Summary of the invention
The fundamental purpose of the embodiment of the present invention is the general practitioner's assisting in diagnosis and treatment system and method providing a kind of hospital Network Based, be intended to solve in current medical and health services, the problem of the medical level deficiency of general practitioner, not only can improve the medical level of general practitioner, and avoid because of the mistaken diagnosis of general practitioner the personal safety hidden danger that patient causes.
For achieving the above object, the invention provides a kind of general practitioner's assisting in diagnosis and treatment system of hospital Network Based, comprising:
Case history receiver module, for receiving electronic health record;
Case history matching module, for being mated with the medical record templates in medical record templates storehouse by the electronic health record received, obtains the medical record templates that matching degree is greater than predetermined threshold value; Wherein medical record templates stores disease type and the illness information corresponding with disease type;
Auxiliary diagnosis module, for obtaining the illness information corresponding with mated disease type and disease type, and exports the disease type that mates and illness information corresponding to disease type, for general practitioner's reference.
Preferably, described general practitioner's assisting in diagnosis and treatment system also comprises:
Case history modular converter, if be non-standard case history for received electronic health record, then according to preset transformation rule, is converted to specification case history by this electronic health record.
Preferably, described general practitioner's assisting in diagnosis and treatment system also comprises:
Long-range link block, for providing the external interface of general practitioner's assisting in diagnosis and treatment system and remote assistant system communication, and receive the remote access request of general practitioner, and set up communication according to this request of access and described remote assistant system, assist to carry out remote online.
Preferably, described auxiliary diagnosis module also for:
After general practitioner determines the disease type of patient according to mated disease type and illness information corresponding to disease type, obtain the auxiliary diagnosis item that determined disease type is corresponding, for general practitioner's reference.
Preferably, described general practitioner's assisting in diagnosis and treatment system also comprises:
Diagnosis and treatment monitoring modular, during for selecting auxiliary diagnosis item general practitioner, if the essential auxiliary diagnosis Xiang Wei preset is selected by general practitioner, then sends information.
In addition, for achieving the above object, present invention also offers a kind of general practitioner's assisting in diagnosis and treatment method of hospital Network Based, comprise the following steps:
Receive electronic health record;
The electronic health record received is mated with the medical record templates in medical record templates storehouse, obtains the medical record templates that matching degree is greater than predetermined threshold value; Wherein medical record templates stores disease type and the illness information corresponding with disease type;
Obtain the disease type that mates and illness information corresponding to disease type, and export the disease type that mates and illness information corresponding to disease type, for general practitioner's reference.
Preferably, also comprise after described reception electronic health record:
If received electronic health record is non-standard case history, then according to preset transformation rule, this electronic health record is converted to specification case history.
Preferably, described general practitioner's assisting in diagnosis and treatment method also comprises:
Receive the remote access request of general practitioner, and set up communication according to this request of access and remote assistant system, assist to carry out remote online.
Preferably, the disease type that described acquisition is mated and illness information corresponding to disease type, and export the disease type that mates and illness information corresponding to disease type, for general practitioner with reference to also comprising afterwards:
After general practitioner determines the disease type of patient according to mated disease type and illness information corresponding to disease type, obtain the auxiliary diagnosis item that determined disease type is corresponding, for general practitioner's reference.
Preferably, described after general practitioner determines the disease type of patient according to mated disease type and illness information corresponding to disease type, obtain the auxiliary diagnosis item that determined disease type is corresponding, for general practitioner with reference to also comprising afterwards:
When general practitioner selects auxiliary diagnosis item, if the essential auxiliary diagnosis Xiang Wei preset is selected by general practitioner, then send information.
The embodiment of the present invention is mated with the medical record templates in medical record templates storehouse by electronic health record, with the illness information that the disease type and disease type that obtain Satisfying Matching Conditions are corresponding, diagnoses with auxiliary general practitioner.Therefore, the embodiment of the present invention solves in current medical and health services, and the problem of the medical level deficiency of general practitioner, not only can improve the medical level of general practitioner, and avoids because of the mistaken diagnosis of general practitioner the personal safety hidden danger that patient causes.In addition, this general practitioner's assisting in diagnosis and treatment system also can be general practitioner and provides the auxiliary diagnosis reference items confirming that the disease type of diagnosis is corresponding, diagnoses to assist general practitioner further.
