CN110459281B - Method for acquiring vital sign data of emergency patient - Google Patents
Method for acquiring vital sign data of emergency patient Download PDFInfo
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- CN110459281B CN110459281B CN201910614777.XA CN201910614777A CN110459281B CN 110459281 B CN110459281 B CN 110459281B CN 201910614777 A CN201910614777 A CN 201910614777A CN 110459281 B CN110459281 B CN 110459281B
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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
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
Abstract
The invention relates to a method for acquiring vital sign data of an emergency patient, which is characterized in that a nurse of a hospital pre-examination table acquires the vital sign data and biological characteristic data of the emergency patient, and the patient is subjected to graded diagnosis and treatment based on the data; and when the transfer is needed, the data is sent to other hospitals, corresponding transfer identifications are generated, and the hospital receiving the transfer receives the patient based on the data and the transfer identifications. The method facilitates the treatment of emergency patients and improves the efficiency of hospital treatment process.
Description
Technical Field
The invention belongs to the field of medical treatment, and particularly relates to a method for acquiring vital sign data of an emergency patient.
Background
Among the prior art, emergency treatment patient can be carried out preliminary examination by emergency treatment preliminary examination nurse, and one of emergency treatment preliminary examination nurse's main work is: collecting vital sign data (body temperature, pulse, respiration, blood oxygen saturation, blood pressure and the like) of a patient, and registering the collection results in sequence; and determining how to cure the emergency patient according to the acquisition result. However, the existing work is finished manually, the efficiency is very low, and particularly for patients needing emergency treatment or transfer treatment, the treatment is not timely enough.
Disclosure of Invention
In order to solve the above problems in the prior art, the present invention provides a method for acquiring vital sign data of an emergency patient.
The technical scheme adopted by the invention is as follows:
a method for acquiring vital sign data of an emergency patient comprises the following steps:
(1) When an emergency patient enters a hospital A, a nurse uses vital sign instrument equipment provided by a pre-examination table to acquire vital sign data of the patient and simultaneously acquires biological characteristic information of the patient;
(2) Uploading the vital sign data and the biological characteristic information to a data server of a hospital A;
(3) An emergency pre-examination system on the data server analyzes the vital sign data, automatically grades the patient according to the vital sign data, and carries out corresponding treatment based on the grade of the patient;
(4) If the patient needs to be transferred, the emergency pre-examination system generates a transfer request message and sends the transfer request message to the emergency pre-examination systems of one or more designated hospitals; the transfer request message comprises an identifier Aid of hospital A, the acquired vital sign data and biometric data of the patient, and a timestamp of the acquisition time;
(5) The hospital's emergency pre-examination system receiving the transfer returns a transfer response message to hospital a's emergency pre-examination system to indicate that the patient is acceptable;
(6) The hospital A selects the hospital B from the hospitals returning the transfer response message as a target hospital for transfer, and sends a transfer confirmation message to the hospital B;
(7) An emergency pre-inspection system of hospital A calculates a transfer identification Tid for the patient, namely Tid = Hash (data | | timestamp | | Aid); the data is the vital sign data acquired by the hospital A, the symbol | | | represents data connection, and the Hash is a Hash function;
(8) The emergency pre-examination system of the hospital A transmits the transfer identification Tid to the terminal of a transfer ambulance;
(9) The ambulance transports the patient to the hospital B, and in the transporting process, vital sign instrument equipment on the ambulance continuously collects vital sign data of the patient to obtain the vital sign data1 of the patient on the ambulance;
(10) The hospital B receives the patient, and simultaneously an emergency pre-examination system of the hospital B receives a transfer identification Tid and the vital sign data1 from the terminal of the ambulance;
(11) The emergency pre-examination system of hospital B confirms that the patient is the patient who the patient agrees to receive before through the transfer identification Tid, and simultaneously acquires the previously stored vital sign data and the biological characteristic data of the patient;
(12) The pre-examination nurse in hospital B collects the biometric data of the patient, matches it with the biometric data collected in hospital a, and if the match is passed, confirms the receipt of the patient.
Further, the vital sign data includes body temperature, pulse, respiration, blood oxygen saturation, and blood pressure.
Further, the vital sign apparatus is a dedicated acquisition apparatus or a collection of multiple acquisition apparatuses.
Further, the biometric information is fingerprint information or iris information.
Furthermore, the pre-detection station comprises a pre-detection terminal, and the acquired vital sign data and the biological characteristic information are collected on the pre-detection terminal and then uploaded to the data server by the pre-detection terminal.
Further, the hospital B calculates the transfer identification Tid after receiving the transfer confirmation message.
Further, while the patient is transferred to the ambulance, the emergency pre-examination system of hospital a connects to the terminal of the ambulance through a wireless network and transmits a transfer identification.
