CN108710636B - Medical record screening method, terminal equipment and computer readable storage medium - Google Patents
Medical record screening method, terminal equipment and computer readable storage medium Download PDFInfo
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- 238000012216 screening Methods 0.000 title claims abstract description 70
- 238000000034 method Methods 0.000 title claims abstract description 38
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims abstract description 652
- 201000010099 disease Diseases 0.000 claims abstract description 649
- 238000004590 computer program Methods 0.000 claims description 15
- 239000003086 colorant Substances 0.000 claims description 4
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- 206010008631 Cholera Diseases 0.000 description 21
- 208000037386 Typhoid Diseases 0.000 description 5
- 239000010432 diamond Substances 0.000 description 5
- 201000008297 typhoid fever Diseases 0.000 description 5
- 208000015710 Iron-Deficiency Anemia Diseases 0.000 description 4
- 206010033971 Paratyphoid fever Diseases 0.000 description 4
- 238000010586 diagram Methods 0.000 description 4
- 230000006870 function Effects 0.000 description 3
- 208000006545 Chronic Obstructive Pulmonary Disease Diseases 0.000 description 2
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- 238000001514 detection method Methods 0.000 description 2
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- 206010022971 Iron Deficiencies Diseases 0.000 description 1
- 208000002565 Open Fractures Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
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- 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
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- 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
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- 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
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A90/00—Technologies having an indirect contribution to adaptation to climate change
- Y02A90/10—Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
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Abstract
The invention is applicable to the technical field of computers, and provides a method for screening medical records, terminal equipment and a computer readable storage medium, wherein the method for screening medical records comprises the following steps: acquiring unique identifiers of diseases of patients from each medical record file; the unique identification is ICD code or disease name of international disease classification; determining a disease label corresponding to the unique identification of the disease of the patient based on a preset corresponding relation between the unique identification of the disease and the disease label; configuring corresponding disease labels for each medical record file; and screening target medical records from all the medical records based on the disease labels configured by the medical records. According to the embodiment of the invention, when the target medical records recorded with certain diseases are screened based on the disease labels configured by the medical records, the condition of omission does not exist, and the screened medical records recorded with certain diseases can be ensured to be complete.
Description
Technical Field
The present invention relates to the field of computer technologies, and in particular, to a method for screening medical records, a terminal device, and a computer readable storage medium.
Background
The international disease classification (International Classification of Diseases, ICD) is a system that classifies diseases according to rules based on certain characteristics of the diseases and is represented by a coding method, which configures corresponding ICD codes for each type of disease and all subtype diseases under each type of disease. The ICD code of the disease is a carrier for recording diagnostic information, and is the basis for developing activities such as medical data analysis, medical insurance cost control and the like.
When medical record data of a patient suffering from a certain disease is required to be analyzed, medical records recorded with the disease are required to be screened from a medical record library. Although the existing medical institution adds corresponding ICD codes in the medical records during the production of the electronic medical records so as to classify and screen the diseases, some electronic medical records which are obtained by scanning the original paper medical records and do not have ICD codes exist in the medical record library, so that if the target medical records are screened from the medical record library directly based on the ICD codes, the condition of omission exists; if the screening is performed based on the names of certain diseases, the names of subtype diseases under each disease do not necessarily contain the names of the diseases, and the condition of miss-screening also exists, so that the medical record obtained by screening is incomplete.
Disclosure of Invention
In view of the above, embodiments of the present invention provide a method, a terminal device, and a computer readable storage medium for screening medical records, so as to solve the problem that the existing medical record screening method may have a missed screening condition during the screening period, resulting in incomplete medical records.
A first aspect of an embodiment of the present invention provides a method for screening medical records, including:
acquiring unique identifications of diseases of patients from each medical record file, wherein the unique identifications are ICD codes or disease names;
determining a disease label corresponding to the unique identifier of the disease of the patient based on a preset corresponding relation between the unique identifier of the disease and the disease label, wherein the disease label is used for describing the disease category to which the disease belongs;
configuring corresponding disease labels for each medical record file;
and screening target medical records from all the medical records based on disease labels configured by the medical records.
A second aspect of an embodiment of the present invention provides a terminal device comprising a memory, a processor and a computer program stored in the memory and executable on the processor, the processor implementing the steps of the first aspect when executing the computer program.
A third aspect of the embodiments of the present invention provides a computer-readable storage medium storing a computer program which, when executed by a processor, implements the steps of the first aspect.
The method for screening medical records, the terminal equipment and the computer-readable storage medium provided by the embodiment of the invention have the following beneficial effects:
according to the embodiment of the invention, the unique identification of the disease of the patient is obtained from each medical record file, the disease label corresponding to the unique identification of the disease of the patient is determined based on the preset corresponding relation between the unique identification of the disease and the disease label, the corresponding disease label is configured for each medical record file, and the target medical record file is selected from all the medical record files based on the disease label configured for each medical record file. The unique identifier of the disease of the patient in the embodiment of the invention can be either an ICD code or a disease name, so that no matter the patient records only the ICD code of the disease or the patient records only the patient records of the disease name, the embodiment of the invention can be provided with the corresponding disease label for describing the disease category of the disease, therefore, when the target patient records of a certain type of disease are screened based on the disease label configured by each patient record, the condition of omission does not exist, and the screened patient records of the certain type of disease can be ensured to be complete.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings that are needed in the embodiments or the description of the prior art will be briefly described below, it being obvious that the drawings in the following description are only some embodiments of the present invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a flowchart of a method for screening medical records according to a first embodiment of the present invention;
FIG. 2 is a flowchart of a method for screening medical records according to a second embodiment of the present invention;
FIG. 3 is a flowchart illustrating a method for screening medical records according to a third embodiment of the present invention;
FIG. 4 is a flowchart of a method for screening medical records according to a fourth embodiment of the present invention;
FIG. 5 is a flowchart of a method for screening medical records according to a fifth embodiment of the present invention;
fig. 6 is a block diagram of a terminal device according to an embodiment of the present invention;
fig. 7 is a block diagram of a terminal device according to another embodiment of the present invention.
