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Medical record input method and input system thereof

An input method and medical record technology, applied in the field of medical record management, can solve the problems of cumbersome input and search and low value of copying medical records, and achieve the effect of simple and fast input and search of medical records, easy search and high copy quality

Pending Publication Date: 2020-12-11
WINNING HEALTH TECHNOLOGY GROUP CO LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0004] In order to solve the technical problems of cumbersome entry and search and low value of copying medical records in the existing medical record input method, the present invention provides a medical record input method and its input system

Method used

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  • Medical record input method and input system thereof
  • Medical record input method and input system thereof
  • Medical record input method and input system thereof

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0044] see figure 1, this embodiment provides a medical record input method, which is used in a medical management system as an input method for medical record writing. The input method integrates industry data technologies such as medical record knowledge base, standard data elements, value ranges, and medical record business data through NLP, and uses NLP to integrate industry standard technologies such as structured specifications, quality control specifications, and national standards. Wherein, the input method includes the following steps, that is, steps S1-S8.

[0045] When the operator writes the medical record, when the input box enters information, go to step S1: call the natural language input engine, and based on keywords, department name, file structure, main diagnosis, user ID, patient information, operator habits, standards Data elements, value ranges, industry rules, hospital business data, quality control rules, medical record professional knowledge base, all ...

Embodiment 2

[0067] This embodiment provides a medical record input method, which adds some steps on the basis of Embodiment 1. Wherein, the input method further includes the following steps: extracting the phrases in the written content after writing the medical records each time, and searching for the phrases in the list used by the operator. When the phrase exists in the operator's habitual list, add one to the frequency of use of the phrase, and increase the priority of the phrase. When the phrase does not exist in the operator's habit list, the phrase is added to the list, and the frequency of use of the phrase is set to 1. Among them, the phrases in the list used by the operator are classified, and the phrases with the same meaning or similar meanings are classified into one category, and the priority is set according to the frequency of use in each type of phrase, that is, the priority of the phrase with higher frequency of use higher. In this way, the operator's habits will be up...

Embodiment 3

[0069] This embodiment provides a medical record input method, which adds some steps on the basis of Embodiment 1. Among them, the input method also includes the following steps: counting the industry rules and hospital business data in each region, and updating the industry rules and hospital business data in each region at regular intervals; Industry rules and hospital business data are used as the basis to sort the recommended texts. In this way, for operators in different regions, there will be differences in their industry rules and hospital business data. The input method of this embodiment takes these differences into consideration, so that recommended texts that are more in line with the needs of operators can be arranged to improve the efficiency of the input method. Input quality.

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Abstract

The invention discloses a medical record input method and an input system thereof. The input method comprises the steps of calling a natural language input engine, sorting all recommended texts according to the prediction probability, and returning multiple pieces of data with the front accuracy as option sets to a calling party; judging whether the calling party has a selection item or not, if so, analyzing the selection item, otherwise, prompting an operator to replace a keyword; displaying an analysis result for the operator to select; and judging whether the structure selected by the operator contains the structured data or not, if so, analyzing the structured data to convert the content selected by the operator, and writing the content in the structured format into the medical record,otherwise, directly writing the content selected by the operator into the medical record. According to the method, natural language and prediction probability sorting are combined, input is relatively simple and rapid, searching is easier, writing of medical records is not limited, for the same disease, an input method does not simply copy previous documents, a large number of similarities cannotbe caused, and the writing efficiency, text quality and scientific research value of the medical records are improved.

Description

technical field [0001] The invention relates to an input method in the technical field of medical record management, in particular to a medical record input method, and to a medical record input system using the medical record input method. Background technique [0002] The medical record input method can provide an input method for medical record writing. The operator inputs keywords, and the input method displays a certain number of options for the operator to choose, and then the operator selects the content of the required option and enters it into the medical record. Complete the writing of the medical record. [0003] Existing outpatient medical records usually have the problems of short writing time and document quality requirements, while inpatient medical records have the disadvantages of quantity and variety of medical record documents and long input cycle, and there are many rare words and professional vocabulary in the input process of medical records , the entr...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): G06F40/186G06F40/289G16H10/60G06N3/08
CPCG06F40/186G06F40/289G16H10/60G06N3/084
Inventor 王玉贞赵璐偲王涛胡浩王星光赵大平黄克华吴铭陈旭岁波
Owner WINNING HEALTH TECHNOLOGY GROUP CO LTD
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