KR102538131B1 - Apparatus for collecting cancer information of patient and method therefor - Google Patents

Abstract

A cancer patient information collection device and method are disclosed. The cancer patient information collection device collects data from the electronic medical record system using a rule table script in which data collection conditions corresponding to each item of the cancer information registry are defined, and is collected using the registration conditions defined in the rule table script. One data is stored in each item of the cancer information registry.

Description

Apparatus for collecting cancer information of patient and method therefor}

Embodiments of the present invention relate to an apparatus and method for collecting cancer patient information, and more particularly, to an apparatus and method for automatically collecting and registering a large amount of cancer patient information according to a certain format in order to build cancer big data. It is about.

Demand for domestic cancer-related medical services is continuously increasing, and it accounts for the largest portion of domestic medical services. In addition, as cancer-related data explodes due to factors such as the development and convergence of medical IT, and the demand for the use of cancer-related information increases, such as satisfying the people's right to know and reducing the social burden of medical expenses, the economic and social value of cancer big data is expected to increase. Interest is growing rapidly.

Conventionally, when registering cancer information, a person in charge with health and medical knowledge accesses the Electronic Medical Record (EMR) to query and collect a large amount of cancer patient's medical data to process/analyze/judge. Through the process of the cancer registry (cancer registry), a series of processes were performed.

If you look at the cancer information registry entry form, you can find detailed information about the cancer patient's demographics, preoperative evaluation, operation record, pathologic report, and postoperative course. include Medical data of cancer patients required for cancer registry records include all medical records before and after surgery of cancer patients (nursing records, outpatient visits, surgical pathological examinations, immunohistochemical examinations, imaging tests, etc.), medical records (anesthesia records, surgical records, etc.) ) is there.

However, in processing this series of processes, a lot of manpower and cost are required to build a cancer big data database. The need for a system that can reduce the time and cost of professional personnel required for collecting and analyzing raw data necessary for constructing cancer big data is emerging.

The technical problem to be achieved by the embodiments of the present invention is to provide a cancer patient information collection device and method capable of automatically collecting and registering unrefined and atypical cancer patient information according to a certain format in order to build cancer big data. there is.

An example of an apparatus for collecting cancer patient information according to an embodiment of the present invention for achieving the above technical problem is a cancer information registry composed of a plurality of items; a rule table script defining collection conditions and registration conditions of data corresponding to each item of the cancer information registry; a keyword mapping table script defining representative keywords for all or some of the items of the cancer information registry and at least one synonym mapped with the representative keywords; An information collection unit that automatically collects data corresponding to the collection conditions defined in the roll table script from the electronic medical record system using robot process automation; and an information registration unit automatically registering the data collected by the information collection unit in the cancer information registry according to registration conditions defined in the rule table script.

An example of a cancer patient information collection method according to an embodiment of the present invention for achieving the above technical problem is to use a rule table script in which data collection conditions corresponding to each item of the cancer information registry are defined. collecting data from the recording system; and storing data collected using registration conditions defined in the rule table script in each item of the cancer information registry.

According to an embodiment of the present invention, unrefined atypical cancer patient information can be registered in a standardized form so that it can be used in various fields such as big data and artificial intelligence. Since the process of collecting and registering data using RPA (Robotic Process Automation) is performed, cost and time can be saved compared to the previous data collection performed by a person in charge, and errors in data collection and registration etc. can be prevented.

In addition, in the face of the development of artificial intelligence technology and the era of the 4th industrial revolution, building and utilizing high-quality healthcare big data is a key task to lead innovation in the future medical industry. Precision medicine refers to a new healthcare paradigm that applies optimized diagnosis and treatment based on personal health information such as genetic information and lifestyle. In order to realize precision medicine, first of all, the construction of medical big data must be preceded, and it is essential to secure high-quality data through the process of collecting and refining large amounts of data. This embodiment can build good quality data for this purpose.

