CN102902996B - Based on the digital medical go-cart of RFID technique - Google Patents

Based on the digital medical go-cart of RFID technique Download PDF

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Publication number
CN102902996B
CN102902996B CN201210378385.6A CN201210378385A CN102902996B CN 102902996 B CN102902996 B CN 102902996B CN 201210378385 A CN201210378385 A CN 201210378385A CN 102902996 B CN102902996 B CN 102902996B
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patient
cart
doctor
rfid
medical
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CN102902996A (en
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朱兆丰
青科
顾文超
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Shanghai Pudong New Area Peoples Hospital
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Shanghai Pudong New Area Peoples Hospital
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Abstract

The present invention relates to a kind of digital medical go-cart based on RFID technique, patient is when entering hospital, patient information can store in the rfid chip when accepting by admissions office, accept the doctor in charge that patient is in hospital and can check that seen essential information be input to among RFID chip, can be downloaded by Wi-Fi and read all medical record data of patient, transfer in the data terminal of digital medical go-cart.Integrate original hospital HIS system existing database and system.The workstation of maintenance data terminal, read corresponding sufferer numbering in the RFID chip in patient's wrist by read write line, can in the hospitalization data storehouse in the data terminal server on backstage fast searching patient history and prescription medical information carry out data by data terminal server upload download.The data terminal of digital medical go-cart and the information of background server are completed docking, thus completes making the rounds of the wards and the preparation of drug delivery of digital medical go-cart.

Description

Based on the digital medical go-cart of RFID technique
Technical field
The present invention relates to a kind of Medical trolley, particularly relate to a kind of based on wireless local area network technology and RFID technique, be connected with the HIS network of hospital with RFID radio-frequency card reader by the wireless network be arranged in go-cart, for doctor and nurse provide the information material of patient in real time, the function application of go-cart data module is inputted in the data terminal of the workstation configured with car by the authority of setting, by the job number of very simple digital & monogram, the digital medical go-cart based on RFID technique of different working interfaces is directly entered after administrative center has set authority.
Background technology
Along with country is in the increasing of medical and health industry dynamics of investment, Medical treatment system gradual perfection, the level of informatization of hospital improves greatly, and the various digital applications based on hospital information system (HospitalinformationSystem is called for short HIS) are also more and more extensive.Utilize WEB wireless technology to make the rounds of the wards, nurse, send out medicine etc.Many weak points such as but the technology of making the rounds of the wards of traditional the dossier trammer is fallen behind because of its original manual operations, and system also exists function singleness, inquiry velocity is slow, and data is comprehensive, cannot meet clinical needs.Tradition before making up is made the rounds of the wards all weak points of getting it filled by digital multifunctional Medical trolley, all information based data final links of hospital is received in this digitized go-cart, Hospital medical care level is significantly improved.Good service is further promoted.Working effect is greatly improved.
Fig. 1 is the schematic flow sheet of making the rounds of the wards of traditional doctor.As shown in Figure 1, tradition is made the rounds of the wards flow process Problems existing:
1, original manual operations, pushes the dossier trammer, patient case history, and clinician is to comprehensively completely having access to patient image, and inquiry medical history is not comprehensive, and illness analysis is imperfect, causes sing misdiagnosis and mistreatment or delay treatment.
2, to the preoperative discussion of operation patients because middle data of making the rounds of the wards is not comprehensive, make program analysis insufficient, postoperative unexpected incidence rising etc. causes partial hospitalization patient to cure improvement rate decline, and medical treatment is unexpected to happen occasionally, medical expense increase, malpractice and dispute common.
3, send out medicine weak management, nurse does not have detailed electronic document to record for sending out medicine whole process, so that is difficult to determine that responsibility is located during indivedual generation mistake, and have an accident hidden danger often.
4, the execution process timeliness of doctor's advice not in time, and the tradition doctor that makes the rounds of the wards must make the rounds of the wards complete, gets back to the unified lower doctor's advice of office, then transfer to nurse on duty to perform, in many cases, have impact on the timely process of heavy patient.
