Summary of the invention
The objective of the invention is defective, a kind of bidirectionally transfering consultation method and system are provided, make patient's information of changing the place of examination realize with no paper the transmission, be implemented in and carry out bidirectionally transfering consultation between each hospital at above-mentioned prior art.
To achieve these goals, the invention provides a kind of bidirectionally transfering consultation method, comprising:
Produce the hospital doctor client and send the message of changing the place of examination, in the described message of changing the place of examination, carry single information of changing the place of examination to the medical data center;
Described medical data center is transmitted the described message of changing the place of examination and is examined client to changing hospital's branch over to;
The described hospital that changes over to divides and to examine client and the described message of changing the place of examination is divided examine processing;
Processing is examined at described medical data center according to described branch result transmits the described message of changing the place of examination to changing the hospital doctor client over to;
Described change over to the hospital doctor client according to the described message of changing the place of examination to the described medical data center message of send confirming to change the place of examination.
The present invention also provides a kind of bidirectionally transfering consultation system, comprising:
Produce the hospital doctor client, be used for sending and change the place of examination message, in the described message of changing the place of examination, carry the request slip information of changing the place of examination to the medical data center;
The medical data center, be used to receive the described message of changing the place of examination that the hospital doctor client sends that produces, the described forwards of changing the place of examination is divided and to be examined client to changing hospital over to, and divide the branch of examining client to examine the result described change the place of examination message and the branch information of examining are forwarded to change the hospital doctor client over to according to changing hospital over to;
Change hospital over to and divide and to examine client, be used to receive the described message of changing the place of examination that transmit at described medical data center, the described message of changing the place of examination is divided examine processing, and send described branch to described medical data center and examine information;
Change the hospital doctor client over to, be used to receive that described medical data center transmits that described message and the described branch of changing the place of examination examined information, and send to described medical data center and to confirm to change the place of examination message.
A kind of bidirectionally transfering consultation method and system provided by the invention, by changing hospital over to, producing hospital and be connected into the medical data center, and, make patient's information of changing the place of examination realize with no paper the transmission by the change the place of examination forwarding of message of the message and confirm of changing the place of examination, realized between each hospital, carrying out bidirectionally transfering consultation.
Embodiment
Below by drawings and Examples, technical scheme of the present invention is described in further detail.
Fig. 1 as shown in Figure 1, the invention provides a kind of bidirectionally transfering consultation method for the process flow diagram of bidirectionally transfering consultation method embodiment of the present invention, specifically comprises the steps:
Step 101 produces the hospital doctor client and sends the message of changing the place of examination to the medical data center;
Particularly, step 101 can send the message of changing the place of examination to the medical data center for producing the hospital doctor client, wherein, the medical data center is specially collaborative medical data central platform, all similar in the subsequent content of present embodiment and other embodiment, in the message of changing the place of examination, carry and change the place of examination request slip information and change the identification information of hospital over to, the request slip information of changing the place of examination of carrying in the message of simultaneously this being changed the place of examination and change the identification information storage of hospital at the medical data center.The request slip information of changing the place of examination be before transmission by the doctor who produces hospital in its client, promptly produce hospital doctor client typing, be used to comprise the relevant information of changing the place of examination, for example the pathological information of patient's data information, the treatment of waiting to change the place of examination and patient produce associated treatment that hospital accepts and diagnosis and treatment result or the like at this.The identification information that changes hospital over to is used to identify the hospital of next step diagnosis and treatment of carrying out that the doctor that produces hospital selects for the patient when information is changed the place of examination in typing, can in medical data, find the correlation circumstance of its corresponding hospital in the heart by this sign, the doctor of being convenient to produce hospital selects, and obtains meeting the hospital of current patient's diagnosis and treatment pacing items.It is to be noted, produce hospital and change hospital over to and all can be CHC or medical institutions, by a plurality of CHCs and medical institutions are connected into the technical scheme that collaborative medical data central platform is realized the bidirectionally transfering consultation that present embodiment is provided with star fashion.
Step 102, the medical data center message of changing the place of examination is divided and to be examined client to changing hospital over to;
The forwards of changing the place of examination that the medical data center will receive is examined client to changing hospital's branch over to, notify the branch person of examining that changes hospital over to that this message of changing the place of examination is divided and examine processing, wherein, system extracts the information that changes hospital over to automatically according to the identification information that changes hospital over to that carries in the message of changing the place of examination, and changes this message of changing the place of examination over to the hospital branch to this and examines the client forwarding.
