Internet hospital information optimization management method and system

Through the Internet hospital information optimization management methods and systems, the problem of inconvenience of doctors or nurses understanding the patient's past medical history is solved, and doctors obtain complete medical history information to improve diagnostic accuracy and treatment effect, and improve the standardization of the nursing process by generating nursing treatment sheets.

CN119889620AInactive Publication Date: 2025-04-25AFFILIATED HOSPITAL OF JINING MEDICAL UNIV
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Patent Information

Application Number
CN202510068607.1
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-01-16
Publication Date
2025-04-25
Estimated Expiration
Not applicable · inactive patent

AI Technical Summary

Technical Problem

It is inconvenient for a doctor or nurse to understand the patient's previous medical history, which will affect the diagnosis or treatment effect.

Method used

Through Internet hospital information optimization management methods and systems, a medical visit data sheet is generated based on the patient's registration data, and the patient's medical history information in multiple hospital information systems is obtained. Based on the medical history information and current symptom description, generate history related data and send it to the doctor's terminal of the doctor who is visiting the doctor. Doctors make diagnosis based on the medical history related data and current symptoms, and generate diagnostic data sheets and nursing treatment sheets.

Benefits of technology

This enables doctors to easily obtain complete patient history information, thereby improving diagnosis accuracy and treatment effect. At the same time, by generating and preserving nursing treatment sheets, the standardization and traceability of the nursing process are improved.

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Abstract

The invention discloses an internet hospital information optimization management method and system, and the method comprises the steps: generating a doctor seeing data sheet of a patient in a current hospital based on the registration data of the patient, and obtaining the medical history information of the patient in a plurality of hospital information systems; the doctor seeing data list comprises a doctor terminal of a current doctor seeing doctor and current symptom description of the patient; generating medical history associated data of the patient according to the medical history information and the current symptom description, and sending the medical history associated data to a doctor terminal of the current doctor for reference of the current doctor; the current doctor fills in the doctor-seeing data sheet through the doctor terminal, and a diagnosis data sheet is generated; according to the diagnosis data sheet and the medical history information, generating a nursing treatment sheet and sending the nursing treatment sheet to a corresponding nursing terminal; a nurse fills in a nursing treatment sheet through the nursing terminal, and a nursing document is generated; and associating and storing the diagnosis data sheet and the nursing document. The technical problem that in the prior art, doctors or nurses cannot conveniently know the past medical history of patients is solved.
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Description

Technical Field

[0001] The present invention relates to the field of hospital information management, and in particular to an Internet hospital information optimization management method and system. Background Art

[0002] The development of Internet technology has improved the information management level of hospitals. Hospital Information System (HIS) has been widely used in major hospitals and plays a certain technical support role in the efficient operation of hospitals. When patients visit the hospital, the medical information generated is saved by the hospital's hospital information system, which is convenient for subsequent inquiries.

[0003] Patients often store medical information in multiple different hospital information systems (HIS), but the hospital information systems (HIS) of major hospitals are independent of each other, making it inconvenient for doctors or nurses to inquire about patients' medical histories. Usually, doctors or nurses learn about patients' medical histories by checking the medical materials they bring and asking questions, which can easily lead to incomplete understanding of patients' medical histories, thus further affecting patients' diagnosis results or treatment effects. Summary of the invention

[0004] The purpose of the present invention is to provide an Internet hospital information optimization management method and system, which solves the technical problem in the prior art that it is inconvenient for doctors or nurses to understand the patient's medical history.

[0005] A first aspect of the present invention provides an Internet hospital information optimization management method, the management method comprising: Based on the patient's registration data, generate a medical consultation data sheet of the patient in the current hospital, and obtain the patient's medical history information in several hospital information systems; the medical consultation data sheet includes the doctor's terminal of the current doctor and the patient's current symptom description; Generate the patient's medical history-related data based on the medical history information and current symptom description and send it to the doctor's terminal of the current doctor for reference; the current doctor fills in the medical data sheet through the doctor's terminal to generate a diagnosis data sheet; the diagnosis data sheet includes a prescription; Generate a nursing treatment form based on the diagnosis data sheet and medical history information and send it to the corresponding nursing terminal; the nursing treatment form includes nursing precautions; the nursing staff fills in the nursing treatment form through the nursing terminal to generate a nursing document; Link and save diagnostic data sheets and nursing documents.

