WO2019136581A1 - Procédé de mise à jour d'un ensemble de termes de diagnostic clinique et système associé - Google Patents

Procédé de mise à jour d'un ensemble de termes de diagnostic clinique et système associé Download PDF

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Publication number
WO2019136581A1
WO2019136581A1 PCT/CN2018/071844 CN2018071844W WO2019136581A1 WO 2019136581 A1 WO2019136581 A1 WO 2019136581A1 CN 2018071844 W CN2018071844 W CN 2018071844W WO 2019136581 A1 WO2019136581 A1 WO 2019136581A1
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Prior art keywords
information
term
clinical diagnosis
term set
level
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PCT/CN2018/071844
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English (en)
Chinese (zh)
Inventor
刘莉
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深圳市第二人民医院
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Priority to PCT/CN2018/071844 priority Critical patent/WO2019136581A1/fr
Publication of WO2019136581A1 publication Critical patent/WO2019136581A1/fr

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management

Definitions

  • the invention relates to a method for updating a clinical diagnosis term set and a system thereof.
  • the present invention is directed to the above problems, and develops a method and system for updating a clinical diagnostic term set with convenient maintenance and high update efficiency.
  • a clinical diagnosis term set updating method the set of clinical diagnosis terms having a plurality of terminology basic information based on a term set hierarchy and stored according to a certain mapping relationship;
  • the updating method includes the following steps:
  • the obtained clinical diagnosis information is new clinical diagnosis information, determining a distribution position of each term set basic information in the clinical diagnosis information in the term set hierarchy;
  • the term set hierarchy has at least a first level, a second level, a third level, a fourth level, and a fifth level;
  • the basic information of the term set includes at least medical gross anatomical information, disease site or organ information, Disease property information, disease type information, and disease clinical diagnosis information;
  • the first level is used to indicate general anatomical position classification information related to the disease,
  • the second level is used to indicate disease site or organ information, and the third level
  • the fourth level is used to indicate disease type information, and the fifth level is used to represent disease clinical diagnosis information;
  • the original coding order of the basic information of different term sets is concentrated based on the clinical diagnosis terminology, and the clinical diagnosis information is included in the clinical diagnosis information.
  • the basic information of each term set is encoded; the basic information of the term set distributed at the same level of the term set hierarchy follows a coding order;
  • the obtaining the clinical diagnosis information specifically includes:
  • the extracted term set basic information is not a standard diagnostic term or a conventional diagnostic term, it is replaced with a standard diagnostic term or a conventional diagnostic term equivalent to the extracted information;
  • the obtaining the clinical diagnosis information specifically includes:
  • a clinical diagnosis term set update system the set of clinical diagnosis terms having a plurality of terminology basic information based on a term set hierarchy and stored according to a certain mapping relationship;
  • the system includes:
  • a judging module configured to determine whether the obtained clinical diagnosis information is new clinical diagnosis information with respect to the set of clinical diagnosis terms
  • a processing module configured to determine, in a case where the obtained clinical diagnosis information is new clinical diagnosis information, a distribution position of each term set basic information in the clinical diagnosis information in the term set hierarchy;
  • a building module configured to establish a mapping relationship between basic information of each term set based on the determined location of the distribution
  • an update module configured to update each term set basic information in the clinical diagnosis information to the clinical diagnosis terminology according to a mapping relationship between respective distribution positions of the term set hierarchy;
  • the term set hierarchy has at least a first level, a second level, a third level, a fourth level, and a fifth level;
  • the basic information of the term set includes at least medical gross anatomical information, disease site or organ information, Disease property information, disease type information, and disease clinical diagnosis information;
  • the first level is used to indicate general anatomical position classification information related to the disease,
  • the second level is used to indicate disease site or organ information, and the third level
  • the fourth level is used to indicate disease type information, and the fifth level is used to represent disease clinical diagnosis information;
  • system further includes:
  • An encoding module configured to update the terminology of the terminology in the clinical diagnostic information to the clinical diagnostic terminology, based on the original coding sequence of the basic information of different term sets in the clinical diagnostic terminology, and the clinical diagnosis
  • the basic information of each term set in the information is encoded; the basic information of the term set distributed at the same level of the term set hierarchy follows a coding order;
  • the acquiring module specifically includes:
  • Input sub-module for inputting clinical diagnostic information as a whole
  • a judging sub-module configured to determine whether the extracted basic information of the term set is a standard diagnostic term or a conventional diagnostic term
  • the acquiring module specifically includes:
  • Input sub-module for respectively inputting basic information of each term set constituting the clinical diagnosis information
  • a judging sub-module for judging whether the basic information of the input term set is a standard diagnostic term or a conventional diagnostic term
  • the processing sub-module is used to replace the standard diagnostic term or the conventional diagnostic term equivalent to the input information in the case where the input term set basic information is not a standard diagnostic term or a conventional diagnostic term.
