CN110660460A - Nutrition information management system and method for hospital - Google Patents
Nutrition information management system and method for hospital Download PDFInfo
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Abstract
The invention discloses a nutrition information management system and a method for hospitals, which can carry out full-flow monitoring on a doctor order-making link, a nutrition preparation preparing and distributing link, a financial payment link and a nutrition preparation using link of a patient in a nutrition treatment process, standardize a nutrition treatment flow, a charging flow and nutrition product storage management, realize the flow, standardization and informatization of the nutrition treatment process and improve the efficiency of clinical nutrition treatment of the whole hospital.
Description
Technical Field
The present invention relates to an information system, and more particularly, to a nutrition information management system and method for hospitals.
Background
The hospital management system is a necessary technical support and infrastructure for modern hospital operation, and the aim of realizing the hospital management system is to strengthen the management of the hospital by means of more modernization, scientification and standardization, improve the working efficiency of the hospital and improve the medical quality, so that a new image of the modern hospital is established, which is a necessary direction for the development of the future hospital. At present, clinical nutrition science popularization of domestic hospitals generally has the pain points of non-standard nutrition treatment process, non-standard charging process, disordered nutritional product storage management and the like. Therefore, the clinical nutrition management system with complete functions can perform informatization management on the whole nutrition treatment process, realize the flow, standardization and informatization of the nutrition treatment process and improve the efficiency of the clinical nutrition treatment of the whole hospital. Effective clinical nutrition treatment data are stored through the management system, and the hospital can be supported to carry out clinical nutrition related scientific research and academic research.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide a nutrition information management system and method for hospitals, which can standardize nutrition treatment processes, charging processes and nutrition product storage management, realize the flow, standardization and informatization of the nutrition treatment process and improve the efficiency of clinical nutrition treatment of the whole hospital.
In order to achieve the purpose, the invention provides the following technical scheme:
a nutritional information management system for a hospital, comprising:
the nutrition management module is accessed to a hospital information system and comprises an inquiry unit, a nutrition case history editing unit and a medical advice order unit, wherein the inquiry unit is used for doctors to record an inquiry process; the nutrition medical record editing unit is used for a doctor to edit the nutrition medical record information of the patient; the order unit is used for a doctor to prepare an order;
the nutrition configuration module is connected with the nutrition management module and comprises a configuration execution unit and a preparation issuing management unit, and the configuration execution unit is used for completing the preparation of the nutrition preparation according to the nutrition preparation list of the medical order; the preparation issuing management unit is used for monitoring the distribution state of the nutritional preparation;
the nutritional preparation inventory management module is connected with the nutritional configuration module and comprises an in-out unit, an inventory monitoring unit and an expiration monitoring unit, wherein the in-out unit is used for recording the in-out condition of the nutritional preparation; the stock monitoring unit is used for updating the stock situation of the nutritional preparation; the overdue monitoring unit is used for monitoring whether the nutritional preparation in the warehouse is overdue or not and putting the overdue nutritional preparation off the shelf;
the payment management module comprises a balance display unit, a recharging unit and a calculation deduction unit, wherein the balance display unit is used for displaying the available balance of the patient account; the recharging unit is used for recharging the balance of the account by the patient; and the charge calculating unit is used for calculating the required cost according to the nutrient preparation list on the medical advice order so as to complete payment.
As a preferable scheme: the system also comprises an online mall module, wherein the online mall module is connected with the nutrient preparation inventory management module and comprises a commodity display unit, a commodity selection unit, a commodity billing and payment unit and a commodity distribution unit, and the commodity display unit is used for displaying various nutrient preparations and the stock thereof; the commodity selection unit is used for selecting a nutritional preparation and a dosage for a patient; the commodity charging payment unit is used for calculating the cost of the selected commodity and skipping to a mobile phone payment interface for the patient to finish payment operation; the commodity distribution unit is used for displaying the distribution state of the nutrient preparation.
As a preferable scheme: the automatic vending system comprises an automatic vending machine, an automatic vending management unit and an automatic vending control unit, wherein the automatic vending management unit comprises a goods monitoring unit, a medical advice order identification unit and a charging payment unit, and the goods monitoring unit is used for monitoring the goods stock in the automatic vending machine; the medical advice order identification unit is used for scanning and identifying a medical advice order, the charging payment unit is used for calculating the required cost according to the identification information and generating a payment receiving code, and the vending control unit controls the vending machine to deliver goods after the patient finishes payment.