[0006] Furthermore, the registration data includes patient identity information, and the patient's medical history information in several hospital information systems is obtained, including: Based on the patient's identity information, generate a medical history authorization request and send it to the patient terminal; The patient authorizes the medical history authorization request through the patient terminal and generates a patient authorization signature; Based on the patient's authorization signature and the hospital certification of the current hospital, a medical history acquisition request is generated and sent to the hospital information system of the corresponding hospital to obtain the patient's medical history information in the hospital information system.

[0007] Furthermore, based on the medical history information and current symptom description, the patient's medical history-related data is generated, including: The patient's medical history information is divided according to the type of disease, and several medical history sections corresponding to each type of disease are sorted in chronological order; Based on the current symptom description, obtain the relevance of each type of disease; Based on the correlation of each type of disease, the user's various types of diseases are sorted to generate medical history correlation data.

[0008] Furthermore, based on the current symptom description, the correlation of each type of disease is obtained, including: Acquire characteristic symptoms of each type of disease, wherein the characteristic symptoms include basic symptoms and non-basic symptoms; each basic symptom and non-basic symptom is correspondingly set with an associated value; Compare the current symptom description with the characteristic symptoms of each type of disease to obtain the symptom matching items corresponding to each type of disease; The sum of the correlation values ​​of all symptom matching items of each type of disease is calculated, and the sum of the correlation values ​​is used as the correlation degree.

[0009] Furthermore, a nursing treatment form is generated based on the diagnosis data sheet and medical history information, including: Confirm the nursing precautions during the patient's treatment based on the medical history information and the prescriptions in the diagnostic data sheet; Generate nursing treatment orders based on prescriptions and nursing precautions.

[0010] Furthermore, based on the medical history information and the prescriptions in the diagnostic data sheet, confirm the nursing precautions during the patient's treatment, including: Obtain medication and treatment precautions for patients based on medical history information; Based on the prescription, confirm the information of therapeutic drugs and treatment items; Based on the therapeutic drug information and drug precautions, obtain the drug precautions during the current treatment process; Based on the treatment project information and treatment precautions, obtain the treatment precautions in the current treatment process; Generate nursing precautions based on medication precautions and treatment precautions.

[0011] Furthermore, the drug precautions include allergic drugs and the scope of drug use, and the treatment precautions include the patient's acceptance of each treatment item in the previous treatment process.

[0012] Further, the nursing documents include drug usage data, consumables usage data, and nursing evaluation data; The drug use data includes the time of drug collection, the amount of drug collection, the time of use, and the amount of drug use; The consumables usage data includes the collection time, collection amount, usage time and usage amount of the consumables; The nursing evaluation data includes the patient's evaluation of the degree of acceptance of each treatment item in the current treatment process.

[0013] Furthermore, the nursing documents also include medical expenses, consumables expenses and treatment expenses for each treatment item.

[0014] A second aspect of the present invention provides an Internet hospital information optimization management system for implementing the management method, the management system comprising: A registration module is used to generate a medical consultation data sheet of the patient in the current hospital based on the patient's registration data, and obtain the patient's medical history information in several hospital information systems; the medical consultation data sheet includes the doctor terminal of the current doctor and the patient's current symptom description; The data processing module is used to generate the patient's medical history related data according to the medical history information and the current symptom description and send it to the doctor's terminal of the current doctor for reference; it is also used to generate a nursing treatment form according to the diagnosis data sheet and the medical history information and send it to the corresponding nursing terminal; the nursing treatment form includes nursing precautions; The data receiving module is used to receive the medical data sheet filled out by the current doctor through the doctor terminal and generate a diagnosis data sheet, wherein the diagnosis data sheet includes a prescription; and is also used to receive the nursing treatment sheet filled out by the nursing staff through the nursing terminal and generate a nursing document; The storage module is used to associate and save the diagnosis data sheet and nursing documents.

