WO2022135521A1

WO2022135521A1 - Medical data processing method and monitoring equipment

Info

Publication number: WO2022135521A1
Application number: PCT/CN2021/140825
Authority: WO
Inventors: 谈琳
Original assignee: 深圳迈瑞生物医疗电子股份有限公司
Priority date: 2020-12-25
Filing date: 2021-12-23
Publication date: 2022-06-30
Also published as: CN116456891A

Abstract

A medical data processing method and monitoring equipment. For a certain disease or symptom, relevant treatment and nursing measures and actions taken can be completely, quickly and accurately recorded. In particular, for application scenarios of sepsis, a user can customize the version of a guide referenced, thereby improving the flexibility of the user to track and manage the diseases represented by sepsis in an orderly manner.

Description

A kind of medical data processing method and monitoring equipment

The present invention claims the priority of the Chinese patent application with the application number 202011563790.6 and the invention name "a monitoring device" filed with the China Patent Office on December 25, 2020, the entire contents of which are incorporated in this application by reference.

technical field

The present application relates to the field of medical technology, and more particularly, to a method for processing medical data and a monitoring device.

Background technique

When treating certain diseases or symptoms, clinicians need to analyze whether the treatment measures are appropriate and timely from the aspects of various physical signs of the patient, the treatment plan itself, the timing of treatment intervention, and the sequence of treatment behaviors.

At present, clinicians can obtain data and information from the electronic medical record information system when analyzing treatment measures. However, the data and information that clinicians need to obtain will change with the change of treatment methods. What data needs to be stored in the electronic medical record information system is the early stage Well defined, it is difficult to modify the data stored in the electronic medical record information system.

In this case, clinicians can only obtain scattered data from the nursing record and the doctor's order system, and then rely on their own memory of the treatment process to restore the details of the entire treatment process, and finally use it for analysis, which is inconvenient for clinicians. Summarizing treatment experience is also not conducive to evaluating treatment effects.

SUMMARY OF THE INVENTION

According to a first aspect, a method for processing medical data is provided, the method comprising:

acquiring a preset treatment measure set corresponding to the treatment process performed on the target object, the treatment measure set including multiple pieces of treatment measure information;

Obtain the treatment-related data of the target object sequentially generated during the treatment;

determining matching information between each of the treatment-related data and the treatment-measure information in the treatment-measure set, the matching information indicating that the treatment-related data is consistent with at least one piece of treatment-measure information in the treatment-measure set match or not match;

According to the matching information, determine the execution state of the treatment measure information in the treatment measure set, where the execution state indicates: whether the treatment measure information is executed and the execution time;

Displaying at least part of the treatment measure information and its execution status of the treatment measure set.

According to a second aspect, a monitoring device is provided, the device comprising:

a memory, storing a preset treatment measure set corresponding to the treatment process carried out on the target object, the treatment measure set including a plurality of pieces of treatment measure information;

monitor;

a processor configured to perform the following steps:

Acquire the treatment measure set from the memory, and display at least part of the treatment measure information of the obtained treatment measure set through the display;

According to the treatment-related data, determine the execution state of the treatment measure information in the treatment measure set, where the execution state indicates: whether the treatment measure information is executed and the execution time;

The execution status of the treatment measure information is displayed through the display.

According to a third aspect, a non-volatile computer-readable storage medium is provided, on which a computer program is stored, and when the computer program is executed by a processor, implements the steps of the medical data processing method described in any of the embodiments herein .

Description of drawings

1 is a structural block diagram of a monitoring device provided by an embodiment of the present invention;

2 is a schematic diagram of a first display interface provided by an embodiment of the present invention;

3 is an exemplary diagram of a first display interface provided by an embodiment of the present invention;

4 is a schematic diagram of a third display interface provided by an embodiment of the present invention;

FIG. 5 is an exemplary diagram of a third display interface provided by an embodiment of the present invention;

6 is a schematic diagram of a second display interface provided by an embodiment of the present invention;

FIG. 7 is an exemplary diagram of a second display interface provided by an embodiment of the present invention;

8 is another exemplary diagram of a second display interface provided by an embodiment of the present invention;

FIG. 9 is a flowchart of a method for processing medical data provided by an embodiment of the present invention.

Detailed ways

The present invention will be further described in detail below through specific embodiments in conjunction with the accompanying drawings. Wherein similar elements in different embodiments have used associated similar element numbers. In the following embodiments, many details are described so that the present application can be better understood. However, those skilled in the art will readily recognize that some of the features may be omitted under different circumstances, or may be replaced by other elements, materials, and methods. In some cases, some operations related to the present application are not shown or described in the specification, in order to avoid the core part of the present application from being overwhelmed by excessive description, and for those skilled in the art, these are described in detail. The relevant operations are not necessary, and they can fully understand the relevant operations according to the descriptions in the specification and general technical knowledge in the field.

Additionally, the features, acts, or characteristics described in the specification may be combined in any suitable manner to form various embodiments. At the same time, the steps or actions in the method description can also be exchanged or adjusted in order in a manner obvious to those skilled in the art. Therefore, the various sequences in the specification and drawings are only for the purpose of clearly describing a certain embodiment and are not meant to be a necessary order unless otherwise stated, a certain order must be followed.

