Homogenization diagnosis and treatment and management method and device based on multi-region electronic medical records

Abstract

The invention provides a homogeneous diagnosis and treatment and management method and device based on multi-region electronic medical records. The method comprises the following steps: calling inspection data platforms, examination data platforms and electronic medical record platforms of a plurality of medical institutions in a region to obtain diagnosis and treatment data of a patient; and based on the diagnosis and treatment data of the referral medical institution and the referred medical institution, performing homogenized diagnosis and treatment and management on the patient. Sharing of regional electronic medical records is achieved, support is provided for retrieval, historical query, quality monitoring, sharing analysis and the like of regional medical information, and the requirements of medical treatment and management are met; standardized electronic medical record construction is a prerequisite basis for realizing clinical information sharing and medical institution cooperative service taking residents as a principal line in a regional range; the method not only can ensure that the health record is active, but also is beneficial to standardizing a clinical path, realizing medical process supervision, and promoting the improvement of medical service quality and emergency medical treatment capability.

Description

Technical Field

[0001] The present invention belongs to the field of homogeneous diagnosis and treatment and management of medical data, and specifically relates to a homogeneous diagnosis and treatment and management method and device based on multi-region electronic medical records. Background Art

[0002] Electronic medical records are records and summaries of the patient's medical process during their stay in the hospital and are the scientific basis for doctors to correctly diagnose and treat patients.

[0003] At present, the homogeneous diagnosis, treatment and management of patients based on diagnosis and treatment data are mainly carried out by building regional medical information platforms and sharing patient medical data. However, most information platforms still use the data generated by traditional unstructured electronic medical records for sharing. Unstructured data lacks data standards and has inconsistent data formats, which is not conducive to the review and analysis of different medical institutions. In addition, it greatly affects the quality control of medical record data. At the same time, traditional electronic medical records do not organize the patient's medical information in an orderly manner and design a reasonable data model based on the patient's medical records, which leads to time-consuming and incomplete data when reviewing medical record data. It cannot truly achieve the construction of a hospital information platform that is "patient-centered" and "centered on electronic medical records." Summary of the invention

[0004] The purpose of the present invention is to overcome the above problems and provide a homogeneous diagnosis and treatment and management method and device based on multi-regional electronic medical records.

[0005] In order to achieve the above purpose, the technical solution adopted by the present invention is:

[0006] A homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records, comprising the following steps:

[0007] Calling the test data platforms, examination data platforms and electronic medical record platforms of multiple medical institutions in the region to obtain the patient's diagnosis and treatment data; wherein the medical institutions include referral medical institutions and referred medical institutions;

[0008] Based on the diagnosis and treatment data of the referring medical institution and the referred medical institution, patients are provided with homogeneous diagnosis, treatment and management.

[0009] As a further improvement, the examination data, test data and electronic medical record data in the diagnosis and treatment data are shared among different medical institutions.

[0010] As a further improvement, when the medical institution is a referral medical institution, the referral medical institution can view the progress of the referred patient in real time.

[0011] As a further improvement, when the medical institution is a referred medical institution, the referred medical institution can view the relevant information of the referred patient in real time and can choose to accept or return it.

[0012] As a further improvement, the method of performing homogeneous diagnosis, treatment and management of patients based on the diagnosis and treatment data of the referring medical institution and the referred medical institution includes:

[0013] Doctors can independently switch to the testing data platform, examination data platform and electronic medical record platform of multiple medical institutions (referring medical institutions and referred medical institutions) in the region to provide homogeneous treatment and management for patients.

[0014] As a further improvement, the referred medical institution can view the relevant information of the referred patient in real time and choose to accept or return it, including:

[0015] View the summary data of patient information of referral medical institutions;

[0016] View the medical information of referred patients in real time;

[0017] Choose to admit or reject patients in real time.

[0018] As a further improvement, the referred medical institution may issue a hospitalization certificate in real time after receiving the patient.

[0019] As a further improvement, the referring medical institution can view the progress of the referred patient in real time, including:

[0020] Ability to view the summary of transferred patients’ information;

[0021] Check the current status of transferred patients in real time.

