TW201142641A - Storage medium, method and system for assisting medical assessment - Google Patents
Storage medium, method and system for assisting medical assessment Download PDFInfo
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201142641^ 明說明 【發明所屬之技術領域】 本發明係關於一種醫療系統,特別是關於一種將主 訴、病徵情況及臆斷疾病名稱的資訊以臆斷方法加權比重,進 行更準確的病症的搜尋對應比神之縣麟辅助之儲存媒 體、方法及該系統。 【先前技藝】201142641^ Describing the technical field of the invention The present invention relates to a medical system, in particular to a method for weighting the information of the chief complaint, the condition of the disease and the name of the disease, and to search for a more accurate disease. The county's auxiliary storage media, methods and systems. [previous skill]
在-般問診醫療的程序中包括有:候診、問診、檢查、報 告、診斷等,最後由醫師開立處方簽,看診者即可依照處方藏 到領藥處進行領藥。其中,問診是最重要的—個環節,醫師往 在需要參考就診朗、看診者個人背景㈣、錢,進一步髮 清相關症狀可能之因果_,前述所獲得資訊必要時進行 讀檢查結果及解釋報告,依據診斷擬定 ^入見行門診醫療卻日寺常為人所話病,起因在於醫師及The procedures for general medical consultation include: waiting, consultation, examination, report, diagnosis, etc. Finally, the doctor opens a prescription, and the patient can collect the medicine according to the prescription. Among them, the consultation is the most important part. The doctor needs to refer to the medical consultation, the personal background of the visitor (4), the money, and further clarify the possible causes and effects of the relevant symptoms. _ The above-mentioned information is required to read the test results and explain According to the report, according to the diagnosis, I went to see the outpatient medical care, but the Japanese temple is often a disease, because the doctor and
s Γ例懸殊,舉例來說:—個時段的門診時間最長 十位的着」Γ保寸估計下在這段時間内购往往會有超過四 倘若是口耳轉的醫師甚至會超過此數量,以 診者加總平均之下,—位看診者僅能分配 待,若再扣掉平物蝴以及其他等 鐘,在這黃=鐘正:::=許只有二至三分 診斷解說、書寫或鍵入病歷二看;=二查診 201142641 者,在此触的_购㈣無法树完 給予看診者 堪慮,也迫於無奈無法提供豐富多:以 申=人已提出「具有醫細丨之儲存媒體、執行方法及該 m中請案,主要可透過醫療指引流程檔^ 提供標的疾病一種客觀量化的訊息,協助對看二 進他引式之财治療,藉以在有限的時間⑽助問診。s Exceptions, for example: - the maximum length of outpatient clinics for a period of time is ten". Under the average of the patients, the patient can only be assigned, if the animal and other clocks are deducted, the yellow = Zhong Zheng:::= Xu only has two to three points to explain the diagnosis, Write or type the medical record to see; = 2 check 201142641, the contact between the purchase (four) can not be completed to give the patient a worry, but also forced to provide a lot of rich: to apply = person has proposed "with medical details储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存 储存inquiry.
