CN110462743A - A kind of _ based Patient Records Management Systems and method - Google Patents

A kind of _ based Patient Records Management Systems and method Download PDF

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Publication number
CN110462743A
CN110462743A CN201880020400.5A CN201880020400A CN110462743A CN 110462743 A CN110462743 A CN 110462743A CN 201880020400 A CN201880020400 A CN 201880020400A CN 110462743 A CN110462743 A CN 110462743A
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China
Prior art keywords
hospital
electronic health
health record
case history
record data
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CN201880020400.5A
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Chinese (zh)
Inventor
张�雄
舒振峰
韩恩莉
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Shenzhen Holographic Medical Technology Co Ltd
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Shenzhen Holographic Medical Technology Co Ltd
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

The present invention relates to a kind of _ based Patient Records Management Systems and methods, the change recording synchronism of electronic health record data on hospital's local server is uploaded into cloud server, the users such as doctor access cloud server by doctor terminal to browse and check that the case history of each hospital changes the sufferer case history change record in back end, and then the access authority by storing on cloud server and access approach access the specific electronic health record data on corresponding hospital's local server, realize the shared of each hospital local electronic health record data, it is able to achieve the control of access authority again simultaneously.Thus _ based Patient Records Management Systems and method of the invention solve the problems, such as existing each hospital's medical records system be individually present can not intercommunication, doctor can be facilitated quickly to check the medical record information of sufferer comprehensively.

