CN114420278A - Intelligent check reservation method and system based on rule algorithm - Google Patents
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Abstract
本发明涉及一种基于规则算法的智能检查预约方法及系统,包括如下步骤:获取医院信息系统患者有效医技检查申请单;对接收的患者检查申请单中的医嘱项目按预约服务路径分组归类,根据检查项目开放预约服务路径标签对所述患者检查申请单中项目归类并生成项目预约服务路径队列;根据预设策略及检查项目合并规则对上述生成的患者预约服务路径中项目合并检查计算,并对合并检查计算结果标签生成预约申请队列;根据上述为患者预约申请队列匹配推荐的最优资源完成预约下单并向医院信息系统按资源排班输出预约排程队列。本发明通过构建科学的医技检查预约规则库,基于规则库提供一种医技检查预约方法及系统。
The invention relates to an intelligent inspection reservation method and system based on a rule algorithm, comprising the following steps: obtaining a patient's valid medical technical inspection application form from a hospital information system; , classify the items in the patient examination application form according to the examination item open appointment service path label and generate an item appointment service route queue; according to the preset strategy and the examination item merging rule, the items in the above generated patient appointment service route are merged and calculated. , and generate an appointment application queue for the combined check calculation result tag; complete the appointment order according to the optimal resources recommended for the patient appointment application queue matching above, and output the appointment scheduling queue according to the resource scheduling in the hospital information system. By constructing a scientific medical technical examination reservation rule base, the invention provides a medical technical examination reservation method and system based on the rule base.
Description
技术领域technical field
本发明属于医疗管理技术领域,具体涉及一种基于规则算法的智能检查预约方法及系统。The invention belongs to the technical field of medical management, and in particular relates to an intelligent inspection reservation method and system based on a rule algorithm.
背景技术Background technique
医疗机构医技科室是指运用专门的诊疗技术和设备,协同临床科诊断和治疗疾病的医疗技术科室,是医院的重要组成部分。近年来,国家卫健委持续推动预约诊疗快速健康发展,预约挂号服务取得较好的成效,减少了患者就诊挂号排队时间。医技预约是预约诊疗中重点业务之一,在整个医疗业务系统中十分关键,能够有效缩短患者无效等候时间,降低患者就诊成本,降低住院天数,提高患者的满意度。同时有助于提高医技检查科室业务处理能力和水平。The medical technology department of a medical institution refers to the medical technology department that uses specialized diagnosis and treatment techniques and equipment to cooperate with clinical departments to diagnose and treat diseases, and is an important part of the hospital. In recent years, the National Health and Health Commission has continued to promote the rapid and healthy development of appointment diagnosis and treatment, and the appointment registration service has achieved good results, reducing the waiting time of patients for consultation and registration. Medical technology appointment is one of the key businesses in appointment diagnosis and treatment. It is very critical in the entire medical business system. It can effectively shorten the invalid waiting time of patients, reduce the cost of patient consultation, reduce the number of hospitalization days, and improve patient satisfaction. At the same time, it will help to improve the business processing capacity and level of the medical examination department.
在医院医技检查作业中,传统医技预约模式存在一定瓶颈,患者普遍需要往返多次、排队等候、效率低下、耗时耗力。一方面从医院角度看,各种不同检查项目所需要的查前准备、检查安排都由手工控制,检查项目难以统筹安排,无法合理均衡地掌控和利用已有医疗资源。部分医院虽已开展信息化医技资源预约服务,但对同一患者一次多个检查项目分单、检查项目预约时限冲突、设备按资源量灵活管理等问题不能有效解决,开展的预约基本上依赖医护工作人员经验,不能解决患者、检查项目、资源之间深层关系问题;另一方面从患者角度看,患者多次奔波于检查室排队等候、预约安排不合理、无法自主选择合适的检查时间、预约方式与渠道单一,然而现有的医技预约偏重了利用信息系统依赖工作人员经验完成预约登记工作,很难深层次处理解决患者关心的问题,不能满足患者需求。In the hospital medical examination operation, the traditional medical technology appointment mode has certain bottlenecks. Patients generally need to go back and forth many times, wait in line, inefficiency, time-consuming and labor-intensive. On the one hand, from the perspective of the hospital, the pre-examination preparations and inspection arrangements required for various inspection items are manually controlled. Although some hospitals have launched the information-based medical technology resource reservation service, they cannot effectively solve problems such as dividing orders for multiple examination items for the same patient at one time, conflicting examination item appointment time limits, and flexible management of equipment according to the amount of resources. The appointments carried out basically rely on medical care. The experience of the staff cannot solve the problem of the deep relationship between patients, examination items and resources; on the other hand, from the perspective of patients, patients have repeatedly rushed to the examination room to wait in line, the appointment arrangement is unreasonable, and they cannot independently choose the appropriate examination time and appointment. The methods and channels are single, but the existing medical technology appointments focus on the use of information systems to rely on the experience of the staff to complete the appointment registration work.
因此为了解决上述问题,需要构建科学的专业医技检查规则库,采用基于规则的算法计算安排患者最优预约排程方案,建立智能、自动、高效的医技预约系统,为患者提供更合理的预约排程,有效避免医学矛盾和患者的无效流动,实现医技检查效率及服务的极大提高。Therefore, in order to solve the above problems, it is necessary to build a scientific professional medical technology inspection rule base, use the rule-based algorithm to calculate the optimal appointment scheduling plan for patients, and establish an intelligent, automatic and efficient medical technology appointment system to provide patients with more reasonable Appointment scheduling can effectively avoid medical contradictions and invalid flow of patients, and greatly improve the efficiency of medical technical inspections and services.
发明内容SUMMARY OF THE INVENTION
为解决现有技术存在的问题,本发明的目的是通过构建科学的医技检查预约规则库,基于规则库提供一种医技检查预约方法及系统。In order to solve the problems existing in the prior art, the purpose of the present invention is to provide a medical technical inspection reservation method and system based on the rule library by constructing a scientific medical technical inspection reservation rule base.
