CN108648814A - A kind of Medical Devices whole-life cycle fee method based on block chain technology - Google Patents
A kind of Medical Devices whole-life cycle fee method based on block chain technology Download PDFInfo
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- CN108648814A CN108648814A CN201810167906.0A CN201810167906A CN108648814A CN 108648814 A CN108648814 A CN 108648814A CN 201810167906 A CN201810167906 A CN 201810167906A CN 108648814 A CN108648814 A CN 108648814A
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- medical devices
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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
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
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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
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
Abstract
The invention discloses a kind of Medical Devices whole-life cycle fee methods based on block chain technology, in view of superiority of the block chain technology in decentralization organizational structure and system security level, include the Medical Devices whole-life cycle fee ecosphere of the various rolls such as medical equipment manufacturers, medical institutions, mechanism of public and social interest, general patient based on block chain technology structure, strengthen Medical Devices buying, using, the flows such as scrap in supervision, promote normalization, reasonability and economy that Medical Devices use.The present invention helps to reinforce the transparency of Medical Devices whole-life cycle fee, to promote the safe vital interests of medical standard service level guarantee patient vitals;Medical Devices are more and more, under the background that becomes increasingly complex, increasingly have high-tech content, can reinforce the work of the management service in Medical Devices life cycle management can effectively promote the actual benefit of Medical Devices, promote medical service level.
Description
Technical field
The invention belongs to medical equipment management and block chain technical fields, and in particular to a kind of doctor based on block chain technology
Treat equipment full life cycle management method.
Background technology
In recent years, report is seen in conflict between doctors and patients market, and doctor-patient relationship is more nervous, doctors and patients' satisfaction is low.To find out its cause, one
The medical treatment confusion objective reality such as aspect illegal practice of medicine, over-treatment, another aspect medical field threshold is higher, and patient is to diagnosis and treatment knot
Fruit or not approving for effect have caused trust crisis, and the missing of diagnosis and treatment oversight mechanism or not in place exacerbate physician-patient relationship tense
The development of the state of affairs.However, diagnosis and treatment means become increasingly abundant, especially being widely used for advanced medical equipment objectively increases doctor
The supervision difficulty of industry is treated, one-to-one or top-down Supervision obviously falls behind to be needed with reality.
Instantly, the block chain technology for having distributed organization framework and decentralization, high confidentiality feature increasingly causes people
Concern.Especially alliance's chain technology, can establish be different from Supervision from top to bottom numerous industries it is inter-agency mutually
The reciprocity Supervision of distribution of supervision, the supervision of profession is carried out by the people of profession, can effectively overcome supervision dead angle;Meanwhile
Patient, small-sized diagnosis and treatment mechanism also can enrich diagnosis and treatment experience in wide participation to process of supervision.It can be said that block chain technology is being cured
Treatment field to strengthen Medical Equipment Purchase, using, the flows such as scrap and supervise, promote normalization, reasonability that Medical Devices use
And economy promotes medical standard service level and ensures that the safe vital interests of patient vitals have huge application potential in turn
And application value.
Invention content
In view of above-mentioned, the present invention provides a kind of Medical Devices whole-life cycle fee method based on block chain technology,
The transparency for contributing to reinforcement Medical Devices whole-life cycle fee, to promote medical standard service level guarantee patient vitals
Safe vital interests.
A kind of Medical Devices whole-life cycle fee method based on block chain technology, includes the following steps:
(1) a data account for including Medical Devices whole important attribute and patient cases is built;
(2) it includes medical equipment manufacturers, larger medical unit, employer's organization, society's public affairs to be based on block chain technology structure
Beneficial mechanism is federation node and patient, small medical mechanism are that Medical Devices including ordinary node use and medical information pipe
Alliance's catenary system of reason;
(3) formulate about purchasing medical equipment, using, scrap the affirmation mechanism of flow, reduce the unreasonable of Medical Devices
Configuration, use or extended active duty;
(4) structure patient cases are applicable in the affirmation mechanism of diagnosis and treatment range with Medical Devices, prevent illegal practice of medicine or excessively examine
It treats, reduces medical treatment cost, promotes medical service level;
(5) it builds as the patient of ordinary node and the information inquiry of small medical mechanism and supervision channel.
