A physical examination management method and system

CN118571444BActive Publication Date: 2026-08-11XUANWU HOSPITAL OF CAPITAL UNIV OF MEDICAL SCI
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Patent Information

Authority / Receiving Office
CN · China
Patent Type
Patents(China)
Current Assignee / Owner
Filing Date
2024-06-07
Publication Date
2026-08-11

AI Technical Summary

Technical Problem

可以理解的是,不同待体检人员由于自身所存在的个体差异,其在相同体检项目或体检项目组合上所需要的主观需求是存在明显差别的,如果仅依靠单一的体检等待时间与待体检人数之间的关联关系确定待体检人员的排序方式,将导致待体检人员执行相应的体检排序过程中产生不适感,或者无法根据待体检人员的实际病症实现更为准确的体检先后顺序,也不能解决如下问题:1、腿脚不便且不赶时间的患者的体检体验感变差;2、低血糖历史的患者空腹持续较长时间而出现晕眩;3、完成尿液样品采集后的患者需要重新饮水憋尿来完成彩超

Benefits of technology

相较于现有技术中所涉及的基于患者的需求设置,例如公开号为CN114360713A的中国专利公开的一种体检智能导诊方法。该方法包含S1、体检者到体检中心签到,开始导诊;S2、判断有无占位项目;S3、判断有无必检项目;S4、判断占位队列的等待时间t1是否小于预设等待时间阈值T1;S5、判断是否有餐前项目;S6、进入餐前项目排队队列,判断排队时间t2是否合理;S7、判断有无餐后项目;S8、进入餐前项目排队队列,判断排队时间t3是否合理;S9、判断是否所有体检项目检查完成,若检查完成则结束导诊,若检查未完成则返回步骤S2。

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Abstract

This invention relates to a physical examination management method and system. The physical examination management system includes: several medical and nursing terminals controlled by doctors in various departments and an information entry module for inputting patient information. The system also includes a cloud storage device storing historical patient data and patients' pending physical examination information. When a patient belongs to a special category, the information entry module matches the patient with a sorting rule for physical examination items based on the special category corresponding to individual differences. The sorting rule includes a priority rule and a routine rule corresponding to the patient's special category. The physical examination items determined by the patient are sorted a second time using the routine rule after generating a sort of some or all of the physical examination items according to the priority rule. Based on the aforementioned individual differences, the system can provide personalized sorting methods for physical examination items for different categories of patients, generating physical examination guidance programs with different sorting situations to meet the needs of different groups.
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Description

Technical Field

[0001] This invention relates to the field of medical technology, and in particular to a method and system for managing physical examinations. Background Technology

[0002] With social development, people are paying increasing attention to their health and undergoing regular checkups to monitor their well-being. The current checkup process typically involves: the examinee booking an appointment online for the scheduled time and tests, presenting their ID card upon arrival at the hospital or medical institution, receiving a checkup form, and then queuing at the designated department according to the list of tests. However, this process is inefficient and time-consuming because various tests are conducted in different departments, requiring examinees to queue at each department, from the first to the next, resulting in low efficiency. Different examination departments are located on different floors. Examinees, unfamiliar with the examination items and department locations, waste a significant amount of time during the examination. Furthermore, the varying requirements of different examination items—such as needing to provide urine samples in the restroom for some tests, and needing to hold their urine for others—lead to inefficiency due to a lack of understanding of the examination order (e.g., after providing a urine sample, being asked to hold their urine in another department requires drinking plenty of water and waiting for their bladder to fill). In addition, the numerous examination items make it easy for examinees to miss some, resulting in incomplete examinations. They may only discover unfinished items at the end, requiring them to return to the corresponding department, further increasing their time commitment.

[0003] With the deployment of intelligent equipment, applying the medical acceleration concepts of triage and guidance to patient health check-up guidance systems is gradually becoming an effective approach. Intelligent health check-up guidance includes two types: triage of patients based on existing rules and pre-set triage procedures based on reinforcement learning models.

[0004] Chinese patent CN116994733A discloses a reinforcement learning-based predictive ranking system for physical examination queuing. In this system, the medical staff calculates the number of patients with remaining examination items and their waiting time using a reinforcement learning module, determines the recommended order of these items, and then calls the corresponding patients. The learning model aims to advance the screening or triage process to avoid wasting waiting time due to patient reaction time. However, individual patient differences are significant, and the characteristics of patients seeking physical examinations cannot be predicted in advance based on patterns. Therefore, even though the learning model obtains a large amount of data based on hospital traffic flow to improve accuracy, it still cannot avoid errors caused by irregular individual differences among patients. For example, some elderly people walk slowly, and patients with limb disabilities may slow down their movement when the elevator is full due to the use of stairs. These individual differences negate the time advantage gained by the medical staff in displaying or calling patients in advance.

[0005] Regarding procedures for triaging patients for physical examinations based on existing rules, Chinese patent CN112037892A discloses a smart scheduling system, terminal, and smart scheduling method for health checkups. The system includes a data acquisition module, a user client, a doctor client, and a smart scheduling computing center. The terminal includes both user and doctor clients. Through data collection and information interaction via the system and terminal, it can regulate the flow of people in each department in real time, creating and maintaining a good order and environment for physical examinations. Simultaneously, by collecting information on the examination duration for each examinee and the number of people in each department, it can rationally arrange the examination tasks for each doctor. This system shares the same problem as the aforementioned data-flow-based reinforcement learning prediction and ranking system for physical examination queuing: it ignores individual differences among patients.

[0006] The article "Application of Evidence-Based Nursing in Preventing Falls in the Elderly During Physical Examinations" points out that falls are a significant health problem affecting the elderly. According to a World Health Organization report, 391,000 people died from falls globally in 2002, with over 50% of these deaths occurring in people aged 60 and older. Approximately 40%–70% of falls result in injury, and 4%–5% cause fractures. Sudden changes in gait due to external influences are a contributing factor to increased fall risk. Therefore, prioritizing timely examination items for patients carries inherent risks and potential problems.

