Intelligent hemodialysis outpatient doctor advice issuing method and system and electronic equipment

Through the AI algorithm intelligent medical order recommendation system, the problems of cumbersome, error-prone and complex medical insurance settlement of the hemodialysis clinic are solved, and the rapid and accurate integrated medical order management is achieved, which improves the work efficiency of doctors and the accuracy of patient treatment.

CN120473068APending Publication Date: 2025-08-12RENMIN HOSPITAL OF WUHAN UNIVERSITY (HUBEI GENERAL HOSPITAL)
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Patent Information

Application Number
CN202510566812.0
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-04-30
Publication Date
2025-08-12

AI Technical Summary

Technical Problem

The process of issuing medical orders in traditional hemodialysis clinics is cumbersome, prone to errors, lack of intelligent recommendations, complex medical insurance settlement, low work efficiency of doctors, and lack of intelligent platforms for real-time communication and management.

Method used

AI algorithms are used to recommend intelligent medical orders, including dialysis costs, related examinations and drug management, combined with patient real-time data and historical records, automatically matches medical insurance policies, generates final medical order information, and realizes integrated management through systematic linkage.

Benefits of technology

It has achieved rapid, accurate and integrated medical order issuance, improved doctors' work efficiency, reduced errors and omissions, ensured patients received accurate treatment, and optimized medical insurance settlement process.

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Abstract

The invention provides an intelligent hemodialysis outpatient doctor advice issuing method and system and electronic equipment, and the method comprises the steps: S1, collecting the information of a patient, reading the historical dialysis doctor advice of the patient, and obtaining the real-time data of the patient; s2, performing intelligent medical advice recommendation based on an AI algorithm according to the real-time data of the patient, wherein the intelligent medical advice recommendation comprises dialysis expense issuing, related examination recommendation and intelligent medicine management; s3, on the basis of recommending the doctor's advice, increasing or decreasing items or adjusting parameters to generate final doctor's advice information; and S4, synchronizing the final doctor's advice information to a hospital HIS system, performing integrated management on dialysis cost, examination and medication information, performing linkage with a medical insurance system, automatically generating a settlement list, and supporting a patient to query cost details. On the basis of dialysis cost management, intelligent examination item recommendation, personalized medicine issuing and medical insurance intelligent matching technologies, one-button intelligent medical advice management is achieved, the working efficiency of doctors is improved, it is ensured that patients obtain precise treatment, and the accuracy and efficiency of medical advice issuing are improved.
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Description

Technical Field

[0001] The present invention relates to the field of medical information, and more specifically, to an intelligent method, system and electronic equipment for issuing medical orders to hemodialysis outpatients. Background Art

[0002] Epidemiological surveys indicate that chronic kidney disease (CKD) has become a major global health threat, and its prevalence continues to rise. As the disease progresses, CKD may eventually progress to end-stage renal disease (ESRD). Hemodialysis is a commonly used renal replacement therapy for ESRD, removing metabolic waste, toxins, and excess water from the blood through diffusion, convection, and filtration, thereby prolonging survival.

[0003] In hemodialysis clinics, doctors need to regularly prescribe dialysis fees, laboratory tests, and medication orders for patients. However, the traditional approach has the following problems: The process of issuing medical orders is cumbersome: doctors need to prescribe dialysis fees, laboratory tests and drugs separately, and switching between systems is frequent, which affects efficiency; manual input is prone to errors: doctors need to manually enter multiple items. If omissions or incorrect prescribing may affect patient treatment, even cause financial burden, and easily cause conflicts between doctors and patients; lack of intelligent recommendations: medical order issuance relies on the doctor's experience, and it is easy to miss necessary examinations or drug adjustments, affecting the quality of dialysis; medical insurance settlement is complicated: different patients have different medical insurance policies, and manually selecting the appropriate fee category is time-consuming and laborious; there is a lack of communication platform between doctors, nurses and patients, and it is currently impossible to achieve real-time communication and management of medical order issuance through intelligent platforms; intelligent platforms cannot be used to save doctors' time costs.

