CN106096294A - The method of nursing, Apparatus and system is continued outside hospital - Google Patents

The method of nursing, Apparatus and system is continued outside hospital Download PDF

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Publication number
CN106096294A
CN106096294A CN201610438865.5A CN201610438865A CN106096294A CN 106096294 A CN106096294 A CN 106096294A CN 201610438865 A CN201610438865 A CN 201610438865A CN 106096294 A CN106096294 A CN 106096294A
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China
Prior art keywords
nursing
reminding task
patient
information
terminal
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CN201610438865.5A
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Chinese (zh)
Inventor
李群
龙海
张晓晖
王臻斌
孙达鹏
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HUNAN GEER WISDOM SCIENCE AND TECHNOLOGY Co Ltd
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HUNAN GEER WISDOM SCIENCE AND TECHNOLOGY Co Ltd
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Priority to CN201610438865.5A priority Critical patent/CN106096294A/en
Publication of CN106096294A publication Critical patent/CN106096294A/en
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    • G06F19/3418
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • G06F19/3456
    • G06F19/3475
    • G06F19/3481
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q50/00Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
    • G06Q50/10Services
    • G06Q50/22Social work
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/18Status alarms
    • G08B21/24Reminder alarms, e.g. anti-loss alarms
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/20ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients

Abstract

The invention provides and outside a kind of hospital, continue the method for nursing, Apparatus and system, described method includes: receive diagnostic message and the doctor's advice information of the patient that medical terminal sends, generate nursing at home plan according to described diagnostic message and described doctor's advice information, described nursing at home plan is sent to patient terminal;Receive nursing confirmation and daily schedule that described patient terminal returns according to described nursing at home plan, generate nursing reminding task according to described nursing confirmation and described daily schedule;Described nursing reminding task is sent to described patient terminal, so that described patient terminal performs described nursing reminding task.Continue the method for nursing, Apparatus and system by outside the hospital that the present invention provides, when patient leave hospital outside hospital, carry out rehabilitation time, rehabilitation course outside the institute of patient is managed, it is achieved medical services are extended to the target of the real rehabilitation of patient.

Description

The method of nursing, Apparatus and system is continued outside hospital
Technical field
The present invention relates to field of medical technology, in particular to continuing the method for nursing, device outside a kind of hospital and being System.
Background technology
At present, patient and diagnosis and treatment process thereof are managed by hospital for convenience, and correlation technique is provided with information for hospital system System (HIS), clinic information system (CIS), community sanitation service information system (CHSS) and hospital client relationship management system (HCRM).Wherein, hospital information system stresses to solve the problem of Cost of Medical Treatment, and clinic information system stresses to solve clinical care Problem, community sanitation service information system stresses to solve the Construction Problems of health account, and hospital client relationship management system stresses Solve patient information management and communication problem.
Inventor finds under study for action, the said system provided by correlation technique, is merely able to control receiving in hospital Treat patient be managed, when patient leave hospital outside hospital, carry out rehabilitation time, cannot be again to patient's by said system Outside institute, rehabilitation course is managed, and medication process, diet situation and the motion conditions that such as cannot be in patient are managed Reason, it is impossible to realize medical services and be extended to the target of the real rehabilitation of patient.
Summary of the invention
In view of this, it is an object of the invention to provide and outside a kind of hospital, continue the method for nursing, Apparatus and system, work as trouble Person leaves hospital when carrying out rehabilitation outside hospital, is managed rehabilitation course outside the institute of patient, it is achieved medical services are extended to The target of the real rehabilitation of patient.
First aspect, embodiments provides a kind of method continuing nursing outside hospital, and described method includes: receive The diagnostic message of the patient that medical terminal sends and doctor's advice information, generate at home according to described diagnostic message and described doctor's advice information Nursing care plan, sends described nursing at home plan to patient terminal;Receive described patient terminal according to described nursing at home meter Draw the nursing confirmation and daily schedule returned, generate nursing according to described nursing confirmation and described daily schedule and carry Awake task;Described nursing reminding task is sent to described patient terminal, so that described patient terminal performs described nursing and reminds Task.
In conjunction with first aspect, embodiments provide the first possible embodiment of first aspect, wherein, according to Described diagnostic message and described doctor's advice information generate nursing at home plan, including;The ontology knowledge base preset is utilized to examine described Disconnected information and described doctor's advice information extract default checkup item and doctor's advice project;According to the described checkup item extracted and institute State doctor's advice project to retrieve in default case library, determine and the described checkup item extracted and described doctor's advice project phase The case joined;Nursing care plan corresponding for the described case determined is sent to described medical terminal as SCP, connects Receive the described medical terminal audit opinion to described SCP, according to described audit opinion and described SCP Generate nursing at home plan.
In conjunction with first aspect, embodiments provide the embodiment that first aspect the second is possible, wherein, according to Described nursing confirmation and described daily schedule generate nursing reminding task and include one or more in the following manner: from institute State in nursing confirmation and extract medication relevant information, by the finite-state automata that pre-sets according to the described daily schedule Described medication relevant information is decomposed into medication reminding task, using described medication reminding task as nursing reminding task;From institute State in nursing confirmation and extract motion related information, by the finite-state automata that pre-sets according to the described daily schedule Described motion related information is decomposed into motion reminding task, using described motion reminding task as nursing reminding task;From institute State in nursing confirmation and extract diet relevant information, by the finite-state automata that pre-sets according to the described daily schedule Described diet relevant information is decomposed into diet reminding task, using described diet reminding task as nursing reminding task.
In conjunction with first aspect, embodiments provide the third possible embodiment of first aspect, wherein, described Method also includes: detects described patient terminal and performs the performance of described nursing reminding task, when detecting that described patient is eventually End has performed current care plan corresponding whole nurse reminding task time, issue rehabilitation questionnaire to described patient terminal, and The questionnaire receiving described patient terminal feedback answers information;Judge described questionnaire answer information the most qualified, if defective, then to Described medical terminal is fed back described underproof questionnaire and is answered information, so that described medical terminal is according to described underproof questionnaire Answer information carries out medical intervention.
In conjunction with the embodiment that first aspect is above-mentioned, embodiments provide the 4th kind of possible enforcement of first aspect Mode, wherein, described method also includes: detects described patient terminal and performs the performance of described nursing reminding task, works as inspection Measure described patient terminal unenforced nursing reminding task when exceeding predetermined number, report nursing at home to described medical terminal Abnormal information, so that described medical terminal carries out medical intervention.
