CN106570314A - ICCINO (Insurance, Check, Check, Inform, Nursing and Observe) door-to-door nurse service standard - Google Patents

ICCINO (Insurance, Check, Check, Inform, Nursing and Observe) door-to-door nurse service standard Download PDF

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Publication number
CN106570314A
CN106570314A CN201610911166.8A CN201610911166A CN106570314A CN 106570314 A CN106570314 A CN 106570314A CN 201610911166 A CN201610911166 A CN 201610911166A CN 106570314 A CN106570314 A CN 106570314A
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nurse
data
service
patient
home
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魏贵磊
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Beijing Thousand Medical Health Management Co Ltd
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Beijing Thousand Medical Health Management Co Ltd
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    • G06F19/32
    • G06F19/328
    • G06F19/34
    • 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
    • G06Q50/00Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
    • G06Q50/10Services
    • G06Q50/22Social work or social welfare, e.g. community support activities or counselling services

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Abstract

The invention discloses an ICCINO (Insurance, Check, Check, Inform, Nursing and Observe) door-to-door nurse service standard which comprises a data source database and a target database, wherein the data source database and the target database respectively comprise storage modules, configuration modules, conversion modules and communication modules; the storage modules are used for storing data information; the configuration modules are used for adjusting configuration information before data transmission; the conversion modules are used for performing format conversion on data; and the communication modules are used for performing data and instruction communication between the data source database and the target database. The invention further provides a data exchange method and a use method of the door-to-door nurse service standard. According to the service standard, the data exchange method and the use method, insufficiency of the prior art can be improved; and the efficiency and the accuracy of the data transmission between the databases in different types are improved.

Description

ICCINO nurse makes house calls standard
Technical field
The standard the present invention relates to the Internet medical field, especially a kind of ICCINO nurse make house calls.
Background technology
The Internet medical treatment, new opplication of the Internet in medical industry, major part at this stage also simply include to interconnect Net be the health education of carrier and technological means, medical information inquiry, Electronic Health Record, disease risks assess, online disease The health medical treatment service of the various ways such as consulting, electronic prescription, remote medical consultation with specialists and teletherapy and rehabilitation.First video group Under medical care get home-nurse makes house calls, based on the Internet medical treatment, employ based on location-based service (LBS) technology, combine far Journey invocation of procedure agreement (RPC), while combining to store and transmit by NOSQL data bases MongoDB with oracle technologies Data, realize nurse rob about, specially appoint and rob the creative the Internet+pattern such as about push, breakthroughly by the interconnection on line Net medical treatment effectively and is intactly integrated together with the medical treatment under line.
In the existing stage, the Internet+medical treatment major part also rest on " Instant-Counseling and Health management service are provided, including, One-to-one family doctor's service, the professional consultation of front three name doctor and extra outpatient service plus sige etc.." as industry based on consultancy service Business service area, " nurse makes house calls " are also stayed in community's property service of small range.To a certain extent, cannot The real-time doctor for providing the very first time for patient in place supports service, it is impossible to which effectively alleviation medical resource is nervous obtains problem.Medical care is arrived The not homogeneous online inquiring of family, but visited by releasing nurse, register accompany the patient to see a doctor, drug delivery is got home, Chinese physical therapy, slow disease time Visit, abroad seek medical advice, nurse confinement-caring woman, health service under the line such as lactogenic teacher, reinvent medical ecology.Medical care gets home-and nurse makes house calls With reference to original Internet technology itself, " high cost of getting medical treatment, the difficulty and high cost of getting medical " this long-standing problem is effectively alleviated.
The content of the invention
The technical problem to be solved in the present invention is to provide a kind of ICCINO nurse and makes house calls standard, can solve the problem that existing skill The deficiency of art, improves efficiency and accuracy that data are transmitted between distinct type data-base.
To solve above-mentioned technical problem, the technical solution used in the present invention is as follows.
A kind of ICCINO nurse makes house calls standard, including data source data storehouse and target database, data source data storehouse Include with target database respectively:
Storage module, for store digital information;
Configuration module, for being adjusted to the configuration information before data transfer;
Modular converter, for carrying out form conversion to data;
Communication module, for the communication of data and instruction is carried out between data source data storehouse and target database.
A kind of above-mentioned ICCINO nurse makes house calls the method for interchanging data of standard, comprises the following steps:
A, data source data storehouse and target database are determined according to data transfer direction;
B, data message is read from the storage module in data source data storehouse;
C, data source data storehouse and target database pass through communication module switched data transmission configuration information, with target data Storehouse is reference edge, and the configuration module in data source data storehouse carries out configuration information adjustment, modular converter logarithm to the data before transmission Changed according to form;
D, data are transmitted by communication module;
E, the modular converter of target database enter row format conversion to the data for receiving, then number of the configuration module to reception Adjust according to secondary configuration is carried out;
F, treated data are stored in the storage module of target database;
After G, this data transfer are finished, data source data storehouse and target data are redefined according to data transfer demands Storehouse.