As a preferable scheme: the nutrition distribution system further comprises a nutrition intake monitoring module, wherein the nutrition intake monitoring module is connected with the nutrition configuration module, the online mall module and the automatic vending module and is used for carrying out summary analysis on various nutrition preparation orders of the patient so as to monitor the daily intake nutrition preparation dosage of the patient.
As a preferable scheme: the nutrition evaluation module is connected with the hospital confidence system and the nutrition management module and comprises a nutrition screening unit and a nutrition evaluation unit; the nutrition screening unit is used for carrying out NRS screening and PGSGA screening on the patient; the nutrition evaluation module is used for carrying out comprehensive evaluation, sign evaluation, diet evaluation and biochemical evaluation on the patient.
As a preferable scheme: the diet recommendation module is connected with the nutrition evaluation module and comprises a diet nutrition information unit and a recipe generation unit, wherein different foods and the nutrient proportion of the foods are stored in the diet nutrition information unit, and the recipe generation unit automatically matches the foods according to the nutrition evaluation result of the patient to generate a seven-day recommended recipe.
A nutrition information management method for a hospital is characterized by comprising the following steps:
s1, acquiring personal information and medical record information of the patient;
s2, analyzing the nutritional status of the patient according to the physical sign information and the medical record information of the patient;
s3, preparing a nutrition treatment scheme according to the nutrition condition of the patient and placing an order;
s4, completing the preparation of the nutritional preparation according to the order of the medical advice;
s5, dispensing the nutritional formulation and monitoring the use of the nutritional formulation.
As a preferable scheme: the nutritional status analysis in the S2 step includes a nutrition screening step and a nutrition assessment step, wherein the nutrition screening step screens the patient through the patient 'S weight, diet, symptoms, physical condition, disease and nutritional requirements, metabolic state, physical examination, and the nutrition assessment performs a preliminary assessment on the patient' S nutritional status through comprehensive assessment, physical sign assessment, diet assessment, and biochemical assessment.
Compared with the prior art, the invention has the advantages that: the invention aims to provide a nutrition information management system and a method for a hospital, which can monitor the whole process of a doctor in the nutrition treatment process in the steps of preparing a medical order, preparing and distributing a nutrition preparation by nutrition personnel, paying financial affairs and using the nutrition preparation by a patient, standardize the nutrition treatment process, charging process and nutrition product storage management, realize the process, standardization and informatization of the nutrition treatment process and improve the efficiency of the clinical nutrition treatment of the whole hospital.
Drawings
FIG. 1 is a schematic diagram of a nutrition management system;
fig. 2 is a flow chart of a method of nutrition management.
Detailed Description
The first embodiment is as follows:
referring to fig. 1, a nutrition information management system for a hospital includes:
and the nutrition management module is accessed to a hospital system, and the hospital information system comprises an HIS system and an LIS system. The HIS System (Hospital Information System, namely a computer application System for Information management and online operation in Hospital management and medical activities) comprises a registration System and a patient Information management System, wherein the patient Information comprises identification Information, physical sign Information and nutritional medical record Information of a patient; the LIS System (Laboratory Information System) contains Laboratory test data of the patient. The nutrition management module comprises an inquiry unit, a nutrition medical record editing unit and an order unit. After the patient goes to the hospital to handle the registration procedure, the registration system of the HIS system automatically registers and queues the patient and allocates doctors corresponding to departments to the patient. After the inquiry begins, a doctor records the inquiry flow in an inquiry unit, and a doctor can access the patient nutrition medical record information in a hospital information system in the inquiry process so as to assist the inquiry; a doctor edits a new nutritional medical record for a patient in a nutritional medical record editing unit according to the inquiry condition, and the information of the new nutritional medical record is uploaded to a hospital information system; then, according to the disease and nutrition condition of the patient, a doctor orders a medical order, wherein the medical order comprises information of the patient, required nutritional preparation and dosage thereof, required cost of the taking method and the like.
