A system for constructing structured cases

Abstract

The present invention discloses a system for constructing structured cases, and relates to the field of medical equipment technology. The construction system of the present invention includes a clinical analysis module, a clinical information additional expansion module, a critical ultrasound and program evaluation module, a pathophysiology and phenotype interpretation module, a body reaction phenotype analysis module, a cause analysis module, a treatment analysis module, and a treatment effect feedback analysis module. The present invention solves the problem of uneven presentation of existing cases, standardizes the standardized and structured display of case diagnosis and treatment behaviors, makes the collection of case data more standardized and comprehensive, avoids the situation of uneven presentation of cases, and also makes doctors of different levels closer to unity in the process of case presentation, so as to facilitate subsequent case library management and teaching.

Description

Technical Field

[0001] The present invention relates to the technical field of medical equipment, and more particularly to a system for constructing structured cases. Background Art

[0002] The existing diagnosis and treatment process and analysis presentation methods for severe clinical cases are mainly carried out manually. Most of the time, clinicians want to present content. According to the clinicians' own presentation rules, they collect clinical diagnosis and treatment information in the case, and then make courseware according to the clinicians' own diagnosis and treatment ideas. The shortcomings of this presentation method are also particularly prominent, including that each clinician case maker may have different ideas and ideas, and their levels are also different. Therefore, the ability to collect clinical information varies, resulting in a variety of content and methods for case production and presentation, and even unable to grasp the key points of the case. It is not conducive to case collection and case teaching, and may also cause some obstacles to subsequent case characteristic analysis and scientific research.

[0003] For example, the invention patent application with the publication date of October 27, 2020, publication number CN111833977A, and name “Smart Hospital Digital Electronic Medical Record and Scientific Research and Teaching Integrated System” discloses a first digital electronic medical record and a second digital electronic medical record. The first digital electronic medical record includes a scanning module for patients to scan QR codes, a medical information collection module, and a preliminary classification module for the condition. The medical information collection includes a basic information collection unit and a medical history collection unit; the basic information collection unit is used to complete the entry of the patient's name, age, occupation, gender, native place, family information, native place, and place of residence and other personal information; the medical history collection unit is used to complete the entry of relevant information such as the patient's relevant symptoms, diagnosis and treatment process, efficacy, past medical history, family genetic history, surgical history, reproductive history, etc. during this illness. The second digital electronic medical record includes a physical examination module, a diagnosis and treatment information module, a patient condition information collection module, and a doctor review and analysis module; the physical examination module is used to record and extract information after the patient's physical examination; the diagnosis and treatment information module is used to record and extract treatment information during the treatment process; the patient condition information collection module is used to record and extract the symptom improvement and adverse symptoms of the patient during the treatment process; the doctor review and analysis module is used to record and extract the doctor's review and analysis of the patient's physical examination and treatment operation to generate the second digital electronic medical record. The diagnosis and treatment information module includes a doctor's order unit, an auxiliary examination unit, and a treatment operation information unit; the doctor's order information unit is used to complete the entry and extraction of information on the patient's dietary guidance, treatment plan, rehabilitation training, etc. during the treatment process; the auxiliary examination unit is used to enter and extract the patient's auxiliary examination information during treatment; the treatment operation information unit is used to enter and extract the patient's treatment method, operation time, operation method, bleeding condition, anesthesia method, and complication information.

[0004] The first digital electronic medical record and the second digital electronic medical record in the above-mentioned prior art are used to record the patient's basic information, medical history information, physical examination information, diagnosis and treatment information, patient condition information, doctor's review information, etc., while the generation of cases for teaching purposes is based on the content that the clinician wants to present and the clinician's own diagnosis and treatment ideas. The preparation of cases varies from person to person, resulting in a variety of content and methods of case preparation and presentation, which is not conducive to case teaching and case collection, and creates some obstacles to subsequent case characteristic analysis and scientific research. Summary of the invention

[0005] In order to overcome the defects and shortcomings existing in the above-mentioned prior art, the present invention provides a system for constructing a structured case. The purpose of the present invention is to solve the problem that the existing case presentation forms are uneven, standardize the standardized and structured display of case diagnosis and treatment behaviors, make the collection of case information more standardized and comprehensive, avoid the situation that the case presentation forms are uneven, and at the same time make doctors of different levels closer to unity in the process of case presentation, so as to facilitate the subsequent case library management and teaching.

[0006] In order to solve the above problems existing in the prior art, the present invention is implemented through the following technical solutions.

[0007] The present invention discloses a system for constructing structured cases, which comprises a clinical analysis module, a clinical information additional expansion module, a critical ultrasound and program evaluation module, a pathophysiology and phenotype interpretation module, a body reaction phenotype analysis module, a cause analysis module, a treatment analysis module and a treatment effect feedback analysis module; wherein,

[0008] The clinical analysis module is used to input the patient's basic information, chief complaint information and medical history information, and to sort out and present the patient's current medical history and the diagnosis and treatment process before the patient's core condition changes, in a time-based manner, the disease characteristics and diagnosis and treatment process at different time points, and generate a disease timeline;

[0009] The clinical identification module is provided with an organ system evaluation submodule, and the organ system evaluation submodule is associated with an organ system evaluation rule base, and the organ system evaluation rule base is preset with organ system evaluation rules; the organ system evaluation submodule is used to classify according to the organ system, and evaluate the organ system according to the combination of any one or more data of the symptoms, physical examination data, auxiliary examination data and / or organ system support strength of each organ system, combined with the preset organ system evaluation rules, wherein the organ system support strength refers to the support treatment means for the corresponding organ system implemented on the patient;

[0010] Conduct clinical analysis based on the system evaluation results of the disease timeline and organ system evaluation submodules to identify the main clinical problems and / or collaborative clinical problems of the current patient;

[0011] The clinical information additional expansion module is used to sort out and present the basic conditions of the organ systems involved in the main clinical problems and / or coordinated clinical problems according to the main clinical problems and / or coordinated clinical problems identified by the clinical identification module, as well as to add and record clinical details;

