CN109215782A - Clinical case diagnostic method and device, computer readable storage medium - Google Patents
Clinical case diagnostic method and device, computer readable storage medium Download PDFInfo
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- CN109215782A CN109215782A CN201811099862.9A CN201811099862A CN109215782A CN 109215782 A CN109215782 A CN 109215782A CN 201811099862 A CN201811099862 A CN 201811099862A CN 109215782 A CN109215782 A CN 109215782A
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- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
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Abstract
The invention discloses a kind of clinical case diagnostic methods, by being instructed in response to the audit to the first bar code, rule in calling rule library audits the inspection project under first bar code, to obtain first bar code to the call result of the rule each in the rule base；When determine first bar code to the call result of the first rule is to have triggered when, obtain associated with rule clinical case diagnosis template；Template is diagnosed according to the clinical case and searches the call result under second bar code to the Second Rule, and the call result of the first rule and the second bar code judge whether the call result of Second Rule to meet the conditions for diagnostics according to first bar code；Wherein, first bar code and the second bar code correspond to same sufferer；When judgement meets the conditions for diagnostics, determine that the sufferer meets the diagnostic result, avoid repeating to open it is single=, realize fast and accurately Intelligence Diagnosis.
Description
Technical field
The present invention relates to medical inspection field more particularly to a kind of clinical case diagnostic methods and device, computer-readable
Storage medium.
Background technique
Continuous with medical system perfects, and the inspection service as medical diagnosis on disease means is also more specialized and various
Change, the service of inspection initially enters automation and intelligence.Currently, whether introducing multiple regular testing results to the project of inspection
Exception is audited.For example, threshold value comparison rule is established, when the testing result of the project of inspection is higher than a certain threshold value or lower than a certain
When threshold value, then confirm that the testing result of the inspection project is abnormal.Further, existing in addition to being audited automatically to inspection result
Outside, intellectual determination also is carried out to medical diagnosis on disease as a result, relying on case diagnosis rule based on auditing automatically.But it is existing
Disease Intelligence Diagnosis is based only upon the progress of the inspection project on same bar code (i.e. same report), does not meet the feelings of practical operation
Condition.For example, doctor has opened multiple every index testings of single progress to the possibility of same sufferer, it is at this moment based only upon same report
When inspection project carries out Intelligence Diagnosis, there cannot be the diagnostic result of reference significance, be unfavorable for the development of Intelligence Diagnosis.
It moreover, existing Intelligence Diagnosis can also prompt plus do project, and is not that same doctor or doctor forgot out when open single
When list with the project, then it will appear repetition and open single problem, cause the waste of medical resource and the extension of Diagnostic Time.
Summary of the invention
The embodiment of the present invention provides a kind of clinical case diagnostic method and device, computer readable storage medium, can be effective
The prior art is solved the problems, such as there are Intelligence Diagnosis inaccuracy and repeats to open single, can be avoided the waste of medical resource, it is real
Now fast and accurately Intelligence Diagnosis.
One embodiment of the invention provides a kind of clinical case diagnostic method, comprising steps of
It is regular to the inspection item under first bar code in calling rule library in response to the audit instruction to the first bar code
Mesh is audited, to obtain first bar code to the call result of the rule each in the rule base；Wherein, described
The call result of rule includes not triggering and having triggered；
When determine first bar code to first rule call result be triggered when, obtain it is related to the rule
The clinical case of connection diagnoses template；Wherein, the clinical case diagnosis template includes conditions for diagnostics and diagnostic result；
Template, which is diagnosed, according to the clinical case searches the call result under second bar code to the Second Rule, root
The call result of the first rule and the second bar code are judged whether to accord with to the call result of Second Rule according to first bar code
Close the conditions for diagnostics；Wherein, first bar code and the second bar code correspond to same sufferer；
When judgement meets the conditions for diagnostics, then determine that the sufferer meets the diagnostic result.
Compared with prior art, clinical case diagnostic method disclosed by the embodiments of the present invention, by response to first
The audit of code instructs, and the rule in calling rule library audits the inspection project under first bar code, to obtain institute
The first bar code is stated to the call result of the rule each in the rule base；It is regular to first when determining first bar code
Call result be to obtain clinical case diagnosis template associated with the rule when having triggered；According to the clinical case
Diagnosis template searches the call result under second bar code to the Second Rule, according to first bar code to the first rule
Call result and the second bar code the call result of Second Rule is judged whether to meet the conditions for diagnostics；Wherein, described
First bar code and the second bar code correspond to same sufferer；When judgement meets the conditions for diagnostics, it is described to determine that the sufferer meets
Diagnostic result, the inspection project for being not necessarily based on same bar code carry out Intelligence Diagnosis, avoid repeating to open single situation, to avoid
Fast and accurately Intelligence Diagnosis is realized in the waste of medical resource.
As an improvement of the above scheme, the clinical case diagnosis template includes several rule sets, each rule set
Including several rules；The method also includes:
Then according to first bar code to the call result of the first rule and the second bar code to the calling knot of Second Rule
Fruit judges whether to meet the conditions for diagnostics specifically:
According to first bar code to the first regular call result and the second bar code to the call result of Second Rule
Obtain the call result of each rule set；Wherein, the call result of the rule set includes exact matching, half matching and not
Matching；
According to the call result of the rule set, judge whether to meet the conditions for diagnostics；Wherein, when the clinical case
The call result for diagnosing any rule set in template is when mismatching, then to determine not meeting the conditions for diagnostics completely；When described
The call result that clinical case diagnoses any rule set in template is half matching, and is unmatched rule there is no call result
When collection, then determine partly to meet the conditions for diagnostics；When the call result of strictly all rules collection in clinical case diagnosis template is equal
When to exactly match, then determine to meet the conditions for diagnostics.