^確保問診階段的賴準確率,若能在醫師專業知識提 能有—種臆斷辅助工具從旁輔助,將能增加 專業判斷的廣度以及準確度。 【發明内容】 本發明之目的在於揭露—種作為醫魏·助之儲存媒 體、方法及該純’透過醫療臆_助在看診中進行更準確的 病症的搜尋對應比對率。 本發明之其-目的在於揭露一種作為醫療臆斷辅助之 儲存媒體、方法及m協職尋依據透過輸人的主訴 (Subject)及理學檢查的病徵情況(〇bject),在資料單元中 獲取具有相關病徵的訊息。 本發明之另-目的在於揭露一種作為醫療臆斷辅助之 儲存媒體、方法及m透過醫療臆_助,提供醫師一個 具有客觀量化決策分析與評估喊略絲,t師針對該患疾給 予治療計晝(Plan) ’作丨醫囑触示交代(〇rder)。 201142641 本發明之又一目的在於揭露一種作為醫 儲存媒體、方法及該_,透過f賴__^依關鍵字 細槪㈣物的疾病資 本發明之更一目的在於揭露一種作為醫療臆斷辅助之 儲存媒體、方法及m透㈣療麟輔助有助於問診的正 確性。 、7^Ensure the accuracy rate of the consultation stage. If you can provide assistance in the doctor's professional knowledge, you will be able to increase the breadth and accuracy of professional judgment. SUMMARY OF THE INVENTION The object of the present invention is to disclose a storage medium, a method, and a search for a more accurate diagnosis of a more accurate condition in a medical consultation. The present invention is directed to exposing a storage medium, a method for assisting medical diagnosis, and a condition for finding a job based on the subject matter of the subject and the physical examination (〇bject), and obtaining the relevant information in the data unit. Symptom message. Another object of the present invention is to disclose a storage medium, a method for assisting medical treatment, and to provide a doctor with an objective quantitative decision analysis and evaluation, and a doctor can give treatment to the disease. (Plan) 'As a doctor's advice to explain (〇rder). 201142641 A further object of the present invention is to disclose a medical storage medium, a method, and a disease capital invention according to the keyword (4), and further disclose a storage as a medical aid. The media, methods, and m-through (4) treatments help to correct the diagnosis. , 7
於一具體實施例中,本發明之作為醫療臆斷辅助方法包 含:首先系統之顯示介©提供至少—欄側讀人病患描述的 主。斥(Subject)及理學檢查的病徵情況(〇bject),同時間系 統取出該輸入攔位中之主訴(Subject)及病徵情況(0bject) 的資訊進行疾病病症資料單元的搜尋對應比對率,將以上主訴 (Subject)、病徵情況(Object)加權比重,進行更準確的病 症的搜尋對應比對率。 於另一具體實施例中,本發明除了提供至少一欄位用以輸 入病患描述的主訴(Subject)及理學檢查的病徵情況(〇bject) 之外,再提供另一攔位用以輸入臆斷疾病名稱,確認輸入臆斷 疾病名稱無誤之同時間,系統取出該輸入欄位中之主訴 (Subject)、病徵情況(Object)以及臆斷疾病名稱的資訊進 行疾病病症資料單元的搜尋對應比對率,將以上主訴 (Subject)、病徵情況(Object)及以臆斷方法加權比重,進 行更準確的病症的搜尋對應比對率。 另外’於該具體實施例中,本發明之作為醫療臆斷輔助系 統包含:一問診介面’包括用以輸入病患描述的主訴(Subject) r 201142641 及理學檢查的病徵情況(Object)的欄位,以及另一組可選擇 顯示於問診介面上、用以輸入臆斷疾病名稱的欄位;一組擷取 該問診介面所輸入病患描述的主訴(Subject)及理學檢查的病 徵情況(Object)或臆斷疾病名稱、且進行疾病病症資料單元 的搜尋加權比重對應比對率,進行更準確的病症的搜尋對應比 對率之處理單元;以及可儲存該次臆斷方法檔案資料紀錄之記 憶單元。 °In a specific embodiment, the medical treatment assisting method of the present invention comprises: firstly, the display of the system provides at least the main body description of the patient. Subject and physical examination of the condition (〇bject), at the same time, the system takes out the information of the subject and the condition (0bject) in the input block to search for the disease condition data unit. The subjective (Subject) and the conditional (Object) weighted proportions are used to search for a more accurate condition corresponding to the comparison rate. In another embodiment, the present invention provides at least one field for inputting a subject and a symptom of a physical examination (〇bject), and providing another stop for inputting a break. The name of