本发明技术方案具体如下:第一方面,提供一种基于规则算法的智能检查预约方法包括步骤:The technical solutions of the present invention are as follows: In the first aspect, a rule-based algorithm-based intelligent inspection reservation method is provided, which includes the steps:
获取医院信息系统患者有效医技检查申请单;Obtain a valid medical examination application form for patients in the hospital information system;
对接收的患者检查申请单中的医嘱项目按预约服务路径分组归类,根据检查项目开放预约服务路径标签对所述患者检查申请单中项目归类并生成项目预约服务路径队列;Grouping and classifying the doctor's order items in the received patient examination application form according to the appointment service path, classifying the items in the patient examination application form according to the examination item open appointment service path label, and generating an item reservation service path queue;
根据预设策略及检查项目合并规则对上述生成的患者预约服务路径中项目合并检查计算,并对合并检查分单的结果标签生成预约申请队列;According to the preset strategy and the inspection item merging rule, the items in the above-generated patient reservation service path are merged and calculated, and the reservation application queue is generated for the result label of the merged inspection order;
根据预设策略及项目资源匹配规则对上述生成的患者预约申请队列匹配相应的最优资源;According to the preset strategy and project resource matching rules, match the corresponding optimal resources to the above-generated patient reservation application queue;
根据上述为患者预约申请队列匹配推荐的最优资源完成预约下单并向医院信息系统按资源排班输出预约排程队列。According to the above-mentioned optimal resources recommended for the patient reservation application queue matching, the reservation order is completed and the hospital information system outputs the reservation scheduling queue according to the resource scheduling.
进一步地,所述的根据检查项目开放预约服务路径标签对所述患者检查申请单中项目归类并生成项目预约服务路径队列,具体包括:Further, classifying the items in the patient examination application form according to the examination item opening appointment service path label and generating an item reservation service path queue, specifically including:
按项目预约服务路径标签将患者检查申请单中项目分配到自动化预约服务路径和非自动化预约服务路径两组队列中;Allocate the items in the patient examination application form to the two queues of the automatic appointment service route and the non-automatic appointment service route according to the item appointment service route label;
符合自动化预约服务路径的项目在完成缴费节点自动进入分单处理环节,非自动化预约服务路径的项目由医护人员或患者主动触发进入分单处理环节。Items that meet the automatic appointment service path will automatically enter the order split processing link after the payment node is completed. Items that are not on the automatic appointment service path will be actively triggered by medical staff or patients to enter the order split processing link.
进一步地,所述根据预设策略及检查项目合并规则对上述生成的患者预约服务路径中项目合并检查计算,并对合并检查分单的结果标签生成预约申请队列,具体步骤还包括:Further, according to the preset strategy and the inspection item merging rule, the above-mentioned generated patient reservation service path items in the patient reservation service path are merged and calculated, and the result label of the merged inspection order is generated and the reservation application queue is generated, and the specific steps further include:
抽取项目检查类型、部位数据并对其清洗、转换与基础字典库建立连接,形成系统可识别的统一标准的数据;Extract item inspection type and part data, clean and convert it and establish connection with the basic dictionary database to form unified standard data that can be recognized by the system;
按检查类型对预约服务路径中项目分组,生成患者项目检查类型队列;Group the items in the appointment service path according to the examination type, and generate a queue of patient item examination types;
根据预设策略及项目合并规则,对上述每组队列中检查项目特殊性校验,其中,若检查项目具有特殊性,则对其标签并生成预约申请队列,若检查项目不具有特殊性,则进入项目与检查室/设备对应关系校验;According to the preset strategy and the project merging rules, the specificity of the inspection items in each group of queues above is checked. If the inspection items are special, they will be tagged and a reservation application queue will be generated. If the inspection items are not special, Then enter the project and inspection room/equipment correspondence verification;
根据预设策略及项目合并规则,对上述每组队列中非特殊性项目与检查室/设备对应关系校验,其中,每组队列中不能对应到同一检查室/设备上做的检查项目,则对其标签并生成预约申请队列,每组队列中对应到同一检查室/设备做的检查项目,则对其项目检查部位校验;According to the preset strategy and item merging rules, the correspondence between the non-specific items in each group of queues and the examination room/equipment is checked. Among them, each group of queues cannot correspond to the examination items done on the same examination room/equipment. , then label it and generate a reservation application queue, and the inspection items in each group of queues corresponding to the same inspection room/equipment are checked for the inspection parts of the items;
根据预设策略及合并规则,对上述每组队列中对应到同一检查室/设备的项目检查部位校验,其中,每组队列中相同检查部位的项目,则对其标签并生成预约申请队列,每组队列中非同一检查部位的检查项目,则对其检查类型组别校验;According to the preset strategy and merging rules, the inspection parts of the items corresponding to the same inspection room/equipment in each group of queues are verified, and the items in the same inspection part in each group of queues are labeled and an appointment application is generated. Queue, the inspection items of different inspection sites in each group of queues are checked by inspection type group;
根据预设策略及项目合并规则,对上述每组队列中非同一检查部位的检查项目组别校验,其中,每组队列中符合高级组别的检查项目,则逐一对每个项目标签并生成预约申请队列,每组对队列中符合普通组别的检查项目,则对每组队列中检查项目选择归并或生成预约申请队列。According to the preset strategy and item merging rules, the inspection items in the above-mentioned groups of queues that are not in the same inspection site are verified by group, and the inspection items in each group of queues that meet the advanced group are labeled one by one for each item. And generate an appointment application queue, each group selects to merge or generate an appointment application queue for the inspection items in the queue that meet the common group.
