CN103577716A - Medical history template generating device and method - Google Patents
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Abstract
The invention provides a medical history template generating device and method. The medical history template generating device comprises a storage unit, a matching unit and a template generating unit, wherein the storage unit is used for storing at least one piece of diagnosis and treatment information, and a plurality of description elements related to each diagnosis and treatment information; the matching unit is used for matching the stored description elements with the description elements related to the diagnosis and treatment information input in real time; the template generating unit is used for distinguishing and displaying a display area of the description elements of the real-time input diagnosis and treatment information when the matching of the description elements related to the diagnosis and treatment information is successful, and combining the real-time input diagnosis and treatment information with the display area to generate the medical history template. By virtue of the technical scheme, a doctor can input corresponding diagnosis and treatment information according to the natural language input mode, and the input diagnosis and treatment information can be automatically related with the stored description elements to generate the corresponding medical history template. Therefore, the generating efficiency of the medical history template is improved.
Description
Technical field
The present invention relates to medical information technical field, in particular to a kind of generating apparatus of case history template and a kind of generation method of case history template.
Background technology
At present, doctor when typing patient's case history, employing take case history instrument template as basic case history input method, the medical record data of in advance needs being analyzed, by structurized method, be decomposed into the elements such as single choice, multiselect, numeral, text, then with structurized element, form case history template.When writing, doctor first chooses template, the value of then only filling in element, and convenient and swift.
But when making case history template, doctor had both needed template style to make, and also needs structuring element to make, and then both are carried out to association, and the make efficiency of template is low.
Therefore, how effectively to improve the efficiency that doctor makes case history template and become technical matters urgently to be resolved hurrily.
Summary of the invention
The present invention just based on above-mentioned technical matters one of at least, a kind of generation scheme of new case history template has been proposed, can make doctor according to the corresponding diagnosis and treatment information of the input mode typing of natural language, and automatically carry out associated with the descriptive element of storage, to generate corresponding case history template, improved the make efficiency of case history template.
In view of this, the present invention proposes a kind of generating apparatus of case history template, comprising: storage unit, for storing at least one diagnosis and treatment information, and a plurality of descriptive elements that are associated with diagnosis and treatment information described in each; Matching unit, the descriptive element being associated with the diagnosis and treatment information of typing in real time for the described descriptive element coupling from having stored; Template generation unit, for when described matching unit matches the descriptive element being associated with the diagnosis and treatment information of described real-time typing, viewing area to the descriptive element of the diagnosis and treatment information of described real-time typing is differently shown, and the diagnosis and treatment information of described real-time typing and described viewing area are combined, to generate described case history template.
In this technical scheme, a plurality of descriptive elements that are associated with each diagnosis and treatment information by storage, make doctor when making case history template, if according to the diagnosis and treatment information matches of real-time typing to the descriptive element being associated, can be differently shown to the viewing area of the descriptive element of the diagnosis and treatment information of real-time typing, without making respectively diagnosis and treatment information model and corresponding descriptive element, again both are carried out to association, only need be according to the corresponding diagnosis and treatment information of the input mode typing of natural language, can automatically carry out associated with the descriptive element of storage, to generate corresponding case history template, improved the make efficiency of case history template.
In technique scheme, preferably, described template generation unit also for: when the clicking operation receiving described viewing area, show all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, select; And when receiving user and select to specify the instruction of descriptive element, described in the typing of described viewing area, specify descriptive element, the default description element of usining as the diagnosis and treatment information of described real-time typing.
In this technical scheme, by the descriptive element of acquiescence is set, make in specific section office, if for the diagnosis and treatment information of appointment, the frequency ratio that one of them descriptive element occurs is larger,, without all carry out Select input at every turn, has improved the efficiency of inputting of case history.Specifically, such as conventionally the descriptive element of diagnosis and treatment information " mind " being had to " clear ", " drowsiness ", " fuzzy ", " stupor " etc., if the frequency ratio that descriptive element " fuzzy " occurs is larger, concerning a plurality of patients, " mind " is all in " fuzzy " state, default description element that can diagnosis and treatment information " mind " is set to " fuzzy ", so that when need the case history of typing " in a certain state of delirium " next time, without selecting descriptive element " fuzzy " a plurality of descriptive elements from diagnosis and treatment information " mind ", improved the efficiency of case history typing.
