CN102968754A - Method and equipment for establishing electronic medical record information - Google Patents
Method and equipment for establishing electronic medical record information Download PDFInfo
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- CN102968754A CN102968754A CN2012104875520A CN201210487552A CN102968754A CN 102968754 A CN102968754 A CN 102968754A CN 2012104875520 A CN2012104875520 A CN 2012104875520A CN 201210487552 A CN201210487552 A CN 201210487552A CN 102968754 A CN102968754 A CN 102968754A
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Abstract
The invention provides a method and equipment for establishing electronic medical record information. The method comprises the following steps of: searching and reading an identification card carried by a patient and obtaining the identity information of the patient preset in the identification card; storing the obtained identity information in a pre-hospital emergency-treatment medical record, and adding the field first visit information of the patient to the pre-hospital emergency-treatment medical record according to a preset information addition operation procedure; matching the patient with a corresponding reception hospital according to the pre-hospital emergency-treatment medical record and the pre-stored diagnosis and treat information of a plurality of hospital; and transmitting the pre-hospital emergency-treatment medical record and the identification information of the reception hospital to a surface emergency information scheduling system by underground gateway equipment so that the surface emergency information scheduling system transmits the pre-hospital emergency-treatment medical record to the hospital information system according to the identification information of the reception hospital. The method and equipment provided by the invention solve the problem that the best opportunity for emergency treatment of the patient is missed because the manual electronic medical record information establishment manner requests long time in the prior art.
Description
Technical field
The present invention relates to information collecting method under the mine, relate in particular to a kind of electronic health record information creation method and equipment.
Background technology
Mine operation belongs to high-risk work post, and the down-hole do not have the wireless network signals such as 2G or 3G, can not carry out data transmission by wireless network.In case the unexpected incidents such as mine disaster, workman's burst disease occur in the down-hole, need high efficiency underground emergency measure.After unexpected incidents occur in the down-hole, normally will hinder first or the patient lifts to the ground and gives treatment in the prior art, perhaps for the irremovable consideration of patient, the first-aid personnel need to arrive the down-hole, and typing patient information is also carried out basic treatment.If the patient need to deliver to hospitalize, then the rescue service personnel fill in " pre hospital care case history " by the mode of papery, with conveying patient to the hospital that sees and treat patients, again with medical record information by the doctor workstation typing, set up patient's electronic health record information.The time that this mode of setting up electronic health record information needs is longer, might stop over the best opportunity of patient's first aid.
Summary of the invention
The invention provides a kind of electronic health record information creation method and equipment, set up mode in order to solve electronic health record information artificial in the prior art, need the problem of long period.
The invention provides a kind of electronic health record information creation method, comprising:
Search is also read the identification card that the patient carries, and obtains described patient's default in the described identification card identity information;
Deposit the described identity information that obtains in the pre hospital care case history, and add operating process according to presupposed information, in described pre hospital care case history, add described patient's on-the-spot first visit information;
According to the diagnosis and treatment information of described pre hospital care case history and pre-stored a plurality of hospitals, for described patient is mated the hospital that sees and treat patients accordingly;
By the down-hole gateway device identification information of described pre hospital care case history and the described hospital that sees and treat patients is sent to aboveground first aid information dispatching system, so that described aboveground first aid information dispatching system is sent to described pre hospital care case history according to the identification information of the described hospital that sees and treat patients the hospital information system of the described hospital that sees and treat patients.
The present invention also provides a kind of electronic health record information apparatus for establishing, comprising:
Acquisition module is used for search and reads the identification card that the patient carries, and obtains described patient's default in the described identification card identity information;
Add module, the described identity information that is used for obtaining deposits the pre hospital care case history in, and adds operating process according to presupposed information, adds described patient's on-the-spot first visit information in described pre hospital care case history;
Matching module is used for the diagnosis and treatment information according to described pre hospital care case history and pre-stored a plurality of hospitals, for described patient is mated the hospital that sees and treat patients accordingly;
Delivery module, be used for by the down-hole gateway device identification information of described pre hospital care case history and the described hospital that sees and treat patients being sent to aboveground first aid information dispatching system, so that described aboveground first aid information dispatching system is sent to described pre hospital care case history according to the identification information of the described hospital that sees and treat patients the hospital information system of the described hospital that sees and treat patients.
