CN109493930B

CN109493930B - Patient file sharing system and method

Info

Publication number: CN109493930B
Application number: CN201811122237.1A
Authority: CN
Inventors: 赵静凯
Original assignee: Nanjing Kanling Information Technology Co ltd
Current assignee: Beijing Yuanxin Medical Technology Co.,Ltd.
Priority date: 2018-09-26
Filing date: 2018-09-26
Publication date: 2021-03-16
Anticipated expiration: 2038-09-26
Also published as: CN109493930A

Abstract

The invention discloses a patient file sharing system and a method, which can be any subsystem of a hospital and comprises but is not limited to a PC, a medical workstation, a PDA, a tablet personal computer and a mobile phone terminal device, an interface of system application comprises but is not limited to a common PC client, a WEB page, a PAD application and a mobile application, the system is operated by a patient file information example view of a medical worker initiating sharing in an application subsystem, and the system effectively supports the high-efficiency sharing of the patient file by the medical worker in a cooperation process through one-key sharing of the patient file and uniform access control in the process, is beneficial to improving the high-efficiency acquisition of the complete patient file by the medical worker, comprises information dispersed in each subsystem and all history records in the same system, improves the cooperation efficiency, simultaneously effectively controls the sharing process of the patient file, and effectively protects the data privacy of the patient file, the problem that information transmission in the sharing process is uncontrollable is solved.

Description

Patient file sharing system and method

Technical Field

The invention relates to the technical field of medical diagnosis systems, in particular to a patient file sharing system and a patient file sharing method.

Background

In a hospital or a health institution, patient files (profiles) are stored in personal information, visit information, health profiles, etc. about patients, including, but not limited to, subsystems such as HIS, PACS, LIS, EMR, etc. inside the hospital, medical staff logs in to the subsystems when viewing the patient files, and authorizes access to specific data by the corresponding subsystems, such as image access rights for a CT examination performed by a treating doctor during a certain period of hospitalization of a certain patient. In a collaboration scenario of medical care personnel, such as case discussion, a patient file of a patient to be discussed needs to be opened to the medical care personnel participating in the discussion, and at present, the medical care personnel participating in the discussion is notified by an ID of the patient in a medical file subsystem, such as a patient name, an identification number, an outpatient number or an inpatient number of a certain visit, and the like, and the participating medical care personnel accesses the corresponding patient file subsystem through the patient ID to obtain the patient file. The current sharing method results in that patient files cannot be acquired under the condition that the subsystem does not directly authorize corresponding medical care personnel; in addition, in the same subsystem, a plurality of disease files exist, and the complete disease file can be obtained only by multiple times of authorization and inquiry; and in the case of multiple subsystems, a complete view of the patient may be obtained without requiring multiple authorizations from multiple subsystems. Therefore, the traditional disease files are stored in a plurality of isolated subsystems and information isolated islands, and cannot be efficiently retrieved, so that the complete historical disease files of patients or the complete information of the same visit cannot be efficiently provided for medical care personnel to check and research.

The closest prior art scheme to the present invention: the application experience in the form of a PC, workstation or WEB is taken as the main, the patient files exist in different application subsystems, and are indexed by the ID of the patient, including but not limited to name, identification number, visit number, clinic number or hospital number. When the medical staff consults a certain patient file, the system inputs the patient ID, returns all information of the corresponding patient of the subsystem, and organizes the user interface view according to a certain mode. In the sharing process, the medical staff initiated by the sharing operation provides the patient ID of the subsystem where the patient file is located to the opposite medical staff, and the opposite medical staff refers to the file information of the patient in the subsystem where the same patient file is located through the patient ID.

For example, Zhao doctor in the department of respiration is an attending physician in charge of Xiaoming of a patient, finds that assisted diagnosis of a doctor in the department of oncology is needed in the process of diagnosing and treating the Xiaoming of the patient, gives the doctor who has the Xiaoming in HIS a treatment number of the Xiaoming on the premise of not sharing the desktop of a Zhao doctor workstation, opens the doctor workstation by the Cao doctor, inputs the treatment number of the Xiaoming in HIS, and refers up patient files of the Xiaoming.

In this process, since Zhao physicians are the attending physicians of Xiaoming, default should have the review of patient files in HIS by Xiaoming; however, for the Cao physician, he is not a small attending physician and he does not belong to the respiratory department, where patients in the respiratory department do not open access to oncological physicians by default. Therefore, the Cao doctor has no authority to consult in the system under the condition that the patient in the department of respiration has no open access right to the Cao doctor. In this case, the sharing fails.