Second aspect, embodiments provides the device continuing nursing outside a kind of hospital, and described device includes: nursing Plan generation module, for receiving diagnostic message and the doctor's advice information of the patient that medical terminal sends, according to described diagnostic message Generate nursing at home plan with described doctor's advice information, described nursing at home plan is sent to patient terminal;Reminding task generates Module, for receiving nursing confirmation and the daily schedule that described patient terminal returns according to described nursing at home plan, Nursing reminding task is generated according to described nursing confirmation and described daily schedule;Reminding task issues module, for by institute State nursing reminding task to send to described patient terminal, so that described patient terminal performs described nursing reminding task.
In conjunction with second aspect, embodiments provide the first possible embodiment of second aspect, wherein, described Nursing care plan generation module includes;Extraction unit, for utilizing default ontology knowledge base described diagnostic message and described doctor Advise and information is extracted default checkup item and doctor's advice project;Retrieval unit, for according to the described checkup item extracted and institute State doctor's advice project to retrieve in default case library, determine and the described checkup item extracted and described doctor's advice project phase The case joined;Signal generating unit, for sending nursing care plan corresponding for the described case that determine to institute as SCP State medical terminal, receive the described medical terminal audit opinion to described SCP, according to described audit opinion and institute State SCP and generate nursing at home plan.
In conjunction with second aspect, embodiments provide the embodiment that second aspect the second is possible, wherein, described Reminding task generation module includes with one or more in lower unit: medication reminding task signal generating unit, for protecting from described Reason confirmation extracts medication relevant information, by the finite-state automata that pre-sets according to the described daily schedule by institute State medication relevant information and be decomposed into medication reminding task, using described medication reminding task as nursing reminding task;Motion is reminded Task signal generating unit, for extracting motion related information, by the finite state pre-set from described nursing confirmation Described motion related information is decomposed into motion reminding task according to the described daily schedule by automat, by described motion reminding task As nursing reminding task;Diet reminding task signal generating unit, for extracting the relevant letter of diet from described nursing confirmation Breath, is decomposed into diet according to the described daily schedule by described diet relevant information by the finite-state automata pre-set and carries Awake task, using described diet reminding task as nursing reminding task.
In conjunction with second aspect, embodiments provide the third possible embodiment of second aspect, wherein, described Device also includes: rehabilitation questionnaire issues module, completes feelings for detect that described patient terminal performs described nursing reminding task Condition, when detect described patient terminal performed current care plan corresponding whole nursing reminding task time, to described trouble Person's terminal issues rehabilitation questionnaire, and the questionnaire receiving described patient terminal feedback answers information;Questionnaire answers judge module, is used for Judge that described questionnaire answers information the most qualified, if defective, then feed back described underproof questionnaire to described medical terminal and return Answer information, so that described medical terminal answers information according to described underproof questionnaire carries out medical intervention.
The third aspect, embodiments provides the system continuing nursing outside a kind of hospital, and described system includes above-mentioned Continue the device of nursing outside the hospital of second aspect, also include medical terminal and patient terminal;Described medical terminal is to described doctor The device continuing nursing outside institute sends diagnostic message and the doctor's advice information of patient;The device continuing nursing outside described hospital receives institute State diagnostic message and described doctor's advice information, generate nursing at home plan, by institute according to described diagnostic message and described doctor's advice information State nursing at home plan to send to described patient terminal;Described nursing at home plan is confirmed by described patient terminal, generates Nursing confirmation, reports to continue outside described hospital the device of nursing by described nursing confirmation and daily schedule;Described The device continuing nursing outside hospital receives described nursing confirmation and described daily schedule, according to described nursing confirmation and The described daily schedule generates nursing reminding task, sends described nursing reminding task to described patient terminal;Described patient is eventually End performs described nursing reminding task.
In the embodiment of the present invention, first receive diagnostic message and the doctor's advice information of the patient that medical terminal sends, according to this Diagnostic message and this doctor's advice information generate nursing at home plan, send this nursing at home plan to patient terminal, then receive Nursing confirmation that patient terminal returns according to this nursing at home plan and daily schedule, according to this nursing confirmation and This daily schedule generates nursing reminding task, finally sends this nursing reminding task to patient terminal, so that patient terminal holds This nursing reminding task of row.Owing to by continuing the method for nursing outside the hospital in the present embodiment, Apparatus and system can be to trouble Person sends nursing at home plan, makes patient be in and performs nursing task, therefore carries out rehabilitation outside hospital when patient leaves hospital Time, by continuing the method for nursing outside the hospital in the present embodiment, Apparatus and system can enter by rehabilitation course outside the institute to patient Line pipe is managed, it is achieved medical services are extended to the target of the real rehabilitation of patient.
For making the above-mentioned purpose of the present invention, feature and advantage to become apparent, preferred embodiment cited below particularly, and coordinate Appended accompanying drawing, is described in detail below.
Accompanying drawing explanation
In order to be illustrated more clearly that the technical scheme of the embodiment of the present invention, below by embodiment required use attached Figure is briefly described, it will be appreciated that the following drawings illustrate only certain embodiments of the present invention, and it is right to be therefore not construed as The restriction of scope, for those of ordinary skill in the art, on the premise of not paying creative work, it is also possible to according to this A little accompanying drawings obtain other relevant accompanying drawings.
Fig. 1 shows the first schematic flow sheet of the method continuing nursing outside the hospital that the embodiment of the present invention is provided;
Fig. 2 shows a kind of based on body the application system frame structure schematic diagram that the present embodiment provides;
Fig. 3 shows the signal of a kind of Case Retrieval classification tree as a example by diabetes that the embodiment of the present invention provided Figure;
Fig. 4 shows the decomposing schematic representation of the medication relevant information that the embodiment of the present invention provided;
Fig. 5 a shows that medication relevant information is decomposed into by the finite-state automata that utilizes that the embodiment of the present invention is provided The schematic diagram of medication reminding task;
Fig. 5 b shows that the finite-state automata that utilizes that the embodiment of the present invention is provided performs multiple medication reminding task Schematic diagram;
Fig. 6 shows the second schematic flow sheet of the method continuing nursing outside the hospital that the embodiment of the present invention is provided;
Fig. 7 shows patient assessment's schematic flow sheet that the embodiment of the present invention is provided;
Fig. 8 shows the first frame structure signal of the device continuing nursing outside the hospital that the embodiment of the present invention is provided Figure;
Fig. 9 shows the second frame structure signal of the device continuing nursing outside the hospital that the embodiment of the present invention is provided Figure;
Figure 10 shows that the third frame structure of the device continuing nursing outside the hospital that the embodiment of the present invention is provided is shown It is intended to;
Figure 11 shows the frame structure schematic diagram of the system continuing nursing outside the hospital that the embodiment of the present invention is provided.
