CN116456891A - Medical data processing method and monitoring equipment - Google Patents
Medical data processing method and monitoring equipment Download PDFInfo
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- CN116456891A CN116456891A CN202180073669.1A CN202180073669A CN116456891A CN 116456891 A CN116456891 A CN 116456891A CN 202180073669 A CN202180073669 A CN 202180073669A CN 116456891 A CN116456891 A CN 116456891A
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- A—HUMAN NECESSITIES
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
Abstract
A medical data processing method and monitoring device can rapidly, completely and accurately record the actions of relevant treatment and nursing measures taken aiming at a certain disease or symptom. Especially for the application scene of sepsis, the user can customize the reference guideline version, so that the flexibility of orderly tracking management of the diseases represented by sepsis by the user is improved.
Description
The present invention claims priority from chinese patent office, application number 202011563790.6, chinese patent application entitled "a monitoring device", filed on day 25 of 12 months 2020, the entire contents of which are incorporated herein by reference.
The present application relates to the field of medical technologies, and in particular, to a medical data processing method and a monitoring device.
In the treatment of certain diseases or symptoms, clinicians need to analyze whether the treatment measures are appropriate and timely from various aspects of the patient's physical signs, the treatment scheme itself, the treatment intervention timing, the treatment behavior sequencing, and the like.
At present, when a clinician analyzes treatment measures, data and information can be acquired from an electronic medical record information system, but the data and information to be acquired by the clinician can change along with the change of a treatment method, and the difficulty of modifying the data required to be stored by the electronic medical record information system is higher because the data required to be stored by the electronic medical record information system are defined in advance.
In this case, the clinician can only acquire scattered data from the care record and doctor's advice system, and then recover the details of the whole treatment process by means of his own memory of the treatment process, and finally use the same for analysis, which is inconvenient for the clinician to summarize the treatment experience and is also unfavorable for evaluating the treatment effect.
Disclosure of Invention
According to a first aspect, there is provided a method of processing medical data, the method comprising:
acquiring a preset treatment measure set corresponding to a treatment process carried out on a target object, wherein the treatment measure set comprises a plurality of pieces of treatment measure information;
acquiring treatment related data of the target object sequentially generated during treatment;
determining matching information between each of the therapy related data and the therapy measure information in the therapy measure set, the matching information indicating: the treatment-related data is matched or not matched with at least one piece of treatment measure information in the treatment measure set;
Determining an execution state of the treatment measure information in the treatment measure set according to the matching information, wherein the execution state indicates: whether the treatment measure information is executed or not and the execution time;
displaying at least part of treatment measure information of the treatment measure set and executing state of the treatment measure information.
According to a second aspect, there is provided a monitoring device, the device comprising:
a memory storing a preset treatment measure set corresponding to a treatment process performed on a target object, the treatment measure set including a plurality of pieces of treatment measure information;
a display;
a processor configured to perform the steps of:
acquiring the treatment measure set from the memory, and displaying at least part of the acquired treatment measure information of the treatment measure set through the display;
acquiring treatment related data of the target object sequentially generated during treatment;
determining an execution state of the treatment measure information in the treatment measure set according to the treatment related data, wherein the execution state indicates: whether the treatment measure information is executed or not and the execution time;
and displaying the execution state of the treatment measure information through the display.
According to a third aspect, there is provided a non-transitory computer readable storage medium having stored thereon a computer program which, when executed by a processor, implements the steps of the medical data processing method of any of the embodiments described herein.
Fig. 1 is a block diagram of a monitoring device according to an embodiment of the present invention;
FIG. 2 is a schematic diagram of a first display interface according to an embodiment of the present invention;
FIG. 3 is a diagram illustrating a first display interface according to an embodiment of the present invention;
FIG. 4 is a schematic diagram of a third display interface according to an embodiment of the present invention;
FIG. 5 is an exemplary diagram of a third display interface according to an embodiment of the present invention;
FIG. 6 is a schematic diagram of a second display interface according to an embodiment of the present invention;
FIG. 7 is an exemplary diagram of a second display interface provided by an embodiment of the present invention;
FIG. 8 is a diagram illustrating another example of a second display interface according to an embodiment of the present invention;
fig. 9 is a flowchart of a method for processing medical data according to an embodiment of the present invention.
The invention will be described in further detail below with reference to the drawings by means of specific embodiments. Wherein like elements in different embodiments are numbered alike in association. In the following embodiments, numerous specific details are set forth in order to provide a better understanding of the present application. However, one skilled in the art will readily recognize that some of the features may be omitted, or replaced by other elements, materials, or methods in different situations. In some instances, some operations associated with the present application have not been shown or described in the specification to avoid obscuring the core portions of the present application, and may not be necessary for a person skilled in the art to describe in detail the relevant operations based on the description herein and the general knowledge of one skilled in the art.
Furthermore, the described features, operations, or characteristics of the description may be combined in any suitable manner in various embodiments. Also, various steps or acts in the method descriptions may be interchanged or modified in a manner apparent to those of ordinary skill in the art. Thus, the various orders in the description and drawings are for clarity of description of only certain embodiments, and are not meant to be required orders unless otherwise indicated.
