CN101840412A

CN101840412A - Method, equipment and system for storing and acquiring medical information

Info

Publication number: CN101840412A
Application number: CN 201010115813
Authority: CN
Inventors: 包建军; 贾雪琴; 张余
Original assignee: China United Network Communications Group Co Ltd
Current assignee: China United Network Communications Group Co Ltd
Priority date: 2010-03-01
Filing date: 2010-03-01
Publication date: 2010-09-22

Abstract

The embodiment of the invention provides method, equipment and a system for storing and acquiring medical information. The method for storing the medical information comprises the following steps of: acquiring initial first medical information and initial second medical information; generating a local first level index in the initial first medical information and the initial second medical information respectively, generating a local second level index under the local first level index, and generating a local third level index under the local second level index; registering and storing each level of index information of the initial second medical information in each level of index information of the initial first medical information; registering and storing each level of index information of the initial first medical information in each level of index information of the initial second medical information; and updating local index information and remote index information of the initial first medical information and the initial second medical information respectively according to medical service accepted by individual person. The embodiment of the invention realizes mutual mapping of the information in electronic cases and health files, improves information acquisition efficiency, and reduces data redundancy.

Description

The storage means of medical information, acquisition methods and equipment, system

Technical field

The embodiment of the invention relates to technical field of information processing, relates in particular to a kind of storage means, acquisition methods and equipment, system of medical information.

Background technology

Health account is to be the information resources that core, record are relevant with health factor in the whole from birth to death life process, satisfy resident self needs and health control with resident's personal health.Electronic health record is the progress note that produces when writing down the resident and go to a doctor in medical institutions in the accessible mode of computing machine, checks medical informations such as assay, doctor's advice, operation record, NN.Have only electronic health record is linked in the health account, make its part that becomes the health account system, individual's electronic medical records and health account information are played a role in the larger context.How to realize technically the high-level efficiency storage and the information of health account and electronic medical records are obtained the major issue that becomes research.

In realizing process of the present invention, the inventor finds that prior art stores the full content of health account in the electronic medical records into, perhaps the full content with electronic medical records stores in the health account, when making information in obtaining health account or electronic medical records, the low problem of data redundancy and information acquisition efficiency appears.

Summary of the invention

The embodiment of the invention provides a kind of storage means, acquisition methods and equipment, system of medical information; when solving the information of obtaining in the prior art in health account or the electronic medical records; the problem that data redundancy and information acquisition efficiency are low; realize the information mutual mapping in electronic medical records and the health account; make data storage convenient; raising information obtain efficient, reduce data redundancy, help data protection and recovery.

The embodiment of the invention provides a kind of storage means of medical information, comprising:

Obtain initial first medical information and initial second medical information;

In described initial first medical information and initial second medical information, generate local one-level index respectively, under described local one-level index, generate local secondary index, and under described local secondary index, generate local three grades of index, comprise person identifier in the described local one-level index, comprise at least one subject area sign of distinguishing the individual type service that is medically treated in the described local secondary index, comprise the single medical services record identification in the corresponding medical services scope of described subject area sign in described local three grades of index;

In the index informations at different levels of described initial first medical information registration and preserve the index informations at different levels of described initial second medical information, as the long-range index information of described initial first medical information; And registration and preserve the index informations at different levels of described initial first medical information in the index informations at different levels of described initial second medical information, as the long-range index information of described initial second medical information;

According to the medical services that the individual accepts, local index information and the long-range index information to described initial first medical information and described initial second medical information upgrades respectively.

The embodiment of the invention provides a kind of acquisition methods of medical information, comprising:

Individual and medical profession kind according to inquiry, obtain the one-level index that comprises person identifier in first medical information, and obtain and distinguish be medically treated in the subject area sign of type service and the described subject area sign scope single medical services record identification in three grades of index of individual in the secondary index under the described one-level index, include local index and long-range index in described one-level index, secondary index and three grades of index;

If the medical profession kind of inquiry is local medical information, then in local three grades of index, obtain the medical services record of preserving under the described single medical services record identification according to single medical services record identification; If the medical profession kind of inquiry is a tele-medicine information, then obtain the medical services record of preserving under the described single medical services record identification according to the person identifier in the subject area sign in the long-range secondary index of single medical services record identification and correspondence thereof, the long-range one-level index from second medical information, the at different levels long-range index in described first medical information is respectively the local indexs at different levels in described second medical information.

The embodiment of the invention provides a kind of memory device of medical information, comprising:

First acquisition module is used to obtain initial first medical information and initial second medical information;

Generation module, in initial first medical information that described first acquisition module obtains and initial second medical information, generate local one-level index respectively, under described local one-level index, generate local secondary index, and under described local secondary index, generate local three grades of index, comprise person identifier in the described local one-level index, comprise at least one subject area sign of distinguishing the individual type service that is medically treated in the described local secondary index, comprise the single medical services record identification in the corresponding medical services scope of described subject area sign in described local three grades of index;

Registering modules is used in the index informations at different levels registration of described initial first medical information and preserves the index informations at different levels of described initial second medical information, as the long-range index information of described initial first medical information; And registration and preserve the index informations at different levels of described initial first medical information in the index informations at different levels of described initial second medical information, as the long-range index information of described initial second medical information;

Update module is used for the medical services according to individual's acceptance, and local index information and the long-range index information to described initial first medical information and described initial second medical information upgrades respectively.

