Human serum albumin injection medication analysis method and system based on hospital medical records
By adopting intelligent judgment methods based on hospital medical records in the hospital, we automatically judge whether human albumin injection meets restricted medication conditions, solving the problems of deviations in doctors' judgment results and time-consuming and labor-consuming, and improving the quality control of diagnosis and treatment.
Patent Information
- Application Number
- CN202411363621.6
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-09-27
- Publication Date
- 2025-05-16
AI Technical Summary
In the prior art, doctors rely on medical experience to determine whether human albumin injection meets restrictive medication conditions, and there are problems such as deviation in judgment results and time-consuming and labor-consuming.
Using an intelligent judgment method based on hospital medical records, we automatically determine whether human blood albumin injection meets the restricted medication conditions through the data docking module, document extraction module, rule engine processing module and result judgment module.
It realizes automatic judgment of the medication conditions for human albumin injection, reduces the doctor's judgment load, shortens the judgment time, and improves the hospital's diagnosis and treatment quality control.
Smart Images
Figure CN120015223A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of medical data processing, and in particular to a method and system for analyzing the use of human albumin injection based on hospital medical records. Background Art
[0002] Determining whether human albumin injection meets the restrictive drug use conditions has always been a difficult problem for hospitals, and it is generally judged based on the medical experience of doctors.
[0003] At present, this method relies on doctors' medical experience. The judgment results are biased according to the different experiences of doctors, and it consumes a lot of doctors' energy and time.
[0004] Therefore, how to achieve automated judgment, reduce the judgment burden on doctors, shorten judgment time, and improve the hospital's diagnosis and treatment quality control has become an urgent problem to be solved. Summary of the invention
[0005] To this end, the present invention provides a human albumin injection medication analysis method and system based on hospital medical records, which adopts an intelligent judgment method to realize the automated judgment of whether the human albumin injection meets the restrictive medication conditions, reduce the doctor's judgment burden, shorten the judgment time, and improve the hospital's diagnosis and treatment quality control.
[0006] In order to achieve the above object, the present invention provides the following technical solution: a method for analyzing the use of human albumin injection based on hospital medical records, comprising:
[0007] Call the data connection module to connect to the hospital HIS data, and connect to the patient's full document data through HIS;
[0008] Call the document extraction module to determine the document nodes that need to be extracted from the patient's full document data based on the document content required to determine whether human albumin injection meets the restrictive medication conditions;
[0009] Call the rule engine processing module to match the extracted document content, process it according to the set rules, and output the processing results;
[0010] The result judgment module is called to judge the processing result: if it passes, it means that the patient using human albumin injection meets the restrictive medication conditions; if it is reported, it means that the patient using human albumin injection does not meet the restrictive medication conditions.
[0011] As a preferred solution for analyzing the use of human albumin injection based on hospital medical records, the rule engine judgment module has the following judgment rules:
[0012] The first step is to extract the valid medical orders that have been executed from the long-term medical orders or temporary medical orders. If the medical order contains "human albumin injection", proceed to the next step; if not, report it;
[0013] The second step is to extract the effective medical orders that have been executed in the long-term medical orders or temporary medical orders. If any of the three keywords "rescue", "critical illness" and "high risk" are contained, proceed to the next step; if not, report it;
[0014] The third step is to extract the content of daily medical records. If it contains any of the four positive descriptions of "pleural effusion", "ascites", "pleural effusion" and "peritoneal effusion" or there is a rescue record, then proceed to the next step; if not, then report it;
[0015] The fourth step is to extract the content of the first page of the inpatient medical record, and check and match the content of the "09.01 Main Diagnosis" and "09.02 Other Diagnosis" fields. If any of the four keywords "liver cirrhosis", "cancer", "malignant tumor" and "hypoproteinemia" are contained, then proceed to the next step; if not, then report it;
[0016] The fifth step is to extract the test record content and compare the albumin value in the test results. If the albumin value is lower than 30g / L, it is passed, indicating that the patient meets the restrictive medication conditions for human albumin injection; if the albumin value is normal, it will be reported.