进一步地,所述根据预设策略及项目资源匹配规则对上述生成的患者预约申请队列匹配相应的最优资源,具体步骤还包括:Further, according to the preset strategy and the project resource matching rule, matching the above-generated patient reservation application queue with the corresponding optimal resource, the specific steps further include:
根据预设策略及项目资源匹配规则,完成患者预约申请队列资源匹配执行排序,按顺序对预约申队列依次执行资源匹配,其中,若患者所有预约申请队列项目无检查顺序要求,则按照预约申请队列生成时间先后顺序排队,若患者预约申请队列中项目有检查排序要求,则先按照项目检查顺序和预约申请队列生成时间组合排序;According to the preset strategy and project resource matching rules, the resource matching execution of the patient reservation application queue is completed, and the resource matching is performed for the reservation application queue in order. Queue in the order of generation time. If the items in the patient reservation application queue have inspection sorting requirements, they will first be sorted according to the combination of the inspection order of the items and the generation time of the reservation application queue;
根据每组预约申请队列中项目的检查类型、项目对应的检查室/设备、检查时段、申请时间及病人来源检索资源排班;Retrieve resource scheduling according to the examination type of each item in the reservation application queue, the examination room/equipment corresponding to the item, the examination period, the application time and the source of the patient;
根据预设策略及项目资源匹配规则,验证患者检查项目间时间冲突,过滤掉上述检索出的排班集合中冲突的排班资源;According to the preset strategy and project resource matching rules, verify the time conflict between patient inspection projects, and filter out the conflicting scheduling resources in the above retrieved scheduling set;
获取上述检索的排班资源集合,为预约申请队列匹配时间最优的排班资源。Obtain the set of scheduling resources retrieved above, and match the scheduling resources with the optimal time for the reservation application queue.
进一步地,所述根据上述为患者预约申请队列匹配推荐的最优资源完成预约下单并向医院信息系统按资源排班输出预约排程队列,具体包括:Further, according to the above-mentioned optimal resource matching recommended for the patient reservation application queue, completing the reservation and placing an order and outputting the reservation scheduling queue according to the resource scheduling in the hospital information system specifically includes:
自动化预约服务路径中的预约申请队列根据系统匹配的最优资源自动完成下单;The reservation application queue in the automatic reservation service path automatically completes the order according to the optimal resources matched by the system;
非自动化预约服务路径中的预约申请队列根据系统匹配的最优资源推荐给医护人员或患者确认,若同意,由医护人员或者患者确定完成下单,若不同意,由医护人员或者患者输入指定检查时间条件,根据预设策略及项目资源匹配规则,在增加指定的条件下重新匹配排班资源;The reservation application queue in the non-automated reservation service path is recommended to the medical staff or patients for confirmation according to the optimal resources matched by the system. If they agree, the medical staff or patients will determine to complete the order. If they do not agree, the medical staff or patients will enter the designated examination. Time conditions, according to the preset strategy and project resource matching rules, re-match the scheduling resources under the specified conditions;
上述生成的预约排程记录,按照资源排班类型和预约号序对预约排程记录分组和排序并向医院信息系统按资源排班输出预约排程队列,为下个就诊环节打好分诊基础。The above-generated appointment scheduling records group and sort the appointment scheduling records according to the resource scheduling type and appointment number sequence, and output the appointment scheduling queue according to the resource scheduling to the hospital information system, so as to lay a good foundation for triage in the next consultation link. .
本发明第二方面提供一种基于规则算法的智能检查预约系统,其特征在于,所述系统包括:基础数据字典模块、预约规则库模块、资源排班管理模块、申请单接收模块、预约服务模块、预约排程输出模块。A second aspect of the present invention provides an intelligent inspection reservation system based on a rule algorithm, characterized in that the system includes: a basic data dictionary module, a reservation rule library module, a resource scheduling management module, an application form receiving module, and a reservation service module , Appointment schedule output module.
其中,基础数据字典模块包括检查科室字典、检查项目字典、检查类型字典、检查部位字典、检查设备字典;所述基础数据字典模块主要用于定义检查科室、检查项目、检查类型、检查部位、检查设备字典及建立字典之间关系数据模型;Among them, the basic data dictionary module includes inspection department dictionary, inspection item dictionary, inspection type dictionary, inspection part dictionary, inspection equipment dictionary; the basic data dictionary module is mainly used to define inspection department, inspection item, inspection type, inspection part, inspection Device dictionary and the establishment of relational data model between dictionaries;
所述预约规则库模块包括预设策略单元、规则单元;所述的预设策略单元用于定义各类检查类型对应的预约策略方案,策略方案包含策略触发条件和具体策略,具体策略至少由一个规则或多个规则组合构成;所述的规则单元用于定义出包含检查项目合单和检查项目资源匹配对应的项目合并检查、项目资源匹配的具体规则,基于预约规则库利用规则引擎为患者预约检查项目匹配相应的最优资源;The reservation rule base module includes a preset strategy unit and a rule unit; the preset strategy unit is used to define the reservation strategy scheme corresponding to various inspection types, and the strategy scheme includes a strategy trigger condition and a specific strategy, and the specific strategy consists of at least one. A rule or a combination of multiple rules is formed; the rule unit is used to define the specific rules including the combined inspection of the inspection items and the matching of the inspection item resources corresponding to the project merger inspection and the project resource matching, and use the rule engine to make reservations for patients based on the reservation rule base. Check that the project matches the corresponding optimal resource;
所述资源排班管理模块包括资源排班单元、基础排班单元;所述资源排班单元主要用于对检查设备的使用时间安排及对设备资源的管理,提供按号量管理、按资源量管理两种管理方式,可以针对不同的检查业务对设备选择合适的管理方式;所述基础排班单元提供设置资源排班基础模版,设备资源排班时可以采取直接调用资源基础排班模版、设置排班日期快速完成资源排班工作;The resource scheduling management module includes a resource scheduling unit and a basic scheduling unit; the resource scheduling unit is mainly used for arranging the use time of the inspection equipment and managing the equipment resources, providing management by number and quantity of resources. Manage two management methods, you can choose the appropriate management method for the equipment according to different inspection services; the basic scheduling unit provides a basic template for setting resource scheduling, and you can directly call the resource-based scheduling template for equipment resource scheduling, setting Quickly complete the resource scheduling work on the schedule date;
所述申请单接收模块用于接收医院信息系统传输的医技检查申请单;The application form receiving module is used to receive the medical technical examination application form transmitted by the hospital information system;
所述预约服务模块包括基于规则的检查项目合并、资源匹配计算,预约下单服务和预约服务API;所述基于规则的检查项目合并、资源匹配计算是指基于预约规则库利用规则引擎为患者预约检查项目做合并计算并匹配相应的最优资源;所述预约下单服务是指对上述系统匹配推荐的最优资源完成患者申请的检查项目预约下单形成排程;所述预约服务API是指用于将预约服务开放给第三方开发者;The reservation service module includes rule-based inspection item merging, resource matching calculation, reservation ordering service and reservation service API; the rule-based inspection item merging and resource matching calculation refer to using a rule engine to make reservations for patients based on the reservation rule base. The inspection items are combined and calculated and matched with the corresponding optimal resources; the reservation order service refers to the scheduling of the reservation and order formation of the inspection items applied by the patient to complete the optimal resources recommended by the above system; the reservation service API refers to Used to open the reservation service to third-party developers;
所述预约排程输出模块用于将上述生成的预约排程按资源排班类型输出给医院信息系统。The appointment schedule output module is configured to output the above generated appointment schedule to the hospital information system according to the resource scheduling type.
