CN101211433A - Medical information system constituted by health information management book and medical software platform - Google Patents
Medical information system constituted by health information management book and medical software platform Download PDFInfo
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- CN101211433A CN101211433A CNA2006101702609A CN200610170260A CN101211433A CN 101211433 A CN101211433 A CN 101211433A CN A2006101702609 A CNA2006101702609 A CN A2006101702609A CN 200610170260 A CN200610170260 A CN 200610170260A CN 101211433 A CN101211433 A CN 101211433A
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Abstract
The invention relates to information technical field, which aims to provide a digital information processing system for doctors and patients during medical treatment and health care occurrence. The system comprises a personal health information management PIM and a medical information software platform MSP. The PIM is a flat cuboid assembled by a plastic shell upper lid 1, a fuselage lower base 2 and a liquid crystal screen 3. A function operation component USB faucet 4, a charging faucet 5 and a power switch 6 are distributed on the side wall of the PIM. The inside of the PIM is an embedded system which has a S3C2410 CPU based on ARM920T core as a microcontroller. A peripheral extended data and program memory and an LCD displayer with touch screen function can exchange data with the MSP though the USB. All the diagnosis and treatment of patients in the hospital show as logging the corresponding personal health information, as well as date, execution name, MSP feature code and other retrospective information in the PIM, while the inquiry process, inspection and diagnosis, medication recording, financial liquidation can only be offline viewed by PIM holder or be viewed by doctors through the MSP. The holder can execute the electronic book reading function of the PIM when choosing to view 'medical encyclopedia'. The MSP is installed in the Windows of the computer of doctors, thus helping doctors finish inquiry, prescription, inspection and information logging and reporting statistics data to superior MSP.
Description
Technical field
The present invention relates to areas of information technology, being intended to provides a kind of digital information disposal system for doctor and patient in the health care event procedure.
Technical background
Development of computer and universal makes numerous social affairs include digital information in and handles track, becomes the important symbol of current social civilization.So far, both at home and abroad in the health care event procedure, digital information treatment progress development pole imbalance.The developed country that minority population is less, for example Northern European countries can accomplish everyone health care multidate information is included in unified database, is convenient to the utilization and the management of historical summary; But be difficult to still realize that special under the national conditions of China, the society populous and man power and material drops into the restriction that is subjected to economy, technical development, does not also possess the condition of the complicated health care multidate information of advanced management in overwhelming majority of countries.Cause the negative phenomena of a series of obstruction social progress to take place again and again thus.For example, can not find in time that to health administration department the generation of major disease or adverse events is so that formulate control and treatment decision-making greatly; Little in malpractice case complaint, process retrospective evidence obtaining difficulty, during the medical insurance expense is compensated, be difficult to carry out personalization identification and cause insurance fraud loss, particularly patient one side because of self state of an illness taken place, develops, treat, the process of lapsing to is difficult to Health cost that clear understanding causes or the like.
With external community medicine is the development course of the medical information system of representative, has represented the application feature of current medical information system.In the U.S., Canada and some European countries, in early 1980s, PC (PC) is just gone on the market, and cheap and volume impels it to come into doctor's office for a short time.Initial equipment computing machine is (as the registration of registering, patient's arrangement) and consult the needs of account information because management.After, patient's basic relevant data such as prescription on individual diagnosis reason, diagnosis, drug prescription also are transfused to computing machine, however fundamental purpose is to be used for statistics rather than to be used for patient.In some countries, providing the statistics report to the higher level also is a task of type community medical sanitary.The community medicine doctor provide data to several health statistics department to understand medical and health condition of overall importance in depth.As patient's information (diagnosis) of going into, leave hospital, neonate and miscarriage data, the incidence of disease of communicable disease and cancer.National health statistics center is then preserved type, rehabilitation course, the X ray examination of patient ID number's sign indicating number, experimental check and is used the situation of medicine.
