CN106909791A - A kind of clinical blood transfusion record management system - Google Patents
A kind of clinical blood transfusion record management system Download PDFInfo
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- CN106909791A CN106909791A CN201710120977.0A CN201710120977A CN106909791A CN 106909791 A CN106909791 A CN 106909791A CN 201710120977 A CN201710120977 A CN 201710120977A CN 106909791 A CN106909791 A CN 106909791A
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- blood transfusion
- case history
- medical record
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- Engineering & Computer Science (AREA)
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- General Health & Medical Sciences (AREA)
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Abstract
The invention discloses a kind of clinical blood transfusion record management system, belong to electronic information administrative skill field, including medical record templates selecting module, input module, case history typing module；The medical record templates selecting module connects the case history typing module, for being supplied to doctor to select blood transfusion medical record templates, and the blood transfusion medical record templates that doctor selects is sent into the case history typing module, and the type of the blood transfusion medical record templates is one or more；The input module, for being supplied to doctor to be input into case history details；The case history typing module connects the input module, for being supplied to doctor to be input into the case history details in the blood transfusion medical record templates and generate final blood transfusion case.The beneficial effect of above-mentioned technical proposal is：Standardized blood transfusion medical record templates are provided with system, to help doctor's specification writing blood transfusion case history, unqualified case history is prevented, quality of case history, guarantee of the medical safety is improved.
Description
Technical field
The present invention relates to electronic information administrative skill, more particularly to a kind of clinical blood transfusion record management system.
Background technology
Blood transfusion has irreplaceable effect, but also deposit as a kind of special treatment means in patient vitals are saved
In certain potential risk, once there is infectious disease such as syphilis, AIDS, the B-mode liver that Adverse transfusion reaction and menses are propagated
During scorching and hepatitis C, because blood transfusion case history is to assert right and wrong in medical tangle, distinguish the important legal basis of responsibility, pass has been enjoyed
Note, thus strengthens, to blood transfusion Quality control of medical record, can not only reducing hospital's Causing Malpractice in Blood Transfusion, also can further improve clinic
Blood transfusion scientific rationalization level.But in fact, nationwide at present interior including great Grade A hospital perhaps etc., clinical blood transfusion case history
Write qualification rate not high, main cause is complicated blood transfusion situation, doctor's blood transfusion knowledge hierarchy is uneven, thus needs information technology
Supported, to improve the problems such as blood transfusion medical history record is lack of standardization at present.
The content of the invention
According to the above-mentioned problems in the prior art, a kind of clinical blood transfusion record management system, including case history are now provided
Stencil-chosen module, input module, case history typing module；
The medical record templates selecting module connects the case history typing module, for being supplied to doctor to select blood transfusion case history mould
Plate, and the blood transfusion medical record templates that doctor selects are sent to the case history typing module, the class of the blood transfusion medical record templates
Type is one or more；
The input module, for being supplied to doctor to be input into case history details；
The case history typing module connects the input module, defeated in the blood transfusion medical record templates for being supplied to doctor
Enter the case history details and generate final blood transfusion case.
Preferably, in above-mentioned clinical blood transfusion record management system, also including the first memory module, connecting the medical record templates
Selecting module, for storing the blood transfusion medical record templates.
Preferably, in above-mentioned clinical blood transfusion record management system, the medical record templates selecting module includes selection request
Unit and medical record templates extraction unit；
The selection request unit is for doctor's input medical record templates selection request；
The medical record templates extraction unit connects the selection request unit, for being selected to ask according to the medical record templates
Corresponding blood transfusion medical record templates are extracted in first memory module, and is sent to case history typing module.
Preferably, in above-mentioned clinical blood transfusion record management system, also including the second memory module, connecting the case history typing
Module, for preserving the blood transfusion case history.
Preferably, in above-mentioned clinical blood transfusion record management system, also including case history enquiry module, connecting second storage
Module, for being supplied to user to inquire about the blood transfusion case history.
Preferably, in above-mentioned clinical blood transfusion record management system, the case history enquiry module includes：
Inquiry request unit, there is provided give the request of user's input inquiry；
Case history extraction unit, connects the inquiry request unit, for being stored in described second according to the inquiry request
Corresponding blood transfusion case history is extracted in module；
Output unit, connects the extraction unit, for exporting the blood transfusion case history, so that user checks.
Preferably, in above-mentioned clinical blood transfusion record management system, the output unit be display and or printer.
Preferably, in above-mentioned clinical blood transfusion record management system, also including replication module, connecting the case history selecting module
With first memory module, the blood transfusion medical record templates for selecting doctor replicate, and described defeated by what is replicated
Blood medical record templates are exported to the medical record templates selecting module.
