CN110704583A - Medical record analysis method and device, server and storage medium - Google Patents
Medical record analysis method and device, server and storage medium Download PDFInfo
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- CN110704583A CN110704583A CN201910897668.3A CN201910897668A CN110704583A CN 110704583 A CN110704583 A CN 110704583A CN 201910897668 A CN201910897668 A CN 201910897668A CN 110704583 A CN110704583 A CN 110704583A
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F16/00—Information retrieval; Database structures therefor; File system structures therefor
- G06F16/30—Information retrieval; Database structures therefor; File system structures therefor of unstructured textual data
- G06F16/33—Querying
- G06F16/3331—Query processing
- G06F16/334—Query execution
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- 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
- G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
Abstract
The invention discloses a medical record analysis method, a device, a server and a storage medium, wherein the method comprises the following steps: when a medical record analysis trigger event is detected, acquiring a medical data set of a hospital; the medical data set comprises all relevant record information of patients hospitalizing in the hospital; the correlated HIS expense system is used for analyzing medical records of the medical data set from the dimension of the patient, the dimension of the disease species, the operation information and the hospitalization condition, and generating a medical record analysis report from the medical record analysis result according to a preset report template and indexes; wherein, the medical record analysis comprises disease characteristics, diagnosis basis, differential diagnosis and treatment plan. The invention can realize the real-time update of hospital medical data and the more comprehensive analysis of medical records.
Description
Technical Field
The invention relates to the technical field of medical treatment, in particular to a medical record analysis method, a medical record analysis device, a server and a storage medium.
Background
A medical management system of a hospital stores a large amount of medical data in which information such as basic information, medical records, and payment information of a user is recorded. However, the existing medical management system lacks an effective medical quality supervision system, especially for medical record analysis, and the information of the medical record system lags behind.
Disclosure of Invention
The technical problem to be solved by the present invention is to provide a medical record analysis method, device, server and storage medium, which can realize the real-time update of hospital medical data and the more comprehensive analysis of medical records.
An embodiment of the present invention provides a medical record analysis method, including:
when a medical record analysis trigger event is detected, acquiring a medical data set of a hospital; the medical data set comprises all relevant record information of patients hospitalizing in the hospital;
the correlated HIS expense system is used for analyzing medical records of the medical data set from the dimension of the patient, the dimension of the disease species, the operation information and the hospitalization condition, and generating a medical record analysis report from the medical record analysis result according to a preset report template and indexes; wherein, the medical record analysis comprises disease characteristics, diagnosis basis, differential diagnosis and treatment plan.
Preferably, the medical record analysis method further comprises:
and (4) grading the treatment quality of the hospital and relevant doctors according to a preset grading rule by combining with case analysis.
Wherein the scoring dimensions include a real-time dimension, an association dimension, a continuity dimension, and an integrity dimension;
the real-time dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the business real-time performance of the medical data of the hospital;
the relevance dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the proportion of the relevant data quantity which can be related to the first page of the medical record in the medical data set and the total data quantity of the medical data set;
the continuity dimension is a dimension for grading the treatment quality of the hospital and relevant doctors based on whether a medical record analysis system of the hospital has medical data transmission every day;
the integrity dimension is a dimension for scoring the treatment quality of the hospital and the related doctors by the percentage of the medical data volume transmitted by the transmission field in the total medical data volume carried by the transmission field.
An embodiment of the present invention further provides a medical record analysis device, including:
the data acquisition unit is used for acquiring a medical data set of the hospital when a medical record analysis triggering event is detected; the medical data set comprises all relevant record information of patients hospitalizing in the hospital;
the medical record analysis unit is used for associating the HIS expense system, analyzing the medical record of the medical data set from the dimension of the patient, the dimension of the disease species, the operation information and the hospitalization condition, and generating a medical record analysis report according to the medical record analysis result according to a preset report template and indexes; wherein, the medical record analysis comprises disease characteristics, diagnosis basis, differential diagnosis and treatment plan.
Preferably, the medical record analysis device further comprises:
and the medical quality scoring unit is used for scoring the hospital treatment quality and relevant doctors according to a preset scoring rule by combining with case analysis.
