CN108198594A - Electronic health record management method and system - Google Patents

Electronic health record management method and system Download PDF

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Publication number
CN108198594A
CN108198594A CN201711400616.8A CN201711400616A CN108198594A CN 108198594 A CN108198594 A CN 108198594A CN 201711400616 A CN201711400616 A CN 201711400616A CN 108198594 A CN108198594 A CN 108198594A
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China
Prior art keywords
patient
medical
data
electronic
management method
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CN201711400616.8A
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Chinese (zh)
Inventor
莫大鹏
邹海燕
徐辉
雷军红
杨耀辰
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BEIJING XINFENG NANGE TECHNOLOGY Co Ltd
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BEIJING XINFENG NANGE TECHNOLOGY Co Ltd
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Priority to CN201711400616.8A priority Critical patent/CN108198594A/en
Publication of CN108198594A publication Critical patent/CN108198594A/en
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Abstract

The invention discloses electronic health record management method and system, wherein the method includes the steps:Case history of the patient in hospital is obtained, the electronic medical record system of patient is generated according to the affiliated section office of the sufferer of patient;Electronic medical record system include patient with the corresponding medical data of sufferer;The feedback data provided is needed after determining Hospital of Patients according to the medical scheme of patient;The feedback data of patient is obtained, and the electronic medical record system of patient is updated according to feedback data;According to updated electronic medical record system, the assessment information of patient is generated;It assesses information and includes the current risk score value of patient, risk trend prediction and one kind in corresponding medical care measure and its arbitrary combination.The present invention obtains the Morbidity control effect of patient by the assessment information in each stage, in this way, not only improving the working efficiency of medical staff, by improving cognition degree of the patient for its sufferer, the compliance of patient can also be enhanced, improve the confidence of patient, and then be conducive to the cooperation between doctors and patients.

Description

Electronic health record management method and system
Technical field
The present invention relates to medical domain, more particularly to electronic health record management method and system.
Background technology
Case history refer to medical worker to the generation of patient disease, develop and lapse to and, patient is checked, is diagnosed With treatment etc. curative activities process record.In addition, case history can also include concluding collected data, arranging, is comprehensive Analysis is closed, the patient medical health account write by defined form and requirement.
Case history suffers from important role in medical treatment, prevention, teaching, scientific research and hospital management etc., for example:
Case history had not only been to determine diagnosis, has been treated, implemented the data of precautionary measures, but also was the assessment of medical worker's diagnosis and treatment disease levels Foundation and patient again illness when Clinics and Practices important references data.It is looked back, can therefrom drawn by clinical case history It learns from else's experience and tests, gives a lesson to, improvement improves quality of medical care.
In addition, the valuable data that case history is still imparted knowledge to students, is most lively teaching material.It, can be with by the writing and reading of case history Theory of medicine and medical practice are intimately associated, consolidates medical knowledge, is widened the vision, cultivates medical worker and medical student Logical thinking ability and rigorous style of medical treatment.
Case history or the main material of clinical research.Can be to seek disease to occur, send out by clinical case history analysis and summary Exhibition, the objective law of Cure outcome and inner link provide foundation, for research clinical treatment, precautionary measures and disease, health Multiple relationship finds to screen new medical technology and drug, medicine is pushed to continue to develop.
From the foregoing, it will be observed that case history suffers from extremely important effect for the development of patient, hospital even medicine.
In the prior art, in order to effectively be managed case history, computer technology is utilized, by the case history of patient Electronization is carried out, that is, in this way can be easily to disease using the case history of patient as in medical information record storage to computer It goes through and is retrieved and consulted, improve the service efficiency of case history, avoid damage and the loss of case history.
Inventor has found that as the electronic health record of medical information record, at least also there are following in the prior art Defect:
Medical data content in case history is not comprehensive enough, cannot include the whole medical data of patient condition in many cases, from And reduce reference value of the case history for medical treatment and medicine.