Preferably, in step C, the characteristic information of the configuration module extraction data in data source data storehouse sets up characteristic information Bar, in the first insertion retrieval trigger and the mapping relations character field of characteristic information bar and data of characteristic information bar, in feature The last position insertion logger of information bar;The modular converter in data source data storehouse is compressed to data, and by characteristic information Characteristic bag of the bar as compressed file.
Preferably, in step D, being transmitted to the characteristic bag of compressed file first, then compressed file being entered Line delay is transmitted.
Preferably, in step E, the modular converter of target database according to transmission come characteristic bag parsed, Decompression algorithm is selected, and according to decompression algorithm option and installment form;The modular converter of target database is to transmitting the compression for coming text Part is decompressed and is proofreaded, and then configuration module carries out secondary configuration to data according to the prior configuration format for selecting;It is secondary to match somebody with somebody Put is that data receiver sequential, data storage form, data retrieval form are adjusted.
A kind of above-mentioned ICCINO nurse makes house calls the using method of standard, comprises the following steps:
A, freely (Insurance) is insured for both sides:
Medical care to be got home and insure strategic cooperation with Chinese people, is that service both persons freely insure《Unexpected A.R.》, protect The barrier both sides injury that has an accident in order placement service address causes to die and disabled;
Medical care is got home and Chinese safety cooperation, is that service both sides freely insure《Third party liability insurance》With《Personal accident Danger》, ensure both sides from the time of placing an order to service terminate service process in, because have an accident injury caused by die, deformity, Malpractice insurance and to the third party's personal injury and property loss for causing;
Medical care is got home, and is that service platform doctor freely insures《Doctor's Operation responsibility danger》, ensure Platform doctor causes contingency because of malpractice;
B, checking nurse's qualification (Check):
Medical care is got home each nurse of authentication registration, through artificial real-name authentication, practicing requirements certification, it is ensured that each Enter the verity of nurse and professional;
Nurse fills in Real Name, identity information and inaugural hospital, section office when APP applications for registration are got home in medical care;
Fill in service item, work experience and the clinical experience being good at;
Uploading academic title proves photo, i.e.,《Nurse's certification》Or《Nurse's operation is demonstrate,proved》In be printed on the page of details, carry Examination & verification, details page is handed over to include:Nurse's name, detailed identification information, specialty and academic title's rank, practising place, effect duration And vocational certificate numbering;
After submitting examination & verification to, the auditor that medical care is got home will examine all data of nurse's submission, and defend meter by country Committee website http://zgcx.nhfpc.gov.cn, input province, nurse's Real Name and place medical institutions, inquires about and confirms Nurse's qualification;
After nurse's examination & verification passes through, become medical care and get home the certification nurse of platform, got home by medical care and enter for neighbouring patient Row is made house calls;
C, inspection user provide proof (Check) of infusing outside medicine, instrument and institute for oneself:
On nurse behind the door, patient actively shows what national regular hospital doctor was issued to nurse《Prescription》And《Inject outside institute Prove》It is related allow to carry out outside institute to have an injection, the documentary evidence of service of infusing;
Regular《Prescription》Write and must use blue-black water-color paintbrush, not handy pencil or ball pen;And be made up of three parts:1st, it is front Note:Including medical treatment and disease-prevention and healthcare institutions' title, prescription numbering, take not, agriculture conjunction medical insurance number, patient's name, sex, the age, Outpatient service or inpatient cases number, department or ward and bed number, clinical diagnosises, issue date etc., and the project that training is required;2、 Text:Indicated with Rp or R, point row nomenclature of drug, specification, quantity, usage and dosage;3rd, postscript:Physician's signature, Sales Volumes and Examination & verification, allotment, verification, the pharmacy technical staff signature of dispensing;
《Proof is injected outside institute》Write medical treatment and disease-prevention and healthcare institutions' title exactly, patient's name, sex, age, outpatient service or live Institute's medical record number, department or ward and clinical diagnosises, be responsible for doctor, issue date etc., and write exactly permission carry out having an injection outside institute, it is defeated Liquid etc., finally adds a cover the stamped signature for issuing mechanism;
To ensure patient safety, on nurse behind the door, check again for that patient's this time service uses provides whether medicine meets for oneself Medical care is got home regulation of making house calls, when the instrument used required for secondary service whether on deck, correctly;And strict implement " two People's check system ", it is necessary to take prescription list, together with third party, checks patient's name, the medicine name for checking all medicines, dosage, dense Degree, time, usage;Liquid quality is checked, notes whetheing there is rotten, ampoule, injection bottle have flawless;Sealed aluminum is stamped without pine It is dynamic;Transfusion bag whether there is leak;Medicinal liquid whether there is muddiness and floccule;Expired drug, effect duration and lot number are for example undesirable or mark Unclear person is signed, must not be used;