The embodiment of the invention provides a kind of medical information equipment, comprising:

Second acquisition module, be used for individual and medical profession kind according to inquiry, obtain the one-level index that comprises person identifier in first medical information, and obtain and distinguish be medically treated in the subject area sign of type service and the described subject area sign scope single medical services record identification in three grades of index of individual in the secondary index under the described one-level index, include local index and long-range index in described one-level index, secondary index and three grades of index;

Judge module is used to judge that the medical profession kind of inquiry is local medical information or tele-medicine information;

Output module is used for then obtaining the medical services record of preserving under the described single medical services record identification according to single medical services record identification in local three grades of index if it is local medical information that described judge module is judged the medical profession kind of inquiry; If it is tele-medicine information that described judge module is judged the medical profession kind of inquiry, then obtain the medical services record of preserving under the described single medical services record identification according to the person identifier in the subject area sign in the long-range secondary index of single medical services record identification and correspondence thereof, the long-range one-level index from second medical information, the at different levels long-range index in described first medical information is respectively the local indexs at different levels in described second medical information.

The embodiment of the invention also provides a kind of system that obtains of medical information, comprises the first medical information equipment and the second medical information equipment;

The described first medical information equipment is used for, individual and medical profession kind according to inquiry, obtain the one-level index that comprises person identifier in first medical information, and obtain and distinguish be medically treated in the subject area sign of type service and the described subject area sign scope single medical services record identification in three grades of index of individual in the secondary index under the described one-level index, include local index and long-range index in described one-level index, secondary index and three grades of index; If the medical profession kind of inquiry is local medical information, then in local three grades of index, obtain the medical services record of preserving under the described single medical services record identification according to single medical services record identification; If the medical profession kind of inquiry is a tele-medicine information, then obtain the medical services record of preserving under the described single medical services record identification according to the person identifier in the subject area sign in the long-range secondary index of single medical services record identification and correspondence thereof, the long-range one-level index from the described second medical information equipment, the at different levels long-range index in described first medical information is respectively the local indexs at different levels in described second medical information;

The described second medical information equipment is used for, the medical services record of preservation is noted in these single medical services that single medical services record identification in person identifier in the described long-range one-level index that provides according to the described first medical information equipment, the sign of the subject area in the described long-range secondary index and the described long-range three grades of index obtains, and described medical services record is fed back to the described first medical information equipment.

The medical information storage means of the embodiment of the invention; acquisition methods and equipment; system; electronic medical records and health account are stored respectively; in electronic medical records and health account, set up index at different levels respectively according to the medical services classification; and the index at different levels in electronic medical records and the health account are registered mutually; when having solved the information of obtaining in the prior art in health account or the electronic medical records; the problem that data redundancy and information acquisition efficiency are low; realized information mutual mapping in electronic medical records and the health account and directly not integrated; thereby make data storage convenient; when consulting electronic medical records or health account; raising information obtain efficient; reduce data redundancy, help data protection and recovery.

Description of drawings

In order to be illustrated more clearly in the embodiment of the invention or technical scheme of the prior art, to do one to the accompanying drawing of required use in embodiment or the description of the Prior Art below introduces simply, apparently, accompanying drawing in describing below is some embodiments of the present invention, for those of ordinary skills, under the prerequisite of not paying creative work, can also obtain other accompanying drawing according to these accompanying drawings.

The storage means process flow diagram of the medical information that Fig. 1 provides for one embodiment of the invention;

The storage means process flow diagram of the medical information that Fig. 2 provides for another embodiment of the present invention;

The acquisition methods process flow diagram of the medical information that Fig. 3 provides for one embodiment of the invention;

The memory device structural representation of the medical information that Fig. 4 provides for one embodiment of the invention;

The memory device structural representation of the medical information that Fig. 5 provides for another embodiment of the present invention;

The medical information device structure synoptic diagram that Fig. 6 provides for one embodiment of the invention;

The medical information that Fig. 7 provides for one embodiment of the invention obtain the system architecture synoptic diagram.

Embodiment

For the purpose, technical scheme and the advantage that make the embodiment of the invention clearer, below in conjunction with the accompanying drawing in the embodiment of the invention, technical scheme in the embodiment of the invention is clearly and completely described, obviously, described embodiment is the present invention's part embodiment, rather than whole embodiment.Based on the embodiment among the present invention, those of ordinary skills belong to the scope of protection of the invention not making the every other embodiment that is obtained under the creative work prerequisite.

The storage means process flow diagram of the medical information that Fig. 1 provides for one embodiment of the invention, as shown in Figure 1, this method comprises:

S101, obtain initial first medical information and initial second medical information;

Wherein, if first medical information is an electronic medical records, then second medical information is a health account; Perhaps, if first medical information is a health account, then second medical information is an electronic medical records.Preserved information such as individual diagnosis, inspection and treatment in the electronic medical records, for example: information such as progress note, inspection or assay, doctor's advice, operation record and NN, electronic medical records is generally held in the electronic medical records system of hospital.Preserved the information relevant with health in the health account, for example: individual's information such as habits and customs, epidemic prevention, chronic disease treatment, rehabilitation nursing, mental health, family's medical history and all previous physical examination result are generally held in the health account system of community.

The present invention is an electronic medical records with first medical information, and second medical information is that health account describes.

When someone seeks medical advice (perhaps just being born) for the first time in hospital, need set up electronic medical records first for it according to the standard of electronic medical records; When someone is medically treated when service (or the neonate registers in Department of Civil Affairs) in community medical service center for the first time, need set up health account first for it according to the standard of health account.

