CN106919802A - A kind of intelligent pathological information management system - Google Patents

A kind of intelligent pathological information management system Download PDF

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Publication number
CN106919802A
CN106919802A CN201710133764.1A CN201710133764A CN106919802A CN 106919802 A CN106919802 A CN 106919802A CN 201710133764 A CN201710133764 A CN 201710133764A CN 106919802 A CN106919802 A CN 106919802A
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CN
China
Prior art keywords
management system
information
diagnosis
description
classes label
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Pending
Application number
CN201710133764.1A
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Chinese (zh)
Inventor
陈红梅
夏成青
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Shanghai Daga Mdt Infotech Ltd
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Shanghai Daga Mdt Infotech Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Priority to CN201710133764.1A priority Critical patent/CN106919802A/en
Publication of CN106919802A publication Critical patent/CN106919802A/en
Pending legal-status Critical Current

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Abstract

The invention discloses a kind of intelligent pathological information management system, including:The management system includes the several A classes label made a distinction by patient organ or position;Every kind of A classes label includes the several B classes label made a distinction by specimen types;Every kind of B classes label is to that should have several diagnosis description;Diagnosis report is collectively constituted by the A classes label chosen, the B classes label chosen, the diagnosis description chosen and remarks content.Diagnosis description is carried out into templating, its description language that will can be needed to use in diagnosis report is unitized and standardized, and is so just overcome different doctors and is described difference by the pathology that habit problem is caused;Simultaneously because the unitized and standardization of above-mentioned diagnosis description further makes the template of diagnosis report also unitize and standardize, avoid the mutual misunderstanding between doctor and understand difference, ensure that the report information that hospital outwards issues also unitizes and standardizes, be easy to final-period management and data analysis.

