CN110660490A

CN110660490A - Method, system and computer readable storage medium for issuing examination order

Info

Publication number: CN110660490A
Application number: CN201910921939.4A
Authority: CN
Inventors: 张建敏; 徐士博; 洪丽盈; 刘芳
Original assignee: SHENZHEN ANNET INNOVATION SYSTEM Co Ltd
Current assignee: SHENZHEN ANNET INNOVATION SYSTEM Co Ltd
Priority date: 2019-09-26
Filing date: 2019-09-26
Publication date: 2020-01-07
Anticipated expiration: 2039-09-26
Also published as: CN110660490B

Abstract

The invention discloses a method for opening a check list, which is applied to a system for opening a check list, wherein the system for opening a check list comprises a server, and the method comprises the following steps: the server receives an inspection list opening instruction sent by the terminal, wherein the inspection list opening instruction comprises the following steps: basic information of the patient and the purpose of patient visit; inquiring patient medical history information according to the patient basic information; and calculating and generating an examination sheet according to the basic information of the patient, the diagnosis purpose of the patient and the medical history information of the patient. The invention also discloses a system for opening the examination order and a computer readable storage medium. The invention can realize the function of the patient to develop the examination order meeting the disease diagnosis and treatment requirements of the patient, can realize the function of the primary doctor to develop the symptomatic examination order of the difficult and serious patient, can realize the recommendation of the most appropriate examination order according to the comprehensive condition of the patient, and can improve the diagnosis probability of the patient.

Description

Method, system and computer readable storage medium for issuing examination order

Technical Field

The present invention relates to the field of medical diagnosis technologies, and in particular, to a method and a system for issuing a checklist and a computer-readable storage medium.

Background

At present, when a patient is in a hospital for a doctor, the doctor in the hospital generally needs to perform various examinations on the patient to make an examination order, and then the doctor can determine the state of the patient according to the examination order, so as to specify a corresponding treatment scheme for the patient; in addition, at different stages of the treatment process, doctors usually check and examine patients to set up examination sheets to confirm the treatment effect, and then adjust the treatment scheme for the patients; however, some doctors cannot fit the actual disease condition of the patient to make a check sheet for each examination and examination of the patient, and a few doctors do not disorderly make the check sheet according to the actual disease condition of the patient.

Disclosure of Invention

The invention mainly aims to provide a method and a system for issuing an examination order and a computer-readable storage medium, and aims to solve the technical problem of issuing an examination order which meets the disease diagnosis and treatment requirements of a patient for the patient.

In order to achieve the above object, the present invention provides a method for issuing a checklist, which is applied to a system for issuing a checklist, where the system for issuing a checklist includes a server, and the method for issuing a checklist includes the following steps:

the server receives an inspection list opening instruction sent by the terminal, wherein the inspection list opening instruction comprises the following steps: basic information of the patient and the purpose of patient visit;

inquiring patient medical history information according to the patient basic information;

and calculating and generating an examination sheet according to the basic information of the patient, the diagnosis purpose of the patient and the medical history information of the patient.

Optionally, the step of generating an examination order by calculation according to the basic information of the patient, the purpose of the patient visit and the medical history information of the patient includes:

inquiring keywords in the basic information and the medical history information of the patient to generate medical history keyword information, and inquiring keywords in the medical purpose of the patient to generate medical purpose keyword information;

comparing the medical history keyword information with the visit target keyword information to generate comparison keyword information;

searching for check recommendation information and check recommendation indexes corresponding to the comparison keyword information;

and generating an inspection list according to the inspection recommendation information and the inspection recommendation index.

Optionally, the step of searching for the inspection recommendation information and the inspection recommendation index corresponding to the comparison keyword information includes:

calculating a coincidence proportion of the comparison keyword information in accordance with a preset recommendation rule, and screening the comparison keyword information with the coincidence proportion larger than a preset proportion threshold value to generate recommendation keyword information;

and searching corresponding checking recommendation information and checking recommendation indexes according to the recommendation keyword information.

Optionally, after the step of searching for the corresponding inspection recommendation information and the inspection recommendation index according to the recommendation keyword information, the method includes:

detecting whether the quantity of the check recommendation information corresponding to the recommendation keyword information is smaller than a preset threshold value or not;

if the number of the check recommended information corresponding to the recommended keyword information is smaller than a preset threshold value, sending a medical history information supplementing instruction to the terminal;

receiving supplementary patient medical history information returned by the terminal according to the supplementary medical history information instruction;

the step of generating medical history keyword information by inquiring the keywords in the patient basic information and the patient medical history information comprises the following steps:

inquiring keywords in the basic information of the patient and the medical history information of the patient to generate medical history keyword information, wherein the medical history information of the patient comprises: the supplemental patient medical history information.

Optionally, before the step of querying the patient history information according to the patient basic information, the method includes:

sending a main complaint acquisition instruction to the terminal;

receiving the patient complaint returned by the terminal according to the complaint acquisition instruction;

the step of inquiring the medical history information of the patient according to the basic information of the patient comprises the following steps:

and inquiring the patient chief complaint, the current medical history of the patient and the past medical history of the patient according to the basic information of the patient to obtain the medical history information of the patient.

Optionally, before the step of querying the patient chief complaint, the patient current medical history and the patient past medical history according to the patient basic information to obtain the patient medical history information, the method includes:

sending a medical history information acquisition instruction to the terminal;

and receiving the current medical history and the past medical history of the patient returned by the terminal according to the medical history information acquisition instruction.

Optionally, after the step of generating an examination order by calculation according to the basic information of the patient, the purpose of the patient visit and the medical history information of the patient, the method comprises:

sending the inspection list to a terminal;

receiving inspection item information selected by the terminal according to the result of the inspection list;

sending the selected inspection item information to a corresponding inspection equipment terminal;

sending the examination item information to a patient terminal;

receiving reservation examination information made by the patient terminal according to the examination item information;

and sending the reserved checking information to the checking equipment terminal.

Optionally, before the step of generating the examination order by calculating according to the basic information of the patient, the purpose of the patient visit and the medical history information of the patient, the method comprises:

receiving patient motion information and health monitoring information sent by wearable equipment;

the step of generating an examination order by calculation according to the basic information of the patient, the purpose of the patient visit and the medical history information of the patient comprises the following steps:

and calculating to generate an examination order according to the basic information of the patient, the motion information and the health monitoring information of the patient, the diagnosis purpose of the patient and the medical history information of the patient.