1 is a diagram showing an example of a cancer patient information collection device according to an embodiment of the present invention;
2 is a diagram showing the configuration of an example of a cancer patient information collection device according to an embodiment of the present invention;
3 is a diagram showing an example of a rule table registry according to an embodiment of the present invention;
4 is a diagram showing an example of a keyword mapping table registry according to an embodiment of the present invention;
5 is a diagram showing an example of a rule table according to an embodiment of the present invention;
6 is a diagram showing an example of a keyword mapping table according to an embodiment of the present invention;
7 is a flowchart illustrating an example of a cancer patient information collection method according to an embodiment of the present invention;
8 is a flowchart illustrating an example of a method for collecting gastric cancer patient information among cancer patient information collection methods according to an embodiment of the present invention;
9 is a flowchart illustrating an example of a method of registering gastric cancer patient information;
10 is a flowchart illustrating an example of a method for collecting information on a breast cancer patient among cancer patient information collection methods according to an embodiment of the present invention;
11 is a flowchart illustrating an example of a method of registering breast cancer patient information.

Hereinafter, a cancer patient information collection apparatus and method according to an embodiment of the present invention will be described in detail with reference to the accompanying drawings.

1 is a diagram showing an example of a cancer patient information collection device according to an embodiment of the present invention.

Referring to FIG. 1, the cancer patient information collection device 100 collects cancer patient information (ie, cancer patient basic information and information before and after cancer surgery) from an Electronic Medical Records (EMR) 120, and This is stored in the cancer information registry. In this embodiment, for convenience of explanation, the EMR 120 is presented as a target for which the cancer patient information collection device 100 collects information, but this is just one example. Cancer patient information can be collected.

The cancer information registry 140 defines a plurality of items for standardizing and storing cancer patient information. For example, the cancer information registry 140 largely includes a group of demographics, preoperative evaluation, operation record, pathologic report, and postoperative course information. and at least one item may exist in each group. The information required for each item of the cancer information registry 140 includes the medical records before and after surgery of cancer patients (nurse records, outpatient visits, surgical pathology tests, immunohistological tests, imaging tests, etc.) recorded on the EMR (120) It may exist in medical records (anesthesia records, surgical records), etc.

The cancer information registry 140 may exist separately from the EMR 120 or may exist inside the EMR 120 . However, in this embodiment, for convenience of description, the cancer information registry 140 is separately illustrated as the EMR 120 and described.

Cancer patient information (medical records, medical records, etc.) stored in the EMR 120 may have various types and contents, and information expression methods may also vary depending on medical staff. Therefore, the cancer patient information collection device 100 collects information necessary for the cancer information registry 140 from the EMR 120 where unstructured information is stored, standardizes the information, and stores it in the cancer information registry 140 . A method for the cancer patient information collection device 100 to collect and store cancer patient information will be described in more detail below in FIG. 2 .

2 is a diagram showing the configuration of an example of a cancer patient information collection device according to an embodiment of the present invention.

Referring to FIG. 2 , the cancer patient information collection device 100 includes a rule table script 200, a keyword mapping table script 210, an information collection unit 220, an information registration unit 230, and an input unit 240. . The cancer patient information collection device 100 may be implemented as a computing device including a memory, a processor, an input/output device, and the like. Each of the components 200 , 210 , 220 , 230 , and 240 of this embodiment may be implemented as software, loaded into a memory, and executed by a processor.

The rule table script 200 includes a rule table defining conditions for collecting and registering data corresponding to each item of the cancer information registry 140 . The rule table script 200 may include rule tables for each cancer type. The rule table includes storage information in which information on each item of the cancer information registry 140 is stored, collection conditions and registration conditions of the information, and the like. The detailed configuration of the rule table script 200 will be reviewed again in FIGS. 3 and 5 .