[0012] The critical care ultrasound and program-based assessment module is used to input the ultrasound assessment data of the patient;

[0013] The pathophysiology and phenotype interpretation module is preset with a variety of pathophysiology information framework structures and pathophysiology phenotype mind maps, and the pathophysiology phenotype mind map is preset with judgment rules for pathophysiology phenotype; according to the ultrasound data entered in the critical ultrasound and program evaluation module, the corresponding pathophysiology information framework structure and pathophysiology phenotype mind map are selected, and the interpretation information of the ultrasound data is sorted and presented according to the selected pathophysiology information framework structure rules, and the pathophysiology phenotype is determined according to the sorted and presented pathophysiology information and the corresponding pathophysiology phenotype mind map;

[0014] The body reaction phenotype analysis module is pre-set with a plurality of mind maps of body reaction phenotypes, and the mind map of body reaction phenotypes is pre-set with the basis for judging the body reaction phenotype; the body reaction phenotype is determined according to the disease timeline and organ system evaluation results of the clinical identification module in combination with the pre-set mind map;

[0015] The etiology analysis module is used to perform etiology analysis and record according to the clinical identification results of the clinical identification module, the basic conditions of the organ systems and clinical details of the clinical information additional expansion module, the ultrasound interpretation results of the critical ultrasound and program evaluation module, the interpretation results of the pathophysiology and phenotype interpretation module, and the basal reaction phenotype determined by the body reaction phenotype analysis module;

[0016] The treatment analysis module is used to selectively add the judgment contents in the pathophysiology and phenotype interpretation module, the body response phenotype analysis module and the etiology analysis module to the treatment analysis module, and add corresponding treatment analysis contents according to the added contents;

[0017] The treatment effect feedback analysis module is used to present and record the treatment effect.

[0018] Further preferably, the critical care ultrasound and program-based evaluation module has a variety of critical care ultrasound data entry schemes built in, and the corresponding critical care ultrasound data entry scheme is selected according to the ultrasound data to be entered, and the ultrasound data is entered accordingly according to the corresponding critical care ultrasound data entry scheme.

[0019] Further preferably, the critical care ultrasound and program-based evaluation module also includes an image quality control submodule, which is used to perform image quality control processing on the input ultrasound data, and the ultrasound data that meets the image quality control requirements can be entered into the critical care ultrasound and program-based evaluation module.

[0020] Further preferably, the critical care ultrasound and program-based assessment module is provided with any one or more combinations of a critical care ultrasound circulation assessment module, a critical care ultrasound respiratory assessment module and an extended organ function assessment module; the critical care ultrasound circulation assessment module is used to enter ultrasound data reflecting the circulatory system; the critical care ultrasound respiratory assessment module is used to enter ultrasound data reflecting the respiratory system; the extended organ function assessment module is used to enter ultrasound data of other organs.

[0021] More preferably, the ultrasound data of other organs include any one or more combinations of cranial ultrasound data, gastrointestinal ultrasound data and kidney ultrasound data.

[0022] Further preferably, the multiple critical care ultrasound data entry schemes in the critical care ultrasound and programmatic evaluation module include any combination of one or more of E-FATE (Extended Focus Assessed Transthoracic Echo), BLUE-PLUS (Bedside Lung Ultrasound in Emergency-plus), the twelve-zone scheme of lung ultrasound, the M-BLUE scheme and the PLUE scheme.

[0023] An image classification model is pre-installed in the image quality control submodule in the critical care ultrasound and program-based evaluation module. The image classification model performs image classification processing on the input ultrasound data, divides them into qualified images and unqualified images, and calculates the image qualification rate of the input ultrasound data. When the image qualification rate of the input ultrasound data reaches the set image qualification rate threshold, the ultrasound data is entered into the critical care ultrasound and program-based evaluation module.

[0024] Further preferably, the treatment effect feedback analysis module includes a system evaluation feedback sub-module, which is used to collect symptoms, physical examination data and auxiliary examination data of the organ system after treatment, and present and record the treatment effects of the organ system before and after treatment based on the organ system evaluation results of the clinical analysis module and the organ system evaluation results after treatment.

[0025] Further preferably, the treatment effect feedback analysis module also includes a pathophysiological treatment feedback submodule, which is used to collect ultrasound images after treatment, and compare the ultrasound images before and after treatment, so as to analyze, record and present the physiological changes of the case before and after treatment.

[0026] More preferably, the treatment effect feedback analysis module also includes a body response feedback submodule, and the body response feedback submodule is used to feedback the changes in the body response level before and after the treatment.

[0027] More preferably, the treatment effect feedback analysis module also includes a leading etiology treatment feedback submodule, and the leading etiology treatment feedback submodule is used to feedback changes before and after treatment at the leading etiology level.

[0028] More preferably, the treatment effect feedback analysis module also includes a basic cause treatment feedback submodule, and the basic cause treatment feedback submodule is used to feedback changes in the patient's basic cause before and after treatment.

[0029] Further preferably, the organ system assessment rule base in the organ system assessment submodule includes any one or more combinations of circulatory system assessment rules, respiratory system assessment rules, nervous system assessment rules, liver function system assessment rules, renal function system assessment rules, abdominal system assessment rules, coagulation function system assessment rules, inflammation system assessment rules and infection system assessment rules.

[0030] Further preferably, the pathophysiology and phenotype interpretation module is preset with a critical care ultrasound lung pathophysiology information framework structure, and the critical care ultrasound lung pathophysiology information framework structure includes any one or more combinations of acute and chronic information, gravity dependence information, distribution area information, lesion type information and lung change cause information.

[0031] Further preferably, a critical care ultrasound circulatory pathophysiology information framework structure is preset in the pathophysiology and phenotype interpretation module; the critical care ultrasound circulatory pathophysiology information framework structure includes any one or more combinations of matrix gross structure problem information, volume and volume responsiveness information, right heart information, left heart diastole information, left heart contraction information, cardiac output information and peripheral resistance information.