Electronic health record information creation method provided by the invention and equipment, by searching for and read the identification card that the patient carries, obtain patient's default in the identification card identity information, thereby form the pre hospital care case history with the identity information that obtains and according to the on-the-spot first visit information that presupposed information adds the patient that operating process obtains, and mate the hospital that sees and treat patients accordingly for the patient; By the down-hole gateway device pre hospital care case history and the identification information of hospital of seeing and treating patients are sent to aboveground first aid information dispatching system again, so that aboveground first aid information dispatching system is sent to the pre hospital care case history according to the identification information of the hospital that sees and treat patients the hospital information system of the hospital that sees and treat patients.Electronic health record information creation method provided by the invention and equipment, can generate electronic health record and can in time determine corresponding hospital and the timely hospital information system that electronic health record is directly sent to the hospital that sees and treat patients of seeing and treating patients by the mode of coupling in the very first time of finding the patient, need not medical personnel manually inputs, greatly reduced and set up the time that electronic health record needs, solve in the prior art artificial electronic health record information and set up mode, the problem that needs the long period may stop over the problem of best opportunity of patient's first aid.
Description of drawings
The schematic flow sheet of a kind of electronic health record information creation method that Fig. 1 provides for one embodiment of the invention;
The structural representation of a kind of electronic health record information apparatus for establishing that Fig. 2 provides for further embodiment of this invention.
Embodiment
The schematic flow sheet of a kind of electronic health record information creation method that Fig. 1 provides for one embodiment of the invention, as shown in Figure 1, a kind of electronic health record information creation method that present embodiment provides comprises:
Step 11: search for and read the identification card that the patient carries, obtain patient's default in the identification card identity information.In advance identification card is positioned over it the staff who enters operation under the mine, as be placed in the crash helmet, the pocket that is carried at the work clothes front is medium.Prestore this staff's identity information in this identification card, the information of sign staff identity can include but not limited to: staff's name, identity, sex, age, blood group, height, body weight, family's medical history, some essential informations such as present health.When meeting accident accident, the rescue worker searches in underground mine by hand-held reader device, in case search out the patient, reads the entrained identification card of patient, so just can directly in time obtain this patient's identity information, save valuable rescue time.
Step 12: deposit the identity information that obtains in the pre hospital care case history, and add operating process according to presupposed information, in the pre hospital care case history, add patient's on-the-spot first visit information.After this class essential information of identity information is deposited into the pre hospital care case history, also consider, also there are some concrete sick and wounded factors for the patient, so the rescue worker can add operating process according to presupposed information, add the on-the-spot first visit information of patient, for example idiographic flow can be: select disease or injured, if select injured this branch, then following option, injury can be arranged, type of injuries, condition of the injury description etc.For example the on-the-spot first visit information of the current patient of wound is fractured leg, add operating process according to presupposed information, the on-the-spot first visit information of adding the patient in the pre hospital care case history is fractured leg, can add sufferer information in the mode of option: time, place and Injury situation are such as " fractured leg ", be conducive to down-hole medical and nursing work personnel operation, save the pre hospital care case history rise time.Simultaneously, the medical personnel of the hospital that sees and treat patients can in time determine correct processing scheme after seeing the pre hospital care case history, are conducive to the timely treatment to the patient.
Step 13: according to the diagnosis and treatment information of pre hospital care case history and pre-stored a plurality of hospitals, for the patient is mated the hospital that sees and treat patients accordingly.Pre-stored identification information and the diagnosis and treatment information that many hospitals are arranged in reader device.The diagnosis and treatment information of each pre-stored hospital can comprise that hospital cures mainly type, hospital blood bank inventories, berth situation, geographical location information etc.Thereby need to taking into full account to mate with patient's pre hospital care case history, above-mentioned factor obtains the only hospital that sees and treat patients, in case guarantee that hindering patient's gug just can be sent to the hospital that sees and treat patients accordingly immediately.The identification information of each pre-stored hospital comprises the IP address etc. of medical information system of title, each hospital of each hospital.