有益效果与现有技术相比,显著优点以及形成的效果:Beneficial effects Compared with the prior art, significant advantages and the resulting effects:
(1)本发明通过建立智能推荐预约规则引擎中心,实现合理分单预约、项目间冲突避让、项目禁忌项规避、时间最优安排、年龄限制、设备能力限制、专科临床性特殊要求等等,统筹规划患者多个科室多个项目的检查时间,大力度减少患者就诊时间周期跨度。(1) The present invention realizes reasonable order split reservation, avoidance of conflict between items, avoidance of item taboos, optimal time arrangement, age restriction, equipment capability restriction, special clinical special requirements, etc. by establishing an intelligent recommendation reservation rule engine center, etc., Coordinate the planning of the examination time of multiple items in multiple departments of patients, and greatly reduce the span of the time period for patients to visit a doctor.
(2)本发明通过智能预约路径算法和分诊预测模型中心的建立,减少排队,缩短患者等待时长,并且根据现场设备运行情况,实现智能预约分诊,资源利用最大化,维护就诊秩序,减少医患纠纷。(2) The present invention reduces queuing, shortens the waiting time of patients through the establishment of an intelligent appointment path algorithm and a triage prediction model center, and realizes intelligent appointment and triage according to the operating conditions of on-site equipment, maximizes resource utilization, maintains the order of visits, reduces Doctor-patient disputes.
(3)本发明通过建立全院预约资源大数据管理中心,合理调配,统一监管,实现号量、资源量两种管理模式,精准预约到时间点,达到患者即来即做的完美效果。(3) By establishing a big data management center for reservation resources in the whole hospital, the present invention realizes two management modes of number and resource amount, and achieves the perfect effect of immediate treatment by patients by establishing a big data management center for reservation resources of the whole hospital, rational allocation and unified supervision.
(4)本发明通过扁平化的规则设计和标准的号源服务API,实现了门诊、住院、体检、医联体/医共体社区预约等等多种医技预约场景,支持智能推荐预约、自动预约、自助预约、住院批量预约、报到预约等多种预约模式,满足综合性医院、专科医院等多方面的医技预约应用需求。(4) The present invention realizes various medical technology appointment scenarios such as outpatient, hospitalization, physical examination, medical association/medical community community appointment, etc. through flattened rule design and standard number source service API, and supports intelligent recommendation appointment, Various reservation modes such as automatic reservation, self-service reservation, batch inpatient reservation, and check-in reservation can meet the application needs of medical technology reservation in general hospitals and specialized hospitals.
(5)本发明能有效避免检查项目之间医学矛盾和患者的无效流动问题,为患者提供更合理的预约排程,节省医院医技检查预约中心用地及预约运营人员的投入,改善医技检查科室就诊秩序、科学化应用医技科室医疗资源,提高医技检查效率和服务品质。(5) The present invention can effectively avoid medical contradictions between inspection items and the problem of invalid flow of patients, provide patients with a more reasonable appointment schedule, save the investment of hospital medical technical inspection reservation center and reservation operators, and improve medical technical inspection The order of department visits, the scientific application of medical resources in medical technology departments, and the improvement of medical technology inspection efficiency and service quality.
附图说明Description of drawings
图1为本发明实施例提供的一种基于规则算法的智能检查预约方法的流程示意图;1 is a schematic flowchart of a rule algorithm-based intelligent inspection reservation method provided by an embodiment of the present invention;
图2为本发明实施例提供的图1中的步骤103的执行流程示意图;FIG. 2 is a schematic flowchart of the execution of
图3为本发明实施例提供的图1中的步骤104的执行流程示意图;FIG. 3 is a schematic flowchart of the execution of
图4为本发明实施例提供的一种基于规则算法的智能检查预约系统的主框图。FIG. 4 is a main block diagram of an intelligent inspection reservation system based on a rule algorithm according to an embodiment of the present invention.
具体实施方式Detailed ways
为使本发明的目的、技术方案和优点更加清楚明白,以下结合具体实施例,并参照附图,对本发明进一步详细说明。In order to make the objectives, technical solutions and advantages of the present invention clearer, the present invention will be further described in detail below with reference to specific embodiments and accompanying drawings.
图1为本发明实施例提供的一种基于规则算法的智能检查预约方法的流程示意图。如图1所示,本发明提供了一种基于规则算法的智能检查预约方法,下面是对本实施例的方法的实施步骤的详细描述。FIG. 1 is a schematic flowchart of an intelligent inspection reservation method based on a rule algorithm according to an embodiment of the present invention. As shown in FIG. 1 , the present invention provides an intelligent inspection reservation method based on a rule algorithm. The following is a detailed description of the implementation steps of the method in this embodiment.
步骤101:获取医院信息系统患者有效医技检查申请单。Step 101: Obtain an application form for a patient's valid medical technical examination from the hospital information system.
