TWI671761B - Spiral arthritis disease disease activity electronic medical record management system - Google Patents

Abstract

The electronic medical record management system for the disease activity of the patients with spinal arthritis provided by the present invention is a subjective record of the self-scoring values of the self-evaluated patients with specific spinal arthritis in the electronic medical record database, and the test results of the patients with specific spinal arthritis. The objective record of the test value of the inflammatory index, the subjective record and the objective record that are closest to each other in time are taken, and the activity value of the spinal arthritis is calculated by the formula applicable to the type of inflammation index, and then recorded in the electronic medical record data Library for clinical use by physicians.

Description

Electronic medical record management system for disease activity of patients with spinal arthritis

The invention relates to an electronic medical record database management system, in particular to an electronic medical record management system for disease activity of patients with spinal arthritis.

Spinal arthritis (Spondyloarthritis, SpA) is a common chronic rheumatic disease. Long-term follow-up and treatment are needed to control the condition and avoid disability due to rigid and deformed spinal joints. Spinal arthritis is classified as peripheral SpA without any spinal symptoms and axial SpA with lower back pain. Assessment of SpondyloArthritis With the use of the Ankylosing spondylitis disease activity score (ASDAS) tool provided by the International Society (ASAS), clinicians can use it to assess the severity of the disease and use it as a reference for treatment to establish indicators of compliance.

This spinal arthritis activity index assessment tool combines subjective subjective back pain, duration morning stiffness, patient global score, and peripheral joint pain / swelling. (Swelling) self-scoring number, and objective values of Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP), which are known by the test, and calculate their disease activity by formula ) To assess the severity of the disease.

Although the spinal arthritis activity index evaluation tool is a validated clinical scale, it must be combined with the results of patient self-evaluation and test data, and then calculated through complex formulas to get the activity level of the disease. However, in the existing technology, there is a lack of technology for clinicians to use the spinal arthritis activity index evaluation tool tool clinically. Under the circumstances of inconvenience, the physician cannot use the spinal arthritis activity index evaluation tool routinely.

Therefore, the main object of the present invention is to provide an electronic medical record management system for disease activity of patients with spinal arthritis, which can automatically generate disease activity data calculated based on the evaluation tool of spinal arthritis activity index, which is convenient for clinicians to use.

The reason is that in order to achieve the above-mentioned purpose, the electronic medical record management system for the disease activity of the patients with spinal arthritis provided by the present invention is a subjective record of the self-scoring values of the self-evaluated patients with specific spinal arthritis in the electronic medical record database. Objective records of the inflammatory indexes detected by the specimens of patients with spinal arthritis. The subjective and objective records that are closest to each other in time are taken, and the activity value of spinal arthritis is calculated by the formula that should be applicable to the types of inflammation indexes. It is then recorded in the electronic medical record database for clinical use by physicians.

The subjective record refers to a self-scoring value of the degree of back pain, morning stiffness, overall patient score, and peripheral joint pain / swelling of the particular spinal arthritis patient with time information.

The objective record refers to the inflammatory index detection data of the specific spinal arthritis patient, and is recorded in the electronic medical record database with time information, and the inflammatory index may be blood sedimentation rate or C-reactive protein.

Among them, when the inflammation index is the blood sedimentation speed, the formula for calculating the activity degree is: 0.08 * score of back pain degree + 0.07 * score of morning stiffness degree + 0.11 * score of overall patient score + 0.09 * peripheral joint Score of pain / swelling degree + 0.29 * √ blood sedimentation velocity test data.

When the inflammation index is C-reactive protein, the formula for calculating the activity level is: 0.12 * score of back pain level + 0.06 * score of morning stiffness level + 0.11 * score of overall patient score + 0.07 * peripheral joints Score of pain / swelling degree + 0.07ln (C-reactive protein test data + 1).

In order to facilitate the provision of the subjective record for the specific spinal arthritis patient, a terminal device connected to the electronic medical record database is provided for the specific spinal arthritis patient to provide the self-scoring values, and is recorded to the electronic The medical record database is accompanied by time information.

Furthermore, in order to facilitate the tracking of the medical history of the specific spinal arthritis patient, the activity value records are recorded into the electronic medical record database with time information.

In order to make it easy for doctors to quickly understand the changes in the activity of the spinal arthritis of the specific spinal arthritis patient, a display program is used to record the historical history of the value of the spinal arthritis activity of the specific spinal arthritis patient in the electronic medical record database. A display device displays a change trend graph of the activity of spinal arthritis with time as an axis.

A preferred embodiment of the present invention will be described in detail.

An electronic medical record management system for the disease activity of a patient with spinal arthritis provided in a preferred embodiment of the present invention includes an electronic medical record database, a subjective record program, a guest record program, a record pairing and retrieval Fetch program, an activity calculation program and a display program.

The electronic medical record database is related to the identification of patients with spinal arthritis, including name, gender, identity information and other relevant information that is sufficient to identify them. Furthermore, in order to facilitate tracking and management, through cases The medical records management system for patients with spinal arthritis is better.

The subjective recording program is a terminal device with a graphical operation interface such as a smart mobile device, which displays the degree of back pain, morning stiffness, overall patient score, and peripheral joint pain / swelling in patients with spinal arthritis. Scoring method descriptions and standards, and display personal information retrieved from the electronic medical record database to receive a specific spinal arthritis patient that matches the personal information. The state of the body is consciously 0 points and the worst The score is divided into 10 points, and the time value is recorded into the electronic medical record database, and the whole is regarded as a subjective record.

