WO2019084863A1 - 电子病历的评价系统 - Google Patents
电子病历的评价系统 Download PDFInfo
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- WO2019084863A1 WO2019084863A1 PCT/CN2017/109097 CN2017109097W WO2019084863A1 WO 2019084863 A1 WO2019084863 A1 WO 2019084863A1 CN 2017109097 W CN2017109097 W CN 2017109097W WO 2019084863 A1 WO2019084863 A1 WO 2019084863A1
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- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
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- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- the invention relates to the technical field of medical and electronic medical records, and in particular to an evaluation system for electronic medical records.
- the traditional hospital-level medical record quality control is mainly the quality control of the terminal medical records, that is, the spot check of the medical records that have been filed or the key departments of the key diseases are examined, and the medical records or punishments are revised after the problems are discovered. It is helpful to improve the quality of medical records, but because it only checks the medical records that have been filed, the quality of medical records filled during the hospitalization of patients cannot be well monitored, which leads to the emergence of medical treatment during hospitalization, surgery, etc. In the case of disputes, the quality of the sealed medical records cannot be guaranteed, which is not conducive to reducing the unfavorable factors in medical disputes, and is not conducive to promoting medical quality and patient safety. In other words, the quality of the running medical records needs to be checked.
- the operation of the medical record quality control refers to the advancement of the medical record to the hospitalization period, and is synchronized with the clinician's diagnosis and treatment process, that is, from the patient's admission to the hospital, completed at the time of discharge, and can check and control the medical records at any time during the hospitalization of the patient. So that you can really improve the quality of medical records and the accuracy of medical data. Moreover, with the improvement of information systems and the popularity of computer management systems, electronic medical records have gradually replaced paper medical records. Most hospitals have adopted electronic medical records, which allows relevant departments to view the medical records of all patients in real time; The development of electronic medical record quality control system has begun when the electronic medical record is used, but it is limited to the time of medical record completion, project quality control, logical quality control, etc.
- the quality control of medical records is not realized by computer systems, so the current electronic Medical records quality control, still, according to the traditional manual inspection method for quality control of terminal medical records, it is necessary to invest a large amount of manpower to check the running medical records, and in the traditional medical record checking method, it is artificial manual from the whole Check the medical records to determine whether there are some missing or imperfect places in the medical record, and finally give a score as a whole, that is, for the same medical record, because the person who performed the examination has different evaluation scores on the medical records. There will be differences.
- the evaluation of the electronic medical record has a problem that the accuracy is not high because of manual scoring, and is not applicable to the electronic medical record management system.
- an evaluation system for an electronic medical record which can evaluate the operational history of the electronic medical record state and improve the accuracy of the evaluation of the medical record.
- An electronic medical record evaluation system includes:
- An electronic medical record storage module configured to store an electronic medical record, wherein the electronic medical record includes at least one attribute item
- An evaluation label storage module configured to store at least one evaluation label of the attribute value of the attribute item according to the specification
- a display module configured to display at least one attribute item and a corresponding attribute item evaluation component of the target medical record that needs to be evaluated in the preset medical record display interface;
- a real-time data collection center configured to detect an evaluation label input by the user through the attribute item evaluation component as a target evaluation label
- the electronic medical record evaluation platform is configured to input the target evaluation label detected by the real-time data collection center into a preset electronic medical record evaluation model, and calculate a total evaluation score of the target medical record according to the electronic medical record evaluation model.
- the system further includes a score storage module, configured to store a correspondence between the evaluation label and the evaluation score.
- the electronic medical record evaluation platform further includes an attribute item score determination module and a total evaluation score determination module, wherein:
- the attribute item score determining module is configured to obtain a correspondence between the evaluation label and the evaluation score from the score storage module, and determine, according to the correspondence between the evaluation label and the evaluation score, the collected by the real-time data collection center. An evaluation score corresponding to the target evaluation label, and then determining an attribute item evaluation score corresponding to each attribute item of the target medical record;
- the total evaluation score determining module is configured to input an attribute item evaluation score corresponding to each attribute item of the target medical record obtained by the attribute item score determining module into a preset electronic medical record evaluation model, according to the electronic
- the medical record evaluation model calculates a total evaluation score of the target medical record.
- the display module is further configured to display a total evaluation score of the target medical record in a preset evaluation branch display area.
- the system further includes an early warning module, configured to determine a total evaluation score of the target medical record determined by the electronic medical record evaluation platform, where the total evaluation score is less than the predetermined In the case of the score threshold, the prompt is performed according to the preset warning method.
- an early warning module configured to determine a total evaluation score of the target medical record determined by the electronic medical record evaluation platform, where the total evaluation score is less than the predetermined In the case of the score threshold, the prompt is performed according to the preset warning method.
- the warning module is further configured to acquire the determined target evaluation label if the total evaluation score is less than the preset score threshold;
- the target evaluation tag marks the target medical record and marks the target medical record as a problem medical record.
- the electronic medical record evaluation platform further includes an attribute value evaluation module, configured to calculate a rule corresponding to the attribute item according to the pre-stored attribute value filling rule and the attribute value corresponding to the attribute item.
- the attribute item evaluates the score.
- the electronic medical record evaluation model is a weighted average model.
- the total evaluation score determining module is further configured to determine, according to the weighted average model and the attribute item score, a property corresponding to each attribute item of the target medical record obtained by the module.
- An item evaluation score determining a weighting coefficient corresponding to the attribute item evaluation score corresponding to each attribute item of the target medical record obtained by each of the attribute item score determining modules, and then calculating a total evaluation score of the target medical record value.
- the displaying module is further configured to determine a label list corresponding to each attribute item, where the label list includes a preset at least one evaluation label; and generating and executing according to the determined label list.
- An attribute value evaluation component corresponding to the attribute item, the attribute value evaluation component includes the preset at least one evaluation label; and the attribute item and the corresponding attribute value evaluation component are displayed on the preset medical record display interface.
- a computer readable storage medium comprising computer instructions that, when executed on a computer, cause the computer to implement an electronic medical record evaluation system as previously described.