Further, the important attribute of Medical Devices whole includes that Medical Devices manufacturer, medical treatment are set in the step (1)
Standby indication or the diagnosis and treatment range of adaptation, the prerequisite qualification of practising medicine of Medical Devices user of service, purchasing medical equipment price,
The specified access times of Medical Devices or service life;Patient cases include patient's pathology characterization, diagnosis and treatment method, diagnosis and treatment physician's name
The suggestion diagnosis and treatment means and necessary diagnostic equipment operational version provided with qualification level, diagnosis and treatment doctor.
Further, step (2) are implemented as:Make medical equipment manufacturers, larger medical unit, industry association
Meeting, mechanism of public and social interest composition Medical Devices life cycle management information and patient information management alliance, as in alliance's catenary system
Federation node, said mechanism is responsible for completing Medical Equipment Purchase flow, reasonable standard uses, specified access times or longevity time
Order, scrap the confirmation of flow, ensure the purchasing medical equipment in medical institutions it is transparent, using rationally, scrap in time, ensure medical treatment
The normalization of the reliability and state of an illness diagnosis and treatment of equipment;Make patient and small medical mechanism possess the right to know in oneself permission and
Authority to supervise, patient can inquire and download the diagnosis and therapy recording of oneself, the use to the Medical Devices for oneself or applicable of having the right
Situation is queried, and small medical mechanism can download the not diagnosis and therapy recording including patient's personal information and carry out diagnosis reference,
It can just query for the use or usable condition of the Medical Devices of certain case.
Further, step (3) are implemented as:Require in system any medical institutions to Medical Devices
Buying, using, scrap flow and relevant information must obtain the approval of node more than half in system to pass through, implemented
Journey is as follows:
3.1 information data as any medical institutions Medical Devices that oneself is purchased or be disposed of federation node
It is sent to corresponding federation node after the account public key encryption of other federation nodes;
3.2 other federation nodes decrypt the ciphertext received with the private key of oneself, necessity, buying to Medical Equipment Purchase
The rationality of prices, lawful operation qualification, equipment access times and the time lifetime of quasi- buying equipment manufacturers make judge,
And evaluation result is broadcasted in system;
If it is half of federation node number more than total federation node in system approved to make evaluation result in 3.3 systems
Number then submits to the medical institutions for purchasing or disposing Medical Devices that can carry out purchasing medical equipment or disposition according to information is put on record;
If it is the half that the federation node number approved is less than total federation node in system to make evaluation result in system, submit to purchase
Setting or dispose the medical institutions of Medical Devices need to adjust and purchase or disposition plan and fulfil above-mentioned flow again.
Further, step (4) are implemented as:Require patient's pathology, case should be with Medical Devices diagnosis and treatment
Scheme keeps highly consistent matching degree, the specific implementation process is as follows:
4.1 as federation node any diagnosis and treatment mechanism by patient's diagnosed SARS case information and be intended that with Medical Devices scheme use
Corresponding federation node is sent to after the public key encryption of other federation nodes;
4.2 other federation nodes decrypt the ciphertext received with the private key of oneself, and making Medical Devices for patient cases makes
It is compared with Medical Devices scheme with scheme, and with being intended that of receiving, judges that Medical Devices use if consistency level height
Scheme is reasonable, is otherwise judged to unreasonable, and evaluation result is broadcasted in system;
If it is half of rational federation node number more than total federation node in system to make evaluation result in 4.3 systems
Number then assert that the Medical Devices operational version that the diagnosis and treatment mechanism for submitting to diagnosis and treatment scheme to confirm provides is reasonable, can be by the program
Carry out diagnosis and treatment activity;If it is that rational federation node number is less than total federation node in system to make evaluation result in system
Half then assert the Medical Devices operational version that provides of diagnosis and treatment mechanism for submitting to diagnosis and treatment scheme to confirm and unreasonable, need to be to suffering from
Person carries out further consultation to provide more specifically diagnosis and treatment case and draft Medical Devices operational version again, then fulfils again
State flow;
The above flow is suitable for the diagnosis and treatment of chronic disease, and flow is put on record after then fulfiling first diagnosis and treatment for first aid or acute disease diagnosis and treatment,
If judging to there is a situation where Medical Devices use or applicable improper in diagnosis and treatment process thereafter, by employer's organization's proposition specification and accordingly
Punishment scheme.
