CN115019920A - Medical archive management system based on intelligent identification technology - Google Patents
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- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
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- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F21/00—Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
- G06F21/30—Authentication, i.e. establishing the identity or authorisation of security principals
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- G06F21/604—Tools and structures for managing or administering access control systems
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- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F2221/00—Indexing scheme relating to security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
- G06F2221/21—Indexing scheme relating to G06F21/00 and subgroups addressing additional information or applications relating to security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
- G06F2221/2141—Access rights, e.g. capability lists, access control lists, access tables, access matrices
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Abstract
The invention discloses a medical archive management system based on an intelligent identification technology, which relates to the technical field of medical archive management.A user side comprises a first user side and a second user side, wherein the first user side is used for inquiring and browsing medical archives by a patient, setting access rights for the contents of the medical archives and authorizing the access rights of the second user side; the second user end is used for submitting an access application for accessing the medical file of the first user end; the identity authentication module is used for performing identity authentication on the first user terminal and the second user terminal; the examination module is used for acquiring the access right of the second user end; examining the access application of the second user end and issuing an access pass to the second user end; the archive storage module is used for storing medical archives; and receiving the access and recording of the first user side and the second user side. The technical problem that in the prior art, patient information medical treatment is easy to leak in the process of inquiring patient medical files is solved.
Description
Technical Field
The invention relates to the technical field of medical archive management, in particular to a medical archive management system based on an intelligent identification technology.
Background
In the prior art, most hospitals adopt HIS (hospital information system) to comprehensively manage the flows of people, logistics and finance of the hospitals and all departments to which the hospitals belong, and acquire, store, process, extract, transmit and summarize data generated at all stages of medical activities to form various information, thereby providing comprehensive automatic management and various services for the overall operation of the hospitals. The medical files generated by collecting information through the HIS system are only stored in the hospital, and the medical files are usually stored in a plurality of hospitals by patients in the actual diagnosis and treatment process; meanwhile, medical files of patients are often stored and managed unilaterally by hospitals; therefore, the management of the patient medical file system is inconvenient;
chinese patent with patent application number CN202011275393.9 discloses an electronic health file authorization sharing and management system based on medical block chain, which comprises a user side, a medical information management system, a hybrid uplink-downlink medical information database and an identity authentication system; the user side comprises a patient side and a doctor side which are respectively used for carrying out the relevant operation of the electronic health record; the medical information management system is a platform for the user side to perform relevant operations and is used for sending the relevant operations to the hybrid uplink-downlink medical information database; the system is also an implementation platform of a distributed encryption and decryption module, cooperates with an identity authentication system, and is used for encrypting and decrypting the electronic health file of the patient and verifying the identity authenticity of the user side; the hybrid uplink-downlink medical information database consists of a block chain network and a cloud medical database; the identity authentication system consists of an identity verification center and a certificate issuing center. The system is beneficial to safely and quickly carrying out authorization and sharing of the electronic health files, and guarantees the privacy, the safety and the reliability of the electronic health files. After obtaining the authorization of the patient, a doctor queries the medical file of the user in an authorization list of the patient; the inquiry behavior of the authorized doctor is not managed, so that the medical record information of the patient is easily leaked.
Chinese patent application No. 202010147276.8 discloses a health file management system and method, belonging to the medical technology field, which solves the problems of incomplete health files and inconvenient query of residents due to the fact that data of each health service center is not communicated. The health profile management system comprises: the acquisition module is connected with the specified health file information management system and used for acquiring health file information; the health file management module is used for processing and storing and managing the health file information acquired by the acquisition module; and the query module is used for receiving a query request, wherein the query request comprises the identity identification information of the querier, and querying the health file corresponding to the identity identification information in the health file management module according to the query request. When the second category user inquires the medical file of the user, all contents of the medical file can be inquired through one authorization of the user, and unnecessary information is easily leaked.
Disclosure of Invention
The invention aims to provide a medical record management system based on an intelligent identification technology, which solves the technical problem that in the prior art, the medical treatment of patient information is easy to leak in the process of inquiring patient medical records.