The numbering of the components itself, e.g. "first", "second", etc., is used herein merely to distinguish between the described objects and does not have any sequential or technical meaning. The terms "coupled" and "connected," as used herein, are intended to encompass both direct and indirect coupling (coupling), unless otherwise indicated.
Referring to fig. 1, a block diagram of a monitoring device according to an embodiment of the present invention is shown, where the monitoring device at least includes: memory 100, display 200, and processor 300;
the memory 100 stores a preset treatment measure set corresponding to a treatment course performed on a target object, the treatment measure set including a plurality of pieces of treatment measure information. It should be noted that the therapeutic measure set stored in the memory 100 at least includes: treatment measure information in a treatment guideline corresponding to a treatment procedure performed on a target subject, such as: if the target subject is a sepsis patient, the therapeutic measure set stored in the memory 100 at least includes: treatment information in the sepsis guideline, and treatment information in other treatment guidelines associated with sepsis. In some embodiments, the treatment information for the treatment set stored in memory 100 may be derived from different versions of the treatment guidelines. For example, the first set of treatment measures and the second set of treatment measures may correspond to treatment guidelines issued at different times, with at least a portion of the treatment measure information in the first set of treatment measures and the second set of treatment measures being different. The differences may include differences in the type of treatment or may include differences in parameters of the same treatment.
The plurality of pieces of treatment information of the treatment set may be further provided with a preset execution order, and the treatment information may be combined according to the preset execution order to form a treatment sequence, and the treatment set including the treatment sequence may be also referred to as a clustered treatment set. The differences between the different treatment sets, corresponding to different versions of the treatment guideline, are not only reflected in the type of treatment or treatment parameters described above, but also in the pre-set execution sequence of the treatment.
The processor 300 is configured to perform the following steps: retrieving a set of therapeutic measures from the memory 100 and displaying at least part of the therapeutic measure information of the retrieved set of therapeutic measures through the display 200; acquiring treatment related data of a target object sequentially generated in a treatment process; determining an execution state of the treatment measure information in the treatment measure set according to the treatment related data, wherein the execution state indicates: whether the treatment measure information is executed or not and the execution time; the execution state of the treatment measure information is displayed by the display 200.
In some embodiments, the treatment information in the treatment set obtained by the processor 300 from the memory 100 may be derived directly from a specified version of the treatment guideline, or may be derived from custom treatment information formed by a user adjusting the treatment information in the treatment guideline. That is, the set of therapeutic measures acquired by the processor 300 includes: the treatment information directly specified in the treatment guideline of the specified version and/or the treatment information formed by modifying the treatment information specified in the treatment guideline by a user. The user's adjustment of the treatment information is typically an adjustment of a parameter or sequence of treatment to which the treatment information relates.
In some embodiments, the operating user may set the content of the therapeutic measure set, but the operating user is required to have corresponding operating rights, and the processor 300 is configured to: according to password information and/or user identity information submitted by an operation user, carrying out identity verification on the operation user, and determining whether the operation user has the operation authority of a treatment measure set; if the operation user is determined to have the operation authority of the treatment measure set, setting the content of the treatment measure set in response to the operation of the operation user.
In some embodiments, after processor 300 retrieves the set of treatment measures from memory 100, it controls display 200 to display at least a portion of the set of treatment measures, i.e., controls display 200 to display a portion of the treatment measure information for the set of treatment measures. In the embodiment shown in fig. 2, processor 300 may control display 200 to provide a plurality of display interfaces wherein a portion of the treatment information for the treatment set is displayed in a first display interface. Although fig. 2 shows a plurality of display interfaces that are not displayed on a single screen, in other embodiments not shown, the processor 300 may control the display 300 to provide a plurality of display interfaces that are output on a single screen, each display interface being a display portion of the display 300. In the following embodiments, when referring to the first display interface or the second and third display interfaces, both the case where a plurality of display interfaces are at least partially displayed on the same screen and the case where the respective display interfaces are not displayed on the same screen are included.
In some embodiments, the processor 300 obtains treatment-related data for the target subject sequentially generated during the treatment process, the treatment-related data including at least: any one or more of medication events, actually performed therapeutic measures, diagnostic results of the target object, and biochemical examination results of the target object, for example: the method comprises the steps of acquiring treatment-related data such as ventilator intubation operation recorded by a doctor, blood drawing operation from a nurse, administration data from an infusion system, biochemical examination indexes from a biochemical examination system (such as an LTS system), and a diagnosis result from an order system. For example: the data relating to the treatment of "patient for septic shock, crystalline fluid is selected as initial resuscitation fluid" is acquired, as are: treatment-related data, using norepinephrine in combination with vasopressin 0.02U/min, was obtained to maintain a target average pressure. Notably, the treatment-related data may also be a unique code associated with the treatment measure information in the treatment guide of the specified version, such as: the code "SSC16-Vasoactive-01" corresponds to the specific recommended term "recommended norepinephrine as the first booster drug (strong recommendation, medium quality evidence)" in the section of Vasoactive drugs in the sepsis guide. In summary, the treatment-related data acquired by the processor 300 may be from a number of different sources.
When the treatment related data is acquired, a plurality of treatment related data can be acquired first, and the acquired plurality of treatment related data are respectively used for the execution state analysis of the subsequent treatment measure information. When acquiring the treatment-related data, the specific type of the treatment-related data can be selected according to the symptoms or symptoms, and then the selected type of the treatment-related data can be acquired through the monitoring device.
