CN110070947A - A kind of brain tumor medical record information collection method - Google Patents

A kind of brain tumor medical record information collection method Download PDF

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Publication number
CN110070947A
CN110070947A CN201710810476.5A CN201710810476A CN110070947A CN 110070947 A CN110070947 A CN 110070947A CN 201710810476 A CN201710810476 A CN 201710810476A CN 110070947 A CN110070947 A CN 110070947A
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China
Prior art keywords
data
information
information collection
patient
typing
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CN201710810476.5A
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Chinese (zh)
Inventor
张力伟
季楠
李德岭
王韬
何建强
曹国雄
陶然
肖雄
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Beijing Tiantan Hospital
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Beijing Tiantan Hospital
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Priority to CN201710810476.5A priority Critical patent/CN110070947A/en
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/20ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

A kind of brain tumor medical record information collection method, it successively include information collection step, data loading upload storing step, the information collection step includes first information acquisition step, the second information collection step and advance data acquisition, wherein output to the data loading uploads storing step after the first information acquisition step, the second information collection step information collected are acquired by advance data;The first information acquisition step includes two steps, is successively that the acquisition of initiation data, user input information in register system by hand;The second information collection step includes two steps, is successively to automatically initiate that data acquisition, system obtains patient information automatically in institute.Formation gathering method information provided by the invention source is more, and versatility is stronger.