S102, in initial first medical information and initial second medical information, generate local one-level index respectively, under the one-level index, generate local secondary index, and under local secondary index, generate local three grades of index, comprise person identifier in the local one-level index, comprise at least one subject area sign of distinguishing the individual type service that is medically treated in the local secondary index, comprise the interior single medical services record identification of medical services scope that the subject area sign is corresponding in local three grades of index;

In someone the initiating electron case of obtaining (being initial first medical information), generate local one-level index, local secondary index and local three grades of index successively, concrete: comprise person identifier in the local one-level index, this person identifier is the individual's of electronic medical records generation unique identification (Identity; Hereinafter to be referred as: ID) number; Local secondary index is subordinate's index of local one-level index, comprising at least one subject area sign, different subject area signs are used to distinguish the different medical type service that the individual accepts, for example: check result subject area, assay subject area and diagnostic result subject area etc., each subject area is identified at all corresponding unique ID in electronic medical records inside number; Local three grades of subordinate's index that index is local secondary index, comprising single medical services record identification, single medical services record identification is included in the subject area sign scope, for example: the single medical services record identification in the check result subject area scope, the single medical services record identification in the assay subject area scope and the single medical services record identification in the diagnostic result subject area scope etc.

Can adopt with quadrat method and in someone the initial health account (being initial second medical information) that obtains, generate local one-level index, local secondary index and local three grades of index successively, repeat no more.

Need to prove, the local one-level index of initial first medical information, be that person identifier in the electronic health record has uniqueness in the electronic medical records system of hospital, the local one-level index of initial second medical information, be that person identifier in the health account also has uniqueness in the health account system of community, both can be the same or different.

S103, registration and preserve the index informations at different levels of initial second medical information in the index informations at different levels of initial first medical information are as the long-range index information of initial first medical information; And registration and preserve the index informations at different levels of initial first medical information in the index informations at different levels of initial second medical information, as the long-range index information of initial second medical information;

Aforesaid someone electronic medical records (first medical information) and health account (second medical information) is to disperse to be stored in the health account system of the electronic medical records system of hospital and community, need understand someone relevant health status when hospital doctor, when perhaps the doctor of community need understand someone related medical record, information in the electronic medical records need be associated with information in the health account, concrete association process can be the index informations at different levels of registration in the index informations at different levels of initial electronic medical records and preservation health account, at different levels long-range index as electronic medical records, promptly in first medical information, set up mapping relations with second medical information, after these mapping relations are set up, one-level index in electronic medical records comprises local one-level index and long-range one-level index, secondary index in the electronic medical records comprises local secondary index and long-range secondary index, three grades of index in the electronic medical records comprise local three grades of index and long-range three grades of index, same, the index informations at different levels of registration and preservation electronic medical records in the index informations at different levels of health account, as the at different levels long-range index of health account, promptly in second medical information, also set up mapping relations with first medical information.So that hospital doctor can inquire relevant information in the health account by being registered in index information in the electronic medical records, the doctor of community can inquire relevant information in the electronic medical records by being registered in index information in the health account.

After first medical information and second medical information are set up mapping relations, if someone removes hospital admission, hospital doctor calls electronic medical records to understand this patient's relevant medical records information and health status, if hospital doctor is imported the search condition relevant with medical records in the electronic medical records system of hospital, then can directly from this patient's electronic medical records, obtain medical records information, further, the doctor can also be by the index of the health account registered in the electronic medical records, promptly by the relevant information in the health account of mapping relations that set up in the electronic health record and health account location, and by health account with the health status relevant information that retrieves, and feed back to hospital doctor.

S104, according to the medical services that the individual accepts, local index information and the long-range index information to initial first medical information and initial second medical information upgrades respectively.

Is example with someone in hospital's service of being medically treated, after the service of being medically treated, the local index content that need tackle mutually in the electronic medical records is upgraded, and adds single medical services record identification and preserves the medical services record in the relevant position of the local index of electronic medical records according to concrete medical services content.And need regularly this single medical services record identification to be added into the relevant position of health account, promptly the corresponding contents to the long-range index in the health account upgrades.

The medical information storage means of the embodiment of the invention; electronic medical records and health account are stored respectively; in electronic medical records and health account, set up index at different levels respectively according to the medical services classification; and the index at different levels in electronic medical records and the health account are registered mutually; when having solved the information of obtaining in the prior art in health account or the electronic medical records; the problem that data redundancy and information acquisition efficiency are low; realized information mutual mapping in electronic medical records and the health account and directly not integrated; thereby make data storage convenient; when consulting electronic medical records or health account; raising information obtain efficient, reduce data redundancy, help data protection and recovery.

The storage means process flow diagram of the medical information that Fig. 2 provides for another embodiment of the present invention, as shown in Figure 2, this method comprises:

S201, obtain initial first medical information and initial second medical information;

Present embodiment is an electronic health record with first medical information still, and second medical information is that health account is that example describes.

S202, in initial first medical information and initial second medical information, generate local one-level index respectively, under local one-level index, generate local secondary index, and under local secondary index, generate local three grades of index, comprise person identifier in the local one-level index, comprise at least one subject area sign of distinguishing the individual type service that is medically treated in the local secondary index, comprise the interior single medical services record identification of medical services scope that the subject area sign is corresponding in local three grades of index;

The process of setting up index at different levels in initial first medical information and initial second medical information is referring to last embodiment, repeat no more, it is to be noted, person identifier in the electronic health record has uniqueness in the electronic medical records system of hospital, person identifier in the health account also has uniqueness in the health account system of community, both can be the same or different, if both differences then have certain mapping relations between the two to identify same patient.