Detailed Description
The present invention will be described in further detail with reference to the drawings and examples, in order to make the objects, technical solutions and advantages of the present invention more apparent. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.
Referring to fig. 1, fig. 1 is a flowchart illustrating an implementation of a method for screening medical records according to an embodiment of the present invention. The execution main body of the medical record screening method in this embodiment is a terminal device, where the terminal device includes but is not limited to: notebook computers, servers, tablet computers, smart phones and other devices. The method for screening medical records shown in fig. 1 comprises the following steps:
s11: and obtaining unique identifiers of diseases of the patient from each medical record file, wherein the unique identifiers are ICD codes or disease names of international disease classification.
In step S11, a plurality of medical records are stored in the medical record library, where the plurality of medical records respectively correspond to a plurality of different patients, i.e. one medical record corresponds to one patient.
In practical application, the medical record library can be stored in a local memory of the terminal equipment, namely, the local medical record library; the medical record library can also be stored in the cloud storage, namely the cloud medical record library.
In the embodiment of the invention, the medical record file is an electronic medical record file. The electronic medical record file may be an electronic medical record file with a text format and an electronic medical record file with an image format, wherein the text format and the electronic medical record file can be edited in content, and the electronic medical record file can also be an electronic medical record file with an image format and can not be edited in content, which is obtained by scanning a paper medical record. Regardless of the format of the medical record file, a unique identification of the patient's condition is recorded in each medical record file. Wherein the unique identification of the disease of the patient recorded in the medical record file may be at least one of an international disease classification (International Classification of Diseases, ICD) code and a disease name.
ICDs are international unified disease classification methods established by world health organization (World Health Organization, WHO) and are used for classifying diseases according to rules according to the characteristics of etiology, location, pathology, clinical manifestations and the like of the diseases and representing the diseases by using coding methods. ICD version 10 (ICD-10) uses the English letter plus number method to represent a type of disease or a disease. Specifically, ICD-10 classifies a disease into multiple categories (i.e., categories), and classifies certain categories into multiple sub-categories or details. One category corresponds to a class of disease, and multiple sub-categories or details under one category correspond to multiple sub-types of disease contained in the class of disease. Each category and each sub-category or detail under each category corresponds to one ICD code. Wherein the category is three digit codes, including one letter and two digits, e.g., D50 is iron deficiency anemia; sub-order is a four digit code comprising a letter, three digits and a decimal point, e.g. D50.0 is iron deficiency anemia secondary to blood loss, D50.1 is iron deficiency dysphagia; the detail is a five-digit code, including a letter, four digits, and a decimal point, e.g., S02.01 is a top bone open fracture, the detail is a selectively used code that provides an axial classification different from the axial classification of the subgraph.
It should be noted that, in the embodiment of the present invention, the ICD codes and the disease names of the diseases of the patient recorded in the medical file may be ICD codes and disease names based on the diseases in the ICD-10.
In practical application, the ICD code or the disease name of the disease suffered by the patient recorded in the medical record file may be the ICD code or the disease name of a subtype disease under a certain disease, for example, the ICD code of the disease suffered by the patient recorded in the medical record file may be D50.0, and the corresponding disease name is iron deficiency anemia secondary to blood loss. It will be appreciated that when a disease of a certain type is not included, or the description of the disease of the patient by the physician is more general, the ICD code or name of the disease of the patient recorded in the medical record may be the ICD code or name of the disease of the certain type, for example, the ICD code of the disease of the patient recorded in the medical record may be D50, and the corresponding disease is iron deficiency anemia.
The ICD code or the disease name of the patient recorded in each medical record file can be one or at least two. When the ICD code or the disease name of the disease of the patient recorded in the medical record file is one, indicating that the patient suffers from only one disease; when the ICD codes or disease names recorded in the medical records for the patient are at least two, the patient is indicated to have at least two diseases.
When a target medical record file recorded with a certain disease is screened from a medical record library, in order to ensure that no miss-selection condition exists, the embodiment of the invention configures a disease label for describing the disease category to which the disease recorded in the medical record file belongs for each medical record file in the medical record library.
In practical application, the terminal device can configure disease labels for each medical record file currently stored in the medical record library when the medical record file is screened from the medical record library for the first time, and screen target medical record files based on the disease labels configured by each medical record file. When the medical records are selected from the medical records library for the first time in the follow-up process, if the medical records are not newly added in the medical records library, the terminal equipment does not need to execute the step of configuring the disease label for the medical records, and the medical records can be directly screened based on the disease label configured for each medical record for the first time of disease screening; if the medical record file is newly added in the medical record library, the terminal equipment can only configure the disease label for the newly added medical record file, and screen the target medical record file based on the disease label configured by each medical record file, so that the screening efficiency of the medical record file can be greatly improved.
