CN116776839A - Teaching-oriented handwritten medical record accurate feedback method, system and storage device - Google Patents
Teaching-oriented handwritten medical record accurate feedback method, system and storage device Download PDFInfo
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Abstract
The invention discloses a method, a system and a storage device for accurately feeding back handwriting medical records for teaching, and belongs to the field of medical record correction and transmission. The accurate feedback method of the handwriting medical record for teaching comprises the following steps: s1, establishing a medical record submitting module to form an endorsable file; s2, establishing a medical record annotating module to obtain a feedback file; s3, establishing a medical record analysis module and inputting a database; s4, setting a similarity threshold; s5, storing and sending the matched content; s6, forming a problem list. The invention reduces the transmission time cost of medical record transmission; the convenience of the student user in checking can be greatly improved; the work efficiency of teacher users is improved, the fatigue degree is reduced, and meanwhile, the input of annotation content in various forms can be carried out according to the needs, so that the student users can understand the annotation content fully. Not only can be oriented to clinical teaching of medical students, but also is suitable for being oriented to any scene requiring paper information photographing and submitting, accurate annotating by teachers and timely feedback.
Description
Technical Field
The invention relates to the technical field of medical record correction transmission, in particular to a method, a system, a storage medium, electronic equipment and products for submitting and annotating a handwritten medical record in a teaching scene.
Background
The handwriting medical record in the medical education has irreplaceable function for culturing the clinical thinking of medical students and the basic function of medical record writing, and students are often required to write medical records manually in the clinical study, practice and rule-based teaching process. After the writing of the handwritten medical records is finished, a teacher often needs to be handed with the education, and the teacher feeds back the students after manual annotation. The ability of students to write medical records and the teaching quality can be better improved through feedback and returnal thinking promotion. Therefore, the current medical education adopts the written medical records of students and the total written medical records are summarized under the line, the lesson representatives are handed to the teacher end, the teacher corrects one by one, the total corrected medical records are returned by the lesson representatives, and the handwritten medical records are distributed to the students for feedback.
However, the conventional medical record writing-feedback process has the problem of poor communication, for example, the paper medical record takes a long time after writing is completed until the paper medical record is submitted to the hands of the teacher user, and then the paper medical record is annotated to the teacher user to complete the intermediate transmission process of feeding back to the hands of the student user. Even if the paper medical record is photographed into a picture form, the image of the medical record is uploaded through chat tools such as WeChat and the like, and text description is carried out as annotation content, the annotation of a teacher can only be input in an information field except the picture medical record, and a student user is inconvenient to check when combining with the annotation to review the medical record; in addition, in the process of modifying the medical records for a long time, the teacher cannot timely collect and push common problems and typical medical records in the medical records, and therefore teaching quality and efficiency are affected.
Therefore, the problems of long submitting-correcting-feeding back period of the handwritten medical record, inconvenient checking of annotation content, low efficiency of an annotator and difficult accurate recommendation exist.
Disclosure of Invention
Aiming at the problems of long manuscript submitting-correcting-feedback period, inconvenient annotation content viewing, low annotator efficiency and difficult accurate recommendation in medical education, the invention provides a method, a system and a storage device for accurately feeding back handwriting medical records for teaching.
A handwriting medical record accurate feedback method facing teaching comprises the following steps:
s1, establishing a mobile end medical record submitting module, performing image shooting on a paper medical record, performing definition optimization on the shot image to obtain a handwritten medical record file, and converting the handwritten medical record file into an editable file format to obtain an endorsable file;
s2, a mobile end medical record annotating module is established, annotating key points are set in the annotatable file according to the user requirements of the mobile end medical record annotating module, annotating content input is carried out based on the annotating key points, and a feedback file is obtained; wherein, the annotating content includes: text, voice, picture, link, attachment;
s3, establishing a mobile end medical record analysis module, matching the number of annotation key points in the feedback file with a preset threshold value, determining annotation grade, and recording into a database; the database is also internally stored with a medical knowledge base and a template case history case base;
S4, setting similarity and a similarity threshold based on the feedback file content, wherein the similarity refers to the coincidence degree of the text content of the handwritten medical record and the database and the coincidence degree of the annotation text and the database;
s5, saving and transmitting the feedback file in the S2 and medical knowledge content and template medical record matched with the similarity threshold value in the S4;
s6, setting the frequency of annotation content in the feedback files in S2 to respectively comprise a first frequency threshold and a second frequency threshold, and defining that the frequency is smaller than the first frequency threshold as a formation problem; defining a frequency threshold value which is larger than the first frequency threshold value and smaller than the second frequency threshold value as a common problem; defining a frequency greater than a second frequency threshold as a typical problem; and forming common questions, typical questions and a question list according to the annotated content in the feedback file, and feeding back to the mobile end medical record annotating module user.
Further, the step S1 includes:
s101, adjusting the contrast and/or color saturation of the handwritten medical record file according to the requirement;
s102, converting the format of the edited file of the handwritten medical record file to obtain an endorsable file, wherein the format of the edited file is a file format capable of being edited for the second time.
Further, the step S2 includes:
s201, selecting positions of annotation key points by selecting any positions of file pages of the endorsable file;
s202, taking at least one annotation key point as the annotation content input port;
s203, selecting the type of the annotation content according to the requirement, and finishing the input of the annotation content;
s204, finishing the input of the annotation content corresponding to the annotation key points, folding the annotation content of the annotation key points until the input of the annotation content of all the annotation key points is finished, and obtaining a feedback file.