the disease, confirming that the name of the disease is correct, the system takes out the subject, the condition of the disease, and the information of the name of the disease, and the search correspondence ratio of the disease data unit. The above subject, the condition, and the weighted proportion by the method of acuity, the search for a more accurate disease corresponds to the comparison rate. In addition, in the specific embodiment, the medical treatment assisting system of the present invention includes: a medical interface includes a field for inputting a subject description (2011) and a symptom of the physical examination (Object). And another group may be displayed on the consultation interface for inputting the name of the disease name; a group of subjects who take the description of the patient input from the inquiry interface and the condition of the physical examination (Object) or the diagnosis The name of the disease, and the search weighting proportion of the disease condition data unit corresponds to the comparison rate, the processing unit that performs the more accurate search for the corresponding correspondence rate, and the memory unit that can store the record of the data of the interruption method. °
於該具體實施例中,本發明之具有醫療臆斷辅助之儲存媒 ,包含::計算機,該計算機可運作上述執行方法,尤指透過 、’且處理單元’用以擷取該問診介面所輸入病患描述的主訴 (Sub細)及理學檢查的病徵情況(〇bject)及臆斷疾病名稱、 且進行疾病病症㈣單福搜尋加觀重對應崎率,進行更 準確的病症的搜尋對應比對率,並且提供依據比對率排列的資 料。 中,ΐΐίϋΓΐΓ謂存舰、齡綠及該系統 二選擇之動作過程中或結果,會透過 广上』不顏色的變換、字體的變化 員達到手、眼蝴效果,以免造成操作上編人 神可以藉由以下的發明詳述及 關於本發明之優點與精 所附圖式得到進一步的瞭解 【實施方式】 201142641 該寅料單元40為本地資料單元、遠端資料單元或存取式記情 體等’該資料單元40内部有預先儲存的疾病資料4〇〇,各項 疾病資料400更包括有每一項疾病關鍵症狀以及描述。舉例來 說:該疾病資料400中,其中一組檔案資料4〇〇a為敘述急性 ST #又上升心肌梗塞(Acute ST-segment Elevation MyocardiacIn the specific embodiment, the storage medium with the medical diagnosis aid of the present invention comprises: a computer, which can operate the above-mentioned execution method, in particular, through the 'and processing unit' for extracting the disease input from the consultation interface. Suffering from the description of the main complaint (Sub) and the physical examination of the condition (〇bject) and the name of the disease, and the disease (4) Shanfu search plus weight to meet the rate of Qi, for a more accurate search for the corresponding correspondence rate, And provide information based on the alignment rate. In the process of 存ίϋΓΐΓ, the ship, the age of the green, and the second choice of the system, or the result, will achieve the hand and eye effect through the change of the color, the change of the font, so as to avoid the operation of the editor The following detailed description of the invention and the advantages and advantages of the present invention are further understood. [Embodiment] 201142641 The data unit 40 is a local data unit, a remote data unit, or an access grammar. 'The data unit 40 has pre-stored disease data 4〇〇, and each disease data 400 further includes key symptoms and descriptions of each disease. For example: In the disease data 400, one of the archives 4 〇〇a is for the description of acute ST-segment Elevation Myocardiac