Dangerous higher medicine, the including but not limited to medicine of skin test class, such as penicillins, cardiac tonic, such as cedilanid, Antitussive, such as aminophylline, shaping class, such as hyaluronic acid, thinning face pin are not provided and are made house calls;Jing after nurse reaffirms, if not Meet medical care to get home regulation of making house calls, nurse is not provided when time service, does not collect service fee;
D, health guidance are simultaneously signed《Informed Consent Form》(Inform):
On nurse behind the door, before being serviced, it is first according to《User assesses table》, patient is assessed in detail, including Address name, sex, age, diagnosis, history of past illness, history of operation, allergies, consciousness and condition, degree of cooperation, this service Type, the nomenclature of drug for using and usage record, and strictly record nurse visit with time departure, service at the beginning and end of Between, both sides' signature is suffered from by shield and is confirmed;
For this service and patient concrete condition, give correlation health guidance and communication and education, including diet with Nutrition, rest and activity, medication guide, self-monitoring and psychological instruction;Inform the item that should be noted before and after patient service;
To ensure patient safety, it is must to sign before patient's explanation is serviced《Informed Consent Form》, further inform patient The involved points for attention of this service and risk that may be present, patient confirm and after agreement of signing, are serviced;
E, nurse's nursing procedure (Nursing):
Medical care is got home the project of making house calls for opening up, and is that clinical nurse is the most frequently used and the nursing procedure of skilled grasp, bag Include have an injection, infuse, dressing, venous blood collection, nasal feeding, indwelling gastric tube and urinary catheter, mouth care, enterostomal nursing and Bedsore Nursing;
Strict implement " three look into eight pairs of attentions " system in operation, i.e., " look into before operation, operate in look into, operate after Look into ", " outpatient service or medical record number, name, medicine name, concentration, dosage, usage, time and effect duration in verification prescription " " notes seeing React after examining medication ";
The nurse that medical care is got home by certification, all possesses national authentication《Nurse's certification》And《Nurse's operation is demonstrate,proved》, And 80% for Grade A hospital operation nurse, all nurse's operation experiences of platform at least above 3 years, so as to ensure that medical care is arrived The nursing procedure quality and level of nurse team of family;
F, at least 20 minutes (Observe) of observation:
After the completion of nurse's service, patient information is checked again and using medicine etc., that is, the verification after being operated, and noted React after observation patient medication;In patient evaluation table, service ending time is strictly recorded, it is true by nurse and patient both sides' signature Recognize;
Such as patient's reservation is that common set meal is made house calls, and after the completion of service, nurse assists patient to put in order and uses thing, is seen The reaction of patient, health after operating are examined, skin conditions etc. at least 20 minutes, confirm to have no problem at transfusion speed, puncture After leave.
Using the beneficial effect brought by above-mentioned technical proposal it is:
1st, perfect the Internet is robbed the synthesis of about/distribute leaflets pattern and is deposited, and in O2O distribute leaflets and competition for orders battle, breaches skill Art barrier.In common O2O, message pushes presence, and such as " specific aim is poor, the information content lack of targeted of push, inconvenience Meet the individual demand of user;Information source task weight, information source system on one's own initiative, rapidly, constantly by bulk information will be pushed to User." as defect.Make house calls in flow process in nurse, about and specially appoint order to carry out effective and reasonable shunting for robbing, While according to the longitude and latitude and urban information of the LBS location informations of mobile device, server has carried out regionality to PUSH message Ground, pointedly, scope ground divide, both ensured that user profile pointedly sent, and in time sequence information can be transferred to again Corresponding nurse's client.After valid data have been reached in rule, the transmission of the information of redundancy is there will be no, thus Internet resources are reasonably saved, the smoothness and succinct actual effect of information service communication has been ensured.
2nd, nurse makes house calls the good combination led with the Internet+medical treatment, integrates medical resource with the Internet, and optimization is reasonable Distribution doctor supports resource.
3rd, the popularization of Open Source Platform resource is used with in-depth has good effect.
4th, transmitting procedure of the data between disparate databases passes through the cooperation of configuration module and modular converter, reduces number According to process repeats and the waiting time of transmitting procedure, transfer rate is improve;Data form with joint efforts can be effectively improved Before data transfer and transmission after for the treatment effeciency of data.
Description of the drawings
Fig. 1 is the hardware structure diagram of a specific embodiment of the invention.
In figure:1st, data source data storehouse;2nd, target database;3rd, storage module;4th, configuration module;5th, modular converter;6、 Communication module.
Specific embodiment
With reference to Fig. 1, a specific embodiment of the invention includes data source data storehouse 1 and target database 2, data source number Include according to storehouse 1 and target database 2 respectively:
Storage module 3, for store digital information;
Configuration module 4, for being adjusted to the configuration information before data transfer;
Modular converter 5, for carrying out form conversion to data;
Communication module 6, for the communication of data and instruction is carried out between data source data storehouse 1 and target database 2.
