CN109215748A - The application method of hospital information system based on block chain - Google Patents
The application method of hospital information system based on block chain Download PDFInfo
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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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- 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
- G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
Abstract
The application method of hospital information system based on block chain, the disclosure provides a kind of information for hospital information system, by taking Internal Medicine-Oncology as an example, business module includes: pain screening module, anodyne square root control module and follow-up data input module, subsequent from institute's follow-up module and query statistic module, information system successively loads, executes the code of above-mentioned module according to the calling logic of configuration file.It is successively read the corresponding executable code of module in code area, the position sequencing according to block in chain, the call relation of the corresponding executable code of determining module, and the code of respective modules is executed, hospital information system is updated.The hospital information system of the disclosure successively calls access business module, configuration file can be changed in real time, so that Different hospital can unify change operation flow, dynamic updates the software code of information system, to realize the standardization of information for hospital information system, design high security, low management cost, the new hospital information monitoring platform for being easy to extend.
Description
Technical field
This disclosure relates to hospital management technical field, the in particular to application method of hospital information system.
Background technique
As the level of IT application of situation of all-level hospitals, community, commune hospital improves, traditional service pattern is by medical information
System substitution.The information system that hospital, community, commune hospital use can be divided into two kinds, a kind of for general information system, have doctor
Institute's basic business function can be applicable in the common requirement of Different hospital, but this kind of system only meets common functional requirement, nothing
Method meets the functional requirement based on Different hospital differentiation.It is another then be customize information system, it is poor to meet particular hospital
The functional requirement of alienation is the system of hospital's customized development by software house, can be applicable in the business need of particular hospital, but
Secondary development is then needed for the business demand of other hospitals to add the function, development cost is high, and the letter of Different hospital
Breath system has different system architecture and data format, and compatibility is poor between hospital system.
Both above-mentioned hospital information systems are relatively independent, and the service logic that user executes in different information system is not
Together, for this purpose, we design a kind of hospital information system, business function can be dynamically updated, there is common business function,
It can satisfy the business need of customization.Patient can determine between different hospitals according to diagnosis and treatment demand and diagnosis and treatment requirement
For the service item of different patient populations, and provide the service application subsystem of standardization.
By cancer patient for Different hospital is medical, since identical be used for is added in Different hospital information system
The diagnosis and treatment module of cancer, so that no matter patient can execute the business function of specification, can satisfy process in which hospital admission
Standardization and the requirement of business customizing also have the advantages that later maintenance management is easy.
Summary of the invention
In general, hospital admission process includes to register, pay dues, taking the links such as medicine, hospital information system is according to self-demand
Corresponding business module code is executed, common hospital information system has registration module, module of paying dues, takes medicine module.Except this
In addition, the different department of hospital also has different business module, for the different diagnosis and treatment demands according to patient, determines for difference
The service procedure of patient.
By taking the diagnosis and treatment of cancer patient as an example, hospital information system there are pain screening module, anodyne square root control module,
Follow-up data input module, subsequent from institute's follow-up module, query statistic module etc., opening anodyne for preventing doctor does not have
Pain screening and pain follow-up assessment, and it is not carried out the Problems such as subsequent follow-up.
The disclosure devises a kind of application method of hospital information system based on block chain, and each hospital information system exists
It is connected with each other on network, certification authority is that all hospitals construct user identity certificate, and information system utilizes the number of block chain
According to structure, program file is corresponded into block record, each block is linked together according to execution sequence.Each block is by head
Portion, middle area and tail portion composition, middle area are used to store the code index of information system modules, and head is for recording
The summary info of previous block, tail portion are used to record the summary info of current block, guarantee that block is successive by cryptography method
Sequentially, the data content recorded is all not modified and forges.