And the payment management module comprises a balance display unit, a recharging unit and a deduction calculation unit. The balance display unit is used for displaying the available balance of the patient account; the recharging unit is used for recharging the balance of the hospital one-card account by the patient; the fee deduction unit is used for completing payment fee deduction for the hospital one-card account. After the doctor orders the medical advice, the medical advice order is printed out and delivered to the patient, the patient goes to a payment place for payment, and the financial staff operates and confirms the payment.
And the nutrition configuration module is connected with the nutrition management module and comprises a configuration execution unit and a distribution management unit. After the patient completes the payment, the electronic medical advice order is sent to the nutrition configuration module. Nutritional department personnel can receive the electronic medical order in the configuration execution unit, take out the required nutritional preparation from the warehouse or temporarily complete the preparation of the nutritional preparation according to the order information, and click to operate and confirm after the preparation and the nutritional preparation are taken out; the nutritional formulation is then dispensed to the patient and the click confirms completion of the dispensing in the dispensing management unit.
And the inventory management module is connected with the nutrition configuration module and comprises an in-out unit, an inventory monitoring unit and an expiration monitoring unit. Each time a nutrition person in the nutrition department takes out a nutrition preparation from the warehouse or a new nutrition preparation is supplemented into the warehouse, a warehouse manager counts the nutrition preparation entering and leaving the warehouse and the dosage thereof, and records the statistical information into a nutrition preparation inventory management module through an in-out unit; the stock monitoring unit updates the nutrient preparation and the stock thereof in the warehouse in real time; the expiration monitoring unit is used for monitoring whether the nutritional preparation in the warehouse is expired or not, when the nutritional preparation is put in the warehouse, a warehouse administrator needs to enter the quality guarantee date of the nutritional preparation, the expiration monitoring unit compares the quality guarantee date of the nutritional preparation in the warehouse with the current date so as to judge whether the nutritional preparation is expired or not, the expired nutritional preparation is put on the shelf and discarded, meanwhile, the stock monitoring unit updates the condition of the nutritional preparation in the warehouse, and subtracts the dosage of the nutritional preparation which is discarded and discarded, so that the latest nutritional preparation in-warehouse dosage information is obtained.
The system in the embodiment further comprises an online mall module, the online mall module is a WeChat applet, the patient pays attention to the online mall through WeChat code scanning or link clicking, and the online mall module comprises an account management unit, a commodity display unit, a commodity selection unit, a commodity billing and payment unit and a commodity distribution unit. After a patient clicks to enter an online mall, an account needs to be registered or the patient logs in through WeChat authorization, and personal information is recorded into the online mall, wherein the personal information comprises identity information and harvest address information of the patient; the commodity display unit is used for displaying various nutrient preparations and the stock thereof; the commodity selection unit is used for selecting the nutritional preparation and dosage for the patient; after the patient selects the nutritional preparation, click "buy immediately"; the commodity charging payment unit calculates the cost of the selected nutrient preparation, generates a purchase order, skips to a mobile phone payment interface, and a patient selects a payment mode and completes payment operation; after the payment is finished, the nutrient preparation is delivered by the operator, and the commodity delivery unit is used for displaying the delivery state of the nutrient preparation. When the patient is at home, the required nutrient preparation can be selected in the mall by paying the mall by the mobile phone, the nutrient preparation is sent to the home of the patient by a distributor after payment is finished, the patient can take the nutrient preparation by himself, the trouble that the patient goes to a hospital is avoided, and the convenience is brought to the patient with inconvenient time and movement.
