CN109785916A - A kind of clinical path system based on information for hospital platform - Google Patents
A kind of clinical path system based on information for hospital platform Download PDFInfo
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- CN109785916A CN109785916A CN201910065897.9A CN201910065897A CN109785916A CN 109785916 A CN109785916 A CN 109785916A CN 201910065897 A CN201910065897 A CN 201910065897A CN 109785916 A CN109785916 A CN 109785916A
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- 230000036541 health Effects 0.000 claims abstract description 42
- 230000010354 integration Effects 0.000 claims abstract description 18
- 238000002560 therapeutic procedure Methods 0.000 claims abstract description 17
- 230000005540 biological transmission Effects 0.000 claims abstract description 13
- 239000003814 drug Substances 0.000 claims description 30
- 229940079593 drug Drugs 0.000 claims description 20
- 238000012423 maintenance Methods 0.000 claims description 15
- 206010002091 Anaesthesia Diseases 0.000 claims description 8
- 230000037005 anaesthesia Effects 0.000 claims description 8
- 239000008280 blood Substances 0.000 claims description 8
- 210000004369 blood Anatomy 0.000 claims description 8
- 238000003908 quality control method Methods 0.000 claims description 8
- 238000001356 surgical procedure Methods 0.000 claims description 7
- 238000007619 statistical method Methods 0.000 claims description 6
- 238000012544 monitoring process Methods 0.000 claims description 5
- 230000000474 nursing effect Effects 0.000 claims description 5
- 238000012545 processing Methods 0.000 claims description 3
- 238000012546 transfer Methods 0.000 claims description 3
- 235000013399 edible fruits Nutrition 0.000 claims 1
- 238000003745 diagnosis Methods 0.000 description 10
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- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
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- 230000002411 adverse Effects 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 238000010241 blood sampling Methods 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000003759 clinical diagnosis Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
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Abstract
The invention discloses a kind of clinical path system based on information for hospital platform, including hospital information management system, the hospital information management system includes data integration platform, electronic health record unit and base server.Electronic health record unit of the present invention in the hospital information management system of use increases Intensive Care Therapy module, clinical path module is stored in the Intensive Care Therapy module, the transmission of data information is realized by HL messaging bus and data integration platform and is shared, the modules in electronic health record unit are enable to consult and edit clinical path information according to permission, compared with prior art, not only make to facilitate access and editor's clinical path information in the corresponding association to the electronic health record unit module of each department of clinical path information；Also shared the data in electronic health record unit between each module, data information updating decision helps to improve the classification of clinical data and the accuracy of query result.
Description
Technical field
The present invention relates to a kind of Medicine information service platform, especially a kind of clinical path system based on information for hospital platform
System.
Background technique
With aging of population, the increase of medical demand, how to guarantee simultaneously sustained improvement quality of medical care and working efficiency
Under the premise of effectively control medical treatment cost, reduce medical expense, avoid doctor " over-treatment ", become national governments, medical treatment protect
The common target of dangerous mechanism and medical institutions.Clinical path as one kind contain quality assurance, evidence-based medicine EBM, holistic Nursing,
The diagnosis and treatment standardized method of continuous quality improvement is widely popularized and is used in American-European and its multiple countries and regions.
Clinical path (Clinical pathway) is by doctor, nurse and other professionals for a certain disease
Diagnose or perform the operation prepared standardization medical care plan that is optimal, having wage succession and timeliness, to reduce patient's health
Multiple delay and the wasting of resources makes service object obtain optimal medical and nursing quality.Clinical path management mode is as information for hospital
A new function module in system (Hospital Information System, HIS), if by hospital information system with
Electronic medical record system (Electronic Medical Record, EMR) be combined, it can be achieved that every medical data it is shared,
Diagnosis and treatment efficiency is helped to improve, treatment cost is reduced, mitigates the work load of health care worker, moreover it is possible to reduce malpractice
Risk accurately and efficiently provides quality statistics, realizes the digital office of hospital's diagnosis and treatment.But what Hospitals at Present used
Clinical path list information in HIS system is respectively operated in from the information of electronic health record in different systems, data information phase
Mutual independence and onrelevant, so that when medical staff works, need to operate the corresponding diagnosis and treatment that electronic medical record system obtains patient
After information, the importing of clinical path list could be carried out in HIS system, standard doctor's advice is opened, doctor's advice is audited and variation, path
Adjustment, path such as exit at the operation, cumbersome, be easy error, and statistic of classification and query function for clinical path data
More it is short of.
