CN107229831A - Electronic health record generation method, apparatus and system - Google Patents
Electronic health record generation method, apparatus and system Download PDFInfo
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- CN107229831A CN107229831A CN201710431085.2A CN201710431085A CN107229831A CN 107229831 A CN107229831 A CN 107229831A CN 201710431085 A CN201710431085 A CN 201710431085A CN 107229831 A CN107229831 A CN 107229831A
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Abstract
The invention provides a kind of electronic health record generation method, apparatus and system, it is related to field of medical technology.Methods described includes user terminal and obtains input result corresponding to each first identification information, and shows respective input result in the first Text Entry corresponding to each first identification information；Asynchronous Reception simultaneously shows the diagnostic result that the server is obtained based on each input result corresponding to first identification information in second Text Entry；The diagnostic result shown in second Text Entry corresponding to the input result, the second identification information and the second identification information that are shown in the multiple first identification information, the first Text Entry corresponding to each the multiple first identification information is generated into electronic health record according to default edit format.Realized with this and abandon medical record templates, during reception user fills in, gradually improved input result and obtain diagnostic result, generation meets the semantic electronic health record of nature, improves the experience of user.
Description
Technical field
The present invention relates to field of medical technology, in particular to a kind of electronic health record generation method, apparatus and system.
Background technology
Electronic health record is the information of the relevant personal health state and health care behavior managed in electronic mode, design
The collection of patient information, store, transmit, handle and utilize.As main information source it can replace paper case history in medical treatment,
The service for surmounting paper case history is provided, medical treatment, law and regulatory requirement is met.
The typing mode of current electronic health record is mainly using 3 kinds of modes, and the first is recorded using full natural language mode
Enter, doctor typing main suit successively, present illness history, physical examination, case is preserved after the information such as main diagnosis；Second using full form side
The mode that formula carries out Data Enter, i.e. complete lattice carries out typing, and doctor fills up a form information needed preservation；The third
It is that the mode of semi-structured semi-natural language carries out typing, i.e. doctor and can customize case template, is practised according to clinic writing case
It is used that structural data is embedded in case.
Typing workload for doctor is carried out using full natural language larger, and obtain is non-structured disease
Count evidence one by one, need largely to handle data in studying in the later stage；Typing flexibility is carried out by the way of full form poor,
Clinical practice scene can not be covered completely, and generation case history does not meet natural language form；Using semi-structured semi-natural language
Mode carries out typing and then requires that the self-defined case module of doctor has, higher using threshold, and can not fully meet Clinical practice
It is required that.
The content of the invention
It is an object of the invention to provide a kind of electronic health record generation method, apparatus and system, to improve above mentioned problem.For
Above-mentioned purpose is realized, the technical scheme that the present invention takes is as follows：
In a first aspect, the embodiments of the invention provide a kind of electronic health record generation method, applied to user terminal, the side
Method includes：The corresponding case history editing interface of login user that user terminal displays server is returned, the case history editing interface bag
Multiple first identification informations, each the multiple first identification information are included to that should have the first Text Entry and the second mark
Information；Second identification information pair should have the second Text Entry；When detecting user's click first Text Entry,
The first identification information that the first Text Entry with being clicked is sent to the server by asynchronous mode it is corresponding the
One interrogation information request, and show the first interrogation information that the server is returned；In first text input being clicked
The first object interrogation information that user selects from the first interrogation information is shown in frame；By asynchronous mode to server
The second interrogation information request associated with the first object interrogation information is sent, and shows the server is returned second
Interrogation information；User selects from the second interrogation information second is shown in first Text Entry being clicked
Target interrogation information, so as to which the first object interrogation information and the second target interrogation information are combined as described
Input result corresponding to the first identification information of the first Text Entry being clicked；The acquisition that repeats the above steps each described the
Input result corresponding to one identification information, and show each in the first Text Entry corresponding to each first identification information
From input result；Asynchronous Reception simultaneously shows that the server is based on described each described the in second Text Entry
The diagnostic result that input result corresponding to one identification information is obtained；By the multiple first identification information, each the multiple the
Input result, the second identification information and the second identification information pair shown in first Text Entry corresponding to one identification information
The diagnostic result shown in the second Text Entry answered generates electronic health record according to default edit format.
Second aspect, this law embodiment provides a kind of electronic health record generation method, applied to server, methods described bag
Include：Server returns to the request of data of login user so that the request of data of login user described in user terminal displays is corresponding
Case history editing interface, it is equal that the case history editing interface includes multiple first identification informations, each the multiple first identification information
To that should have the first Text Entry and the second identification information；Second identification information pair should have the second Text Entry；Connect
Receive user terminal be based on detect user click on first Text Entry when, by asynchronous mode send with being clicked
The first Text Entry the first interrogation information request corresponding to the first identification information and the first interrogation information is sent to use
Family terminal, so that the first interrogation information described in user terminal displays；Receive user terminal based on it is described be clicked first
The first object interrogation information that user selects from the first interrogation information is shown in Text Entry, passes through asynchronous mode
Second interrogation information is simultaneously sent to use by the second interrogation information request associated with the first object interrogation information of transmission
Family terminal, so that the second interrogation information described in user terminal displays, shows in first Text Entry being clicked
The second target interrogation information that user selects from the second interrogation information, so as to by the first object interrogation information and
The second target interrogation information is combined corresponding as the first identification information of first Text Entry being clicked
Input result；Repeat the above steps input result corresponding to each first identification information based on user terminal acquisition, and
Respective input result is shown in the first Text Entry corresponding to each first identification information, to the user terminal
Send the diagnostic result that each input result corresponding to first identification information is obtained so that the user terminal is asynchronous
Receive simultaneously in second Text Entry show, and will the multiple first identification information, each the multiple first
Input result, the second identification information and the second identification information correspondence shown in first Text Entry corresponding to identification information
The second Text Entry in the diagnostic result that shows generate electronic health record according to default edit format.
