CN108538402A - A kind of MDT consultation of doctors method, system - Google Patents
A kind of MDT consultation of doctors method, system Download PDFInfo
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- CN108538402A CN108538402A CN201810337861.7A CN201810337861A CN108538402A CN 108538402 A CN108538402 A CN 108538402A CN 201810337861 A CN201810337861 A CN 201810337861A CN 108538402 A CN108538402 A CN 108538402A
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- G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
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- G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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Abstract
The present invention discloses a kind of MDT consultation of doctors method, including：Apply for that doctor proposes consultation of doctors application using MDT cooperation platforms to MDT team；Team assistant audits；MDT consultation of doctors times, place are notified attend a meeting doctor, expert by platform automatically, are held a consultation to consultation of doctors time alarm doctor, expert；Attend a meeting doctor, expert enters consulting room and discusses to conditions of patients, confirms unified therapeutic scheme；Output consultation of doctors report, is sent to the doctor that attends a meeting, expert, and sign.Invention additionally discloses a kind of MDT consultation systems, which is characterized in that including：Area medical diagnostic data center, MDT cooperation platforms, doctor's client communicate to connect between area medical diagnostic data center, MDT cooperation platforms, doctor's client.A kind of MDT consultation of doctors method proposed by the present invention, system are that more people participate in Cases Discussion, the comprehensive consultation of doctors provides good information and shows, and effectively doctor are helped quickly completely to obtain patient's comprehensive information, improve efficiency of holding a consultation.
Description
Technical field
The present invention relates to network communication technologies, more particularly, to a kind of MDT consultation of doctors method, system.
Background technology
The multidisciplinary consultation of doctors (MDT), MDT English mean multidisciplinary team collaboration (Multiple Disciplinary
Team).The not single section office of oncotherapy can complete, and need Oncological Surgery, internal medicine, radiotherapy, Invasive Technology Department and image pathology
Each subjects such as preclinical medicine are examined to play an active part in, the treatment of tumor patient in the world, it is leading that MDT plays always Multidisciplinary Cooperation
The role of person avoids excessive diagnosis and treatment and sing misdiagnosis and mistreatment, makes disease to the diagnosis and treatment suggestion for ensureing high quality and best treatment plan
People, which is benefited, to be maximized.Popular says, MDT is exactly to build a Ge Ge subjects expert team, each subject expert for common cancers patient
It is common to discuss that the diagnosis and treatment scheme that determines, global oncologist net provide multidisciplinary expert consultation service for national patient.
Currently, the processing mode of the multidisciplinary consultation of doctors (MDT) business (the abbreviation MDT consultation of doctors) is will be sick before the consultation of doctors using software
People's data is manually filling in software case history, the suggestion of the manually recorded appropriate experts of assistant in the consultation of doctors, and assistant again will the consultation of doctors after the consultation of doctors
After being printed in time filling software of record Manual arranging, then finds after every expert's signature confirms and form consultation of doctors report, this
The flow of sample meets certain demand of the multidisciplinary consultation of doctors, the disadvantage is that meeting prefinishing data and the after the meeting efficiency of adjustment report of the receipts of freight and miscellany are very
It is low, and to miss probability big for hand, and certain risk is brought to the patient of multiple tumor type cases complexity for some, or even can be because of
Data hand has accidentally caused diagnosis deviation, can not achieve the purpose that multidisciplinary consultation of doctors Precise Diagnosis very well.
Hospital (is respectively mainly by the multidisciplinary consultation of doctors (MDT) cooperation platform by network communication technology and based on data aggregate
System data are integrated centered on patient) basis, entire MDT is held a consultation and be handled on flowline, as needed the patient for preparing
The consultation of doctors request slip that the diagnosis and treatment data and needs of complete and accurate are submitted, MDT team assistant timely carry out consultation of doctors audit, Ren Yuanan
Row and consultation of doctors notice, the expert that attends a meeting can enter the consulting room participation consultation of doctors on line and discuss whenever and wherever possible, MDT team assistant's energy after the consultation of doctors
It efficiently easily arranges the consultation of doctors suggestion that expert proposes being organized into and reports and notify expert the behaviour such as to confirm and sign in doubling
Make.It is a kind of for more people participation Cases Discussion, synthesis is held a consultation, doctor patient communication provides good information and shows it is necessary to propose, it operates
Simply, clear process is convenient, effectively doctor is helped quickly completely to obtain patient's comprehensive information, improves the MDT consultation of doctors of consultation of doctors efficiency
Method and system.
Invention content
It in view of the above shortcomings of the prior art, will be whole the purpose of the present invention is to provide a kind of MDT consultation of doctors method, system
Handled on a MDT consultation of doctors flowline, timely carry out consultation of doctors audit, personnel placement and consultation of doctors notice, attend a meeting expert can at any time with
Ground enters consulting room on line and participates in consultation of doctors discussion, and MDT team assistant efficiently can easily arrange the meeting for proposing expert after the consultation of doctors
It examines suggestion and is organized into report doubling and expert is notified the operations such as to confirm and sign.
