Intelligent configuration method and system for medical management system according to-rule execution path

Abstract

The invention belongs to the technical field of computers and medical management, and provides an intelligent configuration method and system for a medical management system rule-based execution path, and the technical scheme is that the method comprises the steps: generating medical management decision information in combination with the business data of a medical management system and a constructed management path model; wherein the construction process of the management path model comprises the following steps: analyzing a medical management system database, and identifying a business object, a management task, a role object and a rule logic management element in the management system; combining business objects, management tasks, role objects and rule logic management elements in the management system according to the requirements of the management system to obtain a plurality of business rule management models; and combining the plurality of business rule management models to obtain a management path of the specific business meeting the requirements of the management system. When the management system is changed, the management model can be readjusted, and other links do not need to be changed, so that the flexible adaptation of the management system is realized.

Description

Technical Field

[0001] The present invention belongs to the field of computer and medical management technology, and in particular to a method and system for intelligently configuring a medical management system execution path in accordance with regulations. Background Art

[0002] The statements in this section merely provide background information related to the present invention and do not necessarily constitute prior art.

[0003] Medical management system is the main embodiment of medical management. In the field of medical management, there are a large number of management systems used to standardize and guide the development of medical-related businesses. These management systems standardize the process of medical business development, define the roles and responsibilities involved, standard behaviors of business development, and management requirements, so as to guide the development of medical business, standardize medical behavior, and ensure medical quality. At the same time, with the increasing complexity of medical business, medical information systems have become the core tool for medical business handling.

[0004] The existing medical management system has the following problems in actual application:

[0005] 1. It is difficult to effectively implement the medical management system in the medical information system. Due to the wide variety and wide coverage of medical management systems, existing medical information systems often rely on hard coding of programs to implement a small number of management requirements. This method cannot systematically reflect all the requirements of the management system, resulting in most systems having to rely on manual compliance, which is prone to illegal operations, making the system a formality and affecting medical quality and management effectiveness.

[0006] 2. Medical management systems are dynamic. With policy adjustments or changes in hospital internal requirements, management systems need to be frequently changed and added. However, when dealing with these changes, existing medical information systems often require manual changes to system rules, which increases the workload of development and maintenance and reduces the efficiency of business response.

[0007] 3. The medical management system lacks intelligent supervision and feedback mechanisms during its implementation, and cannot automatically monitor and provide real-time feedback on the implementation of the system. This makes it difficult for management to obtain effective data on the implementation status in a timely manner, which in turn affects the accuracy and effectiveness of management decisions. Summary of the invention

[0008] In order to solve at least one technical problem existing in the above-mentioned background technology, the present invention provides a method and system for intelligently configuring the execution path of a medical management system in accordance with regulations. The method and system digitally analyze various management systems, identify management elements such as business objects, management tasks, roles involved, rule logic, etc., unify the management of various types of management elements, select relevant elements according to system requirements to construct a management model, and then form a management path. Through the management path, the implementation and supervision of various management systems in the business process are realized.

[0009] In order to achieve the above object, the present invention adopts the following technical solution:

[0010] A first aspect of the present invention provides a method for intelligently configuring a medical management system execution path in accordance with regulations, comprising the following steps:

[0011] Obtain business data from the medical management system;

[0012] Combine the business data of the medical management system and the constructed management path model to generate medical management decision information; the construction process of the management path model includes:

[0013] Obtain various management system documents related to medical care and obtain the medical management system database;

[0014] Parse the medical management system database, identify the business objects, management tasks, role objects and rule logic management elements in the corresponding business management system, and obtain the database corresponding to each type of management element;

[0015] Based on the database corresponding to each type of management element, multiple business rule management models are obtained by combining them according to the requirements of the management system;

[0016] Combine multiple business rule management models to obtain a specific business management path that meets the requirements of the management system.

[0017] Furthermore, when parsing the medical management system database, the entities in the system are abstracted into objects, and the relationships between objects are established. Based on the relationships between objects, the business objects, management tasks, role objects and rule logic management elements in the corresponding business management system are identified.