Invention content
The technical problems to be solved by the invention are how to improve reference value of the case history for medical treatment and medicine, specifically 's:
An embodiment of the present invention provides a kind of electronic health record management method, including step:
S11, patient is obtained in the case history of hospital, according to the affiliated section office of the sufferer of the patient, generate the training of the patient Electronic health record;The electronic medical record system include the patient with the corresponding medical data of the sufferer;
S12, the medical scheme according to the patient need the feedback data provided after determining the Hospital of Patients;The feedback coefficient According to vital sign data and the execution information of medical scheme including the patient;
S13, the feedback data for obtaining the patient, and according to the training electronics disease of the feedback data update patient It goes through;
S14, according to the updated electronic medical record system, generate the assessment information of the patient;The assessment information includes Current risk score value, risk trend prediction and one kind in corresponding medical care measure of the patient and its arbitrary combination.
Preferably, in the present invention, step is further included:
The log-on message of the patient is established, so that the patient can be accessed by patient user end is stored in server end The electronic medical record system and the assessment information.
Preferably, in the present invention, the patient acquired by home medical equipment and/or, fill in and report information side Formula generates the feedback data.
Preferably, in the present invention, the home medical equipment includes:
One kind and its arbitrary combination in batheroom scale, sphygmomanometer, blood glucose meter and cardiotach ometer.
Preferably, in the present invention, the home medical equipment includes:
The wearable device that can be communicated with patient user's end data.
Preferably, in the present invention, step is further included:
The feedback data is sent to preset medical care terminal by the patient user end or the server end.
Preferably, in the present invention, the electronic medical record system that the patient is updated according to the feedback data, Including:
Medical staff obtains the feedback data, and generate for updating according to the feedback data by the medical care terminal State the medical data of electronic medical record system;The update electronic medical record system includes update medical scheme.
Preferably, in the present invention, step is further included:
The change curve of default medical index is generated according to the electronic medical record system.
Preferably, in the present invention, step is further included:
Using the medical data in the electronic medical record system as modeling data, to obtain risk of the patient in current medical scheme Model training is carried out for the purpose of the anticipation trend of development, generates risk forecast model.
In the another side of the present invention, a kind of _ based Patient Records Management Systems are additionally provided, including server end, patient user end With medical care terminal, suitable for performing the software program of above-mentioned electronic health record management method by processor, it is stored respectively in the service The storage device at device end, the patient user end and the medical care terminal.
In the present invention, obtained by other means outside hospital in the case history of hospital and patient according to patient itself Medical data(The measurement of such as blood pressure, blood glucose, heart rate and weight that patient is carried out by home medical equipment is primarily referred to as, And patient is for vital sign datas such as illness descriptions), for a certain sufferer of patient(Being primarily referred to as course of disease length needs to grow The chronic disease of phase treatment), establish having both for the medical data that is acquired outside institute after the medical data in Hospital and patient discharge Electronic medical record system;Since patient can be according to preset rules(Such as, the patient of setting acquires adopting for various vital sign datas Collect time point), can entire treatment phase duration continuous renewal and enrich its electronic medical record system, it is possible to can be right The medical data storage that the progression of the disease of patient has long duration records;Then, after can also be according to update in the present invention Electronic medical record system generation patient assessment information;It thus can be to the current risk of patient be presented by assessing information The information such as score value, risk trend prediction and corresponding medical care measure.
By the electronic medical record system in the present invention, on the one hand record patient and start to arrive discharge at the time of being hospitalized for treatment During(That is treatment stage in institute), the diagnosis and treatment data of each patient, the various medical indexes measured(Such as, blood count data, blood The physiological datas such as pressure, blood glucose, heart rate or weight or sign data)And information in the institutes such as medical scheme.In addition, it is also recorded for suffering from The successive treatment stage after person's discharge at home(That is treatment stage after institute)Institute's external information(That is vital sign data and medical treatment The execution information of scheme), so as to fulfill comprehensive and frequent acquisition of the medical data to patient, and then can be disease The treatment of feelings provides more complete data and supports.
Since the assessment information of patient can be automatically generated in the present invention, so when can also save the diagnosis and treatment of medical staff Between, improve the working efficiency of medical staff.Further, since patient can also get assessment information, so patient can also lead to The assessment information in each stage is crossed to obtain the Morbidity control effect of itself, in this way, by improving patient's recognizing for its sufferer Degree of knowing can not only enhance the compliance of patient, can also improve the confidence of patient, and then be conducive to the cooperation between doctors and patients.
Further, since by the invention it is possible to mode and time point that patient carries out feedback data are set, so also just real The long-range and electronization of follow-up are showed;This mode can greatly improve the efficiency and effect that medical staff carries out follow-up, And then the probability and risk of the recurrence of patient's sufferer can be effectively reduced.
