CN105787233A - Case management and information acquisition system - Google Patents

Case management and information acquisition system Download PDF

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Publication number
CN105787233A
CN105787233A CN201410799168.3A CN201410799168A CN105787233A CN 105787233 A CN105787233 A CN 105787233A CN 201410799168 A CN201410799168 A CN 201410799168A CN 105787233 A CN105787233 A CN 105787233A
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China
Prior art keywords
information
department
record
medical record
acquisition system
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Pending
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CN201410799168.3A
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Chinese (zh)
Inventor
潘心慈
张秀颖
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HARBIN ZHISHENG TIANCHENG TECHNOLOGY DEVELOPMENT Co Ltd
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HARBIN ZHISHENG TIANCHENG TECHNOLOGY DEVELOPMENT Co Ltd
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Priority to CN201410799168.3A priority Critical patent/CN105787233A/en
Publication of CN105787233A publication Critical patent/CN105787233A/en
Pending legal-status Critical Current

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Abstract

A case management and information acquisition system can automatically and manually input patient treatment information, generate all kinds of statistical reports according to various condition queries, and report the statistical reports to a data acquisition system of a superior medical department. The case management and information acquisition system is defined as unit information and department setting; the unit information mainly includes relevant information such as unit name, unit responsible person, system responsible person; and department setting includes relevant information such as department code, department name, and department head; and a system interface of the case management and information acquisition system includes advanced user setting and lower-level user setting, wherein the advanced user setting includes system maintenance, data maintenance, data statistics, clinic dynamic, in-hospital dynamic and help.