- the user can check whether the attribute value corresponding to each attribute item of the displayed electronic medical record satisfies the rule through the corresponding case display interface, and Selecting an evaluation label corresponding to the attribute value of the attribute item by displaying the attribute value evaluation component corresponding to the attribute item, and then adopting the preset electronic medical record
- the evaluation algorithm calculates and displays the total score of the displayed electronic medical record, which is the total evaluation score. That is to say, after the evaluation method and device for the electronic medical record in the present invention are adopted, the automatic evaluation of the electronic medical record can be realized by labeling each attribute item, and the accuracy and credibility of the electronic medical record evaluation can be improved. .
- FIG. 1 is a schematic structural diagram of an evaluation system for an electronic medical record in an embodiment.
- FIG. 2 is a schematic diagram of a display page of an electronic medical record in one embodiment
- FIG. 3 is a schematic diagram of a display page of an electronic medical record in one embodiment
- FIG. 4 is a schematic structural diagram of an electronic medical record evaluation platform in an embodiment.
- an evaluation system for an electronic medical record which can evaluate the running medical history of the electronic medical record state, and improve the accuracy of the evaluation of the medical record.
- the electronic medical record is a medical record filled in by a doctor or other medical staff in a corresponding system during a patient's treatment or hospitalization, for example, when the patient is admitted to the hospital.
- the patient's corresponding electronic medical record, and within the patient's hospital stay, the doctor can fill in the medical record at any time according to the specific conditions of medication, surgery, and examination. That is to say, the electronic medical record can be evaluated at any stage of the patient's hospitalization, and in the case where the electronic medical record has been filed, the electronic medical record evaluation method given in the embodiment can also be filed. The electronic medical record is evaluated.
- the electronic medical record evaluation system 10 includes an electronic medical record storage module 102, an evaluation tag storage module 104, a display module 106, a real-time data collection center 108, and an electronic medical record evaluation platform.
- an electronic medical record storage module 102 includes an evaluation tag storage module 104, a display module 106, a real-time data collection center 108, and an electronic medical record evaluation platform.
- the electronic medical record storage module is configured to store an electronic medical record, and the electronic medical record includes at least one attribute item.
- the user fills in according to multiple forms of the electronic medical record.
- the general electronic medical record includes at least basic information such as the patient's name, history of allergies, patient's subjective condition, physical examination, medical record, medical order, and medication record.
- the user fills in the corresponding form content according to the label of the form item, thereby completing the filling of the electronic medical record.
- the electronic medical record storage module may be a corresponding memory in the electronic medical record evaluation system for storing the electronic medical record in operation and the terminal medical record that has been archived, for example, using a non-volatile memory for storage, and When it is necessary to view some or some electronic medical records, the corresponding electronic medical record is read from the electronic medical record storage module.
- a form item filled in by the user in the process of filling in the electronic medical record is an attribute item of the target medical record
- the form content filled in by the user in the process of filling in the electronic medical record is the attribute value corresponding to the attribute item.
- FIG. 2 shows an example of an electronic medical record
- the number L1 (L11, L12, L13) is an attribute item of an electronic medical record
- number L2 (L21, L22, L23) is the attribute value corresponding to the attribute item indicated by L1.
- doctors or other medical staff fill out more than one form of electronic medical records, that is, electronic medical records generated according to the form content filled out by doctors and other medical staff include more than one attribute item, and Each attribute item also contains the corresponding attribute value (it is required that the attribute value can be 0 or empty).
- the evaluation label storage module is configured to store at least one evaluation label that the attribute value of the attribute item is filled in conformity with the specification.
- the evaluation tag storage module is used to store an evaluation tag that is related to the filling of the attribute value of the attribute item and is used for the filling of the tag attribute value, and the number of evaluation tags is more than one. Moreover, different attribute items can also correspond to different evaluation tags.
- a display module configured to display at least one attribute item and a corresponding attribute item evaluation component of the target medical record that needs to be evaluated in the preset medical record display interface.
- the determination of the target medical record may be randomly selected by the system, that is, the system randomly randomly selects all electronic medical records to determine one or more electronic medical records for examination.
- the user may also conditionally set a random selection of the target medical record, for example, selecting a medical record of a certain department, or selecting a medical record of a certain doctor, or selecting a medical record of a certain time period, or selecting The medical record of a certain time period, or the medical record at a certain stage; of course, it can also be the inspection of all medical records under one or more selection conditions.
- the user may also manually select an electronic medical record to be inspected in the medical record list as the target medical record. Or alternatively, in one embodiment, it is also possible to check all of the electronic medical records in the list one by one.
- At least one attribute item acquired in step S104 is displayed in a preset medical record display interface. It should be noted that when all the attribute items of the target medical record are displayed, the displayed information includes and The attribute item label corresponding to the attribute item (for example, the number L3 in FIG. 2), and the attribute value corresponding to the attribute item.
- the attribute value evaluation component corresponding to the attribute item is also displayed, for example, The preset attribute value evaluation component display area next to the attribute item label of the displayed attribute item or the display page corresponding to the display area of the attribute item, and the attribute value evaluation component that the user can input is displayed.
- the attribute value evaluation component includes an evaluation tag that can be selected, and more than one evaluation tag can be selected.
- the attribute value evaluation component is shown by the number L4, and the user can input the evaluation corresponding to the attribute value corresponding to the attribute item by the attribute value evaluation component.
- the attribute value evaluation component is a pull-down selection box including a plurality of evaluation tags, and the user can select an evaluation tag to be input through the pull-down selection box.
- the real-time data collection center is configured to detect an evaluation label input by the user through the attribute item evaluation component as a target evaluation label.
- the user can input the evaluation label through the attribute item evaluation component.
- the real-time data collection center is a module for detecting user input, and the user evaluates the component through the target medical record displayed by the user and the corresponding attribute item. After selecting the evaluation label to be input, the real-time data collection center can obtain the user's input, and determine the evaluation label corresponding to the user's input as the target evaluation label for the calculation of the total evaluation score of the final electronic medical record.
- the user can select a preset evaluation label corresponding to the attribute value evaluation corresponding to the current attribute item by displaying the attribute value evaluation component.
- the evaluation label may be “drug”. Allergies are not filled out, or "the history of allergies is not standardized”.
- more than one evaluation label can be input, and specifically, it can be determined according to system settings, that is, an evaluation label that can be input can be set in the system in advance. The number can be at most one, and the number of evaluation labels that can be entered can be set to more than one.
- the electronic medical record evaluation platform is configured to input the target evaluation label detected by the real-time data collection center into a preset electronic medical record evaluation model, and calculate a total evaluation score of the target medical record according to the electronic medical record evaluation model.
