The Information Technology (IT) developments have changed the use of Healthcare terminologies from paper-based mortality statistics with the WHO international classifications of diseases (ICD) to the IT-based morbidit...The Information Technology (IT) developments have changed the use of Healthcare terminologies from paper-based mortality statistics with the WHO international classifications of diseases (ICD) to the IT-based morbidity implementations for instance for Casemix-based healthcare funding and managing systems. This higher level of granularity is worldwide spread under the umbrella of several national modifications named ICD10 XM. These developments have met the increased use of the International Clinical Reference Terminology named SNOMED. When the updating of WHO ICD10 to WHO ICD11 was decided a merging was envisaged and a WHO SNOMED CT common work proposed a methodology to create a common formal ontology between the 11th version of the WHO International Classification of Diseases and Health Problems (ICD) and the most used in the world clinical terminology named Systematized Nomenclature of Human and Veterinary Medicine - Clinical Terms (SCT). The present work follows this unachieved work and aims to develop a SNOMED-based formal ontology for ICD11 chapter 1 using the textual definitions of ICD11 codes which is a completely new character of ICD and the ontology tools provided by SCT in the publicly available SNOMED Browser. There are two key results: the lexical alignment is complete and the ontology alignment is incomplete with the validated SNOMED concept model can be completed with not yet validated attributes and values of the SNOMED Compositional Grammar. The work opens a new era for the seamless use of both international terminologies for morbidity for instance for DRG/Casemix and clinical management use. The main limitation is that it is restricted to 1 out of 26 chapters of ICD11.展开更多
入流控制装置(Inflow Control Device,ICD)近年来在水平井分段完井中应用日益广泛,但目前针对ICD完井建立的半解析耦合模型无法准确反映水平井端部效应,在ICD优化设计过程中对于目标入流剖面的选择缺乏依据。为此,首先引入了基于势的叠...入流控制装置(Inflow Control Device,ICD)近年来在水平井分段完井中应用日益广泛,但目前针对ICD完井建立的半解析耦合模型无法准确反映水平井端部效应,在ICD优化设计过程中对于目标入流剖面的选择缺乏依据。为此,首先引入了基于势的叠加原理和镜像反射原理的油藏渗流模型用以准确反映水平井入流特征,建立了适用于非均质底水油藏水平井ICD完井的稳态耦合模型;之后考虑油井不同的生产制度,给出了非均质油藏水平井ICD完井优化目标入流剖面的确定方法,并以喷嘴型ICD为例对ICD设计流程进行了具体描述,对最优非均匀ICD和最优均匀ICD计算结果进行了对比分析。结果表明:ICD优化设计与生产制度有很大关系,均匀入流剖面并非总是理想的入流剖面;非均匀ICD控流效果要优于均匀ICD,但均匀ICD完井对井底流压有较宽的适应性;高生产压差有助于发挥喷嘴型ICD的控流优势。展开更多
针对目前自动ICD(international classification of diseases)编码任务存在标签空间大、诊断代码分布不均衡与临床文本表征差的问题,提出一种融合Longformer与标签注意力的分层ICD自动编码模型。借助Clinical-Longformer预训练语言模型...针对目前自动ICD(international classification of diseases)编码任务存在标签空间大、诊断代码分布不均衡与临床文本表征差的问题,提出一种融合Longformer与标签注意力的分层ICD自动编码模型。借助Clinical-Longformer预训练语言模型获得融合长文本语境的词向量表征。通过将标签的语义表示与注意力机制相结合,捕捉临床文本中与诊断代码相关的关键特征信息,获取更精准的文本表示。引入分层联合学习机制,建立分层预测层解码输出ICD编码。实验结果表明,该模型的准确率、召回率与F1值均高于现有模型,验证了该方法进行自动ICD编码的有效性,为实施疾病诊断相关分组提供高质量的数据支撑。展开更多