A kind of above-mentioned ICCINO nurse makes house calls the method for interchanging data of standard, comprises the following steps:
A, data source data storehouse 1 and target database 2 are determined according to data transfer direction;
B, data message is read from the storage module 3 in data source data storehouse 1;
C, data source data storehouse 1 and target database 2 pass through 6 switched data transmission configuration information of communication module, with target Data base 2 is reference edge, and the data before the transmission of configuration module 4 pairs in data source data storehouse 1 carry out configuration information adjustment, modulus of conversion Block 5 is changed to data form;
D, data are transmitted by communication module 6;
E, the data of 5 pairs of receptions of modular converter of target database 2 enter row format conversion, then 4 pairs of receptions of configuration module Data carry out it is secondary configuration adjustment;
F, treated data are stored in the storage module 3 of target database 2;
After G, this data transfer are finished, data source data storehouse 1 and target data are redefined according to data transfer demands Storehouse 2.
In step C, the characteristic information of the extraction data of configuration module 4 in data source data storehouse 1 sets up characteristic information bar, in spy The first insertion retrieval trigger and characteristic information bar of information bar and the mapping relations character field of data are levied, in characteristic information bar Insert logger in last position;The modular converter 5 in data source data storehouse 1 is compressed to data, and using characteristic information bar as The characteristic bag of compressed file.
In step D, first the characteristic bag of compressed file is transmitted, then enters line delay biography to compressed file It is defeated.
In step E, the modular converter 5 of target database 2 is parsed according to the characteristic bag that transmission comes, and selects to decompress Algorithm, and according to decompression algorithm option and installment form;The compressed file that 5 pairs of transmission of modular converter of target database 2 come is carried out Decompress and proofread, then configuration module 4 carries out secondary configuration to data according to the prior configuration format for selecting;Secondary configuration is right Data receiver sequential, data storage form, data retrieval form are adjusted.
A kind of above-mentioned ICCINO nurse makes house calls the using method of standard, comprises the following steps:
A, freely (Insurance) is insured for both sides:
Medical care to be got home and insure strategic cooperation with Chinese people, is that service both persons freely insure《Unexpected A.R.》, protect The barrier both sides injury that has an accident in order placement service address causes to die and disabled;
Medical care is got home and Chinese safety cooperation, is that service both sides freely insure《Third party liability insurance》With《Personal accident Danger》, ensure both sides from the time of placing an order to service terminate service process in, because have an accident injury caused by die, deformity, Malpractice insurance and to the third party's personal injury and property loss for causing;
Medical care is got home, and is that service platform doctor freely insures《Doctor's Operation responsibility danger》, ensure Platform doctor causes contingency because of malpractice;
B, checking nurse's qualification (Check):
Medical care is got home each nurse of authentication registration, through artificial real-name authentication, practicing requirements certification, it is ensured that each Enter the verity of nurse and professional;
Nurse fills in Real Name, identity information and inaugural hospital, section office when APP applications for registration are got home in medical care;
Fill in service item, work experience and the clinical experience being good at;
Uploading academic title proves photo, i.e.,《Nurse's certification》Or《Nurse's operation is demonstrate,proved》In be printed on the page of details, carry Examination & verification, details page is handed over to include:Nurse's name, detailed identification information, specialty and academic title's rank, practising place, effect duration And vocational certificate numbering;
After submitting examination & verification to, the auditor that medical care is got home will examine all data of nurse's submission, and defend meter by country Committee website http://zgcx.nhfpc.gov.cn, input province, nurse's Real Name and place medical institutions, inquires about and confirms Nurse's qualification;
After nurse's examination & verification passes through, become medical care and get home the certification nurse of platform, got home by medical care and enter for neighbouring patient Row is made house calls;
C, inspection user provide proof (Check) of infusing outside medicine, instrument and institute for oneself:
On nurse behind the door, patient actively shows what national regular hospital doctor was issued to nurse《Prescription》And《Inject outside institute Prove》It is related allow to carry out outside institute to have an injection, the documentary evidence of service of infusing;
Regular《Prescription》Write and must use blue-black water-color paintbrush, not handy pencil or ball pen;And be made up of three parts:1st, it is front Note:Including medical treatment and disease-prevention and healthcare institutions' title, prescription numbering, take not, agriculture conjunction medical insurance number, patient's name, sex, the age, Outpatient service or inpatient cases number, department or ward and bed number, clinical diagnosises, issue date etc., and the project that training is required;2、 Text:Indicated with Rp or R, point row nomenclature of drug, specification, quantity, usage and dosage;3rd, postscript:Physician's signature, Sales Volumes and Examination & verification, allotment, verification, the pharmacy technical staff signature of dispensing;
《Proof is injected outside institute》Write medical treatment and disease-prevention and healthcare institutions' title exactly, patient's name, sex, age, outpatient service or live Institute's medical record number, department or ward and clinical diagnosises, be responsible for doctor, issue date etc., and write exactly permission carry out having an injection outside institute, it is defeated Liquid etc., finally adds a cover the stamped signature for issuing mechanism;
