CN107563113A - Blood used in clinic application closed loop management system and method - Google Patents

Blood used in clinic application closed loop management system and method Download PDF

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Publication number
CN107563113A
CN107563113A CN201710634606.4A CN201710634606A CN107563113A CN 107563113 A CN107563113 A CN 107563113A CN 201710634606 A CN201710634606 A CN 201710634606A CN 107563113 A CN107563113 A CN 107563113A
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China
Prior art keywords
blood
transfusion
patient
doctor
blood transfusion
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CN201710634606.4A
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Chinese (zh)
Inventor
张贯京
魏琼东
王海荣
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Shenzhen Qianhai AnyCheck Information Technology Co Ltd
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Shenzhen Qianhai AnyCheck Information Technology Co Ltd
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Priority to CN201710634606.4A priority Critical patent/CN107563113A/en
Priority to PCT/CN2017/108187 priority patent/WO2019024283A1/en
Publication of CN107563113A publication Critical patent/CN107563113A/en
Pending legal-status Critical Current

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16ZINFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS, NOT OTHERWISE PROVIDED FOR
    • G16Z99/00Subject matter not provided for in other main groups of this subclass

Abstract

The present invention provides a kind of blood used in clinic application closed loop management system and method, and the method comprising the steps of:Obtain the blood group and assay and the blood transfusion information of career in medicine unfamiliar guest family end reception patient of patient;Examination & verification according to transfusion volume foundation blood transfusion request slip, which signs and issues configuration flow node and is classified examination & verification, signs and issues;Sample bar code is generated according to default sample bar code create-rule;Bracket for blood grouping result, Antibody screening result and the cross matching result of patient are called according to sample bar code, and judges to generate match report when this information is consistent with historical information;According to blood bag generation hair blood list corresponding to match report and match report;Generate transfusion procedure record;According to default blood transfusion medical record templates, the blood transfusion electronic health record of patient is being generated after the completion of blood transfusion in preset time.Implement the present invention, can ensure that blood used in clinic procedural information can trace, improve the reasonability of blood used in clinic.

