CN106383988A - Generation method and device of medical examination report - Google Patents
Generation method and device of medical examination report Download PDFInfo
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- CN106383988A CN106383988A CN201610777134.3A CN201610777134A CN106383988A CN 106383988 A CN106383988 A CN 106383988A CN 201610777134 A CN201610777134 A CN 201610777134A CN 106383988 A CN106383988 A CN 106383988A
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Abstract
The invention provides a generation method and device of a medical examination report. The generation method comprises the following steps of: obtaining the input basic information, the input symptom description information and the input medicine taking information of a patient, and a report of at least one picture format; processing the report of the picture format to obtain an examination result; and converting the basic information and the symptom description information and the examination result of the patient into the medical report of the patient according to a preset format. The generated medical report of the patient not only comprises the symptom description of the patient but also comprises the examination results displayed on various reports of the patient, the medical report of the patient can provide more visual and effective examination results for a doctor, the above examination results can more clearly reflect the illness situation of the patient, and the doctor can make a more accurate diagnosis result and a more accurate treatment advice according to the medical report of the patient.
Description
Technical field
The present invention relates to field of computer technology, more particularly to a kind of generation method of medical report list and device.
Background technology
With the development of internet, doctor can provide medical interrogation by the people that remote districts are given in internet.Existing
Internet interrogation mode, is to provide a platform that can carry out online communication by internet to doctor and patient, patient gives
Doctor describes the state of an illness, and doctor provides possible diagnostic result and treatment recommendations according to the description of patient.
Above-mentioned internet interrogation mode, doctor provides diagnostic result and treatment recommendations simply by virtue of the simple description of patient,
Patient lacks medical knowledge, and the description to the state of an illness is not necessarily accurate, and the understanding that doctor describes to patient is likely to mistake.And
And, by the description of patient, doctor can only simply understand that the cardinal symptom of patient makes simple diagnosis and suffers from it is impossible to obtain
The specific disease condition of person.
Content of the invention
Present invention solves the technical problem that being to provide a kind of generation method of medical report list and device such that it is able to carry
For more intuitively effective inspection results, the disease condition of the described patient of more specific reaction.
For this reason, the technical scheme that the present invention solves technical problem is：
A kind of generation method of medical report list, methods described includes：
Obtain the essential information of the patient of typing, symptom description information, medication information, and at least one picture format
Report；
The report of described picture format is carried out processing acquisition inspection result；
By the essential information of described patient, described symptom description information, medication information, and described inspection result is according to pre-
If form be converted into the medical report list of described patient.
Optionally, the essential information of the described patient obtaining typing, symptom description information, medication information, and at least one
The report planting picture format includes：
Receive the logging request of patient, described logging request includes described patient's log-on message；
The log-on message of described patient is verified, after being verified, returns the information of described patient's Successful login；
Obtain the essential information of the patient of patient's typing, symptom description information, medication information, and at least one picture lattice
The report of formula.
Optionally, the essential information of the described patient obtaining typing, symptom description information, medication information, and at least one
The report planting picture format includes：
Receive the logging request of doctor, described logging request includes the log-on message of described doctor；
The log-on message of described doctor is verified, after being verified, returns the information of described doctor's Successful login；
Judge whether described doctor has the authority of the medical report list editing described patient；
When described doctor has the authority of the medical report list editing described patient, the patient's of acquisition doctor's typing is basic
Information, symptom description information, medication information, and the report of at least one picture format.
Optionally, the described report to described picture format carry out process obtain inspection result include：
Identify the type of the report of described picture format；
When the report of described picture format is inspection report, light is carried out to the inspection report of described picture format
Learn character recognition OCR, identify the inspection result in the inspection report of described picture format, described inspection result includes Chinese name
Claim, English writes a Chinese character in simplified form as a result, unit, and reference value；
When the report of described picture format is image report list, analyze the word in described image report list and shadow
Picture, carries out OCR to the word in described image report list, identifies the inspection result in the word in described image report list；
When the report of described picture format is Dicom image, described Dicom image can be carried out rotate, scale with
And any one or more the iconography image procossing in range finding.
Optionally, the described essential information by described patient, described symptom description information, medication information, and described inspection
The fruit that comes to an end includes according to the medical report list that default form is converted into described patient：
The essential information of described patient is filled at the essential information to medical report single mode plate, described medical report list
Template is described default form；
Described symptom description information is filled at the readme symptom to described medical report single mode plate；
Described medication information is filled at the MAR to described medical report single mode plate；
Inspection result in described inspection report is filled to described doctor respectively according to the classification of described inspection report
Treat at the laboratory test report in report template；
Described image report list and described Dicom image are filled the iconography to described medical report single mode plate respectively
Inspection department.
Optionally,
Include at liver function test list at laboratory test report in described medical report single mode plate, hepatitis C virus detects laboratory test report
Place, and at routine blood test laboratory test report；
Include liver imageology at imaging examination in described medical report single mode plate and check at B ultrasonic, and liver shadow
Check at B ultrasonic as learning.
