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CN-121999953-A - Intelligent management method for medical record data of head and neck surgical patient

CN121999953ACN 121999953 ACN121999953 ACN 121999953ACN-121999953-A

Abstract

The invention provides an intelligent management method of medical record data of a patient in head and neck surgery, which belongs to the field of data processing and comprises the steps of obtaining retrieval contents and final word units in each historical medical record of the patient in head and neck surgery; the method comprises the steps of obtaining a history medical record required by a doctor by using a retrieval algorithm, obtaining the priority of each history medical record required by the doctor according to the distribution of each final word unit in the retrieval content and the history medical record required by the doctor, obtaining the history medical record required by the doctor according to the distribution of each final word unit in the history medical record if the history cannot be retrieved by using the retrieval algorithm, and further obtaining the priority. The invention aims to solve the problems that when medical records required by doctors are searched from a plurality of historical medical records of head and neck surgical patients through a search algorithm based on Boolean logic, the current search algorithm only can search the medical records required by the doctors and cannot obtain the priority of the searched medical records.

Inventors

  • CHENG WEI
  • LI JIFENG
  • LI YANG

Assignees

  • 陕西省肿瘤医院(陕西省肿瘤防治研究所)(陕西省第三人民医院)

Dates

Publication Date
20260508
Application Date
20260409

Claims (10)