Detailed description of the invention
For making the purpose of the embodiment of the present invention, technical scheme and advantage clearer, below in conjunction with the embodiment of the present invention Middle accompanying drawing, is clearly and completely described the technical scheme in the embodiment of the present invention, it is clear that described embodiment is only It is a part of embodiment of the present invention rather than whole embodiments.Generally real with the present invention illustrated described in accompanying drawing herein The assembly executing example can be arranged with various different configurations and design.Therefore, below to the present invention's provided in the accompanying drawings The detailed description of embodiment is not intended to limit the scope of claimed invention, but is merely representative of the selected reality of the present invention Execute example.Based on embodiments of the invention, the institute that those skilled in the art are obtained on the premise of not making creative work There are other embodiments, broadly fall into the scope of protection of the invention.
In view of the multiple medical system provided by correlation technique, it is merely able to the patient to receiving treatment in hospital and enters Line pipe manage, when patient leave hospital outside hospital, carry out rehabilitation time, it is impossible to again rehabilitation course outside the institute of patient is managed, than Medication process, diet situation and motion conditions as being in patient are managed, it is impossible to realize medical services continuity To the target of the real rehabilitation of patient, the invention provides and outside a kind of hospital, continue the method for nursing, Apparatus and system, below in conjunction with Embodiment is specifically described.
Embodiments providing a kind of method continuing nursing outside hospital, the method is applied by medical terminal, clothes In the system of business device and patient terminal's composition, it is mutual that medical terminal and patient terminal carry out information respectively with server, this service Device is the executive agent of the method in the present embodiment, and in this server, storage has body medical knowledge storehouse.
As it is shown in figure 1, the method continuing nursing outside hospital in the embodiment of the present invention comprises the following steps:
Step S102, receives the diagnostic message of patient and doctor's advice information that medical terminal sends, according to this diagnostic message and Doctor's advice information generates nursing at home plan, sends this nursing at home plan to patient terminal.
Being provided with medical terminal in the present embodiment, this medical terminal can be disposed on the terminal unit of hospital, such as computer Deng, it is provided with specific program in this terminal unit, can be to terminal unit input disease by these specific program medical personnel The diagnostic message of people and doctor's advice information, wherein, the diagnostic message of patient include the name of patient, the age, sex, main suit's state of an illness, The information such as every inspection result, doctor's advice information includes meeting the doctor's advice template of national standard specification and describes, and such as nursing routine, protects The Process Characters such as reason rank, criticality level, medicine doctor's advice, dietary management, special handling describe.
Can be managed the logical relation between much information in view of ontology, the present embodiment uses body skill Diagnostic message and doctor's advice information are decomposed by art, generate nursing at home plan, specifically include following steps:
(a1) ontology knowledge base preset is utilized to extract default checkup item and doctor in diagnostic message and doctor's advice information Advise project.The present embodiment is preset with ontology knowledge base, is capable of according to diagnostic message and doctor's advice by this ontology knowledge base Information generates all processes of nursing at home plan.Diagnostic message includes multiple checkup item, such as disease name, ill journey Degree, clinical symptoms, every inspection result etc., doctor's advice information includes multiple doctor's advice project, such as nursing degree, criticality level, medicine Product doctor's advice, dietary management suggestion etc..In a kind of preferred embodiment, default checkup item is set and includes disease name and clinic Symptom, default doctor's advice project includes criticality level and medicine doctor's advice.The checkup item preset can also be other diagnostic messages, The doctor's advice project preset can also be other doctor's advice information.
(a2) checkup item and doctor's advice project according to extracting are retrieved in default case library, determine and extraction The case that checkup item and doctor's advice project match.In the present embodiment, ontology is provided with case library, in this case library Storage has a large amount of patient successfully to go to a doctor rehabilitation example, specifically includes condition-inference and the nursing care plan of each patient.Based on Some disease, especially chronic disease have obvious general character, utilize the matching algorithm pre-set according to extraction in this step Checkup item and doctor's advice project retrieve in default case library, obtain and extract checkup item and doctor's advice project phase Like spending the highest case, the matching algorithm wherein pre-set includes overall situation Similarity Algorithm and local homology algorithm.
(a3) nursing care plan corresponding for the case determined is sent to medical terminal as SCP, receive medical treatment The terminal audit opinion to this SCP, generates nursing at home meter according to this audit opinion and this SCP Draw.SCP is the nursing care plan of the patient of immediate successful rehabilitation with the disease condition of current patents.Medical treatment is eventually SCP can be audited by end according to the disease condition of current patents, generates audit opinion, and audit opinion is permissible It is suggestion for revision, it is also possible to be to confirm suggestion.SCP is revised by server according to this audit opinion, is fitted Together in the personalized nursing care plan of current patents, the nursing care plan of this personalization is exactly the nursing at home plan of current patents. In the present embodiment, nursing at home plan includes the multinomial contents such as the dietary recommendation of patient, medication plan and exercise suggestion, by occupying Family's nursing care plan can help patient to be in the rehabilitation carried out outside hospital.
Fig. 2 shows a kind of based on body the application system frame structure schematic diagram that the present embodiment provides, this application system System is for performing the method shown in above-mentioned Fig. 1.As in figure 2 it is shown, the application system pre-build in the present embodiment includes 3 layers Face, is user's alternation of bed respectively, Business Logic and representation of knowledge layer.In Fig. 2, the Web Service of user's alternation of bed refers to It it is the webserver.
Wherein user's alternation of bed mainly receives the input information of medical personnel, and such as the patient's of medical personnel's input is individual People's information, the state of an illness and the description of symptom, and the lab testing data etc. being associated.
The core of Business Logic is the module operating body, code realize.Utilize inference engine (such as JENA) inference mechanism provided in completes the operation to body.Its groundwork is divided into following several part: (1) knowledge query. According to the information provided by alternation of bed, body is operated, from knowledge base, extract the data conduct about Drug use administration Output content is supplied to medical personnel or patient.(2) Row control.Obtaining knowledge when, it is necessary to knowledge base (is included Body and data base) inquire about, utilize the rule of inference being determined in advance, derive required knowledge services.(3) task pipe Reason.It is managed monitoring to the work plan in nursing care plan and task according to the prerequisite pre-set and expectation prognosis.
Knowledge expression layer (is again data access layer), mainly by body and case library, SCP storehouse, drug data Storehouse forms, it is provided that structurized data represent and storage.Body by build a nursing at home conceptual model with And inherent logic association between each entity, it is provided that the semantic query function of this layer of core and inference function.