[0015] Compared with the prior art, the present invention has the following beneficial effects: In the present invention, a medical data sheet of the current hospital is generated according to the patient's registration data, so as to facilitate the patient to see a doctor in the current hospital. At the same time, the patient's previous medical history information in each hospital information system is obtained according to the registration data, so as to generate medical history-related data in combination with the patient's current symptom description. The medical history-related data can more conveniently display the patient's past medical history, so that the current doctor can refer to and diagnose; after the doctor's diagnosis process is completed, the diagnosis data sheet and medical history information are combined to generate a nursing treatment sheet so that the nursing staff can understand the patient's nursing precautions and facilitate nursing treatment of the patient; by associating and saving the diagnosis data sheet and nursing documents, the patient's subsequent medical treatment and treatment are convenient. The technical problem of the inconvenience of doctors or nurses understanding the patient's past medical history in the prior art is solved. BRIEF DESCRIPTION OF THE DRAWINGS

[0016] Figure 1 This is a method step diagram of an Internet hospital information optimization management method of the present invention. DETAILED DESCRIPTION

[0017] The first aspect of the present invention, as Figure 1 As shown, a method for optimizing and managing information of an Internet hospital is provided, the management method comprising: S1: Based on the patient's registration data, generate a medical record sheet of the patient in the current hospital, and obtain the patient's medical history information in several hospital information systems; the medical record sheet includes the doctor's terminal of the current doctor and the patient's current symptom description; When a patient seeks medical treatment, he or she must first register and then go to the corresponding doctor for treatment; in this embodiment, when registering, the patient needs to upload identity information, previous hospitals, departments, doctors, and current physical symptoms to generate registration data; The patient's medical history information in several hospital information systems is obtained based on the patient's identity information; the doctor's terminal of the current doctor is confirmed based on the visiting department and the visiting doctor; and the current symptom description is generated based on the patient's current physical symptoms. That is, the medical data sheet is used to record the patient's identity information, visit time, current symptom description, and for the doctor's terminal to fill in prescriptions and diagnosis results, etc.

[0018] S2: Generate the patient's medical history related data based on the medical history information and current symptom description and send it to the doctor's terminal of the current doctor for reference by the current doctor; the current doctor fills in the medical data sheet through the doctor's terminal to generate a diagnosis data sheet; the diagnosis data sheet includes a prescription; In this embodiment, the current symptom description is associated with the patient's medical history, and medical history-related data is generated and displayed on the corresponding doctor terminal, which can provide a reference for doctors when diagnosing diseases and prescribing medicines; avoiding the situation where doctors do not have a comprehensive understanding of the patient's past medical history, thereby affecting the diagnosis results.

[0019] S3: Generate a nursing treatment form based on the diagnosis data sheet and medical history information and send it to the corresponding nursing terminal; the nursing treatment form includes nursing precautions; the nursing staff fills in the nursing treatment form through the nursing terminal to generate a nursing document; After seeing a doctor, the patient needs to receive corresponding treatment according to the prescription. In this embodiment, the personnel who execute the prescription content are collectively referred to as nursing staff, such as nurses, nursing assistants, and doctors who perform treatment projects. There are many nursing precautions in the nursing treatment process, such as patients have difficulty swallowing. Therefore, when there are large-particle drugs in the prescription, the large-particle drugs need to be processed so that the patients can take the drugs. The nursing treatment form includes the patient's identity information, nursing precautions, etc. The nursing staff records the nursing process and treatment process and enters the nursing treatment form to generate nursing documents.

[0020] S4: Link the diagnostic data sheet and nursing documents and save them.

[0021] In this embodiment, the diagnosis data sheet and the nursing document are associated according to the patient's identity information and saved as medical history information for query by the current hospital or for reference when the patient visits other hospitals.

[0022] The specific implementation process of this embodiment includes: In this embodiment, the current hospital's medical data sheet is generated based on the patient's registration data, so that the patient can visit the current hospital conveniently. At the same time, the patient's previous medical history information in each hospital information system is obtained based on the registration data, so as to generate medical history-related data in combination with the patient's current symptom description. The medical history-related data can more conveniently display the patient's past medical history, so that the current doctor can refer to and diagnose; after the doctor's diagnosis process is completed, the diagnosis data sheet and medical history information are combined to generate a nursing treatment sheet so that the nursing staff can understand the patient's nursing precautions and facilitate nursing treatment of the patient; by associating and saving the diagnosis data sheet and nursing documents, the patient's subsequent medical treatment and treatment are convenient. The technical problem of the inconvenience of doctors or nurses understanding the patient's past medical history in the prior art is solved.

