Remote monitoring method, device, equipment and medium based on online medical platform
Through the connection between the online medical platform and the hospital information system, remote monitoring of online doctors during the inpatient stage is achieved, solving the problem that online platforms cannot provide monitoring during the inpatient stage, and improving user experience and medical resource utilization.
Patent Information
- Application Number
- CN202410809247.1
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2024-06-21
- Publication Date
- 2024-12-20
- Estimated Expiration
- 2044-06-21
AI Technical Summary
The existing online medical platforms cannot achieve remote monitoring during the patient's hospitalization stage, resulting in poor user experience and low utilization of medical resources.
Through the connection between the online medical platform and the target hospital information system, online doctors can be certified and added to the target personnel list for offline hospitalization, issue monitoring instructions, and upload offline monitoring information through the hospitalization information pool to achieve online monitoring.
It improves the application and user experience of online medical resources, enables online doctors to effectively monitor during the hospitalization stage, and improves the flexibility and user satisfaction of the online medical platform.
Smart Images

Figure CN118711787B_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the field of online medical technology, and in particular to a remote monitoring method, device, equipment and medium based on an online medical platform. Background Art
[0002] With the popularization of online medical platforms, patients can choose doctors in other places for medical treatment through online medical platforms. Doctors can conduct online consultations with patients through video, text or voice, and prescribe online prescriptions based on the results of the online consultation, effectively improving the utilization rate of medical resources.
[0003] However, most online medical platforms can only provide simple outpatient functions. If the patient's condition requires hospitalization, the online doctor can only give relevant diagnostic suggestions. The patient goes to an offline medical institution for hospitalization based on the diagnostic suggestions, and the monitoring team is provided by the offline medical institution during the hospitalization process. Patients cannot choose online doctors to perform relevant monitoring and diagnosis during the hospitalization stage according to their own needs. The user experience is poor, and they cannot flexibly use online medical resources during the hospitalization stage. Summary of the invention
[0004] The present invention aims to solve at least one of the technical problems existing in the prior art. To this end, the present invention proposes a remote monitoring method, device, equipment, and medium based on an online medical platform, which can use the online medical platform to realize remote monitoring during the hospitalization stage, improve user experience, and improve the utilization rate of online medical resources.
[0005] In a first aspect, an embodiment of the present invention provides a remote monitoring method based on an online medical platform, which is applied to the online medical platform, wherein the online medical platform is respectively connected to a first online doctor terminal, a target patient terminal, and a target hospital information system (Hospita l Information System, HIS), and the remote monitoring method based on the online medical platform includes:
[0006] When obtaining the first hospitalization order constructed online by the first online doctor terminal, obtaining the first doctor information pre-associated with the first online doctor terminal, and authenticating the first doctor information through the target HIS system, wherein the first hospitalization order is used to indicate hospitalization needs and diagnosis results;
[0007] Building a target personnel list based on the first hospitalization medical order, and sending a target hospitalization request to the target HIS system based on the target personnel list and the first hospitalization medical order, wherein the target personnel list records the first online doctor terminal and multiple target offline medical terminals, and each of the target offline medical terminals is pre-bound with offline medical personnel information registered in the target HIS system;
[0008] When obtaining the approval information fed back by the target HIS system based on the target hospitalization request, obtaining the second hospitalization order constructed by the first online doctor terminal, wherein the second hospitalization order is used to indicate the monitoring requirement;
[0009] Creating a hospitalization information pool belonging to the target patient terminal, and granting the first online doctor terminal access rights to the hospitalization information pool;
[0010] Offline monitoring instructions for each of the target offline medical terminals are generated based on the second hospitalization medical order, and offline monitoring information generated by the target offline medical terminals in response to the offline monitoring instructions is saved in the hospitalization information pool.
[0011] According to some embodiments of the present invention, the offline medical staff information records department information and offline function information, and the step of constructing a target personnel list based on the first hospitalization order includes:
[0012] Determine a target department based on the diagnosis result, and obtain a plurality of candidate offline medical terminals from the target HIS system based on the target department;
[0013] Determine a plurality of target monitoring functions based on the hospitalization demand, screen the target offline medical care terminals from the candidate offline medical care terminals based on the target monitoring functions, and determine the monitoring level of each of the target offline medical care terminals, wherein the monitoring level of the target offline medical care terminal is lower than that of the first online doctor terminal;
[0014] The target personnel list is constructed based on the first online doctor terminal and the target offline medical terminal, wherein the target personnel list records the target monitoring function and the monitoring level.
[0015] According to some embodiments of the present invention, the online medical platform is also in communication connection with a second online doctor terminal, and after the target personnel list is constructed based on the first online doctor terminal and the target offline medical terminal, the method further includes:
[0016] Filter out at least one replacement offline medical care terminal from the candidate offline medical care terminals, whose offline function information is the same as the online function information recorded in the first doctor information, and send the target personnel list and the offline medical care personnel information of the replacement offline medical care terminal to the first online doctor terminal and the target patient terminal;
[0017] When the first online doctor terminal or the target patient terminal inserts the second online doctor terminal into the target personnel list, the second doctor information pre-associated with the second online doctor terminal is obtained, the second doctor information is authenticated through the target HIS system, and the monitoring level and the target monitoring function of the second online doctor terminal are allocated through the first online doctor terminal;
[0018] And / or, when the first online doctor terminal or the target patient terminal selects an equivalent offline medical care terminal from at least one of the replacement offline medical care terminals, the equivalent offline medical care terminal is added to the target personnel list, wherein the monitoring level of the equivalent offline medical care terminal is the same as that of the first online doctor terminal.