[0022] As a further improvement, the examination data, test data and electronic medical record data in the diagnosis and treatment data are shared among different medical institutions, further comprising:

[0023] Data interoperability among LIS, PACS, outpatient and inpatient electronic medical records between referring medical institutions and referred medical institutions.

[0024] On the other hand, the present invention also provides a homogeneous diagnosis and treatment and management device based on multi-regional electronic medical records, the device comprising at least one processor and a memory storing instructions, which, when executed by at least one processor, implements the method in the above technical solution.

[0025] A computer-readable storage medium stores a computer program, and the computer program is executed by a processor to implement the method described in the steps of the above technical solution.

[0026] A computer program product, comprising a computer program, wherein when the computer program is executed by a processor, the method described in the steps of the above technical solution is implemented.

[0027] The beneficial effects of the present invention are:

[0028] Based on the regional health information platform, a complete and truly fully structured electronic medical record system with patients at the center and electronic medical records as the core will be established. The patient's previous medical treatment and treatment data will be stored in an orderly, unified and standardized manner with the time of medical treatment as the vertical axis and the patient's diagnosis, medical advice, examination and test data as the horizontal axis. The data will be used by all networked hospitals to truly realize the sharing of regional electronic medical records, provide support for the retrieval, historical query, quality monitoring and shared analysis of regional medical information, and meet the needs of medical care and management. The construction of standardized electronic medical records is the prerequisite for realizing clinical information sharing and collaborative services among medical institutions with residents as the main line in the region. It can not only ensure that health records are "digitally available", but also help to standardize clinical pathways, realize medical process supervision, and promote the improvement of medical service quality and emergency medical treatment capabilities. BRIEF DESCRIPTION OF THE DRAWINGS

[0029] The present invention has the following accompanying drawings:

[0030] Figure 1 It is a flowchart of a homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records in some specific embodiments of the present invention;

[0031] Figure 2 is a schematic diagram of the structure of a homogeneous diagnosis, treatment and management device based on multi-region electronic medical records in some specific embodiments of the present invention;

[0032] Figure 3 is a schematic diagram of the ER structure of a referral medical institution in some specific embodiments of the present invention;

[0033] Figure 4 is a schematic diagram of the ER structure of a referred medical institution in some specific embodiments of the present invention;

[0034] Figure 5 A schematic diagram of a homogeneous diagnosis, treatment and management system for regional electronic medical records according to the present invention. DETAILED DESCRIPTION

[0035] The following examples further illustrate the content of the present invention, but should not be construed as limiting the present invention. Without departing from the spirit and substance of the present invention, modifications or substitutions made to the methods, steps or conditions of the present invention all fall within the scope of the present invention.

[0036] Embodiment 1:

[0037] like Figure 1As shown, the present invention provides a homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records, comprising the following steps:

[0038] Step S10: Calling the test data platform, examination data platform and electronic medical record platform of multiple medical institutions in the region to obtain the patient's diagnosis and treatment data;

[0039] For example, the inspection data platform, examination data platform and electronic medical record platform of multiple medical institutions in the region are called to obtain the patient's diagnosis and treatment data; wherein the medical institutions include referral medical institutions and referred medical institutions.

[0040] Calling the inspection data platform, examination data platform and electronic medical record platform of multiple medical institutions in the region to obtain the patient's diagnosis and treatment data includes the following steps:

[0041] Step 1: First, construct a data synchronization sharing interface on the interface platform and set data unification rules to ensure data standardization. Multiple medical institutions need to upload data to the inspection and testing data platform through the data synchronization interface according to the interface platform rules and pass the rule verification;

[0042] Step 2: At the same time, medical institutions that need to view data can log in to the workstation to enter the patient interface, which displays the current and historical examination and test data of the hospital. When the doctor clicks on the external hospital examination / test data, the patient's ID number is queried through the current patient's unique identification of the current visit to the hospital, and the interface platform interface is called to query all the current patient's examination / test data, which are returned to the workstation through the interface platform for display. When building the database, the patient database, examination database, and test database are linked.