[0023] In this embodiment, the doctor terminal includes a desktop computer and a computer; the current doctor views the medical data sheet and medical history-related data through the doctor terminal, and fills in the prescription in the medical data sheet to generate a diagnosis data sheet.

[0024] According to another embodiment of the present invention, the registration data includes patient identity information, and obtaining the patient's medical history information in several hospital information systems includes: based on the patient's identity information, generating a medical history authorization request and sending it to the patient terminal; the patient authorizes the medical history authorization request through the patient terminal and generates a patient authorization signature; based on the patient authorization signature and the hospital certification of the current hospital being visited, generating a medical history acquisition request and sending it to the hospital information system of the corresponding hospital to obtain the patient's medical history information in the hospital information system.

[0025] The specific implementation process of this embodiment includes: In this embodiment, the patient terminal includes a smart phone and a tablet computer. After the patient registers, when it is necessary to collect the patient's medical history information in various hospitals, the patient's authorization is required to protect the patient's privacy; therefore, a medical history authorization request needs to be sent to the patient terminal to obtain the patient's authorization signature. After obtaining the patient's authorization signature, a medical history acquisition request is generated in combination with the hospital certification of the current hospital visited, so that the patient's medical history information transmission process is more confidential. In this embodiment, each hospital information system provides a medical history query interface, which is used to verify the patient's authorization signature and hospital certification, and then query the corresponding patient's medical history information stored in the hospital information system.

[0026] According to another embodiment of the present invention, the medical history association data of the patient is generated according to the medical history information and the current symptom description, including: The patient's medical history information is divided according to the type of disease, and several medical history sections corresponding to each type of disease are sorted in chronological order; Based on the current symptom description, obtain the relevance of each type of disease; Based on the correlation of each type of disease, the user's various types of diseases are sorted to generate medical history correlation data.

[0027] The specific implementation process of this embodiment includes: In this embodiment, the patient's medical history in each hospital information system is first sorted out, and after being divided according to the type of disease, several medical histories of each type of disease are sorted in chronological order from recent to distant, so that the current doctor can trace the medical history and understand the development of a certain type of disease.

[0028] Each type of disease corresponds to multiple characteristic symptoms. The more characteristic symptoms match the current symptom description, the stronger the correlation is. Therefore, in this embodiment, based on the current symptom description, the correlation degree of each type of disease is obtained, including: Acquire characteristic symptoms of each type of disease, wherein the characteristic symptoms include basic symptoms and non-basic symptoms; each basic symptom and non-basic symptom is correspondingly set with an associated value; In this embodiment, the basic symptoms of a type of disease include common symptoms of the type of disease, and the non-basic symptoms include uncommon symptoms of the type of disease; wherein the division of common symptoms and uncommon symptoms is obtained by big data statistics, that is, the probability of occurrence of each symptom in patients with the type of disease is counted, and the symptoms are divided according to the probability of occurrence, for example, symptoms with an occurrence probability less than or equal to a set probability are classified as uncommon symptoms, and symptoms with an occurrence probability greater than a set probability are classified as common symptoms; In this embodiment, according to the symptoms recorded in the medical history information of each type of disease, the basic symptoms of the type of disease are adjusted. That is, according to the big data statistical results of a type of disease, there is a symptom that is an uncommon symptom, but the symptom has appeared in the patient's past medical history, then in the type of disease, the symptom is adjusted to a basic symptom; In this embodiment, the correlation values ​​of each basic symptom are equal, the correlation values ​​of each non-basic symptom are equal, and the correlation value of the basic symptom is greater than the correlation value of the non-basic symptom; in some other embodiments, each characteristic symptom is correspondingly set with a corresponding correlation value; the larger the correlation value, the greater the probability of the symptom appearing in this disease; Compare the current symptom description with the characteristic symptoms of each type of disease to obtain the symptom matching items corresponding to each type of disease; The sum of the correlation values ​​of all symptom matching items of each type of disease is calculated, and the sum of the correlation values ​​is used as the correlation degree.

[0029] In this embodiment, when the medical histories of various types of diseases are sorted, they are sorted according to the degree of correlation, and the medical histories of diseases with a large degree of correlation are displayed preferentially.