As an improvement of the above scheme, the conditions for diagnostics further includes the history number of days and described second of first rule
The history number of days of rule, the calling diagnosed according to the clinical case under template the second bar code of lookup to the Second Rule
As a result it specifically includes:
The sufferer information for obtaining second bar code, by the trouble of the patient information of second bar code and first bar code
Person's information is compared, matched when sufferer information and the sufferer information of first bar code of second bar code meet hospital,
When gender matching, name matches, the difference at age are less than preset threshold value, judge that first bar code and the second bar code are corresponding same
One sufferer；
When determining that first bar code and the second bar code correspond to same sufferer, when establishing of second bar code is obtained
Between；
When the settling time of second bar code being less than or equal to the history number of days of the Second Rule, described the is obtained
To the call result of the Second Rule under two bar codes.
As an improvement of the above scheme, described triggered is not violated and has been violated including having triggered；
The rule set includes:
Sub-set size, for judging the call result of the rule set；
Ruleset types, for judging the call result of the rule set；Wherein the ruleset types include violate entirely,
Part is violated by force and part is weak violates；
First rule includes a rules, and the Second Rule includes the b rules, a >=1, b >=1；
It is described according to first bar code to the call result of the first rule and the second bar code to the calling of Second Rule
As a result the call result of each rule set is obtained specifically:
According to first bar code to the call result of the first rule and the second bar code to the call result of Second Rule,
Obtain the call result of strictly all rules in the rule set；
When any ruleset types are to violate entirely, and the call result of strictly all rules is separated in the rule set
It is unlucky, it is determined that the call result of the rule set is exact matching；
It and is the rule not triggered there are call result in the rule set when any ruleset types are entirely to violate
And when there is no call results to have triggered the rule that do not violate, it is determined that the call result of the rule set is half matching；
When any ruleset types are entirely to violate, and there are call results in the rule set does not violate to have triggered
Rule when, it is determined that the call result of the rule set be mismatch；
When any ruleset types are that part is violated by force, and call result is the rule violated in the rule set
Then number is greater than or equal to the sub-set size, and it is to have triggered the rule that do not violate constantly that call result, which is not present, it is determined that
The call result of the rule set is exact matching；
When any ruleset types are that part is violated by force, and call result is the rule violated in the rule set
Then number is less than the sub-set size, and is when having triggered the rule that do not violate there is no call result, it is determined that the rule
The call result of collection is half matching；
It when any ruleset types are that part is violated by force, and is to have triggered there are call result in the rule set
When the rule that do not violate, it is determined that the call result of the rule set is to mismatch；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule violated in the rule set
When then number is greater than or equal to the sub-set size, it is determined that the call result of the rule set is exact matching；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule violated in the rule set
Then number is less than the sub-set size, and call result is that the rule number violated and the rule number not triggered are greater than or wait
When the sub-set size, it is determined that the call result of the rule set is half matching；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule number violated and does not touch
When the rule number of hair is less than the sub-set size, it is determined that the call result of the rule set is to mismatch.
As an improvement of the above scheme, the clinical case diagnosis template includes several rule sets, each rule set
Including several rules；
Then according to first bar code to the call result of the first rule and the second bar code to the calling knot of Second Rule
Fruit judges whether to meet the conditions for diagnostics specifically:
According to first bar code to the first regular call result and the second bar code to the call result of Second Rule
Calculate the calling weight of each rule set in the clinical case diagnosis template；
The weighted sum to the calling weight of whole rule sets in clinical case diagnosis template is calculated, judges whether to meet
The conditions for diagnostics.
As an improvement of the above scheme, described calculate weighs the calling of whole rule sets in clinical case diagnosis template
The weighted sum of weight, judges whether to meet the conditions for diagnostics specifically:
When the calling weight being calculated and be greater than preset exact matching threshold value when, then judgement meet described in examine
Broken strip part.
As an improvement of the above scheme, first rule includes a rules, and the Second Rule includes b institute
State rule, a >=1, b >=1；It is described that the call result of the first rule and the second bar code are advised to second according to first bar code
Call result then obtains the calling weight of each rule set specifically:
According to first bar code to the call result of the first rule and the second bar code to the call result of Second Rule,
Obtain the call result of strictly all rules in the rule set；
Mould is diagnosed in the clinical case according to the call result of strictly all rules in the rule set and the rule set
Weight coefficient in plate calculates the calling weight of each rule set in the clinical case diagnosis template；Wherein, the rule set
Weight coefficient in clinical case diagnosis template passes through order relation according to the significance level between default rule collection
Analytic approach is calculated；Significance level between the rule set includes identical important, slightly important, obvious important and strong weight
It wants.