Yet except statistics, the information about the health care procedural type is not collected by early stage community medicine system.Community medicine eighties system introduces first electronic health record (CPR) system, and this is an important step in this field.The data of CPR have not only been improved statistical quality, and make infosystem can be used for patient's disease prevention and cure itself, the enforcement of agreement, electronic data interchange, decision support system (DSS), as the treatment of medicine evolution and chronic disease.CPR is at first adopted by the community medicine system, and is used for the general practitioner and passes on patient's foundation to high one-level medical institutions, because in these countries, the general practitioner is dispatching patient's information flow.Community medicine system equipment electronic health record function, just can be at the control drug prescription, carry out medical agreement and operational decisions back-up system, patient data's electric transmission, implement as hazards are followed the tracks of and colony's health care such as immunity inoculation aspect the support of acquisition computer system.These functions have been improved the health care quality and reduced the expense of health care on country layer.
Except the general practitioner has benefited from infosystem in community medicine, other also comprise the interested department of infosystem:
Health insurance company, it can obtain interests from the reimbursemen evidence of the more accurate statistics of relevant medical conditions and medical expense.
Government and national health office, they can obtain gathering of actual medical health care more accurately and health statistics.
Each clinical department, they can obtain about the quality of medical treatment and efficacy data.
Each drugmaker, they are interested to be drug consumption, drug side-effect is as after-sales diagnostics.
1984, Dutch national general practitioner association recognized that infosystem will have an immense impact on to community medicine, has organized development group, has developed one and has described the design function of community medicine and the reference model of data model.And invite businessman to show of the approval of their product with the acquisition user.This system model is subjected to the conference praise, and paper publishing is on general practitioner association proceedings.After obtaining the subsidy of the Ministry of Public Health, general practitioner association has held training seminar, has write a teaching material, and training face covers the whole nation.College community medical treatment teaching and research room and medical informatics teaching and research room also begin to offer general practitioner's training study course.Hold every year once about the academic annual meeting of general practitioner and electronic health record, make the general practitioner can follow the tracks of recent development and dynamically.To the end of the year 1996, the existing 90% above applied information system of Holland 6500 general practitioners in the whole nation is for the patient is equipped with electronic health record.Each part electronic health record is all included the database that national health department administers in, is convenient to administrative department and finishes all kinds of retrievals and the analysis of the whole society about the public health situation.
Because the restriction of technical development, electronic medical records can only carry out exchanges data and Data Update with the medical information data storehouse of the whole society, and electronic health record is never grasped one side the patient.Just think, since 10 years, the patient will expect the personal health information that writes down in the electronic health record, or needs to print a stacker matter file, just be with the notebook computer xcopy, and subsequently these information probably due to illness feelings development only as historical data that can reference.Therefore two kinds of methods example from electronic health record is obtained information and not only is difficult to carry out but also unreliable.Have only each part electronic medical records is all included in unified database, could in upgrading at any time, calling at any time, have the perfection of information.
The health care multidate information comprises literal, data form, image information and the statistics thereof that everyone accumulates in health care event procedure year after year, realize unified management in populous China, is difficult to realize.Under the national conditions of China, carry out the medical information modern management and be necessary external cooked mode is innovated and transformed.
The objective of the invention is to: propose a kind of shunting information management mode, set up the medical information system that constitutes by numerous personal health information management books and medical information software platform.The personal health information management book is the palm PC PDA (claiming personal health information management book PIM in the present invention) that is held by each medical insured people, record identification information and electronic photo, when medical events takes place whenever, the patient gives the doctor it, makes patient's health and fitness information and medical information platform carry out exchanges data and transmission by the doctor.Personal health information management book record doctor's interrogation process, check result and diagnostic process.Undertaken not only finishing log in the diagnosis and treatment process by the medical information platform the doctor, also filter out relevant information, in system, preserve with statistical significance to patient health information.For example, the bad reaction of patient's New Development disease, healing, medicine or the apparatus that first visit diagnosis is drawn etc.Each medical information platform is by the registration of corresponding rules, and obligatedly regularly reports to the upper level information management system by the internet.