The beneficial effect of above-mentioned technical proposal is：Standardized blood transfusion medical record templates are provided with system, to help doctor to advise
Model writes blood transfusion case history, prevents unqualified case history, improves quality of case history, guarantee of the medical safety.
Brief description of the drawings
During Fig. 1 is preferred embodiment of the invention, a kind of structured flowchart of clinical blood transfusion record management system.
Specific embodiment
The invention will be further described with specific embodiment below in conjunction with the accompanying drawings, but not as limiting to the invention.
In preferred embodiment of the invention, as shown in figure 1, a kind of clinical blood transfusion record management system, including case history mould
Plate selecting module 1, input module 2, case history typing module 3；
The connection case history typing of medical record templates selecting module 1 module 3, for being supplied to doctor to select blood transfusion medical record templates, and
The blood transfusion medical record templates that doctor selects are sent to case history typing module 2, the type of medical record templates of transfusing blood is one or more, such as
The disease such as blood transfusion, urgent non-homotype blood transfusion, transfusion reaction, blood transfusion therapeutic evaluation in blood transfusion first, again blood transfusion, first aid blood transfusion, art
Go through template；
Input module 1, for being supplied to doctor to be input into case history details；
Case history typing module 3 connects input module 1, for being supplied to doctor to be input into case history details in medical record templates of transfusing blood
And generate final blood transfusion case.
In above-mentioned technical proposal, system includes polytype standardized blood transfusion case template, and doctor can be according to tool
Blood transfusion medical record templates needed for the selection of body situation, during complete blood transfusion case history, doctor only need to be by corresponding case history details pair
Should be during ground inserts blood transfusion medical record templates, you can the case history that completes to transfuse blood is write, and is prevented the incorrect situation of case history form and is gone out
It is existing.
In preferred embodiment of the invention, also including the first memory module 4, connection medical record templates selecting module 1 is used for
Storage blood transfusion medical record templates.
In a preferred embodiment of the invention, above-mentioned blood transfusion medical record templates can be included for representing that patient is routinely defeated
The first kind medical record templates of the blood transfusion situation of blood, in the first kind medical record templates can include following field in one or
It is multiple：
Field for representing patient's name；
Field for representing the date of the blood routine for checking patient；
Field for representing the red blood cell content for checking the patient that blood routine is obtained；
Field for representing the content of hemoglobin for checking the patient that blood routine is obtained；
Field for representing the platelet content for checking the patient that blood routine is obtained；
Field for representing the leucocyte content for checking the patient that blood routine is obtained；
Field for representing standard hemoglobin；
Field for representing standard platelet content；
Field for representing diagnostic result；
For representing blood transfusion destination field；
Field for representing blood transfusion scheme；
Field for representing the blood transfusion time started；
Field for representing the blood transfusion end time.
Above-mentioned field can be supplied to doctor to fill in, it is also possible to be automatically generated simultaneously by the pertinent instruments of blood routine examination
Auto-writing.
Multiple hiding fields can also be included in the present embodiment, in above-mentioned first kind medical record templates, when patient is defeated again
During the situation of blood, doctor can actively fill in above-mentioned hiding field, or by the above-mentioned hiding field of system Auto-writing, specific bag
Include described below one or several：
For the field whether each index for representing blood routine is improved；
Field for representing blood transfusion curative effect.
It is above-mentioned for representing that the field of blood transfusion curative effect needs actively to be judged and filled in by doctor in the present embodiment.
In the present embodiment, can also include for representing the blood transfusion whether effective word of composition in above-mentioned first kind medical record templates
Section, and other suitable fields, this is no longer going to repeat them.
In another preferred embodiment of the invention, above-mentioned blood transfusion medical record templates can also be included for representing patient's
The Equations of The Second Kind medical record templates of surgery situation, can include or many in following field in the Equations of The Second Kind medical record templates
It is individual：
Field for representing patient's name；
For the field of date of surgery；
Field for representing the preoperative blood routine of patient；
Field for representing blood transfusion reason；
Field for representing blood transfusion scheme；
For representing the field transfused blood in art and whether finish；
Field for representing the blood transfusion end time；
For the field of the blood pressure of patient after expression blood transfusion；
For the field of the heart rate of patient after expression blood transfusion；
For the field of the respiratory rate of patient after expression blood transfusion；
Field for representing postoperative blood routine；
Wherein it is used to represent that the field of blood routine includes the field of the red blood cell content for representing patient, suffers from for expression
The field of the content of hemoglobin of person, the field of platelet content for representing patient, for representing that the leucocyte of patient contains
The field of amount.
Above-mentioned field can be supplied to doctor to fill in, it is also possible to be automatically generated simultaneously by the pertinent instruments of blood routine examination
Auto-writing.