As an improvement of the above scheme, the type of the rule set include violate entirely, part is violated by force and part is weak violates；
The rule set further includes sub-set size, for judging the calling weight of the rule set；It then obtains in the following manner each
The calling weight of the rule set；
When any ruleset types are to violate entirely, and the call result of strictly all rules is separated in the rule set
Unlucky, then the calling weight of the rule set is equal to weight coefficient of the rule set in clinical case diagnosis template；
When any ruleset types are that part is violated by force, and call result is the rule violated in the rule set
Then number is greater than or equal to the sub-set size, and it is to have triggered the rule that do not violate constantly that call result, which is not present, then described
The call result weight of rule set is equal to weight coefficient of the rule set in clinical case diagnosis template；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule violated in the rule set
When then number is greater than or equal to the sub-set size, then the call result weight of the rule set is equal to the rule set described
Clinical case diagnoses the weight coefficient in template；
It and is the rule not triggered there are call result in the rule set when any ruleset types are entirely to violate
And when there is no call results to have triggered the rule that do not violate, then the calling weight of the rule set is equal in the rule set
The weight coefficient and call result of each rule are the product for the regular number violated；
When any ruleset types are entirely to violate, and there are call results in the rule set does not violate to have triggered
Rule when, then the calling weight of the rule set is equal to zero；
When any ruleset types are that part is violated by force, and call result is the rule violated in the rule set
Then number is less than preset sub-set size, and is then rule set when having triggered the rule that do not violate there is no call result
Calling weight be equal to each rule in the rule set weight coefficient and call result be the regular number violated product；
It when any ruleset types are that part is violated by force, and is to have triggered there are call result in the rule set
When the rule that do not violate, the calling weight of the rule set is equal to zero；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule violated in the rule set
Then number is less than preset sub-set size, and call result be the rule number violated and the rule number not triggered be greater than or
When equal to the sub-set size, then the calling weight of the rule set be equal to the rule set in each rule weight coefficient and
Call result is the product for the regular number violated；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule number violated and does not touch
When the rule number of hair is less than the sub-set size, then the calling weight of the rule set is equal to zero；Wherein, the rule set
In each rule weight coefficient by the rule set the clinical case diagnosis template in weight coefficient and the subset
Size, which is divided by, to be calculated.
Another embodiment of the present invention correspondence provides a kind of clinical case diagnostic device, comprising:
Rule invocation result obtains module, for being instructed in response to the audit to the first bar code, the rule in calling rule library
Then the inspection project under first bar code is audited, to obtain first bar code to institute each in the rule base
State the call result of rule；Wherein, the call result of the rule includes not triggering and having triggered；
Clinical case diagnoses template and obtains module, determines first bar code to the call result of the first rule for working as
When to have triggered, obtaining clinical case associated with the rule and diagnosing template；Wherein, the clinical case diagnoses template packet
Include conditions for diagnostics and diagnostic result；
Conditions for diagnostics judgment module is searched under second bar code for diagnosing template according to the clinical case to described
The call result of Second Rule, according to first bar code to the call result of the first rule and the second bar code to Second Rule
Call result judge whether to meet the conditions for diagnostics；Wherein, first bar code and the second bar code correspond to same sufferer；
Diagnostic result judgment module then determines that the sufferer meets described examine for meeting the conditions for diagnostics when judgement
Disconnected result.
Another embodiment of the present invention provides a kind of clinical case diagnostic devices, including processor, memory and storage
In the memory and it is configured as the computer program executed by the processor, the processor executes the computer
Clinical case diagnostic method described in any of the above-described inventive embodiments is realized when program.
Another embodiment of the present invention provides a kind of computer readable storage medium, the computer readable storage medium packet
Include the computer program of storage, wherein where controlling the computer readable storage medium in computer program operation
Equipment executes clinical case diagnostic method described in any of the above-described inventive embodiments.
Detailed description of the invention
Fig. 1 is a kind of flow diagram for clinical case diagnostic method that one embodiment of the invention provides.
Fig. 2 is a kind of rough schematic for clinical case diagnosis template that one embodiment of the invention provides.
Fig. 3 is a kind of structural schematic diagram for clinical case diagnostic device that one embodiment of the invention provides.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on
Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other
Embodiment shall fall within the protection scope of the present invention.
It is a kind of flow diagram for clinical case diagnostic method that one embodiment of the invention provides referring to Fig. 1, comprising:
S1, it is instructed in response to the audit to the first bar code, the rule in calling rule library is to the inspection under first bar code
The project of testing is audited, to obtain first bar code to the call result of the rule each in the rule base；Wherein,
The call result of the rule includes not triggering and having triggered；
It usually include several for existing medical inspection report (the corresponding bar code of each inspection report)
A inspection project, each inspection project are respectively corresponded by a testing result, and what testing result can be numeric type can also
It is to inspections multiple in each bar code for automatic auditing system proposed by the present invention to be character type (such as the positive etc.)
The project of testing is audited；
Described do not trigger refers to the inspection project and wherein a rule is unrelated, and having triggered is the inspection project and wherein one
A rule is related, needs to trigger the condition in its rule and carries out judging whether to violate the rule, it is possible to understand that, it is described to have triggered
It does not violate and has violated including having triggered；
S2, when determine first bar code to first rule call result be triggered when, obtain with the rule
Associated clinical case diagnoses template；Wherein, the clinical case diagnosis template includes conditions for diagnostics and diagnostic result；
For example, as shown in Fig. 2, 1,2, No. 4 rule has been violated, by looking into when No. 3 rules are not violated in inspection project A triggering
A library bring vexation on oneself it is found that No. 3 rules and clinical case diagnosis template 1 are relevant.
S3, the calling knot under second bar code to the Second Rule is searched according to clinical case diagnosis template
Fruit is to the judgement of the call result of Second Rule to the call result of the first rule and the second bar code according to first bar code
It is no to meet the conditions for diagnostics；Wherein, first bar code and the second bar code correspond to same sufferer；
For example, as shown in Fig. 2, No. 7 rules and No. 6 rules need to be searched according to the conditions for diagnostics of clinical case diagnosis template 1
Call result, then need to search relevant second bar code of same sufferer, No. 7 rules and No. 6 regular call results could be obtained.