Step 14: by the down-hole gateway device pre hospital care case history and the identification information of hospital of seeing and treating patients are sent to aboveground first aid information dispatching system, so that aboveground first aid information dispatching system is sent to the pre hospital care case history according to the identification information of the hospital that sees and treat patients the hospital information system of the hospital that sees and treat patients.Because wireless environment is limited in the mine, can't carry out the transmission (GPRS of carrier class wireless data service, 3G etc.), so carry out the pre hospital care case history and the transmission of the identification information of the hospital that sees and treat patients by a plurality of and the uphole equipment gateway device by wired connection is set under mine.Be to guarantee transmission reliability, preferably use wire transmission mode to carry out data transmission between gateway device and the identification card fetch equipment, such as RJ45 mode or USB mode etc.See and treat patients and directly to store after the hospital information system of hospital receives the pre hospital care case history, thereby obtain medical record information before this patient's the institute.Certainly this gateway device and identification card fetch equipment also can be selected wireless near field communication, specifically can be by realizing data transmission such as bluetooth, Infrared Transmission module etc.
The electronic health record information creation method that present embodiment provides, by searching for and read the identification card that the patient carries, obtain patient's default in the identification card identity information, thereby form the pre hospital care case history with the identity information that obtains and according to the on-the-spot first visit information that presupposed information adds the patient that operating process obtains, and mate the hospital that sees and treat patients accordingly for the patient; By the down-hole gateway device pre hospital care case history and the identification information of hospital of seeing and treating patients are sent to aboveground first aid information dispatching system again, so that aboveground first aid information dispatching system is sent to the pre hospital care case history according to the identification information of the hospital that sees and treat patients the hospital information system of the hospital that sees and treat patients.The electronic health record information creation method that present embodiment provides has solved in the prior art artificial electronic health record information and has set up mode, needs the problem of long period, may stop over the problem of best opportunity of patient's first aid.
Present embodiment combined with intelligent identification card chip and reading terminals and data network, can carry out Data Enter work to the patient by adopting handheld terminal, comprise identity information and on-the-spot first visit information, and can reach aboveground first aid information dispatching system and be sent to the hospital that sees and treat patients by cable data network.After patient arrives the hospital that sees and treat patients like this, because the pre hospital care case history is set up, save inspection and therapeutic time in the institute.
Preferred as technique scheme, by the down-hole gateway device pre hospital care case history and the identification information of hospital of seeing and treating patients being sent to aboveground first aid information dispatching system in the step 14 comprises: the identification information of the hospital that sees and treat patients is added in the pre hospital care case history, by the down-hole gateway device pre hospital care case history is sent to aboveground first aid information dispatching system.Be about to see and treat patients the identification information of hospital as the part of pre hospital care case history, so more be conducive to the management of case history, and to the record of the hospital's situation of seeing and treating patients.
Preferred as technique scheme, identification card comprises active radio-frequency (RF) identification (Radio FrequencyIDentification is referred to as RFID) chip.Radio-frequency (RF) identification is a kind of communication technology, can identify specific objective and read and write related data by radio signals, and need not to set up machinery between recognition system and the specific objective or optics contacts.The technology such as commonly used have low frequency 125k ~ 134.2K, high frequency 13.56Mhz, a ultrahigh frequency, passive.Rfid interrogator also divides portable with fixed, selects Mobile RFID reader-writer to read the subscriber identity information of storing in the RFID chip in the present embodiment.
Specific implementation can be that the staff carries the active RFID chip under the mine by allowing, and preset staff's identity information in the chip, and the assigned address under mine is installed gateway device.The rescue worker uses professional handheld terminal, built-in RFID read head, search active RFID chip, read patient individual's identity information, and the on-the-spot first visit information at record patient scene, by the down-hole gateway device pre hospital care case history is reached on the ground, reach again the hospital information system of hospital.
Preferred as technique scheme, the pre hospital care case history comprises the when and where that comprises that also case history generates.By the information such as interpolation time, place in the pre hospital care case history, accident investigation that can be afterwards, hindering sick and wounded feelings treatment of patient etc. provides solid reference.