To achieve the above object, the present invention provides a kind of MDT consultation of doctors method, includes the following steps：
S101：Apply for that doctor proposes consultation of doctors application using MDT cooperation platforms to MDT team；
S102：Team assistant audits, and does not pass through, then repeatedly step S101；Pass through, then enters step S103；
S103：Platform automatically attends a meeting hold a consultation time, place notices of MDT doctor, expert, to consultation of doctors time alarm doctor,
Expert holds a consultation；
S104：Attend a meeting doctor, expert enters MDT cooperation platforms-consulting room and discusses to conditions of patients, confirms unified
Therapeutic scheme；
S105：Output consultation of doctors report, is sent to the doctor that attends a meeting, expert, and sign；
S106：Apply for that doctor carries out successive treatment with reference to consultation of doctors report to patient.
Preferably, the step S101 includes：
S1011：Patient proposes MDT consultation of doctors requests to attending physician；
S1012：Attending physician obtains patient using MDT cooperation platforms from regional medical data center and medical image data center
All previous diagnosis and treatment data；
S1013：The crucial diagnosis and treatment data preparation of selection can arrange the case of multidigit patient, while multidigit may be selected at case history
The case application of patient is held a consultation.
Preferably, the step S102 includes：
S1021：MDT team assistant checks medical history information and audit data；If meeting, S1022, S1024 are entered step,
If not meeting, S1023, S1025 are entered step；
S1022：It arranges the specific consultation of doctors time and is invited to MDT team consultation of doctors place；
S1023：MDT team assistant fills in not by reason and submits to application doctor；
S1024：It clicks and confirms；
S1025：Apply doctor according to not by reason progress data supplement and adjustment.
Preferably, the step S103 includes：
S1031：The automatic consultation of doctors relevant information that sends is to all personnel for participating in the consultation of doctors；
S1032：Set up the MDT team of the patient for the application consultation of doctors；
S1033：Whether personnel participating in the meeting rearranges the consultation of doctors because of not tunable reason needsIf so, entering step S1035；
If it is not, entering step S1034；
S1034：MDT team assistant rearranges the consultation of doctors, fills in and rearranges reason, and platform sends the consultation of doctors automatically pacifies again
The reason of row and the relevant information newly held a consultation are to personnel participating in the meeting；
S1035：Wait for the consultation of doctors.
Preferably, the step S104 includes：
S1041：Personnel participating in the meeting enters MDT consulting rooms by platform；
S1042：The multidigit patient medical record of the application consultation of doctors is checked in consulting room switching；
S1043：Screen, same screen operation, voice, word real-time communication；
S1044：It answers the question；
S1045：The consultation of doctors is directly write to suggest.
Preferably, the step S105 includes：
S1051：Team assistant arranges the consultation of doctors and suggests, fills in consultation of doctors report, and sending signature by management module of signing reminds
To personnel participating in the meeting；
S1052：Personnel participating in the meeting receives consultation of doctors report signature and reminds, and consults report content, confirms errorless laggard line left-hand seat
Signature is write to confirm；
S1053：Team assistant is confirmed whether that all personnel participating in the meeting's signatures finishIf it is not, repeating step S1051；If so, into
Enter step S1054；
S1054：Consultation of doctors report comes into force；
S1055：All personnel for participating in the consultation of doctors receive report and consult report.
The present invention also provides a kind of MDT consultation systems, including：Area medical diagnostic data center, MDT cooperation platforms, doctor
Raw client, communicates to connect between area medical diagnostic data center, MDT cooperation platforms, doctor's client；The region
Data transmission is encrypted using ssl protocol between medical diagnostic data center and the MDT cooperation platforms；It is cooperated by MDT
The diagnosis and treatment data overall picture that platform provides patient is consulted to doctor expert, and doctor can arrange patient medical record whenever and wherever possible, pass through
Multi-terminal equipment carries out MDT consultation of doctors business processings.
Preferably, area medical diagnostic data center includes regional medical data center, area image center, described
Each patient in hospital medical data and image data in area medical diagnostic data site polymerization region, for providing patient's diagnosis and treatment number
According to overall picture, storage is encrypted to sensitive data.
Preferably, the system also includes：Patient data source, authorization service module, business datum center, regards fire wall
Frequency service centre；
The patient data source includes Hospitals in Region data, will be counted in region by the medical private network under high security
According to being aggregated in regional medical data center；
The regional medical data center is carried on front server, and MDT cooperation platforms include end server, preposition service
Device carries out packet filtering using fire wall, and front server can only carry out data interaction with MDT cooperation platforms end server, with IP and
Key is verified, and is only allowed the data packet of the platform IP address authorized by fire wall, is transferred to end server, blocks other
The data packet request of IP address；
The authorization service module control data access authority and control directory permission, each user can only check that oneself is weighed
Patient data under limit and medical record data；Authorization service module controls across permission access, and directory access permission, control terminal clothes are arranged
Business device request path controls all requests and accesses directory permissions minimum；
The business datum center is used for the user service data information that storage platform generates, and doctor's client pass through it is flat
Platform verifies by force upload fileinfo, path, format, and renaming filename so that and user can not directly access file,
Safeguard file with file security under catalogue；
The Video service district center neutralizes usually video communication exchange for the MDT consultation of doctors and provides video and audio interactive service, real
Shi Jianli consultation of doctors both sides stabilization, high definition, SD video channel pass through video compress transmission process technology and realize that personnel participating in the meeting's is more
Square video communication.
Preferably, sound intermediate frequency of holding a consultation and video are independent from each other interconnected passages, and audio service runs through entire consultation of doctors process,
MDT team assistant can be established audio, video interactive channel by group.