Optionally, methods described also includes：
Generate the Quick Response Code of the medical report list of patient described in a unique identification；
Described Quick Response Code is filled to the Quick Response Code filling of described medical report single mode plate.
A kind of generating means of medical report list, described device includes：
Acquiring unit, for obtaining the essential information of the patient of typing, symptom description information, medication information, and at least
A kind of report of picture format；
Processing unit, obtains inspection result for carrying out to the report of described picture format processing；
Converting unit, for by the essential information of described patient, described symptom description information, medication information, and described
Inspection result is converted into the medical report list of described patient according to default form.
Optionally, described acquiring unit includes：
First receiving subelement, for receiving the logging request of patient, described logging request includes described patient and logs in letter
Breath；
Checking subelement, for verifying to the log-on message of described patient, after being verified, returns described patient and becomes
The information that work(logs in；
First acquisition subelement, for obtaining the essential information of the patient of patient's typing, symptom description information, medication is believed
Breath, and the report of at least one picture format.
Optionally, described acquiring unit includes：
Second receiving subelement, for receiving the logging request of doctor, described logging request includes the login of described doctor
Information；
Second checking subelement, for verifying to the log-on message of described doctor, after being verified, returns described doctor
The information of raw Successful login；
Judgment sub-unit, for judging whether described doctor has the authority of the medical report list editing described patient；
Second acquisition subelement, for have as described doctor medical report list edit described patient authority when, acquisition
The essential information of the patient of doctor's typing, symptom description information, medication information, and the report of at least one picture format.
Optionally, described processing unit includes：
Identification subelement, for identifying the type of the report of described picture format；
First process subelement, for when the report of described picture format is inspection report, to described picture lattice
The inspection report of formula carries out optical character identification OCR, identifies the inspection result in the inspection report of described picture format, institute
State inspection result and include Chinese, English writes a Chinese character in simplified form as a result, unit, and reference value；
Second processing subelement, for when the report of described picture format is image report list, analyzing described image
Word in report and image, carry out OCR to the word in described image report list, identify the literary composition in described image report list
Inspection result in word；
3rd process subelement, for when the report of described picture format is Dicom image, scheming to described Dicom
As any one or more the iconography image procossing in being rotated, scaled and being found range.
Optionally, described converting unit includes：
First filling subelement, for filling by the essential information of described patient with the basic letter to medical report single mode plate
At breath, described medical report single mode plate is described default form；
Second filling subelement, for filling by described symptom description information with the readme to described medical report single mode plate
At symptom；
3rd filling subelement, for filling by described medication information with the MAR to described medical report single mode plate
Place；
4th filling subelement, for by the inspection result in described inspection report according to the class of described inspection report
Do not fill respectively at the laboratory test report to described medical report single mode plate；
5th filling subelement, for filling described image report list and described Dicom image to described medical treatment respectively
At imaging examination in report template.
Optionally,
Include at liver function test list at laboratory test report in described medical report single mode plate, hepatitis C virus detects laboratory test report
Place, and at routine blood test laboratory test report；
Include liver imageology at imaging examination in described medical report single mode plate and check at B ultrasonic, and liver shadow
Check at B ultrasonic as learning.
Optionally, described device also includes：
Signal generating unit, for generating the Quick Response Code of the medical report list of patient described in a unique identification；
Fills unit, for filling described Quick Response Code to the Quick Response Code filling of described medical report single mode plate.
By technique scheme, the method have the advantages that：
The invention provides a kind of generation method of medical report list and device, obtain the essential information of the patient of typing,
Symptom description information, medication information, and the report of at least one picture format；The report of described picture format is carried out
Process and obtain inspection result；By the essential information of described patient, described symptom description information and described inspection result are according to pre-
If form be converted into the medical report list of described patient.The medical report list of the patient being generated, not only includes patient's
Symptom describes, and also includes the inspection result shown by multiple reports that patient is done, the medical report list of described patient is permissible
There is provided more intuitively effective inspection results to doctor, above-mentioned inspection result can the more specific ill feelings reacting described patient
Condition, doctor can go out more accurately diagnostic result and treatment recommendations according to the medical report nonoculture of patient.
Brief description
In order to be illustrated more clearly that the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing
Have technology description in required use accompanying drawing be briefly described it should be apparent that, drawings in the following description be only this
Some embodiments of invention, for those of ordinary skill in the art, on the premise of not paying creative work, acceptable
Other accompanying drawings are obtained according to these accompanying drawings.
Fig. 1 is the generation method flow chart of medical report list provided in an embodiment of the present invention；
Fig. 2 is the generating means structural representation of medical report list provided in an embodiment of the present invention.