  1. 1. The intelligent management method for the medical record data of the head and neck surgical patient is characterized by comprising the steps of acquiring search time, word units in search content, word units in each history medical record of the head and neck surgical patient and acquisition time; the word units comprise independent word units and combined word units formed by a plurality of independent word units, different combined word units where the same independent word unit is located in all combined word units of a history medical record of a head and neck surgical patient are compared, the isolation degree of each independent word unit is obtained by combining the collection time and the date difference of the history medical record where each combined word unit is located and the search time of each independent word unit, the final word unit is obtained according to each history of the head and neck surgical patient and the independent word unit in the search content, the final word unit is obtained according to the isolation degree of each independent word unit in the combined word unit, the final word unit is obtained according to a boolean logic-based search algorithm, the history medical record needed by a doctor is obtained from the history medical record of the head and neck surgical patient according to the search content and the history medical record of the head and neck surgical patient, the priority of each history medical record needed by a doctor is obtained according to the distribution of the search content and the history medical record needed by the doctor and the collection time and the time interval of each history medical record needed by the doctor, and the important word unit is obtained from the history medical record needed by the head and neck surgical patient according to the history unit if the final word unit is obtained according to the search algorithm based on boolean logic.
  2. 2. The intelligent management method for patient history data of head and neck surgery according to claim 1, wherein the specific steps of obtaining search time, word units in search content, word units in each history of patient of head and neck surgery and collection time are as follows, obtaining all history of patient of head and neck surgery and content input by doctor when searching for history of patient of head and neck surgery, recording content input by doctor when searching for history of patient of head and neck surgery as search content, obtaining collection time of each history of patient of head and neck surgery, recording time when doctor searching for history of patient of head and neck surgery as search time, using Dividing the search content into several word units to obtain independent word units and combined word units in the search content, using The word segmentation divides the content of each history of the head and neck surgery patient into a plurality of word units to obtain independent word units and combined word units in each history of the head and neck surgery patient.
  3. 3. The intelligent management method for patient medical record data of head and neck surgery according to claim 1, wherein the specific step of obtaining the isolation degree of each independent word unit comprises the following steps of obtaining the first word unit in all combined word units in the history medical record of the head and neck surgery patient Different combined word units in which individual word units are located Code, wherein if a combined word unit contains the first Individual word units, the combined word unit is the first Combining word units with independent word units, and combining all combined word units in history medical records of head and neck surgical patients Different combined word units in which individual word units are located Comparing the codes to obtain the first Similarity and the first of different post-adjacent combinations where individual word units are located Similarity of different preceding adjacent combinations of individual word units according to the first The first independent word unit is Front adjacent combination and the first Similarity of other preceding adjacent combinations where individual word units are located The first independent word unit is Post adjacent combination and the first The similarity of other adjacent combinations of the independent word units is obtained The individual word units belong to the first place Membership degree of each combined word unit according to the first The individual word units belong to the first place Membership degree of individual combined word units, the first Acquiring the isolation degree of each independent word unit by acquiring the date difference between the acquisition time and the retrieval time of the history medical record of each combined word unit of each independent word unit The individual word units belong to the first place The specific calculation steps of membership degree of each combined word unit are as follows The first independent word unit is Front adjacent combination and the first The first independent word unit is Similarity of adjacent combinations before each other, denoted as the first The first independent word unit is An initial representation of the preceding adjacent combinations, the first The first independent word unit is Post adjacent combination and the first The first independent word unit is Similarity of adjacent combinations after each other, denoted as the first The first independent word unit is Acquiring an initial representation of the next-to-next combination The individual word units belong to the first place The specific calculation formula of the membership degree of each combined word unit is as follows: in the formula, Represent the first The individual word units belong to the first place The membership degree of each unit of the combined word, Represent the first The first independent word unit is All initial representative sums of the pre-adjacent combinations, Represent the first The first independent word unit is All initial representative sums of the next-to-next combinations.
  4. 4. The intelligent management method for patient medical record data of head and neck surgery according to claim 3, wherein the first step is obtained Similarity and the first of different post-adjacent combinations where individual word units are located The similarity of the different preceding adjacent combinations of individual word units is specified by the following within all combined word units in the history of the head and neck surgical patient The first independent word unit is In the unit of each combined word, remove the first All independent word units after the independent word units are obtained The first independent word unit is A first adjacent combination in all combined word units in the history of the head and neck surgical patient The first independent word unit is In the unit of each combined word, remove the first All independent word units before the independent word unit are obtained The first independent word unit is Post adjacent combination, obtain the first The first independent word unit is Each individual word unit in the next-to-next combination Coding and the first The first independent word unit is Each individual word unit in the preceding adjacent combination Coding each independent word unit The set of elements in the code is recorded as the element set of each independent word unit, the first word unit is recorded The first independent word unit is Individual word units within a next-to-next combination Coding and the first The first independent word unit is Individual word units within a next-to-next combination Comparing the codes to obtain the first The first independent word unit is Post adjacent combination and the first The first independent word unit is Similarity of adjacent combinations after each other, obtain the first The first independent word unit is Post adjacent combination and the first The first independent word unit is The specific calculation formula of the similarity of the adjacent combinations after the number is as follows: in the formula, Represent the first The first independent word unit is Post adjacent combination and the first The first independent word unit is Similarity of the next adjacent combinations after each other, Represent the first The first independent word unit is Number and number of independent word units in each next-to-next combination The first independent word unit is The minimum of the number of independent word units in the next-following combination, Represent the first The first independent word unit is The first of the back adjacent combinations Element set of individual word units and the first The first of the back adjacent combinations The union of the element sets of the individual word units contains the number of elements, Represent the first The first independent word unit is The first of the back adjacent combinations Element set of individual word units and the first The first of the back adjacent combinations The intersection of the element sets of the individual word units contains the number of elements The first independent word unit is Individual word units within a preceding adjacent combination Coding and the first The first independent word unit is Individual word units within a preceding adjacent combination Comparing the codes to obtain the first The first independent word unit is Front adjacent combination and the first The first independent word unit is Similarity of adjacent combinations before each other, obtain the first The first independent word unit is Front adjacent combination and the first The first independent word unit is The specific calculation formula of the similarity of the adjacent combinations before the number is as follows: in the formula, Represent the first The first independent word unit is Front adjacent combination and the first The first independent word unit is The similarity of the preceding adjacent combinations, Represent the first The first independent word unit is Number and number of independent word units in each preceding adjacent combination The first independent word unit is The minimum of the number of independent word units in the immediately preceding combination, Represent the first The first independent word unit is Penultimate in the next-to-previous combination Element set of individual word units and the first Penultimate in the next-to-previous combination The union of the element sets of the individual word units contains the number of elements, Represent the first The first independent word unit is Penultimate in the next-to-previous combination Element set of individual word units and the first Penultimate in the next-to-previous combination The intersection of the element sets of the individual word units contains the number of elements.