S4, when judgement meets the conditions for diagnostics, then determine that the sufferer meets the diagnostic result.
Preferably, the clinical case diagnosis template includes several rule sets, and each rule set includes several rules；
The method also includes:
Then according to first bar code to the call result of the first rule and the second bar code to the calling knot of Second Rule
Fruit judges whether to meet the conditions for diagnostics specifically:
According to first bar code to the first regular call result and the second bar code to the call result of Second Rule
Obtain the call result of each rule set；Wherein, the call result of the rule set includes exact matching, half matching and not
Matching；
According to the call result of the rule set, judge whether to meet the conditions for diagnostics；Wherein, when the clinical case
The call result for diagnosing any rule set in template is when mismatching, then to determine not meeting the conditions for diagnostics completely；When described
The call result that clinical case diagnoses any rule set in template is half matching, and is unmatched rule there is no call result
When collection, then determine partly to meet the conditions for diagnostics；When the call result of strictly all rules collection in clinical case diagnosis template is equal
When to exactly match, then determine to meet the conditions for diagnostics., in the present embodiment, it is described partly to meet the conditions for diagnostics meaning
Refer to there are it is certain a possibility that be directed toward the diagnostic result, need further check can just be confirmed whether to meet.Another preferred
In embodiment, medical testing person can be reminded to add and do certain projects, instruct it to carry out the verifying of the possibility, for medical diagnosis on disease
With important directive significance.
Preferably, the conditions for diagnostics further includes the history number of days of first rule and the history day of the Second Rule
Number, described diagnosed according to the clinical case specifically wrap the call result of the Second Rule under template the second bar code of lookup
It includes:
The sufferer information for obtaining second bar code, by the trouble of the patient information of second bar code and first bar code
Person's information is compared, matched when sufferer information and the sufferer information of first bar code of second bar code meet hospital,
When gender matching, name matches, the difference at age are less than preset threshold value, judge that first bar code and the second bar code are corresponding same
One sufferer；
When determining that first bar code and the second bar code correspond to same sufferer, when establishing of second bar code is obtained
Between；
When the settling time of second bar code being less than or equal to the history number of days of the Second Rule, described the is obtained
To the call result of the Second Rule under two bar codes.
As shown in Fig. 2, when examining project A to trigger not violate No. 3 rules, by searching for same hospital in 3 days, of the same surname
Name, same to gender, the difference at age be less than preset threshold value (such as 1 year) No. 6 regular call results and same hospital in 2 days,
Same name, same to gender, the difference at age are less than preset threshold value (such as 1 year) No. 7 regular call results.
In another preferred embodiment, the rule set includes:
Sub-set size, for judging the call result of the rule set；
Ruleset types, for judging the call result of the rule set；Wherein the ruleset types include violate entirely,
Part is violated by force and part is weak violates；
First rule includes a rules, and the Second Rule includes the b rules, a >=1, b >=1.Then
As shown in Fig. 2, first rule includes No. 3 rules, a=1；The Second Rule includes No. 6 rules and No. 7 rules, b=2.
Preferably, it is described according to first bar code to first rule call result and the second bar code to Second Rule
Call result obtain the call result of each rule set specifically:
According to first bar code to the call result of the first rule and the second bar code to the call result of Second Rule,
Obtain the call result of strictly all rules in the rule set；
When any ruleset types are to violate entirely, and the call result of strictly all rules is separated in the rule set
It is unlucky, it is determined that the call result of the rule set is exact matching；
It and is the rule not triggered there are call result in the rule set when any ruleset types are entirely to violate
And when there is no call results to have triggered the rule that do not violate, it is determined that the call result of the rule set is half matching；
When any ruleset types are entirely to violate, and there are call results in the rule set does not violate to have triggered
Rule when, it is determined that the call result of the rule set be mismatch；
When any ruleset types are that part is violated by force, and call result is the rule violated in the rule set
Then number is greater than or equal to the sub-set size, and it is to have triggered the rule that do not violate constantly that call result, which is not present, it is determined that
The call result of the rule set is exact matching；
When any ruleset types are that part is violated by force, and call result is the rule violated in the rule set
Then number is less than the sub-set size, and is when having triggered the rule that do not violate there is no call result, it is determined that the rule
The call result of collection is half matching；
It when any ruleset types are that part is violated by force, and is to have triggered there are call result in the rule set
When the rule that do not violate, it is determined that the call result of the rule set is to mismatch；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule violated in the rule set
When then number is greater than or equal to the sub-set size, it is determined that the call result of the rule set is exact matching；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule violated in the rule set
Then number is less than the sub-set size, and call result is that the rule number violated and the rule number not triggered are greater than or wait
When the sub-set size, it is determined that the call result of the rule set is half matching；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule number violated and does not touch
When the rule number of hair is less than the sub-set size, it is determined that the call result of the rule set is to mismatch.
Equally, it is illustrated by taking Fig. 2 as an example, when the type for the rule set that No. 3 rules, No. 6 rules and No. 7 rules are constituted is
When violating by force, needing No. 3 rules, No. 6 rules and No. 7 regular call results is that just can determine that meet the diagnosis when having violated
Condition.If return No. 6 regular call results be violated, No. 7 regular call results are when having violated, but described No. 3 are advised
Call result then is to have triggered not violating, it is determined that the call result of the rule set is to mismatch, then determines not being inconsistent completely
Close the conditions for diagnostics.