Wherein the scoring dimensions include a real-time dimension, an association dimension, a continuity dimension, and an integrity dimension;
the real-time dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the business real-time performance of the medical data of the hospital;
the relevance dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the proportion of the relevant data quantity which can be related to the first page of the medical record in the medical data set and the total data quantity of the medical data set;
the continuity dimension is a dimension for grading the treatment quality of the hospital and relevant doctors based on whether a medical record analysis system of the hospital has medical data transmission every day;
the integrity dimension is a dimension for scoring the treatment quality of the hospital and the related doctors by the percentage of the medical data volume transmitted by the transmission field in the total medical data volume carried by the transmission field.
An embodiment of the present invention further provides a medical record analysis server, including:
one or more processors;
storage means for storing one or more programs;
when executed by the one or more processors, cause the one or more processors to implement a medical records analysis method as described above.
An embodiment of the present invention further provides a storage medium, where the storage medium includes a stored computer program, and when the computer program runs, the apparatus where the storage medium is located is controlled to execute the medical record analysis method.
According to the teaching of the embodiment, the invention can master the treatment quality condition of doctors in hospitals, analyze the disease types of patients in hospitals and other information, automatically complete various reports or indexes required to be submitted by superior, and be associated with an HIS (health information system), so that the analysis result is more comprehensive.
Drawings
In order to more clearly illustrate the technical solution of the present invention, the drawings needed to be used in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic flow chart of a method for analyzing a medical record according to an embodiment of the present invention;
FIG. 2 is a schematic flow chart of a method for analyzing a medical record according to a preferred embodiment of the present invention;
FIG. 3 is a schematic structural diagram of a medical record analysis apparatus according to an embodiment of the present invention;
fig. 4 is a schematic structural diagram of a medical record analysis apparatus according to a preferred embodiment of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It should be understood that the step numbers used herein are for convenience of description only and are not intended as limitations on the order in which the steps are performed.
It is to be understood that the terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used in the specification of the present invention and the appended claims, the singular forms "a," "an," and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise.
The terms "comprises" and "comprising" indicate the presence of the described features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof.
The term "and/or" refers to and includes any and all possible combinations of one or more of the associated listed items.
Referring to fig. 1, a medical record analysis method according to an embodiment of the present invention includes:
s100, acquiring a medical data set of a hospital when a medical record analysis trigger event is detected; the medical data set comprises all relevant record information of patients hospitalizing in the hospital;
s200, associating the HIS expense system, analyzing medical records of the medical data set from the dimension of the patient, the dimension of the disease species, the operation information and the hospitalization condition, and generating a medical record analysis report from the medical record analysis result according to a preset report template and indexes; wherein, the medical record analysis comprises disease characteristics, diagnosis basis, differential diagnosis and treatment plan.
The medical record analysis system mainly performs analysis by taking a medical record home page as core content, mainly supervises the medical quality of a hospital, and further performs analysis on the dimensionality of a patient, the dimensionality of a disease species, operation information, hospitalization conditions and the like. The statistical medical record management system for Guangdong province hospitals has data from discharged patients, and the information is updated monthly with relative delay. Therefore, the HIS system of the hospital makes up the defect of lagging medical record system, and the data is updated in real time.
According to the teaching of the embodiment, the invention can master the treatment quality condition of doctors in hospitals, analyze the disease types of patients in hospitals and other information, automatically complete various reports or indexes required to be submitted by superior, and be associated with an HIS (health information system), so that the analysis result is more comprehensive.
Referring to fig. 2, in a preferred embodiment, the method for analyzing a medical record further includes:
and S300, combining medical record analysis, and scoring the treatment quality of the hospital and relevant doctors according to a preset scoring rule.
Wherein the scoring dimensions include a real-time dimension, an association dimension, a continuity dimension, and an integrity dimension;
the real-time dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the business real-time performance of the medical data of the hospital;
the relevance dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the proportion of the relevant data quantity which can be related to the first page of the medical record in the medical data set and the total data quantity of the medical data set;
the continuity dimension is a dimension for grading the treatment quality of the hospital and relevant doctors based on whether a medical record analysis system of the hospital has medical data transmission every day;
the integrity dimension is a dimension for scoring the treatment quality of the hospital and the related doctors by the percentage of the medical data volume transmitted by the transmission field in the total medical data volume carried by the transmission field.