[0004] Therefore, there is an urgent need for an intelligent medical order issuance system and method that can quickly, accurately and integratedly complete the issuance of dialysis fees, related examinations and medication orders, reduce the workload of doctors, and improve the intelligence level of medical order management. Summary of the Invention

[0005] In response to the technical problems existing in the prior art, the present invention provides an intelligent method, system and electronic equipment for issuing medical orders for hemodialysis outpatients, which are used to help doctors conveniently and efficiently issue dialysis fees, related examinations and medication orders to patients, thereby improving the accuracy and efficiency of medical order issuance.

[0006] According to a first aspect of the present invention, there is provided an intelligent method for issuing medical prescriptions for hemodialysis outpatients, comprising the following steps: S1. Collect patient information, read the patient's historical dialysis orders, and obtain the patient's real-time data; S2. Intelligent medical advice recommendations based on AI algorithms and real-time patient data, including dialysis fee invoicing, relevant examination recommendations, and intelligent medication management. S3. Based on the recommended medical order, add or remove items or adjust parameters to generate final medical order information; S4. Synchronize the final medical order information to the hospital HIS system, integrate the dialysis costs, examinations, and medication information, link with the medical insurance system, automatically generate a settlement list, and support patients to query the cost details.

[0007] On the basis of the above technical solution, the present invention can also make the following improvements.

[0008] Optionally, the collected patient information includes: name, ID number, dialysis age, medical insurance type, and medical history; the reading of the patient's historical dialysis orders includes: dialysis mode, dialysis frequency, dialysis cost, and drug usage; the acquired real-time data includes: blood pressure, weight, and laboratory test results.

[0009] Optionally, the dialysis fee invoice includes: Automatically match the expense category according to the patient's dialysis mode, automatically select the appropriate settlement method based on the medical insurance policy, and display the patient's self-paid portion.

[0010] Optionally, the related inspection recommendations include: Recommend corresponding laboratory examination orders based on medical quality management indicators, testing frequency, dialysis frequency, previous examination data, and disease status; in the relevant examination recommendations, doctors can confirm or adjust the recommended items with one click to prevent missing necessary examinations.

[0011] Optionally, the intelligent drug management includes: Combined with the patient's medical history and dialysis status, it automatically recommends commonly used medications and provides dosage recommendations for medications that require regular dosage adjustments, allowing doctors to directly confirm or modify them.

[0012] Optionally, the doctor can add or remove items or adjust parameters based on the recommended medical order, provide voice input and quick template support, and allow the doctor to select a regular dialysis package with one click, including standard fees, routine examinations and medicines.

[0013] Optional, intelligent medical advice recommendations based on AI algorithms and real-time patient data include: The AI algorithm automatically identifies the type of medical insurance and provides a reasonable fee settlement plan.

[0014] According to a second aspect of the present invention, there is provided an intelligent hemodialysis outpatient medical prescription system, comprising: Patient data collection module, used to connect to HIS, Ruimei LIS testing system, and hemodialysis information management system to obtain patient information in real time; Intelligent recommendation module, which is used to recommend dialysis costs, examinations, and medication orders to doctors based on AI algorithms; The medical order management module is used by doctors to modify and confirm medical orders and generate final medical order information; Medical insurance matching module: used to automatically identify medical insurance types and provide reasonable fee settlement plans.

[0015] Optional, interactive interface for providing PC and mobile support, enabling quick issuance of medical orders on computers or mobile devices; Firewalls, through the organic combination of various software and hardware devices for security management and screening, help intelligent systems build a relatively isolated protection barrier between internal and external networks to protect user data and information security; The cloud server is used as a medical and patient communication platform. If patients have any questions, they can communicate with their responsible doctors and nurses on this platform.

[0016] According to a third aspect of the present invention, an electronic device is provided, comprising an acquirer, a processor, a display and output device, and a computer program stored in the memory and executable on the processor, wherein the processor executes the program to perform an intelligent method for issuing medical orders for hemodialysis outpatients.