Embodiment
Technical scheme of the present invention is further illustrated below in conjunction with Figure of description and specific embodiment.Should be appreciated that specific embodiment described herein only in order to explain the present invention, be not intended to limit the present invention.
Because general practitioner will perform the Health Services of general medical practice, generally with outpatient service formal layout common disease, frequently-occurring disease and general acute disease, therefore general practitioner requires to have comprehensive medical knowledge, higher emergency capability, rich experience.But the medical condition of some hospital is limited after all, general practitioner may lack experience, and is difficult to the various diseases of tackling outpatient service, so just needs assisting in diagnosis and treatment system helps general practitioner to carry out medical diagnosis.And core concept of the present invention is just to provide so a kind of general practitioner's assisting in diagnosis and treatment system, by the data exchange capability of powerful medical data base and network, solve in current medical and health services, the problem of the medical level deficiency of general practitioner, not only can improve the medical level of general practitioner, and avoid because of the mistaken diagnosis of general practitioner the personal safety hidden danger that patient causes.
As shown in Figure 1, general practitioner's assisting in diagnosis and treatment system of above-mentioned hospital Network Based can be arranged in server 100.This server 100 can supply each terminal access, the computer terminal, diagnosis and treatment terminal etc. of such as all kinds of hospital.All kinds of hospital can carry out communication by network 200 and server 100, and this network 200 can comprise cable LAN, WLAN (wireless local area network), wide area network, mobile Internet etc.Namely this server 100 can be arranged in the LAN (Local Area Network) of certain hospital, and can be conducted interviews by wide area network or mobile Internet for other community hospitals of this hospital subordinate.Be understandable that, to access services device 100, have to pass through authentication to only have and just can access this server 100 by the user of authentication or terminal.
Server 100 also has database access function, this database 200 for storing Various types of data, diagnostic experiences of such as medical knowledge, patient diagnosis information, doctor etc.When after the processing demands that server 100 receives user or terminal, where necessary, by this database 200 of access, with the data in called data storehouse 200, for doctor.In the present embodiment, this database 200 can be arranged in server 100, is convenient to server 100 and accesses.Certainly, in another embodiment, this server 100 can also and database 200 between be provided separately, formed by database 200 and server 100 and isolate, only have the server 100 of mandate could access this database, so can improve the data security of database.
As shown in Figure 2, above-mentioned server 100 can comprise processor 101, storer 102, user interactive module 103, network communication module 104 and communication bus 105.Communication bus 105 is for the communication between building block each in server 100, and user interactive module 103 such as, for receiving the information, instruction etc. of user's input, touch-screen, mouse and keyboard etc.Network communication module 104 communicates mutually with outside for server 100, and this network communication module 104 can include line interface and wave point, such as RS232 module, radio-frequency module, WIFI module etc.Storer 102 can comprise one or more computer-readable recording mediums, and it not only comprises internal storage, also comprises external memory storage.Operating system and general practitioner's assisting in diagnosis and treatment system etc. is stored in this storer.Processor 101, for calling general practitioner's assisting in diagnosis and treatment system in storer 102 and other assemblies (such as, user interactive module 103, network communication module 104), is general practitioner's supplementary providing diagnosis and treatment etc.
Shown in composition graphs 2 and Fig. 3, general practitioner's assisting in diagnosis and treatment system of this hospital Network Based can comprise:
Case history receiver module 110, for receiving electronic health record;
Case history matching module 120, for being mated with the medical record templates in medical record templates storehouse by the electronic health record received, obtains the medical record templates that matching degree is greater than predetermined threshold value; Wherein medical record templates stores disease type and the illness information corresponding with disease type;
Auxiliary diagnosis module 130, for obtaining mated disease type and illness information corresponding to disease type, and exports the disease type that mates and illness information corresponding to disease type, for general practitioner's reference.