To ensure patient safety, on nurse behind the door, check again for that patient's this time service uses provides whether medicine meets for oneself Medical care is got home regulation of making house calls, when the instrument used required for secondary service whether on deck, correctly;And strict implement " two People's check system ", it is necessary to take prescription list, together with third party, checks patient's name, the medicine name for checking all medicines, dosage, dense Degree, time, usage;Liquid quality is checked, notes whetheing there is rotten, ampoule, injection bottle have flawless;Sealed aluminum is stamped without pine It is dynamic;Transfusion bag whether there is leak;Medicinal liquid whether there is muddiness and floccule;Expired drug, effect duration and lot number are for example undesirable or mark Unclear person is signed, must not be used;
Dangerous higher medicine, the including but not limited to medicine of skin test class, such as penicillins, cardiac tonic, such as cedilanid, Antitussive, such as aminophylline, shaping class, such as hyaluronic acid, thinning face pin are not provided and are made house calls;Jing after nurse reaffirms, if not Meet medical care to get home regulation of making house calls, nurse is not provided when time service, does not collect service fee;
D, health guidance are simultaneously signed《Informed Consent Form》(Inform):
On nurse behind the door, before being serviced, it is first according to《User assesses table》, patient is assessed in detail, including Address name, sex, age, diagnosis, history of past illness, history of operation, allergies, consciousness and condition, degree of cooperation, this service Type, the nomenclature of drug for using and usage record, and strictly record nurse visit with time departure, service at the beginning and end of Between, both sides' signature is suffered from by shield and is confirmed;
For this service and patient concrete condition, give correlation health guidance and communication and education, including diet with Nutrition, rest and activity, medication guide, self-monitoring and psychological instruction;Inform the item that should be noted before and after patient service;
To ensure patient safety, it is must to sign before patient's explanation is serviced《Informed Consent Form》, further inform patient The involved points for attention of this service and risk that may be present, patient confirm and after agreement of signing, are serviced;
E, nurse's nursing procedure (Nursing):
Medical care is got home the project of making house calls for opening up, and is that clinical nurse is the most frequently used and the nursing procedure of skilled grasp, bag Include have an injection, infuse, dressing, venous blood collection, nasal feeding, indwelling gastric tube and urinary catheter, mouth care, enterostomal nursing and Bedsore Nursing;
Strict implement " three look into eight pairs of attentions " system in operation, i.e., " look into before operation, operate in look into, operate after Look into ", " outpatient service or medical record number, name, medicine name, concentration, dosage, usage, time and effect duration in verification prescription " " notes seeing React after examining medication ";
The nurse that medical care is got home by certification, all possesses national authentication《Nurse's certification》And《Nurse's operation is demonstrate,proved》, And 80% for Grade A hospital operation nurse, all nurse's operation experiences of platform at least above 3 years, so as to ensure that medical care is arrived The nursing procedure quality and level of nurse team of family;
G, at least 20 minutes (Observe) of observation:
After the completion of nurse's service, patient information is checked again and using medicine etc., that is, the verification after being operated, and noted React after observation patient medication;In patient evaluation table, service ending time is strictly recorded, it is true by nurse and patient both sides' signature Recognize;
Such as patient's reservation is that common set meal is made house calls, and after the completion of service, nurse assists patient to put in order and uses thing, is seen The reaction of patient, health after operating are examined, skin conditions etc. at least 20 minutes, confirm to have no problem at transfusion speed, puncture After leave.
Concrete operation method is:Medical care is got home after user's registration, by user's mobile device mandate, based on location-based service (LBS) technology, by the radio communication network (such as GSM nets, CDMA nets) or outside positioning mode of telecommunications mobile operator (such as GPS the positional information (geographical coordinate, or geodetic coordinates) of mobile phone users) is obtained, so as to get user current location letter The longitude and latitude of breath.Meanwhile, also the civic location information that user is located can be obtained according to longitude and latitude.
When user initiates order subscription services, order longitude and latitude is got according to LBS.Medical care get home server obtain longitude and latitude After degree and city, collecting and process for data can be carried out by NOSQL data base MongoDB and oracle.
Get home the internal rule that product stood surely according to medical care, customer-centric point, with city as positioning, according to long-range mistake Journey invocation protocol, with distance to be oriented to, with the distributed computing environment (DCE) on open type software basis from server end to shield The mobile terminal of scholar is sent with the relation of client computer with the server of one-to-many and is connected, and is transmitted corresponding order data and is believed in detail Breath.
Medical care gets home nurse after corresponding order data is received, and can select to rob about or neglect according to sequence information Omit order.After order is robbed about, app servers are got home in medical care can be to robbing unirecord with the storage mode of Oriented Documents and pass accordingly It is that the mode that type database purchase combines is stored, the data of two parts storage can be interacted and synchronous, it is ensured that user The stability and concordance of data.Then according to internal rule, the nurse's information for best suiting requirement is got, matching, determination are robbed Single successfully nurse, has thus formed the order transaction relation between nurse and patient user.
