CN109036528A - Ability in clinical appraisal procedure, device, storage medium and electronic equipment - Google Patents

Ability in clinical appraisal procedure, device, storage medium and electronic equipment Download PDF

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Publication number
CN109036528A
CN109036528A CN201810732558.7A CN201810732558A CN109036528A CN 109036528 A CN109036528 A CN 109036528A CN 201810732558 A CN201810732558 A CN 201810732558A CN 109036528 A CN109036528 A CN 109036528A
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China
Prior art keywords
interrogation
score
physical examination
data
ability
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CN201810732558.7A
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CN109036528B (en
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武二亮
何光宇
孟健
金志宇
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Neusoft Corp
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Neusoft Corp
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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
    • G16H40/00ICT 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
    • G16H40/20ICT 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 management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00Administration; Management
    • G06Q10/06Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • G06Q10/063Operations research, analysis or management
    • G06Q10/0639Performance analysis of employees; Performance analysis of enterprise or organisation operations
    • G06Q10/06393Score-carding, benchmarking or key performance indicator [KPI] analysis
    • 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
    • G16H10/20ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires

Abstract

The invention discloses a kind of ability in clinical appraisal procedure and devices, which comprises obtains interrogation record data, physical examination record data and the data that rely by writing in examination of user;The ability in clinical score value that data, physical examination record data and the data that rely by writing in examination calculate the user is recorded according to the interrogation;Export the ability in clinical score value of the user;The ability in clinical score value is obtained by angularly being assessed in systematicness, accuracy and logicality according to default weight;The method objectivity is strong, and data processing amount is big, realizes and comprehensively objectively evaluates automatically by machine learning algorithm and preset assessment rule, avoid the waste of evaluation time cost, while improving the comprehensive and objectivity of the overall evaluation.

Description

Ability in clinical appraisal procedure, device, storage medium and electronic equipment
Technical field
The present invention relates to field of medical technology, and in particular to a kind of ability in clinical appraisal procedure, device storage medium and electricity Sub- equipment.
Background technique
Clinical skill is the wealth of medical field most worthy, and the grasp and promotion of clinical skill are needed by a large amount of Practice is to obtain.However in traditional medical teaching, medico or intern are more the clinical mistakes for observing doctor Journey is difficult to touch patient in person, also rarely encounters typical, targeted case.Examination and assessment to student, Because its patient faced and case difference are totally different without objective, standard measurement.Standard patient (Standardized Patients), abbreviation SP, by the realistic simulation and teaching-guiding to clinical setting and patient's problem, Performance plays the part of patient, serves as evaluator and the multiple action of teacher, can increase the chance that student contacts patient, provide standard Unified, objective and fair teaching method, is conducive to cultivate good professional quality and clinical thinking.
In the prior art using be configured with based on scoring item knowledge point evaluation index template, according to need checking check as The matching of knowledge point in diagnosis and therapy recording and evaluation index module obtains assessment result, but this method only carries out each knowledge point It investigates, i.e., only comprehensive spreadability of diagnosis and therapy recording is investigated, but the logicality of diagnosis and therapy recording and accuracy are not carried out It investigates, is still clearly present the incomplete defect of assessment.
Summary of the invention
In order to solve to be directed to existing assessment subjectivity existing for background technique by force and waste of manpower, while can not visitor It sees comprehensively to evaluate to cover and needs checking verification as the problem of the diagnosis and therapy recording of interrogation and physical examination process, present disclose provides one kind to face Bed capability assessment method, device storage medium and electronic equipment.
The ability in clinical appraisal procedure based on diagnosis and therapy recording that present disclose provides a kind of, which comprises
Obtain interrogation record data, physical examination record data and the data that rely by writing in examination of user;
Data, physical examination record data and the data that rely by writing in examination, which are recorded, according to the interrogation calculates the user Ability in clinical score value;
Export the ability in clinical score value of the user.
Further, described that data, physical examination record data and the data that rely by writing in examination are recorded according to the interrogation Calculate the ability in clinical score value of the user, comprising:
Classify to each in interrogation record data by preset rules, obtains each interrogation and record number According to classification results, and formed interrogation record data classification table;
The each of physical examination record data is matched according to case physical examination content item, obtains each physical examination The matching result of data is recorded, and forms physical examination record Data Matching table;
Data classification table is recorded by interrogation and physical examination records Data Matching meter and calculates systemic score and accuracy Score;
Data classification meter, which is recorded, by interrogation calculates logicality score and friendly score;
According to the systemic score, accuracy score, logicality score, friendly score and or the number that relies by writing in examination Accordingly and respective weights calculate the ability in clinical score value of the user.
