Method and device for generating consultation medical record of special-grade antibacterial drug
Through the method and device for generating consultation medical records, the process of prescribing special-grade antibacterial drugs is optimized, the problems of complex and abuse of clinical processes are solved, more efficient and transparent drug management is achieved, and consultation medical records are automatically generated.
Patent Information
- Application Number
- CN202411671875.4
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-11-21
- Publication Date
- 2025-02-14
AI Technical Summary
Clinically, the prescription process of special grade antibacterial drugs is complex and lacks constraints, leading to abuse and drug resistance issues, and the existing approval process is duplicated and complex.
Provide a method and device for generating consultation medical records. By obtaining doctor registration requests, querying patient history consultation applications, updating medical order information and linking consultation medical records, optimizing the prescribed process of antibacterial drugs, and automatically sending medical orders to the nurse station when conditions are met. .
The prescription process of special-grade antibacterial drugs has been optimized, repeated operations have been reduced, the efficiency and transparency of the process have been improved, the rational use of antibacterial drugs has been ensured, and an effective consultation record has been automatically generated.
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Figure CN119446389A_ABST
Abstract
Description
Technical Field
[0001] The present application relates to the technical field of antibiotic management, and in particular, to a method and device for generating consultation medical records for special-grade antibiotics. Background Art
[0002] Antimicrobial drugs generally refer to drugs with bactericidal or bacteriostatic activity. The invention and application of antimicrobial drugs have brought convenience to the treatment of many serious bacterial infectious diseases and effectively reduced the mortality rate of various infectious diseases. The application of antimicrobial drugs needs to be reasonably selected according to different infectious diseases, but the abuse of antimicrobial drugs often occurs in clinical practice, which leads to the resistance of pathogenic bacteria to antimicrobial drugs and increases the difficulty of curing bacterial infectious diseases. Special antimicrobial drugs are antimicrobial drugs with obvious or serious adverse reactions and should not be used casually.
[0003] When prescribing special-use antibiotics for patients, residents need to create a consultation application, invite experts for consultation, and fill out consultation medical records. After the consultation reply agrees, the doctor issues a special-use antibiotic medication order for the patient. There is no binding relationship between the doctor's consultation application, writing of consultation medical records, and issuing special antibiotic orders. Objectively, special antibiotic orders can be sent without the consultation reply being approved, but this does not meet the requirements of the clinical application guidelines for antibiotics; and currently, although an approval process can be set up for issuing special antibiotic orders, since the experts who approve and consult in most hospitals are the same (batch of) doctors, the process is repetitive and the operation is slightly complicated. Summary of the invention
[0004] The purpose of the embodiments of the present application is to provide a method and device for generating consultation medical records for special-grade antibiotics, so as to optimize the prescription process of special-grade antibiotics.
[0005] In a first aspect, a method for generating consultation medical records of special-grade antimicrobial drugs is provided, and the method may include:
[0006] Obtain the current doctor's prescription request for the target special-grade antimicrobial drug; the prescription request includes the current doctor's title, patient information, and the drug level of the target special-grade antimicrobial drug;
[0007] Based on the obtained professional title and drug level, the configured correspondence between the professional title of the doctor and the use authority of the antimicrobial drug level is called, and after determining that the prescription request is valid, the medication application information of the patient information input by the current doctor is obtained;
[0008] Based on the medication application information of the patient information, query whether the patient information has a historical consultation application;
[0009] When it is found that the patient information contains a historical consultation application, the primary medical order information to be reviewed and the historical consultation information to be consulted established by the current doctor for the medication application information are obtained, and based on the current doctor's selection request for the historical consultation information, the primary medical order information is updated to the first type of target medical order information corresponding to the selection request, and the first type of target medical order information is associated with the historical consultation medical record corresponding to the historical consultation information to generate the current consultation medical record;
[0010] When it is found that there is no historical consultation application for the patient information, if the medication application information meets the critical use condition, the second type of target medical order information with a limited use time to be signed established by the current doctor for the medication application information is obtained;
[0011] Afterwards, the target medical order information generated above is sent to the nurse station.
[0012] In a possible implementation, the selection request includes a request to select an expert consultation record corresponding to a historical consultation application, and a request to select an ongoing expert consultation process;
[0013] Based on the selection request of the current doctor for the historical consultation application, the primary medical order information is updated to the first type of target medical order information corresponding to the selection request, and the first type of target medical order information is associated with the historical consultation medical record corresponding to the historical consultation application to generate the current consultation medical record, including:
[0014] If the selection request is a request to select an expert consultation record corresponding to the historical consultation information, the primary medical order information to be reviewed is directly updated to the first-category target medical order information to be signed corresponding to the selection request, and the first-category target medical order information to be signed is associated with the historical consultation medical record corresponding to the historical consultation information to generate the current consultation medical record;
[0015] If the selection request is a request to select an ongoing expert consultation process, the primary medical order information to be reviewed will be updated to the medical order information to be reviewed corresponding to the selection request, and the medical order information to be reviewed will be associated with the historical consultation medical record corresponding to the historical consultation information. After the historical consultation information obtains a reply result through expert consultation, the medical order information to be reviewed will be updated to the first category of target medical order information to be signed, and the current consultation medical record will be generated.