In a specific embodiment, after the hospital treatment quality and the relevant doctors are scored, the scoring result comprises a scoring value in at least one scoring dimension, and the hospital treatment quality score is calculated according to the scoring value in at least one scoring dimension. And acquiring a preset score threshold, judging whether the medical quality score is greater than the score threshold, if so, determining the medical quality score is qualified, otherwise, generating prompt information, wherein the prompt information carries an rectification instruction and is used for prompting a hospital to rectify according to the rectification instruction.
The medical quality is graded from multiple dimensions, and the medical quality of the hospital is analyzed according to the comprehensive grading result, so that the medical quality analysis mode is complex, and the accuracy of the medical quality analysis result can be improved.
Referring to fig. 3, an embodiment of the present invention further provides a medical record analysis apparatus, including:
the data acquisition unit 10 is used for acquiring a medical data set of the hospital when a medical record analysis triggering event is detected; the medical data set comprises all relevant record information of patients hospitalizing in the hospital;
the medical record analysis unit 20 is used for associating the HIS expense system, analyzing the medical record of the medical data set from the dimension of the patient, the dimension of the disease category, the operation information and the hospitalization condition, and generating a medical record analysis report according to a preset report template and indexes; wherein, the medical record analysis comprises disease characteristics, diagnosis basis, differential diagnosis and treatment plan.
The medical record analysis system mainly performs analysis by taking a medical record home page as core content, mainly supervises the medical quality of a hospital, and further performs analysis on the dimensionality of a patient, the dimensionality of a disease species, operation information, hospitalization conditions and the like. The statistical medical record management system for Guangdong province hospitals has data from discharged patients, and the information is updated monthly with relative delay. Therefore, the HIS system of the hospital makes up the defect of lagging medical record system, and the data is updated in real time.
According to the teaching of the embodiment, the invention can master the treatment quality condition of doctors in hospitals, analyze the disease types of patients in hospitals and other information, automatically complete various reports or indexes required to be submitted by superior, and be associated with an HIS (health information system), so that the analysis result is more comprehensive.
Referring to fig. 4, in a preferred embodiment, the medical record analyzing apparatus further includes:
and the medical quality scoring unit 30 is used for scoring the treatment quality of the hospital and relevant doctors according to a preset scoring rule by combining with case analysis.
Wherein the scoring dimensions include a real-time dimension, an association dimension, a continuity dimension, and an integrity dimension;
the real-time dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the business real-time performance of the medical data of the hospital;
the relevance dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the proportion of the relevant data quantity which can be related to the first page of the medical record in the medical data set and the total data quantity of the medical data set;
the continuity dimension is a dimension for grading the treatment quality of the hospital and relevant doctors based on whether a medical record analysis system of the hospital has medical data transmission every day;
the integrity dimension is a dimension for scoring the treatment quality of the hospital and the related doctors by the percentage of the medical data volume transmitted by the transmission field in the total medical data volume carried by the transmission field.
In a specific embodiment, after the hospital treatment quality and the relevant doctors are scored, the scoring result comprises a scoring value in at least one scoring dimension, and the hospital treatment quality score is calculated according to the scoring value in at least one scoring dimension. And acquiring a preset score threshold, judging whether the medical quality score is greater than the score threshold, if so, determining the medical quality score is qualified, otherwise, generating prompt information, wherein the prompt information carries an rectification instruction and is used for prompting a hospital to rectify according to the rectification instruction.
The medical quality is graded from multiple dimensions, and the medical quality of the hospital is analyzed according to the comprehensive grading result, so that the medical quality analysis mode is complex, and the accuracy of the medical quality analysis result can be improved.
An embodiment of the present invention further provides a medical record analysis server, including:
one or more processors;
storage means for storing one or more programs;
when executed by the one or more processors, cause the one or more processors to implement a medical records analysis method as described above.