S203, the local one-level index in initial first medical information is registered to initial second medical information, as the long-range one-level index in the initial second medical information, local secondary index in initial first medical information and local three grades of index are registered under the long-range one-level index in initial second medical information and the long-range secondary index respectively, as the long-range secondary index in the initial second medical information and long-range three grades of index; Local one-level index in the initial second medical information is registered to initial first medical information, as the long-range one-level index in initial first medical information, the local secondary index of initial second medical information and local three grades of index are registered under the long-range one-level index in initial first medical information and the long-range secondary index respectively, as the long-range secondary index in initial first medical information and long-range three grades of index;

Concrete, someone electronic health record and health account in register local one-level index respectively, after local secondary index and the local three grades of index, local one-level index in the health account is registered to electronic medical records, long-range one-level index as electronic medical records, and the local secondary index in the health account and local three grades of index be registered to respectively under the long-range one-level index and long-range secondary index of electronic health record, long-range secondary index and long-range three grades of index as electronic medical records, after the registration, the index at different levels that comprise in the electronic health record are followed successively by: local one-level index (being the local one-level index in the electronic health record) and long-range one-level index (being the local one-level index in the health account), local secondary index (being the local secondary index in the electronic health record) and long-range secondary index (being the local secondary index in the health account), local three grades of index (being the three grades of index in this locality in the electronic health record) and long-range three grades of index (being the three grades of index in this locality in the health account).Thus, realized the mapping relations of health account territory electronic medical records have promptly been realized in the location of index at different levels in electronic health record in the health account, thereby can in electronic health record, inquire about the index at different levels in the health account.In health account the registration electronic health record in index at different levels process similarly.

S204, the medical services of accepting according to the individual, in three grades of index in this locality of initial first medical information of this medical services correspondence, add single medical services record identification/and the local secondary index at initial first medical information in add the subject area sign, and with this medical services recorded and stored to the single medical services record identification of adding;

Describe among the S204 for someone accepts the situation of a certain medical services in hospital, at first determine the affiliated scope of these medical services, if there has been the subject area sign of this medical services correspondence in the local secondary index of electronic health record, then directly add single medical services record identification in the three grades of index in this locality under this subject area sign, and with this time medical services recorded and stored to this single medical services record identification; If still there is not the subject area sign of this medical services correspondence in the local secondary index of electronic health record, then in the local secondary index of electronic health record, add the subject area sign of this medical services correspondence, and add single medical services record identification and preserve the medical services record in the three grades of index in this locality under this subject area sign.

The process of renewal health account similarly after community hospital accepts a certain medical services, be that S204 is the medical services of accepting according to the individual, in three grades of index in this locality of the initial second medical information of this medical services correspondence, add single medical services record identification/and the local secondary index in initial second medical information in add the subject area sign, and with this medical services recorded and stored to the single medical services record identification of adding.

S205, the single record identification of adding is saved to long-range three grades of index of initial second medical information/and the subject area sign of adding is saved to the long-range secondary index of initial second medical information.

In the description of S204, when someone after hospital accepts a certain medical services, add single medical services record identification in the three grades of index in this locality in electronic health record ,/and in the local secondary index of electronic health record, add the subject area sign.After electronic health record upgraded, also need timing or regular health account to do corresponding renewal to this person, concrete, the single medical services record identification of adding in the three grades of index in this locality in electronic health record is added in long-range three grades of index of health account according to the person identifier of this person in health account, / and the subject area of adding in the local secondary index of electronic health record sign is added in the long-range secondary index of health account, but do not need the medical services recorded and stored to health account, that is to say, only need the health account that is registered to of interpolation newly, to realize to inquire about and being linked to the medical services record of the new sign correspondence of adding of electronic health record by health account.

Corresponding with the another kind of situation of S204, S205 can also be saved to long-range three grades of index of initial first medical information/and the subject area sign of adding is saved to the long-range secondary index of initial first medical information for the single record identification that will add.

The acquisition methods process flow diagram of the medical information that Fig. 3 provides for one embodiment of the invention, as shown in Figure 3, this method comprises:

S301, according to the inquiry individual and medical profession kind, obtain the one-level index that comprises person identifier in first medical information, and obtain and distinguish be medically treated in the subject area sign of type service and the subject area sign scope single medical services record identification in three grades of index of individual in the secondary index under the one-level index, include local index and long-range index in this one-level index, secondary index and three grades of index;

Present embodiment is that electronic health record is that example describes with first medical information, and then corresponding, second medical information is a health account.

Be respectively arranged with local one-level index and long-range one-level index, local secondary index and long-range secondary index, local three grades of index and long-range three grades of index in electronic health record and the health account.Comprise person identifier respectively in local one-level index and the long-range one-level index, both person identifiers can be the same or different.Local secondary index and long-range secondary index are respectively subordinate's index of local one-level index and long-range one-level index, local secondary index and long-range secondary index comprise several subject area signs respectively, the subject area sign is used to distinguish the kind of the individual medical services of accepting, for example: check result subject area, assay subject area and diagnostic result subject area etc.Local three grades of index and long-range three grades of index are respectively subordinate's index of local secondary index and long-range secondary index, comprise the single medical services record identification in each subject area scope in local three grades of index and the long-range three grades of index, for example: the single medical services record identification in the check result subject area scope, the single medical services record identification in the assay subject area scope and the single medical services record identification in the diagnostic result subject area scope etc.

The long-range one-level index that comprises in the above-mentioned electronic health record is that the local one-level index of health account, long-range secondary index are that the local secondary index of health account is long-range, three grades of three grades of index in this locality that index is a health account, at different levels long-range index in the health account similarly repeats no more.

When someone during at hospital admission, the doctor can inquire this person's electronic medical records, can also get access to the information of the medical services that relate in the electronic health record according to the at different levels index of medical profession kind from electronic health record of inquiry, and can be by the single medical services record identification under the subject area sign of the various medical services correspondences in this person's the health account of the at different levels long-range search index in the electronic medical records.

The medical profession kind of S302, judgement inquiry is local medical information or tele-medicine information, if local medical information is then carried out S303, if tele-medicine information is then carried out S304;

S303, in local three grades of index, obtain the medical services record of preserving under the single medical services record identification according to single medical services record identification;

S304, obtain the medical services record of preserving under the single medical services record identification according to the subject area sign in single medical services record identification and the corresponding long-range secondary index thereof, the person identifier in the long-range one-level index from second medical information, the at different levels long-range index in first medical information is respectively the local indexs at different levels in second medical information.