If the doctor in Cao wants to assist Zhao doctor to diagnose the disease condition of Xiaoming, the doctor needs to look up the detailed file of Xiaoming through the HIS desktop of the doctor workstation of Zhao doctor. A safe scheme is that a doctor in Cao runs to the workstation of the doctor in Zhao, the doctor operates the doctor workstation by Zhao, and the patient file is displayed to the doctor in Cao, so that the method is extremely inefficient; in addition, an extreme scheme is provided, so that the Zhao doctor gives HIS HIS account to the Cao doctor, and the Cao doctor refers to the Xiaoming's condition by using the HIS account of the Zhao doctor for convenience. In this process, the actions of the Cao doctor in the HIS system are completely out of the control of the Zhao doctor, which may cause some illegal operations, and the method is extremely unsafe.

In addition, if a Zhao doctor wants to share the Ming patient files in the subsystems such as the LIS and the PACS in addition to the Ming patient files in the HIS, the Zhao doctor should give the Ming IDs in the LIS and the PACS to the Cao doctor, and the Cao doctor should perform corresponding operations according to the Ming IDs as with the HIS, and the problems possibly encountered by the Cao doctor are the same as those encountered by the HIS.

Summarizing the prior art, the main problem is that the sharing process is limited by the access right of the prior system and cannot be authorized; meanwhile, information is dispersed in different subsystems, final sharing can be achieved only through multiple sharing operations, operation experience is poor, and efficiency is low.

Disclosure of Invention

The invention aims to provide a patient file sharing system and a patient file sharing method, which solve the problem of difficult sharing of patient file information in an original distributed subsystem due to the problems of dispersion and authorization, and solve the problem of uncontrollable information transmission in the sharing process through uniform sharing authorization.

In order to achieve the purpose, the invention provides the following technical scheme:

a patient file sharing system comprises any subsystem of a hospital and terminal equipment including but not limited to a PC, a medical workstation, a PDA, a tablet personal computer and a mobile phone, wherein an interface of system application includes but not limited to a common PC client, a WEB page, a PAD application and a mobile application, the system is operated by a medical worker initiating sharing in a view of a patient file information instance in the application subsystem, a corresponding sharing button is clicked, or a menu item is clicked, the patient file view instance of the current application is shared, and a sharing object is designated in the sharing process.

Further, the patient profile refers to the information related to the visit information and the health profile, the patient is the actual owner of the related profile, and the medical staff includes all users who may operate on the patient profile, including the patient himself or herself in a special scene.

Further, the system includes, but is not limited to, HIS, LIS, PACS, and other derived healthcare applications.

Further, the sharing object is a member or a group of members in a hospital, a health institution or any other form of association, and the member list is managed in a form of, but not limited to, a system user list and an address list.

The invention provides another technical scheme: a method of patient file sharing comprising the steps of:

s1: authorizing the sharing behavior of medical staff, and checking whether the current user has a direct access right to the patient file information, namely, the current user obtains the access right through direct authorization to access the current patient file information, or obtains a view access right after being shared by the sharing user, or has both access rights;

s2: recording the sharing behavior in the S1 in the system, wherein the recording information comprises the sharer, the sharing target object, the shared patient view type and view instance information, which mainly comprises but is not limited to patient ID, name, identification number, visit ID, clinic number, hospital number marking information, and specific data instance type information of the HIS/LIS/PACS/EMR subsystem;

s3: after receiving the sharing message, the sharing target object user clicks the sharing message, the application system accesses the view example of the patient file information according to the hyperlink or the resource identifier, and meanwhile, authorization verification is conducted on the access behavior of the user.

Further, the message sharing means includes, but is not limited to, IM message, EMAIL, and the message may be in the form of, but is not limited to, a hyperlink, or a text thumbnail information card with hyperlink information.

Furthermore, the file information is hierarchically classified according to abstraction, the full view of the patient is used as a first-level view, the views corresponding to other application subsystems are used as second-level views, different data in the subsystems are used as third-level views, and the rest of the views are analogized to form a multi-level tree structure.