The serial numbers themselves, such as "first", "second", etc., for the components herein are only used to distinguish the described objects, and do not have any order or technical meaning. The "connection" and "connection" mentioned in this application, unless otherwise specified, include both direct and indirect connections (connections).

Referring to FIG. 1, it shows a structural block diagram of a monitoring device provided by an embodiment of the present invention. The monitoring device at least includes: a memory 100, a display 200, and a processor 300;

The memory 100 stores a preset treatment measure set corresponding to the treatment process performed on the target object, and the treatment measure set includes a plurality of pieces of treatment measure information. It should be noted that the set of treatment measures stored in the memory 100 at least includes: the treatment measures information in the treatment guide corresponding to the treatment process carried out on the target object, for example: if the target object is a sepsis patient, the memory 100 stores The treatment set contains at least: treatment information in the sepsis guidelines and treatment information in other treatment guidelines related to sepsis. In some specific embodiments, the treatment action information of the treatment action set stored in the memory 100 may be derived from treatment guidelines of different versions. For example, the first treatment measure set and the second treatment measure set may correspond to treatment guidelines issued at different times, and at least part of the treatment measure information in the first treatment measure set and the second treatment measure set is different. The difference here may include different types of treatment measures, and may also include different parameters of the same treatment measure.

The multiple pieces of treatment measure information in the treatment measure set can also be set with a preset execution order, and the treatment measure information can be combined according to the preset execution order to form a treatment measure sequence, and the treatment measure set including the treatment measure sequence can also be called a cluster. chemotherapy treatment set. When corresponding to different versions of the treatment guideline, the difference between different treatment measure sets is not only reflected in the types of treatment measures or treatment parameters described above, but also in the preset execution order of the treatment measures.

The processor 300 is configured to perform the following steps: obtaining a treatment measure set from the memory 100, and displaying at least part of the treatment measure information of the obtained treatment measure set through the display 200; obtaining treatment of the target object sequentially generated during the treatment process Relevant data; according to the treatment-related data, determine the execution state of the treatment measure information in the treatment measure set, and the execution state indicates: whether the treatment measure information is executed and the execution time; the display 200 displays the execution state of the treatment measure information.

In some specific embodiments, the treatment measure information in the treatment measure set obtained by the processor 300 from the memory 100 may be directly derived from a specified version of the treatment guideline, or may be derived from the user's adjustment to the treatment measure information in the treatment guideline Formed custom treatment measures information. That is to say, the treatment measure set acquired by the processor 300 includes: the treatment measure information directly specified in the treatment guideline of the specified version, and/or the treatment formed after the user modifies the treatment measure information specified in the treatment guideline Action information. The adjustment of the treatment measure information by the user is usually to adjust the parameters or sequence of the treatment measures involved in the treatment measure information.

In some specific embodiments, the operating user can set the content in the treatment measure set, but the operating user needs to have the corresponding operating authority, and the processor 300 is configured to: according to the password information and/or user identity information submitted by the operating user, to The operation user performs identity verification to determine whether the operation user has the operation authority of the treatment measure set; if it is determined that the operation user has the operation authority of the treatment measure set, the content of the treatment measure set is set in response to the operation of the operation user.

In some specific embodiments, after the processor 300 obtains the treatment measure set from the memory 100, the display 200 is controlled to display at least part of the treatment measure set, that is, the display 200 is controlled to display part of the treatment measure information of the treatment measure set. In the embodiment shown in FIG. 2 , the processor 300 may control the display 200 to provide a plurality of display interfaces, wherein part of the treatment measure information of the treatment measure set is displayed in the first display interface. Although FIG. 2 shows multiple display interfaces that are not displayed on the same screen, in other embodiments not shown, the processor 300 may control the display 300 to provide multiple display interfaces that output on the same screen, and each display interface is the display 300 respectively. a display part of . In the following embodiments, when referring to the first display interface or the second and third display interfaces, it includes not only a situation where multiple display interfaces are displayed on the same screen at least partially, but also a situation where each display interface is not displayed on the same screen.

In some specific embodiments, the processor 300 obtains treatment-related data of the target object sequentially generated during the treatment process, and the treatment-related data at least includes: medication events, actually performed treatment measures, the diagnosis results of the target object, and the target object Any one or more of the biochemical test results, such as: obtaining the ventilator intubation operation from the doctor's record, the blood drawing operation from the nurse, the drug administration data from the infusion system, from the biochemical test system (such as the LTS system) The biochemical test indicators of the patient, and the treatment-related data such as a diagnosis result from the doctor's order system. For example: obtain the treatment-related data of "for patients with septic shock, choose crystalloid as the initial resuscitation fluid", and for example: obtain "Use norepinephrine combined with vasopressin 0.02U/min to maintain the target mean pressure "This treatment-related data. It is worth noting that the treatment-related data can also be a unique code related to the treatment measures information in the specified version of the treatment guideline, for example: the code "SSC16-Vasoactive-01" corresponds to the specific details of the vasoactive drugs chapter in the sepsis guideline. The recommendation clause "recommends norepinephrine as the first-choice vasopressor (strong recommendation, moderate-quality evidence)." In summary, the treatment-related data obtained by the processor 300 may come from a number of different sources.

When obtaining the treatment-related data, various kinds of treatment-related data may be obtained first, and the obtained plurality of kinds of relevant data are respectively used for the subsequent execution state analysis of the treatment measure information. When acquiring the treatment-related data, it is also possible to first select a specific type of treatment-related data according to a disease or symptom, and then acquire these selected types of treatment-related data through a monitoring device.