As a example by system interface in Fig. 2, it is previously provided with case library and SCP storehouse in system, in case library Storage has a large amount of patient successfully to go to a doctor rehabilitation example, and SCP storehouse internal memory contains the nursing care plan of these a large amount of patients. In above-mentioned steps (a2), it is i.e. to retrieve in case library, obtains the case the most similar to checkup item and doctor's advice project, The nursing care plan that this case is corresponding is found in SCP storehouse.
Fig. 3 shows the schematic diagram of a kind of Case Retrieval classification tree as a example by diabetes that the present embodiment provides.Arrange The checkup item preset includes that disease name and clinical symptoms, default doctor's advice project include criticality level and medicine doctor's advice, its Middle disease name is diabetes, specifically type 2 diabetes mellitus, and criticality level is middle danger, and clinical symptoms is 1-2 risk factor.? During the case matched according to the checkup item extracted and the doctor's advice project retrieval that extracts, first search according to disease name To diabetes case tree as shown in Figure 3, then search according to danger in type 2 diabetes mellitus, criticality level and 1-2 risk factor To corresponding case library, using the case in case library as the case the most similar to checkup item and doctor's advice project.A kind of real Execute in example, when having multiple case in the case library finally found, additionally it is possible to select the case mated most according to medicine doctor's advice The case that example, i.e. types of medicines and application method are the most close, using this case as with checkup item and doctor's advice project phase the most As case.
It should be noted that Fig. 3 is that 3 grades of prevention mechanisms according to the offer of National Diabetes guideline of prevention and treatment are to different patient populations Body is distinguish between. but in the data that can consult, strict difinition be there is no for diabetes classification (class) standard, and this legend is only used for The purposes of discussion of the structural principle of case library.So, in terms of the classification classification of these diabetes, the most professional elaboration is said The bright suggestion being necessary to follow medical science (diabetes) domain expert.
After generating nursing at home plan, also nursing at home plan is sent to patient terminal.
Step S104, when receiving nursing confirmation and the work and rest that patient terminal returns according to above-mentioned nursing at home plan Between, generate nursing reminding task according to this nursing confirmation and this daily schedule.
Being provided with patient terminal in the present embodiment, this patient terminal can be the terminal unit of patient, such as computer, intelligence hands Machine, wearable device etc., be provided with specific program in this terminal unit, is able to receive that at home by this specific program patient Nursing care plan, and nursing at home plan is confirmed, generate and nurse confirmation, and input the daily schedule of oneself, pass through Nursing confirmation and daily schedule are reported to server by terminal unit.Wherein, nursing at home plan includes the beginning of nursing Date and deadline, also include the dietary recommendation of patient's every day, exercise suggestion and medication suggestion.When patient is whole by patient After termination receives nursing at home plan, if patient confirms nursing at home, plan is errorless, then to patient terminal's input validation information, Current nursing at home is intended to be nursing confirmation and sends to server by patient terminal, if patient needs change at home The Start Date of nursing care plan and deadline, then patient revises the Start Date of nursing at home plan by patient terminal and cuts On the only date, amended nursing at home is intended to be nursing confirmation and reports to server by patient terminal.
In this step, server generates nursing reminding task according to nursing confirmation and daily schedule and includes in the following manner In one or more:
(b1) from nursing confirmation, extract medication relevant information, by the finite-state automata that pre-sets according to This medication relevant information is decomposed into medication reminding task by the daily schedule, using this medication reminding task as nursing reminding task. Medication relevant information includes the usage of each quasi drugs, consumption, the frequency and takes the information such as duration.Medication reminding task includes respectively The information such as the usage of quasi drugs, consumption, the frequency, the administration time taking duration and every day.It is to say, medication reminding task Compared with medication relevant information, adding this information of administration time of every day, the administration time of every day is the work according to patient The breath time is derived by.
In the present embodiment, use the finite-state automata in ontology to generate medication reminding task, specifically include: will Medication relevant information is decomposed into multiple medication reminding task, models in the middle of body, and according to pre-set prerequisite (Preconditions) and expectation prognosis (expected Outcomes), trigger a finite-state automata (Deterministic Finite State Machine, DFSM), using each pending medication reminding task as letter The output item of breath service is pushed to patient.By the way of finite-state automata, generate medication reminding task there is coding letter Single, easily realize, reusable advantage.By medication reminding task, it is possible to remind user according to the daily schedule of patient According to medication, medication process of being in patient is managed.
(b2) from nursing confirmation, extract motion related information, by the finite-state automata that pre-sets according to This motion related information is decomposed into motion reminding task by the daily schedule, using this motion reminding task as nursing reminding task. Motion related information includes the information such as type of exercise that doctor recommends, the motion frequency, motion duration.Motion reminding task includes doctor The information such as the type of exercise of raw recommendation, the motion frequency, motion duration, the movement time of every day.It is to say, motion reminding task Compared with motion related information, adding this information of movement time of every day, the movement time of every day is the work according to patient The breath time is derived by.
In the present embodiment, use the finite-state automata in ontology to generate motion reminding task, specifically include: will Motion related information is decomposed into multiple motion reminding task, models in the middle of body, and according to pre-set prerequisite (Preconditions) and expectation prognosis (expected Outcomes), trigger a finite-state automata (Deterministic Finite State Machine, DFSM), using each pending motion reminding task as letter The output item of breath service is pushed to patient.By motion reminding task, it is possible to according to daily schedule of patient remind user according to Doctor's advice is moved, and motor process of being in patient is managed.
(b3) from nursing confirmation, extract diet relevant information, by the finite-state automata that pre-sets according to This diet relevant information is decomposed into diet reminding task by the daily schedule, using this diet reminding task as nursing reminding task. Diet relevant information includes the information such as dietetic variety, the amount of drinking, dietary precautions.Diet reminding task include dietetic variety, The information such as the amount of drinking, dietary precautions, the diet time of every day.It is to say, diet reminding task and diet relevant information Comparing, add this information of diet time of every day, the diet time of every day is to be derived by the daily schedule according to patient 's.
In the present embodiment, use the finite-state automata in ontology to generate diet reminding task, specifically include: will Diet relevant information is decomposed into multiple diet reminding task, models in the middle of body, and according to pre-set prerequisite (Preconditions) and expectation prognosis (Expected Outcomes), trigger a finite-state automata (Deterministic Finite State Machine, DFSM), using each pending diet reminding task as letter The output item of breath service is pushed to patient.One preferred embodiment in, diet reminding task also includes that the every canteen of patient is used Food suggestion.By diet reminding task, it is possible to remind user according to doctor's advice diet according to daily schedule of patient, and point out Patient advises the food eaten, and diet processes of being in patient is managed.