Above-mentioned case history receiver module 110 receives the electronic health record uploaded onto the server in 100 by network communication module 104.Then the medical record templates of the electronic health record received with the medical record templates storehouse in database 200 mates by this case history matching module 120, obtains the disease type that matching degree is greater than predetermined threshold value.In the present embodiment, the disease type arranging coupling mostly is 3 kinds most, if when matching degree is greater than the disease type of predetermined threshold value, the disease type satisfied condition is sorted from big to small according to matching degree, and obtain the 3 kinds of disease types coming foremost.Obtained disease type is sent to auxiliary diagnosis module 130 by case history matching module 120.This auxiliary diagnosis module 130 is according to received disease type, extract the illness information corresponding with this disease type to the complementary diagnostic information storehouse in database 200, and extracted illness information is back to the terminal uploading electronic health record by network communication module 104.
Above-mentioned medical record templates storehouse comprises: the standard medical record templates coming from evidence-based medicine EBM, and comprising 300 Zhong Quan section common disease frequently-occurring diseases, and timing upgrades by this medical record templates storehouse.Medical record templates presses disease type classification, and the illness information that every class disease type is corresponding can comprise main suit, present illness history, past medical history, positive sign and laboratory examination result, image check result etc.
General practitioner's assisting in diagnosis and treatment system of the hospital Network Based that the embodiment of the present invention provides, mated with the medical record templates in medical record templates storehouse by electronic health record, with the illness information that the disease type and disease type that obtain Satisfying Matching Conditions are corresponding, diagnose with auxiliary general practitioner.Therefore, the embodiment of the present invention solves in current medical and health services, and the problem of the medical level deficiency of general practitioner, not only can improve the medical level of general practitioner, and avoids because of the mistaken diagnosis of general practitioner the personal safety hidden danger that patient causes.
Further, as shown in Figure 4, general practitioner's assisting in diagnosis and treatment system of above-mentioned hospital Network Based also can comprise:
Patient medical history module 140, for providing patient medical history template, and the medical record information that reception general practitioner fills at medical record templates, and generate patient medical history according to the medical record information received.
Particularly, above-mentioned server 100 can provide access network address or an access interface, and general practitioner utilizes computer terminal access this access network address or connect this access interface.As shown in Figure 5, general practitioner can by account and password login general practitioner assisting in diagnosis and treatment system, and it must first register on server 100 certainly, could log in after succeeding in registration.As shown in Figure 6, after logging in general practitioner's assisting in diagnosis and treatment system, patient medical history module 140, according to the newly-built case history instruction of user, provides patient medical history template.After the corresponding information of typing patient on the medical record templates that general practitioner provides at community hospital's clinic system, after clicking " complete and upload " control, the medical record information of the patient information that patient medical history module 140 reception general practitioner inputs on medical record templates and patient, and generate patient medical history according to the medical record information received.Be understandable that, patient medical history template is also provided with hold function, namely during doctor's entry information, the information of its typing first can be preserved, in order to avoid the entry information before being interrupted during the medical record information typing of midway and cannot preserving.
Further, above-mentioned patient medical history module 140 can also provide voice input function, namely patient medical history module 140 calls speech identifying function, the voice signal that voice acquisition device gathers is identified, and after the voice messaging of identification is converted to text message, be input to the relevant position in patient medical history template.
Further, general practitioner's assisting in diagnosis and treatment system of above-mentioned hospital Network Based can be applicable to community hospital, and the general practitioner for community hospital plays booster action when diagnosing.As shown in Figure 7, community hospital's clinic system can comprise patient medical history module 210 and communication module 220.Wherein patient medical history module 210 is for providing patient medical history template, and the medical record information that reception general practitioner fills at medical record templates, and generates patient medical history according to the medical record information received.Then the patient medical history that patient medical history module 210 generates is uploaded to general practitioner's assisting in diagnosis and treatment system by communication module 220.Above-mentioned general practitioner's assisting in diagnosis and treatment comprises: case history modular converter 150, for receiving the case history convert requests of general practitioner, and according to the case history convert requests of general practitioner, according to preset transformation rule, this patient medical history is converted to specification case history.