[0030] According to another embodiment of the present invention, a nursing treatment list is generated based on the diagnosis data list and the medical history information, including: Confirm the nursing precautions during the patient's treatment based on the medical history information and the prescriptions in the diagnostic data sheet; Generate nursing treatment orders based on prescriptions and nursing precautions.

[0031] The specific implementation process of this embodiment includes: In this embodiment, based on the medical history information and the prescription in the diagnosis data sheet, the nursing precautions during the patient's treatment are confirmed, including: The patient's medication precautions and treatment precautions are obtained based on the medical history information; the medication precautions include allergic drugs and the scope of drug use, and the treatment precautions include the patient's acceptance of each treatment item in the previous treatment process; the acceptance level in this embodiment is obtained by the nursing staff who performs the nursing treatment operation each time, based on the patient's actual performance and self-description. For example, a younger patient has a lower acceptance of injection treatment. When performing injection treatment, it is necessary to further consider the injection operation technique and avoid the occurrence of injection failure due to patient resistance to injection treatment.

[0032] Based on the prescription, confirm the information of therapeutic drugs and treatment items; Based on the therapeutic drug information and drug precautions, obtain the drug precautions during the current treatment process; Based on the treatment project information and treatment precautions, obtain the treatment precautions in the current treatment process; Generate nursing precautions based on medication precautions and treatment precautions.

[0033] According to another embodiment of the present invention, the nursing document includes drug usage data, consumables usage data and nursing evaluation data; the drug usage data includes the time of drug collection, the amount of collection, the time of use and the amount of use; the consumables usage data includes the time of consumable collection, the amount of collection, the time of use and the amount of use; the nursing evaluation data includes the patient's evaluation of the degree of acceptance of each treatment item in the current treatment process. The nursing document also includes medical expenses, consumables expenses and treatment expenses of each treatment item.

[0034] The specific implementation process of this embodiment includes: In this embodiment, the nursing staff fills out the nursing treatment form through the nursing terminal, records the nursing process and the treatment process, and generates a nursing document; so as to facilitate reference during subsequent medical treatment and nursing treatment.

[0035] A second aspect of the present invention provides an Internet hospital information optimization management system for implementing an Internet hospital information optimization management method, the management system comprising: A registration module is used to generate a medical consultation data sheet of the patient in the current hospital based on the patient's registration data, and obtain the patient's medical history information in several hospital information systems; the medical consultation data sheet includes the doctor terminal of the current doctor and the patient's current symptom description; The data processing module is used to generate the patient's medical history related data according to the medical history information and the current symptom description and send it to the doctor's terminal of the current doctor for reference; it is also used to generate a nursing treatment form according to the diagnosis data sheet and the medical history information and send it to the corresponding nursing terminal; the nursing treatment form includes nursing precautions; The data receiving module is used to receive the medical data sheet filled out by the current doctor through the doctor terminal and generate a diagnosis data sheet, wherein the diagnosis data sheet includes a prescription; and is also used to receive the nursing treatment sheet filled out by the nursing staff through the nursing terminal and generate a nursing document; The storage module is used to associate and save the diagnosis data sheet and nursing documents.

[0036] The above embodiments are only used to illustrate the technical method of the present invention rather than to limit it. Although the present invention has been described in detail with reference to the preferred embodiments, those skilled in the art should understand that the technical method of the present invention may be modified or replaced by equivalents without departing from the spirit and scope of the technical method of the present invention.

Claims

1. An Internet hospital information optimization management method, characterized by: The management method comprises: Based on the patient's registration data, generate a medical consultation data sheet of the patient in the current hospital, and obtain the patient's medical history information in several hospital information systems; the medical consultation data sheet includes the doctor's terminal of the current doctor and the patient's current symptom description; Generate the patient's medical history-related data based on the medical history information and current symptom description and send it to the doctor's terminal of the current doctor for reference; the current doctor fills in the medical data sheet through the doctor's terminal to generate a diagnosis data sheet; the diagnosis data sheet includes a prescription; Generate a nursing treatment form based on the diagnosis data sheet and medical history information and send it to the corresponding nursing terminal; the nursing treatment form includes nursing precautions; the nursing staff fills in the nursing treatment form through the nursing terminal to generate a nursing document; Link and save diagnostic data sheets and nursing documents.