Infarction )方面的疾病’關鍵症狀為胸痛悶(⑶政 pain/tightness)、心肌梗塞(MyocardiacInfarcti〇n)等等,透過 本發明之臆斷方法加權比重即可在問診介面1〇上顯示該些訊 息。該處理單元20係擷取該問診介面10所輸入病患描述的主 • 訴(Subject)及理學檢查的病徵情況(Object)或是合併臆斷 疾病名稱、且進行疾病病症資料單元的搜尋加權比重對應比對 率,進行更準確的病症的搜尋對應比對率;該問診介面1〇可 ”’、負示“引操作人員提供進行決策、醫療處置選擇;以及該 記憶單30元可儲存該次臆斷輔助資料之診療紀錄。 圖一所示晝面為一項較佳實施的問診介面,具體可透 過個人電腦或可透過無線網路連線的手持裝置(H andh〇 1 d Device)實現。該問診介面1〇所顯示一部分晝面1⑻將會載 籲人人資料以及提SI就縣0,並在其他的問診介面 ίο中分為至少兩個以上的欄位102、104,在其中一項攔位 供輸入病患描述的主訴(Subject)詞句,以及另一棚位1〇4係 供輸入理¥檢查的病徵情況⑼㈣)詞心透過上一階段搁 位102 1〇4中所輸入的主訴、病徵情況,醫師在本階段依據 專業性針對關鍵問題做進一步的詢問。 相較於則述介面,請參閱圖五,本發明提供另一棚位 106用以輸人臆斷雜名稱,確認輸人麟疾病名稱無誤之同 201142641 時間’系統取出該輸入攔位102、1〇4、i〇6中之主訴(Subject)、 病徵情況(Object)以及臆斷疾病名稱的資訊進行疾病=資 料單元4〇的搜尋對應比對率,將以上主訴(Subject)、病徵情 況(〇_)及以麟方法加權比重,進行更準確的病症的搜 尋對應比對率。 一上述兩種問診介面的搜尋對應比對率結果將如圖三所 示’透過系統讀取主訴(Subject)、病徵情況(〇bject)或者 加入臆斷疾病名稱的資訊’處理單元2〇進行資料單元4〇加權 φ 比重搜哥,將搜寻結果依關鍵字符合率順序排列,該些搜尋結 果50將初步顯示疾病名稱以及重要關鍵字句,並提供可供選 擇的攔位50a,醫師可再依據自我判斷勾選較符合的症狀再次 筛,如圖四所示的疾病名稱,進行全貌的閱覽’辅以專業易懂 的δ兒明對病患解說,根據醫療臆斷輔助,醫師能夠有客觀量化 決策分析與評估的策略流程,對於病患給予治療計晝,作出醫 囑的指示交代。對於決策輔助系統所選擇的臆斷疾病資訊,將 顯示於原問診介面1G上’如圖五所示,使朗診介面涵蓋從 病患主訴、病徵情況、本發明的臆斷結果以及醫師的治療計晝 • 108,並將該結果進行儲存。 在問診介面上可以透過更簡易的方式,如圖六所示之一種 土有範本的問診介面60,與前一實施例差異之處在於:該問 矽介面60之部分晝面600將會載入病患的個人資料以及提醒 ,診原因,依據前述個人資料或就診原因從資料單元4〇存取 予串付合的預設問項顯示於攔位602、604,譬如:就診原因 為胸腔疼痛,在主訴(Subject)、病徵情況(0bject)的攔位 將預先存取符合胸腔疼痛的字串供醫師問診時選取。 201142641 以下將透過依實際操作本系統的方式進行敘述說明。請參 閱圖七所示,顯示的是操作本發明的流程圖。於計算機上顯示 操作問診介面,醫師對來診病患進行問診'病患描述求診原因 s〇卜跟隨著病患的敘述,醫師輸入病患的主訴(Subject)及 ,學檢查的病徵情況(Object) S02,並且可再次確認關鍵問 題與進一步理學檢查資訊S03,確認無誤後即透過處理單元, 在此之間可再次輸入更詳盡的資訊s〇31,讓搜尋更準確。Infarction] The key symptoms are chest pain ((3) political pain/tightness), myocardial infarction (Myocardiac Infarcti〇n), etc., and the information can be displayed on the consultation interface by weighting the specific gravity of the present invention. The processing unit 20 captures the subject of the patient description input by the inquiry interface 10 and the condition of the physical examination (Object), or merges the name of the disease, and performs a search weighted proportion corresponding to the disease condition data unit. The comparison rate, the search for a more accurate disease corresponds to the comparison rate; the consultation interface can be "", indicates that the operator is provided for decision making, medical treatment selection; and the memory sheet can store 30 times. Diagnosis and treatment records of auxiliary materials. The picture shown in Figure 1 is a better implementation of the consultation interface, which can be implemented through a personal computer or a handheld device (H and h〇 1 d Device) that can be connected via a wireless network. The consultation interface 1〇 shows that part of the face 1 (8) will report the person's information and mention SI to the county 0, and in the other consultation interface ίο divided into at least two fields 102, 104, one of them The subjective sentence for the input of the patient's description, and the other shed position 1〇4 for the condition of the input check (9) (4)) The heart of the complaint passed through the previous stage of the placement 102 1〇4 At the stage, the physician will make further inquiries on key issues based on professionalism. Compared with the interface, please refer to FIG. 5, the present invention provides another booth 106 for inputting the name of the person, and confirming that the name of the person with the disease is correct. 