term dictionary. The cefaclor can correspond to the above-mentioned matching result. In the standardized term dictionary, the category to which the cefaclor belongs is antibacterial drug, and the antibacterial drug can be determined as the medical order category to which the cefaclor capsule belongs.

[0029] Step S106, if the clinical pathway standardized order list contains the order category, it is determined that the target order dictionary does not belong to the clinical pathway variation.

[0030] Generally, the matching relationship between the clinical pathway standardized order list and the standardized term dictionary is established in advance. Since the category information is also maintained in the clinical pathway standardized order list, the one-to-one matching relationship between the clinical pathway standardized order list and the standardized term dictionary can be established. For example, the immunosuppressant category is maintained in the clinical pathway standardized order list corresponding to the target disease, and the immunosuppressant category is also maintained in the standardized term dictionary. It can be confirmed that the clinical pathway standardized order list and the standardized term dictionary have a corresponding matching relationship. Therefore, after determining the order category to which the target order dictionary belongs, it can be judged whether the clinical pathway standardized order list contains the order category. If it contains, it can be considered that the order category is maintained in the clinical pathway standardized order list, and the target order dictionary is not identified as a clinical pathway variation at this time.

[0031] The above-mentioned method for determining the clinical pathway variation, obtaining a pre-constructed standardized term dictionary, a clinical pathway standardized order list corresponding to a target disease, and a target order dictionary for the target disease obtained from a pre-set hospital order dictionary; if the target order dictionary matches the standardized term dictionary, determining the matching result; determining the order category to which the target order dictionary belongs according to the matching result. If the clinical pathway standardized order list contains the order category, it is determined that the target order dictionary does not belong to the clinical pathway variation. This way forms a matching relationship between the standardized term dictionary and the hospital order dictionary, and provides the order category confirmed after matching to the clinical pathway standardized order list. This way of confirming whether there is a clinical pathway variation according to the order category can solve the problem of excessive reminders of the same order.

[0032] The embodiment of the present application provides another method for determining the clinical pathway variation, which is implemented on the basis of the above-mentioned embodiment method. The method comprises the following steps:

[0033] Step one, obtaining a pre-constructed standardized term dictionary, a clinical pathway standardized order list corresponding to a target disease, and a target order dictionary for the target disease obtained from a pre-set hospital order dictionary; wherein at least part of the order dictionaries in the standardized term dictionary and the hospital order dictionary have a pre-established matching relationship according to a pre-set matching rule.

[0034] First, the hospital standardization terminology dictionary is constructed. Specifically, the hospital standardization terminology dictionary can be constructed according to relevant terminology standard files and policy files of the country, including the national basic medical insurance drug directory, ICD-10 disease coding, etc., according to the categories of drugs, treatments, examinations, tests, etc. The maintenance personnel then stores the standardization terminology dictionary into the Greenplum database. According to different terminologies, the maintenance personnel will construct a corresponding matching rule configuration for the in-hospital order dictionary and store it into the Greenplum database. The matching rule mainly includes matching dictionary, search field, matching method, matching keyword, and exclusion keyword functions. After the construction of the standardization terminology dictionary and the matching rule, the in-hospital order dictionary data matched by the standardization terminology dictionary is found according to the matching rule. The maintenance personnel can selectively perform single or batch collation and association of the in-hospital order dictionary data with the standardization terminology dictionary. If the found in-hospital order dictionary data does not meet the collation requirements, the matching rule will be modified until the collation matching requirements are met. After collation, the maintenance personnel manually audits the collation information.

[0035] Step two, if the target order dictionary matches the standardization terminology dictionary, determine the matching result; and determine the order category to which the target order dictionary belongs according to the matching result.

[0036] When the doctor issues the target order dictionary, the corresponding clinical pathway standardization order list of the disease is compared according to the order category matched with the hospital standardization terminology dictionary, so as to determine whether the order belongs to the clinical pathway variation.