In another preferred embodiment of the invention, above-mentioned blood transfusion medical record templates can also be included for representing patient's
The 3rd class medical record templates of record are rescued, or many in following field can be included in the 3rd class medical record templates
It is individual：
Field for representing patient's name；
Field for representing the rescue time started；
Field for representing the clinical symptoms that the preceding patient of rescue occurs；
Field for representing the blood pressure of the preceding patient of rescue；
Field for representing the heart rate of the preceding patient of rescue；
Field for representing the respiratory rate of the preceding patient of rescue；
Field for representing rescue means；
Field for representing blood transfusion scheme；
Field for representing the rescue end time；
For the field of the blood pressure of patient after expression rescue；
For the field of the heart rate of patient after expression rescue；
For the field of the respiratory rate of patient after expression rescue；
For the check item destination field that patient after expression rescue is carried out.
Above-mentioned field can be supplied to doctor to fill in, it is also possible to be automatically generated simultaneously by the pertinent instruments of blood routine examination
Auto-writing.
In another preferred embodiment of the invention, above-mentioned blood transfusion medical record templates can also be included for representing patient's
4th class medical record templates of transfusion reaction, can include or many in following field in the 4th class medical record templates
It is individual：
Field for representing patient's name；
Field for representing the date of patients with transfusion；
Field for representing patients with transfusion scheme；
For representing that patient occurs the field of transfusion reaction time；
Field for representing the adverse reaction symptom after patients with transfusion；
Field for representing the treatment means after stopping blood transfusion；
Field for representing the reason for transfusion reaction occurs in patient.
Above-mentioned field is both provided to doctor and fills in.
In preferred embodiment of the invention, medical record templates selecting module includes selecting request unit 11 and medical record templates
Extraction unit 12, selection request unit 11 is for doctor's input medical record templates selection request；The connection choosing of medical record templates extraction unit 12
Request unit 11 is selected, the medical record templates selection for being input into according to doctor asks to extract corresponding defeated in the first memory module 4
Blood medical record templates, and it is sent to case history typing module 3.
In preferred embodiment of the invention, also including the second memory module 5, connection case history typing module 3, for preserving
The corresponding blood transfusion case history that physician in view blood transfusion medical record templates are completed.
In preferred embodiment of the invention, also including case history enquiry module 6, the second memory module 5 is connected, for providing
The blood transfusion case history that storage is stored in the second memory module 5 is checked to user.
Further, in preferred embodiment of the invention, case history enquiry module 6 includes：
Inquiry request unit 61, there is provided give the request of user's input inquiry；
Case history extraction unit 62, Connection inquiring request unit, for being extracted in the second memory module 5 according to inquiry request
Corresponding blood transfusion case history；
Output unit 63, connects extraction unit 63, for exporting blood transfusion case history, so that user checks.
In above-mentioned technical proposal, the case history after system fills in doctor is preserved, and case history Quality Control personnel or doctor can be by diseases
The inquiry corresponding history blood transfusion case history of input retrieval information inquiry of enquiry module 6 is gone through, such as can be according to date, patient information or case history
Type queries are transfused blood case history accordingly.The case history Quality Control personnel are conducive to carry out quality of case history by the enquiry module for setting system
Supervisor, is also convenient for doctor's inquiry patient medical record, understands the treatment of patient.
In preferred embodiment of the invention, further, above-mentioned output unit 63 can be display and or printing
Machine.
When output unit 63 is display, above-mentioned blood transfusion case history can show on the display, so that user looks into
See；
When output unit 63 is printer, above-mentioned blood transfusion case history can be exported by the way of printing, for user
Check；
When output unit 63 is display and printer, above-mentioned blood transfusion case history can show on the display, and can
It is supplied to user to choose whether to need to be printed out the blood transfusion case history.
In preferred embodiment of the invention, also including replication module 7, the storage mould of connection case history selecting module 1 and first
Block 4, the blood transfusion medical record templates for selecting doctor are replicated, and the blood transfusion medical record templates of duplication are exported to medical record templates
Selecting module 1, is used to ensure that above-mentioned blood transfusion medical record templates of the storage in the first memory module 4 are not altered.
Preferred embodiments of the present invention are the foregoing is only, embodiments of the present invention and protection model is not thereby limited
Enclose, to those skilled in the art, should can appreciate that done by all utilization description of the invention and diagramatic content
Scheme obtained by equivalent and obvious change, should be included in protection scope of the present invention.
Claims (8)
1. a kind of clinical blood transfusion record management system, it is characterised in that including medical record templates selecting module, input module, case history
Typing module；
The medical record templates selecting module connects the case history typing module, for being supplied to doctor to select blood transfusion medical record templates,
And the blood transfusion medical record templates that doctor selects are sent to the case history typing module, the type of the blood transfusion medical record templates is
One or more；
The input module, for being supplied to doctor to be input into case history details；
The case history typing module connects the input module, for being supplied to doctor to be input into institute in the blood transfusion medical record templates
State case history details and generate final blood transfusion case.
