CN108899067A - A kind of electrocardio structured report intelligent generation method - Google Patents

Abstract

The invention discloses a kind of electrocardio structured report intelligent generation methods, including using Chinese character coding input method to input word content to edit box, first processing device can add automatically serial number before text, after inputting comma or carriage return, the content of input can be carried out automatic word segmentation and matching with the segmentation methods based on standard terminology library automatically by processor, user can modify to the content of input simultaneously, when operation object is not text matched with standard terminology, can arbitrarily modify.A kind of electrocardio structured report intelligent generation method that the present invention obtains, without changing the input habit of user, user can continue to input free text, and electrocardio report-generating method can help user by free text conversion at standard terminology automatically.User is not needed simultaneously and term is grasped very accurate, and non-standard words remittance can be corrected to standard terminology by electrocardio report-generating method.

Description

A kind of electrocardio structured report intelligent generation method

Technical field

The present invention relates to a kind of electrocardio report-generating method, especially a kind of electrocardio structured report intelligent generation method.

Background technique

Current electrocardio reporting practices have that standardization lacks and consistency difference.These problems have its source in report The generating mode of announcement, current electrocardio report the support for lacking standard terminology library in Input Process, input nonstandardized technique in user It cannot be given when text and timely prompt and correct, the content and format for eventually leading to report are usually with each cardiac diagnosis doctor's Different individual's preferences and style and change very big.

Electrocardio reports that doctor carries out interpretation according to ecg wave form, and then typing cardiac diagnosis is reported, then by cardiac diagnosis report It accuses and gives report recipient (clinician and patient), the diversity of report content and format is unfavorable for report recipient's understanding Report content also interferes that the specific discovery in the not homogeneous inspection result of same patient is continued to monitor and compareed, and this It is very crucial to electrocardiographic examination.Furthermore data mining is not supported in the report of nonstandardized technique electrocardio, be will lead to and is difficult to carry out accurately Disease collect statistics and efficient case retrieval, and these clinical test, clinical disease study and diseases analysis in terms of be It is highly desirable.In addition, nonstandardized technique report is also unfavorable for the sharing exchange of typical case, the cataloguing of typical case is caused Puzzlement.

Therefore, there is an urgent need to provide a kind of intelligent electrocardio standardization report auxiliary generating method, this report generation side Method can provide standardized reporting format, while not change the input habit of doctor, can assist curing in report Input Process It is raw to complete standardized report using standardization term, and make to be consistent between report.

The existing pertinent literature report at present of electrocardio reporting standardsization report aspect, reports that typing is real by the way of clicking It is existing.This mode has several drawbacks in that：First is that changing the habit of user, user is difficult to adapt to；The inconvenience second is that selection is got up, and And user is needed first to remember the relative position between term, otherwise search pretty troublesome, low efficiency；Third is that standard cannot be supported Change the mixed input mode of term and free text.

Summary of the invention

A kind of electrocardio structured report intelligence is provided the purpose of the present invention is to solve above-mentioned the deficiencies in the prior art Generation method without changing the input habit of importer, while can help user by free text conversion at standard art automatically Language, do not need user term is grasped it is very accurate.

To achieve the goals above, a kind of electrocardio structured report intelligent generation method designed by the present invention, including with Lower step：

A) input process

1) word content is inputted to edit box using Chinese character coding input method, first processing device can add automatically sequence before text Number,

2) after inputting comma or carriage return, processor can automatically be calculated participle of the content of input based on standard terminology library Method carries out automatic word segmentation and matching, and processor can carry out special pattern to word content automatically and show, and be associated with coding, and right In being both not belonging to standard terminology, nor synonym and abbreviation, processor are without any processing；

B) modification process is reported

1) user can modify to the content of input, when operation object is not text matched with standard terminology, It can arbitrarily modify,

It 2), can be again for not matching when cursor leaves the row being currently editing or when edit box loses focus Text, call segmentation methods based on standard terminology library to carry out automatic word segmentation and matching,

3) for cannot individually being edited with the matched text of standard terminology, integrally it can delete or replicate, shear, It can also paste；

C) preservation process is reported

After user clicks " preservation " button in processor, processor can read the content in edit box,

It is converted into structuring XML report, is then uploaded in the relational database for supporting XML storage.

A kind of electrocardio structured report intelligent generation method that the present invention obtains is the basic courses department for constituting Electrocardiogram Information System Part can assist doctor to generate consistent normalized electro-cardiologic report.This method provides standardized reporting format, while in doctor Typing electrocardio automatically analyzes the free text of doctor's input during reporting, and carries out with the standard terminology in standard terminology library Matching can recommend most suitable standard terminology for its selection from trend user, assist doctor when user inputs non-standard vocabulary Using standard terminology, standard terminology is shown using special pattern, report can save the corresponding coding of standard terminology when saving simultaneously. Data reporting, which is input to, can search in database, and data mining may be implemented, and such as automatically track discovery as a result, carrying out accurate Disease collect statistics and the retrieval of efficient case, these are very in terms of clinical test, clinical disease research and diseases analysis It is necessary to.

A kind of electrocardio structured report intelligent generation method that the present invention obtains is used without changing the input habit of user Family can continue to input free text, and electrocardio report-generating method can help user by free text conversion at standard art automatically Language.Simultaneously do not need user to term grasps very accurately, electrocardio report-generating method can be by non-standard vocabulary (synonym Or referred to as) it is corrected to standard terminology.And support the mixed input mode of standardization term and free text.

Specific embodiment

The present invention is further described for embodiment below.