Description

A kind of brain tumor medical record information collection method
Technical field
The present invention relates to medical information processing technology field, especially a kind of brain tumor medical record information collection method.
Background technique
Brain tumor is a kind of more multiple disease of current China citizen, since lesion position is special, brain tumor It checks and treatment difficulty is larger, consequently, to facilitate doctor, patient are collected research to brain tumor information, country's tissue is built Brain tumor information platform, for compiling brain tumor relevant information.
Existing information collection method is usually by manually typing, and the problem of this input method is to be manually entered work Make cumbersome, increase many workloads for the routine work of doctor, doctor is it has proven convenient at times, would not typing medical record in detail Information is unfavorable for later period information collection research.Very likely there is mistake simultaneously as being manually entered, can also give the letter in later period The accuracy of breath research causes greatly to endanger.
For this purpose, there is a kind of side of option progress Select input set according to system in existing information collection method again Formula, this method reduce the workload of doctor to a certain extent, can also reduce the probability of mistake appearance, but this method Data input limitation is very big, medical record information complexity this kind of for brain tumor and miscellaneous state of an illness, simple Select input Mode is higher for the setting requirements of typing early period option, and the maintenance in later period can also occupy the more time, be unfavorable for big model Enclose popularization.
Meanwhile above-mentioned input method is directly entered by hospital doctor, acquisition of information channel is single, and patient sends out at home The diagnosis that the raw state of an illness and patient carries out in community hospital's treatment process can not directly enter system, so that the disease of the patient Case is simultaneously imperfect, is unfavorable for later period information collection research.
Summary of the invention
It is poor technical problem to be solved by the present invention lies in medical record information collection method versatility in the prior art and The single problem of acquisition of information channel, and provide the brain tumor medical record letter that a kind of versatility is preferable and acquisition of information channel is more Cease collection method.
In order to solve the above technical problems, The technical solution adopted by the invention is as follows:
A kind of brain tumor medical record information collection method successively uploads storing step including information collection step, data loading, The information collection step includes that first information acquisition step, the second information collection step and advance data acquire, wherein institute State first information acquisition step, the second information collection step information collected passes through output after advance data acquisition to institute It states data loading and uploads storing step;The first information acquisition step includes two steps, is successively to initiate data acquisition by hand, use Family inputs information in register system;The second information collection step includes two steps, is successively to automatically initiate data acquisition, institute Interior system obtains patient information automatically.
In above- mentioned information collection method, the second information collection step by patient assessment Implementing Hospital, described first Information collection step is implemented by the community hospital of patient or patient assessment.
It further include patient information typing step, the output of the patient information typing step in above- mentioned information collection method Data enter the data loading and upload storing step.
In above- mentioned information collection method, the patient information typing step successively includes that hierarchical system typing, user login Three steps such as system, Select input information model typing patient data.
In above- mentioned information collection method, before Select input information model typing patient data's step, further include Template typing step.
In above- mentioned information collection method, the template typing step is implemented by leading medical institutions.
It further include data processing step in above- mentioned information collection method.
In above- mentioned information collection method, the data processing step successively include data normalization processing, data audit with Improve two steps.
It further include data publication applying step after the data processing step in above- mentioned information collection method.
In above- mentioned information collection method, the data publication applying step successively includes data publication, data application two Step.
The above technical solution of the present invention has the following advantages over the prior art:
1. formation gathering method of the invention, information collection step includes first information acquisition step, the second information collection Step and advance data acquisition, before wherein first information acquisition step, the second information collection step information collected pass through Output to data loading uploads storing step after setting data acquisition;First information acquisition step includes two steps, is successively manual hair Play data acquisition, user inputs information in register system;Second information collection step includes two steps, is successively to automatically initiate number Patient information is obtained automatically according to system in acquisition, institute.Such setting, information source include first information acquisition step and On the one hand two information collection steps acquire data by manual mode, on the other hand acquire data by automated manner, and data are come Source is more, and versatility is stronger.
2. formation gathering method of the invention, Implementing Hospital of the second information collection step by patient assessment, the first information Acquisition step is implemented by the community hospital of patient or patient assessment.Such setting, the further expansion source mode of data, Not only going to a doctor data in the correlation of the hospital of patient assessment can be into database, the state of an illness and patient that patient occurs at home The diagnosis carried out in community hospital's treatment process can also directly enter system, ensure the integrality of patient's medical record, so that Later period information collection research is more scientific comprehensively.
3. formation gathering method of the invention further includes patient information typing step, the output of patient information typing step Data enter data loading and upload storing step, and patient information typing step successively includes that hierarchical system typing, user login and be Three steps such as system, Select input information model typing patient data.Such design so that each side's typing related data it Before, the case where patient, can comprehensively be combed by patient information typing step, to guarantee the standard of baseline file True property can be compared when there is deviation during subsequent each side's data input with baseline file, to a certain extent into Row error correction.
4. formation gathering method of the invention further includes before Select input information model typing patient data's step Template typing step, template typing step are implemented by leading medical institutions.Such design, so that information model uniform format, Accuracy is higher, has ensured the normalization of later period logging data.
5. formation gathering method of the invention, further includes data processing step, data processing step successively includes data mark Quasi-ization processing, data are audited and improve two steps.Such design is by artificial or unartificial mode to logging data It is audited and is handled, further increase the normalization of final data, to simplify the complexity of later data analysis application.
Detailed description of the invention
In order to make the content of the present invention more clearly understood, it below according to specific embodiments of the present invention and combines Attached drawing, the present invention is described in further detail, wherein
Fig. 1 is the workflow schematic diagram of the preferred embodiment of the present invention.
Specific embodiment
As shown in Figure 1, being the preferred embodiment of brain tumor medical record information collection method of the present invention, in the present embodiment In, the formation gathering method include template typing step, patient information typing step, information collection step, on data loading Pass storing step, data processing step, data publication applying step.
Wherein the information collection step, the data loading upload storing step, the data processing step and institute Data publication applying step is stated successively to implement.
The information collection step includes that first information acquisition step, the second information collection step and advance data are adopted Collection, wherein the first information acquisition step, the second information collection step information collected are acquired by advance data After export to the data loading upload storing step;The first information acquisition step includes two steps, is successively manual initiation Data acquisition, user input information in register system;The second information collection step includes two steps, is successively automatically initiated System obtains patient information automatically in data acquisition, institute.In the present embodiment, the second information collection step is by patient assessment Implementing Hospital, the first information acquisition step by the community hospital of patient or patient assessment implement.
In the present embodiment, data processing step successively includes data normalization processing, data audit and improves two steps Suddenly.In the present embodiment, the data publication applying step successively includes two data publication, data application steps.
Further, the data normalization processing is a kind of Data Integration classification method, and classification level is three-level, level-one It is classified as highest level of classification standard, three-level is classified as lowermost level classification standard.In the present embodiment, the method includes the steps 0, Step 00, step 1, step 2 and step 3.
Wherein, the step 0 includes: to formulate title, keyword and the standard code of the three-level classification, formulates described two The title and keyword of grade classification, formulate the title of the first-level class.Preferably, the step 0 further includes formulating described two The step of standard code of grade classification or default three-level classification, each secondary classification must possess standard code or silent Recognize three-level classification.
The step 00 are as follows: initial data is collected, and forms the text information read and identified for computer. In the present embodiment, the step 00 is after the step 0.
The step 1 are as follows: match collected data with low-level classification standard, such as successful match, then directly It connects the data classification into the matched low-level classification standard;It such as matches unsuccessful, then enters step 2.In this reality It applies in example, the step 1 includes step 11 and step 12.
The wherein step 11 are as follows: match the data with the three-level classification standard, such as successful match, then directly It connects the data classification into the matched three-level classification standard;Such as match it is unsuccessful, then enter the step 12.Into one Step ground, the matching way in the step 11 are as follows: first to the title of the text information of the data and three-level classification into Row matching, as that can not match, the text information of the data is matched with the standard code that the three-level is classified, such as still It can not match, the text information of the data is matched with the keyword that the three-level is classified, such as matching is still unsuccessful, Then enter step 12.
The wherein step 12 are as follows: match the data with the secondary classification standard, such as successful match, then directly It connects the data classification into the matched secondary classification standard;It such as matches unsuccessful, then enters step 2.Further, Matching way in the step 12 are as follows: first to the title progress of the text information of the data and the secondary classification Match, as that can not match, the text information of the data matched with the keyword of the secondary classification, such as still can not With then entering step 2.Still further, then entering step 3 after step 12 successful match: if the matched second level Classification possesses standard code, then by the data classification into the secondary classification standard;If the matched secondary classification Possess the default three-level classification, then by the data classification into default three-level classification.
In the present embodiment, the keyword includes a class keywords and two class keywords, as included institute in the data A class keywords are stated, and do not include two class keywords in the data, then the data and Keywords matching success.
Further, in the present embodiment, the step 0 further includes the steps that formulating default search condition, each described Preset search condition described in corresponding one group of three classes classification, the step 2 is after it fails to match, is determining that the data classification fails it Before, further include step 4: the data are matched with the default search condition, if successful match, the data classification To in the three-level classification corresponding to the matched default search condition.Further, the default search condition packet It includes a kind of default search condition and two classes presets search condition, as included a kind of default search condition in the data, and Do not include two class in the data and preset search condition, then the data and the default search condition successful match.
In the present embodiment, the output data of the patient information typing step enters data loading upload and deposits Store up step.Further, the patient information typing step successively includes hierarchical system typing, user's accessing system, selection record Enter three steps such as information model typing patient data.Further, in the Select input information model typing patient data It further include template typing step before step.Further, the template typing step is implemented by leading medical institutions.
In other embodiments, the first information acquisition step, the second information collection step information source also It can be exchanged with the case where embodiment one, or data collection is carried out by other information source, information source mode is not Influence the realization of purpose of design of the present invention.
It in other embodiments, can not also include the data publication applying step, the information is received through the invention How data collected by set method utilize the realization for having no effect on purpose of design of the present invention.
In other embodiments, the data processing step can not also include the data normalization processing and/or institute State data audit with it is perfect, or even do not include the data processing step, do not influence the realization of purpose of design of the present invention.
In other embodiments, the data normalization processing can also be realized by other means.
It in other embodiments, can not also include the patient information typing step and the template typing step, It can only not include the template typing step.
Obviously, the above embodiments are merely examples for clarifying the description, and does not limit the embodiments.It is right For those of ordinary skill in the art, can also make on the basis of the above description it is other it is various forms of variation or It changes.There is no necessity and possibility to exhaust all the enbodiments.And thus amplify out it is obvious variation or It changes still within the protection scope of the invention.