[0032] More preferably, the pathophysiology and phenotype interpretation module is preset with a hemodynamic phenotype mind map, and the judgment rules in the hemodynamic phenotype mind map include any one or more combinations of venous capacity judgment, venous pressure judgment, right heart volume judgment, right heart pressure judgment, right heart contractile function judgment, right heart contractile pattern judgment, left heart diastolic function judgment, left atrial pressure judgment, left ventricular contraction judgment, stroke volume judgment, cardiac output judgment and peripheral vascular tension judgment.

[0033] Further preferably, the organism response phenotype in the organism response phenotype analysis module includes one or more combinations of immune-inflammatory-coagulation disorder phenotype, neural-neuroendocrine disorder response phenotype and metabolic-bioenergetic disorder phenotype.

[0034] More preferably, the basis for determining the immune-inflammation-coagulation disorder phenotype includes any one or more combinations of sepsis inflammatory response disorders, non-sepsis inflammatory response disorders and coagulation response disorders; wherein the basis for determining non-sepsis inflammatory response disorders includes any one or more combinations of non-infectious, tumor immunotherapy cytokine release syndrome, common allergic reactions and immune responses.

[0035] More preferably, the basis for determining the neuro-neuroendocrine disorder reaction phenotype includes central nervous system reaction, autonomic nervous system reaction or neuroendocrine reaction; and the neuro-neuroendocrine disorder reaction is divided into central and peripheral origin.

[0036] More preferably, the basis for determining the metabolic bioenergetic disorder phenotype includes high oxygen consumption state, oxygen utilization disorder and abnormal oxygen distribution.

[0037] Compared with the prior art, the beneficial technical effects brought by the present invention are as follows:

[0038] 1. The present invention standardizes, structures and displays case information in a hierarchical manner through the setting of eight modules, namely, clinical identification module, clinical information additional expansion module, critical care ultrasound and program evaluation module, pathophysiology and phenotype interpretation module, body response phenotype analysis module, etiology analysis module, treatment analysis module and treatment effect feedback analysis module, so as to make case data collection more standardized, comprehensive and practical, avoid the situation where case presentation forms vary, and also make doctors of different levels closer to unity in the process of case presentation, so as to facilitate subsequent case library management, case teaching and case research, etc. At the same time, in the process of case collection and production, it also plays a role in teaching, standardizing case diagnosis and treatment, and guiding learning for doctors at a lower level.

[0039] 2. The present invention sorts out the characteristics of the disease and the course of diagnosis and treatment at different time points by taking the patient's current medical history and the course of diagnosis and treatment before the core condition of the patient changes, and integrates and sorts out the symptoms, physical examinations, auxiliary examinations, etc. of each organ system according to the organ system. Combining the timeline of the disease and the system sorting can make the complex clinical information clear, which is convenient for clinicians to conduct clinical analysis based on the disease, find the patient's main clinical problems and coordinated clinical problems, and make the central theme presented in the diagnosis and treatment process clearer.

[0040] 3. The clinical information additional expansion module of the present invention includes two parts. The first part is to sort out the basic conditions of the organ systems involved in the main clinical problems / cooperative clinical problems for the clinical problems identified by the clinical identification module. For example, if the clinical problem considers respiratory and circulatory dysfunction, this part needs to remind the doctor to ask the patient about the basic cardiopulmonary function, basic cardiopulmonary disease diagnosis and treatment, and control conditions. The second part is the additional clinical details related to the clinical problem. If the main clinical problem is found through the clinical identification module, this part needs to remind the doctor to circulate the details of the clinical problem, supplement the problems missed in the initial consultation, etc., so that the case presentation is more real, meticulous and detailed.

[0041] 4. The critical care ultrasound and program-based evaluation module of the present invention has a variety of preset critical care ultrasound modular information frameworks. Through the preset critical care ultrasound modular information framework, the case maker can be well reminded to collect case information according to the standardized plan without omission. The collection of case information is standardized and comprehensive. An image quality control module is set to control the quality of the input ultrasound image data. When the quality of the input ultrasound image data is poor, the case maker is reminded to replace it with ultrasound image data of better quality to facilitate subsequent case analysis and interpretation of ultrasound image data. The critical care ultrasound and program-based evaluation module in the present invention also presets an ultrasound image interpretation text information framework, so that the case maker can interpret the ultrasound image according to the preset interpretation rules to unify the text expression of the ultrasound image interpretation, so that the case is more standardized and better expressed in a unified manner.

[0042] 5. The body reaction phenotype analysis module of the present invention is a combing of body reaction phenotypes in the hierarchical combing of cases. The preset mind map of multiple body reaction phenotypes can assist case makers to determine the patient's body reaction phenotype according to the disease timeline and organ system evaluation results, so as to achieve standardization and unification of body reaction phenotype judgment.

[0043] 6. The therapeutic effect feedback analysis module of the present invention includes a system evaluation feedback submodule, a pathophysiological treatment feedback submodule, a body response feedback submodule, a leading etiology treatment feedback submodule, and a basic etiology treatment feedback submodule in order to present it in a more hierarchical manner. Through the setting of these submodules, the various therapeutic effect feedbacks are hierarchically organized and presented separately through multiple parts, so that the therapeutic effect feedback of the case is clearer and can more accurately feedback the changes in the therapeutic effect. BRIEF DESCRIPTION OF THE DRAWINGS

[0044] Figure 1 A schematic diagram of the system structure of the structured case construction system of the present invention;

[0045] Figure 2 A structural diagram of a critical ultrasound modular information framework built into the pathophysiology and phenotype interpretation module of the present invention;

[0046] Figure 3 A pathophysiology and phenotype mind map preset in the pathophysiology and phenotype interpretation module of the present invention;

[0047] Figure 4 It is a critical ultrasound modular information framework structure diagram of a critical ultrasound hemodynamic circulation preset in the pathophysiology and phenotype interpretation module of the present invention;

[0048] Figure 5 A circulatory pathophysiological phenotype mind map preset in the pathophysiological and phenotype interpretation module of the present invention;

[0049] Figure 6 A mind map of an organism reaction phenotype preset in the organism reaction phenotype analysis module of the present invention; DETAILED DESCRIPTION

[0050] The following is an exemplary embodiment of the present invention that helps to fully understand the claims and their equivalents in conjunction with the accompanying drawings, wherein the specific details will be considered as exemplary only, and do not limit the scope of the present invention. Therefore, those of ordinary skill in the art can make various changes and modifications to the embodiments without departing from the scope and spirit of the present invention.