Specific embodiment
In order to provide the implementation of the disease condition that can more clearly react described patient, the embodiment of the present invention provides
The preferred embodiments of the present invention are said by a kind of generation method of medical report list and device below in conjunction with Figure of description
Bright.
Fig. 1 is the generation method flow chart of medical report list provided in an embodiment of the present invention, including：
101：Obtain the essential information of the patient of typing, symptom description information, medication information, and at least one picture lattice
The report of formula.
The essential information of patient includes name, sex, age, height, and body weight etc..When implementing, according to reality
Need, the essential information of patient can also include ill history, body-mass index (BodyMass Index, BMI), and first visit
Any one or more in mode (first visit or further consultation).Further, it is also possible to according to actual needs, including blood group, correspondent party
The others essential information such as formula.
Symptom description information includes patient's readme symptom and the free symptom of patient.Described patient's readme symptom refers to letter
Single language describes the symptom that patient occurs.Taking hepatopathy as a example：Patient's readme symptom is dull pain in liver；Apocleisis；Detest greasy etc..
The free symptom of patient, the symptom selected in the option pre-setting, the option pre-setting is according to medical treatment
The particular type of report pre-sets, and can be selected according to actual needs.The option pre-setting is according to medical treatment report
Accuse single type different, the content of setting is also different.For example：If medical report list is liver disease report list, the option pre-setting
It is the option relevant with hepatopathy, such as history of drinking history level options；If medical report list is tuberculosis report, the option pre-setting is
The option relevant with tuberculosis, such as smoking history level options etc..The free symptom of patient is pre-set in default form,
Only need to voluntarily be selected according to actual conditions.
Medication information, refers to before generating medical report list, the medicine information that patient has taken, including medication name
Claim, the medication time started, medication end time, and drug resistance.If not taking any medicine, do not need to fill in.
The report of picture format, refers to every report checking that patient had done.The report of picture format
Singly refer to upload report with picture format, the report of this picture format can be by acquisition of taking pictures it is also possible to pass through
Scanning obtains, and can also be obtained, by other, the method that papery report is converted into picture format.
The report of picture format can include only comprising the inspection report of character, such as blood routine examination report, urine
Routine inspection report, hepatitis C virus Examination report sheet etc.；Can also include not only comprising the image that character also includes image
Report, such as B ultrasonic etc., DICOM (Digital Imaging and Communications in can also be included
Medicine) image, such as CT (Computed Tomography)) image etc..The report of picture format can include above-mentioned three
Plant any one or more in report.
Obtain the essential information of the patient of typing, symptom description information, and the report bag of at least one picture format
Include at least two possible implementations.
The first possible implementation：
Receive the logging request of patient, described logging request includes described patient's log-on message；
The log-on message of described patient is verified, after being verified, returns the information of described patient's Successful login；
Obtain the essential information of the patient of patient's typing, symptom description information, medication information, and at least one picture lattice
The report of formula.
In the first possible implementation, after being logged in by patient, the essential information of patient voluntarily typing patient, symptom
Description information, medication information, and the report of at least one picture format.Wherein, the essential information of patient by patient according to
Actual conditions typing；Symptom description information is the information of the disease condition that patient can be briefly described, and summarizes record by patient oneself
Enter；Medication information, carries out typing by patient according to the actual situation taking medicine；The report of at least one picture format, by
Patient by the report of the papery of the inspection done with picture format typing, report can be taken pictures upload it is also possible to
To report that single sweep uploads, using other modes, the report of papery can also be converted into the report of picture format by patient
Voluntarily typing.
The possible implementation of second：
Receive the logging request of doctor, described logging request includes the log-on message of described doctor；
The log-on message of described doctor is verified, after being verified, returns the information of described doctor's Successful login；
Judge whether described doctor has the authority editing described medical report list；
When described doctor has the authority of the medical report list editing described patient, the patient's of acquisition doctor's typing is basic
Information, symptom description information, medication information, and the report of at least one picture format.
In the possible implementation of second, patient arranges the authority of doctor in advance on internet platform, doctor's
Authority includes：There is no any authority, check medical report list and editor's medical report list.A lot of doctors are had on internet platform,
Patient can select medical doctor from internet platform.The nonoptional doctor of patient, then do not have any authority, that is, can not
Check any information of patient.The selected medical doctor of patient, if the authority of setting is to look at medical report list, doctor is only
The medical report list of generation can be checked it is impossible to edit the medical report list of generation；If the authority of setting is editor's medical treatment report
Accuse single, then doctor can increase newly, changes or delete the content in the medical report list of this patient.
After doctor's Successful login, the first information according to doctor, such as：The numbering of doctor, or, user name of doctor etc. judges
Whether described doctor has the medical report list authority editing described patient.If doctor does not edit the medical report list of described patient
Authority, then be unable to any information of typing.If doctor has the authority of the medical report list editing described patient, can be recorded by doctor
Enter the essential information of patient, symptom description information, and the report of at least one picture format.