Compared with the existing technology, the present invention has the advantages that：
The purpose of the present invention is to provide a kind of MDT consultation of doctors method, systems, will be handled on entire MDT consultation of doctors flowlines, and
When carry out consultation of doctors audit, personnel placement and the consultation of doctors notice, attend a meeting expert can whenever and wherever possible enter line on consulting room participate in the consultation of doctors
It discusses, MDT team assistant efficiently can easily arrange the consultation of doctors suggestion that expert proposes being organized into report doubling and lead to after the consultation of doctors
Know that expert such as confirms and sign at the operations.
A kind of MDT provided by the invention holds a consultation, and method, system participate in Cases Discussion for more people, synthesis is held a consultation, doctor patient communication
It provides good information to show, easy to operate, clear process is convenient, effectively helps doctor quickly completely to obtain patient and comprehensively believes
Breath improves consultation of doctors efficiency.
Description of the drawings
Fig. 1 is the flow diagram of one embodiment of the invention MDT consultation of doctors methods；
Fig. 2 is the flow diagram of another embodiment of the present invention MDT consultation of doctors methods；
Fig. 3 is the flow diagram of another embodiment of the present invention MDT consultation of doctors methods；
Fig. 4 is the flow diagram of another embodiment of the present invention MDT consultation of doctors methods；
Fig. 5 is the flow diagram of another embodiment of the present invention MDT consultation of doctors methods；
Fig. 6 is the flow diagram of another embodiment of the present invention MDT consultation of doctors methods；
Fig. 7 is the control structure block diagram of one embodiment of the invention MDT consultation systems；
Fig. 8 is the control structure block diagram of another embodiment of the present invention MDT consultation systems；
Fig. 9 is the control structure block diagram of another embodiment of the present invention MDT consultation systems.
The embodiments will be further described with reference to the accompanying drawings for the realization, the function and the advantages of the object of the present invention.
Specific implementation mode
Embodying the exemplary embodiment of feature of present invention and advantage will in detail describe in above specification.It should be understood that
Various variations can be had in different embodiments by being the present invention, neither be departed from the scope of the present invention, and therein
Illustrate and illustrate inherently to be illustrated as being used, rather than to limit the present invention.
It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, it is not intended to limit the present invention.
Currently, the processing mode of the multidisciplinary consultation of doctors (MDT) business (the abbreviation MDT consultation of doctors) is will be sick before the consultation of doctors using software
People's data is manually filling in software case history, the suggestion of the manually recorded appropriate experts of assistant in the consultation of doctors, and assistant again will the consultation of doctors after the consultation of doctors
After being printed in time filling software of record Manual arranging, then finds after every expert's signature confirms and form consultation of doctors report, this
The flow of sample meets certain demand of the multidisciplinary consultation of doctors, the disadvantage is that meeting prefinishing data and the after the meeting efficiency of adjustment report of the receipts of freight and miscellany are very
It is low, and to miss probability big for hand, and certain risk is brought to the patient of multiple tumor type cases complexity for some, or even can be because of
Data hand has accidentally caused diagnosis deviation, can not achieve the purpose that multidisciplinary consultation of doctors Precise Diagnosis very well.
Hospital (is respectively mainly by the multidisciplinary consultation of doctors (MDT) cooperation platform by network communication technology and based on data aggregate
System data are integrated centered on patient) basis, entire MDT is held a consultation and be handled on flowline, as needed the patient for preparing
The consultation of doctors request slip that the diagnosis and treatment data and needs of complete and accurate are submitted, MDT team assistant timely carry out consultation of doctors audit, Ren Yuanan
Row and consultation of doctors notice, the expert that attends a meeting can enter the consulting room participation consultation of doctors on line and discuss whenever and wherever possible, MDT team assistant's energy after the consultation of doctors
It efficiently easily arranges the consultation of doctors suggestion that expert proposes being organized into and reports and notify expert the behaviour such as to confirm and sign in doubling
Make.
Below in conjunction with drawings and examples, invention is further explained.
As shown in Figure 1, Fig. 1 is the flow diagram of one embodiment of the invention MDT consultation of doctors methods.The MDT consultation of doctors of the present invention
Method includes the following steps：
A kind of MDT consultation of doctors method, including：
Step S101：Apply for that doctor proposes consultation of doctors application using MDT cooperation platforms to MDT team.Before the MDT consultation of doctors, suffer from
Person can propose MDT consultation of doctors requests according to actual conditions to attending physician.The case where attending physician is according to patient, determination can
When thinking that patient applies for the MDT consultation of doctors, attending physician uses MDT cooperation platforms from regional medical data center and area image center
The all previous diagnosis and treatment data overall picture of patient is obtained, and crucial diagnosis and treatment data preparation is quickly selected to propose consultation of doctors Shen to MDT team at case history
Please.It should be noted that attending physician can also directly select patient proposes consultation of doctors application to MDT team.It should be noted that
Apply for that doctor selects all previous diagnosis and treatment data of patient, by directly selecting patient data module rather than manual data data, such as
Admission records, record of making the rounds of the wards, inspection normal value, audit report, image sectional drawing etc., are organized into a case history.
Step S102：Team assistant audits, and does not pass through, then repeatedly step S101；Pass through, then enters step S103.It is invited to
After the team assistant of MDT receives the consultation of doctors application that application doctor initiates, case history content and application information are audited.If examined
Core result is to meet the requirements, and audit passes through, and MDT team assistant is identified through, then enters step S103.If the result of audit is
Do not pass through, then MDT team assistant fills in not by reason and submits, after application doctor receives audit not by notice, in time
According to not carrying out data supplement or adjustment by reason, then execute a step S101.
