CN113096753A - Automatic patient data checking method and device - Google Patents
Automatic patient data checking method and device Download PDFInfo
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- CN113096753A CN113096753A CN202110317701.8A CN202110317701A CN113096753A CN 113096753 A CN113096753 A CN 113096753A CN 202110317701 A CN202110317701 A CN 202110317701A CN 113096753 A CN113096753 A CN 113096753A
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- 238000000034 method Methods 0.000 title claims abstract description 45
- 238000003745 diagnosis Methods 0.000 claims abstract description 154
- 238000012795 verification Methods 0.000 claims description 19
- 238000013524 data verification Methods 0.000 claims description 15
- 238000004590 computer program Methods 0.000 claims description 11
- 230000002159 abnormal effect Effects 0.000 claims description 5
- 208000006117 ST-elevation myocardial infarction Diseases 0.000 description 6
- 206010000891 acute myocardial infarction Diseases 0.000 description 6
- 238000007726 management method Methods 0.000 description 6
- 230000004048 modification Effects 0.000 description 5
- 238000012986 modification Methods 0.000 description 5
- 201000010099 disease Diseases 0.000 description 4
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 208000024891 symptom Diseases 0.000 description 3
- 238000003908 quality control method Methods 0.000 description 2
- 206010008479 Chest Pain Diseases 0.000 description 1
- 208000006011 Stroke Diseases 0.000 description 1
- 238000013176 antiplatelet therapy Methods 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000004217 heart function Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000002458 infectious effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
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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
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F40/00—Handling natural language data
- G06F40/10—Text processing
- G06F40/166—Editing, e.g. inserting or deleting
- G06F40/186—Templates
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
- G06Q10/063—Operations research, analysis or management
- G06Q10/0639—Performance analysis of employees; Performance analysis of enterprise or organisation operations
- G06Q10/06393—Score-carding, benchmarking or key performance indicator [KPI] analysis
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
- G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
- G06Q10/063—Operations research, analysis or management
- G06Q10/0639—Performance analysis of employees; Performance analysis of enterprise or organisation operations
- G06Q10/06395—Quality analysis or management
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A90/00—Technologies having an indirect contribution to adaptation to climate change
- Y02A90/10—Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
Abstract
The invention relates to a method and a device for automatically checking patient data, wherein the method comprises the following steps: presetting diagnosis and treatment time axis templates of different types of patients; acquiring various diagnosis and treatment information of a current patient and time information corresponding to the diagnosis and treatment information; acquiring a corresponding diagnosis and treatment time axis template according to the type of the current patient; and checking each diagnosis and treatment information according to the corresponding diagnosis and treatment time axis template, judging whether diagnosis and treatment information with wrong time sequence exists, if so, giving a warning prompt, and otherwise, reporting each diagnosis and treatment information. The medical information management system can check the diagnosis and treatment information in time, avoid input mistakes and omissions and ensure the normal operation of the medical information management system.
Description
Technical Field
The invention relates to the technical field of diagnosis and treatment information verification, in particular to a method and a device for automatically verifying patient data and a computer storage medium.
Background
With the continuous development of informatization, the management of medical information is gradually developed into a modern, scientific and standardized means. When managing medical information, management of entry information is a problem to be solved first.
At present, information input work is generally completed by manual input of a user, and the manual input mode is inevitable to cause error and omission. Moreover, the information entry at different clinical stages is generally done by different people, so that some negligence and missed indication are more likely to occur. Especially, in the case of emergency, the information may not be checked in time, and it is difficult to ensure the correctness of the entered information. The entered information is the basis of the overall medical information management, and if the correctness of the entered information cannot be guaranteed, the acquisition and management of other subsequent information cannot be guaranteed. Meanwhile, for some special diseases, such as diseases which may be infectious, the information recorded in the method needs to be reported to a previous system, so that the correctness of the information needs to be ensured before reporting.
Disclosure of Invention
In view of the above, there is a need to provide a method and a device for automatically verifying patient data, so as to solve the problem that the correctness of the medical information entry is difficult to be ensured and the normal operation of the medical information management system is affected.