- the calculation method of the total evaluation score of the electronic medical record is set in advance, that is, the electronic medical record evaluation model, and the target evaluation label input by the user collected by the real-time data collection center can be obtained by the electronic medical record evaluation model. Converted to the total evaluation score of the corresponding electronic medical record.
- the system further includes a score storage module 112 for storing a correspondence between the evaluation tag and the evaluation score.
- the corresponding medical records are filled in different levels and levels.
- the questions corresponding to the evaluation label “no complaint history” and “main complaint description is unclear” are different.
- the contribution of the final evaluation result of the price will be different. Therefore, the evaluation scores corresponding to different evaluation labels are also different.
- the correspondence relationship between each evaluation label and the evaluation score is set in advance, for example, the evaluation score corresponding to "drug allergy not filled” is "-2 points", and the evaluation corresponding to "no admission record” The score is "-25 points".
- the evaluation score corresponding to each of the target evaluation tags can be determined according to the correspondence between the predetermined evaluation tag and the evaluation score.
- the electronic medical record evaluation platform 110 further includes an attribute item score determination module 1102 and a total evaluation score determination module 1104, wherein: the attribute item score determination module 1102 is configured to use the score
- the storage module obtains a correspondence between the evaluation label and the evaluation score, and determines an evaluation score corresponding to the target evaluation label collected by the real-time data collection center according to the correspondence between the evaluation label and the evaluation score, and then determines the target medical record.
- the attribute item corresponding to each attribute item is used to evaluate the score;
- the total evaluation score determining module 1104 is configured to evaluate the attribute item corresponding to each attribute item of the target medical record obtained by the attribute item score determining module.
- the value is input to a preset electronic medical record evaluation model, and the total evaluation score of the target medical record is calculated according to the electronic medical record evaluation model.
- the attribute item evaluation score corresponding to the attribute item is determined according to all the target evaluation labels corresponding to the attribute item and the evaluation score corresponding to each of the target evaluation labels. For example, for the specified attribute item, the sum of the evaluation scores corresponding to all the target evaluation labels corresponding to the attribute item, that is, the attribute item of the attribute item is evaluated as a score.
- the target medical record D-Target contains N attribute items A 1 , A 2 , . . . , A N , and their corresponding attribute values are a 1 , a 2 , . . . , a N , and
- the attribute item evaluation score corresponding to the attribute item A i is x i
- the total evaluation score S target calculated with the target medical record D-Target can be calculated by the following formula (1), (2) or (3):
- ⁇ i XX is a weight coefficient corresponding to A i
- K is a constant greater than 0 and less than 100.
- the total evaluation score corresponding to the target medical record according to the preset medical record evaluation algorithm and the attribute item evaluation score corresponding to the at least one attribute item is specifically: obtaining a preset corresponding to each attribute item
- the weight coefficient is used as the target weight coefficient; and the total evaluation score corresponding to the target medical record is calculated according to the attribute item evaluation score corresponding to the at least one attribute item and the target weight coefficient.
- the weight coefficient corresponding to each attribute item is different, and the contribution of different attribute items to the total evaluation score is different.
- the weight coefficient corresponding to the “sickness record” is greater than the weight coefficient corresponding to “doctoral”.
- the weight coefficient corresponding to each attribute item is set in advance. In this step, when calculating the total evaluation score of the target medical record, the weight coefficient corresponding to each attribute item and the corresponding attribute item are The attribute item evaluates the score to calculate the total evaluation score of the target medical record.
- calculation method of the total evaluation score of the target medical record is not limited to the above.
- the presentation module is further configured to display a total evaluation score of the target medical record in a preset evaluation branch display area.
- the corresponding total evaluation score may be calculated according to the user's selection, and the corresponding total evaluation score is displayed on the display interface of the current target medical record. Further, in the corresponding medical record list, the total evaluation score of each electronic medical record that has been evaluated may also be displayed.
- the system further includes an early warning module 114, configured to determine a total evaluation score of the target medical record determined by the electronic medical record evaluation platform, where the total evaluation score is less than the preset score threshold.
- the prompt is prompted according to the preset warning method.
- the warning module 114 is further configured to acquire the location if the total evaluation score is less than the preset score threshold. Determining the target evaluation label; marking the target medical record according to the acquired target evaluation label, and marking the target medical record as a problem medical record.
- the target medical record is determined, it is also required to determine whether the calculated total evaluation score satisfies a preset score condition, for example, whether it is greater than or equal to a preset score threshold. Moreover, if the total evaluation score of the target medical record is less than the preset score threshold, the target medical record is determined to be the problem medical record, and the target medical record is marked as the problem medical record.
- a preset score condition for example, whether it is greater than or equal to a preset score threshold.
- the attribute item tag of the attribute item corresponding to the attribute item evaluation score is also marked as the tag of the problem medical record.
- the evaluation tag is a tag for evaluating a problem existing in one attribute item of the target medical record, that is, the target evaluation tag may indicate a problem of the target medical record, and therefore, in this embodiment, it is also required All target evaluation labels determined during the evaluation of the target medical record are also added to the label of the problem medical record.
- the user can manually check and label each attribute item of the electronic medical record for a certain defect.
- the evaluation of the electronic medical record is not limited to the manual label of the user, and may also include Automatic evaluation of the computer.
- the electronic medical record relationship system or electronic medical record automatically detects whether the attribute value of the required item is empty, and evaluates the evaluation rule of the score according to the preset required item, and gives the corresponding attribute item evaluation score.
- the attribute value not only can the attribute value be automatically detected, but also whether the attribute value of the attribute item satisfies a preset condition, for example, whether the “year of birth” is within a specified range. For example, whether the "medication note” contains the specified specification content, and, for example, whether the "surgical record” is filled in within 2 hours after the completion of the operation time.
- the electronic medical record evaluation platform 110 further includes an attribute value evaluation module 1106, configured to calculate a value of the attribute item corresponding to the attribute item according to the pre-stored attribute value filling rule and the attribute value corresponding to the attribute item. value.
- the method further includes: traversing the at least one attribute item, and acquiring, by the traversed attribute item, a preset and the attribute item Corresponding attribute value filling rule, calculating the attribute item evaluation score corresponding to the attribute item according to the obtained attribute value filling rule and the attribute value corresponding to the attribute item; according to the preset medical record evaluation algorithm and at least one attribute
- the attribute item evaluation score corresponding to the item calculates a total evaluation score corresponding to the target medical record.