[0016] In one possible implementation, the method further includes:
[0017] If the medication application information does not meet the emergency use conditions, the medical order information to be reviewed and the consultation information to be consulted, which are established after the current doctor invites relevant departments and doctors to conduct a centralized consultation on the medication application information, are obtained, and an expert consultation application is created for the consultation information to be consulted. After the consultation information to be consulted obtains a reply result through expert consultation, the medical order information is updated to the third category target medical order information to be signed, and the current consultation medical record is generated.
[0018] In one possible implementation, the medication application information includes key indicator information of the use of the target special-grade antibiotics, including: the purpose of medication, basic information of the patient, infection details, risk factors, invasive procedures involved, results of pathogen examinations, and reasons for application.
[0019] In one possible implementation, the method further includes:
[0020] In the expert consultation, if any expert replies that the use is not allowed, the status of the corresponding target medical order will be updated to disapproved, so that the current doctor can modify the target medical order based on the disapproved status of the target medical order;
[0021] After all experts have replied that the modified target medical order information is allowed to be used after expert consultation, the modified target medical order information is updated to the target medical order information to be signed for.
[0022] In a possible implementation, based on the obtained professional title and drug level, the configured correspondence between the professional title of the doctor and the permission to use the antimicrobial drug level is called to determine that the prescription request is valid, including:
[0023] If, based on the correspondence between the configured doctor's professional title and the permission to use the antimicrobial drug level, it is determined that there is a correspondence between the obtained professional title and the drug level, then the issuance request is determined to be valid.
[0024] In one possible implementation, the method further includes:
[0025] If it is determined that there is no corresponding relationship between the acquired professional title and the drug level based on the configured correspondence between the professional title of the doctor and the permission to use the antimicrobial drug level, a prompt message indicating that the prescription request is invalid is displayed to the current doctor;
[0026] After displaying the prompt information, if the current doctor's request for prescribing the target special-level antimicrobial drug is obtained again, the target doctor's title contained in the correspondence between the configured doctor's title and the antimicrobial drug level usage authority is extracted;
[0027] Sending a request for opening the current doctor's authorization to prescribe the target special-grade antimicrobial drug to a doctor with the target doctor's professional title;
[0028] If a feedback result indicating that the target number of conditions permits the opening is received, it is determined that the opening request is valid.
[0029] In a second aspect, a device for generating consultation medical records of special-grade antimicrobial drugs is provided, and the device may include:
[0030] An acquisition unit, used to acquire the current doctor's prescription request for the target special-grade antimicrobial drug; the prescription request includes the current doctor's title, patient information and the drug level of the target special-grade antimicrobial drug;
[0031] A determination unit, configured to call the correspondence between the doctor's professional title and the antimicrobial drug level usage authority based on the acquired professional title and drug level, and after determining that the prescription request is valid, obtain the medication application information of the patient information input by the current doctor;
[0032] A query unit, configured to query whether there is a historical consultation application for the patient information based on the medication application information of the patient information;
[0033] The acquisition unit is further configured to acquire the primary medical order information to be reviewed and the historical consultation information to be consulted established by the current doctor for the medication application information when it is found that the patient information has a historical consultation application;
[0034] A generating unit, configured to update the primary medical order information to the first type of target medical order information corresponding to the selection request based on the current doctor's selection request for the historical consultation information, and then associate the first type of target medical order information with the historical consultation medical record corresponding to the historical consultation information to generate a current consultation medical record;
[0035] The acquisition unit is further configured to, when it is found that there is no historical consultation application for the patient information, if the medication application information meets the critical use condition, acquire the second type of target medical order information with a limited use time to be signed established by the current doctor for the medication application information;
[0036] The sending unit is used to send the target medical order information generated above to the nurse station.
[0037] In a third aspect, an electronic device is provided, the electronic device comprising a processor, a communication interface, a memory and a communication bus, wherein the processor, the communication interface and the memory communicate with each other via the communication bus;
[0038] Memory, used to store computer programs;
[0039] The processor is used to implement any method step described in the first aspect when executing the program stored in the memory.
[0040] In a fourth aspect, a computer-readable storage medium is provided, wherein a computer program is stored in the computer-readable storage medium, and when the computer program is executed by a processor, any method step described in the first aspect is implemented.