[0017] Technical effects and advantages of the present invention: The present invention provides an intelligent method, system and electronic equipment for issuing medical orders for hemodialysis outpatients. Based on dialysis cost management, intelligent recommendation of examination items, personalized drug prescription, and intelligent medical insurance matching technology, it realizes one-click, intelligent medical order management, improves doctors' work efficiency, and ensures that patients receive accurate treatment.

[0018] Among them, doctors can issue dialysis fees, examinations and medication orders with one click through quick operations; automatically recommend necessary laboratory tests based on the patient's condition and dialysis cycle; automatically recommend drugs and remind patients of dosage adjustments or contraindications based on their medical records; automatically identify the patient's medical insurance category, match reimbursable items, and reduce financial disputes; medical orders are linked in real time with the hospital HIS, Ruimei LIS testing system, and hemodialysis information management system to ensure that the orders are accurate.

[0019] Other features and advantages of the present invention will be described in the following description, and in part will become apparent from the description, or will be understood by practicing the present invention. The purpose and other advantages of the present invention can be realized and obtained by the structures pointed out in the description, claims and drawings. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] Figure 1 A flow chart of an intelligent method for issuing medical orders to hemodialysis outpatients provided by an embodiment of the present invention; Figure 2 A schematic diagram of an intelligent hemodialysis outpatient medical prescription system provided by an embodiment of the present invention. DETAILED DESCRIPTION

[0021] The following will clearly and completely describe the technical solutions in the embodiments of the present invention in conjunction with the accompanying drawings. Obviously, the described embodiments are only 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 making creative efforts are within the scope of protection of the present invention.

[0022] It should be noted that the intelligent method, system and electronic device for issuing medical orders for hemodialysis outpatients described in the embodiments of the present invention are used to help doctors conveniently and efficiently issue dialysis fees, related examinations and medication orders to patients, thereby improving the accuracy and efficiency of medical order issuance.

[0023] It is understandable that, based on the defects in the background technology, the embodiment of the present invention proposes an intelligent method for issuing medical prescriptions for hemodialysis outpatients, specifically as follows: Figure 1 As shown, this method mainly includes the following steps: S1. Collect patient information, read the patient's historical dialysis orders, and obtain the patient's real-time data; In this embodiment, collecting patient information includes: obtaining basic patient information, including: name, ID number, dialysis age, medical insurance type, and medical history; reading the patient's historical dialysis orders, including: dialysis mode, dialysis frequency, dialysis cost, and drug usage; obtaining real-time data, including: blood pressure, weight, and laboratory test results.

[0024] S2. Intelligent medical advice recommendations based on real-time patient data, including: dialysis fee issuance, related examination recommendations, and intelligent drug management; a. Dialysis fee invoice, including: The system automatically matches the corresponding expense category based on the patient's dialysis mode (such as hemodialysis, hemoperfusion, hemodiafiltration, etc.); combined with medical insurance policies, it automatically selects the appropriate settlement method and displays the patient's self-paid portion; doctors can confirm with one click, without having to manually enter the dialysis fee for each session; b. Recommended examinations, including: The system recommends appropriate laboratory test orders based on medical quality management indicators, test frequency, dialysis frequency, previous examination data, and disease status (such as anemia, high phosphorus, high potassium, etc.); Table 1 Medical quality management indicators and testing frequency for hemodialysis patients

[0025] Doctors can confirm or adjust recommended items with one click to avoid missing necessary examinations; c. Intelligent drug management, including: Based on the patient's medical history and dialysis status, the system automatically recommends commonly used medications (such as erythropoietin, phosphate binders, and antihypertensive drugs). The built-in drug interaction database reminds doctors of drug contraindications to avoid irrational drug use. For drugs that require regular dosage adjustments (such as erythropoietin and calcitonin), the system provides dosage recommendations that doctors can directly confirm or modify.

[0026] S3. Based on the recommended medical order, add or remove items or adjust parameters to generate the final medical order information; In this embodiment, doctors can add or remove items or adjust parameters based on the recommended order to generate the final order information. Voice input and quick templates are supported for adding or removing items or adjusting parameters, speeding up entry. Furthermore, doctors can select a "regular dialysis package" with one click, including the standard fee, routine tests, and medications, significantly improving order-writing efficiency.