In some specific embodiments, after obtaining the treatment-related data, the processor 300 performs time synchronization on all the treatment-related data to ensure that all the obtained treatment-related data are consistent in time in the time dimension. The specific implementation may be as follows: the processor 300 obtains the actual generation time of the treatment-related data, so as to ensure that all the treatment-related data are consistent in time in the time dimension. For example: Suppose that for the treatment-related data of blood test results, the medical staff draws blood on the target object at 10:00 in the morning, and the blood test results are obtained at 3:00 p.m. (the index indicated by the blood test results is the target object in the morning. 10:00), the actual time for obtaining the blood test results is 10:00 a.m. instead of 3:00 p.m.

In some specific embodiments, after the processor 300 acquires the treatment-related data, the processor 300 is further configured to extract key information in the treatment-related data, where the key information can be used to match the treatment measure information. For example: extract the key data of "septic shock", "crystalloid fluid" and "initial resuscitation fluid" from one of the treatment-related data in "For patients with septic shock, choose crystalloid as the initial resuscitation fluid", another example: from " Use norepinephrine combined with vasopressin 0.02U/min to maintain the target mean blood pressure" in the treatment-related data, extract "norepinephrine", "combination", "vasopressin", "0.02U" /min" and "target mean pressure" key information, where "0.02U/min" is associated with "vasopressin".

In some specific embodiments, after obtaining the treatment-related data, the processor 300 determines, according to the treatment-related data, the execution state of the treatment measure information in the treatment measure set obtained by the processor 300, where the execution state may be used to indicate the treatment measure information Whether it was performed and when the treatment was performed information. In a specific implementation, for each piece of treatment-related data, the processor 300 uses the treatment-related data to match the treatment-measure information in the treatment-measure set, and determines whether the treatment-related data matches one or more pieces of treatment-measure information. The matching result marks the treatment-related data to indicate to which treatment measure information the treatment-related data matches. Similarly, in some other embodiments, the processor 300 can also judge whether the treatment-related data does not match some or any of the treatment measures information, and mark the treatment-related data according to the judgment result to indicate which treatment-related data is associated with information on treatment measures. For example, treatment-related data may be provided with a flag indicating "meet" or "non-compliance." The treatment-related markers can be understood as matching information between treatment measure information and treatment-related data. Through the matching information of the treatment-related data, it can be determined which treatment measure information in the treatment measure set has been executed, and then based on the execution time of the treatment-related data, the execution status of the corresponding treatment measure information can be obtained. Example: Using key information extracted from the treatment-related data "Use of norepinephrine in combination with vasopressin 0.02 U/min to maintain target mean blood pressure" in conjunction with the provisions of the vasoactive drugs chapter of the sepsis guidelines "2. To achieve target mean arterial pressure (MAP), it is recommended to use norepinephrine combined with vasopressin (maximum dose 0.03 U/min) (weak recommendation, moderate-quality evidence) or epinephrine (weak recommendation, low-quality evidence) ), or the addition of vasopressin (maximum dose 0.03 U/min) (weak recommendation, moderate-quality evidence) to reduce the dose of norepinephrine", then the treatment-related data were marked "compliant with SSC16-Vasoactive- 02", at this time, it also indicates that the treatment measure information corresponding to this clause has been implemented. The processor 300 controls the display 200 to display the execution state of the treatment measure information. In the schematic diagram of the first display interface shown in FIG. 2 , the first display interface displays a plurality of pieces of treatment measure information (the treatment measure information in FIG. 2 ). 1 to 4), you can mark "√" in the rectangular box to the left of the treatment information to indicate that the treatment information is executed (such as treatment information 1 is executed), and display the treatment information on the right of the treatment information. execution time. It should be noted that the content shown in FIG. 2 is only for illustration, and other methods may also be used to indicate that the treatment measure information is executed (for example, the treatment measure information that has been executed is bold and black, or, the treatment measure information that has been executed has been executed. The rectangle box to the left of the treatment measure information is filled with black), and the execution time of the treatment measure information may also be represented in other ways.

The multiple pieces of treatment measure information included in the treatment measure set may also be set with an execution sequence, and the treatment action information executed according to the preset execution sequence may form a treatment action sequence. In some specific embodiments, for a treatment measure set including a sequence of treatment measures, the processor 300 may be further, but not necessarily, configured to determine whether the execution order of the executed treatment measures in the treatment measure set conforms to a preset execution order. That is, the processor 300 is not only used to determine whether the treatment-related data matches the treatment-measure information in the treatment-measure set, but also, after identifying the treatment-related data matching the treatment-measure information, further determine the generation time of each piece of treatment-related data (ie, Whether the order of execution time of the corresponding treatment measure information) matches the preset execution order of the corresponding treatment measure information. In a specific implementation, for each piece of treatment-related data, the processor 300 uses the treatment-related data to match the treatment measure information in the treatment measure set, not only to determine whether the treatment-related data matches one or more pieces of treatment measure information, but also Determine whether the time corresponding to the treatment-related data matches the preset execution order of the treatment measure information, and mark the treatment-related data according to the result of matching to indicate the matching of the treatment-related data with the treatment measure information and its execution order result. For example, treatment-related data may be provided with tags indicating "content and sequence," "content but not sequence," or "not conforming." The non-conformity here means that no treatment measure information matching the treatment-related data is found in the treatment measure set, and accordingly, there is no need to analyze and judge the execution order. The treatment-related markers can be understood as matching information between treatment measure information and treatment-related data. Through the matching information of the treatment-related data, it is possible to determine which treatment-measure information in the treatment-measure set has been executed and whether it is executed in a preset execution order, and then obtain the execution status of the corresponding treatment-measure information based on the execution time of the treatment-related data.