  • the method and system for updating the clinical diagnosis terminology provided by the present invention are applied to the clinical diagnosis terminology set and are provided to a hospital and other related personnel, and the doctor and the hospital related personnel can adopt the embodiment.
  • the clinical diagnosis term set updating method implements updating of new clinical diagnosis information to complete updating of the new clinical diagnosis information by the clinical diagnosis term set; the invention facilitates maintenance, update and operation of the clinical diagnosis term set, and is convenient for the user
  • the set of clinical diagnostic terminology matches the actual diagnostic situation and user needs.
  • FIG. 1 and 2 are flowcharts showing a method for updating a clinical diagnosis term set according to Embodiment 1 of the present invention
  • FIG. 3 and FIG. 4 are flowcharts showing a method for updating a clinical diagnosis term set according to Embodiment 2 of the present invention.
  • FIG. 5 is a flowchart of a method for updating a clinical diagnosis term set according to Embodiment 3 of the present invention.
  • FIG. 6 is a flowchart of a method for updating a clinical diagnosis term set according to Embodiment 4 of the present invention.
  • FIG. 7 is a structural block diagram of a clinical diagnosis terminology update system according to Embodiment 5 of the present invention.
  • FIG. 8 is a structural block diagram of a clinical diagnosis terminology update system according to Embodiment 6 of the present invention.
  • FIG. 9 is a structural block diagram of a clinical diagnosis terminology update system according to Embodiment 7 of the present invention.
  • FIG. 10 is a structural block diagram of a clinical diagnosis terminology update system according to Embodiment 8 of the present invention.
  • FIG. 11 is a block diagram showing the structure of a clinical diagnosis terminology update system according to Embodiment 9 of the present invention.
  • Figure 12 is a block diagram showing the structure of a clinical diagnosis terminology update system according to Embodiment 10 of the present invention.
  • Figure 13 is a diagram showing an example of a set of clinical diagnostic terms according to the present invention.
  • the invention provides a method for updating a clinical diagnosis term set, wherein the set of clinical diagnosis terms has a plurality of basic information of a term set based on a term set hierarchy and stored according to a certain mapping relationship;
  • FIG. 1 and FIG. 2 are flowcharts showing a method for updating a clinical diagnosis term set according to Embodiment 1 of the present invention; as shown in FIG. 1, the updating method may include:
  • step 101 is first performed: obtaining clinical diagnosis information
  • Step 102 judging whether the obtained clinical diagnosis information is new clinical diagnosis information with respect to the clinical diagnosis term set; the actual judgment process may set the basic information of the plurality of term sets in the clinical diagnosis terminology according to the respective term set The hierarchical structure and the mapping relationship between each other are combined into a plurality of clinical diagnosis information, and then the obtained clinical diagnosis information is compared with a plurality of clinical diagnosis information in the clinical diagnosis terminology, and the obtained clinical diagnosis information is obtained relative to Whether the set of clinical diagnosis terms is new clinical diagnosis information;
  • Step 103 In the case that the obtained clinical diagnosis information is new clinical diagnosis information, determine a distribution position of each term set basic information in the terminology set in the clinical diagnosis information; In the case where the clinical diagnosis information is not new clinical diagnosis information, the method flow is ended; specifically, the basic information of different term sets is distributed in different terminology hierarchy for storage, and after obtaining new clinical diagnosis information, judging Which term set hierarchy belongs to each term set basic information included in the clinical diagnosis information, and preferably, FIG. 14 and FIG. 15 are exemplary diagrams of the term set hierarchy of the present invention, as shown in FIG. 14 and FIG.