In technique scheme, preferably, also comprise: Tip element, when not matching at described matching unit the descriptive element being associated with the diagnosis and treatment information of described real-time typing, the descriptive element of the diagnosis and treatment information of typing in real time described in prompting user typing; Described storage unit, also for carrying out association store by the descriptive element of the diagnosis and treatment information of described real-time typing and described user's typing.
In this technical scheme, by when not matching the descriptive element being associated with the diagnosis and treatment information of real-time typing, the descriptive element of the diagnosis and treatment information of this real-time typing of prompting user typing, and the diagnosis and treatment information of the descriptive element of user's typing and this real-time typing is carried out to association store, make user again make case history template, and while again inputting this diagnosis and treatment information, can from the descriptive element of having stored, match corresponding descriptive element, without the descriptive element of this diagnosis and treatment information of typing again, improved the make efficiency of case history template.
In technique scheme, preferably, also comprise: template imports unit, during for enter instruction receiving the case history of given patient, import described case history template; Display unit, during for clicking operation receiving the viewing area of described template, shows all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, selects; Descriptive element for when receiving user and select to specify the instruction of descriptive element, is specified in case history typing unit described in the typing of described viewing area, with the diagnosis and treatment information combination with described real-time typing, generates described case history.
In this technical scheme, by receiving when specifying the clicking operation of viewing area of diagnosis and treatment information, show all descriptive elements that are associated with this appointment diagnosis and treatment information, make doctor when typing case history, can from a plurality of descriptive elements that demonstrate, select to need the descriptive element of typing, without manually inputting, improved the efficiency of inputting of doctor to case history.Specifically, such as conventionally the descriptive element of diagnosis and treatment information " mind " being had to " clear ", " drowsiness ", " fuzzy ", " stupor " etc., when doctor being detected the clicking operation of the viewing area of diagnosis and treatment information " mind ", descriptive element " clear ", " drowsiness ", " fuzzy ", " stupor " are shown, for doctor, carry out Select input, improved the efficiency of inputting of case history.When showing, can longitudinally show according to the mode of list, also can carry out laterally showing etc.
In technique scheme, preferably, also comprise: Tip element, while not comprising described appointment descriptive element for the descriptive element being associated in diagnosis and treatment information that demonstrate and described real-time typing, specify descriptive element described in prompting user typing; Described display unit also for: when receiving the edit instruction of the descriptive element that user is associated to diagnosis and treatment information that demonstrate and described real-time typing, show the editing interface to the described descriptive element being associated, for user, edit; Described storage unit also for: the diagnosis and treatment information of the appointment descriptive element of described user's typing and described real-time typing is carried out to association store; And the descriptive element before editor is replaced with to descriptive element after editor and the diagnosis and treatment information of described real-time typing is carried out association store.
In this technical scheme, while not comprising the descriptive element that user need to select in the descriptive element by the diagnosis and treatment information demonstrating, the corresponding descriptive element of prompting user's typing, can improve the descriptive element of this diagnosis and treatment information, so that user is when typing again, can directly select, to improve the efficiency of inputting of case history.By the editor to the descriptive element of diagnosis and treatment information, also can revise the descriptive element of diagnosis and treatment information, perfect, with user friendly typing again.
According to a further aspect in the invention, also proposed a kind of generation method of case history template, having comprised: step 202, set up and store at least one diagnosis and treatment information, and a plurality of descriptive elements that are associated with diagnosis and treatment information described in each; Step 204, the descriptive element that coupling is associated with the diagnosis and treatment information of typing in real time from the described descriptive element of having stored; Step 206, if match the descriptive element being associated with the diagnosis and treatment information of described real-time typing, the viewing area of the descriptive element of the diagnosis and treatment information of described real-time typing is differently shown, and the diagnosis and treatment information of described real-time typing and described viewing area are combined, to generate described case history template.
In this technical scheme, a plurality of descriptive elements that are associated with each diagnosis and treatment information by storage, make doctor when making case history template, if according to the diagnosis and treatment information matches of real-time typing to the descriptive element being associated, can be differently shown to the viewing area of the descriptive element of the diagnosis and treatment information of real-time typing, without making respectively diagnosis and treatment information model and corresponding descriptive element, again both are carried out to association, only need be according to the corresponding diagnosis and treatment information of the input mode typing of natural language, can automatically carry out associated with the descriptive element of storage, to generate corresponding case history template, improved the make efficiency of case history template.