[0007] Existing technologies involve numerous sorting rules for physical examination items based on different situations. These rules often focus on group patterns rather than individual patient differences, failing to provide the most suitable rules for each patient. However, based on the inventor's years of experience in physical examination centers, while the current procedural settings for patient physical examination arrangements in hospitals are relatively complete, improvements are not ideal. The main reason is that these procedural settings are "unsuitable" due to individual patient differences. For example, physical examination items based on current patient flow distribution may negatively impact the experience for some patients with mobility issues or those who are not in a hurry; patients with a history of hypoglycemia may experience dizziness due to prolonged fasting; and patients who have completed urine sample collection may need to drink water and hold their urine again to complete a color Doppler ultrasound. Therefore, a physical examination management system is needed.

[0008] Furthermore, on the one hand, there are differences in understanding among those skilled in the art; on the other hand, the applicant studied a large number of documents and patents when making this invention, but due to space limitations, not all details and contents were listed in detail. However, this does not mean that the present invention does not possess the features of these prior art. On the contrary, the present invention already possesses all the features of the prior art, and the applicant reserves the right to add relevant prior art to the background art. Summary of the Invention

[0009] Given the significant individual differences among those awaiting medical examinations, existing technologies attempt to prioritize examination items based on the real-time number of examinees. For example, patent document CN115274079A discloses a big data-based healthcare management system, including a patient information registration module, a database module, a consultation management module, a medication management module, a medical examination arrangement module, an examination implementation module, and a suggestion module. This technical solution, by setting up the medical examination arrangement module to prioritize examination items based on the real-time number of examinees, reduces the waiting time at the hospital and saves examinees' time. However, this technical solution actually eliminates individual differences by converting them into a uniform waiting time. It is understandable that due to individual differences, different people awaiting physical examinations have significantly different subjective needs for the same examination items or combinations thereof. If the order of examinations is determined solely by the correlation between waiting time and the number of people waiting for examinations, it will lead to discomfort for those undergoing the examinations, or it will be impossible to achieve a more accurate order of examinations based on the actual conditions of those awaiting examinations. It also cannot solve the following problems: 1. The examination experience is worse for patients with mobility issues who are not in a hurry; 2. Patients with a history of hypoglycemia may experience dizziness due to prolonged fasting; 3. Patients who have completed urine sample collection need to drink water and hold their urine again to complete the color Doppler ultrasound.

[0010] This application provides a health checkup management system. The system includes: several medical staff terminals controlled by doctors in various departments and an information entry module for inputting information about individuals undergoing health checkups. The medical staff terminals obtain various patient information by indirectly acquiring information entered by the information entry module and / or provided by the patient (e.g., when the medical staff terminals are connected to a HIS system), or by directly acquiring information entered by the information entry module and / or provided by the patient.

[0011] The system also includes a cloud storage device that stores patient historical data and patient examination information (either as part of the HIS system or interconnected with it in terms of data). Based on the entered patient information, the information entry module sends a request to the cloud storage device to query patient historical data and patient examination information. After obtaining the patient historical data and patient examination information, the information entry module categorizes the patient into special categories. The method for categorizing patients into special categories is based on historical data obtained from the HIS system and annotations from the medical staff. The HIS system provides the items that need to be annotated to the corresponding medical staff in the relevant department according to the relevant method of the examination items provided by the patient, so that they can annotate the examination items.

[0012] When a patient is determined to belong to a special category based on the labeling of at least one medical examination item, the information entry module matches the special category corresponding to the individual differences (e.g., the special category to which the patient belongs, determined by the HIS system based on the labeling of at least one examination item) with the sorting rules for the examination items. The sorting rules include priority rules and routine rules corresponding to the special category to which the patient belongs.

[0013] The information entry module suggests a sorting order for the physical examination items based on sorting rules and provides this information to the patient. The patient then refers to the marked items and determines their examination items through their own device. These items are then sorted a second time using standard rules after some or all of them have been sorted according to priority rules. This second sorting may also occur after the patient has deleted or added other items. This re-sorting can then be reviewed again by the information entry module, i.e., a second sorting after the annotations from the medical staff have been re-executed.

[0014] For special patient categories, such as Category I patients with limited mobility (e.g., those who need family accompaniment for examination due to leg problems, severe dizziness, or persistent vomiting and diarrhea), after the information entry module enters the special patient information corresponding to the patient, the information entry module sends an application instruction to the cloud storage to query the patient's historical data and the patient's pending physical examination information, so that the HIS system can retrieve the historical data and pending physical examination information related to the patient from the cloud storage that is interconnected with its data.

[0015] Preferably, when the information entry module determines that the historical data obtained from the HIS system includes preliminary data related to mobility impairment (such as injuries to the patient's limbs or physical aging that may cause difficulty in walking), the information entry module provides the preliminary data related to mobility impairment to the medical staff, who then mark the relevant examination items based on the preliminary data. This allows the information entry module to classify the patient's special category based on the markings, such as determining whether the current patient is a first-category patient with limited mobility.

[0016] Preferably, when the information entry module determines that the historical data obtained from the HIS system includes preliminary data related to a specific high priority (e.g., patients who need to undergo blood and urine tests before performing other examinations, or patients who are taking hypoglycemic drugs or injecting insulin within a specific time window for PET-CT examination), the information entry module provides the preliminary data related to the specific high priority to the medical staff. The corresponding medical staff then annotates the relevant examination items based on the preliminary data, so that the information entry module can classify the patient's special category based on the annotation. For example, it can determine whether the current patient is a second-category patient who must complete a specific examination such as PET-CT within a specific time window.