The keyword mapping table script 210 includes a keyword mapping table defining representative keywords for all or some of the items of the cancer information registry 140 and one or more synonyms (including abbreviations) mapped to the representative keywords. The keyword mapping table script 210 may include keyword mapping tables for each cancer type. The cancer patient information recorded in the EMR or the like may have different expression methods or terms depending on medical staff. For example, 'colorectal cancer', 'colorectal cancer surgery', 'colorectal cancer OP', 'Colon ca OP', 'Rectal ca. OP' may be recorded in the EMR in various forms depending on the medical staff. Since these various forms of expression are all related to 'colorectal cancer', various synonyms (abbreviations) are defined along with 'colorectal cancer' as the representative keyword in the keyword mapping table, and based on this, cancer patient information is collected and standardized. can be registered. An example of the detailed configuration of the keyword mapping table script 210 is shown in FIGS. 4 and 6 .

The information collection unit 220 collects data corresponding to the collection conditions defined in the roll table script 200 from EMR or the like using robotic process automation (RPA). At this time, the information collection unit 220 may collect variously expressed patient information by referring to the keyword mapping table script 210 together with the rule table script 200 . Robot process automation used for information collection enables continuous work 24 hours a day, 7 days a week, so a large amount of data can be collected, and cost and time can be saved due to a decrease in the proportion of repetitive tasks by the person in charge. In addition, robot process automation has the effect of reducing human error and improving data quality as it performs automation tasks in 100% compliance with predefined rules.

The information registration unit 230 registers the data collected by the information collection unit 220 in the cancer information registry 140 according to the registration conditions defined in the rule table script 200 . At this time, the information registration unit 230 may refer to the keyword mapping table script 210 together with the rule table script 200 to standardize the patient information expressed in various forms and store it in the cancer information registry. For example, if the information related to 'colorectal cancer' examined above is collected, all information of various expressions may be standardized as 'colorectal cancer' and stored in the cancer information registry 140 .

The input unit 240 may receive cancer patient identification information or a registration range of cancer patient information from a user. Upon receiving the cancer patient identification information, the information collection unit 220 collects data corresponding to the cancer patient identification information received from the EMR or the like. As another example, when a registration range is input, the information registration unit 230 stores information corresponding to the registration range among collected data in the cancer information registry 140 . For example, when the registration range input through the input unit is information registration up to preoperative evaluation, the information registration unit 230 stores only information up to preoperative evaluation in the cancer information registry 140 .

As an example, the cancer patient identification information received through the input unit 240 may include identification information for a plurality of cancer patients or identification information for a certain range of cancer patients. As another embodiment, the information collection unit 220 may collect information on a new cancer patient by automatically accessing an EMR or the like without receiving cancer patient identification information through the input unit 240 . In this case, the input unit 240 can be omitted.

3 is a diagram showing an example of a rule table script according to an embodiment of the present invention.

Referring to FIG. 3 , the rule table script 200 may include rule tables 300 and 310 for each cancer type. For example, the rule table script 200 may include rule tables for each type of cancer, such as a first rule table for gastric cancer and a second rule table for colorectal cancer. The cancer patient information collecting apparatus 100 may refer to the rule table script 200 to collect cancer patient information for each cancer type and register the cancer patient information in a cancer information registry. If it is necessary to collect and register cancer patient information for a new type of cancer, the user just needs to define the rule tables 300 and 310 for the new type of cancer in the rule table script 200 . That is, collection and registration of information for each cancer type can be easily added, changed, and deleted by adding, changing, or deleting the rule tables 300 and 310 . An example of the detailed configuration of the rule table is shown in FIG. 5 .

4 is a diagram showing an example of a keyword mapping table script according to an embodiment of the present invention.

Referring to FIG. 4 , the keyword mapping table script 210 may include keyword mapping tables 400 and 410 for each cancer type. For example, the rule table script 210 may include keyword mapping tables for each type of cancer, such as a first keyword mapping table for gastric cancer and a second keyword mapping table for colorectal cancer. Using the keyword mapping tables 400 and 410, information expressed in various ways for each type of cancer can be easily collected, normalized, and registered. An example of a detailed configuration of the keyword mapping tables 400 and 410 is shown in FIG. 6 .

5 is a diagram showing an example of a rule table according to an embodiment of the present invention.