In addition, by for patient set electronic medical record system corresponding with sufferer type, can facilitate hospital build and certain The corresponding database of case history of kind sufferer;Relative in the prior art, object is researched and analysed by what typical case was used as sufferer, Electronic medical record system can provide more convenient and complete data and support for the holistic approach of the sufferer and analysis, so as to promote Into the efficiency of the research and development of medicine.Particularly needing to carry out model training by big data to build the diagnosis mould of sufferer When type or prediction model, the medical data of the electronic medical record system in the present invention can be as the modeling number of high quality According to be that diagnostic model or prediction model provide data and support.
Further, by the present invention, patient can be as the medical treatment of electronic medical record system in the case history of different hospitals Data,, can be with when carrying out further consultation in patient or replace hospital and carry out diagnosis and treatment so according to the electronic medical record system of patient The medical datas such as inspection or diagnosis that its other hospital was done are used as foundation, so as to reduce unnecessary rechecking Medical rings are waited, can not only improve the efficiency of diagnosis, it can be with save medical resources.
Description of the drawings
In order to illustrate the technical solutions in the embodiments of the present application or in the prior art more clearly, to embodiment or it will show below There is attached drawing needed in technology description to be briefly described, it should be apparent that, the accompanying drawings in the following description is only this Some embodiments described in application, for those of ordinary skill in the art, without creative efforts, It can also be obtained according to these attached drawings other attached drawings.
Fig. 1 is the step schematic diagram of electronic health record management method described herein;
Fig. 2 is the another step schematic diagram of electronic health record management method described herein;
Fig. 3 is the structure diagram of _ based Patient Records Management Systems described herein.
Specific embodiment
In order to which those skilled in the art is made to more fully understand the present invention program, below in conjunction in the embodiment of the present invention The technical solution in the embodiment of the present invention is clearly and completely described in attached drawing, it is clear that described embodiment is only this Invention part of the embodiment, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art exist All other embodiments obtained under the premise of creative work are not made, shall fall within the protection scope of the present invention.
In order to improve reference value of the case history for medical treatment and medicine, as shown in Figure 1, an embodiment of the present invention provides one kind Electronic health record management method, including step:
S11, patient is obtained in the case history of each hospital, according to the affiliated section office of the sufferer of patient, generate the training electronics of patient Case history;Electronic medical record system include patient with the corresponding medical data of sufferer;
Patient can generate the case history of diagnosis and treatment process accordingly during hospital carries out diagnosis and treatment;Among the prior art, electronics Changing case history can reside in patient assessment hospital;It and in embodiments of the present invention, can be with by being equipped with the server end across hospital Store case history of the patient in Different hospital;In practical applications, multiple hospitals can be established with data-interface to obtain trouble respectively Person is in the medical record data of Different hospital;Then these case histories are stored in server end with a unified form again;It needs Bright, in embodiments of the present invention, the case history of patient is electronic medical record system in server, that is, will according to the sufferer of patient The medical data of the diagnosis and treatment case history of patient section office identical in each hospital is counted and is recorded, and generation is directed to patient's The electronic medical record system of specific sufferer;Certainly, when patient suffers from a variety of sufferers, multiple training electronics disease can also be included It goes through.
S12, the medical scheme according to patient need the feedback data provided after determining Hospital of Patients;Feedback data includes suffering from The vital sign data of person and the execution information of medical scheme;
In the embodiment of the present invention, the medical data source of the electronic medical record system of patient is not merely hospital, can also include by The feedback that patient has voluntarily carried out the acquisition of vital sign data and generated after being recorded to the execution information of medical scheme Data.
The typical case scene of the embodiment of the present invention is, when patient suffers from chronic disease, even across the diagnosis and treatment of hospital, also Therapeutic process after long-term institute is needed, the process treated after institute is not in hospital, and medical staff can not pass through the doctor in hospital It treats equipment and detection and diagnosis and treatment in real time is carried out to patient.At this point, the medical data medical staff in extramural hospital treatment's stage of the patient It can not directly obtain, for this purpose, in embodiments of the present invention, by being installed with preset software program at patient user end (Application software), can make patient that the medical data in extramural hospital treatment's stage is sent to server end in the form of feedback data.