Hospital business is divided into multiple modules, is in advance executable code by the compilation of source code of each module, in generation
Code region stores the executable code of corresponding module, and the index address of executable code is written to the block of configuration file；
According to the calling of the service logic of hospital sequence, determines the block calling sequence of executable code, calculate each mould
The Hash numerical value of the corresponding executable code of block is stored in block tail portion, and exists in the head of each block storage calling sequence
The Hash numerical value of first block forms the chain between the connection block of configuration file；
The configuration file of the block chain form of generation is distributed to the information system of multiple hospitals；
Using the block content of configuration file as index address, the corresponding executable code in code region is searched, according to described
Block determines the call relation of corresponding executable code in the position sequencing of chain；
The code for loading and executing above-mentioned module, is updated hospital information system.
Further, hospital information system further includes the function of extension customization in addition to providing basic function when patient goes to a doctor,
System can provide configuration interface, the operation such as be added for user, delete, modify, suspending, restarting to configuration file, so that
Module is invoked to visualize on configuration interface and present, so that user checks, the tune between the mark and module of modified module code
With sequence.
Further, block head includes the hash value of a upper block in block chain, and block main body includes executable code
Index address, block tail portion include the hash value of current block.
Further, hospital information system has data field and code area, and code area stores the code of all business modules,
It is pre-configured with the code of business module when system development, can dynamically add in system operation, delete service code or replace
Change the code of business module, and the calling sequence of modification business module.
Further, hospital information system provides visual configuration interface, and user is added business module, deletes, repairs
Change, suspend, reboot operation, so as to the calling sequence between user's inspection, modified module code and module.
Further, it for the medical record information and Outpatient Department data of patient shared between Different hospital, needs to the hidden of patient
Personal letter breath carry out encryption could in external Internet communication, and in internal network transport medical record information and Outpatient Department data, do not need plus
Decryption oprerations.
Further, the medical record data of different data format is subjected to standardization processing, for counting, inquiring the case history of patient
Information.
Further, to be added or update code is stored in code area after compiling.
Further, in the executable code for needing modified module, in the new block of block chain creation, by the module of modification
New block is written in the index address of code, is called according to the front and back between module and sequentially forms new block chain.
Further, the module of hospital information system includes pain screening module, anodyne square root control module, follow-up information
It is recording module, subsequent from institute's follow-up module, query statistic module.
The beneficial effect of the disclosure is:
The service logic of Different hospital is split as module by block chain mode and is updated by the disclosure, can adapt to cure
The dynamic change of institute's service logic is correspondingly added, is deleted, modification is matched according to the process flow of the service logic of Different hospital
The position of the block and block of file on chain is set, so that service logic to be fused to the disposed of in its entirety stream of hospital information system
Cheng Zhong.
Selection operation flow is required according to the diagnosis and treatment of Different hospital department, on the basis of common business function, for tool
The hospital information system load and execution identical services module for thering are identical services to apply, and information for hospital system can be updated in real time
The software code of system promotes the standardization of Case treatment, realizes the management to doctor's operating process.
Detailed description of the invention
Fig. 1 is the schematic diagram of the memory space of the code region of the disclosure；
Fig. 2 is the schematic diagram of the block chain of the configuration file of the disclosure；
Fig. 3 be the disclosure block chain in increase the operating method schematic diagram of new block；
Fig. 4 be the disclosure block chain in delete the operating method schematic diagram of original block；
Fig. 5 be the disclosure block chain in replace the operating method schematic diagram of original block；
Fig. 6 is the flow and method schematic diagram of the hospital information system of the disclosure；
Fig. 7 is the pain screening module interfaces schematic diagram of the hospital information system of the disclosure；
Fig. 8 A-C is the square root control module interfaces schematic diagram of the hospital information system of the disclosure；
Fig. 9 is the follow-up recording module interface schematic diagram of the hospital information system of the disclosure；
Figure 10 A-B is the subsequent from institute's follow-up module interfaces schematic diagram of the hospital information system of the disclosure；
Figure 11 A-B is the query statistic module interfaces schematic diagram of the hospital information system of the disclosure；
Figure 12 is the upgrade method schematic diagram of the hospital information system based on block chain of the disclosure.