[0041] The method for generating consultation medical records for special-grade antibiotics provided in the present application comprises: obtaining the current doctor's request for prescribing the target special-grade antibiotic; the prescribing request includes the current doctor's professional title, patient information and the drug level of the target special-grade antibiotic; based on the obtained professional title and drug level, calling the correspondence between the configured doctor's professional title and the antibiotic level usage authority, and after determining that the prescribing request is valid, obtaining the medication application information of the patient information input by the current doctor; based on the medication application information of the patient information, querying whether there is a historical consultation application for the patient information; when it is queried that the patient information has a historical consultation application, obtaining the current doctor's response to the medication application The primary medical order information to be reviewed and the historical consultation information to be consulted are established based on the information, and based on the current doctor's selection request for the historical consultation information, the primary medical order information is updated to the first type of target medical order information corresponding to the selection request, and the first type of target medical order information is associated with the historical consultation medical record corresponding to the historical consultation information to generate the current consultation medical record; when it is found that there is no historical consultation application in the patient information, if the medication application information meets the emergency use conditions, the second type of target medical order information with a limited use time to be signed established by the current doctor for the medication application information is obtained; the above generated target medical order information is sent to the nurse station. This method optimizes the prescription process of special-grade antimicrobial drugs. BRIEF DESCRIPTION OF THE DRAWINGS
[0042] In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings required for use in the embodiments of the present application will be briefly introduced below. It should be understood that the following drawings only show certain embodiments of the present application and therefore should not be regarded as limiting the scope. For ordinary technicians in this field, other related drawings can be obtained based on these drawings without paying creative work.
[0043] Figure 1 A schematic diagram of a process for generating a consultation medical record of a special-grade antibacterial drug provided in an embodiment of the present application;
[0044] Figure 2 A schematic diagram of a process for generating consultation medical records of another special-grade antibacterial drug provided in an embodiment of the present application;
[0045] Figure 3 A schematic diagram of the structure of a consultation medical record generating device for a special-grade antibacterial drug provided in an embodiment of the present application;
[0046] Figure 4A schematic diagram of the structure of an electronic device provided in an embodiment of the present application. DETAILED DESCRIPTION
[0047] The following will be combined with the drawings in the embodiments of the present application to clearly and completely describe the technical solutions in the embodiments of the present application. Obviously, the described embodiments are only part of the embodiments of the present application, not all of the embodiments. Based on the embodiments of the present application, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present application. Unless otherwise defined, the technical terms or scientific terms used in this application should be the common meanings understood by people with ordinary skills in the field to which the present invention belongs. The "first", "second" and similar words used in this application do not indicate any order, quantity or importance, but are only used to distinguish different components. "Including" or "including" and other similar words mean that the elements or objects appearing before the word include the elements or objects listed after the word and their equivalents, without excluding other elements or objects. "Connected", "coupled" or "connected" and other similar words are not limited to physical or mechanical connections, but may include electrical connections, whether direct or indirect. "Up", "down", "left", "right" and the like are only used to indicate relative positional relationships. When the absolute position of the described object changes, the relative positional relationship may also change accordingly.
[0048] With the support of the current technical architecture, we have introduced a risk assessment model system. This model system can determine the risk level involved in the use of special-level antibiotics based on key factors such as the patient's medical records, previous drug use history, antibiotic level, doctor's authority, and medication duration.
[0049] Based on the risk assessment results, the system will provide different approval processes. Low risk: The medical order is automatically approved without expert consultation and sent directly to the nurse station. High risk: The medical order must be consulted by an expert, and the approval result is automatically bound to the medical order status. Unapproved medical orders cannot be issued to the nurse station.
[0050] In addition, to further enhance the scientificity and rationality of medical decision-making, we have added an intelligent consultation trigger mechanism to achieve instant generation and efficient interaction of medical record information. This mechanism will gather consultation opinions from multiple dimensions and deeply integrate them through advanced algorithms, thereby comprehensively extracting the collective wisdom of multiple authoritative experts and forming accurate and correct medication guidance suggestions. In addition, we will present the consultation report in a structured form to ensure that the information is clear, accurate and easy to understand.
[0051] Finally, to enhance the transparency and traceability of the medical process, we will also implement a query and tracking process to ensure that every step of the operation is traceable and traceable, laying a solid foundation for the continuous improvement of medical quality.
[0052] The consultation medical record generation method for special-grade antibiotics provided in the embodiment of the present application can be applied in the consultation medical record generation system architecture, which may include: a doctor station, an expert station, a nurse station and a server. Among them, the doctor station is used to establish medical order information to be approved; the expert station is used to conduct expert consultation on the medical order information to be approved, and output the consultation reply (allowed or not allowed) and the corresponding medical order information to be signed; the nurse station is used to sign for the medical order information to be signed, and execute the medical order information. The server is used to realize the data processing between the doctor station, the expert station and the nurse station, that is, to combine the doctor station, the expert station and the nurse station to execute the consultation medical record generation method for special-grade antibiotics provided in this application.