Description

Blood used in clinic application closed loop management system and method
Technical field
The present invention relates to medical information art field, more particularly to a kind of blood used in clinic application closed loop management system and side Method.
Background technology
In recent years, " blowout " outburst is presented in greatly improving with China's medical assurance level and scope, medical demand, Clinical blood transfusion amount balanced growth is more than 10%;And China human mortality is in quick aging period, voluntary blood donation basis relative thin Weak, rate of donating blood is less than 1% floor level required by the World Health Organization, and various regions are structural, seasonal, Regional Ischemia is asked Topic happens occasionally, and blood supply is nervous to be even presented normalization trend.But then, while blood supply anxiety, entirely (including tertiary hospitals) are widely present different degrees of unreasonable use blood phenomenon in the range of state.These unnecessary blood transfusions are not only unrestrained Take the blood resource of preciousness, it is also possible to bring the even dead wind of blood-borne, transfusion reaction, unfavorable Prognosis to patient Danger.
Therefore, clinical unreasonable blood outstanding problem, it would be highly desirable to a kind of blood used in clinic application closed loop management system is provided, solved The problem of Present clinical blood is present.
The content of the invention
The main purpose of the embodiment of the present invention is to provide a kind of blood used in clinic application closed loop management system and method, it is intended to Solve existing blood used in clinic procedural information to trace imperfect and cause the low technical problem of blood utilization rate.
To achieve the above object, the embodiments of the invention provide a kind of blood used in clinic application closed loop management system, run on In medical Cloud Server, the medical Cloud Server is connected with database server, and the medical Cloud Server also passes through communication Network connection has multiple doctor's clients, and the database server includes inspection database and case database, the clinic Included with blood application closed loop management system:
Evaluation module before blood transfusion, for obtaining the blood group and assay of patient, career in medicine unfamiliar guest family from inspection database End receives the blood transfusion information for the patient that doctor determines according to the blood group and assay of patient, and according to the blood transfusion information generation List and treatment of blood transfusion informed consent form are assessed before blood transfusion;
Blood transfusion application and auditing module, for generating request slip of transfusing blood, the blood transfusion request slip is established according to transfusion volume Configuration flow node is signed and issued in examination & verification, and signs and issues configuration flow node by the blood transfusion request slip according to the examination & verification of the blood transfusion request slip Classification is sent to corresponding doctor's client examination & verification and signed and issued;
Sample bar code management module, after the completion of being signed and issued in blood transfusion request slip examination & verification, generated according to default sample bar code Rule generation sample bar code, so that user prints the sample bar code and completes blood specimen collection;
Specimen information processing module, for after user has gathered blood preparation and completes inspection, according to the sample bar Code calls bracket for blood grouping result, Antibody screening result and the cross matching result of patient from inspection database, and judges Match report is generated when this information is consistent with historical information;
Blood management module is sent out, for blood bag generation hair blood list, the hair according to corresponding to match report and match report Blood list includes hair blood wall scroll code, hair blood people, hair blood time and the history of patient hair blood information;
Transfusion procedure logging modle, for the blood transfusion request slip bar code of patient, match report bar code, hair blood wall scroll code, When blood bag bar code and the consistent information in wrist strap bar code, generation transfusion procedure record, sending allows clinician defeated to patient The prompt message of blood is to doctor's client;
Blood transfusion case history generation module, for according to default blood transfusion medical record templates, being given birth to after the completion of blood transfusion in preset time Into the blood transfusion electronic health record of patient.
As preferred embodiment, the assay includes content, prothrombin time and the total egg of red blood cell in blood White content.
As preferred embodiment, the blood transfusion request slip bar code, sample bar code, match report bar code, hair blood wall scroll code are equal Including sequence number, patient basis and blood transfusion information.
As preferred embodiment, the blood transfusion information includes using blood type and transfusion volume.
As preferred embodiment, the blood transfusion application and auditing module are specifically used for generation blood transfusion request slip, when same trouble When person's transfusion volume of one day is less than 800ml, the blood transfusion request slip of the patient is sent to doctor's client corresponding to higher level doctor Examination & verification is signed and issued;When same patient's transfusion volume of one day is more than or equal to 800ml and is less than 1600ml, by the blood transfusion Shen of the patient Please single-shot deliver to doctor's client corresponding to higher level doctor, treat corresponding to higher level doctor that doctor's client is sent and signed and issued by examination & verification Information after, be then forwarded to corresponding to the head of the department examination & verification of doctor's client and sign and issue;When same patient's transfusion volume of one day be more than etc. When 1600ml, the blood transfusion request slip of the patient is sent to doctor's client corresponding to the head of the department, treats to cure corresponding to the head of the department After raw client sends the information signed and issued by examination & verification, doctor's client examination & verification label corresponding to medical service leader are then forwarded to Hair.
The embodiment of the present invention additionally provides a kind of blood used in clinic application closed-loop management method, applied to medical Cloud Server In, the medical Cloud Server is connected with database server, and the medical Cloud Server is also connected with more by communication network Individual doctor's client, the blood used in clinic application closed-loop management method include step:
The blood group and assay of patient is obtained from inspection database, career in medicine unfamiliar guest family end receives doctor according to patient's The blood transfusion information for the patient that blood group and assay determine, and assess single and blood transfusion before being transfused blood according to the blood transfusion information generation Treat informed consent form;
Configuration flow node is signed and issued in generation blood transfusion request slip, the examination & verification that the blood transfusion request slip is established according to transfusion volume, and Examination & verification according to the blood transfusion request slip signs and issues configuration flow node and the blood transfusion request slip classification is sent into corresponding doctor visitor The examination & verification of family end is signed and issued;
After the completion of blood transfusion request slip examination & verification is signed and issued, sample bar code is generated according to default sample bar code create-rule, for User prints the sample bar code and completes blood specimen collection;
After user has gathered blood preparation and completes inspection, trouble is called from inspection database according to the sample bar code Bracket for blood grouping result, Antibody screening result and the cross matching result of person, and judge consistent with historical information in this information Shi Shengcheng match is reported;