[0037] Step three, if the target order dictionary does not match the standardization terminology dictionary, determine that the target order dictionary is a newly added target order dictionary.

[0038] Step four, obtain the dictionary type to which the newly added target order dictionary belongs.

[0039] Step five, determine the order category to which the newly added target order dictionary belongs based on the dictionary type and the standardization terminology dictionary.

[0040] The above dictionary type is usually a large category to which the target medical order dictionary belongs, such as a drug, an examination, a test, etc. When the corresponding target medical order dictionary cannot be matched with the hospital standardized terminology dictionary, it is usually considered that the target medical order dictionary is a new hospital medical order dictionary. At this time, the dictionary type to which the newly added target medical order dictionary belongs is automatically determined, and all standardized terminology dictionaries under the dictionary type are re-contrasted with the hospital medical order dictionary according to the corresponding dictionary rules. If the newly added target medical order dictionary can be matched with the standardized terminology dictionary again, it is considered that the newly added target medical order dictionary has been included in the standardized terminology dictionary, otherwise it is considered that the terminology of the newly added target medical order dictionary is a clinical pathway variation. Finally, a complete set of terminology dictionaries can be provided for the clinical pathway system to use.

[0041] Step five can be implemented by the following steps A to D:

[0042] Step A, according to the dictionary type, obtaining the target standardized terminology dictionary belonging to the dictionary type from the standardized terminology dictionary.

[0043] For example, a new antibacterial drug-Wanjunya has been added, and it has not been maintained in the standardized terminology dictionary at present. At this time, the system triggers automatic matching, and the system will obtain the data type (corresponding to the above dictionary type) of the newly added target medical order dictionary, such as a drug, an examination or a test, etc. The system will match that the antibacterial drug-Wanjunya belongs to the drug type dictionary. At this time, the dictionaries such as skin disease drugs and immune system drugs under the drug type dictionary are the above target standardized terminology dictionaries.

[0044] Step B, cancel the matching relationship between the current target standardized terminology dictionary and the hospital medical order dictionary.

[0045] Step C, according to the matching rule, re-establish the matching relationship between the target standardized terminology dictionary and the hospital medical order dictionary.

[0046] After determining the above target standardized terminology dictionary, since the target standardized terminology dictionary usually has established a matching relationship with the hospital medical order dictionary, the relevant matching relationship is cancelled at this time, and the matching relationship is re-established according to the corresponding dictionary rules. The hospital medical order dictionary containing the newly added target medical order dictionary is associated, so as to maintain the newly added target medical order dictionary in the standardized terminology dictionary.

[0047] Step D, according to the matching relationship, determining the medical order category to which the newly added target medical order dictionary belongs.

[0048] After the above matching relationship is established, the matching relationship can be used to determine the medical order category to which the newly added target medical order dictionary belongs from the standardized term dictionary. For example, a hospital recently added an antibacterial drug, vancomycin hydrochloride for injection, which is not maintained in the clinical pathway system. For a patient with acute exacerbation of chronic obstructive pulmonary disease, the doctor needs to prescribe the above antibacterial drug for treatment. Through the technology of the present scheme, the medical order "vancomycin hydrochloride for injection" is first matched with the hospital standardized term dictionary, and since there is no matching item, it is determined to be a newly added medical order. Then, according to the keyword matching technology, it is automatically matched with the standardized term dictionary, and matched as an antibacterial drug. Then, it is matched with the chronic obstructive pulmonary disease clinical pathway standardized medical order list. Since the chronic obstructive pulmonary disease clinical pathway standardized medical order list contains antibacterial drugs, quinolone drugs are not identified as clinical pathway variations, which meets the actual application situation in the clinic.

[0049] Step E, if the matching rule cannot establish the matching relationship between the target standardized term dictionary and the newly added target medical order dictionary in the hospital medical order dictionary, it is determined that the newly added target medical order dictionary belongs to the clinical pathway variation.

