CN105427217A - Interactive image electronic medical treatment research and management system - Google Patents
Interactive image electronic medical treatment research and management system Download PDFInfo
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- CN105427217A CN105427217A CN201510940308.9A CN201510940308A CN105427217A CN 105427217 A CN105427217 A CN 105427217A CN 201510940308 A CN201510940308 A CN 201510940308A CN 105427217 A CN105427217 A CN 105427217A
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Abstract
The present invention provides a method for managing information of patients. The method is characterized in that: (a) following contents are provided: (i) a main interface containing first and second dimensionalities, icons associated with specific information of patients, and a time line capable of defining time points along the first dimensionality; (ii) supporting documents associated with the specific information of the patients; (iii) a management interface for inputting, editing, downloading or uploading the specific information of patients; (iv) a mode for accessing the specific information of the patients within a certain single date or a series of dates; (v) data reports arranged according to chronological order; and (vi) a first signal, a second signal and a third signal; (b) following contents are clicked at the main interface: (i) the icon for accessing the supporting documents with the first signal; (ii) the icon for accessing the management interface with the second signal; and (iii) the mode for accessing the specific information of the patients within a certain single date or a series of dates by accessing the data reports arranged according to chronological order with the third signal.
Description
The present invention is the patent No. is U.S.Ser.No.14/479, and the partial continuous case (CIP) of the patent (certification on September 6 in 2014) of 302, original bill relevant information will be mentioned herein.
Background introduction
The present invention relates to medical domain, describe a kind of method of preserving case history record, so that user just can obtain the medical information of maximum quantity from the initial interface of electronic medical record system.
The medical history record developing electronic form is organized in each medical services, to replace the traditionally on paper case history in patient's hand.The benefit of well-designed electronic health record is apparent: the information can sharing this patient between the different medical ISP of same patient, improves the treatment and nursing service quality to patient simultaneously.But, electronic health record form available at present can not be accomplished just extensively and profoundly to pass on relevant information introducing the page, therefore, if healthcare givers wants the medical conditions fullying understand patient, the necessary whole electronic health record form of view all, so, electronic health record with consult traditionally on paper Medical record and there is no essential distinction.In addition, when treating same patient, the healthcare givers of different medical tissue often needs to use respective electronic medical record system to consult to compare relative recording and data, and often can not accomplish direct data sharing between different medical tissue, therefore brings difficulty to medical and nursing work.
The invention solves these problems, greatly improve the efficiency that healthcare givers obtains given patient medical history record, compared with the additive method known by inventor, this invention also takes a kind of diverse mode to obtain medical data.Consider that medical data is patient's " property ", therefore patient tackles disclosed electronic medical record and has and control power completely, patient also should be encouraged actively to call these information simultaneously.After introducing the present invention in detail, can help to improve existing electronic medical record system.
Brief summary of the invention
The invention provides a kind of patient medical record approaches to IM, the method can:
A) following information is provided:
1. main interface comprising two dimensions is connected the button of personal patient information with one, and has the timeline that record different time points in first dimension;
2. the supporting documentation of record patient personal information;
3. can enter, edit, download, upload the administration interface of personal patient information;
4. can check the method for the patient information within the scope of any date or random time;
5. the data report recorded in chronological order;
6. the first signal, secondary signal and the 3rd signal;
B) be connected with main interface, have:
1. check first signal icon/button of record document;
2. enter the secondary signal icon/button of administration interface;
3. the 3rd signal is to check patient's information within the scope of any date or random time, and to check in Time Data Report patient's information within the scope of certain any date or random time.Such as, in certain application of this invention, click computer mouse left button and send the first signal, click computer mouse right button and send secondary signal.In Another application, administration interface is responsible for Data Enter, edits, uploads, is downloaded, and data, document or dialogue generation.In addition, in some applications, when providing anaphylodiagnosis, experiment test result, diagnostic result, record operation steps, certain sexuality or expansion activity, medication and supply, life style, spinoff, order inquiry, report and dialogue etc. and being movable, administration interface should have corresponding version.The information in administration interface should be able to be accessed (including but not limited to) following field: the 1. main body of certain given patient information; 2. quantized data; 3. Start Date; 4. the Close Date; 5. order requirements; 6. remarks; 7. spinoff.
Main interface can be used as independent page access, directly can access relevant supporting documentation and patient data report from main interface.Particular patient information can be chosen---disposable event group, long term events group, conversation group---from dependent event group, and disposable event comprises the formality, diagnostic test, operation, outpatient service etc. of one to two day.Long term events comprises medication management, nutrition supply, physical treatment, inductivity stupor, sports etc.
Existing invention comprises the interchange selected from a group, and this small group comprises an order, a request, a file notes, an envelope Email, an audio file, a video file, a video E-mail.In one application, existing invention also comprises the supporting document selected from group, and group comprises laboratory report, a postoperative report, medical doctor's record, an envelope Email, a diagnostic machine output terminal and an order of a test.
The present invention, in its Another application, comprises a slidably line, and this line to move and crossing with timeline along the first dimension, and this is a kind of method of patient access customizing messages.The method can check the patient information of a certain specific date, and the date comprises selects slidably line moved in the previously selected date on timeline, next will slidably line and the 3rd signal contact get up.Moreover the first signal and described 3rd signal are identical in some application of the present invention.In some applications, slidably line can be divided into the first line of slide and the second line of slide, and to move and crossing with timeline along the first dimension, this is a kind of method of patient access customizing messages, this information combined with a series of date, this a series of date comprises (one) and selects line of slide and moved to a previously selected date on the time line, (2) the second line of slide is selected, moved to the second preliminary election date on timeline, (3) slidably line is incited somebody to action, second slidably line or region between the two and the 3rd signal contact get up.
The present invention also comprises an other line of slide, this line of slide to move and crossing with timeline along the first dimension, in the method for this patient access customizing messages, the patient information of a certain special time period can be checked, this special time period comprises (one) and selects line of slide and moved to a previously selected date on the time line, (2) the second line of slide is selected, moved to the second preliminary election date on timeline, (three) slidably member or region between the two and the 3rd signal contact get up by slidably line, second.
In Another application, the present invention can provide one group of data report further, is combined by icon with secondary signal result.Secondary signal result can obtain the small set of data report of patient specific information, and this information produces in a similar manner at not same date.
The present invention also can comprise a register interface, to identify patient information, patient with formal character in whole or in part one or more other people share oneself patient specific information.In application-specific of the present invention, one in other people, is had at least to comprise medical professional.
In another application of the invention, register interface comprises a drop-down menu, and to select specially for the module in medical practice region, wherein the various ranges of choice of most pull-down menu are different according to the module difference selected.
Generally speaking, the present invention includes the displaying of patient specific information, comprising: (one) timeline; (2) line graph of continuous variable data; (3) event icons; (4) time histogram, has long-range event to occur during this period; (5) report or explanation icon; In timeline, unanimously there is line graph in main interface, time icon, bar chart and report or note icon.In application more of the present invention, show the interchange icon further comprising symbol communication, communication chooses from a group, group comprises an envelope Email, a audio file, an envelope audio electronics mail, a video file and an envelope video E-mail; Communication Graph is designated as the different communication form of difference and takes various forms.Usually, in some application of the present invention, if adopt a kind of new treatment or change existing therapy and have relevant order or requirement, then interface can show a Warning Icon.In some cases, line chart, event icons and communication icon are located relative to timeline.As general rule, but be not necessarily applicable in all application, continuous variable is measured data from the patient according at least one diagnostic test, and this diagnostic test constantly repeated along with the time, thus generated the measurement data points of multiple patient.The blood constituent can measuring group that diagnostic test uses in the background of the invention, group comprises from prostate specific antigen (PSA), troponin, high density lipid (HDL), glycosylated hemoglobin (HbA1c's), low-density lipid (blood constituent selected in the group of LDL composition), PAP, prolactin, testosterone, T-CHOL, triglyceride, haemocyte, and liver enzyme.In some application of the present invention, the time interval produced between continuous print patient measurement data point is substantially the same.
The figure of patient measurement data's point of the first diagnostic test represents that describing the patient measurement data produced by the first diagnostic test puts the curve determined.The figure of multiple patient measurement data represents determines a corresponding curve, and each curve is represented respectively, wherein, often organizes patient measurement data and obtains from different diagnostic tests.Have another page in another application of the invention, be used for showing a report comprising patient measurement data, patient measurement data is used to produce figure and represents.
But in another application of the present invention, user clicks communication icon and sends secondary signal, at this moment administration page occurs.This administration page comprises for inputting, editing, download or uplink event obtain the project producing new traffic event.In an alternate application, the present invention includes a kind of administration page, it comprises the method for inputting, editing, download or upload patient measurement data.
The present invention also comprises the event icons signifying the event selected from group, and this small group comprises middle diagnostic routine, treatment procedure, mental wound, physical trauma, and the common event.Diagnostic procedure is selected from a group usually, this group comprise be selected from bone density test, bone scanning, the test of the oxygen saturation of lung tissue, liquor pleurae samples, pulmonary function, phlegm evaluation, arterial blood stream, intravenous checks, echocardiogram, cardiogram, exercises pressure test, bone marrow biopsy, lymph node biopsy, occult blood test, liver biopsy, biopsy, X ray, tomoscan, nuclear magnetic resonance check, hormone determination, and colonoscopy.Therapeutic process is selected from a group usually, and this group comprises physical treatment (PT), chemotherapy, radiation therapy, hormone therapy, gene therapy, cell therapy, and drug therapy.Mental wound is selected from a group usually, and this group comprises the death of spouse or first degree relative, the medical treatment challenge of spouse or first degree relative, employment change, the change of marital status, and the change of residence.The common event is selected from a group, and this group comprises medical advice, mental disease or psychological consultation, outpatient service, and emergency ward access.
In some applications, the icon of event is an icon or abbreviation, presentation of events; Bar chart shows one section or an ongoing part of timeline, is used for describing a certain long term events selected from group.This small group comprises diagnostic routine, therapeutic progresses, radiation therapy, chemotherapy, physical treatment, allergy treatment, food restriction, hormone therapy or cell therapy, and is in hospital; Diagnostic routine is ultrasound wave, hormone determination, liver enzymatic determination, cardiac troponin, and glycosylated hemoglobin measures, blood sugar detection, blood cell count, or the process that blood factor measures; The icon representation diagnostic procedure of this event, therapeutic process, spinoff, the hospital stays, recovery centre stops or toxin expelling center dwell.
As being generally used in background of the present invention, if user wants to obtain certain representative data element, (these representative data elements are selected from a group, this a small group comprises line chart, time icon, histogram, report or note icon, the communication icon etc. with the first signal) time, there will be corresponding supporting document (these supporting documents comprise the information relevant with data, and these data are represented by data representative element); If user obtains certain representative data element by secondary signal, then there will be an administration page, this administration interface comprises input, editor, downloads or the method for information upload, these information with have data representative element to represent information-related; Communication exists between patient and at least one professional person, and comprises the one or more communication meanss selected from group, and this small group comprises an envelope Email, scanning annotation in writing form, SoundRec, video E-mail and videograph; Show that the first warehouse of patient data, the second warehouse of medical information and an input equipment, carry out in the mode of electronic communication with a server.
Reference
The all publications mentioned in this manual and patented claim are all incorporated herein by reference, and its degree is indicated especially and individually as each independent publication or patented claim and is introduced into as a reference.
Summary and drawing
This invention innovation referred in the appended claims.Describing with reference to the different element of following proposition the present invention with by presenting some the details description further expanding these elements in detail, can obtain and Characteristics and advantages of the present invention is better understood.In some presenting is described in detail, employ principle of the present invention, describe in detail and present in the accompanying drawings.
Figure 1A shows the main interface of the electronic health record of a patient of the present invention, the wherein main interface display medical condition of patient, about the line graph of (1) repetition test, (2) bar chart of event is expanded, these cylindricalitys are horizontally set, (3) the disposable event of particularize, enumerate and be vertically arranged, (4) enumerate report and annotation, (5) by click appear at main interface hide/display switch is enumerated can by visible or invisible communication event.
Figure 1B shows " Pop-up " interface for diagnosis, medicine, event, communication, reservation icon (back-signalling and input selector button contacts) five list lattice, and five list lattice are for selecting the data class on present main interface.
Fig. 2 A shows a register interface, and for input or editor personal patient information, or share the medical information of oneself to patient with specific crowd, these people are substantially medical professionals, but also may comprise layman.
Fig. 2 B shows as signal and " MODULES " button (connect for responding by medicine zones of different,) select " ejection " interface of module, this is the special data being selected to adapt to different business field by user, with the applicable any medical treatment challenge affecting user.
Fig. 3 A shows one for inputting or the administration interface of clinical data of editor patient, and this patient relates to the relevant patient key of medicine every field.
Fig. 3 B shows one for inputting or the administration interface of clinical data of editor patient, and this patient relates to the relevant patient key of medicine every field, in addition for the extra data when participating in the cintest that relevant prostate cancer therapy is relevant provide form.
Fig. 3 C shows one for inputting or the administration interface of clinical data of editor patient, and this patient relates to the relevant patient key of medicine every field, in addition for the extra data when participating in the cintest that relevant gyniatrics is relevant provide form.
Fig. 4 shows for inputting or edit diagnosis and/or the hypersensitive administration page for patient.
Fig. 5 shows the laboratory test results comprised for inputting, editing or obtain electronic health record.
Fig. 6 shows the administration interface of the result for inputting self-diagnostic test.
Fig. 7 shows one for inputting or edit diagnosis or the administration interface of therapeutic procedures result, and medical professional is with this diagnosis or therapy for treating patient.
Fig. 8 shows one for inputting the administration interface of event electronic health record being had to medical treatment impact.This two disposable events (such as, outpatient service, blood count, sleep study, ambulatory surgery operation technique or other event within two days processes) and long-term event (such as, drug treatment, physical treatment, etc.) all included.
Fig. 9 shows the administration interface for inputting or edit spinoff, and spinoff may produce in medical professional is to the diagnosis of patient or treatment procedure.
Figure 10 show the administration interface for inputting or edit one of order that medical professional by being provided by patient or medical professional or request provide an embodiment other.
Figure 11 shows the administration interface entering or edit report or the written notes of medical intelligent chart.
Figure 12 shows one and enters, and edits or receive the administration interface of communication, and this communication can be a fax, Email, audio file, video file, chat, the word processing file of any form, or be positioned at user's local computer or the scanned document from secure cloud file download.
Figure 13 shows the administration interface of the fill-in entering or edit medicine and absorbed by patient.
Figure 14 shows the administration interface entering or edit life style and select, after patient's instruction follows life style selection closely.
Figure 15 shows one and enters or edit prompting, the administration interface of warning and alarm.
Figure 16 A and 16B describes this chronological data report, and this report illustrates a series of chronological supporting documentation and comprises those supports that those appear at the document of the supported data of main interface wound respectively within a certain specific date or date range.