After the match is successful, medical care get home server can according to inquire from NOSQL data base MongoDB patient user letter Breath and the information of the successful nurse of competition for orders, send the PUSH message and short message for successfully reaching order accordingly.
The nurse of successful competition for orders, can be according to order contents, and user is by telephonic communication, according to LBS locating and displayings Patient user's positional information, reaches appointed place offer and makes house calls.
Rob about order, be patient user after platform places an order, one-to-many push order messages give several nurses, nurse click on Rob the flow process of about order.Make house calls in flow process in nurse, user retrieves special services item by app and fills in relevant information Afterwards, click on reservation function button immediately, it becomes possible to which order is stored in into server with the basis of NOSQL and relevant database In data storage.In the case of order is effective, server can be got according to LBS and be moved based on user by monitoring scanning order The order of moved end equipment places an order positional information, while by effective sequence information, data flow is converted to, by far-distance communication service Agreement, is got home the corresponding online nurse of client app to medical care in the way of one-to-many, according to city and the internal rule of distance Push the data message.Nurse user after the PUSH message and short message of the information is got can see at app ends and order Single partial information, at the same can click on rob about/ignore function button and operated, client can be entered to the operation behavior of nurse Row record, and the nurse's information transfer robbed about is returned into server end and this record is stored in NOSQL data base MongoDB.Clothes Business device carries out Screening Treatment to data, and principle of visiting according to internal rule and nearby etc. is filtered out Nurse carries out matching confirmation.After the match is successful, success notification can be sent to the nurse and patient user that the match is successful.
Order is specially appointed, and patient user is referred to when placing an order, by screening nurse's information list that server is provided, is selected only One nurse for determining, order specific assignment is visited flow process to the nurse that chooses.In specially appointing order, user enters nurse's list page Behind face, server can ask nurse data to relevant database ORACLE, enter row-column list row at app ends according to corresponding rule Sequence.User can intuitively get the related qualification information of the suitable nurse of itself, service data etc., determine in user corresponding After nurse places an order, push is no longer carrying out according to the about push of pattern and information issue rules are robbed.In the case, service Device can get the information of specific nurse and the information of the patient user that places an order, and navigate to both geographical position letters by LBS Breath, then according to telecommunication protocol by sequence information is pushed, notifies specific nurse, nurse is again from app ends to user's Order carries out feedback operation, and server can record this operation, the synchronous object information for returning operation.If nurse user's point Hit and confirm an order, patient user is formed with the order relation of medical care nurse.
Rob about push mode, refer in nurse makes house calls, after patient user places an order, server to order data at After reason, according to LBS confirm user place an order position information after, according to set rule, periodically expand property ground to meeting condition Nurse group push order data information, information points out nurse to rob the pattern of about order after reaching nurse's client.Rob and about push away Pattern is sent, is such as the information pushing mode of " network propagation ", the intelligent data of the message push mode after existing routine processes information Unique push mode beyond the active information push of storehouse system.Visiting the rule-based approach of itself with reference to the medical care nurse that gets home On, the push mode be with users' mobile end position location as be oriented to, after server is to respective orders data processing, according to Family move end position, carry out in the range of push mode step by step.In the case where about pattern is robbed, level is clearly demarcated, after valid data are reached, Rob about to push and stop.This pattern, is substantially effectively utilized Internet resources and medical resource.
The ultimate principle and principal character and advantages of the present invention of the present invention has been shown and described above.The technology of the industry Personnel it should be appreciated that the present invention is not restricted to the described embodiments, the simply explanation described in above-described embodiment and description this The principle of invention, without departing from the spirit and scope of the present invention, the present invention also has various changes and modifications, these changes Change and improvement is both fallen within scope of the claimed invention.The claimed scope of the invention by appending claims and its Equivalent thereof.

Claims (6)

1. a kind of ICCINO nurse makes house calls standard, it is characterised in that:Including data source data storehouse (1) and target database (2), data source data storehouse (1) and target database (2) include respectively:
Storage module (3), for store digital information;
Configuration module (4), for being adjusted to the configuration information before data transfer;
Modular converter (5), for carrying out form conversion to data;
Communication module (6), for the communication of data and instruction is carried out between data source data storehouse (1) and target database (2).
2. ICCINO nurse according to claim 1 makes house calls the method for interchanging data of standard, it is characterised in that include Following steps:
A, data source data storehouse (1) and target database (2) are determined according to data transfer direction;
B, data message is read from the storage module (3) of data source data storehouse (1);
C, data source data storehouse (1) and target database (2) by communication module (6) switched data transmission configuration information, with mesh Mark data base (2) is reference edge, and the configuration module (4) of data source data storehouse (1) carries out configuration information tune to the data before transmission Whole, modular converter (5) is changed to data form;
D, data are transmitted by communication module (6);
E, the modular converter (5) of target database (2) enter row format conversion to the data for receiving, then configuration module (4) docking The data of receipts carry out secondary configuration adjustment;
F, treated data are stored in the storage module (3) of target database (2);
After G, this data transfer are finished, data source data storehouse (1) and target database are redefined according to data transfer demands (2)。
3. ICCINO nurse according to claim 2 makes house calls the method for interchanging data of standard, it is characterised in that:Step In C, the characteristic information of configuration module (4) the extraction data of data source data storehouse (1) sets up characteristic information bar, in characteristic information bar The first insertion retrieval trigger and characteristic information bar and the mapping relations character field of data, insert in the last position of characteristic information bar Logger;The modular converter (5) in data source data storehouse (1) is compressed to data, and using characteristic information bar as compression The characteristic bag of file.