- the attribute value filling rule corresponding to the attribute item is determined, and the attribute value of the attribute item is evaluated according to the attribute value filling rule, and the corresponding attribute item evaluation score is calculated,
- the score can be used for the calculation of the final total evaluation score.
- the "allergic history” item may be different from the "patient's main medical history” item, so if the same evaluation label is used for all attribute items There is a problem that the accuracy of the evaluation label is not high. Therefore, different evaluation labels are set for different attribute items, thereby improving the accuracy of the electronic medical record evaluation.
- the display module is further configured to determine a label list corresponding to each attribute item, where the label list includes a preset at least one evaluation label; and the attribute item is generated according to the determined label list.
- the attribute value evaluation component includes the preset at least one evaluation tag; and displaying the attribute item and the corresponding attribute value evaluation component on the preset medical record display interface.
- a label list corresponding to the attribute item is determined, and the label list includes a preset at least one evaluation label. That is to say, in the correspondence between the preset attribute item and the evaluation tag, the evaluation tag or the evaluation tag list corresponding to the current attribute item is determined. Moreover, for an attribute item, the number of corresponding pre-set evaluation tags may be more than one. Then, the determined evaluation tag list or the evaluation tag generates an attribute value evaluation component corresponding to the corresponding attribute item, the generated attribute value evaluation component corresponds to the attribute item, and includes the plurality of evaluation tags determined above. Or include all the evaluation labels included in the above-identified evaluation label list. Then, when the target medical record and at least one attribute item of the target medical record are displayed, the attribute value evaluation component displayed is the attribute value evaluation component generated above.
- the user can check whether the attribute value corresponding to each attribute item of the displayed electronic medical record satisfies the rule through the corresponding case display interface, and Selecting, by the attribute value evaluation component corresponding to the attribute item, an evaluation label corresponding to the attribute value of the attribute item, and then calculating a total score of the displayed electronic medical record by using a preset electronic medical record evaluation algorithm, and displaying the Total evaluation score. That is to say, after the evaluation method and device for the electronic medical record in the present invention are adopted, the automatic evaluation of the electronic medical record can be realized by labeling each attribute item, and the accuracy and credibility of the electronic medical record evaluation can be improved. .
- the above embodiments it may be implemented in whole or in part by software, hardware, firmware, or any combination thereof.