Further, to achieve the above object, the present invention also provides a system comprising: the system comprises a memory, a processor and a check list opening program which is stored on the memory and can run on the processor, wherein the check list opening program realizes the steps of the check list opening method when being executed by the processor.

In addition, to achieve the above object, the present invention further provides a computer-readable storage medium, in which a check sheet issuing program is stored, and the check sheet issuing program, when executed by a processor, implements the steps of the check sheet issuing method as described above.

The invention provides a method and a system for opening a check list and a computer readable storage medium, wherein a server receives a check list opening instruction sent by a terminal, and the check list opening instruction comprises the following steps: basic information of the patient and the purpose of patient visit; inquiring patient medical history information according to the patient basic information; and calculating and generating an examination sheet according to the basic information of the patient, the diagnosis purpose of the patient and the medical history information of the patient. Therefore, through the combination of the basic information of the patient, the purpose of the patient's treatment and the history information of the patient, the function of providing the patient with the examination order meeting the requirements of the patient for disease diagnosis and treatment is realized, the function of providing the patient with the examination order for the difficult and serious patients by primary doctors is realized, the most appropriate examination order is recommended according to the comprehensive condition of the patient, and the diagnosis probability of the patient is improved.

Drawings

Fig. 1 is a schematic terminal structure diagram of a hardware operating environment according to an embodiment of the present invention;

FIG. 2 is a schematic flow chart illustrating a first exemplary embodiment of a method for checking order opening according to the present invention;

FIG. 3 is a flowchart illustrating a second exemplary embodiment of a method for checking order opening according to the present invention;

FIG. 4 is a flowchart illustrating a third exemplary embodiment of a method for checking a single file according to the present invention;

FIG. 5 is a flowchart illustrating a fourth exemplary embodiment of a method for checking order opening according to the present invention;

FIG. 6 is a flowchart illustrating a fifth exemplary embodiment of a method for checking order opening according to the present invention.

The implementation, functional features and advantages of the objects of the present invention will be further explained with reference to the accompanying drawings.

Detailed Description

It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.

The main solution of the embodiment of the invention is as follows: the server receives an inspection list opening instruction sent by the terminal, wherein the inspection list opening instruction comprises the following steps: basic information of the patient and the purpose of patient visit; inquiring patient medical history information according to the patient basic information; and calculating and generating an examination sheet according to the basic information of the patient, the diagnosis purpose of the patient and the medical history information of the patient.

When a patient is in a hospital for a doctor in the prior art, the doctor in the hospital usually needs to perform various examinations on the patient to make an examination order, and then the doctor can confirm the illness state of the patient according to the examination order, so as to specify a corresponding treatment scheme for the patient; in addition, at different stages of the treatment process, doctors usually check and examine patients to set up examination sheets to confirm the treatment effect, and then adjust the treatment scheme for the patients; however, some doctors cannot fit the actual disease condition of the patient to make a check sheet for each examination and examination of the patient, and a few doctors do not disorderly make the check sheet according to the actual disease condition of the patient.

The invention provides a solution, aiming at solving the technical problem of providing an examination order which meets the disease diagnosis and treatment requirements of a patient.

As shown in fig. 1, fig. 1 is a schematic terminal structure diagram of a hardware operating environment according to an embodiment of the present invention.

The terminal of the embodiment of the invention can be a PC, and can also be a mobile terminal device with a display function, such as a smart phone, a tablet computer and the like.

As shown in fig. 1, the terminal may include: a processor 1001, such as a CPU, a network interface 1004, a user interface 1003, a memory 1005, a communication bus 1002. Wherein a communication bus 1002 is used to enable connective communication between these components. The user interface 1003 may include a Display screen (Display), an input unit such as a Keyboard (Keyboard), and the optional user interface 1003 may also include a standard wired interface, a wireless interface. The network interface 1004 may optionally include a standard wired interface, a wireless interface (e.g., WI-FI interface). The memory 1005 may be a high-speed RAM memory or a non-volatile memory (e.g., a magnetic disk memory). The memory 1005 may alternatively be a storage device separate from the processor 1001.

Those skilled in the art will appreciate that the terminal structure shown in fig. 1 is not intended to be limiting and may include more or fewer components than those shown, or some components may be combined, or a different arrangement of components.

As shown in fig. 1, a memory 1005, which is a kind of computer storage medium, may include therein an operating system, a network communication module, a user interface module, and a check order issuing program.

In the terminal shown in fig. 1, the network interface 1004 is mainly used for connecting to a backend server and performing data communication with the backend server; the user interface 1003 is mainly used for connecting a client (user side) and performing data communication with the client; and the processor 1001 may be configured to call the checklist opening program stored in the memory 1005 and perform the following operations:

Further, the processor 1001 may call the checklist opening program stored in the memory 1005, and further perform the following operations:

sending a main complaint acquisition instruction to the terminal;

sending a medical history information acquisition instruction to the terminal;

sending the inspection list to a terminal;

sending the examination item information to a patient terminal;

Based on the above hardware structure, an embodiment of the checking order opening method of the present invention is provided.

Referring to fig. 2, fig. 2 is a schematic flow chart of a first embodiment of a checking order opening method according to the present invention.

In an embodiment of the present invention, the inspection order opening method is applied to an inspection order opening system, the inspection order opening system includes a server, and the inspection order opening method includes:

step S10, the server receives an examination order opening instruction sent by the terminal, where the examination order opening instruction includes: basic information of patient and purpose of patient visit

In this embodiment, after the doctor fills in the basic information of the patient and the purpose of seeing a doctor, the doctor fills in the chief complaint of the patient at the doctor terminal according to the patient illness state dictated by the patient, and the doctor sends the chief complaint of the patient to the server through the doctor terminal; when a doctor needs to make an examination order of a patient, the doctor sends an examination order making instruction formed by basic information of the patient and the purpose of seeing a doctor to a server through a doctor terminal, the server receives the examination order making instruction sent by the doctor terminal, and the server executes the examination order making instruction sent by the doctor terminal; wherein, the order of examination order opening includes: basic information of the patient and the purpose of the patient visit. Wherein, the basic information of the patient comprises: the name, identification number, social security number, age, height, weight, blood pressure and other information of the patient. Wherein, the purpose of patient treatment can be to screen diseases according to family genetic factors, patient illness history factors, patient occupation factors or patient living habits; the purpose of the patient can be a certain physical examination made by the patient who suspects that a certain part of the patient has a lesion through various information channels; the purpose of the patient visit may also be a pre-treatment examination made by the patient when they have determined to be suffering from a disease and when they visit a doctor.

