CN109887566A - The intelligent management and system of Electronic Health Record - Google Patents
The intelligent management and system of Electronic Health Record Download PDFInfo
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- CN109887566A CN109887566A CN201910142613.1A CN201910142613A CN109887566A CN 109887566 A CN109887566 A CN 109887566A CN 201910142613 A CN201910142613 A CN 201910142613A CN 109887566 A CN109887566 A CN 109887566A
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Abstract
The invention discloses a kind of intelligent management of Electronic Health Record and systems, the intelligent management includes: default health control standard scale, and health control standard scale includes the related information between multiple service items, the service organization of each service item and any two service item;The Electronic Health Record of current resident is obtained, Electronic Health Record includes the history service content that current resident receives history service item;Obtain current resident according to Electronic Health Record and health control standard scale with the associated expected association service project of history service item;Transfer expected service content relevant to expected association service project;Expected service content and Electronic Health Record are sent to the expection service organization of expected association service project.The present invention monitors the progression of medical treatment and public health service, and automatic identification simultaneously starts expected association service and is sent to expected service organization, realizes that the active between archives and service interacts and service full-range dynamic management.
Description
Technical field
The invention belongs to the application field of Electronic Health Record, in particular to the intelligent management system of a kind of Electronic Health Record
System.
Background technique
Existing basic health mechanism and medical institutions, which generally use resident's Electronic Health Record, to be regularly updated and quality control
System, but due to Quality Control period difference, so that Electronic Health Record automatically updates, dynamic management level is not high, lead to resident's
Electronic record interrupts, and causes " dead shelves " phenomenon prominent, this will lead to, and the interconnecting of Documentary Information System, data sharing is handed over
It changes construction and seriously lags behind real needs, so that public health is mutually separated with clinical service project, cannot achieve operation system pair
It connects, has seriously undermined the due value of Electronic Health Record.In addition, Electronic Health Record lacks and defends in actual use
The interaction of stranger person, medical worker and resident, health and medical worker need to fill in residents ' health service program manually, and voluntarily
Service schedule is controlled, this seriously reduces the property easy to use of system, simultaneously because the health data amount generated is larger, leads to work
Make personal information and handles very cumbersome, enthusiasm decline, error rate rising to health account management.
Summary of the invention
The technical problem to be solved by the present invention is in order to overcome Electronic Health Record information delay and archives in the prior art
The poor defect of convenience is managed, a kind of intelligent management system of Electronic Health Record is provided.
The present invention is to solve above-mentioned technical problem by following technical proposals:
A kind of intelligent management of Electronic Health Record, the intelligent management include:
S11, a default health control standard scale, the health control standard scale includes multiple service items, each service
Related information between the service organization and any two service item of project, the service item include medical item and public
Health Project;
S12, the Electronic Health Record for obtaining current resident, the Electronic Health Record include that the current resident receives to go through
The history service content of history service item;
S13, obtain the current resident according to the Electronic Health Record and the health control standard scale with it is described
The associated expected association service project of history service item;
S14, expected service content relevant to the expected association service project is transferred;
S15, the expected service content and the Electronic Health Record are sent to the expected association service project
It is expected that service organization.
Preferably, the health control standard scale further includes the temporal information of each service item, the electronic health care shelves
Case further includes receiving the temporal information of the history service item, step S13 further include:
The pre- of the expected association service project is obtained according to the Electronic Health Record and the health control standard scale
Phase services the moment;
Step S15 is specifically included:
By the expected service content and the electronic health care before servicing the first preset time of moment apart from the expection
Archives send the expected service organization.
Preferably, after step S15, the intelligent management further include:
S16, the expection is being serviced into moment and the expection before expected service second preset time of moment
Service content is sent to the current resident.
Preferably, the Electronic Health Record further includes the identity information of the current resident, it is described before step S12
Intelligent management further include:
S21, a default accesses control list, the accesses control list are stored with the identity information with the current resident
The identity information of associated accessible role;
S22, the identity information for obtaining current accessed role;
S23, the identity information of the current accessed role is judged whether in the accesses control list, if so, permitting
Perhaps Electronic Health Record described in the described current accessed role access.