[0019] According to some embodiments of the present invention, the step of saving the offline monitoring information generated by the target offline medical terminal in response to the offline monitoring instruction to the hospitalization information pool includes:
[0020] Creating information sub-pools corresponding to each of the monitoring levels in the hospitalization information pool, and associating the target offline medical terminal with the information sub-pool corresponding to the monitoring level, wherein the target offline medical terminal with a higher monitoring level can access the corresponding information sub-pool with a lower monitoring level;
[0021] Based on the monitoring level, the offline monitoring information is saved to the corresponding information sub-pool, and a first update notification is sent to the target offline medical terminal and / or the second online doctor terminal with a higher monitoring level;
[0022] When the first online doctor terminal is in an offline state, the first update notification is sent to the equivalent offline medical terminal.
[0023] According to some embodiments of the present invention, the step of saving the offline monitoring information to the corresponding information sub-pool based on the monitoring level includes:
[0024] When the offline monitoring information carries a review request, forwarding the offline monitoring information to the target offline medical terminal with a higher monitoring level;
[0025] When the audit confirmation information sent by the target offline medical terminal with a higher monitoring level is obtained, the offline monitoring information and the audit confirmation information are respectively saved in the corresponding information sub-pool.
[0026] According to some embodiments of the present invention, after saving the offline monitoring information generated by the target offline medical terminal in response to the offline monitoring instruction to the hospitalization information pool, the method further includes:
[0027] When a video monitoring request is obtained, multiple target video terminals are determined according to the video monitoring request, wherein the video terminals include the target patient terminal, the first online doctor terminal and at least one of the target offline medical terminals, and the video monitoring request is initiated by any of the target video terminals;
[0028] Constructing a target video process, and connecting each of the target video terminals to the target video process;
[0029] Record the target monitoring video of the target video process, and save the target monitoring video to the inpatient information pool.
[0030] According to some embodiments of the present invention, after saving the offline monitoring information generated by the target offline medical terminal in response to the offline monitoring instruction to the hospitalization information pool, the method further includes:
[0031] When the third medical advice information sent by the first online doctor terminal is obtained, a discharge request is sent to the target HIS system, wherein the third medical advice information is used to indicate the discharge requirement;
[0032] Generate an electronic medical record belonging to the target patient terminal based on the hospitalization information pool, and send the electronic medical record to the first online doctor terminal for signature;
[0033] The electronic medical record with signature is saved in the target HIS system.
[0034] In a second aspect, an embodiment of the present invention provides a remote monitoring device based on an online medical platform, comprising at least one control processor and a memory for communicating with the at least one control processor; the memory stores instructions executable by the at least one control processor, and the instructions are executed by the at least one control processor so that the at least one control processor can execute the remote monitoring method based on the online medical platform as described in the first aspect above.
[0035] In a third aspect, an embodiment of the present invention provides an electronic device, comprising a remote monitoring device based on an online medical platform as described in the second aspect above.
[0036] In a fourth aspect, an embodiment of the present invention provides a computer-readable storage medium storing computer-executable instructions, wherein the computer-executable instructions are used to execute the remote monitoring method based on the online medical platform as described in the first aspect above.
[0037] The remote monitoring method based on an online medical platform according to an embodiment of the present invention has at least the following beneficial effects: when the first hospitalization order constructed online by the first online doctor terminal is obtained, the first doctor information pre-associated with the first online doctor terminal is obtained, and the first doctor information is authenticated by the target HIS system, wherein the first hospitalization order is used to indicate hospitalization needs and diagnosis results; a target personnel list is constructed based on the first hospitalization order, and a target hospitalization request is sent to the target HIS system based on the target personnel list and the first hospitalization order, wherein the target personnel list records the first online doctor terminal and multiple target offline medical terminals, each of which is The target offline medical terminal is pre-bound with the offline medical staff information registered in the target HIS system; when the approval information of the target HIS system based on the target hospitalization request feedback is obtained, the second hospitalization order constructed by the first online doctor terminal is obtained, wherein the second hospitalization order is used to indicate the monitoring needs; a hospitalization information pool belonging to the target patient terminal is created, and the access rights of the first online doctor terminal in the hospitalization information pool are opened; offline monitoring instructions of each target offline medical terminal are generated based on the second hospitalization order, and the offline monitoring information generated by the target offline medical terminal in response to the offline monitoring instruction is saved to the hospitalization information pool. According to the technical solution of the embodiment of the present invention, the online doctor can be authenticated by the target HIS system of the offline medical institution, so that the online doctor can have the authority to join the target personnel list of offline hospitalization, issue monitoring instructions through online orders, and realize online monitoring by accessing the offline monitoring information uploaded to the hospitalization information pool by the target offline medical terminal, which effectively improves the application of online medical resources and improves the user experience of the online medical platform. BRIEF DESCRIPTION OF THE DRAWINGS
[0038] Figure 1 is a connection diagram of an online medical platform provided by an embodiment of the present invention;
[0039] Figure 2 is a flow chart of a remote monitoring method based on an online medical platform provided by another embodiment of the present invention;
[0040] Figure 3 is a complete flow chart of a remote monitoring method based on an online medical platform provided by another embodiment of the present invention;
[0041] Figure 4 It is a structural diagram of a remote monitoring device based on an online medical platform provided by another embodiment of the present invention. DETAILED DESCRIPTION
[0042] Embodiments of the present invention are described in detail below, examples of which are shown in the accompanying drawings, wherein the same or similar reference numerals throughout represent the same or similar elements or elements having the same or similar functions. The embodiments described below with reference to the accompanying drawings are exemplary and are only used to explain the present invention, and cannot be understood as limiting the present invention.