Be connected by the RS485 industrial bus between preferred as technique scheme, down-hole gateway device and aboveground first aid information dispatching system.Because the down-hole does not have wireless signal, communicates by the RS485 industrial bus between gateway and aboveground first aid information dispatching system.The half-duplex network that the RS485 interface forms is two-wire system generally, adopts the Shielded Twisted Pair transmission more.This mode of connection is that the bus type topological structure can articulate at most 32 nodes on same bus.General employing is the master-slave communication mode in the RS485 communication network, i.e. a plurality of slaves of main frame band.Require communication distance be tens meters on during km, extensively adopt the RS-485 universal serial bus.RS-485 adopts balance to send and differential received, therefore has the ability that suppresses common mode interference.Signal transmission adds that bus transceiver has high sensitivity, can detect the voltage that is low to moderate 200mV, so can be restored beyond km.General RS-485 adopts half-duplex operation on the market, whenever can only have any to be in the transmission state, and therefore, transtation mission circuit must be controlled by enable signal.Very convenient when RS-485 is used for multi-point interconnection, can save many signal wires.Use the RS-485 formation distributed system of can networking, it allows 32 drivers at most in parallel and 32 receivers.Be connected by the RS485 industrial bus between down-hole gateway device and the aboveground first aid information dispatching system, guaranteed the reliability of transmission, and be convenient to the program design of system, and the low communication apparatus that need not other of cost.
The structural representation of a kind of electronic health record information apparatus for establishing that Fig. 2 provides for further embodiment of this invention.As shown in Figure 2, present embodiment has offered a kind of electronic health record information apparatus for establishing, comprising:
Add module 22, be used for depositing the identity information that obtains in the pre hospital care case history, and add operating process according to presupposed information, in the pre hospital care case history, add patient's on-the-spot first visit information;
Matching module 23 is used for the diagnosis and treatment information according to pre hospital care case history and pre-stored a plurality of hospitals, for the patient is mated the hospital that sees and treat patients accordingly;
The electronic health record information apparatus for establishing that present embodiment provides, search for and read the identification card that the patient carries by acquisition module 21, obtain patient's default in the identification card identity information, thereby add module 22 and form the pre hospital care case history with the identity information that obtains and according to the on-the-spot first visit information that presupposed information adds the patient that operating process obtains, and mate the hospital that sees and treat patients accordingly by matching module 23 for the patient; By the down-hole gateway device pre hospital care case history and the identification information of hospital of seeing and treating patients are sent to aboveground first aid information dispatching system by delivery module 24 again, so that aboveground first aid information dispatching system is sent to the pre hospital care case history according to the identification information of the hospital that sees and treat patients the hospital information system of the hospital that sees and treat patients.The electronic health record information apparatus for establishing that present embodiment provides has solved in the prior art artificial electronic health record information and has set up mode, needs the problem of long period, may stop over the problem of best opportunity of patient's first aid.
The specific implementation process of this electronic health record information apparatus for establishing embodiment is identical with the realization flow among the said method embodiment, please refer to the content of above-mentioned electronic health record information creation method, does not repeat them here.
Preferred as technique scheme, delivery module 24 comprises:
First module is used for adding the identification information of the hospital that sees and treat patients to the pre hospital care case history;
Second unit is used for by the down-hole gateway device pre hospital care case history being sent to aboveground first aid information dispatching system.
Preferred as technique scheme, identification card comprises the active RFID chip.
Preferred as technique scheme, the pre hospital care case history also comprises the when and where that case history generates.
Be connected by the RS485 industrial bus between preferred as technique scheme, down-hole gateway device and aboveground first aid information dispatching system.
One of ordinary skill in the art will appreciate that: all or part of step that realizes above-mentioned each embodiment of the method can be finished by the relevant hardware of programmed instruction.Aforesaid program can be stored in the computer read/write memory medium.This program is carried out the step that comprises above-mentioned each embodiment of the method when carrying out; And aforesaid storage medium comprises: the various media that can be program code stored such as ROM, RAM, magnetic disc or CD.
It should be noted that at last: above each embodiment is not intended to limit only in order to technical scheme of the present invention to be described; Although with reference to aforementioned each 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 aforementioned each embodiment puts down in writing, and perhaps some or all of 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 scope of various embodiments of the present invention technical scheme.