Preferably, the accesses control list is also stored with addressable time corresponding with the accessible role, step
In S23, if the determination result is YES, then step S24 is first carried out, comprising:
S24, detection current time, whether the addressable time match with the current accessed role allowed if matching
Electronic Health Record described in the current accessed role access.
A kind of intelligent management system of Electronic Health Record, the intelligent management system include presetting module, archives acquisition
Module, transfers module and sending module at expected module;
For the presetting module for presetting a health control standard scale, the health control standard scale includes multiple service entries
Related information between mesh, the service organization of each service item and any two service item, the service item include doctor
Treatment project and public health program;
The archives obtain the Electronic Health Record that module is used to obtain current resident, and the Electronic Health Record includes institute
State the history service content that current resident receives history service item;
The expected module is used to be obtained according to the Electronic Health Record and the health control standard scale described current
Resident with the associated expected association service project of the history service item;
The module of transferring is for transferring expected service content relevant to the expected association service project;
The sending module is used to for the expected service content and the Electronic Health Record being sent to the expected pass
Join the expection service organization of service item.
Preferably, the health control standard scale further includes the temporal information of each service item, the electronic health care shelves
Case further includes receiving the temporal information of the history service item;
The expected module is also used to be obtained according to the Electronic Health Record with the health control standard scale described pre-
The expected service moment of phase association service project;
The sending module is used for will be in the expected service before expected service first preset time of moment
Hold and the Electronic Health Record sends the expected service organization.
Preferably, the sending module is also used to will be described pre- before expected service second preset time of moment
Service moment phase and the expected service content are sent to the current resident.
Preferably, the Electronic Health Record further includes the identity information of the current resident, the intelligent management system
It further include that resident information obtains module and judgment module;
The presetting module is also used to a default accesses control list, the accesses control list be stored with it is described current
The identity information of the associated accessible role of the identity information of resident;
The resident information obtains the identity information that module is used to obtain current accessed role;
Whether the judgment module is used to judge the identity information of the current accessed role in the accesses control list
In, if so, allowing Electronic Health Record described in the current accessed role access.
Preferably, the accesses control list is also stored with the addressable time corresponding with the accessible role, it is described
Intelligent management system further includes detection module;
The judgment module for calling the detection module when the judgment result is yes;
The detection module for detect current time whether the addressable time match with the current accessed role, if
Matching, then allow Electronic Health Record described in the current accessed role access.
The positive effect of the present invention is that: the present invention monitors medical services and public according to health control standard scale
The progression of Health Services, automatic identification simultaneously starts expected association service and is sent to expected service organization, and then realizes archives
Active between service interacts and services full-range dynamic management.
Detailed description of the invention
Fig. 1 is the flow chart of the intelligent management of the Electronic Health Record of the embodiment of the present invention 1.
Fig. 2 is the flow chart of the intelligent management of the Electronic Health Record of the embodiment of the present invention 2.
Fig. 3 is the module diagram of the intelligent management system of the Electronic Health Record of the embodiment of the present invention 3.
Fig. 4 is the module diagram of the intelligent management system of the Electronic Health Record of the embodiment of the present invention 4.
Specific embodiment
The present invention is further illustrated below by the mode of embodiment, but does not therefore limit the present invention to the reality
It applies among a range.
Embodiment 1
A kind of intelligent management of Electronic Health Record, as shown in Figure 1, the intelligent management includes:
Step 11, a default health control standard scale;The health control standard scale includes multiple service items, each clothes
Related information between the service organization and any two service item of business project, the service item includes medical item and public affairs
Health Project altogether;
It should be noted that the items medical treatment that the building of health control standard scale can rely on real-time update is relevant existing
Standard carries out real-time update, for example, it is existing can be according to " country basic public health service specification (third edition) " standard and other
Regulation, industry standard determine service item and its main services process that 5 32, big field business scenarios are related to.