Figure 17 shows the system that may be used for realizing interactive graphics electronic health record of the present invention.
Figure 18 A, 18B and 18C show combinational logic and data stream block diagram, which depict the interaction between first user and interactive graphics electronic health record of the present invention.
Figure 19 A, 19B, 19C, 19D, 19E, and 19F shows combinational logic and data stream block figure, which depict the electronic clinical administration of research activities instrument of an interactive graphics, as set forth herein.
Figure 20 shows one and relates to the summary interface that patient participates in clinical research, this is applied in the background of interactive graphics electronic clinical administration of research activities instrument, the wherein medical conditions of this summary interface display patient, consult and use the test of (1) repetitive pattern and clinical assessment line graph, (2) bar chart of event is expanded, these pillars are horizontal positioned, the particularize of (3) events, these are enumerated and are sit upright, (4) particularize report and notes, (5) the enumerating of communication event, they can be shown by hiding/showing the click switched or hide, these appear on main interface.
Details describes
In one application, this invention comprise a method and can with the material of screen interaction.This screen is used for showing the medical information of given patient, and on the screen, these data are all by putting into practice sequential combination together." screen " here mentioned refers to a page, as shown on usual desktop computer display.Unlike, little display page, such as the display of mobile phone, panel computer and other portable equipments is the same, and manual control (such as adjusting the page up and down) may be needed just to see and be presented at the medical information of as many concerned patients on the desktop computer page.And, those charts being used for representing input data separately have inherently been linked to: 1) relevant supportive file, 2) relevant alternative interface, on these interfaces, data can be edited, are deleted, printed and other similar operations, 3) relevant annalistic data report, 4) relevant population data report, can describe in detail hereinafter.
From homepage (hereafter can describe in detail), user can be seen the medical conditions of patient's present stage and be predicted by direct approach at once: 1 provides patient the approach exchanged with non-professional doctor and the medical practitioners of patient selection, and exchanges the approach of the patient privacy state of an illness between these medical practitioners allowed by patient and non-physician; 2) data of all inputs, supportive file, supportive listed files, diagnostic test, order, program and the interchange relevant with patient, these listed files are all according to time sequencing, be as the criterion with the data on the time fences on homepage and arrange, or with reference to certain special standard above-mentioned.Homepage itself can be selected to as intelligent medical figure surface and interface (MSC interface).Equally, said system comprises interconnective interface, hardware and software, is combined this invention constituting and be called as MSC interface here.
Interconnective function on interactive electronic medical treatment chart in MSC system, can refer to the definition about this series of term in these chapters and sections of definition hereinafter.Define these chapters and sections and can define all relevant terms, unless the term be defined in other chapters and sections or example.Otherwise in this case, another kind of definition is only limited to described feature.
Main description is with data existing invention as a reference in one example.These data demonstrate simply can with same time axle for standard be to these new features of the medical data and history that show patient in single-screen.If patient medical chart presents with paper-based form, so onlooker also can need to take time other information needed.And if single-screen form presents, an experienced onlooker can find information needed at once.Certainly also can comprise medical events in medical history, such as go to a hospital to see a doctor, Treatment and diagnosis measure etc.The same individual event that those may produce medical science impact also can be included in medical history.Regardless of these events, treatment and test being presented on main interface with which kind of diagrammatic form, and onlooker can see actual supportive file only by click special icon.Correspondingly, the medical history that patient is whole and present situation all have display on main interface.Experienced curative activity is engaged in and is only needed to click mouse and just can see real report from official channels (usually from doctor or test library).Do not need to browse full page or look for information needed from the rambling electronic page of a pile.In fact, just electronic chart can improve service efficiency show except this invention practicality.
The skilled user of this invention can find information needed fast, also do not need down to turn over chapters and sections again, this means that inventor thinks that this invention also can be used to other microcosmic or non-a large amount of approach, other invention may certain or more feature on this invention different.Tiny difference is exactly that the position of the medical data be presented on screen may be reorganized.Other difference also comprises the used chart of change, the interval value of line graph, interval on time shaft etc.
Correspondingly, certain or multiple screen comprise together two standard design and selects or substitute a certain science and technology used in MSC system, the function of this science and technology substituted, approach, result are all similar within the system.So they will be seen as in MSC system, use an extension of this invention of the MSC page.
In particular, described here is a kind of method of management given patient information, each interface used in this approach, and can system in this way.This method comprises a series of step, as: providing 1) homepage has two dimensions; 2) each chart all correspondingly links specific patient information; 3) in the first dimension, define the time shaft of each time point.The dimension be presented on any one interface is all level or vertical dimensions mostly, in these dimensions, the first dimension is all level usually, that such as hereinafter will mention is such: it is all by early time data on a left side that the time takes out, tactic on the right side of late time data.
This method comprises the supporting document providing given patient information.Supporting document can take many forms, include but not limited to the written report of once or one group of blood examination, one section of video about pathological analysis result, the a audio file showing genetic analysis result, an X-ray photograph, a common photo, a cardiogram, the operationral report of a oral displaying, the annotation to file of a doctor or patient, once formal medical written report, a patient or Medical Technologist are to other people requirement, a doctor's advice is (according to current program requirement, should with the Written Order having physician's signature), the written report of a Ref Dr.Supporting document can store with any suitable computing machine form, includes but not limited to pdf, doc, rtf, jpg, wav, mp4, and other similar forms.
Icon can take arbitrary form, includes but not limited to arbitrary geometric figure, cartoon figure, sketch, numeral or alphabetical and other similar forms.Further, icon by colouring, can add underscore, and tilt, overstriking and other similar forms carry out emphasizing or distinguishing.Single icon can represent one group of generic supporting document.Such as, a micropkonic sketch or cartoon are (such as,
) can be used for representing voice communication, the sketch of a video camera or cartoon are (such as,
) can be used for representing video communication, the sketch of a file or cartoon are (such as,
) can be used for the instruction of an expression doctor or requirement, one circled come the sketch of i of capitalization or cartoon (such as,
) can be used for expression patient and require to obtain more information or further explain, the sketch of a notepad or cartoon are (such as,
) can be used for representing an annotation of medical records, symbol " " (claiming in English, " atsign ") can be used for expression E-mail communication, and the sketch of a loudspeaker or a video camera or cartoon figure add " " symbol, such as,
or
can be used for separately representing audio electronics mail or video E-mail, a dual exclamation mark (such as,
) can be used for representing warning or reminding, after the description interpolation underlined in red of an expansion event, can represent it is related side effects, a horizontal bar can be used for representing that a kind of medicine or therapy are used for a prolonged period, symbol
or the sketch of a circled next capital M (such as,
) can be used for representing a kind of medical treatment, the prescription medicine no matter this therapy uses, non-prescribed medicine or nutritional supplement, a circled next capital P is (such as,
) can be used for representing and once perform the operation, question mark (such as, "? ") can be used for an expression diagnostic test or diagnostic operation, circled 1 (such as, " 1. ") expression disposable event (such as once a formal medical or ischemic events) can be used for, the Greek alphabet " Δ " of capitalization can be used for representing that data not yet input, geometrical symbol (such as, solid or open circles, (zero or ●), rhombus (◆ or ◇), square (■ or), triangle (△ or ▲), and other similar geometrical symbols) can be used for representing that (triangle symbol in line chart should be able to distinguish with delta easily for data point or line chart, only have in such line chart and represent that the triangle symbol of data point can couple together with line).
Each icon is placed on main interface, and all points to a time shaft showing the event generation date or period occurs; This is mainly used in disposable event, such as once formally goes to a doctor, together traffic accident, a diagnostic test, or other last shorter event, and such event time span can not surpass two days later at most and have or may have continual treatment to affect.The data homeotropic alignment of disposable event, with category icon beginning, after and then specific title.Such as, one in the one dimension point showing patient's blood letting prostate specific antigen (" PSA ") level date, represent that the icon of diagnostic test there will be (such as, question mark (?) example as shown in Figure 1A), directly over question mark, namely the place that in Figure 1A, diagnosis 2 occurs, there will be acronym PSA (supposing that patient has carried out the blood examination of PSA concentration in October, 2012).Similarly, a people can insert the relevant information (such as, the relevant information of a hernia prosthesis or angioplasty) of once performing the operation inside, like this for represent operation a class icon (that is, the above-mentioned example,
) and the information of other particular procedure appear in one dimension, and the point at place is corresponding with the time that event occurs.
The longer event of time span can show on main interface with the form of bar chart.In an example, bar chart is horizontally arranged.One represents that the icon of long term events can be positioned over the contiguous place of bar shaped head end, or on a certain section of other parts of bar shaped.Specific long term events can be positioned over the position closing on bar shaped, and the time hardwood on the title of long term events and corresponding time shaft has nothing to do.One still generally represents by adding an arrow at the right-hand member of horizontal bar shaped at the long term events carried out.In contrast thereto, one terminated the horizontal bar shaped of long term events can extend to a roughly relevant time point, bar shaped right-hand member can become square, after be accompanied with one and represent the bar shaped that the circle that stops is vertical with.
Communication event carried out to fixing the date can with a suitable icon representation, and such as, Email can represent with " ", and video council parliament uses
represent, audio electronics mail and video E-mail can with the icon representations combined
with
represent.These icons appear in a point of the first dimension, and this point indicates the date communicating and carry out.Other discrete time events comprises diagnosis and outpatient operation, and the mark of these events also appears on main interface, and points to time shaft to show the date occurs.Other useful informations be included may have beginning and the Close Date for the treatment of, or these dates to appear in bar chart (can show the time that treatment continues like this, and treatment belonging to long term events).The part showing communication event in main screen can be selected whether to put into main screen; Further, even if be presented in main screen, whether user also can select to hide by the switch key clicked in main screen.
User also can revise the data group that will be illustrated in main screen by increasing by second piece of screen.The effect of the second screen is the diagnostic data group of selecting to show, medicine, event, and message.Further, user can show for main screen and selects different time interval, focus is placed on and patient the most relevant with patient's interests and worries part most.
The method also can be applied to some administration interfaces, and this screen is used for input, editing data and uploading data from a supporting document.Further, these administration interfaces are also different, for reflecting the difference of the medical data information of the input of dissimilar patient.The further discussion of our following meetings of this problem.
Each supporting document is linked to an icon by a hyperlink, and this icon represents the information of the given patient of a specific data group or particular category.Provide above associated exemplary.
The general operation criterion of this invention of interactive image medical records is, user clicks an icon, the supporting document that icon is therewith linked is found by the first signal, administration page is found by secondary signal, administration page there is the classification index of all types of given patient information, information of all categories has specific icon representation, and secondary signal and icon remain contact.The position part at icon place was determined by the date being assigned to given patient information; Correspondingly, if the date of given patient information comparatively early, the figure rotating savings being so used for representing is in the one dimension neutralization position that comparatively early the date is corresponding, and, naturally, if more late, the icon being so used for representing will be positioned at one dimension neutralization position corresponding to more late date.As long as the first signal and secondary signal can carry out dimensional orientation, they can be the signals of any appropriate.That is, the programming that can rely on operating system wanted by computing machine, perceives the signal of any one corresponding ad-hoc location in two dimensions on screen.Therefore, cursor is placed on the optional position on icon, by a certain button on lower keyboard or Macintosh and after the signal that computing machine perceives is performed, computing machine will transfer a supporting document or administration page.The meeting specifically transferred out is supporting document or administration page, depends on that this signal is the first signal or secondary signal.Correspondingly, on optional position mouse being placed on icon and the Macintosh pressed on specific keys or keyboard also can realize this effect, in addition, left button or the right button of pressing computer mouse are also passable.In some instances, computing machine can be write to distinguish clicking and double-click (or button) of right button or left button further; Further, because the pulley of computer mouse can slide, mouse also can be used to carry out aspect-stabilized signal.In addition, owing to containing touch-control material and signal in display screen, user can touch the stylus of computer screen with finger or be applicable to and click or double-click point on screen.This can as a supplement or alternative mode of operation.Here in enumerated example, first signal is normally produced by the left button pressing computer mouse, and second signal is normally produced by the right button pressing computer mouse.
Here in illustrative application, the first signal usually clicks the acquisition of computer mouse left button and the second letter obtains by clicking computing machine right button.
Occur administration interface interface by secondary signal mode (in example illustrates, clicking computer mouse right button) connection icon, the supporting document data of icon representative occur according to administration interface form.In addition, each administration interface comprises a data report represented bottom display screen, and list top or the hookup rotating savings representing this supporting document under choosing option are listed in report.
As mentioned above, many patient's specifying information contents can input in existing electronic health record.These comprise hematological results, generally list in line chart context.Equally also can show disposable event, as operation and other conventional programs, start a new medicine system, a diagnostic test or and so on.Long term events also can be presented in interactive graphics (IG) case history, generally shows in bar chart.Report and key diagram is marked with and patient to doctor inquire about, vice versa, is all to arrange according to timeline.Finally, main interface also show various direct communication mode, can use the icon of the current communication mode of clear expression, these are also arrange according to timeline.
Content of the present invention can go to understand the numerical information illustrated in one embodiment of the invention with reference to additional singularity.Figure 1A illustrates in main screen of the present invention 100 1 embodiments, indicated main interface, administration interface (as Fig. 2 A), the screen of clinical data is (as Fig. 3 A, 3B, 3C) and the common trait of all administration interfaces (as Fig. 4-15) be two groups of hyperlink buttons.First group of hyperlink button 170 (horizontal positioned in instances) be for screen input, edit, upload or downloading data, be called a holistic management interface.Second group of hyperlink button (vertically arranging in instances) is for literature or communication modes or practise area, can select to check or change MSC system screen.
Relative to first group of hyperlink button, table 1 specify button identifier as shown in Figure 1A (for the button that all follow-up numerals are identical), the screen name of hyperlink identifier, and cura specialis interface numeral explanation.
Table 1: data input/edit screen and Numerical Index
These administration interfaces there are some utility routines, but perhaps the most important thing is supporting documentation have been uploaded to MSC system and from supporting documentation, inputted the website of data.These two events, namely upload supporting document and input data, are usually found in the same time, but do not need.Can rationally upload by administration interface the information comprised in supporting documentation for one, use specific administration interface supporting documentation and the data type intending processing to be linked together.Same supporting documentation, certainly, can comprise some suitable different classes of data, comprises certain Email specifically diagnosed of inference conclusion of a doctor as received.In this case, same supporting document, i.e. Email, correctly will be uploaded to telecommunication management interface and report/record management interface.In the DATA Example appended by display, really will upload twice identical supporting document in this scenario; In other embodiments, once, be conveyed into supporting documentation, once appear on interface, allow user to indicate all data categories represented in supporting documentation, to be associated with other file of each representation class by same document.In another embodiment of the present invention, a server analysis is uploaded supporting documentation and will be read the document, the data category that automatic selection wherein comprises, and, in addition, automatically input in the data comprised as manually used by user each administration interface enter guarantee correctness.But as in the embodiment shown in Figure 1A, can enter immediately and comprise data in use management interface after upload program, it also can carry out in the time of any point simultaneously.