An embodiment of the present invention further provides a storage medium, where the storage medium includes a stored computer program, and when the computer program runs, the apparatus where the storage medium is located is controlled to execute the medical record analysis method.
It will be understood by those skilled in the art that all or part of the processes of the methods of the embodiments described above can be implemented by a computer program, which can be stored in a computer-readable storage medium, and can include the processes of the embodiments of the methods described above when the computer program is executed. The storage medium may be a magnetic disk, an optical disk, a Read-Only Memory (ROM), a Random Access Memory (RAM), or the like.
While the foregoing is directed to the preferred embodiment of the present invention, it will be understood by those skilled in the art that various changes and modifications may be made without departing from the spirit and scope of the invention.
Claims (8)
1. A method for analyzing a medical record, comprising:
when a medical record analysis trigger event is detected, acquiring a medical data set of a hospital; the medical data set comprises all relevant record information of patients hospitalizing in the hospital;
the correlated HIS expense system is used for analyzing medical records of the medical data set from the dimension of the patient, the dimension of the disease species, the operation information and the hospitalization condition, and generating a medical record analysis report from the medical record analysis result according to a preset report template and indexes; wherein, the medical record analysis comprises disease characteristics, diagnosis basis, differential diagnosis and treatment plan.
2. The method of claim 1, further comprising:
and (4) grading the treatment quality of the hospital and relevant doctors according to a preset grading rule by combining with case analysis.
3. The medical record analysis method according to claim 2, wherein the scoring dimensions include a real-time dimension, a relevance dimension, a continuity dimension, and an integrity dimension;
the real-time dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the business real-time performance of the medical data of the hospital;
the relevance dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the proportion of the relevant data quantity which can be related to the first page of the medical record in the medical data set and the total data quantity of the medical data set;
the continuity dimension is a dimension for grading the treatment quality of the hospital and relevant doctors based on whether a medical record analysis system of the hospital has medical data transmission every day;
the integrity dimension is a dimension for scoring the treatment quality of the hospital and the related doctors by the percentage of the medical data volume transmitted by the transmission field in the total medical data volume carried by the transmission field.
4. A medical record analysis device, comprising:
the data acquisition unit is used for acquiring a medical data set of the hospital when a medical record analysis triggering event is detected; the medical data set comprises all relevant record information of patients hospitalizing in the hospital;
the medical record analysis unit is used for associating the HIS expense system, analyzing the medical record of the medical data set from the dimension of the patient, the dimension of the disease species, the operation information and the hospitalization condition, and generating a medical record analysis report according to the medical record analysis result according to a preset report template and indexes; wherein, the medical record analysis comprises disease characteristics, diagnosis basis, differential diagnosis and treatment plan.
5. The medical record analysis device according to claim 4, further comprising:
and the medical quality scoring unit is used for scoring the hospital treatment quality and relevant doctors according to a preset scoring rule by combining with case analysis.
6. The medical record analysis device according to claim 5, wherein the scoring dimensions include a real-time dimension, a relevance dimension, a continuity dimension, and an integrity dimension;
the real-time dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the business real-time performance of the medical data of the hospital;
the relevance dimension is a dimension for scoring the treatment quality of the hospital and relevant doctors based on the proportion of the relevant data quantity which can be related to the first page of the medical record in the medical data set and the total data quantity of the medical data set;
the continuity dimension is a dimension for grading the treatment quality of the hospital and relevant doctors based on whether a medical record analysis system of the hospital has medical data transmission every day;
the integrity dimension is a dimension for scoring the treatment quality of the hospital and the related doctors by the percentage of the medical data volume transmitted by the transmission field in the total medical data volume carried by the transmission field.
7. A medical record analysis server, comprising:
one or more processors;
storage means for storing one or more programs;
when executed by the one or more processors, cause the one or more processors to implement a medical records analysis method as claimed in any one of claims 1 to 3.
8. A storage medium comprising a stored computer program, wherein the apparatus on which the storage medium is stored is controlled to perform the medical record analysis method according to any one of claims 1 to 3 when the computer program is executed.
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