Description

A kind of intelligent pathological information management system
Technical field
The present invention relates to a kind of medical institutions' management system, more particularly to a kind of intelligent pathological information management system.
Background technology
, there are problems when being managed collectively and conditions of patients information being uniformly processed in the medical diagnosis mechanism such as hospital.Such as: There is the difference in language description for the identical state of an illness in different doctors, cause the particularly first visit of information subsequent treatment and further consultation doctor Between exist understand on difference, this is likely to result in unnecessary trouble;Different doctors are being write on the form of diagnosis report There is above mentioned problem;Write under the diagnosis report requirement with no paper trend of electronization in doctor, many older doctors due to A variety of causes, the use of computor-keyboard is unskilled, and operation is also more slow, and this greatly constrains diagnosis efficiency, while to disease The language of reason describes needs and takes a lot of time word for word typing, make well it is more long, and agree to occur typing mistake phenomenon occur.
The content of the invention
Instant invention overcomes the deficiencies in the prior art, there is provided one kind efficiently standardizes intelligentized intelligent pathological information pipe Reason system.
To reach above-mentioned purpose, the technical solution adopted by the present invention is:A kind of intelligent pathological information management system, including:
The management system includes the several A classes label made a distinction by patient organ or position;
Every kind of A classes label includes the several B classes label made a distinction by specimen types;
Every kind of B classes label is to that should have several diagnosis description;
Diagnosis report is common by the A classes label chosen, the B classes label chosen, the diagnosis description chosen and remarks content Composition.
In a preferred embodiment of the present invention, the diagnosis is described as the standardization being stored in advance in the management system Medical description.
In a preferred embodiment of the present invention, the medical description of standardization includes:Marker data information, language description letter Breath and chart-information.
In a preferred embodiment of the present invention, the marker data information in template instruction by way of filling in data Management system described in typing.
In a preferred embodiment of the present invention, the language description information is by selecting the side of the corresponding sentence in check box Management system described in formula typing.
In a preferred embodiment of the present invention, the chart-information is managed by way of external equipment is imported described in typing System.
In a preferred embodiment of the present invention, the management system also includes patient information and information about doctor.
In a preferred embodiment of the present invention, the patient information includes:Name, sex, age, section office/lesion, pathology Number.
In a preferred embodiment of the present invention, the information about doctor includes:Name, job number, section office, first visit or further consultation.
In a preferred embodiment of the present invention, the management system also includes that first visit and further consultation label single choice are marked.
The present invention solves defect present in background technology, and the present invention possesses following beneficial effect:
(1) by designing A classes label and B class labels, the preliminary classification that patient is carried out is carried out with will pass through disease type Rough classification, also allows for each section office and is diagnosed for each self-corresponding patient, it is to avoid crosses multi-option, raises labour efficiency, Reduce mistake and select probability
(2) diagnosis description is carried out into templating, its description language that will can be needed to use in diagnosis report is unified Change and standardize, so just overcome different doctors and difference is described by the pathology that habit problem is caused;Simultaneously because above-mentioned diagnosis The unitized and standardization of description further makes the template of diagnosis report also unitize and standardize, it is to avoid the phase between doctor Mutually misread and understand difference, it is ensured that the report information that hospital outwards issues also unitizes and standardizes, and is easy to final-period management sum According to analysis.Diagnosis describe and report templateization management, specification materials and Diagnosis behavior, for medical diagnosis on disease and treatment provides accurately, Detailed pathological information.
(3) it is stored in advance in management system due to standardizing medical description, if what doctor analyzed according to oneself Content chooses the corresponding medical description of standardization just can be with, it is not necessary to word by word and sentence by sentence by keyboard input system, while some Data message, such as dimension information and grade separation, data are filled in the sentence for only wanting template, it is not necessary to the whole sentence of typing one Words, operating time, the time of particularly typewriting greatly shortens, and can so improve the operating efficiency of doctor.
Brief description of the drawings
The present invention is further described with reference to the accompanying drawings and examples;
Fig. 1 is the interface sectional drawing of the preferred embodiments of the present invention.
Specific embodiment
Presently in connection with drawings and Examples, the present invention is further detailed explanation, and these accompanying drawings are simplified signal Figure, only illustrates basic structure of the invention in a schematic way, therefore it only shows the composition relevant with the present invention.
A kind of intelligent pathological information management system, including:Management system includes what is made a distinction by patient organ or position Several A classes label;A class labels are classified according to the organ sites of human body, such as:Liver, cervix, eye etc., according to human body After organ and position classification, can be more directly perceived quickly by patient class, the classification of this A class label is classified with the section office of hospital It is substantially the same.
Further, every kind of A classes label includes the several B classes label made a distinction by specimen types;B classes label by each A classes label has carried out further specific classification, such as:Uterus class in A class labels, it there may be fibroid, son Palace cancer, metropolypus etc., are classified for more specifically disease, classification and the doctor in charge in section room of this B class label Classification be substantially the same.
By designing A classes label and B class labels, the preliminary classification that patient is carried out is carried out greatly with will pass through disease type Classification is caused, each section office is also allowed for and is diagnosed for each self-corresponding patient.
Further, to that should have several diagnosis description, diagnosis is described as being stored in advance in management system every kind of B classes label The medical description of interior standardization.The symptom details that diagnosis description is directed to patient is described, and doctor is by selecting patient's correspondence All kinds of symptom details diagnosis description, so can be very good the state of an illness for patient carries out comprehensive state of an illness description.And Diagnosis description is carried out into templating, its description language that will can be needed to use in diagnosis report is unitized and standardized, So just overcome different doctors and difference is described by the pathology that habit problem is caused.
The medical description of standardization includes:Marker data information, language description information and chart-information.Marker data information The typing management system by way of filling in data in template instruction;Language description information is by selecting the correspondence in check box The mode typing management system of sentence;Chart-information typing management system by way of external equipment is imported.
It is stored in advance in management system due to standardizing medical description, as long as the content that doctor analyzes according to oneself Choose the corresponding medical description of standardization just can be with, it is not necessary to word by word and sentence by sentence by keyboard input system, while some data Information, such as dimension information and grade separation, as long as to filling in data in the sentence of template, it is not necessary to the whole word of typing one, Operating time, the time of particularly typewriting greatly shortens, and can so improve the operating efficiency of doctor.
Finally, diagnosis report is by the A classes label chosen, the B classes label chosen, the diagnosis description chosen and remarks content Collectively constitute.Because the unitized and standardization of above-mentioned diagnosis description further makes the template of diagnosis report also unitize and standard Change, it is to avoid mutual misunderstanding between doctor and understand difference, it is ensured that report information that hospital outwards issues also unitizes and marks Standardization, is easy to final-period management and data analysis.
Management system also includes patient information and information about doctor.
Patient information includes:Name, sex, age, section office/lesion, pathological number etc..
Information about doctor includes:Name, job number, section office, first visit or further consultation etc..
Management system also includes that first visit and further consultation label single choice are marked, diagnosis of so a diagnosis report in first visit doctor Under preliminarily form, and the first visit first sentence choose first visit mark;Whether system can distinguish every part of report by further consultation automatically by mark, If not by further consultation, further consultation doctor can click to enter carries out examination & verification review in first visit diagnosis report, during further consultation Change form review diagnosis report again, further consultation doctor chooses further consultation mark.
As shown in figure 1, wherein Fig. 1 is only to have intercepted partial content, to aid in understanding, it is impossible to be enough interpreted as the B categories The full content signed.In the preferred embodiments of the present invention:
A classes label is uterus or cervix;B classes label be cervical carcinoma total hysterectomy inside fascia+;B categories sign the diagnosis description in face Use the medical description of standardization, such as knub position, general type, organization type, tumor size, invasive depth, vascular invasion, god Through infringement, Infiltrating extrent, lymph node, SABC, Molecular Detection, with lesion these subitems, contained in each subitem each From language description, such as include content in subitem Infiltrating extrent, as long as by mouse selection,
Have no that cancer infiltrates
It can be seen that cancer infiltrates, horizontal invasive depth 5mm, vertical depth to the shallow muscle layer depth muscle layer of inner membrance
Vaginal wall
Have no that cancer infiltrates, negative cutting edges
It can be seen that cancer infiltrates, and negative cutting edges, tumour is away from nearest incisxal edge 5mm
Management system ignores the unchecked diagnosis description of doctor automatically, and the diagnosis description content centralized displaying chosen is being examined In disconnected report, it is ensured that diagnosis report content is succinct, and uncorrelated content is substantially not present, and follow-up reading can also be relatively easy to, together When diagnosis description word be used for it is unified and standard, diagnosis report format specification unification, realize Hospital Pathological Department diagnosis office it is efficient Change.
It is above enlightenment according to desirable embodiment of the invention, by above-mentioned description, related personnel completely can be with Without departing from the scope of the technological thought of the present invention', various changes and amendments are carried out.The technical scope of this invention It is not limited to the content on specification, it is necessary to determine the technical scope according to the scope of the claims.