Wherein, the inspection project includes not violating and having violated to the auditing result of rule each in the rule set,
Then it is described according to the inspection project to the auditing result of each rule in the rule set, respectively to each report carry out
Audit specifically:
When auditing result of any inspection project to rule any in the rule set is to have violated, it is determined that institute
The auditing result for stating report is that early warning does not pass through.
When auditing result of all inspection projects to strictly all rules in the rule set is to have violated, it is determined that institute
The auditing result for stating report is that early warning does not pass through.
Preferably, obstructed out-of-date for early warning when the auditing result of report, it is red to remind medical inspection in predeterminated position mark
Personnel check；It is green to remind medical testing person in predeterminated position mark when the auditing result of report passes through for early warning
Carry out approval operation.
In the following, this programme difference with the prior art is illustrated with Fig. 2.As shown in Fig. 2, pending there are two
Report, be report 1 and report 2 respectively, and report 1, there are project 1 and project 2, there are 3 Hes of project for report 2
Project 4.Project 1, project 2, project 3 and project 4 are audited simultaneously, searched and project 1, project 2, project 3 and item respectively
The corresponding rule set of mesh 4, such as rule set 1 corresponding with project 1 include rule 1, rule 3 and rule 6.With the prior art
Significant difference, this programme is not necessarily to carry out matching operation from 1 traversal of rule to rule 16, and directly acquires and match with the project
Rule, the operand of computer can be largely reduced, energy consumption reduces, and time-consuming shorter, single conducive to quickly going out for report, improves
The efficiency of medical inspection.
In another preferred embodiment, the clinical case diagnosis template includes several rule sets, each rule set
Including several rules；
Then according to first bar code to the call result of the first rule and the second bar code to the calling knot of Second Rule
Fruit judges whether to meet the conditions for diagnostics specifically:
According to first bar code to the first regular call result and the second bar code to the call result of Second Rule
Calculate the calling weight of each rule set in the clinical case diagnosis template；
The weighted sum to the calling weight of whole rule sets in clinical case diagnosis template is calculated, judges whether to meet
The conditions for diagnostics；
Wherein, when the calling weight being calculated and be greater than preset exact matching threshold value when, then judge meet
The conditions for diagnostics.
Preferably, first rule includes a rules, and the Second Rule includes the b rules, a >=1, b
≥1；It is described according to first bar code to the call result of the first rule and the second bar code to the call result of Second Rule
Obtain the calling weight of each rule set specifically:
According to first bar code to the call result of the first rule and the second bar code to the call result of Second Rule,
Obtain the call result of strictly all rules in the rule set；
Mould is diagnosed in the clinical case according to the call result of strictly all rules in the rule set and the rule set
Weight coefficient in plate calculates the calling weight of each rule set in the clinical case diagnosis template；Wherein, the rule set
Weight coefficient in clinical case diagnosis template passes through order relation according to the significance level between default rule collection
Analytic approach is calculated；Significance level between the rule set includes identical important, slightly important, obvious important and strong weight
It wants.
Preferably, the type of the rule set include violate entirely, part is violated by force and part is weak violates；The rule set is also
Including sub-set size, for judging the calling weight of the rule set；Each rule set is then obtained in the following manner
Call weight；
When any ruleset types are to violate entirely, and the call result of strictly all rules is separated in the rule set
Unlucky, then the calling weight of the rule set is equal to weight coefficient of the rule set in clinical case diagnosis template；
When any ruleset types are that part is violated by force, and call result is the rule violated in the rule set
Then number is greater than or equal to the sub-set size, and it is to have triggered the rule that do not violate constantly that call result, which is not present, then described
The call result weight of rule set is equal to weight coefficient of the rule set in clinical case diagnosis template；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule violated in the rule set
When then number is greater than or equal to the sub-set size, then the call result weight of the rule set is equal to the rule set described
Clinical case diagnoses the weight coefficient in template；
It and is the rule not triggered there are call result in the rule set when any ruleset types are entirely to violate
And when there is no call results to have triggered the rule that do not violate, then the calling weight of the rule set is equal in the rule set
The weight coefficient and call result of each rule are the product for the regular number violated；
When any ruleset types are entirely to violate, and there are call results in the rule set does not violate to have triggered
Rule when, then the calling weight of the rule set is equal to zero；
When any ruleset types are that part is violated by force, and call result is the rule violated in the rule set
Then number is less than preset sub-set size, and is then rule set when having triggered the rule that do not violate there is no call result
Calling weight be equal to each rule in the rule set weight coefficient and call result be the regular number violated product；
It when any ruleset types are that part is violated by force, and is to have triggered there are call result in the rule set
When the rule that do not violate, the calling weight of the rule set is equal to zero；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule violated in the rule set
Then number is less than preset sub-set size, and call result be the rule number violated and the rule number not triggered be greater than or
When equal to the sub-set size, then the calling weight of the rule set be equal to the rule set in each rule weight coefficient and
Call result is the product for the regular number violated；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule number violated and does not touch
When the rule number of hair is less than the sub-set size, then the calling weight of the rule set is equal to zero；Wherein, the rule set
In each rule weight coefficient by the rule set the clinical case diagnosis template in weight coefficient and the subset
Size, which is divided by, to be calculated.