Certainly, data are preferably inputted as early as possible so that subsequent user is certain Case treatment obtaining information in MSC system.Because this reason, MSC system comprises an icon, when certain supporting document information is not also transfused to, will appear on the timeline of 110 joints.Icon is the Greek alphabet triangle 6122 of a capitalization, on its direct residence time line, consistent with one day of supporting document information creating or date.Therefore, you can see in figure ia, and capitalization triangle (△) 122a appears on 110 joint timelines, and showing date is in February, 2013, and this shows that a supporting document information creates in February, 2013 or may have and not yet enters MSC system information.Again, capitalization triangle icon (△) is as an instruction icon, and the supporting document comprising given patient medical data content has been uploaded to MSC system, but its content not yet enters.
User want input data will by the first signal connection icon, namely in instant application, click the computer mouse left button of standard, in this case, on interface, this file will occur with " a floating " window, and connection management interface or screen also occur entering data by another signal (right button that instant embodiment content is clicked the mouse).In one embodiment of the invention, " floating " window screen is still visible, namely remains on the top of administration interface, and is transparent substantially, allows user to be checked all parts of administration interface by it.For this alternate embodiment, no matter it is in the position of floating frame form supporting documentation, for data can be inputted in any region of management in this object and the screen that arranges; That is, this vernier can arrive any position of administration page by mouse, and in the direct top set situation of " floating " supporting document, input significant data.Floating supporting documentation cannot be write, only check and consult, to guarantee information to be accurately input on administration interface.Once the typing of supporting document information, the MSC of system eliminates capitalization triangle icon from X-axis 114.
Can also check supporting documentation by the identifier of the highlighted display clicking the document found in " the group report of administration interface ", in this case, as before, supporting documentation data to be entered are floated under the administration interface opened.
In addition, if its information comprised does not input, the value of supporting document is very limited, and MSC system is also placed one and reminded icon (that is a, alarm clock
) to upload the date consistent with supporting document.And for example shown in 110 Figure 1A saved, second U.C.Greek icon Δ 112b appears in x-axis 114, shows that the information created in February, 2013 not yet enters corresponding administration interface.On second triangle icon side, one is had to point out icon
object is the thing that reminding user will do.Positional representation information creating date in X-axis 114 or date of enterprise remind (can discuss at alarm/prompting administration interface about this point).In this case, remind icon U.C.Greek Δ 122b that reminding user inputs the data be included in supporting document.Understand a content of reminding icon meaning to remind, connected by secondary signal and remind icon (that is, a mouse click right button), warning/remind administration interface to there will be corresponding information.So, corresponding administration interface button in 170 joints can be clicked, in the bottom group file of administration page, find interested file, click this file, so supporting document occurs with floating form; Click right can open data input administration page in a document.
Be worth again reminding the work of icon: remind icon can place in X-axis optional position in 110 joints.Understand and remind icon indication content, user is connected by signal and reminds icon, such as secondary signal or click right button, and alarm/prompting administration interface (embodiment as described in Figure 15) provides suitable information by the display appearing at user.
Need the effect reaffirming to remind icon: remind icon
can place any position in the X-axis of the 110th part.As understood the implication of reminding icon, user can use signal, such as a second signal, or right click operation has been come.As response, alarm/prompting screen (have at 15 figure and specifically present) can embody to some extent on the display device of user, provides suitable information.
No matter take which kind of mode to extract the supporting document of information to be entered, supporting document still can be among floating frame, and user just can carry out reference when inputting information in suitable administration interface.
About second group of hyperlink button, form 2 lists the button identifier (identical button identifier can occur in forms all afterwards again) of the hyperlink button occurred in icon 1A in a vertical hurdle, the title of hyperlink screen, and the form providing this screen example.
Table 2: report or select screen and data directory
| Identifier | The title of report/selection screen | Detailed content occurrence number |
| 180a | Chronological data report | Table 16A and table 16B |
| 180b | Group's data report | Do not occur |
| 180c | Order is reported | Do not occur |
| 180d | Media page | Do not occur |
| 180e | The mode option | Table 2B |
| 180f | Resource | Do not occur |
| 180g | Report electronic warehouse | Do not occur |
| 180h | Library | Do not occur |
These buttons can as effective channel of user, and file and the position of their links will be described in detail later.
Also show three hot keys in all screens in MSC system, is 103,104 respectively, and 105, three hot keys point to main load interface respectively, print current browse page, and downloads current browser document three functions, and these three functions do not need to add to explain yet.The lower right corner of all screens up to specification that these three hot keys are usually described in the graph; But certainly, these three hot keys can in any region display of different screen; Both laterally can show, and also can longitudinally show, but the order usually followed is from left to right, or from top to bottom.
Have at least four classification can show on the main interface of MSC system in the medical data of individual, that is: at chemical examination or the diagnostic data of first part 110 display, what Part II 120 showed is single-visit record; What Part III 130 showed is long-term diagnosis records; What Part IV 140 showed is diagnosis and treatment report and remarks.Additionally can increase a Part V in Personal medical data, namely link up document, as the acquiescence ingredient of Part V 150; But, with arbitrary signal contact icon 151, then communication icon 150 can be caused to be hidden; If continue contact icon 151 subsequently, then 150 will reappear again.
Also have a plate 190 in addition, the health condition that patient is present can be recorded.In this plate, the time of plate content latest update, current diagnosis records inventory, and the button of the window that can eject the up-to-date important health data of displaying patient also can occur together.
As shown in chart 1A, Part I illustrates the data of diagnosis and treatment test by the form of curve map.What X-axis showed is chronomere, and what Y-axis showed is the scale of each diagnosis and treatment and the record of effect.The data pointing to certain diagnosis and therapy recording concrete are represented by identical button, in the case, can form a geometric figure, as circle, rhombus or the square closed, as shown in the chemical examination record 1-3 in legend 113.
Time in the codomain of Y-axis 115 and X-axis 114 may have nothing in common with each other.For Y-axis, the truth of a matter optional 2,5 or 10 time, just select logarithmically calibrated scale, index then selects 0,1,2; Accordingly, the scope absolute number 0 and 8,125,1000 of the index of Y-axis, by selecting between three truth of a matter having select button to display.Selector button 111 comes into force by clicking on button, after click, can eject a form, and option is selected in the confession of display three truth of a matter.Meanwhile, user is clicked selected by simply highlighted the index truth of a matter to be selected.As response, the thresholding in Y-axis also can change when selecting the different truth of a matter.Such as: if n=2, so in Y-axis, replace n
1, n
2, n
3numeral be respectively 2,4 and 8; If N=5, so corresponding numerical value should be just 5,25 and 125; If n=10, so relative on number axis numeral is then 10, the displaying of 100 and 1000. other MSC systems can use a lineal scale to weigh the value in Y-axis, utilize any codomain adapted with certain specific diagnostic assay record: lineal scale can be established, by selecting the numeral in maximum or minimum Y-axis.If the Y-axis 115 being used in display in graph A 1 is divided into four equal parts, the difference between that minimum value and maximal value will be removed by 4, and the highest threshold values of each part will be marked respectively afterwards.Certainly, different pattern or use value maximum or minimum in Y-axis, uses linear or logarithm or other classifications weighed; Various different situation all can produce a series of different numerical value.As we for example, can produce a series of fixing numerical value, user can select in these numerical value.
Identical, time shaft can extend, and shows the data in longer a period of time, also can compress, for showing the data in the short period.Among the content of showing in icon 1A, user can select the less time period (having display in timeline 160), and wherein, the data of every month can both be shown in two years.In addition, user also can select time line options device 161, thus can 2 years that have depicted between time and 6 years in select, be all divided into for four seasons every year.No matter be 2 years or 6 years, the initial time arbitrarily can revise (details is not finally decided, but can be operated this field veteran by any) on time gate.Other times can use other codomain, such as one day, one week, one month, 1 year, 10 years, even several days, a few week, some months, several years, even decades, and the user that leaves selects.So, user just can check data and information, also can be very helpful with health status in the past now to analyzing patient simultaneously.
Second plate 120 illustrates the diagnosis and therapy recording produced within the time period of one day or two days.Conveniently distinguish the kind of idagnostic logout, the icon that system uses all has general property, such as, a process (enclosing the alphabetical P representative come), a kind of therapy of a chemical examination (representing by enclosing the question mark come) (representing by enclosing the tee come).Simultaneously, for a large amount of not isarithmic short period, the button of a disposable time be exactly one enclose come 1. as showing in chart 1A, the brief introduction for the disposable time is that level is towards expansion, be placed in first dimension at main interface, and point to timeline.Icon can when occurring at this without any when character introduction; Meanwhile, the introduction of character property also need not occur with icon together.
For understanding a Graphs With Independent target implication, such as one encloses the P come, and need right click icon, occur program management interface (details are see chart 7) herein, the group of administration interface, the supporting document representated by this icon will report that plate height light occurs.Identical program also appear at each administration page bottom, with report group relevant in together with the supporting document that shows of high light display, appear in corresponding administration interface.
Part III 130 represents long term events, and the time of the event of these events or well afoot is shown by the bar chart of transverse direction.For the long term events that those carry out so far, the right-hand member end of corresponding cylindricality can end up with an arrow head end 131.In contrast, the cylindricality having stopped those long term events shows closing time prior to current time, and holds (not shown) ending with flat end 132 or T-.
Part IV 140 is reserved gives a report and takes down notes, and forms for grass-trap Figure 141 and that reports by one for the notepad 143 taken down notes.This part display be alarm symbol (with scheme as! ! Two exclamation marks display in 144), drug therapy (to scheme as the rotation capital M display in 145) and consulting (being generally the consulting of patient to health care professional, to scheme as the annular capital I in 142 shows).
The various icons of Part V 150 display communication event.These icons can be selected visual or not visible, depend on whether user clicks 150 parts at main interface shown in hiding switching 151 Figure 1A, the direct left side 150 of (or 5th) part that namely communicates.If finally click 151 in the sightless situation of the communication information, then for the 150th of various types of communication display icon will be presented on main interface, shown in current chart 1A, immediately below report notebook district 140.If finally click 151 in the visible situation of the communication information, then the interchange chart in 150th district will not show.Incorporating of Part V is washability for purposes of the invention, it is combined incorporates with display/hiding switching 151 by some of them application, but other then add this part do not show/hide switching 151 (in this case, communication icon will exist on main interface all the time), and in other applications, traffic diagram rotating savings is left out.
All icons above-mentioned and data point input on main interface according to timeline 160, and it can occur separately along the first dimension (such as: the horizontal dimensions as shown in present example).Timeline also can diverse location on main interface repeat, such as relative to the second timeline 160' and/or the 3rd timeline 160 " object is the convenient date origin identifying the different pieces of information that the icon on main interface 100 on difference is corresponding.Timeline 160,160', and 160 " time of display same range, this scope can expand the larger data segment of display one group more than 2 years maybe can shrink within the scope of display one group 2 years one section data among a small circle; only need click in switching 161 year/moon, as shown in Figure 1A.In other application, use slide switch to strengthen and continue variation range (not shown), this slide switch embeds in main interface software by artistic method, then timeline 160,160', and 160 " can change in the scope with several years at one day.
Go to chart 1B, main interface input selection 101a (also referred to as input selection screen 101a) is an ejection function, and indication input selection button 101 appears at upper left side, main interface 100 (as shown in the chart 1A upper right corner).By filling input selection screen 101a, people can in a subset (by filling in the date recognition of 101h part) of the power design interval time patient specific data of one section of regulation, and subset is the most applicable again looks back particular case for this.User can select required detailed diagnostics (listing in 101b) from various categorical data, medicine (101 therefrom list), they are added on main interface by the corresponding space of the 101g part checking input selection screen 101a by event (listing in 101d) or communication (listing in 101e).If wish to include the data in one or more data category, user can check SelectAll (the selecting all) option in 101f part in all corresponding hurdles; Otherwise if do not wish to include the data in any data category, then user can check UnselectAll in 101f part in all corresponding hurdles (do not select own) option.Once after user filled up four row of a satisfied solution special problem, then only need click the chart that 101i option RedrawGraphWithAboveSelection (repainting chart according to above selection) is so included in main interface 110 part can have been repainted.If after having opened input selection screen 101a, user has found without the need to data are brought up to main interface, and user only needs click option 101jexit (exiting) can exit input selection screen 101a.
Forward now chart 2A to, patient, or broadly say, first user (such as, except patient someone represent patient at first use MSC system) fills in the form be included in registration management interface 200.Touch registration button 170n and can send a second signal, now registration management interface 200 can manifest, and clicks computer mouse by right key in the embodiment namely presented in the accompanying drawings.At registration management interface 200, people see and same be horizontally disposed with a set of hyperlink button 170 and samely vertically arrange a set of hyperlink button 180.User inputs contact methods in 201 parts, the date of birth, medical diagnosis on disease date or Current therapeutic situation, chart Start Date and the event data be included on main interface, some optional data, and the expectation transmission frequency of reminding mail.In the registration form that simultaneously 202 parts use the MSC system that in (first row 202a) and list, other further user use (secondary series 202b) are also included within use will fill at first as further user.Additional user is by patient selection, and they can check and be included in the intrasystem patient's personal medical information of MSC.To delete other any users, patient by the deletion frame on simple click further user limit, can delete in the list can listed in 202b secondary series.In addition, patient can limit by getting rid of the information category that certain specific additional further user can see, such as: use a pop-up window (not shown) for this situation.
Form in different business scopes and drop-down menu according to clinical evaluation, the difference difference to some extent of medicine and method.Correspondingly, registration is filled in a form to be the current diagnosis of basis or to pay close attention to the best opportunity selecting one or more module, but also can select after a while." module option " screen 250 is shown in chart 2B, and " module " button system 180e clicked when using MSC system on the orthogonal sets hyperlink button 180 in almost MSC system in arbitrary screen can solve.Various module symbolically shows in Fig. 2 B254 part, comprises following any corresponding module: heart disease; Gynaecology; GI Medicine; And analog.All will select or all not select various module, the Option Box can choosing 252 parts represents and does not all select, if all modules are relevant with actual situation or disease, selects all.Once the required Option Box put into practice on module limit has been beaten to hook represent selection, then various screens used in click button 256 reconfigurable MSC system, called after " has selected module to reset MSC system " here.Keep model choice screen 250 not affect by accessing the change of this screen before, user can click X button 255.