The third aspect, the embodiment of the present invention provides a kind of electronic health record generation method, and methods described is aobvious including user terminal
Show the corresponding case history editing interface of login user that server is returned, the case history editing interface includes the multiple first mark letters
Breath, each the multiple first identification information are to that should have the first Text Entry and the second identification information；Second mark
Information is known to that there should be the second Text Entry；When user terminal detects user's click first Text Entry, by different
First interrogation corresponding to the first identification information that the mode of step sends from the first Text Entry with being clicked to the server
Information request, and show the first interrogation information that the server is returned；User terminal is defeated in first text being clicked
Enter to show the first object interrogation information that user selects from the first interrogation information in frame；User terminal passes through asynchronous side
Formula sends the second interrogation information request associated with the first object interrogation information to server, and shows the server
The the second interrogation information returned；User terminal shows that user asks from described second in first Text Entry being clicked
The the second target interrogation information selected in information is examined, so as to by the first object interrogation information and the second target interrogation
Information is combined as input result corresponding to the first identification information of first Text Entry being clicked；The service
Device sends the diagnostic result obtained based on each input result corresponding to first identification information；User terminal will be described
The typing knot shown in multiple first identification informations, the first Text Entry corresponding to each the multiple first identification information
Really, the diagnostic result shown in the second identification information and the second Text Entry corresponding to the second identification information is according to default
Edit format generates electronic health record.
Fourth aspect, the embodiments of the invention provide a kind of electronic health record generating means, runs on user terminal, the dress
Put including：First display unit, the corresponding case history editing interface of login user returned for display server, the case history is compiled
Editing interface include multiple first identification informations, each the multiple first identification information to should have the first Text Entry and
Second identification information；Second identification information pair should have the second Text Entry；Second display unit, for detecting user
When clicking on first Text Entry, the first text input with being clicked is sent to the server by asynchronous mode
First interrogation information request corresponding to the first identification information of frame, and show the first interrogation information that the server is returned；The
Three display units, for showing that user selects from the first interrogation information in first Text Entry being clicked
First object interrogation information；4th display unit, for being sent and the first object to server by asynchronous mode
The second associated interrogation information request of interrogation information, and show the second interrogation information that the server is returned；5th display
Unit, for showing user selects from the second interrogation information second in first Text Entry being clicked
Target interrogation information, so as to which the first object interrogation information and the second target interrogation information are combined as described
Input result corresponding to the first identification information of the first Text Entry being clicked；6th display unit, it is above-mentioned for repeating
Step obtains each input result corresponding to first identification information, and each first identification information it is corresponding first
Respective input result is shown in Text Entry；Receiving unit, for Asynchronous Reception and in second Text Entry
Show the diagnostic result that the server is obtained based on each input result corresponding to first identification information；Generation is single
Member, for by the multiple first identification information, the first Text Entry corresponding to each the multiple first identification information
The diagnosis knot shown in the input result of display, the second identification information and the second Text Entry corresponding to the second identification information
Fruit generates electronic health record according to default edit format.
5th aspect, the embodiments of the invention provide a kind of electronic health record generating means, runs on server, described device
Including returning unit, for returning to the request of data of login user so that the data of login user described in user terminal displays please
Corresponding case history editing interface is sought, the case history editing interface includes multiple first identification informations, each the multiple first mark
Information is known to that should have the first Text Entry and the second identification information；Second identification information pair should have the second text defeated
Enter frame；First receiving unit, when being based on detecting user's click first Text Entry for receiving user terminal, passes through
Asynchronous mode the is sent first interrogation information request corresponding with the first Text Entry that is being clicked the first identification information
And the first interrogation information is sent to user terminal, so that the first interrogation information described in user terminal displays；Second receives single
Member, for receiving user terminal based on showing that user believes from first interrogation in first Text Entry being clicked
The first object interrogation information selected in breath, what is sent by asynchronous mode is associated with the first object interrogation information
Second interrogation information is simultaneously sent to user terminal by the second interrogation information request, so that the second interrogation described in user terminal displays
Information, shows the second target that user selects from the second interrogation information in first Text Entry being clicked
Interrogation information, so as to which the first object interrogation information and the second target interrogation information are combined as described by point
Input result corresponding to the first identification information of the first Text Entry hit；Transmitting element, is based on for repeating the above steps
Input result corresponding to each first identification information that user terminal is obtained, and in each first identification information correspondence
The first Text Entry in show respective input result, sending each first mark to the user terminal believes
Cease the diagnostic result that corresponding input result is obtained so that the user terminal is asynchronous to be received and in second Text Entry
Middle display, and by the multiple first identification information, each first text input corresponding to the multiple first identification information
What is shown in second Text Entry corresponding to the input result, the second identification information and the second identification information that are shown in frame examines
Disconnected result generates electronic health record according to default edit format.
6th aspect, the embodiments of the invention provide a kind of electronic health record generate system, the system include server and
User terminal, the server is connected with the user terminal network；The user terminal is used for stepping on for display server return
Employ the corresponding case history editing interface in family, the case history editing interface includes multiple first identification informations, each the multiple the
One identification information is to that should have the first Text Entry and the second identification information；Second identification information pair should have the second text
This input frame；When server is used to receive user terminal based on user's click first Text Entry is detected, by different
The mode of step the is sent first interrogation information request corresponding with the first Text Entry that is being clicked the first identification information is simultaneously
First interrogation information is sent to user terminal, so that the first interrogation information described in user terminal displays；The user terminal
It is additionally operable in first Text Entry being clicked show the first mesh that user selects from the first interrogation information
Mark interrogation information；The user terminal is additionally operable to send and the first object interrogation information to server by asynchronous mode
The second associated interrogation information request, and show the second interrogation information that the server is returned；The user terminal is also used
In showing that the second target that user selects from the second interrogation information is asked in first Text Entry being clicked
Information is examined, so as to which the first object interrogation information and the second target interrogation information to be combined as described and be clicked
The first Text Entry input result corresponding to the first identification information；Each first mark of the acquisition that repeats the above steps
The corresponding input result of information, and show respective record in the first Text Entry corresponding to each first identification information
Enter result；Asynchronous Reception simultaneously shows that the server is based on each first mark in second Text Entry
The diagnostic result that the corresponding input result of information is obtained；By the multiple first identification information, each the multiple first mark
The input result, the second identification information and the second identification information that are shown in corresponding first Text Entry of information it is corresponding
The diagnostic result shown in two Text Entries generates electronic health record according to default edit format.