Medical archive management system based on intelligent recognition technology includes:
the system comprises a user side and a server side, wherein the user side comprises a first user side and a second user side, and the first user side is used for inquiring and browsing medical files by a patient, setting access rights for the contents of the medical files and authorizing the access rights of the second user side; the second user end is used for submitting an access application for accessing the medical file of the first user end;
the identity authentication module is used for performing identity authentication on the first user terminal and the second user terminal; verifying identity information of the first user terminal; verifying the identity information and the unit information of the second user terminal;
the examination module is used for acquiring the access right of the second user end; examining the access application of the second user end and issuing an access pass to the second user end;
the archive storage module is used for storing medical archives; receiving the access and recording of a first user terminal and a second user terminal; displaying the content of the medical file according to the access right of the second user end; the file storage module also audits the content of the newly-built medical file and feeds back the audit result to the second user end.
Further, the process of the authentication module authenticating the second user end comprises:
acquiring a server IP address and a client IP address of a second user end, acquiring a corresponding unit name according to the server IP address, and acquiring a client IP address list and a personnel list with access authority in a unit according to the unit name; and judging whether the client IP has access authority, if so, intelligently identifying the identity of a person logging in the second client, judging whether the person has the access authority, and if so, passing the identity verification.
Further, the acquiring, by the auditing module, the access right of the second user side includes:
acquiring a level A of access authority corresponding to a client IP address of a second user end according to the client IP address, and acquiring a level B of access authority corresponding to a personnel identity according to the personnel identity; and obtaining the authorized access authority level C of the first user side, and selecting the lowest access authority level in the access authority A, B, C as the access authority level D of the second user side.
Further, when the access right level C is the lowest access right, the personnel can send a right request to the first user side through the second user side, and the first user side selects to approve or reject after receiving the right request; after the first user end agrees with the permission request, the access permission level D of the second user end is updated to be the lower one of the access permission level A and the access permission level B; when the first user rejects the permission request, the access permission level D of the second user is not changed.
Furthermore, the server of the second user end sets time to disclose the work list of the next day to the examination module every day; the work list comprises work contents and corresponding workers; and the examination module examines the access application sent by the second user end according to the work list and issues an access pass to the second user end after the examination is passed.
Further, the access pass includes a first key or a second key of content corresponding to each access permission level in the medical archive of the first user side, the first key is used for querying, browsing and downloading the content of the medical archive, and the second key is used for querying, browsing, downloading, creating and modifying the content of the medical archive.
Further, the second user side comprises a hospital side, a college side and a government affair side; the hospital end is used for inquiring, browsing, newly building and modifying the medical files; the college terminal is used for inquiring, browsing and downloading the medical files; the government affair terminal is used for inquiring and browsing the medical files; the access pass of the hospital side is a second secret key; the access pass of the college terminal and the government affair terminal comprises a first secret key.
Further, the medical file of the first user side comprises a treatment attention list of the patient, after the hospital side creates the new medical file, the file storage module examines and verifies the new medical file according to the treatment attention list, when the examination and verification are passed, the access right of the new file is obtained and stored, and an examination and verification passing notice is sent to the second user side; and when the new file is not approved, the new file is marked and then sent to the second user side together with the notice that the new file is not approved, and the second user side modifies the new file until the new file is approved.
Further, the process of acquiring the treatment attention list comprises the following steps:
acquiring a disease list of the patient according to the medical file; screening an irreversible disease list according to the disease list; acquiring a checking attention list and a medication attention list according to the irreversible disease list; the examination attention list and the medication attention list are arranged to obtain a treatment attention list; and updating the treatment attention list after the medical file is newly established.
Further, the archive storage module updates the access authority to the medical archive content of which the user does not set the access authority at set intervals.
Has the advantages that:
the method comprises the steps of carrying out identity verification on a first user side and a second user side through intelligent technology identification, then obtaining the access right level of the second user side through an examination module, issuing an access pass, limiting the access behavior of the second user side after obtaining the access right, and protecting medical archive information of a patient from being leaked; the archive storage module is used for auditing the newly-built medical archives, so that medical archive errors are avoided, and the technical problem that in the prior art, patient information medical treatment is easy to leak in the process of inquiring the medical archives of patients is solved.