[0043] For example, Figure 3 As shown, the patient database is bound to the examination database through the patient's unique identification ID (here is the ID number); the examination database is bound to the inspection database through the application number ID.

[0044] Step S11: Based on the diagnosis and treatment data of the referring medical institution and the referred medical institution, perform homogeneous diagnosis, treatment and management on the patient.

[0045] In some embodiments of the present invention, the examination data, test data and electronic medical record data in the diagnosis and treatment data are shared among different medical institutions.

[0046] In some embodiments of the present invention, when the medical institution is a referral medical institution, the referral medical institution can view the progress of the referred patient in real time.

[0047] In some embodiments of the present invention, when the medical institution is a referred medical institution, the referred medical institution can view the relevant information of the referred patient in real time and can choose to accept or return it.

[0048] In some embodiments of the present invention, based on the diagnosis and treatment data of the referring medical institution and the referred medical institution, homogeneous diagnosis, treatment and management of patients are performed, including: doctors can independently switch to the inspection data platform, examination data platform and electronic medical record platform of multiple medical institutions (referring medical institutions and referred medical institutions) in the region to perform homogeneous treatment and management of patients.

[0049] In some embodiments of the present invention, the homogeneous diagnosis, treatment and management of patients based on diagnosis and treatment data includes: doctors can independently switch to the inspection data platform, examination data platform and electronic medical record platform of multiple medical institutions in the region to provide homogeneous treatment and management of patients.

[0050] In some embodiments of the present invention, the referred medical institution can view the relevant information of the referred patient in real time and can choose to accept or return it, including:

[0051] View the summary data of patient information of referral medical institutions;

[0052] View the medical information of referred patients in real time;

[0053] Choose to admit or reject patients in real time.

[0054] In some embodiments of the present invention, after the referred medical institution receives the patient, a hospitalization certificate may be issued in real time.

[0055] In some embodiments of the present invention, the referring medical institution can view the progress of the referred patient in real time, including:

[0056] Ability to view the summary of transferred patients’ information;

[0057] Check the current status of transferred patients in real time.

[0058] In some embodiments of the present invention, the examination data, test data and electronic medical record data in the diagnosis and treatment data are shared in different medical institutions, further comprising:

[0059] Data interoperability among LIS, PACS, outpatient and inpatient electronic medical records between referring medical institutions and referred medical institutions.

[0060] The data exchange between the referring medical institution and the referred medical institution, LIS, PACS, outpatient and emergency department and inpatient electronic medical records, includes the following steps:

[0061] Step 11: The referring medical institution uploads the LIS, PACS and other data to the data center through the interface constructed by the interface platform and verifies it through the interface rules of the interface platform;

[0062] Step 12: When the referred medical institution enters the workstation, the current, previous and external hospital LIS and PACS data will be displayed. After selecting the external hospital data and the referring medical institution, the patient's ID number will be queried through the unique identifier of the patient's current visit. The interface constructed by the interface platform will then be called to query the LIS and PACS data of the transferring institution in the data center and return them to the workstation for viewing.

[0063] For example, Figure 4 As shown, the patient database is bound to the examination database through the patient's unique identification ID (here is the ID card number); the examination database is bound to the inspection database through the application number ID. At this time, the patient data is stored on the platform of the referral medical institution.

[0064] Embodiment 2:

[0065] like Figure 2 As shown, the present invention also provides a homogeneous diagnosis, treatment and management device based on multi-region electronic medical records, comprising:

[0066] The acquisition module is used to call the test data platform, examination data platform and electronic medical record platform of multiple medical institutions in the region to obtain the patient's diagnosis and treatment data;

[0067] The diagnosis and treatment and management module is used to provide homogeneous diagnosis, treatment and management of patients based on diagnosis and treatment data.

[0068] In some embodiments of the present invention, the examination data, test data and electronic medical record data in the diagnosis and treatment data are shared among different medical institutions.