Summary of the invention
Goal of the invention of the invention is, in view of the above-mentioned problems, providing a kind of clinical path system based on information for hospital platform
System, can be realized clinical path and combines with electronic health record information, effectively improve medical staff to the editor of clinical path information
And working efficiency.
In order to achieve the above objectives, the technical scheme adopted by the invention is that:
A kind of clinical path system based on information for hospital platform, including hospital information management system, the information for hospital
Management system includes data integration platform, electronic health record unit and base server, and the data integration platform passes through HL7 information
Bus is connect with electronic health record unit, to realize the processing and storage of clinical data；The electronic health record unit realizes data
The acquisition of information and editor and the monitoring of clinical path data；The base server is to data integration platform and electronic health record list
Data information transfer between member provides network connection service, to guarantee the safety of data transmission；The electronic health record unit packet
Include resident doctor station, nurse station of being hospitalized, outpatient clinician station, form of general use module, medical image storage and transmission module, operation fiber crops
Liquor-saturated module, blood transfusion module, medicament module, portable medical terminal and case history quality Control module,
The electronic health record unit further includes Intensive Care Therapy module, and the Intensive Care Therapy module is stored with clinical path mould
Clinical path information in clinical path module is sent to data set by HL7 bus by block, the Intensive Care Therapy module
At on platform, and clinical path module is respectively associated to the resident doctor by base server for the data integration platform
It stands, is nurse station of being hospitalized, outpatient clinician station, form of general use module, medical image storage and transmission module, surgery anesthesia module, defeated
Blood module, medicament module, portable medical terminal, in case history quality Control module, to realize the shared of clinical path data.
In above scheme, preferably, the clinical path module may include clinical path maintenance submodule,
Clinical path inquires submodule, clinical path service condition statistic submodule, clinical path performance statistic submodule, clinic
Path doctor's advice executes variation submodule, clinical path medical care executes variation submodule, clinical path state of an illness variation inquiry submodule
With clinical path custom item classification submodule,
Maintenance information of the clinical path maintenance submodule to edit clinical path according to the permission of operator, institute
State inquiry of the clinical path inquiry submodule to carry out clinical path information according to time or query object, the clinical path
The inquiry of executive condition and usage record of the service condition statistic submodule to provide clinical path；The clinical path is completed
Situation statistic submodule is providing the schedule of clinical path, completing record and completing the inquiry of expense；, the clinic road
Diameter doctor's advice executes variation submodule and is edited with for doctor to the doctor's advice information in clinical path, the clinical path medical care
It executes variation submodule to edit the nursing information in clinical path with for medical staff, the clinical path state of an illness becomes
Different inquiry submodule is to inquire the state of an illness information in clinical path according to permission, the clinical path custom item
Classification submodule is to edit drug used in clinical path and medical information.
In above scheme, it is further preferred that the clinical path module further includes clinical path expense situation submodule
Path situation submodule is used with in-patients, the clinical path expense situation submodule is to provide clinical path items expense
Inquiry, the in-patients are using path situation submodule based on information for hospital platform to provide facing for this medical institutions
The executive condition in bed path.
In above scheme, preferably, the clinical path maintenance submodule may include routing information editor
Submodule, non-doctor's advice project edit submodule, may be selected drug project edit submodule, make by oneself doctor's advice project edit submodule
Adopted classification editor submodule and the path preview page.
In above scheme, preferably, the data integration platform includes clinical decision supporting module and faces
Bed data memory module, the clinical decision supporting module receive the data information that electronic health record unit is sent, and will send
The data result that statistical analysis obtains is sent to electronic health record unit after data information is for statistical analysis；The clinical data
The data information that memory module is sent to store electronic health record unit, the data information include clinical medical data information and
Clinical path data information.
Due to the adoption of the above technical scheme, the invention has the following advantages:
It is tied 1. the present invention increases Intensive Care Therapy module with the electronic health record unit in hospital information management system
It closes, due to being stored with clinical path module in the Intensive Care Therapy module, is realized by HL messaging bus and data integration platform
The transmission of data information and shared, enables the modules in electronic health record unit to consult and edit clinical path according to permission
Information, it is compared with prior art, easy to operate for the information editing of clinical path.