The clinical research that another module that can carry out selecting in MSC system relates to selection and patient automatically participates in.MSC system the periodic search in online identification mechanism, university, health care entity website can obtain clinical research details in one application, and the details of information is stored in the lane database of MSC.Associated nets standing-meeting for this search is hereafter having described and is being accompanied by example.Clinical study information can be collected by phone or other exchange waies by initiation tissue, and in this case, clinical study information can manually or by the derivation e-file of initiating tissue input automatically.The information of online reception also can manually input or use in the process of robotization, but in view of including/getting rid of the susceptibility required in, preferably can rechecking data input with the accuracy guaranteeing input information.
In one application, once patient's Selecting research participates in module, described module is programmed to select or cancel the patient selected in given research, has the choice criteria to a patient history and Current Diagnostic and treatment.Not yet signature must input authentication information to the patient of MSC system and before information is qualified, accepts the his/her medical information of evaluation, and selected and exclusion standard can be evaluated afterwards.For the patient being MSC system user, their patient's medical history, current diagnosis evaluation and analysis suitably input, and in the electronical record of MSC system, remain the medical condition of patient, have selected research and participate in module, this can start a series of inquiry about determining the clinical research that associated patient is diagnosed.(if patient does not have Current Diagnostic, or they are interesting does not consider that his/her diagnosis participates in clinical research, so participate in research module comprise one piece of this patient of display can as the participant of " health ".)
Once inquire about the MSC system database of clinical research because the patients ' interest clinical research of being correlated with needs, inquiry can determine that crucial qualifying requirements that whether identity information of patient and medical history comprise any clinical research forbids the entry participated in.(namely these requirements are usually directed to identity, sex, age, genotype or genetic background) and the wide spectrum of medical condition (such as, healthy/unhealthy, some blood constituent content is in normal range, elementary and metastatic carcinoma, in the presence/absence of autoimmune disease, particular category treatment history, etc.).How special inclusive criteria must meet clinical research and participate in.Inclusive criteria is usually directed to the particular items of individual medical history, the disease of such as passing by, blood chemistry details or hematology details (such as granulocyte and platelet count, hemoglobin concentration etc.), current health liver function, treatment recovery situation after acute poisoning, imaging examination result (display, such as, a distinct bone scanning or negative CT/MRI scan), be ready to go to a non-local research place, etc.
Clinical research participates in also requiring that specific exclusion standard does not belong to a part for patient's medical history.Such as, get rid of the common cause of candidate participant relevant with the medical conditions of patient or medical history, such as following one or more: immunocompromised host state; The medicine of past or current some classification of use, as having the steroids of general action, serious concurrent medical condition; Epileptic seizures; The medicine of potential offence clinical research agreement is had to use; Recent operation; Special allergic reaction history; Skin medical history; The ill history of hepatitis B or C; And other.
Once patient is accepted clinical research, participate in research module to continue in research process, assess input information, and mark any candidate or if participator has fresh information to show: i) this participant no longer meets research requirement, therefore participate in stopping, or candidate meets research requirement now, thus research is made to participate in expansion to hold more multi-player.Get rid of or comprise the problem of participant, such as, may relate to the side effects of pharmaceutical drugs of a class, after having received research, participant weighs newly reported spinoff, but the termination that then spinoff causes participator to participate in.Conversely, if reported before a participant class side effects of pharmaceutical drugs, so may carefully can be detected whether his/her genotype of the specific spinoff that is certain at certain time point subsequently to make an exception, in this case, candidate can be accepted and enter research.Other ways of dealing with problems proposed due to the concern to certain spinoff may play a role.
For some participant, some new side-effects information cause getting rid of research, or an alarm and communication are produced being to providing the research source of described medicine (Typical Representative is pharmacy or pharmaceutical companies), with stop sending this medicine till now before participant.In addition, source electrode provides test also to stop providing test to former participant this moment by being alerted to.
Participant can be reminded to fill in questionnaire in MSC system and send research requirement simultaneously.MSC system also sends prompting and instruction checks to operate some, as blood examination is looked into, and iconography, similar etc., and arrange and participate in clinical medical assessment.
A part for the paying of this kind of research not necessarily MSC system protocol, but on the contrary, is mostly responsibilities of the sponsor carrying out particular studies in MSC system scope.Be no matter theme or doctor or both receive the expenses participating in these researchs.But common way is that third party controls and expense paid the participant of a certain research.
Researchist hoodwinked sometimes because MSC system participant be supplied to them only comprise identification number.The researchist of the file of the non-identifying used can complete temporary statistics analysis.Chart and report can end up in the research at any time or at the end of MSC system data.
Exemplary summary page 2000 is that the data retransmission demand of individual participant is presented at table 20, and the clinical research possibility of patient requests is available also may be unavailable.(some clinical researches require that participant can not be apprised of whole or some medical data occurred in research; In that case, line graph 110 is only limitted to the data being shown to patient, or complete missing data; This whole browsing of clinical research summary page is only limitted to clinical research organizer.) ingredient of clinical research summary 2000 is very usual to MSC system main interface 100 Figure 1A, it is associated with identical label, and has identical, function as described herein; From the different only scopes described here of clinical research summary page 2000.A special difference is that summary page comprises a timetable, comprises in the past and the date in the future, thus the clear future event listed achievement in the past and will complete that clinical research agreement will do.
Whether the data no matter produced under research are Patient Participation, and person shares, and sum up the page 2000 and can be effectively used to provide and remind 123a to draw blood, outpatient service, other ingredients of research approach, and bar shaped Figure 130 of parts is being carried out in display research.In addition, timetable 160,160 ' and 160 " display in the past and following time point, the date of wherein passing by can show feature by the strikethrough or on instruction date in the past and represent.Index is for other disposable event, and as step, laboratory is tested, and other similar incidents such as outpatient service can different display, in the event such as completed in the past, occurs in over but misses, future this type of event; Again, print characteristics is used to distinguish described classification.About outpatient service, reservation, in one application, indicated by having in the term " outpatient service " in event presentation district 120, along timeline length 160 used be conventional (non-runic) font; If reservation retains, so, as the date in past on timeline, participating in " outpatient service " is with print through, font-weight, reminds icon 123a that explicit reservation is cancelled; If reservation does not retain, then still use routine (non-runic) font in the statement of " office's visit ", Warning Icon 144a appears in and reminds the upper display of icon 123a item committee this reservation.Equally, laboratory test/blood drawing is represented by question mark, and the question mark icon can on date cutline font in the future and solid line type date in the past; If laboratory test/blood drawing occurs, then the icon meanwhile cutline font that will disappear is reminded to become solid font the question mark icon; If laboratory test/blood drawing
Correspondingly, sum up the page 2000 and offer an opportunity display patient as research object in outpatient service, blood drawing, or the otherwise responsibility of agreement.The icon of same group can apply in main interface 100, adopts similar position as shown in summary page 2000.
One in being also included within of between patient participant, clinical research tissue or the place 150 of Medical Technologist's communication.
Show that the motion pattern how MSC system operates in an embodiment can be used in medical research, as shown in Figure 19 A to 19F.For such embodiment, the operation that research participates in module maintains function or as an one ingredient, this will discuss below to some extent independent of the medical records of MSC system.Electronic clinical administration of research activities instrument independent of the interactive graphics of the present invention of MSC entire system extremely has prospect, but for any clinical research potential participant make use of MSC system can be more effective to retain his/her case history, thus reduce to greatest extent and need unsuitable mark relative to including clinical research in.Therefore, interactive graphics (IG) electronic clinical administration of research activities work is inclined to use MSC system for recording each side of the identity information of medical data and any Prospective Clinical research participant, as (noted step: step 1906-1907,1912-1913,1916-1917 by the discussion of Figure 19 by sequence display, 1922-1923, and 1927-1928) point between continuity point Figure 19 A19B respectively, between 19B to 19C, between 19C to 19D, between 19D to 19E, and between 19E to 19F).
Individual (being referred to as " user ") seeks clinical study information from internet site, MSC system is regarded as information resources, find MSC website, and open this website at the computing machine of user or the browser (step 1901) of handheld device use standard.Whether he/her is interested in input in MSC system and retains his/her medical data (step 1902) MSC query site user.If like this, then user is drawn towards step 700 and following, as shown in Figure 18 A (step 1904), hereinafter can with discuss in detail.Certainly, the user seeking clinical study information oneself can want seek information for him or she, also can be another person's seek information.No matter which kind of mode, if user's active response represents that the interesting MSC of use system retains his/her medical records, then user will be directed into the step 700 shown in Figure 18 A and following, 18B, and 18C.Step 1904.
If but user represents that he/her loses interest in inputting in MSC system and retaining medical data, so MSC query site user seeks to enter the interest (step 1903) that clinical research (" CS ") enters way.The user with such interest is called as perspective study participant (" PSP ") in this.Typically, in this, if user is being PSP find information, it is certain that the operation of module protocol is then being turned to PSP-, be guardian except non-user or have enough close relation, and have enough knowledge to proceed, answer inquiry about intention and medical data propose.
Therefore, if user persists in saying interesting further information of seeking about useful clinical research, so MSC website can require that statement PSP is seeking one or more individual's diagnosis (step 1905) needed for clinical testing further.MSC website can use keys in the open form of answer input or the drop-down menu of medical diagnosis.By first inquire which tissue or body system ill, then provide one to itemize about choosing may diagnosing of tissue or body system, the diagnosis and distinguish that drop-down menu can be conveniently correlated with.PSP may be healthy, and attempt enters the clinical research using health volunteer; In this case, drop-down menu also allows ND candidate participant to enter.
The information that another PSP must input is individual personal information, its corresponding data entry modality has shown to receive the constitutive character of relevant information and PSP on website, comprise name, sex, age, height, body weight, and address (being referred to as preliminary data) (step 1908); Sex, at the age, height and weight data are input in an open form, or use drop-down menu; More preferably, shown in cited the present embodiment, the personal data table on the website presented is shown as the table 201 contained by Fig. 2 A.As mentioned above, this category information, for very necessary for the research of PSP screening Prospective Clinical, be known the age, sex, the consideration of the ratio of body weight and height, even the consideration of position has decisive role for whether candidate can consider to enter a given research.
MSC website requests PSP inputs the individual identity information that other may enter the account of PSP, and no matter they can check and/or input.Other people like this, are called as additional customer, can be relative or the friend of PSP, or his/her doctor or medical relevant issues consultant.This information can input in the open form that presents on MSC website; But it is recommended that the form that uses of every embodiment is as the table 202a of Fig. 2 A.Step 1908.Certainly, PSP can select without additional customer, and in this case, this information can be stayed white by form 202a or data entry form lattice.
Personal data form can be presented to provide his/her medical history to PSP after MSC website.But it is recommended that form used is or is similar to the personal data form 310a shown in chart 3A.These data demand fulfillment of step 1909. include the eliminating requirement of requirement and given clinical research in.It is specified by the organizer of clinical testing that such matterization requires, also can by sponsor or by MSC system evaluation.As in Figure 19 shown in agreement, MSC system has done assessment prequalification, therefore has the right it to consign to the organizer of the PSP by prequalification.No matter in which kind of mode, MSC requires, PSP provides necessary medical record data (step 1909).
Collecting the most effective mode of history information is allow PSP his/her utilize MSC system to retain his/her IMR in mode described herein.If do not carry out this operation before, PSP can be invited to use MSC system case history keeping function, instructs him or she to lead to the step 700 of Figure 18 A and following.If PSP continues avoidance add MSC entire system, system can provide data inputting form on the net so as mentioned above.If PSP opposes to provide his/her whole medical history, then MSC website can provide one for the necessary prequalification medical data subset (table is display not, the requirement for given diagnosis and clinical testing organizer) of specifying clinical research.
Being provided at least after personal diagnosis interest, the participant's (step 1910) in its clinical test database of MSC system queries and list.About target subject and participant for by organizing and the requirement of clinical testing that individual physician plan runs, the quantity of information of MSC database is larger.MSC database also have collected in a large number from government organs' (comprise the U.S. and foreign country), university or other research institutions, hospital, enterprise, encode information device, and the information of other information sources of clinical testing.Such as, www.clinicaltrials.gov, us.testwiththebest.com, www.cancer.gov/clinicaltrial, NIH (US, www.nih.gov/health/clinicaltrials/), www.centerwatch.com/clinical-trials, www.clinicaltrials.com, Chicago University (www.uchospitals.edu/clinical-trials/index.htmlcancer.uch icago.edu/trials/), Stanford University (med.stanford.edu/clinicaltrials), Mayo Clinic (www.mayo.edu/research/ clinical testing), www.asbestos.com/treatment/clinical-trials.php, Si Long Ketering Cancer center (www.mskcc.org/cancer-nursing/clinical testing), Massachusetts hospital generals etc. (namely, MGH, BWH and other, clinicaltrials.partners.org), Bei An university health system (www.northshore.org/research/clinical-trials), and other.Like this, I is unequal to counting accurately.
If do not have in available clinical research to information inquiry (step 1910) display relating to interested diagnosis clinical research in MSC database, so inquiry can repeat (step 1911) weekly for PSP.If at least also have a clinical research to be diagnosed interest identification, PSP primary data and the various clinical research qualifying requirements of so this clinical research identified can by examinations.Step 1914.If this PSP is cancelled because not meeting the requirement (according to step 1914) of PSP primary data the clinical testing qualification participating in all identification, so for appropriate clinical research inquiry can repeat (step 1911) weekly, and process restarts.
If but based on his/her primary data (step 1914) of upper PSP, at least identify one and will temporarily accept the clinical testing of PSP, so process can proceed, and next step can inquire that the medical history of whether PSP meets the inclusive criteria of at least one clinical research relevant to PSP.Step 1915.If do not meet inclusive criteria, so again, for appropriate clinical research inquiry can repeat (step 1911) weekly, and process restarts.If but meet inclusive criteria, so these because PSP not yet input any individual or medical information and not yet to include in but the clinical research relevant to PSP interests will form a list presents to PSP.Step 1918.So far MSC system provides a doctor and advocates and think that PSP offers suggestions (step 1919).Doctor advocates the training of being furnished with suitable medical science and PSP people's diagnostic field, to understand requirement and the design thereof of clinical testing, and uses these knowledge to inform that PSP tests the content comprised.What PSP paid close attention to is untreated, placebo administration control group, and the possibility of degree is attacked in timing and clinical evaluation and laboratory in testing, etc.The actual location studied also is an important factor.In fact, even if great majority research requirement can be implemented the residential neighborhood of patient again, but still have and need to go to general headquarters to carry out clinical research, such as go to: a certain department being positioned at Maryland State Bei Saisida NIH department of medical administration.If any qualification clinical testing is not gone in the answer of step 1920, so, again, the request of PSP will return in early days to the inquiry weekly (step 1911) of useful clinical test.But step 1920 causes PSP to accept a minimum example qualification clinical research, and then process continues.
In this, in the embodiment shown in Figure 19, MSC system repeat assessment is for the selected of interested clinical research and get rid of requirement, requires the database upgrading it, further examination PSP people and medical data for these.Step 1921.If assessment shows that PSP meets the qualification of clinical research repeatedly, then next step turns back to step 1911, and repetition initial query is studied to find Prospective Clinical weekly.