[0043] In the description of the present invention, it should be understood that descriptions involving orientations, such as up, down, front, back, left, right, etc., and orientations or positional relationships indicated are based on the orientations or positional relationships shown in the accompanying drawings, and are only for the convenience of describing the present invention and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore should not be understood as a limitation on the present invention.
[0044] In the description of the present invention, "several" means one or more, "more" means more than two, "greater than", "less than", "exceed" etc. are understood as not including the number itself, and "above", "below", "within" etc. are understood as including the number itself. If there is a description of "first" or "second", it is only used for the purpose of distinguishing the technical features, and cannot be understood as indicating or implying the relative importance or implicitly indicating the number of the indicated technical features or implicitly indicating the order of the indicated technical features.
[0045] In the description of the present invention, unless otherwise clearly defined, terms such as setting, installing, connecting, etc. should be understood in a broad sense, and technicians in the relevant technical field can reasonably determine the specific meanings of the above terms in the present invention based on the specific content of the technical solution.
[0046] The embodiment of the present invention provides a remote monitoring method, device, equipment, and medium based on an online medical platform, wherein the remote monitoring method based on the online medical platform includes: when a first hospitalization order constructed online by the first online doctor terminal is obtained, the first doctor information pre-associated with the first online doctor terminal is obtained, and the first doctor information is authenticated by the target HIS system, wherein the first hospitalization order is used to indicate hospitalization needs and diagnosis results; a target personnel list is constructed based on the first hospitalization order, and a target hospitalization request is sent to the target HIS system based on the target personnel list and the first hospitalization order, wherein the target personnel list records the first online doctor terminal and multiple target Offline medical terminal, each of the target offline medical terminal is pre-bound with offline medical staff information registered in the target HIS system; when the approval information of the target HIS system based on the target hospitalization request feedback is obtained, the second hospitalization order constructed by the first online doctor terminal is obtained, wherein the second hospitalization order is used to indicate the monitoring demand; a hospitalization information pool belonging to the target patient terminal is created, and the access rights of the first online doctor terminal in the hospitalization information pool are opened; based on the second hospitalization order, offline monitoring instructions are generated for each of the target offline medical terminals, and the offline monitoring information generated by the target offline medical terminal in response to the offline monitoring instruction is saved to the hospitalization information pool. According to the technical solution of the embodiment of the present invention, the online doctor can be authenticated by the target HIS system of the offline medical institution, so that the online doctor can have the authority to join the target personnel list of offline hospitalization, issue monitoring instructions through online orders, and realize online monitoring by accessing the offline monitoring information uploaded to the hospitalization information pool by the target offline medical terminal, which effectively improves the application of online medical resources and improves the user experience of the online medical platform.
[0047] First, refer to Figure 1 , Figure 1 A connection diagram of an online medical platform provided in an embodiment of the present invention.
[0048] like Figure 1 As shown, the online medical platform 10 of this embodiment is respectively communicatively connected with the first online doctor terminal 31, the second online doctor terminal 32, the target patient terminal 20 and the target HIS system 40.
[0049] It should be noted that the target HIS system belongs to an offline medical institution, such as an offline hospital. Those skilled in the art are familiar with the principles and architecture of the HIS system, and will not elaborate on them here. The online medical platform 10 can be a medical APP, which can be an affiliated APP of the target HIS system 40, or an independent third-party APP that can communicate with the target HIS system, and can interact with the target HIS system 40. The target patient terminal 10, the first online doctor terminal 31, and the second online doctor terminal 32 can be installed in the online medical platform 10 to achieve online diagnosis and treatment and online monitoring.
[0050] The following is based on Figure 1 The online medical platform shown further illustrates the technical solution of the embodiment of the present invention.
[0051] Reference Figure 2 , Figure 2 A flowchart of a remote monitoring method based on an online medical platform provided in an embodiment of the present invention, the remote monitoring method based on an online medical platform includes but is not limited to the following steps:
[0052] S10, when a first hospitalization order constructed online by a first online doctor terminal is obtained, first doctor information pre-associated with the first online doctor terminal is obtained, and the first doctor information is authenticated through a target HIS system, wherein the first hospitalization order is used to indicate hospitalization needs and diagnosis results;
[0053] S20, constructing a target personnel list based on the first hospitalization order, and sending a target hospitalization request to the target HIS system based on the target personnel list and the first hospitalization order, wherein the target personnel list records a first online doctor terminal and multiple target offline medical terminals, and each target offline medical terminal is pre-bound with offline medical personnel information registered in the target HIS system;
[0054] S30, when obtaining the approval information of the target HIS system based on the target hospitalization request feedback, obtaining the second hospitalization order constructed by the first online doctor terminal, wherein the second hospitalization order is used to indicate the monitoring requirement;
[0055] S40, creating a hospitalization information pool belonging to the target patient terminal, and opening the access rights of the first-line doctor terminal to the hospitalization information pool;
[0056] S50, generating offline monitoring instructions for each target offline medical terminal based on the second hospitalization order, and saving offline monitoring information generated by the target offline medical terminal in response to the monitoring instructions into the hospitalization information pool.