[0051] Example 1

[0052] As a preferred embodiment of the present invention, refer to the attached specification Figure 1As shown, this embodiment discloses a system for constructing a structured case, which includes a clinical analysis module, a clinical information additional expansion module, a critical care ultrasound and program evaluation module, a pathophysiology and phenotype interpretation module, a body reaction phenotype analysis module, a cause analysis module, a treatment analysis module and a treatment effect feedback analysis module.

[0053] The clinical analysis module is used to input the patient's basic information, chief complaint information and medical history information, and to sort out and present the patient's current medical history and the diagnosis and treatment process before the patient's core condition changes, based on time, the disease characteristics and diagnosis and treatment process at different time points, and generate a disease timeline;

[0054] The clinical identification module is provided with an organ system assessment submodule, and the organ system assessment submodule is associated with an organ system assessment rule base, and the organ system assessment rule base is preset with organ system assessment rules; the organ system assessment submodule is used to classify according to the organ system, and evaluate the organ system according to the combination of any one or more data of the symptoms, physical examination data, auxiliary examination data and / or organ system support strength of each organ system, combined with the preset organ system assessment rules. The organ system support strength refers to the support treatment measures implemented on the patient; for example, for patients with respiratory failure, the respiratory system support strength is oxygen inhalation, invasive ventilator support or non-invasive ventilator support, etc.

[0055] Clinical analysis is performed based on the system evaluation results of the disease timeline and organ system evaluation submodules to identify the main clinical problems and / or collaborative clinical problems of the current patient.

[0056] The clinical information supplementation and expansion module is used to sort out and present the basic conditions of the organ systems involved in the main clinical problems and / or coordinated clinical problems identified by the clinical identification module, as well as to supplement and record clinical details.

[0057] The critical care ultrasound and program-based assessment module is used to input the ultrasound data of the patient; Figure 2 As shown, it includes a cardiac ultrasound assessment framework, a lung ultrasound assessment framework, an extended organ function assessment, an image acquisition interface for other sections, and an ultrasound measurement data page display and entry.

[0058] like Figure 2-Figure 5As shown, the pathophysiology and phenotype interpretation module is preset with a variety of pathophysiology information framework structures and pathophysiology phenotype mind maps, and the pathophysiology phenotype mind map is preset with judgment rules for pathophysiology phenotypes; the corresponding pathophysiology information framework structure and pathophysiology phenotype mind map are selected according to the ultrasound data entered in the critical ultrasound and program evaluation module, and the interpretation information of the ultrasound data is sorted and presented according to the selected pathophysiology information framework structure rules, and the pathophysiology phenotype is determined according to the sorted and presented pathophysiology information and the corresponding pathophysiology phenotype mind map;

[0059] like Figure 6 As shown, the body reaction phenotype analysis module is pre-set with a variety of body reaction phenotype mind maps, and the body reaction phenotype mind map is pre-set with the basis for judging the body reaction phenotype; according to the disease timeline and organ system evaluation results of the clinical analysis module, combined with the pre-set mind map, the body reaction phenotype is determined.

[0060] The etiology analysis module is used to perform and record etiology analysis based on the clinical identification results of the clinical identification module, the basic conditions of the organ systems and clinical details of the clinical information additional expansion module, the ultrasound interpretation results of the critical care ultrasound and program evaluation module, the interpretation results of the pathophysiology and phenotype interpretation module, and the basal reaction phenotype determined by the body reaction phenotype analysis module.

[0061] The feedback treatment analysis module is used to selectively add the judgment contents in the pathophysiology and phenotype interpretation module, the body response phenotype analysis module and the etiology analysis module to the treatment analysis module, and add corresponding treatment analysis contents according to the added contents.

[0062] The treatment effect feedback analysis module is used to present and record the treatment effect.

[0063] In this embodiment, through the information sorting and presentation of the above-mentioned eight or seven modules, namely, the clinical analysis module, the clinical information additional expansion module, the critical care ultrasound and program evaluation module, the pathophysiology and phenotypic interpretation module, the body response phenotype analysis module, the etiology analysis module and the feedback treatment analysis module, the case information is standardized, structured and hierarchical, making the case data collection more standardized and comprehensive, avoiding the situation where the case presentation forms are uneven, and at the same time making doctors of different levels closer to unity in the process of case presentation, so as to facilitate the subsequent case library management, case teaching and case research, etc.

[0064] Example 2

[0065] As another preferred embodiment of the present invention, this embodiment further elaborates and supplements the technical solution of the present invention on the basis of the above-mentioned embodiment 1. In this embodiment, the critical ultrasound and program evaluation module has multiple critical ultrasound data entry schemes built in, and the corresponding critical ultrasound data entry scheme is selected according to the ultrasound data to be entered, and the ultrasound data is entered according to the corresponding critical ultrasound data entry scheme.

[0066] Furthermore, the critical care ultrasound and program-based evaluation module has a variety of critical care ultrasound data entry schemes built in. The corresponding critical care ultrasound data entry scheme is selected according to the ultrasound data to be entered, and the ultrasound data is entered according to the corresponding critical care ultrasound data entry scheme.