When hospital doctor only need be inquired about medical services recorded information in the electronic health record, owing to directly preserve the medical services recorded information in the electronic health record, therefore, can inquire corresponding medical services recorded information by the single medical services record identification in local three grades of index; If hospital doctor also needs to inquire about the relevant information in this person's health account, the health account that can be positioned to this person by the person identifier in the long-range one-level index in the electronic health record, subject area sign in the long-range secondary index and the single medical services record identification in the long-range three grades of index under the subject area sign then, the person identifier that health account provides according to electronic medical records again, subject area sign and single medical services record identification are obtained the medical services record of local storage, and this medical services record is returned to hospital doctor.

Concrete, if the medical profession kind of doctor's inquiry is a tele-medicine information, then the person identifier in the subject area sign in the long-range secondary index of single medical services record identification and correspondence thereof, the long-range one-level index is fed back to second medical information; The medical services record of preservation is noted in these single medical services that second medical information obtains local storage according to the person identifier that receives, subject area sign and single medical services record identification, and feeds back to hospital doctor.

The acquisition methods of the medical information of the embodiment of the invention; because the index at different levels in electronic medical records and the health account are registered mutually; realized having realized the mutual location of canned data separately by the index information in electronic medical records and the health account; thereby make data storage convenient; when consulting electronic medical records or health account; raising information obtain efficient, reduce data redundancy, help data protection and recovery.

One of ordinary skill in the art will appreciate that: all or part of step that realizes said method embodiment can be finished by the relevant hardware of programmed instruction, aforesaid program can be stored in the computer read/write memory medium, this program is carried out the step that comprises said method embodiment when carrying out; And aforesaid storage medium comprises: various media that can be program code stored such as ROM, RAM, magnetic disc or CD.

The memory device structural representation of the medical information that Fig. 4 provides for one embodiment of the invention, as shown in Figure 4, this equipment comprises: first acquisition module 41, generation module 42, Registering modules 43 and update module 44; Wherein, first acquisition module 41 is used to obtain initial first medical information and initial second medical information; Generation module 42 generates local one-level index respectively in initial first medical information that first acquisition module obtains and initial second medical information, under local one-level index, generate local secondary index, and under local secondary index, generate local three grades of index, comprise person identifier in the local one-level index, comprise at least one subject area sign of distinguishing the individual type service that is medically treated in the local secondary index, comprise the interior single medical services record identification of medical services scope that the subject area sign is corresponding in local three grades of index; Registering modules 43 is used in the index information registrations at different levels of initial first medical information and preserves the index informations at different levels of initial second medical information, as the long-range index information of initial first medical information; And registration and preserve the index informations at different levels of initial first medical information in the index informations at different levels of initial second medical information, as the long-range index information of initial second medical information; Update module 44 is used for the medical services according to individual's acceptance, and local index information and the long-range index information to initial first medical information and initial second medical information upgrades respectively.

Wherein, be electronic medical records with first medical information, second medical information is that health account describes.

The electronic health record and the health account that get access to according to first acquisition module 41, generation module 42 generates local one-level index respectively in initiating electron case history and initial health account, under local one-level index, generate local secondary index, and under local secondary index, generate local three grades of index.Comprise person identifier in the local one-level index, this person identifier is the individual's of electronic medical records generation a unique ID number; Local secondary index is subordinate's index of local one-level index, comprising at least one subject area sign, different subject area signs are used to distinguish the different medical type service that the individual accepts, and each subject area is identified at all corresponding unique ID in electronic medical records inside number; Local three grades of subordinate's index that index is local secondary index, comprising single medical services record identification, single medical services record identification is included in the subject area sign scope.

Generation module 42 adopts with quadrat method and generate local one-level index, local secondary index and local three grades of index successively in someone the initial health account (being initial second medical information) that obtains.

Because being dispersions, someone electronic medical records (first medical information) and health account (second medical information) be stored in the health account system of the electronic medical records system of hospital and community, need understand someone relevant health status when hospital doctor, when perhaps the doctor of community need understand someone related medical record, information in the electronic medical records need be associated with information in the health account, concrete association process can for: Registering modules 43 registers and preserves the index informations at different levels of health account in the index informations at different levels of initial electronic medical records, at different levels long-range index as electronic medical records, promptly in first medical information, set up mapping relations with second medical information, after these mapping relations are set up, one-level index in electronic medical records comprises local one-level index and long-range one-level index, secondary index in the electronic medical records comprises local secondary index and long-range secondary index, three grades of index in the electronic medical records comprise local three grades of index and long-range three grades of index, same, Registering modules 43 registers and preserves the index informations at different levels of electronic medical records in the index informations at different levels of health account, as the at different levels long-range index of health account, promptly in second medical information, also set up mapping relations with first medical information.So that hospital doctor can inquire relevant information in the health account by being registered in index information in the electronic medical records, the doctor of community can inquire relevant information in the electronic medical records by being registered in index information in the health account.

Is example with someone in hospital's service of being medically treated, after the service of at every turn being medically treated, the local index content that update module 44 is tackled in the electronic medical records is mutually upgraded, and adds single medical services record identification and preserves the medical services record in the relevant position of the local index of electronic medical records according to concrete medical services content.And need regularly this single medical services record identification to be added into the relevant position of health account, promptly the corresponding contents to the long-range index in the health account upgrades.

The memory device of the medical information of the embodiment of the invention; electronic medical records and health account are stored respectively; in electronic medical records and health account, set up index at different levels respectively according to the medical services classification; and the index at different levels in electronic medical records and the health account are registered mutually; when having solved the information of obtaining in the prior art in health account or the electronic medical records; the problem that data redundancy and information acquisition efficiency are low; realized information mutual mapping in electronic medical records and the health account and directly not integrated; thereby make data storage convenient; when consulting electronic medical records or health account; raising information obtain efficient, reduce data redundancy, help data protection and recovery.