[0017] Preferably, when the information entry module determines that the historical data obtained from the HIS system includes preliminary data related to a specific examination sequence (for example, the urge to urinate caused by a patient needing to ingest a large amount of glucose solution for insulin resistance testing can be used for color Doppler ultrasound examination, i.e., color Doppler ultrasound examination is arranged during the waiting period for insulin resistance testing), the information entry module provides the preliminary data related to the specific examination sequence to the medical staff, who then mark the relevant examination items based on the preliminary data, so that the information entry module can classify the patient's special category based on the marking (for example, the third category of patients in a specific examination sequence, who need to drink water and hold their urine again after completing urine sample collection to complete the color Doppler ultrasound).

[0018] Alternatively, in response to the current patient's personal information entered by the information entry module, the cloud storage located in the cloud sends the historical information and the information to be examined to the information entry module. The information entry module then classifies the patient into a special category based on the information entered by the patient and / or the patient annotations indirectly obtained from the medical staff. The determination method used to classify the patient into a special category can be based on historical data obtained from the HIS system and the annotations from the medical staff.

[0019] The beneficial effects of this technical solution are: Compared to existing technologies that rely on patient-needs-based settings, such as the intelligent triage method for physical examinations disclosed in Chinese Patent Publication No. CN114360713A, this method includes: S1, the examinee signs in at the physical examination center and begins triage; S2, determining if there are any pre-meal items; S3, determining if there are any mandatory items; S4, determining if the waiting time t1 of the pre-meal queue is less than a preset waiting time threshold T1; S5, determining if there are any pre-meal items; S6, entering the pre-meal item queue and determining if the queuing time t2 is reasonable; S7, determining if there are any post-meal items; S8, entering the pre-meal item queue and determining if the queuing time t3 is reasonable; S9, determining if all physical examination items have been completed. If all items are completed, the triage ends; otherwise, it returns to step S2.

[0020] The purpose of existing medical examination guidance technologies is to divert patients based on pathways or queue flow to speed up the examination process. However, the aforementioned existing technologies plan medical examination items based on group-wide issues. This leads to problems where the planning methods are inapplicable when individual differences arise, and may even cause patient dissatisfaction. For example, if a patient is an elderly person with difficulty walking, the existing technology might increase the number of times the patient goes up and down stairs and the distance they walk to speed up the examination. For this retired patient, the increased difficulty of walking is more unacceptable than the increased time. Therefore, the sequencing and planning of medical examination items solely for the purpose of speeding up the examination is unreasonable.

[0021] Based on years of experience working in the medical examination department, the applicant observed that individual differences (e.g., elderly, disabled, pregnant women, working professionals not undergoing health screenings) lead to varying concerns regarding the examination process. For example, older individuals or those with physical disabilities prioritize speed over efficiency, preferring to minimize travel between departments or utilize elevators to reduce physical strain. Pregnant women, in particular, value minimizing contact with crowds, especially during waiting times, as noisy environments and unexpected physical altercations can negatively impact their health. Working professionals not undergoing health screenings prioritize completing the examination as quickly as possible; therefore, incorporating stairwells or alternative pathways can improve efficiency. Finally, for patients with a history of hypoglycemia, prioritizing fasting procedures can reduce their fasting time.

[0022] Compared with the prior art, the health check management system of the present invention can classify patients into special categories based on their historical data and the information of the patients to be examined, and match different sorting rules for health check items to patients according to the special category to which the patients are classified. The sorting rules include priority rules and routine rules corresponding to the special category to which the patient belongs. Based on the above distinguishing technical features, the problem to be solved by the present invention can include: how to sort health check items through different health check item adjustment rules to generate health check guidance programs that meet the needs of different patients. Specifically, based on the above-mentioned individual differences, the system can provide personalized sorting methods for health check items for different categories of patients, and generate health check guidance programs with different sorting situations for the needs of different groups. Among them, the priority rule can be used as a sorting evaluation index for the main health check needs of different patients, and it is used to screen out health check items that meet the priority rule as the priority order of health check, and this sorting result is used as the main order of the overall health check order. Further, when there are different health check items with the same priority in different node orders in the main order, the health check items are adjusted a second time through routine rules and published as the final health check order. By using the above settings, the overall ordering logic of the physical examination items can be adjusted according to the different physical examination needs of different patients, so that the final ordering of the physical examination items will not bring unexpected feelings to the patients during the implementation process, thereby improving the comfort of different patients in performing the physical examination process.

[0023] In this application, age, physical disability, type of medical examination package, pregnancy, and medical history can all serve as criteria for patient classification (these criteria can all be obtained from the patient's historical data stored in the cloud storage). The system can generate priority rules for sorting medical examination items based on the nature of the patient's classification, and make secondary adjustments to the sequence of medical examination items using routine rules without affecting the priority rules. Simultaneously, the aforementioned criteria for patient classification can also be used for selecting routine rules. The purpose of this application is to satisfy both patient and hospital needs as much as possible when sorting medical examination items. Therefore, in this application, routine rules refer to various sorting rules set from the hospital's perspective in the prior art, such as sorting rules aimed at improving medical examination efficiency or routine sorting rules (e.g., general examination - blood test - X-ray - color Doppler ultrasound or CT scan).

[0024] Based on the hospital's own classification of patients or physical examination items, routine rules can perform a secondary sorting of physical examination items. For example, based on the patient's historical disease data, the information entry module can prioritize physical examination items that indicate the patient's potential disease risk; or based on the number of patients in each of the already entered physical examination items, the information entry module can adjust the sorting of the physical examination items.

[0025] According to a preferred embodiment, the priority rule includes pre-defined rules for meeting the patient's needs, generated based on the patient's physical condition and / or the purpose of the physical examination, wherein the priority rule includes: Optimize the travel methods and distances for physical examinations based on the patient's age or physical disability. The ranking of physical examination items that influence the development of a patient's medical history was optimized using the patient's medical history as a feature. Optimize travel routes for physical examinations based on the patient's pregnancy status; Optimize the implementation time of physical examination items by using the patient's physical examination package category as a feature.