[0050] In actual implementation, the matching rule includes at least one of the following: search field, dictionary type, keyword, matching requirement of the keyword, and relationship between multiple keywords. If the matching rule cannot establish the matching relationship between the target standardized term dictionary and the target medical order dictionary, it can be considered that the medical order category to which the target medical order dictionary belongs is not maintained in the standardized term dictionary. At this time, the target medical order dictionary can be identified as a clinical pathway variation.

[0051] Step six, if the clinical pathway standardized medical order list contains the medical order category, it is determined that the target medical order dictionary does not belong to the clinical pathway variation.

[0052] For example, for a patient with acute exacerbation of chronic obstructive pulmonary disease, the doctor needs to prescribe an antibacterial drug for treatment, but the penicillin drug maintained in the clinical pathway system has poor treatment effect on the patient, so the antibacterial drug needs to be replaced and quinolone antibacterial drugs are used for treatment. However, quinolone antibacterial drugs are less used in patients with acute exacerbation of chronic obstructive pulmonary disease, and are not maintained in the chronic obstructive pulmonary disease clinical pathway system. Prescribing such drugs will produce a variation prompt. However, through the technology of the present scheme, when the doctor prescribes quinolone antibacterial drugs, it will be first matched with the hospital standard term dictionary, and the matching result is an antibacterial drug. Then, it is matched with the chronic obstructive pulmonary disease clinical pathway standardized medical order list. Since the chronic obstructive pulmonary disease clinical pathway standardized medical order list contains antibacterial drugs, quinolone drugs are not identified as clinical pathway variations, which meets the actual application situation in the clinic.

[0053] Step 7: If the standardized medical order list of the clinical pathway does not contain a medical order category, determine that the target medical order dictionary belongs to the clinical pathway variation.

[0054] To further understand the above embodiments, the following provides... Figure 2 The flowchart illustrates another method for determining clinical pathway variations. It involves constructing standardized terminology dictionary data, establishing control configuration data (specifically, control matching rules), and importing in-hospital medical order dictionary data. Based on the control configuration data, maintenance personnel can choose individual dictionaries or batch controls. The purpose of the controls is to allow the clinical pathway information system to indirectly match the standardized terminology dictionary with the in-hospital medical order dictionary later. After the controls are completed and approved, the clinical pathway medical orders are matched with the hospital's standardized terminology dictionary to establish standardized medical order lists for different diseases. This can be understood as establishing a correlation between clinical pathway medical orders and the hospital's standardized terminology dictionary. Doctors' orders are matched with the hospital's standardized terminology dictionary. If a match is successful, the matched order category is compared with the corresponding disease's standardized clinical pathway medical order list. If a correlation exists, it can be determined that it is not a clinical pathway variation; if no correlation exists, it can be determined that it is a clinical pathway variation. If a doctor's prescription fails to match the hospital's standardized terminology dictionary, it can be determined that the prescription is from a newly added in-hospital prescription dictionary. The dictionary type to which the prescription belongs is obtained, and then, based on the keyword matching rules, it is automatically compared with all standardized terminology dictionaries under that dictionary type. The prescription is then rematched with the in-hospital prescription dictionary, and the subsequent process continues.

[0055] The aforementioned method for determining clinical pathway variations, based on the Greenplum database, constructs a standardized hospital terminology dictionary. Using keyword matching technology as its core, it can reduce excessive alerts for clinical pathway variations. Firstly, it establishes a standardized terminology dictionary system, establishing a correlation with the hospital's internal medical order dictionary. Furthermore, it manages medications by drug category (rather than generic name), and the variation management of the clinical pathway information system is based on this standardized terminology dictionary, resolving the problem of excessive alerts for similar medical orders. Secondly, for new medications and examination items, based on keyword matching technology, when a new item appears in the hospital's medical order dictionary, it is automatically matched with the standardized terminology dictionary. Appropriate matches are automatically included in the correlation system, thereby reducing excessive alerts for variations caused by updates to the hospital's medical order dictionary.