Step S103：MDT consultation of doctors times, place are notified attend a meeting doctor, expert by platform automatically, to consultation of doctors time alarm doctor
Raw, expert holds a consultation.After the approval, MDT team assistant arranges specific consultation of doctors time and consultation of doctors place, is cooperated by MDT
Platform is automatically transmitted to participate in doctor, the expert of the consultation of doctors.And will attend the meeting examine the time or to the consultation of doctors time when, remind
Doctor, the expert for participating in the consultation of doctors carry out the MDT consultation of doctors.
Step S104：Attend a meeting doctor, expert enters MDT cooperation platforms-consulting room and discusses to conditions of patients, confirms system
One therapeutic scheme.When to the consultation of doctors time, the doctor of the consultation of doctors is participated in, expert logs in MDT associations by computer or movable termination
Make platform, start to hold a consultation into MDT cooperation platforms-consulting room, during the consultation of doctors, participate in the consultation of doctors personnel can by voice,
Video, written communication etc. mode are discussed and are analyzed to the state of an illness of patient in consulting room.It should be noted that participating in the consultation of doctors
Personnel can check the case history of patient.During the consultation of doctors, by participate in the personnel of the consultation of doctors to the discussion of conditions of patients and point
Analysis, confirms unified therapeutic scheme.
Step S105：Output consultation of doctors report, is sent to the doctor that attends a meeting, expert, and sign.After the MDT consultation of doctors has discussed,
MDT team assistant arranges the discussion opinion of MDT team experts, and fills in report, after forming report, is sent to and participates in the MDT consultation of doctors
Doctor, expert sign confirm.After all personnels participating in the meeting sign and confirm, the consultation of doctors report of output portion MDT team, then issue Shen
It please doctor and MDT team personnel participating in the meeting.
Step S106：Apply for that doctor carries out successive treatment with reference to consultation of doctors report to patient.MDT team personnel participating in the meeting and application
After the doctor of the MDT consultation of doctors receives report, directly report can be printed, application doctor can refer to the consultation of doctors report of MDT team
Doctor suggest carrying out successive treatment to patient, personnel participating in the meeting can notice and observe to the successive treatment situation of patient.
As shown in Fig. 2, Fig. 2 is the flow diagram of another embodiment of the present invention MDT consultation of doctors methods.It is not walked in inventive method
Suddenly S101 includes：
Step S1011：Patient proposes MDT consultation of doctors requests to attending physician.MDT the consultation of doctors before, patient can according to itself
Situation proposes MDT consultation of doctors requests to attending physician, and attending physician assesses the case where patient, if the result of assessment is same
The MDT consultation of doctors requests of meaning patient, then attending physician, which starts to hold a consultation for MDT, applies for preparation data.
Step S1012：Attending physician is obtained using MDT cooperation platforms from regional medical data center and medical image data center
The all previous diagnosis and treatment data of patient.Attending physician is when making case history, using MDT cooperation platforms from regional medical data center and image
Data center obtains all previous diagnosis and treatment data of patient.It should be noted that the acquisition of all previous diagnosis and treatment data of patient is not defeated by hand
Enter data, but directly selects all previous diagnosis and treatment data of patient by patient data selecting module.All previous diagnosis and treatment data include suffering from
The all previous admission records of person, all previous record of making the rounds of the wards, all previous inspection exceptional value, all previous audit report, all previous image sectional drawing etc. data.
Step S1013：The crucial diagnosis and treatment data preparation of selection can arrange the case of multidigit patient, may be selected simultaneously at case history
The case application of multidigit patient is held a consultation.Apply for doctor after having selected all previous diagnosis and treatment data, by crucial diagnosis and treatment data preparation at disease
It goes through.The case history is as the medical history information held a consultation to MDT team application MDT.Application doctor can select that a or more parts whole
The case history managed, or directly select one or more patients, fills in MDT consultation of doctors request slips, selection want help this or
The MDT team of multidigit patient treatment, clicks and applies holding a consultation successfully after submitting.
As shown in figure 3, Fig. 3 is the flow diagram of another embodiment of the present invention MDT consultation of doctors methods, walked in the method for the present invention
Suddenly S102 includes：
Step S1021：MDT team assistant checks medical history information and application materials are audited；If meeting, enter step
S1022, S1024 enter step S1023, S1025 if not meeting.MDT team assistant receives the MDT meetings of application doctor's application
After examining data, medical history information and application materials are audited.If meeting regulation, when MDT team assistant arranges the specific consultation of doctors
Between and be invited to team, click and confirm audit, after the approval, then sequentially enter step S1022, S1024.If auditing result is
Audit does not pass through, then executes step S1023, S1025 successively.Then MDT team assistant fills in not by reason and submits, application doctor
After life obtains auditing not by notice, basis does not pass through reason progress data supplement or adjustment in time.
Step S1022：It arranges the specific consultation of doctors time and is invited to MDT team consultation of doctors place.MDT team assistant arranges specific meeting
It examines the time and is invited to team's consultation of doctors place.It should be noted that the consultation of doctors of multiple application doctor applications can be merged into same
In a consultation of doctors, hold a consultation within the same period.In addition, consultation of doctors place refers to logging in MDT cooperations after MDT team is invited to put down
Platform, into some specified consulting room of platform.Also, the automatic interim discussion group set up about the patient, until the consultation of doctors is tied
It is closed after beam and sends informational function.