Disease type for the ease of case history matching template 120 pairs of electronic health records mates, and the electronic health record template in medical record templates storehouse is consolidation form, and the patient medical history template that community hospital provides is not often specification medical record templates.Therefore, when after the corresponding medical record information of typing in the patient medical history template that general practitioner provides at community hospital's clinic system, community hospital's clinic system generates patient medical history according to the medical record information of general practitioner institute typing, then general practitioner logs in general practitioner's assisting in diagnosis and treatment system, after the patient medical history of generation is uploaded, the patient medical history that case history receiver module 110 receives this and uploads, and judge whether this patient medical history uploaded is specification case history.If the electronic health record received is not specification case history, then case history modular converter 150 is according to the transformation rule pre-set, and the patient medical history that the computer terminal of community hospital is uploaded is converted to specification case history.Such as, the description that the keywords such as main suit, present illness history, past medical history, positive sign, laboratory examination, image check are corresponding is extracted from patient medical history, if Description standard, extracted description is directly converted to the corresponding project of specification case history, if describe lack of standardization, nearly justice conversion is carried out to it.If the project information in specification case history cannot find in patient medical history, then the project of this correspondence is empty or fills in " not looking into " etc.
Further, as shown in Figure 8, general practitioner's assisting in diagnosis and treatment system of above-mentioned hospital Network Based also can comprise:
Long-range link block 160, for providing the external interface of general practitioner's assisting in diagnosis and treatment system and remote assistant system communication, and receive the remote access request of general practitioner, and set up communication according to this request of access and described remote assistant system, assist to carry out remote online.
Particularly, above-mentioned general practitioner's assisting in diagnosis and treatment system additionally provides remote online subsidiary function, namely provides the external interface of one and remote assistant system communication.Long-range link block 160 is by the remote access request according to general practitioner, and the external interface provided by it and remote assistant system are connected.In the present embodiment, after general practitioner is connected by general practitioner's assisting in diagnosis and treatment system and this remote assistant system, general practitioner can medical practitioner in remote help remote assistant system, and help mode can comprise phone, video etc.
Further, auxiliary diagnosis module 130 in general practitioner's assisting in diagnosis and treatment system of above-mentioned hospital Network Based also for: after general practitioner determines the disease type of patient according to described complementary diagnostic information, obtain the auxiliary diagnosis item that this disease type is corresponding, select for general practitioner.
Particularly, general practitioner's assisting in diagnosis and treatment system of above-mentioned hospital Network Based additionally provides the diagnosis and treatment supplementary corresponding to disease type.As shown in Figure 9, after above-mentioned auxiliary diagnosis module 130 exports illness information corresponding to the disease type that mates, this information, by being presented on the display screen of computer terminal, is checked for general practitioner.Treat that general practitioner is according to the disease type of display and illness information corresponding to disease type, after determining the disease type of patient, auxiliary diagnosis module 130 obtains auxiliary diagnosis item corresponding to this disease type from database, inspection item, diagnosis and treatment flow process, diagnosis and treatment scheme etc. that such as this disease should be carried out.
In the present embodiment, after general practitioner determines the disease type of patient according to mated disease type and illness information corresponding to disease type, by extracting auxiliary diagnosis item corresponding to this disease type, for general practitioner's reference, auxiliary general practitioner diagnoses further.In addition, the present embodiment can also generate Conventional treatment regimens corresponding to this disease type.And above-mentioned general practitioner's assisting in diagnosis and treatment can also connect printer interface, after generating Conventional treatment regimens for general practitioner's assisting in diagnosis and treatment system, printed, checked for general practitioner.
Further, as shown in Figure 10, general practitioner's assisting in diagnosis and treatment system of above-mentioned hospital Network Based also can comprise:
Diagnosis and treatment monitoring modular 170, during for selecting auxiliary diagnosis item general practitioner, if the essential auxiliary diagnosis Xiang Wei preset is selected by general practitioner, then sends information.