[0056] By using standardized terminology dictionaries and keyword matching technology, clinical systems can more accurately identify clinical pathway variations and reduce excessive alerts for these variations. Furthermore, automated in-hospital dictionary matching reduces the maintenance requirements of the clinical pathway system.

[0057] By linking and comparing the well-maintained standardized terminology dictionary with the hospital's medical order dictionary, and providing the compared dictionary data to clinical pathway services, the problem of excessive reminders for similar medical orders can be solved, and the problem of excessive reminders due to variations caused by updates to the hospital's medical order dictionary can be effectively reduced.

[0058] This invention provides a device for determining clinical pathway variations, such as... Figure 3 As shown, the device includes: an acquisition module 30, used to acquire a pre-constructed standardized terminology dictionary, a standardized medical order list for the clinical pathway corresponding to the target disease, and a target medical order dictionary for the target disease obtained from a pre-set in-hospital medical order dictionary; wherein, the standardized terminology dictionary and at least a portion of the medical order dictionaries in the in-hospital medical order dictionary have a pre-established matching relationship according to a pre-set matching rule; a first determination module 31, used to determine the matching result if the target medical order dictionary matches the standardized terminology dictionary; and determine the medical order category to which the target medical order dictionary belongs based on the matching result; and a second determination module 32, used to determine that the target medical order dictionary does not belong to a clinical pathway variation if the standardized medical order list for the clinical pathway contains a medical order category.

[0059] The aforementioned device for determining clinical pathway variations acquires a pre-constructed standardized terminology dictionary, a standardized list of medical orders corresponding to the target disease, and a target medical order dictionary for the target disease obtained from a pre-set in-hospital medical order dictionary. If the target medical order dictionary matches the standardized terminology dictionary, the matching result is determined; based on the matching result, the medical order category to which the target medical order dictionary belongs is determined. If the standardized medical order list of the clinical pathway contains a medical order category, the target medical order dictionary is determined not to be a clinical pathway variation. This device establishes a matching relationship between the standardized terminology dictionary and the in-hospital medical order dictionary, and provides the confirmed medical order category after matching to the standardized medical order list of the clinical pathway. This method of confirming the existence of clinical pathway variations by medical order category can solve the problem of excessive reminders for similar medical orders.

[0060] Furthermore, the device is also used to: determine if the clinical pathway standardized medical order list does not contain a medical order category, that the target medical order dictionary belongs to a clinical pathway variation.

[0061] Furthermore, the device is also used to: if the target medical order dictionary does not match the standardized terminology dictionary, determine that the target medical order dictionary is a newly added target medical order dictionary; obtain the dictionary type to which the newly added target medical order dictionary belongs; and determine the medical order category to which the newly added target medical order dictionary belongs based on the dictionary type and the standardized terminology dictionary.

[0062] Further, the apparatus is further configured to: acquire, according to the dictionary type, a target standardized term dictionary belonging to the dictionary type from the standardized term dictionary; cancel the matching relationship between the current target standardized term dictionary and the inpatient order dictionary; re-establish the matching relationship between the target standardized term dictionary and the inpatient order dictionary according to the matching rule; and determine the order category to which the newly added target order dictionary belongs according to the matching relationship.

[0063] Further, the apparatus is further configured to: if the matching relationship between the target standardized term dictionary and the newly added target order dictionary in the inpatient order dictionary cannot be established according to the matching rule, determine that the newly added target order dictionary belongs to the clinical pathway variation.

[0064] Further, the matching rule comprises at least one of the following: a search field, a dictionary type, a keyword, a matching requirement of the keyword, and a relationship between a plurality of keywords.