As an implementation manner, in this embodiment, after the doctor fills in the basic information of the patient and the purpose of the patient visit at the doctor terminal, the doctor fills in the patient chief complaint at the doctor terminal according to the condition of the patient; when a doctor needs to make an examination order of a patient, the doctor sends an examination order making instruction formed by basic information of the patient, the purpose of seeing a doctor of the patient and patient complaints to a server through a doctor terminal, the server receives the examination order making instruction sent by the doctor terminal, and the server executes the examination order making instruction sent by the doctor terminal; wherein, the order of examination order opening includes: basic information of the patient, the purpose of the patient visit and patient complaints.

As an implementation manner, in this embodiment, the patient complaint may be obtained by the server pushing a question to the patient terminal, and the patient answering the question at the patient terminal; the patient chief complaint can also be a patient asking a question at a doctor terminal, then the question is displayed at the patient terminal through a server, the patient makes a chief complaint response to the question of the doctor at the patient terminal, the patient terminal sends the chief complaint response made by the patient to the server, the server sends the chief complaint response made by the patient to the doctor terminal, and the doctor sends the question to the patient terminal again through the server according to the chief complaint response made by the patient until the doctor obtains the patient chief complaint meeting the requirement that the doctor fully knows the condition of the patient, and the patient chief complaint is stored in the doctor terminal or the server.

Step S20, inquiring patient history information according to the patient basic information;

in the embodiment, after receiving the examination order opening instruction sent by the doctor terminal, the server inquires the patient history information in the server according to the basic information of the patient contained in the examination order opening instruction. Wherein the patient history information includes: patient complaints, patient present history, and/or patient past history. Wherein the patient complaint can be sent to the server by the doctor terminal after the patient complaint collection is completed; patient complaints may also be contained in order orders for examination orders; the patient complaint is filled in by a doctor at a doctor terminal according to the patient illness condition dictated by the patient; the current medical history of the patient is medical history information generated in the process of diagnosing, treating and detecting the diseases of the patient after the patient is registered in the hospital for treatment; the patient's anamnesis is the medical history information generated during the diagnosis, treatment and detection of patient's diseases generated by the patient at the hospital or generated at another hospital prior to the current hospital visit.

As an embodiment, in this embodiment, after receiving the examination order issuing instruction sent by the doctor terminal, the server queries other servers in other hospitals for patient history information according to the patient basic information included in the examination order issuing instruction. Wherein the patient history information includes: patient complaints, patient present history, and/or patient past history.

Before querying the patient history information according to the patient basic information, step S20 may include:

and the current medical history of the patient sent by the receiving terminal or the past medical history of the patient sent by the receiving terminal.

In this embodiment, the server receives the current medical history of the patient sent by the doctor terminal, or the server receives the past medical history of the patient sent by the doctor terminal.

As an embodiment, in this embodiment, the server receives past medical histories of patients sent from servers of other hospitals.

And step S30, calculating and generating an examination order according to the basic information of the patient, the purpose of the patient visit and the medical history information of the patient.

In the embodiment, after inquiring the patient medical history information, the server generates the examination order according to the basic information of the patient, the purpose of the patient visit and the patient medical history information and according to medical specifications, guidelines and experience calculation of a plurality of medical practices.

Before step S20 calculating and generating an examination order according to the patient basic information, the patient visit purpose and the patient history information, it may include:

receiving patient motion information sent by a wearable device;

step S30, calculating and generating an examination order according to the basic information of the patient, the purpose of the patient visit and the medical history information of the patient, including:

and calculating and generating an examination sheet according to the basic information of the patient, the motion information of the patient, the diagnosis purpose of the patient and the medical history information of the patient.

In this embodiment, when the server needs to better determine the physical condition of the patient, that is, the server needs to acquire the operation of the patient, the server sends an exercise information acquisition instruction to the wearable device of the patient, the wearable device acquires the patient's exercise information according to the exercise information acquisition instruction, the wearable device sends the patient's exercise information to the server, and the server receives the patient's exercise information sent by the wearable device. After the server receives the patient movement information, the server generates an examination order according to the patient basic information, the patient movement information, the patient treatment purpose and the patient medical history information in a calculation mode.

Wherein, when the purpose of patient treatment is health physical examination information;

step S30 is a step of generating an examination order according to the patient basic information, the patient visit purpose and the patient history information, and includes:

step a, calculating and generating a physical examination sheet according to the basic information of the patient, the health physical examination information and the medical history information of the patient.

In the present embodiment, when the patient's medical purpose is the patient's health examination information, the server generates a physical examination order based on the patient basic information, the health examination information, and the patient history information, calculated based on medical specifications, guidelines, and experience of numerous medical practices. For example: when the patient needs to handle the health certificate, the server calculates and generates the examination order information of the health examination to be done by the patient according to the health examination information and the patient medical history information and the medical standard, the guideline and the experience of a plurality of medical practices.

Wherein, when the patient is in a visit, the purpose can be: disease screening, disease confirmation and pre-treatment examination; the checklist may be: screening examination order, confirmation examination order and pre-treatment examination order.

When the patient is being screened for disease for the purpose of treatment;

and b, calculating and generating a screening examination sheet according to the basic information of the patient, the disease screening and the medical history information of the patient.

In this embodiment, when the patient visit objective is disease screening, the patient visit objectives are: due to frequent gastrointestinal discomfort, a colorectal tumor screen was decided upon. The patient basic information is: male, 77 years old, Yunnan. The patient complaints were: when the intestines and the stomach of a patient are not good, the patient can easily get the belly by eating cold practice sometimes, and the patient can go to the toilet several times a day; sometimes constipation often occurs, and the patient only needs to go to the toilet three times a week. The past medical history of the patient is as follows: performing appendectomy in thirties and gallstone operation in forty-three years. The current medical history of the patient is: hypertension is caused. Wherein, the patient's chief complaints, the patient's past medical history and the patient's present medical history are the patient's medical history information.