- a software program it may be implemented in whole or in part in the form of a computer program product.
- the computer program product includes one or more computer instructions.
- the computer program instructions When the computer program instructions are loaded and executed on a computer, the processes or functions described in accordance with embodiments of the present invention are generated in whole or in part.
- the computer can be a general purpose computer, a special purpose computer, a computer network, or other programmable device.
- the computer instructions can be stored in a computer readable storage medium or transferred from one computer readable storage medium to another computer readable storage medium, for example, the computer instructions can be from a website site, computer, server or data center Transfer to another website site, computer, server, or data center by wire (eg, coaxial cable, fiber optic, digital subscriber line (DSL), or wireless (eg, infrared, wireless, microwave, etc.).
- the computer readable storage medium can be any available media that can be accessed by a computer or a data storage device such as a server, data center, or the like that includes one or more available media.
- the usable medium may be a magnetic medium (eg, a floppy disk, a hard disk, a magnetic tape), an optical medium (eg, a DVD), or a semiconductor medium (such as a solid state disk (SSD)) or the like.
- a magnetic medium eg, a floppy disk, a hard disk, a magnetic tape
- an optical medium eg, a DVD
- a semiconductor medium such as a solid state disk (SSD)
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Abstract
一种电子病历的评价系统，包括：电子病历存储模块（102），用于存储电子病历；评价标签存储模块（104），用于存储属性项的属性值填写是否符合规范的至少一个评价标签；展示模块（106），用于在预设的病历展示界面中展示需要进行评价的目标病历的至少一个属性项和对应的属性项评价组件；实时数据采集中心（108），用于检测用户通过所述属性项评价组件输入的评价标签作为目标评价标签；电子病历评价平台（110），用于将所述实时数据采集中心所检测到的目标评价标签输入预设的电子病历评价模型，根据所述电子病历评价模型计算所述目标病历的总评价分值。所述评价系统可对运行中的电子病历进行评价，且相较于现有技术提高了病历评价的准确度。
Description
本发明涉及医学和电子病历技术领域，尤其涉及一种电子病历的评价系统。
传统的医院院级病历质控主要是终末病历质控，即对已经归档的病历进行抽查或者重点病种重点科室进行检查，在发现问题之后再修改病历或者处罚，这种时候检查的方法虽然对病历质量的提高有帮助，但因为只是针对已经归档的病历进行检查，对于患者住院期间的病历填写质量并不能进行很好的监控，这就导致了在病人住院、手术等过程中出现了医疗纠纷时，封存的病历的质量无法得到保证，不利于减少医疗纠纷中的不利因素，也不利于促进医疗质量与患者安全。也就是说，需要对运行病历的质量进行检查。
运行病历质控是指在将对病历的检查提前到住院期间，并且与临床医生的诊疗过程同步，即从患者入院开始，出院时完成，可以针对患者住院的任意时段的病历进行检查和质控，从而可以真正的提高病历的质量以及医疗数据的精准度。并且，随着信息系统的完善和计算机管理系统的普及，电子病历逐渐取代了纸质的病历，绝大多数医院均采用了电子病历，这就使得相关的科室可以实时的查看所有病人的病历；电子病历质控系统的研发，在电子病历使用时就已经开始了，但仅限于病历完成的时间、项目质控、逻辑质控等，病历内涵质控是计算机系统还无法实现的，因此目前电子病历质控，仍然，按照传统的对终末病历进行质控的人工检查的方法，需要投入大量的人力对运行病历进行检查，并且，在传统的病历检查方法中，是人为的手动的从整体上对病历进行检查，确定病历是否存在某些缺漏或者不完善的地方，最后从整体上给出一个分数，也就是说，对于同一份病历，因为进行检查的人员的不同对病历的评价分数也会存在不同。
也就是说，在相关技术方案中，对于电子病历的评价因为人工的打分存在准确度不高的问题，且不适用于电子病历管理系统。
发明内容
基于此，在本发明中，特提出了一种电子病历的评价系统，可对电子病历状态的运行病历进行评价，并且，提高了对于病历的评价的准确度。
一种电子病历的评价系统，包括：
电子病历存储模块，用于存储电子病历，所述电子病历包括至少一个属性项；
评价标签存储模块，用于存储属性项的属性值填写是否符合规范的至少一个评价标签；
展示模块，用于在预设的病历展示界面中展示需要进行评价的目标病历的至少一个属性项和对应的属性项评价组件；
实时数据采集中心，用于检测用户通过所述属性项评价组件输入的评价标签作为目标评价标签；
电子病历评价平台，用于将所述实时数据采集中心所检测到的目标评价标签输入预设的电子病历评价模型，根据所述电子病历评价模型计算所述目标病历的总评价分值。
可选的，在一个实施例中，所述系统还包括分值存储模块，用于存储评价标签与评价分值的对应关系，
所述电子病历评价平台还包括属性项分值确定模块和总评价分值确定模块，其中：
所述属性项分值确定模块用于从所述分值存储模块获取评价标签与评价分值的对应关系，并根据该评价标签与评价分值的对应关系确定所述实时数据采集中心采集到的目标评价标签对应的评价分值，然后确定所述目标病历的每一个属性项对应的属性项评价分值；
