CN107085664A - The medical record data for screening analysis for acute coronary syndrome is excavated - Google Patents

Abstract

The invention discloses a kind of acute coronary syndrome screening assay systems, the information integration that a variety of sampling apparatuses are collected into by the information integrated device in the system is into electronic health record and is transmitted to structured database, central processing unit carries out data according to the demand access structure database and prior art database of mobile terminal and extracted with analyzing, and analysis result is fed back into mobile terminal.The system of the present invention can also predict that the subject for not suffering from acute coronary syndrome suffers from the risk of acute coronary syndrome to propose reliable precautionary measures in the future in addition to doctor can be helped to make a definite diagnosis acute coronary syndrome.

Description

Medical record data mining for acute coronary syndrome screening analysis

technical field

The invention belongs to the field of medical information processing and relates to a screening and analysis system for acute coronary syndrome.

Background technique

Acute coronary syndrome (ACS) is a group of clinical syndromes characterized by the instability of coronary atherosclerotic plaque and the common feature of acute myocardial ischemia. It is a disease that seriously threatens the life and health of patients with coronary heart disease. It is currently the main disease of patients admitted to the Department of Cardiovascular Medicine, and it is also the focus and difficulty of daily clinical work.

Physicians are faced with an ever-increasing amount of data from a variety of different sources: monitoring information, patient interview information, imaging information, and more. As the number of information sources expands, it becomes increasingly difficult to manually extract and assimilate all available data and to diagnose and assess risk.

Currently, a considerable body of evidence demonstrates that acute coronary syndrome risk and disease are not being adequately treated. Factors explaining this phenomenon include gaps in knowledge, poor communication between physicians and patients, and changes in physician understanding and guidance, among others. .

In view of the above, there is a need for an improved system for screening patients with acute coronary syndrome, estimating a person's risk of developing acute coronary syndrome, and identifying risk factors to better guide their prevention of acute coronary syndrome .

Contents of the invention

In order to overcome the defects of the prior art, the present invention provides a screening and analysis system for acute coronary syndrome. The system can be used to screen patients with acute coronary syndrome, estimate a person's risk of suffering from acute coronary syndrome and determine its risk factors, so as to better guide its prevention of acute coronary syndrome.

Specifically, the present invention adopts the following technical solutions:

The present invention provides a screening and analysis system for acute coronary syndrome, the system includes a sampling device, an information integration device 2, a structured database 3, a prior art database 4, a central processing unit 5, and a mobile terminal 6; the information The integration device 2 integrates the information collected by various sampling devices into the electronic medical record and transmits it to the structured database 3, and the central processing unit 5 is respectively connected to the structured database 3 and the prior art database 4, The mobile terminal 6 is connected with the central processing unit 5 .

As an embodiment of the present invention, the system of the present invention further includes a cloud server 8 .

The cloud server 8 of the present invention has two effects, one is used for data storage and backup, and the other is used for remote data access.

For the collection of electronic medical record information of cases, because the cloud server 8 is respectively connected with the structured database and the prior art database, it can continuously increase the number of cases and medical record information of acute coronary syndrome, which is equivalent to the cloud of the present invention. The server is a large database of clinical cases of acute coronary syndrome and can continuously update the data. Because the cloud server 8 has good versatility, the electronic medical records of cases are stored in the cloud server, and patients or medical staff can easily inquire in different regions and different hospitals, which improves the universality of the electronic medical records.

As an embodiment of the present invention, the system of the present invention further includes a two-dimensional code generator 7 .

As an embodiment of the present invention, the mobile terminal 6 further includes a code scanner 62 ; the central processing unit 5 further includes a parser 53 .

In order to check the patient's medical records anytime and anywhere, the system of the present invention is provided with a two-dimensional code generator 7, which is connected to the structured database 3 to generate a two-dimensional code containing identity and medical record information . The mobile terminal 6 is equipped with a code scanner 62. When the patient sees a doctor or when the medical staff inspects the ward, they only need to scan the two-dimensional code showing the patient's identity and medical record information. The parser 53 in the device 5 can download and display the patient's condition information from the structured electronic database 3 or the cloud server 8, thereby avoiding the leakage of the patient's medical record information.