In the present embodiment, also will preset essential auxiliary diagnosis item, represent that doctor is when for such disease, the project that must check or the diagnosis algorithm had to pass through.Therefore, when diagnosis and treatment monitoring modular 170 will select auxiliary diagnosis item to general practitioner, if the essential auxiliary diagnosis Xiang Wei preset is selected by general practitioner, then information will be sent.Be understandable that, this diagnosis and treatment monitoring modular 170 can also after general practitioner determines the disease type of patient according to mated disease type and illness information corresponding to disease type, check in this electronic health record whether also there is not checked project or not by the flow process diagnosed, if existed, also send information, diagnose to point out general practitioner.
Accordingly, present invention also offers a kind of general practitioner's assisting in diagnosis and treatment method of hospital Network Based.As shown in figure 11, general practitioner's assisting in diagnosis and treatment method first embodiment that the present invention is based on network hospital is shown.General practitioner's assisting in diagnosis and treatment method of the hospital Network Based of this first embodiment can comprise the following steps:
Step S110, reception electronic health record;
Step S120, the electronic health record received to be mated with the medical record templates in medical record templates storehouse, obtain the medical record templates that matching degree is greater than predetermined threshold value; Wherein medical record templates stores disease type and the illness information corresponding with disease type;
Step S130, obtain the disease type that mates and illness information corresponding to disease type, and export the disease type that mates and illness information corresponding to disease type, for general practitioner's reference.
General practitioner's assisting in diagnosis and treatment system of the hospital Network Based that the embodiment of the present invention provides, mated with the medical record templates in medical record templates storehouse by electronic health record, with the illness information that the disease type and disease type that obtain Satisfying Matching Conditions are corresponding, diagnose with auxiliary general practitioner.Therefore, the embodiment of the present invention solves in current medical and health services, and the problem of the medical level deficiency of general practitioner, not only can improve the medical level of general practitioner, and avoids because of the mistaken diagnosis of general practitioner the personal safety hidden danger that patient causes.
Further, as shown in figure 12, also comprise before the reception electronic health record in general practitioner's assisting in diagnosis and treatment method of above-mentioned hospital Network Based:
Step S100, provide patient medical history template, receive the medical record information that general practitioner fills at medical record templates, and according to described medical record information, generate patient medical history.
Particularly, above-mentioned server 100 can provide access network address or an access interface, and general practitioner utilizes computer terminal access this access network address or connect this access interface.After general practitioner utilizes computer terminal to access this general practitioner's assisting in diagnosis and treatment system, general practitioner's assisting in diagnosis and treatment system according to the newly-built case history instruction of user, can provide patient medical history template.After the corresponding information of typing patient on the medical record templates that general practitioner provides at community hospital's clinic system, general practitioner's assisting in diagnosis and treatment system, by the medical record information of the patient information that inputs on medical record templates according to general practitioner and patient, generates patient medical history.In addition, above-mentioned general practitioner's assisting in diagnosis and treatment system can also provide voice input function, namely calls speech identifying function, identifies the voice signal that voice acquisition device gathers, and after the voice messaging of identification is converted to text message, be input to the relevant position in patient medical history template.
Further, as shown in figure 13, also comprise after the reception electronic health record in general practitioner's assisting in diagnosis and treatment method of above-mentioned hospital Network Based:
If the electronic health record that step S140 receives is non-standard case history, then according to preset transformation rule, the electronic health record received is converted to specification case history.
General practitioner's assisting in diagnosis and treatment system of above-mentioned hospital Network Based can be applicable to community hospital, and the general practitioner for community hospital plays booster action when diagnosing.Namely community hospital's clinic system can provide patient medical history template, for the medical record information of general practitioner's typing patient information and patient, and according to the patient information of general practitioner institute typing and the medical record information of patient, generates patient medical history.Then community hospital's clinic system is connected with general practitioner's assisting in diagnosis and treatment system, generated patient medical history is uploaded to general practitioner's assisting in diagnosis and treatment system.