Step 12, the Electronic Health Record for obtaining current resident;The Electronic Health Record includes that the current resident connects
By the history service content of history service item;
It should be noted that Electronic Health Record is the digitized record to personal health data.By by individual life
Process connects, and using personal health as core, covers various health related factors, realization information dynamic collection by all kinds of means, full
The information resource collection of sufficient health care, health control and medical diagnosis.Electronic Health Record is the core of health and fitness information technology
Content is the basis of medical treatment & health informationization.Not only include that people are medically treated the record of service, further includes immunity inoculation, connects
By health care service, participate in the contents such as the movable record of health education.Electronic Health Record is resident's mark with " personal essential information "
Know, links child health care, health care of women, disease prevention, disease control, the big business scope of medical services 5.
Step 13 obtains closing with history service item for current resident according to Electronic Health Record and health control standard scale
The expection association service project of connection;
Step 14 transfers expected service content relevant to expected association service project;
Step 15, the expection server that expected service content and Electronic Health Record are sent to expected association service project
Structure.
An example is lifted to further illustrate:
Example one, pregnant and lying-in women and newborn's service procedure are as follows:
(1) process document records and then generates Electronic Health Record
Process document includes but is not limited to: medical certificate for childbirths table, examination of newborn infant diseases record sheet, 0-6 years old children's base
This situation registration form, medical institutions' Fetal malformation registration card table, death of child report card, newborn's interview record sheet, motherhood
Woman's basic condition registration form, antenatal exaination first visit record sheet, antenatal exaination further consultation record sheet, delivery log table, puerpera's interview note
Record table, 42 days postpartum inspection record table, Prenatal Screening and idagnostic logout table, maternal death report blocks;
(2) the health control standard scale for presetting pregnant and lying-in women and newborn's service, referring to Tables 1 and 2
The health control standard scale of 1 pregnant and lying-in women of table service
The health control standard scale of 2 newborn of table service
By taking " antenatal exaination " as an example, according to health control standard scale, needs to carry out 13 antenatal exainations before childbirth, set automatically
Determine the service program with 3 weeks for an inspection cycle;Several days send relevant information to related service mechanism in advance, in addition, also
Active warning can be initiated to community medical service center or two tertiary hospitals (section hospital containing mother and child care) related doctor, into
And doctor can transfer Electronic Health Record and " antenatal exaination " service regulation in advance, preferably to complete Antenatal Examination of Pregnant Women clothes
Business.
By taking newborn is born as an example, according to health control standard scale, connecing for hepatitis B vaccine and BCG vaccine is completed in for 24 hours
Kind, and the other 14 immunization services time before setting newborn 6 years old, several days are sent related to related service mechanism in advance
Information, furthermore it is also possible to initiate active warning to community medical service center's related doctor, it is strong that doctor can transfer electronics in advance
Health archives and " immunity inoculation " service regulation, preferably to complete children vaccination service in 0-6 years old.
Example two, slow sick (for diabetes) patient service process are as follows:
(1) process document records and then generates Electronic Health Record
Process document includes but is not limited to: diabetic basis card-Diabetics In Community management, diabetic with
Visit card-Diabetics In Community management and diabetes cases bidirectionally transfering consultation list.
(2) the health control standard scale for presetting diabetic's service, referring to table 3
The health control standard scale of 3 diabetic of table service
According to follow-up rule, automatic setting is with the service program for a follow-up period in 3 months, several in advance days Xiang Xiangguan
Service organization sends relevant information, furthermore it is also possible to initiate active warning to Community Health Center's related doctor, doctor can be mentioned
Before transfer expected association service information, preferably to complete follow-up of patients's management service.
In the present embodiment, the health control standard scale further includes the temporal information of each service item, and the electronics is strong
Health archives further include the temporal information for receiving the history service item, after step 13, the intelligent management further include:
Step 131 obtains the expected clothes of expected association service project according to Electronic Health Record and health control standard scale
It is engaged in the moment;
Further, referring to Fig. 1, step 15 is specifically included:
It will be expected service content before expected service the first preset time of moment of distance and Electronic Health Record sends and is expected
Service organization.