[0017] As the preferred method for analyzing the use of human albumin injection based on hospital medical records, the reported results are judged as follows:
[0018] If the first step is reported, it means that the patient does not need to use human albumin injection;
[0019] If the second step is reported, it will prompt: the patient using human albumin injection does not have emergency or critical or high-risk medical instructions and does not meet the restrictive medication conditions;
[0020] If the third step is reported, it will prompt: the patient's medical record of using human albumin injection does not contain "pleural / abdominal effusion" records and no rescue records, which does not meet the restrictive medication conditions;
[0021] If the fourth step is reported, it will prompt: the front page of the medical record of the patient using human albumin injection does not have a diagnosis of malignant tumor / liver cirrhosis or hypoproteinemia, and does not meet the restrictive medication conditions;
[0022] If the fifth step is reported, it will prompt: Patients using human albumin injection do not have a test report showing that the albumin result is lower than 30g / L, and do not meet the restrictive medication conditions.
[0023] As a preferred solution for analyzing the use of human albumin injection based on hospital medical records, the patient's full document data includes: the first page of the inpatient medical record, the superior's ward rounds record, long-term medical orders, consultation records, test records, discussion records of difficult cases, stage summaries, admission records, and discharge records.
[0024] As a preferred solution for the human albumin injection drug use analysis method based on hospital medical records, the documents required to determine whether human albumin injection meets the restrictive drug use conditions include: the first page of the inpatient medical record, long-term medical orders, temporary medical orders, daily medical records, superior ward rounds records, discussion records of difficult cases, handover records, transfer records, stage summaries, rescue records, consultation records, and inspection records.
[0025] The present invention also provides a human albumin injection medication analysis and processing system based on hospital medical records, comprising:
[0026] Data docking module, used to dock with hospital HIS data and dock with patients' full document data through HIS;
[0027] The document extraction module is used to determine the document nodes that need to be extracted from the patient's full document data according to the document content required to determine whether human albumin injection meets the restrictive medication conditions;
[0028] The rule engine processing module is used to match the extracted document content, process it according to the set rules, and output the processing results;
[0029] The result judgment module is used to judge the processing result: if it passes, it means that the patient using human albumin injection meets the restrictive medication conditions; if it is reported, it means that the patient using human albumin injection does not meet the restrictive medication conditions.
[0030] As a preferred solution for the human albumin injection medication analysis and processing system based on hospital medical records, in the rule engine processing module:
[0031] The rule engine judgment module judgment rules are as follows:
[0032] The first step is to extract the valid medical orders that have been executed from the long-term medical orders or temporary medical orders. If the medical order contains "human albumin injection", proceed to the next step; if not, report it;
[0033] The second step is to extract the effective medical orders that have been executed in the long-term medical orders or temporary medical orders. If any of the three keywords "rescue", "critical illness" and "high risk" are contained, proceed to the next step; if not, report it;
[0034] The third step is to extract the content of daily medical records. If it contains any of the four positive descriptions of "pleural effusion", "ascites", "pleural effusion" and "peritoneal effusion" or there is a rescue record, then proceed to the next step; if not, then report it;
[0035] The fourth step is to extract the content of the first page of the inpatient medical record, and check and match the content of the "09.01 Main Diagnosis" and "09.02 Other Diagnosis" fields. If any of the four keywords "liver cirrhosis", "cancer", "malignant tumor" and "hypoproteinemia" are contained, then proceed to the next step; if not, then report it;
[0036] The fifth step is to extract the test record content and compare the albumin value in the test results. If the albumin value is lower than 30g / L, it is passed, indicating that the patient meets the restrictive medication conditions for human albumin injection; if the albumin value is normal, it will be reported.