[0018] Furthermore, the databases corresponding to each type of management element are combined according to the requirements of the management system to obtain multiple business rule management models, including:

[0019] According to the business object, select the business object from the business object database and set the attributes of the business object;

[0020] Set the management task of the business object and associate the attributes corresponding to the management task with the attributes corresponding to the business object;

[0021] Set up role objects and logic rules for specific businesses;

[0022] A rule management model for the corresponding business is constructed by combining the attributes of business objects, management tasks of business objects, role objects of specific businesses, and logical rules.

[0023] Furthermore, the business objects include hospitalized patients and VTE evaluation records;

[0024] The role objects include ward nurses and ward doctors;

[0025] Logical rules include the completion time requirements for management tasks and the evaluation cycle requirements corresponding to different disease assessment results.

[0026] Furthermore, the business rule management model includes a patient venous thromboembolism prevention management system model and a patient venous thromboembolism daily assessment model.

[0027] Furthermore, the medical management system database includes function management, medical service management, medical technology management, medical quality management and patient safety management document data.

[0028] A second aspect of the present invention provides a medical management system and a medical management system according to regulations execution path intelligent configuration system, comprising:

[0029] A business data acquisition module, which is used to acquire business data of the medical management system;

[0030] The intelligent path configuration module is used to combine the business data of the medical management system and the constructed management path model to generate medical management decision information; wherein the construction process of the management path model includes:

[0031] Obtain various management system documents related to medical care and obtain the medical management system database;

[0032] Parse the medical management system database to identify the business objects, management tasks, role objects and rule logic management elements in the corresponding business management system;

[0033] Based on the database corresponding to each type of management element, multiple business rule management models are obtained by combining them according to the requirements of the management system;

[0034] Combine multiple business rule management models to obtain a specific business management path that meets the requirements of the management system.

[0035] A third aspect of the present invention provides a computer-readable storage medium.

[0036] A computer-readable storage medium stores a computer program, which, when executed by a processor, implements the steps in the above-mentioned method for intelligently configuring a medical management system execution path in accordance with regulations.

[0037] A fourth aspect of the present invention provides a computer device.

[0038] A computer device includes a memory, a processor, and a computer program stored in the memory and executable on the processor. When the processor executes the program, the steps in the method for intelligently configuring a medical management system in accordance with regulations are implemented.

[0039] Compared with the prior art, the present invention has the following beneficial effects:

[0040] The present invention realizes the digital twin of the medical management system by digitally parsing the medical management system documents, identifying and forming management elements such as business objects, management tasks, role objects and rule logic, and constructing a management model through flexible combination and configuration of management elements, thereby realizing the flexible adaptation and implementation of the management system in the medical information system; it includes the following two aspects:

[0041] 1. In terms of system implementation, by digitally analyzing and constructing a management model for various management systems, various management systems can be implemented systematically and comprehensively in the business without the need for medical information system coding.

[0042] 2. In terms of flexible adaptation after system changes, through the unified management of business objects, management tasks, role objects and rule logic and the free combination of building management models, when the management system changes, the management model can be readjusted, and the other links do not need to be changed, thereby achieving flexible adaptation of the management system.

[0043] Advantages of additional aspects of the present invention will be given in part in the following description, and in part will become obvious from the following description, or will be learned through practice of the present invention. BRIEF DESCRIPTION OF THE DRAWINGS

[0044] The accompanying drawings in the specification, which constitute a part of the present invention, are used to provide a further understanding of the present invention. The exemplary embodiments of the present invention and their descriptions are used to explain the present invention and do not constitute improper limitations on the present invention.

[0045] Figure 1 It is a flow chart of a method for intelligently configuring a medical management system execution path in accordance with regulations provided by an embodiment of the present invention;

[0046] Figure 2 It is a schematic diagram of a system for intelligently configuring the execution path of a medical management system in accordance with regulations provided by an embodiment of the present invention. DETAILED DESCRIPTION

[0047] The present invention will be further described below in conjunction with the accompanying drawings and embodiments.

[0048] It should be noted that the following detailed descriptions are all illustrative and intended to provide further explanation of the present invention. Unless otherwise specified, all technical and scientific terms used herein have the same meanings as those commonly understood by those skilled in the art to which the present invention belongs.