The system in this embodiment also includes the automatic vending module, and the automatic vending system includes vending machine, automatic vending management unit and automatic vending control unit, and automatic vending management unit includes goods monitoring unit, doctor's advice order recognition unit and charging payment unit. The vending machine is used for selling nutritional preparations, the vending machine is placed in a hospital or other places, the nutritional preparations are placed in each container of the vending machine, the serial number of each container, the placed nutritional preparations and the dosage information of the nutritional preparations are recorded into the stock monitoring unit, the vending machine is provided with a camera and a display screen and is used for shooting paper medical advice orders, after a doctor places the paper medical advice orders, the patient holds the paper medical advice orders to go to the vending machine, the paper medical advice orders are aligned to the camera of the vending machine, the camera shoots the paper medical advice orders and outputs images, and the medical advice order identification unit processes and identifies the images, so that the nutritional preparation information in the medical advice orders is obtained and comprises the names and dosages of the nutritional preparations; the charging payment unit calculates the required fee according to the name and the dosage of the nutritional preparation, then generates a vending order and a collection two-dimensional code, the display screen displays the collection two-dimensional code and the required fee, and the patient finishes payment by scanning the code with a mobile phone; after the payment is successful, the nutritional preparation and the dosage information purchased by the patient are sent to the automatic vending control unit, the automatic vending control unit compares the received information with the information stored in the goods monitoring unit, so as to find the container number where the required nutritional preparation is located, the automatic vending control unit then generates an action instruction corresponding to a related container, the action instruction is sent to a driving motor controller of the automatic vending machine, the driving motor controller controls the action of a driving motor of the corresponding container, so that the corresponding nutritional preparation is sent out of the automatic vending machine, and the control of the dosage of the sent nutritional preparation is realized by controlling the action times of the driving motor of the corresponding container; after the automatic selling is finished, the goods monitoring unit updates the nutrient preparation and dosage information in the automatic selling machine in real time. After the doctor orders the orders, the patient can go to the vending machine to buy the nutritional preparation by himself, and the trouble of queuing and the like is avoided.
The system in the embodiment further comprises a nutrition intake monitoring module, the nutrition intake monitoring module is connected with the nutrition configuration module, the online mall module and the automatic vending module, and the nutrition intake monitoring module comprises an order summarizing unit, an order screening unit, a nutrition value calculating unit and a nutrition value comparing unit. The order orders ordered by the doctor, the purchase orders for the patient to purchase on line and the automatic vending orders when goods are purchased on the automatic vending machine are all sent to the order summarizing unit; the order screening and analyzing unit screens all orders of the patient from the order summarizing unit according to the identification information of the patient, screens recent nutrition orders of the patient according to the order date, identifies the nutrition orders (including medical order orders, purchase orders and automatic vending orders) of the patient, and uses the nutritional preparation and dosage information in the current nutrition orders; the nutrition value calculation unit calculates the total nutrition value of the nutrition order according to the identified nutrition preparation and dosage and sends the calculation result to the nutrition value comparison unit; the nutrition value comparison unit compares the calculated nutrition value with the recommended value of the nutrients of Chinese residents and calculates the percentage, so that the total nutrition taken by the patient every day is monitored, and the condition that the nutrition is not taken sufficiently or is taken excessively is prevented.
The system in this embodiment further includes a nutrition assessment module, the nutrition assessment module is connected to the hospital information system and the nutrition management module, and the nutrition assessment module includes a nutrition screening unit and a nutrition assessment unit. The nutrition screening unit is used for carrying out NRS screening and PGSGA screening on the patient, wherein the NRS screening acquires information such as the weight, the eating condition, the disease type and the like of the patient in a questionnaire mode; PGSGA screening requires testing a patient, and preliminary assessment is carried out on the physical condition, the relation between diseases and nutritional requirements, the metabolic state and physical examination of the patient through laboratory data; the nutrition evaluation module is used for carrying out comprehensive evaluation, sign evaluation, diet evaluation and biochemical evaluation on the patient, wherein the comprehensive evaluation comprises sign measurement, biochemical signs, clinical signs, diet signs, nutrition diagnosis and digestive tract symptom evaluation; the sign evaluation comprises sign condition and nutrition state evaluation; the diet assessment comprises the calculation of the daily dietary and nutritional values of the food for the patient, comparing the calculated values with the national resident nutritional recommendations and calculating the percentage of each nutrient; biochemical evaluation A nutritional evaluation is performed on a patient by the patient's biochemical examination result data at a hospital.
When the doctor consults the patient, the doctor can check the nutrition evaluation result of the patient by entering the nutrition evaluation module, and prescribe a specified nutrition treatment scheme and a medical order by combining the nutrition evaluation result of the patient in the consultation process, so that the consultation result is more accurate and reasonable.