In the present embodiment, the server generates the medical history keyword information and the purpose-of-visit keyword information by referring to the purpose of the patient's visit and the patient medical history information. The generated medical history keyword information is as follows: 77 years old, diarrhea, gastrointestinal distress, constipation, appendicitis, resection, gallstone and hypertension. The generated keyword information of the purpose of seeing a doctor is as follows: gastrointestinal discomfort, tumors and screening.

In this embodiment, when the server obtains the medical history keyword information: 77 years old, diarrhea, bad intestines and stomach, constipation, appendix, excision, gallstone and hypertension. The server obtains the keyword information of the diagnosis purpose as follows: gastrointestinal discomfort, tumors and screening. The information of the comparison keywords can be obtained as follows: diarrhea, gastrointestinal dysfunction, constipation, appendicitis and excision; wherein gallstone and hypertension are medical history keyword information other than the comparison keyword information (i.e. not the comparison keyword information).

In the embodiment, the server judges that the patient is 77 years old, 45-80 years old, and belongs to a high disease incidence group; in the patient complaints, the patient has bad intestines and stomach due to stomach pulling, and can be judged to have chronic diarrhea; performing appendicectomy in the past history of the patient; gallstone and hypertension are not associated with gastrointestinal discomfort and are eliminated; therefore, the patients can meet the following rules that the patients are 45-80 years old, belong to high-incidence people with diseases, chronic diarrhea, chronic constipation and appendectomy; the patient checklist may be recommended as: fecal gene methylation, fecal occult blood, blood mRNA, enteroscopy.

In this embodiment, when the comparison keyword information generated by the server is: diarrhea, gastrointestinal dysfunction, constipation, appendicitis and excision; chronic diarrhea is caused by stomach pulling and gastrointestinal dysfunction, chronic constipation is caused by constipation, and appendix resection operation is caused by appendix and resection; the corresponding recommendation information of chronic diarrhea is fecal gene methylation detection, fecal occult blood examination and enteroscopy, the corresponding recommendation information of chronic constipation is fecal gene methylation detection, fecal occult blood examination, blood mRNA detection and enteroscopy, and the corresponding recommendation information of appendectomy is enteroscopy; the server sorts the fecal gene methylation detection, the fecal occult blood detection, the blood mRNA detection and the enteroscopy according to a preset rule to generate a screening examination order; the examination recommendation results in the screening checklist are: 1. fecal gene methylation detection, 2 fecal occult blood detection, 3 blood mRNA detection, 4 enteroscopy.

When the purpose of the patient's visit is to confirm the diagnosis of the disease:

and c, calculating and generating a diagnosis confirming examination sheet according to the basic information of the patient, the confirmed diagnosis of the disease and the medical history information of the patient.

In this embodiment, when the purpose of patient diagnosis is disease diagnosis, the purpose of patient diagnosis is: cardiac discomfort, suspected of coronary heart disease, is difficult to diagnose. The patient basic information is: female, 58 years old, inner Mongolian. The patient complaints were: the heart has been uncomfortable for three months and sometimes feels very uncomfortable in the heart, especially when it is dry; when the patient is uncomfortable, the oral salvia dropping pill can be relieved; the user can not sleep at night, and has no palpitation and palpitation; the back is also often uncomfortable. The doctor says it is normal after making the electrocardiogram. The past medical history of the patient is as follows: gallstone operation was performed three years ago, and tuberculosis of uterus was performed in more than twenty years old. Wherein, the patient's chief complaints and the patient's past medical history are the patient's medical history information.

In the present embodiment, the server generates the medical history keyword information and the purpose-of-visit keyword information by referring to the purpose of the patient's visit and the patient medical history information. The generated medical history keyword information is as follows: heart, discomfort, back, gallstone surgery and uterus surgery. The generated keyword information of the purpose of seeing a doctor is as follows: cardiac discomfort, coronary heart disease and accurate diagnosis.

In this embodiment, when the server obtains the medical history keyword information: heart, discomfort, back, gall stone surgery, and tuberculosis of uterus surgery. The server obtains the keyword information of the diagnosis purpose as follows: gastrointestinal discomfort, tumors and screening. The information of the comparison keywords can be obtained as follows: heart discomfort, coronary heart disease. The gall-stone operation and the tuberculosis operation are medical history keyword information (not comparison keyword information) except the comparison keyword information.

In the embodiment, the server judges that the patient may have coronary heart disease according to the patient's chief complaints and the past electrocardiogram result in combination with cardiac discomfort and coronary heart disease; two diagnostic protocols are therefore recommended to the patient to generate a diagnostic checklist: protocol 1, coronary angiography, recommendation index: 85%, (the presence or absence of a stenosis, a site, a degree, a range, etc. of a stenosis, coronary artery can be clarified by arteriography, and further treatment can be known from this); protocol 2, coronary CT, recommendation index: 70 percent (the examination means for early screening coronary heart disease is applicable to diagnosis of patients with low risk of coronary heart disease).

When the patient is examined for the purpose of treatment of the disease,

and d, calculating and generating a pre-treatment examination sheet according to the basic information of the patient, the pre-treatment examination of the disease and the medical history information of the patient.

In the present embodiment, when the purpose of patient visit is pre-treatment examination, the purpose of patient visit is: the location and size of intestinal polyps is determined. The patient basic information is: male, 73 years old. The patient complaints were: through the discovery rectum of enteroscopy have hyperplastic polyp, need do the operation, consider that the patient age is bigger, and polyp is great, the condition that the hemorrhage appears in the difficulty when excising the polyp takes place, still carry out the biopsy to the polyp, through the inspection scheme of inspection polyp formulation postoperative before the art. Wherein the patient complaints are patient history information.

In the present embodiment, the server generates the medical history keyword information and the purpose-of-visit keyword information by referring to the purpose of the patient's visit and the patient medical history information. The generated medical history keyword information is as follows: polyps, 73 years old, polyps larger and enteroscopy. The generated keyword information of the purpose of seeing a doctor is as follows: polyps, location, size and preoperative examination.