Step S1023：MDT team assistant fills in not by reason and submits to application doctor.If audit does not pass through,
MDT team assistant fill in not by be ready, and submit, application doctor receives audit not by notifying and not passing through reason
Afterwards, data supplement or adjustment are not carried out by reason according to what MDT team assistant filled in time.
Step S1024：It clicks and confirms.MDT team assistant after the approval, clicks and confirms that audit passes through, platform is sent out automatically
It send relevant information of holding a consultation to participate in the personnel of the consultation of doctors to all, and sets up the historical discussion group about the patient automatically, until
Interactive function is closed after the consultation of doctors.
Step S1025：Apply doctor according to not by reason progress data supplement and adjustment.Application doctor receives audit not
By notice and reason after, according to not by the reason of carry out data supplement and adjustment, and resubmit application.
As shown in figure 4, Fig. 4 is the flow diagram of another embodiment of the present invention MDT consultation of doctors methods, walked in the method for the present invention
Suddenly S103 includes：
Step S1031：The automatic consultation of doctors relevant information that sends is to all personnel for participating in the consultation of doctors.After the approval, MDT is flat
Platform sends the relevant information of the consultation of doctors to the personnel of all participation consultation of doctors automatically.The consultation of doctors relevant information include：Consultation of doctors time, the consultation of doctors
The data etc. that place, the personnel for participating in the consultation of doctors, points for attention, needs prepare.
Step S1032：Set up the MDT team of the patient for the application consultation of doctors.The consultation of doctors notice that platform sends automatically arrives all
After personnel participating in the meeting, platform sets up the interim discussion of the patient about the consultation of doctors of this or multidigit application MDT team automatically
Group, the personnel for participating in the consultation of doctors can be exchanged and be discussed controlling for patient by modes such as video, voice, words in the discussion group
It treats and suggests.
Step S1033：Whether personnel participating in the meeting rearranges the consultation of doctors because of not tunable reason needsIf so, entering step
S1035；If it is not, entering step S1034.When closing on the consultation of doctors time, check if being invited to whether MDT team or applicant have
Emergency case, if there is irreconcilable reason needs to rearrange meeting, then enter step S1035 or wait application doctor and
After MDT team consults, enters back into step S1035, MDT team assistant and rearrange meeting.If can coordinate, need not weigh
It is new to arrange meeting, then enter step S1034.
Step S1034：MDT team assistant rearranges the consultation of doctors, fills in and rearranges reason, and platform sends consultation of doctors weight automatically
New the reason of arranging and the relevant information newly held a consultation are to personnel participating in the meeting.Meeting is rearranged if necessary, and MDT team assistant clicks
It rearranges, fills in the reason of rearranging, click and confirm, platform sends the reason of rearranging the consultation of doctors and second of meeting automatically
The relevant information examined to personnel participating in the meeting, including, time of second consultation of doctors, place etc. information.
Step S1035：Wait for the consultation of doctors.After rearranging the consultation of doctors, participate in the consultation of doctors personnel resume waiting for the consultation of doctors start.
As shown in figure 5, Fig. 5 is the flow diagram of another embodiment of the present invention MDT consultation of doctors methods, the step S104 packets
It includes：
Step S1041：Personnel participating in the meeting enters MDT consulting rooms by platform.When reaching the consultation of doctors time, personnel participating in the meeting passes through electricity
Brain or mobile terminal log in MDT platforms, into the consulting room of MDT platforms.The case history of patient can be checked in consulting room, such as
Fruit incorporates multiple applications, then can check the case history of multiple patients.
Step S1042：The multidigit patient medical record of the application consultation of doctors is checked in consulting room switching.Personnel participating in the meeting logs in MDT platforms,
Into after MDT consulting rooms, the case history of patient can be checked in consulting room.If a consulting room incorporates multiple consultation of doctors applications
When, then it can switch the case history for checking multiple patients.
Step S1043：Screen, same screen operation, voice, word real-time communication.When holding a consultation progress, the personnel of the consultation of doctors are participated in
The real-time communications of modes such as video, same screen operation, voice, word can be passed through.It should be noted that voice is linked up through whole
A consultation of doctors process, MDT team can be turned on or off the mode of video communication according to actual conditions.
Step S1044：It answers the question.During the consultation of doctors, the personnel for participating in the consultation of doctors can be by video, voice, word
It Deng the state of an illness and therapeutic scheme that patient is discussed, can also be exchanged, be answered the question by transmission text information, voice messaging.
Step S1045：The consultation of doctors is directly write to suggest.The personnel of the consultation of doctors are participated in after discussion, can directly write this meeting
Therapeutic scheme suggestion of suggestion or patient examined etc..
As shown in fig. 6, Fig. 6 is the flow diagram of another embodiment of the present invention MDT consultation of doctors methods, in method of the invention
Step S105 includes：
Step S1051：Team assistant arranges the consultation of doctors and suggests, fills in consultation of doctors report, and by signing, management module sends signature
It reminds to personnel participating in the meeting.After the consultation of doctors, MDT team assistant, which arranges, participates in the consultation of doctors suggestion that the doctor of the consultation of doctors fills in, and will
It examines suggestion and is organized into consultation of doctors report.After MDT team assistant puts consultation of doctors report in order, by signing, management module reminds personnel participating in the meeting
Signature.