[0057] It should be noted that the first-line doctor terminal is a terminal used by first-line doctors to access the online medical platform. The operations of the first-line doctor terminal are actually related operations of the first-line doctors. The same applies to other terminals and will not be repeated later.
[0058] It should be noted that the first hospitalization order can be issued after the first online doctor terminal and the target patient terminal complete the online diagnosis and treatment. The first hospitalization order can represent the hospitalization needs and diagnosis results. For example, the first hospitalization order can be initiated after diagnosing that the relevant symptoms of the target patient require hospitalization. The first online doctor terminal and the target patient terminal can conduct online consultations through video, text or voice based on the online medical platform. The specific online consultation process will not be elaborated here.
[0059] It should be noted that the first hospitalization order carries the diagnosis results. On this basis, the offline medical staff who need to intervene during the hospitalization process can be determined. Since the target HIS system belongs to an offline medical institution, this embodiment accesses the target HIS system through an online medical platform and accesses the relevant database of offline medical staff belonging to the offline medical institution. It can determine the offline medical staff required for the hospitalization treatment of the target patient, such as doctors, nurses or caregivers in the hospital. In order to facilitate online monitoring, this embodiment pre-binds the target offline medical terminal for each offline medical staff, and registers the offline medical staff information in the target HIS system, so that subsequent information matching can be performed based on the offline medical staff information.
[0060] It should be noted that, in the case of an information set with offline medical staff information, the target patient's condition can be determined through the diagnosis results recorded in the first hospitalization order, so as to assign the corresponding target offline medical terminal to the patient, such as assigning doctors and nurses in the corresponding department. After determining the target offline medical terminal, a target personnel list is constructed, and a target hospitalization request is initiated based on the target personnel list and the first hospitalization order. Since the first online doctor terminal has been authenticated by the target HIS system, the accuracy of the diagnosis results can be recognized. The target HIS system, as a representation of an offline medical institution, can approve the target hospitalization request, such as manually judging through the background whether the scheduling of offline medical staff recorded in the target personnel list meets the conditions for approval. After approval, the target HIS system will feedback the approval information to the online medical platform to inform the target patient terminal and the first online doctor terminal that they can execute hospitalization and initiate the subsequent online monitoring process.
[0061] It should be noted that after obtaining the approval information, the first online doctor terminal is granted the permission to issue hospitalization prescriptions, so that the first online doctor terminal can issue a second hospitalization order to indicate the monitoring needs of the target patient during hospitalization. This embodiment does not limit the specific content of the second hospitalization order, and more hospitalization orders can be further issued while the target patient is under online monitoring, and they can be issued online according to actual needs.
[0062] It should be noted that after obtaining the second hospitalization order, it can be determined that the target patient can be admitted to the hospital offline. In this embodiment, a hospitalization information pool corresponding to the target patient terminal is created on the online medical platform, and an independent storage space is allocated for the hospitalization information pool. The offline monitoring information is saved through the hospitalization information pool to ensure that the same hospitalization information pool corresponds to the same target patient terminal, and the access permission of the first online doctor terminal is enabled at the same time to ensure that the first online doctor terminal can obtain various offline monitoring information from the hospitalization information pool, thereby realizing online monitoring.
[0063] It should be noted that this embodiment generates offline monitoring instructions for each target offline medical terminal based on the monitoring needs recorded in the second hospitalization medical order. Since the first online doctor is providing online diagnosis and treatment, monitoring requirements can be made to each offline medical staff through offline monitoring instructions. For example, offline monitoring instructions can be used to instruct offline hospital doctors to conduct relevant examinations on target patients, and offline hospital nurses can be instructed to monitor relevant vital signs of target patients through offline monitoring instructions.
[0064] It should be noted that when the target offline medical care terminal obtains the offline monitoring instruction, it can perform relevant monitoring operations and determine the online monitoring information, such as registering the health status of the target patient upon admission, or performing relevant monitoring operations according to the second hospitalization order. Each time a monitoring operation is completed, the corresponding target offline medical care terminal can upload the offline monitoring information and save the offline monitoring information to the hospitalization information pool.
[0065] Through the technical solution of this embodiment, the online doctor can trigger the offline hospitalization process. After the online doctor is authenticated by the target HIS system, the relevant offline medical staff are configured to form a hospitalization team. The online doctor issues monitoring instructions through the second hospitalization order. After the offline medical staff performs the relevant monitoring operations, the offline monitoring information is uploaded to the hospitalization information pool through the target offline medical terminal. The online doctor determines the offline monitoring information by accessing the hospitalization information pool to realize online monitoring.
[0066] In addition, in one embodiment, the offline medical staff information records department information and offline functional information, see Figure 3 , Figure 2 The step S20 shown in the figure further includes but is not limited to the following steps:
[0067] S21, determining a target department based on the diagnosis result, and acquiring multiple candidate offline medical terminals from a target HIS system based on the target department;
[0068] S22, determining multiple target monitoring functions based on hospitalization needs, screening target offline medical care terminals from candidate offline medical care terminals based on the target monitoring functions, and determining the monitoring level of each target offline medical care terminal, wherein the monitoring level of the target offline medical care terminal is lower than that of the first online doctor terminal;
[0069] S23, constructing a target personnel list based on the first-line doctor terminal and the target offline medical terminal, wherein the target personnel list records the target guardianship function and guardianship level.