A kind of electronic health record generation method provided in an embodiment of the present invention, apparatus and system, are taken by user terminal displays
It is engaged in the corresponding case history editing interface of login user that device returns, the case history editing interface includes multiple first identification informations, every
Individual the multiple first identification information is to that should have the first Text Entry and the second identification information；Second identification information
To that should have the second Text Entry；When detecting user and clicking on first Text Entry, by asynchronous mode to described
Server sends the first interrogation information request corresponding to the first identification information of the first Text Entry with being clicked, and shows
The first interrogation information that the server is returned；Show user from described first in first Text Entry being clicked
The first object interrogation information selected in interrogation information；Sent and the first object interrogation to server by asynchronous mode
The second associated interrogation information request of information, and show the second interrogation information that the server is returned；It is clicked described
The first Text Entry in show the second target interrogation information that user selects from the second interrogation information, so as to by institute
State first object interrogation information and the second target interrogation information is combined as first text input being clicked
Input result corresponding to the first identification information of frame；Repeat the above steps typing corresponding to each first identification information of acquisition
As a result, and in the first Text Entry corresponding to each first identification information show respective input result；It is asynchronous to connect
Receive and show the server based on record corresponding to each first identification information in second Text Entry
Enter the diagnostic result that result is obtained；By the multiple first identification information, each the multiple first identification information it is corresponding the
Second Text Entry corresponding to the input result, the second identification information and the second identification information that are shown in one Text Entry
The diagnostic result of middle display generates electronic health record according to default edit format, is realized with this and abandons medical record templates, according to user
During filling in, gradually improve input result and obtain diagnostic result, generation meets the semantic electronic health record of nature, improves use
The experience at family.
Brief description of the drawings
In order to illustrate the technical solution of the embodiments of the present invention more clearly, below will be attached to what is used required in embodiment
Figure is briefly described, it will be appreciated that the following drawings illustrate only certain embodiments of the present invention, therefore is not construed as pair
The restriction of scope, for those of ordinary skill in the art, on the premise of not paying creative work, can also be according to this
A little accompanying drawings obtain other related accompanying drawings.
Fig. 1 is the application environment of the embodiment of the present invention；
The flow chart for the electronic health record generation method that Fig. 2 provides for first embodiment of the invention；
The case history editing interface schematic diagram 1 that Fig. 3 provides for first embodiment of the invention；
The case history editing interface schematic diagram 2 that Fig. 4 provides for first embodiment of the invention；
The case history editing interface schematic diagram 3 that Fig. 5 provides for first embodiment of the invention；
The case history editing interface schematic diagram 4 that Fig. 6 provides for first embodiment of the invention；
The case history editing interface schematic diagram 5 that Fig. 7 provides for first embodiment of the invention；
The case history editing interface schematic diagram 6 that Fig. 8 provides for first embodiment of the invention；
The case history editing interface schematic diagram 7 that Fig. 9 provides for first embodiment of the invention；
The case history editing interface schematic diagram 8 that Figure 10 provides for first embodiment of the invention；
The case history editing interface schematic diagram 9 that Figure 11 provides for first embodiment of the invention；
The case history editing interface schematic diagram 10 that Figure 12 provides for first embodiment of the invention；
The flow chart for the electronic health record method that Figure 13 provides for second embodiment of the invention；
The timing diagram for the electronic health record method that Figure 14 provides for third embodiment of the invention；
The structured flowchart for the electronic health record device that Figure 15 provides for fourth embodiment of the invention；
The structured flowchart for the electronic health record device that Figure 16 provides for fifth embodiment of the invention.
Embodiment
Below in conjunction with accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is carried out clear, complete
Ground is described, it is clear that described embodiment is only a part of embodiment of the invention, rather than whole embodiments.Generally exist
The component of the embodiment of the present invention described and illustrated in accompanying drawing can be arranged and designed with a variety of configurations herein.Cause
This, the detailed description of the embodiments of the invention to providing in the accompanying drawings is not intended to limit claimed invention below
Scope, but it is merely representative of the selected embodiment of the present invention.Based on embodiments of the invention, those skilled in the art are not doing
The every other embodiment obtained on the premise of going out creative work, belongs to the scope of protection of the invention.
It should be noted that：Similar label and letter represents similar terms in following accompanying drawing, therefore, once a certain Xiang Yi
It is defined in individual accompanying drawing, then it further need not be defined and explained in subsequent accompanying drawing.Meanwhile, the present invention's
In description, term " first ", " second " etc. are only used for distinguishing description, and it is not intended that indicating or implying relative importance.
Electronic health record generation method provided in an embodiment of the present invention, apparatus and system can be applied to application as shown in Figure 1
In environment.As shown in figure 1, being the signal that user terminal 100 and server 200 that present pre-ferred embodiments are provided are interacted
Figure.Electronic health record generation system includes user terminal 100 and server 200.The server 200 passes through network 300 and user
Terminal 100 is communicatively coupled, to enter row data communication or interaction.
User terminal 100 can include：PC (personal computer) computer, tablet personal computer, mobile phone, electronic reading
The terminal devices such as device, notebook computer, intelligent television, set top box, car-mounted terminal.In the present embodiment, user terminal 100 can be with
For the terminal device of any of the above type, it can be provided with web browser or applications client.For example, user terminal 100
Can be 360 browsers, Google's browser etc..
It is multiple that server 200 in the present embodiment can include the webserver, database server, WEB server etc.
Server or a server.
The user terminal 100 is used for the corresponding case history editing interface of login user that display server 200 is returned, described
Case history editing interface includes multiple first identification informations, each the multiple first identification information to that should have the first text input
Frame and the second identification information；Second identification information pair should have the second Text Entry；
When server 200 is used to receive user terminal 100 based on user's click first Text Entry is detected, lead to
Crossing asynchronous mode the is sent first interrogation information corresponding with the first Text Entry that is being clicked the first identification information please
Ask and the first interrogation information is sent to user terminal, so that the first interrogation information described in user terminal displays；
The user terminal 100 is additionally operable to show user from described first in first Text Entry being clicked
The first object interrogation information selected in interrogation information；
The user terminal 100 is additionally operable to send and the first object interrogation to server 200 by asynchronous mode
The second associated interrogation information request of information, and show the second interrogation information that the server 200 is returned；
The user terminal 100 is additionally operable to show user from described second in first Text Entry being clicked
The the second target interrogation information selected in interrogation information, so as to which the first object interrogation information and second target are asked
Information is examined to be combined as input result corresponding to the first identification information of first Text Entry being clicked；In repetition
State step and obtain each input result corresponding to first identification information, and each first identification information it is corresponding the
Respective input result is shown in one Text Entry；Asynchronous Reception simultaneously shows the service in second Text Entry
The diagnostic result that device 200 is obtained based on each input result corresponding to first identification information；By the multiple first
The input result that is shown in identification information, each first Text Entry corresponding to the multiple first identification information, the second mark
The diagnostic result shown in information and the second Text Entry corresponding to the second identification information is known according to default edit format
Generate electronic health record.Realized with this and abandon medical record templates, during being filled according to user, gradually improved input result and examined
Disconnected result, generation meets the semantic electronic health record of nature, improves the experience of user.Below in conjunction with specific embodiments to this
Invention is described in detail.