In some specific embodiments, the processor 300 may extract key information from the treatment-related data, and then analyze and determine whether the extracted key information matches the treatment measure information in the treatment measure set; The treatment-measure information of the measure set is trained, so that in the obtained treatment-related data, the treatment-related data belonging to the treatment-measure information is directly identified based on machine learning, and the execution state of the treatment-measure information is determined accordingly. The execution state in which the processor 300 obtains the treatment measure information according to the treatment-related data may not be limited to the above two embodiments, and other equivalent embodiments are also within the scope of the intended protection of the present application.

In some specific embodiments, the set of treatment measures obtained by the processor 300 includes at least a set of bundled treatment measures associated with a specific condition, such as a set of bundled treatment measures associated with sepsis. A bundle of treatment measures associated with sepsis includes information on a series of treatment measures to be executed in an orderly manner, that is, a sequence of treatment measures. The processor 300 is further configured to: display at least a part of the bundle treatment measure set through the display 200; mark the information of the treatment measures that have been performed in the bundle therapy measure set according to the treatment-related data, and display the execution of the performed treatment measure set time. Fig. 3 is an example diagram of the first display interface. It should be noted that the "bundle therapy" interface in Fig. 3 is the first display interface, and the "supportive therapy" interface is the third interface mentioned in the following content. Display interface, the "process tracking" interface is the "second display interface" mentioned in the following content. The processor 300 displays a set of bundled treatment measures that need to be completed within 3 hours in the first display interface; as shown in Figure 3, when "monitoring blood lactate level" and "obtaining blood culture specimens before antibiotics are determined" through treatment-related data ” If these two pieces of treatment measure information are executed, the box on the left side of the executed treatment measure information will mark “√” to indicate that the treatment measure information is executed, and the execution of the treatment measure information will be displayed on the right side of the executed treatment measure information. time. It should be noted that the operating user can manually input the execution status of a certain treatment measure information. As shown in Figure 3, the operating user can manually mark "√" in the box on the left side of a certain treatment measure information. At this time, the user can manually Enter or automatically obtain the execution time of treatment information and display it. In the embodiment not shown, on the basis of the execution state shown in FIG. 3 , the processor may further determine whether the information of the treatment measures marked with “√” is executed in sequence.

It can be understood that the displayed treatment information in the bundled treatment set can come from different time versions of the bundled treatment set, that is, the operating user can select the treatment to be displayed from the bundled treatment set of different time versions. Action information. In some specific embodiments, the bundled therapy measure set includes a first bundled therapy measure set and a second bundled therapy measure set of different time versions, and the first bundled therapy measure set and the second bundled therapy measure set have at least Some of the different treatments available. The processor 300 is further configured to: receive the selection of the first bundle treatment measure set and the second bundle treatment measure set by the operating user, and display the selection result selected by the operating user on the display 200 .

It is understandable that, in the treatment measures set, a series of information such as structured treatment recommendations and treatment references are also preset. The structured treatment recommendations and treatment references are mainly obtained through a large amount of clinical data and experience. Therefore, Information such as structured treatment recommendations and treatment references are also available as treatment action information in treatment action sets. In some embodiments, the set of therapeutic measures also includes a set of adjuvant therapy measures associated with a particular condition, such as a set of adjuvant therapy measures associated with sepsis. The adjuvant therapy measure set may contain a sequence of therapy measures, or may only contain multiple pieces of therapy measure information without a preset execution sequence. The processor 300 is further configured to: display at least a part of the auxiliary treatment measure set through the display 200, and identify the execution status and execution time of the executed treatment measure information according to the treatment-related data. As shown in the schematic diagram shown in FIG. 4 , the treatment measure information included in the auxiliary treatment measure set has no preset execution order, and at least part of the treatment measure information (treatment measure information 1 to 4) in the auxiliary treatment measure set is displayed in the third display interface, Regarding how to identify the execution state and execution time of the treatment measure information that has been executed in the third display interface, reference may be made to the content shown in FIG. 2 above, which will not be repeated here. In some embodiments, when the specific condition is sepsis, the treatment measure information in the adjuvant treatment measures set may be treatment suggestions, as shown in the example diagram of the third display interface shown in FIG. 5 , the “supportive care” in FIG. 5 The interface is the third display interface. In the "supportive care" interface, several treatment suggestions (that is, the treatment measures information in the adjuvant treatment measures) are displayed in the vasoactive drug section. The contents of the several treatment suggestions are shown in Figure 5. Among them, Regarding how to identify the execution status and execution time of the executed treatment measure information in FIG. 5 , reference may be made to the content shown in FIG. 3 above, which will not be repeated here.