Step 103 changes hospital over to and divides and to examine client and the message of changing the place of examination is divided examine processing;
The branch person of examining that changes hospital over to is divided the message of changing the place of examination that receives by its client and is examined processing, and the branch that divides the person of examining that this message of changing the place of examination is carried out is examined processing procedure and divided and examine for the change the place of examination relevant information of carrying in the message of basis.Divide the process of examining processing to comprise two aspects, on the one hand for dividing the person of examining this patient specifically to be assigned to certain section office of this hospital and certain doctor in this section office according to the patient's who writes down in single information of changing the place of examination the state of an illness; On the other hand for dividing the person of examining by information such as this patient's of writing down in single information of changing the place of examination case information and diagnosis and treatment historical record are analyzed, and in conjunction with the related medical and the goods and materials condition of this hospital, judge the requirement whether precondition can satisfy a certain information in the request slip information of changing the place of examination of working as of this hospital, if do not satisfy, this patient that changes the place of examination that can not see and treat patients of hospital then.Hospital is current not to possess desired terms and conditions in the request slip of the changing the place of examination information because if this changes over to, even the forwards of then this being changed the place of examination changes hospital over to this, can not realize the purpose of bidirectionally transfering consultation of the present invention, may still can not solve patient's queuing, even patient's the state of an illness can not get problems such as further treatment.Divide the person of examining to send the notification message that refusal is seen and treated patients to the medical data center, notify the patient and produce hospital, carry out the selection that the next one changes hospital over to by the medical data center by its client.
Step 104, medical data center are examined processing according to branch result is to changing the hospital doctor client message of changing the place of examination over to;
Change over to hospital divide examine client to the message of changing the place of examination divide examine processing after, the result who branch is examined processing turns back to the medical data center, divide and examine the result of processing, promptly see and treat patients or do not see and treat patients, if change this patient that sees and treat patients of hospital over to, comprise further that then concrete branch examines information, for example this patient is distributed to the B doctor of A section.The result that processing is examined according to branch in the medical data center will change the place of examination forwards to changing the hospital doctor client over to.
Step 105, change over to the hospital doctor client according to the message of changing the place of examination to the medical data center message of send confirming to change the place of examination.
The forwards of changing the place of examination is after change the hospital doctor client over to, and notice changes the doctor of hospital over to, is sent to the medical data center in its client by this doctor and confirms to change the place of examination message.The medical data center receives this affirmation and changes the place of examination after the message, show that this basic process of changing the place of examination finishes, promptly will produce hospital and change hospital over to and set up and get in touch by the medical data center, make the patient produce hospital to arrive to change hospital over to and carry out further diagnosis and treatment, the patient is producing each the diagnosis and treatment document and the diagnosis and treatment result of hospital to changing over to need not to carry when hospital receives diagnosis and treatment, only need provide the request slip of self changing the place of examination to get final product at the registration number of medical data center correspondence, the doctor who produces hospital can obtain this patient's diagnosis and treatment historical record in its client by the medical data center, convenient this patient is carried out next step treatment.
Further, after above-mentioned steps 103, can also comprise the steps:
Step 113 changes hospital over to and divides and to examine client and examine the result according to branch and obtain branchs and examine information, and sends to the medical data center and minute to examine the message that finishes, and examines at branch and carries described branch in the message that finishes and examine information;
Change hospital over to and divide and to examine result that client examines processing according to above-mentioned branch and obtain branchs and examine information, judge by the branch information of examining to change the current condition of the hospital whether requirement in the satisfied request slip information of changing the place of examination and patient's concrete distribution condition over to.If this changes the requirement in the satisfied request slip information of changing the place of examination of precondition of hospital over to, this changes this patient that changes the place of examination that can see and treat patients of hospital over to, examine the concrete distribution condition that comprises this patient in the information at branch, for example this patient is in the information that changes doctor that hospital seeks medical advice and berth etc. over to.Divide the person of examining to branch examine message divide examine processing after, if change the requirement in the satisfied request slip information of changing the place of examination of precondition of hospital over to, promptly change this patient that sees and treat patients of hospital over to, then change hospital over to and divide and to examine client and send to divide to the medical data center and examine the message that finishes, examine at branch and carry branch in the message that finishes and examine information.
Step 123, information is examined to the described hospital doctor client message of send agreeing to change the place of examination that produces according to branch in the medical data center.
The medical data center receives and changes hospital over to and divide and to examine after branch that client sends examines the message that finishes, branch is examined the message that finishes resolves, extract the branch that wherein carries and examine information, the medical data center agrees to change the place of examination message according to this branch information of examining to producing the transmission of hospital doctor client, send and change see and treat patients this patient's notice of hospital over to producing hospital and patient by this agreement message of changing the place of examination, then the patient receives after this notice and can handle relevant formality producing hospital.