As shown in figure 3, the embodiment of the invention also provides a kind of clinical case diagnostic devices, comprising:
Rule invocation result obtains module 101, for instructing in response to the audit to the first bar code, in calling rule library
Rule audits the inspection project under first bar code, to obtain first bar code to each in the rule base
The call result of the rule；Wherein, the call result of the rule includes not triggering and having triggered；
Clinical case diagnoses template and obtains module 102, determines first bar code to the calling of the first rule for working as
As a result template is diagnosed when having triggered, to obtain clinical case associated with the rule；Wherein, the clinical case diagnoses mould
Plate includes conditions for diagnostics and diagnostic result；
Conditions for diagnostics judgment module 103, it is right under template lookup second bar code for being diagnosed according to the clinical case
The call result of the Second Rule, according to first bar code to the call result of the first rule and the second bar code to second
The call result of rule judges whether to meet the conditions for diagnostics；Wherein, first bar code and the second bar code correspond to same disease
Suffer from；
It is described then to determine that the sufferer meets for meeting the conditions for diagnostics when judgement for diagnostic result judgment module 104
Diagnostic result.
The implementation process and working principle of the clinical case diagnostic device of the embodiment of the present invention can refer to any of the above-described pair
The description of clinical case diagnostic method, details are not described herein.
Another embodiment of the present invention provides a kind of clinical case diagnostic devices, including processor, memory and storage
In the memory and it is configured as the computer program executed by the processor, the processor executes the computer
Clinical case diagnostic method described in any of the above-described inventive embodiments is realized when program.
Another embodiment of the present invention provides a kind of computer readable storage medium, the computer readable storage medium packet
Include the computer program of storage, wherein where controlling the computer readable storage medium in computer program operation
Equipment executes clinical case diagnostic method described in any of the above-described inventive embodiments.
Alleged processor can be central processing unit (Central Processing Unit, CPU), can also be it
His general processor, digital signal processor (Digital Signal Processor, DSP), specific integrated circuit
(Application Specific Integrated Circuit, ASIC), ready-made programmable gate array (Field-
Programmable Gate Array, FPGA) either other programmable logic device, discrete gate or transistor logic,
Discrete hardware components etc..General processor can be microprocessor or the processor is also possible to any conventional processor
Deng the processor is the standby control centre of the regular integrity validation mechanism of the medical inspection project, utilizes various interfaces
With the various pieces of the regular integrity validation mechanism of the entire medical inspection project of connection.
The memory can be used for storing the computer program and/or module, and the processor is by operation or executes
Computer program in the memory and/or module are stored, and calls the data being stored in memory, described in realization
The various functions of the regular integrity validation mechanism of medical inspection project.The memory can mainly include storing program area and deposit
Store up data field, wherein storing program area can application program needed for storage program area, at least one function (for example sound is broadcast
Playing function, image player function etc.) etc.；Storage data area, which can be stored, uses created data (such as audio according to mobile phone
Data, phone directory etc.) etc..In addition, memory may include high-speed random access memory, it can also include non-volatile memories
Device, such as hard disk, memory, plug-in type hard disk, intelligent memory card (Smart Media Card, SMC), secure digital (Secure
Digital, SD) card, flash card (Flash Card), at least one disk memory, flush memory device or other volatibility are solid
State memory device.
Wherein, if the integrated module/unit of the regular integrity validation mechanism of the medical inspection project is with software function
Can the form of unit realize and when sold or used as an independent product, can store in computer-readable storage Jie
In matter.Based on this understanding, the present invention realizes all or part of the process in above-described embodiment method, can also pass through calculating
Machine program is completed to instruct relevant hardware, and the computer program can be stored in a computer readable storage medium,
The computer program is when being executed by processor, it can be achieved that the step of above-mentioned each embodiment of the method.Wherein, the computer journey
Sequence includes computer program code, and the computer program code can be source code form, object identification code form, executable text
Part or certain intermediate forms etc..The computer-readable medium may include: that can carry appointing for the computer program code
What entity or device, recording medium, USB flash disk, mobile hard disk, magnetic disk, CD, computer storage, read-only memory (ROM,
Read-Only Memory), random access memory (RAM, Random Access Memory), electric carrier signal, telecommunications letter
Number and software distribution medium etc..It should be noted that the content that the computer-readable medium includes can be managed according to the administration of justice
Local legislation and the requirement of patent practice carry out increase and decrease appropriate, such as in certain jurisdictions, according to legislation and patent
Practice, computer-readable medium does not include electric carrier signal and telecommunication signal.
It should be noted that the apparatus embodiments described above are merely exemplary, wherein described be used as separation unit
The unit of explanation may or may not be physically separated, and component shown as a unit can be or can also be with
It is not physical unit, it can it is in one place, or may be distributed over multiple network units.It can be according to actual
It needs that some or all of the modules therein is selected to achieve the purpose of the solution of this embodiment.In addition, device provided by the invention
In embodiment attached drawing, the connection relationship between module indicate between them have communication connection, specifically can be implemented as one or
A plurality of communication bus or signal wire.Those of ordinary skill in the art are without creative efforts, it can understand
And implement.
The above is a preferred embodiment of the present invention, it is noted that for those skilled in the art
For, various improvements and modifications may be made without departing from the principle of the present invention, these improvements and modifications are also considered as
Protection scope of the present invention.