In some specific embodiments, the processor 300 is further configured to: determine matching information between each treatment-related data and the treatment measure information in the treatment measure set, and store the matching information in the memory 100, the matching information indicating: the treatment The relevant data matches at least one piece of treatment measure information in the treatment measure set, or the treatment-related data does not match any piece of treatment measure information in the treatment measure set. Through the matching information of a certain treatment-related data, it is possible to intuitively know whether the treatment process corresponding to the treatment-related data conforms to the treatment measure information corresponding to the treatment-related data. That is to say, through the matching information, one can intuitively understand the treatment process. Whether to follow the treatment measure information in the treatment measure set; when the treatment process corresponding to a certain treatment-related data does not conform to the corresponding treatment measure information, you can intuitively understand the difference between the treatment-related data and the treatment measure information through the matching information.

In some specific embodiments, the processor 300 is further configured to: display the treatment-related data, or display the treatment-related data and the matching information corresponding to the treatment-related data, through the display 200 according to the chronological order in which the treatment-related data is generated. FIG. 6 is a schematic diagram of the second display interface. The second display interface includes a first display area and a second display area. In some embodiments, treatment-related data is displayed in the second display area of the second display interface. , or display treatment-related data and matching information corresponding to the treatment-related data.

In some specific embodiments, the processor 300 is configured to: obtain the physiological sign data of the target object generated in sequence during the treatment process, for example, obtain the physiological sign data (heart rate value, blood oxygen saturation) of the target object from the monitoring device Physiological sign data such as degree and Hb); generate display information corresponding to the physiological sign data, and the display information includes at least waveform display information; display the display information corresponding to the physiological sign data through the first display area of the display 200; display the treatment in the second display area related data, or display treatment-related data and matching information corresponding to the treatment-related data. 6 is a schematic diagram of the second display interface, the second display interface includes a first display area and a second display area, and the display information corresponding to the physiological sign data of the target object is displayed in the first display area; in the second display area The display area displays the treatment-related data, or displays the treatment-related data and matching information corresponding to the treatment-related data. Through the second display interface, it is possible to intuitively understand the changes of the physiological sign data of the target object, as well as the treatment-related data and its matching information generated during the treatment process.

It can be understood that, from the above content, the treatment-related data acquired by the processor 300 are sequentially generated during the treatment process, and the acquired physiological sign data are also sequentially generated. A time axis is set on the interface to display physiological sign data and treatment-related data at different times.

In some specific embodiments, the first display area includes a time axis and a movable cursor, and the first display area displays the sign value of the physiological sign data and the overview information of the treatment-related data corresponding to the time pointed by the cursor in the time axis, And, in the second display area, the treatment-related data corresponding to the time pointed by the cursor in the time axis is highlighted, or the treatment-related data and the matching information corresponding to the treatment-related data are highlighted.

It can be understood that, in order to enable the operating user to more quickly locate a certain treatment-related data on the second display interface, a treatment event icon can be set in the time axis displayed in the first display area, and the treatment event icon indicates the treatment event icon. Treatment-related data exists at the time in the timeline. In some specific embodiments, a treatment event icon for indicating the existence of treatment-related data is displayed on the time axis of the first display area, and overview information of the treatment-related data corresponding to the treatment event icon pointed to by the cursor is displayed on the time axis , and the treatment-related data corresponding to the treatment event icon pointed to by the cursor, or the matching information corresponding to the treatment-related data and the treatment-related data are highlighted in the second display area.

For example, as shown in the example diagram of the second display interface in FIG. 7 , the waveform display information of the physiological sign data of the target object is displayed in the first display area of the second display interface, and the treatment-related information of the target object is displayed in the second display area. data. In Fig. 7, the "process tracking" interface is the second display interface, 501 is the above-mentioned movable cursor, 502 is the physical sign data corresponding to the time pointed by the cursor, and 503 is the medication event (showing a section of Medication overview in time), when there is a medication event at the time pointed by the cursor, the medication details will be displayed, 504 is the above-mentioned treatment event icon (the treatment event icon can be represented by a filled black triangle or other forms), 505 It is the treatment-related data corresponding to the treatment event icon (such as the actual treatment measures and execution time). As shown in Figure 7, when the cursor moves to the treatment event icon "norepinephrine 0.2 mg, vasopressin 0.03 U/min", the treatment corresponding to the treatment event icon will be highlighted on the time axis of the first display area The general information of the relevant data is "norepinephrine 0.2mg, vasopressin 0.03U/min", on the right side of the first display area, the sign value of the physiological sign data corresponding to the time pointed by the cursor is displayed "CPV (central venous pressure)" 12. MAP (mean arterial pressure) 68 (120/78) and ScvO2 (central venous oxygen saturation) 87"; in the second display area, highlight the treatment-related data corresponding to the treatment event icon "2020-3- 1510:02 recommends immediate removal of endovascular access devices (BPS) that may cause sepsis or septic shock after establishing new vascular access.”

It should be noted that the positions of the first display area and the second display area and the display positions of the vital values in the second display interface shown in FIG. 7 are only used for illustration. The positions of the first display area and the second display area and the display positions of the vital values are set, which are not specifically limited here.

It can be understood that, in the example diagram shown in FIG. 7 above, the second display area only displays the treatment-related data corresponding to the treatment event icon; about the second display area, the treatment-related data corresponding to the treatment event icon and the treatment-related data corresponding to the treatment event icon are displayed. For an example of matching information of , see the example diagram shown in Figure 8 below.