[0067] As an example, the critical care ultrasound and program-based assessment module is provided with any one or more combinations of a critical care ultrasound circulation assessment module, a critical care ultrasound respiratory assessment module and an extended organ function assessment module; the critical care ultrasound circulation assessment module is used to input ultrasound data reflecting the circulatory system; the critical care ultrasound respiratory assessment module is used to input ultrasound data reflecting the respiratory system; and the extended organ function assessment module is used to input ultrasound data of other organs.

[0068] As another example, the critical care ultrasound circulation assessment module needs to record the subxiphoid inferior vena cava long-axis section ultrasound image, the subxiphoid inferior vena cava short-axis section ultrasound image, the subxiphoid four-chamber heart section ultrasound image, the parasternal long-axis section ultrasound image, the parasternal short-axis section ultrasound image, the apical four-chamber heart section ultrasound image, the transhepatic infrahepatic vena cava long-axis section ultrasound image, and the transhepatic infrahepatic vena cava short-axis section ultrasound image.

[0069] As another example, the ultrasound images recorded by the critical care ultrasound respiratory assessment module can be recorded according to ultrasound schemes, including the twelve-zone scheme, the BLUE plus scheme, the M-BLUE scheme, the PLUE prone position scheme, and the like.

[0070] The ultrasound data of other organs include any one or more combinations of cranial ultrasound data, gastrointestinal ultrasound data and kidney ultrasound data.

[0071] Further preferably, the multiple critical care ultrasound data entry schemes in the critical care ultrasound and programmatic evaluation module include any combination of one or more of E-FATE (Extended Focus Assessed Transthoracic Echo), BLUE-PLUS (Bedside Lung Ultrasound in Emergency-plus), the twelve-zone scheme of lung ultrasound, the M-BLUE scheme and the PLUE scheme.

[0072] An image classification model is pre-installed in the image quality control submodule in the critical care ultrasound and program-based evaluation module. The image classification model performs image classification processing on the input ultrasound data, divides them into qualified images and unqualified images, and calculates the image qualification rate of the input ultrasound data. When the image qualification rate of the input ultrasound data reaches the set image qualification rate threshold, the ultrasound data is entered into the critical care ultrasound and program-based evaluation module.

[0073] Example 3

[0074] As another preferred embodiment of the present invention, this embodiment further elaborates and supplements the technical solution of the present invention on the basis of the above-mentioned embodiment 1 or embodiment 2. In this embodiment, the treatment effect feedback analysis module includes a system evaluation feedback submodule, which is used to collect symptoms, physical examination data and auxiliary examination data of the organ system after treatment, and present and record the organ system treatment effect before and after treatment according to the organ system evaluation results of the clinical identification module and the organ system evaluation results after treatment.

[0075] As another implementation of this embodiment, the treatment effect feedback analysis module also includes a pathophysiological treatment feedback submodule, which is used to collect ultrasound images after treatment, and compare the ultrasound images before and after treatment, so as to analyze, record and present the physiological changes of the case before and after treatment.

[0076] As another implementation of this embodiment, the treatment effect feedback analysis module further includes a body response feedback submodule, and the body response feedback submodule is used to feedback the changes before and after the treatment at the body response level.

[0077] As another implementation of this embodiment, the treatment effect feedback analysis module also includes a leading etiology treatment feedback submodule, and the leading etiology treatment feedback submodule is used to feedback the changes before and after the treatment at the leading etiology level.

[0078] As another implementation of this embodiment, the treatment effect feedback analysis module also includes a basic cause treatment feedback submodule, and the basic cause treatment feedback submodule is used to feedback the changes of the patient's basic cause before and after treatment.

[0079] Example 4

[0080] As another preferred embodiment of the present invention, this embodiment is a further detailed supplement and elaboration of the technical solution of the present invention based on the above-mentioned embodiment 1, embodiment 2 or embodiment 3. In this embodiment, the organ system evaluation rule base in the organ system evaluation submodule includes circulatory system evaluation rules, respiratory system evaluation rules, nervous system evaluation rules, liver function system evaluation rules, renal function system evaluation rules, abdominal system evaluation rules, coagulation function system evaluation rules, inflammation system evaluation rules and infection system evaluation rules.

[0081] Further preferably, the pathophysiology and phenotype interpretation module is preset with a critical ultrasound lung pathophysiology information framework structure, such as Figure 3 As shown, the critical ultrasound lung pathophysiology information framework structure includes any one or more combinations of acute and chronic information, gravity dependence information, distribution area information, lesion type information and lung change cause information.

[0082] As an example, Figure 4 As shown, the pathophysiology and phenotype interpretation module is preset with a critical care ultrasound circulatory pathophysiology information framework structure; the critical care ultrasound circulatory pathophysiology information framework structure includes any one or more combinations of matrix gross structure problem information, volume and volume responsiveness information, right heart information, left heart diastole information, left heart contraction information, cardiac output information and peripheral resistance information.

[0083] As another example, Figure 5 As shown, the pathophysiology and phenotype interpretation module is preset with a hemodynamic phenotype mind map, and the judgment rules in the hemodynamic phenotype mind map include any one or more combinations of venous capacity judgment, venous pressure judgment, right heart volume judgment, right heart pressure judgment, right heart contraction function judgment, right heart contraction pattern judgment, left heart diastolic function judgment, left atrial pressure judgment, left ventricular contraction judgment, stroke volume judgment, cardiac output judgment and peripheral vascular tension judgment.

[0084] As another example, the organism response phenotype in the organism response phenotype analysis module includes a combination of one or more of an immune-inflammatory-coagulation disorder phenotype, a neural-neuroendocrine disorder response phenotype, and a metabolic-bioenergetic disorder phenotype.

[0085] Furthermore, the basis for determining the immune-inflammation-coagulation disorder phenotype includes any one or more combinations of sepsis inflammatory response disorders, non-sepsis inflammatory response disorders and coagulation response disorders; wherein the basis for determining non-sepsis inflammatory response disorders includes any one or more combinations of non-infectious, tumor immunotherapy cytokine release syndrome, common allergic reactions and immune responses.