Specific embodiment
With reference to the accompanying drawing and embodiment is described in further detail the disclosure:
For the demand of Hospital Service Process standardized management, mould of dynamically activating business in existing hospital information system
Block carries out standardization reconstruction on the basis of original service procedure, guarantees Different hospital, the information system of different department can synchronize
Ground updates operation flow.By taking Internal Medicine-Oncology as an example, process includes: pain screening, square root control, follow-up typing, subsequent from institute
Follow-up, query statistic.Correspondingly, hospital information system includes pain screening subsystem, square root control subsystem, follow-up record
Enter subsystem, it is subsequent from institute's follow-up subsystem and query statistic subsystem.
The schematic diagram of the code area memory space of the disclosure is illustrated in Fig. 1.
Preparation stage of the step 1) before hospital information system starting: by the operation flow of hospital's definition standard, such as
According to the division of hospital business process, the operation flow of Internal Medicine-Oncology is divided into: pain screening, square root control, follow-up typing, after
Continue from institute's follow-up, query statistic.
Step 2) carries out modularized design to hospital information system, writes and debug source code, and it is opposite to execute operation flow
Pain screening, square root control, the follow-up typing answered, it is subsequent from institute's follow-up, the code of query statistic module, and source code is converted
For executable code.
Step 3) establishes the corresponding relationship of executable code and index address, and code area is arrived in executable code storage
The position that index address marks；
The schematic diagram of the configuration file block chain of the disclosure is illustrated in Fig. 2.
The generation phase of step 1) configuration file block chain: different from the configuration file of traditional XML structure, the disclosure makes
With the configuration file of block chain structure, which is made of block and chain, the index address of block content representation block code,
Different blocks are connected with each other by chain, the code that the block in chain first place is identified is called and executed to hospital information system,
Then according to operation flow calling sequence, the code for successively the subsequent block of chain being called to be identified, until traversal has executed chain
All blocks on item, can terminate the calling to module.
Step 1.1) writes on the number mark of disparate modules in different blocks respectively；
Step 1.2) determines the calling sequence between block, calculates each according to the calling sequence of the service logic of hospital
The Hash numerical value of the corresponding executable code of module, is written the tail portion of each block, stores previous area on the head of each block
The Hash numerical value of block, forms chain position between the block of configuration file；
The distribution phase of step 2) configuration file block chain: the configuration file of the block chain form of generation is distributed to multiple
The information system of hospital, the information system of Different hospital receive configuration file respectively, search block-identified corresponding block code,
Call relation according to block chain executes corresponding module；
Step 2.1) is identified as index with the number on block chain, searches the corresponding executable code of module in code area,
Position sequencing according to block in chain, the call relation of the corresponding executable code of determining module；
Step 2.2) loads and executes the code of above-mentioned module, is updated to hospital information system.
In system operation, needs to add, delete, the code of replacement business module, it is suitable with the calling for controlling business module
Sequence, Fig. 3-Fig. 5 show the operating method for increasing new block in block chain, deleting original block, the original block of replacement respectively.
The operating method schematic diagram for increasing new block in block chain of the disclosure is illustrated in Fig. 3.
For needing the case where increasing module in operation flow, with modules A-configuration file area module B-module C
For block chain, illustrate the operation for increasing module B between modules A and module C below.
(1) the execution step of the block chain before adding module B:
The content of the digital number write-in block A of modules A, the tail portion of the HASH write-in block A of computing module A, block A tail
The head of the numerical value write-in block C in portion, the content of the digital number write-in block C of module C, the write area HASH of computing module C
The tail portion of block C.
(2) the execution step of the block chain after adding module B:
The content of block B is written in the digital number of module B by the content for retaining block A and block C, computing module B's
The tail portion of block B is written in HASH, while by the head of the numerical value of the tail portion block A write-in block B, the numerical value of the tail portion block B being write
Enter the head of block C.
The operating method schematic diagram that original block is deleted in block chain of the disclosure is illustrated in Fig. 4.
For needing in operation flow the case where removing module, with modules A-configuration file area module B-module C
For block chain, illustrate the operation of the removing module B between modules A and module C below.