5, the most important thing is the rescue for urgent patient, this accident happens occasionally, due to ward attendant physician rotation system, the rescue of being critically ill is at any time, but, because doctor's being unfamiliar with patient's condition of succeeding, thus affect or miss the best opportunity of rescue.
For the variety of problems of above-mentioned existence, need a kind of new technology to replace traditional digital multifunctional Medical trolley.
Summary of the invention
For the problems referred to above, fundamental purpose of the present invention is that providing a kind of replaces traditional digital multifunctional Medical trolley.
The present invention solves above-mentioned technical matters by following technical proposals: a kind of digital medical go-cart based on RFID technique, and the job step of described system is as follows:
(1). patient is when entering hospital, and patient information is stored in a RFID chip when accepting by admissions office, and this RFID chip is arranged in the bracelet of a patient with being worn on hand in the while in hospital always;
(2). accept the doctor in charge that patient is in hospital and can check that seen by patient, essential information be input in above-mentioned RFID chip;
(3). ward doctor is responsible for the bracelet with patient information to be worn in the wrist of corresponding patient, patient number is recorded in hospital information system hospitalization data;
(4). the doctor in charge or ward doctor are downloaded by Wi-Fi and read all medical record data of patient at examination in hospital, these data are transferred in the data terminal of digital medical go-cart, described Medical trolley is provided with wireless network and RFID radio-frequency card reader;
(5). the data terminal of digital medical go-cart is arranged on Medical trolley; This data terminal and hospital information system wireless telecommunications;
(6). the go-cart in step (4) enters ward, and the RFID radio-frequency card reader be arranged in go-cart reads the information of patient worn on the bracelet that the chip of RFID is housed on hand by direct by contactless RF-wise;
(7). in making the rounds of the wards, the doctor in charge selects the inspection progress confirming that display patient is current by the functions of modules key in touch screen, and the information of Comprehensive medical data can be obtained, clinician is according to medical history and clinical real-time inspection result, promptly carry out process and formulate therapeutic scheme, and assign doctor's advice and prescription data by the data terminal in go-cart;
(8). all the doctor's advice implementation and operation that the doctor in charge assigns is performed within the very first time by hospital information system at the nursing station of data terminal and pharmacy, ward;
(9). the end back ward doctor in charge that makes the rounds of the wards is further processed the result of making the rounds of the wards on the workstation of oneself;
(10). the application of go-cart afterwards then proceeds to nurse's drug delivery;
(11). the prescription that the middle ward doctor in charge that makes the rounds of the wards opens to inpatient already by the data terminal in go-cart synchronous be transferred to dispensary for inpatients home-delivery center;
(12). install the various medicines required for Case treatment in the label bag posting the RFID associated with inpatient information disaggregatedly;
(13). ward is shifted in go-cart onto, the drug delivery interface that have input the display screen of the data terminal of nurse's job number on duty already then demonstrates already the name of an article of the essential information of patient and medication, dosage and points for attention;
(14). the label matched with the RFID of patient bracelet bracelet is after patient given by medicine, then jump out rapidly the confirmation frame that a drug delivery completes, ward nurse clicks acknowledgement key after having checked the project that all drug delivery complete, thus all completes the period drug delivery of this patient.
In specific embodiments of the invention, described RFID radio-frequency card reader comprises the main card reader of RFID radio frequency and RFID radio frequency card reader for subsequent use.
In specific embodiments of the invention, described system comprises: the RFID load module being responsible for the essential information reading inpatient, and RFID load module is connected with the hospital information system of hospital; Carry out typing and the process of doctor's advice, and the doctor workstation module of the overall process of real time record process; Be responsible for getting the granting after medicine from pharmacy, ward, the nursing station module of real time record process overall process; Be responsible for having access to PACS (image acquisition and transmission system) the picture browsing module of whole medical imaging that patient does in hospital and diagnosis report; Module is browsed in LIS (the checking information disposal system literary composition) report being responsible for having access to all analysis reports that patient does in hospital; The electronic health record carrying out patient's process operation of omnidistance case history, process, treatment, discharge abstract in hospital browses module; Complete the granting of doctor's advice ethical goods, check, record and mark the pharmacy drug control module of process.