The personal health information management book relates to computer technology important branch one embedded system among the present invention.Because embedded system is only at a special task, the designer can be optimized it, reduces size and reduces cost.By current embedded technology development level, the personal health information management book that the present invention relates to is actually a function and does not include perfect PDA.Its technical difficult audio decoder processings that realizes, video image processing, wireless communication function etc., should with in can omit, this not only makes its research and development, manufacturing cost reduce greatly, and upgrades for this systemic-function very large space is provided.
As for the related medical information platform of this medical information system, also be technical mature software systems.As long as under the medical expert participates in, refine the fully conventional medical science diagnosis and treatment process of reflection by each medical section office, binding data is handled and database technology, and realization and PIM and higher level's medical information system communication function just can be competent at the requirement to it.
Summary of the invention
Theory diagram of the present invention as shown in Figure 1.PIM represents to grasp the individualized individual health information management book in numerous patient's hands among the figure, and MSP represents to be distributed in the medical information software platform in each section office of hospital.When going to a doctor, make PIM and MSP realize connecting, carry out data communication by USB interface.Assisting down of medical information system computer software, form such as doctor's interrogation, medical inspection, diagnosis, medication prescription, medical expenses and medical insurance account balance etc. in accordance with regulations are documented among the PIM, wherein related medical inspection is also logined check result by similar MSP system to PIM by each corresponding inspection section office.Each MSP does not write down, does not preserve patient's diagnosis and treatment procedural information and every check result, but writes down following content automatically: 1. write down the first visit diagnostic result, " morbidity statistics " increment in database; 2. great communicable disease epidemic situation is found; 3. ADR; 4. the medicine equipment adverse events takes place; 5. specific drugs medication record; 6. the patient complains and disposes; 7. medical insurance clearing and compensation dispute; 8. when drawing the disease cured conclusion, " disease cured " statistical items increment etc. in database.
The hardware and software of PIM are realized by following scheme among the present invention:
The profile of PIM as shown in Figure 2, similar common PDA (palm PC), be one by plastic casing loam cake 1, fuselage go to the bottom 2, liquid crystal display 3 is assembled flat rectangular parallelepiped, adopt modern industry moulding theory, outside no wedge angle, operate comfortable, physical dimension 9 * 6 * 1.2cm
3Distributed function functional unit USB socket 4, charging socket 5 and power switch 6 on its sidewall.Liquid crystal display is the TFT color LCD screen of a resolution 320 * 240, and the band touch function is not supported handwriting input.In order to reduce cost, also can use single color LCD screen with 16 grades of gray scales.
The present invention adopts the ARM embedded technology, and to be microcontroller based on ARM920T kernel S3C2410CPU, the PIM hardware circuit as shown in Figure 3.The black matrix white edge is partly represented the ARM chip core among the figure, and the white background black surround partly is extendible peripheral circuit.Because PIM function singleness among the present invention, its hardware circuit is very simple.Only need just can reach designing requirement in the LCD display of S3C2410 peripheral expansion data and memory under program and band touch screen function.PIM printed-wiring board (PWB) layout as shown in Figure 4.
The function that program design realizes PIM is a core of the present invention.The function that PIM realized as shown in Figure 5.
Fig. 5 represents, " seeking medical advice " selected in the start back, need give the doctor PIM, have only MSP with doctor's operation to realize communication after, program could continue execution.In fact, after the further consultation patient gives doctor and realization and MSP communication PIM, press the default setting of MSP, just directly boot (for example enters corresponding branch, MSP directly is directed to the physician internal medicine interrogation, then is directed into login ECG check result in the Electrocardioscopy chamber).Patient's all diagnosis and treatment processes in hospital all show as the corresponding personal health information of login in PIM.All information all have date, execution name, MSP condition code etc. can review information.Personal health information is once typing, even MSP can not revise subsequently, unless be bare machine with the complete zero clearing of this PIM.This information protection function is for PIM provides the law support.