In technique scheme, preferably, described step 206 also comprises: when receive described viewing area clicking operation time, show all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, select; When receiving user and select to specify the instruction of descriptive element, described in the typing of described viewing area, specify descriptive element, the default description element of usining as the diagnosis and treatment information of described real-time typing.
In this technical scheme, by the descriptive element of acquiescence is set, make in specific section office, if for the diagnosis and treatment information of appointment, the frequency ratio that one of them descriptive element occurs is larger,, without all carry out Select input at every turn, has improved the efficiency of inputting of case history.Specifically, such as conventionally the descriptive element of diagnosis and treatment information " mind " being had to " clear ", " drowsiness ", " fuzzy ", " stupor " etc., if the frequency ratio that descriptive element " fuzzy " occurs is larger, concerning a plurality of patients, " mind " is all in " fuzzy " state, default description element that can diagnosis and treatment information " mind " is set to " fuzzy ", so that when need the case history of typing " in a certain state of delirium " next time, without selecting descriptive element " fuzzy " a plurality of descriptive elements from diagnosis and treatment information " mind ", improved the efficiency of case history typing.
In technique scheme, preferably, described step 204, also comprise: if do not match the descriptive element being associated with the diagnosis and treatment information of described real-time typing, point out the descriptive element of the diagnosis and treatment information of typing in real time described in user's typing, and the descriptive element of the diagnosis and treatment information of described real-time typing and described user's typing is carried out to association store.
In this technical scheme, by when not matching the descriptive element being associated with the diagnosis and treatment information of real-time typing, the descriptive element of the diagnosis and treatment information of this real-time typing of prompting user typing, and the diagnosis and treatment information of the descriptive element of user's typing and this real-time typing is carried out to association store, make user again make case history template, and while again inputting this diagnosis and treatment information, can from the descriptive element of having stored, match corresponding descriptive element, without the descriptive element of this diagnosis and treatment information of typing again, improved the make efficiency of case history template.
In technique scheme, preferably, after described step 206, also comprise: when the instruction of case history that receives typing given patient, import described case history template; When the clicking operation detecting described viewing area, show all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, select; And when receiving user and select to specify the instruction of descriptive element, described in the typing of described viewing area, specify descriptive element, with the diagnosis and treatment information combination with described real-time typing, generate described case history.
In this technical scheme, by receiving when specifying the clicking operation of viewing area of diagnosis and treatment information, show all descriptive elements that are associated with this appointment diagnosis and treatment information, make doctor when typing case history, can from a plurality of descriptive elements that demonstrate, select to need the descriptive element of typing, without manually inputting, improved the efficiency of inputting of doctor to case history.Specifically, such as conventionally the descriptive element of diagnosis and treatment information " mind " being had to " clear ", " drowsiness ", " fuzzy ", " stupor " etc., when doctor being detected the clicking operation of the viewing area of diagnosis and treatment information " mind ", descriptive element " clear ", " drowsiness ", " fuzzy ", " stupor " are shown, for doctor, carry out Select input, improved the efficiency of inputting of case history.When showing, can longitudinally show according to the mode of list, also can carry out laterally showing etc.
In technique scheme, preferably, also comprise: while not comprising described appointment descriptive element in the descriptive element being associated in diagnosis and treatment information that demonstrate and described real-time typing, described in prompting user typing, specify descriptive element, and the diagnosis and treatment information of described appointment descriptive element and described real-time typing is carried out to association store; And when receiving the edit instruction of the descriptive element that user is associated to diagnosis and treatment information that demonstrate and described real-time typing, the editing interface of demonstration to the described descriptive element being associated, for user, edit, and the descriptive element before editor is replaced with to descriptive element after editor and the diagnosis and treatment information of described real-time typing is carried out association store.
In this technical scheme, while not comprising the descriptive element that user need to select in the descriptive element by the diagnosis and treatment information demonstrating, the corresponding descriptive element of prompting user's typing, can improve the descriptive element of this diagnosis and treatment information, so that user is when typing again, can directly select, to improve the efficiency of inputting of case history.By the editor to the descriptive element of diagnosis and treatment information, also can revise the descriptive element of diagnosis and treatment information, perfect, with user friendly typing again.
By above technical scheme, can make doctor according to the corresponding diagnosis and treatment information of the input mode typing of natural language, and automatically carry out associatedly with the descriptive element of storing, to generate corresponding case history template, improved the make efficiency of case history template.