In this embodiment, when the server obtains the medical history keyword information: polyps, 73 years old, polyps larger and enteroscopy. The server obtains the keyword information of the diagnosis purpose as follows: polyps, location, size and preoperative examination. The information of the comparison keywords can be obtained as follows: polyps, location, size and 73 years old.

In this embodiment, the server generates a pre-treatment examination order according to the keyword information, where the pre-treatment examination order includes a preoperative examination scheme and a postoperative examination scheme, where the preoperative examination scheme: 1. tumor-associated marker examination (items of tumor-associated marker examination include: chemical carcinoembryonic antigen quantification, carbohydrate antigen 125 carbohydrate antigen 19-9 and snowflake fetoprotein quantification), 2, four items of stomach function (four items of stomach function include pepsinogen II (PG II), pepsinogen I (PG I), helicobacter pylori (Hp) antibody and pepsinogen ratio (PG I/PG II)), 3, four items of blood coagulation (four items of blood coagulation include prothrombin time, activated partial thromboplastin time, thrombin time and fibrinogen), 4, twelve-lead electrocardiogram, 5, CT chest total abdominal pelvic cavity flat scan + enhancement +3D reconstruction. Wherein, the postoperative examination scheme is as follows: 1. anesthesia enteroscopy, 2, anesthesia gastroscopy, 3, pathological examination (case examination of ascending colon, sigmoid colon, rectum and bulbar)

According to the scheme, the server receives an inspection list opening instruction sent by the terminal, wherein the inspection list opening instruction comprises: basic information of the patient and the purpose of patient visit; inquiring patient medical history information according to the patient basic information; and calculating and generating an examination sheet according to the basic information of the patient, the diagnosis purpose of the patient and the medical history information of the patient. Therefore, through the combination of the basic information of the patient, the purpose of the patient's treatment and the history information of the patient, the function of providing the patient with the examination order meeting the requirements of the patient for disease diagnosis and treatment is realized, the function of providing the patient with the examination order for the difficult and serious patients by primary doctors is realized, the most appropriate examination order is recommended according to the comprehensive condition of the patient, and the diagnosis probability of the patient is improved.

Further, referring to fig. 3, fig. 3 is a flowchart illustrating a second embodiment of the single billing method according to the invention. Based on the above embodiment shown in fig. 2, step S30 is to generate an examination order according to the patient basic information, the patient visit purpose and the patient history information, and includes:

step S31, generating medical history keyword information by inquiring the keywords in the basic information and the medical history information of the patient, and generating medical purpose keyword information by inquiring the keywords in the medical purposes of the patient;

in the embodiment, after the server queries the patient medical history information according to the patient basic information, the server queries keywords in the patient basic information and the patient medical history information to obtain medical history keyword information; and the server inquires the keywords in the patient treatment purpose to obtain the keyword information of the treatment purpose.

For example, when a patient is attending for the purpose of: due to frequent gastrointestinal discomfort, one tumor screening was decided upon. The patient basic information is: male, 77 years old, Yunnan. The patient complaints were: when the intestines and the stomach of a patient are not good, the patient can easily get the belly by eating cold practice sometimes, and the patient can go to the toilet several times a day; sometimes constipation often occurs, and the patient only needs to go to the toilet three times a week. The past medical history of the patient is as follows: performing appendectomy in thirties and gallstone operation in forty-three years. The current medical history of the patient is: hypertension is caused. Wherein, the patient's chief complaints, the patient's past medical history and the patient's present medical history are the patient's medical history information.

The server generates medical history keyword information and medical purpose keyword information by referring to the medical purpose of the patient and the medical history information of the patient. The generated medical history keyword information is as follows: 77 years old, diarrhea, gastrointestinal distress, constipation, appendicitis, resection, gallstone and hypertension. The generated keyword information of the purpose of seeing a doctor is as follows: gastrointestinal discomfort, tumors and screening.

Step S32, comparing the medical history keyword information with the visit target keyword information to generate comparison keyword information;

in this embodiment, after obtaining the medical history keyword information and the destination keyword information, the server compares the medical history keyword information with the destination keyword information to generate comparison information; the comparison information is medical history keyword information associated with the keyword information of the medical purpose.

For example, when the server obtains the medical history keyword information: 77 years old, diarrhea, bad intestines and stomach, constipation, appendix, excision, gallstone and hypertension. The server obtains the keyword information of the diagnosis purpose as follows: gastrointestinal discomfort, tumors and screening. The information of the comparison keywords can be obtained as follows: diarrhea, gastrointestinal dysfunction, constipation, appendicitis and excision; wherein gallstone and hypertension are medical history keyword information other than the comparison keyword information (i.e. not the comparison keyword information).

Step S33, searching for the check recommendation information and check recommendation index corresponding to the comparison keyword information;

in this embodiment, after the server generates the comparison keyword information, the server queries the check recommendation information corresponding to the comparison keyword information, and the server queries the check recommendation index corresponding to the comparison keyword information. The inspection recommendation information is the recommendation inspection information corresponding to the disease cause corresponding to the comparison keyword, and the inspection recommendation index is the recommendation index of the recommendation inspection information corresponding to the disease cause corresponding to the comparison keyword.

For example, when the server generates the comparison keyword information: diarrhea, gastrointestinal dysfunction, constipation, appendicitis and excision; chronic diarrhea is caused by stomach pulling and gastrointestinal dysfunction, chronic constipation is caused by constipation, and appendix resection operation is caused by appendix and resection; the server inquires that the corresponding inspection recommendation information of the chronic diarrhea is fecal gene methylation detection, fecal occult blood inspection and enteroscopy, the server inquires the corresponding inspection recommendation information of the chronic constipation is fecal gene methylation detection, fecal occult blood inspection, blood mRNA detection and enteroscopy, and the server inquires the corresponding inspection recommendation information of the appendectomy operation is enteroscopy; the server searches and compares the recommended inspection index of the recommended inspection information corresponding to the keyword; wherein, the inspection recommendation index of the fecal gene methylation detection is 95%; the inspection recommendation index of the fecal occult blood inspection is 93 percent; the check recommendation index for blood mRNA detection was 86%; the recommended index for enteroscopy is 82%;

and step S34, generating a check list according to the check recommendation information and the check recommendation index.