First embodiment
Referring to Fig. 2, the embodiments of the invention provide a kind of electronic health record generation method, the present embodiment is user terminal institute
The electronic health record generation method of execution, including：
Step S300：The corresponding case history editing interface of login user that user terminal displays server is returned, the case history
Editing interface include multiple first identification informations, each the multiple first identification information to should have the first Text Entry with
And second identification information；Second identification information pair should have the second Text Entry；
Step S310：When detecting user and clicking on first Text Entry, by asynchronous mode to the service
Device sends the first interrogation information request corresponding to the first identification information of the first Text Entry with being clicked, and described in showing
The first interrogation information that server is returned；
The multiple first identification information can include but is not limited to main suit, present illness history, physical examination, auxiliary examination, also
Can be including points for attention etc..Second identification information can include main diagnosis.The case history editing interface returned as shown in Figure 3
Exemplified by, user, which clicks on, fills out case history request, is filled in for Xiao Ming's patient's condition, main suit, present illness history, physical examination are to that should have
First Text Entry, main diagnosis is to that should have the second Text Entry, and main diagnosis is also to that should have addition function；Also wrap at the interface
Include preservation function and printing case history function.Exemplified by detecting user and click on corresponding first Text Entry of main suit, such as Fig. 4 institutes
Show, Tab represents cursor, when user terminal, which detects user, clicks on corresponding first Text Entry of main suit, by asynchronous
The corresponding first interrogation information request of main suit that mode sends from the first Text Entry with being clicked to the server, and show
Show the first interrogation information that the server is returned.Can include but is not limited to generate heat such as the first interrogation information, cough, spit,
Pharyngalgia, nasal obstruction, runny nose, pant, vomit, suffering from diarrhoea, suffering from abdominal pain, fash, constipation.As a kind of embodiment, the first interrogation information can
To be shown in the way of matrix arrangement.
Step S320：Show that user selects from the first interrogation information in first Text Entry being clicked
The first object interrogation information selected；
Step S330：Second associated with the first object interrogation information is sent to server by asynchronous mode
Interrogation information request, and show the second interrogation information that the server is returned；
The second interrogation information includes enumeration type interrogation information, numeric type interrogation information, many type selecting interrogation information.Example
Such as, numeric type interrogation information is how many days to generate heat.
Step S340：Show that user selects from the second interrogation information in first Text Entry being clicked
The the second target interrogation information selected, so as to which the first object interrogation information and the second target interrogation information are combined
It is used as input result corresponding to the first identification information of first Text Entry being clicked；
On the basis of Fig. 4, with reference to shown in Fig. 5 and Fig. 6, heating first object interrogation is clicked on when user terminal detects user
Information, just shows corresponding second interrogation information, if desired for selection fever time, the selection interface of numeral is shown, with rectangular
Formula arrange, 0,1,2,3,4,5,6,7,8,9, deletion, for example select 3；Similarly, cough is clicked on when user terminal detects user
During first object interrogation information, just how much is display selection cough, for example, cough 2.Then the second mesh is selected in the second interrogation information
Interrogation information is marked, the unit of such as time can also select day, the moon, week or hour, heating 3 days is obtained with this, coughed 2 weeks etc.
Input result.
As shown in fig. 6, T1 is represented+operated, when user terminal, which detects user, to be clicked on+operate, Text Entry is shown,
As shown in fig. 7, Text Entry, which receives user's fill substance, can also delete the content filled in.First interrogation information, the first mesh
Mark interrogation information, the second interrogation information, the second target interrogation information can be deleted.Server can be according to the specific option of deletion
Dynamically to adjust corresponding interrogation information.In Fig. 7, delete after cough, relevant information of coughing would not occur.
Step S350：Repeat the above steps input result corresponding to each first identification information of acquisition, and each
Respective input result is shown in first Text Entry corresponding to first identification information；
Further, it can similarly obtain, corresponding first Text Entry of present illness history is clicked on when user terminal detects user
When, corresponding first interrogation of main suit that the first Text Entry with being clicked is sent to the server by asynchronous mode
Information request, and show the first interrogation information that the server is returned.As shown in Figure 8 and Figure 9, the first interrogation information include but
It is not limited to highest body temperature, heating simultaneous phenomenon, cough property, cough frequency, 38 DEG C of user's selection highest body temperature, selection heating companion
During with symptom, multiselect input display, option mutual exclusion, such as without simultaneous phenomenon, exclusion chilly, shiver with cold, tic, fash, other.Together
Reason, can write to physical examination, repeat no more here.
Step S360：Asynchronous Reception simultaneously shows that the server is based on each institute in second Text Entry
State the diagnostic result that input result corresponding to the first identification information is obtained；
As shown in Figure 10, the first Text Entry corresponding to each first identification information have input input result, main suit：
Heating 3 days, cough 2 weeks ...；Present illness history：38 DEG C of highest body temperature, without shiver with cold, tic, fash, bring up phlegm when one coughs, cough 3 days；Body
Lattice are checked：38 DEG C of body temperature, body weight 20kg, 33 beats/min of respiratory rate, 68 beats/min of heart rate, congestion of throat, tonsillotome swell
Greatly ...
Server in database, is matched based on input result corresponding to each first identification information,
Diagnostic result is obtained, and the diagnostic result is sent to user terminal, is shown in the second Text Entry.In such as Figure 10,
Input result more than, server obtains herpangina and is sent to user terminal, corresponding second text of main diagnosis
This input frame is filled with herpangina.