  • the term set hierarchy has at least a first level, a second level, a third level, a fourth level, and a fifth level;
  • the basic information of the term set includes at least medical gross anatomical information, disease site or organ information, and disease properties Information, disease type information, and disease clinical diagnosis information;
  • the first level is used to indicate the classification of gross anatomical sites involved in the disease
  • the second level is used to indicate the diseased part or organ information
  • the third level is used to indicate disease property information
  • the fourth level is used to indicate disease type information
  • the fifth level is used to indicate disease clinical Diagnosing the information
  • the step of determining the distribution of the basic information of the term set in the terminology set in the clinical diagnosis information may be specifically: if the term set basic information belongs to the medical gross anatomical information, the classification is to the first Stored in the hierarchy.
  • the basic information of the term set belongs to the disease site or organ information, it is classified into the second level for storage.
  • the terminology hierarchy determination process of the basic information of the terminology of other categories is similar; specifically, the first level
  • the levels of the second level, the third level, the fourth level and the fifth level are from high to low and top to bottom;
  • the medical general anatomical information here may include: head and neck, eye, nose, throat, heart chest, stomach Intestine, urinary system, reproductive system, endocrine system, limbs and spine; information on the location or organ here can be a constituent Parts and organs of the body, such as the brain, midbrain, cerebellum, internal capsule, skull, esophagus, throat, upper respiratory tract, etc.; the nature of the disease here may be infarction, hemorrhage, malformation, etc.; preferably, the type of disease here
  • the information may correspond to the disease type information specified in the first three codes of the International Classification of Diseases ICD.
  • the ICD version of the international disease classification specifically refers to the national standard version; specifically, it may include lung cancer, myocardial infarction, etc.; Specifically, it may be an empirical term such as the severity of the disease, such as the size of the tumor, and the degree of disease defined by the clinician.
  • Step 104 Establish a mapping relationship between the basic information of each term set based on the determined distribution location; specifically, the mapping relationship between the basic information of each term set in the same clinical diagnosis information is directly from the first level to the fifth Figure 13 is an example diagram of the clinical diagnosis terminology of the present invention.
  • the basic information of the term set is respectively the heart chest (first Level), lung (second level), viral infection (third level), viral pneumonia (fourth level), parainfluenza virus pneumonia (fifth level), mapping relationship is the basic information of the above term set mapping and correspondence.
  • Step 105 Update each term set basic information in the clinical diagnosis information to the clinical diagnosis terminology according to the mapping relationship between the respective positions and the distribution positions of the term set hierarchy; end the method flow; specifically Before storing the term set basic information into the clinical diagnosis term set, it is also possible to judge whether any term set basic information has been stored in the clinical diagnosis term set, because for a new clinical diagnosis information as a whole, the The basic information of the terminology of clinical diagnostic information may be duplicated or shared with previous clinical diagnostic information, such as the above-mentioned clinical diagnosis information of parainfluenza pneumonia, which contains the location of the diseased part or organ information. The lung may be diagnosed in clinical diagnosis. The term is stored centrally.
  • the basic information of the term set existing in the clinical diagnosis terminology can be stored without storing the basic information of the terminology in the various levels of the clinical diagnosis terminology.
  • the term is not set basic information is stored in terms of clinical diagnosis is determined centralized, but directly to the basic information is set for each term corresponding to a term set for storage hierarchy, after uniform deduplication each hierarchy.