Drawings
Fig. 1 is a schematic diagram of the present invention.
Detailed Description
As shown in fig. 1, the medical archive management system based on the intelligent recognition technology includes:
the system comprises a user side and a server side, wherein the user side comprises a first user side and a second user side, and the first user side is used for inquiring and browsing medical files by a patient, setting access rights for the contents of the medical files and authorizing the access rights of the second user side; the second user end is used for submitting an access application for accessing the medical file of the first user end;
the identity authentication module is used for performing identity authentication on the first user terminal and the second user terminal; verifying identity information of the first user terminal; verifying the identity information and the unit information of the second user terminal;
the examination module is used for acquiring the access right of the second user end; examining the access application of the second user end and issuing an access pass to the second user end;
the archive storage module is used for storing medical archives; receiving the access and recording of a first user terminal and a second user terminal; displaying the content of the medical file according to the access right of the second user end; the file storage module also audits the content of the newly-built medical file and feeds back the audit result to the second user terminal.
The first user terminal is a mobile intelligent device, and the mobile intelligent device comprises a mobile phone and a flat telegraph; the patient logs in and inquires the medical file through the first user terminal; when a patient logs in at a first user side, the first user side collects face, fingerprint or finger vein information of the user, an identity verification module carries out intelligent identification on the face, fingerprint or finger vein information of the user, and the first user side is allowed to operate after the identification is passed; the second user side is a fixed intelligent device of a unit, and unit information and personnel information need to be verified when the second user side operates; for the second user end, the access right of the second user end needs to be checked, and the access pass is checked and issued;
the archive storage module sets access authority according to the content of the medical archive of the user and the identity information of the user, firstly determines the lowest access authority level of the medical archive of the user according to the identity information of the user, and then gradually increases the access authority on the lowest access authority level according to the content of the medical archive. For example, the access permission level of the medical file content of the patient suffering from serious diseases is higher than the access permission level of the medical file content of the common cold, and the judgment logic of the access permission level can be divided according to the severity level of the diseases; or by the privacy class of the disease. In this embodiment, the severity level or privacy level of a disease is classified as set in advance. Inputting the name of the disease can obtain the corresponding grade
In another embodiment of the present invention, the process of the authentication module authenticating the second user end comprises:
acquiring a server IP address and a client IP address of a second user end, acquiring a corresponding unit name according to the server IP address, and acquiring a client IP address list and a personnel list with access authority in a unit according to the unit name; and judging whether the client IP has the access authority, if so, intelligently identifying the identity of a person logging in the second client, judging whether the person has the access authority, and if so, passing the identity authentication.
The second user end is a fixed intelligent device of the unit, the fixed intelligent device is provided with a fixed and unchangeable client end IP address, the IP address of the unit server is fixed and unchangeable, and the medical files of the first user end are prevented from being accessed by other devices through the server IP address of the unit. The access authority levels of different personnel in the same unit are different, and the comprehensive judgment is specifically carried out according to the position levels and functions of the personnel. When the personnel logs in through the second user side, the personnel is identified by using an intelligent identification technology; and judging whether the personnel and the equipment have access rights.
In another embodiment of the present invention, the acquiring, by the audit module, the access right of the second user side includes:
acquiring a level A of access authority corresponding to a client IP address of a second user end according to the client IP address, and acquiring a level B of access authority corresponding to a personnel identity according to the personnel identity; and obtaining the authorized access authority level C of the first user side, and selecting the lowest access authority level in the access authority A, B, C as the access authority level D of the second user side.
In another embodiment of the invention, when the access right level C is the lowest access right, the person can send a right request to the first user side through the second user side, and the first user side selects to approve or reject after receiving the right request; after the first user end agrees with the permission request, the access permission level D of the second user end is updated to be the lower one of the access permission level A and the access permission level B; when the first user rejects the permission request, the access permission level D of the second user is not changed.