Claims (10)
1. an electronic health record information creation method is characterized in that, comprising:
Search is also read the identification card that the patient carries, and obtains described patient's default in the described identification card identity information;
Deposit the described identity information that obtains in the pre hospital care case history, and add operating process according to presupposed information, in described pre hospital care case history, add described patient's on-the-spot first visit information;
According to the diagnosis and treatment information of described pre hospital care case history and pre-stored a plurality of hospitals, for described patient is mated the hospital that sees and treat patients accordingly;
By the down-hole gateway device identification information of described pre hospital care case history and the described hospital that sees and treat patients is sent to aboveground first aid information dispatching system, so that described aboveground first aid information dispatching system is sent to described pre hospital care case history according to the identification information of the described hospital that sees and treat patients the hospital information system of the described hospital that sees and treat patients.
2. electronic health record information creation method according to claim 1 is characterized in that, describedly by the down-hole gateway device identification information of described pre hospital care case history and the described hospital that sees and treat patients is sent to aboveground first aid information dispatching system and comprises:
The identification information of the described hospital that sees and treat patients is added in the described pre hospital care case history, by described down-hole gateway device described pre hospital care case history is sent to described aboveground first aid information dispatching system.
3. electronic health record information creation method according to claim 1 is characterized in that, described identification card comprises the active RFID chip.
4. electronic health record information creation method according to claim 1 is characterized in that, described pre hospital care case history also comprises the when and where that case history generates.
5. each described electronic health record information creation method in 4 according to claim 1 is characterized in that, is connected by industrial bus between described down-hole gateway device and the described aboveground first aid information dispatching system.
6. an electronic health record information apparatus for establishing is characterized in that, comprising:
Acquisition module is used for search and reads the identification card that the patient carries, and obtains described patient's default in the described identification card identity information;
Add module, the described identity information that is used for obtaining deposits the pre hospital care case history in, and adds operating process according to presupposed information, adds described patient's on-the-spot first visit information in described pre hospital care case history;
Matching module is used for the diagnosis and treatment information according to described pre hospital care case history and pre-stored a plurality of hospitals, for described patient is mated the hospital that sees and treat patients accordingly;
Delivery module, be used for by the down-hole gateway device identification information of described pre hospital care case history and the described hospital that sees and treat patients being sent to aboveground first aid information dispatching system, so that described aboveground first aid information dispatching system is sent to described pre hospital care case history according to the identification information of the described hospital that sees and treat patients the hospital information system of the described hospital that sees and treat patients.
7. electronic health record information apparatus for establishing according to claim 6 is characterized in that described delivery module comprises:
First module is used for adding the identification information of the described hospital that sees and treat patients to described pre hospital care case history;
Second unit is used for by described down-hole gateway device described pre hospital care case history being sent to described aboveground first aid information dispatching system.
8. electronic health record information apparatus for establishing according to claim 6 is characterized in that described identification card comprises the active RFID chip.
9. electronic health record information apparatus for establishing according to claim 6 is characterized in that, described pre hospital care case history also comprises the when and where that case history generates.
10. each described electronic health record information apparatus for establishing in 9 according to claim 6 is characterized in that, is connected by the RS485 industrial bus between described down-hole gateway device and the described aboveground first aid information dispatching system.
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| CN201210487552.0A CN102968754B (en) | 2012-11-26 | 2012-11-26 | Electronic health record information creation method and equipment |
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| CN103578066A (en) * | 2013-11-25 | 2014-02-12 | 方正国际软件有限公司 | Patient-oriented clinical information organization system and method |
| CN103646368A (en) * | 2013-11-25 | 2014-03-19 | 方正国际软件有限公司 | Real-time checking and correcting system and real-time checking and correcting method for medical record writing |
| CN103761693A (en) * | 2013-12-31 | 2014-04-30 | 中国人民解放军第二军医大学 | Medical assistance system and method based on wireless local area network |
| CN110391001A (en) * | 2018-04-28 | 2019-10-29 | 中南大学湘雅医院 | Tent hospital emergency electronic medical records system |
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| CN102968754B (en) | 2016-08-03 |
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