Further, described that data classification table and physical examination record Data Matching meter calculation systematicness are recorded according to interrogation Score, comprising:
The corresponding preset score value of each described interrogation classification item;Each described case physical examination content item pair Answer a preset score value;
It calculates and obtains interrogation system assessed value;The interrogation system assessed value is that the interrogation records data classification In table the existing corresponding score value of each classification item cumulative and;
It calculates and obtains physical examination system assessed value, the physical examination system assessed value is that physical examination record Data Matching table is every The corresponding score value of one successful match case physical examination content item cumulative and;
The systemic score is obtained, the systematicness is scored at the interrogation system assessed value and the physical examination system The sum of system property assessed value.
Further, described that data classification table and physical examination record Data Matching meter calculation accuracy are recorded according to interrogation Score, comprising:
Extracting classification results in the interrogation record data classification table is that the quantity conduct of other interrogation entries is asked in vain Examine content quantity;The quantity of the physical examination entry without occurrence in the physical examination record Data Matching table is extracted as invalid physical examination Content quantity;The invalid content of inquisition quantity is input in preset interrogation score function, interrogation assessment accuracy of electronic is obtained Value;The invalid physical examination content quantity is input in preset physical examination score function, physical examination assessment accuracy of electronic value is obtained;
Obtain the accuracy score;The accuracy is scored at the interrogation assessment accuracy of electronic value and physical examination accuracy Assessed value presses the weighted sum of default weight.
It is further, described that data classification meter calculation logicality score is recorded according to interrogation, comprising:
Data classification table is recorded using interrogation described in the sliding window sequential scan that width is K, wherein K >=3, and K is Odd number;
The quantity of the K classification item in scanning sliding window inside more each time, the classification item that quantity is in the great majority It does to the output category project of the sliding window;By the identical multiple sliding window output definition of adjacent and output category project For a logical block, which represents its identical classification item;Obtain tactic multiple logical blocks;
Tactic multiple logical blocks are matched with preset multiple logic principles;If successful match obtains The score of the corresponding logic principle;The score of each logic principle is arranged by preset weight rule;
The logicality score is obtained, the logicality, which is scored at, summarizes tactic multiple logic Block- matchings The gross score obtained after the completion.
It is further, described that data classification meter calculation friendly score is recorded according to interrogation, comprising:
Corresponding voice is recorded to each interrogation and the semantic positive negative sense for carrying out emotion according to preset algorithm is given a mark;
The emotion score weighted sum of each interrogation record is obtained into friendly score.
The disclosure provides a kind of ability in clinical assessment device, and described device includes:
Data collection module, the data collection module are used to collect the interrogation record data for obtaining user, physical examination record Data and the data that rely by writing in examination;
Ability in clinical score value computing module, the ability in clinical score value computing module are used to record number according to the interrogation The ability in clinical score value of the user is calculated according to, physical examination record data and the data that rely by writing in examination;
Ability in clinical score value output module, the ability in clinical score value output module are used to export the clinic of the user Ability score value.
Further, the ability in clinical score value computing module is used to press each in interrogation record data Preset rules are classified, and the classification results of each interrogation record data are obtained, and form interrogation record data classification table; The ability in clinical score value computing module is used to carry out each of physical examination record data according to case physical examination content item Matching, obtains the matching result of each physical examination record data, and forms physical examination record Data Matching table.
The ability in clinical score value computing module includes systemic assessment unit, assessment accuracy of electronic unit, logicality assessment Unit and friendly assessment unit;
The systematicness assessment unit records data classification table by interrogation and physical examination records Data Matching meter and calculates system System property score;
The assessment accuracy of electronic unit records data classification table by interrogation and physical examination records Data Matching meter and calculates essence True property score;
The logicality assessment unit records data classification meter by interrogation and calculates logicality score;
The friendly assessment unit records data classification meter by interrogation and calculates friendly score;
The ability in clinical score value computing module is used to be obtained according to the systemic score, accuracy score, logicality Point, friendly score and or rely by writing in examination data and respective weights calculate the ability in clinical score value of the user.
The disclosure also provides a kind of computer readable storage medium, is stored thereon with computer program, and the program is processed It is realized when device executes as above-mentioned either method includes the steps that.
The disclosure also provides a kind of electronic equipment, comprising: the computer readable storage medium;And one or more A processor, for executing the program in the computer readable storage medium.
The having the beneficial effect that of the disclosure gives a kind of ability in clinical appraisal procedure and device, the method and device pair Interrogation and physical examination data in diagnosis and therapy recording are classified;And according to sorted data in systematicness, accuracy, logicality And multiple dimensions such as friendly carry out objective evaluation to the ability of interrogation and physical examination;The method objectivity is strong, data processing Amount is big, is realized by preset assessment rule and is comprehensively objectively evaluated automatically, avoids the waste of evaluation time cost, simultaneously Improve the comprehensive and objectivity of the overall evaluation.