目前ICDs(Inflow control devices)完井水平井在国内边底水油藏的应用越来越广泛,取得了良好的控水增油效果。但产液量变化对ICDs完井水平井限流效果的影响尚没有系统研究,这在一定程度上限制了该技术的推广应用。为此,文中从井筒变质...目前ICDs(Inflow control devices)完井水平井在国内边底水油藏的应用越来越广泛,取得了良好的控水增油效果。但产液量变化对ICDs完井水平井限流效果的影响尚没有系统研究,这在一定程度上限制了该技术的推广应用。为此,文中从井筒变质量流出发,建立了一套双流道耦合的ICDs完井水平井的数学模型,并进行了求解。在此基础上,参照胜利油田孤东某区块水平井的实际参数,研究了产液量调整对ICDs完井水平井限流效率的影响。结果表明:产液量调整对限流效率的影响与平均渗透率关系较小,而与渗透率级差显著相关;渗透率级差越大,产液量调整对限流效率的影响越小;当产液量增加时,限流效率的降幅较小,而当产液量降低时,限流效率的降幅较大;以限流效率90%为界,在平均渗透率为1320×10^-3μm^2的条件下,渗透率级差为6时,产液量偏离度上限为46%,但当渗透率级差为2时,产液量偏离度下限仅为-19%。展开更多
文摘The Information Technology (IT) developments have changed the use of Healthcare terminologies from paper-based mortality statistics with the WHO international classifications of diseases (ICD) to the IT-based morbidity implementations for instance for Casemix-based healthcare funding and managing systems. This higher level of granularity is worldwide spread under the umbrella of several national modifications named ICD10 XM. These developments have met the increased use of the International Clinical Reference Terminology named SNOMED. When the updating of WHO ICD10 to WHO ICD11 was decided a merging was envisaged and a WHO SNOMED CT common work proposed a methodology to create a common formal ontology between the 11th version of the WHO International Classification of Diseases and Health Problems (ICD) and the most used in the world clinical terminology named Systematized Nomenclature of Human and Veterinary Medicine - Clinical Terms (SCT). The present work follows this unachieved work and aims to develop a SNOMED-based formal ontology for ICD11 chapter 1 using the textual definitions of ICD11 codes which is a completely new character of ICD and the ontology tools provided by SCT in the publicly available SNOMED Browser. There are two key results: the lexical alignment is complete and the ontology alignment is incomplete with the validated SNOMED concept model can be completed with not yet validated attributes and values of the SNOMED Compositional Grammar. The work opens a new era for the seamless use of both international terminologies for morbidity for instance for DRG/Casemix and clinical management use. The main limitation is that it is restricted to 1 out of 26 chapters of ICD11.
文摘入流控制装置(Inflow Control Device,ICD)近年来在水平井分段完井中应用日益广泛,但目前针对ICD完井建立的半解析耦合模型无法准确反映水平井端部效应,在ICD优化设计过程中对于目标入流剖面的选择缺乏依据。为此,首先引入了基于势的叠加原理和镜像反射原理的油藏渗流模型用以准确反映水平井入流特征,建立了适用于非均质底水油藏水平井ICD完井的稳态耦合模型;之后考虑油井不同的生产制度,给出了非均质油藏水平井ICD完井优化目标入流剖面的确定方法,并以喷嘴型ICD为例对ICD设计流程进行了具体描述,对最优非均匀ICD和最优均匀ICD计算结果进行了对比分析。结果表明:ICD优化设计与生产制度有很大关系,均匀入流剖面并非总是理想的入流剖面;非均匀ICD控流效果要优于均匀ICD,但均匀ICD完井对井底流压有较宽的适应性;高生产压差有助于发挥喷嘴型ICD的控流优势。
文摘针对目前自动ICD(international classification of diseases)编码任务存在标签空间大、诊断代码分布不均衡与临床文本表征差的问题,提出一种融合Longformer与标签注意力的分层ICD自动编码模型。借助Clinical-Longformer预训练语言模型获得融合长文本语境的词向量表征。通过将标签的语义表示与注意力机制相结合,捕捉临床文本中与诊断代码相关的关键特征信息,获取更精准的文本表示。引入分层联合学习机制,建立分层预测层解码输出ICD编码。实验结果表明,该模型的准确率、召回率与F1值均高于现有模型,验证了该方法进行自动ICD编码的有效性,为实施疾病诊断相关分组提供高质量的数据支撑。
文摘目前ICDs(Inflow control devices)完井水平井在国内边底水油藏的应用越来越广泛,取得了良好的控水增油效果。但产液量变化对ICDs完井水平井限流效果的影响尚没有系统研究,这在一定程度上限制了该技术的推广应用。为此,文中从井筒变质量流出发,建立了一套双流道耦合的ICDs完井水平井的数学模型,并进行了求解。在此基础上,参照胜利油田孤东某区块水平井的实际参数,研究了产液量调整对ICDs完井水平井限流效率的影响。结果表明:产液量调整对限流效率的影响与平均渗透率关系较小,而与渗透率级差显著相关;渗透率级差越大,产液量调整对限流效率的影响越小;当产液量增加时,限流效率的降幅较小,而当产液量降低时,限流效率的降幅较大;以限流效率90%为界,在平均渗透率为1320×10^-3μm^2的条件下,渗透率级差为6时,产液量偏离度上限为46%,但当渗透率级差为2时,产液量偏离度下限仅为-19%。