Further, the sampling device includes one or more of hospital monitoring equipment 11 , manual input device 12 , image acquisition equipment 13 , recording equipment 14 , and collector 15 .

The monitoring equipment 11 includes a ventilator, a monitor, and the like.

The image acquisition device 13 includes a camera, an ultrasound machine, a nuclear magnetic resonance and the like. The function is to collect images and videos of the patient's lesion.

The recording device 14 includes a tape recorder, a recording pen, and the like. The role is to record the conversation between the patient and the doctor.

The function of the collector 15 is to collect the identity characteristics of the patient, including a fingerprint information collector and an iris information collector.

The manual input device 12 is a computer, including a desktop computer and a notebook.

The electronic medical record structured template can be installed in advance on the manual input device, and the information of various subjects can be input according to the prompts of the template. The specific method of electronic medical record structural template design and data analysis and processing is: according to the requirements of the "Medical Record Writing Specification" formulated by the Ministry of Health and the Administration of Traditional Chinese Medicine, combined with the actual needs of clinical research for medical record data, standardize the content of medical records, Structural processing, determine the form of medical record entry as the main form of completely structured template entry, supplemented by text entry, and structured template. Use XML technology to compile structured templates. Each structured template is composed of several medical record elements. These elements and templates have corresponding unique code numbers. Each entered medical record is saved in the form of an XML document. Information The integration device can parse the XML document into a single XML data element, and perform extraction and processing.

Further, the information integration device 2 includes an information integrator 21 and a dedicated semantic database 22 .

The information integrator 21 organizes the data information collected by the collection device into a complete electronic medical record.

The medical data stored in the special semantic knowledge base 22 includes at least medical data such as medical dictionaries, medical norms, and high-quality academic papers. The special semantic knowledge base 22 is a special semantic database at the medical level, and it uniformly encodes medical record information. It can unify the multilingual descriptions in the medical record information to prevent the follow-up programs from being unable to recognize the medical record information.

Further, the structured database 3 includes a data miner 31 .

The structured database 3 is populated with population-based patient information using data mining techniques described in US Patent Application "Patient Data Mining," which is hereby incorporated by reference in its entirety. This patent application teaches a data mining framework for digging high-quality structured clinical information. The data mining framework includes a data miner 31, which has the functions and performance as in the REMIND system, commercially available from Siemens Medical Solutions , the data miner 31 mines medical information from medical records based on specific domain knowledge. Medical information can be in a structured format (such as charts, tables, billing information, etc.) and/or in an unstructured format (such as doctor's instructions, MR magnetic resonance images and CT (computed tomography) scans, images of ECG waveforms, etc.). Domain-specific knowledge can relate to diseases of interest, hospitals, etc. The medical information mined by the data miner 31 is stored in a structured database 3 in.

Further, the central processing unit 5 also includes a data processing module 51 and a data interface module 52 . The data interface module 52 includes various types of USB data transmission connectors for data communication with the mobile terminal 6 and/or wireless signal transceivers for wireless communication with the mobile terminal 6 .

Preferably, the USB data transmission connector adopts an ios data transmission line connector or an android data transmission line connector.

Preferably, the wireless signal transceiver 7 adopts a WIFI wireless communication module or a GPRS communication module or a Bluetooth communication module.

Through the data interface module 52, the patient's identity and disease information are imported into the mobile terminal 6. When the patient or doctor needs to check the medical records, they only need to open the mobile terminal 6.

Further, the data processing module 51 includes an analysis unit 512 and a modeling unit 513 .

As an alternative technical solution, the data processing module 51 includes a rule formulation unit 511 and an analysis unit 512 .

As an alternative technical solution, the data processing module 51 includes a rule formulation unit 511 , an analysis unit 512 , and a modeling unit 513 .

Further, the mobile terminal 6 includes a display 61 .

The display 61 includes mobile phones, tablet computers, MP4, MP5 with display and storage functions.