[0026] The beneficial effects of this technical solution are: Compared with the prior art, the priority rules in the physical examination management system of the present invention include pre-set rules generated based on different patients' physical conditions and / or different physical examination purposes to meet the actual needs of patients, and use the extracted different physical condition characteristics of patients as rules to optimize the implementation of different physical examination items. Based on the above distinguishing technical features, the problem to be solved by the present invention may include: how to adjust the sorting method of different physical examination items according to the physical examination needs of different patients, so as to enable patients to have a comfortable and smooth subjective experience during the physical examination process. Specifically, the main purpose of this application is to propose a physical examination process that provides different sorting of physical examination items for different patients based on patient classification, so as to compensate for the differences in needs caused by different individual purposes as much as possible.

[0027] According to a preferred embodiment, the routine rules include rules for adjusting the order of physical examination items based on the patient queuing situation in each examination room in order to improve the efficiency of the physical examination.

[0028] According to a preferred embodiment, when a patient is pregnant, the travel route for the physical examination is optimized based on the priority rule of the patient's classification, with the goal of reducing the number of people the patient encounters. When the patient confirms the completion of one or more items on the patient's end, the information entry module can reconfirm the travel route by acquiring monitoring images related to the route of the department to which the physical examination item belongs.

[0029] According to a preferred embodiment, in response to an abnormal change in the status of a travel device related to the mode of travel, and the travel device with the abnormal change in status belongs to the patient's travel route, the information entry module readjusts the sorting of the physical examination items after updating the list of travel devices in working status.

[0030] According to a preferred embodiment, when a patient temporarily inserts a physical examination item through the information entry module, based on the instruction to add physical examination items input by the information entry module, the information entry module combines the newly added physical examination items and the physical examination items that the patient has not yet checked in with priority rules to regenerate the order of physical examination items, and adjusts the order of physical examination items based on routine rules without changing the priority rules.

[0031] According to a preferred embodiment, the physical examination program includes back-end physical examination items completed by the patient on their own and front-end physical examination items completed in cooperation with the doctor.

[0032] According to a preferred embodiment, after the patient completes the corresponding backend physical examination item based on the instructions on the patient terminal, based on the patient's confirmation operation on the patient terminal, the patient terminal prompts the patient to proceed to the next physical examination item according to the order of the physical examination items transmitted by the information entry module.

[0033] For physical examination items such as body fluid collection that rely on patients to complete independently (back-end physical examination items), the confirmation of completion depends on the patient's scanning confirmation. For other items (front-end physical examination items), the confirmation of completion depends on the doctor's confirmation on the medical staff side.

[0034] According to a preferred embodiment, when the patient belongs to a non-special category, the information entry module matches the patient with a sorting rule for physical examination items, and the sorting rule includes a routine rule.

[0035] This application also provides a method for managing physical examinations. The method includes: issuing an application instruction to query patient historical data and patient pending physical examination information based on entered patient information, and classifying the patient into a specific category after obtaining the patient historical data and patient pending physical examination information; When a patient belongs to a special category, the ranking rules for matching physical examination items to the patient are based on the special category corresponding to individual differences. The ranking rules include priority rules and routine rules corresponding to the special category to which the patient belongs. The physical examination items determined by the patient are ranked according to the priority rules to generate a ranking of some or all of the physical examination items, and then ranked again according to the routine rules. Attached Figure Description

[0036] Figure 1 The module structure diagram of the medical staff terminal and the patient terminal provided by the present invention; Figure 2 This invention provides a diagram illustrating the usage status of the patient terminal. Figure 3 The system flowchart provided for this invention; Figure 4 The flowchart for sorting physical examination items based on this system is provided for the present invention.

[0037] List of reference numerals 100: Patient end; 200: Medical staff end; 300: Information entry module; 400: Cloud storage. Detailed Implementation

[0038] The following is a detailed explanation with reference to the accompanying drawings.

[0039] In the description of this invention, the terms "priority" and "normalization" are used for descriptive purposes only and should not be construed as indicating or implying relative importance. It should be noted that, unless otherwise explicitly specified and limited, the terms "equipped with," "connected," etc., should be interpreted broadly. For example, "connection" can refer to a signal connection between devices or a mechanical connection between devices; it can be a direct connection or an indirect connection through an intermediate medium; it can be a connection within two components. "Several" means two or more, unless otherwise explicitly and specifically defined. Those skilled in the art can understand the specific meaning of the above terms in this invention according to the specific circumstances.

[0040] In this application, it should be noted that historical data includes the patient's medical history and physical condition. Information regarding the medical examination to be conducted includes the patient's confirmed medical examination items.

[0041] The operation of classifying patients into special categories includes: based on the priority rules to which the preset tags belong, the information entry module 300 extracts features from the parts of the patient's historical data and physical examination information that overlap with the preset tags after obtaining the patient's historical data and physical examination information, thereby determining the priority rule to which the patient belongs.

[0042] In this application, since priority rules are based on the social and physiological attributes of different people to predict demand, this application names the patient characteristics corresponding to different priority rules as labels. That is, a label refers to the feature used to distinguish the priority rule to which different patients belong, and the feature can be one or more.

[0043] Preferably, the information entry module 300 generates recommended physical examination items based on historical data, and can pre-generate virtual information for unconfirmed but recommended physical examination items to insert into the sorting. When the results of the patient's confirmed physical examination items are generated, the HIS system can generate a medical assessment based on the results to associate the unconfirmed but recommended physical examination items.

[0044] Each time a patient completes a task, and if the patient is pregnant, the flow of people needs to be reconfirmed; that is, the priority-based sorting needs to consider whether to re-queue.

[0045] According to a preferred embodiment, the routine rule includes a rule for adjusting the order of physical examination items based on the patient queuing situation in each examination room to improve the efficiency of the physical examination. Preferably, the routine rule includes a rule for ordering physical examination items to improve the speed of the physical examination or reduce the number of people queuing in individual departments. Preferably, the routine rule includes the following steps: determining whether there are any preemptive physical examination items; when there are preemptive physical examination items, determining whether the waiting time t of the preemptive queue is less than a preset waiting time threshold T; if t is less than T, then after completing the preemptive physical examination item, the process is switched to a preemptive physical examination item.