2, in the present invention, all modules in the electronic health record unit realize database by HL bus
It is interrelated, not only make in the corresponding association to the electronic health record unit module of each department of clinical path information, facilitate access and
Edit clinical path information；Also shared the data in electronic health record unit between each module, data information updating decision has
Help improve the classification and the accuracy of query result of clinical data.
3. the present invention merges electronic health record unit and Intensive Care Therapy module with clinical path information, help to reinforce
The execution and monitoring of clinical path.
Detailed description of the invention
Fig. 1 is a kind of the system composition block diagram of the clinical path system based on information for hospital platform of the present invention.
Fig. 2 is the composition block diagram of clinical path module described in Fig. 1.
Fig. 3 is a kind of using schematic block diagram of the station of resident doctor described in Fig. 1.
Specific embodiment
It is further illustrated below in conjunction with specific implementation of the attached drawing to invention.
As shown in Figure 1, a kind of clinical path system based on information for hospital platform, including hospital information management system, institute
Stating hospital information management system includes data integration platform, electronic health record unit and base server.The data integration platform
It is connect by HL7 bus with electronic health record unit, to realize the processing and storage of clinical data.The electronic health record list
Member realizes the acquisition of data information and editor and the monitoring of clinical path data.The base server to data integration platform and
Data information transfer between electronic health record unit provides network connection service, to guarantee the safety of data transmission.Further,
The data integration platform includes clinical decision supporting module and clinical data memory module, and the clinical decision supporting module connects
The data information that electronic health record unit is sent is received, and the data information sent is obtained statistical analysis after for statistical analysis
Data result is sent to electronic health record unit.The data that the clinical data memory module is sent to store electronic health record unit
Information, the data information include clinical medical data information and clinical path data information.
The base server is specifically as follows interchanger or background server.
According to the department that hospital forms, the electronic health record unit includes resident doctor station, be hospitalized nurse station, outpatient clinician
It stands, the storage of form of general use module, medical image is cured with transmission module, surgery anesthesia module, blood transfusion module, medicament module, movement
Treat terminal and case history quality Control module.
The electronic health record unit further includes Intensive Care Therapy module.The Intensive Care Therapy module is stored with clinical path mould
Clinical path information in clinical path module is sent to data set by HL7 bus by block, the Intensive Care Therapy module
At on platform, and clinical path module is respectively associated to the resident doctor by base server for the data integration platform
It stands, is nurse station of being hospitalized, outpatient clinician station, form of general use module, medical image storage and transmission module, surgery anesthesia module, defeated
Blood module, medicament module, portable medical terminal, in case history quality Control module, to realize the shared of clinical path data.
As shown in Fig. 2, the clinical path module may include clinical path maintenance submodule, clinical path inquiry submodule
Block, clinical path service condition statistic submodule, clinical path performance statistic submodule, clinical path doctor's advice execute variation
Submodule, clinical path medical care execute variation submodule, the clinical path state of an illness variation inquiry submodule, clinical path self-defining term
Mesh classification submodule, clinical path expense situation submodule and in-patients use path situation submodule.Wherein,
Maintenance information of the clinical path maintenance submodule to edit clinical path according to the permission of operator；
Inquiry of the clinical path inquiry submodule to carry out clinical path information according to time or query object；
The clinical path service condition statistic submodule is to provide the executive condition and usage record of clinical path
Inquiry；The clinical path performance statistic submodule is to provide the schedule of clinical path, complete record and completion
The inquiry of expense；The clinical path doctor's advice executes variation submodule and is carried out with for doctor to the doctor's advice information in clinical path
Editor；
The clinical path medical care execute variation submodule with for medical staff to the nursing information in clinical path into
Edlin；
The clinical path state of an illness variation inquiry submodule is to carry out the state of an illness information in clinical path according to permission
Inquiry；
The clinical path custom item classification submodule is to drug used in clinical path and medical information
It is edited；
The clinical path expense situation submodule is to provide the inquiry of clinical path general expenses；
The in-patients are using path situation submodule based on information for hospital platform to provide facing for this medical institutions
The executive condition in bed path.