Hair blood wall scroll is included according to blood bag generation hair blood list, the hair blood list corresponding to match report and match report Code, hair blood people, hair blood time and the history of patient hair blood information;
In blood transfusion request slip bar code, match report bar code, hair blood wall scroll code, blood bag bar code and wrist strap bar code in patient When information is consistent, generation transfusion procedure record, sending allows prompt message of the clinician to patients with transfusion to doctor client End;
According to default blood transfusion medical record templates, the blood transfusion electronic health record of patient is being generated after the completion of blood transfusion in preset time.
As preferred embodiment, the assay includes content, prothrombin time and the total egg of red blood cell in blood White content.
As preferred embodiment, the blood transfusion request slip bar code, sample bar code, match report bar code, hair blood wall scroll code are equal Including sequence number, patient basis and blood transfusion information.
As preferred embodiment, the blood transfusion information includes using blood type and transfusion volume.
It is described to generate blood transfusion request slip as preferred embodiment, the examination & verification of the blood transfusion request slip is established according to transfusion volume Configuration flow node is signed and issued, and configuration flow node is signed and issued by the blood transfusion request slip classification according to the examination & verification of the blood transfusion request slip The step of examination & verification of doctor's client is signed and issued corresponding to being sent to includes:
Generation blood transfusion request slip;
When same patient's transfusion volume of one day is less than 800ml, the blood transfusion request slip of the patient is sent to higher level doctor Corresponding doctor's client examination & verification is signed and issued;
When same patient's transfusion volume of one day is more than or equal to 800ml and is less than 1600ml, by the blood transfusion application of the patient Single-shot delivers to doctor's client corresponding to higher level doctor, treats that doctor's client corresponding to higher level doctor sends what is signed and issued by examination & verification After information, it is then forwarded to doctor's client examination & verification corresponding to the head of the department and signs and issues;
When same patient's transfusion volume of one day is more than or equal to 1600ml, the blood transfusion request slip of the patient is sent to section master Doctor's client corresponding to appointing, after doctor's client corresponding to the head of the department sends the information signed and issued by examination & verification, is then forwarded to The examination & verification of doctor's client is signed and issued corresponding to medical service leader.
Compared to prior art, the embodiment of the present invention carries out transfuse blood preceding assessment, blood transfusion application for the actual conditions of patient Audited with classification, it is ensured that the reasonability of blood transfusion;In blood collection procedure, based on this assay and history assay pair Specimen information is handled, it is ensured that the uniformity and correctness of match report;According to match report and match report pair The blood bag generation hair blood list answered, it is ensured that hair blood procedural information can trace;Transfuse blood request slip bar code, match are ensured in transfusion procedure Report bar code, hair blood wall scroll code, five yards of blood bag bar code and wrist strap bar code is consistent could give patients with transfusion, and record transfuse blood it is bad instead Should, it is ensured that transfusion procedure it is safely controllable;Blood transfusion electronics disease is ultimately produced, is realized and is assessed, applies from blood used in clinic application, examining Core, sample core receipts, Blood laboratory, hair blood, transfusion procedure record whole whole process information system management, improve blood utilization ratio, Malpractice caused by artificial origin during reduction blood use.
Brief description of the drawings
Fig. 1 is the application environment schematic diagram of blood used in clinic application closed loop management system preferred embodiment of the present invention;
Fig. 2 is the module diagram of blood used in clinic application closed loop management system preferred embodiment of the present invention;
Fig. 3 is the flow chart of blood used in clinic application closed-loop management method preferred embodiment of the present invention.
The realization, functional characteristics and advantage of the object of the invention will be described further referring to the drawings in conjunction with the embodiments.
Embodiment
Further to illustrate the present invention to reach the technological means and effect that predetermined goal of the invention is taken, below in conjunction with Accompanying drawing and preferred embodiment, to embodiment, structure, feature and its effect of the present invention, describe in detail as follows.It should manage Solution, the specific embodiments described herein are merely illustrative of the present invention, is not intended to limit the present invention.
Shown in reference picture 1, Fig. 1 is the application environment of the preferred embodiment of blood used in clinic application closed loop management system 10 of the present invention Schematic diagram.In the present embodiment, the blood used in clinic application closed loop management system 10 is run in medical Cloud Server 1, medical treatment Cloud Server 1 is connected with database server 2, and the connection between the medical Cloud Server 1 and database server 2 is one kind Database connect, such as can be open database inter connection (Open Database Connectivity, ODBC) and Java databases connect (Java Data Base Connectivity, JDBC).The medical Cloud Server 1 also passes through communication Network 4 is connected with multiple doctor's clients 3, and the embodiment of the present invention illustrates by taking three doctor's clients 3 as an example, doctor client The user at end 3 can be clinician, higher level doctor, blood transfusion head of the department's isogonism color.
The database server 2 includes inspection database 22 and case database 24.The inspection database 22 is root Obtained according to blood component index from external inspection information system and store the database of assay data, the blood used in clinic Apply for that closed loop management system 10 obtains assay data from inspection database 22, and judge blood transfusion class according to assay data Type.The case database 24 is to obtain relevant disease, Signs, operation, inspection blood information in transfusing blood business datum from history, Blood transfusion case is formed, the database used is referred to as scientific research and clinical blood transfusion.
The communication network 4 can be wireline communication network or cordless communication network.In the present embodiment, the communication network Network 4 be preferably cordless communication network, include but is not limited to, GSM network, GPRS network, cdma network, TD-SCDMA network, The wireless-transmission networks such as WiMAX network, TD-LTE networks, FDD-LTE networks.
Blood used in clinic application closed loop management system 10 described in the embodiment of the present invention is examined before realizing blood transfusion, commented before blood transfusion Estimate, informed consent form signature, blood transfusion apply, collection of specimens, sample core receive, blood transfusion experiment, hair blood, transfusion procedure record, transfuse blood The business procedure such as curative effect evaluation afterwards.
Shown in reference picture 2, Fig. 2 is the functional module of the preferred embodiment of blood used in clinic application closed loop management system of the present invention Schematic diagram.In the present embodiment, the blood used in clinic application closed loop management system 10 is applied in medical Cloud Server 1, the doctor Treat Cloud Server 1 include but not limited to, blood used in clinic application closed loop management system 10, communication unit 11, memory cell 12 and Processing unit 13.