In some embodiments, the processor 300, after acquiring the treatment-related data, time synchronizes all the treatment-related data, ensuring that all the acquired treatment-related data are consistent in time in the time dimension. The specific implementation mode can be as follows: the processor 300 obtains the actual generation time of the treatment-related data to ensure that all treatment-related data are time consistent in the time dimension. For example: assuming that the blood drawing test result is treatment-related data, the medical staff draws blood from the target object at 10 a.m. and obtains the blood drawing test result at 3 a.m. (the index indicated by the blood drawing test result is the index of the target object at 10 a.m.), the actual generation time for obtaining the blood drawing test result is 10 a.m. instead of 3 a.m..
In some embodiments, after the processor 300 obtains the treatment-related data, the processor 300 is further configured to extract key information in the treatment-related data that can be used to match the treatment measure information. For example: the "septic shock", "crystalline fluid" and "initial resuscitation fluid" key data are extracted from one of the treatment-related data of "patient for septic shock", which crystalline fluid is selected as initial resuscitation fluid ", and are also, for example: from the treatment-related data of "use of norepinephrine in combination with vasopressin 0.02U/min to maintain a target average pressure", key information of "norepinephrine", "combination", "vasopressin", "0.02U/min" and "target average pressure" was extracted, wherein "0.02U/min" and "vasopressin" were correlated.
In some embodiments, after acquiring the treatment-related data, the processor 300 determines an execution state of the treatment information in the treatment set acquired by the processor 300, which may be used to indicate whether the treatment information is executed and an execution time for executing the treatment information, based on the treatment-related data. In particular implementations, for each piece of treatment-related data, the processor 300 matches treatment information in the treatment set using the treatment-related data, determines whether the treatment-related data matches one or more pieces of treatment information, and marks the treatment-related data according to the result of the matching to indicate which pieces of treatment information the treatment-related data matches. Likewise, in some other embodiments, the processor 300 may also determine whether the treatment-related data does not match a portion or any of the treatment information, and mark the treatment-related data according to the determination result to indicate which treatment information the treatment-related data matches. For example, treatment-related data may be provided with indicia indicating "compliance" or "non-compliance". The treatment-related indicia may be understood as matching information between the treatment measure information and the treatment-related data. By matching information of the treatment related data, which treatment information in the treatment set has been executed can be determined, and based on the execution time of the treatment related data, the execution state of the corresponding treatment information is obtained. For example: using key information extracted from the treatment-related data of "use of norepinephrine in combination with vasopressin 0.02U/min to maintain a target mean pressure" to match clause "2" of the Vasoactive drug section in the sepsis guideline, to achieve a target Mean Arterial Pressure (MAP), it is recommended to use norepinephrine in combination with vasopressin (maximum dose 0.03U/min) (weak recommendation, medium quality evidence) or epinephrine (weak recommendation, low quality evidence), or to add vasopressin (maximum dose 0.03U/min) (weak recommendation, medium quality evidence) to reduce the dose of norepinephrine ", then the treatment-related data is marked" conforming to SSC 16-Vasoact-02 ", which also indicates that the corresponding treatment-related clause has been performed. The processor 300 controls the display 200 to display the execution state of the therapeutic measure information, as in the schematic diagram of the first display interface shown in fig. 2 in which a plurality of pieces of therapeutic measure information (e.g., therapeutic measure information 1 to 4 in fig. 2) are displayed, and may indicate that the therapeutic measure information is executed (e.g., therapeutic measure information 1 is executed) by marking a ". V" in a rectangular frame to the left of the therapeutic measure information, and display the execution time of the therapeutic measure information to the right of the therapeutic measure information. It should be noted that the content shown in fig. 2 is only for illustration, and the execution time of the therapeutic measure information may be represented by other means (e.g., the therapeutic measure information that has been executed is bolded and blackened, or a rectangular frame on the left side of the therapeutic measure information that has been executed is filled with black), and the execution time of the therapeutic measure information may be represented by other means.
The plurality of pieces of treatment information included in the treatment set may be further provided with an execution order, and the pieces of treatment information executed in the preset execution order may form a treatment sequence. In some embodiments, for a treatment set comprising a sequence of treatments, the processor 300 may be further, but need not be, configured to determine whether the order of execution of the treatments performed in the treatment set corresponds to a preset order of execution. That is, the processor 300 is configured to determine whether the treatment-related data matches the treatment information in the treatment set, and further determine whether the sequence of the generation time of each piece of treatment-related data (i.e., the execution time of the corresponding treatment information) matches the preset execution sequence of the corresponding treatment information after identifying the treatment-related data matching the treatment information. In a specific implementation, for each piece of treatment-related data, the processor 300 matches the treatment measure information in the treatment measure set by using the treatment-related data, not only determines whether the treatment-related data matches one or more pieces of treatment measure information, but also determines whether the time corresponding to the treatment-related data matches a preset execution sequence of the treatment measure information, and marks the treatment-related data according to the result of the matching so as to represent the matching result of the treatment-related data and the treatment measure information and the execution sequence thereof. For example, treatment-related data may be provided with indicia indicating "in-content and in-order", "in-content but out-of-order", or "out-of-order". The non-coincidence here means that no treatment information matching with the treatment-related data is found in the treatment measure set, and accordingly, the analysis and judgment of the execution sequence are not required. The treatment-related indicia may be understood as matching information between the treatment measure information and the treatment-related data. By matching information of the treatment related data, it is possible to determine which treatment information in the treatment set has been executed and whether it is executed in a preset execution order, and then obtain the execution status of the corresponding treatment information based on the execution time of the treatment related data.