The memory device structural representation of the medical information that Fig. 5 provides for another embodiment of the present invention, as shown in Figure 5, this equipment comprises: first acquisition module 41, generation module 42, Registering modules 43 and update module 44;

Further, Registering modules 43 specifically is used for: the local one-level index of initial first medical information is registered to initial second medical information, as the long-range one-level index in the initial second medical information, local secondary index in initial first medical information and local three grades of index are registered under the long-range one-level index in initial second medical information and the long-range secondary index respectively, as the long-range secondary index in the initial second medical information and long-range three grades of index; Local one-level index in the initial second medical information is registered to initial first medical information, as the long-range one-level index in initial first medical information, the local secondary index of initial second medical information and local three grades of index are registered under the long-range one-level index in initial first medical information and the long-range secondary index respectively, as the long-range secondary index in initial first medical information and long-range three grades of index.

Update module 44 comprises: local update unit 441 and remote update unit 442;

Local update unit 441 is used for the medical services according to individual's acceptance, in three grades of index in this locality of initial first medical information of this medical services correspondence, add single medical services record identification/and the local secondary index at initial first medical information in add the subject area sign, and with this medical services recorded and stored to the single medical services record identification of adding;

Remote update unit 442 is used for according to the one-level index of second medical information single record identification of adding being saved to long-range three grades of index of initial second medical information/and the subject area sign of adding is saved to the long-range secondary index of initial second medical information.

Generation module 42 is set up the process of index at different levels referring to last embodiment in initial first medical information that first acquisition module 41 obtains and initial second medical information.

When generation module 42 generates local one-level index respectively in electronic health record and health account, after local secondary index and the local three grades of index, Registering modules 43 is registered to electronic medical records with local one-level index in the health account, long-range one-level index as electronic medical records, and the local secondary index in the health account and local three grades of index be registered to respectively under the long-range one-level index and long-range secondary index of electronic health record, long-range secondary index and long-range three grades of index as electronic medical records, after the registration, the index at different levels that comprise in the electronic health record are followed successively by: local one-level index and long-range one-level index (being the local one-level index in the health account), local secondary index and long-range secondary index (being the local secondary index in the health account), local three grades of index and long-range three grades of index (being the three grades of index in this locality in the health account).Thus, realized the mapping relations of health account and electronic medical records have promptly been realized in the location of index at different levels in electronic health record in the health account, thereby can in electronic health record, inquire about the index at different levels in the health account.Registering modules 43 is registered index at different levels in the electronic health record in health account process similarly.

Is example with someone in the situation that hospital accepts a certain medical services, the affiliated scope of these medical services is at first determined in local update unit 441, if there has been the subject area sign of this medical services correspondence in the local secondary index of electronic health record, then local update unit 441 directly adds single medical services record identification in the three grades of index in this locality under this subject area sign, and with this time medical services recorded and stored to this single medical services record identification; If still there is not the subject area sign of this medical services correspondence in the local secondary index of electronic health record, then local update unit 441 adds the subject area sign of this medical services correspondence in the local secondary index of electronic health record, and adds single medical services record identification and preserve the medical services record in the three grades of index in this locality under this subject area sign.

After the 441 pairs of electronic health records in local update unit upgrade, remote update unit 442 also needs regularly or the regular health account to this person is done corresponding renewal, concrete, according to the one-to-one relationship between electronic health record one-level index and the health account one-level index, remote update unit 442 is added into the single medical services record identification of adding in the three grades of index in this locality in electronic health record in long-range three grades of index of health account, / and the subject area of adding in the local secondary index of electronic health record sign is added in the long-range secondary index of health account, but do not need the medical services recorded and stored to health account, that is to say, 442 need in remote update unit are with the health account that is registered to that newly adds, to realize can inquiring about and being linked to by health account the medical services record of the new sign correspondence of adding of electronic health record.

The medical information device structure synoptic diagram that Fig. 6 provides for one embodiment of the invention, as shown in Figure 6, this equipment comprises: second acquisition module 61, judge module 62, output module 63;

Second acquisition module 61 is used for individual and the medical profession kind according to inquiry, obtain the one-level index that comprises person identifier in first medical information, and obtain and distinguish be medically treated in the subject area sign of type service and the subject area sign scope single medical services record identification in three grades of index of individual in the secondary index under the one-level index, include local index and long-range index in one-level index, secondary index and three grades of index;

Judge module 62 is used to judge that the medical profession kind of inquiry is local medical information or tele-medicine information;

Output module 63 is used for if it is local medical information that judge module 62 is judged the medical profession kind of inquiry, then obtains the medical services record of preserving under the single medical services record identification according to single medical services record identification in local three grades of index; If it is tele-medicine information that judge module 62 is judged the medical profession kind of inquiry, then obtain the medical services record of preserving under the single medical services record identification according to the person identifier in the subject area sign in the long-range secondary index of single medical services record identification and correspondence thereof, the long-range one-level index from second medical information, the at different levels long-range index in first medical information is respectively the local indexs at different levels in second medical information.

Be respectively arranged with local one-level index and long-range one-level index, local secondary index and long-range secondary index, local three grades of index and long-range three grades of index in electronic health record and the health account.Comprise person identifier respectively in local one-level index and the long-range one-level index, both person identifiers can be the same or different.Local secondary index and long-range secondary index are respectively subordinate's index of local one-level index and long-range one-level index, comprising several subject area signs, the subject area sign is used to distinguish the kind of the individual medical services of accepting, for example: check result subject area, assay subject area and diagnostic result subject area etc.Subordinate's index that local three grades of index and long-range three grades of index are local secondary index and long-range secondary index, comprising the single medical services record identification in each subject area scope, for example: the single medical services record identification in the check result subject area scope, the single medical services record identification in the assay subject area scope and the single medical services record identification in the diagnostic result subject area scope etc.