Step S1052：Personnel participating in the meeting receives consultation of doctors report signature and reminds, and consults report content, confirms errorless laggard line
Upper handwriting confirms.After personnel participating in the meeting receives the signature prompting of MDT team assistant transmission, report content can be directly consulted,
And report content is confirmed, after confirmation is errorless, directly signature can be write into line left-hand seat and confirmed.
Step S1053：Team assistant is confirmed whether that all personnel participating in the meeting's signatures finishIf it is not, repeating step S1051；If
It is to enter step S1054.MDT team assistant is confirmed whether all personnels participating in the meeting to signing to reportIf also had
Do not sign the personnel of confirmation, then MDT team assistant repeats step S1051 again.If all personnel signs and finishes, then
Enter step S1054.
Step S1054：Consultation of doctors report comes into force.If the confirmation of all having signed of all personnel, MDT team assistant confirms nothing
After accidentally, consultation of doctors report comes into force.MDT team assistant clicks after confirming sends consultation of doctors report.
Step S1055：All personnel for participating in the consultation of doctors receive report and consult report.All personnels participating in the meeting receive MDT and help
Reason confirms the consultation of doctors report sent, and can consult report.It should be noted that each personnel participating in the meeting can only view oneself power
Report under limit, for example, application doctor can only see the consultation of doctors report of the patient of oneself application.
As shown in fig. 7, Fig. 7 is the control structure block diagram of one embodiment of the invention MDT consultation systems.System in the present invention
Including：Area medical diagnostic data center 100, MDT cooperation platforms 200, doctor's client 300.The area medical diagnoses number
It is communicated to connect according between center 100, MDT cooperation platforms 200, doctor's client 300.Area medical diagnostic data center
Data transmission is encrypted using ssl protocol between 100 and the MDT cooperation platforms 200.It is provided by MDT cooperation platforms 200
The diagnosis and treatment data overall picture of patient is consulted to doctor expert, and doctor can arrange patient medical record whenever and wherever possible, be set by multiple terminals
It is standby to carry out MDT consultation of doctors business processings.
Each patient in hospital diagnosis and treatment data and image data, can be used for providing in 100 zone of convergency of regional medical data center
Diagnosis and treatment data overall picture centered on patient, for the sensitive data formulated in server database, for example, identification card number, hand
Storage is encrypted in machine number, password etc. sensitive data.MDT cooperation platforms 200, it is possible to provide the diagnosis and treatment data overall picture of patient is to doctor
Raw, expert consults, and arranges the case history of patient whenever and wherever possible convenient for doctor, it is ensured that consultation of doctors flow can be smooth, accessible
It carries out, for example, the operation application consultation of doctors, audit arrange the consultation of doctors, into consulting room discussion, exchange, report is write after the consultation of doctors, signature is true
Recognize etc..Doctor's client 300 includes computer, mobile terminal, such as the desktop computer of doctor, laptop computer, smartphone etc.
Etc. all can serve as doctor's client 300.It can be carried out whenever and wherever possible by multi-terminal equipment by 300 doctor of doctor's client
MDT consultation of doctors business processings.It is that data transmission uses SSL between MDT cooperation platforms 200 and area medical diagnostic data center 100
Data transmission is encrypted in (Secure Sockets Layer Secure Socket Layer) agreement.Carried out data transmission by ssl protocol,
Ensure that data are sent to correct client and server, the data between transmitting are encrypted that data midway is prevented to be stolen, and safeguard
The integrality of data, it is ensured that data are not changed in transmission process.
As shown in figure 8, Fig. 8 is the control structure block diagram of another embodiment of the present invention MDT consultation systems, system of the invention
Middle area medical diagnostic data center 100 includes regional medical data center 110, area image center 120, the area medical
Each patient in hospital medical data and image data in 100 zone of convergency of diagnostic data center are complete for providing patient's diagnosis and treatment data
Storage is encrypted to sensitive data in looks.Medical number of the regional medical data center 110 for each hospital in storage region
According to, including all previous case history of patient, all previous audit report of patient, all previous doctor's advice of patient, all previous medical diagnosis of patient, trouble
The all previous doctor's advice of person etc. information.Image data of the area image center 120 for each hospital in storage region.
As shown in figure 9, Fig. 9 is the control structure block diagram of another embodiment of the present invention MDT consultation systems, system of the invention
Further include：Patient data source 400, fire wall 500, authorization service module 600, business datum center 700, video service office
800。
The patient data source 400 includes Hospitals in Region data, by the medical private network under high security by region
Interior data aggregate in regional medical data center 110, even if if without medical private network will by high security fire wall internet,
Such as shown in Fig. 3, patient data source 400 is aggregated in area medical diagnostic data center 100 by fire wall 500.
Patient data in region is aggregated to area medical diagnostic data center 110 and area image center 120, region doctor
Treating polymerization in data center 100 has the medical data of each hospital in region, and all previous medical data of patient is incorporated into one
It rises.The all previous image data of patient is aggregated to area image center 120.
Area medical diagnostic data center 100 is carried on front server, and MDT cooperation platforms 200 include end server.Before
It sets server and packet filtering is carried out using fire wall, front server can only carry out data interaction with MDT cooperation platforms end server,
It is verified with IP and key, only allows the data packet of the IP address of the MDT cooperation platforms 200 authorized by fire wall, transmit
To end server, the data packet request of other IP address is blocked.That is the data packet request of other unauthorized IP address all cannot
It is a to be passed through.