Embodiment 1：

Assuming that input following such electrocardio report conclusion：

Wherein, sinus rhythm and left ventricular hypertrophy ST sections of changes of companion are all standard terminologies, it is proposed that check then criteria of right and wrong art Language.

Coding is respectively：

● sinus rhythm=20

● left ventricular hypertrophy can be subdivided into following term with ST sections of changes：

Left ventricular hypertrophy=142 ■

■ is adjoint=and 319

ST sections of ■ change=145

A) input process

1) edit box is arrived using Chinese character coding input method input " sinus rhythm ", first processing device can add automatically before text Serial number is as a result as follows

2) after inputting carriage return, processor can automatically be carried out the content of input certainly with the segmentation methods based on standard terminology library It is dynamic to segment and match, coding 20 can be obtained in this example, it is aobvious that processor can carry out special patterns to " sinus rhythm " four words automatically Show, and be associated with coding, then result is as follows；

3) edit box is arrived in input " left ventricular hypertrophy is with ST sections of changes ", and first processing device can add automatically sequence before text Number, it is as a result as follows；

4) comma is then inputted, processor can be automatically by segmentation methods of the content before comma based on standard terminology library Automatic word segmentation and matching are carried out, participle matching result is as follows：Left ventricular hypertrophy++ ST sections of companion changes, " left ventricular hypertrophy " and " ST Section changes " it can be directly matched to term 142 and 145, " companion " is the abbreviation of " adjoint " (319), can be automatically calibrated as " companion With ", processor can carry out special pattern to " left ventricular hypertrophy " " adjoint " " ST sections of changes " automatically and show, and use between term Space-separated, while being associated with coding, it is as a result as follows：

5) input " suggest check ", then after inputting carriage return, processor can automatically be used the content of input based on standard terminology The segmentation methods in library carry out automatic word segmentation and matching, and " it is recommended that check " is not belonging to standard terminology, nor synonym and abbreviation, place It is without any processing to manage device, it is as a result as follows：

B) modification process is reported

1) user can modify to the content of input, when operation object is not text matched with standard terminology, It can arbitrarily modify, for example delete " it is recommended that ", then increase " after 2 days ", it is as a result successively as follows：

It 2), can be again for not matching when cursor leaves the row being currently editing or when edit box loses focus Text, call segmentation methods based on standard terminology library to carry out automatic word segmentation and matching；

3) for cannot individually being edited with the matched text of standard terminology, integrally it can delete or replicate, shear, It can also paste, " ST sections of changes " is such as needed to be changed to " ST-T change " (146), it is as a result successively as follows：

C) preservation process is reported

1) after user clicks " preservation " button in processor, processor can read the content in edit box, be converted into tying Then structure XML report uploads in the relational database for supporting XML storage (SQL Server, Oracle etc.).

Diagnosis is based on 2009 electrocardiographic diagnosis term of AHA/ACC/HRS, and major advantage is to mention in the world The consistency that high electrocardiogram is interpreted.The consistency of electrocardiographic diagnosis can preferably improve the treatment of patient.It can additionally be formed Unified electrocardiogram curricula provides unified term, preferably diagnostic criteria of the verifying comprising narrower term for research.

Electrocardiographic diagnosis term includes primary diagnosis term, secondary diagnosis term, modified vocabulary and concise comparative art Language (these diagnosis terms may be looked back periodically and be updated).Primary diagnosis term includes the lower 117 kinds of diagnostics of 14 classifications Language.Major part in these terms is all non-descriptive, and can independently express clinical meaning.As shown in the table：

Secondary diagnosis term defines additional term, it can expand the specificity of descriptive and other primary diagnosis terms And clinical correlation.Secondary diagnosis term is divided into two parts, and a part is suggestiveness term (suggests), may cause electrocardio The existing clinical diagnosis of chart.A part is consideration property term (consider), proposes at least one potentially relevant clinical disease. Primary diagnosis term and secondary diagnosis term constitute we usually said " central term ".

Modified vocabulary is for modifying diagnosis term.These modification vocabulary are only capable of limiting and cannot changing central term Meaning, include the adjective that can modify most of central term, also include that can modify the special of specific term and describe Word.

Comparative term specifies 6 kinds of noticeable ECG changes, and has formulated specific standard.In the relatively heart Electrograph has many terms that can apply when changing, but AHA recommends to transmit important clinical information using this 6 kinds of terms, together When provide a concise and unified standard.AHA also suggests that the clinician for providing electrocardiogram report adds non-term and explains, Preferably to compare.

Claims (1)

1. a kind of electrocardio structured report intelligent generation method, which is characterized in that include the following steps：

Input process

Word content is inputted to edit box using Chinese character coding input method, first processing device can add automatically serial number before text,

After inputting comma or carriage return, processor can automatically be carried out the content of input with the segmentation methods based on standard terminology library Automatic word segmentation and matching, processor can carry out special pattern to word content automatically and show, and be associated with coding, and for neither Belong to standard terminology, nor synonym and abbreviation, processor are without any processing；

Report modification process

User can modify to the content of input, when operation object is not text matched with standard terminology, Ke Yiren Meaning modification,

When cursor leaves the row being currently editing or when edit box loses focus, understand again for not matched text, The segmentation methods based on standard terminology library are called to carry out automatic word segmentation and matching,

For cannot individually being edited with the matched text of standard terminology, integrally it can delete or replicate, shear, it can also be with It pastes；

Report preservation process

After user clicks " preservation " button in processor, processor can read the content in edit box, be converted into structuring XML Then report uploads in the relational database for supporting XML storage.