Further, in the step S3, the number of annotation key points is determined by scanning the feedback file to identify and summarize the number of annotation key points, and a threshold table preset by a user is called to determine an annotation level, where the annotation level is used for displaying the amount of the content in the feedback file to be adjusted.
A handwritten medical record annotation feedback system comprising:
a medical record uploading end; the medical record uploading terminal is applied to a mobile terminal medical record submitting module, and is used for acquiring a handwritten medical record file, converting the handwritten medical record file into an editable file format and acquiring an endorsement file, wherein the endorsement content comprises: text, voice, picture, link, attachment;
The medical record annotating end is applied to a mobile end medical record annotating module and is used for setting annotating key points in the annotatable file according to requirements, inputting annotating content based on the annotating key points to obtain a feedback file, matching the number of the annotating key points in the feedback file with a preset threshold value, determining an annotating level, matching the number of the annotating key points in the feedback file with the preset threshold value, and determining the annotating level;
the back-end server is applied to the mobile-end medical record analysis module and is used for storing a threshold value table preset by a user; the method is used for classifying and storing the endorsement file and the feedback file.
Further, the medical record uploading end is used for obtaining a handwritten medical record file by performing image shooting on the paper medical record and generating a high-definition picture; adjusting the contrast and/or color saturation of the handwritten medical record file according to the requirements; converting the format of the editable file of the handwritten medical record file to obtain an endorsement file; the editable file format is a file format capable of being edited for the second time;
the medical record annotating end is used for selecting positions of annotating key points at any positions of a file page of an annotatable file; at least one annotation key point is used as the annotation content input port; selecting the type of the annotation content according to the requirement, and completing the input of the annotation content; and folding the annotation content of the annotation key points until the annotation content of all the annotation key points is input, obtaining a feedback file, identifying and summarizing the number of the annotation key points by scanning the feedback file, determining the number of the annotation key points, calling a threshold table preset by a user to determine the annotation grade, wherein the annotation grade is used for displaying the quantity of the content in the feedback file to be regulated, identifying and summarizing the number of the annotation key points by scanning the feedback file, determining the number of the annotation key points, calling a threshold table preset by the user to determine the annotation grade, and the annotation grade is used for displaying the quantity of the content in the feedback file to be regulated.
Further, the handwriting medical record annotation feedback system is also applied to a touch screen intelligent mobile equipment end, wherein the touch screen intelligent mobile equipment end comprises a touch screen, and the touch screen is used for receiving an electric signal contacted with the touch screen;
a display terminal for displaying image information;
the touch screen comprises a touch screen, a display terminal and a processing module, wherein the touch screen is used for displaying the touch screen;
the capacitive pen comprises a pen barrel, and a conductive pen point is axially and slidably connected to the end portion of the pen barrel. A pressure spring is fixed between the conductive pen point and the pen container, and the end part of the conductive pen point is positioned outside the pen container under any state of the pressure spring;
the inner wall of the pen container is fixedly connected with a pressure sensor, one end of the conductive pen point, which is close to the pen container, is fixedly provided with a flexible rubber block, and the rubber block abuts against the detection surface of the pressure sensor;
a Bluetooth module is further arranged in the pen container and used for sending the information of the pressure sensor;
the handwriting medical record annotation feedback system is also provided with a communication module, and the communication module is used for receiving the information of the Bluetooth module;
The processing module scales the track signal of the touch screen into image information with the size of a single Chinese character through an equal ratio in the time of a specified condition, and displays the image information through a display terminal; the specified condition time is started from the moment when the first screen receives the touch screen electric signal until the moment when the last screen receives the touch screen electric signal and is not received by the touch screen electric signal any more within 2 s;
in the handwriting mode, the processing module is used for receiving the information of the communication module, and the processing module is internally provided with a first pressure threshold value and a second pressure threshold value according to the information; when the pressure information is smaller than a first pressure threshold value, the processing module sends handwriting with the width of 0.2mm to the display end; when the pressure information is larger than the first pressure threshold value and smaller than the second pressure threshold value, the processing module sends handwriting with the width of 0.5mm to the display end; and when the pressure information is larger than the second pressure threshold value, the processing module sends handwriting with the width of 0.8mm to the display end.
Further, the processing module is further used for processing the image handwriting information, including recording and counting the handwritten character image information written by the user in each period of the user, wherein the handwritten character image information includes character length values and character width values; the processing module is also used for dynamically determining the character image threshold value of the counted handwritten character image information in a mode of calculating an average value; when the received handwritten character image appears to be more than 2 times greater than the current character image threshold, the processing module displays the information of the handwritten character image acquired at this time on a display terminal according to the size of 1:1.
A machine-readable storage medium having instructions stored thereon for causing a machine to perform any of the teaching-oriented handwriting medical record precision feedback methods.
An electronic device, comprising: the cloud storage is used for storing a computer program; and the processor reads the intelligent equipment program stored in the cloud memory to execute the teaching-oriented handwriting medical record accurate feedback method.
The intelligent device program product comprises an intelligent device program, and the intelligent device program realizes a precise feedback method of handwriting medical record oriented to teaching when being executed by a processor.
Compared with the prior art, the invention has the advantages that: by the method, the transmission time cost of medical record transmission is reduced; the convenience of the student user in checking can be greatly improved; the work efficiency of teacher users is improved, the fatigue degree is reduced, and meanwhile, the input of annotation content in various forms can be carried out according to the needs, so that the student users can understand the annotation content fully.