In some embodiments, the processor 300 may extract key information from the treatment-related data and then make an analytical determination of whether the extracted key information matches the treatment information in the treatment set; the processor 300 may also perform training based on the treatment information of the treatment set, so that, in acquiring the treatment-related data, the treatment-related data pertaining to the treatment information is directly identified based on machine learning, and the execution state of the treatment information is determined accordingly. The execution state of the processor 300 to obtain the treatment measure information according to the treatment related data may not be limited to the above two embodiments, and other equivalent embodiments are also within the scope of the protection desired in the present application.
In some embodiments, the set of treatment acquired by processor 300 includes at least a set of bundled treatment measures associated with a particular condition, such as a set of bundled treatment measures associated with sepsis. The clustered therapy set associated with sepsis includes a series of therapy information to be performed in order, i.e. includes a sequence of therapy. The processor 300 is further configured to: displaying at least a portion of the clustered therapy action set via display 200; bundling the information of the performed therapeutic measures in the therapeutic measure set according to the therapeutic related data markers, and displaying the execution time of the performed therapeutic measure set. As shown in the example diagram of the first display interface in fig. 3, it should be noted that the "bundling treatment" interface in fig. 3 is the first display interface, the "support treatment" interface is the third display interface mentioned in the following, and the "process tracking" interface is the "second display interface mentioned in the following. Processor 300 displays a set of bundled treatment measures to be completed within 3 hours in a first display interface; as shown in fig. 3, when two pieces of therapeutic measure information, i.e., the "monitor blood lactic acid level" and the "acquire blood culture specimen before applying antibiotics" are determined to be performed by the therapeutic-related data, a box symbol "v" is marked on the left side of the performed therapeutic measure information to indicate that the therapeutic measure information is performed, and the execution time of the therapeutic measure information is displayed on the right side of the performed therapeutic measure information. It should be noted that, the operation user may manually input the execution state of a certain therapeutic measure information, as in fig. 3, the operation user may manually mark a "v" in a box on the left side of a certain therapeutic measure information, where the execution time of the therapeutic measure information may be manually input by the user or automatically acquired and displayed. In an embodiment not shown, the processor may further determine whether the marked "/" treatment measure information is sequentially executed based on the execution state shown in fig. 3.
It will be appreciated that the displayed treatment information in the set of bundled treatments may be from different time versions of the set of bundled treatments, i.e., the operating user may select treatment information to be displayed from different time versions of the set of bundled treatments. In some embodiments, the clustered therapy action sets include first and second clustered therapy action sets of different temporal versions, the first and second clustered therapy action sets having at least partially different therapy action information. The processor 300 is further configured to: the selection of the first and second clustered treatment measure sets by the operating user is received and the selection result selected by the operating user is displayed on the display 200.
It can be understood that in the treatment measure set, a series of information such as a structured treatment suggestion and a treatment reference is also preset, and the information such as the structured treatment suggestion and the treatment reference is mainly obtained through a large amount of clinical data and experience, so that the information such as the structured treatment suggestion and the treatment reference can also be used as treatment measure information in the treatment measure set. In some embodiments, the set of therapeutic measures further comprises a set of adjunctive therapeutic measures associated with the particular condition, for example a set of adjunctive therapeutic measures associated with sepsis. The auxiliary treatment measure set may include a treatment measure sequence, or may include only a plurality of pieces of treatment measure information without a preset execution sequence. The processor 300 is further configured to: at least a portion of the set of auxiliary treatment measures is displayed by the display 200 and the status of execution and the time of execution of the treatment measure information that has been executed is identified based on the treatment-related data. As shown in the schematic diagram of fig. 4, the auxiliary treatment measure set includes treatment measure information without a preset execution sequence, and at least part of the treatment measure information (treatment measure information 1 to 4) in the auxiliary treatment measure set is displayed in the third display interface, and the execution state and execution time of the treatment measure information that has been executed are referred to in the third display interface, which is shown in fig. 2 and will not be described herein. In some embodiments, when the specific condition is sepsis, the treatment measure information in the auxiliary treatment measure set may be a treatment suggestion, such as an exemplary diagram of the third display interface shown in fig. 5, where the "support treatment" interface in fig. 5 is the third display interface, and several treatment suggestions of the vasoactive drug part (that is, the treatment measure information in the auxiliary treatment measure set) are displayed in the "support treatment" interface, and details of the several treatment suggestions are shown in fig. 5, where details of how to identify the execution state and the execution time of the treatment measure information that has been executed in fig. 5 may be referred to the details shown in fig. 3 above, and are not repeated herein.