[0053] The preferred embodiments of the present application are described below in conjunction with the drawings in the specification. It should be understood that the preferred embodiments described herein are only used to illustrate and explain the present application, and are not used to limit the present application. In addition, the embodiments and features in the embodiments of the present application may be combined with each other if there is no conflict.
[0054] Figure 1 A flowchart of a method for generating consultation medical records for special-grade antibacterial drugs provided in an embodiment of the present application. Figure 1 As shown, the method may include:
[0055] Step S110: Obtain the current doctor's prescription request for the target special-grade antimicrobial drug.
[0056] A prescription request for a target special-grade antibiotic from a current doctor transmitted from a doctor station is received, where the prescription request may include the current doctor's professional title, patient information, and the drug grade of the target special-grade antibiotic.
[0057] Step S120: Based on the acquired professional title and drug level, the configured correspondence between the professional title of the doctor and the usage authority of the antimicrobial drug level is called, and after determining that the prescription request is valid, the medication application information of the patient information currently input by the doctor is obtained.
[0058] Specifically, if, based on the correspondence between the configured doctor's professional title and the permission to use the antimicrobial drug level, it is determined that there is a correspondence between the acquired professional title and the drug level, then the issuance request is determined to be valid;
[0059] If it is determined that there is no corresponding relationship between the acquired professional title and the drug level based on the configured correspondence between the doctor's professional title and the antimicrobial drug level usage authority, a prompt message indicating that the prescription request is invalid is displayed to the current doctor through the doctor station;
[0060] After the prompt information is displayed, if the current doctor's request for the target special-level antimicrobial drug is obtained again, the target doctor's title contained in the correspondence between the configured doctor's title and the antimicrobial drug level usage authority is extracted;
[0061] Sending a request for opening the current doctor's authorization to prescribe the target special-grade antimicrobial drug to the doctor with the target doctor's title through the doctor's station;
[0062] If a feedback result indicating that the target number of conditions is allowed to be opened is received, the opening request is determined to be valid. The target number of conditions is greater than 85% of the total number of extracted target doctor titles.
[0063] Among them, the medication application information contains detailed information on the key indicators of the use of antimicrobial drugs, such as the purpose of medication, basic information of the patient, infection details, risk factors, possible invasive operations and pathogenic examination results, reasons for application, etc. Among them, the test indicators and pathogenic examination results can be automatically obtained from the patient examination records of this hospital to improve efficiency and accuracy. The test indicators and pathogenic examination results can be automatically obtained from the patient examination / test records of this hospital, eliminating the tedious steps of doctors manually entering data, greatly reducing the occurrence of human errors, and improving efficiency and accuracy.
[0064] Step S130: Based on the query results of the historical consultation application of the medication application information of the patient information, determine the expert consultation process, establish the target medical order information and generate the current consultation medical record.
[0065] (A) When it is found that there is a historical consultation application in the patient information, the primary medical order information under review established by the current doctor for the medication application information is obtained, and based on the current doctor's selection request for the historical consultation application, the primary medical order information is updated to the first-category target medical order information corresponding to the selection request, and the first-category target medical order information is associated with the historical consultation medical record corresponding to the historical consultation application to generate the current consultation medical record.
[0066] To check whether there is a historical consultation application for a patient, you must first obtain the valid special-grade antimicrobial drug consultation application records in the current patient's history. These records detail key content such as the department and doctor invited for consultation, as well as consultation review information, providing strong support for doctors to quickly grasp the patient's previous treatment. Only then can you match and associate valid historical consultation application records, effectively preventing repeated application reviews and further improving work efficiency.
[0067] Specifically, the selection request may include a request to select an expert consultation record corresponding to historical consultation information, and a request to select an ongoing expert consultation process;
[0068] If the selection request is a request to select the expert consultation record corresponding to the historical consultation information, the primary medical order information to be reviewed is directly updated to the first-category target medical order information to be signed corresponding to the selection request, and the first-category target medical order information to be signed is associated with the historical consultation medical record corresponding to the historical consultation information to generate the current consultation medical record; the current consultation medical record includes the first-category target medical order information, the historical consultation application and the historical consultation medical record;
[0069] If the selection request is a request for selecting an ongoing expert consultation process, the primary medical order information to be reviewed will be updated to the medical order information to be reviewed corresponding to the selection request, and the medical order information to be reviewed will be associated with the historical consultation medical record corresponding to the historical consultation information. After the historical consultation information is answered after expert consultation, the medical order information to be reviewed will be updated to the first category of target medical order information to be signed, and the current consultation medical record will be generated; the current consultation medical record includes the first category of target medical order information, historical consultation information, and historical consultation medical record. Among them, the reply result needs to be the content of the medical order information to be reviewed that all participating experts allow.
[0070] (B) When it is found that there is no historical consultation application for the patient information (i.e., the patient has not yet undergone a consultation, or there is no valid consultation record), if the medication application information meets the emergency use conditions, the second-category target medical order information with a limited use time established by the current doctor for the medication application information is obtained.