Referring to FIG. 5 , the rule table 500 includes a target chart 530, a collection condition 540, a registration condition 550, It includes information such as whether a mapping table exists (560). The rule table 500 of this embodiment is only an example to aid understanding of the present invention, and the configuration and contents of the rule table 500 can be variously modified according to the embodiment.

The target chart 530 indicates a location (chart name, URL address, DB field, etc.) where data for each item is stored. For example, in the target chart 530, the data of the corresponding item is any chart such as EMR (eg, nursing records, outpatient visits, surgical pathological examinations, immunohistological examinations, imaging examinations, medical records, anesthesia records, etc.) ) is defined. The information storage location where the target chart 530 is defined can be expressed in various forms according to the information storage form of the EMR in which patient information is stored.

The collection condition 540 defines the collection period and/or collection contents of data. For example, the collection condition 540 may define a data collection period in various forms, such as defining a cancer patient's surgery date to collect past data within a certain period or data after the surgery date. As another example, the collection condition 540 may specify contents to be collected using various conditional sentences. Among the data found in the storage defined in the target chart, which content to collect can be defined in various ways through collection conditions.

The registration condition 550 defines the form in which the collected data is to be stored in the cancer information registry. For example, when trying to store information on 'family cancer history' in the cancer information registry, the registration condition 550 expresses the existence of a family history of cancer as 'Y/N' or '1/0' and stores it, or together with it. It may be a condition for storing cancer types identified in cancer family history.

The mapping table existence 560 defines whether to refer to the keyword mapping table shown in FIG. 4 when collecting or registering data. For example, if 'yes' is defined in the mapping table existence 560, the cancer patient information collection device 100 refers to the keyword mapping table for the corresponding item when searching for data according to the collection conditions, All data corresponding to your language are considered as the same data and collected. Also, when registering the collected data in the cancer information registry, the cancer patient information collection apparatus 100 may normalize and store representative keywords in terms of various expressions by referring to the keyword mapping table.

6 is a diagram showing an example of a keyword mapping table according to an embodiment of the present invention.

Referring to FIG. 6 , the keyword mapping table 600 includes representative keywords 630 and similar words 640 for all or some of the items 610 and 620 among items defined in the cancer information registry. This embodiment presents a case in which the same item as each item of the rule table 500 of FIG. 5 is displayed and the representative keyword 640 and similar word 640 for each item are included for better understanding. As examined above, the rule table 500 includes information on whether or not there is a mapping table 560 for each item, and in this case, the keyword mapping table 600 corresponds to whether the rule table 500 of FIG. ) may include a representative keyword 630 and a similar word 640 for an item defined as 'YOU'.

7 is a flowchart illustrating an example of a cancer patient information collection method according to an embodiment of the present invention.

Referring to FIG. 7 , the cancer patient information collection apparatus 100 receives patient identification information or a registration range of information from a user (S700). The cancer patient information collection apparatus 100 accesses the EMR, searches for corresponding data based on patient identification information, and collects necessary cancer patient information using a rule table (S710). At this time, the cancer patient information collection apparatus 100 may refer to the keyword mapping table together with the rule table so as to collect variously expressed cancer patient information.

The cancer patient information collection apparatus 100 stores data collected using the rule table in a cancer information registry (S720). At this time, the cancer patient information collection apparatus 100 may refer to the keyword mapping table to normalize and store the information.

8 is a flowchart illustrating an example of a method for collecting gastric cancer patient information among cancer patient information collection methods according to an embodiment of the present invention, and FIG. 9 illustrates an example of a method for registering gastric cancer patient information. It is a flow chart.

Referring to FIGS. 8 and 9 , the cancer patient information collection apparatus collects and registers data for each item defined in a gastric cancer information registry using a rule table and a keyword mapping table for gastric cancer. This collection process may be performed through a robot automation processor.

10 is a flowchart illustrating an example of a method for collecting information on a breast cancer patient among cancer patient information collection methods according to an embodiment of the present invention, and FIG. 11 is a flowchart illustrating an example of a method for registering information on a breast cancer patient. It is a flow chart.