所述总评价分值确定模块用于将所述属性项分值确定模块得到的所述目标病历的每一个属性项对应的属性项评价分值输入预设的电子病历评价模型，根据所述电子病历评价模型计算所述目标病历的总评价分值。
可选的，在一个实施例中，所述展示模块还用于在预设的评价分支展示区域中展示所述目标病历的总评价分值。
可选的，在一个实施例中，所述系统还包括预警模块，用于对所述电子病历评价平台确定的目标病历的总评价分值进行判断，在所述总评价分值小于所述预设的分数阈值的情况下，按照预设的预警方式进行提示。
可选的，在一个实施例中，所述预警模块还用于在所述总评价分值小于所述预设的分数阈值的情况下，获取所述确定的目标评价标签；根据所述获取的目标评价标签对所述目标病历进行标记，并将所述目标病历标记为问题病历。
可选的，在一个实施例中，所述电子病历评价平台还包括属性值评价模块，用于根据预存储的的属性值填写规则以及与属性项对应的属性值，计算与该属性项对应的属性项评价分值。
可选的，在一个实施例中，所述电子病历评价模型为加权平均模型。
可选的，在一个实施例中，所述总评价分值确定模块还用于根据所述加权平均模型和所述属性项分值确定模块得到的所述目标病历的每一个属性项对应的属性项评价分值，确定与每一个所述属性项分值确定模块得到的所述目标病历的每一个属性项对应的属性项评价分值对应的加权系数，然后计算所述目标病历的总评价分值。
可选的，在一个实施例中，所述展示模块还用于确定与每一个属性项对应的标签列表，所述标签列表包括预设的至少一个评价标签；根据所述确定的标签列表生成与该属性项对应的属性值评价组件，所述属性值评价组件包含所述预设的至少一个评价标签；在所述预设的病历展示界面上展示所述属性项以及对应的属性值评价组件。
在本发明的另一个实施例中，还提出了一种计算机可读存储介质，包括计算机指令，当所述计算机指令在计算机上运行时，使得计算机实现如前所述的电子病历的评价系统。
实施本发明实施例，将具有如下有益效果：
采用了上述电子病历的评价系统之后，对于运行中的电子病历，用户可以通过相应的病例展示界面，对展示的电子病历的每一个属性项对应的属性值的填写是否满足规则进行检查，并且，通过展示的与该属性项对应的属性值评价组件来选择对于该属性项的属性值对应的评价标签，然后通过预设的电子病历
评价算法计算展示的电子病历的总评分并进行展示，即为总评价分值。也就是说，采用了本发明中的电子病历的评价方法和装置之后，可以通过对每一个属性项进行标签的方法来实现对电子病历的自动评价，提高电子病历评价的准确度和可信度。
进一步的，只要是可以进行查看的电子病历均可以对其进行评价，这就使得在病人住院的每一个阶段，相应的质控人员等均可以对运行中的电子病历或者已经归档的终末病例进行评价，提高了电子病历的评价方法的适用范围。
为了更清楚地说明本发明实施例或现有技术中的技术方案，下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图仅仅是本发明的一些实施例，对于本领域普通技术人员来讲，在不付出创造性劳动的前提下，还可以根据这些附图获得其他的附图。
其中：
图1为一个实施例中一种电子病历的评价系统的结构示意图。
图2为一个实施例中电子病历的展示页面的示意图；
图3为一个实施例中电子病历的展示页面的示意图；
图4为一个实施例中电子病历评价平台的结构示意图。
下面将结合本发明实施例中的附图，对本发明实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本发明一部分实施例，而不是全部的实施例。基于本发明中的实施例，本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例，都属于本发明保护的范围。
在本实施例中，提出了一种电子病历的评价系统，可对电子病历状态的运行病历进行评价，并且，提高了对于病历的评价的准确度。
需要说明的是，在本实施例中，上述电子病历是在病人治病或住院期间医生或者其他医护人员在相应的系统中填写的病历，例如，在病人入院时建立与
该病人对应的电子病历，并且，在该病人的住院时间之内，医生可以随时根据用药、手术、检查的具体情况进一步的填写病历。也就是说，在病人住院期间的任何阶段，均可以对电子病历进行评价，并且，在电子病历已经归档的情况下，也可以通过本实施例中给出的电子病历的评价方法对该已经归档的电子病历进行评价。
具体的，如图1所示，上述电子病历的评价系统10包括电子病历存储模块102、评价标签存储模块104、展示模块106、实时数据采集中心108、电子病历评价平台，具体的，
电子病历存储模块，用于存储电子病历，所述电子病历包括至少一个属性项。
用户在填写电子病历时，会按照电子病历的多个表单进行填写，例如，一般的电子病历至少包括病人姓名等基本信息、过敏史、病人主述病情、体格检查、病程记录、医嘱、用药记录等多个表单项，用户会根据表单项的标签填写对应的表单内容，从而完成电子病历的填写。
在本实施例中，电子病历存储模块可以是电子病历评价系统中对应的存储器，用来存储运行中的电子病历以及已经归档的终末病历，例如，采用非易失性存储器进行存储，并且，在需要对某一些或者某一个电子病历进行查看时，从该电子病历存储模块中读取相应的电子病历。
在本实施例中，用户在填写电子病历的过程中填写的一个表单项即为目标病历的一个属性项，用户在填写电子病历的过程中填写的表单内容即为该属性项对应的属性值。例如，在图2所示的应用场景中，图2展示了一个电子病历的示例，编号L1(L11、L12、L13)所示即为一个电子病历的一个属性项，编号L2(L21、L22、L23)所示即为L1所示的属性项对应的属性值。
一般来讲，医生或其他医护人员填写的电子病历中需要填写的表单项不止一项，也就是说，根据医生和其他医护人员填写的表单内容生成的电子病历包括了不止一个属性项，并且，每一个属性项还包含了对应的属性值(需要说明的是，属性值可以为0或者空)。
评价标签存储模块，用于存储属性项的属性值填写是否符合规范的至少一个评价标签。
在本实施例中，评价标签存储模块是用来存储与属性项的属性值的填写是否符合规范的、并且用来标签属性值的填写对应的问题的评价标签的，评价标签的数量不止一个，并且，不同的属性项还可以对应不同的评价标签。
展示模块，用于在预设的病历展示界面中展示需要进行评价的目标病历的至少一个属性项和对应的属性项评价组件。
在用户对运行中的电子病历或者已经归档的电子病历进行评价时，需要在相应的电子病历管理系统或者电子病历评价系统中对应的电子病历展示页面中查看相应的电子病历，也就是说，用户可以在病历展示界面中查看需要进行评价的电子病历。
在本实施例中，目标病历的确定可以是系统随机进行选择的，也就是说，系统随机对所有的电子病历进行随机筛选，确定一个或多个电子病历进行检查。或者，在另一个实施例中，用户还可以对目标病历的随机选择进行条件设置，例如，选择某一个科室的病历、或者选择某一个医生的病历、或者选择某一个时间阶段的病历、或者选择某一个时间段的病历、或者选择处于某一个阶段的病历；当然也可以是某一个或多个选择条件下的所有的病历进行检查。或者，在另一个实施例中，用户还可以手动在病历列表中选择需要进行检查的电子病历作为目标病历。又或者，在一个实施例中，还可以是对列表中的所有的电子病历逐个进行检查。
在本实施例中，在预设的病历展示界面中展示在步骤S104中获取到的至少一个属性项，需要说明的是，在展示目标病历的所有的属性项时，展示的信息包括有与该属性项对应的属性项标签(例如，图2中编号L3所示)，以及与该属性项对应的属性值。