By the technical scheme, timeliness of the student users and the teacher users in transmitting the paper medical record information is realized, and the transmission time cost between the student users and the teacher users is reduced; the convenience of the student user in checking can be greatly improved by inputting the corresponding annotation content in the annotated file corresponding to the paper medical record; through the diversity of the input annotation content, the efficiency of the teacher user for annotating can be effectively improved, and meanwhile, the annotation content in various forms can be input according to the needs, so that the student user can understand the annotation content fully.
Compared with the prior art, the technical scheme of the invention has the advantages that the handwritten medical records at the student end are submitted, annotated electronically and fed back by one key on line, so that the period of manual medical record transmission is greatly shortened, the convenience of checking and storing medical records by student users is improved, and meanwhile, the teacher user is enabled to correct the handwritten medical records of the students more efficiently and conveniently, thereby being beneficial to improving the writing and teaching quality of clinical medical records.
Drawings
FIG. 1 is a flow chart of a method according to an embodiment of the invention;
FIG. 2 is a flow chart of step S1 in the first embodiment of the invention;
FIG. 3 is a flow chart of step S2 in the first embodiment of the invention;
FIG. 4 is a block diagram of a system according to an embodiment of the present invention;
FIG. 5 is a schematic diagram of a capacitive pen according to a second embodiment of the present invention;
fig. 6 is an enlarged schematic view of a portion of fig. 5 at a.
Detailed Description
Hereinafter, embodiments of the present disclosure will be described with reference to the accompanying drawings. It should be understood that the description is only exemplary and is not intended to limit the scope of the present disclosure. In the following detailed description, for purposes of explanation, numerous specific details are set forth in order to provide a thorough understanding of the embodiments of the present disclosure. It may be evident, however, that one or more embodiments may be practiced without these specific details. In addition, in the following description, descriptions of well-known structures and techniques are omitted so as not to unnecessarily obscure the concepts of the present disclosure.
The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the disclosure. The terms "comprises," "comprising," and/or the like, as used herein, specify the presence of stated features, steps, operations, and/or components, but do not preclude the presence or addition of one or more other features, steps, operations, or components.
All terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art unless otherwise defined. It should be noted that the terms used herein should be construed to have meanings consistent with the context of the present specification and should not be construed in an idealized or overly formal manner.
Where expressions like at least one of "A, B and C, etc. are used, the expressions should generally be interpreted in accordance with the meaning as commonly understood by those skilled in the art (e.g.," a system having at least one of A, B and C "shall include, but not be limited to, a system having a alone, B alone, C alone, a and B together, a and C together, B and C together, and/or A, B, C together, etc.). Where a formulation similar to at least one of "A, B or C, etc." is used, in general such a formulation should be interpreted in accordance with the ordinary understanding of one skilled in the art (e.g. "a system with at least one of A, B or C" would include but not be limited to systems with a alone, B alone, C alone, a and B together, a and C together, B and C together, and/or A, B, C together, etc.).
Some of the block diagrams and/or flowchart illustrations are shown in the figures. It will be understood that some blocks of the block diagrams and/or flowchart illustrations, or combinations of blocks in the block diagrams and/or flowchart illustrations, can be implemented by computer program instructions. These computer program instructions may be provided to a processor of a general purpose computer, special purpose computer, or other programmable data processing apparatus, such that the instructions, when executed by the processor, create means for implementing the functions/acts specified in the block diagrams and/or flowchart. The techniques of this disclosure may be implemented in hardware and/or software (including firmware, microcode, etc.). Additionally, the techniques of this disclosure may take the form of a computer program product on a computer-readable storage medium having instructions stored thereon, the computer program product being for use by or in connection with an instruction execution system.
The reference numerals of this embodiment are as follows: the pen comprises a pen container 1, a conductive pen point 2, a pressure spring 3, a pressure sensor 4 and a rubber block 5.
Example 1
A handwriting medical record accurate feedback method facing teaching comprises the following steps:
s1, a mobile end medical record submitting module is established, image shooting is carried out on paper medical records, definition optimization is carried out on shot images, handwritten medical record (also called as handwritten manuscript) files are obtained, the handwritten medical record files are converted into editable file formats, and endorsement files are obtained.
Specifically, the image definition optimization comprises gray level adjustment and sharpening adjustment of the image to obtain an image with enhanced definition. More specifically, the gray level adjustment expresses the gray level value of the image according to the corresponding relation between the brightness Y and R, G, B which is established by the change relation between RGB and YUV color spaces, and the formula is as follows: y=0.5r+0.8g+0.2b, and expresses a gray value of an image according to the luminance value Y; sharpening adjustment means that a sharpening tool can be used for quickly focusing a blurred edge, so that the definition or focal length degree of a certain part in an image is improved, and the color of a specific area of the image is more vivid. When the sharpening tool is applied, the images in all visible layers may be sharpened.
Specifically, step S1 includes:
s101, automatically or manually cutting a frame of a photographed handwritten medical record image according to requirements, and adjusting the contrast and/or color saturation of the handwritten medical record file according to the requirements;
s102, converting an editable file format of the handwritten medical record file to obtain an endorsable file, wherein the editable file format is a file format capable of being edited for the second time.
The student user can carry out the image shooting of paper medical record through shooting device, includes: the mobile phone, the camera, the pad and other equipment with shooting functions can be intelligent equipment or common shooting equipment without networking, the high-definition image of the paper medical record is a handwritten medical record file, the medical record uploading end identifies the handwritten medical record file, judges whether the content of the handwritten medical record file can be easily identified, and determines whether adjustment is needed according to the judging result, wherein the adjustment comprises the following steps: contrast and/or color saturation, when adjusted a preset number of times.