102：The report of described picture format is carried out processing acquisition inspection result.
The report of picture format is processed, mainly obtains the inspection result in the report of picture format.Know
The type of the report of other picture format, the type of the report of picture format is different, and processing mode is also different, at least three kinds
Reason mode：
When the report of described picture format is inspection report, the inspection report of described picture format is carried out
OCR, identifies the inspection result in the inspection report of described picture format, and described inspection result includes Chinese, English letter
Write as a result, unit, and reference value.
When the report of described picture format is image report list, analyze the word in described image report list and shadow
Picture, carries out OCR to the word in described image report list, identifies the inspection result in the word in described image report list.
When the report of described picture format is Dicom image, described Dicom image is carried out rotate, scale and
Any one or more iconography image procossing in range finding.
The first processing mode：When the report of described picture format is inspection report, such as blood routine examination report
Single, routine urianlysis report, hepatitis C virus Examination report sheet etc..Word only included on inspection report, numeral and
Conventional characters.Then adopt optical character identification (Optical Character Recognition, OCR) method, test for identification report
Accuse the inspection result in list.
Illustrate：If inspection report is blood routine examination report, blood routine examination report is identified using OCR method
Accuse the word in list, numeral and conventional characters, obtain the inspection result in table 1.Need exist for illustrating, interior in table 1
Hold the description being merely exemplary, Examination report sheet carried out with OCR identification, not merely can obtain the inspection result in table 1,
Inspection report is different, and after OCR identification, the inspection result of gained is also different.
The inspection result of the blood routine examination report that table 1.OCR identification obtains
| English is write a Chinese character in simplified form | Chinese | Result | Unit | Term of reference |
| PLT | Blood platelet | 500↑ | 10^9/L | 100～300 |
| WBC | Leucocyte | 120↑ | 10^9/L | 4-10 |
| RBC | Red blood cell | 4.76 | 10^12/L | 3.5-5.5 |
| …… | …… | …… | …… | …… |
As can be seen from Table 1, only include word, numeral and conventional characters in inspection report, using OCR identification be
The inspection result in inspection report can be obtained.
Second processing mode, when the report of described picture format is image report list, image report list includes literary composition
Word and image, image report list is divided into word segment and image part.Word segment in image report list is by checking
The word description to actual inspection result for the doctor, the image part in image report list is that in inspection result, effective image cuts
Figure.Obtain the word segment in image report list using OCR technique identification, and the image partial segmentation in image report list is carried
Take out.When implementing, multiple image processing methods can also be adopted, for example：Scaling, denoising etc., to image report list
In image part processed so that image definition.
The third processing mode, when the report of described picture format is Dicom image, enters to described Dicom image
Any one or more iconography image procossing in row rotation, scaling and range finding is so that Dicom image meets generation medical treatment
The upload demand of report.It is, of course, also possible to include other iconography image processing methods, repeat no more here.
Need exist for illustrating, during practical application, the report of picture format can be with only one of which, it is possibility to have many
Individual, can only include inspection report, any one report in image report list and Dicom image is it is also possible to wrap
Include inspection report, image report list and the every kind of report of Dicom image.
103：By the essential information of described patient, described symptom description information, medication information, and described inspection result are pressed
It is converted into the medical report list of described patient according to default form.
In one example, by the essential information of described patient, described symptom description information, medication information, and described
Inspection result includes according to the medical report list that default form is converted into described patient：
The essential information of described patient is filled at the essential information to medical report single mode plate, described medical report list
Template is described default form；
Described symptom description information is filled at the readme symptom to described medical report single mode plate；
Described medication information is filled at the MAR to described medical report single mode plate；
Inspection result in described inspection report is filled to described doctor respectively according to the classification of described inspection report
Treat at the laboratory test report in report template；
Described image report list and described Dicom image are filled the iconography to described medical report single mode plate respectively
Inspection department.
Pre-set the template of medical report list, by the essential information of the patient of gained, symptom description information and described
Inspection result is filled respectively and can be obtained medical report list to the template of medical report list.The medical report list being generated can be
Word form or PDF, can also adopt other text formattings, no longer repeat one by one here.
Illustrate, as shown in table 2, table 2 is the hepatopathy medical report list of a generation.
Table 2.Hepatopathy medical report list
Hepatopathy Examination report sheet
(date printed：20XX X day month X)
Patient's electronic record：
1. liver disease types：
Fatty liver (is not then filled a vacancy)
2. state of an illness symptom
Dull pain in liver；Apocleisis；Detest greasy.