In some particular embodiments, the processor 300 is further configured to: determining matching information between each treatment-related data and the treatment measure information in the treatment measure set, and storing the matching information in the memory 100, the matching information indicating: the treatment-related data matches at least one piece of treatment information in the treatment set, or the treatment-related data does not match any piece of treatment information in the treatment set. Through the matching information of a certain treatment related data, whether the treatment process corresponding to the treatment related data accords with the treatment measure information corresponding to the treatment related data or not can be intuitively known, that is, whether the treatment process accords with the treatment measure information in the treatment measure set or not can be intuitively known through the matching information; when the treatment process corresponding to certain treatment related data does not accord with the corresponding treatment measure information, the difference between the treatment related data and the treatment measure information can be intuitively known through the matching information.
In some particular embodiments, the processor 300 is further configured to: the display 200 displays the treatment-related data or displays the treatment-related data and the matching information corresponding to the treatment-related data according to the chronological order of the generation of the treatment-related data. As shown in the schematic diagram of the second display interface in fig. 6, the second display interface includes a first display area and a second display area, and in some embodiments, treatment related data is displayed in the second display area of the second display interface, or the treatment related data and matching information corresponding to the treatment related data are displayed.
In some embodiments, the processor 300 is configured to: acquiring physiological sign data of a target object sequentially generated during treatment, for example, acquiring physiological sign data (such as heart rate value, blood oxygen saturation and Hb) of the target object from a monitoring device; generating display information corresponding to the physiological sign data, wherein the display information at least comprises waveform display information; displaying display information corresponding to the physiological sign data through a first display area of the display 200; and displaying the treatment related data or the matching information corresponding to the treatment related data in the second display area. The second display interface shown in fig. 6 includes a first display area and a second display area, where display information corresponding to physiological sign data of the target object is displayed in the first display area; and displaying the treatment related data or the matching information corresponding to the treatment related data in the second display area. Through the second display interface, the change of the physiological sign data of the target object can be intuitively known, and the treatment related data and the matching information thereof generated in the treatment process can be intuitively known.
It will be appreciated that, as can be seen from the above description, the treatment-related data acquired by the processor 300 are sequentially generated during the treatment process, and the acquired physiological sign data are also sequentially generated, so that the physiological sign data and the treatment-related data at different times can be displayed by setting a time axis on the second display interface.
In some embodiments, the first display area includes a time axis and a movable cursor, the first display area displays profile information of the physiological sign data and the treatment-related data corresponding to the time pointed by the cursor in the time axis, and the second display area highlights the treatment-related data corresponding to the time pointed by the cursor in the time axis or highlights the treatment-related data and the matching information corresponding to the treatment-related data.
It will be appreciated that, in order to enable the operating user to more quickly locate a particular treatment-related data on the second display interface, a treatment event icon may be provided in the time axis displayed in the first display area, the treatment event icon indicating that the treatment-related data is present at a time in the time axis in which the treatment event icon is located. In some embodiments, a treatment event icon for indicating that there is treatment-related data is displayed on the time axis of the first display area, profile information of the treatment-related data corresponding to the treatment event icon pointed by the cursor is displayed on the time axis, and treatment-related data corresponding to the treatment event icon pointed by the cursor is highlighted in the second display area, or matching information corresponding to the treatment-related data and the treatment-related data is highlighted.
For example: as an example diagram of the second display interface shown in fig. 7, waveform display information of physiological sign data of the target subject is displayed in the first display area of the second display interface, and treatment-related data of the target subject is displayed in the second display area. In fig. 7, the "process tracking" interface is a second display interface, 501 is the above mentioned movable cursor, 502 is the sign value of the physiological sign data corresponding to the time pointed by the cursor, 503 is the medication event (showing the medication profile in a period of time), when the medication event exists at the time pointed by the cursor, the medication details are displayed, 504 is the above mentioned treatment event icon (which may be represented by filling a black triangle or other expression form), 505 is the treatment related data (such as the actually executed treatment measure and the execution time) corresponding to the treatment event icon. As shown in fig. 7, when the cursor is moved to the treatment event icon of "norepinephrine 0.2mg, vasopressin 0.03U/min", the profile information of the treatment-related data corresponding to the treatment event icon "norepinephrine 0.2mg, vasopressin 0.03U/min" is highlighted on the time axis of the first display area, and the sign values "CPV (central venous pressure) 12, MAP (mean arterial pressure) 68 (120/78) and ScvO2 (central venous oxygen saturation) 87" of the physiological sign data corresponding to the time to which the cursor is directed are displayed on the right side of the first display area; highlighting the treatment-related data "2020-3-1510:02 corresponding to the treatment event icon in the second display area recommends that an intravascular access device (BPS) that may cause sepsis or septic shock be pulled out immediately after a new vascular access is established.
It should be noted that, the positions of the first display area and the second display area and the display positions of the sign values in the second display interface shown in fig. 7 are only for illustration, and in practical application, the positions of the first display area and the second display area and the display positions of the sign values may be set according to practical situations, which is not limited herein specifically.
It can be understood that, in the exemplary diagram shown in fig. 7, only the treatment-related data corresponding to the treatment event icon is displayed in the second display area; for an example in which the treatment-related data corresponding to the treatment event icon and the matching information corresponding to the treatment-related data are displayed in the second display area, see an example diagram shown in fig. 8 below.