Specifically, when configuring corresponding disease labels for each medical record file, the terminal device obtains unique identifiers of diseases of patients from each medical record file in the case library. In practical application, the terminal device may obtain the unique identifier of the disease of the patient from each medical record file stored in the local medical record library, or may obtain the unique identifier of the disease of the patient from each medical record file stored in the cloud medical record library.
More specifically, the terminal device may scan the content of each medical record file stored in the medical record library, so as to obtain ICD codes or disease names of the diseases of the patient recorded in each medical record file. For example, for an electronic medical record file with a text format and editable content, the terminal device can obtain ICD codes or disease names of diseases of a patient by directly scanning the medical record file; for the electronic medical record file with the image format of which the content is not editable, the terminal equipment can call a preset image recognition tool to carry out image recognition on the medical record file, so that ICD codes or disease names of diseases of patients are recognized from the images.
S12: and determining a disease label corresponding to the unique identifier of the disease of the patient based on a preset corresponding relation between the unique identifier of the disease and the disease label, wherein the disease label is used for describing the disease category to which the disease belongs.
After the terminal equipment obtains the unique identification of the disease of the patient from each medical record file, the disease label corresponding to the unique identification of the disease of the patient obtained from each medical record file is determined based on the preset corresponding relation between the unique identification of the disease and the disease label.
The disease label is a custom label for describing the disease category to which the disease belongs and distinguishing different categories of diseases. The disease categories described by the different disease tags are different, and the display forms of the different disease tags are different. The specific display form of the disease label can be set according to actual requirements, and is not limited herein. For example, the disease label may be displayed as icons of a preset color and/or a preset shape, with different categories of disease being distinguished by icons of different colors and/or different shapes.
In the embodiment of the invention, the preset correspondence between the unique identification of the disease and the disease label comprises: the ICD of the disease codes and the disease label are in a preset corresponding relation, and the disease name of the disease and the disease label are in a preset corresponding relation. Wherein ICD codes or disease labels corresponding to disease names of all diseases under the same kind of diseases are the same, and ICD codes or disease labels corresponding to disease names of diseases under different kinds of diseases are different. The preset correspondence between the unique identification of the disease and the disease label may be preset and stored in the terminal device local or cloud server.
In practical application, if the ICD code of the disease of the patient is obtained from the medical record file by the terminal equipment, the terminal equipment determines a disease label corresponding to the ICD code of the disease of the patient according to a preset corresponding relation between the ICD code of the disease and the disease label; if the disease name of the disease of the patient is obtained from the medical record file by the terminal equipment, the terminal equipment determines the disease label corresponding to the disease name of the disease of the patient according to the preset corresponding relation between the disease name of the disease and the disease label.
S13: and configuring corresponding disease labels for each medical record file.
After determining the disease label corresponding to the unique identifier of the disease of the patient obtained from each medical record file, the terminal device configures a corresponding disease label for each medical record file, namely configures the disease label corresponding to the unique identifier of the disease of the patient recorded by each medical record file.
For example, if the disease label corresponding to the unique identifier of the disease of the patient obtained from a medical record file by the terminal device is the first disease label, the terminal device configures the first disease label for the medical record file. If the disease label corresponding to the unique identification of the disease of the patient obtained from a certain medical record file by the terminal equipment is a second disease label, the terminal equipment configures the second disease label for the medical record file. Wherein the content and presentation form of the first disease label are different from the second disease label. For example, the first disease label may be a disease label for describing cholera-like diseases, the content of which may be "cholera", and the presentation form may be a purple diamond icon; the second disease label may be a disease label for describing diseases such as typhoid fever and paratyphoid fever, the content of which may be "typhoid fever and paratyphoid fever", and the display form may be a white square icon.
In an embodiment of the present invention, the configuration of the disease label for the medical record file by the terminal device may specifically be: and storing the disease label corresponding to the unique identifier of the disease of the patient recorded in the medical record file in a correlated manner with the medical record file, namely establishing the corresponding relationship between the disease label corresponding to the unique identifier of the disease of the patient recorded in the medical record file and the medical record file.
In another embodiment of the present invention, the configuration of the disease label for the medical record file by the terminal device may specifically be: and adding a disease label corresponding to the unique identification of the disease of the patient recorded by the file attribute information of the medical record file. That is, a disease label corresponding to a unique identifier of a disease of a patient recorded in a medical record file is configured as file attribute information of the medical record file.
It can be understood that when at least two different ICD codes or disease names are recorded in one medical record file, the terminal device obtains the at least two different ICD codes or disease names, determines the disease label corresponding to each ICD code or disease name respectively, obtains at least two disease labels, and configures the at least two disease labels to the medical record file. It should be noted that, if at least two diseases corresponding to different ICD codes or disease names recorded in the medical record file belong to the same category of diseases, the medical record file is configured with at least two identical disease labels; if at least two different ICD codes or diseases corresponding to the disease names recorded in the medical record file do not belong to the same category of diseases, the medical record file is finally configured with at least two different disease labels.