3. history of drinking history rank
Drink daily less than 10g, that is, be approximately less than 12 milliliters
Drinks daily between 10g to 40g, that is, about between 12 milliliters to 48 milliliters
Drinks daily more than 40g, that is, about more than 48 milliliters
4. MAR
5. liver function test list (measuring method：)
| Code | English is write a Chinese character in simplified form | Title | Result | Unit | Term of reference |
| BC1 | ALP | Alkaline phosphatase | 200↑ | U/L | 40—150 |
| BC2 | GGT | Glutamyl transpeptidase | 90↑ | U/L | 0—50 |
| BC3 | TBIL | Total bilirubin | 12 | μmol/L | 5.1—19 |
| BC4 | ALB | Albumin | 30 | g/L | 32—55 |
| BC5 | CHE | Cholinesterase | 10 | ku/L | 4.2—12.6 |
| …… | …… | …… | …… | …… | …… |
6. viral inspection
6.1 five indexes of hepatitis b
| Code | English is write a Chinese character in simplified form | Title | Result | Term of reference |
| BC10 | HBsAg | Hepatitis B surface antigen | Negative | Negative |
| BC11 | Anti-HBs antibody | Hepatitis B surface antibody | Positive ↑ | Negative |
| BC12 | HBeAg | Hepatitis B virus e antigen | Negative | Negative |
| BC13 | Anti- HBe | Hepatitis B e antibody | Negative | Negative |
| BC14 | Anti- HBc | Hepatitis B core antibody | Negative | Negative |
Prompting：Congratulations, illustrate that you have immunity to hepatitis B, hepatitis B surface antibody (HBsAb) is a kind of protectiveness
Antibody, you just do not allow easy infection hepatitis B, before you should inoculated hepatitis B vaccine, hbv antibody effective time is usually 10 years
Left and right, can strengthen a pin just when amount of antibody is low.
6.2 hepatitis C virus detections
7. liver imageology inspection：
B ultrasonic：Liver section contour smoothing is neat, under chest and abdomen wall visible enter liver light belt, lower edge has liver light belt.Normal parenchyma
Echo luminous point is in light and fine, is evenly distributed, and no limitation is interrupted and thick irregular luminous point；Visible vessels and courage in liver parenchyma
The tubular structure of pipe, traveling is clear.Liver is quiet and portal vein is it is apparent that stones in intrahepatic bile duct and arteria hepatica hardly possible are recognized.
Diagnostic result：Show no obvious abnormalities.
FibroScan：Cap value is 11.3Kpa for 267db/m liver hardness number
Diagnostic result：Refer to this project initial report list (image).
CT：Liver increases, and sees big sheet low-density stove, visible less dense necrotic area, extrahepatic duct in it in liver
No expand, less, less, pancreas spleen size and form and density are normal, have no enlarged lymph node after peritonaeum for gall-bladder for spleen.
Diagnostic result：Diagnosing Focal Hepatic Lesions are it is considered to massive type liver Ca is it is proposed that check further.
8. Hepatic biopsy：
Do not do this.
9. other auxiliary examinations：
(1) routine blood test laboratory test report (measuring method：)
| Code | Title | Result | Unit | Term of reference |
| PLT | Blood platelet | 500↑ | 10^9/L | 100—300 |
| WBC | Leucocyte | 120↑ | 10^9/L | 4—10 |
| RBC | Red blood cell | 4.76 | 10^12/L | 3.5-5.5 |
| …… | …… | …… | …… | …… |
(2) other
---------------------------------------------
The essential information of the patient in the hepatopathy medical report list shown in table 2 includes：Date, name, deformation, at the age, suffer from
Medical history, height, body weight, BMI index, mode of paying a home visit.These are all by patient, or have the medical report editing described patient
The doctor of single authority is according to actual conditions typing.
Symptom description information includes two parts, and a part is patient's readme symptom, such as patient's readme symptom in table 2, by suffering from
Person or doctor, according to the disease condition of patient, are described using simple word.Another part is the free symptom of patient, such as table
History of drinking history rank in 2, is selected according to actual conditions by patient or doctor.Trouble set by different types of medical report list
The particular content of the free symptom of person is different, certainly, can not also comprise the free symptom of patient, according to reality in medical report single mode plate
Border needs sets itself.
Medication information is the MAR in table 2, the nomenclature of drug that record patient is taken in detail, the clothes of every kind of medicine
The medicine time started, take medicine the end time, if resistance.
Liver function test list in table 2, five indexes of hepatitis b laboratory test report, hepatitis C virus detection laboratory test report is all inspection report,
OCR identification is carried out to the inspection report of picture format, the assay of identification gained is filled to the template of medical report list
In, the result after filling is as shown in table 2.If not doing a certain inspection, this inspection department is sky.
In table 2, liver imageology inspection includes B ultrasonic, Fibro Scan (liver fibrosis scanning), and CT.Wherein, B ultrasonic,
And Fibro Scan is image report list.CT can be Dicom original image it is also possible to be by the mode such as take pictures, scan
The image as jpg form of the extended formatting obtaining.The word segment of B ultrasonic is filled at the B ultrasonic to medical report single mode plate,
Upload the image part of B ultrasonic simultaneously.Fibro Scan and CT image are uploaded to the corresponding part in medical report single mode plate.