Detailed description of the invention
By reference to the following drawings, exemplary embodiments of the present invention can be more fully understood by:
Fig. 1 is a kind of flow chart of ability in clinical appraisal procedure of the specific embodiment of the invention;
Fig. 2 is the flow chart for the method that a kind of various dimensions of the specific embodiment of the invention assess ability in clinical;
Fig. 3 is a kind of flow chart of ability in clinical logicality appraisal procedure of the specific embodiment of the invention;
Fig. 4 is that a kind of ability in clinical of the specific embodiment of the invention assesses the structure chart of device.
Specific embodiment
Exemplary embodiments of the present invention are introduced referring now to the drawings, however, the present invention can use many different shapes Formula is implemented, and is not limited to the embodiment described herein, and to provide these embodiments be at large and fully disclose The present invention, and the scope of the present invention is sufficiently conveyed to person of ordinary skill in the field.Show for what is be illustrated in the accompanying drawings Term in example property embodiment is not limitation of the invention.In the accompanying drawings, identical cells/elements use identical Appended drawing reference.
Unless otherwise indicated, term (including scientific and technical terminology) used herein has person of ordinary skill in the field Have and common understands meaning.Further it will be understood that with the term that usually used dictionary limits, should be understood as with The context of its related fields has consistent meaning, and is not construed as Utopian or too formal meaning.
Fig. 1 is a kind of flow chart of ability in clinical appraisal procedure of the specific embodiment of the invention, which comprises
Step 110, interrogation record data, physical examination record data and the data that rely by writing in examination of user are obtained;
Wherein, the interrogation record data, physical examination record data of user can be by actual clinical diagnosis and treatment or Simulated therapy Statistics obtains, can also be by obtain in standard patient system used in interrogation physical examination practice.Use standard patient System is to obtain the diagnosis and therapy recording to be assessed by the connection communication with standard patient system and using standard patient system The a plurality of interrogation of typing when carrying out diagnosis and treatment to standard patient of uniting records data and a plurality of physical examination records data, and generates and ask Examine record tables of data and physical examination record tables of data.By the setting to standard patient system, standard can be increased or decreased Change the state of an illness that patient represents, to increase or decrease the examination difficulty for treating examination object.
In the interrogation record data list of collection, each interrogation record data are arranged in chronological order, so as to subsequent to asking Examine the assessment judgement of logicality.
Step 120, the clinical energy that data, physical examination record data and the data that rely by writing in examination calculate user is recorded according to interrogation Power score value;
Data and preset assessment rule are recorded by interrogation, the ability in clinical in terms of interrogation can be assessed, together Reason records the ability in clinical assessment result in terms of the available physical examination of data by physical examination, and the data that rely by writing in examination are known theory Know the basic detection carried out.In conjunction with above-mentioned three capability evaluations as a result, the ability in clinical of more comprehensive user can be obtained Score value.
To the calculating that the ability in clinical score value of user carries out, can automatically will acquire by using machine learning algorithm The calculating that data are classified.
Step 130, the ability in clinical score value of user is exported.
In the present embodiment, the user capability score value of output can be used for measuring the ability in clinical of tested personnel, Lateral comparison can be carried out by the ability in clinical to multiple tested personnel, obtain the ranking of multiple tested personnel's ability in clinical, Self-ability raising is carried out for tested personnel.
The data that a kind of ability in clinical appraisal procedure shown in fig. 1 automatically will acquire by using machine learning algorithm Classified and calculated, realize the automation of assessment, greatly improves the efficiency of assessment;Method by setting to interrogation and The appraisal procedure of physical examination data accuracy and logicality realizes the objectivity and comprehensive to ability in clinical assessment.
Fig. 2 is the flow chart for the method that a kind of various dimensions of the specific embodiment of the invention assess ability in clinical, The described method includes:
Step 210, interrogation record data, physical examination record data and the data that rely by writing in examination of user are obtained.
Step 220, classify to each in interrogation record data by preset rules, obtain each interrogation note The classification results of data are recorded, and form interrogation record data classification table;The each of data is recorded according to case physical examination to physical examination Content item is matched, and the matching result of each physical examination record data is obtained, and forms physical examination record Data Matching table.