Further, step 104 can be specially: mind-set changes change the place of examination message and branch of hospital doctor client over to and examines information in the medical data.Divide and to examine after processing finishes, the branch information of examining that the change the place of examination message and reception and parsing that the medical data center will store obtains is forwarded to and changes the hospital doctor client over to, notify change hospital over to the doctor this change the place of examination.Promptly change the hospital doctor client over to and examine the message, also further receive branch and examine information except receiving to divide.The doctor receives after change the place of examination message and branch examine information, returns to the medical data center and confirms to change the place of examination message.
Just finished the basic procedure that the embodiment of the invention is carried out bidirectionally transfering consultation by above-mentioned steps, produce hospital and change over to set up this bidirectionally transfering consultation business between hospital after, can also comprise the subsequent process that this is changed the place of examination and singly makes amendment, cancels and inquire about further.Changing the place of examination singly, and before this Dan Wei that changes the place of examination obtains changing the affirmation of hospital's client over to, can singly cancel changing the place of examination and revise from producing after hospital's client sends.Particularly, when the content of message was changed the place of examination in modification, the subsequent process of the embodiment of the invention comprised: produce the hospital doctor client and send the modification message of changing the place of examination to the medical data center, carry the single information of changing the place of examination of renewal changing the place of examination to revise in the message; Mind-set changes the hospital doctor client modification message of changing the place of examination in the medical data; Change the hospital doctor client over to and send affirmation modification message to the medical data center; The medical data center is according to confirming that revising message upgrades single information of changing the place of examination.Promptly singly make amendment to changing the place of examination by its client by the doctor who produces hospital, send the modification message of changing the place of examination to the medical data center, in the modification message of changing the place of examination, carry existing single information of changing the place of examination of upgrading, after the medical data center receives the modification message of changing the place of examination, this modification message of changing the place of examination is stored, and will change the place of examination and revise forwards to the doctor's client that changes hospital over to, notify this single doctor that changes the place of examination that sees and treat patients, the doctor confirms this modification message of changing the place of examination by its client, and to medical data center transmission affirmation modification message, the medical data center is produced hospital and patient single modification of should changing the place of examination and is identified according to confirm revising message informing, and to the storage single information of changing the place of examination upgrade, show with this this single modification of changing the place of examination finished.When the content of message was changed the place of examination in cancellation, the subsequent process of the embodiment of the invention comprised: produce the hospital doctor client and send the cancellation message of changing the place of examination to the medical data center; Mind-set changes the hospital doctor client cancellation message of changing the place of examination in the medical data; Change the hospital doctor client over to and send affirmation cancellation message to the medical data center; The medical data center is according to confirming that cancelling message cancels single information of changing the place of examination.Promptly singly cancel changing the place of examination by its client by the doctor who produces hospital, send the cancellation message of changing the place of examination to the medical data center, in the cancellation message of changing the place of examination, carry single information of changing the place of examination of having cancelled, after the medical data center receives the cancellation message of changing the place of examination, this cancellation message of changing the place of examination is stored, and the cancellation forwards of will changing the place of examination is to the doctor's client that changes hospital over to, notify this single doctor that changes the place of examination that sees and treat patients, the doctor confirms this cancellation message of changing the place of examination by its client, and to medical data center transmission affirmation cancellation message, the medical data center is according to confirming that the cancellation message informing produces hospital and patient single cancellation of should changing the place of examination and is identified, and cancel wherein single information of changing the place of examination of storage, show with this this single cancellation of changing the place of examination is finished.When the content of message was changed the place of examination in inquiry, the subsequent process of the embodiment of the invention also comprised: the described hospital doctor client that produces sends the query messages of changing the place of examination to the medical data center; The medical data center is returned Query Result message according to the query messages of changing the place of examination to producing the hospital doctor client.Promptly singly inquire about changing the place of examination by its client by the doctor who produces hospital, send the query messages of changing the place of examination to the medical data center, in the query messages of changing the place of examination, carry this single identification information of changing the place of examination, after the medical data center receives the query messages of changing the place of examination, in its database, this is changed the place of examination and singly inquire about, and Query Result is returned to the doctor who produces hospital by sending Query Result message to the doctor's client that produces hospital.Query Result comprises that the patient in diagnosis that changes hospital over to and treatment situation, understands this patient's situation so that produce hospital doctor, and study changes the diagnosis and treatment method that hospital doctor implements this patient etc. over to.