Doctor can be in the B ultrasonic of medical report single mode plate, Fibro Scan, and at CT, according to image filling simple image description.
Hepatic biopsy in table 2, patient does not carry out this inspection, does not upload the report of the picture format of this inspection
Accuse single, then do not do this filling in of medical report single mode plate herein.
Other auxiliary examinations in medical report in table 2, will be in addition to above-mentioned inspection, other inspection results of also carrying out
It is filled in herein.For example：Routine blood test laboratory test report shown in table 2, can also include urine routine test list etc. according to actual needs.
Table 2 gives the hepatopathy medical report list of a generation, the doctor that the medical report list of different diseases is adopted
The filler treating setting in report template is different, and the filler being given in different medical report single mode plates can be according to reality
Needs are modified.
In one example, also include：
Generate the Quick Response Code of the medical report list of patient described in a unique identification；
Described Quick Response Code is filled to the Quick Response Code filling of described medical report single mode plate.
Generate the Quick Response Code of this medical report list of unique identification to each medical report list, this Quick Response Code includes patient
Numbering, and the moment value that medical report list generates.Patient belonging to medical report list is different, and the patient entrained by Quick Response Code compiles
Number difference, the moment that medical report list generates is different, and the moment value entrained by Quick Response Code is different, and therefore, this Quick Response Code can be made
Quick Response Code for this medical report list of unique identification.
After patient logs in, the doctor corresponding to the Quick Response Code carrying this patient code can be checked by scanning Quick Response Code
Treat the particular content of report.After doctor logs in, scan Quick Response Code, judge whether this doctor checks this according to the information of doctor
The authority of the medical report list corresponding to Quick Response Code, when doctor has the authority checking the medical report list corresponding to this Quick Response Code
When, show the particular content of this medical report list.Doctor described herein checks the authority of medical report list, is also to be existed by patient
Pre-set on internet platform.
In one example, also include：
Unified coding is adopted to each Index for examination in inspection report.
As shown in table 2, liver function test list includes 10 Index for examinations, including alkaline phosphatase, glutamyl transpeptidase, always
Bilirubin, albumin, cholinesterase etc..By above-mentioned 10 Index for examinations according to this ambit expert to each Index for examination
Attention degree, carries out Unified coding in the form of BC is combined with numbering.Alkaline phosphatase be encoded to BC1, glutamy turns peptide
Enzyme be encoded to BC2, total bilirubin be encoded to BC3, albuminous be encoded to BC4, cholinesterase be encoded to BC5 etc..And
And, for different inspection reports, the coding that identical Index for examination is adopted is identical.I.e. in different inspection reports
In, the coding of Index for examination alkaline phosphatase is all BC1.
As shown in the above, the method have the advantages that：
The medical report list of the patient that method provided by the present invention is generated, not only includes the symptom description of patient,
Also include the inspection result shown by multiple reports that patient is done, the medical report list of described patient can provide to doctor
More intuitively effective inspection results, above-mentioned inspection result can the more specific disease condition reacting described patient, Yi Shengke
So that more accurately diagnostic result and treatment recommendations are gone out according to the medical report nonoculture of patient.
Fig. 2 is the generating means structural representation of medical report list provided in an embodiment of the present invention, including：
Acquiring unit 201, for obtaining the essential information of the patient of typing, symptom description information, medication information, Yi Jizhi
A kind of few report of picture format.
In one example, described acquiring unit 201 includes：
First receiving subelement, for receiving the logging request of patient, described logging request includes described patient and logs in letter
Breath；
Checking subelement, for verifying to the log-on message of described patient, after being verified, returns described patient and becomes
The information that work(logs in；
First acquisition subelement, for obtaining the essential information of the patient of patient's typing, symptom description information, medication is believed
Breath, and the report of at least one picture format.
In another example, described acquiring unit 201 includes：
Second receiving subelement, for receiving the logging request of doctor, described logging request includes the login of described doctor
Information；
Second checking subelement, for verifying to the log-on message of described doctor, after being verified, returns described doctor
The information of raw Successful login；
Judgment sub-unit, for judging whether described doctor has the authority of the medical report list editing described patient；
Second acquisition subelement, for have as described doctor medical report list edit described patient authority when, acquisition
The essential information of the patient of doctor's typing, symptom description information, medication information, and the report of at least one picture format.
Processing unit 202, obtains inspection result for carrying out to the report of described picture format processing.
In one example, described processing unit 202 includes：
Identification subelement, for identifying the type of the report of described picture format；
First process subelement, for when the report of described picture format is inspection report, to described picture lattice
The inspection report of formula carries out optical character identification OCR, identifies the inspection result in the inspection report of described picture format, institute
State inspection result and include Chinese, English writes a Chinese character in simplified form as a result, unit, and reference value；
Second processing subelement, for when the report of described picture format is image report list, analyzing described image
Word in report and image, carry out OCR to the word in described image report list, identify the literary composition in described image report list
Inspection result in word；
3rd process subelement, for when the report of described picture format is Dicom image, scheming to described Dicom
As any one or more the iconography image procossing in being rotated, scaled and being found range.