S14: and screening target medical records from all the medical records based on disease labels configured by the medical records.
After the terminal equipment configures disease labels for all medical records in the medical record library, a user can screen target medical records recorded with a disease from the medical record library by taking the disease label corresponding to the disease as a screening condition. Specifically, in practical application, when a user needs to screen a medical record file recorded with a certain disease from a medical record library, the user can select a disease label corresponding to the disease category to be screened from all preset disease labels, the terminal equipment identifies the disease label selected by the user as a target disease label, and screens the medical record file configured with the target disease label from the medical record library, and the screened medical record file is the target medical record file to be screened by the user.
It can be seen from the foregoing that, according to the embodiment of the present invention, the unique identifier of the disease of the patient is obtained from each medical record file, the disease label corresponding to the unique identifier of the disease of the patient is determined based on the preset correspondence between the unique identifier of the disease and the disease label, the corresponding disease label is configured for each medical record file, and the target medical record file is selected from all the medical record files based on the disease label configured for each medical record file. The unique identifier of the disease of the patient in the embodiment of the invention can be either an ICD code or a disease name, so that no matter the patient records only the ICD code of the disease or the patient records only the patient records of the disease name, the embodiment of the invention can be provided with the corresponding disease label for describing the disease category of the disease, therefore, when the target patient records of a certain type of disease are screened based on the disease label configured by each patient record, the condition of omission does not exist, and the screened patient records of the certain type of disease can be ensured to be complete.
Referring to fig. 2, fig. 2 is a flowchart illustrating a method for screening medical records according to a second embodiment of the present invention. Compared with the corresponding embodiment of fig. 1, the method for screening medical records provided in this embodiment further includes S01-S03 before S11, and is described in detail as follows:
s01: and respectively configuring corresponding disease labels for each type of diseases.
In this embodiment, before configuring a corresponding disease label for each medical record file in the medical record library, a corresponding disease label for describing each type of disease needs to be configured for each type of disease.
In practical application, a user may set a corresponding disease label for each type of disease in advance, that is, the user may pre-establish a correspondence between a disease category and a disease label. Wherein, the user can set different disease labels for different kinds of diseases so as to distinguish the different kinds of diseases. In an embodiment of the present invention, the content of the disease label set by the user for each type of disease may be the disease name or ICD code of the type of disease, and the specific display form of the disease label may be set according to actual requirements, which is not limited herein. For example, the content of a disease label set by a user for diseases such as cholera can be "cholera" or "a00", and a specific display form of the disease label can be a purple diamond icon; the content of the disease label set by the user for diseases such as typhoid fever and paratyphoid fever can be 'typhoid fever and paratyphoid fever' or 'A01', and the specific display form of the disease label can be a white square icon and the like.
In this embodiment, the terminal device may configure a corresponding preset disease label for each type of disease based on a disease label preset by a user for each type of disease.
S02: and acquiring all ICD codes and all disease names under each type of disease from an ICD code library, wherein the ICD code library is used for describing the corresponding relation between the disease names of the diseases and the ICD codes of the diseases and describing the disease category to which each disease belongs.
The ICD code library is a database composed of ICD codes and disease names of each type of diseases based on ICD classification, and ICD codes and disease names of a plurality of subtype diseases included in each type of diseases. The ICD code library is specifically used for describing the corresponding relation between the disease name of each disease under ICD classification and the ICD code thereof, and describing the disease category of each disease.
In this embodiment, the terminal device may obtain all ICD codes and all disease names under each type of disease from the ICD code library. It will be appreciated that if a disease class contains N subtype diseases, the terminal device may obtain N ICD codes and N disease names from the disease class. For example, if a cholera-like disease (the disease name is "cholera", the corresponding ICD code is a 00) contains 3 subtype diseases, respectively classical cholera, aiton cholera and undefined cholera, and the corresponding ICD codes are a00.0, a00.1 and a00.3, respectively, the terminal device can obtain 3 disease names, respectively classical cholera, aiton cholera and undefined cholera, and 3 ICD codes, respectively a00.0, a00.1 and a00.3, from the cholera-like disease.
In an embodiment of the present invention, the terminal device may execute a preset screening script file to screen all ICD codes and all disease names under each type of disease from the ICD code library.
The preset screening script file is a script file preset by a user and used for screening certain diseases from the ICD coding library. Different screening script files are used for screening different types of diseases from the ICD coding library, that is, the same screening script file is corresponding to the same type of diseases, and different screening script files are corresponding to different types of diseases. In practical applications, the screening script file may be configured according to rules or commonalities between ICD codes of all subtype diseases under each type of disease, for example, the screening script file may be specifically represented as ICD codes of a certain type of disease. For example, the first screening script file may be J44, which corresponds to screening chronic obstructive pulmonary disease, and then, when executing the first screening script file, the terminal device may screen all ICD codes and all disease names under the chronic obstructive pulmonary disease from the ICD code library.
S03: and respectively associating the disease label of each disease with all ICD codes and all disease names under the disease to obtain a preset corresponding relation between the unique identification of the disease and the disease label.
After the terminal equipment acquires all ICD codes and all disease names under each type of disease, associating all ICD codes under each type of disease with disease labels of the type of disease, namely, establishing a corresponding relation between all ICD codes under each type of disease and the disease labels of the type of disease; meanwhile, all disease names under each disease are associated with the diseases of the disease, namely, the corresponding relation between all disease names under each disease and the disease label of the disease is established.