[0065] The implementation principle and the technical effects of the clinical pathway variation determination apparatus provided in the embodiments of the present application are the same as those of the clinical pathway variation determination method described above. For brevity, the part of the clinical pathway variation determination apparatus embodiments not mentioned in the foregoing description can be referred to the corresponding content in the foregoing clinical pathway variation determination method embodiments.

[0066] The embodiments of the present disclosure further provide an electronic device, referring to Figure 4 The electronic device includes a processor 130 and a memory 131, and the memory 131 stores machine executable instructions executable by the processor 130, and the processor 130 executes the machine executable instructions to implement the clinical pathway variation determination method described above.

[0067] Further, Figure 4 The electronic device shown in the figure further includes a bus 132 and a communication interface 133, and the processor 130, the communication interface 133 and the memory 131 are connected through the bus 132.

[0068] The memory 131 can include a high-speed random access memory (RAM, Random Access Memory) and can also include a non-volatile memory such as at least one disk memory. The communication connection between the system network element and at least one other network element is realized through at least one communication interface 133 (which can be wired or wireless), and the Internet, a wide area network, a local area network, a metropolitan area network, etc. can be used. The bus 132 can be an ISA bus, a PCI bus, or an EISA bus, etc. The bus can be divided into an address bus, a data bus, a control bus, etc. For the sake of brevity, Figure 4 Only one bidirectional arrow is used in the figure, but it does not mean that there is only one bus or one type of bus.

[0069] The processor 130 can be an integrated circuit chip having a processing capability of signals. In implementation, each step of the above method can be completed by integrated logic circuits of hardware or instructions in the form of software in the processor 130. The processor 130 described above can be a general processor, including a central processing unit (CPU), a network processor (NP), etc.; can also be a digital signal processor (DSP), an application specific integrated circuit (ASIC), a field-programmable gate array (FPGA) or other programmable logic device, a discrete gate or transistor logic device, a discrete hardware component. Each method, step and logic block disclosed in the embodiments of the present disclosure can be implemented or executed. The general processor can be a microprocessor or the processor can also be any conventional processor. The steps of the method disclosed in combination with the embodiments of the present disclosure can be directly embodied as a hardware code processor for execution, or a combination of hardware and software modules in the code processor for execution. The software module can be located in a random access memory, a flash memory, a read-only memory, a programmable read-only memory or an electrically erasable programmable memory, a register or other mature storage medium in the art. The storage medium is located in the memory 131, and the processor 130 reads the information in the memory 131 and combines the hardware to complete the steps of the method of the above embodiments.

[0070] The embodiments of the present disclosure further provide a machine readable storage medium, which stores machine executable instructions. When the machine executable instructions are called and executed by a processor, the machine executable instructions cause the processor to implement the above method for determining clinical pathway variation. For details, refer to the method embodiments, which will not be described here.

[0071] The computer program product of the clinical pathway variation determination method, device and electronic equipment provided by the embodiments of the present disclosure includes a computer readable storage medium storing program codes. The instructions included in the program codes can be used to execute the methods described in the foregoing method embodiments. For details, refer to the method embodiments, which will not be described here.

[0072] If the functions are realized in the form of software function units and sold or used as independent products, they can be stored in a computer readable storage medium. Based on this understanding, the technical solutions of the present disclosure, essentially or in part, or parts of the technical solutions can be embodied in the form of a software product. The computer software product is stored in a storage medium, and includes several instructions for causing a computer device (which can be a personal computer, a server, or a network device, etc.) to execute all or part of the steps of the methods described in the various embodiments of the present disclosure. The aforementioned storage medium includes: U disk, mobile hard disk, read-only memory (ROM, Read-Only Memory), random access memory (RAM, Random Access Memory), magnetic disk or optical disk, and various media that can store program codes.

[0073] Finally, it should be noted that: the above embodiments are only used to illustrate the technical solutions of the present application, and not to limit them; although the present application has been described in detail with reference to the foregoing embodiments, those skilled in the art should understand that: it can still modify the technical solutions recorded in the foregoing embodiments, or make equivalent replacement for part or all of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the scope of the technical solutions of the embodiments of the present application.