  • the update method shown in FIG. 2 is the same as the main flow of the update method shown in FIG. 1, except that, when the step 102 is performed, if the obtained clinical diagnosis information is not new clinical diagnosis information.
  • step 107 is performed: prompting that clinical diagnosis information is already present in the set of clinical diagnosis terms; when step 105 is performed, performing step 106: prompting that the clinical diagnosis information has been stored in the set of clinical diagnosis terms; The user can easily understand the update status of the clinical diagnosis information.
  • the method for updating the clinical diagnosis terminology in the embodiment can be performed by a client, a computer, a computer, or the like used by a doctor.
  • the doctor and the hospital related personnel can use the clinical diagnosis terminology update method described in this embodiment to update the new clinical diagnosis information.
  • the update of the clinical diagnosis terminology is completed for the new clinical diagnosis information; the embodiment facilitates the maintenance, update and operation of the clinical diagnosis terminology, and facilitates matching of the clinical diagnosis terminology with the actual diagnosis situation and the user's use requirement.
  • FIG. 3 and FIG. 4 are flowcharts of a method for updating a clinical diagnosis term set according to Embodiment 2 of the present invention, which is a preferred embodiment further improved on the basis of Embodiment 1, and further, as shown in FIG. 3 and FIG.
  • the updating method may further include:
  • Step C encoding the basic information of each term set in the clinical diagnosis information based on the original coding order of the basic information of different term sets in the clinical diagnosis terminology; the basic information of the term set distributed at the same level of the term set hierarchy follows one Coding sequence; the coding mode of the clinical diagnosis terminology set in this embodiment adopts the same coding order in the term set belonging to the same level in the term set hierarchy, and the basic information of the term set newly added to the hierarchy is in accordance with the existing
  • the coding sequence is sequentially encoded; step C in FIG. 4 may be between step 105 and step 106, or may be directly after step 106.
  • the information may specifically include:
  • Step A1 inputting clinical diagnosis information as a whole; inputting the whole piece of clinical diagnosis information, the input mode may be text input or voice input, or other information input mode, and the overall input clinical diagnosis information includes multiple terms.
  • Set basic information inputting clinical diagnosis information as a whole; inputting the whole piece of clinical diagnosis information, the input mode may be text input or voice input, or other information input mode, and the overall input clinical diagnosis information includes multiple terms.
  • Step A2 extract basic information of each term set from the input clinical diagnosis information; specifically, it may separately extract medical gross anatomical information, disease site or organ information, disease property information, disease type information, and disease clinical diagnosis information;
  • Step A3 judging whether the extracted term set basic information is a standard diagnostic term or a conventional diagnostic term; the judgment implementation process herein can compare the term set basic information with a standard diagnostic term database and a conventional diagnostic term database, where the standard diagnosis is performed.
  • the term database or conventional diagnostic terminology database includes at least standard or conventional medical gross anatomical information, disease site or organ information, disease property information, disease type information, and disease clinical diagnosis information, and conventional diagnostic terminology may be a commonly used term in the medical field;
  • Step A4 In the case where the extracted term set basic information is not a standard diagnostic term or a conventional diagnostic term, the standard diagnostic term or the conventional diagnostic term equivalent to the extracted information is used instead, such as using non-standard or conventional
  • the terminology of the basic information is replaced by a standard diagnostic term or a conventional diagnostic term that is synonymous, that is, in this case, the terminology set basic information stored in the set of clinical diagnostic terms is an alternate standard diagnostic term or a conventional diagnostic term.
  • the diagnosis information may specifically include:
  • Step B1 respectively input basic information of each term set that constitutes the clinical diagnosis information; for example, sequentially input medical gross anatomical information, disease site or organ information, disease property information, disease type information, and disease clinical diagnosis information;
  • Step B2 determining whether the basic information of the input term set is a standard diagnostic term or a conventional diagnostic term
  • Step B3 In the case where the input term set basic information is not a standard diagnostic term or a conventional diagnostic term, a standard diagnostic term or a conventional diagnostic term equivalent to the input information is substituted.