After determining that the content of the handwritten medical record file can be identified normally, the handwritten medical record file is subjected to format replacement, such as PDF format and PPT format, or may be a program format developed according to the scheme of the present invention, and the annotation content includes, but is not limited to: text, voice, picture, link, attachment; it should be noted that, the annotation content is consistent with the content which is commonly used in the prior art and can be edited for the second time, and can be directly realized by PDF or PPT, and along with the updating of the technology, more types of annotation content forms can be obtained along with the iteration of the corresponding file.
S2, establishing a mobile end medical record annotating module, and obtaining the theme and the user requirement of the medical record according to the annotatable file; setting annotation key points in the endorsement-capable file according to the user requirement of the mobile end medical record endorsement module, and inputting endorsement content based on the annotation key points to obtain a feedback file; wherein, the annotating content includes: text, voice, picture, link, attachment.
Specifically, step S2 includes:
s201, selecting positions of annotation key points by selecting any positions of file pages of the endorsable file;
s202, taking at least one annotation key point as an annotation content input port;
S203, selecting the type of the annotation content according to the requirement, and finishing the input of the annotation content;
s204, folding the annotation content of the annotation key point every time the input of the annotation content corresponding to the annotation key point is completed until the input of the annotation content of all the annotation key points is completed, and obtaining a feedback file.
The step S2 includes steps S201-S204, the teacher user performs operation, the teacher user can select the content to be annotated by adopting common labeling modes such as circling, underlining, arrow indication and the like on the content of the annotated file, the annotating key points are set at the positions of the circling, underlining, arrow indication and the like of the painting, the annotating key points are used as annotating content input ports, the teacher user performs annotating content input on the content to be annotated, and one or more types of annotating content input are selected according to requirements.
When the input of the annotation content is completed, the corresponding annotation key points are folded, and the corresponding annotation content is hidden, so that a teacher user can check and annotate the follow-up annotation file until the teacher user completes the input of all the annotation content, and a feedback file is acquired.
S3, establishing a mobile end medical record analysis module, matching the number of annotation key points in the feedback file with a preset threshold value, determining annotation grade, and recording into a database; the database is also internally stored with a medical knowledge base and a template case history case base;
Specifically, in step S3, the number of annotation key points is determined by scanning the feedback file to identify and summarize the number of annotation key points, and a threshold table preset by the user is called to determine an annotation level, where the annotation level is used to display the amount of content in the feedback file to be adjusted.
After the teacher user determines the content of the feedback file, the number of annotation key points in the feedback file is identified, a preset threshold table in the background server is called, the threshold table is preset by the teacher user, the number of annotations of the student user in different learning stages is greatly different, and the annotation grade is determined according to the number of annotation key points in different stages and needs to be formulated according to the specific situation of the student.
In this embodiment, the annotation level includes level 1, level 2 and level 3. The number of annotation key points is less than or equal to 2, and the total number of words of the annotation content is less than 50 words, which is defined as annotation grade 1.
The number of the annotation key points is more than 2 and less than 5, and the total word number of the annotation content is less than 100 words; the number of annotation key points is less than or equal to 2, and the total word number of the annotation content is greater than or equal to 50 words, which is defined as annotation grade 2.
The number of annotation key points is more than or equal to 5; or the number of annotation key points is more than 2 and less than 5, and the total word number of the annotation content is more than or equal to 100 words, which is defined as annotation grade 3.
After receiving the feedback file, the student user can know the parts of the corresponding paper medical record which need to be improved according to the annotation grade before checking the specific annotation content, and meanwhile, the student user can be assisted to intuitively see the change of the annotation grade after using the scheme of the invention for a long time by setting the annotation grade, and the progress of learning is realized through the time lapse.
And S4, setting similarity and a similarity threshold based on the feedback file content, wherein the similarity refers to the coincidence degree of the text content of the handwritten medical record and the database and the coincidence degree of the annotation text and the database.
And S5, storing and transmitting the feedback file in the S2 and medical knowledge content and template medical record matched with the similarity threshold value in the S4.
S6, setting the frequency of annotation content in the feedback files in S2 to respectively comprise a first frequency threshold and a second frequency threshold, and defining that the frequency is smaller than the first frequency threshold as a formation problem; defining a frequency threshold value which is larger than the first frequency threshold value and smaller than the second frequency threshold value as a common problem; defining a frequency greater than a second frequency threshold as a typical problem; and forming common questions, typical questions and a question list according to the annotated content in the feedback file, and feeding back to the mobile end medical record annotating module user.
The mobile end medical record submitting module, the mobile end medical record annotating module and the mobile end medical record analyzing module form a mobile end system, and the mobile end system can be a smart phone terminal or a tablet computer equipment terminal based on APP.
According to the method, the device and the system, the manuscript of the student user is obtained, the file is converted into the endorsable file, the endorsement is carried out by the teacher user, the position of the endorsement key point is determined by the teacher user, the endorsement content is input, the number statistics is carried out on the endorsement key point after the input of all endorsement content is completed, the endorsement grade of the feedback file is determined, the feedback file is returned to the student user, and meanwhile, the feedback file is stored in a rear-end server so that the later student user can search.
It should be noted that the annotated files in the present invention include, but are not limited to jpg, PDF, and PPT, but all files having a file format capable of being edited for the second time are within the scope of the present invention, and include program formats developed according to the scheme of the present invention.