As another example diagram of the second display interface shown in fig. 8, waveform display information of physiological sign data of the target object is displayed in the first display area of the second display interface, and treatment related data of the target object and matching information corresponding to the treatment related data are displayed in the second display area. In fig. 8, the "process tracking" interface is a second display interface, 501 is the movable cursor mentioned above, 505-1 is the treatment related data (such as the performed treatment measure) corresponding to the treatment event icon and the matching information corresponding to the treatment related data, where the matching information may be used to indicate whether the treatment related data accords with the treatment measure information in the treatment measure set, the symbol "v" indicates that the treatment measure information in the treatment measure set is met, and the symbol "x" indicates that the treatment measure information in the treatment measure set is not met (at the same time, it shows which treatment measure information does not meet or is different from (and marks the difference content in such as darkening and/or thickening). As shown in fig. 8, when the cursor is moved to the treatment event icon of "norepinephrine 0.2mg, vasopressin 0.03U/min", the profile information "norepinephrine 0.2mg, vasopressin 0.03U/min" of the treatment-related data corresponding to the treatment event icon is highlighted on the time axis of the first display area; when the blood pressure of the treatment-related data 2020-3-1507:53 corresponding to the treatment event icon is 80/65 (48), the crystal fluid is given at 20mL/kg, the treatment-related data is marked with an X indicating that the blood pressure does not accord with the expression 4, and the treatment information in the treatment concentration of the crystal fluid … … is infused at least at a dose of 30mL/kg for the patient with sepsis causing tissue perfusion deficiency and suspected blood volume deficiency in the early-stage fluid impact therapy, and the content of the difference between the crystal fluid and the treatment information is marked with the content of the black expression of 30 mL/kg. It should be noted that, the treatment-related data displayed in the second display area in fig. 8 may be a clinical daily term.
In an embodiment not shown, on the basis of the display of fig. 8, matching information of whether or not the treatment measure information corresponding to the treatment-related data is executed in the preset execution order may be further displayed in the area 505-1. For example, the treatment-related data of region 505-1 may be followed by a direct indication of whether the predetermined order of execution is met. For example, "the execution order is met" is displayed when the preset execution order is met, and "the execution order is wrong" is displayed when the deviation from the preset execution order occurs, and optionally, the order in which the corresponding treatment-related data should appear relative to other treatment-related data or the order in which the treatment measure information corresponding to the treatment-related data should be executed is provided, so that the user is assisted to more quickly know in which link the current treatment on the target object is wrong.
In some embodiments, the processor 300 may count the execution of the treatment information in the treatment set for a preset period of time, may prompt the user with the execution directly, may prompt the user with treatment information that is frequently ignored in the treatment set that must be sequentially executed or treatment information that is frequently performed in an error order, or may prompt the user with treatment information that represents the highest frequency of use in the treatment set that is suggested by the treatment. The analysis of the treatment-related data can improve the use intelligence of the monitoring device.
It should be noted that, the sorting order of the first display interface, the second display interface, and the third display interface shown in fig. 2 to 8 is only used as an example, and may be adjusted according to actual situations.
Through the above, the related treatment and nursing measure actions taken can be recorded rapidly, completely and accurately aiming at a certain disease or symptom, the user can customize the version of the guide referenced, and the flexibility of orderly tracking management of the symptoms represented by sepsis by the user is improved.
The above is some description of the monitoring device. Methods of processing medical data are also disclosed in some embodiments of the invention.
Referring to fig. 9, a flowchart of a method for processing medical data according to an embodiment of the present invention is shown, where the method includes:
step S901: a preset therapeutic measure set corresponding to a therapeutic procedure performed on the target object is acquired. It should be noted that the treatment measure set includes a plurality of pieces of treatment measure information.
In some embodiments, the set of therapeutic measures includes: treatment measure information in the treatment guide of the appointed version and/or user-defined treatment measure information formed by adjusting the treatment measure information in the treatment guide by an operation user.
In some specific embodiments, before setting the content of the treatment measure set, the operation user determines whether the operation user has the operation authority of the treatment measure set according to the password information and/or the user identity information submitted by the operation user; if the operation user has the operation authority of the treatment measure set, setting the content of the treatment measure set in response to the operation of the operation user.
Step S902: treatment-related data of a target subject sequentially generated during treatment is acquired.
In some embodiments, the treatment-related data includes at least one of: medication events, actual performed therapeutic measures, diagnostic results of the target subject, and biochemical examination results of the target subject.
Step S903: matching information between each treatment-related data and treatment measure information in the treatment measure set is determined.
Note that the matching information indicates: the treatment-related data matches or does not match at least one piece of treatment measure information in the treatment measure set. In some embodiments, the actual generation time of the treatment-related data is obtained before the matching information between each treatment-related data and the treatment measure information in the treatment measure set is determined. In some embodiments, key information in the treatment-related data is extracted prior to determining matching information between each treatment-related data and the treatment measure information in the treatment measure set.
Step S904: and determining the execution state of the treatment measure information in the treatment measure set according to the matching information of the treatment related data and the treatment measure information.
Note that, the execution state indicates: whether the treatment measure information is executed or not and the execution time. In some embodiments of the present invention, the execution status may further include an execution order of the treatment measure information.
Step S905: at least part of the treatment information of the treatment set is displayed, and at least part of the execution status of the displayed treatment information is displayed.