201142641 Time 'System takes out the input block 102, 1〇 4, i〇6 in the main complaint (Subject), the condition of the disease (Object) and information on the name of the disease to carry out the disease = data unit 4 〇 search corresponding correspondence rate, the above subject (Subject), symptoms (〇 _) And the weighted specific gravity by the method of lining, the search for a more accurate disease corresponds to the comparison rate. The search result of the above two kinds of inquiry interfaces corresponds to the result of the comparison. The data unit is processed by the processing unit 2, which reads the subject, the condition of the disease (〇bject) or the information of the disease name. 4〇 weighting φ proportional weight search, the search results are arranged in order of keyword matching rate, the search results 50 will initially display the disease name and important keyword sentences, and provide an optional stop 50a, the physician can then rely on the self Judging the selected symptoms to be screened again, as shown in Figure 4, the name of the disease, to read the full picture 'Assisted by the professional easy to understand δ 儿 明 to explain the patient, according to medical treatment, the doctor can have objective quantitative decision analysis With the evaluation of the strategic process, the patient is given a treatment plan and instructions are given for medical advice. The information on the disease selected by the decision support system will be displayed on the original consultation interface 1G, as shown in Figure 5. The diagnosis interface covers the patient's complaint, the condition of the disease, the results of the diagnosis of the present invention, and the treatment plan of the physician. • 108 and store the results. In the inquiry interface, a more convenient way, as shown in FIG. 6, is a soiled questionnaire interface 60, which differs from the previous embodiment in that part of the facet 600 of the question interface 60 will be loaded. The patient's personal data and reminders, the reason for the diagnosis, according to the above personal data or the reason for the visit from the data unit 4〇 to the stringing of the preset questions are displayed in the block 602, 604, for example, the reason for the treatment is chest pain, In the case of the subject, the conditional (0bject), the pre-access to the string of chest pain is selected for the doctor's consultation. 201142641 The following description will be made by means of the actual operation of the system. Referring to Figure 7, a flow chart for operating the present invention is shown. The operation consultation interface is displayed on the computer, and the doctor asks the patient to be diagnosed. 'The patient describes the reason for the diagnosis s. 跟随 Follow the patient's narrative, the doctor enters the patient's subject and the condition of the examination ( Object) S02, and can re-confirm the key problem and further scientific information S03. After confirming the error, it will pass through the processing unit. In this case, you can input more detailed information s〇31 to make the search more accurate.