具体地,门诊医生开完医技检查医嘱且病人执检查申请单去收费处交费后由医院信息系统推送,住院医生开完医技检查医嘱且医嘱确认后由医院信息系统推送,上述一种基于规则算法的智能检查预约系统通过本地化服务实时监听读取医技检查医嘱数据,接收检查申请单并存储到检查预约申请池中,其中这里的医院信息系统是指利用计算机软硬件技术和网络通信技术等现代化手段,对医院及其所属各部门的人流、物流、财流进行综合管理,对在医疗活动各阶段产生的数据进行采集、存储、处理、提取、传输、汇总,加工形成各种信息,从而为医院的整体运行提供全面的自动化管理及各种服务的信息系统,这里主要包括医院信息系统(Hospital Information System,HIS)、医院信息系统集成平台、电子病历(EMR,Electronic Medical Record)。接收到的医技检查单信息包括:患者信息、申请单信息、医嘱项目信息等。Specifically, after the outpatient doctor has issued the doctor's order for medical technical examination and the patient has paid the fee at the toll office with the examination application form, it will be pushed by the hospital information system. The intelligent inspection reservation system based on the rule algorithm monitors and reads the medical technical inspection order data in real time through the localized service, receives the inspection application form and stores it in the inspection reservation application pool. The hospital information system here refers to the use of computer software and hardware technology and network. Communication technology and other modern means to comprehensively manage the flow of people, logistics and financial flows of the hospital and its various departments, and to collect, store, process, extract, transmit, aggregate and process the data generated in various stages of medical activities to form various Information system to provide comprehensive automated management and various services for the overall operation of the hospital, including hospital information system (Hospital Information System, HIS), hospital information system integration platform, electronic medical record (EMR, Electronic Medical Record) . The received medical technical examination list information includes: patient information, application form information, doctor's order item information, and the like.
步骤102:对接收的患者检查申请单中的医嘱项目按预约服务路径分组归类,根据检查项目开放预约服务路径标签对所述患者检查申请单中项目归类并生成项目预约服务路径队列。Step 102 : Grouping and classifying the doctor's order items in the received patient examination application form according to the appointment service route, and classifying the items in the patient examination application form according to the examination item open appointment service route label and generating an item appointment service route queue.
具体地,建立检查预约申请池中检查项目与基础项目库中项目连接关系,然后根据基础项目库中项目设置的开放预约服务路径匹配出上述检查预约申请池中每个检查项目对应的预约服务路径队列,由于项目开放的预约服务路径分为自动化预约和非自动化预约两种,符合自动化预约服务路径队列的项目在缴费完成节点或者护士医嘱确认完成节点由程序主动发起进入分单处理环节,不符合自动化预约服务路径队列的项目由则医护人员或患者主动触发进入分单处理环节,例如超声类检查项目门诊病人完成缴费或住院病人护士确认完医嘱后程序自动触发预约服务完成预约过程,而CT引导下穿刺项目则需要由专业医护人员问询指导后由医护工作人员触发完成预约过程。Specifically, establish a connection relationship between the inspection items in the inspection reservation application pool and the items in the basic item library, and then match the reservation service path corresponding to each inspection item in the above-mentioned inspection reservation application pool according to the open reservation service path set by the project in the basic item library. Queue, because the open appointment service path of the project is divided into two types: automatic appointment and non-automatic appointment, the project that conforms to the automatic appointment service route queue is initiated by the program at the payment completion node or the nurse doctor's order confirmation completion node. Items in the automated appointment service route queue are actively triggered by medical staff or patients to enter the order splitting process. For example, for ultrasound examination items, outpatients complete payment or inpatient nurses confirm the doctor's order. The program automatically triggers the appointment service to complete the appointment process, while CT guides Under the puncture project, the professional medical staff needs to inquire and guide the medical staff to complete the appointment process.
步骤103:根据预设策略及检查项目合并规则对上述生成的患者预约服务路径中项目合并检查计算,并对合并检查分单的结果标签生成预约申请队列。Step 103: According to the preset strategy and the inspection item merging rule, the above generated items in the patient reservation service path are merged and calculated, and an reservation application queue is generated for the result label of the merged inspection order.
具体地,由于各家医院信息系统传输过来的医技检查申请单中项目检查类型、检查部位等数据很难做到统一标准,因此需要对上述预约服务路径队列中检查项目类型、检查部位数据做清洗、转换形成系统可识别的统一标准的数据,然后对患者申请的检查项目按检查类型分组形成患者检查项目类型队列;Specifically, since it is difficult to achieve a unified standard for the data of item examination types and examination parts in the medical technical examination application form transmitted by the information systems of various hospitals, it is necessary to do the data of the examination item types and examination parts in the above-mentioned reservation service route queue. Clean and convert the data to form a unified standard identifiable by the system, and then group the inspection items applied by patients according to the inspection type to form a patient inspection item type queue;
进一步地,根据预设的检查项目合并规则及检查项目对应的检查设备资源信息,通过基于规则的算法分别对患者每个检查项目类型队列中项目特殊性、检查设备、检查部位、项目组别依次匹配,直到患者检查项目类型队列全部计算完毕,将结果标签、同一标签的项目设置为一预约申请队列。Further, according to the preset inspection item merging rules and the inspection equipment resource information corresponding to the inspection items, the item specificity, inspection equipment, inspection site, and item group in the queue of each inspection item type of the patient are sequentially analyzed by a rule-based algorithm. Match until all the patient check item type queues are calculated, and set the result label and the items with the same label as an appointment application queue.
步骤104:根据预设策略及项目资源匹配规则对上述生成的患者预约申请队列匹配相应的最优资源。Step 104: Match the above-generated patient reservation application queue with the corresponding optimal resource according to the preset strategy and the project resource matching rule.
具体地,由于一些检查项目之间有检查顺序先后要求,所以在匹配资源前根据预约规则库中设置的项目检查先后规则对上述生成的患者每个预约申请队列排序,如果患者所有预约申请队列项目均无检查顺序要求则按照预约申请队列生成时间先后顺序排队申请做资源匹配计算;Specifically, since some inspection items have inspection sequence requirements, before matching resources, sort each reservation application queue of the patient generated above according to the item inspection sequence rules set in the reservation rule base. If all the reservation application queue items of the patient are If there is no inspection sequence requirement, the applications are queued according to the order of the reservation application queue generation time for resource matching calculation;
进一步地,提取患者预约申请队列中项目的类型、项目的检查时段要求、下单日期等关键信息匹配符合的资源排班集合,这里会出现部分合单的预约申请队列中项目的检查时间段要求不一致情况,例如:一些有空腹要求且要求在上午8:00-10:00之间检查的超声类项目与对检查时段没有要求的超声项目合单生成的预约申请队列,在检索资源时按高要求的项目匹配资源。同时结合预设的如项目指定检查室/设备、病人来源、项目跨科冲突和跨科排斥等规则采用智能算法进一步验证过滤上述的资源排班集合,直到该业务类型的所有预约规则验证完毕结束;Further, extract the key information such as the type of the item in the patient reservation application queue, the inspection period requirement of the item, the date of the order and other key information that matches the resource schedule set, and the inspection period requirement of the item in the reservation application queue of some combined orders will appear here. Inconsistencies, such as: some ultrasound items that have fasting requirements and require examinations between 8:00-10:00 in the morning and ultrasound items that do not require an examination period are combined. The requested item matches the resource. At the same time, combined with the preset rules such as project-designated examination room/equipment, patient source, project inter-department conflict and inter-department exclusion, the intelligent algorithm is used to further verify and filter the above resource scheduling set, until all appointment rules of the business type are verified. ;
更进一步地,当患者预约申请队列资源匹配所有验证结束后,符合自动化预约服务路径的预约申请队列以资源时间最优确定资源排班,不符合自动化预约服务路径的预约申请队列以资源时间最优推荐给医护工作人员或者患者确认。Furthermore, after all verifications of patient reservation application queue resource matching are completed, the reservation application queue that conforms to the automatic reservation service path determines the resource schedule with the optimal resource time, and the reservation application queue that does not conform to the automatic reservation service path uses the optimal resource time. Recommended for medical staff or patients to confirm.