As shown in fig. 4, the handwritten medical record annotation feedback system includes:
a medical record uploading end; the medical record uploading terminal is applied to a mobile terminal medical record submitting module, and is used for acquiring a handwritten medical record file, converting the handwritten medical record file into an editable file format and acquiring an endorsement file, wherein the endorsement content comprises: text, voice, picture, link, attachment;
The medical record annotating end is applied to a mobile end medical record annotating module and is used for setting annotating key points in the annotatable file according to requirements, inputting annotating content based on the annotating key points to obtain a feedback file, matching the number of the annotating key points in the feedback file with a preset threshold value, determining an annotating level, matching the number of the annotating key points in the feedback file with the preset threshold value, and determining the annotating level;
the back-end server is applied to the mobile-end medical record analysis module and is used for storing a threshold value table preset by a user; the method is used for classifying and storing the endorsement file and the feedback file.
According to the invention, the file is acquired through the manuscript of the student user, the teacher user carries out annotation by converting the manuscript into the endorsable file, the teacher user determines the positions of the annotation key points to carry out the input of the endorsement content, the quantity statistics is carried out on the annotation key points after the input of all the endorsement content is completed, the endorsement grade of the feedback file is determined, the feedback file is returned to the student user, and meanwhile, the feedback file is stored in a rear-end server so as to be conveniently searched by the student user at the later stage.
In the invention, student users operate by adopting a medical record uploading end, teacher users operate by adopting a medical record modifying end, and in practical application, the technical scheme of the invention can be an APP or an applet, which is determined to be the medical record uploading end and which is the medical record modifying end by setting the identity of the user, such as students or teachers, and also can be an independent intelligent device, comprising an intelligent device which is only used for running a program corresponding to the medical record uploading end and an intelligent device which is only used for running a program corresponding to the medical record modifying end.
It should be noted that the endorsement file in the present invention includes, but is not limited to, PDF and PPT, but all files having a file format capable of being edited for a second time are within the scope of the present invention, and also include program formats developed according to the scheme of the present invention.
Specifically, the medical record uploading end is used for obtaining a handwritten medical record file by shooting an image of the paper medical record; adjusting the contrast and/or color saturation of the handwritten medical record file according to the requirements; converting the editable file format of the handwritten medical record file to obtain an endorsable file; the editable file format is a file format which can be edited for the second time;
The student user can carry out the image shooting of paper medical record through shooting device, includes: the mobile phone, the camera, the pad and other equipment with shooting function can be intelligent equipment or common shooting products without networking, the high-definition image of the paper medical record is a handwritten medical record file, the medical record uploading end identifies the handwritten medical record file, judges whether the content of the handwritten medical record file can be easily identified, and determines whether adjustment is needed according to the judging result, wherein the adjustment comprises the following steps: and (3) when the contrast and/or the color saturation is adjusted for preset times, for example, 3 times, and the content of the handwriting medical record file cannot be identified still, the student user is returned to the student user, and the corresponding handwriting medical record file is prompted to be uploaded again.
After determining that the content of the handwritten medical record file can be identified normally, the handwritten medical record file is subjected to format replacement, such as PDF format and PPT format, or may be a program format developed according to the scheme of the present invention, and the annotation content includes, but is not limited to: text, voice, picture, link, attachment; it should be noted that, the annotation content is consistent with the content which is commonly used in the prior art and can be edited for the second time, and can be directly realized by PDF or PPT, and along with the updating of the technology, more types of annotation content forms can be obtained along with the iteration of the corresponding file.
The medical record annotating end is used for selecting the positions of annotating key points at any positions of file pages of the annotatable file; at least one annotation key point is used as an annotation content input port; selecting the type of the annotation content according to the requirement, and finishing the input of the annotation content; and folding the annotation content of the annotation key points until the annotation content of all the annotation key points is input, obtaining a feedback file, identifying and summarizing the number of the annotation key points by scanning the feedback file, determining the number of the annotation key points, calling a threshold table preset by a user to determine the annotation level, wherein the annotation level is used for displaying the amount of the content in the feedback file to be regulated, identifying and summarizing the number of the annotation key points by scanning the feedback file, determining the number of the annotation key points, calling a threshold table preset by the user to determine the annotation level, and displaying the amount of the content in the feedback file to be regulated.
The teacher user performs operation, the teacher user can select the content needing to be annotated by adopting common labeling modes such as circling, underlining, arrow indication and the like on the content of the annotatable file, the annotating key points are set up at the positions of the circling, underlining, arrow indication and the like of the painting and serve as annotating content input ports, the teacher user performs annotating content input according to the content to be annotated, selects one or more forms of annotating content input according to the requirement, recognizes and gathers the quantity of the annotating key points through scanning the feedback file, determines the quantity of the annotating key points, calls a threshold table preset by the user to determine the annotating grade, and the annotating grade is used for displaying the quantity of the content needing to be regulated in the feedback file.
When the input of the annotation content is completed, the corresponding annotation key points are folded, and the corresponding annotation content is hidden, so that a teacher user can check and annotate the follow-up annotation file until the teacher user completes the input of all the annotation content, and a feedback file is acquired.
After the teacher user determines the content of the feedback file, the number of annotation key points in the feedback file is identified, a preset threshold table in the background server is called, the threshold table is preset by the teacher user, the number of annotations of the student user in different learning stages is greatly different, and the annotation grade is determined according to the number of annotation key points in different stages and needs to be formulated according to the specific situation of the student.
After receiving the feedback file, the student user can know the parts of the corresponding paper medical record which need to be improved according to the annotation grade before checking the specific annotation content, and meanwhile, the student user can be assisted to intuitively see the change of the annotation grade after using the scheme of the invention for a long time by setting the annotation grade, and the progress of learning is realized through the time lapse.