Wherein, the long-range one-level index that comprises in the electronic health record is that the local one-level index of health account, long-range secondary index are the local secondary index of health account, and is same, three grades of index in this locality that long-range three grades of index are health account.

When someone during at hospital admission, the doctor can inquire this person's electronic medical records, can also be according to the medical profession kind of inquiry, get access to the information of the medical services that relate in the electronic health record by the local indexs at different levels of second acquisition module 61 from electronic health record, and can be by the single medical services record identification under the subject area sign of the various medical services correspondences in this person's the health account of the at different levels long-range search index in the electronic medical records.

The medical profession that judge module 62 is judged inquiry belongs to local medical information or tele-medicine information, if local medical information, it is the medical services recorded information in the electronic health record, owing to directly preserve the medical services recorded information in the electronic health record, therefore, can inquire corresponding medical services recorded information by the single medical services record identification in local three grades of index; If tele-medicine information on services, the health account that can be positioned to this person by the person identifier in the electronic health record medium-long range one-level index, subject area sign in the long-range secondary index and the single medical services record identification in the long-range three grades of index under the subject area sign then, the person identifier that health account provides according to electronic medical records again, subject area sign and single medical services record identification are obtained the medical services record of local storage, and this medical services record is returned to hospital doctor.

Concrete, if the medical profession kind of inquiry is a tele-medicine information, then output module 63 feeds back to second medical information with the person identifier in the subject area sign in the long-range secondary index of single medical services record identification and correspondence thereof, the long-range one-level index; The medical services record of preservation is noted in these single medical services that second medical information obtains local storage according to the person identifier that receives, subject area sign and single medical services record identification, and feeds back to output module 63.

The medical information equipment of the embodiment of the invention; because the index at different levels in electronic medical records and the health account are registered mutually; realized having realized the mutual location of canned data separately by the index information in electronic medical records and the health account; thereby make data storage convenient; when consulting electronic medical records or health account; raising information obtain efficient, reduce data redundancy, help data protection and recovery.

The medical information that Fig. 7 provides for one embodiment of the invention obtain the system architecture synoptic diagram, as shown in Figure 7, this system comprises: the first medical information equipment 1 and the second medical information equipment 2;

The first medical information equipment 1 is used for individual and the medical profession kind according to inquiry, obtain the one-level index that comprises person identifier in first medical information, and obtain and distinguish be medically treated in the subject area sign of type service and the subject area sign scope single medical services record identification in three grades of index of individual in the secondary index under the one-level index, include local index and long-range index in one-level index, secondary index and three grades of index; If the medical profession kind of inquiry is local medical information, then in local three grades of index, obtain the medical services record of preserving under the single medical services record identification according to single medical services record identification; If the medical profession kind of inquiry is a tele-medicine information, then obtain the medical services record of preserving under the single medical services record identification according to the person identifier in the subject area sign in the long-range secondary index of single medical services record identification and correspondence thereof, the long-range one-level index from the second medical information equipment 2, the at different levels long-range index in first medical information is respectively the local indexs at different levels in second medical information;

The medical services record that preservation is noted in these single medical services that single medical services record identification in person identifier, the sign of the subject area in the long-range secondary index and the long-range three grades of index of the long-range one-level index that provides according to the first medical information equipment 1 obtains is provided the second medical information equipment 2, and the medical services record is fed back to the first medical information equipment 1.

The first medical information equipment 1 is used for the store electrons case history, and corresponding, the second medical information equipment 2 is used to store health account.

Be respectively arranged with local one-level index and long-range one-level index, local secondary index and long-range secondary index, local three grades of index and long-range three grades of index in the first medical information equipment 1 in the electronic health record of storage and the second medical information equipment 2 in the health account of storage.Comprise person identifier respectively in local one-level index and the long-range one-level index, both person identifiers can be the same or different.Local secondary index and long-range secondary index are respectively subordinate's index of local one-level index and long-range one-level index, comprising several subject area signs, the subject area sign is used to distinguish the kind of the individual medical services of accepting, subordinate's index that local three grades of index and long-range three grades of index are local secondary index and long-range secondary index is comprising the single medical services record identification in each subject area scope.

Long-range one-level index in the electronic health record is the local one-level index of health account, and long-range secondary index is the local secondary index of health account, three grades of index in this locality that long-range three grades of index are health account.

When someone during at hospital admission, individual and medical profession kind according to inquiry, can in the first medical information equipment 1, obtain this person's electronic medical records, and further the local indexs at different levels from this person's electronic health record get access to the medical services recorded information that relates in the electronic health record, can also from the first medical information equipment 1, be positioned to the health account that this person stores by the at different levels long-range index of electronic medical records in the second medical information equipment 2, and then corresponding medical services recorded information in the archives that secure good health.

The first medical information equipment 1 judges that at first the medical information of inquiry is local medical information or tele-medicine information, if local medical information, then can from the first medical information equipment 1, directly obtain the medical services record of preserving under corresponding single medical services record identification of subject area sign and the single medical services record identification, if tele-medicine information, then the first medical information equipment 1 is with the person identifier in the long-range one-level index, subject area sign in the long-range secondary index and the single medical services record identification in long-range three grades of index feed back to the second medical information equipment 2, the second medical information equipment 2 receives the person identifier that the first medical information equipment 1 sends, after the single medical services record identification of subject area sign and correspondence thereof, according to person identifier, subject area sign and corresponding single medical services record identification thereof are obtained the medical services record of preserving under this single medical services record identification in the index at different levels of this locality, and the medical services record is sent to the first medical information equipment 1.