[0069] In some embodiments of the present invention, when the medical institution is a referral medical institution, the referral medical institution can view the progress of the referred patient in real time.

[0070] In some embodiments of the present invention, when the medical institution is a referred medical institution, the referred medical institution can view the relevant information of the referred patient in real time and can choose to accept or return it.

[0071] In some embodiments of the present invention, the homogenized diagnosis, treatment and management of patients based on diagnosis and treatment data includes:

[0072] The first diagnosis, treatment and management module allows doctors to independently switch to the testing data platform, examination data platform and electronic medical record platform of multiple medical institutions in the region to provide homogeneous treatment and management for patients.

[0073] In some embodiments of the present invention, the referred medical institution can view the relevant information of the referred patient in real time and can choose to accept or return it, including:

[0074] The first viewing module is used to view the summary data of patient information of referral medical institutions;

[0075] The second viewing module is used to view the medical information of the referred patient in real time;

[0076] The selection module is used to select or reject patients in real time.

[0077] In some embodiments of the present invention, after the referred medical institution receives the patient, a hospitalization certificate may be issued in real time.

[0078] In some embodiments of the present invention, the referring medical institution can view the progress of the referred patient in real time, including:

[0079] The third viewing module is used to view the summary of transferred patient information;

[0080] The fourth viewing module is used to view the current status of transferred patients in real time.

[0081] In some embodiments of the present invention, the examination data, test data and electronic medical record data in the diagnosis and treatment data are shared in different medical institutions, further comprising:

[0082] Data interoperability among LIS, PACS, outpatient and inpatient electronic medical records between referring medical institutions and referred medical institutions.

[0083] The main construction contents of the clinical medical data management platform for the entire life cycle of the fully structured electronic medical record in the construction of the medical community are:

[0084] Sharing of inspection, testing and electronic medical record data within the region: The medical units of the medical community are connected to LIS, PACS, and outpatient and inpatient electronic medical record data, and each medical institution can freely view and call up the patient's diagnosis and treatment data within the scope of ensuring information security.

[0085] Referrals between medical institutions within the region: Medical institutions in the medical community rely on the patient health data management platform and the fully structured electronic medical record platform to achieve free referral of patients. The referring medical institution can view the progress of the referred patient in real time, and the referred medical institution can view the relevant information of the referred patient in real time, and can choose to accept or return the patient.

[0086] Homogeneous management of patients within the region: Relying on the clinical data management platform and the fully structured electronic medical record platform, clinical experts from medical institutions can freely switch to log in to the electronic medical record platforms of different medical institutions to provide homogeneous diagnosis, treatment and management for patients from different medical institutions.

[0087] The regional sharing and patient referral functions identify the same user (there is a UNION_ID logo above the user ID). The two systems each save the information (account) of the same user of the other system. When this user logs in, the system will obtain the TOKEN of the other system in the background, and the entrance to the other system will be displayed on the page. The user can directly enter the other system through this entrance.

[0088] The superior hospital queries the inspection and testing reports of the subordinate hospitals through the interface constructed by the ODIN interface platform.

[0089] In some specific embodiments, Figure 5 As shown, a homogeneous diagnosis and treatment and management system for regional electronic medical records includes at least one processor and a memory storing instructions to implement any one of the homogeneous diagnosis and treatment and management methods for regional electronic medical records in the above technical solutions.

[0090] In some specific embodiments, a computer-readable storage medium stores a computer program, and the computer program is executed by a processor to implement the steps in the above technical solution.

[0091] In some specific embodiments, a computer program product is provided, the computer program product includes a computer program, and when the computer program is executed by a processor, the method of implementing the steps in the above technical solution is implemented.

[0092] The embodiments and functional operations of the subject matter described in this specification may be implemented in: digital electronic circuitry, tangibly implemented computer software or firmware, computer hardware, including the structures disclosed in this specification and their structural equivalents, or a combination of more than one of the above. The embodiments of the subject matter described in this specification may be implemented as one or more computer programs, i.e., one or more modules of computer program instructions encoded on one or more tangible non-transitory program carriers, for execution by a data processing device or to control the operation of a data processing device.