Classify to interrogation record data, it can be automatic according to preset mode classification by machine learning algorithm Classification is completed, according to the original contents of each single item and its corresponding classification results, interrogation is generated and records data classification table, it is raw At interrogation record data classification table in each data, including with the corresponding classification data of classification item and the entry Source data.The project that interrogation records data classification table sort includes personal introduction, main suit, Symptoms, previous history, family Race's medical history and other.Machine learning algorithm uses the algorithm of support vector machine based on Nonlinear Mapping;This prior art exists This is not repeated them here.
Physical examination record data are matched, it can be automatically complete according to preset matching rule by machine learning algorithm At matching, i.e. whether each physical examination record matches with its due physical examination standard criterion;According to the original contents of each single item with And its corresponding classification results, it generates physical examination and records data classification table.Physical examination records in Data Matching table, looks into comprising each The match condition of volume data and preset case physical examination content item, if successful match, this physical examination records useful;If without matching , this physical examination data are useless.
Step 231, data classification table is recorded by interrogation and physical examination records Data Matching meter and calculates systemic score.
The systemic score that interrogation records data calculates aspect, carries out duplicate removal processing to interrogation record data classification table, makes It obtains and only remains primary record under each classification item;The assessment of interrogation system, its object is to examine the verification that needs checking as in interrogation In the process pair it should be understood that various aspects (classification item) level of coverage it is whether complete, therefore under each classification, only remember Record is primary;
In interrogation record data classification table, the corresponding preset score value of each interrogation classification item;It calculates and obtains Interrogation system assessed value.Interrogation system assessed value is that each classification item that interrogation records in data classification table is corresponding Score value cumulative and.It to the cumulative of each classification item and counts, i.e., carries out duplicate removal processing phase up to preparatory Same effect.
In the present embodiment, the default score value range of each preset score value of classification item is 0~2;If there is the classification Project then takes the score value as the score of the classification item;If the score of the not classification item, the classification item takes 0;
The systemic score that physical examination records data calculates aspect, each case physical examination content item corresponding one preset Score value calculates and obtains physical examination system assessed value, and physical examination system assessed value is that physical examination records each matching of Data Matching table The corresponding score value of success case physical examination content item cumulative and.
Obtain systemic score, systematicness be scored at interrogation system assessed value and physical examination system assessed value and;Into One step, the setting of weight can be carried out for interrogation system and physical examination system, and be according to the calculating of weighted sum System property score.
Step 232, data classification table is recorded by interrogation and physical examination records Data Matching meter and calculates accuracy score.
The accuracy score that interrogation records data calculates aspect, extracts in interrogation record data classification table and is classified as other Interrogation entry quantity as invalid content of inquisition quantity.The assessment of interrogation accuracy, its object is to investigate the verification that needs checking Accuracy during interrogation of elephant, invalid interrogation project is fewer, and assessment accuracy of electronic value is higher.
Invalid content of inquisition quantity is input in preset interrogation score function, output interrogation appraisal result is to ask Examine assessment accuracy of electronic value.The preset interrogation score function is the polynomial function in preset fraction section, when multinomial letter When number output is beyond preset fraction section, using the interval border value that it is passed through as the score of its final output;Polynomial function To increase and reduced function with input value;
In the present embodiment preferred polynomial function be second order polynomial function, multinomial be taken as f (x)=- 0.0027x2-0.151x+101;And interrogation assessment accuracy of electronic value are as follows:
The accuracy score that physical examination records data calculates aspect, extracts in physical examination record Data Matching table without occurrence The quantity of physical examination entry is as invalid physical examination content quantity.Invalid physical examination content quantity is input to preset physical examination scoring letter In number, physical examination assessment accuracy of electronic value is obtained.Likewise, preset physical examination score function is the multinomial in preset fraction section Function, when polynomial function output is beyond preset fraction section, using the interval border value that it is passed through as its final output Score;Polynomial function is to increase and reduced function with input value;Physical examination score function is similar to interrogation score function, When two multinomials are arranged, the downward trend of setting physical examination score function will be faster than interrogation score function.
Accuracy score is obtained, accuracy is scored at interrogation assessment accuracy of electronic value and physical examination assessment accuracy of electronic value by default The weighted sum of weight.
Step 233, data classification meter is recorded by interrogation and calculates logicality score.
As shown in figure 3, Fig. 3 is a kind of process of ability in clinical logicality appraisal procedure of the specific embodiment of the invention The flow chart for the method that figure, i.e. step 233 are included, which comprises
Step 2331, data classification table is recorded using the sliding window sequential scan interrogation that width is K, wherein K >=3, And K is odd number.