[0070] It should be noted that the online medical platform can access the target HIS system and determine the target department for hospitalization after confirming the diagnosis result. The department setting of the offline hospital is not limited. Of course, you can also register the corresponding department when registering on the first online doctor terminal and use the registered department as the target department.
[0071] It should be noted that after determining the target department, the bound terminal of the medical staff of the corresponding department will be determined as the candidate offline medical staff terminal. There are many medical staff with the same function in offline medical institutions. This embodiment determines multiple target monitoring functions based on hospitalization needs, and selects target offline medical terminals according to the target monitoring functions to ensure the comprehensiveness of offline monitoring. For example, if relevant examinations are required, a corresponding target offline medical terminal will be matched from the optional resident doctors.
[0072] It should be noted that after the target offline medical terminals are screened out based on the target monitoring functions, their respective monitoring levels need to be determined. Medical staff with higher monitoring levels can review the monitoring information of medical staff with lower monitoring levels and issue relevant instructions. Therefore, the first-line doctor terminal has the highest monitoring level, and the remaining target offline medical terminals can be automatically determined according to their functions. For example, the monitoring level of resident doctors is higher than that of resident nurses, and the monitoring level of resident nurses is higher than that of resident care workers.
[0073] It should be noted that after determining the target monitoring functions and levels, the monitoring functions and levels corresponding to each terminal are recorded in the target personnel list to facilitate approval by the target HIS system.
[0074] In addition, in one embodiment, reference Figure 3 After executing step S23, the following steps are also included but not limited to:
[0075] S24, selecting at least one replacement offline medical care terminal whose offline function information is the same as the online function information recorded in the first doctor information from the candidate offline medical care terminals, and sending the target personnel list and the offline medical care personnel information of the replacement offline medical care terminal to the first online doctor terminal and the target patient terminal;
[0076] S25, when the first online doctor terminal or the target patient terminal inserts the second online doctor terminal into the target personnel list, obtains the second doctor information pre-associated with the second online doctor terminal, authenticates the second doctor information through the target HIS system, and allocates the monitoring level and target monitoring function of the second online doctor terminal through the first online doctor terminal;
[0077] S26, when the first online doctor terminal or the target patient terminal selects an equivalent offline medical terminal from at least one replacement offline medical terminal, the equivalent offline medical terminal is added to the target personnel list, wherein the monitoring level of the equivalent offline medical terminal is the same as that of the first online doctor terminal.
[0078] It should be noted that the first online doctor terminal is pre-set with the first doctor information, which may include the first online doctor's practice information and online functional information. The online functional information is used to indicate the relevant functions that the first online doctor can perform when hospitalized, such as prescribing, issuing monitoring instructions to the target offline medical care terminal at the lower level, etc. However, it is difficult to ensure that the first online doctor terminal is online at any time, so a replacement offline medical care terminal with the same offline functional information as the online functional information of the first doctor information can be screened out, such as from doctors in the same department of an offline medical institution as a replacement doctor, and the replacement doctor has the same function as the first online doctor. After determining an equivalent offline medical care terminal, the same monitoring function can be performed when the first online doctor terminal is offline, such as prescribing, issuing monitoring instructions, etc. Although it is offline monitoring, the corresponding offline monitoring information can still be generated to ensure the continuity of online monitoring.
[0079] It should be noted that after determining the replacement offline medical terminal, the target personnel list and the replacement offline medical terminal will be sent to the first online doctor terminal and the target patient terminal. The first online doctor terminal will determine whether the replacement offline medical terminal meets the diagnosis and treatment requirements, and select an equivalent offline medical terminal from them. The equivalent offline medical terminal will perform the monitoring function of the first online doctor terminal in an equivalent manner. The target patient terminal will be informed of the replacement offline medical terminals available offline to improve the transparency and user experience of the online medical platform.
[0080] It should be noted that the second online doctor terminal is the online assistant of the first online doctor terminal, and can perform online monitoring with a lower level of monitoring, such as assisting the first online doctor terminal in issuing monitoring instructions. Since the second online doctor terminal is designated by the first online doctor terminal, the first online doctor terminal needs to set the target monitoring function and monitoring level, and it must be authenticated by the target HIS system to improve the flexibility of online monitoring personnel.
[0081] In addition, in one embodiment, reference Figure 3 , Figure 2 The step S50 shown in the figure further includes but is not limited to the following steps:
[0082] S51, creating information sub-pools corresponding to each monitoring level in the inpatient information pool, and associating the target offline medical terminal with the information sub-pool corresponding to the monitoring level, wherein the target offline medical terminal with a higher monitoring level can access the corresponding information sub-pool with a lower monitoring level;
[0083] S52, saving the offline monitoring information to the corresponding information sub-pool based on the monitoring level, and sending a first update notification to the target offline medical terminal with a higher monitoring level and / or the second online doctor terminal;
[0084] S53: When the first online doctor terminal is in an offline state, a first update notification is sent to an equivalent offline medical terminal.