The objective recording program is an indicator of inflammation of the specimen provided by the patient with a specific spinal arthritis, and the test data after the detection is recorded in the electronic medical record database with time information as an objective record, wherein the inflammation The index system may be, but is not limited to, blood sedimentation speed or C-reactive protein.

The record matching and retrieval process is based on the subjective and objective records of the particular patient with spinal arthritis in the electronic medical record database. Based on their respective time information, the closest subjective and objective records in time are paired and retrieved. Take it.

The activity calculation program calculates the paired subjective and objective records, and separately calculates the activity of spinal arthritis disease according to the types of inflammation indicators in the objective records, and the blood sedimentation speed in the objective records. (ESR) test data, calculated according to the formula: 0.08 * back pain score + 0.07 * morning stiffness score + 0.11 * patient overall score score + 0.09 * peripheral joint pain / swell Swelling score + 0.29 * √ Blood sedimentation velocity detection data, calculate arthritis disease activity based on blood sedimentation velocity (ESR), C-reactive protein (CRP) detection data in this objective record, according to formula: 0.12 * Back pain score + 0.06 * morning stiffness score + 0.11 * patient overall score score + 0.07 * peripheral joint pain / swelling score + 0.07ln (C-reactive protein test data + 1) calculation based on C -Reactive protein (CRP) arthritis disease activity, and the calculated value of arthritis disease activity is recorded in the electronic medical record database with time information.

The display program is a historical record of the spinal arthritis activity value of the specific spinal arthritis patient in the electronic medical record database, and a display device is used to display the change trend graph of the spinal arthritis activity in a time axis. Physicians can quickly understand the trend of vertebral arthritis activity in this particular vertebral arthritis patient, in order to obtain patient data in real time, and provide treatment decision support to promote the care quality of vertebral arthritis patients.

Further, the disease activity electronic medical record management system of the patients with spinal arthritis can use the terminal device to perform a self-scoring of the patients with specific spinal arthritis immediately before consultation, so that doctors can pass the spinal arthritis during clinical diagnosis and treatment. The patient's disease activity electronic medical record management system instantly knows the disease activity of the particular spinal arthritis patient.

If the specific spinal arthritis patient has not provided a specimen at the time of the diagnosis or treatment, or the detection data of the inflammation index in the electronic medical record database has not been updated, it will result in a subjective record and a lack of objective records. The disease activity electronic medical record management system for patients with spinal arthritis uses the record pairing and retrieval procedure to match the closest objective record in the electronic medical record database with the current subjective record to calculate the tentative Value of disease activity; 之 detection data of inflammation index; when updated, the records of the disease activity electronic medical record management system of the spinal arthritis patient are matched and retrieved; the updated detection data of inflammation index is matched with the current subjective record and Calculate and update the calculated activity value to replace the tentative disease activity value in the electronic medical record database.

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Claims (6)

An electronic medical record management system for the disease activity of patients with spinal arthritis includes: an electronic medical record database containing at least one identification record of a specific spinal arthritis patient; a subjective recording program having a connection with the electronic medical record database Line terminal device to receive the individual self-scoring values of the degree of back pain, morning stiffness, overall patient score, and peripheral joint pain / swelling of the specific spinal arthritis patient, and record it with time information In the electronic medical record database, as a subjective record, the self-scoring value is the state of the specific spinal arthritis patient's own body. The score is the score value between 0 and 10 of the most unconscious degree. An objective recording program, which records the inflammatory index detection data of the specific spinal arthritis patient in the electronic medical record database with time information as an objective record, wherein the type of the inflammatory index may be the blood sedimentation rate Or C-reactive protein; a record pairing and retrieval procedure from the electronic medical record Obtain the subjective and objective records of the specific spinal arthritis patient in the library, and match and retrieve the closest subjective records and objective records according to their respective time information; an activity calculation program The pairing of subjective and objective records retrieved by the extraction process respectively calculates the activity of spinal arthritis disease according to the type of inflammation index in the objective record, and calculates the calculated value and the calculated value. The identification information of the inflammation index is recorded in the electronic medical record database. When the inflammation index is the blood sedimentation speed, the formula for calculating the activity degree is: 0.08 * back pain score + 0.07 * morning stiffness score + 0.11 * Patient's overall score + 0.09 * Peripheral joint pain / swelling score + 0.29 * √ Blood sedimentation velocity test data. When the inflammation index is C-reactive protein, the formula for calculating the activity is: 0.12 * Back pain score + 0.06 * morning stiffness score + 0.11 * patient overall score score + 0.07 * peripheral joint pain / swelling score + 0.07ln (C-reactive egg +1 detection data). The electronic medical record management system for disease activity of a patient with spinal arthritis according to claim 1, wherein the terminal device is a smart mobile device. The electronic medical record management system for disease activity of a patient with spinal arthritis as described in claim 2, wherein the terminal device is used by the patient with a specific spinal arthritis to perform self-scoring prior to the consultation due to spinal arthritis. As described in claim 1, the electronic activity record management system for disease activity of patients with spinal arthritis, wherein the activity value recorded in the electronic medical record database is accompanied by time information. The electronic medical record management system for disease activity of a patient with spinal arthritis according to claim 1 or 4, wherein the time information is a time stamp. The electronic medical record management system for the disease activity of patients with spinal arthritis as described in claim 1, further comprising a display program, which is a historical record of the value of the spinal arthritis activity of the specific patient with arthritis in the electronic medical record database. Display a trend graph of the activity of the spinal arthritis with time as an axis on a display device.