If but step 1921 causes PSP at least will stand the prequalification of a clinical testing, so PSP needs to provide issue to MSC system, is to organizer's (step 1924) of suitable clinical testing by his/her corresponding individual of PSP and medical information.Organizer does not likely also likely directly contact with PSP; And they can also can not to select MSC system to include between its () and PSP in downlink communication.But, with reference to the embodiment in Figure 19, clinical research organizer will, at least, notice MSC system whether PSP has been accepted the clinical testing entering itself or they.Step 1925.If accept PSP without any organizer to enter clinical testing (step 1926) so, again, PSP participates in the request meeting repetition (step 1911) weekly of clinical testing.
Participate in the embodiment of modules for those researchs, clinical research organizer can incorporate MSC system further in management participator or participant that at least those MSC provide.Sponsor provides MSC system directive or simultaneously to PSP and MSC system with instructions (step 1929).This instruction comprises the course for the treatment of for PSP, drug source, clinical treatment place or evaluation, and laboratory is tested, regularly, etc.According to the instruction of sponsor, the effort (in step 1930) of MSC system coordination and any third party's clinical service or medicine supplier.Being provided with of MSC system is beneficial to the relevant clinical research requirement of prompting PSP, comprises and does not limit intention, remind PSP to take prescription medicine, preengage or retain clinical treatment or assessment, blood drawing or other tissues sampled; And other corpse or other object for laboratory examination and chemical testing samples (step 1931) are provided.MSC system also can contact the third party's tissue collecting mobile phone or analyzing samples data, to promote that data are transferred in clinical research organizer hand (step 1932).
MSC system can adopt the clinical research summary page specific to specific patient, can online wait in channel have shown by, describe and participate in research module and implement various element above-mentioned.An embodiment in the Summary of Clinical Research page is shown in Figure 20.All elements on MSC chart (Figure 1A) homepage and clinical digest page operate unless otherwise indicated herein according to carrying out described in MSC chart.Broken line Figure 110 shows an important difference between the data of as directed laboratory test results or other periodically-generation.Illustratively this characteristic, Figure 20 shows two laboratory test results, and there is solid diamond data points 113b and solid circles data point 113a on line both sides.Figure 20 also represents periodic clinic evaluation result with dash line 113d, and wherein data point is represented by standard of right solid arrow.Do not advise clinical evaluation and patient being shared in clinical research process, because this evaluation may relate to pain level, tumor load, or some other clinical observations find, if it stays and flat can be interpreted as this patient and taking ineffective agents or placebo.Do not have PSP can know he/her be control or experimental group, be so that she or he doctor does not know yet, so until research terminate after again share those data more suitable, or etc. determine that all participants should obtain effective constituent to organizer.
But the patient vital signs recorded during those each outpatient services of Summary of Clinical Research page record can be adopted.Such as, follow the trail of patient body weight very important in research process, the star data on linear Figure 110 are just this containing the effect of dotted line 113e.Blood pressure change can certainly be followed the trail of, as shown in line 113f.
To form relevant to disparate modules in MSC system screen and the difference of drop-down menu be further described once, first can first describe different administration interface.
In registration screen, people unit print button 102 or download button 105 can print or download and input information; Same, also can click home button 103 and be back to main interface.You also one of hyperlink button 170 can clicking level select suitable administration interface upload any file there and input the information of its cataloguing comprised in MSC system.
Next step of usual use MSC system comprise input from doctor or other patients hold the medical data obtained medical records Xerox.The administration interface button of executive level setting 170 in the secondary signal of " clinical data " button 170a " clinical data " administration interface will be caused to appear on subscriber computer display.If not in the arbitrary field operation of the upper selection of business scope module 210 (Fig. 2 B), the clinical data screen 300 clicking clinical data button 170a appearance is shown in Fig. 3 A, and its purpose of design is the patient clinical data of record about any medical condition.Have recorded about patient's height in 310 parts of screen 300, body weight, blood pressure, resting pulse rate, body temperature, irritated (if any), medicine, infectious diseases history, internal disease history, vaccine inoculation history, marital status, occupation, the data such as the children of age and healthy patient.Each time record to some extent observed according to it or input of these data, these records are put in order in the row 312 being labeled as " date "; If properly the data shown in row 313 can be expanded.Can also allergy be inputted, medicine and infectious diseases, the history of internal disease simultaneously, and the information of vaccine inoculation, as long as use respective drop-down menu 314, it is provided with disease, illness, and treatment, selects " other " if unlisted.For the disease of " other ", the state of an illness or treatment, only need by the space on drop-down menu limit fixed for corresponding text event detection feeding.
Clinical data screen 300 also comprises a place 311 can the physical examination report of the complete medical history of typing and doctor, only need scan complete medical history and physical examination report copy, if these files Electronically present, then import corresponding document." selecting form or the uploading data " button clicking 311 parts can complete data importing.Have a pop screen in 311 parts, the typing form of medical history or Physical examination results (not showing) is selected in display; Next, if patient has suitable file, select the file comprising complete medical history and/or patient is current or previous doctor opens physical examination report, then click " uploading " button (not showing) in selection with filesselected near zone.Another situation is, the file that patient does not have his/her doctor to provide suitable, patient can download a blank form for the medical history of oneself or note physical examination record result, directly fills in and to upload or allowing his/her doctor fill in is uploaded to MSC system 311 part.
Clinical management interface also comprises 317 parts, and this part comprises clinical article and other medical lists of references, and user can download.The list of references of 317 parts is according to arranging based on the user interest inputted into MSC system data.Therefore, if the clinical data of user occurs diabetes diagnosis repeatedly, then user can see many management meals in 317 parts, measures blood sugar level, the method for level activity of adjustment diet and/or insulin injection and so on.Similarly, if the clinical management interface record of a user current employment of this user relevant and/or child's health problem, so this user list of references that can find government pressure or look for a job.User can also upload the list of references that above-mentioned medical records oneself expands 317 parts by same mechanism, described mechanism is shown in 315 parts.These files uploaded understand automated catalogings in MSC system diagram stack room, and interrelated; But user oneself adds after document also can free deleted file, only need click " deleted file " button of 317 parts.
The clinical management interface being applicable to the specialty of disparate modules can be expressed to some extent in the process completing accreditation process.Therefore, for example, one is diagnosed as to the patient of prostate cancer, the clinical management interface shown in Fig. 3 B provides input field to collect prostate specific information.As listed by 310b part, the extra information field that prostate cancer patients inputs information comprises total prostate volume, Gleason is marked, prostate gland cancer cell ploidy, prostate specific antigen PSA level, and prostate specific antigen (PSA) density, prostate volume.The clinical management interface of 310 parts also comprises clinical stage.Two before analysis on row gland directional data useful instrument be Partin table and PSADT counter respectively, need click hot key 320 and 321 respectively and can assess measurement.After click, the website that these instruments are provided can be entered, and appear on the computer screen of user.In other respects, the clinical management interface of specialty is for prostate cancer patient, identical with not selecting the patient of special module.
Shown by another special clinical management interface has in fig. 3 c, this aims at female patient and sees involved by gynaecologist.In like manner, 310c part comprises subject matter, parity checking, PMP, last gynecological surgery, whether inquiry father and mother use DES, last papanicolaou smear, whether past three months had new sex partner, whether patient requires sex partner's sheath, and whether patient adopts contraceptives and by what method, whether have sexual abuse history, system review, and whether assess patient belongs to postmenopause or climacteric.In every other, and the clinical management interface phase of special module should do not selected same towards clinical management circle of gynaecological disease patient.
The same as mentioned above, system has many different administration interfaces for downloading supporting document and data input, tells about in detail now.All administration interfaces comprise each aspect below, and they are unified display and running on each administration interface, as follows:
420 parts, provide instrument by files passe to MSC system.If need the file uploaded to be inputted the supporting documentation that data maybe will input data, so check box 2T2 can be labeled; If input do not supported by document, data maybe will input data, and so check box 2T2 can not be labeled; The file comprising document can be identified by the identifier function of button 211; The file identified uploads in MSC system by preserving load button 213.Upload appended document, click next button 215.
● the administration interface that horizontally disposed a set of hyperlink button 170a to 170n is used on selection and display user display carries out input editing data, uploads and downloads or delete document.
● vertically disposed a set of hyperlink button 180a to 180n is used to the specifying information report selecting and show the patient on user display, the selector switch of module, resource, report record and reviewer.
● home button 103 is for returning to main interface.
● print button 104 is for printing current display interface.
● download button 105 is for downloading current display interface.
● the past data table 430 of selected administration page group.In table, each column heading is substantially identical, but also has a little change.
First, Fig. 4 shows an embodiment of diagnosis administration interface 400, and the first signal touching diagnosis/allergic reaction button 170b can impel it to generate, such as: left click mouse.Diagnosis administration interface 400 comprises 410 parts for quoting given diagnosis name, diagnosis date and speech.Diagnosis can be disease or situation, and as allergy, its diagnosis can be found from of a 412 parts drop-down menu.If matched without any a diagnosis with patient in the condition of listed disease and drop-down menu, " other " option in drop-down menu is so selected also the title of disease or illness to be inputted in adjacent subdivision 414.The date input of diagnosis is in 416; If but disease or illness solve, so can comprise check box 417 in 416 parts and show that date input completes, the date of input is the date solving diagnosis.In like manner, carry out in the notes of editing and recording if the speech of input has been included in MSC system, user also can input speech in the respective regions of 418 parts.The speech entering 418 parts can be used as explaining or for a certain result or the warning of event being labeled as attention in the past, main interface uses two exclamation mark icon herein, and check box 418b is labeled; Similarly, speech can be used as the build of future behaviour, at this moment reminds icon (" alarm clock " sketch or the embodiment numeral cartoon exemplified) to appear on main interface.So check box 418c is labeled.If user thinks to be necessary also his/her can be made a speech in input 415 part then send to others by Email, in this case click symbol icon 419, the language be input in part 418 part appears in the screen of email composition message part.
Administration interface as in all, diagnosis administration interface 400 also comprises 430 parts of the supportive file about diagnosing patient problem.If user is because diagnosis report data not yet input and click by right key (namely, contact by secondary signal) the capital increment icon of 114X axle, administration interface is so diagnosed to there will be, information flow about supportive file also appears in 430 parts of administration interface 400, and highlights in previous diagnosis/allergy data table.
Previous diagnosis/allergy data the table of this 430 part is the group data report of a supporting documentation, changes the MSC intrasystem diagnose medical conditions of supporting documentation about particular patient, disease, or the situation of allergy.The project that this group data report comprises has: make a definite diagnosis the state of an illness, disease or allergy (row 431); This state of an illness, disease or the irritated time (row 433) started; This state of an illness, the time (row 434) that disease or the irritated time started terminate; Remarks (row 441); Click hot key to check supporting documentation (row 442); Click hot key with the input (row 443) about specific supporting documentation on editorial management interface; Click the file (row 444) that hot key is uploaded; Click hot key and download the supporting document (row 445) meeting group data report; Click input and this group data report (row 446) that hot key deletes specific supporting documentation.
After click group data hot key 180B, can set up one group of data report, consequent group of data report line comprises all row, although some row can the group club attached according to supportive document stay white.Except the row of above-mentioned related diagnosis and irritated supportive document, to start from after row 434 additional is classified as: the treatment (row 435) of application; Dose drug (wherein treat and act on behalf of execution by medicine) (row 436); The frequency (row 437) that medicine agency performs; Command instruction, if any (row 438); The spinoff (row 439) of program or treatment; The object (row 440) that lines refer to.
Turn to Fig. 5 now, Fig. 5 presents an application for the administration interface of laboratory examination, and clicking laboratory examination hot key 170c first signal can generate, such as: left button clicks computer mouse.Laboratory examination keeper shields 510 parts that 500 comprise series of experiments room test title, it can select from drop-down menu 512, if or the test of specific laboratory do not list in drop-down menu, so can in " other " in choice menus name typing 514 of then laboratory being tested.Then the value of laboratory test can be inputted further in 516 parts.Such as, in cholesterol blood count example, the haemoconcentration of the cholesterol of certain portions can be inputed to.Importantly, the time (or sample of tissue of Other subjects) of blood drawing during 518 part Experiment room test is also entered.When looking back laboratory test, patient doctor can initiate follow-up test usually, or outpatient service, or other programs, and sending of these instructions is by choosing command boxe 520A, then selection instruction from drop-down menu 520.In addition, patient doctor or oneself can require further information or explanation after seeing the medical history in special laboratory test result, prediction or other information, in this case, space 520b is selected, and drop-down menu 520 presents the requirement of standard.Description of symbols in " annotation " this subdivision, checking box 530a and extendible this kind of requirement.In this case, user inputs speech at respective regions 530, if the speech inputted to be included in " notes " and have been catalogued in MSC service system, then check box 530A is labeled.The speech inputting 530 parts can be used as explaining or for a certain result or the warning of event being labeled as attention in the past, main interface uses two exclamation mark icon herein, and check box 530b is labeled; Similarly, speech can be used as the build of future behaviour, at this moment reminds icon (" alarm clock " sketch or the embodiment numeral cartoon exemplified) to appear on main interface.So check box 530c is labeled.If user thinks to be necessary also his/her can be made a speech in input 530 part then send to others by Email, in this case click symbol icon 532, the language be input in part 530 part appears in the screen of email composition message part.
Compared to other classification information of typing MSC system, laboratory examination is particularly useful.User can use 545 hot key fixed date scopes, then selects hot key 540 to generate the data drawing list that can be used for choosing the special laboratory of date range to test.
Use diagnostic test administration interface as shown in Figure 6 can input similar data block.First signal clicks hot key 170d, that is, clicking this screen of computer mouse left button can show.Diagnostic test administration interface 600 comprises 610 parts of given diagnostic test title, these titles can be selected from drop-down menu 612, if specific diagnostic test is not listed in drop-down menu, can select " other " in a menu, then by diagnostic test title input 614.User can also input the value of diagnostic test in subdivision 616.Such as, for identifying in the immunity test example of the various known hepatitis virus that antibody carries out at the blood of people, positive and negative or uncertain result can be inputted.Importantly, the date of blood drawing (or sample of tissue of Other subjects) in the test of laboratories also will be inputted in 618 parts.When looking back laboratory test, patient doctor can initiate follow-up test instruction usually, or outpatient service, or other programs, and sending of these instructions is by choosing command boxe 620A, then selection instruction from drop-down menu 620.In addition, patient doctor or oneself can require further information or explanation after seeing the medical history in special laboratory test result, prediction or other information, in this case, space 620b is selected, and drop-down menu 620 presents the requirement of standard.Description of symbols in " annotation " this subdivision, checking box 630a and extendible this kind of requirement.In this case, user inputs speech at respective regions 630, if the speech inputted to be included in " notes " and have been catalogued in MSC service system, then check box 630A is labeled.The speech inputting 630 parts can be used as explaining or for a certain result or the warning being labeled as attention event in the past, main interface uses two exclamation mark icon herein, and check box 630b is labeled; Similarly, speech can be used as the build of future behaviour, at this moment reminds icon (" alarm clock " sketch or the embodiment numeral cartoon exemplified) to appear on main interface.So check box 630c is labeled.If user thinks to be necessary also his/her can be made a speech in input 630 part then send to others by Email, in this case click symbol icon 632, the language be input in part 630 part appears in the screen of email composition message part.