[0037] As a preferred solution for the human albumin injection medication analysis and processing system based on hospital medical records, in the result judgment module:
[0038] The reported results are judged as follows:
[0039] If the first step is reported, it means that the patient does not need to use human albumin injection;
[0040] If the second step is reported, it will prompt: the patient using human albumin injection does not have emergency or critical or high-risk medical instructions and does not meet the restrictive medication conditions;
[0041] If the third step is reported, it will prompt: the patient's medical record of using human albumin injection does not contain "pleural / abdominal effusion" records and no rescue records, which does not meet the restrictive medication conditions;
[0042] If the fourth step is reported, it will prompt: the front page of the medical record of the patient using human albumin injection does not have a diagnosis of malignant tumor / liver cirrhosis or hypoproteinemia, and does not meet the restrictive medication conditions;
[0043] If the fifth step is reported, it will prompt: Patients using human albumin injection do not have a test report showing that the albumin result is lower than 30g / L, and do not meet the restrictive medication conditions.
[0044] As a preferred solution for the human albumin injection medication analysis and processing system based on hospital medical records, in the data docking module:
[0045] The patient's full document data includes: the first page of the inpatient medical record, the superior's ward rounds record, long-term doctor's orders, consultation records, test records, discussion records of difficult cases, stage summaries, admission records, and discharge records.
[0046] As a preferred solution for the human albumin injection medication analysis and processing system based on hospital medical records, in the document extraction module:
[0047] The documents required to determine whether human albumin injection meets the restrictive drug use conditions include: the first page of the inpatient medical record, long-term medical orders, temporary medical orders, daily medical records, superior ward rounds records, discussion records of difficult cases, handover records, transfer records, stage summaries, rescue records, consultation records, and inspection records.
[0048] The present invention has the following advantages: calling a data docking module, docking with hospital HIS data, and docking with the patient's full document data through HIS; calling a document extraction module, in the patient's full document data, according to the document content required to determine whether human albumin injection meets the restrictive medication conditions, determining the document node to be extracted; calling a rule engine processing module, matching and processing the extracted document content, processing according to the set rules, and outputting the processing result; calling a result judgment module, judging the processing result: if passed, it means that the patient using human albumin injection meets the restrictive medication conditions; if reported, it means that the patient using human albumin injection does not meet the restrictive medication conditions. The present invention adopts an intelligent judgment method to realize the automatic judgment of whether human albumin injection meets the restrictive medication conditions, reduce the judgment load of doctors, shorten the judgment time, and improve the diagnosis and treatment quality control of the hospital. BRIEF DESCRIPTION OF THE DRAWINGS
[0049] In order to more clearly illustrate the implementation methods of the present invention or the technical solutions in the prior art, the following briefly introduces the drawings required for the implementation methods or the description of the prior art. Obviously, the drawings in the following description are only exemplary, and for ordinary technicians in this field, other implementation drawings can be derived from the provided drawings without creative work.
[0050] The structures, proportions, sizes, etc. illustrated in this specification are only used to match the contents disclosed in the specification so as to facilitate understanding and reading by persons familiar with the technology. They are not used to limit the conditions under which the present invention can be implemented, and therefore have no substantial technical significance. Any structural modification, change in proportion or adjustment of size shall still fall within the scope of the technical contents disclosed in the present invention without affecting the effects and purposes that can be achieved by the present invention.
[0051] Figure 1 This is a schematic diagram of the process of analyzing the use of human albumin injection based on hospital medical records provided in Example 1 of the present invention;
[0052] Figure 2This is a schematic diagram of the architecture of the human albumin injection medication analysis and processing system based on hospital medical records provided in Example 2 of the present invention. DETAILED DESCRIPTION
[0053] The following is a description of the implementation of the present invention by specific embodiments. People familiar with the art can easily understand other advantages and effects of the present invention from the contents disclosed in this specification. Obviously, the described embodiments are part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.