The patient for needing to perform extramural hospital treatment has medical staff and formulates corresponding medical scheme for patient in discharge, It is used as the foundation in implementation extramural hospital treatment's stage of patient.Patient is needed to pass through batheroom scale, sphygmomanometer, blood glucose meter and heart rate at this time Meter etc. home medical equipments come acquire the vital sign data of patient and, pass through patient user end carry out such as itself symptom The execution informations of the medical schemes such as description, daily medication record generates feedback data.That is, by patient user end, High-frequency tele-medicine follow-up can be realized to each patient, obtains the Comprehensive medical data of the outer treatment stage of Hospital of Patients.
In practical applications, in the medical scheme that hospital provides, can set patient needs the vital sign number of results of regular determination According to the execution information with medical scheme;For example, for patients with cerebral apoplexy, the patient can be set and carry out blood pressure measurement, blood Sugar measure and the time point of heart rate measurement and, fill in the contents such as the record of single, the daily medication of investigation of symptom description;Patient Measurement data and the execution information of medical scheme are passed through into patient user end after the measurement of blood pressure and blood sugar or heart rate has been carried out It is sent in server end or, preset medical care terminal.The holder of medical care terminal can be for patient in the embodiment of the present invention The medical staff of the hospital of medical scheme is formulated, by the communication with server end or patient user end, pair that can be at any time The state of an illness progress of patient is long-range to be made a round of visits and assesses.
Preferably, in the embodiment of the present invention, home medical equipment includes to include having the function of vital sign acquisition Wearable device, by the setting of wearable device and patient user end can when data communicate by way of, can realize automatically By vital signs automatic collection and upload(To server or medical care terminal).
S13, the feedback data according to acquisition patient, and according to the electronic medical record system of feedback data update patient;
Electronic medical record system in the embodiment of the present invention not only includes the medical data that medical staff acquires and generates in hospital, also It can include the medical data that is continuously generated outside institute of patient's treatment stage after institute or even further include patient giving birth in other hospitals Into medical data, therefore the electronic medical record system of patient can be constantly updated, and increase new medical data.
Electronic medical record system is updated, can be that server end performs automatically according to feedback data.It is further or After medical staff obtains feedback data by medical care terminal, the medical treatment for updating electronic medical record system is generated according to feedback data Data, to update electronic medical record system;Update medical scheme can be included by updating electronic medical record system.It in this way can be special in update Before section's electronic health record, feedback data can be such that medical data more has via the screening and amendment of medical staff and supplement Medical treatment and medical reference value.
S14, according to updated electronic medical record system, generate the assessment information of patient;It assesses information and includes working as patient Preceding risk score value, risk trend prediction and one kind in corresponding medical care measure and its arbitrary combination.
Server in the embodiment of the present invention can also have the systematic function of assessment information, be determined according in preset algorithm Medical data and conditions of patients between relationship, can be with the continuous renewal of the medical data of patient, to judge the wind of patient Dangerous degree or carry out risk trend prediction and, generate corresponding medical care measure etc., specifically:
It can determine that the numerical value of certain vital signs or the correspondence of trend and conditions of patients development are used as foundation;Than Such as, when the pressure value of patient reaches danger zone or patient's fluctuation of blood pressure trend in a certain period of time or When the fluctuation tendency of heart rate means aggravation, the assessment information for reminding patient or medical staff is generated, is come Patient or medical staff is allow timely to take corresponding medical care measure.
Preferably, the change curve of default medical index can also be generated according to electronic medical record system, so as to make medical care Personnel patient can intuitively see the blood pressure of such as patient or changes in heart rate curve, to understand the state of an illness of patient It accuses of.
Further, since through the embodiment of the present invention, with the continuous accumulation of medical data, same sufferer can be obtained A large amount of patient medical data, can using these medical datas as a kind of initial data of big data, by by these Medical data carries out data training as modeling data, to build risk forecast model, so as to for subsequent patient into Row risk profile, that is to say, that can be using the medical data in electronic medical record system as modeling data, to obtain patient current Model training is carried out for the purpose of the anticipation trend of risk development during medical scheme, generates risk forecast model, specifically, as schemed Shown in 2, it can include the following steps:
S21, modeling data is divided into training data and test data according to preset ratio;
It is in the pass for learning and finding various medical datas between final progression of the disease trend during model training is carried out The process of connection relationship by the way that modeling data is divided into training data and test data according to preset ratio, can train on one side The prediction effect that model verifies model on one side is built, can finally obtain effective prediction model;It in practical applications, can be with Preset ratio is set as 7 to 3, that is, 70% data are used as training data, and in addition 30% data are used as test number According to.It should be noted that in embodiments of the present invention, the setting value of preset ratio can be according to those skilled in the art It needs to be adjusted and set, do not do specific restriction herein.