[0086] The basis for judging the neuro-neuroendocrine disorder reaction phenotype includes central nervous system reaction, autonomic nervous system reaction or neuroendocrine reaction; the neuro-neuroendocrine disorder reaction is divided into central origin and peripheral origin. The basis for judging the metabolic bioenergetic disorder phenotype includes high oxygen consumption state, oxygen utilization disorder and abnormal oxygen distribution.

[0087] Example 5

[0088] As another preferred embodiment of the present invention, this embodiment provides an example of constructing a structured case to assist in understanding the technical solution of the present invention.

[0089] The existing cases used for teaching are generated and presented by clinicians according to the content they want to present and their own diagnosis and treatment ideas. The preparation of cases varies from person to person, resulting in a wide variety of content presented in the cases, which is not conducive to case teaching and case collection, and creates some obstacles to subsequent case characteristic analysis and scientific research.

[0090] In order to solve the above problems, this embodiment provides a structured case construction system, hoping that the system can unify the case preparation processes and specifications of different doctors, achieve the unification of case preparation, standardization of presentation content and unification of thinking mode. Specifically,

[0091] When the case maker needs to create a new case, he or she first needs to collect the medical record information related to the case, including but not limited to the patient's basic information (name, gender, age, department, hospital, hospitalization number, etc.), chief complaint, current medical history and other information, and then log in to the structured case construction system, open the operation section of the clinical analysis module, and enter the corresponding information into the clinical analysis module according to the prompts in the clinical analysis module.

[0092] During this process, if the patient corresponding to the case to be created is a patient of this hospital, a data communication connection can be established between the structured case construction system and the hospital HIS system through the data interface. At this time, the relevant information of the corresponding patient can be directly called from the hospital's HIS system through the clinical analysis module and called into the clinical analysis module.

[0093] When the case maker enters or calls information in the clinical analysis module, the patient's current medical history and the diagnosis and treatment process before the patient's core condition changes need to be entered or called according to the time nodes on the timeline. After the entry or call is completed, the clinical analysis module can sort out and present the disease characteristics and diagnosis and treatment process at different time points in a time-axis manner to generate a disease timeline.

[0094] Then, the case maker selects the corresponding organ system in the system rule library associated with the clinical identification module according to the patient's current or admission diagnosis. The operation interface of each organ system is preset with relevant prompt information to prompt the case maker to enter the type and content of information. According to the prompt of the operation interface of the organ system, the symptoms, physical examination data, auxiliary monitoring data and organ system support strength of the patient's organ system are entered or called. The organ system support strength refers to the support treatment measures implemented on the patient for the corresponding organ system; for example, if the patient has respiratory problems, the organ system support strength refers to whether oxygen is inhaled, whether invasive ventilator intervention or non-invasive ventilator intervention is used, etc. After entering or calling various data of the patient's organ system, the clinical identification module evaluates the patient's organ system according to the preset organ system evaluation rules and generates an evaluation result. At this time, the case maker can also make appropriate modifications to the generated evaluation results based on clinical experience and in combination with the generated evaluation results.

[0095] Then the case maker can perform clinical analysis based on the patient's disease timeline and organ system assessment results, analyze the main clinical problems of the current patient, and analyze whether there are collaborative clinical problems. If there are collaborative clinical problems, the collaborative clinical problems of the current patient will be supplemented accordingly. At this point, the relevant data entry of the clinical analysis module is completed and saved to the corresponding case database. After the construction system completes the operation of the clinical analysis module, it can automatically jump out of the operation interface of the clinical information additional expansion module, or use the operation interface of the clinical information additional expansion module as the drop-down interface of the clinical analysis module, that is, after completing the operation of the clinical analysis module, the operation of the clinical information additional expansion module can be performed.

[0096] In the clinical information supplement and expansion module, it can sort out and present the basic conditions of the organ systems involved in the main clinical problems and / or coordinated clinical problems identified by the module; the case maker can supplement the clinical details based on the information presented in the clinical information supplement and expansion module and clinical experience, and enter the supplemented clinical details into the clinical information supplement and expansion module.

[0097] After completing the operation of the clinical information additional expansion module, enter the critical care ultrasound and program-based evaluation module to perform related operations. In the critical care ultrasound and program-based evaluation module, there are multiple critical care ultrasound modular information frameworks built in. The case maker needs to select the corresponding critical care ultrasound modular information framework based on the patient's main clinical problems, collaborative clinical problems (if any) and additional clinical details (if any), combined with different clinical information collection and analysis needs, and enter or call relevant ultrasound data according to the preset rules of the critical care ultrasound modular information framework.

[0098] When entering or calling ultrasound image data, the image quality control submodule in the critical care ultrasound and program evaluation module will perform quality control management on the uploaded or called ultrasound image data. Only ultrasound image data that meets the ultrasound image quality requirements can be entered or called into the critical care ultrasound and program evaluation module to improve the accuracy of ultrasound image interpretation. The critical care ultrasound and program evaluation module also has a built-in ultrasound image interpretation text information framework. The case maker can enter the ultrasound image content interpreted by the case maker into the critical care ultrasound and program evaluation module according to the rules of the text information framework. At the same time, the critical care ultrasound and program evaluation module can use a deep learning model to intelligently interpret ultrasound images, and generate interpretation information based on the preset ultrasound image interpretation text information framework structure, so as to standardize and unify the ultrasound image interpretation. The case maker only needs to adaptively modify the ultrasound image interpretation information intelligently interpreted by the critical care ultrasound and program evaluation module.

[0099] After completing the input and interpretation of the relevant information of the critical care ultrasound and programmatic assessment module, the case maker enters the pathophysiology and phenotype interpretation module. In this module, the case maker selects the corresponding pathophysiology information framework structure and pathophysiology phenotype mind map based on the interpretation information of the ultrasound data, sorts out and presents the interpretation information of the ultrasound data according to the selected pathophysiology information framework structure rules, and determines the pathophysiology phenotype according to the sorted and presented pathophysiology information and the corresponding pathophysiology phenotype mind map;

[0100] In the body reaction phenotype analysis module, the case maker selects the corresponding body reaction phenotype mind map according to the disease timeline and organ system assessment results of the clinical identification module, and determines the patient's body reaction phenotype based on the patient's relevant data and the judgment basis of the selected body reaction phenotype mind map.