General practitioner's assisting in diagnosis and treatment system for the ease of hospital Network Based is mated the disease type of electronic health record, and the electronic health record template in medical record templates storehouse is consolidation form, and the patient medical history template that community hospital provides is not often specification medical record templates.Therefore, when after the patient medical history that general practitioner's assisting in diagnosis and treatment system acceptance is uploaded to community hospital's clinic system, will judge whether the patient medical history that this is uploaded is specification case history.If the electronic health record received is not specification case history, then according to the transformation rule pre-set, the patient medical history that the computer terminal of community hospital is uploaded is converted to specification case history.Such as, the description that the keywords such as main suit, present illness history, past medical history, positive sign, laboratory examination, image check are corresponding is extracted from patient medical history, if Description standard, extracted description is directly converted to the corresponding project of specification case history, if describe lack of standardization, nearly justice conversion is carried out to it.If the project information in specification case history cannot find in patient medical history, then the project of this correspondence is empty or fills in " not looking into " etc.
Further, as shown in figure 14, general practitioner's assisting in diagnosis and treatment method of above-mentioned hospital Network Based also can comprise:
The remote access request of step S150, reception general practitioner, and set up communication according to this request of access and remote assistant system, assist to carry out remote online.
Particularly, general practitioner's assisting in diagnosis and treatment system of above-mentioned hospital Network Based additionally provides remote online subsidiary function, namely provides the external interface of one and remote assistant system communication.General practitioner's assisting in diagnosis and treatment system is by the remote access request according to general practitioner, and the external interface provided by it and remote assistant system are connected.In the present embodiment, after general practitioner is connected by general practitioner's assisting in diagnosis and treatment system and this remote assistant system, general practitioner can medical practitioner in remote help remote assistant system, and help mode can comprise phone, video etc.
Further, as shown in figure 15, also comprise after step S130 in general practitioner's assisting in diagnosis and treatment method of above-mentioned hospital Network Based:
Step S160, after general practitioner determines the disease type of patient according to mated disease type and illness information corresponding to disease type, obtain the auxiliary diagnosis item that determined disease type is corresponding, for general practitioner's reference;
Step S170, when general practitioner selects auxiliary diagnosis item, if preset essential auxiliary diagnosis Xiang Wei selected by general practitioner, then send information.
Particularly, general practitioner's assisting in diagnosis and treatment system of above-mentioned hospital Network Based additionally provides the diagnosis and treatment supplementary corresponding to disease type.After general practitioner's assisting in diagnosis and treatment system of above-mentioned hospital Network Based exports illness information corresponding to the disease type that mates, this information, by being presented on the display screen of computer terminal, is checked for general practitioner.Treat that general practitioner is according to the disease type of display and illness information corresponding to disease type, after determining the disease type of patient, general practitioner's assisting in diagnosis and treatment system then obtains auxiliary diagnosis item corresponding to this disease type from database, inspection item, diagnosis and treatment flow process, diagnosis and treatment scheme etc. that such as this disease should be carried out.
In the present embodiment, after general practitioner determines the disease type of patient according to mated disease type and illness information corresponding to disease type, by extracting auxiliary diagnosis item corresponding to this disease type, for general practitioner's reference, auxiliary general practitioner diagnoses further.In addition, the present embodiment can also generate Conventional treatment regimens corresponding to this disease type.And above-mentioned general practitioner's assisting in diagnosis and treatment can also connect printer interface, after generating Conventional treatment regimens for general practitioner's assisting in diagnosis and treatment system, printed, checked for general practitioner.
In addition, in the present embodiment, also will preset essential auxiliary diagnosis item, represent that doctor is when for such disease, the project that must check or the diagnosis algorithm had to pass through.Therefore, when general practitioner's assisting in diagnosis and treatment system will select auxiliary diagnosis item to general practitioner, if the essential auxiliary diagnosis Xiang Wei preset is selected by general practitioner, then information will be sent.Be understandable that, general practitioner's assisting in diagnosis and treatment system can also after general practitioner determines the disease type of patient according to mated disease type and illness information corresponding to disease type, check in this electronic health record whether also there is not checked project or not by the flow process diagnosed, if existed, also send information, diagnose to point out general practitioner.
The foregoing is only the preferred embodiments of the present invention; not thereby its scope of the claims is limited; every utilize instructions of the present invention and accompanying drawing content to do equivalent structure or equivalent flow process conversion; directly or indirectly be used in the technical field that other are relevant, be all in like manner included in scope of patent protection of the present invention.