As a example by medication reminding task, how will be nursed by finite-state automata the following detailed description of in the present embodiment Medication relevant information in confirmation is decomposed into medication reminding task, and controls patient terminal and perform this medication reminding task.
In the present embodiment, by the way of coding, build finite-state automata, specifically, a finite-state automata (Deterministic Finite State Machine, DFSM) is a five-tuple A=(∑, S, s0, δ, F), wherein ∑ Being an input alphabet (set of nonempty finite character), S is the set of a nonempty finite state, and s0 represents one initially State, δ is a transfer function: δ: S x Σ--> S, F be the set of a receptive phase.Limited in the present embodiment It is simple that state automata has coding, easily realizes, reusable advantage.
Medication relevant information can be understood as an event, can medication relevant information be divided by finite-state automata Solving the subevent for Process Character one by one, these subevents can also be broken down into different processes (Procedures), sub-mistake Journey (sub-Procedure), movable (Activities) and task (Tasks), be the generic relation of layering between them, the most just Being to say, each process can contain multiple activities, and each activity can contain multiple tasks, and task here is exactly medication Reminding task.As a example by the medication relevant information of certain cholecystitis, Fig. 4 shows the exploded pictorial of medication relevant information Figure, as shown in Figure 4, this medication relevant information can be broken down into process as shown in Figure 4, subprocess, activity and task.
Clinically, owing to the diagnosis of different patients is different, the concrete medication reminding task of the most each patient (Tasks) it is likely to difference.Each medication reminding task of patient to be performed, it is necessary to first preset each medication reminding task and perform Prerequisite (Preconditions) and expectation prognosis (Expected Outcoms).
Fig. 5 a utilizes finite-state automata that medication relevant information is decomposed into medication to carry for what the embodiment of the present invention provided The schematic diagram of task of waking up.As shown in Figure 5 a, by a RDF-Graph built, node represents the example of class, and its limit represents The attribute of nursing path, it is shown that the local segment in certain sickness nursing path (NCP).Perform process in medication reminding task to work as In, if having the state of certain step A1 and the expectation prognosis (Expected Outcome) of T1 (Task1, task 1) is step The input of A2, the input of A1 is the state of T1 and T2 (Task2, task 2).Assume that the state of A1 is to wait for (Waiting for Sub-steps), the state of A2 is unactivated state (inactive), and the state of T1 has been the state of (Completed) and T2 It is to activate (Active).If the DFSM that engine performs T2, T2 can transfer to " completing (Completed) " state, this shape State change can cause the state of A1 by " waiting (Waiting for sub-steps) " to " completing (Completed) ", and A1 Change can trigger the DFSM of A2 and state is changed to by " inactive (inactive) " " activating (Active) ".Process is performed at this In the middle of, all of step can be performed successively, until all of DFSM reaches their stable state and do not has other possible migration State occurs.Enforcement engine can also process multiple activation step, because what the present embodiment taked is a time to share width Preferential search strategy, this also makes the multiple activation tasks performed in a parallel fashion in the middle of medication reminding task become can Energy.In Fig. 5 a, step A1 is followed by (is Followed By) step A2.Outcome refers to prognosis.Has Task refers to have and appoints Business, has Precondition refers to there is prerequisite, and has Outcome refers to there is prognosis.
The finite-state automata that utilizes that Fig. 5 b provides for the embodiment of the present invention performs the signal of multiple medication reminding task Figure.As shown in Figure 5 b: in the present embodiment, the step (the most above-mentioned medication reminding task) of an activation can activate its sub-step Rapid or its next step;Such as when a following medication task, " take metformin hydrochloride, three times a day, each one Sheet " it can be broken down into three subtasks inside system, and medication alert is unactivated state by acquiescence first (inactive), if 1 its prerequisite (precondition) be satisfied (such as user input one initial time Between), it can proceed to state of activation (active State), adds pending activation queue.If 2 it be wait certain Prerequisite is satisfied, and it can proceed to waiting state (Waiting for Precondition).If 3 certain step Prerequisite (such as: medication alert user has confirmed for the first time) is satisfied, and it also can proceed to state of activation.If 4 certain Individual step is in above the leaf node of tree, say, that it does not has subsequent step or other steps, and once it is held Row, will turn completion status (Completed).If 5 other all of steps are all performed, and certain step institute etc. The prerequisite treated the most is not satisfied, then it can proceed to abandon (Discarded) state (such as: if owned the same day Medication reminding task be all performed complete, but have a medication reminding task user not input initial time, then it Discarding state can be proceeded to, that is to say and perform failure).If 6 have a non task step (non-task Step) (such as mistake Journey, or movable) be chosen to perform, then it can proceed to wait sub-step (waiting for Sub-steps).7 and 8, if One task is to complete in the sub-step waiting it, and once they are accomplished, and this task can be counted as task.As Really its all sub-steps are dropped, then the step for can be transferred into discarding state (Discarded) equally.
Step S106, sends nursing reminding task to patient terminal, so that patient terminal performs to nurse reminding task.
When nursing reminding task and including medication reminding task, medication reminding task being sent to patient terminal, patient is eventually End can remind patient's medication on time according to the administration time of the every day in medication reminding task.When nursing reminding task includes fortune During dynamic reminding task, motion reminding task being sent to patient terminal, patient terminal can every according in motion reminding task It movement time reminds patient to move on time.When nursing reminding task and including diet reminding task, by diet reminding task Sending to patient terminal, patient terminal can remind patient to drink according to the diet time of the every day in diet reminding task on time Food.
In view of after patient has performed current nursing at home plan, need the rehabilitation situation of patient is evaluated, As shown in Figure 6, the method in the present embodiment is further comprising the steps of:
Step S402, detection patient terminal performs to nurse the performance of reminding task, when detecting that patient terminal performs When completing whole nursing reminding task corresponding to current care plan, issue rehabilitation questionnaire to patient terminal, and receive patient eventually The questionnaire of end feedback answers information.When server detects that patient has performed whole nursing reminding task, to patient Terminal issues rehabilitation questionnaire, and rehabilitation questionnaire is answered by patient by patient terminal, generates questionnaire and answers information.
Step S404, it is judged that it is the most qualified that this questionnaire answers information, if defective, then feeds back this to medical terminal defective Questionnaire answer information so that medical terminal according to this underproof questionnaire answer information carry out medical intervention.When server is sentenced When disconnected questionnaire answer information is defective, determine that Rehabilitation effect is undesirable, answer information by this underproof questionnaire and send extremely Medical terminal, the medical personnel of medical terminal according to this underproof questionnaire answer information select to continue patient treated or Other operations of person.When hospital personnel selects to continue to treat patient, the house of next stage can be sent to server Nursing care plan, this nursing at home plan is sent to patient terminal by server, and patient terminal is carried out according to this nursing at home plan The nursing of next stage.