Further, the clinical path maintenance submodule may include routing information editor submodule, doctor's advice project edit
Non- doctor's advice project edit submodule, drug project edit submodule, customized classification editor submodule and road may be selected in submodule
Diameter preview page.Wherein, the path generation in clinical path information can be specifically edited by the routing information editor submodule
The information such as code, entry criteria, exit criteria, diagnosis name, expense.The doctor's advice project edit submodule for edit it is specific certain
The classification of a Application of clinical pathway, executes the information such as department, doctor's advice type at project name, executes with the clinical path doctor's advice
Variation submodule is not both: the clinical path doctor's advice execution variation submodule can only edit the diagnosis and treatment in clinical path information
Information, and the information such as drug, expense, exit criteria can not be modified accordingly, the doctor's advice scheme used herein
It is more to the modification of clinical path information to edit submodule.Non- doctor's advice project edit submodule is for editing some specific clinical road
The classification of diameter implementation, project name, content, path execute the information such as the plus-minus of number of days.Drug project edit submodule may be selected
For medicine information and the clinical path of record to be associated, and title, specification, unit price, the drug code etc. for showing drug
Information, while drug can be increased according to nomenclature of drug or be deleted in the clinical path recorded to corresponding department.Customized classification
Editor's submodule is used to search corresponding clinical path list according to drug or medical information, and according to the clinical path of display
List selects the information that can be checked or print.The path preview page is used to carry out preview and the printing function of clinical path information
Energy.
Information and content in above-mentioned clinical path maintenance submodule in each submodule only have clinical diagnosis and treatment doctor
Can just there be the permission of modification, so that doctor can targetedly modify clinical path letter according to the real-time change of clinical state
Breath.
Use of each department of hospital for the clinical path, as shown in figure 3, Fig. 3 is that resident doctor stands when using
Using composition interface.It stands from Intensive Care Therapy module to resident doctor and clinical path data is provided, the Intensive Care Therapy module is existing
There is the application module with clinical path information editing's function.In the present embodiment, according to the requirement in resident work position, institute
Resident doctor station is stated to look into equipped with hospital management, expenses management, routine work, adverse events management, high-value consumables management, knowledge
Inquiry, statistical query, system maintenance and help, and it is correspondingly arranged on clinical path module.Therefore, doctor at work, by live
Institute doctor stand to handle the daily of one's work, especially by by clinical path module to routing information, doctor's advice scheme, non-doctor
It advises prevention, the clinical paths data information editors such as drug scheme, customized classification, path preview may be selected, wherein the path
Information includes path code, classification, path entry criteria, exit criteria, founder, and the doctor's advice scheme is the tool of monitoring and therapeutic
Body information, it may include necessary, classification, project name, dosage, administrated method, the frequency, execution department etc..The non-doctor's advice scheme
Information is treated for postoperative care, specifically may include classification and diagnosis and treatment content.The optional drug scheme is clinical path diagnosis and treatment
Medicine information used in process, including the list of drug subject, nomenclature of drug, specification, with reference to retail price etc..The self defined class
It Wei not be to the modification of diagnosis and treatment drug, diagnosis and treatment scheme.The above are the concrete application interface at resident doctor station, the nurse that is hospitalized
It stands, outpatient clinician station, form of general use module, medical image storage and transmission module, surgery anesthesia module, the module, special of transfusing blood
The use treated in module, medicament module, Intensive Care Therapy module, mobile terminal and case history quality Control module is also by having own job
Operation interface and clinical path operation interface composition, are not being repeated one by one herein.Therefore, the present invention realizes clinical path
With electronic health record data fusion, access and the editor of clinical path information is can be realized in medical staff in an operating system.
The medical staff for the corresponding department, department that hospital sets up is corresponding to use a module, such as resident doctor to use and be hospitalized
Doctor station, medical staff is using nurse station of being hospitalized in hospital, and outpatient clinician uses outpatient clinician station, and form of general use module completes disease
It counts the analysis and statistics of evidence one by one, specifically can carry out maintenance use by the background database manager personnel of hospital.Ultrasonic examination section adopts
With medical image storage and transmission module, department of anesthesia uses surgery anesthesia module, and blood sampling station uses medicine using blood transfusion module, pharmacy
Agent module, emergency department use portable medical terminal, and nurse foreground uses case history quality Control module.Above-mentioned module sets up phase according to hospital
Department is answered to be allocated the component part for using and be existing hospital information management system, distinctive points are for department
Functional corresponding comprising modules with it is different in Fig. 3, therefore no longer state one by one.But modules include institute in Fig. 2
The clinical path module shown, to achieve the purpose that clinical path information can be consulted and be edited in each department according to permission.