Further, step (5) are implemented as:For patient, make it that can inquire and download the diagnosis and treatment of oneself
Record, and have the right just for oneself Medical Devices use or usable condition query, it is contentious can be to system application report
It is standby;For small medical mechanism, makes it that can download the not diagnosis and therapy recording including patient's personal information and carry out diagnosis reference, and have the right
It is just used for the Medical Devices of certain case or usable condition is queried, it is contentious to be put on record to system application;If being directed to
The objection quantity of certain doctor or certain medical institutions is more than certain threshold value, then system submits to employer's organization to carry out checking processing.
Based on the above-mentioned technical proposal, the method for the present invention can reinforce purchasing medical equipment, using, the life cycle managements such as scrap
Interior supervision, reduce even prevent Medical Devices illegally configure, extend service in the army, the medical treatment confusion such as illegal practice of medicine, over-treatment, have
Help be promoted the normalization and doctors and patients' satisfaction of consulting services.
Description of the drawings
Fig. 1 is that the present invention is based on the Medical Devices whole-life cycle fee system schematics of block chain technology.
Fig. 2 is the flow diagram that Medical Devices disposition confirms.
Fig. 3 is the flow diagram that Medical Devices diagnosis and treatment scheme reasonability confirms.
Specific implementation mode
In order to more specifically describe the present invention, below in conjunction with the accompanying drawings and specific implementation mode is to technical scheme of the present invention
It is described in detail.
The present invention is based on the Medical Devices whole-life cycle fee methods of block chain technology, include the following steps:
(1) a data account for including Medical Devices whole important attribute and patient cases is built.
Data account includes Medical Devices whole important attribute and patient cases' two parts;Wherein, Medical Devices are whole
Important attribute includes that Medical Devices manufacturer, the diagnosis and treatment range of Medical Devices indication or adaptation, Medical Devices user of service must
Qualification of practising medicine, purchasing medical equipment price, the specified access times of Medical Devices or the service life that must have etc.;Disease number of cases
According to the suggestion diagnosis and treatment means provided with qualification level, diagnosis and treatment doctor including patient's pathology characterization, diagnosis and treatment method, diagnosis and treatment physician's name
And necessary diagnostic equipment operational version.
(2) include medical equipment manufacturers, larger medical unit, employer's organization, society's public affairs based on block chain Technology design
The federation nodes such as beneficial mechanism and patient, the Medical Devices that small medical mechanism is ordinary node use and medical information management joins
Alliance's catenary system, system are as shown in Figure 1.
Large-scale medical equipment manufacturers, hospital, employer's organization, mechanism of public and social interest (including but not above-mentioned three kinds of cured fish
The equal visible system running of large corporation of mechanism, medical field relevant industries needs and introduces and be used as federation node, federation node
More multi-joint alliance's confidence level and reliability are higher) Medical Devices life cycle management information and patient information management alliance are formed, as
Federation node in alliance's catenary system, said mechanism are responsible for completing Medical Equipment Purchase flow, reasonable standard use, specified use
Number or time lifetime, the confirmation for scrapping flow, ensure medical institutions in purchasing medical equipment it is transparent, using rationally, scrap
In time, ensure the normalization of the reliability and state of an illness diagnosis and treatment of Medical Devices.Patient or small medical mechanism possess in oneself permission
Right to know and authority to supervise, patient can inquire and download the diagnosis and therapy recording of oneself, have the right to the Medical Devices for oneself
Using or usable condition query;Small medical mechanism can download the not diagnosis and therapy recording including patient's personal information and examine
Disconnected reference also can just query for the use or usable condition of the Medical Devices of certain case.