A machine-readable storage medium having instructions stored thereon for causing a machine to perform any one of the teaching-oriented handwriting medical record precision feedback methods.
An electronic device, comprising: a memory storing a computer program; the processor reads the intelligent equipment program stored in the memory, and the processor realizes the following steps when executing the program:
s1, acquiring a handwritten medical record file, and converting the handwritten medical record file into an editable file format to acquire an endorsement file;
s101, acquiring a handwritten medical record file by performing image shooting on a paper medical record;
s102, adjusting the contrast and/or color saturation of the handwritten medical record file according to the requirement;
s103, converting an editable file format of the handwritten medical record file to obtain an endorsable file, wherein the editable file format is a file format capable of being edited for the second time.
S2, setting annotation key points in the annotation file according to requirements, and inputting annotation content based on the annotation key points to obtain a feedback file, wherein the annotation content comprises the following components: text, voice, picture, link, attachment;
s201, selecting positions of annotation key points by selecting any positions of file pages of the endorsable file;
s202, taking at least one annotation key point as an annotation content input port;
s203, selecting the type of the annotation content according to the requirement, and finishing the input of the annotation content;
S204, folding the annotation content of the annotation key point every time the input of the annotation content corresponding to the annotation key point is completed until the input of the annotation content of all the annotation key points is completed, and obtaining a feedback file.
S3, matching the number of annotation key points in the feedback file with a preset threshold value to determine the annotation grade;
s4, storing and sending the feedback file.
A smart device program product comprising a smart device program which when executed by a processor performs the steps of:
s1, acquiring a handwritten medical record file, and converting the handwritten medical record file into an editable file format to acquire an endorsement file;
s101, acquiring a handwritten medical record file by performing image shooting on a paper medical record;
s102, adjusting the contrast and/or color saturation of the handwritten medical record file according to the requirement;
s103, converting an editable file format of the handwritten medical record file to obtain an endorsable file, wherein the editable file format is a file format capable of being edited for the second time.
S2, setting annotation key points in the annotation file according to requirements, and inputting annotation content based on the annotation key points to obtain a feedback file, wherein the annotation content comprises the following components: text, voice, picture, link, attachment;
S201, selecting positions of annotation key points by selecting any positions of file pages of the endorsable file;
s202, taking at least one annotation key point as an annotation content input port;
s203, selecting the type of the annotation content according to the requirement, and finishing the input of the annotation content;
s204, folding the annotation content of the annotation key point every time the input of the annotation content corresponding to the annotation key point is completed until the input of the annotation content of all the annotation key points is completed, and obtaining a feedback file.
S3, matching the number of annotation key points in the feedback file with a preset threshold value to determine the annotation grade;
s4, storing and sending the feedback file.
Example two
The difference between the embodiment and the first embodiment is that the handwriting medical record annotation feedback system is further applied to a touch screen intelligent mobile device end, the touch screen intelligent mobile device end comprises a touch screen, and the touch screen is used for receiving an electric signal contacted with the touch screen.
A display terminal for displaying image information;
the touch screen display device further comprises a processing module, wherein the processing module converts the electric signals received by the touch screen into image signals and sends the image signals to the display terminal for display.
The capacitive pen comprises a pen barrel, and a conductive pen point is axially and slidably connected to the end portion of the pen barrel. The pen is characterized in that a pressure spring is fixed between the conductive pen point and the pen container, and the end parts of the conductive pen point are located outside the pen container under any state of the pressure spring.
The pen is characterized in that a pressure sensor is fixedly connected to the inner wall of the pen container, a flexible rubber block is fixed at one end, close to the pen container, of the conductive pen point, and the rubber block abuts against the detection surface of the pressure sensor.
A Bluetooth module is further arranged in the pen container and used for sending the information of the pressure sensor;
the handwriting medical record annotation feedback system is also provided with a communication module, and the communication module is used for receiving the information of the Bluetooth module;
the processing module scales the track signal of the touch screen into image information with the size of a single Chinese character through an equal ratio according to the specified condition time, and displays the image information through a display terminal. The specified condition time is started from the moment when the touch screen electric signal is received by the first screen until the moment when the touch screen electric signal is not received within 2s after the last screen receives the touch screen electric signal is ended.
In the handwriting mode, the processing module is used for receiving the information of the communication module, and the processing module is provided with a first pressure threshold value and a second pressure threshold value according to the information, wherein the first pressure threshold value is 0.2N, and the second pressure threshold value is 0.6N; when the pressure information is smaller than a first pressure threshold value, the processing module sends handwriting with the width of 0.2mm to the display end; when the pressure information is larger than the first pressure threshold value and smaller than the second pressure threshold value, the processing module sends handwriting with the width of 0.5mm to the display end; and when the pressure information is larger than the second pressure threshold value, the processing module sends handwriting with the width of 0.8mm to the display end.
Since teachers often make annotation modifications by handwriting on mobile terminals, it is also common to make annotation modifications to student's handwritten cases using cross-line symbols such as brackets. In the handwriting module of the existing tablet device, the input Chinese characters or symbols of the user are usually recognized only in the form of single characters, and the requirement of inputting cross-row symbols cannot be met. The processing module of the system also makes a determination of the image information.
The processing module is also used for processing the image handwriting information, including recording and counting the handwritten character image information written by the user in each period of the user, wherein the handwritten character image information includes character length values and character width values; the processing module is also used for dynamically determining the character image threshold value of the counted handwritten character image information in a mode of calculating an average value; when the occurrence of the received handwritten character image is more than 2 times of the character image threshold, the processing module displays the information of the handwritten character image acquired at this time on a display terminal according to the size of 1:1.