Methods described also includes：Server judges whether input result corresponding to each first identification information be full
Sufficient preparatory condition, is obtained if it is not, then returning to each input result corresponding to first identification information to the user terminal
To it is multiple treat diagnostic result so that the user terminal receive user selection instruction obtain diagnostic result.The default bar
Part can be input result to that should have the diagnostic result matched in database.
As shown in figure 11, user terminal receives user and clicks on main diagnosis input frame, and request instruction, service are sent to server
Device returns to multiple such as 14 maximally related diagnostic results according to current information, clicks on and can be filled into if any the diagnosis for meeting demand
Main diagnosis.Multiple maximally related diagnostic results include pulmonary tuberculosis, herpangina etc..It is understood that the first text is defeated
The input of user can be received or delete the content of input by entering frame, the second Text Entry.
Step S370：By the first text corresponding to the multiple first identification information, each the multiple first identification information
Show in second Text Entry corresponding to the input result, the second identification information and the second identification information that are shown in this input frame
The diagnostic result shown generates electronic health record according to default edit format.
Based on above step, Tu11Zhong receives user and clicks on preservation or printing case history function, according to default edit format
Electronic health record is generated, as shown in figure 12.Generation portion meets the semantic case of nature, improves the operating efficiency of doctor, while
The specification treatment behavior of doctor；Medical record templates are abandoned completely, case history content are automatically generated according to main suit's content, and fill out in case history
Gradual perfection during writing；Main diagnosis is automatically generated when typing information can derive diagnostic result；All the elements can be compiled
Volume, doctor is used without any threshold.
A kind of electronic health record generation method provided in an embodiment of the present invention, passes through stepping on that user terminal display server is returned
Employ the corresponding case history editing interface in family, the case history editing interface includes multiple first identification informations, each the multiple the
One identification information is to that should have the first Text Entry and the second identification information；Second identification information pair should have the second text
This input frame；Detect user click on first Text Entry when, by asynchronous mode to the server send with
First interrogation information request corresponding to the first identification information of the first Text Entry being clicked, and show that the server is returned
The the first interrogation information returned；Show that user selects from the first interrogation information in first Text Entry being clicked
The first object interrogation information selected；Send associated with the first object interrogation information to server by asynchronous mode
Second interrogation information request, and show the second interrogation information that the server is returned；It is defeated in first text being clicked
Enter to show the second target interrogation information that user selects from the second interrogation information in frame, so as to which the first object is asked
Examine information and the second target interrogation information is combined and identified as the first of first Text Entry being clicked
The corresponding input result of information；Repeat the above steps input result corresponding to each first identification information of acquisition, and every
Respective input result is shown in first Text Entry corresponding to individual first identification information；Asynchronous Reception and described
Show what the server was obtained based on each input result corresponding to first identification information in two Text Entries
Diagnostic result；By the multiple first identification information, the first Text Entry corresponding to each the multiple first identification information
The diagnosis shown in the input result of middle display, the second identification information and the second Text Entry corresponding to the second identification information
As a result electronic health record is generated according to default edit format, is realized with this and abandon medical record templates, during being filled according to user, by
Gradually improve input result and obtain diagnostic result, generation meets the semantic electronic health record of nature, improves the experience of user.
Second embodiment
Figure 13 is referred to, the embodiments of the invention provide a kind of electronic health record generation method, the present embodiment is server institute
The electronic health record generation method of execution, including：
Step S400：The request of data that the user terminal that server returns to login user is sent is so that user terminal displays
The corresponding case history editing interface of request of data of the login user, the case history editing interface includes the multiple first mark letters
Breath, each the multiple first identification information are to that should have the first Text Entry and the second identification information；Second mark
Information is known to that there should be the second Text Entry；
Step S410：When receiving user terminal based on user's click first Text Entry is detected, by asynchronous
The first interrogation information request corresponding to the first identification information of the first Text Entry with being clicked for sending of mode and will
First interrogation information is sent to user terminal, so that the first interrogation information described in user terminal displays；
Step S420：User terminal is received based on showing user from described in first Text Entry being clicked
The first object interrogation information selected in first interrogation information, what is sent by asynchronous mode believes with the first object interrogation
Second interrogation information is simultaneously sent to user terminal by the second interrogation information request of manner of breathing association, so that user terminal displays institute
The second interrogation information is stated, shows that user selects from the second interrogation information in first Text Entry being clicked
The second target interrogation information, so as to which the first object interrogation information and the second target interrogation information are combined into work
For input result corresponding to the first identification information of first Text Entry being clicked；
Step S430：Repeat the above steps typing corresponding to each first identification information based on user terminal acquisition
As a result, respective input result and in the first Text Entry corresponding to each first identification information is shown, to described
User terminal sends the diagnostic result that each input result corresponding to first identification information is obtained so that the user
Terminal Asynchronous Reception simultaneously shows in second Text Entry, and will the multiple first identification information, it is each described in
Input result, the second identification information and the second mark shown in first Text Entry corresponding to multiple first identification informations
The diagnostic result shown in corresponding second Text Entry of information generates electronic health record according to default edit format.
Methods described can also include：Judge whether each input result corresponding to first identification information meets
Preparatory condition, is obtained if it is not, then returning to each input result corresponding to first identification information to the user terminal
It is multiple treat diagnostic result so that the user terminal receive user selection instruction obtain diagnostic result.
Medical record templates are abandoned in a kind of electronic health record generation method provided in an embodiment of the present invention, realization, are filled according to user
During, gradually improve input result and obtain diagnostic result, generation meets the semantic electronic health record of nature, improves user's
Experience.
3rd embodiment
Figure 14 is referred to, the embodiments of the invention provide a kind of electronic health record generation method, methods described includes：
Step S500：The user terminal of login user sends request of data to server；
Step S510：The corresponding case history editing interface of login user that user terminal displays server is returned, the case history
Editing interface include multiple first identification informations, each the multiple first identification information to should have the first Text Entry with
And second identification information；Second identification information pair should have the second Text Entry；
Step S520：User terminal detect user click on first Text Entry when, by asynchronous mode to
The server sends the first interrogation information request corresponding to the first identification information of the first Text Entry with being clicked, and
Show the first interrogation information that the server is returned；
Step S530：User terminal shows user from first interrogation in first Text Entry being clicked
The first object interrogation information selected in information；
Step S540：User terminal sends related to the first object interrogation information by asynchronous mode to server
Second interrogation information request of connection, and show the second interrogation information that the server is returned；
Step S550：User terminal shows user from second interrogation in first Text Entry being clicked
The the second target interrogation information selected in information, so as to which the first object interrogation information and the second target interrogation are believed
Manner of breathing is combined as input result corresponding to the first identification information of first Text Entry being clicked；
Step S560：The server is sent to be obtained based on each input result corresponding to first identification information
Diagnostic result；
Step S570：User terminal is corresponding by the multiple first identification information, each the multiple first identification information
The first Text Entry in the input result, the second identification information and the second identification information that show it is corresponding the second text it is defeated
Enter the diagnostic result shown in frame and generate electronic health record according to default edit format.