Compared with the prior art, the invention has the beneficial effects that:

according to the patient file sharing system and method, through one-key sharing of the patient files and unified access control in the process, the medical care personnel can be effectively supported to efficiently share the patient files in the cooperation process, the medical care personnel can be helped to efficiently acquire the complete patient files, the information dispersed in each subsystem and all history records in the same system are included, the cooperation efficiency is improved, the sharing process of the patient files is effectively controlled, and the data privacy of the patient files is effectively protected; the problem of difficult sharing of patient's archives information in the original decentralized subsystem because dispersion and authorization problem lead to is solved, simultaneously through unified sharing authorization, the uncontrollable problem of information propagation in the sharing process has been solved.

Drawings

FIG. 1 is a patient profile information abstraction hierarchical tree diagram of the present invention;

FIG. 2 is a graph of the node distribution of FIG. 1 according to the present invention;

fig. 3 is a diagram of the overlay system of the present invention.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

In the examples of the present invention, reference is made to fig. 1: the patient file sharing system can be any subsystem of a hospital, including but not limited to HIS, LIS, PACS and other derived medical care applications, including but not limited to terminal devices such as PC, medical care workstations and mobile phones, an application interface includes but not limited to common PC client, WEB page, mobile application and the like, medical care personnel initiating sharing operate on a patient file information example view in the application subsystem, click a corresponding sharing button or menu item, the currently applied patient file view example is shared, and a sharing object needs to be specified in the sharing process;

the sharing objects are members in hospitals, health institutions, any other associations (including but not limited to between cooperating hospitals, between upper and lower hospitals, between cooperating health authorities, between a hospital and a cooperating health authority, etc.), or a group of members, and the member list can be managed in the form of but not limited to a system user list and an address book.

In order to better explain the system, the invention provides another technical scheme as follows: a method of patient file sharing comprising the steps of:

the method comprises the following steps: in the sharing process, firstly, the sharing behavior is authorized, and whether the current user has the direct access right to the patient file information or not is mainly checked, namely the current user obtains the access right through direct authorization to access the current patient file information, or the view access right obtained after the sharing by the sharing user is performed, or both the two access rights are available; only when the user has direct access to the patient file information, namely the medical staff user also has access in the corresponding patient file information subsystem, the system authorizes the medical staff user to share the patient file information view, otherwise, the sharing is invalid, and through the design, the patient file information is prevented from being spread without limit;

step two: recording sharing behaviors in a system, wherein the recorded information comprises sharers, sharing target objects, shared patient view types and view instance information, the shared patient view types and the view instance information mainly comprise but are not limited to patient ID, name, identification number, doctor ID, clinic number and hospitalization number marking information, and specific data instance type information of an HIS/LIS/PACS/EMR subsystem, and the shared information can be, include but is not limited to IM information, EMAIL and the like, and can be a hyperlink or a graph and text thumbnail information card with hyperlink information;

step three: after receiving the sharing message, the sharing target object user clicks the sharing message, the application system accesses the view example of the patient file information according to the hyperlink, in the process, the overlay system performs authorization check on the access behavior of the user, checks whether the user is authorized in the sharing record, and if so, passes the authorization; if the sharing record is not authorized, the corresponding patient ID in the patient file information and the patient file instance information, such as the visit ID, the clinic number, the hospitalization number and the like, are combined, and authorization verification is carried out through the original patient file subsystem;

step four: the method comprises the steps of carrying out abstract hierarchical grading on view examples of patient file information, as shown in figure 1, forming a multi-level tree structure by using a full view of a patient as a primary view, using views corresponding to other application subsystems as secondary views, using different data in the subsystems as tertiary views, and so on, wherein the views adopt WEB pages or pages realized by applying a proprietary technology as carriers, and generating the view of the patient file information examples by combining patient ID and visit example information, such as visit time, visit ID, clinic number, hospitalization number and the like, and the sharing operation of the example views is carried out by taking a sub-tree of a patient file information view example tree as a unit; specifically, referring to fig. 2, if the sharing operation occurs at the 201 view node in the graph, the 204 and 205 nodes below the 201 node will be shared.

Referring to fig. 3, based on the application of the system and method of the invention, in the invention, a system superposed on the existing patient file subsystem is also invented, the system maps the user account of the medical staff in the superposition system and the user account of the original application subsystem, so that the sharer can obtain the access right of the file in the corresponding application subsystem through the superposition system; meanwhile, the superposition system is also a centralized convergence point of all existing or future newly-built patient file information subsystems, all patient file information of a patient can be checked through a patient file view established by the superposition system, including but not limited to HIS, LIS, PACS and the like, the superposition system supports a tree-structure view of the patient file information, and medical staff can access the patient file information which is controlled by the original patient file information subsystem as well according to the established account mapping of the medical staff in the superposition system and the existing or newly-built patient file information subsystems, so that the system can also generate a complete view of the patient file information.