S22, it is modeled using training data, and is assessed using test data;
It is modeled by training data, is become to build for carrying out the prediction of risk development of the patient in current medical scheme The model of gesture;In practical applications, the disaggregated model used in the embodiment of the present invention can be Logic Regression Models, decision tree Model, supporting vector machine model, discriminative model or neural network model or by model more than two of which come each other Confirmation and amendment.
Test data can carry out outcome evaluation in modeling process, to verify the accuracy of prediction model and validity.
Step is returned after S23, parameter item and/or iterations when the result of assessment is not up to preset value, and adjustment models Rapid S21;When the result of assessment reaches preset value, modeling terminates.
When the result of assessment is not up to preset value, illustrate that the prediction result of current risk forecast model is accurate not enough Really, further training is needed;When the result of assessment reaches preset value, illustrate the prediction result of current risk forecast model Accurate enough, modeling terminates, which can be used for predicting that risk development of the patient in current medical scheme becomes Gesture.
In embodiments of the present invention, it in order to which assessment information is made to can be adapted to different crowds, needs for different crowds Assessment information is presented to generate different expression mode;Specifically, the assessment information needed for medical staff can bias toward individual event INDEX MANAGEMENT target and result simulation, so as to facilitate the reference of medical scheme and further adjustment;And for patient, Assessment information can then bias toward the summary of whole management result, with promoted the treatment confidence of patient and, for patient behavior Carry out guidance intervention.When assessment result for patient in use, can include:Risk score, medical scheme completeness score value, Whether the management of default medical index up to standard and rehabilitation suggestion etc.;For example, it is supplied to the specific interior of the assessment result of patient Holding to be:" your current palsy risk score is 78 points, rises 6 points than last month, whole medical treatment scheme completeness 76%, Your blood glucose, blood pressure management is up to standard, but your weight and blood fat management need further to strengthen, it is proposed that you are using following Diet program coordinates drug therapy ... ".
Preferably, in embodiments of the present invention, the step of registration at patient user end can also be included, specifically:
The log-on message of patient is established, so that patient can access the training for being stored in server end by patient user end Electronic health record and assessment information.When being patient after server end is registered, as the patient of registered user, can pass through Patient user end is accessed accordingly, so as to the upload of the carry out feedback data of safety and obtaining for assessment information It takes.In practical applications, the log-on message of patient can before electronic medical record system is established for patient, be established.
In conclusion in the present invention, according to patient the case history of hospital and patient outside hospital by other means The medical data of itself obtained(It is primarily referred to as such as blood pressure, blood glucose, heart rate and body that patient is carried out by home medical equipment Weight measurement and, patient for illness description etc. vital sign datas), for a certain sufferer of patient(It is primarily referred to as the course of disease The long chronic disease for needing long-term treatment), establish the medical number acquired outside institute after the medical data in Hospital and patient discharge The electronic medical record system both with;Since patient can be according to preset rules(Such as, the patient of setting acquires various vital signs The acquisition time of data), can entire treatment phase duration continuous renewal and enrich its electronic medical record system, so can Can have the medical data storage of long duration record to the progression of the disease of patient;It then, can be with root in the present invention According to the assessment information of updated electronic medical record system generation patient;It thus can be to being presented patient's by assessing information The information such as current risk score value, risk trend prediction and corresponding medical care measure.
In addition, by the electronic medical record system in the present invention, on the one hand record patient start at the time of being hospitalized for treatment to In a period of discharge(That is treatment stage in institute), the diagnosis and treatment data of each patient, the various medical indexes measured(Such as, blood count number According to, physiological datas or the sign data such as blood pressure, blood glucose, heart rate or weight)And information in the institutes such as medical scheme.In addition, also remember The successive treatment stage of patient discharge later at home is recorded(That is treatment stage after institute)Institute's external information(That is vital sign data With the execution information of medical scheme), so as to fulfill comprehensive and frequent acquisition of the medical data to patient, and then can be The treatment of conditions of patients provides more complete data and supports.