In specific embodiments of the invention, described digital medical go-cart be also provided with in order to prevent RFID card-reading system generation obstacle affect medical treatment normally carry out be used as go-home magnetic stripe and IC card reader.
In specific embodiments of the invention, described digital medical go-cart, when there being supply socket, adopts Alternating Current Power Supply, when not having supply socket, adopts the floating charge UPS of 1KW to power.
In specific embodiments of the invention, described in doctor's advice under doctor of making the rounds of the wards adopt portable IPAD.
Positive progressive effect of the present invention is: the digital medical go-cart based on RFID technique provided by the invention has the following advantages: compared with sending out prescription formula with traditional making the rounds of the wards, the non-connection function of radio frequency of the RFID of digital medical go-cart and wireless transmitting system, for inpatient treatment, nursing provide higher efficiency, it integrates the system integration of the software and hardware function such as authentication, treatment process rescue, for hospital treatment provides management mode more comprehensively.
Accompanying drawing explanation
Fig. 1 is the schematic flow sheet of making the rounds of the wards of traditional doctor.
Fig. 2 is that digitizing mobile handcart of the present invention is made the rounds of the wards flowage structure schematic diagram.
Fig. 3 is hardware configuration schematic diagram of the present invention.
Embodiment
Present pre-ferred embodiments is provided, to describe technical scheme of the present invention in detail below in conjunction with accompanying drawing.
Fig. 2 is digitizing mobile handcart structural representation of the present invention, Fig. 3 is digitizing mobile handcart hardware configuration schematic diagram of the present invention, as Figure 2-3: go-cart of the present invention is based on wireless local area network technology and RFID technique, be connected with the HIS network of hospital with RFID radio-frequency card reader by the wireless network be arranged in go-cart, for doctor and nurse provide the information material of patient in real time, the function application of go-cart data module is inputted in the data terminal of the workstation configured with car by the authority of setting.By the job number of very simple digital & monogram, after administrative center has set authority, directly enter different working interfaces (making the rounds of the wards or drug delivery).
The doctor in charge make the rounds of the wards go-cart or movement state under, realize different functions by vehicular wireless network and corresponding software module.Wireless network on-line real-time, with the data interaction at hospital HIS, PACS, LIS and RIS data of information system center.Make staff obtain in the data terminal of go-cart whenever and wherever possible patient after being admitted to hospital do medical imaging and other image, text and data information of various inspection.Go-cart enters ward, vehicle-mounted RFID card reader reads patient worn at the bracelet that the chip of RFID is housed on hand by direct by contactless RF-wise, and this is a kind of patient identification bracelet (smart-Wrist) using particular design.Here store the relevant information that patient inputs when being admitted to hospital, comprise basic personal information and the important information such as drug allergy history and medical history, how more detailed information can be corresponded in database by the electronic code in RFID.The mark band indicating patient's capsule information is tied up in patient's wrist and carry out 24 hours marks next to the skin, can effectively ensure to identify fast and accurately patient at any time.Go-cart is simple to operation, in making the rounds of the wards, the doctor in charge selects the inspection progress confirming that this patient of display is current by the functions of modules key in touch screen, and the information of Comprehensive medical data can be obtained, clinician is according to medical history and clinical real-time inspection result, perfect human-computer interaction function makes doctor according to the situation of change of patient's state of an illness, promptly carry out process and formulate therapeutic scheme, and assign doctor's advice and prescription data by the data terminal in go-cart.