The communication unit 11 is a kind of wireless communication interface with long-distance radio communication function, for example, support GSM, The communication interface of the mechanicss of communication such as GPRS, WCDMA, CDMA, TD-SCDMA, WiMAX, TD-LTE, FDD-LTE.
The memory cell 12 can be a kind of read-only memory unit ROM, electrically-erasable memory cell EEPROM, quick flashing Memory cell FLASH or solid hard disk etc..
Described processing unit 13 can be a kind of central processing unit (Central Processing Unit, CPU), micro- Controller (MCU), data processing chip or the information process unit with data processing function.
The blood used in clinic application closed loop management system 10 includes evaluation module 101, blood transfusion application and examination & verification mould before blood transfusion Block 102, sample bar code management module 103, specimen information processing module 104, hair blood management module 105, transfusion procedure record mould Block 106, blood transfusion case history generation module 107.
Evaluation module 101 before the blood transfusion, for obtaining the blood group and assay of patient from inspection database 22, from Doctor's client 3 receives the blood transfusion information for the patient that doctor determines according to the blood group and assay of patient, and according to described defeated List and treatment of blood transfusion informed consent form are assessed before the generation blood transfusion of blood information.The blood transfusion information includes using blood type and blood transfusion Amount.The assay includes but is not limited to red blood cell RBC in blood (Red Blood Cell) content, prothrombin time PT (Prothrombin Time) and total protein TP content.In embodiments of the present invention, evaluation module 101 is use before blood transfusion Family provides Data Enter interface, and the Data Enter interface provides the data options of above-mentioned assay, without being manually entered, Only need mouse to select the size of each parameter, next operation, i.e. root are jumped to automatically after user click data save button The blood transfusion information sent according to doctor's client 3, list and treatment of blood transfusion informed consent form are assessed before generation blood transfusion, and in user's point The treatment of blood transfusion informed consent form is printed after hitting print button, is signed for patient or its family members.In other embodiments, perform the operation Middle application need not carry out preceding assessment of transfusing blood with blood, i.e., without evaluation module 101 before execution blood transfusion.Being assessed before the blood transfusion singly includes Blood group, assay and the blood transfusion information of patient.
Blood transfusion application and auditing module 102, for generating request slip of transfusing blood, the blood transfusion request slip is established according to transfusion volume Examination & verification sign and issue configuration flow node, and sign and issue configuration flow node according to the examination & verification of the blood transfusion request slip and apply for the blood transfusion Single classification is sent to the corresponding examination & verification of doctor's client 3 and signed and issued.In embodiments of the present invention, blood transfusion request slip includes blood transfusion letter Breath and blood transfusion request slip bar code.The blood transfusion request slip bar code comprises at least sequence number, patient basis and blood transfusion information.Institute Stating sequence number includes the blood transfusion number on the day of current time and patient.The patient basis includes patient's name, sex, year Age, bed number.The blood transfusion request slip is filed an application, vacation according to blood used in clinic specification by the clinician with intermediate title If same patient's transfusion volume of one day is X, work as X<During 800ml, checked and approved and signed and issued by higher level doctor, i.e., it is defeated as same patient one day When blood volume is less than 800ml, blood transfusion application sends the blood transfusion request slip of the patient with auditing module 102 corresponding to higher level doctor Doctor's client 3 examination & verification sign and issue;As 800ml≤X<During 1600ml, audited by higher level doctor, then checked and approved and signed and issued by the head of the department, I.e. when same patient's transfusion volume of one day is more than or equal to 800ml and is less than 1600ml, blood transfusion application and auditing module 102 will The blood transfusion request slip of the patient is sent to doctor's client 3 corresponding to higher level doctor, treats doctor's client 3 corresponding to higher level doctor After sending the information signed and issued by examination & verification, it is then forwarded to the examination & verification of doctor's client 3 corresponding to the head of the department and signs and issues;As X >=1600ml When, checked and approved and signed and issued by the head of the department, and report medical service leader to ratify, i.e., when same patient's transfusion volume of one day is more than or equal to During 1600ml, blood transfusion application and auditing module 102 send the blood transfusion request slip of the patient to doctor client corresponding to the head of the department End 3, after doctor's client 3 corresponding to the head of the department sends the information signed and issued by examination & verification, it is then forwarded to medical service leader couple The examination & verification of doctor's client 3 answered is signed and issued.In other embodiments, need not if the blood transfusion request slip is used for emergency call salving Examination & verification.
Sample bar code management module 103, after the completion of being signed and issued in blood transfusion request slip examination & verification, given birth to according to default sample bar code Sample bar code is generated into rule, so that user prints the sample bar code and completes blood specimen collection.In the embodiment of the present invention In, the sample bar code comprises at least sequence number, patient basis, blood transfusion information.Sample bar code can be set as needed Number of copies.
Specimen information processing module 104, for after user has gathered blood preparation and completes inspection, according to the sample Bar code calls the bracket for blood grouping result, Antibody screening result and cross matching result of patient from inspection database 22, and sentences Break and match report is generated when this information is consistent with historical information.In embodiments of the present invention, the match report includes matching somebody with somebody Blood report bar code, bracket for blood grouping result, Antibody screening result and cross matching result.The match report bar code comprises at least Sequence number, patient basis and blood transfusion information.In embodiments of the present invention, specimen information processing module 104 can be to sample Information during core receipts, bracket for blood grouping, Antibody screening and cross matching is managed.Pass through scanning during collection of specimens Sample bar code, record collection people and the acquisition time of the sample.After sample is sent to Blood Transfusion Dept. by clinical nurse, Blood Transfusion Dept. operation The core that member can complete sample by scanning sample bar code is received.Meanwhile specimen information processing module 104 gets sample bar code Afterwards, the history bracket for blood grouping result of the patient in sample bar code is called from inspection database 22, and when this blood group of patient When qualification result and inconsistent history bracket for blood grouping result, prompting message is sent so that Blood Transfusion Dept. operator handles accordingly.Do During Antibody screening, specimen information processing module 104 calls the preceding Antibody screening result of the patient from inspection database 22, And when this Antibody screening result of patient and a preceding Antibody screening result are inconsistent, prompting message is sent so as to Blood Transfusion Dept. Operator handles accordingly.In cross matching, specimen information processing module 104 judge blood transfusion information in sample bar code with Whether the blood transfusion information in blood transfusion request slip is consistent, and the blood transfusion information in sample bar code is believed with the blood transfusion in blood transfusion request slip Prompt message is sent when breath is not consistent and does not allow subsequent operation.Sample message processing module 104 is to patient's sheet during cross matching The comparison and judgement of secondary bracket for blood grouping result, Antibody screening result and cross matching result and historical data, it is ensured that match report The uniformity and correctness of announcement.