Since the assessment information of patient can be automatically generated in the present invention, so when can also save the diagnosis and treatment of medical staff Between, improve the working efficiency of medical staff.Further, since patient can also get assessment information, so patient can also lead to The assessment information in each stage is crossed to obtain the Morbidity control effect of itself, in this way, by improving patient's recognizing for its sufferer Degree of knowing can not only enhance the compliance of patient, can also improve the confidence of patient, and then be conducive to the cooperation between doctors and patients.
Further, since by the invention it is possible to mode and time point that patient carries out feedback data are set, so also just real The long-range and electronization of follow-up are showed;This mode can greatly improve the efficiency and effect that medical staff carries out follow-up, And then the probability and risk of the recurrence of patient's sufferer can be effectively reduced.
By the way that hospital's structure and certain sufferer for patient set electronic medical record system corresponding with sufferer type, can be facilitated The corresponding database of case history;Relative to the object of researching and analysing of sufferer in the prior art, is used as by typical case, training is electric Sub- case history can provide more convenient and complete data and support for the holistic approach of the sufferer and analysis, so as to promote medicine Research and development efficiency.Particularly need by big data carry out model training with build the diagnostic model of sufferer or When prediction model, the medical data of the electronic medical record system in the present invention can as the modeling data of high quality, come for Diagnostic model or prediction model provide data and support.
In the another side of the present invention, a kind of _ based Patient Records Management Systems are additionally provided, as shown in figure 3, including patient user End 01 and 02 medical care terminal 03 of remote server;It is commented suitable for integrated risk after embodiment intermediate court corresponding to performing Fig. 1 as processor Estimate the software program of the step in method, be stored respectively in the storage of server end 02, patient user end 01 and medical care terminal 03 In equipment.Preferably, in the present invention, patient user end 01 and medical care terminal 03 can be the mobile phone equipped with software program.
The embodiment of the present invention can rely on server end, this tripartite's device build of patient user end and medical care terminal into one _ based Patient Records Management Systems realize the embodiment of the present invention by cooperating to, that is, by being installed in server end respectively, suffering from Software program in person's user terminal and medical care terminal, and communicated using real-time performance data come the technology in the cooperative achievement present invention Scheme;Wherein, server end can store the electronic medical record system of patient, and electronic medical record system is carried out as server The processing of setting;Patient user's terminal can send feedback data to server end and/or medical care terminal and obtain assessment information; Medical care terminal can be by being monitored, and to patient the access at server end and patient user end come the state of an illness to patient Carry out corresponding medical treatment guidance.It should be noted that in embodiments of the present invention, for software program in server end, patient Function setting in user terminal and medical care terminal this three method, apparatus, can carry out routinely according to the demand of this field staff Distribution, as long as the technical solution in the embodiment of the present invention can be realized, do not do specific restriction herein.
Due in the embodiment of the present invention server end 02, the operation principle at patient user end 01 and medical care terminal 03 and have Beneficial effect has done detailed record and description in the embodiment in the medical record management method corresponding to Fig. 1, in this way, can The embodiment of the present invention is understood with embodiment in the medical record management method with reference to corresponding to Fig. 1, it is therefore, just no longer superfluous herein It states.
In the several embodiments provided in the embodiment of the present invention, it should be understood that disclosed system, device and side Method can be realized by another way.For example, the apparatus embodiments described above are merely exemplary, for example, described The division of unit, only a kind of division of logic function can have other dividing mode, such as multiple units in actual implementation Or component may be combined or can be integrated into another system or some features can be ignored or does not perform.Another point, institute Display or the mutual coupling, direct-coupling or communication connection discussed can be by some interfaces, device or unit INDIRECT COUPLING or communication connection can be electrical, machinery or other forms.
The unit illustrated as separating component may or may not be physically separate, be shown as unit The component shown may or may not be physical unit, you can be located at a place or can also be distributed to multiple In network element.Some or all of unit therein can be selected according to the actual needs to realize the mesh of this embodiment scheme 's.