The prior art database 4 of the present invention includes prior art information related to acute coronary syndrome, which includes clinical information such as symptoms of patients with acute coronary syndrome, electronic medical records, diagnostic criteria, diagnostic methods, treatment options, risk Factors, acute coronary syndrome risk assessment models or risk assessment methods, etc.

The methods that can be used to diagnose acute coronary syndrome as reported in the prior art include clinical manifestations, past history, ECG at the time of attack, exercise test, echocardiography, biochemical detection (CK, CK-MB, TnI); The methods that have been reported in the art and can be used for risk prediction of acute coronary syndrome include TIMI score, GRACE integral, etc.; the risk factors of acute coronary syndrome that have been reported in the prior art include: smoking, hypertension, diabetes, high Hyperlipidemia, etc.; as reported in the prior art, the methods for the treatment of acute coronary syndrome include taking aspirin, b receptor blockers, statins, ACEI, CCB, nitrates, etc.

There are two types of human beings, those with known or suspected disease and those without disease.

For the first type of people, the task of the system of the present invention is to help doctors estimate and diagnose acute coronary syndrome, and secondly help disease experts estimate the severity of acute coronary syndrome, and help identify possible treatments, and can also help estimate acute coronary syndrome. Progression or regression of coronary syndrome due to time or treatment.

The operations to accomplish the above purpose are:

(1) Obtain the clinical information of the subject through the sampling device and transfer it to the information integration device to generate the electronic medical record, mine the structured data and unstructured data in the electronic medical record through the data miner, and store it in the structured in the database;

(2) The analysis unit accesses the prior art database to retrieve the diagnostic method for acute coronary syndrome, compares the subject information retrieved from the structured database with the diagnostic method, and determines whether the subject has already suffered from acute coronary syndrome; Coronary syndrome, and give treatment recommendations.

For the second type of people, the task of the system of the present invention is to assess the risk of subjects suffering from acute coronary syndrome, so as to help estimate, monitor and reduce the risk of acute coronary syndrome.

One of the operations to accomplish the above purpose is to:

(1) Obtain the clinical information of the subject through the sampling device and transfer it to the information integration device to generate the electronic medical record, mine the structured data and unstructured data in the electronic medical record through the data miner, and store it in the structured in the database;

(2) The analysis unit accesses the prior art database to retrieve the acute coronary syndrome risk model or risk assessment method therein, and uses the information retrieved from the structured database to fill multiple data in the risk assessment model or risk assessment method domain, to calculate the patient's risk;

(3) According to the calculated risk estimates or scores, classify the subjects into low, medium and high risks, and give suggestions for preventing the occurrence of diseases.

The second operation to accomplish the above purpose is:

(1) Obtain the clinical information of the subject through the sampling device and transfer it to the information integration device to generate the electronic medical record, mine the structured data and unstructured data in the electronic medical record through the data miner, and store it in the structured in the database;

(2) The rule-making unit accesses the information in the prior art database to formulate the acute coronary syndrome trigger rule, and the acute coronary syndrome trigger rule records a variety of trigger factors leading to acute coronary syndrome, that is, risk factors ;

(3) Analyze the acute coronary syndrome trigger rule in the access rule formulation unit of the analysis unit, and bring the subject information retrieved from the structured database into the above trigger rule to determine that the subject has acute coronary syndrome risks of.

In addition to estimating current risk, the system of the present invention will, for each risk factor, estimate its respective importance in the overall risk of an acute coronary event. Proceed as follows:

(1) Create a model to simulate a patient with similar characteristics to the patient being tested, and the modeling unit simulates a similar patient through the data in the prior art database;

(2) The analysis unit cooperates with the modeling unit to simulate different situations by changing the input data, so as to determine which factor most affects the risk assessment of the patient.

Advantages and beneficial effects of the present invention:

The system of the present invention is a multifunctional system, which can be used for the diagnosis of acute coronary syndrome, the risk prediction of acute coronary syndrome, the administration of treatment plan and prevention plan, improving the cure rate of acute coronary syndrome and reducing the risk of acute coronary syndrome. risk of arterial syndrome.

The system of the invention can realize the information exchange between various departments of the hospital, and can also realize the information exchange between different hospitals.