进一步的，为了相关的病历检查人员或者病历评价人员在进行病历评价时的操作方便，在展示目标病历的每一个属性项时，还展示了与该属性项对应的属性值评价组件，例如，在展示的属性项的属性项标签旁、或者展示页面与该属性项的展示区域对应的预设的属性值评价组件展示区域，展示了用户可以进行输入的属性值评价组件。
需要说明的是，在本实施例中，属性值评价组件中包含了可以被选择的评价标签，并且，可以选择的评价标签可以不止一个。
在如图3所示的应用场景中，编号L4所示的即为属性值评价组件，用户可以通过该属性值评价组件输入该属性项对应的属性值对应的评价。在一个具体的实施例中，如图3所示，属性值评价组件为包含了多个评价标签的下拉选择框，用户可以通过该下拉选择框选择需要输入的评价标签。
实时数据采集中心，用于检测用户通过所述属性项评价组件输入的评价标签作为目标评价标签。
如前所述，用户可以通过属性项评价组件输入评价标签，在本实施例中，实时数据采集中心即为对用户输入进行检测的模块，在用户通过展示的目标病历以及对应的属性项评价组件选择了需要输入的评价标签之后，实时数据采集中心即可获取用户的输入，并确定与用户的输入对应的评价标签作为目标评价标签，用于最终的电子病历的总评价分值的计算。
如前所述，用户可以通过展示的属性值评价组件，选择对于当前的属性项对应的属性值评价所对应的预设的评价标签，例如，对于“过敏史”项，评价标签可以为“药物过敏未填写”、或者“过敏史填写不规范”等。
需要说明的是，在本实施例中，针对某一个属性项，可以输入的评价标签不止一个，具体可以根据系统设置来进行确定，也就是说，可以预先在系统中设置可以输入的评价标签的数量至多一个，也可以设置可以输入的评价标签的数量可以超过一个。
电子病历评价平台，用于将所述实时数据采集中心所检测到的目标评价标签输入预设的电子病历评价模型，根据所述电子病历评价模型计算所述目标病历的总评价分值。
在本实施例中，预先设置了电子病历的总评价分值的计算方法，即为电子病历评价模型，通过该电子病历评价模型，可以将实时数据采集中心所采集搭配的用户输入的目标评价标签转换成对应的电子病历的总评价分值。
在一个具体的实施例中，如图1所示，上述系统还包括分值存储模块112，用于存储评价标签与评价分值的对应关系。
对于不同的评价标签，其所对应的病历填写情况和水平也不一样，例如，“病人主诉病史”项中，评价标签“无主诉病史”和“主诉描述不清楚”所对应的问题不同，在给电子病历的填写进行评价或者评分的过程中，其对电子评
价的最终评价结果的贡献也会不一样。因此，不同的评价标签对应的评价分值也不相同。
在本实施例中，预先设置了各个评价标签与评价分值之间的对应关系，例如，“药物过敏未填写”对应的评价分值为“-2分”，“无入院记录”对应的评价分值为“-25分”。在目标评价标签确定的情况下，根据上述预设的评价标签与评价分值之间对应关系可以确定与每一个目标评价标签对应的评价分值。
进一步的，如图4所示，电子病历评价平台110还包括属性项分值确定模块1102和总评价分值确定模块1104，其中：所述属性项分值确定模块1102用于从所述分值存储模块获取评价标签与评价分值的对应关系，并根据该评价标签与评价分值的对应关系确定所述实时数据采集中心采集到的目标评价标签对应的评价分值，然后确定所述目标病历的每一个属性项对应的属性项评价分值；所述总评价分值确定模块1104用于将所述属性项分值确定模块得到的所述目标病历的每一个属性项对应的属性项评价分值输入预设的电子病历评价模型，根据所述电子病历评价模型计算所述目标病历的总评价分值。
根据属性项所对应的所有的目标评价标签以及与每一个目标评价标签对应的评价分值，确定与该属性项对应的属性项评价分值。例如，对指定的属性项，将该属性项对应的所有的目标评价标签对应的评价分值的和，即为该属性项的属性项评价分值。
例如，在一个具体的实施例中，目标病历D-Target包含了N个属性项A1,A2,…,AN，其对应的属性值为a1,a2,…,aN，与属性项Ai对应的属性项评价分值为xi，计算与目标病历D-Target的总评价分值Starget可以通过如下公式(1)、(2)或(3)进行计算：
其中，αiXX为与Ai对应的权重系数，K为一大于0且小于100的常数。
进一步的，上述根据预设的病历评价算法以及与至少一个属性项对应的属性项评价分值计算与所述目标病历对应的总评价分值具体为：获取预设的与每一个属性项对应的权重系数作为目标权重系数；根据所述与至少一个属性项对应的属性项评价分值以及所述目标权重系数，计算与所述目标病历对应的总评价分值。
也就是说每一个属性项对应的权重系数不一样，不同的属性项对于总评价分值的贡献是不一样的，例如，“病程记录”对应的权重系数大于“医嘱”对应的权重系数。在本实施例中，预先设置了每一个属性项对应的权重系数，在本步骤中，在计算目标病历的总评价分值时，是根据每一个属性项对应的权重系数以及该属性项对应的属性项评价分值来计算目标病历的总评价分值的。
需要说明的是，目标病历的总评价分值的计算方法不限于上述。
在一个具体的实施例中，展示模块还用于在预设的评价分支展示区域中展示所述目标病历的总评价分值。
在本实施例中，在用户提交了对于目标病历的评价之后，即可根据用户的选择计算对应的总评价分值，并且，在当前的目标病历的展示界面上展示对应的总评价分值。进一步的，在相应的病历列表中，也可以展示与每一个进行评价过的电子病历的总评价分值。
进一步的，在本实施例中，在对每一个电子病历进行评价之后，不仅需要在相应的页面展示相应的电子病历的总评价分值，在总评价分值过低时，还需要进行提醒。
如图1所示，上述系统还包括预警模块114，用于对所述电子病历评价平台确定的目标病历的总评价分值进行判断，在所述总评价分值小于所述预设的分数阈值的情况下，按照预设的预警方式进行提示。在另一个实施例中，预警模块114还用于在所述总评价分值小于所述预设的分数阈值的情况下，获取所
述确定的目标评价标签；根据所述获取的目标评价标签对所述目标病历进行标记，并将所述目标病历标记为问题病历。
总评价分值过低说明该电子病历的填写情况存在较大的问题，应该进行修正或者提醒相应的科室进行惩处、或者在后期的病历填写中进行改正。因此，在本实施例中，在目标病历的总评价分值确定之后，还需要判断计算得到的总评价分值是否满足预设的分值条件，例如，是否大于或等于预设的分数阈值，并且，在目标病历的总评价分值小于预设的分数阈值的情况下，确定该目标病历为问题病历，并将目标病历标记为问题病历。
进一步的，为了方便用户对问题病历存在的问题进行查看，或者统计所有的问题病历所存在的相关缺陷，在本实施例中，除了将总评价分值不满足预设的分值条件的电子病历标记为问题病历之后，还将属性项评价分值对应的属性项的属性项标签也标记为问题病历的标签。进一步的，因为评价标签是对目标病历的某一个属性项所存在的问题进行评价的标签，也就是说，目标评价标签可以表明该目标病历存在的问题，因此，在本实施例中，还需要将对目标病历进行评价的过程中确定的所有的目标评价标签也加入到问题病历的标签中。
需要说明的是，在本实施例中，用户可以手动的对电子病历的每一个属性项是否存在某种缺陷进行检查和标签，但是，对于电子病历的评价不限于用户的手动标签，还可以包括计算机的自动评价。
例如，对于电子病历中的必须填写的属性项(必填项)，如果相关医护人员在填写的过程中没有填写，即必填项的属性值为空白的情况下，电子病历关系系统或电子病历的评价系统自动的对必填项的属性值是否为空进行检测，并根据预设的必填项评价分值的评价规则，给出对应的属性项评价分值。
在另一个具体的实施例中，不仅可以自动的对属性值是否为空进行检测，还可以检测属性项的属性值是否满足预设的条件，例如，“出生年月”是否在指定的范围之内，再例如，“用药须知”是否包含了规定的规范内容，再例如，“手术记录”的填写时间是否在手术时间完成之后的2个小时之内等。