Wherein, in the overlay system, medical personnel user is obtaining the authorization of visiting patient's archives information through two ways: direct authorization by medical personnel user after mapping to the original patient profile information subsystem; one is to obtain the sharing authorization of other medical personnel to obtain the sharing authorization of the patient file view example provided by the overlay system of the present invention.

In summary, the following steps: according to the patient file sharing system and method provided by the invention, through one-key sharing of the patient file and unified access control in the process, the medical care personnel can be effectively supported to efficiently share the patient file in the cooperation process, the medical care personnel can be helped to efficiently acquire the complete patient file, the information dispersed in each subsystem and all history records in the same system are included, the cooperation efficiency is improved, the sharing process of the patient file is effectively controlled, and the data privacy of the patient file is effectively protected; the problem of difficult sharing of patient's archives information in the original decentralized subsystem because dispersion and authorization problem lead to is solved, simultaneously through unified sharing authorization, the uncontrollable problem of information propagation in the sharing process has been solved.

The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be able to cover the technical solutions and the inventive concepts of the present invention within the technical scope of the present invention.

Claims

1. A method for sharing a patient file, comprising the steps of:

s2: recording the sharing behavior in the S1 in the system, wherein the recording information comprises the sharer, the sharing target object, the shared patient view type and view instance information, including the patient ID, name, identification number, visit ID, clinic number, hospital number marking information, and specific data instance type information of the HIS/LIS/PACS/EMR subsystem;

s3: after receiving the sharing message, the sharing target object user clicks the sharing message, the application system accesses the view example of the patient file information according to the hyperlink, in the process, the overlay system performs authorization check on the access behavior of the user, checks whether the user is authorized in the sharing record, and if so, passes the authorization; if the sharing record is not authorized, the authorization verification is carried out through the original patient file subsystem by combining the corresponding patient ID in the patient file information and the patient file instance information;

the superposition system maps the user account of the medical staff in the superposition system and the user account of the original application subsystem, so that the sharer obtains the access authority of the file in the corresponding application subsystem through the superposition system; meanwhile, the superposition system is also a centralized convergence point of all existing or future newly-built patient file information subsystems, and all patient file information of the patient can be checked through a patient file view established by the superposition system;

file information is classified according to abstraction layers, a full view of a patient is used as a first-level view, views corresponding to other application subsystems are used as second-level views, different data in the subsystems are used as third-level views, and a multi-level tree structure is formed;

the file information of the patient takes the full view of the patient as a primary view, the views corresponding to the other application subsystems are secondary views, and different data in the subsystems are taken as tertiary views to form a multi-level tree structure; the sharing operation of the example view is carried out by taking a subtree of the example tree of the patient file information view as a unit; and sharing the view node of which the operation occurs, wherein child nodes of the view node are shared.

2. The patient profile sharing method of claim 1, wherein: the patient files refer to the information related to the visit information and the health files, the patient is the actual owner of the related files, and the medical care personnel comprise all users who can operate the patient files and include the patient himself or herself in a special scene.

3. The patient profile sharing method of claim 1, wherein the sharing message means comprises an IM message, an EMAIL message in the form of a hyperlink or a thumbnail information card with hyperlink information.

4. A patient file sharing system using the patient file sharing method according to claim 1, wherein the system includes a PC, a medical workstation, a PDA, a tablet PC, and a mobile phone terminal device of a hospital, an interface of a system application includes a common PC client, a WEB page, a PAD application, and a mobile application, the system is operated by a medical staff initiating the sharing in a view of an example of patient file information in an application subsystem, a corresponding sharing button is clicked, or a menu item is clicked, an example of a currently applied patient file view is shared, and a sharing object is specified in the sharing process.

5. The patient profile sharing system of claim 4, wherein: the system includes HIS, LIS, PACS, and other derived healthcare applications.

6. The patient profile sharing system of claim 4, wherein: the sharing objects are members in a hospital, a health institution or any other union, or a group of members, and the member list is managed in the form of a system user list and an address list.