Blood management module 105 is sent out, should for the blood bag generation hair blood list according to corresponding to match report and match report Sending out blood list includes hair blood wall scroll code, hair blood people, hair blood time and the history of patient hair blood information.
In embodiments of the present invention, the hair blood wall scroll code comprises at least sequence number, patient basis and blood transfusion information. Blood bag bar code is posted in the blood bag, the blood bag bar code comprises at least sequence number, patient basis and blood transfusion information.
Transfusion procedure logging modle 106, for obtaining the blood transfusion request slip bar code, match report bar code, hair blood list of patient Bar code, blood bag bar code and wrist strap bar code, and blood transfusion request slip bar code, match report bar code, hair blood wall scroll code, blood bag in patient Bar code and the information in wrist strap bar code consistent (i.e. five yards of information all sames) when, generation transfusion procedure record, transmission allows to face Bed doctor to patients with transfusion prompt message to doctor's client.The transfusion procedure record includes the blood transfusion application wall scroll of patient The information such as code, match report bar code, hair blood wall scroll code, blood bag bar code, wrist strap bar code, Adverse transfusion reaction.
Transfuse blood case history generation module 107, for according to default blood transfusion medical record templates, after the completion of blood transfusion in preset time Generate the blood transfusion electronic health record of patient.It is described it is default blood transfusion medical record templates can according to the demand of Different hospital set and more Newly.The preset time is 72 hours.In other embodiments, case history generation module 107 of transfusing blood is additionally operable to the defeated of the patient Blood electronic health record is stored in case database 24.Single, treatment of blood transfusion is informed same including being assessed before blood transfusion for the blood transfusion electronic health record The contents such as meaning book, blood transfusion request slip, match report, transfusion procedure record and blood transfusion curative effect evaluation.
The embodiment of the present invention carries out transfuse blood preceding assessment, blood transfusion application and classification examination & verification for the actual conditions of patient, it is ensured that The reasonability of blood transfusion;In blood collection procedure, based on this assay and history assay to specimen information at Reason, it is ensured that the uniformity and correctness of match report;According to blood bag generation hair corresponding to match report and match report Blood list, it is ensured that hair blood procedural information can trace;Transfuse blood request slip bar code, match report bar code, hair blood are ensured in transfusion procedure Wall scroll code, five yards of blood bag bar code and wrist strap bar code is consistent could give patients with transfusion, and records Adverse transfusion reaction, it is ensured that transfused blood Journey it is safely controllable;Ultimately produce blood transfusion electronics disease, realize from blood used in clinic application assess, application, examination & verification, sample core receive, Blood laboratory, hair blood, transfusion procedure record whole whole process information system management, improve blood utilization ratio, reduce blood and use During malpractice caused by artificial origin.
It is the flow chart of the preferred embodiment of blood used in clinic application closed-loop management method of the present invention shown in reference picture 3.At this In embodiment, the blood used in clinic application closed-loop management method is applied in medical Cloud Server 1, with reference to shown in Fig. 1 and Fig. 2, This method comprises the following steps:
Step S31, evaluation module 101 obtains the blood group and assay of patient from inspection database 22 before blood transfusion, from Doctor's client 3 receives the blood transfusion information for the patient that doctor determines according to the blood group and assay of patient, and according to described defeated List and treatment of blood transfusion informed consent form are assessed before the generation blood transfusion of blood information.
The blood transfusion information includes using blood type and transfusion volume.The assay includes but is not limited to red blood cell in blood The content of RBC (Red Blood Cell) content, prothrombin time PT (Prothrombin Time) and total protein TP. In embodiments of the present invention, evaluation module 101 provides the user Data Enter interface before blood transfusion, and the Data Enter interface provides The data options of above-mentioned assay, without being manually entered, mouse is only needed to select the size of each parameter, user clicks on Automatically next operation is jumped to after data save button, i.e., the blood transfusion information sent according to doctor's client 3, is commented before generation blood transfusion Estimate list and treatment of blood transfusion informed consent form, and the treatment of blood transfusion informed consent form printed after user clicks on print button, Signed for patient or its family members.In other embodiments, application need not carry out preceding assessment of transfusing blood with blood in operation, i.e., without performing Step S31.Single blood group for including patient, assay and blood transfusion information are assessed before the blood transfusion.
Step S32, blood transfusion application and the generation blood transfusion request slip of auditing module 102, the blood transfusion Shen is established according to transfusion volume Configuration flow node is signed and issued in examination & verification that please be single, and signs and issues configuration flow node by the blood transfusion according to the examination & verification of the blood transfusion request slip Request slip classification is sent to the corresponding examination & verification of doctor's client 3 and signed and issued.
In embodiments of the present invention, blood transfusion request slip includes transfuse blood information and request slip bar code of transfusing blood.The blood transfusion Shen Please wall scroll code comprise at least sequence number, patient basis and blood transfusion information.The sequence number includes current time and patient works as It blood transfusion number.The patient basis includes patient's name, sex, age, bed number.It is described blood transfusion request slip according to Blood used in clinic specification, filed an application by the clinician with intermediate title, it is assumed that same patient's transfusion volume of one day is X, works as X <During 800ml, checked and approved and signed and issued by higher level doctor, i.e., when same patient's transfusion volume of one day is less than 800ml, blood transfusion is applied and examined The blood transfusion request slip of the patient is sent to the examination & verification of doctor's client 3 corresponding to higher level doctor and signed and issued by core module 102;Work as 800ml ≤X<During 1600ml, audited by higher level doctor, then by the head of the department check and approve sign and issue, i.e., when same patient's transfusion volume of one day be more than etc. In 800ml and when being less than 1600ml, blood transfusion application and auditing module 102 send the blood transfusion request slip of the patient to higher level doctor Corresponding doctor's client 3, after doctor's client 3 corresponding to higher level doctor sends the information signed and issued by examination & verification, retransmit Signed and issued to the examination & verification of doctor's client 3 corresponding to the head of the department;As X >=1600ml, checked and approved and signed and issued by the head of the department, and report medical service Leader ratifies, i.e., when same patient's transfusion volume of one day is more than or equal to 1600ml, blood transfusion application and auditing module 102 suffer from this The blood transfusion request slip of person is sent to doctor's client 3 corresponding to the head of the department, is treated that doctor's client 3 corresponding to the head of the department is sent and is passed through After auditing the information signed and issued, it is then forwarded to the examination & verification of doctor's client 3 corresponding to medical service leader and signs and issues.In other embodiment In, if the blood transfusion request slip is used for emergency call salving, without examination & verification.