As another example of the second display interface shown in FIG. 8 , the waveform display information of the physiological sign data of the target object is displayed in the first display area of the second display interface, and the treatment-related information of the target object is displayed in the second display area. Matching information corresponding to data and treatment-related data. In Fig. 8, the "process tracking" interface is the second display interface, 501 is the above-mentioned movable cursor, 505-1 is the treatment-related data (such as the executed treatment measures) corresponding to the treatment event icon, and Matching information corresponding to the treatment-related data, which can be used to indicate whether the treatment-related data conforms to the treatment measure information in the treatment measure set. The symbol “√” indicates that it conforms to the treatment measure information in the treatment measure set, and the symbol “×” indicates Not conforming to the treatment measure information in the treatment measure set (at the same time, showing which treatment measure information is inconsistent with or having a difference, and marking the difference content in a manner such as blackening and/or bolding). As shown in Figure 8, when the cursor moves to the treatment event icon "norepinephrine 0.2 mg, vasopressin 0.03 U/min", the treatment corresponding to the treatment event icon will be highlighted on the time axis of the first display area The overview information of the relevant data "norepinephrine 0.2mg, vasopressin 0.03U/min"; in the second display area, highlight the treatment-related data corresponding to the treatment event icon "2020-3-1507:53 blood pressure is 80 When /65 (48), give crystalloid solution at 20ml/kg", the treatment-related data are marked with "x" to indicate that it does not meet "4. For patients with tissue hypoperfusion caused by sepsis and suspected hypovolemia, early fluid Pulse therapy should be infused with crystalloids at a dose of at least 30mL/kg..." This treatment measures information on the treatment measures, at this time, the content of "30mL/kg" is blackened to mark the difference with the treatment measures information. Difference content. It should be noted that, the treatment-related data displayed in the second display area in FIG. 8 may be clinical daily words.

In the embodiment not shown, on the basis of the display in FIG. 8 , matching information of whether the treatment measure information corresponding to the treatment-related data is executed according to the preset execution order may be further displayed in the area 505 - 1 . For example, whether the treatment-related data in the area 505-1 conforms to the preset execution order may be directly marked. For example, if it conforms to the preset execution order, it will display "in accordance with the execution order", and if it deviates from the preset execution order, it will display "execution order is wrong", and optionally provide the order in which the corresponding treatment-related data should appear relative to other treatment-related data. , or provide the order in which the treatment measures information corresponding to the treatment-related data should be executed, so as to assist the user to quickly understand which link in the current treatment of the target object is wrong.

In some embodiments, the processor 300 may collect statistics on the execution of the treatment measure information in the treatment measure set within a preset time period, and may directly prompt the user about the execution status, or may prompt the user of the treatment measure set that must be executed in sequence. Information about treatment measures that are often overlooked or information about treatment measures that are often executed in an incorrect order, or can also prompt the user for information about treatment measures that are most frequently used in a concentrated set of treatment measures that represent treatment recommendations. These analysis of treatment-related data can improve the intelligence of the use of monitoring equipment.

It should be noted that the sorting order of the first display interface, the second display interface and the third display interface shown in FIG. 2 to FIG. 8 is only for example, and can also be adjusted according to actual conditions.

Through the above content, for a certain disease or symptom, the relevant treatment and nursing measures can be quickly, completely and accurately recorded. Users can customize the version of the guide they refer to, so as to improve users' understanding of diseases represented by sepsis. Flexibility for orderly tracking management.

These are some notes about monitoring equipment. A method for processing medical data is also disclosed in some embodiments of the present invention.

Referring to FIG. 9 , a flowchart of a medical data processing method provided by an embodiment of the present invention is shown, and the processing method includes:

Step S901: Acquire a preset treatment measure set corresponding to the treatment process performed on the target object. It should be noted that the treatment measure set includes multiple pieces of treatment measure information.

In some specific embodiments, the treatment measure set includes: treatment measure information in a prescribed version of the treatment guideline, and/or user-defined treatment measure information formed after the manipulation user adjusts the treatment measure information in the treatment guideline.

In some specific embodiments, before setting the content of the therapeutic measure set, the operating user determines whether the operating user has the operating authority of the therapeutic measure set according to the password information and/or user identity information submitted by the operating user; if the operating user has the therapeutic measure The operation authority of the set, in response to the operation of the operation user, sets the content of the treatment measure set.

Step S902: Acquire the treatment-related data of the target object sequentially generated in the treatment process.

In some specific embodiments, the treatment-related data includes at least one of the following: medication events, actually performed treatment measures, diagnostic results of the target subject, and biochemical examination results of the target subject.

Step S903: Determine matching information between each treatment-related data and the treatment measure information in the treatment measure set.

It should be noted that the matching information indicates that the treatment-related data matches or does not match at least one piece of treatment measure information in the treatment measure set. In some embodiments, the actual generation time of the treatment-related data is obtained before determining the match information between each treatment-related data and the treatment measure information in the treatment measure set. In some embodiments, key information in the treatment-related data is extracted prior to determining matching information between each treatment-related data and treatment-measure information in the treatment-measure set.

Step S904: According to the matching information between the treatment-related data and the treatment measure information, determine the execution state of the treatment measure information in the treatment measure set.

It should be noted that the execution status indicates: whether the treatment measure information is executed and the execution time. In some embodiments, the execution status may further include the execution order of the treatment measure information.

Step S905: Display at least part of the treatment measure information in the treatment measure set, and the execution status of at least part of the displayed treatment measure information.