The system that obtains of the medical information of the embodiment of the invention; because the index at different levels in electronic medical records and the health account are registered mutually; realized having realized the mutual location of canned data separately by the index information in electronic medical records and the health account; thereby make data storage convenient; when consulting electronic medical records or health account; raising information obtain efficient, reduce data redundancy, help data protection and recovery.

But the specific implementation reference method embodiment part of each functions of modules of the said equipment and system repeats no more here.

It should be noted that at last: above embodiment only in order to technical scheme of the present invention to be described, is not intended to limit; Although with reference to previous embodiment the present invention is had been described in detail, those of ordinary skill in the art is to be understood that: it still can be made amendment to the technical scheme that aforementioned each embodiment put down in writing, and perhaps part technical characterictic wherein is equal to replacement; And these modifications or replacement do not make the essence of appropriate technical solution break away from the spirit and scope of various embodiments of the present invention technical scheme.

Claims

1. the storage means of a medical information is characterized in that, comprising:

2. method according to claim 1, it is characterized in that, described in the index informations at different levels of described initial first medical information registration and preserve the index informations at different levels of described initial second medical information, as the long-range index information of described initial first medical information; And registration and preserve the index informations at different levels of described initial first medical information in the index informations at different levels of described initial second medical information, the long-range index information as described initial second medical information is specially:

Local one-level index in described initial first medical information is registered to described initial second medical information, as the long-range one-level index in the described initial second medical information, local secondary index in described initial first medical information and local three grades of index are registered under the long-range one-level index in described initial second medical information and the long-range secondary index respectively, as the long-range secondary index in the described initial second medical information and long-range three grades of index; Local one-level index in the described initial second medical information is registered to described initial first medical information, as the long-range one-level index in described initial first medical information, local secondary index in the described initial second medical information and local three grades of index are registered under the long-range one-level index in described initial first medical information and the long-range secondary index respectively, as the long-range secondary index in described initial first medical information and long-range three grades of index.

3. method according to claim 1 and 2 is characterized in that, the described medical services of accepting according to the individual are upgraded the local index information of described initial first medical information and described initial second medical information and long-range index information respectively and comprised:

Medical services according to individual's acceptance, in three grades of index in this locality of initial first medical information of this medical services correspondence, add single medical services record identification/and the local secondary index at described initial first medical information in add the subject area sign, and with this medical services recorded and stored to the single medical services record identification of described interpolation;

The single record identification of adding is saved to long-range three grades of index of described initial second medical information/and the subject area sign of adding is saved to the long-range secondary index of described initial second medical information.

4. method according to claim 1 and 2 is characterized in that, the described medical services of accepting according to the individual are upgraded the local index information of described initial first medical information and described initial second medical information and long-range index information respectively and comprised:

Medical services according to individual's acceptance, in three grades of index in this locality of the initial second medical information of this medical services correspondence, add single medical services record identification/and the local secondary index in described initial second medical information in add the subject area sign, and with this medical services recorded and stored to the single medical services record identification of described interpolation;

The single record identification of adding is saved to long-range three grades of index of described initial first medical information/and the subject area sign of adding is saved to the long-range secondary index of described initial first medical information.

5. the acquisition methods of a medical information is characterized in that, comprising:

6. method according to claim 5, it is characterized in that, it is described if the medical profession kind of inquiry is a tele-medicine information, then from second medical information, obtain the medical services record of preserving under the described single medical services record identification, be specially according to the person identifier in the subject area sign in the long-range secondary index of single medical services record identification and correspondence thereof, the long-range one-level index:

If the medical profession kind of inquiry is a tele-medicine information, then the person identifier in the subject area sign in the long-range secondary index of described single medical services record identification and correspondence thereof, the long-range one-level index is fed back to described second medical information;

Obtain the medical services record that preservation is noted in these single medical services that described second medical information obtains according to the person identifier in the described long-range one-level index of feedback, subject area sign in the described long-range secondary index and the single medical services record identification in described long-range three grades of index.

7. the memory device of a medical information is characterized in that, comprising:

8. equipment according to claim 7 is characterized in that, described Registering modules specifically is used for:

Local one-level index in described initial first medical information is registered to described initial second medical information, as the long-range one-level index in the described initial second medical information, local secondary index in described initial first medical information and local three grades of index are registered under the long-range one-level index in described initial second medical information and the long-range secondary index respectively, as the long-range secondary index in the described initial second medical information and long-range three grades of index; Local one-level index in the described initial second medical information is registered to described initial first medical information, as the long-range one-level index in described initial first medical information, the local secondary index of described initial second medical information and local three grades of index are registered under the long-range one-level index in described initial first medical information and the long-range secondary index respectively, as the long-range secondary index in described initial first medical information and long-range three grades of index.

9. according to claim 7 or 8 described equipment, it is characterized in that described update module comprises:

The local update unit, be used for medical services according to individual's acceptance, in three grades of index in this locality of initial first medical information of this medical services correspondence, add single medical services record identification/and the local secondary index at described initial first medical information in add the subject area sign, and with this medical services recorded and stored to the single medical services record identification of described interpolation;

Remote update unit, the single record identification that is used for adding are saved to long-range three grades of index of described initial second medical information/and the subject area sign of adding is saved to the long-range secondary index of described initial second medical information.

10. a medical information equipment is characterized in that, comprising:

11. equipment according to claim 10, it is characterized in that, described output module specifically is used for, if it is tele-medicine information that described judge module is judged the medical profession kind of inquiry, then the person identifier in the subject area sign in the long-range secondary index of described single medical services record identification and correspondence thereof, the long-range one-level index is fed back to described second medical information;

12. the system that obtains of a medical information is characterized in that, comprises the first medical information equipment and the second medical information equipment;