After Pinggu mode, what kind of Baidu AI medical dream does Lingyi Zhihui bear?

Author: the Mafang community health service center in Pinggu District of zhaohongwei has recently "connected" with AI Although it is located in Beijing, it is more than the sixth ring road Even the Capital International Airport, which is close to it, is 60 kilometers away "Mafang belongs to the border area On one side is Pinggu, on the other side is Shunyi, and on the other hand, it's Sanhe City after crossing Huandao in the south Many patients, such as Zhangzhen and infinity temple, go to Shunyi district hospital far away, Pinggu District Hospital is not close, let alone the big hospitals in the center of the city They can only come to us " Talking about the "grassroots advantages" of the health center, the doctors here are smiling, but they have a little bit of concern "Now the construction of the Ma Fang is very fast The population here is increasing at the rate of 56000 every year, and the number of outpatient services must be more than one day." As a community hospital, there is no high-end imaging equipment, no precision inspection equipment According to local conditions, smart medicine brings the general clinical diagnosis decision-making system (CDSS) under the AI empowerment for Mafang to assist community doctors in daily diagnosis During the visit, the doctor will ask the patient questions according to the questions given by the system, and check the corresponding answers on the system After the Q & A, the CDSS will generate a diagnosis recommendation, and the doctor will refer to the CDSS's suggestions, combine his own judgment, and finally give the diagnosis results Through the above-mentioned fixed consultation process, doctors will not be negligent, there will be no omission, and everything will be standardized How can human-computer cooperation and standardized consultation be carried out? After asking for the consent of a patient, the arterial network reporter listened to a patient's medical experience in the outpatient department of internal medicine Patient: I had a cold a few days ago My throat hurt very much yesterday Today, I also have a pain I don't have a fever, but I'm afraid I will have a fever for two days Doctor: how long does your sore throat last? Patient: maybe two or three days Doctor: how do you ache? Patient: it is very painful when swallowing I usually feel my throat is very dry Doctor: is it itchy? Patient: Yes Doctor: do you think it's a sore throat caused by a cold? Patient: Yes, it's a little uncomfortable because of the sudden cooling between the two days Doctor: has the sore throat worsened or relieved these two days? Patient: it will be a little better to drink water It seems that it doesn't get worse, but it still hurts I'm afraid of fever Doctor: is it more obvious to swallow something? Patient: Yes Doctor: will the pain spread to other parts? Patient: No Doctor: do you think the pain in your throat is very serious or slight? Patient: it's very serious I opened my mouth and looked at my throat Doctor: is the pain persistent or paroxysmal? Patient: one after another Doctor: we will have the next step after asking about your sore throat Is there any foreign body feeling in your throat? Do you have any symptoms such as acid regurgitation and belching? Patient: No Doctor: do you feel weak? Patient: fatigue Doctor: does your stomach hurt? Patient: no pain Doctor: do you have nausea and vomiting? Patient: No Doctor: how about appetite? Patient: loss of appetite Doctor: no fever, right? Patient: No Doctor: with cough? Patient: No Doctor: have you done any treatment? Patient: No Doctor: since you found out that you are not comfortable, is your diet, sleep and stool still normal? Patient: poor sleep, general diet, other things are normal After the consultation, the system gives the result of "upper respiratory tract infection", which is basically consistent with the diagnosis result predicted by doctors But in terms of process, there are some differences compared with daily visits of non CDSS From the perspective of efficiency, the pre order consultation takes about 3 minutes, plus the issuance and printing of medical records, the whole process takes about 5 minutes Compared with the usual visits, the consultation supported by the CDSS system is more detailed and time-consuming, but if the whole process time is calculated, the time consumption of a single patient is greatly reduced The time saved comes from the automatic medical record writing A doctor in Mafang told arteria.com: "most of the doctors we employ are old, many of them are" one finger zen " If the patient's condition is particularly complex, the current medical history usually takes a long time to write But if you use this system, you only need to click to check the symptoms, and then you can click to generate the current medical history " There are also some differences in the process after consultation, the doctor said: "after we determine the diagnosis conclusion, the system will automatically give medication suggestions, and we will basically write prescriptions for patients according to the suggestions here This diagnosis system recommends some cold medicine and antipyretic and analgesic traditional Chinese medicine Generally speaking, what disease uses what medicine? Which drugs are forbidden to be shared? Human brain is not as good as computer, especially some drugs that are not commonly used We can't remember all of them This system will have a quality control system If there is a conflict between drugs, or we prescribe unreasonable drugs, it will prompt For example, if ceftazidime for injection is metabolized through the kidney, the renal function of the elderly will decrease to varying degrees The dosage of the elderly patients over 65 years old should be reduced to 2 / 3-1 / 2 of the normal dosage, and the maximum daily dosage should not exceed 3G In the past, these problems were determined by doctors' experience, and now the system can judge them " The compression of time brings about an increase in the number of outpatient services There are three general practitioners in Mafang community health service center, and now they can serve more than 200 patients a day In addition, young doctors without much experience in diagnosis and treatment are rapidly acquiring clinical knowledge through the built-in knowledge base of the system, correcting the wrong views and fuzzy views in the past when they went out to see a doctor From this perspective, it is not only a tool, but also a speechless teacher