The invention provides an automatic patient data checking method, which comprises the following steps:
presetting diagnosis and treatment time axis templates of different types of patients;
acquiring various diagnosis and treatment information of a current patient and time information corresponding to the diagnosis and treatment information;
acquiring a corresponding diagnosis and treatment time axis template according to the type of the current patient;
and checking each diagnosis and treatment information according to the corresponding diagnosis and treatment time axis template, judging whether diagnosis and treatment information with wrong time sequence exists, if so, giving a warning prompt, and otherwise, reporting each diagnosis and treatment information.
Further, set up the time axis template of diagnosing of different grade type patient, specifically do:
setting corresponding diagnosis and treatment items and sequence requirements of the diagnosis and treatment items according to the types of patients;
and generating the diagnosis and treatment time axis template by combining the diagnosis and treatment items and the sequence requirements thereof.
Further, obtaining various diagnosis and treatment information of the current patient specifically includes:
and configuring an information entry template, and collecting various diagnosis and treatment information of the patient entered by the user through the information entry template.
Further, acquiring time information of each item of diagnosis and treatment information specifically includes:
and acquiring the entry time of each item of diagnosis and treatment information of a patient entered by a user as corresponding time information.
Further, check each item of diagnosis and treatment information according to the corresponding diagnosis and treatment time axis template, specifically:
and judging whether the time information of each item of diagnosis and treatment information meets the sequence specified by the diagnosis and treatment time axis template.
Further, the method also comprises the following steps: checking the duration of each diagnosis and treatment item;
the method is used for checking each diagnosis and treatment item, and specifically comprises the following steps:
the diagnosis and treatment time axis template also comprises time length indexes of various diagnosis and treatment items;
calculating the actual duration of each diagnosis and treatment item according to the time information of each diagnosis and treatment information of the current patient;
and judging whether the actual time length meets the corresponding time length index, if so, reporting all diagnosis and treatment information, and otherwise, carrying out warning prompt.
Further, necessary information verification is carried out on all the diagnosis and treatment information;
carrying out necessary information verification on various diagnosis and treatment information, which specifically comprises the following steps:
and judging whether each diagnosis and treatment information contains all necessary information, if so, reporting each diagnosis and treatment information, and otherwise, carrying out warning prompt.
Further, the method also comprises the following steps: and modifying the abnormal diagnosis and treatment information related to the warning prompt, and reporting the modified diagnosis and treatment information.
The invention also provides an automatic patient data checking device which comprises a processor and a memory, wherein the memory is stored with a computer program, and the computer program is executed by the processor to realize the automatic patient data checking method.
The invention also provides a computer storage medium, on which a computer program is stored, wherein the computer program is executed by a processor to realize the automatic patient data verification method.
Has the advantages that: before information is input, different diagnosis and treatment time axis templates are configured, and different diagnosis and treatment time axis templates describe diagnosis and treatment processes of different types of patients. And then checking the diagnosis and treatment information input at each diagnosis and treatment stage of the current patient according to the diagnosis and treatment time axis template, and judging whether the input of each diagnosis and treatment information accords with the time sequence specified by the corresponding template, thereby judging whether the corresponding information is input wrongly. And when the information entry is wrong, a warning prompt is given so as to modify the information in time. The invention can ensure the correctness of information input and the normal operation of the medical information management system.
Drawings
Fig. 1 is a flowchart of a first embodiment of a method for automatically verifying patient data according to the present invention;
fig. 2 is an exemplary diagram of a diagnosis and treatment time axis template according to a first embodiment of the patient data automatic examination method provided by the present invention;
fig. 3 is a schematic view illustrating a time-length check of a first embodiment of an automatic patient data checking method according to the present invention;
FIG. 4 is a schematic diagram illustrating the verification of essential information according to the first embodiment of the method for automatically verifying patient data according to the present invention;
fig. 5 is a detailed flowchart of a first embodiment of an automatic patient data verification method according to the present invention.
Detailed Description
The accompanying drawings, which are incorporated in and constitute a part of this application, illustrate preferred embodiments of the invention and together with the description, serve to explain the principles of the invention and not to limit the scope of the invention.