The information of Fig. 7 use management interface input medical procedures.The scope that may be logged the course for the treatment of of the administration interface course for the treatment of is not limited, comprise these courses for the treatment of following any one: no matter be treat-and-release or the operation of accepting for medical treatment in hospital, comprise such as radical prostatectomy, cholecystectomy, mastectomy, coronary artery bypass; Physical treatment; Occupational therapy; Speech therapy course etc.
When clicking the button 170e on input selection menu, namely administration interface can show when the first signal, and such as left button clicks computer mouse.710 parts at program management interface 700 comprise to program name, these titles can be selected from drop-down menu 712, if specific diagnostic test is not listed in drop-down menu, can select " other " in a menu, then by diagnostic test title input 714.Program may be a part for disposable event or long term events, so the very important point will input initial time in subdivision 716, and inputs the termination time in subdivision 718.Similar to above-mentioned administration interface, when looking back laboratory test, patient doctor can initiate follow-up test instruction usually, or outpatient service, or other programs, and sending of these instructions is by choosing command boxe 720a, then selection instruction from drop-down menu 720.
In addition, patient doctor or oneself can require further information or explanation after seeing the medical history in special laboratory test result, prediction or other information, in this case, space 720b is selected, and drop-down menu 720 presents the requirement of standard.Description of symbols in " annotation " this subdivision, checking box 730a and extendible this kind of requirement.In this case, user inputs speech at respective regions 730, if the speech inputted to be included in " notes " and have been catalogued in MSC service system, then check box 730a is labeled.The speech inputting 730 parts can be used as explaining or for a certain result or the warning being labeled as attention event in the past, main interface uses two exclamation mark icon herein, and check box 730b is labeled; Similarly, speech can be used as the build of future behaviour, at this moment reminds icon (" alarm clock " sketch or the embodiment numeral cartoon exemplified) to appear on main interface.So check box 730c is labeled.If user thinks to be necessary also his/her can be made a speech in input 730 part then send to others by Email, in this case click symbol icon 732, the language be input in part 730 part appears in the screen of email composition message part.Program management interface other side be consistent with other administration interfaces.
The information of Fig. 8 use management interface input pertinent events.The scope that may be logged the alternative event at incident management interface is not limited, no matter disposable event or long term events, these events comprise following arbitrary: office accesses, kinsfolk is dead, divorce, unemployment, traffic accident, the hospitalization of a period of time, the rehabilitation after a period of time, bed of a period of time etc.
When clicking the button 170f on input selection menu, namely administration interface can show when the first signal, and such as left button clicks computer mouse.810 parts at incident management interface 800 comprise given event title, these titles can be selected from drop-down menu 812, if specific event is not listed in drop-down menu, can select " other " in a menu, then by diagnostic test title input 814.Event may be disposable or a part for long term events, so the very important point to input initial time in subdivision 816 and to input the termination time in subdivision 815, shows that this event is disposable; Or input initial time shows that this event is long term events.Therefore, if this event is long-term, the termination time can insert 818 parts in due course.Above-mentioned administration interface is similar, and when the event of review, patient doctor can initiate follow-up test instruction usually, or outpatient service, or other programs, and sending of these instructions is by choosing command boxe 820a, then selection instruction from drop-down menu 820.In addition, patient doctor or oneself can require further information or explanation after seeing the medical history in special laboratory test result, prediction or other information, in this case, space 820b is selected, and drop-down menu 820 presents the requirement of standard.Description of symbols in " annotation " this subdivision, checking box 830a and extendible this kind of requirement.In this case, user inputs speech at respective regions 830, if the speech inputted to be included in " notes " and have been catalogued in MSC service system, then check box 830a is labeled.The speech inputting 830 parts can be used as explaining or for a certain result or the warning being labeled as attention event in the past, main interface uses two exclamation mark icon herein, and check box 830b is labeled; Similarly, speech can be used as the build of future behaviour, at this moment reminds icon (" alarm clock " sketch or the embodiment numeral cartoon exemplified) to appear on main interface.So check box 830c is labeled.If user thinks to be necessary also his/her can be made a speech in input 830 part then send to others by Email, in this case click symbol icon 832, the language be input in part 830 part appears in the screen of email composition message part.Program management interface other side be consistent with other administration interfaces.
Fig. 9 use management interface input associated therapy or the information of the spinoff course for the treatment of.The alternative side-effect profile that may be logged spinoff administration interface is not limited, and these spinoffs comprise following arbitrary: fash, inflammation, or other allergic reactions; The urinary incontinence that operation causes; The impotence that operation causes; The paralysis that wound causes; Headache; Upset,gastro-intestinal; Numb; The loss of consciousness; Extremely tired; Specific drugs allergic reaction, etc.
Click the button 170j on choice menus, such as click computer mouse, what first occur is exactly this administration interface.Spinoff administration interface 900 runs content and comprises use 910 part and narrate a kind of given side-effect problem in detail.Spinoff can be selected from drop-down menu 912a.If certain spinoff is not listed in drop-down menu, so also can select " other " in a menu, so 914 parts will remember the title of this spinoff.Identify that the methods for the treatment of relevant with spinoff symptom or program need to be introduced into 912 parts.The therapeutic scheme be identified or program can be selected from drop-down menu 912b, unless a certain therapeutic scheme or program do not occur in drop-down menu.In this case, 914 parts of " other " option in drop-down menu so below drop-down menu 912b can be selected will to remember the title of this therapeutic scheme or program.Because spinoff symptom may be disposable event or long term events, so it is very important for inputting Start Date in 916 parts, and if there are needs, can in 918 parts the end of input date.Similar above-mentioned administration interface, in the test of examination laboratory, doctor can require follow-up test usually, or carries out investigating or increase extra program to office.This instruction can be selected and perform after choosing 920a check box from the drop-down menu of 920.Also likely doctor or sufferers themselves require the information understanding the history state of an illness relevant with spinoff symptom or prognosis situation etc. further in addition.In this case, 720b is selected state, and drop-down menu 920 there will be the standard information of this kind of request.Can also beat hook frame 930a by remarks 930 and expand this request.In this case, if the speech that inputs in 930 parts of user is suitable and this speech can suitably be included in MSC system, so this check box 930a is just labeled.The speeches of 930 inputs also may be used for being interpreted as result that what causes due to some bygone parts and give the alarm.In this case, two exclamation mark icon appears in main interface, and check box 930b is just labeled in this case; Or stay and also can be used as reminding future behaviour, remind icon (" alarm clock " sketch, has the illustrated digital application of cartoon above) to appear on main interface for one in such cases, such check box 930C is just labeled.User may be necessary that the speech he/her being inputted 930 parts sends to someone by Email, and in this case, symbol icon 932 is just selected, and the speech being input to 930 can appear at the message part of electronic mail editing screen automatically.The every other aspect of spinoff administration interface meets the rule of other management systems.
Figure 10 provides the method how at management system input command or request.The order of command/request administration interface record or the scope of request can be unrestricted, comprising: treatment prescription, blood letting, urinalysis, operation, histopathological analysis, physiotherapy or concrete scheme of going on a diet and other possible orders etc.
Click the button 170h on choice menus, such as click computer mouse, what first occur is exactly this administration interface.Instruction/request management interface 1000 is run content and is comprised and narrate a given instruction in detail by 1010 parts, narrates a given request in detail by 1018 parts.Instruction is all generally select from drop-down menu 1012.If certain particular command is not listed in drop-down menu, so also can select " other " in a menu, so 1014 parts will remember the title of this instruction.Extremely important in the Start Date of 1016 part input instructions or request.The points for attention that comment region or order details 1030 part are issued can be understood or expand instruction.In this case, if user is suitable and this speech is comprised in MSC system in the comment that 1030 parts input, so the check box of 1030a will be labeled.The speech of 1030 part inputs also may be used for explaining and gives the alarm because past event causes bad result.In this case, two exclamation mark icon appears in main interface, and check box 1030b can be labeled; Or these speeches also can be used as reminding future behaviour, remind icon (" alarm clock " sketch, has the illustrated digital application of cartoon above) to appear on main interface for one in such cases, check box 1030c is just labeled in this case.User may be necessary that the speech he/her being inputted 1030 parts sends to someone by Email, in this case, can click 1032, and the language being so input to 1030 can appear at the message part of electronic mail editing screen automatically.The every other aspect at instruction/request management interface is applicable to other administration interfaces.
Figure 11 provides how in the method for management system input report/points for attention.The scope of the report/points for attention of report/points for attention administration interface record is unrestricted, comprises any comment of patient or service provider's proposition.Report/points for attention administration page comprises any input or hand-written word.Such as, expert consulting is reported, to pushing away mail in expert, carrying out office's investigation, assessment planning (be generally and be called that soap is announced) to symptom or relevant discovery.Report can also comprise live body inspection rule result or image test result.
Click input selection (101) menu button 170i, such as click computer mouse, what first occur is exactly this administration interface.The problem that report/notice administration interface 1000 processes is for given report or notice, and 1110 parts can be narrated in detail, like this select frame to be exactly selected state accordingly.Report be all generally select from drop-down menu 1112a or, if certain particular report is not listed in drop-down menu, so people also can select " other " in a menu, then remember 1114 titles of part.The very important point is exactly that people must Start Date of input command or request in sub section 1116.When 1130 label comment parts increase comment, order or notice can be used to understand or expand.In this case, if user is suitable and this speech can rationally for being interpreted as result that what causes due to some bygone parts and giving the alarm with reminding user in the speech that 1130 sub sections input, two exclamation mark icon appears in main interface, and check box 1130a is just labeled; Or these speeches also can be used as reminding future behaviour, remind icon (" alarm clock " sketch, has the illustrated digital application of cartoon above) to appear on main interface for one in such cases, check box 1030b is just labeled in this case.User may think and is necessary that the speech he/her being inputted 1130 parts sends to someone by Email, in this case, can click 1132, and the language being so input to 1130 can appear at the message part of electronic mail editing screen automatically.The every other aspect of report/notice administration interface is also practically applicable to other administration interfaces.
Figure 13 provides the method how at management system input medicine or complementary medicine.Medicine/complementary medicine administration interface record medicine or the scope of complementary medicine can be unrestricted, comprise any be listed in standard pharmaceutical formula on medicine or complementary medicine, such as doctor handbook on the desk, it can comprise following any medicine: Lipitor, digoxin, aspirin, penicillin, vitamin D, epiphysin and selenium.
Click input selection menu button 170I (such as numeral 170 followed by alphabetical el), such as click computer mouse, what first occur is exactly this administration interface.The content that medicine/complementary medicine administration interface 1300 runs is for given medicine or complementary medicine, and 1310 parts can be narrated in detail.Medicine or complementary medicine are all generally select from drop-down menu 1312.If certain certain drug or complementary medicine are not listed in drop-down menu, so also can select " other " in a menu, so 1314 parts can remember the title of this medicine.In 1316 parts, the Start Date of certain medicine or complementary medicine is taken in input is very important.Under normal circumstances, drug administration or complementary medicine need a period of time, at drug administration during this period of time, must make hook at 1318a check box, represent that this medicine is in and continue the stage of taking.1320 regions are for inputting the taking dose of certain drug/complementary medicine, and 1322 regions are for inputting the frequency of drug administration/complementary medicine.Can be used for understanding or expanding medicine/complementary medicine during the comment that 1330 label comment parts increase.In this case, if user the speech that 1330 parts input be suitable and this speech can as management points for attention, so the check box of 1330a is just labeled; Give the alarm with reminding user if these speeches may be used for explaining because bygone part causes bad result, two exclamation mark icon appears in main interface, and check box 1130b can be labeled; Or these speeches also can be used as reminding future behaviour, remind icon (" alarm clock " sketch, has the illustrated digital application of cartoon above) to appear on main interface for one in such cases, check box 1030c is just labeled in this case.User may think and is necessary that the speech he/her being inputted 1330 parts sends to someone by Email, in this case, can click 1332, and the language being so input to 1330 can appear at the message part of electronic mail editing screen automatically.
Adapt with this management system, if user holds authoritative prescription, and need typing relevant information, so user directly can input the order of prescription.First, having the prescription of mandate to open people needs to choose 1340a, and showing to have an order will be input in this system.Need the order of input can select from the drop-down menu of 1340, only have the entry had in drop-down menu just can be accepted by this system.If this order is request open the medicine met the specification, so system meeting automatic spring page, require that the username and password that people fills in s/he opened by the prescription that this has mandate, if this username and password is consistent with the information in MSC system, so can directly and MSC system carry out contacting communication, the title in selected pharmacy and address, prescription is sent to pharmacy, allow pharmacy complete filling in of application information.Open people for the prescription ensureing to have mandate to be identified by pharmacy, system provides extra trouble free service, and this work is carried out keyholed back plate by pharmacy and managed control, and this is not the operational applications developed until now.Certainly, and MSC system to carry out direct communication be just Application and Development recently really, it use the highest technological means.
Other aspects of the medicine/complementary medicine administration interface of Figure 13 display are also applicable to other administration interfaces.
Figure 14 provides the relevant information how to affect in patient body healthy lifestyles administration interface input.The life style feature of life style administration interface record does not limit, and these features comprise following content: marital status, employment state, living environment, Ethanol intake situation, recreational drug take in situation, whether practice Yoga, whether sit quietly deep in thought, whether often perform physical exercise, like listening to the music no, whether often massage, the situation such as whether practise taijiquan and whether say one's prayer.
Click input selection menu (101) button 170m, such as click computer mouse, what first occur is exactly this administration interface.The content that life style administration interface 1400 runs is that use 1410 part is narrated in detail for given life style feature.Life style characteristic be all generally from drop-down menu 1412 select or, if certain specific life style characteristic is not listed in drop-down menu, so also can select " other " in a menu, so 1414 parts can remember the title of this life style characteristic.The date starting certain life style characteristic in 1416 part inputs is very important.Certainly, life style can continue within a certain period, in this case needs to choose 1418a check box, shows that this life style is in and carries out state.If this kind of life style characteristic stops, input in 1418 regions is so needed to stop the date.If this kind of life style characteristic causes disease, need thus to treat, so need the correlation circumstance in 1420 region input treatments.If user asks the relevant information checking the input of life style characteristic, so need at 1422 region input requests.If user selects to input more explain information or points for attention, so need in 1430 region input information, and check box 1430a needs to choose.If these speeches give the alarm with reminding user for the result that what is interpreted as causes due to some bygone parts, two exclamation mark icon appears in main interface, and check box 1430b is just labeled; Or these speeches also can be used as reminding future behaviour, remind icon (" alarm clock " sketch, has the illustrated digital application of cartoon above) to appear on main interface for one in such cases, check box 1430c is just labeled in this case.User may think and is necessary that the speech he/her being inputted 1430 parts sends to someone by Email, in this case, can click 1432, and the language being so input to 1430 can appear at the message part of electronic mail editing screen automatically.Other situations of all medicines/complementary medicine management are also applicable to other administration interfaces.