The system of the invention is convenient for patients and doctors to inquire about the patient's medical record information, saving time.

Description of drawings

Fig. 1 is the structural representation of the acute coronary syndrome screening analysis system in embodiment 1;

Fig. 2 is the structural representation of the acute coronary syndrome screening analysis system in embodiment 2;

3 is a schematic structural diagram of the acute coronary syndrome screening and analysis system in Example 3;

4 is a schematic structural diagram of the acute coronary syndrome screening and analysis system in Example 4;

Fig. 5 is the structural representation of data processing module in central processing unit of the present invention;

Among them, 11: hospital monitoring equipment; 12: manual input device; 13: image acquisition equipment; 14: recording equipment, 15: collector; 2: information integration device; 21: information integrator; 22: dedicated semantic database; 3: Structured database; 31: data miner; 4: prior art database; 5: central processing unit; 51: data processing module; 511: rule making unit; 512: analysis unit; 513: modeling unit; 52: data interface Module; 53: parser; 6: mobile terminal; 61: display; 62: scanner; 7: two-dimensional code generator; 8: cloud server.

specific implementation plan

The present invention will be further elaborated below in conjunction with specific examples, which are only used to explain the present invention, and should not be construed as limiting the present invention.

Embodiment 1 A kind of acute coronary syndrome screening analysis system

This embodiment provides a screening and analysis system for acute coronary syndrome, the system includes a sampling device, an information integration device 2, a structured database 3, a prior art database 4, a central processing unit 5, a mobile terminal 6; an information integration device 2 Integrate the information collected by various sampling devices into the electronic medical record and transmit it to the structured database 3, the central processor 5 is respectively connected to the structured database 3 and the prior art database 4, and the mobile terminal 6 is connected to the central processor 5 .

The sampling device includes a hospital monitoring device 11 , a manual input device 12 , an image collection device 13 , a recording device 14 , and a collector 15 .

The monitoring equipment 11 includes a ventilator, a monitor, and the like.

The image acquisition device 13 includes a camera, an ultrasound instrument, a nuclear magnetic resonance and the like. The function is to collect images and videos of the affected lesion.

The recording device 14 includes a tape recorder, a recording pen, and the like. The role is to record the conversation between the patient and the doctor.

The function of the collector 15 is to collect the identity characteristics of the patient, including a fingerprint information collector and an iris information collector.

The manual input device 12 is a computer, including a desktop computer and a notebook.

The information integration device 2 includes an information integrator 21 and a dedicated semantic database 22 .

The information integrator 21 organizes the data information collected by the collection device into a complete electronic medical record.

The structured database 3 includes a data miner 31 .

The central processing unit 5 includes a data processing module 51 and a data interface module 52 . The data interface module 52 includes various types of USB data transmission connectors for data communication with the mobile terminal 6 and/or wireless signal transceivers for wireless communication with the mobile terminal 6 .

The data processing module 51 includes a rule formulation unit 511 and/or an analysis unit 512 and a modeling unit 513 .

The USB data transmission connector adopts an ios data transmission line connector or an android data transmission line connector.

The wireless signal transceiver 7 adopts a WIFI wireless communication module or a GPRS communication module or a Bluetooth communication module.

The mobile terminal 6 includes a display 61 .

The display 61 includes mobile phones, tablet computers, MP4, MP5 with display and storage functions.

Embodiment 2 A kind of acute coronary syndrome screening analysis system

This embodiment provides a screening and analysis system for acute coronary syndrome. The system includes a sampling device, an information integration device 2, a structured database 3, a prior art database 4, a central processing unit 5, a mobile terminal 6, and a cloud server 8; The information integration device 2 integrates the information collected by various sampling devices into the electronic medical record and transmits it to the structured database 3, the central processing unit 5 connects the structured database 3 and the prior art database 4 respectively, and the mobile terminal 6 communicates with the central The processor 5 is connected; the cloud server 8 is respectively connected with the structured database 3, the prior art database 4, and the central processing unit 5.

The sampling device includes a hospital monitoring device 11 , a manual input device 12 , an image collection device 13 , a recording device 14 , and a collector 15 .