Above description is the detailed description for the present invention preferably possible embodiments, but embodiment is not limited to this hair
Bright patent claim, it is all the present invention suggested by technical spirit under completed same changes or modifications change, should all belong to
In the covered the scope of the patents of the present invention.
Claims (5)
1. a kind of clinical path system based on information for hospital platform, including hospital information management system, the information for hospital pipe
Reason system includes data integration platform, electronic health record unit and base server, and the data integration platform is total by HL7 information
Line is connect with electronic health record unit, to realize the processing and storage of clinical data；The electronic health record unit realizes data letter
The acquisition of breath and editor and the monitoring of clinical path data；The base server is to data integration platform and electronic health record unit
Between data information transfer provide network connection service, with guarantee data transmission safety；The electronic health record unit includes
Resident doctor station, nurse station of being hospitalized, outpatient clinician station, form of general use module, medical image storage and transmission module, surgery anesthesia
Module, blood transfusion module, medicament module, portable medical terminal and case history quality Control module, it is characterised in that:
The electronic health record unit further includes Intensive Care Therapy module, and the Intensive Care Therapy module is stored with clinical path module, institute
It states Intensive Care Therapy module and the clinical path information in clinical path module is sent to by data integration platform by HL7 bus
On, and clinical path module is respectively associated to resident doctor station by base server, is lived by the data integration platform
Nurse station, institute, outpatient clinician station, form of general use module, medical image storage and transmission module, surgery anesthesia module, blood transfusion mould
Block, medicament module, portable medical terminal, in case history quality Control module, to realize the shared of clinical path data.
2. a kind of clinical path system based on information for hospital platform according to claim 1, it is characterised in that: described to face
Bed path module includes clinical path maintenance submodule, clinical path inquiry submodule, clinical path service condition statistics submodule
Block, clinical path performance statistic submodule, clinical path doctor's advice execute variation submodule, clinical path medical care executes variation
Submodule, clinical path state of an illness variation inquiry submodule and clinical path custom item classification submodule,
Maintenance information of the clinical path maintenance submodule to edit clinical path according to the permission of operator, it is described to face
Inquiry of the bed path query submodule to carry out clinical path information according to time or query object, the clinical path use
The inquiry of executive condition and usage record of the situation statistic submodule to provide clinical path；The clinical path performance
Statistic submodule is providing the schedule of clinical path, completing record and completing the inquiry of expense；The clinical path doctor
Advise execution variation submodule with so that doctor edits the doctor's advice information in clinical path, the clinical path medical care executes
Variation submodule edits the nursing information in clinical path with for medical staff, and the clinical path state of an illness variation is looked into
Inquiry submodule is to inquire the state of an illness information in clinical path according to permission, the clinical path custom item classification
Submodule is to edit drug used in clinical path and medical information.
3. a kind of clinical path system based on information for hospital platform according to claim 2, it is characterised in that: described to face
Bed path module further includes that clinical path expense situation submodule and in-patients use path situation submodule, the clinic road
Diameter expense situation submodule uses path situation submodule to provide the inquiry of clinical path general expenses, the in-patients
The executive condition of clinical path based on information for hospital platform to provide this medical institutions.
4. a kind of clinical path system based on information for hospital platform according to claim 2, it is characterised in that: described to face
Bed route maintenance submodule includes routing information editor submodule, doctor's advice project edit submodule, non-doctor's advice project edit submodule
Drug project edit submodule, customized classification editor submodule and the path preview page may be selected in block.
5. a kind of clinical path system based on information for hospital platform according to claim 1, it is characterised in that: the number
It include clinical decision supporting module and clinical data memory module according to integrated platform, the clinical decision supporting module receives electronics
The data information that case history unit is sent, and the data knot that the data information sent is obtained statistical analysis after for statistical analysis
Fruit is sent to electronic health record unit；The data information that the clinical data memory module is sent to store electronic health record unit,
The data information includes clinical medical data information and clinical path data information.
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