The authorization service module 600 controls data access authority and control directory permission, and each user can only check certainly
Patient data under own permission and medical record data.Authorization service module 600 controls across permission access, and directory access permission is arranged,
Control terminal server request path controls all requests and accesses directory permission minimum.Visit of the authorization service module 600 to data
Ask that permission and directory permission are controlled.Application doctor can only check the consultation of doctors report of the MDT consultation of doctors outputs of oneself application, each
The user of MDT cooperation platforms 200 can only check patient data and medical record data under oneself permission.
Business datum center 700 is used for the user service data information that storage platform generates, and doctor's client pass through it is flat
Platform verifies by force upload fileinfo, path, format, and renaming filename so that and user can not directly access file,
Safeguard file with file security under catalogue.Business datum center 700 store the user data that MDT cooperation platforms 200 generate with
And service data information, such as A doctor is the registration user of MDT cooperation platforms 200, then is stored with A in business datum center 700
The user data of doctor.Before and after the MDT consultation of doctors, the number for the MDT consultation of doctors that registration user participates in is stored in business datum center 700
According to.For example, be stored with the consultation of doctors report for each MDT consultation of doctors that user participated in business datum center 700, content of the discussions and build
View, information of patient etc..
Video service district center 800 neutralizes usually video communication exchange for the MDT consultation of doctors and provides video and audio interactive service, in real time
Consultation of doctors both sides stabilization, high definition, SD video channel are established, realizes that personnel participating in the meeting's is multi-party by video compress transmission process technology
Video communication.Video service office 800 provides the Video service when MDT consultation of doctors, and the acquisition of Video service satisfaction, the transmission provided is high
Clear and SD image ability.During MDt holds a consultation, MDT team assistant can according to participate in the consultation of doctors personnel requirement with
And the requirement of consultation of doctors situation, selection open and close video capability, still, video capability is two independent mutual with audio-frequency function
Circulation passage is not interfere with each other.During MDT holds a consultation, MDT team assistant decides whether out video work(according to actual conditions
Energy.Video service district center 800 also stores the exchange video during the MDT consultation of doctors.
It should be noted that MDT consultation of doctors sound intermediate frequencies and video are independent from each other interconnected passages, audio service is through entire
Consultation of doctors process, MDT team assistant can be established audio, video interactive channel by group.
A kind of MDT consultation of doctors method provided by the invention, system on the basis of the multidisciplinary consultation of doctors (MDT) cooperation platform mainly
It, will by network communication technology and based on the basis of data aggregate (integrating each system data of hospital centered on patient)
It is handled on entire MDT consultation of doctors flowline, as needed the diagnosis and treatment data of the patient's complete and accurate prepared and needing the consultation of doctors Shen submitted
Please be single, MDT team assistant, which timely carries out consultation of doctors audit, personnel placement and consultation of doctors notice, the expert that attends a meeting, to be entered whenever and wherever possible
Consulting room participates in the consultation of doctors and discusses that MDT team assistant efficiently can easily arrange the consultation of doctors suggestion for proposing expert after the consultation of doctors on line
Being organized into report doubling notifies expert the operations such as to confirm and sign.
In addition, the primary application field of the present invention is to need the treatment of multiple section office's cooperations, such as oncotherapy.Tumour is controlled
Treating not single section office can complete, and need Oncological Surgery, internal medicine, radiotherapy, Invasive Technology Department and image pathological examination preclinical medicine
It being played an active part in etc. each subject, in the world the treatment of tumor patient, MDT plays always the role of Multidisciplinary Cooperation forerunner, from
And ensure the diagnosis and treatment suggestion of high quality and best treatment plan, excessive diagnosis and treatment and sing misdiagnosis and mistreatment are avoided, so that patient is benefited maximum
Change.Popular says, MDT is exactly to build a Ge Ge subjects expert team for common cancers patient, and each subject expert discusses true jointly
Determine diagnosis and treatment scheme, global oncologist net can provide multidisciplinary expert consultation service for national patient.
In conclusion a kind of MDT provided by the invention holds a consultation, method, system participate in Cases Discussion for more people, synthesis is held a consultation,
Doctor patient communication provides good information and shows, and easy to operate, clear process is convenient, effectively doctor is helped quickly completely to obtain patient
Comprehensive information improves consultation of doctors efficiency.
Although describing the present invention with reference to exemplary embodiment, it is to be understood that, term used is explanation and example
Property, term and not restrictive.Due to the present invention spirit or essence that can be embodied in a variety of forms without departing from invention,
It should therefore be appreciated that the above embodiment is not limited to any details above-mentioned, and should be spiritual defined by appended claims
Accompanying is all should be with the whole variations and remodeling widely explained, therefore fallen into claim or its equivalent scope in range to weigh
Profit requires to be covered.
Claims (10)
- A kind of method 1. MDT holds a consultation, which is characterized in that including：S101：Apply for that doctor proposes consultation of doctors application using MDT cooperation platforms to MDT team；S102：Team assistant audits, and does not pass through, then repeatedly step S101；Pass through, then enters step S103；S103：MDT consultation of doctors times, place are notified attend a meeting doctor, expert by platform automatically, to consultation of doctors time alarm doctor, expert It holds a consultation；S104：Attend a meeting doctor, expert enters MDT cooperation platforms-consulting room and discusses to conditions of patients, confirms unified treatment Scheme；S105：Output consultation of doctors report, is sent to the doctor that attends a meeting, expert, and sign；S106：Apply for that doctor carries out successive treatment with reference to consultation of doctors report to patient.