Example 1
As shown in fig. 1, an embodiment 1 of the present invention provides an automatic patient data verification method, including the following steps:
s1, presetting diagnosis and treatment time axis templates of different types of patients;
s2, acquiring various diagnosis and treatment information of the current patient and time information corresponding to the diagnosis and treatment information;
s3, acquiring a corresponding diagnosis and treatment time axis template according to the type of the current patient;
and S4, checking each diagnosis and treatment information according to the corresponding diagnosis and treatment time axis template, judging whether diagnosis and treatment information with wrong time sequence exists, if so, giving a warning prompt, otherwise, reporting each diagnosis and treatment information.
In the embodiment, before information entry, different diagnosis and treatment time axis templates are configured for different types of patients. Different types of patients particularly refer to patients with different reasons for treatment. When patients have different treatment reasons (the treatment reasons include chest pain, stroke and trauma), corresponding diagnosis and treatment processes are generally provided for examination, diagnosis and treatment, so that a diagnosis and treatment time axis template can be constructed according to the corresponding diagnosis and treatment processes so as to be used for time sequence verification of subsequent input information. After the diagnosis and treatment time axis template is established, after a user inputs various diagnosis and treatment information of a patient and corresponding time information of the diagnosis and treatment information, time axis verification is timely carried out on the various diagnosis and treatment information, whether the time information of the various diagnosis and treatment information meets requirements or not is judged, for example, the time sequence on a business process is wrong, and once the mistake is found, a warning prompt is timely sent out to prompt the user to check and modify the information. And outputting a modification page while outputting the warning prompt information, and if the modification is needed, directly clicking a display frame on the time axis to enter time editing and modification. And if the verification is correct, the information is directly reported. Specifically, the information required to be reported is reported after being checked to be correct, and the information not required to be reported is stored after being checked to be correct.
Preferably, the diagnosis and treatment time axis template for the different types of patients is set, and specifically comprises the following steps:
setting corresponding diagnosis and treatment items and sequence requirements of the diagnosis and treatment items according to the types of patients;
and generating the diagnosis and treatment time axis template by combining the diagnosis and treatment items and the sequence requirements thereof.
Specifically, this embodiment sets up the diagnosis and treatment time axis template that the patient of STEMI type corresponds, and this diagnosis and treatment time axis template includes morbidity, the first heart electrograph collection in the hospital, the first heart electrograph diagnosis in the hospital, begin informed consent, start the catheter room, activate the catheter room, the patient arrives the catheter room, decides the intervention operation, signs the informed consent, the seal wire is through ten items of diagnosing altogether, and stipulate three sequence requirements, and three sequence requirements are respectively: the time of starting the informed consent should be later than the time of starting the catheterization room, the time of starting the catheterization room should be later than the time of deciding the interventional operation, and the time of signing the informed consent should be later than the time of starting the informed consent. And checking the diagnosis and treatment information of the patients of the corresponding types according to the diagnosis and treatment time axis template.
Preferably, the obtaining of various diagnosis and treatment information of the current patient specifically includes:
and configuring an information entry template, and collecting various diagnosis and treatment information of the patient entered by the user through the information entry template.
Before the diagnosis and treatment information is acquired, the information entry template is configured, a user carries out information entry according to the prompt of the pre-configured information entry template, the patient information is collected, the error and leakage conditions of the information entry are reduced, and the frequency of subsequent modification is reduced. Specifically, the information entry template includes a sub-template for each clinical item for each type of patient.
Preferably, the time information of each item of diagnosis and treatment information is acquired, specifically:
and acquiring the entry time of each item of diagnosis and treatment information of a patient entered by a user as corresponding time information.
Generally, when a patient performs various diagnosis and treatment items, the patient can enter various diagnosis and treatment information simultaneously, so that the time for entering the diagnosis and treatment information can be used as the time information corresponding to the diagnosis and treatment information, the automatic entry of the time information is realized, and the workload is reduced. Meanwhile, after the time information is automatically input, the user can be prompted to check the automatically input time information, and if the time information is wrong, the time information is modified.
Preferably, each item of diagnosis and treatment information is checked according to a corresponding diagnosis and treatment time axis template, and the method specifically comprises the following steps:
and judging whether the time information of each item of diagnosis and treatment information meets the sequence specified by the diagnosis and treatment time axis template.