Claims

1. A method for determining clinical pathway variations, characterized in that, The method includes: The system acquires a pre-constructed standardized terminology dictionary, a standardized list of clinical pathway medical orders corresponding to the target disease, and a target medical order dictionary for the target disease obtained from a pre-set in-hospital medical order dictionary; wherein the standardized terminology dictionary and at least a portion of the in-hospital medical order dictionary have a pre-established matching relationship according to a pre-set matching rule. If the target medical order dictionary matches the standardized terminology dictionary, the matching result is determined; based on the matching result, the medical order category to which the target medical order dictionary belongs is determined; If the standardized medical order list of the clinical pathway contains the medical order category, then the target medical order dictionary is determined not to belong to the clinical pathway variation.

2. The method according to claim 1, characterized in that, The method further includes: If the standardized list of medical orders in the clinical pathway does not contain the medical order category, the target medical order dictionary is determined to belong to the clinical pathway variation.

3. The method according to claim 1, characterized in that, The method further includes: If the target medical order dictionary does not match the standardized terminology dictionary, the target medical order dictionary is determined to be a newly added target medical order dictionary; Obtain the dictionary type to which the newly added target medical order dictionary belongs; Based on the dictionary type and the standardized terminology dictionary, the category of medical orders to which the newly added target medical order dictionary belongs is determined.

4. The method according to claim 3, characterized in that, Based on the dictionary type and the standardized terminology dictionary, the steps for determining the medical order category to which the newly added target medical order dictionary belongs include: According to the dictionary type, obtain the target standardized terminology dictionary belonging to the dictionary type from the standardized terminology dictionary; Cancel the matching relationship between the current target standardized terminology dictionary and the hospital medical order dictionary; According to the matching rules, re-establish the matching relationship between the target standardized terminology dictionary and the hospital medical order dictionary; The newly added target medical order dictionary belongs to the category of medical orders based on the matching relationship.

5. The method according to claim 4, characterized in that, The method further includes: If, according to the matching rules, a matching relationship cannot be established between the target standardized terminology dictionary and the newly added target medical order dictionary in the hospital's medical order dictionary, it is determined that the newly added target medical order dictionary belongs to a clinical pathway variation.

6. The method according to any one of claims 3-5, characterized in that, The matching rules include at least one of the following: search field, dictionary type, keyword, keyword matching requirements, and the relationship between multiple keywords.

7. A device for determining clinical pathway variations, characterized in that, The device includes: The acquisition module is used to acquire a pre-built standardized terminology dictionary, a standardized list of clinical pathway medical orders corresponding to the target disease, and a target medical order dictionary for the target disease acquired from a pre-set in-hospital medical order dictionary; wherein, the standardized terminology dictionary and at least a portion of the medical order dictionaries in the in-hospital medical order dictionary have a pre-established matching relationship according to a pre-set matching rule; The first determining module is used to determine the matching result if the target medical order dictionary matches the standardized terminology dictionary; and to determine the medical order category to which the target medical order dictionary belongs based on the matching result. The second determining module determines that if the standardized medical order list of the clinical pathway contains the medical order category, the target medical order dictionary does not belong to the clinical pathway variation.

8. The apparatus according to claim 7, characterized in that, The device is also used for: If the standardized list of medical orders in the clinical pathway does not contain the medical order category, the target medical order dictionary is determined to belong to the clinical pathway variation.

9. An electronic device, characterized in that, The method includes a processor and a memory, the memory storing computer-executable instructions that can be executed by the processor, the processor executing the computer-executable instructions to implement the method of any one of claims 1 to 6.

10. A computer-readable storage medium, characterized in that, The computer-readable storage medium stores computer-executable instructions that, when invoked and executed by a processor, cause the processor to perform the method according to any one of claims 1 to 6.

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