Claims (10)
1. a kind of clinical case diagnostic method, which is characterized in that comprising steps of
In response to the audit instruction to the first bar code, rule in calling rule library to the inspection project under first bar code into
Row audit, to obtain first bar code to the call result of the rule each in the rule base；Wherein, the rule
Call result include not triggering and having triggered；
When determine first bar code to first rule call result be triggered when, obtain it is associated with the rule
Clinical case diagnoses template；Wherein, the clinical case diagnosis template includes conditions for diagnostics and diagnostic result；
Template is diagnosed according to the clinical case and searches the call result under second bar code to the Second Rule, according to institute
It states the first bar code the call result of the first rule and the second bar code judge whether the call result of Second Rule to meet institute
State conditions for diagnostics；Wherein, first bar code and the second bar code correspond to same sufferer；
When judgement meets the conditions for diagnostics, then determine that the sufferer meets the diagnostic result.
2. clinical case diagnostic method as described in claim 1, which is characterized in that if clinical case diagnosis template includes
Dry rule set, each rule set include several rules；The method also includes:
Then the call result of the first rule and the second bar code sentence the call result of Second Rule according to first bar code
It is disconnected whether to meet the conditions for diagnostics specifically:
The call result of the first rule and the second bar code obtain the call result of Second Rule according to first bar code
The call result of each rule set；Wherein, the call result of the rule set includes exact matching, half matching and not
Match；
According to the call result of the rule set, judge whether to meet the conditions for diagnostics；Wherein, when the clinical case diagnoses
The call result of any rule set is when mismatching, then to determine not meeting the conditions for diagnostics completely in template；When the clinic
The call result of any rule set is half matching in case diagnosis template, and is unmatched rule set there is no call result
When, then determine partly to meet the conditions for diagnostics；When the call result of strictly all rules collection in clinical case diagnosis template is
When exact matching, then determine to meet the conditions for diagnostics.
3. clinical case diagnostic method as claimed in claim 2, which is characterized in that the conditions for diagnostics further includes described first
The history number of days of rule and the history number of days of the Second Rule, it is described that template lookup Article 2 is diagnosed according to the clinical case
The call result of the Second Rule is specifically included under code:
The sufferer information for obtaining second bar code believes the patient of the patient information of second bar code and first bar code
Breath is compared, and matches when sufferer information and the sufferer information of first bar code of second bar code meet hospital, gender
When matching, name matches, the difference at age are less than preset threshold value, judge that first bar code and the second bar code correspond to same disease
Suffer from；
When determining that first bar code and the second bar code correspond to same sufferer, the settling time of second bar code is obtained；
When the settling time of second bar code being less than or equal to the history number of days of the Second Rule, the Article 2 is obtained
To the call result of the Second Rule under code.
4. clinical case diagnostic method as claimed in claim 3, which is characterized in that described triggered is not violated including having triggered
It has violated；
The rule set includes:
Sub-set size, for judging the call result of the rule set；
Ruleset types, for judging the call result of the rule set；Wherein the ruleset types include violate entirely, part
It violates by force and part is weak violates；
First rule includes a rules, and the Second Rule includes the b rules, a >=1, b >=1；
It is described according to first bar code to the call result of the first rule and the second bar code to the call result of Second Rule
Obtain the call result of each rule set specifically:
The call result of the first rule and the second bar code obtain the call result of Second Rule according to first bar code
The call result of strictly all rules in the rule set；
When any ruleset types are to violate entirely, and the call result of strictly all rules is to have violated in the rule set
When, it is determined that the call result of the rule set is exact matching；
It and is the rule not triggered and not there are call result in the rule set when any ruleset types are entirely to violate
It is when having triggered the rule that do not violate there are call result, it is determined that the call result of the rule set is half matching；
It and is to have triggered the rule that do not violate there are call result in the rule set when any ruleset types are entirely to violate
When then, it is determined that the call result of the rule set is to mismatch；
Call result is the rule violated when any ruleset types are that part is violated by force, and in the rule set
Number is greater than or equal to the sub-set size, and it is to have triggered the rule that do not violate constantly that call result, which is not present, it is determined that described
The call result of rule set is exact matching；
Call result is the rule violated when any ruleset types are that part is violated by force, and in the rule set
Number is less than the sub-set size, and is when having triggered the rule that do not violate there is no call result, it is determined that the rule set
Call result is half matching；
It when any ruleset types are that part is violated by force, and is to have triggered not disobeying there are call result in the rule set
When the rule of back, it is determined that the call result of the rule set is to mismatch；
Call result is the rule violated when any ruleset types, which are that part is weak, to be violated, and in the rule set
When number is greater than or equal to the sub-set size, it is determined that the call result of the rule set is exact matching；
Call result is the rule violated when any ruleset types, which are that part is weak, to be violated, and in the rule set
Number is less than the sub-set size, and call result is greater than or equal to institute for the rule number violated and the rule number not triggered
When stating sub-set size, it is determined that the call result of the rule set is half matching；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule number violated and does not trigger
When rule number is less than the sub-set size, it is determined that the call result of the rule set is to mismatch.
5. clinical case diagnostic method as described in claim 1, which is characterized in that if clinical case diagnosis template includes
Dry rule set, each rule set include several rules；
Then the call result of the first rule and the second bar code sentence the call result of Second Rule according to first bar code
It is disconnected whether to meet the conditions for diagnostics specifically:
The call result of the first rule and the second bar code calculate the call result of Second Rule according to first bar code
The calling weight of each rule set in the clinical case diagnosis template；
The weighted sum to the calling weight of whole rule sets in clinical case diagnosis template is calculated, judges whether to meet described
Conditions for diagnostics.