步骤105:根据上述为患者预约申请队列匹配推荐的最优资源完成预约下单并向医院信息系统按资源排班输出预约排程队列。Step 105: According to the above-mentioned optimal resource matching and recommendation for the patient reservation application queue, complete the reservation order and output the reservation scheduling queue according to the resource scheduling in the hospital information system.
具体地,符合自动化预约服务路径的预约申请队列根据推荐的资源系统完成下单,对需要医护人员或患者确认的,若同意,由医护人员或者患者确定完成下单,若不同意,由医护人员或者患者输入时间要求重新匹配资源。Specifically, the reservation application queue that conforms to the automatic reservation service path completes the order according to the recommended resource system. For those that need confirmation by medical staff or patients, if they agree, the medical staff or patients will determine to complete the order. Or patient input time requires rematching of resources.
进一步地,获取上述生成的预约排程记录,按照资源排班类型和预约号序对预约排程记录分组和排序,并向医院信息系统按资源排班输出预约排程队列,为下个就诊环节打好分诊基础,其中这里下游医院信息系统主要包括医院信息系统(HospitalInformation System,HIS)、医院信息系统集成平台、医学影像信息系统(picturearchiving and communication systems,PACS)、实验室信息系统(LaboratoryInformation System,LIS)、放射科信息系统(Radiology Information System,RIS)。Further, obtain the above-generated appointment scheduling records, group and sort the appointment scheduling records according to the resource scheduling type and the order of appointment numbers, and output the appointment scheduling queue to the hospital information system according to the resource scheduling, for the next consultation link. Lay a good foundation for triage, among which the downstream hospital information system mainly includes hospital information system (Hospital Information System, HIS), hospital information system integration platform, medical imaging information system (picture archiving and communication systems, PACS), laboratory information system (Laboratory Information System) , LIS), Radiology Information System (RIS).
图2为本发明实施例提供的图1中的步骤103的执行流程示意图。上述步骤103还提供一种基于规则算法的智能检查预约分单方法,具体地,如图2所示,步骤103的实现过程包括如下步骤:FIG. 2 is a schematic flowchart of the execution of
步骤10301:抽取患者预约服务路径中项目的检查类型、检查部位数据并对其清洗、转换并与基础库标准字典关联,形成一种基于规则算法的智能检查预约系统可识别的统一标准的数据。Step 10301: Extract the examination type and examination site data of the items in the patient reservation service path, clean, convert and associate with the basic library standard dictionary to form a unified standard data that can be recognized by the intelligent examination reservation system based on the rule algorithm.
步骤10302:按检查类型对预约服务路径中的项目分组,生成患者项目检查类型队列。医院检查类型一般分为DR、CT、MRI、超声检查、内窥镜检查、心电图检查等,按检查类型拆分上述患者预约服务路径中项目并生成患者检查类型队列,如CT项目队列、超声检查队列等。Step 10302: Group the items in the reservation service path according to the examination type, and generate a patient item examination type queue. Hospital examination types are generally divided into DR, CT, MRI, ultrasound examination, endoscopy, ECG examination, etc. The items in the above-mentioned patient appointment service path are divided according to the examination type, and a patient examination type queue is generated, such as CT item queue, ultrasound examination queue etc.
步骤10303:根据预设的项目合并规则,对上述患者每组队列中的检查项目特殊性校验。Step 10303: Check the particularity of the examination items in each group of queues of the above-mentioned patients according to the preset item merging rule.
具体地,根据项目基础库中项目特殊属性及合并规则,判断上述患者每组队列中的项目是否有特殊性要求,有特殊性要求的项目对其逐一标签生成预约申请队列,没有特殊性要求的检查项目继续下一步校验。Specifically, according to the special attributes and merging rules of the projects in the basic project database, it is judged whether the projects in each group of the above patients have special requirements, and the projects with special requirements will be labeled one by one to generate an appointment application queue, and there are no special requirements. Check items to continue to the next step.
步骤10304:根据预设的项目合并规则,对上述每组检查类型队列中非特殊性检查项目与检查室/设备对应关系校验。Step 10304: According to the preset item merging rule, verify the correspondence between the non-specific inspection items and the inspection room/equipment in each group of inspection type queues.
具体地,根据项目基础库中项目与检查室/设备对应关系及合并规则,判断每组检查类型队列中非特殊性检查项目是否可以在同一检查室/设备检查,筛选出不能在同一检查室/设备做的检查项目对其逐一标签生成预约申请队列,对应到同一检查室/设备的检查项目继续下一步校验。Specifically, according to the corresponding relationship between items and inspection rooms/equipment in the project base library and the merging rules, it is judged whether the non-specific inspection items in each group of inspection type queues can be inspected in the same inspection room/equipment, and those that cannot be in the same inspection room/equipment are screened out The inspection items performed by the equipment will generate an appointment application queue for each label, and the inspection items corresponding to the same inspection room/equipment will continue to be verified in the next step.
步骤10305:根据预设的项目合并规则,对上述每组队列中对应到同一检查室/设备的检查项目检查部位校验。Step 10305: According to the preset item merging rule, verify the inspection parts of the inspection items corresponding to the same inspection room/equipment in each group of queues.