And all can perform the doctor's advice implementation and operation that the doctor in charge assigns within the very first time at the nursing station of data terminal and pharmacy, ward.The end back ward doctor in charge that makes the rounds of the wards can be further processed the result of making the rounds of the wards on the workstation of oneself.The application of now go-cart then proceeds to nurse's drug delivery.The prescription that the ward doctor in charge that makes the rounds of the wards opens to inpatient already by the data terminal in go-cart synchronous be transferred to dispensary for inpatients home-delivery center.The various medicines required for Case treatment have been installed disaggregatedly in the label bag posting the RFID associated with inpatient information.Ward is shifted in go-cart onto, the drug delivery interface that have input the display screen of the data terminal of nurse's job number on duty already then demonstrates already the name of an article of the essential information of patient and medication, dosage and points for attention.The label matched with the RFID of patient bracelet after patient given by medicine, then jumps out rapidly the confirmation frame that a drug delivery completes, and ward nurse clicks acknowledgement key after having checked the project that all drug delivery complete, thus all completes the period drug delivery of this patient.The drug delivery information that data terminal is recorded thoroughly can avoid many doctor-patient disputes caused due to a variety of causes, and medicine is provided the case that data recordation can relate to legal dispute for some and provided accurately science data accurately.The topmost target of this system is to promote doctor-patient relationship, improves medical personnel's work efficiency, promotes hospital management efficiency, under the situation not affecting existing information management system and database, can strengthen the usefulness of hospital services medical care.The application of digital medical go-cart effectively can improve the efficiency of service of hospital, optimizes the flow process of medical services, reduces the incidence of medical malpractice and malpractice, thus improves the social benefit of hospital comprehensively.Build the inexorable trend that mobile clinical information system is not only Hospital Informatization, and be the guarantee of hospital's " people-oriented " medical model, the comprehensive strength of a modern hospital embodies especially.
The system of digital medical go-cart realizes seamless link by the HIS system of full institute.And adopt RFID technique to realize the mobile of medical services, be several the specific functions based on RFID technique itself:
1. safe and reliable: due to RFID carrying is electronic type information, and its data content can be subject to cryptoguard, and its content is not easily forged.The patient information of input can be subject to multilayer cryptoguard.
2. Reusability: bar code popular now just fixes and cannot change after printing, RFID label tag then can repeatedly increase newly, revise, delete the interior data stored of label, facilitates the renewal of information to use for system repeatedly.
3. non-ly connect reading: the reading manner of bar code data is read by laser or infrared ray, barcode scanner must closely and under not having object to stop, just can reading bar code.RFID carrys out transmission of information with rf wave, so there is not the problem of transmission wall.
4. high storage capacity: the capacity of bar code is 50Bytes, the maximum capacity of two-dimensional bar code can store 2 ~ 3000Bytes, and the maximum capacity of RFID then has millions of Bytes; This is the medium that current memory space is larger.
5. rapid scanning: the run-down of bar code can only scan, and RFID card reader identification simultaneously can read several RFID label tag.Reliability is strong, how and accurately reads.
6. durable: due to bar code be invest polybag or be attached to application medium on, belong to contact so especially easily lost, and RFID label tag is stored in the middle of chip by data, read process is contactless thus can not be stained easily.
Patient is when entering hospital, patient information can store in the rfid chip when accepting by admissions office, accept the doctor in charge that patient is in hospital and can check that seen essential information be input to among RFID chip, ward doctor is responsible for the bracelet with patient information to be worn in the wrist of corresponding patient, patient number is recorded in hospital information system hospitalization data; Can be downloaded by Wi-Fi and read all medical record data of patient, transfer in the data terminal of digital medical go-cart.Integrate original hospital HIS system existing database and system.The workstation of maintenance data terminal, read corresponding sufferer numbering in the RFID chip in patient's wrist by read write line, can in the hospitalization data storehouse in the data terminal server on backstage fast searching patient history and prescription medical information carry out data by data terminal server upload download.The data terminal of digital medical go-cart and the information of background server are completed docking, thus completes making the rounds of the wards and the preparation of drug delivery of digital medical go-cart.