The monitoring equipment 11 includes a ventilator, a monitor, and the like.

The image acquisition device 13 includes a camera, an ultrasound instrument, a nuclear magnetic resonance and the like. The function is to collect images and videos of the affected lesion.

The recording device 14 includes a tape recorder, a recording pen, and the like. The role is to record the conversation between the patient and the doctor.

The function of the collector 15 is to collect the identity characteristics of the patient, including a fingerprint information collector and an iris information collector.

The manual input device 12 is a computer, including a desktop computer and a notebook.

The information integration device 2 includes an information integrator 21 and a dedicated semantic database 22 .

The information integrator 21 organizes the data information collected by the collection device into a complete electronic medical record.

The structured database 3 includes a data miner 31 .

The central processing unit 5 includes a data processing module 51 and a data interface module 52 . The data interface module 52 includes various types of USB data transmission connectors for data communication with the mobile terminal 6 and/or wireless signal transceivers for wireless communication with the mobile terminal 6 .

The data processing module 51 includes a rule formulation unit 511 and/or an analysis unit 512 and a modeling unit 513 .

The USB data transmission connector adopts an ios data transmission line connector or an android data transmission line connector.

The wireless signal transceiver 7 adopts a WIFI wireless communication module or a GPRS communication module or a Bluetooth communication module.

The mobile terminal 6 includes a display 61 .

The display 61 includes mobile phones, tablet computers, MP4, MP5 with display and storage functions.

Embodiment 3 A kind of acute coronary syndrome screening analysis system

This embodiment provides a screening and analysis system for acute coronary syndrome, the system includes a sampling device, an information integration device 2, a structured database 3, a prior art database 4, a central processing unit 5, a mobile terminal 6, and two-dimensional code generation 7; the information integration device 2 integrates the information collected by various sampling devices into the electronic medical record and transmits it to the structured database 3, and the central processing unit 5 is respectively connected to the structured database 3 and the prior art database 4, and the mobile terminal 6 is connected with the central processing unit 5; the two-dimensional code generator 7 is connected with the structured database 3.

The sampling device includes a hospital monitoring device 11 , a manual input device 12 , an image collection device 13 , a recording device 14 , and a collector 15 .

The monitoring equipment 11 includes a ventilator, a monitor, and the like.

The image acquisition device 13 includes a camera, an ultrasound instrument, a nuclear magnetic resonance and the like. The function is to collect images and videos of the affected lesion.

The recording device 14 includes a tape recorder, a recording pen, and the like. The role is to record the conversation between the patient and the doctor.

The function of the collector 15 is to collect the identity characteristics of the patient, including a fingerprint information collector and an iris information collector.

The manual input device 12 is a computer, including a desktop computer and a notebook.

The information integration device 2 includes an information integrator 21 and a dedicated semantic database 22 .

The information integrator 21 organizes the data information collected by the collection device into a complete electronic medical record.

The structured database 3 includes a data miner 31 .

The central processing unit 5 includes a data processing module 51 , a data interface module 52 and a parser 53 . The data interface module 52 includes various types of USB data transmission connectors for data communication with the mobile terminal 6 and/or wireless signal transceivers for wireless communication with the mobile terminal 6 .

The USB data transmission connector adopts an ios data transmission line connector or an android data transmission line connector.

The wireless signal transceiver 7 adopts a WIFI wireless communication module or a GPRS communication module or a Bluetooth communication module.

The data processing module 51 includes a rule formulation unit 511 and/or an analysis unit 512 and a modeling unit 513 .

The mobile terminal 6 includes a display 61 and a code scanner 62 .

The display 61 includes mobile phones, tablet computers, MP4, MP5 with display and storage functions.

Embodiment 4 A kind of acute coronary syndrome screening analysis system

This embodiment provides a screening and analysis system for acute coronary syndrome, the system includes a sampling device, an information integration device 2, a structured database 3, a prior art database 4, a central processing unit 5, a mobile terminal 6, and two-dimensional code generation device 7, cloud server 8; the information integration device 2 integrates the information collected by various sampling devices into the electronic medical record and transmits it to the structured database 3, and the central processing unit 5 is respectively connected to the structured database 3 and the prior art database 4. The mobile terminal 6 is connected to the central processing unit 5; the two-dimensional code generator 7 is connected to the structured database 3; the cloud server 8 is connected to the structured database 3, the prior art database 4, and the central processing unit 5 respectively.