[0046] Example 1 This embodiment provides a health checkup management system that meets the individual differences of patients and increases their health checkup experience while improving the efficiency of health checkups.

[0047] Figure 1 The functional structure diagram of this system is shown. In this application, the patient terminal 100, the information entry module 300, and the medical staff terminal 200 can establish a communication connection via a wireless network (such as Bluetooth, WIFI, NFC, infrared technology, etc.) to exchange data, signals, and / or control signals.

[0048] This application relates to a patient terminal 100. The patient terminal 100 includes a communication module, GPS, CPU, and an input unit. The input unit can be a device that allows the patient to input the signal requiring confirmation via manual input, voice, or other methods. Preferably, considering the frequent use of the patient terminal 100, the patient terminal 100 can be a mobile device (e.g., a mobile phone) loaded with an app / app as shown in the figure. Figure 2 As shown.

[0049] This application, in another aspect, relates to a healthcare terminal 200. The healthcare terminal 200 is a mobile device controlled by healthcare personnel and connected to a hospital's HIS system. The healthcare terminal 200 can be used to provide healthcare personnel with instructions regarding the relevant physical examination process. For example, healthcare personnel can obtain patient information to be examined through the display screen of a device such as a computer, mobile phone, or handheld terminal, and confirm the completion of the patient's physical examination items on the healthcare terminal 200 after completion. The healthcare terminal 200 also includes a CPU and an input unit. Preferably, several healthcare terminals 200 connected to the HIS system ( Figure 1 The healthcare terminal 1... healthcare terminal n shown can only obtain information about the patients under its care through authorization from the HIS system, which is limited to the department to which the healthcare personnel belong.

[0050] This application also relates to an information entry module 300. The information entry module 300 is compatible with smartphones, smartwatches or other wearable devices, tablets, computers, cloud servers, or other intelligent devices with a CPU and communication module. On one hand, the information entry module 300 requires information desk staff or other front-end medical personnel to collect patients' examination intentions, generate the patient's examination program, and provide an update service for the examination program when the patient needs to add examination items due to real-time test results. On the other hand, the information entry module 300 is responsible for communicating with the medical staff terminal 200 to transmit the learned queuing status and test results of various departments. The CPU receives the corresponding patient's examination progress from the medical staff terminal 200 via the communication module, and uses this information to further update the corresponding patient's examination items. For example, based on confirmation signals sent synchronously by the medical staff terminal 200 and the patient terminal 100, the information entry module 300 updates the patient's examination progress. This avoids reminding patients when they haven't completed their examination items, or confirming the update time when patients need to update the order of planned examination items in real time.

[0051] After both the patient (100) and healthcare worker (200) terminals confirm the completion of the physical examination, the HIS system sends a completion notification to the information entry module (300) for the corresponding patient, indicating this to the healthcare worker at the front desk (or information desk) responsible for communicating the examination process with the patient. If the incomplete examination exceeds a preset timeframe, the HIS system sends a notification to the information entry module (300). Healthcare workers can then contact the patient using the examination progress and information obtained from the information entry module (300) to inquire about their condition. Generally, the information entry module (300) is a computer or other small, intelligent device placed at the front desk. To ensure smooth operation, upon receiving the completion notification, the information entry module (300) backs up the relevant examination process information for the corresponding patient in the HIS system's cloud storage (400) and simultaneously deletes its own stored examination information for the patient.

[0052] Since the information entry module 300 has the right to access the HIS system's cloud storage 400, even if a patient whose physical examination information has been deleted inquires about their physical examination information from the medical staff corresponding to the information entry module 300, the information entry module 300 can obtain the patient's physical examination information by accessing the HIS system's cloud storage 400 after the patient provides their own identity authentication information (such as ID card number).

[0053] Furthermore, the priority rules and routine rules involved in this application are stored in the information entry module 300. After the patient provides their identity verification information (e.g., ID card number), such as Figure 3As shown, the information entry module 300 sends an access request for the patient's historical data and pending physical examination information to the cloud storage 400 of the HIS system. Based on the patient's historical data obtained from the HIS system, the information entry module 300 categorizes the patient into specific classes and generates priority rules applicable to that patient. The information entry module 300 then generates a physical examination order based on the acquired pending physical examination information according to its corresponding priority rules, adjusting the order by incorporating routine rules without altering the priority rules. For example... Figure 2 As shown, the adjusted physical examination sequence is sent to the patient terminal 100 and guided through the physical examination process by the app installed on the patient terminal 100 or the mini program opened.

[0054] According to a preferred embodiment, based on the patient's identity information transmitted by the information entry module 300, the processor of the HIS system can generate an identification identifier for the patient. The identification identifier can be a QR code, barcode, or other graphic that can be electronically scanned and associated with the patient's identity information. Even when the patient re-enters the hospital, they can use this identification identifier to obtain their medical examination information or complete check-in tasks.

[0055] For example, patients can create a personal profile in the HIS system's cloud storage 400 through the patient-side app, mini-program, or information entry module 300, thereby obtaining their personal identification identifier. After entering the hospital, patients can scan their identification identifier, such as a QR code, at a self-service check-in machine wirelessly connected to the HIS system to register at the hospital. When the HIS system's processor receives the QR code associated with the patient's identity information, it controls the information entry module 300 to generate a sorting of physical examination items based on the physical examination management system.

[0056] When a patient enters the blood drawing area, a self-service check-in machine wirelessly connected to the HIS system at the blood drawing location can complete the blood drawing registration by scanning the patient's identification identifier, such as a QR code. Preferably, when the patient is guided to the blood drawing area, they can queue through the patient terminal 100 and display a successful queueing message after registration. If a patient does not register within the preset time, the HIS system can check whether the patient is in an abnormal state, such as fainting or getting lost, based on the patient's travel route reported by the patient terminal 100.