It will be appreciated by those skilled in the art that embodiments of the present application may be provided as a method, system, or computer program product. Accordingly, the present application may take the form of an entirely hardware embodiment, an entirely software embodiment or an embodiment combining software and hardware aspects. Furthermore, the present application may take the form of a computer program product embodied on one or more computer-usable storage media (including, but not limited to, disk storage, CD-ROM, optical storage, and the like) having computer-usable program code embodied therein.
The present application is described with reference to flowchart illustrations and/or block diagrams of methods, apparatus (systems) and computer program products according to embodiments of the application. It will be understood that each flow and/or block of the flowchart illustrations and/or block diagrams, and combinations of flows and/or blocks in the flowchart illustrations and/or block diagrams, can be implemented by computer program instructions. These computer program instructions may be provided to a processor of a general purpose computer, special purpose computer, embedded processor, or other programmable data processing apparatus to produce a machine, such that the instructions, which execute via the processor of the computer or other programmable data processing apparatus, create means for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be stored in a computer-readable memory that can direct a computer or other programmable data processing apparatus to function in a particular manner, such that the instructions stored in the computer-readable memory produce an article of manufacture including instruction means which implement the function specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be loaded onto a computer or other programmable data processing apparatus to cause a series of operational steps to be performed on the computer or other programmable apparatus to produce a computer implemented process such that the instructions which execute on the computer or other programmable apparatus provide steps for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
In one typical configuration, a computing device includes one or more processors (CPUs), input/output interfaces, network interfaces, and memory.
The memory may include volatile memory in a computer-readable medium, random Access Memory (RAM) and/or nonvolatile memory, etc., such as Read Only Memory (ROM) or flash RAM. Memory is an example of a computer-readable medium.
Computer readable media, including both non-transitory and non-transitory, removable and non-removable media, may implement information storage by any method or technology. The information may be computer readable instructions, data structures, modules of a program, or other data. Examples of storage media for a computer include, but are not limited to, phase change memory (PRAM), static Random Access Memory (SRAM), dynamic Random Access Memory (DRAM), other types of Random Access Memory (RAM), read Only Memory (ROM), electrically Erasable Programmable Read Only Memory (EEPROM), flash memory or other memory technology, compact disc read only memory (CD-ROM), digital Versatile Discs (DVD) or other optical storage, magnetic cassettes, magnetic tape magnetic disk storage or other magnetic storage devices, or any other non-transmission medium, which can be used to store information that can be accessed by a computing device. Computer-readable media, as defined herein, does not include transitory computer-readable media (transmission media), such as modulated data signals and carrier waves.
It should also be noted that the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising one … …" does not exclude the presence of other like elements in a process, method, article or apparatus that comprises an element.
The foregoing is merely exemplary of the present application and is not intended to limit the present application. Various modifications and variations of the present application will be apparent to those skilled in the art. Any modification, equivalent replacement, improvement, etc. which come within the spirit and principles of the application are to be included in the scope of the claims of the present application.
Claims (10)
1. The teaching-oriented handwritten medical record accurate feedback method is characterized by comprising the following steps of:
s1, establishing a mobile end medical record submitting module, performing image shooting on a paper medical record, performing definition optimization on the shot image to obtain a handwritten medical record file, and converting the handwritten medical record file into an editable file format to obtain an endorsable file;
S2, a mobile end medical record annotating module is established, annotating key points are set in the annotatable file according to the user requirements of the mobile end medical record annotating module, annotating content input is carried out based on the annotating key points, and a feedback file is obtained; wherein, the annotating content includes: text, voice, picture, link, attachment;
s3, establishing a mobile end medical record analysis module, matching the number of annotation key points in the feedback file with a preset threshold value, determining annotation grade, and recording into a database; the database is also internally stored with a medical knowledge base and a template case history case base;
s4, setting similarity and a similarity threshold based on the feedback file content, wherein the similarity refers to the coincidence degree of the text content of the handwritten medical record and the database and the coincidence degree of the annotation text and the database;
s5, saving and transmitting the feedback file in the S2 and medical knowledge content and template medical record matched with the similarity threshold value in the S4;
s6, setting the frequency of annotation content in the feedback files in S2 to respectively comprise a first frequency threshold and a second frequency threshold, and defining that the frequency is smaller than the first frequency threshold as a formation problem; defining a frequency threshold value which is larger than the first frequency threshold value and smaller than the second frequency threshold value as a common problem; defining a frequency greater than a second frequency threshold as a typical problem; and forming common questions, typical questions and a question list according to the annotated content in the feedback file, and feeding back to the mobile end medical record annotating module user.
2. The method for precisely feeding back a handwriting medical record for teaching according to claim 1, wherein said step S1 comprises:
s101, adjusting the contrast and/or color saturation of the handwritten medical record file according to the requirement;
s102, converting the format of the edited file of the handwritten medical record file to obtain an endorsable file, wherein the format of the edited file is a file format capable of being edited for the second time.
3. The method for precisely feeding back a handwriting medical record for teaching according to claim 1, wherein said step S2 comprises:
s201, selecting positions of annotation key points by selecting any positions of file pages of the endorsable file;
s202, taking at least one annotation key point as the annotation content input port;
s203, selecting the type of the annotation content according to the requirement, and finishing the input of the annotation content;
s204, finishing the input of the annotation content corresponding to the annotation key points, folding the annotation content of the annotation key points until the input of the annotation content of all the annotation key points is finished, and obtaining a feedback file.