[0101] After determining the patient's body reaction phenotype, the case maker enters the operation interface of the etiology analysis module and conducts etiology analysis and records based on the clinical identification results of the clinical identification module, the basic conditions of the organ systems and clinical details of the clinical information additional expansion module, the ultrasound interpretation results of the critical care ultrasound and programmatic evaluation module, the interpretation results of the pathophysiology and phenotype interpretation module, and the basal reaction phenotype determined by the body reaction phenotype analysis module.

[0102] After completing the etiology analysis, the case maker enters the operation interface of the treatment analysis module, selectively adds the judgment contents in the pathophysiology and phenotypic interpretation module, the body response phenotype analysis module and the etiology analysis module to the treatment analysis module, and adds corresponding treatment analysis contents according to the added contents.

[0103] After completing the treatment analysis, the case maker enters the operation interface of the feedback treatment effect analysis module and enters the patient's physical changes after the relevant treatment according to the rules and requirements in the treatment effect analysis module. Specifically, the system evaluation feedback submodule is used to collect the symptoms, physical examination data and auxiliary examination data of the organ system after treatment, and present and record the organ system treatment effects before and after treatment based on the organ system evaluation results of the clinical identification module and the organ system evaluation results after treatment;

[0104] A pathophysiological treatment feedback submodule, which is used to collect ultrasound images after treatment, compare ultrasound images before and after treatment, and analyze, record and present physiological changes of the case before and after treatment;

[0105] The body response feedback submodule is used to feedback the changes of the body response level before and after treatment;

[0106] A lead etiology treatment feedback submodule, which is used to provide feedback on changes in the lead etiology level before and after treatment;

[0107] The basic cause treatment feedback submodule is used to feedback the changes of the patient's basic cause before and after treatment.

[0108] After completing all the above operations, the case is completed and stored in the case database. The prepared case can be used in subsequent case teaching or case research.

[0109] While the inventive concept has been particularly shown and described with reference to exemplary embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the invention as defined by the claims.

Claims

1. A system for constructing structured cases, characterized in that: It includes clinical analysis module, clinical information additional expansion module, critical care ultrasound and program evaluation module, pathophysiology and phenotype interpretation module, body response phenotype analysis module, etiology analysis module, treatment analysis feedback module and treatment effect analysis module; among them, The clinical analysis module is used to input the patient's basic information, chief complaint information and medical history information, and to sort out and present the patient's current medical history and the diagnosis and treatment process before the patient's core condition changes, in a time-based manner, the disease characteristics and diagnosis and treatment process at different time points, and generate a disease timeline; The clinical identification module is provided with an organ system evaluation submodule, and the organ system evaluation submodule is associated with an organ system evaluation rule base, and the organ system evaluation rule base is preset with organ system evaluation rules; the organ system evaluation submodule is used to classify according to the organ system, and evaluate the organ system according to the combination of any one or more data of the symptoms, physical examination data, auxiliary examination data and / or organ system support strength of each organ system, combined with the preset organ system evaluation rules, wherein the organ system support strength refers to the support treatment means for the corresponding organ system implemented on the patient; Conduct clinical analysis based on the system evaluation results of the disease timeline and organ system evaluation submodules to identify the main clinical problems and / or collaborative clinical problems of the current patient; The clinical information additional expansion module is used to sort out and present the basic conditions of the organ systems involved in the main clinical problems and / or coordinated clinical problems identified by the clinical identification module, as well as to add and record clinical details; The critical care ultrasound and program-based assessment module is used to input the ultrasound assessment data of the patient; The pathophysiology and phenotype interpretation module is preset with a variety of pathophysiology information framework structures and pathophysiology phenotype mind maps, and the pathophysiology phenotype mind map is preset with judgment rules for pathophysiology phenotype; according to the ultrasound data entered in the critical ultrasound and program evaluation module, the corresponding pathophysiology information framework structure and pathophysiology phenotype mind map are selected, and the interpretation information of the ultrasound data is sorted and presented according to the selected pathophysiology information framework structure rules, and the pathophysiology phenotype is determined according to the sorted and presented pathophysiology information and the corresponding pathophysiology phenotype mind map; The body reaction phenotype analysis module is pre-set with a plurality of mind maps of body reaction phenotypes, and the mind map of body reaction phenotypes is pre-set with the basis for judging the body reaction phenotype; the body reaction phenotype is determined according to the disease timeline and organ system evaluation results of the clinical identification module in combination with the pre-set mind map; The etiology analysis module is used to perform etiology analysis and record according to the clinical identification results of the clinical identification module, the basic conditions of the organ systems and clinical details of the clinical information additional expansion module, the ultrasound interpretation results of the critical ultrasound and program evaluation module, the interpretation results of the pathophysiology and phenotype interpretation module, and the body reaction phenotype determined by the body reaction phenotype analysis module; The treatment analysis feedback module is used to selectively add the judgment contents in the pathophysiology and phenotype interpretation module, the body response phenotype analysis module and the etiology analysis module to the treatment analysis feedback module, and add corresponding treatment analysis contents according to the added contents; The treatment effect analysis module is used to present and record the treatment effect.

2. A system for constructing a structured case according to claim 1, characterized in that: The critical care ultrasound and program-based assessment module has a variety of critical care ultrasound data entry schemes built in. The corresponding critical care ultrasound data entry scheme is selected according to the ultrasound data to be entered, and the ultrasound data is entered according to the corresponding critical care ultrasound data entry scheme.