In the present embodiment, perform to nurse the performance of reminding task by detection patient, and issue rehabilitation to patient and ask Volume, it is possible to the rehabilitation situation of reasonable assessment patient, when finding that Rehabilitation effect is undesirable, can contact doctor in time and cure Treat and intervene, it is ensured that the smooth recovery of patient.
It is not carried out nursing reminding task in view of when patient is the most secondary, when not taking medicine on time such as too many time, Huan Zhecun Abandon the possibility of nursing in withdrawal, the method in the present embodiment is further comprising the steps of:
Detection patient terminal performs to nurse the performance of reminding task, when detecting that the unenforced nursing of patient terminal carries When awake task exceedes predetermined number, report nursing at home abnormal information to medical terminal, so that medical terminal carries out medical intervention.
Specifically, do not take medicine on time when detecting that patient is the most secondary, or diet the most on time, or not by luck Time dynamic, server reports nursing at home abnormal information to medical terminal, so that medical personnel carry out medical intervention to patient, as drawn Lead patient and continue the operations such as nursing.Pass through above-mentioned steps, it is possible to find the exception nursing situation of patient in time, in time to medical care people Member reports, it is ensured that patient's smooth recovery.
In the embodiment of the present invention, first receive diagnostic message and the doctor's advice information of the patient that medical terminal sends, according to this Diagnostic message and this doctor's advice information generate nursing at home plan, send this nursing at home plan to patient terminal, then receive Nursing confirmation that patient terminal returns according to this nursing at home plan and daily schedule, according to this nursing confirmation and This daily schedule generates nursing reminding task, finally sends this nursing reminding task to patient terminal, so that patient terminal holds This nursing reminding task of row.Owing to nursing at home plan can be sent to patient by the method in the present embodiment, patient is made to exist Family perform nursing task, therefore when patient leave hospital outside hospital, carry out rehabilitation time, can by the method in the present embodiment Rehabilitation course outside the institute of patient is managed, it is achieved medical services are extended to the target of the real rehabilitation of patient.
Prior art can be reminded the terminal of patient medication, need patient be manually entered medicine time kimonos pharmacopoeia class with And medicining times, terminal carries out medication prompting according to the time of patient's typing.Compared with prior art, the method in the present embodiment It is capable of automatically obtaining the doctor's advice information of doctor, automatically generates nursing care plan, automatically patient is carried out nursing and reminds, it is not necessary to suffer from Person is manually entered reminded contents, saves patient's operation, and user experience is more preferable.
Fig. 7 shows patient assessment's flow chart that the present embodiment provides, as it is shown in fig. 7, this flow process includes:
Step 502, when patient does not feel like oneself, goes to medical institutions to seek medical advice.
Step 504, medical institutions use medical terminal, the essential information of registration patient.
Step 506, patient is diagnosed by doctor, and uses medical terminal to register diagnosis name.
Step 508, doctor, according to diagnosis, is that patient registers doctor's advice in medical terminal, determines doctor's advice item.
Step 510, body medical knowledge storehouse (the most above-mentioned server) receives the patient's letter passed over by medical terminal Breath, diagnosis and doctor's advice item, and decompose the generation nursing at home plan of doctor's advice item, and send nursing at home plan to patient terminal.
Step 512, patient confirms the nursing at home plan this time sought medical advice patient terminal, and the individual character arranging individual is turned into The breath time.
Step 514, body medical knowledge storehouse receives the confirmation nursing care plan passed over by patient terminal and individual character is turned into Breath temporal information, generates the nursing reminding task of patient, and nursing reminding task is sent back patient terminal.
Step 516, the time that patient terminal is determined by nursing reminding task, reminds patient medication on time, and records patient Medicining condition.
Step 518, when all nursing reminding task of this nursing care plan all complete, is answered what this was sought medical advice by patient Rehabilitation questionnaire.
Step S520, it is judged that whether questionnaire result is rehabilitation, the most then execution step S522, this end of seeking medical advice, no Then, patient again carry out perform step 502 seek medical advice.
By the method continuing nursing outside the hospital in the present embodiment, it is possible to solve current doctor doctor's advice patient and fail to understand, Needing doctor's verbal explanation and patient often to forget can not be in accordance with the problem of doctor's advice medication, additionally it is possible to solves current doctor and does not knows about After inquiring or the medicining condition of Discharged patients and rehabilitation situation, and can not intervene and adjust medical scheme in time, Rehabilitation The ill problem of process, additionally it is possible to solve slow sick nursing at home process, especially slow sick house Drug use administration process.
The method continuing nursing outside corresponding above-mentioned hospital, the embodiment of the present invention additionally provides and continues nursing outside a kind of hospital Device, for performing above-mentioned method, as shown in Figure 8, this device 6 includes:
Nursing care plan generation module 61, for receiving diagnostic message and doctor's advice information, the root of the patient that medical terminal sends Generate nursing at home plan according to diagnostic message and doctor's advice information, nursing at home plan is sent to patient terminal;
Reminding task generation module 62, for receiving the nursing confirmation that patient terminal returns according to nursing at home plan And the daily schedule, generate nursing reminding task according to nursing confirmation and daily schedule;
Reminding task issues module 63, for sending nursing reminding task to patient terminal, so that patient terminal performs Nursing reminding task.
Wherein, nursing care plan generation module 61 specifically includes;Extraction unit, for utilizing default ontology knowledge base examining Disconnected information and doctor's advice information extract default checkup item and doctor's advice project;Retrieval unit, for according to the diagnosis item extracted Mesh and doctor's advice project are retrieved in default case library, determine the case matched with the checkup item extracted and doctor's advice project Example;Signal generating unit, for being sent to medical terminal as SCP by nursing care plan corresponding for the case that determine, receives The medical terminal audit opinion to SCP, generates nursing at home plan according to audit opinion and SCP.
Wherein, reminding task generation module 62 includes with one or more in lower unit: medication reminding task generates single Unit, for extracting medication relevant information, by the finite-state automata that pre-sets according to work and rest from nursing confirmation Medication relevant information is decomposed into medication reminding task by the time, using medication reminding task as nursing reminding task;Motion is reminded Task signal generating unit, for extracting motion related information, by the finity state machine pre-set from nursing confirmation Motion related information is decomposed into motion reminding task according to the daily schedule by machine, motion reminding task is reminded as nursing and appoints Business;Diet reminding task signal generating unit, for extracting diet relevant information, by having of pre-setting from nursing confirmation Diet relevant information is decomposed into diet reminding task according to the daily schedule, using diet reminding task as protecting by limit state automata Reason reminding task.