[0085] It should be noted that, according to the description of the above embodiment, multiple target offline medical care terminals can construct corresponding offline monitoring information. This embodiment constructs an information sub-pool corresponding to each target offline medical care terminal in the inpatient information pool, and partitions and stores the offline monitoring information constructed by different target offline medical care terminals, which is convenient for subsequent statistics of electronic medical records and can also distinguish information of different monitoring levels, which is beneficial for the first-line doctor terminal to view the offline monitoring information of the corresponding monitoring level.
[0086] It should be noted that, in this embodiment, the access rights of the information sub-pool of this embodiment are downward compatible, that is, medical staff with higher monitoring levels can access the information sub-pool of medical staff with lower monitoring levels. For example, the monitoring level of resident doctors is higher than that of resident nurses, and resident doctors can view the offline monitoring information uploaded by resident nurses to ensure the reliability of the monitoring information.
[0087] It should be noted that after each target offline medical terminal uploads the offline monitoring information, a first update notification is sent to the first online doctor terminal and / or the second online doctor terminal. The second online doctor terminal and the first online doctor terminal are assigned. Since they are online terminals, they can assist the first online doctor in making a preliminary judgment on the offline monitoring information. If the symptoms represented by the offline monitoring information require further diagnosis by the first online doctor, the corresponding offline monitoring information will be transferred to the first online doctor terminal.
[0088] It should be noted that, according to the description of the above embodiments, the equivalent offline medical care terminal has the same monitoring function as the first-line doctor terminal. Therefore, when the first-line doctor terminal is offline, the equivalent offline medical care terminal can replace it to perform the corresponding monitoring function. For example, in more urgent situations, a diagnosis can be made based on offline monitoring information to ensure the continuity and reliability of monitoring.
[0089] In addition, in one embodiment, reference Figure 3 Step S51 specifically includes but is not limited to the following steps:
[0090] S511, when the offline monitoring information carries a review request, the offline monitoring information is forwarded to a target offline medical terminal with a higher monitoring level;
[0091] S512, when the review confirmation information sent by the target offline medical terminal with a higher monitoring level is obtained, the offline monitoring information and the review confirmation information are respectively saved in the corresponding information sub-pool.
[0092] It should be noted that when offline monitoring information carries an audit request, it can be determined that the target offline medical terminal at a lower level only collects offline monitoring information, and the target offline medical terminal at a higher level needs to confirm before the offline monitoring information can be archived to the information sub-pool. For example, after the imaging operator collects the physiological image, the imaging physician will diagnose the physiological image to obtain the diagnosis result. At this time, it can be uploaded step by step according to the correlation between the monitoring level and the target monitoring function. After obtaining the audit confirmation information, the offline monitoring information is saved to the lower level information sub-pool, and the offline monitoring information and the audit confirmation information are saved to the higher level information sub-pool to ensure the reliability of the monitoring information.
[0093] In addition, in one embodiment, reference Figure 3 After executing Figure 2 After step S50, the following steps are also included but not limited to:
[0094] S61, when a video monitoring request is obtained, multiple target video terminals are determined according to the video monitoring request, wherein the video terminals include a target patient terminal, a first online doctor terminal and at least one target offline medical terminal, and the video monitoring request is initiated by any target video terminal;
[0095] S62, constructing a target video process, and connecting each target video terminal to the target video process;
[0096] S63, recording the target monitoring video of the target video process, and saving the target monitoring video to the hospitalization information pool.
[0097] It should be noted that the first online doctor terminal belongs to an online terminal. When a video consultation is required, a video monitoring request can be initiated by any terminal. For example, the first online doctor terminal initiates a video monitoring request due to the need for ward rounds. Another example is that the target patient terminal initiates a video monitoring request after new symptoms appear. Another example is that the target offline medical terminal initiates a video monitoring request when it believes that the attending physician needs to make further diagnosis based on the monitoring operation. When initiating a video monitoring request through the online medical platform, you can check the corresponding target video terminal to build a target video process so that each target video terminal can access the target video process for video monitoring. The online medical platform records the target monitoring video and saves it to the inpatient information pool as monitoring information to ensure the comprehensiveness of the monitoring information.
[0098] In addition, in one embodiment, reference Figure 3 After executing Figure 2 After step S50, the following steps are also included but not limited to:
[0099] S71, when the third medical advice information sent by the first online doctor terminal is obtained, a discharge request is sent to the target HIS system, wherein the third medical advice information is used to indicate the discharge requirement;
[0100] S72, generating an electronic medical record belonging to the target patient terminal based on the hospitalization information pool, and sending the electronic medical record to the first-line doctor terminal for signature;
[0101] S73, save the signed electronic medical record to the target HIS system.
[0102] It should be noted that after the target patient meets the discharge conditions, the first online doctor terminal can send the third medical order information to trigger the discharge process. After the online medical platform obtains the third medical order information, it generates an electronic medical record based on the hospitalization information pool. Since the hospitalization information pool can be divided into multiple information sub-pools, the content of the same day can be obtained from each information sub-pool for aggregation, or each information sub-pool can be separated to generate a separate information set in the electronic medical record. The specific adjustment can be made according to the actual needs of the electronic medical record.