(3) formulate safe and reliable purchasing medical equipment, using, the flows affirmation mechanism such as scrap, reduce Medical Devices
Unreasonable configuration, use or extended active duty.
As shown in Fig. 2, affirmation mechanism defers to following principle and step:
Principle:In alliance certain medical institutions to the buying of certain Medical Devices, using, scrap flow and relevant information and must obtain
The approval of node more than half can pass through in alliance system.
The public affairs of the other federation nodes of information data account of 3.1 certain federation node Medical Devices to be purchased oneself
It is sent to corresponding other federation nodes after key encryption.
3.2 other federation nodes decrypt the ciphertext received with the private key of oneself, necessity, buying to Medical Equipment Purchase
The rationality of prices, lawful operation qualification, equipment access times or the time lifetime of quasi- buying equipment manufacturers make judge, and
By evaluation result to Web broadcast.
If it is more than half of total federation node number in system that evaluation result, which is the federation node number approved, in 3.3 networks
Number then submits to the federation node for purchasing or disposing Medical Devices that can carry out purchasing medical equipment or disposition according to information is put on record;
If evaluation result is the half that the federation node number approved is less than federation node number total in system in network, submit to
Purchasing or dispose the federation node of Medical Devices need to adjust and purchase or disposition plan and fulfil above-mentioned flow again.
(4) structure patient cases are applicable in diagnosis and treatment range affirmation mechanism with Medical Devices, prevent illegal practice of medicine or excessive diagnosis and treatment,
It reduces medical treatment cost, promote medical service level.
As shown in figure 3, patient cases are applicable in diagnosis and treatment range affirmation mechanism with Medical Devices defers to following principle and step:
Principle:Patient's pathology, case should keep highly consistent matching degree with Medical Devices diagnosis and treatment scheme.
4.1 certain diagnosis and treatment mechanism federation node are by patient's diagnosed SARS case information and are intended that with the other alliances of Medical Devices scheme
Corresponding other federation nodes are sent to after the public key encryption of node.
4.2 other federation nodes decrypt the ciphertext received with the private key of oneself, and making Medical Devices for patient cases makes
It is compared with Medical Devices scheme with scheme, and with being intended that of receiving, judges that Medical Devices use if consistency level height
Scheme is reasonable, otherwise to be unreasonable, and evaluation result is broadcasted to whole network.
If thinking in 4.3 networks, reasonably other federation node numbers have been more than total in network to Medical Devices operational version
The half of federation node number, then it is assumed that the Medical Devices operational version that the federation node that diagnosis and treatment scheme confirms provides is submitted to close
Reason can carry out diagnosis and treatment activity by scheme;If thinking Medical Devices operational version reasonably other federation node numbers in network
Mesh is less than the half of federation node number total in network, then submits to the federation node of diagnosis and treatment scheme that need to carry out further consultation to patient
To provide more specifically diagnosis and treatment case or draft Medical Devices operational version again, above-mentioned flow is then fulfiled again.
The above flow is suitable for the diagnosis and treatment of chronic disease, and first aid or acute disease diagnosis and treatment flow put flow on record after can fulfiling first diagnosis and treatment,
If using or being applicable in improperly there are Medical Devices in judgement diagnosis and treatment process later, specification and punishment side are proposed by employer's organization
Case.
(5) information inquiry, the supervision channel of the patient as common network node are built.
1. general patient:The diagnosis and therapy recording that can inquire and download oneself has the right to make the Medical Devices for oneself
With or usable condition query, it is contentious to be put on record to Alliance Network application, if be directed to certain doctor or certain medical institutions
Objection quantity be more than threshold value, then system submit to employer's organization to carry out checking processing.