[0054] Example 1
[0055] See also Figure 1 Embodiment 1 of the present invention provides a method for analyzing the use of human albumin injection based on hospital medical records, comprising the following steps:
[0056] S1. Call the data connection module to connect to the hospital HIS data, and connect to the patient's full document data through HIS;
[0057] S2. Calling the document extraction module, in the patient's full document data, according to the document content required to determine whether human albumin injection meets the restrictive medication conditions, determines the document node to be extracted;
[0058] S3. Call the rule engine processing module to match the extracted document content, process it according to the set rules, and output the processing results;
[0059] S4. Calling a result judgment module to judge the processing result: if it passes, it means that the patient using human albumin injection meets the restrictive medication conditions; if it is reported, it means that the patient using human albumin injection does not meet the restrictive medication conditions.
[0060] In this embodiment, the rule engine judgment module judges the rules as follows:
[0061] The first step is to extract the valid medical orders that have been executed from the long-term medical orders or temporary medical orders. If the medical order contains "human albumin injection", proceed to the next step; if not, report it;
[0062] The second step is to extract the effective medical orders that have been executed in the long-term medical orders or temporary medical orders. If any of the three keywords "rescue", "critical illness" and "high risk" are contained, proceed to the next step; if not, report it;
[0063] The third step is to extract the content of daily medical records. If it contains any of the four positive descriptions of "pleural effusion", "ascites", "pleural effusion" and "peritoneal effusion" or there is a rescue record, then proceed to the next step; if not, then report it;
[0064] The fourth step is to extract the content of the first page of the inpatient medical record, and check and match the content of the "09.01 Main Diagnosis" and "09.02 Other Diagnosis" fields. If any of the four keywords "liver cirrhosis", "cancer", "malignant tumor" and "hypoproteinemia" are contained, then proceed to the next step; if not, then report it;
[0065] The fifth step is to extract the test record content and compare the albumin value in the test results. If the albumin value is lower than 30g / L, it is passed, indicating that the patient meets the restrictive medication conditions for human albumin injection; if the albumin value is normal, it will be reported.
[0066] In this embodiment, the result judgment module judges the reported result as follows:
[0067] If the first step is reported, it means that the patient does not need to use human albumin injection;
[0068] If the second step is reported, it will prompt: the patient using human albumin injection does not have emergency or critical or high-risk medical instructions and does not meet the restrictive medication conditions;
[0069] If the third step is reported, it will prompt: the patient's medical record of using human albumin injection does not contain "pleural / abdominal effusion" records and no rescue records, which does not meet the restrictive medication conditions;
[0070] If the fourth step is reported, it will prompt: the front page of the medical record of the patient using human albumin injection does not have a diagnosis of malignant tumor / liver cirrhosis or hypoproteinemia, and does not meet the restrictive medication conditions;
[0071] If the fifth step is reported, it will prompt: Patients using human albumin injection do not have a test report showing that the albumin result is lower than 30g / L, and do not meet the restrictive medication conditions.
[0072] In this embodiment, the patient's full document data includes: the first page of the inpatient medical record, superior's ward rounds record, long-term doctor's orders, consultation records, test records, discussion records of difficult cases, stage summaries, admission records, discharge records and other medical record data.
[0073] In this embodiment, the documents required to determine whether human albumin injection meets the restrictive medication conditions include: the first page of the inpatient medical record, long-term medical orders, temporary medical orders, daily medical records, superior rounds records, discussion records of difficult cases, handover records, transfer records, stage summaries, rescue records, consultation records, and inspection records.
[0074] Specifically, the node data of the above documents are as follows:
[0075] “EMR080001 = Hospitalization medical record homepage: Main diagnosis: Disease name; Other diagnosis: Disease name
[0076] EMR110001 = Long-term medical advice: medical advice content, medical advice execution status
[0077] EMR110002 = Temporary medical order: medical order content, medical order execution status
[0078] EMR100002 = Daily medical records: hospitalization medical records
[0079] EMR100003 = Supervisor's ward round record: ward round record
[0080] EMR100004 = Discussion record of difficult cases, discussion opinions, moderator summary, medical history report, discussion purpose
[0081] EMR100005=Shift record: all nodes
[0082] EMR100006 = Transfer record: All nodes
[0083] EMR100007=Phase Summary: All Nodes
[0084] EMR100008=Rescue record: Rescue record
[0085] EMR100009 = Consultation record: case summary, consultation reason, consultation purpose, consultation opinion EMR040002 = Test record: test items, test results.