In view of after patient has performed current nursing at home plan, need the rehabilitation situation of patient is evaluated, As it is shown in figure 9, the device 6 in the present embodiment also includes: rehabilitation questionnaire issues module 71, it is used for detecting patient terminal and performs nursing The performance of reminding task, when detecting that patient terminal has performed corresponding whole of current care plan and nursed reminding task Time, issue rehabilitation questionnaire to patient terminal, and the questionnaire receiving patient terminal's feedback answers information;Questionnaire answers judge module 72, it is used for judging that questionnaire answers information the most qualified, if defective, then feed back underproof questionnaire to medical terminal and answer letter Breath, so that medical terminal answers information according to underproof questionnaire carries out medical intervention.
It is not carried out nursing reminding task in view of when patient is the most secondary, when not taking medicine on time such as too many time, Huan Zhecun Abandon the possibility of nursing in withdrawal, as shown in Figure 10, the device in the present embodiment also includes: abnormal information reporting module 81, perform to nurse the performance of reminding task for detecting patient terminal, when detecting that the unenforced nursing of patient terminal carries When awake task exceedes predetermined number, report nursing at home abnormal information to medical terminal, so that medical terminal carries out medical intervention.
In the embodiment of the present invention, first receive diagnostic message and the doctor's advice information of the patient that medical terminal sends, according to this Diagnostic message and this doctor's advice information generate nursing at home plan, send this nursing at home plan to patient terminal, then receive Nursing confirmation that patient terminal returns according to this nursing at home plan and daily schedule, according to this nursing confirmation and This daily schedule generates nursing reminding task, finally sends this nursing reminding task to patient terminal, so that patient terminal holds This nursing reminding task of row.Owing to nursing at home plan can be sent to patient by the device in the present embodiment, patient is made to exist Family perform nursing task, therefore when patient leave hospital outside hospital, carry out rehabilitation time, can by the device in the present embodiment Rehabilitation course outside the institute of patient is managed, it is achieved medical services are extended to the target of the real rehabilitation of patient.
The method and apparatus continuing nursing outside corresponding above-mentioned hospital, the embodiment of the present invention additionally provides a kind of hospital extension The system of continuous nursing, as shown in figure 11, this system includes the device 91 continuing nursing outside hospital, and outside the most above-mentioned hospital, continuity is protected The device of reason, also includes medical terminal 92 and patient terminal 93;
Medical terminal 92 continues the device 91 of nursing outside hospital and sends diagnostic message and the doctor's advice information of patient;
The device 91 continuing nursing outside hospital receives diagnostic message and doctor's advice information, raw according to diagnostic message and doctor's advice information Become nursing at home plan, nursing at home plan is sent to patient terminal 93;
Nursing at home plan is confirmed by patient terminal 93, generates nursing confirmation, will nursing confirmation and work The breath time reports to continue outside hospital the device 91 of nursing;
The device 91 continuing nursing outside hospital receives nursing confirmation and daily schedule, according to nursing confirmation and work The breath time generates nursing reminding task, sends nursing reminding task to patient terminal 93;
Patient terminal 93 performs nursing reminding task.
Owing to nursing at home plan can be sent to patient by the system in the present embodiment, make patient be in and perform nursing Task, therefore when patient leave hospital outside hospital, carry out rehabilitation time, can be to the institute of patient by the system in the present embodiment Outer rehabilitation course is managed, it is achieved medical services are extended to the target of the real rehabilitation of patient.
The device that the embodiment of the present invention is provided can be the specific hardware on equipment or the software being installed on equipment Or firmware etc..The device that the embodiment of the present invention is provided, it realizes principle and the technique effect of generation and preceding method embodiment Identical, for briefly describing, the not mentioned part of device embodiment part, refer to corresponding contents in preceding method embodiment.Belonging to The technical staff in field is it can be understood that arrive, for convenience and simplicity of description, and system, device and unit described above Specific works process, is all referred to the corresponding process in said method embodiment, does not repeats them here.
In embodiment provided by the present invention, it should be understood that disclosed apparatus and method, can be by other side Formula realizes.Device embodiment described above is only that schematically such as, the division of described unit, the most only one are patrolled Volume function divides, and actual can have other dividing mode when realizing, the most such as, multiple unit or assembly can in conjunction with or can To be integrated into another system, or some features can be ignored, or does not performs.Another point, shown or discussed each other Coupling direct-coupling or communication connection can be the INDIRECT COUPLING by some communication interfaces, device or unit or communication link Connect, can be electrical, machinery or other form.
The described unit illustrated as separating component can be or may not be physically separate, shows as unit The parts shown can be or may not be physical location, i.e. may be located at a place, or can also be distributed to multiple On NE.Some or all of unit therein can be selected according to the actual needs to realize the mesh of the present embodiment scheme 's.
It addition, each functional unit in the embodiment that the present invention provides can be integrated in a processing unit, it is possible to Being that unit is individually physically present, it is also possible to two or more unit are integrated in a unit.
If described function is using the form realization of SFU software functional unit and as independent production marketing or use, permissible It is stored in a computer read/write memory medium.Based on such understanding, technical scheme is the most in other words The part contributing prior art or the part of this technical scheme can embody with the form of software product, this meter Calculation machine software product is stored in a storage medium, including some instructions with so that a computer equipment (can be individual People's computer, server, or the network equipment etc.) perform all or part of step of method described in each embodiment of the present invention. And aforesaid storage medium includes: USB flash disk, portable hard drive, read only memory (ROM, Read-Only Memory), random access memory are deposited The various media that can store program code such as reservoir (RAM, Random Access Memory), magnetic disc or CD.
It should also be noted that similar label and letter represent similar terms, therefore, the most a certain Xiang Yi in following accompanying drawing Individual accompanying drawing is defined, then need not it be defined further and explains in accompanying drawing subsequently, additionally, term " the One ", " second ", " the 3rd " etc. are only used for distinguishing and describe, and it is not intended that instruction or hint relative importance.
It is last it is noted that the detailed description of the invention of embodiment described above, the only present invention, in order to the present invention to be described Technical scheme, be not intended to limit, protection scope of the present invention is not limited thereto, although with reference to previous embodiment to this Bright it is described in detail, it will be understood by those within the art that: any those familiar with the art In the technical scope that the invention discloses, the technical scheme described in previous embodiment still can be modified or can be light by it It is readily conceivable that change, or wherein portion of techniques feature is carried out equivalent;And these are revised, change or replace, do not make The essence of appropriate technical solution departs from the spirit and scope of embodiment of the present invention technical scheme.All should contain the protection in the present invention Within the scope of.Therefore, protection scope of the present invention should described be as the criterion with scope of the claims.