Claims (10)

1. a kind of intelligent pathological information management system, it is characterised in that
The management system includes the several A classes label made a distinction by patient organ or position;
Every kind of A classes label includes the several B classes label made a distinction by specimen types;
Every kind of B classes label is to that should have several diagnosis description;
Diagnosis report is collectively constituted by the A classes label chosen, the B classes label chosen, the diagnosis description chosen and remarks content.
2. a kind of intelligent pathological information management system according to claim 1, it is characterised in that:The diagnosis is described as pre- The medical description of standardization being first stored in the management system.
3. a kind of intelligent pathological information management system according to claim 2, it is characterised in that:The standardization is medical to retouch State including:Marker data information, language description information and chart-information.
4. a kind of intelligent pathological information management system according to claim 3, it is characterised in that:The marker data information The management system described in typing by way of filling in data in template instruction.
5. a kind of intelligent pathological information management system according to claim 3, it is characterised in that:The language description information The management system described in typing by way of the corresponding sentence in selecting check box.
6. a kind of intelligent pathological information management system according to claim 3, it is characterised in that:The chart-information passes through Management system described in the mode typing that external equipment is imported.
7. a kind of intelligent pathological information management system according to claim 1, it is characterised in that:The management system is also wrapped Include patient information and information about doctor.
8. a kind of intelligent pathological information management system according to claim 7, it is characterised in that:The patient information bag Include:Name, sex, age, section office/lesion, pathological number.
9. a kind of intelligent pathological information management system according to claim 7, it is characterised in that:The information about doctor bag Include:Name, job number, section office, first visit or further consultation.
10. a kind of intelligent pathological information management system according to claim 1, it is characterised in that:The management system is also Marked including first visit and further consultation label single choice.
CN201710133764.1A 2017-03-08 2017-03-08 A kind of intelligent pathological information management system Pending CN106919802A (en)

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Application Number Priority Date Filing Date Title
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110148470A (en) * 2018-02-12 2019-08-20 杭州大伽信息科技有限公司 The description of pathological tissue sample gross examination generates system and method
CN110335657A (en) * 2019-07-10 2019-10-15 杭州大伽信息科技有限公司 Standard compliation pathologic diagnosis of tumor report template generates system and method

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101425109A (en) * 2007-10-31 2009-05-06 陶祥 Pathology department standard operation management and diagnosis counseling system software
CN106407653A (en) * 2016-08-29 2017-02-15 合肥菲力姆数码科技有限公司 Medical printing system

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101425109A (en) * 2007-10-31 2009-05-06 陶祥 Pathology department standard operation management and diagnosis counseling system software
CN106407653A (en) * 2016-08-29 2017-02-15 合肥菲力姆数码科技有限公司 Medical printing system

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110148470A (en) * 2018-02-12 2019-08-20 杭州大伽信息科技有限公司 The description of pathological tissue sample gross examination generates system and method
CN110335657A (en) * 2019-07-10 2019-10-15 杭州大伽信息科技有限公司 Standard compliation pathologic diagnosis of tumor report template generates system and method

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Address after: Room 404, Building 1818-2, Wenyi West Road, Yuhang Street, Hangzhou City, Zhejiang Province, 311100

Applicant after: Hangzhou Daga Information Technology Co.,Ltd.

Address before: Room E1056, Building 598 Guanghua Road, Minhang District, Shanghai 201100

Applicant before: SHANGHAI DAKA INFORMATION TECHNOLOGY CO.,LTD.

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Application publication date: 20170704