[0086] In summary, the present invention calls the data docking module, docks the hospital HIS data, and docks the patient's full document data through the HIS; calls the document extraction module, and determines the document node that needs to be extracted in the patient's full document data according to the document content required to determine whether human albumin injection meets the restrictive medication conditions; calls the rule engine processing module, matches the extracted document content, processes it according to the set rules, and outputs the processing result; calls the result judgment module to judge the processing result: if it passes, it means that the patient using human albumin injection meets the restrictive medication conditions; if it is reported, it means that the patient using human albumin injection does not meet the restrictive medication conditions. The present invention adopts an intelligent judgment method to realize the automated judgment of whether human albumin injection meets the restrictive medication conditions, reduce the judgment load of doctors, shorten the judgment time, and improve the diagnosis and treatment quality control of the hospital.
[0087] It should be noted that the method of the embodiment of the present disclosure can be performed by a single device, such as a computer or a server. The method of the present embodiment can also be applied in a distributed scenario and completed by multiple devices cooperating with each other. In the case of such a distributed scenario, one of the multiple devices can only perform one or more steps in the method of the embodiment of the present disclosure, and the multiple devices will interact with each other to complete the described method.
[0088] It should be noted that the above describes some embodiments of the present disclosure. Other embodiments are within the scope of the appended claims. In some cases, the actions or steps recorded in the claims can be performed in an order different from that in the above embodiments and still achieve the desired results. In addition, the processes depicted in the accompanying drawings do not necessarily require the specific order or continuous order shown to achieve the desired results. In some embodiments, multitasking and parallel processing are also possible or may be advantageous.
[0089] Example 2
[0090] See also Figure 2 Embodiment 2 of the present invention also provides a human albumin injection medication analysis and processing system based on hospital medical records, including:
[0091] Data connection module 01 is used to connect to the hospital HIS data and connect to the patient's full document data through HIS;
[0092] The document extraction module 02 is used to determine the document nodes to be extracted from the patient's full document data according to the document content required to determine whether the human albumin injection meets the restrictive medication conditions;
[0093] The rule engine processing module 03 is used to match the extracted document content, process it according to the set rules, and output the processing results;
[0094] The result judgment module 04 is used to judge the processing result: if it passes, it means that the patient using human albumin injection meets the restrictive medication conditions; if it is reported, it means that the patient using human albumin injection does not meet the restrictive medication conditions.
[0095] In this embodiment, in the rule engine processing module 03:
[0096] The rule engine judgment module judgment rules are as follows:
[0097] The first step is to extract the valid medical orders that have been executed from the long-term medical orders or temporary medical orders. If the medical order contains "human albumin injection", proceed to the next step; if not, report it;
[0098] The second step is to extract the effective medical orders that have been executed in the long-term medical orders or temporary medical orders. If any of the three keywords "rescue", "critical illness" and "high risk" are contained, proceed to the next step; if not, report it;
[0099] The third step is to extract the content of daily medical records. If it contains any of the four positive descriptions of "pleural effusion", "ascites", "pleural effusion" and "peritoneal effusion" or there is a rescue record, then proceed to the next step; if not, then report it;
[0100] The fourth step is to extract the content of the first page of the inpatient medical record, and check and match the content of the "09.01 Main Diagnosis" and "09.02 Other Diagnosis" fields. If any of the four keywords "liver cirrhosis", "cancer", "malignant tumor" and "hypoproteinemia" are contained, then proceed to the next step; if not, then report it;
[0101] The fifth step is to extract the test record content and compare the albumin value in the test results. If the albumin value is lower than 30g / L, it is passed, indicating that the patient meets the restrictive medication conditions for human albumin injection; if the albumin value is normal, it will be reported.