The corresponding relation between all ICD codes under each disease and the disease label of the disease, and the corresponding relation between all disease names under each disease and the disease label of the disease constitute the preset corresponding relation between the unique identification of the disease and the disease label.
As can be seen from the above, in this embodiment, by configuring a corresponding preset disease label for each type of disease, the identification of all types of diseases is normalized; by establishing the preset corresponding relation between the ICD codes of the diseases and the disease labels and establishing the corresponding relation between the disease names of the diseases and the disease labels, when the disease labels are configured for the medical records in the follow-up, the standardized disease labels corresponding to the disease ICD codes or the disease names can be found no matter whether the disease ICD codes or the disease names are acquired from the medical records, and therefore the screened medical records recorded with the diseases can be ensured to be complete when the target medical records recorded with the diseases based on the disease labels configured for the medical records.
Referring to fig. 3, fig. 3 is a flowchart illustrating a method for screening medical records according to a third embodiment of the present invention. Compared with the corresponding embodiment of fig. 1, the method for screening medical records provided in this embodiment further includes S15 to S16 after S13 and before S14, and is described in detail as follows:
s15: if the medical record file is configured with at least two disease labels, detecting whether the same disease label exists in the at least two disease labels.
In practice, at least two different ICD codes or disease names may be recorded in one medical file, and thus, one medical file may be configured with at least two disease tags.
In this embodiment, after configuring a corresponding disease label for each medical record file, the terminal device detects the number of disease labels configured for each medical record file, if a certain medical record file is configured with at least two disease labels, the terminal device detects whether the at least two disease labels have the same disease label, if the at least two disease labels have the same disease label, it indicates that ICD codes or basic names of at least two subtype diseases belonging to the same diseases are recorded in the medical record file, and at this moment, the terminal device executes S16; if the same disease label does not exist in the at least two disease labels, the case file is recorded with at least two ICD codes or basic names of subtype diseases which do not belong to the same type of basic diseases, and at the moment, the terminal equipment does not perform any processing.
S16: if the same disease label exists in the at least two disease labels, one disease label is reserved from the same disease label, and other disease labels except the disease label are removed.
In this embodiment, if the terminal device detects that a certain medical record file is configured with at least two disease labels, and the same basic label exists in the at least two disease labels, the terminal device only reserves one disease label from the same disease labels, and rejects other disease labels except the one disease label.
For example, if the terminal device detects that a certain medical record file is configured with 4 disease tags, 3 disease tags which are the same exist in the 4 disease tags, the terminal device only reserves one disease tag from the 3 disease tags, and rejects 2 disease tags other than the one disease tag, so that the disease tag which is finally configured in each medical record file has no repeated disease tag.
As can be seen from the above, in this embodiment, the duplicate disease label is removed from at least two disease labels configured for medical records, so that there is no duplicate disease label in the disease label configured for each medical record, and thus, when a target medical record file with a certain disease is screened and recorded based on the disease label configured for each medical record file, the efficiency of screening medical records can be improved.
Referring to fig. 4, fig. 4 is a flowchart illustrating a method for screening medical records according to a fourth embodiment of the present invention. Compared with the corresponding embodiments of fig. 1 to 3, the method for screening medical records provided in this embodiment further includes S17 to S19 after S13, and is described in detail as follows:
s17: and displaying the disease label as an icon with a preset color and/or a preset shape.
In this embodiment, the user may preset a specific presentation form for each disease label. Specifically, the user may set the presentation form of the disease label to a preset color and/or a preset shape icon. Wherein, the colors and/or shapes of the icons corresponding to different disease labels are different. For example, the user may set the display form of a disease label for describing cholera type disease to a purple diamond icon, set the display form of a disease label for typhoid and paratyphoid type disease to a white square icon, or the like.
In this embodiment, in order to enable a user to know the disease label configured for each medical record file at a glance when viewing the medical record library, the disease category of the disease of the patient recorded in each medical record file is further known. The terminal device can display the disease label configured by each medical record file as an icon with preset color and/or preset shape configured by the user in advance. For example, if the display form preset by the user for the disease label for describing the cholera disease is a purple diamond icon, the terminal device may display the disease label for describing the cholera disease configured by the medical record file as the purple diamond icon.
S18: and configuring text comments for the icons corresponding to the disease labels, wherein the text comments are used for explaining the disease categories described by the disease labels.
In this embodiment, further, the terminal device may further configure, for each icon corresponding to the disease label, a text comment for describing the disease category described by the disease label. For example, if a disease category described by a certain disease tag is "cholera", the terminal device may configure the text annotation of the disease tag as "cholera".
S19: and if the icon corresponding to the disease label is detected to be selected, displaying the text annotation.
In this embodiment, if the terminal device detects that an icon corresponding to a disease label configured in a certain medical record file is selected, the terminal device displays a text comment configured as the selected icon. For example, if an icon corresponding to a disease label configured in a certain medical record file for describing a cholera disease is selected, the terminal device may display a "cholera" word. Specifically, the terminal device may display a corresponding text comment at a preset position of the selected icon. The preset position may be set according to actual requirements, for example, the preset position may be right under the icon.