Step S33, sample bar code management module 103 is after the completion of blood transfusion request slip examination & verification is signed and issued, according to default sample bar Code create-rule generation sample bar code, so that user prints the sample bar code and completes blood specimen collection.
In embodiments of the present invention, the sample bar code comprises at least sequence number, patient basis, blood transfusion information.Root The number of copies of sample bar code can be set according to needs.
Step S34, specimen information processing module 104 is after user has gathered blood preparation and completes inspection, according to described Sample bar code calls the bracket for blood grouping result, Antibody screening result and cross matching result of patient from inspection database 22, And judge to generate match report when this information is consistent with historical information.
In embodiments of the present invention, the match reports that including match report bar code, bracket for blood grouping result, antibody screen comes to an end Fruit and cross matching result.The match report bar code comprises at least sequence number, patient basis and blood transfusion information.At this In inventive embodiments, specimen information processing module 104 can be to sample core receipts, bracket for blood grouping, Antibody screening and cross matching During information be managed.By scanning sample bar code during collection of specimens, collection people and the collection of the sample are recorded Time.After sample is sent to Blood Transfusion Dept. by clinical nurse, Blood Transfusion Dept. operator can complete sample by scanning sample bar code Core is received.Meanwhile after specimen information processing module 104 gets sample bar code, called from inspection database 22 in sample bar code The history bracket for blood grouping result of the patient, and when this bracket for blood grouping result of patient and history bracket for blood grouping result are inconsistent When, prompting message is sent so that Blood Transfusion Dept. operator handles accordingly.When doing Antibody screening, specimen information processing module 104 from Call the preceding Antibody screening result of the patient in inspection database 22, and when this Antibody screening result of patient with it is previous When secondary Antibody screening result is inconsistent, prompting message is sent so that Blood Transfusion Dept. operator handles accordingly.Sample during cross matching Message processing module 104 judges whether the blood transfusion information in sample bar code is consistent with the blood transfusion information in blood transfusion request slip, and Blood transfusion information in sample bar code sends prompt message and not allowed follow-up when not being consistent with the blood transfusion information in blood transfusion request slip Operation.In cross matching, specimen information processing module 104 to patient this bracket for blood grouping result, Antibody screening result and The comparison and judgement of cross matching result and historical data, it is ensured that the uniformity and correctness of match report.
Step S35, the blood bag generation hair blood according to corresponding to being reported match and the match is reported of hair blood management module 105 Single, the hair blood list includes hair blood wall scroll code, hair blood people, hair blood time and the history of patient hair blood information.
In embodiments of the present invention, the hair blood wall scroll code comprises at least sequence number, patient basis and blood transfusion information. Blood bag bar code is posted in the blood bag, the blood bag bar code comprises at least sequence number, patient basis and blood transfusion information.
Step S36, transfusion procedure logging modle 106 obtain the blood transfusion request slip bar code of patient, match report bar code, hair blood Wall scroll code, blood bag bar code and wrist strap bar code, and blood transfusion request slip bar code in patient, match report bar code, hair blood wall scroll code, blood Bag bar code and the information in wrist strap bar code consistent (i.e. five yards of information all sames) when, generation transfusion procedure record, transmission permission Clinician to patients with transfusion prompt message to doctor's client.
In embodiments of the present invention, the transfusion procedure record includes the blood transfusion request slip bar code of patient, match report bar The information such as code, hair blood wall scroll code, blood bag bar code, wrist strap bar code, Adverse transfusion reaction.
Step S37, blood transfusion case history generation module 107 is according to default blood transfusion medical record templates, when being preset after the completion of blood transfusion The blood transfusion electronic health record of interior generation patient.
In embodiments of the present invention, it is described it is default blood transfusion medical record templates can according to the demand of Different hospital set and more Newly.The preset time is 72 hours.In other embodiments, case history generation module 107 of transfusing blood is additionally operable to the defeated of the patient Blood electronic health record is stored in case database 24.Single, treatment of blood transfusion is informed same including being assessed before blood transfusion for the blood transfusion electronic health record The contents such as meaning book, blood transfusion request slip, match report, transfusion procedure record and blood transfusion curative effect evaluation.
The embodiment of the present invention carries out transfuse blood preceding assessment, blood transfusion application and classification examination & verification for the actual conditions of patient, it is ensured that The reasonability of blood transfusion;In blood collection procedure, based on this assay and history assay to specimen information at Reason, it is ensured that the uniformity and correctness of match report;According to blood bag generation hair corresponding to match report and match report Blood list, it is ensured that hair blood procedural information can trace;Transfuse blood request slip bar code, match report bar code, hair blood are ensured in transfusion procedure Wall scroll code, five yards of blood bag bar code and wrist strap bar code is consistent could give patients with transfusion, and records Adverse transfusion reaction, it is ensured that transfused blood Journey it is safely controllable;Ultimately produce blood transfusion electronics disease, realize from blood used in clinic application assess, application, examination & verification, sample core receive, Blood laboratory, hair blood, transfusion procedure record whole whole process information system management, improve blood utilization ratio, reduce blood and use During malpractice caused by artificial origin.
It will be understood by those skilled in the art that all or part of step of various methods can pass through in above-mentioned embodiment Relative program instruction is completed, and the program can be stored in computer-readable recording medium, and storage medium can include:It is read-only to deposit Reservoir, random access memory, disk or CD etc..
Presently preferred embodiments of the present invention is these are only, is not intended to limit the scope of the invention, it is every to utilize this hair The equivalent structure or equivalent flow conversion that bright specification and accompanying drawing content are made, or directly or indirectly it is used in other related skills Art field, is included within the scope of the present invention.