Description

A kind of _ based Patient Records Management Systems and method
Technical field
The present invention relates to medical information technical fields, more specifically to a kind of _ based Patient Records Management Systems and method.
Background technique
Electronic health record (Electronic Medical Record, referred to as EMR), refers to the case history of computerization, it Content includes all information of paper case history.Electronic health record is with hospital computer networking management, information storage medium Using and Internet globalization and generate.Electronic health record is the necessarily production of information technology and network technology in medical field Object is the inexorable trend of hospital's case history modern management.
By nearly development in 20 years, hospital information system has begun to take shape, and many hospitals set up hospital area in succession Information system.Since the case history of each hospital, patient belong to personal information, it is difficult to which open, even present each hospital is all There are many medical records systems, but each medical records system is respectively individually present, medical record information cannot be shared well, be not easy to Using and management.
Summary of the invention
The technical problem to be solved in the present invention is that in view of the above drawbacks of the prior art, providing one kind can be realized doctor The shared _ based Patient Records Management Systems of institute's medical record information and method.
The present invention is to solve its technical problem to propose a kind of _ based Patient Records Management Systems, including doctor's end in first aspect End, hospital's local server and cloud server, in which:
Hospital's local server receives doctor terminal and uploads for storing patient in the electronic health record data of the hospital The electronic health record data are operated case history change record and by the case history change recording synchronism be uploaded to cloud clothes On business device in case history change back end corresponding with the hospital;
The cloud server, which is used to establish case history for each hospital, changes back end, and it is local to store each hospital respectively The case history that server uploads changes record, and also stores the Outside Access power of electronics medical record data on each hospital's local server Limit and access approach;
The doctor terminal and hospital's local server of affiliated hospital are communicated to connect to access on hospital's local server The electronic health record data of storage simultaneously operate the electronic health record data, the doctor terminal also with cloud server communication link It connects to access the sufferer case history change record in each case history change back end, and is changed in back end and stored based on case history Access authority and access approach access corresponding hospital's local server, check recorded with sufferer case history change it is associated Electronic health record data.
In one embodiment according to a first aspect of the present invention, hospital's local server is according to preset holographic electronics Medical record templates store patient in the electronic health record data of the hospital, and the electronic health record data include sufferer main suit, medical history, are admitted to hospital Symptom, vital sign, pathology, image, inspection, diagnosis process, operation, medication, symptom variation, index variation.
In one embodiment according to a first aspect of the present invention, the doctor terminal carries out operation packet to electronic health record data It includes and electronic health record data is browsed, increased, modified and deleted.
In one embodiment according to a first aspect of the present invention, what the doctor terminal uploaded carries out electronic health record data The case history change record of operation includes change time, change place, change personnel and changed content.
In one embodiment according to a first aspect of the present invention, hospital's local server also periodically locally takes hospital The electronic health record data stored on business device are uploaded on cloud server in case history change back end corresponding with the hospital and protect It deposits.
In one embodiment according to a first aspect of the present invention, the doctor terminal is also used to acquire the case history number of new patient According to and according to preset holographic electronic health record template generation electronic health record be uploaded to belonging to hospital hospital's local server.
The present invention is to solve its technical problem to propose a kind of electronic health record management method in second aspect, including walk as follows It is rapid:
S1, patient is stored in the electronic health record data of the hospital in hospital's local server;
S2, by doctor terminal access belonging to hospital hospital's local server on the electronic health record data that store and to this Electronic health record data are operated;
S3, the disease operated to the electronic health record data that doctor terminal uploads is received by hospital's local server It goes through change record and case history change recording synchronism is uploaded on cloud server case history corresponding with the hospital and change number According in node;
S4, note is changed by the sufferer case history that doctor terminal accesses on cloud server in each case history change back end Record, and corresponding hospital's local server is accessed based on the access authority and access approach stored in case history change back end, It checks and records associated electronic health record data with sufferer case history change.
In one embodiment according to a second aspect of the present invention, the method further includes by doctor's end before step S1 End acquires the medical record data of new patient and is uploaded to affiliated hospital according to preset holographic electronic health record template generation electronic health record Hospital's local server.
In one embodiment according to a second aspect of the present invention, step S1 institute of traditional Chinese medicine local server is according to preset Holographic electronic health record template storage patient the hospital electronic health record data, the electronic health record data include sufferer main suit, Medical history, symptom of being admitted to hospital, vital sign, pathology, image, inspection, diagnosis process, operation, medication, symptom variation, index variation.
In one embodiment according to a second aspect of the present invention, the doctor terminal carries out operation packet to electronic health record data It includes and electronic health record data is browsed, increased, modified and deleted, the case history change record includes change time, change ground Point, change personnel and changed content.
_ based Patient Records Management Systems according to an embodiment of the present invention and method are by the electronic health record on hospital's local server The change recording synchronism of data uploads to cloud server, and the users such as doctor can access cloud server by doctor terminal come clear Look at and check the sufferer case history change record in the case history change back end of each hospital, and then by depositing on cloud server The access authority and access approach of storage access the specific electronic health record data on corresponding hospital's local server, realize each doctor Institute's local electronic health record data are shared, while being able to achieve the control of access authority again.Thus electronic health record management of the invention System and method solve the problems, such as existing each hospital's medical records system be individually present can not intercommunication, doctor can be facilitated quick The medical record information of sufferer is checked comprehensively, and doctor is helped to carry out precisely controlling for next step to patient according to holographic sufferer medical record information It treats, while reasonable therapeutic scheme can be provided for the Patient Global of the special state of an illness.
Detailed description of the invention
Present invention will be further explained below with reference to the attached drawings and examples, in attached drawing:
Fig. 1 is the structural schematic diagram of the _ based Patient Records Management Systems of one embodiment of the invention;
Fig. 2 is the flow chart of the electronic health record management method of one embodiment of the invention.
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, with reference to the accompanying drawings and embodiments, right The present invention is further elaborated.It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, and It is not used in the restriction present invention.
Fig. 1 shows the structural schematic diagram of _ based Patient Records Management Systems 100 according to an embodiment of the invention.Such as Fig. 1 Shown, the _ based Patient Records Management Systems 100 are mainly by cloud server 110, hospital's local server 120 and doctor terminal 130 It constitutes.Hospital's local server 120 can be the virtual network service being for example erected in affiliated hospital, for storing patient It is the electronic medical record system managed independently in each hospital in the electronic health record data of the hospital.Hospital's local server 120 can To store patient in the electronic health record data of the hospital, the holography electronic health record number according to preset holographic electronic health record template According to including but not limited to sufferer main suit, medical history, symptom of being admitted to hospital, vital sign, pathology, image, inspection, diagnosis process, operation, use Medicine, symptom variation, index variation etc..120 communication link of hospital's local server of each hospital is connected to multiple doctor terminals 130.The users such as doctor can be accessed by doctor terminal 130 belonging to hospital hospital's local server 120 on the electricity that stores Sub- medical record data, and the electronic health record data that can be stored on hospital's local server 120 to affiliated hospital browsed, The operation such as increase, modify and delete, and the case history change record that the operation generates is uploaded to hospital's local server 120.Tool For body, the case history change record may include the various letters such as change time, change place, change personnel and changed content Breath.For the new patient that there is no electronic health record data on hospital's local server 120, can also be acquired by doctor terminal 130 The medical record data of new patient is simultaneously uploaded to hospital's local server according to preset holographic electronic health record template generation electronic health record 130 are stored.Hospital's local server 120 receives the various to the progress of electronic health record data thereon of the upload of doctor terminal 130 The change of case history caused by operating records and saves case history change record, while case history change recording synchronism is uploaded to cloud It holds on server 110 in case history change back end corresponding with the hospital.Cloud server 110 can be for example be erected at Ah In cloud cloud virtual network server.It is that each hospital establishes case history change back end on cloud server 110, uses respectively Record is changed in storing the case history that each hospital's local server 120 uploads.Electronics disease on each hospital's local server 120 The Outside Access permission and access approach for counting evidence one by one are also stored in the change back end of the corresponding case history on cloud server 110 In.The doctor terminal 130 of each hospital subordinate is also communicated to connect with cloud server 110, so as to access cloud server The sufferer case history in each case history change back end on 110 changes record, and can be changed in back end and be deposited based on case history The access authority and access approach of storage access corresponding hospital's local server 120, check on each hospital's local server 120 With sufferer case history change record associated electronic health record data.The local electronic medical record system of each hospital with cloud service When device 110 docks, authority distribution can be carried out according to preset organizational structure, such as settable doctor terminal account and distribute It calls the quantity permission of data and calls the permission etc. of the sufferer electronic health record information of different department.In this way, the present invention is above-mentioned _ based Patient Records Management Systems 100 just realize being total to for the electronic health record data on hospital's local server 120 of each hospital Access is enjoyed, doctor is facilitated quickly to check the holographic medical record information of sufferer comprehensively.In preferred embodiment in accordance with the present invention, hospital's sheet The electronic health record data of the court patient stored on hospital's local server 120 also periodically can be uploaded to cloud by ground server 120 It is saved in case history change back end corresponding with the hospital on the server 110 of end.
Based on _ based Patient Records Management Systems described above, the present invention also proposes a kind of electronic health record management method.Fig. 2 Show the flow chart of electronic health record management method 200 according to an embodiment of the invention.As shown in Fig. 2, the electronic health record Management method 200 includes the following steps:
Step S210 stores patient in the electronic health record data of the hospital in hospital's local server.Hospital's local service Device can store electronic health record data of the patient in the hospital, the electronic health record data according to preset holographic electronic health record template Including but not limited to sufferer main suit, medical history, symptom of being admitted to hospital, vital sign, pathology, image, inspection, diagnosis process, operation, use Medicine, symptom variation, index variation etc..In specific embodiment, this method can acquire the case history number of new patient by doctor terminal According to and according to preset holographic electronic health record template generation electronic health record be uploaded to belonging to hospital hospital's local server.
Step S220 accesses the electronic health record data stored on hospital's local server of affiliated hospital by doctor terminal And the electronic health record data are operated.The operation that doctor terminal carries out electronic health record data includes to electronic health record data Browsed, increase, modify and delete etc..
Step S230, by the affiliated doctor terminal upload of hospital's local server reception to the electronic health record stored thereon The case history change that data are operated records and is uploaded to case history change recording synchronism on cloud server and the hospital In corresponding case history change back end.Case history change record includes change time, change place, change personnel and changed content Etc. information.Specifically, it is that each hospital establishes case history change back end on cloud server, is respectively used to store each doctor The case history that institute's local server uploads changes record, and also stores the external of electronics medical record data on each hospital's local server Access authority and access approach.
Step S240 accesses the sufferer case history on cloud server in each case history change back end by doctor terminal Change record, and access corresponding hospital based on the access authority and access approach stored in case history change back end and locally take Business device is checked and recording associated electronic health record data with sufferer case history change.As a result, when doctor to sufferer carry out diagnosis and When treatment, electronics relevant to the patient disease stored on affiliated hospital local server can be not only accessed by doctor terminal Information is gone through, but also cloud server can be accessed by doctor terminal, checks each case history change data on cloud server The electronic health record of each hospital stored in node changes record, and thereby the access authority by being stored on cloud server and Access approach accesses the associated electrical medical record data stored on other hospital's local servers.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all in essence of the invention Made any modifications, equivalent replacements, and improvements etc., should all be included in the protection scope of the present invention within mind and principle.