Accompanying drawing explanation
Fig. 1 shows the schematic block diagram of the generating apparatus of case history template according to an embodiment of the invention;
Fig. 2 shows the schematic flow diagram of the generation method of case history template according to an embodiment of the invention;
Fig. 3 shows the schematic flow diagram of the generation method of case history template according to another embodiment of the invention.
Embodiment
In order more clearly to understand above-mentioned purpose of the present invention, feature and advantage, below in conjunction with the drawings and specific embodiments, the present invention is further described in detail.It should be noted that, in the situation that not conflicting, the application's embodiment and the feature in embodiment can combine mutually.
A lot of details have been set forth in the following description so that fully understand the present invention; but; the present invention can also adopt other to be different from other modes described here and implement, and therefore, protection scope of the present invention is not subject to the restriction of following public specific embodiment.
Fig. 1 shows the schematic block diagram of the generating apparatus of case history template according to an embodiment of the invention.
As shown in Figure 1, the generating apparatus 100 of case history template according to an embodiment of the invention, comprising: storage unit 102, and for storing at least one diagnosis and treatment information, and a plurality of descriptive elements that are associated with diagnosis and treatment information described in each; Matching unit 104, the descriptive element being associated with the diagnosis and treatment information of typing in real time for the described descriptive element coupling from having stored; Template generation unit 106, for when described matching unit 104 matches the descriptive element being associated with the diagnosis and treatment information of described real-time typing, viewing area to the descriptive element of the diagnosis and treatment information of described real-time typing is differently shown, and the diagnosis and treatment information of described real-time typing and described viewing area are combined, to generate described case history template.
In this technical scheme, a plurality of descriptive elements that are associated with each diagnosis and treatment information by storage, make doctor when making case history template, if according to the diagnosis and treatment information matches of real-time typing to the descriptive element being associated, can be differently shown to the viewing area of the descriptive element of the diagnosis and treatment information of real-time typing, without making respectively diagnosis and treatment information model and corresponding descriptive element, again both are carried out to association, only need be according to the corresponding diagnosis and treatment information of the input mode typing of natural language, can automatically carry out associated with the descriptive element of storage, to generate corresponding case history template, improved the make efficiency of case history template.
In technique scheme, preferably, described template generation unit 106 also for: when the clicking operation receiving described viewing area, show all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, select; And when receiving user and select to specify the instruction of descriptive element, described in the typing of described viewing area, specify descriptive element, the default description element of usining as the diagnosis and treatment information of described real-time typing.
In this technical scheme, by the descriptive element of acquiescence is set, make in specific section office, if for the diagnosis and treatment information of appointment, the frequency ratio that one of them descriptive element occurs is larger,, without all carry out Select input at every turn, has improved the efficiency of inputting of case history.Specifically, such as conventionally the descriptive element of diagnosis and treatment information " mind " being had to " clear ", " drowsiness ", " fuzzy ", " stupor " etc., if the frequency ratio that descriptive element " fuzzy " occurs is larger, concerning a plurality of patients, " mind " is all in " fuzzy " state, default description element that can diagnosis and treatment information " mind " is set to " fuzzy ", so that when need the case history of typing " in a certain state of delirium " next time, without selecting descriptive element " fuzzy " a plurality of descriptive elements from diagnosis and treatment information " mind ", improved the efficiency of case history typing.
In technique scheme, preferably, also comprise: Tip element 108, for when described matching unit 104 does not match the descriptive element being associated with the diagnosis and treatment information of described real-time typing, the descriptive element of the diagnosis and treatment information of typing in real time described in prompting user typing; Described storage unit 102, also for carrying out association store by the descriptive element of the diagnosis and treatment information of described real-time typing and described user's typing.
In this technical scheme, by when not matching the descriptive element being associated with the diagnosis and treatment information of real-time typing, the descriptive element of the diagnosis and treatment information of this real-time typing of prompting user typing, and the diagnosis and treatment information of the descriptive element of user's typing and this real-time typing is carried out to association store, make user again make case history template, and while again inputting this diagnosis and treatment information, can from the descriptive element of having stored, match corresponding descriptive element, without the descriptive element of this diagnosis and treatment information of typing again, improved the make efficiency of case history template.