[0093] Alternatively or additionally, the program instructions may be encoded on an artificially generated propagation signal, such as a machine-generated electrical, optical, or electromagnetic signal, which is generated to encode information for transmission to an appropriate receiver device for execution by a data processing device. The computer storage medium may be a machine-readable storage device, a machine-readable storage substrate, a random or serial access memory device, or a combination of one or more of the above devices.

[0094] A computer program (which may also be referred to or described as a program, software, software application, module, software module, script or code) may be written in any form of programming language, including compiled or interpreted languages ​​or declarative or procedural languages, and the computer program may be deployed in any form, including as a stand-alone program or as a module, component, subroutine or other unit suitable for use in a computing environment. A computer program may, but need not, correspond to a file in a file system. A program may be stored in a portion of a file that stores other programs or data, for example, one or more scripts stored in the following: in a markup language document; in a single file dedicated to a related program; or in multiple collaborative files, for example, files storing one or more modules, subroutines or code portions. A computer program may be deployed to execute on one or more computers, the computers being located in one place or distributed to multiple locations and interconnected by a communication network.

[0095] The contents not described in detail in this specification belong to the prior art known to professional and technical personnel in this field.

[0096] Although the present invention has been described in detail above by general description, specific implementation methods and experiments, it is obvious to those skilled in the art that some modifications or improvements can be made to the present invention. Therefore, these modifications or improvements made without departing from the spirit of the present invention all belong to the scope of protection claimed by the present invention.

Claims

1. A homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records, characterized in that: The following steps are involved: Calling the test data platforms, examination data platforms and electronic medical record platforms of multiple medical institutions in the region to obtain the patient's diagnosis and treatment data; wherein the medical institutions include referral medical institutions and referred medical institutions; Based on the diagnosis and treatment data of the referring medical institution and the referred medical institution, patients are provided with homogeneous diagnosis, treatment and management.

2. A homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records according to claim 1, characterized in that: The examination data, test data and electronic medical record data in the diagnosis and treatment data are shared among different medical institutions.

3. According to claim 1, a homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records is characterized in that: When the medical institution is a referral medical institution, the referral medical institution can view the progress of the referred patient in real time.

4. A homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records according to claim 1, characterized in that: When the medical institution is the referred medical institution, the referred medical institution can view the relevant information of the referred patient in real time and can choose to accept or return it.

5. A homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records according to claim 1, characterized in that: The method of providing homogeneous diagnosis, treatment and management of patients based on the diagnosis and treatment data of the referring medical institution and the referred medical institution includes: Doctors can independently switch to the testing data platform, examination data platform and electronic medical record platform of multiple medical institutions in the region to provide homogeneous treatment and management for patients.

6. A homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records according to claim 4, characterized in that: The referred medical institution can view the relevant information of the referred patient in real time and choose to accept or return it, including: View the summary data of patient information of referral medical institutions; View the medical information of referred patients in real time; Choose to admit or reject patients in real time.

7. A homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records according to claim 4, characterized in that: After the referred medical institution receives the patient, it can issue a hospitalization certificate in real time.

8. A homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records according to claim 3, characterized in that: The referring medical institution can view the progress of the referred patient in real time, including: Ability to view the summary of transferred patients’ information; Check the current status of transferred patients in real time.

9. A homogeneous diagnosis, treatment and management method based on multi-regional electronic medical records according to claim 2, characterized in that: The examination data, test data and electronic medical record data in the diagnosis and treatment data are shared among different medical institutions, further including: Data interoperability among LIS, PACS, outpatient and inpatient electronic medical records between referring medical institutions and referred medical institutions.

10. A homogeneous diagnosis, treatment and management device based on multi-regional electronic medical records, the device comprising at least one processor and a memory storing instructions, which, when executed by at least one processor, implements a homogeneous diagnosis, treatment and management method for regional electronic medical records as described in any one of claims 1-9.

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