3. A system for constructing a structured case according to claim 2, characterized in that: The various critical care ultrasound data entry schemes in the critical care ultrasound and programmatic assessment module include any combination of one or more of E-FATE (Extended Focus Assessed Transthoracic Echo), BLUE-PLUS (Bedside Lung Ultrasound in Emergency-plus), the twelve-zone scheme of lung ultrasound, the M-BLUE scheme, and the PLUE scheme.

4. A system for constructing a structured case according to claim 1, characterized in that: The critical care ultrasound and program-based assessment module is provided with any one or more combinations of a critical care ultrasound circulation assessment module, a critical care ultrasound respiratory assessment module and an extended organ function assessment module; the critical care ultrasound circulation assessment module is used to input ultrasound data reflecting the circulatory system; the critical care ultrasound respiratory assessment module is used to input ultrasound data reflecting the respiratory system; the extended organ function assessment module is used to input ultrasound data of other related organs.

5. A system for constructing a structured case according to claim 4, characterized in that: The ultrasound data of other related organs include any one or more combinations of cranial ultrasound data, gastrointestinal ultrasound data and kidney ultrasound data.

6. A system for constructing a structured case according to claim 1, characterized in that: The critical care ultrasound and program-based evaluation module also includes an image quality control submodule, which is used to perform image quality control processing on the input ultrasound data. Ultrasound data that meets the image quality control requirements can be entered into the critical care ultrasound and program-based evaluation module.

7. A system for constructing a structured case according to claim 6, characterized in that: An image classification model is pre-installed in the image quality control submodule in the critical care ultrasound and program-based evaluation module. The image classification model performs image classification processing on the input ultrasound data, divides them into qualified images and unqualified images, and calculates the image qualification rate of the input ultrasound data. When the image qualification rate of the input ultrasound data reaches the set image qualification rate threshold, the ultrasound data is entered into the critical care ultrasound and program-based evaluation module.

8. A system for constructing a structured case according to any one of claims 1 to 7, characterized in that: The treatment effect analysis module includes a system evaluation feedback submodule, which is used to collect symptoms, physical examination data and auxiliary examination data of the organ system after treatment, and present and record the treatment effects of the organ system before and after treatment based on the organ system evaluation results of the clinical identification module and the organ system evaluation results after treatment.

9. A system for constructing a structured case according to claim 8, characterized in that: The treatment effect analysis module also includes a pathophysiological treatment feedback submodule, which is used to collect ultrasound images after treatment, and compare ultrasound images before and after treatment, and analyze, record and present the physiological changes of the case before and after treatment.

10. A system for constructing a structured case according to claim 8, characterized in that: The treatment effect analysis module also includes a body response feedback submodule, which is used to feedback the changes in the body response level before and after treatment.

11. A system for constructing a structured case according to claim 8, characterized in that: The treatment effect analysis module also includes a leading etiology treatment feedback submodule, which is used to feedback changes in the leading etiology level before and after treatment.

12. A system for constructing a structured case according to claim 8, characterized in that: The treatment effect analysis module also includes a basic cause treatment feedback submodule, which is used to feedback the changes of the patient's basic cause before and after treatment.

13. A system for constructing a structured case according to any one of claims 1 to 7, characterized in that: The organ system assessment rule base in the organ system assessment submodule includes any one or more combinations of circulatory system assessment rules, respiratory system assessment rules, nervous system assessment rules, liver function system assessment rules, renal function system assessment rules, abdominal system assessment rules, coagulation function system assessment rules, inflammation system assessment rules and infection system assessment rules.

14. A system for constructing a structured case according to any one of claims 1 to 7, characterized in that: The pathophysiology and phenotype interpretation module is preset with a critical ultrasound lung pathophysiology information framework structure, and the critical ultrasound lung pathophysiology information framework structure includes any one or more combinations of acute and chronic information, gravity dependence information, distribution area information, lesion type information and lung change cause information.

15. A system for constructing a structured case according to any one of claims 1 to 7, characterized in that: The pathophysiology and phenotype interpretation module is preset with a critical care ultrasound circulatory pathophysiology information framework structure; the critical care ultrasound circulatory pathophysiology information framework structure includes any one or more combinations of body gross structure problem information, volume and volume responsiveness information, right heart information, left heart diastole information, left heart contraction information, cardiac output information and peripheral resistance information.

16. A system for constructing a structured case according to any one of claims 1 to 7, characterized in that: The pathophysiology and phenotype interpretation module is preset with a hemodynamic phenotype mind map, and the judgment rules in the hemodynamic phenotype mind map include any one or more combinations of venous capacity judgment, venous pressure judgment, right heart volume judgment, right heart pressure judgment, right heart contractile function judgment, right heart contractile pattern judgment, left heart diastolic function judgment, left atrial pressure judgment, left ventricular contraction judgment, stroke volume judgment, cardiac output judgment and peripheral vascular tension judgment.

17. A system for constructing a structured case according to any one of claims 1 to 7, characterized in that: The organism response phenotype in the organism response phenotype analysis module includes one or more combinations of immune-inflammation-coagulation disorder phenotype, neural-neuroendocrine disorder response phenotype and metabolic bioenergetic disorder phenotype.

18. A system for constructing a structured case according to claim 17, characterized in that: The basis for judging the immune-inflammation-coagulation disorder phenotype includes any one or more combinations of sepsis inflammatory response disorders, non-sepsis inflammatory response disorders and coagulation response disorders; wherein the basis for judging non-sepsis inflammatory response disorders includes any one or more combinations of non-infectious, tumor immunotherapy cytokine release syndrome, common allergic reactions and immune responses.

19. A system for constructing a structured case according to claim 17, characterized in that: The basis for judging the neuro-neuroendocrine disorder reaction phenotype includes central nervous system reaction, autonomic nervous system reaction or neuroendocrine reaction; the neuro-neuroendocrine disorder reaction is divided into central origin and peripheral origin.

20. A system for constructing a structured case according to claim 17, characterized in that: The basis for judging the metabolic bioenergetic disorder phenotype includes high oxygen consumption state, oxygen utilization disorder and abnormal oxygen distribution.

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