In practical application, the icon corresponding to a certain disease label detected by the terminal device may be specifically selected as follows: and detecting that the selection pointer falls into the display range of the icon corresponding to a certain disease label or detecting that the icon corresponding to a certain disease label is clicked.
As can be seen from the above, in this embodiment, the disease label is displayed as an icon with a preset color and/or a preset shape, and when the icon corresponding to a certain disease label is selected, the text annotation corresponding to the icon is displayed, so that when the user views the medical record library, the user can clearly know the disease label configured for each medical record file at a glance, and further know the disease category of the patient recorded in each medical record file.
Referring to fig. 5, fig. 5 is a flowchart showing a specific implementation of S14 in a method for screening medical records according to a fifth embodiment of the present invention. Compared to the corresponding embodiment of fig. 1, S14 in the method for screening medical records provided in this embodiment specifically includes S141 to S143, which are described in detail as follows:
s141: and acquiring the disease category to be screened input by the user.
In this embodiment, after the terminal device configures disease labels for all medical records in the medical record library, the user may use the disease label corresponding to a certain disease as a screening condition, and screen the target medical record file recorded with the disease from the medical record library. Specifically, if the terminal device detects an instruction for screening medical records from the medical records library, a disease category input box can be displayed on the interactive interface. The user may enter the disease category to be screened in the disease category input box. If the terminal equipment detects that the user inputs the content in the disease category input box, the content input by the user is acquired, and the content input by the user is identified as the disease category to be screened.
In practical application, the detection of the instruction by the terminal device for screening the medical record file from the medical record library may be: it is detected that the user clicks on a medical record file screening option in a toolbar of the medical record library.
S142: and determining the disease label corresponding to the disease category to be screened based on a preset corresponding relation between the disease category and the disease label.
In practical application, the user may pre-establish a correspondence between the disease category and the disease label, and store the preset correspondence between the disease category and the disease label in the local memory or cloud memory of the terminal device, specifically please refer to S01, which is not described herein.
After the terminal equipment acquires the disease category to be screened input by the user, acquiring a preset corresponding relation between the disease category and the disease label from a local memory or a cloud memory, and determining the disease label corresponding to the disease category to be screened based on the preset corresponding relation between the disease category and the disease label.
S143: and screening the medical records provided with the disease labels corresponding to the disease categories to be screened from all the medical records.
After determining the disease label corresponding to the disease category to be screened, the terminal equipment screens the medical record files configured with the disease label corresponding to the disease category to be screened from all the medical record files based on the disease label configured for each medical record file.
Specifically, the terminal device may detect a disease label configured for each medical record file in the medical record library, and if a certain medical record file is configured with a disease label corresponding to a disease category to be screened, identify the medical record file as a target medical record file to be screened, and screen the target medical record file from the medical record library.
For example, if the disease category to be screened is "cholera", and the disease label corresponding to the disease category is a first disease label, the terminal device detects the disease label configured by each medical record file, and if a certain medical record file is configured with the first disease label, the medical record file is identified as a target medical record file to be screened, and the target medical record file is screened from the medical record library.
Fig. 6 is a block diagram of a terminal device according to an embodiment of the present invention, where the terminal device includes units for performing the steps in the embodiments corresponding to fig. 1 to 5. Please refer to fig. 1 to 5 and the related descriptions in the embodiments corresponding to fig. 1 to 5. For convenience of explanation, only the portions related to the present embodiment are shown. Referring to fig. 6, the terminal apparatus 600 includes: a first acquisition unit 61, a first determination unit 62, a first configuration unit 63, and a screening unit 64. Wherein:
The first obtaining unit 61 is configured to obtain, from each medical record file, a unique identifier of a disease suffered by the patient, where the unique identifier is an ICD code or a disease name of the international disease classification.
The first determining unit 62 is configured to determine a disease label corresponding to the unique identifier of the disease of the patient, based on a preset correspondence between the unique identifier of the disease and the disease label, where the disease label is used to describe a disease category to which the disease belongs.
The first configuration unit 63 is configured to configure the corresponding disease label for each medical record file.
The filtering unit 64 is configured to filter the target medical record file from all the medical record files based on the disease label configured by each of the medical record files.
Optionally, the terminal device 600 further includes: a second configuration unit 65, a second acquisition unit 66, and a first association unit 67, wherein:
the second configuration unit 65 is configured to configure a corresponding disease label for each type of disease, respectively.
The second obtaining unit 66 is configured to obtain all ICD codes and all disease names under each type of disease from an ICD code library, where the ICD code library is configured to describe a correspondence between disease names of the diseases and ICD codes of the diseases, and describe a disease category to which each disease belongs.
The first association unit 67 is configured to associate the disease label of each disease with all ICD codes and all disease names under the disease, respectively, so as to obtain a preset correspondence between the unique identifier of the disease and the disease label.
Optionally, the terminal device 600 further includes: a first detection unit 68 and a deduplication unit 69. Wherein:
the first detecting unit 68 is configured to detect whether the same disease label exists in at least two disease labels if the medical record file is configured with at least two disease labels.
The duplication removing unit 69 is configured to, if the same disease label exists in the at least two disease labels, reserve one disease label from the same disease label, and reject other disease labels except the one disease label.