Figure 15 provides how to input alarm or prompting at administration interface.Alarm/the alarm of system for prompting record or the scope of prompting do not limit, and can comprise following any situation: the date is met in office, the state inspection date of ethical goods or supplementary medicine, diagnosis and treatment meeting date, various prompting, office are paid a return visit, carry out testting, phone doctor's office and with relevant alarm of side-effect problem etc.
Click input selection menu button 170g, such as click computer mouse, what first occur is exactly this administration interface.The content that alarm/prompting administration interface 1500 runs is that use 1510 part is narrated in detail to given alarm.Alarm generally can be selected from drop-down menu 1512.If certain alarm is not listed in drop-down menu, so also can select " other " in a menu, so 1514 parts can remember the title of alarm.The date inputting certain alarm in 1516 part inputs is first equally very important.Usually, alarm all can have a stand-by time point, such as changes make alarm no longer feasible because the transformation alarm of patient health situation no longer has the data typing of operability or report or patient's life.Alarm has one period of survival phase usually.In this duration, check box 1518a needs to be in selected state, shows that associated alarm also may be in the operation phase.When surrounding environment changes or alarm no longer has effect, need the termination time in 1518 regions input alarms.
Alarm/prompting administration interface 1500 runs content and also comprises use 1510 part and narrate in detail given prompting.Reminding is all generally select from drop-down menu 1520, at this moment reminds icon will be presented on homepage for one.Click 1522, can by sending Email to improve the work efficiency of reminding icon to oneself or other people.Main and the thing of reminding of the prompting arranged for future event and information-related in 1530 regions inputs.If user implies that relevant speech has realistic meaning, and should notice be seen as, the notice that so 1530a check box will be selected and current can be included in group data report as supportive file, and this report can be included in report/notice administration interface.For the convenience of the user, about the relevant information of reminding should be more remarkable, so need prompting to be set to alarm, and check box 1530c is chosen.At this moment, main interface there will be a two exclamation mark icon, the project in the cohort data report of representative report/notice administration interface.
Other aspect situations of all alarms/prompting administration interface are applicable to other administration interfaces.
The data report arranged in chronological order can provide for the data of all categories or the data to a certain particular category by following means, and some specific dates or one group of date can be provided, or institute's free (data report such as, arranged in chronological order provides the full detail of full detail or a certain classification comprising all categories):
A Fig. 1 a shows the correlation circumstance at main interface.With reference to this figure, select one of following two kinds of modes to select the report of all types data arranged in chronological order in a certain specific date:
1. except cursor, away from leg-of-mutton part, is directly placed on any part of line of slide to move line of slide 102 by slidably line itself.Mobile computer mouse, makes line of slide and timeline 160 intersect part and just in time meets the interest date; Or
2. click chronometric data focus button 180a, screen can eject a page, carries out associated interrogation and requires input data, inputting date etc. in the input frame being included in the interest date.
B is referring again to Fig. 1 a:
1. directly cursor is placed on the gable on the left of 102a, receives any signal, simultaneously removable computer mouse, make line of slide split into two such line segments, allow the line segment in left side and timeline 160 intersect, and intersection point is just in time the first time on interest date.Directly cursor is placed on the gable on the left of 102a, receives any signal, simultaneously removable computer mouse, line segment and timeline 160 are intersected, and intersection point is just in time the second time on interest date.
2. click chronometric data focus button 180a, screen can eject a page, carries out associated interrogation and requires input data, and the Start Date being included in the interest date inputs date first time in frame, the input second time date in date of expiry frame.
Slidably the motion of line 102 can complete, and absorbs any signal and (such as, in an experiment, adopts the form of left click or right click, absorb signal, move the cursor to the position consistent with the interest date.When being moved on line of slide 102 point crossing to time shaft 160 (this 160 line is relevant with the interest date), or after clicking 180a button, the interest date had been inputted in the page that screen ejects, the all data being input to the interest date of MSC system so will appear in the data report that arranges in chronological order at one, as shown in Figure 16 A, the method in saving with above-mentioned A is consistent.What every a line of report represented is data from different supporting documentations, the implication that every list is shown is as follows: title (row 431), Start Date (row 433), Close Date or duration (row 434), be worth (row 432), dosage (row 436), frequency (row 437), remarks/comment (row 441), order (row 438), checks (row 442), editor's (row 443), upload (row 444), download (row 445), and delete (row 446).
Equally, people can generate the data report of a series of date ranges that arranges in chronological order by any one in two kinds of methods described in above-mentioned B joint.As shown in fig 16b, the document date producing this kind of report may be in the date range of input, comprises the information on as above all single interest dates.
Make the report of all data of generation available, can click chronometric data hot key 180a, the input inquiry page inputting date do not ejected, selects to enter, and the next page that screen occurs is exactly all data inputted as shown in Figure 16 B.
For the data report of the data report or some cohort that make a generation specific cohort, a subset of the data such as representated by hot key button 170, can select to organize data 180b, screen meeting pop-up window, by emphasizing that one or more available data selected further by group's button or multiple button, pop screen is selected enter.
What Figure 17 showed is the situation that computer system uses various report and data input.The minimum microprocessor 601 comprising manipulation and organising data input of computer system, includes but not limited to digital video camera 611, barcode scanner 612, magnetic card reader 602, touch-screen/visual display unit 603, microphone 605, and mouse 608.Output device comprises printer 606 and loudspeaker 607.In addition, preferably also to there be telephone circuit 609 and modulator-demodular unit 604, can input to obtain internet remote input at use modulator-demodular unit and read data; Also has the digital storage media 610 for store local data.In modulator-demodular unit 604 is preferably also included within, it can be used for accessing and receiving the data transmitted from remote server 613; In digital remote storage medium 614 and communications handset 600b and remote work station 615 are also preferably included in.For the user improving security intentionally, the contact between distant station can be cut off by forbidding modulator-demodular unit 604.In this case, all data can download to portable memory such as USB storage device, for examining remote computer station.The data of system also can copy to smart card, then use intelligent card reading to carry out remote computer access.
Figure 18 A-C shows and comprises the total data of various report and data input or the computer system of its part.With reference to Figure 18 A, the data (data of first user) of patient can be shown by equipment 600a or 600b and be input in computer system.As shown in step 700, the data of input comprise the contact method information of patient, personal data, Current Diagnostic information, allow access patient information or allow other user's names uploading clinical document.Step 705 relates to the data of patient is sent to remote server 613, and identify the medical professional being included in system (step 710), send the close Email (step 715) to patient of single use, and link up with patient respectively, there is provided single use password, how religion patient checks data (step 720).After this, patient's (first user) can receive the request carrying out exchanging examination to its personal data, and requires that patient resets password (step 725).If patient modifies to raw data, system can automatically return to step 710, again identifies the medical professional being included in system (step 710), and continues to perform as above step path downwards.If patient accepts primary data, other users that system can require to specify from patient with each (who can be included in doctor with other professional medical-care personnel team to treat to it or to advise) share his/her data validation.Patient understands received communication request and data and third party's (step 740) is shared, and patient can refuse this request (in this case, system turns back to step 710 above), or accepts to share.If patient accepts data sharing, then can arrive step 750, the data of patient will be imported in the database of remote storage 614, and clinical data first user administration interface will send the Medical Technologist specified to.
Figure 18 B display can select a kind of administration interface, and so corresponding clinical document just can be loaded into (step 755), so that data entry system.The clinical document be stored in remote storage 614 (step 765) can upload in remote server 613 (step 760).The data that these document package contain need to input (this is the problem that step 770 processes) except nonsystematic directly can read and input the document content uploaded in system respectively, and this function can realize in the individual example carried out at present.If the data be stored in document are not transfused to system, so a leg-of-mutton icon just appears on main interface, and prompting user needs to upload relevant documentation.If data have input system, the triangle icon appearing at main interface so will disappear (step 776).Finally, system can detect the standard (step 777) whether the data uploaded meet the administration interface that user selects automatically.
If the data of input do not meet the standard of the administration interface of selection, so a triangle icon will appear on main interface again, and now step 770 will repeat.But if the standard of the administration interface of data fit selection, so system meeting analyzes the data of input further to determine whether these data derive from the test (step 779) of periodicity repetition.If data from the data of the test periodically repeated, need first area data being input to main interface, shown in broken line Figure 110 and 1 areal map (step 780) really.If not, so system can analyze data with what determine whether these data show is disposable event (step 781).If show disposable event, need Part II data being input to main interface, as shown in vertical marker Figure 120 and 2 areal maps (step 782).If what show is not disposable event, so system can analyze data to determine whether these data show long term events (step 783).If what show is long term events, so need Part III data being input to main interface, as shown in bar shaped Figure 130 and 3 areal maps.
Next step, whether the data that step 785 comprises inquiry input are report or notice.If so, the Part IV (this region and report/notify that 140 is relevant) and 4 regions that data are input to main interface are so needed.But if not, so system can inquire whether the data of input belong to communication (step 787).If so, the Part V (communication 150) and 5 regions that data are input to main interface are needed.If not, so need data to be input to message comment district (step 789).
About heart disease module, drop-down menu preferably includes following content:
A. patient's canonical measure, comprising: (1) height (2) body weight (3) blood pressure (4) tranquillization pulse and (5) temperature.These measurements must be carried out when making the rounds of the wards, and are periodically reported by patient.
B. general crown symptom comprises: (1) cardiac auscultation, (2) peripheral arterial disease, (3) eye eyeground, (4) cholesterol, the low density cholesterol of (5), (6) triglyceride, (7) high density lipid (HDL), (8) glycosylated hemoglobin, (9) cardiogram-up-to-date, (10) pressure test-up-to-date, (11) heart calcium score
C. health check-up record, comprise: result (equipment inspection finds address: http://cvrisk.mvm.ed.ac.uk/calculator/calc.asp) (2) up-to-date medical history of (1) cardiac risk counter, (3) up-to-date physical examination;
The index symptom of the angiocardiopathy D. investigated, comprise: (1) pectoralgia, (2) neck and chin pain, (3) palpitaition, (4) perspire, (5) are short of breath, and (6) walk lamely, (7) dizzy, (8) are tired;
E. test result, comprising: (1) cardiogram, (2) Holter monitor, (3) oxygen saturation, (4) arterial blood gas, (5) exercise stress test, (6) nuclear pressure is tested, (7) carotid ultrasound, (8) dynamic ecg monitoring, (9) echocardiography, (10) coronary artery calcium imaging score, (11), coronarography;
F. medicine: (1) aspirin, (2) cholesterol drugs, (3) clot dissolution medicine, (4) nitrate, (5) diuretics, (6) blood pressure medication.
Although show preferred case study on implementation of the present invention and explain orally, clearly can only embody with example the breakthrough that those skilled in the art obtain in this regard.Those skilled in the art are not departing from this
A lot of variant and replacement form can be found out under the right path of invention or definition of the present invention know and record inventor to this concept and case study on implementation.But should be understood that, various alternate embodiments of the present invention can be applied in practice.
Definition
All technical terms all have widely accepted standard implication in the art, and these implications also meet the content of current Institute of Science exposition.Following term does private definition usually in this section, unless other situations have concrete statement.The variant of term is the reasonable extension of concept, is also the case finding that with current invention situation is rationally reciprocity.
" interface " used herein one word refer to that such outward appearance and the equipment of content can be retrieved and show to the outward appearance of Computer display and content or other.Outward appearance and content comprise the word of any one or one group combination, figure, hypertext (other allow from current main interface location be switched to hypertext link pointed by network site.), hypermedia is (such as text or other symbols of hyperlink, comprise video file, audio file, or the program producing video file or audio file) and/or input editing data, file upload, upload media file, produce that new media file etc. occurs by one or combination one single electronic page.
" main interface " used herein or " MSC interface " refer to the minimum interface of record case presenting the broken line graph showing reperformance test result, the bar chart showing long term events and show disposable event, and all figure lines are all equipped with same timeline.
" administration interface " used herein one word refer to when on main interface occur can show event, data or link up set up hyperlink factor signal launch time, the page format that screen occurs automatically.The content of administration interface display is the event, the data report that arrange in chronological order or exchanges information, and can as a kind of editor hypertext of in chronological order arranging relevant with medical conditions or hypermedia aspect.
" event " used herein refers to the thing relevant with health, program or treatment.
" disposable event " used herein refers to the event that still may produce long-range effects occurred in a day or two day time, such as checkout or traffic accident; This word is relevant with timeline.
" extension event " used herein or " long term events " refer to the event of super time two days later, the conventional program of such as physical treatment, drug therapy, term of commitment or to health other weathers influential; This timeline is bar shaped, and time point timeline can pointed out beginning and terminate.
" hyperlink factor " used herein or " hot key " refer to that computer there will be second page or network address when click word (as hypertext word) or symbol.Hyperlink factor can be a word containing underscore or one group of word, such as " homepage ".Hot key is namely when a mouse click, and user can browse homepage.
" signal " used herein or " click " refer to when homepage showing suitable hyperlink, click corresponding electronic target, and computer there will be second page.Such as, click the hyperlink factor (above-mentioned definition can be clicked fast) of term definition, if this definition is positioned at any interface (except homepage) of MSC system, all can demonstrate main interface.Use any input equipment can produce this kind of signal.Such as, keyboard, mouse, tracking console, tracking ball, touch-screen, acoustic control identification aiming symbol transverse and longitudinal axle etc.Left click or right-click mouse and tracking ball, click and double-click tracking console and touch-screen can produce different signals.(note: " clicks " one word derive from mouse on screen, select one to perform time generation sound.But, under this kind of concrete situation, click and be considered to and the synonym that transmits)
" the first signal " used herein refers to the electronic signal using above-mentioned input equipment to produce.Once install these input equipments, homepage can show one or a class symbol, clicks content that is rear and then display second page.When use computer mouse, click the mouse left-hand side call button time, the first signal and a mouse click synonym.
" secondary signal " used herein refers to and uses electronic signal that above-mentioned input equipment produces, that be different from the first signal.Once install these input equipments, homepage can show one or a class symbol, clicks content that is rear and then display second page.When use computer mouse, click the mouse right-hand side call button time, secondary signal and double click synonym.