[0049] It should be noted that the terms used herein are only for describing specific embodiments and are not intended to limit exemplary embodiments according to the present invention. As used herein, unless the context clearly indicates otherwise, the singular form is also intended to include the plural form. In addition, it should be understood that when the terms "comprising" and / or "including" are used in this specification, it indicates the presence of features, steps, operations, devices, components and / or combinations thereof.

[0050] In order to solve the problem that the existing medical information systems mentioned in the background technology of this application often rely on hard-coding of programs to implement a small number of management requirements, the present invention constructs a management model through digital analysis of various management systems. Without the need for medical information system coding, various management systems can be systematically and comprehensively implemented in the business.

[0051] In order to solve the problem that the existing medical information systems mentioned in the background technology of this application often need to manually modify the system rules when dealing with these changes, which increases the workload of development and maintenance and reduces the efficiency of business response, the present invention constructs a management model through unified management and free combination of business objects, management tasks, role objects and rule logic. When the management system changes, the management model can be readjusted without changing the other links, thereby achieving flexible adaptation of the management system.

[0052] Embodiment 1

[0053] like Figure 1 As shown, this embodiment provides a method for intelligently configuring a medical management system execution path in accordance with regulations, including the following steps:

[0054] Step 1: Obtain various management system documents related to medical care and obtain a medical system document database;

[0055] In this embodiment, various types of management system documents related to medical care include functional management, medical service management, medical technology management, medical quality management, patient safety management, etc. Different types of management systems correspond to different assessment standards.

[0056] To uniformly manage the medical management system, you can form a medical management system document library by importing documents or creating various medical management systems. At the same time, you can also classify the management systems.

[0057] Step 2: Analyze the medical system document database, identify the corresponding business model to obtain multiple types of management elements, identify the relevant attributes of each type of management element, and obtain the database corresponding to each type of management element;

[0058] Among them, the medical system document database is parsed to obtain business objects, management tasks, role objects and rule logic;

[0059] In this embodiment, the method used to parse the medical system document database is: object-oriented analysis and design (OOAD): abstract the entities in the system into objects, and establish relationships between objects. Based on the relationship between objects, identify the business objects, management tasks, role objects and rule logic management elements in the corresponding business management system.

[0060] Specifically, the business objects include objects and object attributes of various businesses involved in the management requirements, forming a business object library;

[0061] Taking the VTE prevention management system (patient venous thromboembolism prevention management system) as an example, the identified business objects include inpatients (ZY_INPATIENT) and VTE evaluation records (VTE_FILE). The attributes of inpatients include hospitalization number (IN_NO), hospitalization serial number (IN_PATIENT_NO), name (PATIENT_NAME), gender (SEX), age (AGE), hospitalization department (DEPT_ID), hospitalization ward (WARD_ID), admission time (ADMISS_TIME), discharge time (DIS_TIME), transfer time (TRANS_TIME), whether surgery (IS_OP), etc. The attributes of VTE evaluation records include evaluation time (EVALUATION_TIME), evaluator (OPERATOR_ID), evaluation score (VTE_VALUE), evaluation file ID (FILE_ID) and other information.

[0062] Management tasks include identifying relevant management tasks (management requirements) and their attributes and related information from the medical management system, forming a management task library, and conducting unified management.

[0063] Taking the VTE prevention management system (patient venous thromboembolism prevention management system) as an example, the identified management tasks include patient VTE assessment tasks. The task parameters include hospitalization serial number (INPATIENT_NO), bed number (BED_NO), department (DEPT_ID), name (PATIENT_NAME), and assessment file ID (FILE_ID). The task also includes task judgment conditions to determine whether the task is completed or terminated.

[0064] Role objects: Identify the role objects involved in the medical management system, form a role object library, and manage them in a unified manner. Taking the VTE prevention management system (patient venous thromboembolism prevention management system) as an example, the role objects identified are the ward nurse and the ward doctor.

[0065] Rule logic: Identify some rules, logic and constraints in the medical management system, form a rule logic library, and manage them in a unified manner.