(1) the execution step of the block chain before removing module B:
The content of the digital number write-in block A of modules A, the tail portion of the HASH write-in block A of computing module A, block A tail
The head of the numerical value write-in block B in portion；In the content of the digital number write-in block B of module B, the HASH write-in of computing module B
The tail portion of block B, by the head of the numerical value write-in block C of the tail portion block B；The content of the digital number write-in block C of module C,
The tail portion of the HASH write-in block C of computing module C, the head of the numerical value write-in block C of the tail portion block B.
(2) the execution step of the block chain after removing module B:
Retain the content of block A and block C, retain the tail portion HASH value of block A and block C, deletes the content of block B,
By the head of the HASH write-in block C of modules A tail portion.
The operating method schematic diagram that original block is replaced in block chain of the disclosure is illustrated in Fig. 5.
For needing in operation flow the case where replacement module, with modules A-configuration file area module B-module C
For block chain, illustrate to replace with modules A-module B '-module C operation between modules A and module C below.
(1) the execution step of the block chain before replacement module B:
The content of the digital number write-in block A of modules A, the tail portion of the HASH write-in block A of computing module A, block A tail
The head of the numerical value write-in block B in portion；The content of the digital number write-in block B of module B, the write area HASH of computing module B
The tail portion of block B, the head of the numerical value write-in block C of the tail portion block B；The content of the digital number write-in block C of module C, calculates
The tail portion of the HASH write-in block C of module C, the head of the numerical value write-in block C of the tail portion block B.
(2) the execution step of the block chain after replacement module B:
Retain the content of block A and block C, retains the tail portion HASH value of block A and block C, the volume that block B is stored
The number for number replacing with module B ', recalculates the tail portion HASH of module B ', by the tail portion of the HASH write-in block B of module B ',
The tail portion HASH value of block B, is re-write the head of block C by the head H ASH value for retaining block B, forms new block link
Structure.
In the following, introducing the function and calling sequence of various modules by taking the Internal Medicine-Oncology business of hospital information system as an example.
The overall flow method schematic diagram of the hospital information system of the disclosure is illustrated in Fig. 6.
Zhejiang Prov. Tumor Hospital establishes novel Business Stream from the management requirement for defending the medical authorities such as planning commission
Journey, exploitation are used for the information system of tumour department, this is not identical as the information system of other hospitals, community, commune hospital,
Therefore, it is necessary to dynamically adjust the software code of information system, realize the Business Process Management of standardization, by addition, deletion,
It modifies, suspend, restarting service code, it is unified to change information system business process.
Specific business module includes: pain screening module, anodyne square root control module, follow-up data input module,
It is subsequent from institute's follow-up module, query statistic module, according to the calling logic of configuration file, successively load, execute above-mentioned module
Code.
Firstly, patient carries out pain caused by cancer screening in outpatient clinic, the without pain and patient that analgesic drug product is not used does not arrange
For the object of pain management.There is pain or have the case where using anodyne, the further perfect information of palpus records pain condition or stops
Pain drug service condition.The patient for anaesthetizing prescription after completion screening for that need to open, records special medical record number or factor's information, is
System, which needs to control patient ID number and home address, telephone number, to be sky, need to carry out pain follow-up letter before saving prescription
Breath is filled in, and is finally completed medical and is printed red anesthesia prescription.It is also needed specially in one week of patient for opening anesthesia prescription
People carries out a pain follow-up, understands patient's condition and provides further guidance simultaneously for patient.
As can be seen that doctor is successively in sequence to the consultation process of patient: pain screening, square root control, follow-up record
Enter, it is subsequent from institute's follow-up, query statistic.The module of hospital business information system is successively: pain screening module, square root control mould
Block, follow-up recording module, it is subsequent from institute's follow-up module and query statistic module.Current block is only executed in previous module
It finishes and just starts.
The pain screening module interfaces schematic diagram of the hospital information system of the disclosure is illustrated in Fig. 7.
Pain screening module carries out pain screening to patient, and screening content is as follows: 1) having without pain: if any need to improve pain
Pain position, property, scoring.2) whether there is or not use analgesic drug product: if any, need perfect information to have, medicine name, dosage, frequency, whether there is or not
Side reaction fills in side reaction situation if any side reaction, and to the method for side reaction processing.3) handling suggestion: pain has use
When anodyne, corresponding handling suggestion need to be provided.