Optionally, the terminal device 600 further includes: a display unit 610, a third configuration unit 611 and a display unit 612. Wherein:
the display unit 610 is configured to display the disease label as an icon with a preset color and/or a preset shape.
The third configuration unit 611 is configured to configure a text comment for the icon corresponding to the disease label, where the text comment is used to describe the disease category described by the disease label.
The display unit 612 is configured to display the text comment if it is detected that the icon corresponding to the disease label is selected.
Alternatively, the screening unit 64 may specifically include: the medical record screening device comprises a third acquisition unit, a second determination unit and a medical record screening unit. Wherein:
the third acquisition unit is used for acquiring the disease category to be screened, which is input by the user.
The second determining unit is used for determining a disease label corresponding to the disease category to be screened based on a preset corresponding relation between the disease category and the disease label.
The medical record screening unit is used for screening medical record files configured with disease labels corresponding to the disease categories to be screened from all the medical record files.
It can be seen from the foregoing that, according to the terminal device provided in this embodiment, by obtaining the unique identifier of the disease suffered by the patient from each medical record file, determining the disease label corresponding to the unique identifier of the disease suffered by the patient based on the preset correspondence between the unique identifier of the disease and the disease label, configuring the corresponding disease label for each medical record file, and screening the target medical record file from all the medical record files based on the disease label configured by each medical record file. The unique identifier of the disease of the patient in the embodiment of the invention can be either an ICD code or a disease name, so that no matter the patient records only the ICD code of the disease or the patient records only the patient records of the disease name, the embodiment of the invention can be provided with the corresponding disease label for describing the disease category of the disease, therefore, when the target patient records of a certain type of disease are screened based on the disease label configured by each patient record, the condition of omission does not exist, and the screened patient records of the certain type of disease can be ensured to be complete.
Fig. 7 is a block diagram of a terminal device according to another embodiment of the present invention. As shown in fig. 7, the terminal device 7 of this embodiment includes: a processor 70, a memory 71 and a computer program 72 stored in the memory 71 and executable on the processor 70, such as a program for a method of screening medical records. The steps of the various embodiments of the method of screening medical records described above, such as S101 through S104 shown in FIG. 1, are performed by the processor 70 when executing the computer program 72. Alternatively, the processor 70 may implement the functions of each unit in the embodiment corresponding to fig. 6, for example, the functions of the units 61 to 64 shown in fig. 6, when executing the computer program 72, and the detailed description of the embodiment corresponding to fig. 6 will be referred to herein, which is omitted.
By way of example, the computer program 72 may be divided into one or more units, which are stored in the memory 71 and executed by the processor 70 to accomplish the present invention. The one or more units may be a series of computer program instruction segments capable of performing a specific function for describing the execution of the computer program 72 in the terminal device 7. For example, the computer program 72 may be divided into a first acquisition unit, a first determination unit, a first configuration unit and a screening unit, each unit functioning specifically as described above.
The terminal device may include, but is not limited to, a processor 70, a memory 71. It will be appreciated by those skilled in the art that fig. 7 is merely an example of the terminal device 7 and does not constitute a limitation of the terminal device 7, and may include more or less components than illustrated, or may combine certain components, or different components, e.g., the terminal device may further include an input-output device, a network access device, a bus, etc.
The processor 70 may be a central processing unit (Central Processing Unit, CPU), or may be another general purpose processor, a digital signal processor (Digital Signal Processor, DSP), an application specific integrated circuit (Application Specific Integrated Circuit, ASIC), an off-the-shelf programmable gate array (Field-Programmable Gate Array, FPGA) or other programmable logic device, discrete gate or transistor logic device, discrete hardware components, or the like. A general purpose processor may be a microprocessor or the processor may be any conventional processor or the like.
The memory 71 may be an internal storage unit of the terminal device 7, such as a hard disk or a memory of the terminal device 7. The memory 71 may be an external storage device of the terminal device 7, such as a plug-in hard disk, a Smart Media Card (SMC), a Secure Digital (SD) Card, a Flash memory Card (Flash Card) or the like, which are provided on the terminal device 7. Further, the memory 71 may also include both an internal storage unit and an external storage device of the terminal device 7. The memory 71 is used for storing the computer program as well as other programs and data required by the terminal device. The memory 71 may also be used for temporarily storing data that has been output or is to be output.
The above embodiments are only for illustrating the technical solution of the present invention, and not for limiting the same; although the invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical scheme described in the foregoing embodiments can be modified or some technical features thereof can be replaced by equivalents; such modifications and substitutions do not depart from the spirit and scope of the technical solutions of the embodiments of the present invention, and are intended to be included in the scope of the present invention.
Claims (10)
1. A method of screening medical records, comprising:
acquiring unique identifiers of diseases of patients from each medical record file, wherein the medical record files are electronic medical record files with text formats and editable contents or electronic medical record files with image formats and non-editable contents, which are obtained by scanning paper medical records, and the unique identifiers are ICD codes or disease names;
determining a disease label corresponding to the unique identification of the disease of the patient based on a preset correspondence between the unique identification of the disease and the disease label, wherein the preset correspondence comprises: the ICD of the disease codes and the disease label are in a preset corresponding relation, and the disease name of the disease and the disease label are in a preset corresponding relation; the disease label is used for describing the disease category to which the disease belongs; the disease label is displayed as an icon with a preset color and/or a preset shape, and different types of diseases are distinguished through icons with different colors and/or different shapes;
Configuring corresponding disease labels for each medical record file;
and screening target medical records from all the medical records based on disease labels configured by the medical records.