[0057] According to a preferred embodiment, after entering the hospital and successfully registering, patients can view the queue status of each physical examination item they need to complete, such as the blood test queue. Patients can choose to change the physical examination queue items generated by the system through the patient terminal 100 according to their personal preferences. After the patient changes the physical examination queue items, the information entry module 300 can reorder the physical examination items that were not changed.

[0058] According to a preferred embodiment, when a patient's physical examination items are ordered as ultrasound-urine sampling, if the patient directly scans a code to obtain a urine sampling container without undergoing ultrasound, the information entry module 300 can control the patient terminal 100's mini-program or app to generate a prompt for the ultrasound examination. When the patient completes the ultrasound examination, the patient can directly obtain a specimen label by scanning a code on a self-service check-in machine using the identification badge displayed on the patient terminal 100, allowing the patient to directly collect a urine sample.

[0059] Example 2 This embodiment provides a physical examination management system. In this embodiment, except that the information entry module 300 generates different sorting rules for physical examination items based on different patients, the other hardware is the same as in the previous embodiment.

[0060] The physical examination management system includes: several medical terminals 200 controlled by doctors in various departments; an information entry module 300 for inputting information about individuals awaiting physical examinations; and a patient terminal 100 that receives examination process instructions from the information entry module 300 to guide patients through the system's rules. When a patient belongs to a special category, the information entry module 300 matches the patient with a sorting rule for physical examination items based on the special category corresponding to individual differences. The sorting rule includes a priority rule and a routine rule corresponding to the patient's special category. Specifically, the physical examination items determined by the patient are sorted a second time using the routine rule after generating a sort of some or all of the physical examination items according to the priority rule. Figure 4 As shown.

[0061] Specifically, patients enter their confirmed physical examination items into the hospital's HIS system, and the cloud storage device 400 stores the patient's historical data, including age and medical history, as well as the information to be examined. Preferably, the information to be examined includes the physical examination package selected by the patient, such as a pre-employment physical examination package, a gynecological physical examination package, or a geriatric disease screening package.

[0062] After the information entry module 300 collects the patient's identity information (such as facial recognition information), the information entry module 300 sends an application instruction to the cloud storage 400 to query the patient's historical data and the patient's pending physical examination information, and obtains the patient's historical data including age and medical history and pending physical examination information after obtaining authorization from the HIS system.

[0063] Based on the patient's age and historical data, for example, a 65-year-old male patient who suffered a stroke and has hemiplegic sequelae, the information entry module 300 prioritizes the patient's physical examination items according to a priority rule that includes optimized travel methods and distances based on the patient's age or physical disability. For example, the order of the physical examination items might be: Cardiology on the 1st floor - Ophthalmology on the 2nd floor - Blood drawing hall on the 2nd floor - CT room on the 3rd floor - Otolaryngology on the 4th floor, with elevator access available throughout.

[0064] Furthermore, the information entry module 300 adjusts the order of physical examination items according to the conventional rules based on the flow of people, without changing the order in which patients go from the 1st to the 4th floor. For example, the order of physical examination items is adjusted to: cardiology on the 1st floor - blood drawing hall on the 2nd floor - ophthalmology on the 2nd floor - CT room on the 3rd floor - otolaryngology on the 4th floor.

[0065] According to a preferred embodiment, in response to an abnormal change in the status of a travel device (e.g., an elevator) related to the patient's mode of transportation, and the abnormally changing travel device belongs to the patient's travel route, the information entry module 300 readjusts the order of the physical examination items after updating the list of travel devices in operation. For example, based on an instruction from the HIS system that an elevator has malfunctioned and cannot be used, the information entry module 300 can readjust the order of the physical examination items according to the priority rules of travel mode and travel distance, which are optimized based on the patient's age or physical disability.

[0066] Example 3 This embodiment provides a physical examination management system. In this embodiment, except that the information entry module 300 generates different sorting rules for physical examination items based on different patients, the other hardware is the same as in the previous embodiment.

[0067] Specifically, patients enter their confirmed physical examination items into the hospital's HIS system, and the cloud storage 400 stores the patient's historical data, including age, medical history, and pending examination information. After the information entry module 300 collects the patient's identity information (e.g., facial recognition information), the information entry module 300 sends an application to the cloud storage 400 to query the patient's historical data and pending examination information, and obtains the patient's historical data, including age, medical history, and pending examination information after obtaining authorization from the HIS system.

[0068] Based on the patient's age and historical data, for example, a 27-year-old female patient with no prior medical history and whose medical examination package was for pre-employment physical examination, the information entry module 300 sorts the patient's medical examination items according to a priority rule that includes the implementation time of optimized medical examination items based on the patient's medical examination package category. For example, the order of the medical examination items is: blood drawing hall on the 2nd floor - CT room on the 3rd floor - ENT department on the 4th floor - ophthalmology department on the 1st floor (blood drawing and CT examinations take a long time and have high traffic, so they need to be completed as early as possible to avoid subsequent queues), and the entire process is done by stairs.

[0069] Furthermore, the information entry module 300 adjusts the order of physical examination items according to a standardized rule based on the flow of people. For example, after completing the examination in the ENT department on the 4th floor, one can take the elevator to the ophthalmology department on the 1st floor.

[0070] Example 4 This embodiment provides a physical examination management system. In this embodiment, except that the information entry module 300 generates different sorting rules for physical examination items based on different patients, the other hardware is the same as in the previous embodiment.

[0071] Specifically, patients enter their confirmed physical examination items into the hospital's HIS system, and the cloud storage 400 stores the patient's historical data, including age, medical history, and pending examination information. After the information entry module 300 collects the patient's identity information (e.g., facial recognition information), the information entry module 300 sends an application to the cloud storage 400 to query the patient's historical data and pending examination information, and obtains the patient's historical data, including age, medical history, and pending examination information after obtaining authorization from the HIS system.