[0066] Taking the VTE prevention management system (patient venous thromboembolism prevention management system) as an example, the rule logic identified is:

[0067] 1. Complete a VTE assessment within 24 hours after new admission or transfer.

[0068] 2. A VTE assessment result of 0 to 2 points indicates low risk and is assessed once a week; 3 to 4 points indicates moderate risk and is assessed twice a week; ≥5 points indicates high risk and is assessed once a day.

[0069] Step 3: Combine the databases corresponding to each type of management element according to the requirements of the management system to obtain multiple business rule management models;

[0070] In this embodiment, taking the VTE prevention management system (patient venous thromboembolism prevention management system) as an example, the constructed management model is as follows:

[0071] Step 301: construct a VTE admission assessment model, which specifically includes the following steps:

[0072] Step 3011, select a business object, select inpatient (ZY_INPATIENT) and VTE assessment record (VTE_FILE) from the business object library as business objects, set the business object filtering conditions to patients older than 13 years old, newly admitted or newly transferred, and who have not undergone VTE assessment, and set the object attributes as follows:

[0073] ①ZY_INPATIENT.AGE>13;

[0074] ②ZY_INPATIEMT.DATEDIFF(HH, CURRENT_TIME, ADMISS_TIME)<24;

[0075] ③VTE_FILE.VTE_VALIE=NULL;

[0076] Step 3012, set the management task of the business object, select the patient VTE assessment task, and associate the attributes corresponding to the management task with the attributes corresponding to the business objects ZY_INPATIENT and VTE_FILE;

[0077] Step 3013: Set the role object to the ward nurse;

[0078] Step 3014: Set logic rules to complete management tasks within 24 hours of admission;

[0079] Therefore, the overall description of the model is: for inpatients who are older than 13 years old and are newly admitted or transferred and have not undergone VTE assessment, the attending nurse is required to complete the VTE assessment task within 24 hours and generate a VTE assessment record.

[0080] Step 302: construct a VTE daily assessment model, which specifically includes the following steps:

[0081] Step 3021, select a business object, select an inpatient (ZY_INPATIENT) and a VTE assessment record (VTE_FILE) from the business object library as business objects, and set the business object filtering condition to patients who have undergone VTE assessment: VTE_FILE.VTE_VALIE IS NOT NULL;

[0082] Step 3022, set the management task of the business object, select the patient VTE assessment task, and associate the attributes corresponding to the management task with the attributes corresponding to the business objects ZY_INPATIENT and VTE_FILE;

[0083] Step 3023: Set the role object to the ward nurse;

[0084] Step 3024, set logic rules, the last VTE assessment result is 0-2 points for low risk, once a week assessment; 3-4 points for medium risk, twice a week; ≥5 points for high risk, once a day assessment;

[0085] Therefore, the overall description of the model is: for hospitalized patients with VTE assessment scores of 0 to 2 points, the attending nurse is required to complete the VTE assessment task once a week; for those with scores of 3 to 4 points, the attending nurse is required to complete the VTE assessment task twice a week; for those with scores of 5 or above, the attending nurse is required to complete the VTE assessment task once a day.

[0086] Step 4: According to the provisions of the medical management system, the rule management models constructed are screened and combined to obtain a management path for regulating specific business handling that meets the requirements of the management system;

[0087] Specifically, the management model formed by step 301 and step 302 is selected, and the order of the models is set to obtain a VTE management path that meets the requirements of the VTE prevention management system.

[0088] It should be noted that: a management system can be parsed and split to generate multiple business rule management models. Then, the business rule management model involved in the management system can be selected according to the requirements of the management system to obtain the management path of the specific business; secondly, different management systems may parse out the same model. In this case, there is no need to combine the models again, and the previous model can be directly reused;

[0089] Taking the VTE management system as an example, the business objects are hospitalized patients and VTE assessment records, the management task is to conduct VTE assessment work, the role objects are clinicians and clinical nurses, and the rule logic determines under what circumstances the management task is executed.