  5. 5. A method for intelligent management of patient medical record data for head and neck surgery according to claim 3, wherein the method comprises the following steps of The individual word units belong to the first place Membership degree of individual combined word units, the first The method comprises the specific steps of recording the date in the 1 st history of the head and neck surgery patient as the first day of treating the head and neck surgery patient, recording the next day after the first day of treating the head and neck surgery patient as the second day of treating the head and neck surgery patient, recording the next day after the second day of treating the head and neck surgery patient as the third day of treating the head and neck surgery patient, sequentially obtaining each day of treating the head and neck surgery patient, obtaining the sequence value of the days of treating the head and neck surgery patient corresponding to the retrieval time, and obtaining the third day The specific calculation formula of the isolation degree of each independent word unit is as follows: in the formula, Represent the first The degree of isolation of individual word units, A sequential value representing the number of days to treat the head and neck surgical patient corresponding to the search time, A sequence value is represented which is a sequence value, A sequence value is represented which is a sequence value, Represents treatment of head and neck surgical patient All historic medical records of head and neck surgical patients within day include The number of combined word units of individual word units, Represent the first Individual word units belonging to the first category for treating head and neck surgery patients Combined word unit of all historic medical records of head and neck surgical patient in day The first independent word unit is The membership degree of each unit of the combined word, As an exponential function with a base of natural constant, Representing a sigmoid function; wherein, if the first The first independent word unit is The individual combination word units are used for treating the head and neck surgery patient Combined word unit of all historic medical records of head and neck surgical patient in day The first independent word unit is The unit of combined word, then Individual word units belonging to the first category for treating head and neck surgery patients Combined word unit of all historic medical records of head and neck surgical patient in day The first independent word unit is Membership of each combined word unit is the first The individual word units belong to the first place Membership of individual combined word units.
  6. 6. The intelligent management method for patient medical record data of head and neck surgery according to claim 1, wherein the specific step of obtaining the final word unit comprises the following steps of presetting an isolation threshold value If the isolation degree of all the independent word units in a combined word unit is greater than the isolation degree threshold value Splitting the combined word unit into a plurality of independent word units, and if the isolation degree of one or more independent word units in one combined word unit is less than or equal to the isolation degree threshold value The independent word units in the search content, the independent word units in each history medical record of the head and neck surgery patient, the independent word units split by the combined word units and the combined word units which are not split are all marked as final word units.
  7. 7. The intelligent management method for patient medical record data of head and neck surgery according to claim 1, wherein the specific step of obtaining the history medical record required by the doctor from the history medical record of the head and neck surgery is that if all final word units in one history medical record of the head and neck surgery contain all final word units in the search content, the history medical record is one history medical record required by the doctor.
  8. 8. The intelligent management method for patient medical record data of head and neck surgery according to claim 1, wherein the specific calculation step of obtaining the priority of each history medical record required by the doctor is as follows The final word unit is one final word unit in the search content, then the first word unit is When the final word unit first appears in the search content, the search content is positioned at the first position The sum of the number of kinds of final word units on the left side of the final word units plus 1 is recorded as the first The order value of the final word units in the search content is subtracted by 1 after the category number of the final word units in the search content is added The result of the final word units after retrieving the sequence values in the content is recorded as the first Importance of final word units, if any The final word unit is not one of the final word units in the search content, then the first The important expressive degree of the final word units is 0, and the first word unit needed by doctors is acquired The specific calculation formula of the priorities of the historical medical records is as follows: in the formula, Indicate doctor's needs The priority of the history of the individual medical records, Represents the retrieval time and the doctor's needs The time interval of the acquisition time of the historical medical records, The number of categories representing the final word units, Represent the first The final word units are in the first place of the doctor's needs The number of occurrences in the history of the individual, Represent the first The importance of the representation of the individual final word units, As an exponential function with a base of natural constant, Representing a weight normalization function.
  9. 9. The intelligent management method for patient medical record data of head and neck surgery according to claim 5, wherein the specific step of obtaining the important word units from the final word units is as follows The final word unit is the first word unit of the head and neck surgery patient A final word unit in the history, then the first The final word unit is in the first part of the head and neck surgery patient First occurrence in history of head and neck surgery patient The historical medical records are positioned at the first The sum of the number of kinds of final word units on the left side of the final word units plus 1 is recorded as the first The final word unit is in the first part of the head and neck surgery patient Sequence values in history of head and neck surgery patient The category number of the final word units in the history is added by 1 and then subtracted by the first word unit The final word unit is in the first part of the head and neck surgery patient The result after the sequence value in the history is the first Obtaining a historical importance of the final word unit The specific calculation formula of the final importance of each final word unit is as follows: ; in the formula, Represent the first The final word unit is used for treating the head and neck surgery patient The importance of the day is that, Represent the first The final importance of the final word units, Represents treatment of head and neck surgical patient The number of categories of final word units in all historic medical records of head and neck surgical patients over the day, Represent the first The final word unit is used for treating the head and neck surgery patient The number of occurrences in all historic medical records of head and neck surgical patients over the day, Representing the treatment of a patient with head and neck surgery All historic medical records of head and neck surgical patients over the day Seed final word units in the treatment of head and neck surgical patients The number of occurrences in all historic medical records of head and neck surgical patients over the day, Representing the treatment of a patient with head and neck surgery All historic medical records of head and neck surgical patients over the day Seed final word units in the treatment of head and neck surgical patients The number of occurrences in all historic medical records of head and neck surgical patients over the day, A sequential value representing the number of days to treat the head and neck surgical patient corresponding to the search time, Represent the first The average of all the historical importance of the final word units, The method comprises the steps of representing an Eiffen bracket, dividing the final word units into 2 clusters according to the final importance of each final word unit by using an Ojin threshold method, marking the cluster with the largest average value of the final importance of the final word units as a important cluster, marking the other clusters except the important cluster as non-important clusters, and marking the final word units in the important clusters as important word units.
  10. 10. The intelligent management method for patient medical record data of head and neck surgery according to claim 8, wherein the specific steps of obtaining medical record and priority thereof required by doctor according to the important word unit in the search content are as follows The final word units in the history include all important word units in the search content, and the first word unit of the head and neck surgery patient The number of the history medical records required by the doctor is recorded as the history medical records required by the doctor, and the position of each final word unit in the retrieval content and the number of the final word units in the history medical records required by the doctor as well as the time interval between the acquisition time and the retrieval time of each history medical record required by the doctor are determined according to the time interval of the acquisition time and the retrieval time of each history medical record required by the doctor The method for acquiring the priority of each history record obtains the priority of each history record required by a doctor.