Step 2332, the quantity for scanning K classification item inside sliding window more each time, quantity is in the great majority Classification item do to the output category project of the sliding window.Wherein, if there are classification item quantity phases in the sliding window Same situation, successively increases 1 for window, until obtaining effective output category project.By taking the present embodiment as an example, using window The sliding window that width is 3 records data classification table to interrogation and carries out sequential scan, compares 3 items in sliding window each time The quantity of corresponding classification item in mesh, if the corresponding classification item of three entries in window has 2 for project A, 1 is Project B, then the classification item of sliding window output is project A;As the corresponding classification item of three entries in window has 3 A project B, then the classification item of sliding window output is project B;If the corresponding classification item of three entries in window has 1 project A, 1 project B, 1 project C;Window is then successively increased 1, i.e., the sliding window for the use of window width being temporarily 4 Mouth carries out single pass in the position, if the corresponding classification item of four in scanning window entry has 2 project A, 1 item Mesh B, 1 project C, then the classification item of sliding window output is project A;If four entries in scanning window are corresponding Classification item has 1 project A, 1 project B, 1 project C, 1 project D, then continues window increasing by 1, temporarily use window The sliding window that mouth width degree is 5 carries out single pass in the position, until obtaining effective output category project;It obtains effectively Output category project after, window width reverts to original width 3 and continues sequential scan.
Step 2333, the identical multiple sliding window outputs of adjacent and output category project are defined as a logical block, The logical block represents its identical classification item;Obtain tactic multiple logical blocks.By taking the present embodiment as an example, work as output Classification item is followed successively by AAAAABBBCCCCC;Then using all adjacent A as a logical block, the interior logical block includes 5 Output category project;Using all adjacent B as a logical block, the interior logical block includes 3 output category projects;By institute There is adjacent C as a logical block, the interior logical block includes 5 output category projects;That is, needing checking in interrogation It checks and 5 interrogations has been carried out with regard to the corresponding content of A project as elder generation, 4 interrogations then have been carried out to the corresponding content of B project, again 5 interrogations have been carried out to the corresponding content of C project.
It, should using the adjacent A of first four as a logical block when output category project is followed successively by AAAABBAABBCCC It include 4 output category projects in logical block;Using two adjacent B of next sequence as a logical block, in the logical block Include 2 data classification items;Using two adjacent A of next sequence as a logical block, the interior logical block includes 2 Data classification project;Using two adjacent B of next sequence as a logical block, the interior logical block includes 2 data classifications Project;Using 3 C as a logical block, the interior logical block includes 3 output category projects.That is, in interrogation, to Examination object has first carried out 4 interrogations with regard to the corresponding content of A project, has then carried out 2 interrogations with regard to the corresponding content of B project Afterwards and back 2 interrogations are carried out with regard to the corresponding content of A project again, 2 then have been carried out to the corresponding content of B project Interrogation, and 3 interrogations have been carried out to the corresponding content of C project.
Step 2334, tactic multiple logical blocks are matched with preset multiple logic principles;If matching at Function then obtains the score of the corresponding logic principle.
By taking the present embodiment as an example, several logic rules of illustrating;Logic rules include Cahn-Ingold-Prelog sequence rule, i.e., logical block occur Sequence need to be followed successively by A, B, C etc.;Individually rule, i.e., logical block only occurred once;Special rules is such as generating output When classification item, in same sliding window, cannot occur A and C simultaneously.
The score of each logic principle is arranged by preset weight rule;By point that different logic principles is arranged Number reaches the identical effect of setting weight, and if Cahn-Ingold-Prelog sequence rule is scored at 3, individually rule is scored at 1, and special rules obtains It is divided into -1;Such setting allows to realize the setting of positive logicrule and antilogical rule by preset score, i.e., Bonus point is carried out to logical situation, deduction also is carried out to the scene for violating logic, to play more reasonable score effect Fruit;
Step 2335, the logicality score is obtained, the logicality, which is scored at, summarizes tactic multiple logical blocks The gross score obtained after the completion of matching
Logicality is assessed, its object is to investigate the verification that needs checking as the logicality of interrogation, such as sequence, cause and effect is closed System etc..
Step 234, data classification meter is recorded by interrogation and calculates friendly score.
Corresponding voice is recorded to each interrogation and the semantic positive negative sense for carrying out emotion according to preset algorithm is given a mark, The score Q of each interrogation recordiValue range between -1 to 1;
Friendly score is obtained, the calculation formula of friendly score is
When being scored at 1, the judgement for voice semanteme at this time is very friendly;When being scored at -1, at this time The friendly judgement of voice semanteme is very severe;Algorithm and not this Applicant's Abstract graph emphasis to semantic judgement, and should be this Known to the technical staff of field, therefore herein without repeating;
The calculation formula of friendly score pre-sets 50 points of basis point;Remaining 50 points are remembered by each interrogation The mean value of the friendly score of record obtains;The mean value of the friendly score of each interrogation record is being origin with 0, and 1 is floating circle It floats in the section of limit;Then the value range of friendly score is 50 ± 50 points.