Claims (10)

1. a kind of brain tumor medical record information collection method successively uploads storing step including information collection step, data loading, Be characterized in that: the information collection step includes that first information acquisition step, the second information collection step and advance data are adopted Collection, wherein the first information acquisition step, the second information collection step information collected are acquired by advance data After export to the data loading upload storing step;The first information acquisition step includes two steps, is successively manual initiation Data acquisition, user input information in register system;The second information collection step includes two steps, is successively automatically initiated System obtains patient information automatically in data acquisition, institute.
2. formation gathering method according to claim 1, it is characterised in that: the second information collection step by patient just The Implementing Hospital examined, the first information acquisition step are implemented by the community hospital of patient or patient assessment.
3. formation gathering method according to claim 1, it is characterised in that: it further include patient information typing step, it is described The output data of patient information typing step enters the data loading and uploads storing step.
4. formation gathering method according to claim 3, it is characterised in that: the patient information typing step successively includes Three steps such as hierarchical system typing, user's accessing system, Select input information model typing patient data.
5. formation gathering method according to claim 4, it is characterised in that: suffer from the Select input information model typing It further include template typing step before person's data step.
6. formation gathering method according to claim 5, it is characterised in that: the template typing step is by leading therapeutic machine Structure is implemented.
7. formation gathering method according to claim 1, it is characterised in that: further include data processing step.
8. formation gathering method according to claim 7, it is characterised in that: the data processing step successively includes data Standardization, data are audited and improve two steps.
9. formation gathering method according to claim 8, it is characterised in that: after the data processing step, further include Data publication applying step.
10. formation gathering method according to claim 9, it is characterised in that: the data publication applying step successively wraps Include two data publication, data application steps.
CN201710810476.5A 2017-09-11 2017-09-11 A kind of brain tumor medical record information collection method Pending CN110070947A (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101504694A (en) * 2008-02-04 2009-08-12 朱建国 Medical clinical patient information material statistics and analysis system and method
CN102207990A (en) * 2010-03-31 2011-10-05 国际商业机器公司 Method and device for providing adverse effect information of drugs
CN104268438A (en) * 2014-10-21 2015-01-07 王跃 Spinal disease medical record online collection database and data collection method
CN105243284A (en) * 2015-11-06 2016-01-13 吴志宏 Pancreatic cancer information collection system and using method thereof
CN105787233A (en) * 2014-12-20 2016-07-20 哈尔滨智晟天诚科技开发有限公司 Case management and information acquisition system

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101504694A (en) * 2008-02-04 2009-08-12 朱建国 Medical clinical patient information material statistics and analysis system and method
CN102207990A (en) * 2010-03-31 2011-10-05 国际商业机器公司 Method and device for providing adverse effect information of drugs
CN104268438A (en) * 2014-10-21 2015-01-07 王跃 Spinal disease medical record online collection database and data collection method
CN105787233A (en) * 2014-12-20 2016-07-20 哈尔滨智晟天诚科技开发有限公司 Case management and information acquisition system
CN105243284A (en) * 2015-11-06 2016-01-13 吴志宏 Pancreatic cancer information collection system and using method thereof

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Application publication date: 20190730