The nutrition management module in the embodiment further comprises a nutrition preparation support unit, and after a doctor orders a medical order, the nutrition preparation support unit calculates the nutrient content and percentage of the nutrition preparation in the medical order according to the nutrient recommended value of Chinese residents, the nutrient content of each preparation and other data, so that the rationality of the medical order is embodied. Meanwhile, the requirements of quickly setting up medical advice of patients with specific disease types can be met through functions of 'preparation set meal, preparation template' and the like.
The nutrition information management system in the embodiment further comprises a meal recommendation module, the meal recommendation module is connected with the nutrition evaluation module, and the meal recommendation module comprises a meal nutrition information unit and a recipe generation unit. Wherein, the diet nutrition information unit stores different foods and the nutrient proportion contained in the foods; the recipe generation unit automatically matches foods according to the nutrition evaluation result of the patient, for example, the nutrition evaluation result shows that the patient lacks certain nutrients, the recipe generation unit screens from the meal nutrition information unit, selects foods rich in the nutrients, selects common recipes of the foods, and generates a seven-day recommended recipe for the patient to refer to.
Example two:
a nutrition information management method for a hospital, comprising the steps of:
and S1, acquiring the medical information of the patient through the identification information of the patient, wherein the medical information comprises the nutrition medical record and the nutrition evaluation information of the patient.
After the patient is registered, a doctor obtains medical information of the patient from a hospital information system through a nutrition management module in the inquiry process, wherein the medical information comprises sign information, nutrition medical record information and laboratory detection information.
And S2, analyzing the nutritional status of the patient according to the physical sign information and the medical record information of the patient.
The physician analyzes the nutritional status of the patient according to the symptoms of the patient and by combining the physical sign information and the nutritional medical record information of the patient; in the process, a doctor can perform nutrition screening and nutrition assessment on a patient through the nutrition assessment module to obtain a nutrition assessment result, and comprehensively analyzes the nutrition condition of the patient according to the physical sign information, the nutrition medical record information and the nutrition assessment result of the patient, so that the analysis result is more scientific and accurate. In the process, the diet recommending module automatically matches food suitable for food therapy for the patient according to the nutrition assessment result of the patient, and generates a seven-day diet to help the patient recover nutrition.
And S3, preparing a nutrition treatment scheme according to the nutrition condition of the patient and placing an order.
Doctors prescribe medical orders according to the analysis results of the nutrition conditions of patients, and the medical orders comprise information of patients, required nutritional preparations and dosage thereof, required cost of taking methods and the like. And S4, according to the order, the configuration of the nutritional preparation is executed, the in-out situation of the nutritional preparation is registered, and the in-out situation of the nutritional preparation is monitored.
The nutrition preparation management method comprises the steps of sending medical order information to a nutrition configuration module, enabling nutrition preparation to be configured according to a medical order after nutrition department personnel receive the medical order, registering the situation of the nutrition preparation entering and leaving a warehouse, monitoring the stock quantity of the nutrition preparation, distributing the configured nutrition preparation to a patient, guiding or helping the patient to take the nutrition preparation, and recording the distribution situation of the nutrition preparation in a distribution management unit.
S5, monitoring the nutritional value of the nutritional formulation ingested by the patient.
The total nutrient intake of the patient every day is monitored by summarizing and analyzing various nutritional preparation orders of the patient, calculating the nutritional value of the nutritional preparation taken by the patient, comparing the calculated value with the resident nutritional recommended value and calculating the percentage.
The above description is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention. It should be noted that modifications and embellishments within the scope of the invention may occur to those skilled in the art without departing from the principle of the invention, and are considered to be within the scope of the invention.