Fig. 4 is that a kind of ability in clinical of the specific embodiment of the invention assesses the structure chart of device, as shown in figure 4, described Device includes:
Data collection module 401, data collection module 401 are used to collect interrogation record data, the physical examination note for obtaining user Record data and the data that rely by writing in examination.
In the present embodiment, data collection module 401 can be by receiving the diagnosis and treatment in actual clinical diagnosis and treatment or Simulated therapy Data are collected;It can also be by being communicatively coupled with standard patient system, and obtain interrogation record data and physical examination Record data.
Ability in clinical score value computing module 402, ability in clinical score value computing module 402 be used for according to interrogation record data, Physical examination records data and the data that rely by writing in examination calculate the ability in clinical score value of user.
Further, ability in clinical score value computing module 402 is used for each in interrogation record data by default rule Then classify, obtain the classification results of each interrogation record data, and forms interrogation record data classification table.Clinical energy Power score value computing module 402 is used to match each of physical examination record data according to case physical examination content item, obtains every The matching result of one physical examination record data, and form physical examination record Data Matching table.
Ability in clinical score value computing module 402 includes systemic assessment unit, assessment accuracy of electronic unit, logicality assessment Unit and friendly assessment unit;
Systemic assessment unit records data classification table by interrogation and physical examination records Data Matching meter and calculates systematicness Score;
Assessment accuracy of electronic unit records data classification table by interrogation and physical examination records Data Matching meter and calculates accuracy Score;
Logicality assessment unit records data classification meter by interrogation and calculates logicality score;
Friendly assessment unit records data classification meter by interrogation and calculates friendly score;
Ability in clinical score value computing module 402 is used for according to systemic score, accuracy score, logicality score, close friend Property score, the data that rely by writing in examination and respective weights obtain the ability in clinical score value of user.
In the present embodiment, ability in clinical score value computing module 402 records number to interrogation by using machine learning algorithm According to carry out classification and to physical examination record data match;Machine learning algorithm uses the supporting vector based on Nonlinear Mapping Machine algorithm.
The project that interrogation records data classification table sort includes personal introduction, main suit, Symptoms, previous history, family Medical history and other.
Physical examination records in Data Matching table, the matching comprising each physical examination data Yu preset case physical examination content item Situation, if successful match, this physical examination records useful;If this physical examination data are useless without occurrence.
Systemic assessment unit is arranged one in advance to each interrogation classification item and each case physical examination content item If score value;Systemic assessment unit is for calculating interrogation system assessed value and physical examination system assessed value, interrogation system Property assessed value be interrogation record the cumulative of the corresponding score value of each classification item in data classification table and;Physical examination system Assessed value be physical examination record the cumulative of each corresponding score value of successful match case physical examination content item of Data Matching table and.System System property assessment unit is used for computing system score, and systematicness is scored at interrogation system assessed value and physical examination system is assessed The sum of value.
It is other interrogation entries that assessment accuracy of electronic unit, which is used to extract classification results in interrogation record data classification table, Quantity extracts the quantity of the physical examination entry without occurrence in physical examination record Data Matching table as invalid content of inquisition quantity As invalid physical examination content quantity;Assessment accuracy of electronic unit is commented for invalid content of inquisition quantity to be input to preset interrogation Divide in function, obtains interrogation assessment accuracy of electronic value;Assessment accuracy of electronic unit is default for invalid physical examination content quantity to be input to Physical examination score function in, obtain physical examination assessment accuracy of electronic value;
For assessment accuracy of electronic unit for calculating accuracy score, accuracy is scored at interrogation assessment accuracy of electronic value and physical examination Assessment accuracy of electronic value presses the weighted sum of default weight.
Preferably, preset interrogation score function and physical examination score function are the multinomial in preset fraction section Function, when polynomial function output is beyond preset fraction section, using the interval border value that it is passed through as its final output Score;Polynomial function is to increase and reduced function with input value.
Logicality assessment unit includes sliding window subelement and logic judgment subelement.
Sliding window subelement records data classification table using the sliding window sequential scan interrogation that width is K, and compares The quantity of the K classification item in scanning sliding window inside each time, the classification item that quantity is in the great majority, which is done, gives the sliding window The output category project of mouth.
The identical multiple sliding window outputs of adjacent and output category project are defined as one and patrolled by sliding window subelement Block is collected, which represents its identical classification item;Export tactic multiple logical blocks.
The multiple logical blocks and preset multiple logics that logic judgment subelement is used to export on sliding window subelement are former Then matched;If successful match, the score of the corresponding logic principle is obtained;The score of each logic principle passes through default Weight rule setting.