  • the input method is more flexible and the user is more convenient to update.
  • FIG. 7 is a structural block diagram of a system for updating the clinical diagnosis terminology of the embodiment 5 of the present invention, the set of clinical diagnosis terms has a plurality of hierarchical structures based on terminology and according to certain The basic relationship of the term set for storing the relationship, as shown in FIG. 7, the system may include:
  • the obtaining module 11 is configured to obtain clinical diagnosis information
  • the determining module 12 is configured to determine whether the obtained clinical diagnosis information is new clinical diagnosis information with respect to the clinical diagnosis term set;
  • the processing module 13 is configured to determine, in a case where the obtained clinical diagnosis information is new clinical diagnosis information, a distribution position of each term set basic information in the clinical diagnosis information in the term set hierarchy;
  • the building module 14 is configured to establish a mapping relationship between basic information of each term set based on the determined location of the distribution;
  • an update module 15 configured to update each term set basic information in the clinical diagnosis information to the clinical diagnosis term set according to a mapping relationship between each of the distribution positions of the term set hierarchy;
  • the obtaining module 11, the determining module 12, the processing module 13, and the building module 14 can be implemented by a processing device such as an existing processor, an FPGA, or a DSP, or can be executed by using processing components integrated in a client, a computer, or a computer used by a doctor.
  • the set of clinical diagnostic terms is stored using a storage device that can directly use the storage components in the client, computer, and computer described above.
  • the term set hierarchy has at least a first level, a second level, and a third level.
  • the term set basic information includes at least medical gross anatomical information, disease site or organ information, disease property information, disease type information, and disease clinical diagnosis information;
  • the first level is used to indicate a disease General anatomical position classification information, second level for indicating disease site or organ information, third level for indicating disease property information, fourth level for indicating disease type information, said fifth The level is used to indicate clinical diagnosis information of the disease.
  • FIG. 8 is a structural block diagram of a clinical diagnosis terminology set updating system according to Embodiment 6 of the present invention.
  • the embodiment is a preferred embodiment further improved on the basis of Embodiment 5.
  • the system may also be
  • the prompting module 16 is connected to the judging module 12 and the updating module 15; the prompting module 16 is configured to prompt the clinical diagnostic information to exist in the case that the obtained clinical diagnostic information is not new clinical diagnostic information.
  • the set of clinical diagnosis terms; when the new clinical diagnosis information has been updated to the clinical diagnosis terminology, the clinical diagnosis information is stored to the clinical diagnosis term set; and the corresponding prompt operation facilitates the user to conveniently understand the clinical diagnosis information. update status.
  • FIG. 9 is a structural block diagram of a clinical diagnosis terminology update system according to Embodiment 7 of the present invention, which is a preferred embodiment further improved on the basis of Embodiment 5. Further, as shown in FIG. 9, the system can also be The encoding module 17 is configured to: after updating each term set basic information in the clinical diagnosis information to the clinical diagnosis term set, based on the original coding order of the basic information of different term sets in the clinical diagnosis terminology, The basic information of each term set in the clinical diagnosis information is encoded; the basic information of the term set distributed at the same level of the term set hierarchy follows a coding order.
  • FIG. 10 is a structural block diagram of a clinical diagnosis term set update system according to Embodiment 8 of the present invention.
  • the embodiment is a preferred embodiment further improved on the basis of Embodiment 6. Further, as shown in FIG. 10, the system can also be
  • the encoding module 17 is included, and the structure and function of the encoding module 17 are the same as those of the encoding module 17 described in the seventh embodiment.