Fourth embodiment
Figure 15 is referred to, the embodiments of the invention provide a kind of electronic health record generating means 600, described device 600 is run
In user terminal, described device 600 includes：
First display unit 610, the corresponding case history editing interface of login user returned for display server, the disease
Editing interface is gone through including multiple first identification informations, each the multiple first identification information to that there should be the first Text Entry
And second identification information；Second identification information pair should have the second Text Entry.
Second display unit 620, when clicking on first Text Entry for detecting user, passes through asynchronous mode
To the first interrogation information request corresponding to the first identification information of first Text Entry of the server transmission with being clicked,
And show the first interrogation information that the server is returned.
3rd display unit 630, for showing user from described first in first Text Entry being clicked
The first object interrogation information selected in interrogation information.
4th display unit 640, for being sent and the first object interrogation information to server by asynchronous mode
The second associated interrogation information request, and show the second interrogation information that the server is returned；The second interrogation information
Including enumeration type interrogation information, numeric type interrogation information, many type selecting interrogation information.
5th display unit 650, for showing user from described second in first Text Entry being clicked
The the second target interrogation information selected in interrogation information, so as to which the first object interrogation information and second target are asked
Information is examined to be combined as input result corresponding to the first identification information of first Text Entry being clicked.
6th display unit 660, typing knot corresponding to each first identification information is obtained for repeating the above steps
Really, and in the first Text Entry corresponding to each first identification information respective input result is shown.
Receiving unit 670, shows that the server is based on institute for Asynchronous Reception and in second Text Entry
State the diagnostic result that input result corresponding to each first identification information is obtained.
Generation unit 680, for the multiple first identification information, each the multiple first identification information is corresponding
Second text input corresponding to the input result, the second identification information and the second identification information that are shown in the first Text Entry
The diagnostic result shown in frame generates electronic health record according to default edit format.
5th embodiment
Figure 16 is referred to, the embodiments of the invention provide a kind of electronic health record generating means 700, described device 700 is run
In server, described device 700 includes：
Returning unit 710, for returning to request of data that the user terminal of login user sends so that user terminal is aobvious
Show the corresponding case history editing interface of request of data of the login user, the case history editing interface includes the multiple first mark letters
Breath, each the multiple first identification information are to that should have the first Text Entry and the second identification information；Second mark
Information is known to that there should be the second Text Entry.
First receiving unit 720, is based on detecting user's click first Text Entry for receiving user terminal
When, the first interrogation letter corresponding with the first Text Entry that is being clicked the first identification information that be being sent by asynchronous mode
Breath is asked and the first interrogation information is sent into user terminal, so that the first interrogation information described in user terminal displays.
Second receiving unit 730, for receiving user terminal based on aobvious in first Text Entry being clicked
Show the first object interrogation information that user selects from the first interrogation information, sent by asynchronous mode with described
Second interrogation information is simultaneously sent to user terminal by the second associated interrogation information request of one target interrogation information, so that with
Family terminal shows the second interrogation information, shows that user asks from described second in first Text Entry being clicked
The the second target interrogation information selected in information is examined, so as to by the first object interrogation information and the second target interrogation
Information is combined as input result corresponding to the first identification information of first Text Entry being clicked.
Judging unit 740, for judging whether each input result corresponding to first identification information meets pre-
If condition, if it is not, then returning to what each input result corresponding to first identification information was obtained to the user terminal
It is multiple to treat diagnostic result, so that the selection instruction that the user terminal receives user obtains diagnostic result.
Transmitting element 750, each first identification information pair obtained for repeating the above steps based on user terminal
The input result answered, and show respective typing knot in the first Text Entry corresponding to each first identification information
Really, the diagnostic result that each input result corresponding to first identification information is obtained is sent to the user terminal, made
Obtain the asynchronous reception of the user terminal and shown in second Text Entry, and the multiple first mark is believed
The input result that is shown in breath, each first Text Entry corresponding to the multiple first identification information, the second identification information
And second the diagnostic result shown in second Text Entry corresponding to identification information generate electricity according to default edit format
Sub- case history.
Medical record templates, root are abandoned in a kind of electronic health record generation method provided in an embodiment of the present invention, apparatus and system, realization
During being filled according to user, gradually improve input result and obtain diagnostic result, generation meets the semantic electronic health record of nature, carries
The experience of user is risen.
In several embodiments provided herein, it should be understood that disclosed apparatus and method, it can also pass through
Other modes are realized.Device embodiment described above is only schematical, for example, flow chart and block diagram in accompanying drawing
Show according to the device of multiple embodiments of the present invention, the architectural framework in the cards of method and computer program product,
Function and operation.At this point, each square frame in flow chart or block diagram can represent the one of a module, program segment or code
Part a, part for the module, program segment or code is used to realize holding for defined logic function comprising one or more
Row instruction.It should also be noted that in some implementations as replacement, the function of being marked in square frame can also with different from
The order marked in accompanying drawing occurs.For example, two continuous square frames can essentially be performed substantially in parallel, they are sometimes
It can perform in the opposite order, this is depending on involved function.It is also noted that every in block diagram and/or flow chart
The combination of individual square frame and block diagram and/or the square frame in flow chart, can use the special base for performing defined function or action
Realize, or can be realized with the combination of specialized hardware and computer instruction in the system of hardware.In addition, of the invention each
Each functional module in individual embodiment, which can be integrated, to form an independent part or modules are individually deposited
, can also two or more modules be integrated to form an independent part.