Converting unit 203, for by the essential information of described patient, described symptom description information, medication information, Yi Jisuo
State the medical report list that inspection result is converted into described patient according to default form.
In one example, described converting unit 203 includes：
First filling subelement, for filling by the essential information of described patient with the basic letter to medical report single mode plate
At breath, described medical report single mode plate is described default form；
Second filling subelement, for filling by described symptom description information with the readme to described medical report single mode plate
At symptom；
3rd filling subelement, for filling by described medication information with the MAR to described medical report single mode plate
Place；
4th filling subelement, for by the inspection result in described inspection report according to the class of described inspection report
Do not fill respectively at the laboratory test report to described medical report single mode plate；
5th filling subelement, for filling described image report list and described Dicom image to described medical treatment respectively
At imaging examination in report template.
In one example,
Include at liver function test list at laboratory test report in described medical report single mode plate, hepatitis C virus detects laboratory test report
Place, and at routine blood test laboratory test report；
Include liver imageology at imaging examination in described medical report single mode plate and check at B ultrasonic, and liver shadow
Check at B ultrasonic as learning.
In one example, described device also includes：
Signal generating unit, for generating the Quick Response Code of the medical report list of patient described in a unique identification；
Fills unit, for filling described Quick Response Code to the Quick Response Code filling of described medical report single mode plate.
The above is only the preferred embodiment of the present invention it is noted that ordinary skill people for the art
For member, under the premise without departing from the principles of the invention, some improvements and modifications can also be made, these improvements and modifications also should
It is considered as protection scope of the present invention.
Claims (14)
1. a kind of generation method of medical report list is it is characterised in that methods described includes：
Obtain the essential information of the patient of typing, symptom description information, medication information, and the report of at least one picture format
Single；
The report of described picture format is carried out processing acquisition inspection result；
By the essential information of described patient, described symptom description information, medication information, and described inspection result is according to default
Form is converted into the medical report list of described patient.
2. method according to claim 1 it is characterised in that the essential information of the patient of described acquisition typing, retouch by symptom
State information, medication information, and the report of at least one picture format to include：
Receive the logging request of patient, described logging request includes described patient's log-on message；
The log-on message of described patient is verified, after being verified, returns the information of described patient's Successful login；
Obtain the essential information of the patient of patient's typing, symptom description information, medication information, and at least one picture format
Report.
3. method according to claim 1 it is characterised in that the essential information of the patient of described acquisition typing, retouch by symptom
State information, medication information, and the report of at least one picture format to include：
Receive the logging request of doctor, described logging request includes the log-on message of described doctor；
The log-on message of described doctor is verified, after being verified, returns the information of described doctor's Successful login；
Judge whether described doctor has the authority of the medical report list editing described patient；
When described doctor has the authority of the medical report list editing described patient, obtain the basic letter of the patient of doctor's typing
Breath, symptom description information, medication information, and the report of at least one picture format.
4. the method according to claim 1-3 any one is it is characterised in that the described report to described picture format
Carry out process acquisition inspection result to include：
Identify the type of the report of described picture format；
When the report of described picture format is inspection report, optics word is carried out to the inspection report of described picture format
Symbol identification OCR, identifies the inspection result in the inspection report of described picture format, described inspection result includes Chinese,
English writes a Chinese character in simplified form as a result, unit, and reference value；
When the report of described picture format is image report list, analyze the word in described image report list and image, right
Word in described image report list carries out OCR, identifies the inspection result in the word in described image report list；
When the report of described picture format is Dicom image, described Dicom image can be rotated, scaled and surveyed
Away from any one or more iconography image procossing.
5. method according to claim 4 it is characterised in that the described essential information by described patient, retouch by described symptom
State information, medication information, and described inspection result to include according to the medical report list that default form is converted into described patient：
The essential information of described patient is filled at the essential information to medical report single mode plate, described medical report single mode plate
For described default form；
Described symptom description information is filled at the readme symptom to described medical report single mode plate；
Described medication information is filled at the MAR to described medical report single mode plate；
Inspection result in described inspection report is filled to described medical treatment report respectively according to the classification of described inspection report
Accuse at the laboratory test report in single mode plate；
Described image report list and described Dicom image are filled the imaging examination to described medical report single mode plate respectively
Place.
6. method according to claim 5 it is characterised in that
Include at liver function test list at laboratory test report in described medical report single mode plate, at hepatitis C virus detection laboratory test report,
And at routine blood test laboratory test report；
Include liver imageology at imaging examination in described medical report single mode plate and check at B ultrasonic, and liver imageology
Check at B ultrasonic.