In this embodiment, after the server finds the check recommendation information and the check recommendation index, the server generates a check list according to the found check recommendation information and the check recommendation index.

After the server finds the checking recommendation information and the detection recommendation index according to the comparison keyword information, the server generates a checking list according to the checking recommendation information and the checking recommendation index. The server sequences the fecal gene methylation detection, the fecal occult blood detection, the blood mRNA detection and the enteroscopy to generate a detection list; the inspection recommendation results in the inspection list are: 1. detecting the methylation of the genes of the excrement, wherein the inspection recommendation index is 95%; 2. fecal occult blood examination with an examination recommendation index of 93%; 3. blood mRNA detection, check recommendation index 86%; 4. the recommended index for examination was 82% for enteroscopy.

According to the scheme, the server receives an inspection list opening instruction sent by the terminal, wherein the inspection list opening instruction comprises: basic information of the patient and the purpose of patient visit; inquiring patient medical history information according to the patient basic information; inquiring keywords in the basic information and the medical history information of the patient to generate medical history keyword information, and inquiring keywords in the medical purpose of the patient to generate medical purpose keyword information; comparing the medical history keyword information with the visit target keyword information to generate comparison keyword information; searching for check recommendation information and check recommendation indexes corresponding to the comparison keyword information; and generating an inspection list according to the inspection recommendation information and the inspection recommendation index. Therefore, the function of issuing the examination order meeting the diagnosis and treatment requirements of the patient is realized through the comprehensive judgment of the patient chief complaint, the current medical history of the patient and the past medical history of the patient, the function of issuing the examination order for the patient to the difficult and serious patient by the primary doctor is realized, the most appropriate examination order is recommended according to the comprehensive condition of the patient, and the diagnosis probability of the patient is improved.

Further, referring to fig. 4, fig. 4 is a flowchart illustrating a third embodiment of the single billing method according to the invention. Based on the embodiment shown in fig. 3, the step S33 of finding the check recommendation information and the check recommendation index corresponding to the comparison keyword information may include:

step S331, calculating a coincidence proportion of the comparison keyword information in accordance with a preset recommendation rule, and screening the comparison keyword information with the coincidence proportion larger than a preset proportion threshold value to generate recommendation keyword information;

in this embodiment, the server calculates a matching proportion that the comparison keyword information meets the preset recommendation rule, and the server screens out the comparison keyword information with the matching proportion larger than a preset proportion threshold value to generate the recommendation keyword information. The preset recommendation rule is that whether recommendation information is basic check suggestion or not is judged firstly, if yes, the recommendation information is ranked and placed in the first suggestion item of a check list, then the recommendation information is ranked in sequence according to the occurrence times of the recommendation information, and the recommendation information of the most complex check suggestion, the most expensive check suggestion or the auxiliary check suggestion is ranked at the last of the check list. Wherein the proportion of compliance is based on medical treatment specifications, guidelines and a plurality of experiences summarized in medical practice; the recommendation keyword information is comparison keyword information which accords with recommendation rules.

For example, when the server generates the comparison keyword information: diarrhea, gastrointestinal dysfunction, constipation, appendicitis and excision; the server calculates that the coincidence proportion of the belly pulling and the gastrointestinal dysfunction is 86 percent, the cause is chronic diarrhea, the server calculates that the coincidence proportion of the constipation is 83 percent, the cause is chronic constipation, and the server calculates that the coincidence proportion of the appendix and the excision is 22 percent; when the coincidence proportion is greater than a preset proportion threshold (55%), the server screens out comparison keyword information with the coincidence proportion greater than the preset proportion threshold as follows: diarrhea, poor appetite and constipation.

And S332, searching corresponding checking recommendation information and checking recommendation indexes according to the recommendation keyword information.

In this embodiment, after the server determines the recommended keyword information, the server searches for the check recommended information and the detection recommended index corresponding to the recommended keyword information according to the preset recommendation rule and the recommended keyword information.

For example, when the server filters the recommended keyword information: diarrhea, gastrointestinal dysfunction and constipation; the server searches corresponding search recommendation information of the appendectomy operation to be enteroscopy according to a preset recommendation rule (the cause of the disease corresponding to constipation is chronic constipation, appendix and excision correspond to appendectomy operation, the corresponding search recommendation information of chronic diarrhea is fecal gene methylation detection, fecal occult blood examination and enteroscopy, and the corresponding search recommendation information of chronic constipation is fecal gene methylation detection, fecal occult blood examination, blood mRNA detection and enteroscopy); the server searches and compares the recommended inspection index of the recommended inspection information corresponding to the keyword; wherein, the inspection recommendation index of the fecal gene methylation detection is 95%; the inspection recommendation index of the fecal occult blood inspection is 93 percent; the check recommendation index for blood mRNA detection was 86%; the recommended index for enteroscopy is 82%;

and after the doctor terminal sends the patient complaint to the server, the server receives the patient complaint returned by the doctor terminal according to the complaint acquisition instruction.

Step S332, after searching for corresponding inspection recommendation information and inspection recommendation index according to the recommendation keyword information, the method may include:

step e, detecting whether the quantity of the check recommendation information corresponding to the recommendation keyword information is smaller than a preset threshold value;

in this embodiment, the server detects whether the number of check recommendation information corresponding to the recommendation keyword information is smaller than a preset threshold. The preset threshold value can be set according to the rules set by the inspection list, and can also be set by engineers.

Step f, if the number of the check recommendation information corresponding to the recommendation keyword information is smaller than a preset threshold value, sending a medical history information supplementing instruction to the terminal;

in this embodiment, when the number of the check recommendation information corresponding to the recommended keyword information is smaller than a preset threshold, the server sends a medical history information supplementing instruction to the terminal.

Step g, receiving the supplementary patient medical history information returned by the terminal according to the supplementary medical history information instruction;

in the embodiment, after the terminal receives the supplementary medical history information, the terminal reminds a doctor or a patient to provide more detailed medical history information according to the supplementary medical history information so that the server can open a more accurate examination order.

Step h, the step of generating medical history keyword information by inquiring the keywords in the patient basic information and the patient medical history information comprises the following steps:

In the implementation, after the server receives the medical history information of the patient, the server inquires keywords in the supplementary medical history information of the patient to generate medical history keyword information.