Description

Intelligent management method for medical record data of head and neck surgical patient Technical Field The invention belongs to the field of data processing, and particularly relates to an intelligent management method for medical record data of a patient in head and neck surgery. Background The treatment time of the head and neck surgery patient is often longer, the treatment process involves multidisciplinary cross operation, the efficient retrieval system can enable doctors to acquire needed relevant course information in a short time, for example, the retrieval system can rapidly take past operation records, pathological results, radiotherapy and chemotherapy schemes and recent imaging changes when the patients are in recurrence treatment, and misdiagnosis caused by information omission can be greatly avoided. Therefore, the retrieval efficiency of medical record data of the head and neck surgery patient is improved, the clinical diagnosis and treatment efficiency can be improved, accurate medical decisions can be supported, and the method is a key link for digital transformation of head and neck surgery. Because medical record data of head and neck surgical patients usually contain a large amount of terms and related medical information, a boolean-model-based search algorithm is used to precisely match desired contents and search medical records required by doctors. However, when the medical records are searched by using a search algorithm based on a Boolean model, medical records required by doctors can only be searched from all medical records, and the searched plurality of medical records cannot be prioritized, so that the clinical diagnosis and treatment efficiency is reduced. Disclosure of Invention In order to solve the problem that when a medical record required by a doctor is searched from the historical medical records of a patient by using a search algorithm based on a Boolean model at present, only the medical record required by the doctor can be searched, and the searched medical record cannot be subjected to priority ordering, so that the clinical diagnosis and treatment efficiency is reduced, the invention provides an intelligent management method for medical record data of a patient with head and neck surgery. In order to achieve the aim, the invention provides the following technical proposal that the retrieval time, word units in the retrieval content, word units in each history medical record of the head and neck surgery patient and the acquisition time are acquired; the word units comprise independent word units and combined word units formed by a plurality of independent word units, different combined word units where the same independent word unit is located in all combined word units of a history medical record of a head and neck surgical patient are compared, the isolation degree of each independent word unit is obtained by combining the collection time and the date difference of the history medical record where each combined word unit is located and the search time of each independent word unit, the final word unit is obtained according to each history of the head and neck surgical patient and the independent word unit in the search content, the final word unit is obtained according to the isolation degree of each independent word unit in the combined word unit, the final word unit is obtained according to a boolean logic-based search algorithm, the history medical record needed by a doctor is obtained from the history medical record of the head and neck surgical patient according to the search content and the history medical record of the head and neck surgical patient, the priority of each history medical record needed by a doctor is obtained according to the distribution of the search content and the history medical record needed by the doctor and the collection time and the time interval of each history medical record needed by the doctor, and the important word unit is obtained from the history medical record needed by the head and neck surgical patient according to the history unit if the final word unit is obtained according to the search algorithm based on boolean logic. Further, the specific steps of acquiring the retrieval time, word units in the retrieval content, word units in each history of the head and neck surgery patient and the acquisition time are as follows, namely acquiring all the history of the head and neck surgery patient and the content input by a doctor when retrieving the history of the head and neck surgery patient, recording the content input by the doctor when retrieving the history of the head and neck surgery patient as the retrieval content, acquiring the acquisition time of each history of the head and neck surgery patient, recording the time when retrieving the history of the head and neck surgery patient as the retrieval time, and usingDividing the search content into several word units to obtain independent word units and combined word unit