In some embodiments, the set of treatment measures further includes a preset execution order of the plurality of pieces of treatment measure information; the matching information is also used to indicate: the treatment-related data matched with at least one piece of treatment measure information is matched or not matched with the preset execution sequence of the treatment measure information, and the execution state is also used for indicating whether the treatment measure information is executed sequentially or not.
In some embodiments, physiological sign information of the target subject is obtained, which is sequentially generated during the course of treatment; generating display information corresponding to the physiological sign data, wherein the display information at least comprises waveform display information; displaying display information corresponding to the physiological sign data in a first display area in a second display interface; and displaying the treatment related data and the matching information corresponding to the treatment related data in a second display area in the second display interface.
In some embodiments, the first display area includes a time axis and a movable cursor, the first display area displays the summary information of the vital sign values and the treatment-related data of the time-corresponding physiological vital sign data pointed by the cursor in the time axis, and the second display area highlights the matching information of the time-corresponding treatment-related data and the treatment-related data pointed by the cursor in the time axis.
It should be noted that, the execution principle of each step in fig. 9 is described in detail above for the monitoring device, and will not be described here again.
Those skilled in the art will appreciate that all or part of the functions of the various methods in the above embodiments may be implemented by hardware, or may be implemented by a computer program. When all or part of the functions in the above embodiments are implemented by means of a computer program, the program may be stored in a computer readable storage medium, and the storage medium may include: read-only memory, random access memory, magnetic disk, optical disk, hard disk, etc., and the program is executed by a computer to realize the above-mentioned functions. For example, the program is stored in the memory of the device, and when the program in the memory is executed by the processor, all or part of the functions described above can be realized. In addition, when all or part of the functions in the above embodiments are implemented by means of a computer program, the program may be stored in a storage medium such as a server, another computer, a magnetic disk, an optical disk, a flash disk, or a removable hard disk, and the program in the above embodiments may be implemented by downloading or copying the program into a memory of a local device or updating a version of a system of the local device, and when the program in the memory is executed by a processor.
The foregoing description of the invention has been presented for purposes of illustration and description, and is not intended to be limiting. Several simple deductions, modifications or substitutions may also be made by a person skilled in the art to which the invention pertains, based on the idea of the invention.
Claims (26)
- A method of processing medical data, the method comprising:acquiring a preset treatment measure set corresponding to a treatment process carried out on a target object, wherein the treatment measure set comprises a plurality of pieces of treatment measure information;acquiring treatment related data of the target object sequentially generated during treatment;determining matching information between each of the therapy related data and the therapy measure information in the therapy measure set, the matching information indicating: the treatment-related data is matched or not matched with at least one piece of treatment measure information in the treatment measure set;determining an execution state of the treatment measure information in the treatment measure set according to the matching information, wherein the execution state indicates: whether the treatment measure information is executed or not and the execution time;displaying at least part of treatment measure information of the treatment measure set and executing state of the treatment measure information.
- The method of claim 1, wherein the set of treatment measures further comprises a preset execution order of the plurality of pieces of treatment measure information; the matching information is also used to indicate: the treatment related data matched with at least one piece of treatment measure information is matched or not matched with a preset execution sequence of the treatment measure information, and the execution state is also used for indicating whether the treatment measure information is executed sequentially or not.
- The method according to claim 1 or 2, further comprising:acquiring physiological sign information of the target object sequentially generated in the treatment process;and displaying the treatment related data, the matching information corresponding to the treatment related data and the physiological sign data according to the time sequence of the generation of the treatment related data and the physiological sign data.
- The method of claim 3, wherein displaying the therapy related data, the matching information corresponding to the therapy related data, and the physiological sign data comprises:generating display information corresponding to the physiological sign data, wherein the display information at least comprises waveform display information;displaying display information corresponding to the physiological sign data in a first display area;And displaying the treatment related data and the matching information corresponding to the treatment related data in a second display area.
- The method of claim 4, wherein the first display area includes a time axis and a movable cursor, wherein the first display area displays the sign values of the physiological sign data and the profile information of the treatment-related data corresponding to the time pointed by the cursor in the time axis, and wherein the second display area highlights the matching information of the treatment-related data and the treatment-related data corresponding to the time pointed by the cursor in the time axis.
- The method of claim 1 or 2, wherein the set of therapeutic measures comprises: treatment measure information in the treatment guide of the appointed version and/or custom treatment measure information formed by adjusting the treatment measure information in the treatment guide by a user.
- The method according to claim 1 or 2, further comprising:determining whether an operation user has the operation authority of a treatment measure set according to password information and/or user identity information submitted by the operation user;And if the operation user has the operation authority of the treatment measure set, setting the content of the treatment measure set in response to the operation of the operation user.
- The method according to claim 1 or 2, wherein the treatment-related data comprises at least one of: medication events, actual performed therapeutic measures, diagnostic results of the target subject, and biochemical examination results of the target subject.
- The method according to claim 1 or 2, wherein before determining the matching information between each of the treatment-related data and the treatment measure information in the treatment measure set, further comprising:the actual time of generation of the treatment-related data is obtained.
- The method according to claim 1 or 2, wherein before determining the matching information between each of the treatment-related data and the treatment measure information in the treatment measure set, further comprising:and extracting key information in the treatment related data.