6. clinical case diagnostic method as claimed in claim 5, which is characterized in that described calculate diagnoses the clinical case
The weighted sum of the calling weight of whole rule sets, judges whether to meet the conditions for diagnostics in template specifically:
When the calling weight being calculated and be greater than preset exact matching threshold value when, then judge meet the diagnosis item
Part.
7. clinical case diagnostic method as claimed in claim 5, which is characterized in that first rule includes a rule
Then, the Second Rule includes the b rules, a >=1, b >=1；It is described according to first bar code to first rule calling
As a result and the second bar code obtains the calling weight of each rule set to the call result of Second Rule specifically:
The call result of the first rule and the second bar code obtain the call result of Second Rule according to first bar code
The call result of strictly all rules in the rule set；
According to the call result of strictly all rules in the rule set and the rule set in clinical case diagnosis template
Weight coefficient calculate the calling weight of each rule set in clinical case diagnosis template；Wherein, the rule set is in institute
The weight coefficient stated in clinical case diagnosis template is analyzed according to the significance level between default rule collection, and by order relation
Method is calculated；Significance level between the rule set includes identical important, slightly important, obvious important and strong important.
8. clinical case diagnostic method as claimed in claim 7, which is characterized in that the type of the rule set includes complete disobeys
Back, part is violated by force and part is weak violates；The rule set further includes sub-set size, for judging that the calling of the rule set is weighed
Weight；The calling weight of each rule set is then obtained in the following manner；
When any ruleset types are to violate entirely, and the call result of strictly all rules is to have violated in the rule set
When, then the calling weight of the rule set is equal to weight coefficient of the rule set in clinical case diagnosis template；
Call result is the rule violated when any ruleset types are that part is violated by force, and in the rule set
Number is greater than or equal to the sub-set size, and it is to have triggered the rule that do not violate constantly that call result, which is not present, then the rule
The call result weight of collection is equal to weight coefficient of the rule set in clinical case diagnosis template；
Call result is the rule violated when any ruleset types, which are that part is weak, to be violated, and in the rule set
When number is greater than or equal to the sub-set size, then the call result weight of the rule set is equal to the rule set in the clinic
Weight coefficient in case diagnosis template；
It and is the rule not triggered and not there are call result in the rule set when any ruleset types are entirely to violate
It is when having triggered the rule that do not violate there are call result, then the calling weight of the rule set is equal to each in the rule set
The weight coefficient and call result of rule are the product for the regular number violated；
It and is to have triggered the rule that do not violate there are call result in the rule set when any ruleset types are entirely to violate
When then, then the calling weight of the rule set is equal to zero；
Call result is the rule violated when any ruleset types are that part is violated by force, and in the rule set
Number is less than preset sub-set size, and is the then tune of rule set when having triggered the rule that do not violate there is no call result
It is equal to the product that the weight coefficient of each rule and call result in the rule set are the regular number violated with weight；
It when any ruleset types are that part is violated by force, and is to have triggered not disobeying there are call result in the rule set
When the rule of back, the calling weight of the rule set is equal to zero；
Call result is the rule violated when any ruleset types, which are that part is weak, to be violated, and in the rule set
Number is less than preset sub-set size, and call result is that the rule number violated and the rule number not triggered are greater than or equal to
When the sub-set size, then the calling weight of the rule set is equal to the weight coefficient and calling of each rule in the rule set
It as a result is the product for the regular number violated；
When any ruleset types, which are that part is weak, to be violated, and call result is the rule number violated and does not trigger
When rule number is less than the sub-set size, then the calling weight of the rule set is equal to zero；Wherein, every in the rule set
The weight coefficient of one rule diagnoses weight coefficient and the sub-set size in template in the clinical case by the rule set
It is divided by and is calculated.
9. a kind of clinical case diagnostic device, including processor, memory and storage in the memory and are configured as
The computer program executed by the processor, the processor realize such as claim 1 to 7 when executing the computer program
Any one of described in clinical case diagnostic method.
10. a kind of computer readable storage medium, which is characterized in that the computer readable storage medium includes the calculating of storage
Machine program, wherein equipment where controlling the computer readable storage medium in computer program operation is executed as weighed
Benefit require any one of 1 to 7 described in clinical case diagnostic method.
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| CN201811099862.9A CN109215782A (en) | 2018-09-20 | 2018-09-20 | Clinical case diagnostic method and device, computer readable storage medium |
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| CN201811099862.9A CN109215782A (en) | 2018-09-20 | 2018-09-20 | Clinical case diagnostic method and device, computer readable storage medium |
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| US20160259899A1 (en) * | 2015-03-04 | 2016-09-08 | Expeda ehf | Clinical decision support system for diagnosing and monitoring of a disease of a patient |
| CN107180167A (en) * | 2017-05-24 | 2017-09-19 | 海南金域医学检验中心有限公司 | The checking method and device detected for hereditary disease gene diagnosis |
| CN107910062A (en) * | 2017-12-01 | 2018-04-13 | 广州金域医学检验中心有限公司 | Disease pre-warning method and device based on weight |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20160259899A1 (en) * | 2015-03-04 | 2016-09-08 | Expeda ehf | Clinical decision support system for diagnosing and monitoring of a disease of a patient |
| CN107180167A (en) * | 2017-05-24 | 2017-09-19 | 海南金域医学检验中心有限公司 | The checking method and device detected for hereditary disease gene diagnosis |
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