Classifications

• • G—PHYSICS
  • G06—COMPUTING OR CALCULATING; COUNTING
  • G06F—ELECTRIC DIGITAL DATA PROCESSING
  • G06F16/00—Information retrieval; Database structures therefor; File system structures therefor
  • G06F16/90—Details of database functions independent of the retrieved data types
• • G—PHYSICS
  • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
  • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
  • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
  • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
• • G—PHYSICS
  • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
  • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
  • G16H70/00—ICT specially adapted for the handling or processing of medical references
  • G16H70/40—ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage

Definitions

• the invention relates to medicine and can be used in outpatient and inpatient care as an automated information-intellectual reference system for selecting, comparing, analyzing the possibilities of prescribing diagnostic drugs among themselves and for complaints, symptoms, syndromes, instrumental and laboratory conclusions, differential diagnoses and prescribed forms of treatment in any ratio on-line.
• This scheme of building a computer on the basis of a set of medical diagnostic scenarios provides for the participation of the doctor only at the stage of entering data about the patient and ultimately leads to the formation of a “convenient” consciousness that everything can be adjusted to one of the scenarios.
• the participation of the doctor as a specialist and as the main participant in the diagnosis is not considered in this system of medical care.
• the new clinical information system which contains computerized workplaces of the attending physician, equipped with input / output devices and connected via a network to the message controller with a subsystem for inputting primary information about each patient, which includes a unit for entering general patient data, a block for entering information about the patient’s medical history, a block for entering information about clinical trials conducted by the attending physician in relation to the patient, a block for entering information about the result instrumental and laboratory studies, a unit for entering information about methods and methods of treatment and a unit for reflecting the diagnosis made by the attending physician, for the attending physician to differentiate clinical and instrumental laboratory data for establishing a diagnosis, the specified subsystem for inputting primary information through the exchange bus is communicated with the information subsystem support performed with the function of demonstrating information and reference material on the display of the computerized workplace of the attending physician, information corresponding to the type of information entered into the subsystem for inputting primary information about each patient, and including a block with information on general directories associated with a block for entering general data on a patient, a block with information
• This system was selected as a prototype in terms of matching the differential mechanism of the matrix, connecting all components of the system in a common selection mode, for which the following criteria were selected: accurate (T) (specific, pathognomonic, obligate); reliable (D) (very common, almost always present); probable (B) (common, sensitive); denial (O) (contradictory, incompatible, antagonist, indicating the impossibility of the presence of a given sign (symptom) in a given disease).
• T accurate
• D reliable
• B probable
• O denial
• a feature of this system is the automated search and reference (semantic) support for the entered term during registration, differential comparison and maintenance of clinical or other data.
• the system provides informational and intellectual support for the medical diagnostic process, providing the clinician with support in the form of:
• the components of the subsystems operate among themselves according to the algorithm of related fields, according to which each input feature corresponds to a set of related or response features, the selection of which is determined by the probabilistic scheme by which each the additional feature entered narrows down the field of related or responsive features related to the first feature entered.
• the method of single conjugate fields provides the possibility of differentiating several units of diseases quantitatively by the frequency of occurrence of identified signs with those available in variants of one group of diseases.
• informational pharmacological support is important for medical specialists in prescribing pharmacological, homeopathic, herbal and other forms of drugs in the medical diagnostic process on-line.
• This support in the form of an independent (autonomous) system or system intended for integration into automated medical information systems should be built using coupled field algorithms to provide an automated analysis of indications, contraindications, compatibility, dosage, side effects of drug interactions, pharmacological, homeopathic, plant, mineral and other forms of drugs among themselves, as well as in any ratio with symptoms, syndrome s, the instrumental laboratory findings, differential diagnoses, and other methods of therapeutic effects in on-line mode.
• the present invention is aimed at achieving a technical result, which consists in increasing the efficiency and reliability of the results by implementing the process of differentiation and analysis of the registered clinical data (indicators of the patient’s clinical condition, these are complaints and specialist examinations, as well as laboratory and instrumental data) for clinical matrices, for providing advisory and specialized support in the field of pharmacology
• the specified technical result is achieved by the fact that the medicinal information and reference system contains computerized workstations of attending physicians equipped with input / output devices and connected via a network to a message controller with a request input subsystem related to the medicinal product, or to a diagnosis unit established by the attending physician related with a block of information about the forms of standards of non-specific and specific treatment standards of non-specific and specific treatment and with a block of information about dogs and methods of treatment, a block of general information related to drugs containing for each drug its synonyms and description, a block for reflecting the actions of drugs, containing for each drug information about the active substance, clinical and pharmacological action and pharmacological group
• the present invention is illustrated by a specific example of execution, which, however, is not the only possible, but clearly demonstrates the possibility of achieving the desired technical result.
• FIG. 1 shows a block diagram of a medicinal information and reference system for providing information about drugs.
• an automated information-intellectual reference system for selecting, comparing, analyzing the possibilities of prescribing diagnostic drugs among themselves and for complaints, symptoms, syndromes, instrumental-laboratory findings, differential diagnoses and prescribed forms of treatment in any ratio on-line .
• Such a system can function as an autonomous system, which allows you to input the data into the search apparatus either by the name of the drug or by the treatment method or other initial data.
