CN110993048A - Mobile ward round system based on hospital information platform - Google Patents
Mobile ward round system based on hospital information platform Download PDFInfo
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Abstract
The invention provides a hospital information platform-based mobile ward-round system, which comprises an HIS data center, a data exchange platform, a local area network, a wireless switch, a nursing station, a PC (personal computer) terminal, a printer, a mobile terminal and an RFID (radio frequency identification) wrist strap, wherein the HIS data center is connected with the data exchange platform; the HIS data center is used for acquiring, storing, processing, extracting and exchanging various medical data; the data exchange platform is used for carrying out data interaction with the HIS data center; the nursing station is used for medical care personnel to manage business, and comprises a medical advice management function, an examination management function, an inspection management function, a physical sign management function and intelligent identification; the mobile terminal is used for scanning bar codes to quickly identify information of users and patients and inquiring archive files related to the conditions of the patients; and the RFID wrist strap is connected with the nursing station and used for identifying, matching and tracking patients, medical staff, medicines, materials and the like. The invention combines wireless network technology, bar code technology and mobile computer technology, so that medical care personnel can acquire comprehensive medical data at any time and any place when moving.
Description
Technical Field
The invention relates to the field of Internet of things, in particular to a mobile ward-round system based on a hospital information platform.
Background
The information development of hospitals to date, hospital management information systems are built in all hospitals, and great revolution is brought to the operation management of the hospitals. However, there is still a gap in the support of the information-based application to the clinical care, and at present, most hospitals have information systems from terminal acquisition equipment to an information transmission network and finally to an information processing center. Basically, a fixed network frame is used as a main frame, computers are all placed at fixed positions of various departments, such as a financial department, a registration department, a settlement department, a drug dispensing department, a nurse duty room, a doctor office, an administrative staff office and the like, and even computers are erected in wards and connected with one another through comprehensive wiring of the computers. It is some inherent defects of the fixed network that make the construction of the information system of some hospitals slow, such as: long construction periods, high investment costs, complex operation and maintenance, and even difficult to perform in some situations.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides a mobile ward-round system based on a hospital information platform, which is used for solving the problems in the prior art.
According to one aspect of the invention, a mobile ward-round system based on a hospital information platform is provided, which comprises an HIS data center, a data exchange platform, a local area network, a wireless switch, a nursing station, a PC (personal computer) terminal, a printer, a mobile terminal and an RFID (radio frequency identification) wrist strap;
the HIS data center comprises CIS, LIS, PACS, MIS and BIS databases and is used for collecting, storing, processing, extracting and exchanging various medical data;
the data exchange platform is used for carrying out data interaction with the HIS data center;
the local area network comprises a LAN and a WLAN and is used for assisting the data exchange platform to interact with the nursing station;
the wireless switch is used for assisting the local area network to complete the functions;
the nursing station is used for medical care personnel to manage services, and the services comprise a medical advice management function, an examination management function, an inspection management function, a physical sign management function and intelligent identification;
the PC end is connected with the nursing station and is used for assisting the management business of medical care personnel;
the printer is connected with the nursing station and used for printing the operation needing to be printed by the medical staff;
the mobile terminal is connected with the nursing station and used for bar code scanning to quickly identify information of a user and a patient and inquire archive files related to the condition of the patient;
the RFID wrist strap is connected with the nursing station and used for identifying, matching and tracking patients, medical staff, medicines, materials and the like.
Further, the nursing station is designed based on an SOA (service oriented architecture) and adopts a distributed, multi-level and loose-coupling structure, so that an expansion interface conforming to the HL7V3 standard is provided for seamless integration with other existing information systems of the hospital.
Further, a SOAP protocol is also included for data interaction.
Further, the nursing station comprises a mobile doctor nursing station and a mobile nurse nursing station
The mobile doctor nursing station is used for inquiring various information of the patient and contacting the patient, issuing medical advice and contacting a nurse at any time and any place by the doctor through the mobile terminal;
the mobile nurse nursing station is used for nurses to complete acquisition and recording of various nursing information of patients by the aid of the mobile terminal beside the patient bed so that the nursing information can be automatically stored in the database, records of various vital signs are completed, and a trend graph is automatically generated.