[0102] In this embodiment, in the result judgment module 04:
[0103] The reported results are judged as follows:
[0104] If the first step is reported, it means that the patient does not need to use human albumin injection;
[0105] If the second step is reported, it will prompt: the patient using human albumin injection does not have emergency or critical or high-risk medical instructions and does not meet the restrictive medication conditions;
[0106] If the third step is reported, it will prompt: the patient's medical record of using human albumin injection does not contain "pleural / abdominal effusion" records and no rescue records, which does not meet the restrictive medication conditions;
[0107] If the fourth step is reported, it will prompt: the front page of the medical record of the patient using human albumin injection does not have a diagnosis of malignant tumor / liver cirrhosis or hypoproteinemia, and does not meet the restrictive medication conditions;
[0108] If the fifth step is reported, it will prompt: Patients using human albumin injection do not have a test report showing that the albumin result is lower than 30g / L, and do not meet the restrictive medication conditions.
[0109] In this embodiment, in the data connection module 01:
[0110] The patient's full document data includes: the first page of the inpatient medical record, the superior's ward rounds record, long-term doctor's orders, consultation records, test records, discussion records of difficult cases, stage summaries, admission records, and discharge records.
[0111] In this embodiment, in the document extraction module 02:
[0112] The documents required to determine whether human albumin injection meets the restrictive drug use conditions include: the first page of the inpatient medical record, long-term medical orders, temporary medical orders, daily medical records, superior ward rounds records, discussion records of difficult cases, handover records, transfer records, stage summaries, rescue records, consultation records, and inspection records.
[0113] It should be noted that the information interaction, execution process and other contents between the modules of the above-mentioned system are based on the same concept as the method embodiment in Example 1 of the present application, and the technical effects they bring are the same as those of the method embodiment of the present application. For specific contents, please refer to the description in the method embodiment shown in the previous part of the present application, and will not be repeated here.
[0114] Example 3
[0115] Embodiment 3 of the present invention provides a non-transitory computer-readable storage medium, in which a program code for a human albumin injection medication analysis method based on hospital medical records is stored, and the program code includes instructions for executing embodiment 1 or any possible implementation thereof.
[0116] The computer-readable storage medium may be any available medium that can be accessed by a computer or a data storage device such as a server or a data center that includes one or more available media. The available medium may be a magnetic medium (e.g., a floppy disk, a hard disk, a tape), an optical medium (e.g., a DVD), or a semiconductor medium (e.g., a solid-state drive (SSD)).
[0117] Example 4
[0118] Embodiment 4 of the present invention provides an electronic device, including: a memory and a processor;
[0119] The processor and the memory communicate with each other via a bus; the memory stores program instructions that can be executed by the processor, and the processor calls the program instructions to execute the human albumin injection medication analysis method based on hospital medical records of Example 1 or any possible implementation thereof.
[0120] Specifically, the processor can be implemented by hardware or by software. When implemented by hardware, the processor can be a logic circuit, an integrated circuit, etc.; when implemented by software, the processor can be a general-purpose processor implemented by reading software codes stored in a memory. The memory can be integrated in the processor or can be located outside the processor and exist independently.
[0121] In the above embodiments, it can be implemented in whole or in part by software, hardware, firmware or any combination thereof. When implemented using software, it can be implemented in whole or in part in the form of a computer program product. The computer program product includes one or more computer instructions. When the computer program instructions are loaded and executed on a computer, the process or function described in the embodiment of the present invention is generated in whole or in part. The computer can be a general-purpose computer, a special-purpose computer, a computer network, or other programmable systems. The computer instructions can be stored in a computer-readable storage medium, or transmitted from a computer-readable storage medium to another computer-readable storage medium, for example, the computer instructions can be transmitted from a website site, computer, server or data center by wired (e.g., coaxial cable, optical fiber, digital subscriber line (DSL)) or wireless (e.g., infrared, wireless, microwave, etc.) mode to another website site, computer, server or data center.