2. The method of claim 1, further comprising, prior to obtaining the unique identification of the disease of the patient from each of the medical records:
configuring corresponding disease labels for each type of disease respectively;
acquiring all ICD codes and all disease names under each type of disease from an ICD code library, wherein the ICD code library is used for describing the corresponding relation between the disease names of the disease and the ICD codes of the disease and describing the disease category to which each disease belongs;
and respectively associating the disease label of each disease with all ICD codes and all disease names under the disease to obtain a preset corresponding relation between the unique identification of the disease and the disease label.
3. The method of claim 1, wherein after configuring the respective disease label for each of the medical records, before screening the target medical record file from all of the medical records files based on the disease label configured for each of the medical records, further comprises:
If the medical record file is configured with at least two disease labels, detecting whether the same disease label exists in the at least two disease labels;
if the same disease label exists in the at least two disease labels, one disease label is reserved from the same disease label, and other disease labels except the disease label are removed.
4. The method of claim 1, wherein after said configuring the respective disease label for each of said medical records, further comprising:
displaying the disease label as an icon of a preset color and/or preset shape;
configuring text comments for icons corresponding to the disease labels, wherein the text comments are used for explaining disease categories described by the disease labels;
and if the icon corresponding to the disease label is detected to be selected, displaying the text annotation.
5. The method of any of claims 1-4, wherein the screening of the target medical records from all of the medical records based on the disease tags configured for each of the medical records comprises:
acquiring a disease category to be screened input by a user;
determining a disease label corresponding to the disease category to be screened based on a preset corresponding relation between the disease category and the disease label;
And screening the medical records provided with the disease labels corresponding to the disease categories to be screened from all the medical records.
6. A terminal device comprising a memory, a processor and a computer program stored in the memory and executable on the processor, the processor implementing the following steps when executing the computer program:
acquiring unique identifiers of diseases of patients from each medical record file, wherein the medical record files are electronic medical record files with text formats and editable contents or electronic medical record files with image formats and non-editable contents, which are obtained by scanning paper medical records, and the unique identifiers are ICD codes or disease names;
determining a disease label corresponding to the unique identification of the disease of the patient based on a preset correspondence between the unique identification of the disease and the disease label, wherein the preset correspondence comprises: the ICD of the disease codes and the disease label are in a preset corresponding relation, and the disease name of the disease and the disease label are in a preset corresponding relation; the disease label is used for describing the disease category to which the disease belongs; the disease label is displayed as an icon with a preset color and/or a preset shape, and different types of diseases are distinguished through icons with different colors and/or different shapes;
Configuring corresponding disease labels for each medical record file;
and screening target medical records from all the medical records based on disease labels configured by the medical records.
7. The terminal device according to claim 6, further comprising, before obtaining the unique identifier of the disease of the patient from each medical record file:
configuring corresponding disease labels for each type of disease respectively;
acquiring all ICD codes and all disease names under each type of disease from an ICD code library, wherein the ICD code library is used for describing the corresponding relation between the disease names of the disease and the ICD codes of the disease and describing the disease category to which each disease belongs;
and respectively associating the disease label of each disease with all ICD codes and all disease names under the disease to obtain a preset corresponding relation between the unique identification of the disease and the disease label.
8. The terminal device of claim 6, wherein after the configuring the respective disease label for each of the medical record files, further comprising:
if the medical record file is configured with at least two disease labels, detecting whether the same disease label exists in the at least two disease labels;
If the same disease label exists in the at least two disease labels, one disease label is reserved from the same disease label, and other disease labels except the disease label are removed.
9. The terminal device of claim 6, wherein after the configuring the respective disease label for each of the medical record files, further comprising:
displaying the disease label as an icon of a preset color and/or preset shape;
configuring text comments for icons corresponding to the disease labels, wherein the text comments are used for explaining disease categories described by the disease labels;
and if the icon corresponding to the disease label is detected to be selected, displaying the text annotation.
10. A computer readable storage medium storing a computer program, characterized in that the computer program when executed by a processor implements the steps of the method according to any one of claims 1 to 5.
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| CN201810309684.1A CN108710636B (en) | 2018-04-09 | 2018-04-09 | Medical record screening method, terminal equipment and computer readable storage medium |
| PCT/CN2018/093706 WO2019196211A1 (en) | 2018-04-09 | 2018-06-29 | Method for filtering medical records, terminal device, and computer readable storage medium |
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| CN111524569A (en) * | 2020-04-24 | 2020-08-11 | 常州昊泽信息科技有限公司 | Electronic medical record diagnosis and maintenance system |
| CN112541064A (en) * | 2020-12-09 | 2021-03-23 | 联仁健康医疗大数据科技股份有限公司 | Health evaluation method and device, computer equipment and storage medium |
| CN114388085B (en) * | 2021-11-23 | 2022-09-09 | 皖南医学院第一附属医院（皖南医学院弋矶山医院） | Real-time intelligent auxiliary ICD coding method and system based on medical record |
| CN117251556A (en) * | 2023-11-17 | 2023-12-19 | 北京遥领医疗科技有限公司 | Patient screening system and method in registration queue |
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