Further, the nursing station comprises the following modules:
the basic function module is used for user registration, login, verification and authority management;
the user management module is used for managing the users of the system according to different authorities by system management personnel and medical personnel, and comprises but is not limited to: adding a new user, deleting the user, inquiring a certain user, and modifying user information;
the medical advice management module is used for displaying the basic information and the patient list, selecting and calling the patient information and adding the medical advice;
the examination and inspection application module is used for a doctor to accurately diagnose the illness state of the patient;
and the file management module is used for adding file information according to preset information in the file management module by a user, wherein the file information comprises personal files and family member files.
Further, the HIS data center is established in the ORACLE database.
Compared with the prior art, the invention has the beneficial effects that:
the invention combines wireless network technology, bar code technology and mobile computer technology, so that medical care personnel can acquire comprehensive medical data at any time and any place when moving. Not only makes up the deficiency of the traditional medical system based on a PC machine, but also improves the working efficiency, improves the doctor-patient relationship and promotes the more benign operation of the hospital. Moreover, the problems that doctors carry a large amount of paper materials, handwritten information is input for the second time and the like can be solved, mobile office work is realized, the working efficiency of the doctors is improved, the effectiveness, the accuracy and the timeliness of medical diagnosis and treatment are ensured, and meanwhile, the doctor-patient dispute is greatly reduced due to the improvement of safety protection measures of treatment information.
Additional aspects and advantages of the invention will be set forth in part in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention.
Drawings
The foregoing and/or additional aspects and advantages of the present invention will become apparent and readily appreciated from the following description of the embodiments, taken in conjunction with the accompanying drawings of which:
fig. 1 is a schematic block diagram of a mobile ward-round system based on a hospital information platform in an embodiment of the present invention;
fig. 2 is a block diagram of a part of the structure of a mobile phone in the embodiment of the present invention.
Detailed Description
In order to make the technical solutions of the present invention better understood, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention.
In some of the flows described in the present specification and claims and in the above figures, a number of operations are included that occur in a particular order, but it should be clearly understood that these operations may be performed out of order or in parallel as they occur herein, with the order of the operations being indicated as 101, 102, etc. merely to distinguish between the various operations, and the order of the operations by themselves does not represent any order of performance. Additionally, the flows may include more or fewer operations, and the operations may be performed sequentially or in parallel. It should be noted that, the descriptions of "first", "second", etc. in this document are used for distinguishing different messages, devices, modules, etc., and do not represent a sequential order, nor limit the types of "first" and "second" to be different.
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and are not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It will be understood by those skilled in the art that, unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. It will be further understood that terms, such as those defined in commonly used dictionaries, should be interpreted as having a meaning that is consistent with their meaning in the context of the prior art and will not be interpreted in an idealized or overly formal sense unless expressly so defined herein.
Examples
As shown in fig. 1, a mobile ward-round system based on a hospital information platform according to an embodiment of the present invention is provided, and uses the SOAP protocol to perform data interaction; the system comprises an HIS data center A101, a data exchange platform A102, a local area network A103, a wireless switch A104, a nursing station A105, a PC end A105, a printer A106, a mobile terminal A107 and an RFID wristband A108;
in actual use, the whole system is constructed on an original Local Area Network (LAN) of a hospital, and an application server is configured in a data center and connected with the LAN to provide system application service; configuring a wireless switch in a main computer room to be connected with a core switch; the WIPS is configured on the LAN, so that the safety and management service of the system are provided; allocating a corresponding number of APs in the floor passage according to the length of the passage; configuring a power supply switch on a corresponding floor according to the number of the APs and the limitation of the length of a network cable connected with the APs; configuring a PDA application front End (EDA) device at a healthcare worker.
The invention relates to an integrated platform established on the basis of a hospital HIS data center, which is based on a wireless network, uses a handheld data terminal (PDA) to connect various information management systems of a hospital with the PDA through the wireless network, realizes real-time input, inquiry and modification of basic information, medical advice information, vital signs and the like of a patient by medical personnel at the sickbed side, and quickly retrieves clinical examination report information of the patient, such as nursing, nutrition, examination, assay and the like. Through the bar code technical application in aspects such as patient's wrist strap, medicine label, biochemical label and sample label, adopt handheld terminal equipment scanning wrist strap etc. to read label information, realize accomplishing discernment such as patient, medicine and sample under different circumstances such as admission and discharge, clinical treatment, inspection, operation, first aid fast accurately.