[0071] The time limit can be 24 hours.
[0072] Obtain the second-category target medical order information to be signed by the current doctor for the medication application information. Temporary use is allowed for 24 hours. No expert consultation is required. The medical order is sent directly to the nurse station.
[0073] (C) When it is found that there is no historical consultation application for the patient information (i.e., the patient has not yet undergone a consultation, or there is a lack of valid consultation records), if the medication application information does not meet the emergency use conditions, the pending medical order information and the pending consultation information established by the current doctor after inviting relevant departments and doctors to conduct a centralized consultation on the medication application information are obtained, and an expert consultation application is created for the pending consultation information. After the pending consultation information obtains a reply result through expert consultation, the pending medical order information is updated to the third-category target medical order information to be signed, and the current consultation medical record is generated; the current consultation medical record includes the third-category target medical order information, the reply result of the expert consultation and the expert consultation application.
[0074] It should be noted that, during the expert consultation, if any expert replies that the use is not allowed, the status of the corresponding target medical order will be updated to rejected approval, so that the current doctor can modify the target medical order based on the rejected approval status of the target medical order; after the modified target medical order information is confirmed by the expert consultation that all experts agree that the use is allowed, the modified target medical order information will be updated to target medical order information to be signed for.
[0075] Among them, the doctor's order information may include information such as drug name, usage, frequency, dosage, etc. The consultation information includes information such as medication details, consulting doctors, and consulting departments. There is a correlation between the doctor's order information and the consultation information. At the same time, the consultation information will be pushed to the consulting experts to invite them to participate in the consultation.
[0076] Step S140: Send the generated target medical order information to the nurse station.
[0077] In some embodiments, before the consultation information is consulted by the expert, it is necessary to obtain the consulting expert. The obtaining method includes:
[0078] Precise rule screening: the system can accurately screen and obtain the corresponding range of review experts based on the department and date of the order. This avoids the risk of medication due to mismatch of expert fields. For example, in the consultation form issued by the Department of Cardiology, the system can automatically screen out review experts with professional knowledge in the cardiovascular field, thereby ensuring the professionalism and authority of the consultation opinion.
[0079] Recommendation of idle experts: On this basis, the system also has the ability to further recommend idle experts. This innovative function makes full use of the temporal and spatial distribution characteristics of medical resources, and uses intelligent algorithms to predict and match idle experts with cases to be consulted, thus maximizing the use of medical resources.
[0080] Doctors can designate experts independently and have the right to designate review experts within the designated scope. This design fully considers the doctor's understanding and judgment of the patient's condition, the expert's expertise and previous cooperation experience, making the consultation process more in line with actual clinical needs.
[0081] In an example, Figure 2 The method for generating consultation records for special-grade antimicrobial drugs shown includes:
[0082] S20, obtaining the current doctor's prescription request for the target special-grade antimicrobial drug;
[0083] S21. Determine whether the issuance request is valid;
[0084] Based on the obtained professional title and drug level, the correspondence between the configured doctor's professional title and the antimicrobial drug level usage authority is called to determine whether the prescription request is valid;
[0085] If yes, execute step S22;
[0086] If not, then end; display a prompt message to the current doctor that the prescription request is invalid;
[0087] S22, obtaining medication application information;
[0088] S23. Based on the medication application information, check whether there is a historical consultation application;
[0089] If yes, execute step S24;
[0090] If not, execute step S28;
[0091] S24, obtaining the primary medical order information to be reviewed and the historical consultation information to be consulted established by the current doctor for the medication application information;
[0092] S25, determining whether the consultation is completed;
[0093] If yes, execute step S26;
[0094] If not, execute step S27;
[0095] S26, updating the primary medical order information to be reviewed to the first type of target medical order information to be signed corresponding to the selection request, and associating the first type of target medical order information to be signed with the historical consultation medical record corresponding to the historical consultation information to generate the current consultation medical record;
[0096] S27. Update the primary medical order information to be reviewed to the medical order information to be reviewed corresponding to the selection request, and associate the medical order information to be reviewed with the historical consultation medical record corresponding to the historical consultation information. After the historical consultation information obtains a reply result through expert consultation, update the medical order information to be reviewed to the first category of target medical order information to be signed, and generate the current consultation medical record.
[0097] S28. Whether the medication application information meets the emergency conditions;
[0098] If yes, execute step S29;
[0099] If not, execute step S30;
[0100] S29, obtaining the second type of target medical order information with a time limit to be signed established by the current doctor for the medication application information;
[0101] S30. Obtain the medical order information to be reviewed and the consultation information to be consulted that are established after the current doctor invites relevant departments and doctors to conduct a centralized consultation on the medication application information, and create an expert consultation application for the consultation information to be consulted. After the consultation information to be consulted obtains a reply result through expert consultation, update the medical order information to the third category target medical order information to be signed, and generate the current consultation medical record.
