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Medical record generation method, terminal device and computer readable storage medium

A medical record and text technology, applied in the medical field, can solve the problems of low efficiency and time-consuming for doctors to write medical records, and achieve the effect of saving time, improving efficiency and quality

Pending Publication Date: 2020-01-17
广州达美智能科技有限公司
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  • Abstract
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AI Technical Summary

Problems solved by technology

[0003] The main purpose of the present invention is to provide a method for generating medical records, a terminal device and a computer-readable storage medium, aiming to solve the current problem of time-consuming and inefficient writing of medical records by doctors

Method used

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  • Medical record generation method, terminal device and computer readable storage medium
  • Medical record generation method, terminal device and computer readable storage medium
  • Medical record generation method, terminal device and computer readable storage medium

Examples

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no. 1 example

[0063] refer to figure 2 , figure 2 It is the first embodiment of the medical record generation method of the present invention, and the medical record generation method includes the following steps:

[0064] Step S10, obtaining the diagnosis and treatment information of the patient;

[0065] In this embodiment, the system first obtains all available diagnosis and treatment information of the patient, so as to subsequently capture key information from the diagnosis and treatment information. medical records, etc. Medical personnel need to enter the obtained patient diagnosis and treatment information into the system. There are many ways to realize this process. For example, for inquiring about the patient's condition, the doctor can input key information according to the content of the patient's dictation; for the case of the patient providing past medical record information, Doctors can input key information into the system after reading the content of the past medical r...

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Abstract

The invention provides a medical record generation method, a terminal device and a computer readable storage medium. The medical record generation method provided by the invention comprises the following steps of: acquiring diagnosis and treatment information of a patient, extracting keywords and corresponding dates of the diagnosis and treatment information, and generating a medical record text according to the dates and the keywords. After the diagnosis and treatment information of the patient is obtained by the system, the detailed medical record text is automatically generated according tothe sequence of the time axis, so that a doctor does not need to write medical records personally, the time for the doctor to manage the medical records is saved, and the medical record writing efficiency and quality are improved.

Description

technical field [0001] The present invention relates to the medical field, in particular to a method for generating a medical record, a terminal device and a computer-readable storage medium. Background technique [0002] Clinicians, especially residents, need to spend a lot of time reviewing patient information, applying necessary templates, and then organizing effective language and actually entering the content of patient medical records in the process of writing patient medical records. Therefore, writing medical records often takes up too much time , can not serve patients well. In order to save time, common medical record templates for various diseases are used for writing, but when using templates for writing, different templates can only cover different diseases. For patients with complicated conditions, doctors need to use when writing medical records A variety of medical record templates, but the templates are not compatible with each other, causing doctors to spe...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G16H15/00G16H10/60
CPCG16H15/00G16H10/60
Inventor 侯丹翁钊方婷
Owner 广州达美智能科技有限公司
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