Further, describedly produce hospital doctor client, described medical data center, the described hospital that changes over to divides and examines client and the described interactive information that changes between the hospital doctor client is transmitted with the XML form, promptly in the above-mentioned application of changing the place of examination, single modification of changing the place of examination, change the place of examination singly cancel and the process of single inquiry of changing the place of examination in, change the place of examination message, the message of confirming to change the place of examination, change the place of examination and revise message, confirm to revise message, the cancellation message of changing the place of examination, confirm that the cancellation message and the query messages of changing the place of examination all transmit with the XML form, the message section content is based on the HL7V2.4 standard.
Particularly, the change the place of examination content of message comprises: message header field MSH, the information field RF1 that changes the place of examination, the information field PRD of medical institutions, patient information field PID, irritated information field AL1, observe solicited message field OBR, observations information field OBX and information description field NTE.The content of message of confirming to change the place of examination comprises: message header field MSH, echo message field MSA, the information field RF1 that changes the place of examination, the information field PRD of medical institutions, patient information field PID, observe solicited message field OBR, observations information field OBX and information description field NTE.The content of revising message of changing the place of examination comprises: message header field MSH, the information field RF1 that changes the place of examination, the information field PRD of medical institutions, patient information field PID, observation solicited message field OBR, observations information field OBX and information description field NTE.Confirm that the content of revising message comprises: message header field MSH, echo message field MSA, the information field PRD of medical institutions and patient information field PID.The content of the cancellation message of changing the place of examination comprises: message header field MSH, the information field PRD of medical institutions, patient information field PID and cancellation cause field NTE.The content of query messages of changing the place of examination comprises: message header field MSH, the information field PRD of medical institutions and patient information field PID.The content of Query Result message comprises: message header field MSH, echo message field MSA, the information field RF1 that changes the place of examination, the information field PRD of medical institutions, patient information field PID, observation solicited message field OBR, observations information field OBX and information description field NTE.
The embodiment of the invention provides a kind of bidirectionally transfering consultation method, by changing hospital over to, producing hospital and be connected into the medical data center, and by the change the place of examination forwarding of message of the message and confirm of changing the place of examination, make patient's information of changing the place of examination realize with no paper the transmission, realize between each hospital, carrying out bidirectionally transfering consultation, also further realized change the place of examination single modification, cancellation and query function.
Fig. 2 is the structural drawing of bidirectionally transfering consultation system embodiment of the present invention, as shown in Figure 2, the invention provides a kind of bidirectionally transfering consultation system, specifically comprise: produce hospital doctor client 201, medical data center 202, change hospital over to and divide and to examine client 203 and to change hospital doctor client 204 over to, wherein, produce hospital doctor client 201 and be used for sending and change the place of examination message, in the message of changing the place of examination, carry the request slip information of changing the place of examination to the medical data center; Medical data center 202 is used to receive the message of changing the place of examination that produces 201 transmissions of hospital doctor client, the forwards of changing the place of examination is examined client 203 to the branch that changes hospital over to, and divide the branch examine client to examine will change the place of examination message and the branch information of examining of result to be forwarded to and to change hospital doctor client 204 over to according to changing hospital over to; Change hospital's branch over to and examine the message of changing the place of examination that client 203 is used to receive 202 forwardings of medical data center, the message of changing the place of examination is divided examine processing, and 202 transmissions divide the information of examining to the medical data center; Change hospital doctor client 204 over to and be used to receive and change hospital over to and divide and to examine the branch that client 203 transmits and examine information, and send to medical data center 202 and to confirm to change the place of examination message.
The embodiment of the invention provides a kind of bidirectionally transfering consultation system, by producing hospital doctor client, medical data center, changing hospital over to and divide and to examine client and to change the hospital doctor client over to, to change hospital over to, produce hospital and be connected into the medical data center, and by the change the place of examination forwarding of message of the message and confirm of changing the place of examination, make patient's information of changing the place of examination realize with no paper the transmission, realized between each hospital, carrying out bidirectionally transfering consultation.
It should be noted that at last: above embodiment only in order to technical scheme of the present invention to be described, is not intended to limit; Although with reference to previous embodiment the present invention is had been described in detail, those of ordinary skill in the art is to be understood that: it still can be made amendment to the technical scheme that previous embodiment is put down in writing, and perhaps part technical characterictic wherein is equal to replacement; And these modifications or replacement do not make the essence of appropriate technical solution break away from the spirit and scope of embodiment of the invention technical scheme.