In addition, corresponding service content can also be carried out to resident as needed during the medical services of resident
It sends, preferably to service resident, with reference to Fig. 1, after step 15, the intelligent management further include:
Step 16 will be expected service moment and expected service content hair before expected service the second preset time of moment of distance
It send to current resident.
In the present embodiment, according to health control standard scale, the progression of medical services is monitored, automatic identification simultaneously starts pre-
Phase association service and expected service organization, while timing node can be automatically generated, timing active warning service, Jin Ershi are provided
Existing archives interact and service full-range dynamic management with the active between service, facilitate health service institution and pass through healthy shelves
The analysis of case data makes correct health service planning, formulates properer service content for resident, and patient is helped to make correctly
Healthy decision, manage own health, realize inside medical institutions and public health agencies and information data between the two
It exchanges, using update and interactive application, the utilization rate of health account data can be improved.
Embodiment 2
The intelligent management of the Electronic Health Record of the present embodiment is to be further improved on the basis of embodiment 1, institute
The identity information that Electronic Health Record further includes the current resident is stated, the accesses control list is also stored with visits with described
It asks role's corresponding addressable time, if there is any personal or mechanism to access some Electronic Health Record, needs first to access
Role carries out certification identification, as shown in Fig. 2, before step 12, the intelligent management further include:
Step 21, a default accesses control list;The accesses control list is stored with the identity with the current resident
The identity information of the accessible role of information association;Specific setting can be with reference table 4, furthermore it is also possible to according to the special of patient
Authorization increases accessible role;
4 accesses control list of table
Step 22, the identity information for obtaining current accessed role;
Step 23 judges the identity information of current accessed role whether in accesses control list, if so, thening follow the steps
24, if it is not, cannot then access Electronic Health Record;
Step 24, detection current time whether the addressable time match with current accessed role, if matching, execute step
Rapid 25;If it is not, cannot then access Electronic Health Record;
Step 25 allows current accessed role access Electronic Health Record, then executes step 12.
It should be noted that only executing step 21 if relating only to when checking of Electronic Health Record and arriving step 25
, without executing the step of related service content is sent to service organization.
In the present embodiment, access control is set according to situations such as access resident, mechanism, time interval limitation and patient's authorization
List processed, when there is resident to have access to Electronic Health Record, Electronic Health Record will access the information and accesses control list of resident
It is matched, is refused unmatched, to realize that archives are precisely protected using with patients' privacy.
Embodiment 3
A kind of intelligent management system of Electronic Health Record, as shown in figure 3, the intelligent management system includes presetting module
1, archives obtain module 2, expected module 3, transfer module 4 and sending module 5;
For the presetting module 1 for presetting a health control standard scale, the health control standard scale includes multiple services
Related information between project, the service organization of each service item and any two service item, the service item include
Medical item and public health program;
It should be noted that the items medical treatment that the building of health control standard scale can rely on real-time update is relevant existing
Standard carries out real-time update, for example, it is existing can be according to " country basic public health service specification (third edition) " standard and other
Regulation, industry standard determine service item and its main services process that 5 32, big field business scenarios are related to.
The archives obtain the Electronic Health Record that module 2 is used to obtain current resident, and the Electronic Health Record includes
The current resident receives the history service content of history service item;
It should be noted that Electronic Health Record is the digitized record to personal health data.By by individual life
Process connects, and using personal health as core, covers various health related factors, realization information dynamic collection by all kinds of means, full
The information resource collection of sufficient health care, health control and medical diagnosis.Electronic Health Record is the core of health and fitness information technology
Content is the basis of medical treatment & health informationization.Not only include that people are medically treated the record of service, further includes immunity inoculation, connects
By health care service, participate in the contents such as the movable record of health education.Electronic Health Record is resident's mark with " personal essential information "
Know, links child health care, health care of women, disease prevention, disease control, the big business scope of medical services 5.