Description

A kind of medical record management and information acquisition system
Technical field
The present invention relates to a kind of software data management system, particularly to a kind of medical record management and information acquisition system.
Background technology
Medical information is turned to by the medical reform of China in 2009 one important medical reform project, it is possible to what will be apparent from finds that hospital information certainly will be development trend in the future.But the basis of hospital information would be how clearer management and the medical record of statistics hospital.Medical record is the protocol of curative activity, it is the first-hand capsule information of medical treatment, teaching, scientific research, also be that medical quality in hospital controls to check and the foundation of examination, the vaild evidence processing medical tangle converse onus probation especially clear and flexibly health record management system will be that PACS system, individual electronic medical record (EHR) etc. provide clear and rigorous patient base information.
Hospital can be described as a mechanism having huge data, if so the preservation of data, renewal not appliance computer, that will be a very fearful job, so, the present invention is exactly that application software is to solve this problem, the mainly design of case of hospital Commitment, Accounting and Management of Unit Supply system, the present invention is the set of inpatient's medical history data, and it reflects the medical level of the full detail of patient and hospital really.Automatic and manual entry patient informational function being provided, according to multiple condition query, generates all kinds of statistical report form, report higher level's medical department. system adopts ICD-10 code, it is simple in the connection of other medical record systems, in order to share data.Having had the OO function that Delphi7.0 is powerful, it is possible to design system according to various demands, data then with platform based on the SQLServer2000 of perfect in shape and function, are stored by huge data in the form of a table.
Summary of the invention
Present invention aim to address the problem that the substantial amounts of case data of hospital need to preserve and update, there is provided the one can automatically and manual entry patient information, according to multiple condition query, generate all kinds of statistical report form, report the Software of Data Statistics of higher level's medical department.
The object of the present invention is achieved like this:
A kind of medical record management and information acquisition system, it is characterized in that the system definition of the present invention is divided into unit information and Department arrangements, unit information is mainly some relevant informations of organization, head of the unit, system principal, Department arrangements is exactly that the system interface of some relevant informations present invention of section office's code name, section office's title and section directors is divided into advanced level user to arrange and less advanced users is arranged, and wherein advanced level user arranges and includes: system maintenance, data maintenance, data statistics, outpatient service dynamically, be in hospital dynamically and help;Less advanced users arranges and includes: case typing, daily paper record of being in hospital, outpatient service daily record record, medical record amendment, medical record lookup, the comparison of medical record daily paper.
Described medical record management and information acquisition system, is characterized in that ward arranges some relevant informations primarily with regard to section office's code name and section office's title, and doctor's management is exactly some relevant informations of section's code name, attending doctor, resident, intern.
The system definition of the present invention is divided into unit information and Department arrangements, and unit information is mainly some relevant informations of organization, head of the unit, system principal.Department arrangements is exactly that the system interface of some relevant informations present invention of section office's code name, section office's title and section directors is divided into advanced level user to arrange and less advanced users is arranged, and wherein advanced level user arranges and includes: system maintenance, data maintenance, data statistics, outpatient service dynamically, be in hospital dynamically and help;Less advanced users arranges and includes: case typing, daily paper record of being in hospital, outpatient service daily record record, medical record amendment, medical record lookup, the comparison of medical record daily paper.
Ward arranges some relevant informations primarily with regard to section office's code name and section office's title.Doctor's management is exactly some relevant informations of section's code name, attending doctor, resident, intern.It is primarily referred to as the name of these doctors, age.User's management is exactly the relevant information of subscriber-coded, user's name, password, department, post and authority.Data maintenance is exactly some relevant informations that medical record data maintenance is safeguarded with unexpected code maintenance, the maintenance of ICD-10 disease code, ICD-10 Operation encoding.Medical record data maintenance mainly has essential information, diagnostic message, operation information and other information.It is mainly some contents of relevant essential information and operation information here.Operation information refers to the situation before surgical effect, date of surgery, surgical doctor, whether emergency operation, surgical diagnosis and after surgical diagnosis and whether aseptic operation etc..Essential information is exactly some basic conditions of patient, for instance name, sex etc..Data statistics is primarily referred to as statistical report form examination, classification of diseases periodical statement summary table, classification of diseases periodical statement accident table, discharged patient diagnose statistics, hospital person's surgical classification, critical patient's statistics, outpatient service dynamic statistics, dynamic statistics of being in hospital.Outpatient service dynamically mainly includes default, outpatient service daily record typing and outpatient service daily sheet.Default includes daily record typing Department arrangements and dynamic statistics print setting, and dynamic statistics print setting is to print the information in Department arrangements.
Outpatient service daily record typing has three projects: main project, supporting item and sundry item. main project is the number about first visit, further consultation and emergency treatment and the situation of new case and old complaint example. supporting item be then about house observe patient's number, observe patient death number, hospitalization, examine three persons of not making a definite diagnosis, outpatient service is dead, observe patient accounts for the certain situation of a number, outpatient service observation ward sick bed number.Sundry item is then physical examination number, go to hospital bed set up at a patient's home people's number of times, go to location diagnosis and treatment people's number of times, the certain situation of diagnosis and treatment people's number of times of paying a home visit.
The feature of the present invention and useful benefit:
(1) total system adopts Chinese information processing system.
(2) system has following functions: doctor's management, ward setting, medical record data maintenance, statistical report form examination, outpatient service daily sheet and the comparison of medical record daily paper.
(3) people that each operator makes and amendment can be stored to data base, have record to follow the tracks of.
(4) interface is practical, attractive in appearance, definite functions.
(5) it is easy to function expand.
Accompanying drawing explanation
Fig. 1 is the software configuration schematic diagram of the present invention;
Detailed description of the invention
Below in conjunction with accompanying drawing citing, the present invention is described in more detail:
A kind of medical record management and information acquisition system, it is characterized in that the system definition of the present invention is divided into unit information and Department arrangements, unit information is mainly some relevant informations of organization, head of the unit, system principal, Department arrangements is exactly that the system interface of some relevant informations present invention of section office's code name, section office's title and section directors is divided into advanced level user to arrange and less advanced users is arranged, and wherein advanced level user arranges and includes: system maintenance, data maintenance, data statistics, outpatient service dynamically, be in hospital dynamically and help;Less advanced users arranges and includes: case typing, daily paper record of being in hospital, outpatient service daily record record, medical record amendment, medical record lookup, the comparison of medical record daily paper.
It is characterized in that ward arranges some relevant informations primarily with regard to section office's code name and section office's title, doctor's management is exactly some relevant informations of section's code name, attending doctor, resident, intern.
In conjunction with the software configuration schematic diagram that Fig. 1, Fig. 1 are the present invention, the system definition of the present invention is divided into unit information and Department arrangements, and unit information is mainly some relevant informations of organization, head of the unit, system principal.Department arrangements is exactly that the system interface of some relevant informations present invention of section office's code name, section office's title and section directors is divided into advanced level user to arrange and less advanced users is arranged, and wherein advanced level user arranges and includes: system maintenance, data maintenance, data statistics, outpatient service dynamically, be in hospital dynamically and help;Less advanced users arranges and includes: case typing, daily paper record of being in hospital, outpatient service daily record record, medical record amendment, medical record lookup, the comparison of medical record daily paper.
Ward arranges in fact the same with Department arrangements, primarily with regard to some relevant informations of section office's code name and section office's title.Doctor's management is exactly some relevant informations of section's code name, attending doctor, resident, intern.It is primarily referred to as the name of these doctors, age.User's management is exactly the relevant information of subscriber-coded, user's name, password, department, post and authority.Data maintenance is exactly some relevant informations that medical record data maintenance is safeguarded with unexpected code maintenance, the maintenance of ICD-10 disease code, ICD-10 Operation encoding.Medical record data maintenance mainly has essential information, diagnostic message, operation information and other information.It is mainly some contents of relevant essential information and operation information here.Operation information refers to the situation before surgical effect, date of surgery, surgical doctor, whether emergency operation, surgical diagnosis and after surgical diagnosis and whether aseptic operation etc..Essential information is exactly some basic conditions of patient, for instance name, sex etc..Data statistics is primarily referred to as statistical report form examination, classification of diseases periodical statement summary table, classification of diseases periodical statement accident table, discharged patient diagnose statistics, hospital person's surgical classification, critical patient's statistics, outpatient service dynamic statistics, dynamic statistics of being in hospital.Outpatient service dynamically mainly includes default, outpatient service daily record typing and outpatient service daily sheet.Default includes daily record typing Department arrangements and dynamic statistics print setting. and daily record typing Department arrangements is general with Department arrangements above, is not just speaking more here, and dynamic statistics print setting is to print the information in Department arrangements.
Outpatient service daily record typing has three projects: main project, supporting item and sundry item. main project is about first visit, the situation of the number of further consultation and emergency treatment and new case and old complaint example. supporting item is then observe patient's number about housing, observe patient death number, hospitalization, examine three persons of not making a definite diagnosis, outpatient service is dead, observe patient and account for a number, the certain situation of outpatient service observation ward sick bed number. sundry item is then physical examination number, go to hospital bed set up at a patient's home people's number of times, go to location diagnosis and treatment people's number of times, pay a home visit the certain situation of diagnosis and treatment people's number of times.