Furthermore, the terminal of the ambulance is an information management terminal on the ambulance and is used for managing vital sign instrument equipment on the ambulance.
Further, the vital sign apparatus has a corresponding communication module, which is connected to the data server through a wired network or a wireless network inside the hospital a.
Further, the hospital receiving the transfer request message is actively designated by the doctor, or is preset in the system, or is matched with the patient condition by the system according to a preset matching rule.
The invention has the beneficial effects that: the emergency treatment patient can be conveniently treated, and the efficiency of the transfer treatment process of the emergency treatment patient is improved.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this application, are not intended to limit the invention, and:
fig. 1 is a logical configuration diagram of the hospital internal information apparatus of the present invention.
Detailed Description
The present invention will now be described in detail with reference to the drawings and specific embodiments, wherein the exemplary embodiments and descriptions are provided only for the purpose of illustrating the present invention and are not to be construed as limiting the present invention.
In order to realize the method, the hospital pre-examination table is provided with vital sign instrument equipment for emergency pre-examination nurses, and the nurses can measure the data of the body temperature, the pulse, the respiration, the blood oxygen saturation, the blood pressure and the like of the patients through the vital sign instrument equipment and can also acquire other biological characteristic information of the patients, such as fingerprints, irises and the like.
On the basis of the pre-examination table, reference is made to fig. 1, which shows a logical structure diagram of the information equipment inside the hospital. The vital sign instrument equipment is provided with a communication module, and can be connected to a data server in a hospital in a wired or wireless manner through the communication module to carry out data communication, so that the acquired vital sign data of the patient can be stored in the data server. An emergency pre-examination system is also operated on the data server and can carry out the same treatment according to the acquired vital sign data of the patient.
Specifically, the following describes the steps of the method of the present invention in detail:
(1) When an emergency patient enters hospital a, the nurse uses the vital sign apparatus provided by the pre-examination table to collect the vital sign data of the patient, while collecting the biometric information of the patient.
The vital sign data includes but is not limited to body temperature, pulse, respiration, blood oxygen saturation, blood pressure and other data; the vital sign apparatus device may be a dedicated acquisition device or a collection of multiple devices.
The biometric information may be used to identify the emergency patient, such as fingerprint information or iris information. In many emergency situations, emergency patients cannot provide relevant identification information, so the invention collects the biological characteristic information as the identification information. In very special cases, where biometric information of the patient cannot even be acquired, a unique identification code can be generated temporarily by the nurse, for example a randomly generated two-dimensional code can be used.
(2) And uploading the vital sign data and the biological characteristic information to a data server of the hospital A.
Specifically, the vital sign apparatus may have a corresponding communication module, and be connected to the data server through a wired network or a wireless network inside the hospital a, so that the acquired vital sign data and the biometric information may be uploaded to the data server. Or, a pre-examination terminal may be arranged on the pre-examination platform, and the collected vital sign data and the collected biological characteristic information may be firstly collected on the pre-examination terminal and then uploaded to the data server by the pre-examination terminal.
The data server can store the vital sign data and the biological characteristic information in an associated mode for later steps.
(3) The emergency pre-examination system analyzes the vital sign data and automatically ranks the patients according to the vital sign data.
The invention presets a plurality of pre-examination levels, and the emergency pre-examination system can firstly classify the patient into a certain pre-examination level according to a preset classification standard.
According to one embodiment of the present invention, the preview level may be divided into the following three levels:
level 1: the patient has a light degree of illness, and the patient should register at a registration window by himself or herself and follow a normal hospitalizing procedure.
And (4) level 2: the patient has a serious illness degree, and the system registers the patient by self and indicates the patient to visit a corresponding emergency doctor.
And (3) level: the patient is in an urgent state, the system registers the patient by self and calls an emergency doctor to pre-check the table immediately.
It should be noted that the above-mentioned level is only a simple example given by the present invention, and in the specific implementation process, the classification needs to be performed according to the specific situation of the hospital, and the hospital administrator can set the corresponding classification standard by himself or can perform the classification with the help of the pre-examination nurse.
(4) If the patient requires a transfer, the emergency call-in system generates a transfer request message and sends the transfer request message to the emergency call-in system of the designated hospital or hospitals.
Specifically, due to the limited medical capabilities of the hospital, hospital a may lack the ability to rescue some patients with severe illness, in which case the doctor of hospital a may decide to transfer the patient and instruct the emergency pre-examination system to issue a transfer request message.
The hospital receiving the transfer request message may be actively designated by the doctor, may be preset in the system, or may be obtained by the system according to a predetermined matching rule by matching the patient's condition.
The transfer request message includes an identifier Aid of hospital a, the acquired patient vital sign data and biometric data, and a timestamp of the acquisition time. Thus, the hospital receiving the transfer request message can make a judgment according to the specific situation of the patient and decide whether to accept the transfer of the patient.