4. ICCINO nurse according to claim 3 makes house calls the method for interchanging data of standard, it is characterised in that:Step In D, first the characteristic bag of compressed file is transmitted, delay transport is carried out to compressed file then.
5. ICCINO nurse according to claim 4 makes house calls the method for interchanging data of standard, it is characterised in that:Step In E, the modular converter (5) of target database (2) is parsed according to the characteristic bag that transmission comes, selection decompression algorithm, and According to decompression algorithm option and installment form;The modular converter (5) of target database (2) is decompressed to transmitting the compressed file for coming And check and correction, then configuration module (4) secondary configuration is carried out to data according to the configuration format for selecting in advance;Secondary configuration is logarithm It is adjusted according to sequential, data storage form, data retrieval form is received.
6. the ICCINO nurse described in a kind of claim 1 makes house calls the using method of standard, it is characterised in that including following Step:
A, freely (Insurance) is insured for both sides:
Medical care to be got home and insure strategic cooperation with Chinese people, is that service both persons freely insure《Unexpected A.R.》, ensure double The square injury that has an accident in order placement service address causes to die and disabled;
Medical care is got home and Chinese safety cooperation, is that service both sides freely insure《Third party liability insurance》With《Personal accident danger》, protect Barrier both sides into the service process of service end, die caused by injuring because having an accident from the time of placing an order, disabled, medical treatment duty Appoint and to the third party's personal injury and property loss for causing;
Medical care is got home, and is that service platform doctor freely insures《Doctor's Operation responsibility danger》, ensure platform Doctor causes contingency because of malpractice;
B, checking nurse's qualification (Check):
Medical care is got home each nurse of authentication registration, through artificial real-name authentication, practicing requirements certification, it is ensured that each is entered The verity of nurse and professional;
Nurse fills in Real Name, identity information and inaugural hospital, section office when APP applications for registration are got home in medical care;
Fill in service item, work experience and the clinical experience being good at;
Uploading academic title proves photo, i.e.,《Nurse's certification》Or《Nurse's operation is demonstrate,proved》In be printed on the page of details, submit to and examine Core, details page are included:Nurse's name, detailed identification information, specialty and academic title's rank, practising place, effect duration and duty Industry certificate number;
After submitting examination & verification to, the auditor that medical care is got home will examine all data of nurse's submission, and defend planning commission's net by country Stand http://zgcx.nhfpc.gov.cn, input province, nurse's Real Name and place medical institutions, inquires about and confirms nurse Qualification;
After nurse's examination & verification passes through, become medical care and get home the certification nurse of platform, got home by medical care and carry out for neighbouring patient Door service;
C, inspection user provide proof (Check) of infusing outside medicine, instrument and institute for oneself:
On nurse behind the door, patient actively shows what national regular hospital doctor was issued to nurse《Prescription》And《Proof is injected outside institute》 It is related allow to carry out outside institute to have an injection, the documentary evidence of service of infusing;
Regular《Prescription》Write and must use blue-black water-color paintbrush, not handy pencil or ball pen;And be made up of three parts:1st, front note: Including medical treatment and disease-prevention and healthcare institutions' title, prescription numbering, take other, agriculture and close medical insurance number, patient's name, sex, age, outpatient service Or inpatient cases number, department or ward and bed number, clinical diagnosises, issue date etc., and the project that training is required;2nd, just Text:Indicated with Rp or R, point row nomenclature of drug, specification, quantity, usage and dosage;3rd, postscript:Physician's signature, Sales Volumes and examine Core, allotment, verification, the pharmacy technical staff signature of dispensing;
《Proof is injected outside institute》Write medical treatment and disease-prevention and healthcare institutions' title, patient's name, sex, age, outpatient service or disease of being in hospital exactly The number of going through, department or ward and clinical diagnosises, it is responsible for doctor, issues date etc., and writing permission exactly outside institute carrying out having an injection, infusing Deng finally adding a cover the stamped signature for issuing mechanism;
To ensure patient safety, on nurse behind the door, check again for that patient's this time service uses provides whether medicine meets medical care for oneself Get home regulation of making house calls, when the instrument used required for secondary service whether on deck, correctly;And strict implement " two people look into To system ", it is necessary to take prescription list, together with third party, check patient's name, the medicine name for checking all medicines, dosage, concentration, Time, usage;Liquid quality is checked, notes whetheing there is rotten, ampoule, injection bottle have flawless;Sealed aluminum is stamped non-loosening;It is defeated Liquid bag whether there is leak;Medicinal liquid whether there is muddiness and floccule;Expired drug, effect duration and lot number are for example undesirable or label is unclear Person, must not use;