The square root control module interfaces schematic diagram of the hospital information system of the disclosure is illustrated in Fig. 8 A-8C.
Square root control module, if having selected " without pain, without use analgesic drug product " when screening, doctor is opening fiber crops
It just will pop up prompt when liquor-saturated prescription and inform frame, remind doctor's screening results just now and whether prompt back to sieving again
It looks into, to prevent unreasonable evolution.Factor's information is carried out it is perfect, before opening anesthesia prescription, the special medical record number of pop-up typing, charg`e d'affaires
The window of people's information, such as without special Medical record, limitation can only open 7 staggering amounts, factor's information, need to include factor's name, gender,
Age, identification card number；It such as comes in person and makes up a prescription, without filling in factor's information；To prevent outpatient service excess from opening arcotic, system can also
Whether retrieval has Influence Factors of Taking Medicine at Discharge situation in patient three days, outpatient service is write a prescription, and to the similar anaesthetic same day, repeatedly evolution also will do it inspection
It surveys, same doctor or multiple doctors is prevented intentionally or accidentally excess to be caused to write a prescription in system.
The follow-up recording module interface schematic diagram of the hospital information system of the disclosure is illustrated in Fig. 9.
Follow-up recording module is improved when prescription saves and examines follow-up information, comprising: 1) previously whether there is or not use anodyne,
If any medicine name, dosage need to be filled in；2) NRS scores, and whether there is or not outburst pains, and if any that need to fill in number, the scoring of quick-fried pain, whether there is or not outbursts
Sore spot reason handles drug, 24 hours accumulated doses if any that need to fill in；3) whether there is side reaction, if any side reaction situation need to be filled in.
The subsequent from institute's follow-up module interfaces schematic diagram of the hospital information system of the disclosure is illustrated in Figure 10 A, Figure 10 B.
Subsequent to carry out follow-up to patient from institute's follow-up module, patient carries out a phone or other forms after making up a prescription in 7 days
Follow-up, for the object that can determine that follow-up convenient for staff, module did not carried out follow-up and retrieving out anesthesia prescription
Patient information list, the information arrived to follow-up carries out the typing of follow-up content, and the pain follow-up between properties window and doctor examine is believed
Manner of breathing seemingly, can require to increase and decrease, for example, increasing follow-up state, the states such as lost to follow-up, dead according to clinical practice.For with
Visiting state is dead patient, gives filtering prompt when follow-up patient in retrieval, avoids carrying out again unnecessary subsequent
Follow-up causes to bother to families of patients.
The query statistic module interfaces schematic diagram of the hospital information system of the disclosure is illustrated in Figure 11 A-11B.
Query statistic module is inquired the report for checking anaesthetic evolution record and pain follow-up situation, is counted, and has
Body includes: statistics follow-up situation report, such as from follow-up rate, the follow-up number workload after institute, which can inquire outpatient service disease
Window is gone through, inspection personnel can check doctor's pain-suffered patient in the medical record writing of medical overall process, and whether anaesthetic evolution standardizes, be convenient for
Management improves medical procedures.
Figure 12 illustrates the module call method schematic diagram of the hospital information system based on block chain of the disclosure.
By taking the practical business of hospital information system as an example, the calling sequence of the module of the hospital information system based on block chain
It is as follows:
1) code of module to be updated is compiled in advance, and be stored in code area；
2) by the memory module code in code library, by the block of the mark write-in configuration file of block code, then will
Call the chain for sequentially forming block in front and back between module；
3) configuration file of the block chain form of generation is distributed to the information system of multiple hospitals；
4) the information system of each hospital reads the configuration file of block chain format respectively, according to the mark of block,
The block code in fetcher code area is shared between Different hospital and uses block code；
5) the head H ASH of current block hash value and all blocks is matched, if identical, finds block
The mark of next block of chain, and sequentially according to the module calling of configuration file block chain, the code of the lower block of load and execution,
Hospital information system is updated；If it is not the same, then the information of current block is tampered, refusal updates operation；
6) above method is reused, the corresponding executable code of module in code area is read, using front and back block in area
The HASH numerical value of block chain is matched, the call relation of determining module, and successively executes the corresponding executable code of above-mentioned module,
Hospital information system is updated.