It is to hold the passage that the book people can check personal health information at any time that " browsing " function is selected in the start back.These personal health informations all are in the process of seeking medical advice, and by the MSP typing, comprise time, hospital name and the name of typing incident in the typing.When holding the book people when browsing health and fitness information, the routing among searchable content and Fig. 5 under the further consultation frame is similar, is in a separate interface, by touch method, enters the browsed content of wanting, as shown in Figure 6.
Among Fig. 5, when selecting to browse " medical science encyclopaedia ", the e-book reading function of PIM will be carried out.Every PIM can download medical information in close relations with the patient or that the patient requires by MSP is paid, consults at any time so that hold the book people, and is of great advantage to improving the patient medical cognitive level that keeps healthy.
The MSP software platform be the present invention can not except a part.This is an OO special operating system of installing under Windows.Its important procedure function comprises:
Interrogation---this is topmost program branches.After the start, Automatic Program guides to section office and selects, and is divided into internal medicine, surgery, neurology department, orthopaedics, department of eye, the department of stomatology, gynemetrics etc., just as the hospital department setting.According to MSP section office of living in, the doctor can be made as default option to these section office.Under corresponding training,, can below display, list the alternative and editor of common main suit symptom for doctor record patient main suit as early as possible.According to patient main suit, can be in the software development with reference to the sequential diagnostic routine of the medical science of maturation, according to preceding paragraph interrogation result, for the doctor proposes further interrogation suggestion.Main suit and interrogation process are confirmed once the doctor, just import automatically and record among the read-only memory Flash of PIM, become interrogation and idagnostic logout.In the interrogation, relate to inspection item, also draw up the examination notice item, temporarily interrupt the interrogation process by the doctor.Interrupted interrogation process keeps breakpoint in PIM, check out with box lunch and finish when returning the attending doctor and locating, and MSP can call in the interrogation data before interrupting again.
Medical findings list login---this program branches is mainly carried out in check section office.When the attending doctor draws up inspection item and disconnects with after this MSP is connected, the patient can hold PIM and check to corresponding inspection section office.When carrying out the medical inspection project, the patient gives PIM equally and checks section office, checks that section office then check purpose and requirement by its MSP understanding, checks that the back that finishes is to PIM login check result.
Image class medical findings---for the project of graphic form as check result, check result will be done further processing in MSP, so that form the acceptable graphics file format of PIM (being generally the jpeg format compressed file), by checking that the MSP in the section office passes through USB interface, deposits PIM in.
Financial settlement---this program branches is in the diagnosis and treatment process, carries out on the operating platform backstage, and record among the PIM automatically when charging event (prescription of getting it filled, medical inspection and other services) takes place.
The MSP operating platform has inspection and reads the previously function of data of PIM, not only helps the doctor to look back patient's medical history, also makes when certain patient is carried out diagnosis and treatment because of carrying out the interrogation process that medical inspection interrupts to be continued.
MSP is differentiated control, and as shown in Figure 1, the MSP that all can link to each other with patient PIM belongs to the MSP of basic unit, is the content that the present invention relates to, and they all will be by internet and higher level MSP exchange message, and the work agreement between basic unit and the higher level MSP settles in separate action.
Above-mentioned MSP program function can be by block diagram aid illustration shown in Figure 7.
Description of drawings
Fig. 1 is a theory diagram of the present invention.
Fig. 2 is the profile of PIM.
Fig. 3 is the PIM hardware circuit.
Fig. 4 is a PIM printed-wiring board (PWB) layout.
Fig. 5 is a PIM program function block diagram.
Fig. 6 is the PIM display interface.
Fig. 7 is a MSP program function block diagram.
Among Fig. 1, PIM-personal medical information book;
MSP-medical information software platform;
USB-serial data communication interface;
UP-MSP-upper level medical information software platform;
The INTERNET-internet
Among Fig. 3, the LCD-LCD;
But FLASH-is as the flicker memory of erasable read only memory;
SDRAM-is dynamic read-write memory fast;
Among Fig. 4, the BUFFER-CPU buffer.