According to one embodiment of the invention, the transfer request message may be accompanied by a digital signature of the message by hospital a to facilitate other hospitals in authenticating the source of the message.
(5) The hospital's emergency preview system receiving the transfer returns a transfer response message to hospital a's emergency preview system indicating that the patient is acceptable.
Generally, a hospital receiving a request can arrange a specific emergency doctor to process a transfer request message, the doctor can judge whether a new patient has the remaining capacity according to the condition of the current patient to be treated by the hospital, if so, the doctor can judge whether the patient can be treated according to the related information carried in the transfer request message, if so, the doctor can instruct an emergency pre-examination system of the hospital to return a transfer response message, otherwise, a transfer refusal message can be returned.
(6) Hospital a selects one hospital (hereinafter, referred to as hospital B) from the hospitals returning the transfer response message as a target hospital for transfer, and transmits a transfer confirmation message to hospital B.
The particular choice may be determined by the physician at hospital a or may be determined automatically by the system, for example by automatically selecting a closest hospital. After receiving the transfer confirmation message, hospital B is ready to receive the patient.
(7) The emergency pre-examination system of hospital a calculates a transfer identification Tid for the patient, i.e., tid = Hash (data | | timestamp | | Aid).
Wherein, data is the vital sign data collected by hospital a, and symbol | | | represents data connection. The Hash function is a Hash function, and any Hash algorithm known in the art, such as MD5 or SHA-1, may be used, which is not limited in the present invention.
In addition, since hospital B also obtains Aid, data, and timetag from the transfer request message, hospital B can also calculate Tid at the time of preparation.
At this point, the negotiation process between Hospital A and Hospital B is complete and Hospital A can transfer the patient to an ambulance for transfer.
(8) And the emergency call pre-inspection system of the hospital A transmits the transfer identification Tid to a terminal of a transfer ambulance.
Specifically, while the patient is transferred to the ambulance, the nurse or doctor may instruct the emergency pre-examination system to connect to the terminal of the ambulance through the wireless network and transmit the transfer identification. The terminal is an information management terminal on an ambulance and can manage vital sign instrument equipment on the ambulance.
(9) The ambulance transports the patient to the hospital B, and in the transporting process, the vital sign instrument device on the ambulance continuously collects the vital sign data of the patient to obtain the vital sign data1 of the patient on the ambulance.
The vital sign data of the patient during the transfer process can also help diagnosis and treatment, so the invention requires that the ambulance also has the collecting capability, and the collected data1 is stored in the terminal of the ambulance.
(10) Hospital B receives the patient while the emergency pre-examination system of hospital B receives the transfer identification Tid and the vital sign data1 from the terminal of the ambulance.
Specifically, the ambulance terminal is connected to the wireless network of the hospital B, and the pre-examination nurse of the hospital B can instruct the emergency pre-examination system to read the Tid and the data1 by wirelessly connecting the ambulance terminal.
(11) The emergency pre-examination system of hospital B confirms that the patient is the patient who he/she previously consents to receive through the transfer identification Tid, and simultaneously acquires the previously stored vital sign data and biometric data of the patient.
As mentioned above, hospital B also calculates the transfer id when it is ready to receive the patient, so that hospital B can quickly identify the patient by the transfer id and read the previously stored vital sign data and biometric data collected by hospital a.
(12) The pre-examination nurse in hospital B collects the biometric data of the patient, matches it with the biometric data collected in hospital a, and if the match is passed, confirms the receipt of the patient.
To prevent possible transfer errors, a biometric confirmation is again made, the two confirmations ensuring that the patient is indeed the patient for which hospital a requested the transfer.
So far, hospital B has confirmed patient's identity, has obtained this patient's vital sign data and data1, can salvage based on these data, need not to examine the collection once more at hospital B, has improved efficiency.
Based on the method, the vital sign data of the emergency patient is collected immediately after the emergency patient is admitted to the hospital for the first time, and the data can be continuously used during transfer, so that the treatment of the hospital is facilitated. The data are used for generating corresponding transfer identifications, so that the data transmission quantity is reduced, the identity of a patient can be authenticated, and the efficiency of corresponding processing procedures can be improved under the unconscious emergency condition of the patient.
The above description is only a preferred embodiment of the present invention, and all equivalent changes or modifications of the structure, characteristics and principles described in the present patent application are included in the present patent application.