Claims (8)
1. A nutrition information management system for hospitals, characterized by comprising:
the nutrition management module is accessed to a hospital information system and comprises an inquiry unit, a nutrition case history editing unit and a medical advice order unit, wherein the inquiry unit is used for doctors to record an inquiry process; the nutrition medical record editing unit is used for a doctor to edit the nutrition medical record information of the patient; the order unit is used for a doctor to prepare an order;
the nutrition configuration module is connected with the nutrition management module and comprises a configuration execution unit and a release management unit, wherein the configuration execution unit is used for completing the preparation of the nutrition preparation according to the nutrition preparation list of the medical advice order; the dispensing management unit is used for monitoring the dispensing state of the nutritional preparation;
the stock management module is connected with the nutrition configuration module and comprises a warehouse entry and exit unit, a stock monitoring unit and an expiration monitoring unit, wherein the warehouse entry and exit unit is used for recording the warehouse entry and exit conditions of the nutritional preparation; the stock monitoring unit is used for updating the stock situation of the nutritional preparation; the overdue monitoring unit is used for monitoring whether the nutritional preparation in the warehouse is overdue or not and putting the overdue nutritional preparation off the shelf;
the payment management module comprises a balance display unit, a recharging unit and a calculation deduction unit, wherein the balance display unit is used for displaying the available balance of the patient account; the recharging unit is used for recharging the balance of the account by the patient; and the charge calculating unit is used for calculating the required cost according to the nutrient preparation list on the medical advice order so as to complete payment.
2. The nutritional information management system for hospitals according to claim 1, wherein: the system also comprises an online mall module, wherein the online mall module is connected with the nutrient preparation inventory management module and comprises a commodity display unit, a commodity selection unit, a commodity billing and payment unit and a commodity distribution unit, and the commodity display unit is used for displaying various nutrient preparations and the stock thereof; the commodity selection unit is used for selecting a nutritional preparation and a dosage for a patient; the commodity charging payment unit is used for calculating the cost of the selected commodity and skipping to a mobile phone payment interface for the patient to finish payment operation; the commodity distribution unit is used for displaying the distribution state of the nutrient preparation.
3. The nutritional information management system for hospitals according to claim 1, wherein: the automatic vending system comprises an automatic vending machine, an automatic vending management unit and an automatic vending control unit, wherein the automatic vending management unit comprises a goods monitoring unit, a medical advice order identification unit and a charging payment unit, and the goods monitoring unit is used for monitoring the goods stock in the automatic vending machine; the medical advice order identification unit is used for scanning and identifying a medical advice order, the charging payment unit is used for calculating the required cost according to the identification information and generating a payment receiving code, and the vending control unit controls the vending machine to deliver goods after the patient finishes payment.
4. The nutritional information management system for hospitals according to claim 1, wherein: the nutrition distribution system further comprises a nutrition intake monitoring module, wherein the nutrition intake monitoring module is connected with the nutrition configuration module, the online mall module and the automatic vending module and is used for carrying out summary analysis on various nutrition preparation orders of the patient so as to monitor the daily intake nutrition preparation dosage of the patient.
5. The nutritional information management system for hospitals according to claim 1, wherein: the nutrition evaluation module is connected with the hospital confidence system and the nutrition management module and comprises a nutrition screening unit and a nutrition evaluation unit; the nutrition screening unit is used for carrying out NRS screening and PGSGA screening on the patient; the nutrition evaluation module is used for carrying out comprehensive evaluation, sign evaluation, diet evaluation and biochemical evaluation on the patient.
6. The nutritional information management system for hospitals according to claim 1, wherein: the diet recommendation module is connected with the nutrition evaluation module and comprises a diet nutrition information unit and a recipe generation unit, wherein different foods and the nutrient proportion of the foods are stored in the diet nutrition information unit, and the recipe generation unit automatically matches the foods according to the nutrition evaluation result of the patient to generate a seven-day recommended recipe.
7. A nutrition information management method for a hospital is characterized by comprising the following steps:
s1, acquiring personal information and medical record information of the patient;
s2, analyzing the nutritional status of the patient according to the physical sign information and the medical record information of the patient;
s3, preparing a nutrition treatment scheme according to the nutrition condition of the patient and placing an order;
s4, completing the preparation of the nutritional preparation according to the order of the medical advice;
s5, dispensing the nutritional formulation and monitoring the use of the nutritional formulation.
8. The method for managing nutritional information for hospitals according to claim 7, wherein: the nutritional status analysis in the S2 step includes a nutrition screening step and a nutrition assessment step, wherein the nutrition screening step screens the patient through the patient 'S weight, diet, symptoms, physical condition, disease and nutritional requirements, metabolic state, physical examination, and the nutrition assessment performs a preliminary assessment on the patient' S nutritional status through comprehensive assessment, physical sign assessment, diet assessment, and biochemical assessment.
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