[0103] It should be noted that after the electronic medical record is generated, it is sent to the first-line doctor terminal for signature. For example, a Token is generated when the target HIS system authenticates the first-line doctor terminal, and the corresponding Token is added to the electronic medical record to indicate that the electronic medical record is effective. Finally, the electronic medical record is saved to the target HIS system for archiving.
[0104] like Figure 4 As shown, Figure 4 : is a structural diagram of a remote monitoring device based on an online medical platform provided by an embodiment of the present invention. The present invention also provides a remote monitoring device based on an online medical platform, comprising:
[0105] The processor 401 may be implemented by a general-purpose central processing unit (CPU), a microprocessor, an application-specific integrated circuit (ASIC), or one or more integrated circuits, and is used to execute relevant programs to implement the technical solutions provided in the embodiments of the present application;
[0106] The memory 402 can be implemented in the form of a read-only memory (ROM), a static storage device, a dynamic storage device, or a random access memory (RAM). The memory 402 can store an operating system and other application programs. When the technical solution provided in the embodiment of this specification is implemented by software or firmware, the relevant program code is stored in the memory 402, and the processor 401 calls and executes the remote monitoring method based on the online medical platform in the embodiment of this application;
[0107] Input / output interface 403, used to implement information input and output;
[0108] Communication interface 404, used to realize communication interaction between the device and other devices, which can be realized through wired mode (such as USB, network cable, etc.) or wireless mode (such as mobile network, WI FI, Bluetooth, etc.);
[0109] Bus 405 , which transmits information between various components of the device (e.g., processor 401 , memory 402 , input / output interface 403 , and communication interface 404 );
[0110] The processor 401 , the memory 402 , the input / output interface 403 and the communication interface 404 are connected to each other in communication within the device via the bus 405 .
[0111] An embodiment of the present application also provides an electronic device, including the remote monitoring device based on the online medical platform as described above.
[0112] An embodiment of the present application also provides a storage medium, which is a computer-readable storage medium. The storage medium stores a computer program, and when the computer program is executed by a processor, the above-mentioned remote monitoring method based on the online medical platform is implemented.
[0113] As a non-transient computer-readable storage medium, the memory can be used to store non-transient software programs and non-transient computer executable programs. In addition, the memory may include a high-speed random access memory, and may also include a non-transient memory, such as at least one disk storage device, a flash memory device, or other non-transient solid-state storage devices. In some embodiments, the memory may optionally include a memory remotely arranged relative to the processor, and these remote memories may be connected to the processor via a network. Examples of the above-mentioned networks include, but are not limited to, the Internet, an intranet, a local area network, a mobile communication network, and a combination thereof. The device embodiments described above are merely schematic, wherein the units described as separate components may or may not be physically separated, and are implemented to be located in one place, or may also be distributed to multiple network units. Some or all of the modules may be selected according to actual needs to achieve the purpose of the present embodiment.
[0114] It will be appreciated by those skilled in the art that all or some of the steps and systems in the disclosed method above may be implemented as software, firmware, hardware and appropriate combinations thereof. Some physical components or all physical components may be implemented as software executed by a processor, such as a central processing unit, a digital signal processor or a microprocessor, or may be implemented as hardware, or may be implemented as an integrated circuit, such as an application specific integrated circuit. Such software may be distributed on a computer-readable medium, which may include a computer storage medium (or a non-transitory medium) and a communication medium (or a temporary medium). As known to those skilled in the art, the term computer storage medium includes volatile and non-volatile, removable and non-removable media implemented in any method or technology for storing information (such as computer-readable instructions, data structures, program modules or other data). Computer storage media include, but are not limited to, RAM, ROM, EEPROM, flash memory or other memory technologies, CD-ROM, digital versatile disks (DVD) or other optical disk storage, magnetic cassettes, magnetic tapes, disk storage or other magnetic storage devices, or any other medium that may be used to store desired information and may be accessed by a computer. Furthermore, it is well known to those skilled in the art that communication media typically include computer readable instructions, data structures, program modules, or other data in a modulated data signal such as a carrier wave or other transport mechanism, and may include any information delivery media.
[0115] The above is a specific description of the preferred implementation of the present invention, but the present invention is not limited to the above-mentioned implementation mode. Technical personnel familiar with the field can also make various equivalent deformations or substitutions under the shared conditions without violating the spirit of the present invention. These equivalent deformations or substitutions are all included in the scope defined by the claims of the present invention.