2. The Internet hospital information optimization management method according to claim 1, characterized in that: The registration data includes patient identity information, and obtains the patient's medical history information in several hospital information systems, including: Based on the patient's identity information, generate a medical history authorization request and send it to the patient terminal; The patient authorizes the medical history authorization request through the patient terminal and generates a patient authorization signature; Based on the patient's authorization signature and the hospital certification of the current hospital, a medical history acquisition request is generated and sent to the hospital information system of the corresponding hospital to obtain the patient's medical history information in the hospital information system.

3. The Internet hospital information optimization management method according to claim 2, characterized in that: Generate the patient's medical history-related data based on the medical history information and current symptom description, including: The patient's medical history information is divided according to the type of disease, and several medical history sections corresponding to each type of disease are sorted in chronological order; Based on the current symptom description, obtain the relevance of each type of disease; Based on the correlation of each type of disease, the user's various types of diseases are sorted to generate medical history correlation data.

4. The Internet hospital information optimization management method according to claim 3, characterized in that: Based on the current symptom description, obtain the relevance of each type of disease, including: Acquire characteristic symptoms of each type of disease, wherein the characteristic symptoms include basic symptoms and non-basic symptoms; each basic symptom and non-basic symptom is correspondingly set with an associated value; Compare the current symptom description with the characteristic symptoms of each type of disease to obtain the symptom matching items corresponding to each type of disease; The sum of the correlation values ​​of all symptom matching items of each type of disease is calculated, and the sum of the correlation values ​​is used as the correlation degree.

5. The Internet hospital information optimization management method according to claim 1, characterized in that: Generate nursing treatment orders based on diagnostic data and medical history information, including: Confirm the nursing precautions during the patient's treatment based on the medical history information and the prescriptions in the diagnostic data sheet; Generate nursing treatment orders based on prescriptions and nursing precautions.

6. The Internet hospital information optimization management method according to claim 5, characterized in that: Based on the medical history information and the prescription in the diagnostic data sheet, confirm the nursing precautions during the patient's treatment, including: Obtain medication and treatment precautions for patients based on medical history information; Based on the prescription, confirm the information of therapeutic drugs and treatment items; Based on the therapeutic drug information and drug precautions, obtain the drug precautions during the current treatment process; Based on the treatment project information and treatment precautions, obtain the treatment precautions in the current treatment process; Generate nursing precautions based on medication precautions and treatment precautions.

7. The Internet hospital information optimization management method according to claim 6, characterized in that: The drug precautions include allergic drugs and the scope of drug use, and the treatment precautions include the patient's acceptance of each treatment item during previous treatment.

8. The Internet hospital information optimization management method according to claim 7, characterized in that: The nursing documents include drug use data, consumables use data and nursing evaluation data; The drug use data includes the time of drug collection, the amount of drug collection, the time of use, and the amount of drug use; The consumables usage data includes the collection time, collection amount, usage time and usage amount of the consumables; The nursing evaluation data includes the patient's evaluation of the degree of acceptance of each treatment item in the current treatment process.

9. The Internet hospital information optimization management method according to claim 8, characterized in that: The nursing documents also include medical expenses, consumables expenses and treatment expenses for each treatment item.

10. An Internet hospital information optimization management system, used to implement the management method according to any one of claims 1 to 9, characterized in that: The management system comprises: A registration module is used to generate a medical consultation data sheet of the patient in the current hospital based on the patient's registration data, and obtain the patient's medical history information in several hospital information systems; the medical consultation data sheet includes the doctor terminal of the current doctor and the patient's current symptom description; The data processing module is used to generate the patient's medical history related data according to the medical history information and the current symptom description and send it to the doctor's terminal of the current doctor for reference; it is also used to generate a nursing treatment form according to the diagnosis data sheet and the medical history information and send it to the corresponding nursing terminal; the nursing treatment form includes nursing precautions; The data receiving module is used to receive the medical data sheet filled out by the current doctor through the doctor terminal and generate a diagnosis data sheet, wherein the diagnosis data sheet includes a prescription; and is also used to receive the nursing treatment sheet filled out by the nursing staff through the nursing terminal and generate a nursing document; The storage module is used to associate and save the diagnosis data sheet and nursing documents.