Claims (2)

1. a medical record management and information acquisition system, it is characterized in that the system definition of the present invention is divided into unit information and Department arrangements, unit information is mainly some relevant informations of organization, head of the unit, system principal, Department arrangements is exactly that the system interface of some relevant informations present invention of section office's code name, section office's title and section directors is divided into advanced level user to arrange and less advanced users is arranged, and wherein advanced level user arranges and includes: system maintenance, data maintenance, data statistics, outpatient service dynamically, be in hospital dynamically and help;Less advanced users arranges and includes: case typing, daily paper record of being in hospital, outpatient service daily record record, medical record amendment, medical record lookup, the comparison of medical record daily paper.
2. a kind of medical record management according to claim 1 and information acquisition system, it is characterized in that ward arranges some relevant informations primarily with regard to section office's code name and section office's title, doctor's management is exactly some relevant informations of section's code name, attending doctor, resident, intern.
CN201410799168.3A 2014-12-20 2014-12-20 Case management and information acquisition system Pending CN105787233A (en)

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CN201410799168.3A CN105787233A (en) 2014-12-20 2014-12-20 Case management and information acquisition system

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Application Number Priority Date Filing Date Title
CN201410799168.3A CN105787233A (en) 2014-12-20 2014-12-20 Case management and information acquisition system

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CN105787233A true CN105787233A (en) 2016-07-20

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107346368A (en) * 2017-04-28 2017-11-14 首都医科大学附属北京妇产医院 A kind of gynecological disease data system
CN107705827A (en) * 2017-10-10 2018-02-16 广州莲印医疗科技有限公司 A kind of obstetrics information management system and its method
CN108806764A (en) * 2017-05-02 2018-11-13 爱半月科技股份有限公司 Medical case examines interrogation tracing system of hearing a case
CN110021394A (en) * 2019-04-09 2019-07-16 中南大学湘雅二医院 A kind of the team's medical record management and dynamic tracing system of initiative community treatment
CN110070947A (en) * 2017-09-11 2019-07-30 首都医科大学附属北京天坛医院 A kind of brain tumor medical record information collection method

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107346368A (en) * 2017-04-28 2017-11-14 首都医科大学附属北京妇产医院 A kind of gynecological disease data system
CN108806764A (en) * 2017-05-02 2018-11-13 爱半月科技股份有限公司 Medical case examines interrogation tracing system of hearing a case
CN110070947A (en) * 2017-09-11 2019-07-30 首都医科大学附属北京天坛医院 A kind of brain tumor medical record information collection method
CN107705827A (en) * 2017-10-10 2018-02-16 广州莲印医疗科技有限公司 A kind of obstetrics information management system and its method
CN107705827B (en) * 2017-10-10 2018-08-21 广州莲印医疗科技有限公司 A kind of obstetrics information management system and method
CN110021394A (en) * 2019-04-09 2019-07-16 中南大学湘雅二医院 A kind of the team's medical record management and dynamic tracing system of initiative community treatment

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Application publication date: 20160720