In technique scheme, preferably, also comprise: template imports unit 110, during for enter instruction receiving the case history of given patient, import described case history template; Display unit 112, during for clicking operation receiving the viewing area of described template, shows all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, selects; Descriptive element for when receiving user and select to specify the instruction of descriptive element, is specified in case history typing unit 114 described in the typing of described viewing area, with the diagnosis and treatment information combination with described real-time typing, generates described case history.
In this technical scheme, by receiving when specifying the clicking operation of viewing area of diagnosis and treatment information, show all descriptive elements that are associated with this appointment diagnosis and treatment information, make doctor when typing case history, can from a plurality of descriptive elements that demonstrate, select to need the descriptive element of typing, without manually inputting, improved the efficiency of inputting of doctor to case history.Specifically, such as conventionally the descriptive element of diagnosis and treatment information " mind " being had to " clear ", " drowsiness ", " fuzzy ", " stupor " etc., when doctor being detected the clicking operation of the viewing area of diagnosis and treatment information " mind ", descriptive element " clear ", " drowsiness ", " fuzzy ", " stupor " are shown, for doctor, carry out Select input, improved the efficiency of inputting of case history.When showing, can longitudinally show according to the mode of list, also can carry out laterally showing etc.
In technique scheme, preferably, also comprise: Tip element 108, while not comprising described appointment descriptive element for the descriptive element being associated in diagnosis and treatment information that demonstrate and described real-time typing, specify descriptive element described in prompting user typing; Described display unit 112 also for: when receiving the edit instruction of the descriptive element that user is associated to diagnosis and treatment information that demonstrate and described real-time typing, show the editing interface to the described descriptive element being associated, for user, edit; Described storage unit 102 also for: the diagnosis and treatment information of the appointment descriptive element of described user's typing and described real-time typing is carried out to association store; And the descriptive element before editor is replaced with to descriptive element after editor and the diagnosis and treatment information of described real-time typing is carried out association store.
In this technical scheme, while not comprising the descriptive element that user need to select in the descriptive element by the diagnosis and treatment information demonstrating, the corresponding descriptive element of prompting user's typing, can improve the descriptive element of this diagnosis and treatment information, so that user is when typing again, can directly select, to improve the efficiency of inputting of case history.By the editor to the descriptive element of diagnosis and treatment information, also can revise the descriptive element of diagnosis and treatment information, perfect, with user friendly typing again.
Fig. 2 shows the schematic flow diagram of the generation method of case history template according to an embodiment of the invention.
As shown in Figure 2, the generation method of case history template according to an embodiment of the invention, comprising: step 202, set up and store at least one diagnosis and treatment information, and a plurality of descriptive elements that are associated with diagnosis and treatment information described in each; Step 204, the descriptive element that coupling is associated with the diagnosis and treatment information of typing in real time from the described descriptive element of having stored; Step 206, if match the descriptive element being associated with the diagnosis and treatment information of described real-time typing, the viewing area of the descriptive element of the diagnosis and treatment information of described real-time typing is differently shown, and the diagnosis and treatment information of described real-time typing and described viewing area are combined, to generate described case history template.
In this technical scheme, a plurality of descriptive elements that are associated with each diagnosis and treatment information by storage, make doctor when making case history template, if according to the diagnosis and treatment information matches of real-time typing to the descriptive element being associated, can be differently shown to the viewing area of the descriptive element of the diagnosis and treatment information of real-time typing, without making respectively diagnosis and treatment information model and corresponding descriptive element, again both are carried out to association, only need be according to the corresponding diagnosis and treatment information of the input mode typing of natural language, can automatically carry out associated with the descriptive element of storage, to generate corresponding case history template, improved the make efficiency of case history template.
In technique scheme, preferably, described step 206 also comprises: when receive described viewing area clicking operation time, show all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, select; When receiving user and select to specify the instruction of descriptive element, described in the typing of described viewing area, specify descriptive element, the default description element of usining as the diagnosis and treatment information of described real-time typing.
In this technical scheme, by the descriptive element of acquiescence is set, make in specific section office, if for the diagnosis and treatment information of appointment, the frequency ratio that one of them descriptive element occurs is larger,, without all carry out Select input at every turn, has improved the efficiency of inputting of case history.Specifically, such as conventionally the descriptive element of diagnosis and treatment information " mind " being had to " clear ", " drowsiness ", " fuzzy ", " stupor " etc., if the frequency ratio that descriptive element " fuzzy " occurs is larger, concerning a plurality of patients, " mind " is all in " fuzzy " state, default description element that can diagnosis and treatment information " mind " is set to " fuzzy ", so that when need the case history of typing " in a certain state of delirium " next time, without selecting descriptive element " fuzzy " a plurality of descriptive elements from diagnosis and treatment information " mind ", improved the efficiency of case history typing.