具体地,获取上述每组队列中对应到同一检查室/设备的检查项目的检查部位,判断每组队列检查部位相同的项目对其标签生成预约申请队列,如CT检查同时鼻咽部平扫、鼻咽部增强、胸部平扫、胸部增强,则生成鼻咽部平扫、鼻咽部增强预约申请队列约1次,胸部平扫、胸部增强预约申请队列约1次。Specifically, obtain the inspection parts of the inspection items corresponding to the same inspection room/equipment in each group of queues, and determine that the items with the same inspection parts in each group of queues generate an appointment application queue for their labels, such as CT inspection while the nasopharynx is flat. For scan, nasopharyngeal enhancement, chest plain scan, and chest enhancement, an appointment application queue for nasopharyngeal plain scan and nasopharyngeal enhancement is generated about once, and an appointment queue for chest plain scan and chest enhancement is generated about once.
步骤10306:根据预设的项目合并规则,对上述每组队列中非同一检查部位的项目组别校验。Step 10306: According to the preset item merging rule, verify the item groups of the above-mentioned each group of queues that are not in the same inspection site.
具体地,获取上述每组队列中非同一检查部位的检查项目的组别信息,其中组别的定义,根据医学分类定义出高级组、普通组、特殊组,如CT、MRI检查中增强类检查项目归并到高级组、平扫类检查项目归入普通组,脑灌注CTP归入到特殊组,判断每组队列中属于高级组别的项目,逐一对每个项目标签并生成预约申请队列,如CT、MRI检查中不同部位的增强项目不能合单分开预约。Specifically, the group information of the examination items of different examination sites in the above-mentioned cohorts of each group is obtained, and the definition of the group is defined according to the medical classification. The inspection items are grouped into the advanced group, the plain scan inspection items are grouped into the general group, and the cerebral perfusion CTP is grouped into the special group. Determine the items in each group that belong to the advanced group, label each item one by one, and generate an appointment application queue , For example, enhancement items of different parts in CT and MRI examinations cannot be booked separately.
步骤10307:根据预设的项目合并规则,对上述步骤中每个队列中归并到普通组的检查项目选择归并的预约申请队列。Step 10307: According to the preset item merging rule, select a merged reservation application queue for the inspection items merged into the common group in each queue in the above steps.
具体地,上述每组队列中归入普通组的检查项目在选择归并的预约申请队列时存在两种情况。若上述步骤中生成了检查部位不同的高组别项目预约申请队列,则随机将普通组别的检查项目平均插入高组别项目的预约申请队列;若上述步骤中没有检查部位不同的高组别检查项目,则每组队列中的普通组别检查项目自动合并生成预约申请队列,至此对同一患者申请预约的检查项目分单结束。Specifically, there are two situations when selecting the merged reservation application queue for the inspection items classified into the common group in each group of queues. If an appointment application queue for high-level items with different inspection parts is generated in the above steps, the inspection items of the general group are randomly and equally inserted into the reservation application queue for high-group items; if there are no high-level groups with different inspection parts in the above steps For inspection items, the common group inspection items in each group of queues are automatically merged to generate an appointment application queue, and the ordering of the inspection items for the same patient to apply for an appointment ends.
图3为本发明实施例提供的图1中的步骤104的执行流程示意图。上述步骤104还提供一种基于规则算法的智能检查预约资源匹配方法,具体地,如图3所示,步骤104的实现过程包括如下步骤:FIG. 3 is a schematic flowchart of the execution of
步骤10401:根根据预设的项目资源匹配规则,完成患者预约申请队列资源匹配执行排序,按顺序对预约申队列依次执行资源匹配。Step 10401: According to the preset project resource matching rules, complete the resource matching execution sorting of the patient reservation application queue, and perform resource matching on the reservation application queue in sequence.
具体地,由于一些检查项目之间有检查顺序先后要求,所以在匹配资源前根据预约规则库中设置的项目检查先后规则对上述生成的患者每个预约申请队列排序,如果患者所有预约申请队列项目均无检查顺序要求则按照预约申请队列生成时间先后顺序排队申请做资源匹配计算;Specifically, since some inspection items have inspection sequence requirements, before matching resources, sort each reservation application queue of the patient generated above according to the item inspection sequence rules set in the reservation rule base. If all the reservation application queue items of the patient are If there is no inspection sequence requirement, the applications are queued according to the order of the reservation application queue generation time for resource matching calculation;
步骤10402:根据每组预约申请队列中项目的检查类型、项目对应的检查室/设备、检查时段、申请时间及病人来源检索资源排班。Step 10402: Retrieve resource scheduling according to the examination type of the item in each group of reservation application queues, the examination room/equipment corresponding to the item, the examination period, the application time and the source of the patient.
具体地,提取预约申请队列中项目的检查类型、项目对应的检查室/设备、项目的检查时段要求、申请时间、病人来源信息查询资源排班集合,其中,对于多个项目合单生成的预约申请队列在提取项目对应的检查室/设备、项目的检查时段要求、申请时间信息时,采取提取共性交集部分信息,项目的检查时段要求如出现合单的预约申请队列中一个项目对检查时段没有要求,另一个或多个项目有时间段要求则按有检查时段要求的交集部分条件去检索资源排班。多个项目申请时间不一致时按照项目中最新的申请时间条件去检索。Specifically, the examination type of the item in the reservation application queue, the examination room/equipment corresponding to the item, the examination period requirement of the item, the application time, and the patient source information query resource scheduling set are extracted. When the application queue extracts the inspection room/equipment corresponding to the project, the inspection period requirements of the project, and the application time information, it adopts the common intersection part information. If there is a time period requirement for another or more projects, the resource scheduling will be retrieved according to the intersection part of the inspection period requirement. If the application time of multiple projects is inconsistent, search according to the latest application time conditions in the project.