Referring to FIGS. 10 and 11 , the cancer patient information collection apparatus collects and registers data for each item defined in a breast cancer information registry using a rule table and a keyword mapping table for breast cancer. This collection process may be performed through a robot automation processor.

The present invention can also be implemented as computer readable codes on a computer readable recording medium. A computer-readable recording medium includes all types of recording devices in which data that can be read by a computer system is stored. Examples of computer-readable recording media include ROM, RAM, CD-ROM, magnetic tape, floppy disk, and optical data storage devices. In addition, the computer-readable recording medium may be distributed to computer systems connected through a network to store and execute computer-readable codes in a distributed manner.

So far, the present invention has been looked at with respect to its preferred embodiments. Those skilled in the art to which the present invention pertains will be able to understand that the present invention can be implemented in a modified form without departing from the essential characteristics of the present invention. Therefore, the disclosed embodiments should be considered from an illustrative rather than a limiting point of view. The scope of the present invention is shown in the claims rather than the foregoing description, and all differences within the equivalent scope will be construed as being included in the present invention.

Claims (10)

a cancer information registry composed of a plurality of items;
a rule table script defining target charts, collection conditions, and registration conditions of data corresponding to each item of the cancer information registry;
a keyword mapping table script defining representative keywords for all or some of the items of the cancer information registry and at least one synonym mapped with the representative keywords;
an information collection unit that automatically collects data corresponding to the collection conditions defined in the rule table script from the electronic medical record system using robot process automation; and
An information registration unit automatically registering the data collected by the information collection unit in the cancer information registry according to registration conditions defined in the rule table script;
The target chart of the rule table script indicates the location where data for each item is stored, the collection condition defines the data collection period, the registration condition defines the storage form of data,
The cancer patient information collection apparatus, characterized in that the information registration unit stores the normalized terms of various expressions as representative keywords with reference to the keyword mapping table script when registering the collected data in the cancer information registry. According to claim 1,
An input unit for receiving cancer patient identification information from a user; further comprising;
The information collection unit cancer patient information collection device, characterized in that for collecting data corresponding to the cancer patient identification information. According to claim 1,
Further comprising an input unit for receiving a registration range of cancer patient information from a user;
The information registration unit registers data corresponding to the registration range among the collected data to the cancer information registry. According to claim 1,
The rule table script includes a rule table defining data collection conditions and registration conditions for each cancer type,
The keyword mapping table script includes a mapping relationship between representative keywords and similar words for each type of cancer. Collecting data from the electronic medical record system using a rule table script in which data collection conditions corresponding to each item of the cancer information registry are defined; and
Storing data collected using registration conditions defined in the rule table script in each item of the cancer information registry with reference to a keyword mapping table script;
The rule table script defines a target chart, collection condition, and registration condition of data corresponding to each item of the cancer information registry, the target chart indicates a location where data for each item is stored, and the collection condition is a data collection period Defines, the registration condition defines the storage form of data,
The keyword mapping table script defines representative keywords for all or some of the items of the cancer information registry and at least one synonym mapped with the representative keywords;
In the storing, when registering the collected data in the cancer information registry, the keyword mapping table script is referred to, and terms of various expressions are normalized and stored as representative keywords. According to claim 5,
The collecting may include collecting data using a keyword mapping table script defining representative keywords for all or some of the items of the cancer information registry and at least one synonym mapped with the representative keywords; Cancer patient information collection method comprising the. According to claim 5,
The registering may include registering data using a keyword mapping table script defining representative keywords for all or some of the items of the cancer information registry and at least one synonym mapped with the representative keywords; Cancer patient information collection method comprising the. The method of claim 5, wherein the collecting step,
Receiving cancer patient identification information from a user; and
Collecting data corresponding to the cancer patient identification information; cancer patient information collection method comprising the. The method of claim 5, wherein the registering step,
Receiving a registration range of cancer patient information from a user; and
and registering data corresponding to the registration range among the collected data in the cancer information registry. A computer-readable recording medium recording a computer program for performing the method according to any one of claims 5 to 9.

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