[0102] Afterwards, the generated target medical order information is sent to the nurse station.
[0103] The consultation medical record generation method for special-grade antibiotics provided in this application can be set up to automatically create a consultation medical record for the doctor after the doctor sends the special-grade antibiotic medication order. The cumbersome steps of the doctor issuing medical orders, applying for consultations, and writing medical records are combined into one. Combining the approval process of the medical order with the result of the consultation reply can not only ensure the rationality of the doctor's medication through the medical record consultation step, but also realize the automatic issuance of the medical order to the nurse station after the consultation is passed, which optimizes the prescribing process of special-grade antibiotics and can automatically generate effective consultation medical records.
[0104] Corresponding to the above method, the embodiment of the present application also provides a consultation medical record generation device for special-grade antibacterial drugs, such as Figure 3 As shown, the device comprises:
[0105] The acquisition unit 310 is used to acquire the current doctor's prescription request for the target special-grade antimicrobial drug; the prescription request includes the current doctor's title, patient information and the drug level of the target special-grade antimicrobial drug;
[0106] The determination unit 320 is used to call the configured correspondence between the doctor's title and the antimicrobial drug level usage authority based on the acquired title and drug level, and after determining that the prescription request is valid, obtain the medication application information of the patient information input by the current doctor;
[0107] A query unit 330, configured to query whether there is a historical consultation application for the patient information based on the medication application information of the patient information;
[0108] The acquisition unit 310 is further configured to acquire the primary medical order information to be reviewed and the historical consultation information to be consulted established by the current doctor for the medication application information when it is found that the patient information has a historical consultation application;
[0109] A generating unit 340 is used for updating the primary medical order information to the first type of target medical order information corresponding to the selection request based on the current doctor's selection request for the historical consultation information, and then associating the first type of target medical order information with the historical consultation medical record corresponding to the historical consultation information to generate a current consultation medical record;
[0110] The acquisition unit 310 is further configured to, when it is found that there is no historical consultation application for the patient information, if the medication application information meets the critical use condition, obtain the second type of target medical order information with a limited use time to be signed established by the current doctor for the medication application information;
[0111] The sending unit 350 is used to send the generated target medical order information to the nurse station.
[0112] The functions of each functional unit of the consultation medical record generation device for special-grade antibiotics provided in the above-mentioned embodiments of the present application can be achieved through the above-mentioned method steps. Therefore, the specific working process and beneficial effects of each unit in the consultation medical record generation device for special-grade antibiotics provided in the embodiments of the present application will not be repeated here.
[0113] The present application also provides an electronic device, such as Figure 4 As shown, it includes a processor 410 , a communication interface 420 , a memory 430 and a communication bus 440 , wherein the processor 410 , the communication interface 420 , and the memory 430 communicate with each other via the communication bus 440 .
[0114] Memory 430, for storing computer programs;
[0115] The processor 410 is used to execute the program stored in the memory 430 to implement the following steps:
[0116] Obtain the current doctor's prescription request for the target special-grade antimicrobial drug; the prescription request includes the current doctor's title, patient information, and the drug level of the target special-grade antimicrobial drug;
[0117] Based on the obtained professional title and drug level, the configured correspondence between the professional title of the doctor and the use authority of the antimicrobial drug level is called, and after determining that the prescription request is valid, the medication application information of the patient information input by the current doctor is obtained;
[0118] Based on the medication application information of the patient information, query whether the patient information has a historical consultation application;
[0119] When it is found that the patient information contains a historical consultation application, the primary medical order information to be reviewed and the historical consultation information to be consulted established by the current doctor for the medication application information are obtained, and based on the current doctor's selection request for the historical consultation information, the primary medical order information is updated to the first type of target medical order information corresponding to the selection request, and the first type of target medical order information is associated with the historical consultation medical record corresponding to the historical consultation information to generate the current consultation medical record;
[0120] When it is found that there is no historical consultation application for the patient information, if the medication application information meets the critical use condition, the second type of target medical order information with a limited use time to be signed established by the current doctor for the medication application information is obtained;
[0121] Afterwards, the target medical order information generated above is sent to the nurse station.
[0122] The communication bus mentioned above can be a Peripheral Component Interconnect (PCI) bus or an Extended Industry Standard Architecture (EISA) bus, etc. The communication bus can be divided into an address bus, a data bus, a control bus, etc. For ease of representation, only one thick line is used in the figure, but it does not mean that there is only one bus or one type of bus.
[0123] The communication interface is used for communication between the above electronic device and other devices.
[0124] The memory may include a random access memory (RAM) or a non-volatile memory (NVM), such as at least one disk memory. Optionally, the memory may also be at least one storage device located away from the aforementioned processor.