If the function is realized using in the form of software function module and is used as independent production marketing or in use, can be with
It is stored in a computer read/write memory medium.Understood based on such, technical scheme is substantially in other words
The part contributed to prior art or the part of the technical scheme can be embodied in the form of software product, the meter
Calculation machine software product is stored in a storage medium, including some instructions are to cause a computer equipment (can be individual
People's computer, server, or network equipment etc.) perform all or part of step of each of the invention embodiment methods described.
And foregoing storage medium includes：USB flash disk, mobile hard disk, read-only storage (ROM, Read-Only Memory), arbitrary access are deposited
Reservoir (RAM, Random Access Memory), magnetic disc or CD etc. are various can be with the medium of store program codes.Need
Illustrate, herein, such as first and second or the like relational terms be used merely to by an entity or operation with
Another entity or operation make a distinction, and not necessarily require or imply between these entities or operation there is any this reality
The relation or order on border.Moreover, term " comprising ", "comprising" or its any other variant are intended to the bag of nonexcludability
Contain, so that process, method, article or equipment including a series of key elements are not only including those key elements, but also including
Other key elements being not expressly set out, or also include for this process, method, article or the intrinsic key element of equipment.
In the absence of more restrictions, the key element limited by sentence "including a ...", it is not excluded that including the key element
Process, method, article or equipment in also there is other identical element.
The preferred embodiments of the present invention are the foregoing is only, are not intended to limit the invention, for the skill of this area
For art personnel, the present invention can have various modifications and variations.Within the spirit and principles of the invention, that is made any repaiies
Change, equivalent substitution, improvement etc., should be included in the scope of the protection.
Claims (10)
1. a kind of electronic health record generation method, it is characterised in that applied to user terminal, methods described includes：
The corresponding case history editing interface of login user that user terminal displays server is returned, the case history editing interface includes many
Individual first identification information, each the multiple first identification information are to that should have the first Text Entry and the second mark to believe
Breath；Second identification information pair should have the second Text Entry；
When detecting user's click first Text Entry, sent by asynchronous mode to the server with being clicked
The first Text Entry the first interrogation information request corresponding to the first identification information, and show that the server returns the
One interrogation information；
The first object that user selects from the first interrogation information is shown in first Text Entry being clicked
Interrogation information；
The second interrogation information request associated with the first object interrogation information is sent to server by asynchronous mode,
And show the second interrogation information that the server is returned；
The second target that user selects from the second interrogation information is shown in first Text Entry being clicked
Interrogation information, so as to which the first object interrogation information and the second target interrogation information are combined as described by point
Input result corresponding to the first identification information of the first Text Entry hit；
Repeat the above steps input result corresponding to each first identification information of acquisition, and in each first mark letter
Cease in corresponding first Text Entry and show respective input result；
Asynchronous Reception simultaneously shows that the server is based on each first mark letter in second Text Entry
Cease the diagnostic result that corresponding input result is obtained；
It will be shown in the multiple first identification information, the first Text Entry corresponding to each the multiple first identification information
Input result, the second identification information and the second Text Entry corresponding to the second identification information in the diagnostic result that shows press
Electronic health record is generated according to default edit format.
2. according to the method described in claim 1, it is characterised in that the second interrogation information include enumeration type interrogation information,
Numeric type interrogation information, many type selecting interrogation information.
3. according to the method described in claim 1, it is characterised in that the multiple first identification information include main suit, present illness history,
Physical examination, auxiliary examination, second identification information include main diagnosis.
4. a kind of electronic health record generation method, it is characterised in that applied to server, methods described includes：
The request of data that the user terminal that server returns to login user is sent is so that login user described in user terminal displays
The corresponding case history editing interface of request of data, the case history editing interface includes multiple first identification informations, each described many
Individual first identification information is to that should have the first Text Entry and the second identification information；Second identification information pair should have
Two Text Entries；
Receive user terminal be based on detect user click on first Text Entry when, sent by asynchronous mode with
First interrogation information request corresponding to the first identification information of the first Text Entry being clicked simultaneously sends out the first interrogation information
User terminal is given, so that the first interrogation information described in user terminal displays；
User terminal is received based on showing user from the first interrogation information in first Text Entry being clicked
The first object interrogation information of middle selection, associated with the first object interrogation information sent by asynchronous mode
Second interrogation information is simultaneously sent to user terminal by two interrogation information requests, so that the second interrogation described in user terminal displays is believed
Breath, shows that the second target that user selects from the second interrogation information is asked in first Text Entry being clicked
Information is examined, so as to which the first object interrogation information and the second target interrogation information to be combined as described and be clicked
The first Text Entry input result corresponding to the first identification information；
Repeat the above steps input result corresponding to each first identification information based on user terminal acquisition, and each
Respective input result is shown in first Text Entry corresponding to first identification information, institute is sent to the user terminal
State the diagnostic result that input result corresponding to each first identification information is obtained so that the asynchronous reception of user terminal is simultaneously
Shown in second Text Entry, and the multiple first identification information, each the multiple first mark are believed
Cease the input result shown in corresponding first Text Entry, the second identification information and the second identification information it is corresponding second
The diagnostic result shown in Text Entry generates electronic health record according to default edit format.
5. method according to claim 4, it is characterised in that methods described also includes：
Judge whether each input result corresponding to first identification information meets preparatory condition, if it is not, then to described
User terminal return to that each input result corresponding to first identification information obtain it is multiple treat diagnostic result so that institute
The selection instruction for stating user terminal reception user obtains diagnostic result.
6. a kind of electronic health record generation method, it is characterised in that methods described includes：
The corresponding case history editing interface of login user that user terminal displays server is returned, the case history editing interface includes many
Individual first identification information, each the multiple first identification information are to that should have the first Text Entry and the second mark to believe
Breath；Second identification information pair should have the second Text Entry；
When user terminal detects user's click first Text Entry, sent by asynchronous mode to the server
First interrogation information request corresponding to the first identification information of the first Text Entry with being clicked, and show the server
The the first interrogation information returned；
User terminal shows what user selected from the first interrogation information in first Text Entry being clicked
First object interrogation information；
User terminal sends second interrogation associated with the first object interrogation information by asynchronous mode to server
Information request, and show the second interrogation information that the server is returned；
User terminal shows what user selected from the second interrogation information in first Text Entry being clicked
Second target interrogation information, so as to the first object interrogation information and the second target interrogation information are combined as
Input result corresponding to the first identification information of first Text Entry being clicked；
The server sends the diagnostic result obtained based on each input result corresponding to first identification information；
User terminal is by the multiple first identification information, each first text input corresponding to the multiple first identification information
What is shown in second Text Entry corresponding to the input result, the second identification information and the second identification information that are shown in frame examines
Disconnected result generates electronic health record according to default edit format.