The expected module 3 is used to be obtained according to the Electronic Health Record and the health control standard scale described current
Resident with the associated expected association service project of the history service item;
The module 4 of transferring is for transferring expected service content relevant to the expected association service project;
The sending module 5 is used to for the expected service content and the Electronic Health Record being sent to the expected pass
Join the expection service organization of service item.
In the present embodiment, the health control standard scale further includes the temporal information of each service item, and the electronics is strong
Health archives further include the temporal information for receiving the history service item;
The expected module 3 is also used to be obtained according to the Electronic Health Record with the health control standard scale described pre-
The expected service moment of phase association service project;
The sending module 5 is used for will be in the expected service before expected service first preset time of moment
Hold and the Electronic Health Record sends the expected service organization.
In addition, corresponding service content can also be carried out to resident as needed during the medical services of resident
It sends, preferably to service resident.
The sending module 5 is also used to servicing the expection before expected service second preset time of moment
Moment and the expected service content are sent to the current resident.
In the present embodiment, according to health control standard scale, the progression of medical services is monitored, automatic identification simultaneously starts pre-
Phase association service and expected service organization, while timing node can be automatically generated, timing active warning service, Jin Ershi are provided
Existing archives interact and service full-range dynamic management with the active between service, facilitate health service institution and pass through healthy shelves
The analysis of case data makes correct health service planning, formulates properer service content for resident, and patient is helped to make correctly
Healthy decision, manage own health, realize inside medical institutions and public health agencies and information data between the two
It exchanges, using update and interactive application, the utilization rate of health account data can be improved.
Embodiment 4
The intelligent management system of the Electronic Health Record of the present embodiment is further improved on the basis of embodiment 3, institute
The identity information that Electronic Health Record further includes the current resident is stated, the accesses control list is also stored with visits with described
It asks role's corresponding addressable time, if there is any personal or mechanism to access some Electronic Health Record, needs first to access
Resident carries out certification identification, as shown in figure 4, the intelligent management system further includes that resident information obtains module 6, judgment module 7
With detection module 8;
The presetting module 1 is also used to a default accesses control list, and the accesses control list is stored with to be worked as with described
The identity information of the associated accessible role of the identity information of preceding resident;
The resident information obtains the identity information that module 6 is used to obtain current accessed role;
Whether the judgment module 7 is used to judge the identity information of the current accessed role in the accesses control list
In, if so, calling the detection module 8;
The detection module 8 for detect current time whether the addressable time match with the current accessed role,
If matching, if matching, allows Electronic Health Record described in the current accessed role access.
In the present embodiment, access control is set according to situations such as access resident, mechanism, time interval limitation and patient's authorization
List processed, when there is resident to have access to Electronic Health Record, Electronic Health Record will access the information and accesses control list of resident
It is matched, is refused unmatched, to realize that archives are precisely protected using with patients' privacy.
Although specific embodiments of the present invention have been described above, it will be appreciated by those of skill in the art that this is only
For example, protection scope of the present invention is to be defined by the appended claims.Those skilled in the art without departing substantially from
Under the premise of the principle and substance of the present invention, many changes and modifications may be made, but these change and
Modification each falls within protection scope of the present invention.
Claims (10)
1. a kind of intelligent management of Electronic Health Record, which is characterized in that the intelligent management includes:
S11, a default health control standard scale, the health control standard scale includes multiple service items, each service item
Service organization and any two service item between related information, the service item includes medical item and public health
Project;
S12, the Electronic Health Record for obtaining current resident, the Electronic Health Record include that the current resident receives history clothes
The history service content of business project;
It is S13, obtaining the current resident according to the Electronic Health Record and the health control standard scale with the history
The associated expected association service project of service item;
S14, expected service content relevant to the expected association service project is transferred;
S15, the expection that the expected service content and the Electronic Health Record are sent to the expected association service project
Service organization.