Logicality assessment unit is used for calculating logic score, and logicality, which is scored at, summarizes tactic multiple logics The gross score obtained after the completion of Block- matching
Friendly assessment unit is used to record each interrogation corresponding voice and semanteme is carried out according to preset algorithm The positive negative sense of emotion is given a mark, the score Q of each interrogation recordiValue range between -1 to 1;Friendly assessment unit For calculating friendly score, the calculation formula of friendly score is
Ability in clinical score value output module 403, ability in clinical score value output module 403 are used to export the clinical energy of user Power score value.
In the instructions provided here, numerous specific details are set forth.It is to be appreciated, however, that the implementation of the disclosure Example can be practiced without these specific details.In some instances, well known method, knot is not been shown in detail Structure and technology, so as not to obscure the understanding of this specification.
Those skilled in the art will understand that adaptivity can be carried out to the module in the equipment in embodiment Ground changes and they is arranged in one or more devices different from this embodiment.It can be the module in embodiment Or unit or assembly is combined into a module or unit or component, and furthermore they can be divided into multiple submodule or sons Unit or sub-component.It, can be with other than such feature and/or at least some of process or unit exclude each other Using any combination to all features disclosed in this specification (including adjoint claim, abstract and attached drawing) and such as All process or units of any method or apparatus of the displosure are combined.Unless expressly stated otherwise, this specification Each feature disclosed in (including the accompanying claims, abstract and drawings) can be by providing identical, equivalent, or similar purpose Alternative features replace.The step of being related in this specification number is only used for distinguishing each step, and is not limited to each The relationship of time or logic between step, restriction unless the context clearly, otherwise the relationship between each step includes each The possible situation of kind.
In addition, it will be appreciated by those of skill in the art that although some embodiments described herein include other embodiments In included certain features rather than other feature, but the combination of the feature of different embodiments means in the disclosure Within the scope of and form different embodiments.For example, in detail in the claims embodiment claimed it is any it One can in any combination mode come using.
The various component embodiments of the disclosure can be implemented in hardware, or to transport on one or more processors Capable software module is realized, or is implemented in a combination thereof.The disclosure is also implemented as described herein for executing The some or all equipment or system program (for example, computer program and computer program product) of method.In this way The program of the realization disclosure can store on a computer-readable medium, or can have one or more signal Form.Such signal can be downloaded from an internet website to obtain, be perhaps provided on the carrier signal or with it is any its He provides form.
The disclosure is limited it should be noted that above-described embodiment illustrates rather than the disclosure, and this Field technical staff can be designed alternative embodiment without departing from the scope of the appended claims.Word "comprising" Element or step not listed in the claims is not excluded the presence of.Word "a" or "an" located in front of the element is not excluded for There are multiple such elements.The disclosure can be by means of including the hardware of several different elements and by means of suitably compiling The computer of journey is realized.If several in these systems can be logical in the unit claim for listing dry systems The same hardware branch is crossed to embody.
The above is only the specific embodiment of the disclosure, it is noted that for the ordinary skill people of this field For member, under the premise of not departing from disclosure spirit, it can make several improvements, modify and deform, these improve, repair Change and deformation is regarded as falling within the scope of protection of this application.

Claims (10)

1. a kind of ability in clinical appraisal procedure, which comprises
Obtain interrogation record data, physical examination record data and the data that rely by writing in examination of user;
The clinic that data, physical examination record data and the data that rely by writing in examination calculate the user is recorded according to the interrogation Ability score value;
Export the ability in clinical score value of the user.
2. the method according to claim 1, wherein described record data, physical examination note according to the interrogation Record data and the data that rely by writing in examination calculate the ability in clinical score value of the user, comprising:
Classify to each in interrogation record data by preset rules, obtains point of each interrogation record data Class is as a result, and form interrogation record data classification table;
The each of physical examination record data is matched according to case physical examination content item, each physical examination is obtained and records number According to matching result, and formed physical examination record Data Matching table;
Data classification table is recorded by interrogation and physical examination records Data Matching meter and calculates systemic score and accuracy score;
Data classification meter, which is recorded, by interrogation calculates logicality score and friendly score;
According to the systemic score, accuracy score, logicality score, friendly score and or rely by writing in examination data and Respective weights calculate the ability in clinical score value of the user.