The sampling device includes a hospital monitoring device 11 , a manual input device 12 , an image collection device 13 , a recording device 14 , and a collector 15 .

The monitoring equipment 11 includes a ventilator, a monitor, and the like.

The image acquisition device 13 includes a camera, an ultrasound instrument, a nuclear magnetic resonance and the like. The function is to collect images and videos of the affected lesion.

The recording device 14 includes a tape recorder, a recording pen, and the like. The role is to record the conversation between the patient and the doctor.

The function of the collector 15 is to collect the identity characteristics of the patient, including a fingerprint information collector and an iris information collector.

The manual input device 12 is a computer, including a desktop computer and a notebook.

The information integration device 2 includes an information integrator 21 and a dedicated semantic database 22 .

The information integrator 21 organizes the data information collected by the collection device into a complete electronic medical record.

The structured database 3 includes a data miner 31 .

The central processing unit 5 includes a data processing module 51 , a data interface module 52 and a parser 53 . The data interface module 52 includes various types of USB data transmission connectors for data communication with the mobile terminal 6 and/or wireless signal transceivers for wireless communication with the mobile terminal 6 .

The USB data transmission connector adopts an ios data transmission line connector or an android data transmission line connector.

The wireless signal transceiver 7 adopts a WIFI wireless communication module or a GPRS communication module or a Bluetooth communication module.

The data processing module 51 includes a rule formulation unit 511 and/or an analysis unit 512 and a modeling unit 513 .

The mobile terminal 6 includes a display 61 and a code scanner 62 .

The display 61 includes mobile phones, tablet computers, MP4, MP5 with display and storage functions.

The above-mentioned embodiments only express several implementation modes of the present invention, and the description thereof is relatively specific and detailed, but should not be construed as limiting the patent scope of the present invention. It should be pointed out that those skilled in the art can make several modifications and improvements without departing from the concept of the present invention, and these all belong to the protection scope of the present invention. Therefore, the protection scope of the patent for the present invention should be based on the appended claims.

Claims (10)

1. a kind of acute coronary syndrome screening assay systems, it is characterised in that the system includes sampling apparatus, information integration Device 2, structured database 3, prior art database 4, central processing unit 5, mobile terminal 6；Described information integrating apparatus 2 will The information integration that a variety of sampling apparatuses are collected into is into electronic health record and is transmitted to the structured database 3, the place Reason device 5 connects the structured database 3 and prior art database 4, the mobile terminal 6 and the central processing unit respectively 5 connections.

2. system according to claim 1, it is characterised in that the system includes cloud server 8；The cloud service Device 8 is connected with the structured database 3, the prior art database 4, the central processing unit 5 respectively.

3. system according to claim 1 or 2, it is characterised in that the sampling apparatus in the following group at least one It is individual：Hospital monitor equipment 11, manual input device 12, image modalities 13, sound pick-up outfit 14, collector 15.

4. system according to claim 1 or 2, it is characterised in that described information integrating apparatus 2 includes information integration device 21st, special semantic database 22.

5. system according to claim 1 or 2, it is characterised in that the structured database 3 includes data miner 31。

6. system according to claim 1 or 2, it is characterised in that the central processing unit 5 includes data processing module 51st, data interface module 52.

7. system according to claim 6, it is characterised in that the data processing module 51 includes Rulemaking unit 511 and/or modeling unit 513, analytic unit 512.

8. system according to claim 1 or 2, it is characterised in that the mobile terminal 6 includes display 61.

9. system according to claim 1 or 2, it is characterised in that the system grows up to be a useful person 7 including Quick Response Code.

10. system according to claim 9, it is characterised in that the central processing unit 5 include data processing module 51, Data interface module 52, resolver 53；The mobile terminal 6 includes display 61, code reader 62.