- A monitoring device, the device comprising:a memory storing a preset treatment measure set corresponding to a treatment process performed on a target object, the treatment measure set including a plurality of pieces of treatment measure information;A display;a processor configured to perform the steps of:acquiring the treatment measure set from the memory, and displaying at least part of the acquired treatment measure information of the treatment measure set through the display;acquiring treatment related data of the target object sequentially generated during treatment;determining an execution state of the treatment measure information in the treatment measure set according to the treatment related data, wherein the execution state indicates: whether the treatment measure information is executed or not and the execution time;and displaying the execution state of the treatment measure information through the display.
- The apparatus of claim 11, wherein the processor is further configured to perform the steps of:determining matching information between each of the therapy related data and the therapy information in the therapy set, and storing the matching information in the memory, the matching information indicating: the treatment-related data matches at least one piece of treatment information in the set of treatment measures, or the treatment-related data does not match any piece of treatment information in the set of treatment measures.
- The apparatus of claim 11, wherein the set of treatment measures further comprises a formable sequence of treatment measures performed by the plurality of pieces of treatment measure information in a preset order of execution, the processor further configured to perform the steps of:determining matching information between each of the treatment-related data and a sequence of treatment measures in the set of treatment measures, and storing the matching information in the memory; the matching information indicates: whether the treatment related data is matched with the treatment measure information in the treatment measure set or not, and whether the execution time corresponding to the treatment related data accords with the preset execution sequence of the treatment measure information or not.
- The apparatus of any one of claims 11 to 13, wherein the processor is further configured to perform the steps of:and displaying the treatment related data or displaying the treatment related data and matching information corresponding to the treatment related data according to the time sequence generated by the treatment related data through the display.
- The apparatus according to any one of claims 11 to 13, wherein the processor is configured to perform the steps of:Acquiring physiological sign data of the target object sequentially generated during treatment;generating display information corresponding to the physiological sign data, wherein the display information at least comprises waveform display information;displaying display information corresponding to the physiological sign data in a first display area through the display;and displaying the treatment related data or displaying the matching information corresponding to the treatment related data and the treatment related data in a second display area.
- The apparatus of claim 15, wherein the first display area includes a time axis and a movable cursor, wherein the first display area displays the sign values of the physiological sign data and the profile information of the treatment-related data corresponding to the time pointed by the cursor in the time axis, and wherein the second display area highlights the matching information of the treatment-related data and the treatment-related data corresponding to the time pointed by the cursor in the time axis.
- The apparatus according to claim 15, wherein a treatment event icon indicating the presence of the treatment-related data is displayed on the time axis of the first display area, profile information of the treatment-related data corresponding to the treatment event icon pointed to by the cursor is displayed on the time axis, and the treatment-related data corresponding to the treatment event icon pointed to by the cursor, or matching information corresponding to the treatment-related data and the treatment-related data is highlighted on the second display area.
- The apparatus of claim 11, wherein the set of treatment measures comprises a clustered set of treatment measures associated with a particular condition, the processor further configured to perform the steps of:displaying at least part of the treatment measure information of the clustered treatment measure set by the display;marking the information of the executed therapeutic measures in the clustered therapeutic measures according to the therapeutic related data, and displaying the execution time of the executed therapeutic measures.
- The apparatus of claim 18, wherein the set of treatment measures further comprises a set of auxiliary treatment measures associated with the particular condition, the set of auxiliary treatment measures comprising a plurality of pieces of treatment measure information without a preset order of execution; the processor is further configured to perform the steps of:displaying at least part of the auxiliary treatment measure set, and identifying the execution state and the execution time of the treatment measure information which is executed according to the treatment related data.
- The apparatus of claim 18, wherein the set of bundled treatments comprises a first set of bundled treatments and a second set of bundled treatments of different temporal versions, the first set of bundled treatments and the second set of bundled treatments having at least partially different treatment information; the processor is further configured to: and receiving the selection of the first bundling treatment measure set and the second bundling treatment measure set by an operation user, and displaying the selection result selected by the operation user in the first display interface.
- The apparatus of any one of claims 11 to 13, wherein the set of therapeutic measures comprises: treatment measure information in the treatment guide of the appointed version and/or custom treatment measure information formed by adjusting the treatment measure information in the treatment guide by a user.
- The apparatus according to any one of claims 11 to 13, wherein the processor is configured to perform the steps of:determining whether an operation user has the operation authority of a treatment measure set according to password information and/or user identity information submitted by the operation user;and if the operation user has the operation authority of the treatment measure set, setting the content of the treatment measure set in response to the operation of the operation user.
- The apparatus according to any one of claims 11 to 13, wherein the treatment-related data comprises at least one of: medication events, actual performed therapeutic measures, diagnostic results of the target subject, and biochemical examination results of the target subject.
- The apparatus of any one of claims 11 to 13, wherein the processor is further configured to perform the steps of:The actual time of generation of the treatment-related data is obtained.
- The apparatus of any one of claims 11 to 13, wherein the processor is further configured to perform the steps of:and extracting key information in the treatment related data.
- A non-transitory computer readable storage medium, on which a computer program is stored, characterized in that the computer program, when executed by a processor, implements the steps of the medical data processing method according to any one of claims 1 to 10.
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