7. the method according to claim 1-6 any one is it is characterised in that methods described also includes：
Generate the Quick Response Code of the medical report list of patient described in a unique identification；
Described Quick Response Code is filled to the Quick Response Code filling of described medical report single mode plate.
8. a kind of generating means of medical report list are it is characterised in that described device includes：
Acquiring unit, for obtaining the essential information of the patient of typing, symptom description information, medication information, and at least one
The report of picture format；
Processing unit, obtains inspection result for carrying out to the report of described picture format processing；
Converting unit, for by the essential information of described patient, described symptom description information, medication information, and described inspection
Result is converted into the medical report list of described patient according to default form.
9. device according to claim 8 is it is characterised in that described acquiring unit includes：
First receiving subelement, for receiving the logging request of patient, described logging request includes described patient's log-on message；
Checking subelement, for verifying to the log-on message of described patient, after being verified, returns described patient and successfully steps on
The information of record；
First acquisition subelement, for obtaining the essential information of the patient of patient's typing, symptom description information, medication information, with
And the report of at least one picture format.
10. device according to claim 8 is it is characterised in that described acquiring unit includes：
Second receiving subelement, for receiving the logging request of doctor, described logging request includes the log-on message of described doctor；
Second checking subelement, for verifying to the log-on message of described doctor, after being verified, returns described doctor and becomes
The information that work(logs in；
Judgment sub-unit, for judging whether described doctor has the authority of the medical report list editing described patient；
Second acquisition subelement, for have as described doctor medical report list edit described patient authority when, acquisition doctor
The essential information of the patient of typing, symptom description information, medication information, and the report of at least one picture format.
11. according to Claim 8 the device described in -10 any one it is characterised in that described processing unit includes：
Identification subelement, for identifying the type of the report of described picture format；
First process subelement, for when the report of described picture format is inspection report, to described picture format
Inspection report carries out optical character identification OCR, identifies the inspection result in the inspection report of described picture format, described inspection
The fruit that comes to an end includes Chinese, and English writes a Chinese character in simplified form as a result, unit, and reference value；
Second processing subelement, for when the report of described picture format is image report list, analyzing described image report
Word in list and image, carry out OCR to the word in described image report list, identify in the word in described image report list
Inspection result；
3rd process subelement, for when the report of described picture format is Dicom image, entering to described Dicom image
Any one or more iconography image procossing in row rotation, scaling and range finding.
12. devices according to claim 11 are it is characterised in that described converting unit includes：
First filling subelement, for filling by the essential information of described patient with the essential information to medical report single mode plate
Place, described medical report single mode plate is described default form；
Second filling subelement, for filling by described symptom description information with the readme symptom to described medical report single mode plate
Place；
3rd filling subelement, for filling described medication information at the MAR to described medical report single mode plate；
4th filling subelement, for dividing the inspection result in described inspection report according to the classification of described inspection report
Do not fill at the laboratory test report to described medical report single mode plate；
5th filling subelement, for filling described image report list and described Dicom image to described medical report respectively
At imaging examination in single mode plate.
13. devices according to claim 12 it is characterised in that
Include at liver function test list at laboratory test report in described medical report single mode plate, at hepatitis C virus detection laboratory test report,
And at routine blood test laboratory test report；
Include liver imageology at imaging examination in described medical report single mode plate and check at B ultrasonic, and liver imageology
Check at B ultrasonic.
14. according to Claim 8 the device described in -13 any one it is characterised in that described device also includes：
Signal generating unit, for generating the Quick Response Code of the medical report list of patient described in a unique identification；
Fills unit, for filling described Quick Response Code to the Quick Response Code filling of described medical report single mode plate.
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| CN201610777134.3A CN106383988A (en) | 2016-08-30 | 2016-08-30 | Generation method and device of medical examination report |
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| CN107169642A (en) * | 2017-05-05 | 2017-09-15 | 合肥智圣系统集成有限公司 | A kind of quality inspection service integration management system |
| CN107516004A (en) * | 2017-07-06 | 2017-12-26 | 贵阳朗玛信息技术股份有限公司 | The identifying processing method and device of medical image picture |
| CN108628513A (en) * | 2017-03-23 | 2018-10-09 | 深圳大学 | A kind of method and medical team Message Entry System of medical information typing |
| CN108629198A (en) * | 2017-03-23 | 2018-10-09 | 深圳大学 | A kind of method and medical information input system of medical information typing |
| CN108962346A (en) * | 2017-05-22 | 2018-12-07 | 深圳大森智能科技有限公司 | Medical inspection reports electronic method, storage equipment and mobile terminal |
| CN109817218A (en) * | 2019-03-13 | 2019-05-28 | 北京青燕祥云科技有限公司 | The method and system of medical speech recognition |
| CN112116968A (en) * | 2019-06-21 | 2020-12-22 | 上海交通大学医学院附属瑞金医院 | Medical examination report recognition method, device, equipment and storage medium |
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