Selecting a level A of access authority corresponding to the IP address of the client, and acquiring a level B of access authority corresponding to the personnel identity according to the personnel identity; the first user side authorizes the lowest access authority level in the access authority levels C, and medical files of patients can be well protected from being maliciously accessed and leaked. When the medical archive content can not be normally accessed because the access authority level authorized by the user is lower, the authority request can be sent to the first user side through the second user side, and then the lower one of the access authority level corresponding to the client IP address of the second user side and the access authority level of the personnel is used as the access authority level of the operation.
It should be noted that after the first user authorizes the access right of the second user once, the second client does not need to authorize the access right again for the next time.
In another embodiment of the present invention, the server of the second client sets a time to disclose the work list of the next day to the review module every day; the work list comprises work contents and corresponding workers; and the examination module examines the access application sent by the second user end according to the work list and issues an access pass to the second user end after the examination is passed.
The examination module examines whether the working list and the second user access behavior are legal or not, judges that the second user access behavior is illegal when the working list and the second user access application are not legal, and judges that the second user access behavior is legal when the second user access application is consistent with the working list.
In another embodiment of the present invention, the access pass includes a first key or a second key corresponding to content of each access permission level in the medical archive of the first user side, the first key is used for querying, browsing and downloading the content of the medical archive, and the second key is used for querying, browsing, downloading, creating, and modifying the content of the medical archive.
Setting the first key and the second key facilitates restricting the access behavior of the user, wherein the second key allows new and modified access behavior compared to the first key.
In another embodiment of the present invention, the second user terminals include a hospital terminal, a college terminal and a government terminal; the hospital end is used for inquiring, browsing, newly building and modifying the medical files; the college terminal is used for inquiring, browsing and downloading the medical files; the government affair terminal is used for inquiring and browsing the medical files; the access pass of the hospital side is a second secret key; the access pass of the college terminal and the government affair terminal comprises a first secret key.
In another embodiment of the present invention, the medical file of the first user side includes a treatment attention list of the patient, after the hospital side creates the new medical file, the file storage module checks the new medical file according to the treatment attention list, and when the check is passed, the access right of the new file is obtained and stored, and an audit pass notification is sent to the second user side; and when the new file is not approved, the new file is marked and then sent to the second user side together with the notice that the new file is not approved, and the second user side modifies the new file until the new file is approved.
In another embodiment of the present invention, the obtaining of the treatment attention list includes:
acquiring a disease list of the patient according to the medical file; screening an irreversible disease list according to the disease list; acquiring a check attention list and a medication attention list according to the irreversible disease list; the examination attention list and the medication attention list are arranged to obtain a treatment attention list; and updating the treatment attention list after the medical file is newly established.
Irreversible disease refers to the inability to recover to a pre-disease physical state after treatment, such as cancer and genetic disease; reversible disease refers to the ability of a patient to recover to a pre-disease state after treatment, such as the common cold.
Irreversible disease corresponds to an unusable drug-to-use medication list; some items which are not suitable for examination, namely examination attention lists, exist in irreversible diseases; these were collated and a list of treatment attention was obtained. After the doctor end diagnoses the patient, a medical file is newly established, a medicine list and an inspection item list are opened for the user, then the file storage module examines the medicine list and the inspection item list opened by the doctor end, and when the medicines or the inspection items in the medicine list and the inspection item list are found in the treatment attention list, the examination does not pass, and the medicines or the inspection items are marked and then sent to the second user end.
In another embodiment of the present invention, the archive storage module updates the access right to the medical archive content for which the user does not set the access right at set intervals.
The content in the medical archive has timeliness, when the medical archive is newly built, effective time is set according to the content of the newly built medical archive, and when the time of the medical archive reaches the effective time, the access authority level of the medical archive is reduced.
Although the present invention has been described in detail with reference to the preferred embodiments, it will be understood by those skilled in the art that various changes may be made and equivalents may be substituted for elements thereof without departing from the spirit and scope of the present invention.