According to the scheme, the server receives an inspection list opening instruction sent by the terminal, wherein the inspection list opening instruction comprises: basic information of the patient and the purpose of patient visit; inquiring patient medical history information according to the patient basic information; inquiring keywords in the basic information and the medical history information of the patient to generate medical history keyword information, and inquiring keywords in the medical purpose of the patient to generate medical purpose keyword information; comparing the medical history keyword information with the visit target keyword information to generate comparison keyword information; calculating a coincidence proportion of the comparison keyword information in accordance with a preset recommendation rule, and screening the comparison keyword information with the coincidence proportion larger than a preset proportion threshold value to generate recommendation keyword information; searching corresponding checking recommendation information and checking recommendation indexes according to the recommendation keyword information; and generating an inspection list according to the inspection recommendation information and the inspection recommendation index. Therefore, the function of issuing the examination order meeting the diagnosis and treatment requirements of the patient is realized through the comprehensive judgment of the patient chief complaint, the current medical history of the patient and the past medical history of the patient, the function of issuing the examination order for the patient to the difficult and serious patient by the primary doctor is realized, the most appropriate examination order is recommended according to the comprehensive condition of the patient, and the diagnosis probability of the patient is improved.

Further, referring to fig. 5, fig. 5 is a schematic flow chart of a fourth embodiment of the single billing method according to the invention. Based on the above-mentioned embodiments shown in fig. 2, fig. 3 or fig. 4, before the step S20 queries the patient history information according to the patient basic information, it may include:

step S40, sending a main complaint acquisition instruction to the terminal;

in the embodiment, in order to obtain the patient complaint, the server sends a complaint obtaining instruction to the doctor terminal, and the doctor terminal searches the patient complaint of the corresponding patient in the doctor terminal according to the complaint obtaining instruction and sends the patient complaint to the server; the instruction for obtaining the chief complaint may include basic information of the patient or identity information of the patient, such as a name and an identification number of the patient.

Step S50, receiving the patient chief complaint returned by the terminal according to the obtaining chief complaint instruction;

in this embodiment, after the doctor terminal sends the patient complaint to the server, the server receives the patient complaint returned by the doctor terminal according to the instruction for obtaining the complaint.

Step S20, the step of inquiring the patient history information according to the patient basic information comprises:

and step S21, inquiring the patient chief complaint, the patient current medical history and the patient past medical history according to the patient basic information to obtain the patient medical history information.

In this embodiment, after receiving the patient chief complaint sent by the doctor terminal, the server queries the patient chief complaint, the current medical history of the patient and the past medical history of the patient according to the patient basic information of the patient to obtain the medical history information of the patient.

For example, when a patient is attending for the purpose of: cardiac discomfort, suspected of coronary heart disease, is difficult to diagnose. The patient basic information is: female, 58 years old, inner Mongolian. The patient complaints were: the heart has been uncomfortable for three months and sometimes feels very uncomfortable psychologically, especially when it is dry; when the patient is uncomfortable, the oral salvia dropping pill can be relieved; the user can not sleep at night, and has no palpitation and palpitation; the back is also often uncomfortable. The doctor says it is normal after making the electrocardiogram. The past medical history of the patient is as follows: gallstone operation was performed three years ago, and tuberculosis of uterus was performed in more than twenty years old. Wherein, the patient's chief complaints, the patient's past medical history and the patient's present medical history are the patient's medical history information.

Before querying the patient chief complaints, the patient current medical histories and the patient past medical histories according to the patient basic information to obtain patient medical history information at step S21, the method may include:

step i, sending a medical history information acquisition instruction to the terminal;

in this example, when the server needs to acquire the current medical history and/or the past medical history of the patient from the doctor terminal, the server sends an instruction for acquiring medical history information to the doctor terminal, and the doctor terminal searches the current medical history and/or the past medical history of the patient according to the instruction for acquiring medical history information; and the doctor terminal sends the current medical history and/or past medical history of the patient to the server.

As an implementation manner, in this embodiment, when the server needs to acquire the past medical history of the patient from another hospital server, the server sends an instruction for acquiring medical history information to the other hospital server, and the other hospital server searches the past medical history of the patient according to the instruction for acquiring medical history information; the doctor terminal sends the past medical history of the patient to the server.

And j, receiving the current medical history and/or the past medical history of the patient returned by the terminal according to the medical history information acquisition instruction.

In this embodiment, after the doctor terminal sends the current medical history and/or past medical history of the patient to the server, the server receives the current medical history and/or past medical history of the patient returned by the doctor terminal according to the medical history information acquisition instruction.

According to the scheme, the server receives an inspection list opening instruction sent by the terminal, wherein the inspection list opening instruction comprises: basic information of the patient and the purpose of patient visit; sending a main complaint acquisition instruction to the terminal; receiving the patient complaint returned by the terminal according to the complaint acquisition instruction; inquiring the patient chief complaint, the patient current medical history and the patient past medical history according to the patient basic information to obtain patient medical history information; and calculating and generating an examination sheet according to the basic information of the patient, the diagnosis purpose of the patient and the medical history information of the patient. Therefore, the function of issuing the examination order meeting the diagnosis and treatment requirements of the patient is realized through the comprehensive judgment of the patient chief complaint, the current medical history of the patient and the past medical history of the patient, the function of issuing the examination order for the patient to the difficult and serious patient by the primary doctor is realized, the most appropriate examination order is recommended according to the comprehensive condition of the patient, and the diagnosis probability of the patient is improved.

Further, referring to fig. 5, fig. 5 is a schematic flow chart of a fourth embodiment of the single billing method according to the invention. Based on the above embodiment shown in fig. 2, fig. 3 or fig. 4, after the step S30 generates the examination order according to the patient basic information, the patient visit purpose and the patient history information, the method may include:

step S61, sending the check sheet to the terminal;

in this embodiment, after the examination order is generated, the server transmits the examination order generated by calculation to the doctor terminal.

As an embodiment, in the present embodiment, after the examination order is generated, the server transmits the examination order generated by calculation to the patient terminal.