Dangerous higher medicine, the including but not limited to medicine of skin test class, such as penicillins, such as cardiac tonic, cedilanid, cough-relieving Medicine, such as aminophylline, shaping class, such as hyaluronic acid, thinning face pin are not provided and are made house calls;Jing after nurse reaffirms, such as do not meet Medical care is got home regulation of making house calls, and nurse is not provided when time service, does not collect service fee;
D, health guidance are simultaneously signed《Informed Consent Form》(Inform):
On nurse behind the door, before being serviced, it is first according to《User assesses table》, patient is assessed in detail, including user Name, sex, age, diagnosis, history of past illness, history of operation, allergies, consciousness and condition, degree of cooperation, this service class Type, the nomenclature of drug for using and usage record, and strictly record nurse visits and time departure, service start and end time, Suffer from both sides' signature by shield to confirm;
For this service and the concrete condition of patient, health guidance and the communication and education of correlation are given, including diet and nutrition, Rest and activity, medication guide, self-monitoring and psychological instruction;Inform the item that should be noted before and after patient service;
To ensure patient safety, it is must to sign before patient's explanation is serviced《Informed Consent Form》, further inform patient this The involved points for attention of service and risk that may be present, patient confirm and after agreement of signing, are serviced;
E, nurse's nursing procedure (Nursing):
Medical care is got home the project of making house calls for opening up, and is that clinical nurse is the most frequently used and the nursing procedure of skilled grasp, including beating Pin, transfusion, dressing, venous blood collection, nasal feeding, indwelling gastric tube and urinary catheter, mouth care, enterostomal nursing and Bedsore Nursing;
Strict implement " three look into eight pairs of attentions " system in operation, i.e., " look into before operation, operate in look into, operate after look into ", " outpatient service or medical record number, name, medicine name, concentration, dosage, usage, time and effect duration in verification prescription ", " notices that observation is used React after medicine ";
The nurse that medical care is got home by certification, all possesses national authentication《Nurse's certification》And《Nurse's operation is demonstrate,proved》, and 80% is the operation nurse of Grade A hospital, and all nurse's operation experiences of platform are at least above 3 years, so as to ensure that medical care is got home The nursing procedure quality of nurse team and level;
F, at least 20 minutes (Observe) of observation:
After the completion of nurse's service, patient information is checked again and using medicine etc., that is, the verification after being operated, and note observation React after patient medication;In patient evaluation table, service ending time is strictly recorded, confirmed by nurse and patient both sides' signature;
Such as patient's reservation is that common set meal is made house calls, and after the completion of service, nurse assists patient to put in order and uses thing, observation behaviour The reaction of patient, health after work, skin conditions etc. at least 20 minutes at transfusion speed, puncture, confirmation have no problem after from Open.
CN201610911166.8A 2016-10-19 2016-10-19 ICCINO (Insurance, Check, Check, Inform, Nursing and Observe) door-to-door nurse service standard Pending CN106570314A (en)

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CN109256181A (en) * 2017-07-11 2019-01-22 北京医联蓝卡在线科技有限公司 A kind of health file management system and method
CN109637641A (en) * 2018-11-26 2019-04-16 广州柏桃焱信息科技有限公司 A kind of personal management of medical treatment and nursing station and dispatch system
CN111553799A (en) * 2020-04-27 2020-08-18 平安医疗健康管理股份有限公司 Data processing method and system based on medical insurance data
CN113449988A (en) * 2021-06-28 2021-09-28 肖光秀 Nurse home-arriving service control method, system, terminal and medium
CN113822648A (en) * 2021-09-14 2021-12-21 北京天健智慧科技有限公司 Processing method of examination and approval data of Internet nursing platform
CN114496182A (en) * 2021-12-14 2022-05-13 中山大学附属第一医院 Nursing home service method and system based on artificial intelligence terminal
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CN109102877A (en) * 2017-06-20 2018-12-28 北京医联蓝卡在线科技有限公司 A kind of processing method that signing big data is synchronous with call center
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CN109256181B (en) * 2017-07-11 2021-05-11 北京医联蓝卡在线科技有限公司 Health record management system and method
CN109637641A (en) * 2018-11-26 2019-04-16 广州柏桃焱信息科技有限公司 A kind of personal management of medical treatment and nursing station and dispatch system
CN111553799A (en) * 2020-04-27 2020-08-18 平安医疗健康管理股份有限公司 Data processing method and system based on medical insurance data
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CN117577283A (en) * 2024-01-16 2024-02-20 四川互慧软件有限公司 Internet-based door-to-door nursing management method
CN117577283B (en) * 2024-01-16 2024-03-19 四川互慧软件有限公司 Internet-based door-to-door nursing management method

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