[0027] S4. Synchronize the final medical order information to the hospital HIS system, integrate the dialysis costs, examinations, and medication information, link with the medical insurance system, automatically generate a settlement list, and support patients to query the cost details.

[0028] In this embodiment, medical orders are synchronized with the hospital's HIS system, seamlessly integrating with the hospital's HIS and electronic medical record (EMR) system to achieve data interoperability. This ensures accurate billing, examination, and pharmacy execution. It also integrates dialysis costs, examinations, and medication information, reducing manual entry errors. Furthermore, the system automatically generates settlement statements through linkage with the medical insurance system, allowing patients to query detailed expense information.

[0029] If the patient has any questions, he or she can communicate with his or her responsible doctor and nurse on the platform to avoid conflicts. After the final medical order information is generated, it will be pushed to the medical and patient communication platform to remind the patient to check it in time to see if there are any questions.

[0030] The following is further described with reference to a specific embodiment. An embodiment of the present invention provides an intelligent method for issuing medical orders for hemodialysis outpatients, which is based on the patient's name and ID number and includes the following steps: Obtain patient test result data from the Ruimei testing system, obtain patient-related previous treatment information from the HIS system, and obtain patient historical dialysis information from the hemodialysis information management system; The extracted data are divided into three categories according to dialysis costs, related examinations, and drugs. According to the patient's dialysis mode (such as hemodialysis, hemoperfusion, hemodiafiltration), the corresponding cost category is automatically matched, and the corresponding laboratory test orders are recommended based on medical quality management indicators and test frequency, dialysis frequency, previous examination data, and disease status (such as anemia, high phosphorus, and high potassium). Combined with the patient's medical history and dialysis status, commonly used drugs (such as erythropoietin, phosphate binders, and antihypertensive drugs) are automatically recommended; a built-in drug interaction database reminds doctors of drug contraindications to avoid irrational drug use; and dosage recommendations are provided for drugs that require regular dosage adjustments (such as erythropoietin and calcitonin).

[0031] Based on the recommended medical order, combined with the patient's actual situation and comprehensive assessment, items are manually added or subtracted or parameters are adjusted to generate the final medical order information.

[0032] The final medical order information is synchronized to the hospital HIS system to ensure correct charging, examination, and pharmacy execution, automatically identify the medical insurance type, and provide a reasonable fee settlement plan.

[0033] If the patient has any questions, he or she can communicate with the responsible doctor and nurse on the platform to avoid conflicts. After the final medical order information is generated, it will be pushed to the medical and patient communication platform to remind the patient to check it in time to see if there are any questions.

[0034] According to the second aspect of the present invention, an embodiment of the present invention provides an intelligent hemodialysis outpatient medical prescription system, specifically as follows: Figure 2 As shown, the system includes the following modules: Patient data collection module: connects to HIS, Ruimei LIS testing system, and hemodialysis information management system to obtain patient information in real time; Specifically, when a new patient is admitted, the system automatically retrieves the patient's medical records to obtain basic information (including name, ID number, dialysis duration, medical insurance type, and medical history); reads the patient's historical dialysis orders (dialysis mode, dialysis frequency, dialysis costs, and medication usage); and obtains real-time data (blood pressure, weight, and laboratory test results). The doctor quickly prescribes an initial dialysis prescription based on a template, and the system recommends an anticoagulation regimen. When the nurse executes the order, the system verifies that the medication matches the dialysis parameters.

[0035] Intelligent recommendation module: Based on AI algorithms, it recommends dialysis costs, examinations, and medication orders to doctors; These AL algorithms include, but are not limited to, DeepSeek and Qianwen. Through its intelligent recommendation module, the system automatically matches the corresponding expense category based on the patient's dialysis pattern. In conjunction with medical insurance policies, it automatically selects the appropriate settlement method and displays the patient's out-of-pocket expense. Physicians can confirm the cost with a single click, eliminating the need to manually enter each dialysis fee. The system recommends appropriate laboratory test orders based on medical quality management indicators, testing frequency, dialysis frequency, previous examination data, and disease status (such as anemia, hyperphosphatemia, and hyperkalemia).