Specifically, fig. 2 shows a flow chart of diagnosis and treatment information of a patient of STEMI type, which can be determined from the acquisition time of each diagnosis and treatment item in the diagram, and the diagnosis and treatment information check of the patient does not meet two sequential requirements in the template, that is, the time of starting to know the informed consent should be later than the time of starting the catheter room, and the time of starting the catheter room should be later than the time of deciding the intervention operation, so that a warning prompt needs to be output to prompt the user to modify the diagnosis and treatment information, and the diagnosis and treatment information is reported after being modified.
Preferably, the method further comprises the following steps: checking the duration of each diagnosis and treatment item;
the method is used for checking each diagnosis and treatment item, and specifically comprises the following steps:
the diagnosis and treatment time axis template also comprises time length indexes of various diagnosis and treatment items;
calculating the actual duration of each diagnosis and treatment item according to the time information of each diagnosis and treatment information of the current patient;
and judging whether the actual time length meets the corresponding time length index, if so, reporting all diagnosis and treatment information, and otherwise, carrying out warning prompt.
In addition to the time sequence requirement of each diagnosis and treatment item, the present embodiment also performs a verification on the time length requirement of each diagnosis and treatment item. When the patient diagnosis and treatment time axis template of the STEMI type is set, the duration index of each diagnosis and treatment item is set, for example, the duration index is greater than the set time, smaller than the set time or in the set time range. And then calculating the actual duration of each diagnosis and treatment item according to the recorded time information of the diagnosis and treatment information, and judging whether the actual duration meets the duration index or not.
Specifically, fig. 3 shows three quality control indexes (instant long indexes) of the diagnosis and treatment time axis template of the STEMI type patient, which are respectively: the instruction control requirement (immediate length requirement) from the symptom time (disease onset time) to the first medical contact time of the STEMI patient is less than or equal to 180min, the acquisition time from the first medical contact time to the first electrocardiogram is less than or equal to 10min, and the entry time (hospital arrival time) to the guide wire passing time of the STEMI patient in PPCI is less than or equal to 90 min. The three quality control indexes are respectively abbreviated as: symptom to first touch time, first touch to ECG time, entry to guide wire transit time.
The time information of each diagnosis and treatment item is also shown in fig. 3, the disease onset time is not recorded, the first medical contact time is 2020-07-0915: 21:46, the first electrocardiogram acquisition time is 2020-07-0915: 22:00, the hospital gate arrival time is 2020-07-0915: 19:00, and the guide wire passing time is 2020-07-0915: 29: 00. The actual duration calculated according to the time information of each diagnosis and treatment item is as follows: the time from symptom to first-touch can not be calculated because the attack time is not recorded; the first contact ECG time is 1min, and the entry-to-guide wire passing time is 10 min. The calculated actual time length meets the requirement of the corresponding time length index, so that the diagnosis and treatment information can be directly reported.
Preferably, the method also comprises the step of performing necessary information verification on each item of diagnosis and treatment information;
carrying out necessary information verification on various diagnosis and treatment information, which specifically comprises the following steps:
and judging whether each diagnosis and treatment information contains all necessary information, if so, reporting each diagnosis and treatment information, and otherwise, carrying out warning prompt.
The necessary information is the item which must be input for reporting, the necessary information verification means that whether the item of the necessary input information of each sub-template (such as an emergency call receiving input module, a hospital emergency call input module and the like) in the information input template is input or not is determined, if the item of the necessary input information is not input, abnormal data modification is required, namely, a page is clicked for editing and operating.
Specifically, fig. 4 shows the delivery-necessary items included in the information entry template provided in this embodiment, where the delivery-necessary item included in the emergency (in-hospital) visit stage is the notification consultation time, the delivery-necessary item for in-hospital examination includes remote electrocardiogram transmission, emergency CT, color ultrasound, and MRI, and the delivery-necessary item in the in-hospital consultation stage includes in-hospital consultation time, cardiac function grading, and antiplatelet therapy.
Preferably, the method further comprises the following steps: and modifying the abnormal diagnosis and treatment information related to the warning prompt, and reporting the modified diagnosis and treatment information.