Claims (9)
1. Medical treatment archive management system based on intelligent recognition technique, its characterized in that: comprises that
The system comprises a user side and a server side, wherein the user side comprises a first user side and a second user side, and the first user side is used for inquiring and browsing medical files by a patient, setting access rights for the contents of the medical files and authorizing the access rights of the second user side; the second user end is used for submitting an access application for accessing the medical file of the first user end;
the identity authentication module is used for performing identity authentication on the first user terminal and the second user terminal; verifying identity information of the first user terminal; verifying the identity information and the unit information of the second user terminal;
the examination module is used for acquiring the access right of the second user end; examining the access application of the second user end and issuing an access pass to the second user end;
the archive storage module is used for storing medical archives; receiving the access and recording of a first user terminal and a second user terminal; displaying the content of the medical file according to the access right of the second user end; the file storage module also audits the content of the newly-built medical file and feeds back the audit result to the second user terminal.
2. The medical archive management system based on intelligent identification technology as claimed in claim 1, characterized in that: the process of the authentication module for authenticating the second user end comprises the following steps:
acquiring a server IP address and a client IP address of a second user end, acquiring a corresponding unit name according to the server IP address, and acquiring a client IP address list and a personnel list with access authority in a unit according to the unit name; and judging whether the client IP has access authority, if so, intelligently identifying the identity of a person logging in the second client, judging whether the person has the access authority, and if so, passing the identity verification.
3. The medical archive management system based on intelligent identification technology as claimed in claim 2, characterized in that: the examination module acquires the access right of the second user terminal and comprises the following steps:
acquiring a level A of access authority corresponding to a client IP address of a second user end according to the client IP address, and acquiring a level B of access authority corresponding to a personnel identity according to the personnel identity; and obtaining the authorized access authority level C of the first user side, and selecting the lowest access authority level in the access authority A, B, C as the access authority level D of the second user side.
4. The medical archive management system based on intelligent identification technology as claimed in claim 3, characterized in that: when the access authority level C is the lowest access authority, the personnel can send an authority request to the first user side through the second user side, and the first user side selects to approve or reject after receiving the authority request; after the first user end agrees with the permission request, the access permission level D of the second user end is updated to be the lower one of the access permission level A and the access permission level B; when the first user rejects the permission request, the access permission level D of the second user is not changed.
5. The medical archive management system based on intelligent identification technology of claim 4, characterized in that: the server of the second user end sets a working list of the time open the next day to the examination module every day; the work list comprises work contents and corresponding workers; and the examination module examines the access application sent by the second user end according to the work list and issues an access pass to the second user end after the examination is passed.
6. The medical archive management system based on the smart recognition technology as claimed in claim 5, wherein: the access pass comprises a first key or a second key of the content corresponding to each access authority level in the medical archive of the first user end, the first key is used for inquiring, browsing and downloading the content of the medical archive, and the second key is used for inquiring, browsing, downloading, newly building and modifying the content of the medical archive.
7. The medical archive management system based on the smart recognition technology as claimed in claim 6, wherein: the second user end comprises a hospital end, a college end and a government affair end; the hospital end is used for inquiring, browsing, newly building and modifying the medical files; the college terminal is used for inquiring, browsing and downloading the medical files; the government affair terminal is used for inquiring and browsing the medical files; the access pass of the hospital side is a second secret key; the access pass of the college terminal and the government affair terminal comprises a first secret key.
8. The medical archive management system based on intelligent identification technology of claim 7, characterized in that: the medical file of the first user side comprises a treatment attention list of a patient, after a hospital side creates a new medical file, the file storage module examines and verifies the new medical file according to the treatment attention list, when the examination and verification are passed, the access right of the new file is obtained and stored, and an examination and verification passing notice is sent to the second user side; and when the new files are not approved, marking the new files and sending the marked new files and the notice of not approved to the second user side, and modifying the new files by the second user side until the new files are approved.
9. The medical archive management system based on intelligent identification technology of claim 8, characterized in that: the process of acquiring the treatment attention list comprises the following steps:
acquiring a disease list of the patient according to the medical file; screening an irreversible disease list according to the disease list; acquiring a checking attention list and a medication attention list according to the irreversible disease list; the examination attention list and the medication attention list are arranged to obtain a treatment attention list; and updating the treatment attention list after the medical file is newly established.
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| Publication number | Priority date | Publication date | Assignee | Title |
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