Claims (10)

1. a kind of _ based Patient Records Management Systems, which is characterized in that including doctor terminal, hospital's local server and cloud service Device, in which:
Hospital's local server receives pair that doctor terminal uploads for storing patient in the electronic health record data of the hospital The case history change that the electronic health record data are operated records and case history change recording synchronism is uploaded to cloud server In upper case history change back end corresponding with the hospital;
The cloud server, which is used to establish case history for each hospital, changes back end, stores each hospital's local service respectively The case history that device uploads changes record, and also store on each hospital's local server the Outside Access permission of electronics medical record data and Access approach;
The doctor terminal and hospital's local server of affiliated hospital are communicated to connect and are stored on hospital's local server with accessing Electronic health record data and the electronic health record data are operated, the doctor terminal also with cloud server communicate to connect with The sufferer case history change record in each case history change back end is accessed, and based on the visit stored in case history change back end It asks that permission and access approach access corresponding hospital's local server, checks and record associated electronics with sufferer case history change Medical record data.
2. _ based Patient Records Management Systems according to claim 1, which is characterized in that hospital's local server is according to pre- If holographic electronic health record template storage patient in the electronic health record data of the hospital, the electronic health record data include sufferer master It tells, medical history, symptom of being admitted to hospital, vital sign, pathology, image, inspection, diagnosis process, operation, medication, symptom variation, index change Change.
3. _ based Patient Records Management Systems according to claim 1, which is characterized in that the doctor terminal is to electronic health record number It include that electronic health record data are browsed, increased, modified and deleted according to operation is carried out.
4. _ based Patient Records Management Systems according to claim 1, which is characterized in that the doctor terminal upload to electronics The case history change record that medical record data is operated includes change time, change place, change personnel and changed content.
5. _ based Patient Records Management Systems according to claim 1, which is characterized in that hospital's local server is also regular The electronic health record data stored on hospital's local server are uploaded on cloud server case history change corresponding with the hospital It is saved in back end.
6. _ based Patient Records Management Systems according to claim 1, which is characterized in that the doctor terminal is also used to acquire newly The medical record data of patient and hospital's sheet that affiliated hospital is uploaded to according to preset holographic electronic health record template generation electronic health record Ground server.
7. a kind of electronic health record management method, which comprises the steps of:
S1, patient is stored in the electronic health record data of the hospital in hospital's local server;
S2, by doctor terminal access belonging to hospital hospital's local server on the electronic health record data that store and to the electronics Medical record data is operated;
S3, the case history of doctor terminal upload operated to the electronic health record data is received more by hospital's local server Change record and case history change recording synchronism is uploaded on cloud server case history corresponding with the hospital and changes data section Point in;
S4, record is changed by the sufferer case history that doctor terminal accesses on cloud server in each case history change back end, And corresponding hospital's local server is accessed based on the access authority and access approach stored in case history change back end, it checks Associated electronic health record data are recorded with sufferer case history change.
8. electronic health record management method according to claim 7, which is characterized in that the method is also wrapped before step S1 It includes and the medical record data of new patient is acquired by doctor terminal and according on preset holographic electronic health record template generation electronic health record Hospital's local server of hospital belonging to reaching.
9. electronic health record management method according to claim 7, which is characterized in that step S1 institute of traditional Chinese medicine local service Electronic health record data of the device according to preset holographic electronic health record template storage patient in the hospital, the electronic health record data packet Include sufferer main suit, medical history, symptom of being admitted to hospital, vital sign, pathology, image, inspection, diagnosis process, operation, medication, symptom variation, Index variation.
10. electronic health record management method according to claim 7, which is characterized in that the doctor terminal is to electronic health record It includes that electronic health record data are browsed, increase, modify and deleted that data, which carry out operation, and the case history change record includes becoming More time, change place, change personnel and changed content.
CN201880020400.5A 2018-12-06 2018-12-06 A kind of _ based Patient Records Management Systems and method Pending CN110462743A (en)

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CN111613282A (en) * 2020-04-30 2020-09-01 卫宁健康科技集团股份有限公司 Cloud medical record construction method, system, equipment and medium for disaster site
CN112055064A (en) * 2020-08-26 2020-12-08 北京致医健康信息技术有限公司 Data synchronization method, device, equipment and storage medium
CN112768026A (en) * 2021-01-08 2021-05-07 苏州麦迪斯顿医疗科技股份有限公司 Synchronization method, system and medium for electronic medical records of clinical critically ill patients
CN113345582A (en) * 2021-06-01 2021-09-03 华中科技大学同济医学院附属协和医院 Public health management system and use method thereof
CN113626486A (en) * 2021-07-15 2021-11-09 广州市挖米科技有限责任公司 SAAS electronic medical record structured high-speed transmission and display method and device
CN116386798A (en) * 2023-05-23 2023-07-04 肇庆市高要区人民医院 Hospital information data monitoring system and method

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CN111613282A (en) * 2020-04-30 2020-09-01 卫宁健康科技集团股份有限公司 Cloud medical record construction method, system, equipment and medium for disaster site
CN112055064A (en) * 2020-08-26 2020-12-08 北京致医健康信息技术有限公司 Data synchronization method, device, equipment and storage medium
CN112055064B (en) * 2020-08-26 2023-11-28 北京致医健康信息技术有限公司 Data synchronization method, device, equipment and storage medium
CN112768026A (en) * 2021-01-08 2021-05-07 苏州麦迪斯顿医疗科技股份有限公司 Synchronization method, system and medium for electronic medical records of clinical critically ill patients
CN113345582A (en) * 2021-06-01 2021-09-03 华中科技大学同济医学院附属协和医院 Public health management system and use method thereof
CN113626486A (en) * 2021-07-15 2021-11-09 广州市挖米科技有限责任公司 SAAS electronic medical record structured high-speed transmission and display method and device
CN116386798A (en) * 2023-05-23 2023-07-04 肇庆市高要区人民医院 Hospital information data monitoring system and method
CN116386798B (en) * 2023-05-23 2023-08-25 肇庆市高要区人民医院 Hospital information data monitoring system and method

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