步骤10403:根据预设的项目资源匹配规则,验证患者检查项目间时间冲突,过滤掉上述检索出的排班集合中冲突的排班资源。对于CT增强与MRI增强检查,医院一般在不影响病人诊疗的情况下会尽量延长两次检查时间间隔,如安排隔天检查,那么根据预设的项目检查时间冲突规则,计算过滤掉冲突时间范围内的资源排班。Step 10403: According to the preset item resource matching rule, verify the time conflict between the patient examination items, and filter out the conflicting scheduling resources in the above retrieved shift scheduling set. For CT-enhanced and MRI-enhanced inspections, hospitals generally try to extend the time interval between the two inspections without affecting the patient's diagnosis and treatment. If an inspection is scheduled for the next day, then the conflict time range is calculated and filtered out according to the preset inspection time conflict rules. within the resource scheduling.
步骤10404:获取上述匹配出的资源排班集合,从时间最优维度从匹配出的资源排班集合中为预约申请队列推荐排班资源。Step 10404: Obtain the above-mentioned matched resource scheduling set, and recommend scheduling resources for the reservation application queue from the matched resource scheduling set from the optimal time dimension.
图4为本发明实施例提供的一种基于规则算法的智能检查预约系统的主框图。参见图4所示,本发明实施例提供了一种基于规则算法的智能检查预约系统包括:FIG. 4 is a main block diagram of an intelligent inspection reservation system based on a rule algorithm according to an embodiment of the present invention. Referring to FIG. 4 , an embodiment of the present invention provides an intelligent inspection reservation system based on a rule algorithm, including:
基础数据字典模块401:用于定义包含检查项目、检查设备、检查类型、检查科室、检查部位字典数据,并建立检查项目、检查设备、检查类型、检查科室、检查部位之间关系数据模型。Basic data dictionary module 401: used to define dictionary data including inspection items, inspection equipment, inspection types, inspection departments, and inspection parts, and establish a relationship data model between inspection items, inspection equipment, inspection types, inspection departments, and inspection parts.
预约规则库模块402:用于具体定义出包含检查项目合单和检查项目资源匹配对应的项目合并检查、项目资源匹配的规则库;通过与医学专家访谈、医技科室管理制度、诊疗指南等多种方式归纳总结出一套多维度的预约规则体系。基于医技检查项目及设备资源基础数据,从医学知识、检查项目要求、设备能力、技师能力、管理要求等方面定义规则因子、底层基础逻辑,并设计规则可执行化表达的过程和要求,为实现医技检查智能自动预约打好基础;Reservation rule base module 402: used to specifically define the rule base including the combined inspection of inspection items and the matching of inspection item resources corresponding to the item combined inspection and item resource matching; In this way, a multi-dimensional reservation rule system is summarized. Based on the basic data of medical technical inspection items and equipment resources, define rule factors and underlying basic logic from the aspects of medical knowledge, inspection item requirements, equipment capabilities, technician capabilities, management requirements, etc. Lay a good foundation for realizing intelligent automatic appointment of medical technical examination;
资源排班管理模块403:包括资源排班、基础排班;所述资源排班管理模块主要用于对检查设备的使用时间安排,同时还用于对设备资源的管理,可以针对不同的业务对检查设备选择不同的管理方式,这里所述的管理方式为按号量管理、按资源量管理两种,根据检查业务特点选择合适的设备资源管理方式可以更合理的量化技师工作量和提高设备资源的利用率;所述基础排班提供资源排班基础模版设置方便资源管理部门快速完成资源排班。Resource scheduling management module 403: including resource scheduling and basic scheduling; the resource scheduling management module is mainly used to arrange the use time of inspection equipment, and is also used to manage equipment resources. Different management methods are selected for inspection equipment. The management methods described here are two management methods: management by number and management by resource. Choosing an appropriate management method of equipment resources according to the characteristics of inspection services can more reasonably quantify the workload of technicians and improve equipment resources. The utilization rate of the resource scheduling is provided; the basic scheduling provides the basic template setting of the resource scheduling to facilitate the resource management department to quickly complete the resource scheduling.
申请单接收模块404:用于接收医院信息系统下达的医技检查申请单,通过本地化服务实时监听读取医院信息系统传输的医技检查医嘱数据,接收申请单并存储到检查预约申请池中。Application form receiving module 404: used to receive the medical technical examination application form issued by the hospital information system, monitor and read the medical technical examination doctor order data transmitted by the hospital information system in real time through the localization service, receive the application form and store it in the examination reservation application pool .
预约服务模块405:包括申请预约的检查项目合并计算、预约资源匹配计算、预约下单确认和预约服务API;所述检查项目合并计算是基于预设的项目检查合并规则来计算患者申请的检查项目是否可以合并检查,可以合并检查的项目生成一组预约申请队列,不能合并的检查项目分别生成预约申请队列,对合并计算得出的预约申请队列匹配相应的最优资源,最后完成患者申请的检查项目预约下单,所述预约服务API是指用于将预约服务开放给第三方开发者,这里API是指一些预先定义的接口(如函数、HTTP接口),或指软件系统不同组成部分衔接的约定,用来提供应用程序与开发人员基于某软件或硬件得以访问的一组例程,而又无需访问源码,或理解内部工作机制的细节。Reservation service module 405 : including the combined calculation of examination items for reservation, the calculation of reservation resource matching, the confirmation of reservation order placement and the reservation service API; the combined calculation of examination items is to calculate the examination items applied by the patient based on the preset item examination merging rules Whether it is possible to combine examinations, the examination items that can be combined to generate a set of reservation application queues, and the examination items that cannot be combined to generate reservation application queues respectively, match the corresponding optimal resources to the reservation application queue calculated by the combined calculation, and finally complete the examination of patient applications Project reservation and placing an order, the reservation service API refers to opening the reservation service to third-party developers, where API refers to some predefined interfaces (such as functions, HTTP interfaces), or refers to the connection between different components of the software system A convention used to provide a set of routines that applications and developers can access based on a piece of software or hardware without having to access the source code or understand the details of the inner workings.
预约排程输出模块406:用于将上述生成的预约排程输出给医院信息系统,在输出预约排程信息时,按资源排班类型对所有生成的预约排程记录进行分组和排序后输出,为检查前环节打好分诊基础。Appointment schedule output module 406: used to output the above generated appointment schedule to the hospital information system, when outputting the appointment schedule information, group and sort all the generated appointment schedule records according to the resource scheduling type and then output, Lay a good triage basis for the pre-examination link.
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