Claims (10)

1. a kind of blood used in clinic application closed loop management system, runs in medical Cloud Server, the medical Cloud Server connection There is database server, the medical Cloud Server is also connected with multiple doctor's clients by communication network, it is characterised in that The database server includes inspection database and case database, and the blood used in clinic application closed loop management system includes:
Evaluation module before blood transfusion, for obtaining the blood group and assay of patient, career in medicine unfamiliar guest family termination from inspection database The blood transfusion information for the patient that doctor determines according to the blood group and assay of patient is received, and according to the blood transfusion information generation blood transfusion Preceding assessment list and treatment of blood transfusion informed consent form;
Blood transfusion application and auditing module, for generating request slip of transfusing blood, the examination & verification of the blood transfusion request slip is established according to transfusion volume Configuration flow node is signed and issued, and configuration flow node is signed and issued by the blood transfusion request slip classification according to the examination & verification of the blood transfusion request slip The examination & verification of doctor's client is signed and issued corresponding to being sent to;
Sample bar code management module, after the completion of being signed and issued in blood transfusion request slip examination & verification, according to default sample bar code create-rule Sample bar code is generated, so that user prints the sample bar code and completes blood specimen collection;
Specimen information processing module, for after user has gathered blood preparation and completes inspection, according to the sample bar code from Bracket for blood grouping result, Antibody screening result and the cross matching result of patient are called in inspection database, and is judged at this Match report is generated when information is consistent with historical information;
Blood management module is sent out, for blood bag generation hair blood list, the hair blood list according to corresponding to match report and match report Blood information is sent out including hair blood wall scroll code, hair blood people, hair blood time and the history of the patient;
Transfusion procedure logging modle, in the blood transfusion request slip bar code of patient, match report bar code, hair blood wall scroll code, blood bag When bar code and the consistent information in wrist strap bar code, generation transfusion procedure record, sending allows clinician to patients with transfusion Prompt message is to doctor's client;
Blood transfusion case history generation module, for according to default blood transfusion medical record templates, suffering from being generated after the completion of blood transfusion in preset time The blood transfusion electronic health record of person.
2. blood used in clinic application closed loop management system as claimed in claim 1, it is characterised in that the assay includes blood The content of the content of red blood cell, prothrombin time and total protein in liquid.
3. blood used in clinic application closed loop management system as claimed in claim 1, it is characterised in that the blood transfusion application wall scroll Code, sample bar code, match report bar code, hair blood wall scroll code include sequence number, patient basis and blood transfusion information.
4. blood used in clinic application closed loop management system as claimed in claim 1, it is characterised in that the blood transfusion information includes using Blood type and transfusion volume.
5. blood used in clinic application closed loop management system as claimed in claim 1, it is characterised in that the blood transfusion application and examination & verification Module is specifically used for generation blood transfusion request slip, when same patient's transfusion volume of one day is less than 800ml, by the blood transfusion Shen of the patient Please single-shot deliver to corresponding to higher level doctor the examination & verification of doctor's client and sign and issue;When same patient's transfusion volume of one day is more than or equal to 800ml and when being less than 1600ml, the blood transfusion request slip of the patient is sent to doctor's client corresponding to higher level doctor, treats higher level After doctor's client corresponding to doctor sends the information signed and issued by examination & verification, it is then forwarded to doctor's client corresponding to the head of the department and examines Core is signed and issued;When same patient's transfusion volume of one day is more than or equal to 1600ml, the blood transfusion request slip of the patient is sent to section master Doctor's client corresponding to appointing, after doctor's client corresponding to the head of the department sends the information signed and issued by examination & verification, is then forwarded to The examination & verification of doctor's client is signed and issued corresponding to medical service leader.
6. a kind of blood used in clinic application closed-loop management method, applied in medical Cloud Server, the medical Cloud Server connects There is database server, the medical Cloud Server is also connected with multiple doctor's clients by communication network, it is characterised in that The blood used in clinic application closed-loop management method includes step:
The blood group and assay of patient is obtained from inspection database, career in medicine unfamiliar guest family end receives blood group of the doctor according to patient The blood transfusion information of the patient determined with assay, and according to assessment list and treatment of blood transfusion before the blood transfusion information generation blood transfusion Informed consent form;
Configuration flow node is signed and issued in generation blood transfusion request slip, the examination & verification that the blood transfusion request slip is established according to transfusion volume, and according to The examination & verification of the blood transfusion request slip signs and issues configuration flow node and the blood transfusion request slip classification is sent into corresponding doctor's client Examination & verification is signed and issued;
After the completion of blood transfusion request slip examination & verification is signed and issued, sample bar code is generated according to default sample bar code create-rule, for user Print the sample bar code and complete blood specimen collection;
After user has gathered blood preparation and completes inspection, call patient's from inspection database according to the sample bar code Bracket for blood grouping result, Antibody screening result and cross matching result, and judge to give birth to when this information is consistent with historical information Reported into match;
Hair blood wall scroll code, hair are included according to blood bag generation hair blood list, the hair blood list corresponding to match report and match report The history hair blood information of blood people, hair blood time and the patient;
The information in blood transfusion request slip bar code, match report bar code, hair blood wall scroll code, blood bag bar code and wrist strap bar code in patient When consistent, generation transfusion procedure record, sending allows prompt message of the clinician to patients with transfusion to doctor's client;
According to default blood transfusion medical record templates, the blood transfusion electronic health record of patient is being generated after the completion of blood transfusion in preset time.
7. blood used in clinic application closed-loop management method as claimed in claim 6, it is characterised in that the assay includes blood The content of the content of red blood cell, prothrombin time and total protein in liquid.
8. blood used in clinic application closed-loop management method as claimed in claim 6, it is characterised in that the blood transfusion application wall scroll Code, sample bar code, match report bar code, hair blood wall scroll code include sequence number, patient basis and blood transfusion information.
9. blood used in clinic application closed-loop management method as claimed in claim 6, it is characterised in that the blood transfusion information includes using Blood type and transfusion volume.
10. blood used in clinic application closed-loop management method as claimed in claim 6, it is characterised in that the generation blood transfusion application Single, configuration flow node, and examining according to the blood transfusion request slip are signed and issued in the examination & verification that the blood transfusion request slip is established according to transfusion volume Core sign and issue configuration flow node by the blood transfusion request slip classification be sent to corresponding to the examination & verification of doctor client sign and issue the step of wrap Include:
Generation blood transfusion request slip;
When same patient's transfusion volume of one day is less than 800ml, the blood transfusion request slip of the patient is sent corresponding to higher level doctor Doctor's client examination & verification sign and issue;
When same patient's transfusion volume of one day is more than or equal to 800ml and is less than 1600ml, by the blood transfusion application single-shot of the patient Doctor's client corresponding to higher level doctor is delivered to, treats that doctor's client corresponding to higher level doctor sends the information signed and issued by examination & verification Afterwards, doctor's client examination & verification corresponding to the head of the department is then forwarded to sign and issue;
When same patient's transfusion volume of one day is more than or equal to 1600ml, the blood transfusion request slip of the patient is sent to the head of the department couple The doctor's client answered, after doctor's client corresponding to the head of the department sends the information signed and issued by examination & verification, it is then forwarded to medical matters The examination & verification of doctor's client is signed and issued corresponding to department head.
CN201710634606.4A 2017-07-29 2017-07-29 Blood used in clinic application closed loop management system and method Pending CN107563113A (en)