3. according to the method described in claim 2, it is characterized in that, described record data classification table and physical examination note according to interrogation It records Data Matching meter and calculates systemic score, comprising:
The corresponding preset score value of each described interrogation classification item;Each described case physical examination content item is one corresponding Preset score value;
It calculates and obtains interrogation system assessed value;The interrogation system assessed value is that the interrogation records data classification table memory The corresponding score value of each classification item cumulative and;
Calculate obtain physical examination system assessed value, the physical examination system assessed value be physical examination record Data Matching table each With the cumulative of the corresponding score value of success case physical examination content item and;
The systemic score is obtained, the systematicness is scored at the interrogation system assessed value and comments with the physical examination system The sum of valuation.
4. according to the method described in claim 2, it is characterized in that, described record data classification table and physical examination note according to interrogation It records Data Matching meter and calculates accuracy score, comprising:
Extracting classification results in the interrogation record data classification table is the quantity of other interrogation entries as in invalid interrogation Hold quantity;The quantity of the physical examination entry without occurrence in the physical examination record Data Matching table is extracted as invalid physical examination content number Amount;
The invalid content of inquisition quantity is input in preset interrogation score function, interrogation assessment accuracy of electronic value is obtained;It will The invalid physical examination content quantity is input in preset physical examination score function, obtains physical examination assessment accuracy of electronic value;
The accuracy score is obtained, the accuracy is scored at the interrogation assessment accuracy of electronic value and physical examination assessment accuracy of electronic value By the weighted sum of default weight.
5. according to the method described in claim 2, it is characterized in that, described record data classification meter calculation logicality according to interrogation Score, comprising:
Data classification table is recorded using interrogation described in the sliding window sequential scan that width is K, wherein K >=3, and K is odd number;
More each time scanning sliding window inside K classification item quantity, the classification item that quantity is in the great majority do to The output category project of the sliding window;The identical multiple sliding window outputs of adjacent and output category project are defined as one Logical block, the logical block represent its identical classification item;Obtain tactic multiple logical blocks;
Tactic multiple logical blocks are matched with preset multiple logic principles;If successful match obtains correspondence The score of the logic principle;The score of each logic principle is arranged by preset weight rule;
Obtain the logicality score, the logicality is scored at summarize tactic multiple logic Block- matchings after the completion of The gross score of acquisition.
6. according to the method described in claim 2, it is characterized in that, described record data classification meter calculation friendly according to interrogation Score, comprising:
Corresponding voice is recorded to each interrogation and the semantic positive negative sense for carrying out emotion according to preset algorithm is given a mark,
The emotion score weighted sum of each interrogation record is obtained into friendly score.
7. a kind of ability in clinical assesses device, described device includes:
Data collection module, the data collection module are used to collect the interrogation record data for obtaining user, physical examination record data And the data that rely by writing in examination;
Ability in clinical score value computing module, the ability in clinical score value computing module are used to record data, institute according to the interrogation It states physical examination record data and the data that rely by writing in examination calculates the ability in clinical score value of the user;
Ability in clinical score value output module, the ability in clinical score value output module are used to export the ability in clinical point of the user Value.
8. device according to claim 7, it is characterised in that: the ability in clinical score value computing module is for asking described The each examined in record data is classified by preset rules, obtains the classification results of each interrogation record data, and shape Data classification table is recorded at interrogation;The ability in clinical score value computing module is used for each root to physical examination record data It is matched according to case physical examination content item, obtains the matching result of each physical examination record data, and form physical examination record data Matching list;
The ability in clinical score value computing module includes systemic assessment unit, assessment accuracy of electronic unit, logicality assessment unit And friendly assessment unit;
The systematicness assessment unit records data classification table by interrogation and physical examination records Data Matching meter and calculates systematicness Score;
The assessment accuracy of electronic unit records data classification table by interrogation and physical examination records Data Matching meter and calculates accuracy Score;
The logicality assessment unit records data classification meter by interrogation and calculates logicality score;
The friendly assessment unit records data classification meter by interrogation and calculates friendly score;
The ability in clinical score value computing module is used for according to the systemic score, accuracy score, logicality score, close friend Property score and or rely by writing in examination data and respective weights calculate the ability in clinical score value of the user.
9. a kind of computer readable storage medium, is stored thereon with computer program, which is characterized in that the program is held by processor It is realized when row such as the step of any one of claim 1-6 the method.
10. a kind of electronic equipment characterized by comprising computer readable storage medium described in claim 9;And One or more processors, for executing the program in the computer readable storage medium.
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CN111863254A (en) * 2020-06-03 2020-10-30 四川大学华西医院 Method, system and equipment for evaluating inquiry and physical examination based on simulated patient
CN111863254B (en) * 2020-06-03 2023-09-26 四川大学华西医院 Method, system and equipment for evaluating questioning and examining body based on simulated patient
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CN113299386A (en) * 2021-05-08 2021-08-24 北京大学第三医院(北京大学第三临床医学院) Clinical thinking evaluation method and device

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