The system adopts Web Service technology to provide information Service, and the interaction between the foreground and background systems adopts SOAP protocol. The advantage of this architecture is that the various layers are very distinct and follow the current technological development trend.
The HIS data center A101 comprises CIS, LIS, PACS, MIS and BIS databases and is used for collecting, storing, processing, extracting and exchanging various medical data;
in order to ensure the modularization, compatibility and expansibility of the hospital information system, the difference of a hardware platform, the heterogeneity of an operating system, a network protocol and each system interface are shielded by adopting a middleware technology, so that application software can run on different platforms more smoothly.
The HIS data center is set up in the ORACLE database. The setting adopts middleware technology, realizes an important data exchange platform in a clinical mobile information system, greatly improves the construction flexibility of each component, is convenient for the integration of the existing system and the system which can be constructed later, and simultaneously coordinates the system requirements of different users. The following data service needs are fully realized:
data interaction service among all sub databases of the HIS data center;
data interaction service between the HIS data center and clinical and mobile applications in the front end of the system application;
data interaction service between the HIS data center and the fixed point application in the hospital in the front end of the system application;
data interaction service between the HIS data center and the extranet application in the system application front end;
and after database service is added in the HIS data center in future, the HIS data center is in data interaction service with the front-end application.
The HIS data center A101 not only comprises all functions of the existing PC workstation of a hospital, but also integrates systems of central monitoring information, PACS and EMR, and integrates various clinical diagnosis and treatment information which takes a patient as a center, such as images of radiation, ultrasound, pathology and the like, examination and examination results, electrocardio, monitoring, surgical anesthesia, radiotherapy and chemotherapy, electronic medical records and the like through a standard interface, so that the mobile medical care workstation can be used in a cross-platform mode, not only can run on a tablet personal computer of windows, but also can run on operating systems such as Macos or Android and the like, great convenience is brought to clinical relevant application of the hospital, the restriction of hardware products on the system is eliminated, and the cost of a terminal is greatly reduced.
The data exchange platform A102 is used for carrying out data interaction with the HIS data center A101;
a local area network A103, including LAN and WLAN, for assisting the data exchange platform A102 to interact with the nursing station A105;
the wireless switch A104 is used for assisting the local area network A103 to complete the functions;
the nursing station A105 is used for medical care personnel to manage services, and the services comprise a medical advice management function, a checking management function, a physical sign management function and intelligent identification;
the nursing station A105 is designed based on an SOA architecture, adopts a distributed, multi-level and loose coupling structure, and provides an expansion interface conforming to the HL7V3 standard so as to realize seamless integration with other existing information systems of the hospital.
The nursing station A105 comprises a mobile doctor nursing station A105 and a mobile nurse nursing station A105
The mobile doctor nursing station A105 is used for inquiring various information of the patient, contacting the patient, issuing orders and contacting nurses at any time and any place by a doctor through the mobile terminal A107;
the system is connected with the whole information system network in real time through a wireless network, and the patient information is brought to the bedside of the patient from the office of the doctor. The mobile doctor workstation is developed according to the information requirement of the patient bedside, a doctor can look up the patient medical record at the patient bedside, and the LIS and PACS system patient examination report form directly issues the work of medical advice and the like, so that the mobile ward-round is really realized.
Patient's bedside order doctor scans the affirmation that patient's identity was accomplished to patient's wrist strap, issues the order in patient bedside in real time through EDA, and order information conveys the HIS system through wireless network and accomplishes the pricing back, and the nurse can look over order information through removing nurse workstation, in time carries out the order.
For example: query of business data
The main items include A: medicine order, checking the information of the order executed and not executed by the patient, B: and (4) replying the checking and checking charge, and automatically displaying corresponding information on an EDA screen after the patient completes the checking and the HIS system accounts and charges, so that the medical personnel can obtain the patient to complete the checking at any time.
3. Patient examination report query
And the system interfaces with the LIS and the PACS system to check the examination and examination report of the patient in real time. And drawing a trend graph according to the inspection data.