[0036] Medical order management module: doctors can modify and confirm medical orders and generate final medical order information; Through the aforementioned medical order management module, doctors can manually or voice-control recommended orders, add or remove items, or adjust parameters on the system to generate final orders. The system allows doctors to select a "regular dialysis package" with a single click, including standard fees, routine tests, and medications, significantly improving order-writing efficiency.

[0037] Medical insurance matching module: automatically identifies medical insurance type and provides reasonable fee settlement plan.

[0038] Through the above-mentioned medical insurance matching module, medical orders can be synchronized to the hospital HIS system to ensure correct charging, examination, and pharmacy execution; dialysis costs, examinations, and medication information are managed in an integrated manner to reduce manual entry errors; the medical insurance system is linked to automatically generate settlement lists to support patients inquiring about detailed expenses.

[0039] By leveraging the aforementioned modules, the intelligent hemodialysis outpatient prescription system described in this embodiment of the present invention can improve efficiency, reduce manual data entry, and shorten prescription processing time by over 30%. Reduced error rates: Intelligent prescription review and rule-based verification reduce the risk of drug interactions. Data-driven decision-making: Accumulated clinical data can be used for quality improvement (e.g., optimizing dialysis adequacy indicators).

[0040] The system also includes hardware components, specifically: interactive interface: providing PC and mobile terminal support, so that doctors can quickly issue medical orders in the clinic or on mobile devices; Firewall: By organically combining various software and hardware devices for security management and screening, it helps the intelligent system build a relatively isolated protection barrier between its internal and external networks to protect user data and information security. Cloud server: Medical-nurse-patient communication platform: If patients have any questions, they can communicate with their responsible doctors and nurses on this platform to avoid conflicts.

[0041] In addition, an embodiment of the present invention provides an electronic device that may include a processor, a communications interface, a memory, and a communications bus, wherein the processor, the communications interface, and the memory communicate with each other via the communications bus. The processor may invoke logic instructions in the memory to execute the aforementioned intelligent method for issuing medical orders for hemodialysis outpatients.

[0042] Furthermore, the logical instructions in the aforementioned memory can be implemented as software functional units and, when sold or used as independent products, can be stored in a computer-readable storage medium. Based on this understanding, the technical solution of the present invention, or the portion that contributes to the prior art, or a portion of the technical solution, can be embodied in the form of a software product. This computer software product is stored in a storage medium and includes several instructions for enabling a computer device (which can be a personal computer, server, or network device, etc.) to execute all or part of the steps of the methods described in various embodiments of the present invention. The aforementioned storage media include various media capable of storing program code, such as USB flash drives, mobile hard drives, read-only memories (ROMs), random access memories (RAMs), magnetic disks, or optical disks.

[0043] In summary, the embodiments of the present invention provide an intelligent method, system, and electronic device for issuing medical orders for hemodialysis outpatients, which can realize one-click medical order issuance, reduce the burden on doctors, and improve work efficiency; intelligent recommendation, reduce omissions and errors, and ensure that patients receive the best treatment plan; intelligent matching of medical insurance, optimize cost management, improve medical insurance settlement efficiency, and reduce the economic burden on patients; real-time data linkage, avoid repeated entry, and improve the level of hospital information management. Based on intelligent technology, the present invention realizes intelligent medical order management of hemodialysis outpatient dialysis costs, related examinations, and medication, greatly improves the efficiency and accuracy of doctors issuing medical orders, reduces human errors, optimizes the medical insurance settlement process, and improves the safety and convenience of patients' dialysis treatment.

[0044] The device embodiments described above are merely illustrative. The units described as separate components may or may not be physically separate, and the components shown as units may or may not be physical units, i.e., they may be located in one location or distributed across multiple network units. Some or all of the modules may be selected based on actual needs to achieve the objectives of the present embodiment. Persons of ordinary skill in the art will be able to understand and implement the present invention without inventive effort.

[0045] Although the preferred embodiments of the present invention 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 that fall within the scope of the present invention.