Claims (10)

1. the method continuing nursing outside a hospital, it is characterised in that described method includes:
Receive diagnostic message and the doctor's advice information of the patient that medical terminal sends, according to described diagnostic message and described doctor's advice information Generate nursing at home plan, described nursing at home plan is sent to patient terminal;
Receive nursing confirmation and daily schedule that described patient terminal returns according to described nursing at home plan, according to institute State nursing confirmation and the described daily schedule generates nursing reminding task;
Described nursing reminding task is sent to described patient terminal, so that described patient terminal performs described nursing prompting and appoints Business.
Method the most according to claim 1, it is characterised in that generate according to described diagnostic message and described doctor's advice information and occupy Family's nursing care plan, including;
The ontology knowledge base preset is utilized to extract default checkup item and doctor in described diagnostic message and described doctor's advice information Advise project;
Described checkup item and described doctor's advice project according to extracting are retrieved in default case library, determine and extraction The case that described checkup item and described doctor's advice project match;
Nursing care plan corresponding for the described case determined is sent to described medical terminal as SCP, receives described The medical terminal audit opinion to described SCP, generates according to described audit opinion and described SCP and occupies Family's nursing care plan.
Method the most according to claim 1, it is characterised in that raw according to described nursing confirmation and described daily schedule Nursing reminding task is become to include one or more in the following manner:
Medication relevant information is extracted, by the finite-state automata that pre-sets according to described from described nursing confirmation Described medication relevant information is decomposed into medication reminding task by the daily schedule, described medication reminding task is reminded as nursing and appoints Business;
Motion related information is extracted, by the finite-state automata that pre-sets according to described from described nursing confirmation Described motion related information is decomposed into motion reminding task by the daily schedule, described motion reminding task is reminded as nursing and appoints Business;
Diet relevant information is extracted, by the finite-state automata that pre-sets according to described from described nursing confirmation Described diet relevant information is decomposed into diet reminding task by the daily schedule, described diet reminding task is reminded as nursing and appoints Business.
Method the most according to claim 1, it is characterised in that described method also includes:
Detect described patient terminal and perform the performance of described nursing reminding task, when detecting that described patient terminal has performed When becoming whole nursing reminding task corresponding to current care plan, issue rehabilitation questionnaire to described patient terminal, and described in receiving The questionnaire of patient terminal's feedback answers information;
Judge that described questionnaire answers information the most qualified, if defective, then underproof ask to described medical terminal feedback is described Rollback answers information, so that described medical terminal answers information according to described underproof questionnaire carries out medical intervention.
5. according to the method described in any one of Claims 1-4, it is characterised in that described method also includes:
Detect described patient terminal and perform the performance of described nursing reminding task, when detecting that described patient terminal is not carried out Nursing reminding task when exceeding predetermined number, report nursing at home abnormal information to described medical terminal, so that described medical treatment Terminal carries out medical intervention.
6. continue the device of nursing outside a hospital, it is characterised in that described device includes:
Nursing care plan generation module, for receiving diagnostic message and the doctor's advice information of the patient that medical terminal sends, according to described Diagnostic message and described doctor's advice information generate nursing at home plan, send described nursing at home plan to patient terminal;
Reminding task generation module, for receiving the nursing confirmation letter that described patient terminal returns according to described nursing at home plan Breath and daily schedule, generate nursing reminding task according to described nursing confirmation and described daily schedule;
Reminding task issues module, for sending described nursing reminding task to described patient terminal, so that described patient is eventually End performs described nursing reminding task.
Device the most according to claim 6, it is characterised in that described nursing care plan generation module includes;
Extraction unit, presets for utilizing default ontology knowledge base to extract in described diagnostic message and described doctor's advice information Checkup item and doctor's advice project;
Retrieval unit, for examining in default case library according to the described checkup item extracted and described doctor's advice project Rope, determines the case matched with the described checkup item extracted and described doctor's advice project;
Signal generating unit, for sending nursing care plan corresponding for the described case that determine to described medical treatment as SCP Terminal, receives the described medical terminal audit opinion to described SCP, according to described audit opinion and described standard Nursing care plan generates nursing at home plan.
Device the most according to claim 6, it is characterised in that described reminding task generation module includes with in lower unit One or more:
Medication reminding task signal generating unit, for extracting medication relevant information, by setting in advance from described nursing confirmation Described medication relevant information is decomposed into medication reminding task according to the described daily schedule by the finite-state automata put, by described Medication reminding task is as nursing reminding task;
Motion reminding task signal generating unit, for extracting motion related information, by setting in advance from described nursing confirmation Described motion related information is decomposed into motion reminding task according to the described daily schedule by the finite-state automata put, by described Motion reminding task is as nursing reminding task;
Diet reminding task signal generating unit, for extracting diet relevant information, by setting in advance from described nursing confirmation Described diet relevant information is decomposed into diet reminding task according to the described daily schedule by the finite-state automata put, by described Diet reminding task is as nursing reminding task.
Device the most according to claim 6, it is characterised in that described device also includes:
Rehabilitation questionnaire issues module, performs the performance of described nursing reminding task for detecting described patient terminal, works as inspection Measure described patient terminal performed current care plan corresponding whole nursing reminding task time, under described patient terminal Send out rehabilitation questionnaire, and the questionnaire receiving described patient terminal feedback answers information;
Questionnaire answers judge module, is used for judging that described questionnaire answers information the most qualified, if defective, then to described medical treatment eventually End feeds back described underproof questionnaire and answers information, enters so that described medical terminal answers information according to described underproof questionnaire Row medical intervention.
10. continue the system of nursing outside a hospital, it is characterised in that described system includes such as any one of claim 6 to 9 institute Continue the device of nursing outside the hospital stated, also include medical terminal and patient terminal;
Described medical terminal continues diagnostic message and the doctor's advice information of the device transmission patient of nursing outside described hospital;
The device continuing nursing outside described hospital receives described diagnostic message and described doctor's advice information, according to described diagnostic message and Described doctor's advice information generates nursing at home plan, sends described nursing at home plan to described patient terminal;
Described nursing at home plan is confirmed by described patient terminal, generates nursing confirmation, by described nursing confirmation letter Breath and daily schedule report to continue outside described hospital the device of nursing;
The device continuing nursing outside described hospital receives described nursing confirmation and described daily schedule, true according to described nursing Recognize information and the described daily schedule generates nursing reminding task, described nursing reminding task is sent to described patient terminal;
Described patient terminal performs described nursing reminding task.
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