Claims (3)
1. medical information system that constitutes by personal health information book PIM and medical information software platform MSP, it is characterized in that, PIM be one by plastic casing loam cake 1, fuselage goes to the bottom 2, the flat rectangular parallelepiped that liquid crystal display 3 is assembled, distributed function functional unit USB socket 4 on its sidewall, charging socket 5 and power switch 6, liquid crystal display is the TFT color LCD screen of a resolution 320 * 240, the band touch function, do not support handwriting input, the similar palm PC of its inner formation, it is an embedded microcomputer system, being microcontroller based on ARM920T kernel S3C2410CPU, the LCD display of peripheral expansion data and memory under program and band touch screen function, original records identification information and electronic photo, when medical events takes place whenever, MSP carries out exchanges data and transmission with the medical information software platform, patient's all diagnosis and treatment processes in hospital, all show as the corresponding personal health information of login in PIM, and have a date, carry out name, MSP condition code etc. can be reviewed information, information is once typing, even MSP can not revise subsequently, can only hold book people off-line browsing or browse by the doctor by PIM by MSP, browsed content comprises the interrogation process, check and diagnosis, MAR, financial settlement etc., when holding the book people when selecting to browse " medical science encyclopaedia ", PIM carries out the e-book reading function, every PIM can consult for holding the book people at any time by the paid medical information of downloading or patient requirement in close relations with the patient of MSP.
2. medical information system according to claim 1, it is characterized in that, medical information software platform MSP is an OO special operating system of installing under Windows, its program function comprise with PIM after USB interface connects, acquiescence function by its position, enter the financial settlement program branches of interrogation, the login of medical findings list, the login of image class medical findings and running background, auxiliary doctor carries out sequential diagnosis and logins corresponding information to PIM.
3. medical information software platform MSP according to claim 2 is characterized in that, can transmit statistics to higher level's medical information software platform UP-MSP by the internet.
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| Application Number | Priority Date | Filing Date | Title |
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| CNA2006101702609A CN101211433A (en) | 2006-12-26 | 2006-12-26 | Medical information system constituted by health information management book and medical software platform |
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| CNA2006101702609A CN101211433A (en) | 2006-12-26 | 2006-12-26 | Medical information system constituted by health information management book and medical software platform |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2012066560A1 (en) * | 2010-11-19 | 2012-05-24 | Aavanor Systems Private Limited | Network based dynamically updating electronic flip book server device |
| CN103281385A (en) * | 2013-05-31 | 2013-09-04 | 重庆大学 | Method suitable for distributed type multi-level flattening information management system |
| CN104252693A (en) * | 2013-06-25 | 2014-12-31 | 胡翠萍 | Molecule transcription resonance system |
| CN106295100A (en) * | 2015-05-22 | 2017-01-04 | 吴长汶 | A kind of interrogation system |
| CN109545394A (en) * | 2018-11-21 | 2019-03-29 | 上海依智医疗技术有限公司 | A kind of way of inquisition and device |
-
2006
- 2006-12-26 CN CNA2006101702609A patent/CN101211433A/en active Pending
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2012066560A1 (en) * | 2010-11-19 | 2012-05-24 | Aavanor Systems Private Limited | Network based dynamically updating electronic flip book server device |
| CN103281385A (en) * | 2013-05-31 | 2013-09-04 | 重庆大学 | Method suitable for distributed type multi-level flattening information management system |
| CN103281385B (en) * | 2013-05-31 | 2016-08-17 | 重庆大学 | The method being adapted to Distributed-tier level flattening information Management System |
| CN104252693A (en) * | 2013-06-25 | 2014-12-31 | 胡翠萍 | Molecule transcription resonance system |
| CN106295100A (en) * | 2015-05-22 | 2017-01-04 | 吴长汶 | A kind of interrogation system |
| CN109545394A (en) * | 2018-11-21 | 2019-03-29 | 上海依智医疗技术有限公司 | A kind of way of inquisition and device |
| CN109545394B (en) * | 2018-11-21 | 2021-08-17 | 上海依智医疗技术有限公司 | Interrogation method and device |
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Open date: 20080702 |