Present system is formed primarily of hardware frame and software module two Iarge-scale system:
(1), hardware components
1. hardware is all arranged on one end of go-cart, and main frame adopts the industrial computer with the low-power consumption of wireless network card, the up-to-date machine of XS36VSlim series.Carry atom tMd2700 dual core processors, GMA3650 graphics display capability.Special fan-free structural design provides multi-ensuring, guarantees the quiet effectively noise reduction of machine, significantly promotes computing machine usefulness.1.2 liters of ultimate attainment thin design, support SSD solid state hard disc and 2.5 " HDD, the working environment of limited space also need not be worried.The extended interface such as built-in HDMI, DVI-D, D-Sub (VGA), the special connectivity port of RS232, five groups of USB, Gigabit-LAN, provides the professional solution of widespread demand and polynary application.The mechanism design of super-thin computing machine low consumption noise reduction, 20-29 watt of electric power is only consumed during normal operation, meet international standard standard, keep computer platform at the operating state of low noise, high stable, XS36V possesses the platform capabilities of round-the-clock (7X24X365) long-term continued operation, integrates the design of low consumption noise reducing mechanism, provides the operating environment that computing machine is stable, more be reduced in voltage instability problem when carrying out high workload flow, more effectively save energy efficiency.
Host CPU adopts temperature coefficient highly stable atom tMd2700 dual core processors, possesses ultimate attainment and stable performance, in response to different business application environments for use.Possess brand-new cedarTrail-D computer platform technology, integrates 32nm how metric system journey atom tMprocessor, low power consumption energy conservation characteristic, supports more output interface.4GB internal memory, 500GBHDD, Windows732bit operating system, can maintain the running of normality power and energy saving.
Display screen with touch function have employed DF15 series and carries driving, and no matter use through reality is in the XP work that also thing can be stable under WIN7 environment.
2.RFID sufferer status recognition module, this is the non-connection module produced by upper current chart mark company, the information on the wrist strap rfid card of patient is read by hand card reader, and have the main frame in digital medical go-cart directly download the patient of RFID institute identification photo and relevant case history and prescription data, the related job of line correlation medical information of going forward side by side.
3., in order to prevent RFID card-reading system generation obstacle from affecting normally carrying out of medical treatment, digital medical go-cart there is also mounted magnetic stripe and IC card reader, is used as emergency power.
4. the power supply of digital medical go-cart have employed the mode of the special floating charge UPS of customization.The UPS of the 1KW of Premium Brands ensures the normal work of main frame within power-off half an hour substantially.When there being supply socket, mainly adopt Alternating Current Power Supply.
5. to make the rounds of the wards for convenience doctor's advice under doctor, configure a portable IPAD, as word fast processing, increase work efficiency.Result is directly sent to main frame by the mode of wireless work.
(2), software section:
1.RFID input interface module.Be responsible for the essential information reading inpatient, and be connected with hospital HIS system.
2. doctor workstation module.Carry out typing and the process of doctor's advice, and the overall process of real time record process.
3. nursing station module.Be responsible for getting the granting after medicine from pharmacy, ward, real time record process overall process.
4.PACS picture browsing module.Be responsible for having access to whole medical imagings and diagnosis report that patient does in hospital.
Module is browsed in 5.LIS report.Be responsible for having access to all analysis reports that patient does in hospital.
6. electronic health record browses module.Carry out patient be in hospital omnidistance case history, process, treatment, discharge abstract process run.
7. pharmacy drug control module.Complete the granting of doctor's advice ethical goods, check, record and mark process.
Compared with sending out prescription formula with traditional making the rounds of the wards, the non-connection function of radio frequency of the RFID of digital medical go-cart and wireless transmitting system, for inpatient treatment, nursing provide higher efficiency, it integrates the system integration of the software and hardware function such as authentication, treatment process rescue, for hospital treatment provides management mode more comprehensively.
More than show and describe ultimate principle of the present invention and principal character and advantage of the present invention.The technician of the industry should understand; the present invention is not restricted to the described embodiments; what describe in above-described embodiment and instructions just illustrates principle of the present invention; without departing from the spirit and scope of the present invention; the present invention also has various changes and modifications; these changes and improvements all fall in the claimed scope of the invention, and application claims protection domain is defined by appending claims and equivalent thereof.