[0125] The above-mentioned processor can be a general-purpose processor, including a central processing unit (CPU), a network processor (NP), etc.; it can also be a digital signal processor (DSP), an application specific integrated circuit (ASIC), a field programmable gate array (FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components.
[0126] The implementation methods and beneficial effects of the components of the electronic device in the above embodiments to solve the problems can be seen in Figure 1 The various steps in the illustrated embodiment are implemented, therefore, the specific working process and beneficial effects of the electronic device provided by the embodiment of the present application are not repeated here.
[0127] In another embodiment provided in the present application, a computer-readable storage medium is also provided, in which instructions are stored. When the computer-readable storage medium is run on a computer, the computer executes the method for generating consultation medical records for special-grade antibiotics described in any of the above embodiments.
[0128] In another embodiment provided in the present application, a computer program product comprising instructions is also provided, which, when executed on a computer, enables the computer to execute the method for generating consultation medical records for special-grade antibiotics as described in any of the above embodiments.
[0129] Those skilled in the art will appreciate that the embodiments in the present application may be provided as methods, systems, or computer program products. Therefore, the present application may adopt a complete hardware embodiment, a complete software embodiment, or a form of an embodiment combining software and hardware. Moreover, the present application may adopt a form of a computer program product implemented on one or more computer-usable storage media (including but not limited to disk storage, CD-ROM, optical storage, etc.) containing computer-usable program code.
[0130] The embodiments of the present application are described with reference to the flowcharts and / or block diagrams of the methods, devices (systems), and computer program products according to the embodiments of the present application. It should be understood that each process and / or box in the flowchart and / or block diagram, as well as the combination of the processes and / or boxes in the flowchart and / or block diagram, can be implemented by computer program instructions. These computer program instructions can be provided to a processor of a general-purpose computer, a special-purpose computer, an embedded processor, or other programmable data processing device to generate a machine, so that the instructions executed by the processor of the computer or other programmable data processing device generate instructions for implementing the processes in the flowchart. Figure 1 A process or multiple processes and / or boxes Figure 1 A device that provides the functions specified in a block or multiple blocks.
[0131] These computer program instructions may also be stored in a computer-readable memory capable of directing a computer or other programmable data processing device to operate in a specific manner, so that the instructions stored in the computer-readable memory produce an article of manufacture comprising an instruction device, which implements the process Figure 1 A process or multiple processes and / or boxes Figure 1 A function specified in one or more boxes.
[0132] These computer program instructions can also be loaded onto a computer or other programmable data processing device so that a series of operating steps are executed on the computer or other programmable device to produce a computer-implemented process, thereby providing instructions for implementing the process. Figure 1A process or multiple processes and / or boxes Figure 1 The steps for the functions specified in one or more boxes.
[0133] Although the preferred embodiments of the present application have been described, those skilled in the art may make additional changes and modifications to these embodiments once they have learned the basic creative concept. Therefore, the appended claims are intended to be interpreted as including the preferred embodiments and all changes and modifications falling within the scope of the embodiments of the present application.
[0134] Obviously, those skilled in the art can make various changes and modifications to the embodiments in the present application without departing from the spirit and scope of the embodiments in the present application. Thus, if these modifications and variations of the embodiments in the present application fall within the scope of the claims and their equivalents in the embodiments of the present application, the embodiments of the present application are also intended to include these modifications and variations.
Claims
1. A method for generating consultation medical records for special-grade antimicrobial drugs, characterized in that: The method comprises: Obtain the current doctor's prescription request for the target special-grade antimicrobial drug; the prescription request includes the current doctor's title, patient information, and the drug level of the target special-grade antimicrobial drug; Based on the obtained professional title and drug level, the configured correspondence between the professional title of the doctor and the use authority of the antimicrobial drug level is called, and after determining that the prescription request is valid, the medication application information of the patient information input by the current doctor is obtained; Based on the medication application information of the patient information, query whether the patient information has a historical consultation application; When it is found that the patient information contains a historical consultation application, the primary medical order information to be reviewed and the historical consultation information to be consulted established by the current doctor for the medication application information are obtained, and based on the current doctor's selection request for the historical consultation information, the primary medical order information is updated to the first type of target medical order information corresponding to the corresponding selection request, and the first type of target medical order information is associated with the historical consultation medical record corresponding to the historical consultation information to generate the current consultation medical record; When it is found that there is no historical consultation application for the patient information, if the medication application information meets the critical use condition, the second type of target medical order information with a limited use time to be signed established by the current doctor for the medication application information is obtained; Afterwards, the target medical order information generated above is sent to the nurse station.