Claims (10)
1. A method for acquiring vital sign data of an emergency patient is characterized by comprising the following steps:
(1) When an emergency patient enters a hospital A, a nurse acquires vital sign data of the patient by using vital sign instrument equipment provided by a pre-examination table, and simultaneously acquires biological characteristic information of the patient;
(2) Uploading the vital sign data and the biological characteristic information to a data server of a hospital A;
(3) An emergency pre-examination system on the data server analyzes the vital sign data, automatically grades the patients according to the vital sign data, and carries out corresponding processing based on the grades of the patients;
(4) If the patient needs to be transferred, the emergency pre-examination system generates a transfer request message and sends the transfer request message to the emergency pre-examination systems of one or more designated hospitals; the transfer request message comprises an identifier Aid of hospital A, the acquired vital sign data and biometric data of the patient, and a timestamp of the acquisition time;
(5) The hospital's emergency pre-examination system receiving the transfer returns a transfer response message to hospital a's emergency pre-examination system to indicate that the patient is acceptable;
(6) The hospital A selects the hospital B from the hospitals returning the transfer response message as a target hospital for transfer, and sends a transfer confirmation message to the hospital B;
(7) An emergency pre-inspection system of hospital A calculates a transfer identification Tid for the patient, namely Tid = Hash (data | | timestamp | | Aid); the data is the vital sign data acquired by the hospital A, the symbol | | | represents data connection, and the Hash is a Hash function;
(8) The emergency pre-examination system of the hospital A transmits the transfer identification Tid to a terminal of a transfer ambulance;
(9) The ambulance transports the patient to the hospital B, and in the transporting process, vital sign instrument equipment on the ambulance continuously collects vital sign data of the patient to obtain the vital sign data1 of the patient on the ambulance;
(10) The hospital B receives the patient, and meanwhile, an emergency pre-examination system of the hospital B receives a transfer identification Tid and the vital sign data1 from the terminal of the ambulance;
(11) The emergency pre-examination system of hospital B confirms that the patient is the patient who the patient agrees to receive before through the transfer identification Tid, and simultaneously acquires the previously stored vital sign data and the biological characteristic data of the patient;
(12) The pre-examination nurse in hospital B collects the biometric data of the patient, matches it with the biometric data collected in hospital a, and if the match is passed, confirms the reception of the patient.
2. The method of claim 1, wherein the vital sign data includes body temperature, pulse, respiration, blood oxygen saturation, blood pressure.
3. The method of any of claims 1-2, wherein the vital sign apparatus device is a dedicated acquisition device or a collection of acquisition devices.
4. The method according to any one of claims 1-2, wherein the biometric information is fingerprint information or iris information.
5. The method according to any one of claims 1-2, wherein the pre-examination station comprises a pre-examination terminal, and the collected vital sign data and the collected biometric information are collected at the pre-examination terminal and then uploaded to the data server by the pre-examination terminal.
6. The method of claim 1, wherein the hospital B calculates the transfer identity Tid after receiving the transfer confirmation message.
7. The method of claim 1 wherein the emergency pre-examination system of hospital a is connected to the terminal of the ambulance via a wireless network and transmits a transfer identification while the patient is transferred to the ambulance.
8. The method of claim 7, wherein the terminal of the ambulance is an information management terminal on an ambulance for managing vital signs equipment on the ambulance.
9. The method of claim 1, wherein the vital sign apparatus has a corresponding communication module that is connected to a data server via a wired or wireless network internal to hospital a.
10. The method of claim 1, wherein the hospital receiving the transfer request message is actively designated by a doctor, or is preset inside the system, or is matched to the patient's condition by the system according to a predetermined matching rule.
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Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
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| JP2011048775A (en) * | 2009-08-28 | 2011-03-10 | Chugoku Electric Power Co Inc:The | Emergency hospital selection system, management server, and hospital server |
| CN107169298A (en) * | 2017-05-26 | 2017-09-15 | 深圳市第二人民医院 | A kind of intelligent emergency treatment classification system for distribution of out-patient department |
| CN107707606A (en) * | 2017-07-21 | 2018-02-16 | 涓ユ不 | Cerebral apoplexy first aid examination supervision doctor's networked system and its application process |
| CN108717871A (en) * | 2018-06-12 | 2018-10-30 | 中南大学湘雅二医院 | A kind of adult's emergency treatment severity Scaling system and stage division |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2017089914A1 (en) * | 2015-11-24 | 2017-06-01 | Koninklijke Philips N.V. | Critical care patient monitoring service recommendation using data and text mining techniques |
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Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2011048775A (en) * | 2009-08-28 | 2011-03-10 | Chugoku Electric Power Co Inc:The | Emergency hospital selection system, management server, and hospital server |
| CN107169298A (en) * | 2017-05-26 | 2017-09-15 | 深圳市第二人民医院 | A kind of intelligent emergency treatment classification system for distribution of out-patient department |
| CN107707606A (en) * | 2017-07-21 | 2018-02-16 | 涓ユ不 | Cerebral apoplexy first aid examination supervision doctor's networked system and its application process |
| CN108717871A (en) * | 2018-06-12 | 2018-10-30 | 中南大学湘雅二医院 | A kind of adult's emergency treatment severity Scaling system and stage division |
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