The original intention of "Lingyi" is that the above-mentioned artificial intelligence CDSS system, which can be used by general practitioners, is one of the works of Lingyi Zhihui under Baidu Baidu's first mention of "smart medicine" needs to go back to the 2018 Baidu World Conference Although the name has been changed several times, the development policy of "smart medicine" has not changed - AI is used to empower medicine, and technology is used to make complex medicine simpler "The so-called" spiritual medicine "means not only spirituality and intelligence, but also" 0 "and" 1 " As a technology driven company, baidu hopes to use binary '0' and '1' to create AI that benefits people and makes medical treatment accessible to everyone with the simplest characters " Huang Yan, general manager of Baidu smart medical, is full of expectation when explaining the four words of "smart medicine and smart Hui" In her opinion, the original intention of smart medicine is simple - everyone can enjoy fair treatment Today's smart medicine has been quietly polished in the field of smart medicine for nearly two years Recently, the name has been mentioned frequently in the media, which seems to prove that Baidu's increasingly mature AI technology has grown to the appearance of attention However, smart medicine is clearly aware of the limitations of AI at this stage Taking the general CDSS under AI as an example, it focuses on the basic level For young doctors, the system focuses on auxiliary diagnosis and education; for senior doctors, they may not need complicated consultation process, but they can also use the one button medical record writing function to quickly generate medical records by checking In the context of hierarchical diagnosis and treatment, smart healthcare hopes to provide standardized, efficient and accurate diagnostic means for grass-roots medical treatment in this way, assist doctors to make decisions on whether patients need referral, and cover the gathered high-quality medical treatment equally to every basic area in the way of replication "Today's AI can grow like a doctor by continuously learning more patients' symptom information, disease information, treatment information and post-treatment information In fact, this is to cultivate medical power from a new perspective, let AI continuously learn the ability of experts through data-driven way, and then help doctors better diagnose and treat patients through product and engineering way aggregation, so as to solve the problem of lack of medical resources and unequal distribution faced by China's medical industry at this stage " In recent years, the product path of "smart medicine" has witnessed a surge of artificial intelligence medicine Hundreds of start-ups have firmly grasped the banner of "Ai" and entered the market Tencent, Ali, Ping'an and other giants are mainly engaged in research and acquisition in parallel, creating a medical AI ecosystem in full swing In the past few years, the industry in fengjianlangkou has become a red sea, and the homogenization of products is very serious Baidu should have its own pattern in order to take the lead in such a market Looking at the whole situation, "altob" Baidu is not just a natural semantic processing product Relying on evidence-based basic algorithm and in-depth learning algorithm, smart healthcare and big data and information-based enterprises build an ecosystem, and build Ai solutions throughout the whole process of pre diagnosis, in diagnosis and after diagnosis, and gradually transition from basic medical treatment to intelligent medical treatment from inside hospital to outside hospital It is said that AI is a data-driven science At the beginning of its establishment, Lingyi Zhihui found Zhongshan eye center of Sun Yat sen University as the partner, and jointly built a fundus image analysis system, which can help patients to detect major blindness diseases such as diabetic retinopathy, glaucoma and macular area disease as soon as possible, and avoid the risk of blindness In the current product system of Lingyi, this is the only AI product involving AI images Eye disease is a serious disease in China In March 2017, the general office of the national health and Family Planning Commission issued the technical proposal for graded diagnosis and treatment of diabetic retinopathy, hoping to achieve early detection and early intervention of diabetic retinopathy and reduce the disease burden of the masses through the implementation of the graded diagnosis and treatment system By implication, the state hopes to put sugar screening prevention at the grassroots level Therefore, in China, where ophthalmologists are scarce, the logic of smart medicine is to use AI to make up this short board, so that grass-roots medical care can bear the responsibility of screening and prevention of sugar mesh and other major eye diseases, and then promote the development of graded diagnosis and treatment For a long time, Zhihui did not leave the grassroots, until the new year of 2019, the situation quietly changed On February 28, aoya.com found that Baidu held a low-key stake in kangfuzi, who focuses on smart hospital services Subsequently, baidu began to cooperate with information-based and big data listed companies in succession Under the premise of keeping the grass-roots level as the core, Lingyi Zhihui gradually sought development from intelligent medical ecology On May 31, 2019, Baidu and Neusoft Group signed a strategic cooperation agreement in Beijing The two sides will jointly promote the landing of artificial intelligence in key areas such as health care, smart city and business model innovation Specifically in the field of medical treatment, the two sides reached an agreement on four aspects 1 Lingyi Zhihui AI fully access his (hospital information system) product system, actively explore the hospital intelligence, and promote the in-depth application of medical big data in medicine and insurance industry; 2 The two sides will jointly establish a "CDSS (clinical decision support system) special group" based on artificial intelligence technology to jointly promote the exploration and application of artificial intelligence decision support system in the whole process of top hospitals and primary medical institutions; 3 The two sides have worked together to build smart hospital solutions, including CDSS (clinical decision support system), rational drug use system, medical record quality control system, chronic disease management platform and other products, from smart medical and smart management