[0122] Obviously, those skilled in the art should understand that the above modules or steps of the present invention can be implemented by a general computing system, they can be concentrated on a single computing system, or distributed on a network composed of multiple computing systems, and optionally, they can be implemented by a program code executable by a computing system, so that they can be stored in a storage system and executed by the computing system, and in some cases, the steps shown or described can be executed in a different order than here, or they can be made into individual integrated circuit modules, or multiple modules or steps therein can be made into a single integrated circuit module for implementation. Thus, the present invention is not limited to any specific combination of hardware and software.
[0123] Although the present invention has been described in detail above by general description and specific embodiments, it is obvious to those skilled in the art that some modifications or improvements can be made to the present invention. Therefore, these modifications or improvements made without departing from the spirit of the present invention all belong to the scope of protection claimed by the present invention.
Claims
1. A method for analyzing the use of human albumin injection based on hospital medical records, characterized in that: include: Call the data connection module to connect to the hospital HIS data, and connect to the patient's full document data through HIS; Call the document extraction module to determine the document nodes that need to be extracted from the patient's full document data based on the document content required to determine whether human albumin injection meets the restrictive medication conditions; Call the rule engine processing module to match the extracted document content, process it according to the set rules, and output the processing results; Calling a result judgment module to judge the processing result: if it passes, it means that the patient using human albumin injection meets the restrictive medication conditions; If reported, it means that the patient using human albumin injection does not meet the restrictive medication conditions.
2. The method for analyzing the use of human albumin injection based on hospital medical records according to claim 1, characterized in that: The rule engine judgment module judgment rules are as follows: The first step is to extract the valid medical orders that have been executed from the long-term medical orders or temporary medical orders. If the medical order content contains "human albumin injection", proceed to the next step; if not, report it; The second step is to extract the valid medical orders that have been executed in the long-term medical orders or temporary medical orders. If any of the three keywords "rescue", "severe illness" and "high risk" are contained, proceed to the next step; if not, report it; The third step is to extract the content of daily medical records. If it contains any of the four positive descriptions of "pleural effusion", "ascites", "pleural effusion" and "peritoneal effusion" or there is a rescue record, then proceed to the next step; if not, then report it; The fourth step is to extract the content of the first page of the inpatient medical record, and check and match the content of the "09.01 Main Diagnosis" and "09.02 Other Diagnosis" fields. If any of the four keywords "liver cirrhosis", "cancer", "malignant tumor" and "hypoproteinemia" are contained, then proceed to the next step; if not, then report it; The fifth step is to extract the test record content and compare the albumin value in the test results. If the albumin value is lower than 30g / L, it is passed, indicating that the patient meets the restrictive medication conditions for human albumin injection; if the albumin value is normal, it will be reported.
3. The method for analyzing the use of human albumin injection based on hospital medical records according to claim 2, characterized in that: The reported results are judged as follows: If the first step is reported, it means that the patient does not need to use human albumin injection; If the second step is reported, it will prompt: the patient using human albumin injection does not have emergency or critical or high-risk medical instructions and does not meet the restrictive medication conditions; If the third step is reported, it will prompt: the patient's medical record for human albumin injection does not contain "pleural / abdominal effusion" and no rescue record, which does not meet the restrictive medication conditions; If the fourth step is reported, it will prompt: the front page of the medical record of the patient using human albumin injection does not have a diagnosis of malignant tumor / liver cirrhosis or hypoproteinemia, and does not meet the restrictive medication conditions; If the fifth step is reported, it will prompt: Patients using human albumin injection do not have a test report showing that the albumin result is lower than 30g / L, and do not meet the restrictive medication conditions.
4. The method for analyzing the use of human albumin injection based on hospital medical records according to claim 1, characterized in that: The patient's full document data includes: the first page of the inpatient medical record, the superior's ward rounds record, long-term doctor's orders, consultation records, test records, discussion records of difficult cases, stage summaries, admission records, and discharge records.