如图4所示，电子病历评价平台110还包括属性值评价模块1106，用于根据预存储的的属性值填写规则以及与属性项对应的属性值，计算与该属性项对应的属性项评价分值。
具体的，在一个实施例中，在获取所述目标病历的至少一个属性项的步骤之后，还包括：遍历所述至少一个属性项，对于遍历到的属性项，获取预设的与该属性项对应的属性值填写规则，根据获取到的属性值填写规则以及与该属性项对应的属性值，计算与该属性项对应的属性项评价分值；根据预设的病历评价算法以及与至少一个属性项对应的属性项评价分值计算与所述目标病历对应的总评价分值。
也就是说，对于每一个属性项，确定与该属性项对应的属性值填写规则，并根据该属性值填写规则对该属性项的属性值进行评价，并计算对应的属性项评价分值，该分值可以用于最终的总评价分值的计算。
因为不同的属性项可能存在的填写问题也会不一样，例如，“过敏史”项与“病人主诉病史”项所可能存在的问题不同，因此，如果针对所有的属性项均采用相同的评价标签，则会存在评价标签的精准度不高的问题。因此，对于不同的属性项设置不同的评价标签，从而提高电子病历评价的准确度。
具体的，在一个实施例中，展示模块还用于确定与每一个属性项对应的标签列表，所述标签列表包括预设的至少一个评价标签；根据所述确定的标签列表生成与该属性项对应的属性值评价组件，所述属性值评价组件包含所述预设的至少一个评价标签；在所述预设的病历展示界面上展示所述属性项以及对应的属性值评价组件。
具体的，对于需要展示的属性项，确定与该属性项对应的标签列表，所述标签列表包括预设的至少一个评价标签。也就是说，在预设的属性项与评价标签的对应关系中，确定与当前的属性项对应的评价标签或者评价标签列表。并且，对于一个属性项而言，其对应的预先设置的评价标签的数量可以不止一个。然后，根究确定的评价标签列表或者评价标签生成与对应的属性项对应的属性值评价组件，该生成的属性值评价组件与该属性项是对应的，并且，包含了上述确定的多个评价标签或者包含了上述确定的评价标签列表中包含的所有的评价标签。然后，在展示目标病历以及目标病历的至少一个属性项时，展示的属性值评价组件即为上述生成的属性值评价组件。
实施本发明实施例，将具有如下有益效果：
采用了上述电子病历的评价系统之后，对于运行中的电子病历，用户可以通过相应的病例展示界面，对展示的电子病历的每一个属性项对应的属性值的填写是否满足规则进行检查，并且，通过展示的与该属性项对应的属性值评价组件来选择对于该属性项的属性值对应的评价标签，然后通过预设的电子病历评价算法计算展示的电子病历的总评分并进行展示，即为总评价分值。也就是说，采用了本发明中的电子病历的评价方法和装置之后，可以通过对每一个属性项进行标签的方法来实现对电子病历的自动评价，提高电子病历评价的准确度和可信度。
进一步的，只要是可以进行查看的电子病历均可以对其进行评价，这就使得在病人住院的每一个阶段，相应的质控人员等均可以对运行中的电子病历或者已经归档的终末病例进行评价，提高了电子病历的评价方法的适用范围。
在上述实施例中，可以全部或部分的通过软件、硬件、固件或者其任意组合来实现。当使用软件程序实现时，可以全部或部分地以计算机程序产品的形式实现。所述计算机程序产品包括一个或多个计算机指令。在计算机上加载和执行所述计算机程序指令时，全部或部分地产生按照本发明实施例所述的流程或功能。所述计算机可以是通用计算机、专用计算机、计算机网络、或者其他可编程装置。所述计算机指令可以存储在计算机可读存储介质中，或者从一个计算机可读存储介质向另一个计算机可读存储介质传输，例如，所述计算机指令可以从一个网站站点、计算机、服务器或者数据中心通过有线(例如同轴电缆、光纤、数字用户线(DSL))或无线(例如红外、无线、微波等)方式向另一个网站站点、计算机、服务器或者数据中心进行传输。所述计算机可读存储介质可以是计算机能够存取的任何可用介质或者是包含一个或多个可用介质集成的服务器、数据中心等数据存储设备。所述可用介质可以是磁性介质，(例如，软盘、硬盘、磁带)、光介质(例如，DVD)、或半导体介质(例如固态硬盘Solid State Disk(SSD))等。
以上所揭露的仅为本发明较佳实施例而已，当然不能以此来限定本发明之权利范围，因此依本发明权利要求所作的等同变化，仍属本发明所涵盖的范围。
Claims (10)
- 一种电子病历的评价系统，其特征在于，包括：电子病历存储模块，用于存储电子病历，所述电子病历包括至少一个属性项；评价标签存储模块，用于存储属性项的属性值填写是否符合规范的至少一个评价标签；展示模块，用于在预设的病历展示界面中展示需要进行评价的目标病历的至少一个属性项和对应的属性项评价组件；实时数据采集中心，用于检测用户通过所述属性项评价组件输入的评价标签作为目标评价标签；电子病历评价平台，用于将所述实时数据采集中心所检测到的目标评价标签输入预设的电子病历评价模型，根据所述电子病历评价模型计算所述目标病历的总评价分值。
- 根据权利要求1所述的电子病历的评价系统，其特征在于，所述系统还包括分值存储模块，用于存储评价标签与评价分值的对应关系；所述电子病历评价平台还包括属性项分值确定模块和总评价分值确定模块，其中：所述属性项分值确定模块用于从所述分值存储模块获取评价标签与评价分值的对应关系，并根据该评价标签与评价分值的对应关系确定所述实时数据采集中心采集到的目标评价标签对应的评价分值，然后确定所述目标病历的每一个属性项对应的属性项评价分值；所述总评价分值确定模块用于将所述属性项分值确定模块得到的所述目标病历的每一个属性项对应的属性项评价分值输入预设的电子病历评价模型，根据所述电子病历评价模型计算所述目标病历的总评价分值。
- 根据权利要求1所述的电子病历的评价系统，其特征在于，所述展示模块还用于在预设的评价分支展示区域中展示所述目标病历的总评价分值。
- 根据权利要求1所述的电子病历的评价系统，其特征在于，所述系统 还包括预警模块，用于对所述电子病历评价平台确定的目标病历的总评价分值进行判断，在所述总评价分值小于所述预设的分数阈值的情况下，按照预设的预警方式进行提示。
- 根据权利要求4所述的电子病历的评价系统，其特征在于，所述预警模块还用于在所述总评价分值小于所述预设的分数阈值的情况下，获取所述确定的目标评价标签；根据所述获取的目标评价标签对所述目标病历进行标记，并将所述目标病历标记为问题病历。
- 根据权利要求2所述的电子病历的评价系统，其特征在于，所述电子病历评价平台还包括属性值评价模块，用于根据预存储的的属性值填写规则以及与属性项对应的属性值，计算与该属性项对应的属性项评价分值。
- 根据权利要求2所述的电子病历的评价系统，其特征在于，所述电子病历评价模型为加权平均模型。
- 根据权利要求7所述的电子病历的评价系统，其特征在于，所述总评价分值确定模块还用于根据所述加权平均模型和所述属性项分值确定模块得到的所述目标病历的每一个属性项对应的属性项评价分值，确定与每一个所述属性项分值确定模块得到的所述目标病历的每一个属性项对应的属性项评价分值对应的加权系数，然后计算所述目标病历的总评价分值。
- 根据权利要求1所述的电子病历的评价系统，其特征在于，所述展示模块还用于确定与每一个属性项对应的标签列表，所述标签列表包括预设的至少一个评价标签；根据所述确定的标签列表生成与该属性项对应的属性值评价组件，所述属性值评价组件包含所述预设的至少一个评价标签；在所述预设的病历展示界面上展示所述属性项以及对应的属性值评价组件。
- 一种计算机可读存储介质，包括计算机指令，当所述计算机指令在计算机上运行时，使得计算机实现如权利要求1-9所述的系统。
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