For example: intelligent prompt for rational medication
When a doctor orders, the system makes corresponding intelligent prompts according to the incompatibility of medicines. Including the information of medication incompatibility prompt, pregnant woman prompt, liver and kidney function damage prompt, etc. For example: the module realizes hypertension follow-up and diabetes follow-up, and the management card and the fixed transfer group of the patient need a general practitioner to enter a community system to complete the follow-up.
The mobile nurse nursing station A105 is used for enabling nurses to complete collection and recording of various nursing information of patients at the patient bedside through the mobile terminal A107 so that the nursing information can be automatically stored in a database, recording of various vital signs is completed, and a trend chart is automatically generated.
The nurse can complete the collection and recording of various nursing information of the patient by using the EDA at the bedside of the patient. The data is automatically stored in the database. And finishing the recording of various vital signs and automatically generating a trend graph. After the doctor orders the doctor's advice, the information can be transferred to EDA automatically, but the prompt message that shows, and the nurse can carry out data reading, inquiry, check and execution in any region of wireless network within range.
The HIS system only tracks the order transcription step, i.e., the order is broken down into actionable execution items and the order is charged for execution at this step, and the actual execution of the order is not tracked. And the mobile clinical nursing system extends the existing nurse workstation to the bedside of the patient, and the executor realizes the execution confirmation of medical advice by scanning the barcode of the wrist strap of the patient, and accurately records the actual executor and the execution time.
The nursing station a105 includes the following modules:
the basic function module is used for user registration, login, verification and authority management;
the login method is used for verifying and logging in a traditional user name and password mode, whether the medical staff logs in for the general department or not can be selected when the medical staff logs in by using the own account number, and if the medical staff logs in for the general department, all the registered patients of the department are loaded and displayed in the current doctor patient list after logging in. If the general department login is not selected, the logged-in patient list only loads and displays the registered patient of the department where the doctor is located, and according to the specific conditions of the hospital, the current login function mainly supports three different user roles, namely a system administrator, the doctor and a nurse. The system administrator does not have hospital service function management authority, doctors can conduct routine medical work after logging in, and nurses only have authority to check related information of patients after logging in.
After the login is successful, the system firstly judges whether the current user logs in for the first time, and when the user is judged to be the first time system recording, the system automatically jumps to an interface for modifying the initial password, the user is required to modify the initial password in time, the modified password cannot be empty, the modified password cannot be too simple, the user is required to set the password to be more than 8 characters, and the password cannot be simply formed into letters by numbers. The modified mama is processed by an encryption algorithm and stored in a database in a ciphertext mode.
The user management module is used for managing the users of the system according to different authorities by system management personnel and medical personnel, and comprises but is not limited to: adding a new user, deleting the user, inquiring a certain user, and modifying user information;
the users of the doctor workstation mainly comprise system management personnel and medical care personnel, wherein the user IDs of different user roles are different, the user ID of the tie-line administrator role is started from '0', the user ID of the doctor role is started from '1', and the user ID of the nurse role is started from '2', wherein the system management personnel can manage the users of the system, and the management comprises the steps of adding a new user, deleting the user, inquiring a certain user, modifying user information and the like. The medical advice management module is used for displaying the basic information and the patient list, selecting and calling the patient information and adding the medical advice;
the medical advice management module comprises four basic components, namely, firstly, basic information of a doctor who logs in the system at present is displayed, and secondly, a patient list of the doctor department registered at present and the total number of registered patients are displayed; when the doctor clicks on a patient of the patient list, the system can display basic information of the selected patient.
In addition, the most important function of the medical advice management module is to add medical advice, after the doctor makes corresponding diagnosis and treatment to the patient, the doctor needs to prescribe a new medical advice to the patient according to the diagnosis and treatment condition, and meanwhile, in order to facilitate the doctor to refer to the diagnosis and treatment condition of the patient, the doctor has the permission to check the past medical advice of the patient, but the doctor does not delete the permission of the medical advice when checking the medical advice. The doctor can add, delete and change the newly added medical advice, but the doctor does not have the authority to randomly change the submitted medical advice after the medical advice is submitted and stored in the database. The doctor can choose whether to add a watermark before submitting a new order.