2. small-sized diagnosis and treatment mechanism:The not diagnosis and therapy recording including patient's personal information can be downloaded and carry out diagnosis reference, also can
Just query for the use or usable condition of the Medical Devices of certain case.Similarly, contentious can be to Alliance Network
Application is put on record, if being more than threshold value for the objection quantity of certain doctor or certain medical institutions, system submits to employer's organization to carry out
Check processing.
The feasibility and validity for using the local net network verification present invention comprising 6 PC machine below, wherein 5
Play the part of Medical Devices manufacturer, large hospital 1, large hospital 2, employer's organization, mechanism of public and social interest respectively as federation node,
Other 1 PC machine plays the part of individual patients or small medical mechanism as client;Used PC machine model:Dell
(DELL), 3667-R1838/R2848 business desktops computer complete machine, i5-6400 CPU, 8G memories, is respectively adopted such as Tables 1 and 2
Shown information carries out the experiment of Medical Devices disposal process and the experiment of Medical Devices process for using.
1, Medical Devices disposal process is tested:Federation node 2 (large hospital 1) respectively submits 3 experiment informations in table 1
System verifies flow.
Table 1
2, Medical Devices process for using is tested:Federation node 2 (large hospital 1) respectively submits 3 experiment informations in table 2
System verifies flow.
Table 2
Experimental result is as shown in table 3:
Table 3
The above-mentioned description to embodiment can be understood and applied the invention for ease of those skilled in the art.
Person skilled in the art obviously easily can make various modifications to above-described embodiment, and described herein general
Principle is applied in other embodiment without having to go through creative labor.Therefore, the present invention is not limited to the above embodiments, ability
Field technique personnel announcement according to the present invention, the improvement made for the present invention and modification all should be in protection scope of the present invention
Within.
Claims (6)
1. a kind of Medical Devices whole-life cycle fee method based on block chain technology, includes the following steps:
(1) a data account for including Medical Devices whole important attribute and patient cases is built;
(2) it includes medical equipment manufacturers, larger medical unit, employer's organization, public and social interest's machine to be based on block chain technology structure
Structure is federation node and patient, small medical mechanism are that Medical Devices including ordinary node use and medical information management
Alliance's catenary system;
(3) formulate about purchasing medical equipment, using, scrap the affirmation mechanism of flow, reduce Medical Devices unreasonable configuration,
Using or extended active duty;
(4) structure patient cases are applicable in the affirmation mechanism of diagnosis and treatment range with Medical Devices, prevent illegal practice of medicine or excessive diagnosis and treatment, drop
Low medical treatment cost promotes medical service level;
(5) it builds as the patient of ordinary node and the information inquiry of small medical mechanism and supervision channel.
2. Medical Devices whole-life cycle fee method according to claim 1, it is characterised in that:In the step (1)
The important attribute of Medical Devices whole includes Medical Devices manufacturer, the diagnosis and treatment range of Medical Devices indication or adaptation, medical treatment
The prerequisite qualification of practising medicine of equipment user of service, purchasing medical equipment price, the specified access times of Medical Devices use the longevity
Life;Patient cases, which include that patient's pathology characterization, diagnosis and treatment method, diagnosis and treatment physician's name and qualification be horizontal, diagnosis and treatment doctor provides, to build
Discuss diagnosis and treatment means and necessary diagnostic equipment operational version.
3. Medical Devices whole-life cycle fee method according to claim 1, it is characterised in that:The step (2)
It is implemented as:Keep medical equipment manufacturers, larger medical unit, employer's organization, mechanism of public and social interest composition Medical Devices complete
Life cycle information and patient information management alliance, as the federation node in alliance's catenary system, said mechanism is responsible for completing doctor
Equipment purchase flow, reasonable standard use, specified access times or time lifetime, the confirmation for scrapping flow are treated, ensures therapeutic machine
Purchasing medical equipment in structure is transparent, using rationally, scrap in time, ensure the specification of the reliability and state of an illness diagnosis and treatment of Medical Devices
Property;So that patient and small medical mechanism is possessed right to know and authority to supervise in oneself permission, patient can inquire and under be downloaded from
Oneself diagnosis and therapy recording, has the right the use to the Medical Devices for oneself or usable condition is queried, and small medical mechanism can
Diagnosis reference is carried out to download the not diagnosis and therapy recording including patient's personal information, also can just be made for the Medical Devices of certain case
With or usable condition query.