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PCT/CN2017/108187 WO2019024283A1 (en) 2017-07-29 2017-10-28 Closed-loop management system and method for application regarding blood for clinical use

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Cited By (4)

* Cited by examiner, † Cited by third party
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CN110415799A (en) * 2019-07-29 2019-11-05 广东迈科医学科技股份有限公司 A kind of closed loop management system for hospital blood bank
CN110706795A (en) * 2019-09-04 2020-01-17 上海市第六人民医院 Blood sampling supervision, blood management, blood transfusion supervision method and blood management system
CN111863175A (en) * 2020-07-27 2020-10-30 北京颐圣智能科技有限公司 Medical record quality evaluation method and computing device
CN112927772A (en) * 2021-02-24 2021-06-08 广东迈科医学科技股份有限公司 Blood code automatic matching method and system

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102855364A (en) * 2011-06-28 2013-01-02 上海市第六人民医院 Blood transfusion management method
CN104331778B (en) * 2014-11-20 2017-11-21 重庆图珀信息技术有限公司 The intelligent management control method of clinical blood transfusion electronic information
CN105373704B (en) * 2015-12-02 2018-04-17 济南市儿童医院 A kind of clinical path management system and its method based on cloud computing
CN106846204A (en) * 2015-12-04 2017-06-13 刘华广 A kind of safe transfusion management system for tracking
CN106874654A (en) * 2017-01-13 2017-06-20 上海市第六人民医院 A kind of Transfusion Management

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110415799A (en) * 2019-07-29 2019-11-05 广东迈科医学科技股份有限公司 A kind of closed loop management system for hospital blood bank
CN110706795A (en) * 2019-09-04 2020-01-17 上海市第六人民医院 Blood sampling supervision, blood management, blood transfusion supervision method and blood management system
CN111863175A (en) * 2020-07-27 2020-10-30 北京颐圣智能科技有限公司 Medical record quality evaluation method and computing device
CN111863175B (en) * 2020-07-27 2023-10-10 北京颐圣智能科技有限公司 Medical record quality assessment method and computing equipment
CN112927772A (en) * 2021-02-24 2021-06-08 广东迈科医学科技股份有限公司 Blood code automatic matching method and system

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Application publication date: 20180109