Specifically, the detailed flow of the embodiment is as shown in fig. 5, S11, setting a diagnosis and treatment time axis template; s21, after the diagnosis and treatment information is input into the new patient; after the new patient inputs diagnosis and treatment information, performing triage to determine the type of the patient; the triage can adopt a manual triage mode, and can also be configured with a triage template for automatic triage; s31, matching a time axis template after triage is finished; selecting a corresponding diagnosis and treatment time axis template to perform three types of data verification; the three types of data verification are S41 and necessary information verification respectively; s42, checking a time axis; s43, time length check; s44, after the verification is completed, modifying and adjusting the abnormal data with errors in the verification; and S45, reporting the modified and adjusted perfection data.
Example 2
The automatic patient data checking device provided by the embodiment of the invention is used for realizing the automatic patient data checking method, so that the technical effect of the automatic patient data checking method is also achieved by the automatic patient data checking device, and the details are not repeated herein.
Example 3
The computer storage medium provided by the embodiment of the invention is used for realizing the automatic patient data verification method, so that the technical effect of the automatic patient data verification method is achieved, and the computer storage medium also has the technical effect, and is not repeated herein.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any changes or substitutions that can be easily conceived by those skilled in the art within the technical scope of the present invention are included in the scope of the present invention.
Claims (10)
1. An automatic patient data verification method is characterized by comprising the following steps:
presetting diagnosis and treatment time axis templates of different types of patients;
acquiring various diagnosis and treatment information of a current patient and time information corresponding to the diagnosis and treatment information;
acquiring a corresponding diagnosis and treatment time axis template according to the type of the current patient;
and checking each diagnosis and treatment information according to the corresponding diagnosis and treatment time axis template, judging whether diagnosis and treatment information with wrong time sequence exists, if so, giving a warning prompt, and otherwise, reporting each diagnosis and treatment information.
2. The patient data automatic verification method according to claim 1, wherein diagnosis and treatment time axis templates of different types of patients are set, specifically:
setting corresponding diagnosis and treatment items and sequence requirements of the diagnosis and treatment items according to the types of patients;
and generating the diagnosis and treatment time axis template by combining the diagnosis and treatment items and the sequence requirements thereof.
3. The patient data automatic verification method according to claim 1, wherein the obtaining of various diagnosis and treatment information of the current patient specifically comprises:
and configuring an information entry template, and collecting various diagnosis and treatment information of the patient entered by the user through the information entry template.
4. The patient data automatic verification method according to claim 1, wherein the time information of each item of medical information is acquired by:
and acquiring the entry time of each item of diagnosis and treatment information of a patient entered by a user as corresponding time information.
5. The patient data automatic examination method according to claim 1, wherein the examination of each item of medical information is performed according to a corresponding medical timeline template, specifically:
and judging whether the time information of each item of diagnosis and treatment information meets the sequence specified by the diagnosis and treatment time axis template.
6. The automated patient data verification method of claim 1, further comprising: checking the duration of each diagnosis and treatment item;
the method is used for checking each diagnosis and treatment item, and specifically comprises the following steps:
the diagnosis and treatment time axis template also comprises time length indexes of various diagnosis and treatment items;
calculating the actual duration of each diagnosis and treatment item according to the time information of each diagnosis and treatment information of the current patient;
and judging whether the actual time length meets the corresponding time length index, if so, reporting all diagnosis and treatment information, and otherwise, carrying out warning prompt.
7. The method according to claim 1, further comprising performing necessary information verification on each item of medical information;
carrying out necessary information verification on various diagnosis and treatment information, which specifically comprises the following steps:
and judging whether each diagnosis and treatment information contains all necessary information, if so, reporting each diagnosis and treatment information, and otherwise, carrying out warning prompt.
8. The automated patient data verification method of claim 1, further comprising: and modifying the abnormal diagnosis and treatment information related to the warning prompt, and reporting the modified diagnosis and treatment information.
9. An automatic patient data verification device comprising a processor and a memory, wherein the memory stores a computer program, and the computer program, when executed by the processor, implements the automatic patient data verification method according to any one of claims 1 to 8.
10. A computer storage medium having a computer program stored thereon, wherein the computer program, when executed by a processor, implements the method for automated patient data verification according to any one of claims 1-8.
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