- 2. according to the method described in claim 1, it is characterized in that, the step S101 includes：S1011：Patient proposes MDT consultation of doctors requests to attending physician；S1012：Attending physician is all previous from regional medical data center and medical image data center acquisition patient using MDT cooperation platforms Diagnosis and treatment data；S1013：The crucial diagnosis and treatment data preparation of selection can arrange the case of multidigit patient, while multidigit patient may be selected at case history Case application the consultation of doctors.
- 3. according to the method described in claim 1, it is characterized in that, the step S102 includes：S1021：MDT team assistant checks medical history information and application materials audit；If meeting, S1022, S1024 are entered step, If not meeting, S1023, S1025 are entered step；S1022：It arranges the specific consultation of doctors time and is invited to MDT team consultation of doctors place；S1023：MDT team assistant fills in not by reason and submits to application doctor；S1024：It clicks and confirms；S1025：Apply doctor according to not by reason progress data supplement and adjustment.
- 4. according to the method described in claim 1, it is characterized in that, the step S103 includes：S1031：The automatic consultation of doctors relevant information that sends is to all personnel for participating in the consultation of doctors；S1032：Set up the MDT team of the patient for the application consultation of doctors；S1033：Whether personnel participating in the meeting rearranges the consultation of doctors because of not tunable reason needsIf so, entering step S1035；If it is not, Enter step S1034；S1034：MDT team assistant rearranges the consultation of doctors, fills in and rearranges reason, and platform sends what the consultation of doctors was rearranged automatically Reason and the relevant information newly held a consultation are to personnel participating in the meeting；S1035：Wait for the consultation of doctors.
- 5. according to the method described in claim 1, it is characterized in that, the step S104 includes：S1041：Personnel participating in the meeting enters MDT consulting rooms by platform；S1042：The multidigit patient medical record of the application consultation of doctors is checked in consulting room switching；S1043：Video, same screen operation, voice, word real-time communication；S1044：It answers the question；S1045：The consultation of doctors is directly write to suggest.
- 6. according to the method described in claim 1, it is characterized in that, the step S105 includes：S1051：Team assistant arranges the consultation of doctors and suggests, fills in consultation of doctors report, and sending signature by management module of signing reminds to ginseng It can personnel；S1052：Personnel participating in the meeting receives consultation of doctors report signature and reminds, and consults report content, confirms hand-written label on errorless laggard line Word confirms；S1053：Team assistant is confirmed whether that all personnel participating in the meeting's signatures finishIf it is not, repeating step S1051；If so, entering step Rapid S1054；S1054：Consultation of doctors report comes into force；S1055：All personnel for participating in the consultation of doctors receive report and consult report.
- 7. a kind of MDT consultation systems, which is characterized in that including：Area medical diagnostic data center, MDT cooperation platforms, Yi Shengke Family end communicates to connect between area medical diagnostic data center, MDT cooperation platforms, doctor's client；The area medical Data transmission is encrypted using ssl protocol between diagnostic data center and the MDT cooperation platforms；Pass through MDT cooperation platforms The diagnosis and treatment data overall picture for providing patient is consulted to doctor expert, and doctor can arrange patient medical record whenever and wherever possible, by mostly eventually End equipment carries out MDT consultation of doctors business processings.
- 8. system according to claim 7, which is characterized in that area medical diagnostic data center includes area medical Data center, area image center, in the area medical diagnostic data site polymerization region each patient in hospital medical data and Storage is encrypted to sensitive data for providing patient's diagnosis and treatment data overall picture in image data.
- 9. system according to claim 7 or 8, which is characterized in that the system also includes：Patient data source, fire wall, Authorization service module, business datum center, video service office；The patient data source includes Hospitals in Region data, is gathered data in region by the medical private network under high security It closes in regional medical data center；Area medical diagnostic data center is carried on front server, and MDT cooperation platforms include end server, preposition service Device carries out packet filtering using fire wall, and front server can only carry out data interaction with MDT cooperation platforms end server, with IP and Key is verified, and is only allowed the data packet of the platform IP address authorized by fire wall, is transferred to end server, blocks other The data packet request of IP address；The authorization service module control data access authority and control directory permission, each user can only check under oneself permission Patient data and medical record data；Authorization service module controls across permission access, and directory access permission, control terminal server is arranged Request path controls all requests and accesses directory permission minimum；The business datum center is used for the user service data information that storage platform generates, and doctor's client passes through platform pair Upload fileinfo, path, format are verified by force, and renaming filename so that user can not directly access file, ensure File with file security under catalogue；The Video service district center neutralizes usually video communication exchange for the MDT consultation of doctors and provides video and audio interactive service, builds in real time Vertical consultation of doctors both sides stabilization, high definition, SD video channel realize that the multi-party of personnel participating in the meeting regards by video compress transmission process technology Frequency communicates.
- 10. system according to claim 9, which is characterized in that consultation of doctors sound intermediate frequency and video are independent from each other mutually all Road, audio service can be established audio, video interactive channel through entire consultation of doctors process, MDT team assistant by group.
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Application publication date: 20180914 |