2. clinical blood transfusion record management system as claimed in claim 1, it is characterised in that also including the first memory module, even
The medical record templates selecting module is connect, for storing the blood transfusion medical record templates.
3. clinical blood transfusion record management system as claimed in claim 2, it is characterised in that in the medical record templates selecting module
Including selection request unit and medical record templates extraction unit；
The selection request unit is for doctor's input medical record templates selection request；
The medical record templates extraction unit connects the selection request unit, for being asked in institute according to medical record templates selection
The corresponding blood transfusion medical record templates of extraction in the first memory module are stated, and is sent to case history typing module.
4. clinical blood transfusion record management system as claimed in claim 1, it is characterised in that also including the second memory module, even
The case history typing module is connect, for preserving the blood transfusion case history.
5. clinical blood transfusion record management system as claimed in claim 4, it is characterised in that also including case history enquiry module, even
Second memory module is connect, for being supplied to user to inquire about the blood transfusion case history.
6. clinical blood transfusion record management system as claimed in claim 5, it is characterised in that the case history enquiry module includes：
Inquiry request unit, there is provided give the request of user's input inquiry；
Case history extraction unit, connects the inquiry request unit, for according to the inquiry request in second memory module
It is middle to extract corresponding blood transfusion case history；
Output unit, connects the extraction unit, for exporting the blood transfusion case history, so that user checks.
7. clinical blood transfusion record management system as claimed in claim 6, it is characterised in that the output unit is display
With or printer.
8. clinical blood transfusion record management system as claimed in claim 2, it is characterised in that also including replication module, connects institute
Case history selecting module and first memory module are stated, the blood transfusion medical record templates for selecting doctor are replicated, and
The blood transfusion medical record templates for replicating are exported to the medical record templates selecting module.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710120977.0A CN106909791A (en) | 2017-03-02 | 2017-03-02 | A kind of clinical blood transfusion record management system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710120977.0A CN106909791A (en) | 2017-03-02 | 2017-03-02 | A kind of clinical blood transfusion record management system |
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| Publication Number | Publication Date |
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| CN106909791A true CN106909791A (en) | 2017-06-30 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201710120977.0A Pending CN106909791A (en) | 2017-03-02 | 2017-03-02 | A kind of clinical blood transfusion record management system |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111863175A (en) * | 2020-07-27 | 2020-10-30 | 北京颐圣智能科技有限公司 | Medical record quality evaluation method and computing device |
| CN112632910A (en) * | 2020-12-21 | 2021-04-09 | 北京惠及智医科技有限公司 | Operation encoding method, electronic device and storage device |
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| CN102819656A (en) * | 2011-06-10 | 2012-12-12 | 中国科学院深圳先进技术研究院 | System and method for generating electronic medical record |
| CN102819655A (en) * | 2011-06-10 | 2012-12-12 | 中国科学院深圳先进技术研究院 | System and method for presenting electronic medical records |
| WO2015116558A1 (en) * | 2014-01-28 | 2015-08-06 | 3M Innovative Properties Company | Analytic modeling of protected health information |
| CN105678671A (en) * | 2015-12-29 | 2016-06-15 | 北京嘉和美康信息技术有限公司 | Method and apparatus for generation of electronic medical record, mobile terminal and electronic medical record system |
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2017
- 2017-03-02 CN CN201710120977.0A patent/CN106909791A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102819656A (en) * | 2011-06-10 | 2012-12-12 | 中国科学院深圳先进技术研究院 | System and method for generating electronic medical record |
| CN102819655A (en) * | 2011-06-10 | 2012-12-12 | 中国科学院深圳先进技术研究院 | System and method for presenting electronic medical records |
| WO2015116558A1 (en) * | 2014-01-28 | 2015-08-06 | 3M Innovative Properties Company | Analytic modeling of protected health information |
| CN105678671A (en) * | 2015-12-29 | 2016-06-15 | 北京嘉和美康信息技术有限公司 | Method and apparatus for generation of electronic medical record, mobile terminal and electronic medical record system |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111863175A (en) * | 2020-07-27 | 2020-10-30 | 北京颐圣智能科技有限公司 | Medical record quality evaluation method and computing device |
| CN111863175B (en) * | 2020-07-27 | 2023-10-10 | 北京颐圣智能科技有限公司 | Medical record quality assessment method and computing equipment |
| CN112632910A (en) * | 2020-12-21 | 2021-04-09 | 北京惠及智医科技有限公司 | Operation encoding method, electronic device and storage device |
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