In some specific embodiments, the treatment measure set further includes a preset execution order of multiple pieces of treatment measure information; the matching information is further used to indicate: treatment-related data matched with at least one piece of treatment measure information and the preset execution order of the treatment measure information Whether the execution sequence matches or does not match, the execution status is also used to indicate whether the treatment measures information is executed in sequence.

In some specific embodiments, the physiological sign information of the target object generated in sequence during the treatment process is obtained; display information corresponding to the physiological sign data is generated, and the display information at least includes waveform display information; A display area displays display information corresponding to the physiological sign data; a second display area in the second display interface displays treatment-related data and matching information corresponding to the treatment-related data.

In some specific embodiments, the first display area includes a time axis and a movable cursor, and the first display area displays the sign value of the physiological sign data and the overview information of the treatment-related data corresponding to the time pointed by the cursor in the time axis, and the treatment-related data corresponding to the time pointed by the cursor in the time axis and the matching information corresponding to the treatment-related data are highlighted in the second display area.

It should be noted that the execution principle of each step in the above-mentioned FIG. 9 has been described in detail on the monitoring device above, and will not be repeated here.

Those skilled in the art can understand that all or part of the functions of the various methods in the foregoing embodiments may be implemented by means of hardware or by means of computer programs. When all or part of the functions in the above embodiments are implemented by means of a computer program, the program may be stored in a computer-readable storage medium, and the storage medium may include: read-only memory, random access memory, magnetic disk, optical disk, hard disk, etc. The computer executes the program to realize the above-mentioned functions. For example, the program is stored in the memory of the device, and when the program in the memory is executed by the processor, all or part of the above functions can be realized. In addition, when all or part of the functions in the above-mentioned embodiments are realized by means of a computer program, the program can also be stored in a server, another computer, a magnetic disk, an optical disk, a flash disk or a mobile hard disk and other storage media, and saved by downloading or copying All or part of the functions in the above embodiments can be implemented when the program in the memory is executed by the processor.

The above specific examples are used to illustrate the present invention, which are only used to help understand the present invention, and are not intended to limit the present invention. For those skilled in the art to which the present invention pertains, according to the idea of the present invention, several simple deductions, modifications or substitutions can also be made.

Claims

A method for processing medical data, characterized in that the method comprises:

acquiring a preset treatment measure set corresponding to the treatment process performed on the target object, the treatment measure set including multiple pieces of treatment measure information;

Obtain the treatment-related data of the target object sequentially generated during the treatment;

determining matching information between each of the treatment-related data and the treatment-measure information in the treatment-measure set, the matching information indicating that the treatment-related data is consistent with at least one piece of treatment-measure information in the treatment-measure set match or not match;

According to the matching information, determine the execution state of the treatment measure information in the treatment measure set, where the execution state indicates: whether the treatment measure information is executed and the execution time;

Displaying at least part of the treatment measure information and its execution status of the treatment measure set.
The method according to claim 1, wherein the treatment measure set further includes a preset execution order of the plurality of pieces of treatment measure information; the matching information is further used to indicate that it matches with at least one piece of treatment measure information The treatment-related data of , matches or does not match the preset execution order of the treatment measure information, and the execution state is further used to indicate whether the treatment measure information is executed in sequence.
The method according to claim 1 or 2, further comprising:

Obtain the physiological sign information of the target object sequentially generated during the treatment process;

The treatment-related data, the matching information corresponding to the treatment-related data, and the physiological sign data are displayed according to the time sequence in which the treatment-related data and the physiological sign data are generated.
The method according to claim 3, wherein displaying the treatment-related data, matching information corresponding to the treatment-related data, and the physiological sign data, comprises:

generating display information corresponding to the physiological sign data, where the display information at least includes waveform display information;

Display the display information corresponding to the physiological sign data in the first display area;

The treatment-related data and matching information corresponding to the treatment-related data are displayed in the second display area.
The method according to claim 4, wherein the first display area includes a time axis and a movable cursor, and the first display area displays the time corresponding to the time pointed by the cursor in the time axis. The physical sign value of the physiological sign data and the overview information of the treatment-related data, and the treatment-related data and the treatment-related data corresponding to the time pointed by the cursor in the time axis are highlighted in the second display area. Matching information corresponding to treatment-related data.
The method according to claim 1 or 2, wherein the treatment measure set comprises: treatment measure information in a treatment guideline of a specified version, and/or formed by adjusting the treatment measure information in the treatment guideline by a user Customize treatment information.
The method according to claim 1 or 2, further comprising:

According to the password information and/or user identity information submitted by the operating user, determine whether the operating user has the operating authority for the treatment set;

If the operation user has the operation authority of the treatment measure set, the content of the treatment measure set is set in response to the operation of the operation user.
The method according to claim 1 or 2, wherein the treatment-related data includes at least one of the following: medication events, actually performed treatment measures, the diagnosis results of the target object, and the target object's Biochemical test results.
The method according to claim 1 or 2, characterized in that before determining the matching information between each of the treatment-related data and the treatment measure information in the treatment measure set, the method further comprises:

The actual generation time of the treatment-related data is obtained.
The method according to claim 1 or 2, characterized in that before determining the matching information between each of the treatment-related data and the treatment measure information in the treatment measure set, the method further comprises:

Extract key information from the treatment-related data.
A monitoring device, characterized in that the device comprises:

a memory, storing a preset treatment measure set corresponding to the treatment process performed on the target object, the treatment measure set including a plurality of pieces of treatment measure information;

monitor;

a processor configured to perform the following steps:

Acquire the treatment measure set from the memory, and display at least part of the treatment measure information of the obtained treatment measure set through the display;

Obtain the treatment-related data of the target object sequentially generated during the treatment;

According to the treatment-related data, determine the execution state of the treatment measure information in the treatment measure set, where the execution state indicates: whether the treatment measure information is executed and the execution time;

The execution status of the treatment measure information is displayed through the display.
The apparatus of claim 11, wherein the processor is further configured to perform the following steps:

determining matching information between each of the treatment-related data and the treatment-measure information in the treatment-measure set, and storing the matching information in the memory, the matching information indicating: the treatment-related data Matches with at least one piece of treatment measure information in the treatment measure set, or the treatment-related data does not match any piece of treatment measure information in the treatment measure set.
The device according to claim 11, wherein the treatment measure set further comprises a treatment measure sequence that can be formed by executing the plurality of pieces of treatment measure information in a preset execution order, and the processor is further configured to execute The following steps:

determining matching information between each of the treatment-related data and the treatment-measure sequence in the treatment-measure set, and storing the matching information in the memory; the matching information indicates that the treatment-related data is the same as the treatment-measure sequence. Whether the treatment measure information in the treatment measure set matches, and whether the execution time corresponding to the treatment-related data conforms to the preset execution order of the treatment measure information.
The device according to any one of claims 11 to 13, wherein the processor is further configured to perform the following steps:

Through the display, the treatment-related data is displayed, or the treatment-related data and matching information corresponding to the treatment-related data are displayed according to the chronological sequence of the treatment-related data.
The apparatus of any one of claims 11 to 13, wherein the processor is configured to perform the following steps:

acquiring the physiological sign data of the target object sequentially generated during the treatment;

generating display information corresponding to the physiological sign data, where the display information at least includes waveform display information;

Display the display information corresponding to the physiological sign data in the first display area through the display;

The treatment-related data is displayed in the second display area, or matching information corresponding to the treatment-related data and the treatment-related data is displayed.
The device according to claim 15, wherein the first display area includes a time axis and a movable cursor, and the first display area displays the time corresponding to the time pointed by the cursor in the time axis. The physical sign value of the physiological sign data and the overview information of the treatment-related data, and the treatment-related data and the treatment-related data corresponding to the time pointed by the cursor in the time axis are highlighted in the second display area. Matching information corresponding to treatment-related data.
The device according to claim 15, wherein a treatment event icon for indicating the existence of the treatment-related data is displayed on the time axis of the first display area, and the time axis is displayed on the time axis. overview information of the treatment-related data corresponding to the treatment event icon pointed to by the cursor, and highlighting the treatment-related data corresponding to the treatment event icon pointed to by the cursor in the second display area, Or the treatment-related data and matching information corresponding to the treatment-related data.
12. The apparatus of claim 11, wherein the set of therapeutic measures comprises a set of bundled therapeutic measures associated with a particular condition, and wherein the processor is further configured to perform the following steps:

displaying at least part of the treatment measure information of the bundled treatment measure set through the display;

The information of the treatment measures that have been executed in the bundled treatment measure set is marked according to the treatment-related data, and the execution time of the executed treatment measure set is displayed.
The device according to claim 18, wherein the treatment measure set further comprises an auxiliary treatment measure set associated with the specific condition, the auxiliary treatment measure set including a plurality of pieces of treatment measure information without a preset execution order ; the processor is further configured to perform the following steps:

Displaying at least part of the set of auxiliary treatment measures, and identifying the execution status and execution time of the information of the treatment measures that have been executed according to the treatment-related data.
The device according to claim 18, wherein the bundled treatment measure set comprises a first bundled treatment measure set and a second bundled treatment measure set of different time versions, the first bundled treatment measure set having treatment action information that is at least partially different from the second bundled treatment action set; the processor is further configured to: receive a selection of the first and second bundled treatment action set by an operating user, and displaying the selection result selected by the operating user in the first display interface.
The device according to any one of claims 11 to 13, wherein the treatment measure set comprises: treatment measure information in a treatment guideline of a specified version, and/or a user performs an operation on the treatment measure information in the treatment guideline. Adjust the resulting custom treatment information.
The apparatus of any one of claims 11 to 13, wherein the processor is configured to perform the following steps:

According to the password information and/or user identity information submitted by the operating user, determine whether the operating user has the operating authority for the treatment set;

If the operation user has the operation authority of the treatment measure set, the content of the treatment measure set is set in response to the operation of the operation user.
The device according to any one of claims 11 to 13, wherein the treatment-related data at least includes at least one of the following: medication events, actually performed treatment measures, diagnosis results of the target object, and the Biochemical examination results of the target subject.
The device according to any one of claims 11 to 13, wherein the processor is further configured to perform the following steps:

The actual generation time of the treatment-related data is obtained.
The device according to any one of claims 11 to 13, wherein the processor is further configured to perform the following steps:

Extract key information from the treatment-related data.
A non-volatile computer-readable storage medium on which a computer program is stored, characterized in that, when the computer program is executed by a processor, the processing of medical data according to any one of claims 1 to 10 is realized. The steps of the processing method.