4. Medical Devices whole-life cycle fee method according to claim 1, it is characterised in that:The step (3)
It is implemented as:Require any medical institutions in system to the buyings of Medical Devices, using, scrap flow and relevant information palpus
Obtaining the approval of node more than half in system can pass through, the specific implementation process is as follows:
The 3.1 information data account as any medical institutions Medical Devices that oneself is purchased or be disposed of federation node
With being sent to corresponding federation node after the public key encryption of other federation nodes;
3.2 other federation nodes decrypt the ciphertext received, necessity, procurement price to Medical Equipment Purchase with the private key of oneself
Reasonability, lawful operation qualification, equipment access times and the time lifetime of quasi- buying equipment manufacturers make judges, and general
Evaluation result is broadcasted in system;
If it is the half that the federation node number approved is more than total federation node in system to make evaluation result in 3.3 systems,
Submit to the medical institutions for purchasing or disposing Medical Devices that can carry out purchasing medical equipment or disposition according to information is put on record;If system
It is the half that the federation node number approved is less than total federation node in system inside to make evaluation result, then submits to purchase or locate
Setting the medical institutions of Medical Devices need to adjust and purchase or disposition plan and fulfil above-mentioned flow again.
5. Medical Devices whole-life cycle fee method according to claim 1, it is characterised in that:The step (4)
It is implemented as:Require patient's pathology, case that should keep highly consistent matching degree with Medical Devices diagnosis and treatment scheme, it is specific real
Existing process is as follows:
4.1 by patient's diagnosed SARS case information and are intended that with Medical Devices scheme with other as any diagnosis and treatment mechanism of federation node
Corresponding federation node is sent to after the public key encryption of federation node;
4.2 other federation nodes decrypt the ciphertext received with the private key of oneself, and Medical Devices user is made for patient cases
Case, and be compared with Medical Devices scheme with being intended that of receiving, Medical Devices operational version is judged if consistency level height
Rationally, it is otherwise judged to unreasonable, and evaluation result is broadcasted in system;
If it is the half that rational federation node number is more than total federation node in system to make evaluation result in 4.3 systems,
Assert that the Medical Devices operational version that the diagnosis and treatment mechanism for submitting to diagnosis and treatment scheme to confirm provides is reasonable, can carry out by the program and examine
Treatment activity;If it is the half that rational federation node number is less than total federation node in system to make evaluation result in system,
Then assert the Medical Devices operational version that provides of diagnosis and treatment mechanism for submitting to diagnosis and treatment scheme to confirm and unreasonable, patient need to be carried out
Then further consultation fulfils above-mentioned stream again to provide more specifically diagnosis and treatment case and draft Medical Devices operational version again
Journey;
The above flow is suitable for the diagnosis and treatment of chronic disease, and flow is put on record after then fulfiling first diagnosis and treatment for first aid or acute disease diagnosis and treatment, if its
Judge there is a situation where Medical Devices use or applicable improper in diagnosis and treatment process afterwards, specification and corresponding punishment are proposed by employer's organization
Scheme.
6. Medical Devices whole-life cycle fee method according to claim 1, it is characterised in that:The step (5)
It is implemented as:For patient, make it that can inquire and download the diagnosis and therapy recording of oneself, and has the right just to be directed to the Medical Devices of oneself
Using or usable condition query, it is contentious to be put on record to system application;For small medical mechanism, make it that can download not
Diagnosis and therapy recording including patient's personal information carries out diagnosis reference, and has the right just to use or be applicable in for the Medical Devices of certain case
Situation is queried, contentious to be put on record to system application;If the objection quantity for certain doctor or certain medical institutions is more than
Certain threshold value, then system submit to employer's organization to carry out checking processing.
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