In technique scheme, preferably, described step 204, also comprise: if do not match the descriptive element being associated with the diagnosis and treatment information of described real-time typing, point out the descriptive element of the diagnosis and treatment information of typing in real time described in user's typing, and the descriptive element of the diagnosis and treatment information of described real-time typing and described user's typing is carried out to association store.
In this technical scheme, by when not matching the descriptive element being associated with the diagnosis and treatment information of real-time typing, the descriptive element of the diagnosis and treatment information of this real-time typing of prompting user typing, and the diagnosis and treatment information of the descriptive element of user's typing and this real-time typing is carried out to association store, make user again make case history template, and while again inputting this diagnosis and treatment information, can from the descriptive element of having stored, match corresponding descriptive element, without the descriptive element of this diagnosis and treatment information of typing again, improved the make efficiency of case history template.
In technique scheme, preferably, after described step 206, also comprise: when the instruction of case history that receives typing given patient, import described case history template; When the clicking operation detecting described viewing area, show all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, select; And when receiving user and select to specify the instruction of descriptive element, described in the typing of described viewing area, specify descriptive element, with the diagnosis and treatment information combination with described real-time typing, generate described case history.
In this technical scheme, by receiving when specifying the clicking operation of viewing area of diagnosis and treatment information, show all descriptive elements that are associated with this appointment diagnosis and treatment information, make doctor when typing case history, can from a plurality of descriptive elements that demonstrate, select to need the descriptive element of typing, without manually inputting, improved the efficiency of inputting of doctor to case history.Specifically, such as conventionally the descriptive element of diagnosis and treatment information " mind " being had to " clear ", " drowsiness ", " fuzzy ", " stupor " etc., when doctor being detected the clicking operation of the viewing area of diagnosis and treatment information " mind ", descriptive element " clear ", " drowsiness ", " fuzzy ", " stupor " are shown, for doctor, carry out Select input, improved the efficiency of inputting of case history.When showing, can longitudinally show according to the mode of list, also can carry out laterally showing etc.
In technique scheme, preferably, also comprise: while not comprising described appointment descriptive element in the descriptive element being associated in diagnosis and treatment information that demonstrate and described real-time typing, described in prompting user typing, specify descriptive element, and the diagnosis and treatment information of described appointment descriptive element and described real-time typing is carried out to association store; And when receiving the edit instruction of the descriptive element that user is associated to diagnosis and treatment information that demonstrate and described real-time typing, the editing interface of demonstration to the described descriptive element being associated, for user, edit, and the descriptive element before editor is replaced with to descriptive element after editor and the diagnosis and treatment information of described real-time typing is carried out association store.
In this technical scheme, while not comprising the descriptive element that user need to select in the descriptive element by the diagnosis and treatment information demonstrating, the corresponding descriptive element of prompting user's typing, can improve the descriptive element of this diagnosis and treatment information, so that user is when typing again, can directly select, to improve the efficiency of inputting of case history.By the editor to the descriptive element of diagnosis and treatment information, also can revise the descriptive element of diagnosis and treatment information, perfect, with user friendly typing again.
Fig. 3 shows the schematic flow diagram of the generation method of case history template according to another embodiment of the invention.
As shown in Figure 3, the generation method of case history template according to another embodiment of the invention, comprising:
Step 302, sets up element database.The standard terminology of medical science and conventional form of presentation are carried out to structuring.For example mind comprises " clear, drowsiness, fuzzy, stupor, delirium ", and expression comprises that " freely, misery, anxiety, tired out ", tonsillotome comprise " without enlargement, enlargement I °, enlargement II °, enlargement III ° " etc.
Step 304, user starts to make case history template, typing diagnosis and treatment information, the input of System Monitoring User, and mate with the element in element database.
Step 306, when matching corresponding element, highlights the viewing area of the element of diagnosis and treatment information.Such as, when user's input " mind ", from element database, matched corresponding element, can highlight the viewing area of the element of " mind ", such as, can be shown as [please select mind situation], final typing is " mind [please select mind situation] ".