In addition, each functional unit in each embodiment of the present invention can be integrated in a processing unit, it can also That each unit is individually physically present, can also two or more units integrate in a unit.Above-mentioned integrated list The form that hardware had both may be used in member is realized, can also be realized in the form of SFU software functional unit.
If the integrated unit is realized in the form of SFU software functional unit and is independent product sale or uses When, it can be stored in a computer read/write memory medium.Based on such understanding, technical scheme of the present invention is substantially The part to contribute in other words to the prior art or all or part of the technical solution can be in the form of software products It embodies, which is stored in a storage medium, is used including some instructions so that a computer Equipment(Can be personal computer, server or the network equipment etc.)Perform the complete of each embodiment the method for the present invention Portion or part steps.And aforementioned storage medium includes:USB flash disk, mobile hard disk, read-only memory(ROM, Read-Only Memory), random access memory(RAM, Random Access Memory), ReRAM, MRAM, PCM, NAND Flash, The various media that can store program code such as NOR Flash, Memristor, magnetic disc or CD.
The above, the above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations;Although with reference to before Embodiment is stated the present invention is described in detail, it will be understood by those of ordinary skill in the art that:It still can be to preceding The technical solution recorded in each embodiment is stated to modify or carry out equivalent replacement to which part technical characteristic;And these Modification is replaced, the spirit and scope for various embodiments of the present invention technical solution that it does not separate the essence of the corresponding technical solution.

Claims (10)

1. a kind of electronic health record management method, which is characterized in that including step:
S11, patient is obtained in the case history of hospital, according to the affiliated section office of the sufferer of the patient, generate the training of the patient Electronic health record;The electronic medical record system include the patient with the corresponding medical data of the sufferer;
S12, the medical scheme according to the patient need the feedback data provided after determining the Hospital of Patients;The feedback coefficient According to vital sign data and the execution information of medical scheme including the patient;
S13, the feedback data for obtaining the patient, and according to the training electronics disease of the feedback data update patient It goes through;
S14, according to the updated electronic medical record system, generate the assessment information of the patient;The assessment information includes Current risk score value, risk trend prediction and one kind in corresponding medical care measure of the patient and its arbitrary combination.
2. the electronic health record management method according to claim 1, which is characterized in that further include step:
The log-on message of the patient is established, so that the patient can be accessed by patient user end is stored in server end The electronic medical record system and the assessment information.
3. the electronic health record management method according to claim 1, which is characterized in that the patient passes through home medical equipment Acquisition and/or, fill in and report information mode, generate the feedback data.
4. the electronic health record management method according to claim 3, which is characterized in that the home medical equipment includes:
One kind and its arbitrary combination in batheroom scale, sphygmomanometer, blood glucose meter and cardiotach ometer.
5. the electronic health record management method according to claim 3, which is characterized in that the home medical equipment includes:
The wearable device that can be communicated with patient user's end data.
6. the electronic health record management method according to claim 1, which is characterized in that further include step:
The feedback data is sent to preset medical care terminal by the patient user end or the server end.
7. the electronic health record management method according to claim 6, which is characterized in that described to be updated according to the feedback data The electronic medical record system of the patient, including:
Medical staff obtains the feedback data, and generate for updating according to the feedback data by the medical care terminal State the medical data of electronic medical record system;The update electronic medical record system includes update medical scheme.
8. the electronic health record management method according to claim 1, which is characterized in that further include step:
The change curve of default medical index is generated according to the electronic medical record system.
9. the electronic health record management method according to claim 1, which is characterized in that further include step:
Using the medical data in the electronic medical record system as modeling data, to obtain risk of the patient in current medical scheme Model training is carried out for the purpose of the anticipation trend of development, generates risk forecast model.
10. a kind of _ based Patient Records Management Systems, which is characterized in that including server end, patient user end and medical care terminal, be suitable for By the software program of step in electronic health record management method of the processor execution as described in any in claim 1 to 9, deposit respectively It is stored in the storage device of the server end, the patient user end and the medical care terminal.
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CN109192323A (en) * 2018-07-27 2019-01-11 燕铁斌 International function, deformity and healthy classified rehabilitation combined information management system and method
CN109036539A (en) * 2018-08-22 2018-12-18 广东省中医院(广州中医药大学第二附属医院 广州中医药大学第二临床医学院 广东省中医药科学院) A kind of irritable bowel syndrome clinical data platform designing method
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