5. The method for analyzing the use of human albumin injection based on hospital medical records according to claim 1, characterized in that: The documents required to determine whether human albumin injection meets the restrictive drug use conditions include: the first page of the inpatient medical record, long-term medical orders, temporary medical orders, daily medical records, superior ward rounds records, discussion records of difficult cases, handover records, transfer records, stage summaries, rescue records, consultation records, and inspection records.
6. A human albumin injection medication analysis and processing system based on hospital medical records, characterized in that: include: Data docking module, used to dock with hospital HIS data and dock with patient's full document data through HIS; The document extraction module is used to determine the document nodes that need to be extracted from the patient's full document data according to the document content required to determine whether human albumin injection meets the restrictive medication conditions; The rule engine processing module is used to match the extracted document content, process it according to the set rules, and output the processing results; A result judgment module is used to judge the processing result: if it passes, it means that the patient using human albumin injection meets the restrictive medication conditions; If reported, it means that the patient using human albumin injection does not meet the restrictive medication conditions.
7. The human albumin injection medication analysis and processing system based on hospital medical records according to claim 6 is characterized in that: In the rule engine processing module: The rule engine judgment module judgment rules are as follows: The first step is to extract the valid medical orders that have been executed from the long-term medical orders or temporary medical orders. If the medical order content contains "human albumin injection", proceed to the next step; if not, report it; The second step is to extract the valid medical orders that have been executed in the long-term medical orders or temporary medical orders. If any of the three keywords "rescue", "severe illness" and "high risk" are contained, proceed to the next step; if not, report it; The third step is to extract the content of daily medical records. If it contains any of the four positive descriptions of "pleural effusion", "ascites", "pleural effusion" and "peritoneal effusion" or there is a rescue record, then proceed to the next step; if not, then report it; The fourth step is to extract the content of the first page of the inpatient medical record, and check and match the content of the "09.01 Main Diagnosis" and "09.02 Other Diagnosis" fields. If any of the four keywords "liver cirrhosis", "cancer", "malignant tumor" and "hypoproteinemia" are contained, then proceed to the next step; if not, then report it; The fifth step is to extract the test record content and compare the albumin value in the test results. If the albumin value is lower than 30g / L, it is passed, indicating that the patient meets the restrictive medication conditions for human albumin injection; if the albumin value is normal, it will be reported.
8. The human albumin injection medication analysis and processing system based on hospital medical records according to claim 7 is characterized in that: In the result judgment module: The reported results are judged as follows: If the first step is reported, it means that the patient does not need to use human albumin injection; If the second step is reported, it will prompt: the patient using human albumin injection does not have emergency or critical or high-risk medical instructions and does not meet the restrictive medication conditions; If the third step is reported, it will prompt: the patient's medical record for human albumin injection does not contain "pleural / abdominal effusion" and no rescue record, which does not meet the restrictive medication conditions; If the fourth step is reported, it will prompt: the front page of the medical record of the patient using human albumin injection does not have a diagnosis of malignant tumor / liver cirrhosis or hypoproteinemia, and does not meet the restrictive medication conditions; If the fifth step is reported, it will prompt: Patients using human albumin injection do not have a test report showing that the albumin result is lower than 30g / L, and do not meet the restrictive medication conditions.
9. The human albumin injection medication analysis and processing system based on hospital medical records according to claim 6, characterized in that: In the data docking module: The patient's full document data includes: the first page of the inpatient medical record, the superior's ward rounds record, long-term doctor's orders, consultation records, test records, discussion records of difficult cases, stage summaries, admission records, and discharge records.
10. The human albumin injection medication analysis and processing system based on hospital medical records according to claim 6, characterized in that: In the document extraction module: The documents required to determine whether human albumin injection meets the restrictive drug use conditions include: the first page of the inpatient medical record, long-term medical orders, temporary medical orders, daily medical records, superior ward rounds records, discussion records of difficult cases, handover records, transfer records, stage summaries, rescue records, consultation records, and inspection records.