Step 308, user can click the viewing area of the element of diagnosis and treatment information, so that the acquiescence element of diagnosis and treatment information to be set, such as clicking " [please select mind situation] ", in a plurality of elements that demonstrate, select " fuzzy ", the acquiescence element of diagnosis and treatment information " mind " is " [fuzzy] ".
Step 310, completes the making of case history template.
According to above-mentioned steps, the case history template of making can be: mind [please select mind situation], spirit [please select the state of mind], expression [please select expression situation], pharyngeal [please select pharyngeal situation], tonsillotome [please select antiadoncus situation], two pulmonary respiration sounds [please select two pulmonary respiration sound situations],, can click [] during according to case history template typing case history user, to demonstrate corresponding element, and select.
More than be described with reference to the accompanying drawings technical scheme of the present invention, considered at present, when making case history template, doctor had both needed template style to make, also need structuring element to make, and then both are carried out to association, the make efficiency of template is low.Therefore, the present invention proposes a kind of generation scheme of new case history template, by technical scheme of the present invention, can make doctor according to the corresponding diagnosis and treatment information of the input mode typing of natural language, and automatically carry out associated with the descriptive element of storage, to generate corresponding case history template, improved the make efficiency of case history template.
Those skilled in the art should understand, embodiments of the invention can be provided as method, system or computer program.Therefore, the present invention can adopt complete hardware implementation example, implement software example or in conjunction with the form of the embodiment of software and hardware aspect completely.And the present invention can adopt the form that wherein includes the upper computer program of implementing of computer-usable storage medium (including but not limited to magnetic disk memory, CD-ROM, optical memory etc.) of computer usable program code one or more.
The present invention is with reference to describing according to process flow diagram and/or the block scheme of the method for the embodiment of the present invention, equipment (system) and computer program.Should understand can be in computer program instructions realization flow figure and/or block scheme each flow process and/or the flow process in square frame and process flow diagram and/or block scheme and/or the combination of square frame.Can provide these computer program instructions to the processor of multi-purpose computer, special purpose computer, Embedded Processor or other programmable data processing device to produce a machine, the instruction of carrying out by the processor of computing machine or other programmable data processing device is produced for realizing the device in the function of flow process of process flow diagram or a plurality of flow process and/or square frame of block scheme or a plurality of square frame appointments.
These computer program instructions also can be stored in energy vectoring computer or the computer-readable memory of other programmable data processing device with ad hoc fashion work, the instruction that makes to be stored in this computer-readable memory produces the manufacture that comprises command device, and this command device is realized the function of appointment in flow process of process flow diagram or a plurality of flow process and/or square frame of block scheme or a plurality of square frame.
These computer program instructions also can be loaded in computing machine or other programmable data processing device, make to carry out sequence of operations step to produce computer implemented processing on computing machine or other programmable devices, thereby the instruction of carrying out is provided for realizing the step of the function of appointment in flow process of process flow diagram or a plurality of flow process and/or square frame of block scheme or a plurality of square frame on computing machine or other programmable devices.
Although described the preferred embodiments of the present invention, once those skilled in the art obtain the basic creative concept of cicada, can make other change and modification to these embodiment.So claims are intended to all changes and the modification that are interpreted as comprising preferred embodiment and fall into the scope of the invention.
The foregoing is only the preferred embodiments of the present invention, be not limited to the present invention, for a person skilled in the art, the present invention can have various modifications and variations.Within the spirit and principles in the present invention all, any modification of doing, be equal to replacement, improvement etc., within all should being included in protection scope of the present invention.
Claims (10)
1. a generating apparatus for case history template, is characterized in that, comprising:
Storage unit, for storing at least one diagnosis and treatment information, and a plurality of descriptive elements that are associated with diagnosis and treatment information described in each;
Matching unit, the descriptive element being associated with the diagnosis and treatment information of typing in real time for the described descriptive element coupling from having stored;
Template generation unit, for when described matching unit matches the descriptive element being associated with the diagnosis and treatment information of described real-time typing, viewing area to the descriptive element of the diagnosis and treatment information of described real-time typing is differently shown, and the diagnosis and treatment information of described real-time typing and described viewing area are combined, to generate described case history template.