[0090] Step 5: Monitor clinical activities in real time, obtain relevant data from the medical management system, and generate management decision information in combination with the management path used to standardize specific business processing;

[0091] Taking the VTE prevention management system as an example, the information required by the model set in the management path is obtained from the medical information system in real time, including the attributes of business objects and management tasks, and various message reminders, to-do tasks, task status or constraints and other management decision-making information are generated in combination with logical rules.

[0092] Specifically including: inpatients (ZY_INPATIENT) and their attributes, VTE assessment records (VTE_FILE) and their attributes, patient VTE assessment tasks and their attributes, and bedside medical care information.

[0093] Ultimately, management decision information will be generated in the management path that standardizes specific business handling and sent to the corresponding role objects; data based on the entire process, including management requirements, management paths, and management path execution status, will be used for system supervision, assessment and evaluation, and effect evaluation and analysis.

[0094] Embodiment 2

[0095] like Figure 2 As shown, this embodiment provides a medical management system according to the rules and regulations execution path intelligent configuration system, including a system management module 101, an intelligent analysis module 102, a model building module 103, a management path module 104, a task management module 105, a message service module 106 and a management path supervision analysis module 107.

[0096] The system management module 101 is configured to import or create various medical management systems, implement classified management of medical management systems, and form a management system document library;

[0097] The intelligent analysis module 102 is configured to perform intelligent analysis on various management system documents, identify the business objects, management tasks, roles involved and logical rules in the management system, and form management elements for unified management;

[0098] The model building module 103 is configured to build relevant management models according to the requirements of the management system, select appropriate business objects, management tasks, related roles and logical rules and other management elements, and combine them according to the system requirements to form rule management models;

[0099] The management path module 104 is configured to select relevant rule management models and combine them according to the provisions of the management system to form a management path that meets the requirements of the management system and can be used to standardize business execution;

[0100] The task management module 105 is configured to monitor clinical activities in real time, collect and manage attribute data of management elements and import them into management paths, generate various management decision information such as message reminders, to-do items, constraints and restrictions, and send them to relevant roles or directly affect the business processing of the medical information system.

[0101] The message service module 106 is configured to send message reminders, to-do items, constraints and other information generated by the task management module.

[0102] The management path supervision and analysis module 107 is configured to comprehensively analyze the situation of the management path for management supervision, assessment and evaluation, effect evaluation and analysis, etc.

[0103] The intelligent analysis module 102 includes a business object module 1021, a management task module 1022, a role object module 1023 and a rule logic module 1024;

[0104] The specific implementation process of each module in the system management module 101, the intelligent analysis module 102, the model building module 103, the management path module 104, the task management module 105, the message service module 106 and the management path supervision and analysis module 107 as well as the business object module 1021, the management task module 1022, the role object module 1023 and the rule logic module 1024 is consistent with the content of the first embodiment and will not be repeated here.

[0105] Embodiment 3

[0106] This embodiment provides a computer-readable storage medium having a computer program stored thereon. When the program is executed by a processor, the steps in the method for intelligently configuring a medical management system execution path in accordance with regulations as described above are implemented.

[0107] Embodiment 4

[0108] This embodiment provides a computer device, including a memory, a processor, and a computer program stored in the memory and executable on the processor. When the processor executes the program, the steps in the method for intelligently configuring a medical management system execution path in accordance with regulations as described above are implemented.

[0109] Embodiment 5

[0110] This embodiment provides a program product, which is a computer program product, including a computer program. When the computer program is executed by a processor, the steps in the method for intelligently configuring a medical management system execution path in accordance with regulations as described above are implemented.

[0111] Those skilled in the art will appreciate that embodiments of the present invention may be provided as methods, systems, or computer program products. Therefore, the present invention may take the form of hardware embodiments, software embodiments, or embodiments combining software and hardware. Furthermore, the present invention may take the form of a computer program product implemented on one or more computer-usable storage media (including but not limited to disk storage and optical storage, etc.) containing computer-usable program code.

[0112] The present invention is described with reference to flowcharts and / or block diagrams of methods, devices (systems), and computer program products according to embodiments of the present invention. It should be understood that each process and / or block in the flowchart and / or block diagram, as well as the combination of processes and / or blocks 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 produce 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 and / or block diagram. 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.