[0046] Finally, it should be noted that the above is only a preferred embodiment of the present invention and is not intended to limit the present invention. Although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art can still modify the technical solutions described in the aforementioned embodiments or make equivalent substitutions for some of the technical features therein. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principles of the present invention should be included in the scope of protection of the present invention.

Claims

1. An intelligent method for issuing medical orders for hemodialysis outpatients, characterized in that: The following steps are involved: S1. Collect patient information, read the patient's historical dialysis orders, and obtain the patient's real-time data; S2. Intelligent medical advice recommendations based on AI algorithms and real-time patient data, including dialysis fee invoicing, relevant examination recommendations, and intelligent medication management. S3. Based on the recommended medical order, add or remove items or adjust parameters to generate final medical order information; S4. Synchronize the final medical order information to the hospital HIS system, integrate the dialysis costs, examinations, and medication information, link with the medical insurance system, automatically generate a settlement list, and support patients to query the cost details.

2. The intelligent method for issuing medical orders for hemodialysis outpatients according to claim 1, characterized in that: The collected patient information includes: name, ID number, dialysis age, medical insurance type, and medical history; the reading of the patient's historical dialysis orders includes: dialysis mode, dialysis frequency, dialysis cost, and drug usage; the acquired real-time data includes: blood pressure, weight, and laboratory test results.

3. The intelligent method for issuing medical prescriptions for hemodialysis outpatients according to claim 1, characterized in that: The dialysis fee invoice includes: Automatically match the expense category according to the patient's dialysis mode, automatically select the appropriate settlement method based on the medical insurance policy, and display the patient's self-paid portion.

4. The intelligent method for issuing medical prescriptions for hemodialysis outpatients according to claim 1, characterized in that: Recommended examinations include: Recommend corresponding laboratory examination orders based on medical quality management indicators, testing frequency, dialysis frequency, previous examination data, and disease status; in the relevant examination recommendations, doctors can confirm or adjust the recommended items with one click to prevent missing necessary examinations.

5. The intelligent method for issuing medical prescriptions for hemodialysis outpatients according to claim 1, characterized in that: The intelligent management of medicines includes: Combined with the patient's medical history and dialysis status, it automatically recommends commonly used medications and provides dosage recommendations for medications that require regular dosage adjustments, allowing doctors to directly confirm or modify them.

6. The intelligent method for issuing medical prescriptions for hemodialysis outpatients according to claim 1, characterized in that: Doctors can add or remove items or adjust parameters based on the recommended medical instructions. It also supports voice input and quick templates, allowing doctors to select regular dialysis packages with one click, including standard fees, routine examinations and medicines.

7. The intelligent method for issuing medical prescriptions for hemodialysis outpatients according to claim 1, characterized in that: Intelligent medical advice recommendations based on AI algorithms and real-time patient data include: The AI algorithm automatically identifies the type of medical insurance and provides a reasonable fee settlement plan.

8. An intelligent hemodialysis outpatient medical prescription system, characterized by: include: Patient data collection module, used to connect to HIS, Ruimei LIS testing system, and hemodialysis information management system to obtain patient information in real time; Intelligent recommendation module, which is used to recommend dialysis costs, examinations, and medication orders to doctors based on AI algorithms; The medical order management module is used by doctors to modify and confirm medical orders and generate final medical order information; Medical insurance matching module: used to automatically identify medical insurance types and provide reasonable fee settlement plans.

9. The intelligent hemodialysis outpatient medical prescription system according to claim 8, characterized in that: The system further comprises: Interactive interface, used to provide PC and mobile support, enabling quick issuance of medical orders on computers or mobile devices; Firewalls, through the organic combination of various software and hardware devices for security management and screening, help intelligent systems build a relatively isolated protection barrier between internal and external networks to protect user data and information security; The cloud server is used as a medical and patient communication platform. If patients have any questions, they can communicate with their responsible doctors and nurses on this platform.

10. An electronic device, characterized in that: include: An acquirer, a processor, a display and an output device, and a computer program stored in the memory and executable on the processor, wherein the processor executes the program to implement an intelligent method for issuing medical orders for hemodialysis outpatients as claimed in any one of claims 1 to 7.