" icon " used herein refer to can presentation of events, points for attention, warning, interchange and data point symbol.
" event icons " used herein refers to the icon that can represent short-term event or long term events.This icon is usually available to be write a Chinese character in simplified form or abbreviated form, also can represent with the phrase of the event of description.
" note icon " used herein refers to the writing communication with indicative significance, as the summation etc. from doctor or patient's order, acquisition request more information, other treatment scheme proposals and the current health status of patient.
" Warning Icon " used herein refers to the icon for reminding, and the order as reminded a certain prescription to open aspect or treatment aspect is not yet filled in, completes or initiated.
" communication icon " used herein refers to the icon of linking up (as symbol), video-mail, video conference, chat, phone or written information transmission etc. for initiating mail.
" supportive file " used herein refer to blood chemistry laboratory and Experiment on therapy room issue file, Medical Technologist's report, original or processed data, observe concluding file, the log file of making the rounds of the wards of summing up file, inferring based on test.Also can be the AC files such as Email, video/audio, written or verbal communication.
" removable line " used herein refers to the timeline containing one or 2 persond eixis point.Use single removable timeline can select the specifying information that in certain single date, patient is all.Use two removable timeline can to determine in a series of date range two specifying informations that independently patient is all in the date.
" therapeutic scheme " used herein or " agreement " refer to and use certain prescription medicine, non-prescribed medicine or supplementary medicine, operation technique and other treatment; This word can be long term events or short-term event.
" one " used herein " one " or " this kind " " this " comprise odd number and plural number two kinds of forms, unless be separately described in detail in the text." comprising " that " containing " " comprise " is open word, mean " containing but more than containing ", unless otherwise associated annotation.Numerical value only uses when mentioning separately in each numerical range herein, unless otherwise indicated.The scope of each independent value is included in particular content, just looks like that it enumerates separately the same in this article.All methods described herein can be carried out with any suitable order, unless otherwise indicated itself and the obvious contradiction of context.All examples used herein or exemplary language (such as, " as ") herein provide, be only used to embody correlated characteristic better, the scope of announcement can not be limited, unless otherwise stated.Any language in explanation should not be construed as being the factor in order to disclose failed call protection.
Be described in detail current system in conjunction with various concrete case study on implementation and application herein, object is to show how to use system to user, but not shows all cases or only this electronic system be confined to some case or application.Obviously for being proficient in those skilled in the art, some amendments can be carried out in the spirit not departing from current presentation or scope.Several specific embodiment and application purpose is selected to be to better show native system and its practical situations herein.
Following statement is intended to define scope of the present invention, also will define the method, structure and the equivalence question that relate in these statements simultaneously.
Claims (49)
- Statement:1. add the way of participant in clinical studies:A. comprise:I. the main interface containing the first and second dimensions, and the icon that patient specific information is associated, can define the timeline of time point along the first dimension;Ii. patient specific information's supportive file of being correlated with;Iii. input, edit, download or upload the administration interface of patient specific information;Iv. the mode of specifying information in the patient access a certain single date or in a series of date;V. the data report arranged in chronological order;Vi. the first signal, secondary signal and the 3rd signalVii. the clinical study database of participant can be inquired about;B. following content is clicked at main interface:I. with the icon of the supportive file of the first message reference;Ii. with the icon at secondary signal Access Management Access interface;Iii. the data report arranged in chronological order with the 3rd message reference is to obtain in patient's a certain single date or the mode of specifying information in a series of date;
- 2. the way of managing patient specifying information:A. comprise:I. the main interface containing the first and second dimensions, and the icon that patient specific information is associated, can define the timeline of time point along the first dimension;Ii. patient specific information's supportive file of being correlated with;Iii. input, edit, download or upload the administration interface of patient specific information;Vi. the mode of specifying information in the patient access a certain single date or in a series of date;V. the data report arranged in chronological order;Vi. the first signal, secondary signal and the 3rd signalB. following content is clicked at main interface:I. with the icon of the supportive file of the first message reference;Ii. with the icon at secondary signal Access Management Access interface;Iii. the data report arranged in chronological order with the 3rd message reference is to obtain in patient's a certain single date or the mode of specifying information in a series of date;
- 3. state that the main interface in 2 must be independent visible page.
- 4. the supportive file in statement 2 and patient data report directly can enter access from main interface.
- 5. state that the patient specific information in 2 must select from the group comprising disposable event, long term events and ditch general term.
- 6. state that disposable event in 5 must be selected from the group comprising the program of one to two days time, diagnostic test, inquiry of performing the operation and make the rounds of the wards.
- 7. state long term events in 5 must from comprising drug control situation, supplement drug control situation, physical treatment, bring out stupor and physical exercise group select.
- 8. state communication project in 5 must from comprising instruction, ask, select the group of points for attention to be filled out, Email, audio file, audio email, video file and video-mail.
- 9. state that the first signal in 5 refers to left click standard computer mouse.
- 10. state that supportive file in 2 must be selected from the group comprising the laboratory report of a certain test, postoperative report, patient notification, Email, diagnostic instrments report and instruction.
- Secondary signal in 11. statements 2 refers to right click standard computer mouse.
- Administration interface in 12. statements 2 refers to the data, document and the ditch general term that manage and input, edit, upload, download generation.
- Administration interface in 13. statements 12 has multiple alternate version, comprise input data, editing data, download or information upload, to directly act on condition-inference, allergic conditions, lab tests, diagnostic event, running program, disposable event, ductility event, medicine and complementary medicine, life style, spinoff, instruction and request, report and ditch general term.
- Administration interface in 14. statements 13 comprises some input items:A. patient's specifying informationB. quantized dataC. Start DateD. the date of expiryE. instruction or requestF. speech and commentG. side effect profile
- 15. statements 5 further provide removable line and how to move and the situation crossing with timeline along the first dimension.The specifying information of patient access in a certain single date comprises selects removable line, moves to the date place that timeline is chosen, then contacts with the 3rd signal and removable line again.
- The first signal in 16. statements 15 and the 3rd signal are identical.
- Point out that removable line can be split into a first removable line and a second removable line in 17. statements 16.This second removable line can move along the first dimension, and perpendicular with timeline.Thus, the mode of specifying information can have (a) to choose the first removable line in the patient access a certain single date or in a series of date, move to the date point chosen on the time line in advance, b () chooses the second removable line, move to second the date point chosen on the time line in advance, the region that (c) clicks the first removable line or the second removable line or intersect with the 3rd signal.
- 18. statements 15 further provide the second removable line and can move along the first dimension and and the mutually perpendicular information of timeline.Thus, in patient access a series of date, the mode of specifying information can have (a) to choose a removable line, move to the date point chosen on the time line in advance, b () chooses the removable line of Article 2, move to second the date point chosen on the time line in advance, the region that (c) clicks removable line or the second removable line or intersect with the 3rd signal.
- 19. statement 2 provide more about group data report information, and point out with secondary signal clickable icon can patient access specifying information group data report.But the date range that this group data report produces is similar is actually the different dates.
- 20. statements 2 provide the register interface requiring input patient identification information.Patient can also select with one or more other people whole shared or his/her patient information of partial sharing.
- 21. statement 20 in other people comprise medical professional.
- Register interface in 22. statements 20 comprises the drop-down menu module in diagnosis and treatment region of can selecting to practise medicine.The module of the contents of a project that drop-down menu comprises and selection matches.
- The distinctive information of 23. patient comprises:A. timelineB. the data broken line graph of change is continuedC. event iconsD. the time bar chart of long term time generation, andE. data report or points for attention iconI. timeline, broken line graph, event icons, bar chart, data report and attention thing icon appear on main interface simultaneously.
- 24. statements 23 further comprises the communication icon representing ditch general term.Ditch general term can be selected from the group comprising Email, audio file, audio email, video file and video-mail; The communication icon that different communication items is corresponding different.
- In 25. statements 24, if points for attention are the instruction/requests carried out new treatment or change existing therapy, so the page there will be a warning icon.
- 26. statements 24 are pointed out, if user clicks ditch general term with secondary signal, then administration page can show.Administration page comprises input, edits, downloads or upload the mode linking up event data, and can access the program producing new communication item.
- The position of broken line graph, event icons and communication icon in 27. statements 23 is determined according to timeline.
- 28. statement 27 in continue change data from the minimum measurement data in a diagnostic test of patient.This diagnostic test must be carried out repeatedly to produce various measurement data on different time points.
- Diagnostic test in 29. statements 28 must be chemically examined the blood constituent selected in the group from prostate specific antigen (PSA), cardiac troponin, high density lipid (HDL), glycosylated hemoglobin (HbA1c), low-density lipid (LDL), PAP, prolactin, ketone, serum total cholesterol, triglyceride, haemocyte and liver enzyme.
- 30. statement 28 in patient's continuous coverage data point the time interval substantially on be identical.
- Data point curve line graph in 31. statements 28 is the data point line graph after patient's first time diagnostic test.
- Figure line in 32. statements 28 represents patient's multiple measurement data, all corresponding a kind of curve of each remeasurement data, and the measurement data of patient derives from different diagnostic tests.
- 33. statements 28 further comprises the 3rd page.3rd page refers to the report comprising and can be used for making the patient measurement data that figure line is shown.
- 34. statements 33 also comprise administration page, and this administration page comprises input, edits, downloads or upload the mode of patient's measurement data.
- The event that event icons in 35. statements 23 represents must be selected from the group comprising diagnostic routine, treatment procedure, mental wound, physical trauma and common event.
- Diagnostic routine in 36. statements 35 must from comprising bone density test, bone scan, lung tissue oxygen saturation, pleural fluid sampling, pulmonary function, phlegm evaluation, artery blood flow, intravenous, echocardiogram, cardiogram, exercise test, bone marrow biopsy, lymph node biopsy, selecting once the group of detection reagent of occulting blood, liver biopsy, Renal biospy, X ray, cat scan, MRI inspection, hormone determination and colonoscopy.
- Treatment procedure in 37. statements 35 must be selected from the group comprising physiatrics (platinum), chemotherapy, radiation therapy, hormone therapy, gene therapy, cell therapy and drug therapy.
- Mental wound in 38. statements 35 must from comprising that spouse or first degree relative are dead, spouse or first degree relative suffer from incurable disease, unemployment, marriage change and residence change group select.
- Common event in 39. statements 35 must from comprising medical advice, psychological consultation, office visit and emergency department visits etc.
- Event icons in 40. statements 23 refers to the icon or abbreviated form that can represent event.
- What the bar chart in 41. statements 23 represented is the long term events of last point of timeline or the long term events of well afoot.Long term events can from comprising diagnostic routine, treatment procedure, the spinoff caused by program, hospitalization, recovery centre's treatment and the treatment of toxin expelling center.
- Still unclosed long term events in 42. statements 41 is shown that by horizontal bar chart this horizontal bar chart is furnished with arrow, points to future time point on timeline.
- Treatment procedure in 43. statements 41 must be selected from the group comprising medicine, radiation therapy, chemotherapy, physical treatment, anaphylaxis treatment, food restriction, hormone therapy, cell therapy and hospitalization.
- 44. diagnostic routines refer to the process that the detection of hormone test, Ultrasonic Detection, enzyme tests, cardiac troponin, glycosylated hemoglobin mensuration, blood sugar detection, blood count and blood factor are analyzed.
- Event icons in 45. statements 41 represents diagnostic routine, treatment procedure, spinoff symptom, hospitalization, recovery centre's treatment or the treatment of toxin expelling center.
- In 46. statements 24 when user clicks the factor of representative data, supportive file can corresponding appearance.These factors can be selected from the line chart represented with the first signal form, event icons, bar chart, report (attention) icon and communication icon.
- In 47. statements 46 when user clicks the factor of representative data with secondary signal, administration interface can corresponding appearance.Administration interface comprises input, edits, downloads or upload the information relevant with above-mentioned factor.
- In 48. statements 24, ditch general term refers to ditch general term between a patient and a minimum medical professional or more modes.These modes can be selected from comprising Email, written notes scanning, recorded audio, video-mail and video record.
- First resource storehouse patient data, Secondary resource storehouse medical information and an input equipment is comprised with the electronic communication of server in 49. statements 23.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US14/574,390 US20170124291A1 (en) | 2014-09-06 | 2014-12-17 | Interactive graphic electronic clinical study management |
| US14/574390 | 2014-12-17 |
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| CN105427217A true CN105427217A (en) | 2016-03-23 |
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| CN201510940308.9A Pending CN105427217A (en) | 2014-12-17 | 2015-12-16 | Interactive image electronic medical treatment research and management system |
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| CN106780475A (en) * | 2016-12-27 | 2017-05-31 | 北京市计算中心 | A kind of image processing method and device based on histopathologic slide's image organizational region |
| CN108154345A (en) * | 2017-12-26 | 2018-06-12 | 苏州麦迪斯顿医疗科技股份有限公司 | It is a kind of for the arrangement method of event, device, equipment and storage medium |
| CN109298167A (en) * | 2018-09-26 | 2019-02-01 | 武汉华兴澳医疗器械有限公司 | A kind of therapeutic device adaptively checked for gynaecology |
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| CN106780475A (en) * | 2016-12-27 | 2017-05-31 | 北京市计算中心 | A kind of image processing method and device based on histopathologic slide's image organizational region |
| CN108154345A (en) * | 2017-12-26 | 2018-06-12 | 苏州麦迪斯顿医疗科技股份有限公司 | It is a kind of for the arrangement method of event, device, equipment and storage medium |
| CN110580303B (en) * | 2018-05-21 | 2023-09-12 | 谷林娜 | Method and device for generating acupoint massage video |
| CN110580303A (en) * | 2018-05-21 | 2019-12-17 | 谷林娜 | method and device for generating acupoint massage video |
| CN109298167A (en) * | 2018-09-26 | 2019-02-01 | 武汉华兴澳医疗器械有限公司 | A kind of therapeutic device adaptively checked for gynaecology |
| CN111933304A (en) * | 2019-05-13 | 2020-11-13 | 希尔-罗姆服务公司 | Patient request system |
| CN110931136A (en) * | 2020-01-21 | 2020-03-27 | 医渡云（北京）技术有限公司 | Event searching method and device, computer medium and electronic equipment |
| CN112259183A (en) * | 2020-11-11 | 2021-01-22 | 北京嘉和海森健康科技有限公司 | Method and device for extracting patient health time axis based on electronic medical record |
| CN112259183B (en) * | 2020-11-11 | 2023-08-08 | 北京嘉和海森健康科技有限公司 | Method and device for extracting patient health time axis based on electronic medical record |
| CN112419453A (en) * | 2020-11-19 | 2021-02-26 | 山东亚华电子股份有限公司 | Handwriting method and device based on Android system |
| CN112967773A (en) * | 2021-03-12 | 2021-06-15 | 武汉大学 | Chronic disease clinical version reporting method and system based on big data sharing platform |
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