Step S62, receiving the inspection item information selected by the terminal according to the result of the inspection list;

in this embodiment, after the doctor terminal receives the examination order, the doctor terminal makes examination selection information according to the examination order, the doctor terminal sends the examination selection information made according to the examination order to the server, and the server receives the examination selection information fed back by the doctor terminal according to the examination order. After the doctor and the patient display the examination list at the doctor terminal, the doctor and the patient jointly decide which examination items need to be made and which examination items do not need to be made, and then the examination selection information is made;

in this embodiment, after the patient terminal receives the examination order, the patient terminal makes examination selection information according to the examination order, the patient terminal sends the examination selection information made according to the examination order to the server, and the server receives the examination selection information fed back by the patient terminal according to the examination order. After the doctor and the patient display the examination list at the doctor terminal, the doctor and the patient jointly decide which examination items need to be made and which examination items do not need to be made, and then the examination selection information is made;

step S63, the selected checking item information is sent to the corresponding checking equipment terminal;

in this embodiment, after the server receives the examination selection information sent by the doctor terminal or the patient terminal, the server searches the detection item information in the server or other hospital servers according to the examination selection information made by the doctor or the patient, and sends the examination item information to the corresponding examination terminal. Wherein, the checking item information is address information of the checking item in the checking selection information searched by the server according to the checking selection information. Wherein the examination selection information includes: items to be examined by the patient and basic information of the patient; wherein the inspection item information includes: items to be examined by the patient and patient basic information.

Step S64, sending the examination item information to the patient terminal;

step S65, receiving the reserved examination information made by the patient terminal according to the examination item information;

step S66, sending the reservation check information to the check terminal.

In this embodiment, the server transmits the examination item information to the patient terminal, and the patient terminal makes the scheduled examination information of the scheduled examination according to the examination item information. The server receives the reserved examination information made by the patient terminal according to the detection item information, and the server sends the reserved examination information made by the patient at the patient terminal to the examination terminal. Wherein the inspection item information includes: the address information of the item is checked.

According to the scheme, the server receives an inspection list opening instruction sent by the terminal, wherein the inspection list opening instruction comprises: basic information of the patient and the purpose of patient visit; inquiring patient medical history information according to the patient basic information; calculating and generating an examination sheet according to the basic information of the patient, the diagnosis purpose of the patient and the medical history information of the patient; sending the inspection list to a terminal; receiving inspection item information selected by the terminal according to the result of the inspection list; sending the selected inspection item information to a corresponding inspection equipment terminal; sending the examination item information to a patient terminal; receiving reservation examination information made by the patient terminal according to the examination item information; and sending the reserved checking information to the checking equipment terminal. Therefore, the examination order is sent to the doctor terminal to be selected, the accuracy of system recommendation is improved, the function of issuing the examination order meeting the disease diagnosis and treatment requirements of the patient is realized, the function of issuing the examination order for the patient to the patient with the difficult and serious illness by the primary doctor is realized, the most appropriate examination order is recommended according to the comprehensive condition of the patient, and the diagnosis probability of the patient is improved.

The invention also provides a system for opening the examination order.

The inspection list opening system of the invention comprises: the system comprises a memory, a processor and a check list opening program which is stored on the memory and can run on the processor, wherein the check list opening program realizes the steps of the check list opening method when being executed by the processor.

The method implemented when the checklist opening program executed on the processor is executed may refer to various embodiments of the checklist opening method of the present invention, and details thereof are not described herein.

The invention also provides a computer readable storage medium.

The computer readable storage medium of the present invention stores a test order opening program, and the test order opening program, when executed by a processor, implements the steps of the test order opening method as described above.

It should be noted that, in this document, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or system that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or system. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other like elements in a process, method, article, or system that comprises the element.

The above-mentioned serial numbers of the embodiments of the present invention are merely for description and do not represent the merits of the embodiments.

Through the above description of the embodiments, those skilled in the art will clearly understand that the method of the above embodiments can be implemented by software plus a necessary general hardware platform, and certainly can also be implemented by hardware, but in many cases, the former is a better implementation manner. Based on such understanding, the technical solution of the present invention may be embodied in the form of a software product, which is stored in a storage medium (e.g., ROM/RAM, magnetic disk, optical disk) as described above and includes instructions for enabling a terminal device (e.g., a mobile phone, a computer, a server, an air conditioner, or a network device) to execute the method according to the embodiments of the present invention.

The above description is only a preferred embodiment of the present invention, and not intended to limit the scope of the present invention, and all modifications of equivalent structures and equivalent processes, which are made by using the contents of the present specification and the accompanying drawings, or directly or indirectly applied to other related technical fields, are included in the scope of the present invention.

Claims

1. The inspection list opening method is applied to an inspection list opening system, the inspection list opening system comprises a server, and the inspection list opening method comprises the following steps:

2. The method of claim 1 wherein said step of computationally generating an examination order based on said patient basis information, said patient visit objectives and said patient history information comprises:

3. The inspection sheet development method according to claim 2, wherein the step of searching for the inspection recommendation information and the inspection recommendation index corresponding to the comparison keyword information includes:

4. The method for issuing an inspection sheet according to claim 3, wherein the step of searching for the corresponding inspection recommendation information and inspection recommendation index according to the recommendation keyword information comprises:

5. The method for issuing an examination order as set forth in any one of claims 1 to 4, wherein the step of querying patient history information based on the patient basic information is preceded by the steps of:

sending a main complaint acquisition instruction to the terminal;

6. The method of claim 5, wherein said step of querying said patient's chief complaints, patient's present medical history, and patient's past medical history based on said patient's basic information to obtain patient's medical history information comprises:

sending a medical history information acquisition instruction to the terminal;

7. The method of claim 1 through 4, wherein said step of generating a checklist based on said patient basis information, said patient visit objectives and said patient history information comprises, after said step of generating a checklist by calculation:

sending the inspection list to a terminal;

sending the examination item information to a patient terminal;

8. The method of claim 1, wherein said step of computationally generating an examination order based on said patient basis information, said patient visit objectives and said patient history information is preceded by the steps of:

9. An examination order opening system, comprising: memory, processor and a checklist opening program stored on the memory and executable on the processor, which when executed by the processor implements the steps of the checklist opening method according to any of claims 1 to 8.

10. A computer-readable storage medium, characterized in that the computer-readable storage medium has stored thereon a checklist opening program, which when executed by a processor implements the steps of the checklist opening method according to any one of claims 1 to 8.