7. a kind of electronic health record generating means, it is characterised in that run on user terminal, described device includes：
First display unit, the corresponding case history editing interface of login user returned for display server, the case history editor
Interface includes multiple first identification informations, each the multiple first identification information to that should have the first Text Entry and the
Two identification informations；Second identification information pair should have the second Text Entry；
Second display unit, when clicking on first Text Entry for detecting user, by asynchronous mode to described
Server sends the first interrogation information request corresponding to the first identification information of the first Text Entry with being clicked, and shows
The first interrogation information that the server is returned；
3rd display unit, for showing user from the first interrogation information in first Text Entry being clicked
The first object interrogation information of middle selection；
4th display unit, for sending associated with the first object interrogation information to server by asynchronous mode
Second interrogation information request, and show the second interrogation information that the server is returned；
5th display unit, for showing user from the second interrogation information in first Text Entry being clicked
Second target interrogation information of middle selection, so as to by the first object interrogation information and the second target interrogation information phase
It is combined as input result corresponding to the first identification information of first Text Entry being clicked；
6th display unit, for input result corresponding to each first identification information of acquisition that repeat the above steps, and
Respective input result is shown in first Text Entry corresponding to each first identification information；
Receiving unit, shows that the server is based on each institute for Asynchronous Reception and in second Text Entry
State the diagnostic result that input result corresponding to the first identification information is obtained；
Generation unit, for by the first text corresponding to the multiple first identification information, each the multiple first identification information
Show in second Text Entry corresponding to the input result, the second identification information and the second identification information that are shown in this input frame
The diagnostic result shown generates electronic health record according to default edit format.
8. a kind of electronic health record generating means, it is characterised in that run on server, described device includes：
Returning unit, for return login user user terminal send request of data so that being stepped on described in user terminal displays
Employ the corresponding case history editing interface of request of data at family, the case history editing interface includes multiple first identification informations, each
The multiple first identification information is to that should have the first Text Entry and the second identification information；Second identification information pair
There should be the second Text Entry；
First receiving unit, when being based on detecting user's click first Text Entry for receiving user terminal, passes through
Asynchronous mode the is sent first interrogation information request corresponding with the first Text Entry that is being clicked the first identification information
And the first interrogation information is sent to user terminal, so that the first interrogation information described in user terminal displays；
Second receiving unit, for receive user terminal based on shown in first Text Entry being clicked user from
The first object interrogation information selected in the first interrogation information, what is sent by asynchronous mode asks with the first object
Examine the second associated interrogation information request of information and the second interrogation information is sent to user terminal, so that user terminal is aobvious
Show the second interrogation information, show user from the second interrogation information in first Text Entry being clicked
Second target interrogation information of selection, so as to which the first object interrogation information and the second target interrogation information are mutually tied
Cooperate as input result corresponding to the first identification information of first Text Entry being clicked；
Transmitting element, for typing corresponding to each first identification information based on user terminal acquisition that repeat the above steps
As a result, respective input result and in the first Text Entry corresponding to each first identification information is shown, to described
User terminal sends the diagnostic result that each input result corresponding to first identification information is obtained so that the user
Terminal Asynchronous Reception simultaneously shows in second Text Entry, and will the multiple first identification information, it is each described in
Input result, the second identification information and the second mark shown in first Text Entry corresponding to multiple first identification informations
The diagnostic result shown in corresponding second Text Entry of information generates electronic health record according to default edit format.
9. device according to claim 8, it is characterised in that described device also includes：
Judging unit, for judging whether each input result corresponding to first identification information meets preparatory condition,
If it is not, then returning to multiple follow-ups that each input result corresponding to first identification information is obtained to the user terminal
Disconnected result, so that the selection instruction that the user terminal receives user obtains diagnostic result.
10. a kind of electronic health record generates system, it is characterised in that the system includes server and user terminal, the service
Device is connected with the user terminal network；
The user terminal is used for the corresponding case history editing interface of login user that display server is returned, case history editor circle
Face includes multiple first identification informations, each the multiple first identification information to that should have the first Text Entry and second
Identification information；Second identification information pair should have the second Text Entry；
When server is used to receive user terminal based on user's click first Text Entry is detected, pass through asynchronous side
The first interrogation information request corresponding to the first identification information for the first Text Entry with being clicked that formula is sent and by first
Interrogation information is sent to user terminal, so that the first interrogation information described in user terminal displays；
The user terminal is additionally operable to show that user believes from first interrogation in first Text Entry being clicked
The first object interrogation information selected in breath；
The user terminal is additionally operable to send associated with the first object interrogation information to server by asynchronous mode
The second interrogation information request, and show the second interrogation information that the server is returned；
The user terminal is additionally operable to show that user believes from second interrogation in first Text Entry being clicked
The the second target interrogation information selected in breath, so as to by the first object interrogation information and the second target interrogation information
It is combined as input result corresponding to the first identification information of first Text Entry being clicked；Repeat the above steps
Input result corresponding to each first identification information is obtained, and in the first text corresponding to each first identification information
Respective input result is shown in input frame；Asynchronous Reception simultaneously shows that the server is based in second Text Entry
The diagnostic result that each input result corresponding to first identification information is obtained；By the multiple first identification information,
The input result that is shown in each first Text Entry corresponding to the multiple first identification information, the second identification information and
The diagnostic result shown in second Text Entry corresponding to the second identification information generates electronics disease according to default edit format
Go through.
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| CN201710431085.2A CN107229831A (en) | 2017-06-08 | 2017-06-08 | Electronic health record generation method, apparatus and system |
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| CN201710431085.2A CN107229831A (en) | 2017-06-08 | 2017-06-08 | Electronic health record generation method, apparatus and system |
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| CN201710431085.2A Pending CN107229831A (en) | 2017-06-08 | 2017-06-08 | Electronic health record generation method, apparatus and system |
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| CN115145461A (en) * | 2022-05-18 | 2022-10-04 | 深圳市乐凡信息科技有限公司 | Medical record inputting method based on tablet computer and related equipment |
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Application publication date: 20171003 |