擷取該問診介面所輸入病患描述的主訴(Subject)及理學 檢查的病徵情況(Objeet) SG4、且進行疾病病症資料單元的 搜尋加權比重對應比對率S〇5,或者由醫師加入臆斷疾病名稱 =貢訊S04卜經過初步驗證臆測準確性s〇42後進行三者資料 單元加權比重搜尋_,將鮮結果依_字符合率順序排 列S06 ’醫師即能依據比對結果給予治療料s〇7,作出 ^指錢代,使客觀量化決策分析與評_流程辅助,對於病 患給予治療計畫,作出醫囑的指示交代。 在上述的具錢療麟在各触摔作 =、選狀料触+或絲,纽過如:雜上包括的文心 方塊及圖形均可透過顯示顏色的變換、字 以達到提示的作用,使操作人員達到眼、手並 造成操作上的瑕疵。 呆乂免 藉由以上較佳具體實施例之詳述 描述本發明之4^徵與精神,而並非以上述::楚 體實施例來對本發明之祕加·制。 珞甘父佳具 希望能涵蓋各觀變及具相的安排於本發明所 201142641 之專利範圍的範'♦内。 201142641 【圖式簡單說明】 圖一為本發明作為醫療臆斷輔助系統之方塊圖; 圖二為本發明之其中一種問診介面的畫面; 圖三為透過臆斷輔助後的結果範例晝面; 圖四為圖三經過篩選後的範例晝面;Obtain the subject matter of the patient description entered in the consultation interface and the condition of the physical examination (Objeet) SG4, and perform the search weighted proportion of the disease condition data unit corresponding to the comparison ratio S〇5, or the physician joins the disease Name=Gongxun S04 Bu After preliminary verification and accuracy s〇42, the data unit weighted proportion search _ is carried out _, and the fresh results are arranged in the order of _characteristic rate S06 'Physician can give therapeutic materials according to the comparison result 〇 7, make ^ refers to the money generation, so that objective quantitative decision analysis and evaluation _ process assistance, for the patient to give treatment plans, make instructions for medical advice. In the above-mentioned money therapy Lin in the various touches =, selection of material touch + or silk, such as: the inclusion of the heart of the box and graphics can be displayed through the display of color changes, words to achieve the role of prompts, Allows the operator to reach the eyes, hands and cause operational paralysis. The present invention is described in terms of the details of the preferred embodiments described above, and is not to be construed as a limitation of the invention.珞 父 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳 佳201142641 [Simplified illustration of the drawings] Figure 1 is a block diagram of the medical treatment assisting system of the present invention; Figure 2 is a screen of one of the consultation interfaces of the present invention; Figure 3 is a sample of the results after the assisting of the assisting; Figure 4 is Figure 3 is a sample of the sample after screening;
圖五為本發明之另一種問診介面的晝面; 圖六為本發明之又一種問診介面的晝面;及 圖七為本發明作為臆斷辅助之執行方法流程。Figure 5 is a side view of another inquiry interface of the present invention; Figure 6 is a side view of another inquiry interface of the present invention; and Figure 7 is a flow chart of the execution method of the present invention as a chopping aid.
【主要元件符號說明】 步驟 S01-S07 100 :部分畫面 108 :治療計晝 30 :記憶單元 50 :搜尋結果 60 :問診介面 102、104、106 :襴位 10 :問診介面 102、104、1〇6 :欄位 20 :處理單元 40 :資料單元 50a :攔位 100 :部分畫面[Description of main component symbols] Steps S01-S07 100: Partial screen 108: Treatment plan 30: Memory unit 50: Search result 60: Interview interface 102, 104, 106: Clamp 10: Interview interface 102, 104, 1〇6 : Field 20: Processing Unit 40: Data Unit 50a: Block 100: Partial Screen
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
TWI557585B (en) * | 2012-05-03 | 2016-11-11 | 林宗諭 | Intelligent medical record system, medical record recording device, and related computer program product |
TWI686819B (en) * | 2017-06-16 | 2020-03-01 | 宏達國際電子股份有限公司 | Computer aided medical method and medical system for medical prediction |
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2010
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
TWI557585B (en) * | 2012-05-03 | 2016-11-11 | 林宗諭 | Intelligent medical record system, medical record recording device, and related computer program product |
TWI686819B (en) * | 2017-06-16 | 2020-03-01 | 宏達國際電子股份有限公司 | Computer aided medical method and medical system for medical prediction |
US10734113B2 (en) | 2017-06-16 | 2020-08-04 | Htc Corporation | Computer aided medical method and medical system for medical prediction |
US11361865B2 (en) | 2017-06-16 | 2022-06-14 | Htc Corporation | Computer aided medical method and medical system for medical prediction |
US11488718B2 (en) | 2017-06-16 | 2022-11-01 | Htc Corporation | Computer aided medical method and medical system for medical prediction |
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