Claims (3)

1. based on a digital medical go-cart for RFID technique, it is characterized in that: described go-cart comprises: the RFID load module being responsible for the essential information reading inpatient, RFID load module is connected with the hospital information system of hospital; Carry out typing and the process of doctor's advice, and the doctor workstation module of the overall process of real time record process; Be responsible for getting the granting after medicine from pharmacy, ward, the nursing station module of real time record process overall process; Be responsible for having access to image acquisition and the transmission system picture browsing module of whole medical imaging that patient does in hospital and diagnosis report; The checking information System Reports being responsible for having access to all analysis reports that patient does in hospital browses module; The electronic health record carrying out patient's process operation of omnidistance case history, process, treatment, discharge abstract in hospital browses module; Complete the granting of doctor's advice ethical goods, check, record and mark the pharmacy drug control module of process;
Described go-cart also comprises RFID radio-frequency card reader; Described RFID radio-frequency card reader comprises the main card reader of RFID radio frequency and RFID radio frequency card reader for subsequent use;
Described digital medical go-cart be also provided with in order to prevent RFID card-reading system generation obstacle affect medical treatment normally carry out be used as go-home magnetic stripe and IC card reader;
The job step of described go-cart is as follows:
(1). patient is when entering hospital, and patient information is stored in a RFID chip when accepting by admissions office, and this RFID chip is arranged in the bracelet that a patients during hospitalization is worn on hand always;
(2). accept the doctor in charge that patient is in hospital and can check that seen by patient, essential information be input in above-mentioned RFID chip;
(3). ward doctor is responsible for being worn over by the bracelet with patient information in the wrist of the patient in step (1), patient number is recorded in hospital information system hospitalization data;
(4). the doctor in charge or ward doctor are downloaded by Wi-Fi and read all medical record data of patient at examination in hospital, these data are transferred in the data terminal of digital medical go-cart, described Medical trolley is provided with wireless network and RFID radio-frequency card reader;
(5). the data terminal of digital medical go-cart is arranged on Medical trolley; This data terminal and hospital information system wireless telecommunications;
(6). the go-cart in step (4) enters ward, and the RFID radio-frequency card reader be arranged in go-cart reads the information of patient worn on the bracelet that the chip of RFID is housed on hand by direct by contactless RF-wise;
(7). in making the rounds of the wards, the doctor in charge selects the inspection progress confirming that display patient is current by the functions of modules key in touch screen, and obtain the information of Comprehensive medical data, clinician is according to medical history and clinical real-time inspection result, promptly carry out process and formulate therapeutic scheme, and assign doctor's advice and prescription data by the data terminal in go-cart;
(8). all the doctor's advice implementation and operation that the doctor in charge assigns is performed within the very first time by hospital information system at the nursing station of data terminal and pharmacy, ward;
(9). the end back ward doctor in charge that makes the rounds of the wards is further processed the result of making the rounds of the wards on the workstation of oneself;
(10). the application of go-cart afterwards then proceeds to nurse's drug delivery;
(11). the prescription that the middle ward doctor in charge that makes the rounds of the wards opens to inpatient already by the data terminal in go-cart synchronous be transferred to dispensary for inpatients home-delivery center;
(12). install the various medicines required for Case treatment in the label bag posting the RFID associated with inpatient information disaggregatedly;
(13). ward is shifted in go-cart onto, the drug delivery interface that have input the display screen of the data terminal of nurse's job number on duty already then demonstrates already the name of an article of the essential information of patient and medication, dosage and points for attention;
(14). the label matched with the RFID of patient bracelet bracelet is after patient given by medicine, then jump out rapidly the confirmation frame that a drug delivery completes, ward nurse clicks acknowledgement key after having checked the project that all drug delivery complete, thus all completes the period drug delivery of this patient.
2. the digital medical go-cart based on RFID technique according to claim 1, is characterized in that: described digital medical go-cart, when there being supply socket, adopts Alternating Current Power Supply, when not having supply socket, adopts the floating charge UPS of 1KW to power.
3. the digital medical go-cart based on RFID technique according to claim 1, is characterized in that: under the doctor that makes the rounds of the wards, doctor's advice adopts portable IPAD.
CN201210378385.6A 2012-09-29 2012-09-29 Based on the digital medical go-cart of RFID technique Expired - Fee Related CN102902996B (en)

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CN102314542A (en) * 2010-07-06 2012-01-11 常州高特电子技术有限公司 Radio frequency identification (RFID) technology-based sickroom service system

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