[0072] Based on the patient's age and historical data, for example, if the patient is a 30-year-old pregnant woman, the information entry module 300 sorts the patient's physical examination items according to a priority rule that includes optimized travel routes based on the patient's pregnancy status. For example, the order of the physical examination items is: 4th floor ENT department - 3rd floor internal medicine department - 2nd floor blood drawing hall - 1st floor ophthalmology department (reverse flow physical examination method), with elevator access throughout.

[0073] Furthermore, the information entry module 300 adjusts the order of physical examination items according to a standardized rule based on the flow of people. For example, based on real-time monitoring images related to the patient's route, it provides the patient with a less crowded consultation room in the internal medicine department on the 3rd floor, and provides the patient with a longer but less crowded route from the elevator to the consultation room.

[0074] According to a preferred embodiment, when a patient is pregnant, the travel route for the physical examination is optimized based on the priority rule of the patient's classification, with the goal of minimizing the crowds the patient encounters. When the patient confirms the completion of one or more items via the patient terminal 100, the information entry module 300 can reconfirm the travel route by acquiring monitoring images related to the department to which the physical examination item belongs. For example, after the patient and medical staff confirm the completion of the ENT examination on the 4th floor via their respective controlled patient terminal 100 and medical staff terminal 200, the information entry module 300 obtains the crowd distribution information from the HIS system on multiple routes from the elevator on the 3rd floor to the internal medicine clinic assigned to the patient, based on the instructions sent by the patient terminal 100 and medical staff terminal 200, to select the route with the least crowd distribution as the route guiding the patient.

[0075] Example 5 This embodiment provides a physical examination management system. In this embodiment, except that the information entry module 300 generates different sorting rules for physical examination items based on different patients, the other hardware is the same as in the previous embodiment.

[0076] Specifically, patients enter their confirmed physical examination items into the hospital's HIS system, and the cloud storage 400 stores the patient's historical data, including age, medical history, and pending examination information. After the information entry module 300 collects the patient's identity information (e.g., facial recognition information), the information entry module 300 sends an application to the cloud storage 400 to query the patient's historical data and pending examination information, and obtains the patient's historical data, including age, medical history, and pending examination information after obtaining authorization from the HIS system.

[0077] Based on the patient's age and historical data, for example, a 45-year-old female patient with a history of hypertension and hyperglycemia, the information entry module 300 sorts the physical examination items according to a priority rule that includes the optimized portion of the physical examination items that influence the development of the patient's historical medical history. For example, the order of the physical examination items might be: 2nd floor blood drawing hall - 1st floor breakfast room - 1st floor ophthalmology - 4th floor otolaryngology - 3rd floor internal medicine. Except for the 1st to 4th floors, which use elevators, the other routes use stairs.

[0078] Furthermore, the information entry module 300 adjusts the order of physical examination items according to a standardized rule based on the flow of people. For example, after a patient finishes their meal in the breakfast room, the system confirms the end of breakfast based on a confirmation click made by the patient on their device (e.g., ...). Figure 2 (As shown in the app interface), the information entry module 300 retrieves the queuing status of ophthalmology, otolaryngology, and internal medicine from the HIS system after the patient finishes breakfast. When the estimated queuing time for internal medicine is lower than the estimated queuing time for ophthalmology by a preset threshold, the information entry module 300 adjusts the order of the patient's next physical examination item in real time according to routine rules: internal medicine on the 3rd floor - ophthalmology on the 1st floor - otolaryngology on the 4th floor. After the patient completes the internal medicine examination, the module analyzes again whether the preset order of ophthalmology on the 1st floor and otolaryngology on the 4th floor needs to be adjusted. Preferably, the preset threshold can be the walking time from the 1st floor to the 4th floor.

[0079] Example 6 This embodiment provides a physical examination management system. In this embodiment, except that the information entry module 300 generates different sorting rules for physical examination items based on different patients, the other hardware is the same as in the previous embodiment.

[0080] Patients enter their confirmed physical examination items into the hospital's HIS system. The cloud storage 400 stores the patient's historical data, including age and medical history, as well as the information to be examined. After the information entry module 300 collects the patient's identity information (e.g., facial recognition information), the information entry module 300 sends a request to the cloud storage 400 to query the patient's historical data and the patient's information to be examined. After obtaining authorization from the HIS system, the information entry module 300 retrieves the patient's historical data, including age and medical history, as well as the information to be examined.

[0081] Based on the patient's age and historical data, when the patient does not have a pre-defined label within the priority rule planning range, the information entry module 300 sorts the patient's physical examination items using only routine rules. The information entry module 300 obtains real-time queuing information for each department from the HIS system and generates a sorting of physical examination items for the patient according to the sorting rules that reduce the number of people queuing in individual departments. For example, if the number of people queuing for ENT on the 3rd floor is less than the number queuing on the 1st and 2nd floors, and the time difference between queuing on the 3rd floor and the 1st and 2nd floors is greater than the walking time from the 1st floor to the 3rd floor, then the ENT examination on the 3rd floor takes priority over the visual examination on the 1st floor and the blood test on the 2nd floor.

[0082] According to a preferred embodiment, when a patient temporarily inserts a physical examination item through the information entry module 300, based on the instruction to add physical examination items input by the information entry module 300, the information entry module 300 combines the newly added physical examination items and the physical examination items that the patient has not yet checked in with priority rules to regenerate the order of physical examination items, and adjusts the order of physical examination items based on routine rules without changing the priority rules.

[0083] According to a preferred embodiment, after the patient completes the corresponding backend physical examination item based on the instructions of the patient terminal 100 and the patient confirms the completion on the patient terminal 100, the patient terminal 100 prompts the patient to proceed to the next physical examination item according to the order of the physical examination items transmitted by the information entry module 300. Preferably, the physical examination items include backend physical examination items completed by the patient themselves and frontend physical examination items completed in cooperation with the doctor. The frontend physical examination items include ENT examination, eye examination, blood test, CT scan, chest X-ray, internal medicine examination, surgical examination, electrocardiogram, and clinical examination (height, weight, blood pressure). The backend physical examination items include urinalysis and stool analysis.