[0113] 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.

[0114] 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.

[0115] Those skilled in the art can understand that all or part of the processes in the above-mentioned embodiments can be implemented by instructing the relevant hardware through a computer program, and the program can be stored in a computer-readable storage medium, and when the program is executed, it can include the processes of the embodiments of the above-mentioned methods. The storage medium can be a disk, an optical disk, a read-only memory (ROM) or a random access memory (RAM), etc.

[0116] The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. For those skilled in the art, the present invention may have various modifications and variations. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.

Claims

1. A method for intelligently configuring a medical management system execution path according to regulations, characterized in that: The steps include: Obtain business data from the medical management system; Combine the business data of the medical management system and the constructed management path model to generate medical management decision information; the construction process of the management path model includes: Obtain various management system documents related to medical care and obtain the medical management system database; Analyze the medical management system database, identify the business objects, management tasks, role objects and rule logic management elements in the corresponding business management system, and obtain the database corresponding to each type of management element; Based on the database corresponding to each type of management element, multiple business rule management models are obtained by combining them according to the requirements of the management system; Combine multiple business rule management models to obtain a specific business management path that meets the requirements of the management system.

2. A method for intelligently configuring a medical management system execution path according to regulations as claimed in claim 1, characterized in that: When parsing the medical management system database, the entities in the system are abstracted into objects, and the relationships between objects are established. Based on the relationships between objects, the business objects, management tasks, role objects, and rule logic management elements in the corresponding business management system are identified.

3. A method for intelligently configuring a medical management system execution path according to regulations as claimed in claim 1, characterized in that: The database corresponding to each type of management element is combined according to the requirements of the management system to obtain multiple business rule management models, including: According to the business object, select the business object from the business object database and set the attributes of the business object; Set the management task of the business object and associate the attributes corresponding to the management task with the attributes corresponding to the business object; Set up role objects and logical rules for specific businesses; build a rule management model for the corresponding business by combining the attributes of business objects, management tasks of business objects, role objects for specific businesses, and logical rules.

4. A method for intelligently configuring a medical management system execution path according to regulations as claimed in claim 3, characterized in that: Business objects include hospitalized patients and VTE evaluation records; The role objects include ward nurses and ward doctors; Logical rules include the completion time requirements for management tasks and the evaluation cycle requirements corresponding to different disease assessment results.

5. A method for intelligently configuring a medical management system execution path according to regulations as claimed in claim 1, characterized in that: The business rule management model includes a patient venous thromboembolism prevention management system model and a patient venous thromboembolism daily assessment model.

6. A method for intelligently configuring a medical management system execution path according to regulations as claimed in claim 1, characterized in that: The medical management system database includes function management, medical service management, medical technology management, medical quality management and patient safety management document data.

7. A medical management system according to regulations execution path intelligent configuration system, characterized by: include: A business data acquisition module, which is used to acquire business data of the medical management system; The intelligent path configuration module is used to combine the business data of the medical management system and the constructed management path model to generate medical management decision information; wherein the construction process of the management path model includes: Obtain various management system documents related to medical care and obtain the medical management system database; Parse the medical management system database to identify the business objects, management tasks, role objects and rule logic management elements in the corresponding business management system; Based on the database corresponding to each type of management element, multiple business rule management models are obtained by combining them according to the requirements of the management system; Combine multiple business rule management models to obtain a specific business management path that meets the requirements of the management system.

8. A computer-readable storage medium having a computer program stored thereon, characterized in that: When the program is executed by a processor, the steps in the method for intelligently configuring a medical management system execution path in accordance with regulations as described in any one of claims 1-6 are implemented.

9. A computer device comprising a memory, a processor and a computer program stored in the memory and executable on the processor, characterized in that: When the processor executes the program, the steps in the method for intelligently configuring the path for executing medical management system in accordance with regulations as described in any one of claims 1-6 are implemented.

10. A program product, the program product being a computer program product, comprising a computer program, characterized in that: When the computer program is executed by a processor, the steps in the method for intelligently configuring a medical management system execution path in accordance with regulations as described in any one of claims 1-6 are implemented.

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