4. The method for precisely feeding back the handwriting medical record for teaching according to claim 1, wherein in the step S3, the feedback file is scanned to identify and collect the number of the annotation key points, the number of the annotation key points is determined, a threshold table preset by a user is called to determine an annotation level, and the annotation level is used for displaying the amount of the content in the feedback file to be adjusted.
5. The handwritten medical record annotating feedback system is characterized by comprising:
a medical record uploading end; the medical record uploading terminal is applied to a mobile terminal medical record submitting module, and is used for acquiring a handwritten medical record file, converting the handwritten medical record file into an editable file format and acquiring an endorsement file, wherein the endorsement content comprises: text, voice, picture, link, attachment;
the medical record annotating end is applied to a mobile end medical record annotating module and is used for setting annotating key points in the annotatable file according to requirements, inputting annotating content based on the annotating key points to obtain a feedback file, matching the number of the annotating key points in the feedback file with a preset threshold value, determining an annotating level, matching the number of the annotating key points in the feedback file with the preset threshold value, and determining the annotating level;
the back-end server is applied to the mobile-end medical record analysis module and is used for storing a threshold value table preset by a user; the method is used for classifying and storing the endorsement file and the feedback file.
6. The handwritten medical record annotation feedback system of claim 5, wherein,
the medical record uploading end is used for obtaining a handwritten medical record file by performing image shooting on the paper medical record and generating a high-definition picture; adjusting the contrast and/or color saturation of the handwritten medical record file according to the requirements; converting the format of the editable file of the handwritten medical record file to obtain an endorsement file; the editable file format is a file format capable of being edited for the second time;
The medical record annotating end is used for selecting positions of annotating key points at any positions of a file page of an annotatable file; at least one annotation key point is used as the annotation content input port; selecting the type of the annotation content according to the requirement, and completing the input of the annotation content; and folding the annotation content of the annotation key points until the annotation content of all the annotation key points is input, obtaining a feedback file, identifying and summarizing the number of the annotation key points by scanning the feedback file, determining the number of the annotation key points, calling a threshold table preset by a user to determine the annotation grade, wherein the annotation grade is used for displaying the quantity of the content in the feedback file to be regulated, identifying and summarizing the number of the annotation key points by scanning the feedback file, determining the number of the annotation key points, calling a threshold table preset by the user to determine the annotation grade, and the annotation grade is used for displaying the quantity of the content in the feedback file to be regulated.
7. The handwritten medical record annotation feedback system of claim 6, wherein: the handwriting medical record annotation feedback system is also applied to a touch screen intelligent mobile equipment end, wherein the touch screen intelligent mobile equipment end comprises a touch screen, and the touch screen is used for receiving an electric signal contacted with the touch screen;
A display terminal for displaying image information;
the touch screen comprises a touch screen, a display terminal and a processing module, wherein the touch screen is used for displaying the touch screen;
the capacitive pen comprises a pen barrel, and a conductive pen point is axially and slidably connected to the end portion of the pen barrel. A pressure spring is fixed between the conductive pen point and the pen container, and the end part of the conductive pen point is positioned outside the pen container under any state of the pressure spring;
the inner wall of the pen container is fixedly connected with a pressure sensor, one end of the conductive pen point, which is close to the pen container, is fixedly provided with a flexible rubber block, and the rubber block abuts against the detection surface of the pressure sensor;
a Bluetooth module is further arranged in the pen container and used for sending the information of the pressure sensor;
the handwriting medical record annotation feedback system is also provided with a communication module, and the communication module is used for receiving the information of the Bluetooth module;
the processing module scales the track signal of the touch screen into image information with the size of a single Chinese character through an equal ratio in the time of a specified condition, and displays the image information through a display terminal; the specified condition time is started from the moment when the first screen receives the touch screen electric signal until the moment when the last screen receives the touch screen electric signal and is not received by the touch screen electric signal any more within 2 s;
The processing module is used for receiving the information of the communication module, and the processing module is internally provided with a first pressure threshold value and a second pressure threshold value according to the information; when the pressure information is smaller than a first pressure threshold value, the processing module sends handwriting with the width of 0.2mm to the display end; when the pressure information is larger than the first pressure threshold value and smaller than the second pressure threshold value, the processing module sends handwriting with the width of 0.5mm to the display end; and when the pressure information is larger than the second pressure threshold value, the processing module sends handwriting with the width of 0.8mm to the display end.
8. The handwritten medical record annotation feedback system of claim 7, wherein: the processing module is also used for processing the image handwriting information, including recording and counting the handwritten character image information written by the user in each period of the user, wherein the handwritten character image information includes character length values and character width values; the processing module is also used for dynamically determining the character image threshold value of the counted handwritten character image information in a mode of calculating an average value; when the received handwritten character image appears to be more than 2 times greater than the current character image threshold, the processing module displays the information of the handwritten character image acquired at this time on a display terminal according to the size of 1:1.
9. A machine-readable storage medium having instructions stored thereon for causing a machine to perform any of the teaching-oriented handwriting medical record precision feedback methods.
10. An electronic device, comprising: the cloud storage is used for storing a computer program; and the processor reads the intelligent equipment program stored in the cloud memory to execute the teaching-oriented handwriting medical record accurate feedback method.
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| CN117037186A (en) * | 2023-10-09 | 2023-11-10 | 山东维克特信息技术有限公司 | Patient data management system |
| CN117037186B (en) * | 2023-10-09 | 2024-01-30 | 山东维克特信息技术有限公司 | Patient data management system |
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