[0084] Preferably, the information entry module 300 generates recommended physical examination items based on historical data, and can pre-generate unconfirmed but recommended physical examination items as virtual information and insert them into the sorting. When the results of the patient's confirmed physical examination items are generated, the HIS system can generate a medical assessment based on the results to associate the unconfirmed but recommended physical examination items.

[0085] For example, when the patient has historical data on miscarriage, the information entry module 300 generates gynecological examination items. If the gynecological examination items are not present in the patient's confirmed examination items, the gynecological examination items are inserted into the sorting as virtual information. That is, if the patient does not confirm the addition of the examination item, the examination item is skipped in the examination process provided to the patient.

[0086] It should be noted that the specific embodiments described above are exemplary. Those skilled in the art can devise various solutions inspired by the disclosure of this invention, and these solutions all fall within the scope of this invention and its protection. Those skilled in the art should understand that this specification and its accompanying drawings are illustrative and do not constitute a limitation on the claims. The scope of protection of this invention is defined by the claims and their equivalents. This specification contains multiple inventive concepts; terms such as "preferredly," "according to a preferred embodiment," or "specifically" indicate that the corresponding paragraph discloses an independent concept. The applicant reserves the right to file divisional applications based on each inventive concept. Throughout the text, features introduced by "preferredly" are merely optional and should not be construed as mandatory. Therefore, the applicant reserves the right to abandon or delete relevant preferred features at any time.

Claims

1. A physical examination management system, comprising: several medical and nursing terminals (200) controlled by doctors in various departments and an information entry module (300) for entering patient information, characterized in that, The system also includes a cloud storage (400) storing patient historical data and patient pending physical examination information. Based on the entered patient information, the information entry module (300) sends an application instruction to the cloud storage (400) to query patient historical data and patient pending physical examination information. After obtaining the patient historical data and patient pending physical examination information, it categorizes the patient into special categories. When a patient belongs to a special category, the information entry module (300) matches physical examination items to the patient according to a sorting rule based on the special category corresponding to individual differences. The sorting rule includes a priority rule and a routine rule corresponding to the special category to which the patient belongs. The physical examination items determined by the patient are sorted a second time using routine rules after some or all of the physical examination items are sorted according to priority rules. The priority rules include pre-defined rules generated based on the patient's physical condition and / or the purpose of the physical examination to meet the patient's needs, wherein the priority rules include: Optimize the travel methods and distances for physical examinations based on the patient's age or physical disability. The ranking of physical examination items that influence the development of a patient's medical history was optimized using the patient's medical history as a feature. Optimize travel routes for physical examinations based on the patient's pregnancy status; Optimize the implementation time of physical examination items by using the patient's physical examination package category as a feature.

2. The physical examination management system according to claim 1, characterized in that, The routine rules include rules for adjusting the order of physical examination items based on patient queuing in each examination room in order to improve the efficiency of physical examinations.

3. The physical examination management system according to claim 2, characterized in that, The patient terminal (100) establishes a communication connection with the information entry module (300) and the medical staff terminal (200) via a wireless network; When a patient is pregnant, the travel route for the physical examination is optimized based on the priority rules of the patient's classification with the goal of reducing the number of people the patient encounters. When the patient confirms the completion of one or more items on the patient terminal (100), the information entry module (300) can reconfirm the travel route by acquiring monitoring images related to the route of the department to which the physical examination item belongs.

4. The physical examination management system according to any one of claims 1 to 3, characterized in that, In response to an abnormal change in the status of a travel device related to the mode of travel, and the travel device with the abnormal change in status belongs to the patient's travel route, the information entry module (300) readjusts the sorting of the physical examination items after updating the list of travel devices in operation.

5. The physical examination management system according to claim 4, characterized in that, When a patient temporarily inserts a physical examination item through the information entry module (300), based on the instruction to add physical examination items input by the information entry module (300), the information entry module (300) combines the newly added physical examination items and the physical examination items that the patient has not yet checked in with priority rules to regenerate the order of physical examination items, and adjusts the order of physical examination items based on routine rules without changing the priority rules.

6. The physical examination management system according to claim 1, characterized in that, The physical examination items include back-end physical examination items that patients complete on their own and front-end physical examination items that patients cooperate with doctors on.

7. The physical examination management system according to claim 3, characterized in that, After the patient completes the corresponding backend physical examination item based on the instructions of the patient terminal (100), based on the patient's confirmation operation on the patient terminal (100), the patient terminal (100) prompts the patient to proceed to the next physical examination item according to the order of the physical examination items transmitted by the information entry module (300).

8. The physical examination management system according to claim 2, characterized in that, When the patient belongs to a non-special category, the information entry module (300) matches the patient with the sorting rules for physical examination items, and the sorting rules include routine rules.

9. A method for managing physical examinations, characterized in that, The method includes: Based on the entered patient information, an application instruction is issued to query the patient's historical data and the patient's pending physical examination information, and the patient's special category is classified after obtaining the patient's historical data and the patient's pending physical examination information; When a patient belongs to a special category, the ranking rules for matching physical examination items to the patient are based on the special category corresponding to individual differences. These ranking rules include priority rules and routine rules corresponding to the patient's special category. The physical examination items determined by the patient are sorted a second time using routine rules after some or all of the physical examination items are sorted according to priority rules. The priority rules include pre-defined rules generated based on the patient's physical condition and / or the purpose of the physical examination to meet the patient's needs, wherein the priority rules include: Optimize the travel methods and distances for physical examinations based on the patient's age or physical disability. The ranking of physical examination items that influence the development of a patient's medical history was optimized using the patient's medical history as a feature. Optimize travel routes for physical examinations based on the patient's pregnancy status; Optimize the implementation time of physical examination items by using the patient's physical examination package category as a feature.

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