• Such a system can be integrated into a general clinical research system, for example, into that described in RU -N ° 106013.
• the results related to the diagnosis are structured related to the choice of treatment method and pharmacological support of this treatment method.
• Such a well-known system includes a database of diagnoses regarding which the differential diagnostic matrix performs the function of logical selection in the drug system from the general database of information about drugs RU2013 / 000171
• the medicinal information and reference system (Fig. 1) contains a database of medicinal preparations 1, to which three subsystems are connected via a common bus.
• the first subsystem is the communication through the controller with the clinical research system 2, in particular, referring to the example of the implementation of such a system from RU N2 106013, then with the block of the diagnosis established by the attending physician associated with the block of information about the forms of non-specific and specific treatment standards for non-specific and specific treatment and with a block of information about the methods and methods of treatment.
• the attending physician receives a complete picture of the list of medicines used for this method and their relation to each other for the possibility of choosing a set of drugs that will not have mutual suppression.
• the second subsystem 3 is an information and reference part containing the following blocks: block 4, containing information on the pharmacological actions of drugs, presented in the form of a set / ditch of text materials or files, block 5 of drug indications, which is associated with block 6 of the clinical description of the patient of the system clinical studies 2, block 7 information on the use of drugs, presented in the form of a set / ditch of text materials or files, block 8 information on dosages of the use of drugs of drugs, presented in the form of sets of text materials or files, block 9 with information about side effects related to the consequences of the use of drugs, and block 10 with information about contraindications for drugs.
• Block 4 is replenished with text documents from medical directories 12, related, including to diagnoses and pathogenesis
• block 5 is replenished with documents from medical directories 13 for clinical symptoms and information on diagnoses in accordance with ICD-X 14
• block 7 and block 8 are replenished with text documents from medical directories 15, which describe the use and dosage of the use of drugs
• block 9 and block 10 are updated with information from source 13.
• the third subsystem 16 is a comparative analytical part, which includes block 17 with information about pharmacological preparations that are incompatible with each selected drug, presented in the form of sets of text materials or files, block 18 with information about pharmacological drugs that weaken one of actions 19 of each individual selected drug, presented in the form of sets of text materials or files, block 20 with pharmacological information x drugs that enhance one of the actions 21 of each individual selected drug, presented in the form of sets of text materials or files, and block 22 of general information related to drugs, containing for each drug its synonyms and description, which is a database of pharmacological information .
• Saturation and replenishment of information in blocks 17, 18, 20 is carried out through an input device from medical directories 23 in pharmacology, known by digitizing text materials and presenting them in a machine-readable form.
• Each block of the second and third parts in fact, is a database with their constant replenishment, corresponding to the pace of the emergence of new drugs and descriptions of them for use.
• the medicinal information and reference system contains a block reflecting the actions of drugs, containing for each drug information about the current substance, clinical and pharmacological action and pharmacological group, a block of information on the use of drugs, containing for each drug information on the use, indications and dosage, a block of information on contraindications, reflecting side effects for each drug, indicating their symptoms and syndromes with respect to to the anatomical object, as well as a block with information about the chemical composition of drugs and their release form.
• the medicinal information and reference system can be an autonomously working system, the replenishment of which is carried out centrally in the remote access mode, such as the work of the information and legal systems "Grant" and "Code”.
• the information in each block is presented in the form of fields, in each of which the specified information in the form of digital data is entered through a centralized input device or through separate input devices.
• the indicated fields are interconnected by means of a differential diagnostic matrix performed with the function of logical selection from each block of information from the fields that match the information entered in the corresponding user request or in accordance with the diagnosis established by the attending physician and the selected treatment method or method from the information block on the forms of standards for non-specific and specific treatment standards for non-specific and specific treatment.
• the functioning of such a matrix is described in RU JV ° 106013. This matrix allows you to raise all the information related to the use of this drug from the blocks when entering the name of the drug.
• this information becomes directed and shows the picture of the use of the pharmacological agent specifically for the chosen treatment method and taking into account previous practice and personal indications of the patient.
• Information about the drug is formalized in the system according to the sections of data ratios in any language group:
• action active substance, pharmacological group, clinical and pharmacological action
• active substance name
• pharmacological group name
• clinical and pharmacological action name, anatomical object, description
• contraindications diagnosis, symptom, syndrome, anatomical object, pharmacological group, drug, degree of contraindications
• botulinum toxin A botulinum toxin A
• Ampoule Forms Tablets Creams, suppositories capsule capsules and ampoules of the drug, gels, ly
• the drug system of FIG. 1 provides an automated analysis of indications, contraindications, compatibility, dosage, side effects of drug interactions of pharmacological, homeopathic, herbal, mineral and other forms of drugs with each other, as well as in any ratio with symptoms, syndromes, instrumental and laboratory findings, differential diagnoses and other methods of therapeutic effects on-line.
• the system allows in an automated online mode:

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• Primary Health Care (AREA)
• Bioinformatics & Cheminformatics (AREA)
• Medicinal Chemistry (AREA)
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• General Health & Medical Sciences (AREA)
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• Databases & Information Systems (AREA)
• Pharmacology & Pharmacy (AREA)
• Toxicology (AREA)
• Data Mining & Analysis (AREA)
• Physics & Mathematics (AREA)
• General Engineering & Computer Science (AREA)
• General Physics & Mathematics (AREA)
• Medical Treatment And Welfare Office Work (AREA)

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Citations (4)

• 2013
  • 2013-03-05 WO PCT/RU2013/000171 patent/WO2013191580A1/fr not_active Ceased

Patent Citations (4)

Non-Patent Citations (1)

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