2. the intelligent management of Electronic Health Record as described in claim 1, which is characterized in that the health control standard
Table further includes the temporal information of each service item, the Electronic Health Record further include receive the history service item when
Between information, step S13 further include:
The expected of the expected association service project is obtained according to the Electronic Health Record and the health control standard scale to take
It is engaged in the moment;
Step S15 is specifically included:
By the expected service content and the Electronic Health Record before servicing the first preset time of moment apart from the expection
Send the expected service organization.
3. the intelligent management of Electronic Health Record as claimed in claim 2, which is characterized in that described after step S15
Intelligent management further include:
S16, the expected service moment and the expection are being serviced before expected service second preset time of moment
Content is sent to the current resident.
4. the intelligent management of Electronic Health Record as described in claim 1, which is characterized in that the Electronic Health Record
It further include the identity information of the current resident, before step S12, the intelligent management further include:
S21, a default accesses control list, the accesses control list is stored with to be associated with the identity information of the current resident
Accessible role identity information;
S22, the identity information for obtaining current accessed role;
S23, the identity information of the current accessed role is judged whether in the accesses control list, if so, allowing institute
State Electronic Health Record described in current accessed role access.
5. the intelligent management of Electronic Health Record as claimed in claim 4, which is characterized in that the accesses control list
It is also stored with the addressable time corresponding with the accessible role, in step S23, if the determination result is YES, then first carries out step
Rapid S24, comprising:
S24, detection current time whether the addressable time match with the current accessed role, if matching, allow described in
Electronic Health Record described in current accessed role access.
6. a kind of intelligent management system of Electronic Health Record, which is characterized in that the intelligent management system include presetting module,
Archives obtain module, expected module, transfer module and sending module;
The presetting module for presetting a health control standard scale, the health control standard scale include multiple service items,
Related information between the service organization and any two service item of each service item, the service item include medical item
Mesh and public health program;
The archives obtain the Electronic Health Record that module is used to obtain current resident, and the Electronic Health Record includes described works as
Preceding resident receives the history service content of history service item;
The expected module is used to obtain the current resident according to the Electronic Health Record and the health control standard scale
With the associated expected association service project of the history service item;
The module of transferring is for transferring expected service content relevant to the expected association service project;
The sending module is associated with clothes for the expected service content to be sent to the expection with the Electronic Health Record
The expection service organization of business project.
7. the intelligent management system of Electronic Health Record as claimed in claim 6, which is characterized in that the health control standard
Table further includes the temporal information of each service item, the Electronic Health Record further include receive the history service item when
Between information;
The expected module is also used to obtain the expected pass according to the Electronic Health Record and the health control standard scale
Join the expected service moment of service item;
The sending module be used for before expected service first preset time of moment by the expected service content and
The Electronic Health Record sends the expected service organization.
8. the intelligent management system of Electronic Health Record as claimed in claim 7, which is characterized in that the sending module is also used
In the expected service moment and the expected service content are being sent out before expected service second preset time of moment
It send to the current resident.
9. the intelligent management system of Electronic Health Record as claimed in claim 6, which is characterized in that the Electronic Health Record
It further include the identity information of the current resident, the intelligent management system further includes that resident information obtains module and judges mould
Block;
The presetting module is also used to a default accesses control list, and the accesses control list is stored with and the current resident
The associated accessible role of identity information identity information;
The resident information obtains the identity information that module is used to obtain current accessed role;
The judgment module be used to judge the identity information of the current accessed role whether in the accesses control list, if
It is then to allow Electronic Health Record described in the current accessed role access.
10. the intelligent management system of Electronic Health Record as claimed in claim 9, which is characterized in that the access control column
Table is also stored with the addressable time corresponding with the accessible role, and the intelligent management system further includes detection module;
The judgment module for calling the detection module when the judgment result is yes;
The detection module for detect current time whether the addressable time match with the current accessed role, if
Match, then allows Electronic Health Record described in the current accessed role access.
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