2. the generating apparatus of case history template according to claim 1, is characterized in that, described template generation unit also for:
When the clicking operation receiving described viewing area, show all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, select; And
When receiving user and select to specify the instruction of descriptive element, described in the typing of described viewing area, specify descriptive element, the default description element of usining as the diagnosis and treatment information of described real-time typing.
3. the generating apparatus of case history template according to claim 1 and 2, is characterized in that, also comprises:
Tip element, when not matching at described matching unit the descriptive element being associated with the diagnosis and treatment information of described real-time typing, the descriptive element of the diagnosis and treatment information of typing in real time described in prompting user typing;
Described storage unit, also for carrying out association store by the descriptive element of the diagnosis and treatment information of described real-time typing and described user's typing.
4. the generating apparatus of case history template according to claim 1, is characterized in that, also comprises:
Template imports unit, during for enter instruction receiving the case history of given patient, imports described case history template;
Display unit, during for clicking operation detecting the viewing area of described template, shows all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, selects;
Descriptive element for when receiving user and select to specify the instruction of descriptive element, is specified in case history typing unit described in the typing of described viewing area, with the diagnosis and treatment information combination with described real-time typing, generates described case history.
5. the generating apparatus of case history template according to claim 4, is characterized in that, also comprises:
Tip element, while not comprising described appointment descriptive element for the descriptive element being associated in diagnosis and treatment information that demonstrate and described real-time typing, specifies descriptive element described in prompting user typing;
Described display unit also for: when receiving the edit instruction of the descriptive element that user is associated to diagnosis and treatment information that demonstrate and described real-time typing, show the editing interface to the described descriptive element being associated, for user, edit;
Described storage unit also for: the diagnosis and treatment information of the appointment descriptive element of described user's typing and described real-time typing is carried out to association store; And
Descriptive element before editor is replaced with to descriptive element after editor and the diagnosis and treatment information of described real-time typing is carried out association store.
6. a generation method for case history template, is characterized in that, comprising:
Step 202, sets up and stores at least one diagnosis and treatment information, and a plurality of descriptive elements that are associated with diagnosis and treatment information described in each;
Step 204, the descriptive element that coupling is associated with the diagnosis and treatment information of typing in real time from the described descriptive element of having stored;
Step 206, if match the descriptive element being associated with the diagnosis and treatment information of described real-time typing, the viewing area of the descriptive element of the diagnosis and treatment information of described real-time typing is differently shown, and the diagnosis and treatment information of described real-time typing and described viewing area are combined, to generate described case history template.
7. the generation method of case history template according to claim 6, is characterized in that, described step 206 also comprises:
When receive described viewing area clicking operation time, show all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, select;
When receiving user and select to specify the instruction of descriptive element, described in the typing of described viewing area, specify descriptive element, the default description element of usining as the diagnosis and treatment information of described real-time typing.
8. according to the generation method of the case history template described in claim 6 or 7, it is characterized in that, described step 204, also comprises:
If do not match the descriptive element being associated with the diagnosis and treatment information of described real-time typing, point out the descriptive element of the diagnosis and treatment information of typing in real time described in user's typing, and the descriptive element of the diagnosis and treatment information of described real-time typing and described user's typing is carried out to association store.
9. the generation method of case history template according to claim 6, is characterized in that, after described step 206, also comprises:
When the instruction of case history that receives typing given patient, import described case history template;
When the clicking operation detecting described viewing area, show all descriptive elements that are associated with the diagnosis and treatment information of described real-time typing, for user, select; And
When receiving user and select to specify the instruction of descriptive element, described in the typing of described viewing area, specify descriptive element, with the diagnosis and treatment information combination with described real-time typing, generate described case history.
10. the generation method of case history template according to claim 9, is characterized in that, also comprises:
While not comprising described appointment descriptive element in the descriptive element being associated in diagnosis and treatment information that demonstrate and described real-time typing, described in prompting user typing, specify descriptive element, and the diagnosis and treatment information of described appointment descriptive element and described real-time typing is carried out to association store; And
When receiving the edit instruction of the descriptive element that user is associated to diagnosis and treatment information that demonstrate and described real-time typing, the editing interface of demonstration to the described descriptive element being associated, for user, edit, and the descriptive element before editor is replaced with to descriptive element after editor and the diagnosis and treatment information of described real-time typing is carried out association store.
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| CN201310603386.0A CN103577716A (en) | 2013-11-25 | 2013-11-25 | Medical history template generating device and method |
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