The disclosure the utility model has the advantages that
The hospital information system of the disclosure successively can call and access business module, and can dynamically change configuration text
Part is capable of the software code of real-time update information system so that Different hospital can unify change operation flow；By comparing
HASH numerical value can detecte whether block information is tampered, and guarantee the reliability updated, to realize information for hospital information system
The standardization of system, and then design high security, low management cost, low artificial dependence, the new hospital information for being easy to extend
Supervising platform.
Claims (10)
1. a kind of application method of the hospital information system based on block chain, it is characterised in that:
Hospital business is divided into multiple modules, is in advance executable code by the compilation of source code of each module, is stored in generation
The code corresponding address in area；
The address of the executable code of the multiple module is respectively written into the different blocks of block chain；
According to the calling of the service logic of hospital sequence, determines calling sequence between the multiple module, deposited on the head of block
The Hash numerical value for storing up first block forms the chain between block in the Hash numerical value of the tail portion of block storage current block；
The block chain information of generation is distributed to the information system of multiple hospitals；
Using the content of the original block of block chain as index address, the executable code in code area is searched, according to block in chain
The position sequencing of item, determines the call relation of corresponding executable code；And
The executable code for successively executing disparate modules, is updated hospital information system.
2. the application method of the hospital information system according to claim 1 based on block chain, it is characterised in that:
Block head includes the hash value of a upper block in block chain, and block main body includes the index address of executable code, area
Block tail portion includes the hash value of current block.
3. the application method of the hospital information system according to claim 2 based on block chain, it is characterised in that:
The head H ash value of the hash value of current block and all blocks is matched, if identical, searches and execute block
The executable code that next block of chain is identified, is updated hospital information system；If it is not the same, then the block is not added
Enter to block chain, to hospital information system without updating.
4. the application method of the hospital information system according to claim 1 based on block chain, it is characterised in that:
Hospital information system provides visual configuration interface, business module is added for user, deletes, modify, suspending,
Reboot operation, so as to the calling sequence between user's inspection, modified module code and module.
5. the application method of the hospital information system according to claim 3 based on block chain, it is characterised in that:
Hospital information system has data field and code area, and code area stores the code of all business modules, in system development
The code of business module is stored in advance, can dynamically be added in system operation, delete service code or replacement business module
Code, and modification business module calling sequence.
6. the application method of the hospital information system according to claim 1 based on block chain, it is characterised in that:
The privacy information of the patient of hospital information system, which encrypts, to be propagated on external network, and in internal network transport
Medical record information and Outpatient Department data do not need encryption and decryption operation.
7. the application method of the hospital information system according to claim 3 based on block chain, it is characterised in that:
The medical record data of different data format is subjected to standardization processing, for counting, inquiring the medical record information of patient.
8. the application method of the hospital information system according to claim 3 based on block chain, it is characterised in that:
To be added or update code is stored in code area after compiling.
9. the application method of the hospital information system according to claim 3 based on block chain, it is characterised in that:
In the executable code for needing modified module, new block is created in block chain, by the rope of the block code of modification
Draw address and new block is written, is called according to the front and back between module and sequentially form new block chain.
10. the application method of the hospital information system according to claim 3 based on block chain, it is characterised in that:
The module of hospital information system include pain screening module, anodyne square root control module, follow-up data input module, after
Continue from institute's follow-up module, query statistic module.
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| CN110716726A (en) * | 2019-08-29 | 2020-01-21 | 平安科技（深圳）有限公司 | Client updating method and device, electronic equipment and computer readable storage medium |
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| CN112509678B (en) * | 2020-12-01 | 2024-02-23 | 郭文军 | Anesthesia information management system and courtyard comprehensive information management system |
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