2. The method according to claim 1, characterized in that The selection request includes a request to select an expert consultation record corresponding to a historical consultation application, and a request to select an ongoing expert consultation process; Based on the selection request of the current doctor for the historical consultation application, the primary medical order information is updated to the first type of target medical order information corresponding to the corresponding selection request, and the first type of target medical order information is associated with the historical consultation medical record corresponding to the historical consultation application to generate the current consultation medical record, including: If the selection request is a request to select an expert consultation record corresponding to the historical consultation information, the primary medical order information to be reviewed is directly updated to the first-category target medical order information to be signed corresponding to the selection request, and the first-category target medical order information to be signed is associated with the historical consultation medical record corresponding to the historical consultation information to generate the current consultation medical record; If the selection request is a request for selecting an ongoing expert consultation process, the primary medical order information to be reviewed will be updated to the medical order information to be reviewed corresponding to the selection request, and the medical order information to be reviewed will be associated with the historical consultation medical record corresponding to the historical consultation information. After the historical consultation information obtains a reply result through expert consultation, the medical order information to be reviewed will be updated to the first category of target medical order information to be signed, and the current consultation medical record will be generated.
3. The method according to claim 1, characterized in that The method further comprises: If the medication application information does not meet the emergency use conditions, the medical order information to be reviewed and the consultation information to be consulted, which are established after the current doctor invites relevant departments and doctors to conduct a centralized consultation on the medication application information, are obtained, and an expert consultation application is created for the consultation information to be consulted. After the consultation information to be consulted obtains a reply result through expert consultation, the medical order information is updated to the third category target medical order information to be signed, and the current consultation medical record is generated.
4. The method according to any one of claims 1 to 3, characterized in that: The medication application information includes key indicator information on the use of target special-grade antibiotics, including: purpose of medication, basic information of the patient, infection details, risk factors, invasive procedures involved, results of etiological examinations and reasons for application.
5. The method according to claim 1, characterized in that The method further comprises: In the expert consultation, if any expert replies that the use is not allowed, the status of the corresponding target medical order will be updated to disapproved, so that the current doctor can modify the target medical order based on the disapproved status of the target medical order; After all experts have replied that the modified target medical order information is allowed to be used after expert consultation, the modified target medical order information is updated to the target medical order information to be signed for.
6. The method according to claim 1, characterized in that Based on the obtained professional title and drug level, the correspondence between the configured doctor's professional title and the antimicrobial drug level usage authority is called to determine that the prescription request is valid, including: If, based on the correspondence between the configured doctor's professional title and the permission to use the antimicrobial drug level, it is determined that there is a correspondence between the obtained professional title and the drug level, then the issuance request is determined to be valid.
7. The method according to claim 6, characterized in that The method further comprises: If it is determined that there is no corresponding relationship between the acquired professional title and the drug level based on the configured correspondence between the doctor's professional title and the antimicrobial drug level usage authority, a prompt message indicating that the prescription request is invalid is displayed to the current doctor; After displaying the prompt information, if the current doctor's request for prescribing the target special-level antimicrobial drug is obtained again, the target doctor's title contained in the correspondence between the configured doctor's title and the antimicrobial drug level usage authority is extracted; Sending a request for opening the current doctor's authorization to prescribe the target special-grade antimicrobial drug to a doctor with the target doctor's professional title; If a feedback result indicating that the target number of conditions permits the opening is received, it is determined that the opening request is valid.
8. A consultation medical record generating device for special-grade antibacterial drugs, characterized in that: The device comprises: An acquisition unit, used to acquire the current doctor's prescription request for the target special-grade antimicrobial drug; the prescription request includes the current doctor's title, patient information and the drug level of the target special-grade antimicrobial drug; A determination unit, configured to call the correspondence between the doctor's professional title and the antimicrobial drug level usage authority based on the acquired professional title and drug level, and after determining that the prescription request is valid, obtain the medication application information of the patient information input by the current doctor; A query unit, configured to query whether there is a historical consultation application for the patient information based on the medication application information of the patient information; The acquisition unit is further configured to acquire the primary medical order information to be reviewed and the historical consultation information to be consulted established by the current doctor for the medication application information when it is found that the patient information has a historical consultation application; A generating unit, configured to update the primary medical order information to the first type of target medical order information corresponding to the selection request based on the current doctor's selection request for the historical consultation information, and then associate the first type of target medical order information with the historical consultation medical record corresponding to the historical consultation information to generate a current consultation medical record; The acquisition unit is further configured to, when it is found that there is no historical consultation application for the patient information, if the medication application information meets the critical use condition, acquire the second type of target medical order information with a limited use time to be signed established by the current doctor for the medication application information; The sending unit is used to send the target medical order information generated above to the nurse station.
9. An electronic device, characterized in that: The electronic device comprises a processor, a communication interface, a memory and a communication bus, wherein the processor, the communication interface and the memory communicate with each other via the communication bus; Memory, used to store computer programs; A processor, for implementing any of the methods described in claims 1-7 when executing a program stored in a memory.
10. A computer-readable storage medium, characterized in that: The computer-readable storage medium stores a computer program, and when the computer program is executed by a processor, the method according to any one of claims 1 to 7 is implemented.
Citation Information
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