  • the acquiring module 11 is a structural block diagram of a system for updating a clinical diagnosis term set according to Embodiment 9 of the present invention. As shown in FIG. 11, the acquiring module 11 may specifically include:
  • the input sub-module 111 is configured to input clinical diagnosis information as a whole;
  • the extraction sub-module 112 is configured to extract basic information of each term set from the input clinical diagnosis information
  • a determining sub-module 113 configured to determine whether the extracted term set basic information is a standard diagnostic term or a conventional diagnostic term
  • the processing sub-module 114 is configured to replace the standard diagnostic term or the conventional diagnostic term equivalent to the extracted information in the case where the extracted term set basic information is not a standard diagnostic term or a conventional diagnostic term.
  • FIG. 12 is a structural block diagram of a system for updating a clinical diagnosis term set according to Embodiment 10 of the present invention.
  • the acquiring module 11 may specifically include:
  • the input sub-module 111 is configured to respectively input basic information of each term set that constitutes the clinical diagnosis information
  • a determining sub-module 113 configured to determine whether the input term set basic information is a standard diagnostic term or a conventional diagnostic term
  • the processing sub-module 114 is configured to replace the standard diagnostic term or the conventional diagnostic term equivalent to the input information in the case where the input term set basic information is not a standard diagnostic term or a conventional diagnostic term.

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Abstract

L'invention concerne un procédé de mise à jour d'un ensemble de termes de diagnostic clinique et un système associé, l'ensemble de termes de diagnostic clinique comprenant une pluralité d'éléments d'informations de base d'ensemble de termes fondés sur la structure hiérarchique d'un ensemble de termes et stockés en fonction d'une certaine relation de mappage. Ledit procédé de mise à jour comprend les étapes suivantes consistant à : obtenir des informations de diagnostic clinique ; lorsque les informations de diagnostic clinique obtenues sont de nouvelles informations de diagnostic clinique, déterminer dans lesdites informations de diagnostic clinique les emplacements de distribution de chaque élément d'informations de base d'ensemble de termes dans la structure hiérarchique de l'ensemble de termes ; établir une relation de mappage entre chaque élément d'informations de base d'ensemble de termes sur la base de l'emplacement de distribution déterminé ; mettre à jour chaque élément d'informations de base d'ensemble de termes au sein des informations de diagnostic clinique dans l'ensemble de termes de diagnostic clinique en fonction de l'emplacement de distribution de chaque élément d'informations de base d'ensemble de termes dans la structure hiérarchique d'un ensemble de termes et de la relation de mappage entre chaque élément d'informations de base d'ensemble de termes. Selon la présente invention, la maintenance d'ensembles de termes de diagnostic clinique est facile, et les mises à jour et les opérations sont pratiques, ce qui est avantageux lorsqu'il s'agit d'apparier les ensembles de termes de diagnostic clinique avec des conditions de diagnostic réelles et des exigences d'utilisateur.
PCT/CN2018/071844 2018-01-09 2018-01-09 Procédé de mise à jour d'un ensemble de termes de diagnostic clinique et système associé WO2019136581A1 (fr)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1184286A (zh) * 1996-12-03 1998-06-10 中国人民解放军第四零一医院 一种医疗用语的分类编码及数据自动处理技术
US6684221B1 (en) * 1999-05-06 2004-01-27 Oracle International Corporation Uniform hierarchical information classification and mapping system
CN1839404A (zh) * 2003-07-14 2006-09-27 理智医疗情报技术株式会社 将医疗信息计算机化和标准化的方法
US9122985B2 (en) * 2011-10-28 2015-09-01 Microsoft Technology Licensing, Llc Programmatic access to terminologies expressed in hierarchical form

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1184286A (zh) * 1996-12-03 1998-06-10 中国人民解放军第四零一医院 一种医疗用语的分类编码及数据自动处理技术
US6684221B1 (en) * 1999-05-06 2004-01-27 Oracle International Corporation Uniform hierarchical information classification and mapping system
CN1839404A (zh) * 2003-07-14 2006-09-27 理智医疗情报技术株式会社 将医疗信息计算机化和标准化的方法
US9122985B2 (en) * 2011-10-28 2015-09-01 Microsoft Technology Licensing, Llc Programmatic access to terminologies expressed in hierarchical form

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