Claims
1. A remote monitoring method based on an online medical platform, It is characterized in that Applied to an online medical platform, the online medical platform is respectively connected to a first online doctor terminal, a target patient terminal and a target HIS system, and the online medical platform is also connected to a second online doctor terminal. The remote monitoring method based on the online medical platform includes: When obtaining the first hospitalization order constructed online by the first online doctor terminal, obtaining the first doctor information pre-associated with the first online doctor terminal, and authenticating the first doctor information through the target HIS system, wherein the first hospitalization order is used to indicate hospitalization needs and diagnosis results; Building a target personnel list based on the first hospitalization medical order, and sending a target hospitalization request to the target HIS system based on the target personnel list and the first hospitalization medical order, wherein the target personnel list records the first online doctor terminal and multiple target offline medical terminals, and each of the target offline medical terminals is pre-bound with offline medical personnel information registered in the target HIS system; When obtaining the approval information fed back by the target HIS system based on the target hospitalization request, obtaining the second hospitalization order constructed by the first online doctor terminal, wherein the second hospitalization order is used to indicate the monitoring requirement; Creating a hospitalization information pool belonging to the target patient terminal, and granting the first online doctor terminal access rights to the hospitalization information pool; Generate offline monitoring instructions for each of the target offline medical terminals based on the second hospitalization order, and save offline monitoring information generated by the target offline medical terminals in response to the offline monitoring instructions to the hospitalization information pool; The offline medical staff information records department information and offline functional information, and the target personnel list constructed based on the first hospitalization order includes: Determine a target department based on the diagnosis result, and obtain a plurality of candidate offline medical terminals from the target HIS system based on the target department; Determine a plurality of target monitoring functions based on the hospitalization demand, screen the target offline medical care terminals from the candidate offline medical care terminals based on the target monitoring functions, and determine the monitoring level of each of the target offline medical care terminals, wherein the monitoring level of the target offline medical care terminal is lower than that of the first online doctor terminal; Building the target personnel list based on the first online doctor terminal and the target offline medical terminal, wherein the target personnel list records the target guardianship function and the guardianship level; After constructing the target personnel list based on the first online doctor terminal and the target offline medical terminal, the method further includes: Filter out at least one replacement offline medical care terminal from the candidate offline medical care terminals, whose offline function information is the same as the online function information recorded in the first doctor information, and send the target personnel list and the offline medical care personnel information of the replacement offline medical care terminal to the first online doctor terminal and the target patient terminal; When the first online doctor terminal or the target patient terminal inserts the second online doctor terminal into the target personnel list, the second doctor information pre-associated with the second online doctor terminal is obtained, the second doctor information is authenticated through the target HIS system, and the monitoring level and the target monitoring function of the second online doctor terminal are allocated through the first online doctor terminal; and / or, when the first online doctor terminal or the target patient terminal selects an equivalent offline medical terminal from at least one of the replacement offline medical terminals, the equivalent offline medical terminal is added to the target personnel list, wherein the monitoring level of the equivalent offline medical terminal is the same as that of the first online doctor terminal; The step of saving the offline monitoring information generated by the target offline medical terminal in response to the offline monitoring instruction to the hospitalization information pool includes: Creating information sub-pools corresponding to each of the monitoring levels in the hospitalization information pool, and associating the target offline medical terminal with the information sub-pool corresponding to the monitoring level, wherein the target offline medical terminal with a higher monitoring level can access the corresponding information sub-pool with a lower monitoring level; Based on the monitoring level, the offline monitoring information is saved to the corresponding information sub-pool, and a first update notification is sent to the target offline medical terminal and / or the second online doctor terminal with a higher monitoring level; When the first online doctor terminal is in an offline state, the first update notification is sent to the equivalent offline medical terminal.
2. The remote monitoring method based on the online medical platform according to claim 1, It is characterized in that The step of saving the offline monitoring information to the corresponding information sub-pool based on the monitoring level includes: When the offline monitoring information carries a review request, forwarding the offline monitoring information to the target offline medical terminal with a higher monitoring level; When the audit confirmation information sent by the target offline medical terminal with a higher monitoring level is obtained, the offline monitoring information and the audit confirmation information are respectively saved in the corresponding information sub-pool.
3. The remote monitoring method based on the online medical platform according to claim 1, It is characterized in that After the offline monitoring information generated by the target offline medical terminal in response to the offline monitoring instruction is saved in the hospitalization information pool, the method further includes: When a video monitoring request is obtained, multiple target video terminals are determined according to the video monitoring request, wherein the video terminals include the target patient terminal, the first online doctor terminal and at least one of the target offline medical terminals, and the video monitoring request is initiated by any of the target video terminals; Constructing a target video process, and connecting each of the target video terminals to the target video process; Record the target monitoring video of the target video process, and save the target monitoring video to the inpatient information pool.
4. The remote monitoring method based on the online medical platform according to claim 1, It is characterized in that After the offline monitoring information generated by the target offline medical terminal in response to the offline monitoring instruction is saved in the hospitalization information pool, the method further includes: When the third medical advice information sent by the first online doctor terminal is obtained, a discharge request is sent to the target HIS system, wherein the third medical advice information is used to indicate the discharge requirement; Generate an electronic medical record belonging to the target patient terminal based on the hospitalization information pool, and send the electronic medical record to the first online doctor terminal for signature; The electronic medical record with signature is saved in the target HIS system.
5. A remote monitoring device based on an online medical platform, It is characterized in that It includes at least one control processor and a memory for communicating with the at least one control processor; the memory stores instructions that can be executed by the at least one control processor, and the instructions are executed by the at least one control processor so that the at least one control processor can execute the remote monitoring method based on the online medical platform as described in any one of claims 1 to 4.
6. An electronic device, It is characterized in that Including the remote monitoring device based on the online medical platform as described in claim 5.
7. A computer-readable storage medium, It is characterized in that The computer-readable storage medium stores computer-executable instructions, and the computer-executable instructions are used to enable a computer to execute the remote monitoring method based on an online medical platform as described in any one of claims 1 to 4.
Citation Information
Patent Citations
Wisdom medical system and method for inviting patient based on medical personnel
CN106295102A
Medical service system
CN107526934A
Out-of-hospital disease management intelligent application system based on inpatient medical advice mode
CN109817349A
Nursing method and system with hierarchical monitoring mode
CN115762736A
Hospital management system and electronic equipment
CN117877694A