The examination and inspection application module is used for a doctor to accurately diagnose the illness state of the patient;
the examination and examination application is a function which is necessary for doctors to accurately diagnose the illness state of patients, is more specific to inpatients, but is also applicable to the analysis of outpatient medical patients according to the actual research requirements of hospitals, and comprises examination categories, department sending, examination application time, clinical symptoms, physical signs, clinical diagnosis, other diagnosis-related test results, application notes and the like.
And the file management module is used for adding file information according to preset information in the file management module by a user, and the file information comprises personal files and family member files.
The health record function module can add, inquire and modify the health record information of residents.
In the health record inquiry main interface, three operations of inquiry of personal and family records, addition of family and addition of residents can be respectively carried out. Wherein, the newly added residents aim at the residents who do not have the family archives at present; the new family can be created, and members are added in the family.
One, newly-increased residents
Firstly, in a query main interface, querying whether a filing object has a personal file in a system: inputting names in a 'resident name' column, such as the era, and then clicking for query; returning the number of lines: and the data lines returned by the inquired results are represented.
Secondly, perfecting personal files
If the personal file with the name of ' the legendary "exists in the system, clicking ' the legendary ' pops up an interface, and the personal file, family file and family member information of the resident can be inquired and modified.
Newly added family file
Thirdly, establishing family files
And inquiring the established personal file, clicking and selecting the family file, popping up a picture-off prompt if no family file exists, and clicking 'yes' to enter a family file newly-added interface.
The 'family member information' page displays the existing member list in the family, the members can be added through 'including into the existing residents', if the members have no personal file, the 'adding residents' is clicked firstly, and the filing of the personal file is completed firstly.
In the 'family member information' page, 'the existing residents' are clicked, then query conditions such as names are input, and after the query is clicked, if personal records exist, the personal records are listed in a list. And selecting the member needing to be added to complete the operation of adding the member to the family file.
Clicking any member can also check the information content of the resident and modify the archive content of the resident.
The PC terminal A105 is connected with the nursing station A105 and is used for assisting the management business of medical staff;
the printer A106 is connected with the nursing station A105 and is used for printing the operation needing to be printed by the medical staff;
the mobile terminal A107 is connected with the nursing station A105 and used for bar code scanning to quickly identify the information of the user and the patient and inquire the archive files related to the condition of the patient;
the medical industry needs a mobile clinical terminal product which has stronger mobility, higher stability and more portability, so that higher-quality all-round medical service can be provided for patients. Therefore, the mobile medical terminal equipment is selected to represent the iPad, and the product is light, thin, small, highly portable, waterproof, anti-falling and convenient to work; the bar code scanning can quickly identify the information of the user and the patient, and can be wirelessly connected to an integrated workstation to inquire archive files related to the condition of the patient at any time and any place; these functions mean that the information from patient admission to doctor diagnosis, operation room, ward and the like can be more effective and timely obtained, and the medical staff can be helped to carry out treatment and diagnosis, thereby improving the medical quality and the satisfaction degree of patients.
Ipad description;
high-efficiency, reliable, safe, management and monitoring. The MI series management engine provides a whole set of management and monitoring scheme aiming at the system terminals such as iOS, Andorid, Windows and the like, gives consideration to the requirements of safety and IT management, and simultaneously reserves the extraordinary experience brought by the iOS, Andorid and Windows to users. And integrally deploying the security policy management application program. Secure deployment of iOS, Andorid, Windows system devices:
mandatory password security policy
Selective erasure of data
Deploying and managing programs
Securing data using digital certificates
Ensuring that a user can only run licensed programs
Large-scale deployment of traceable installed programs
Can monitor and track positioning device position, can fix a position and track equipment
Can push the program in iTunes Store and alarm the abnormal communication
Can execute strategy deployment in background and establish own App Store of user
Network speed and quality can be measured
Equipment capable of monitoring 'jail crossing' state
Controlling unauthorized programs
The MI series management engine can be integrated into the existing network environment through simple deployment, and the management of the security policy overall deployment application program is realized. A wide range of platforms for IT management features support that data certificate management can be selectively erased. Application configuration information. Device configuration (Wi-Fi, VPN, certificate), protection certificate authority.
The device asset manager manages security policy management, sets (VPN, Wi-Fi, detailed list of installed programs, passwords, and encryption policies.
POP/IMAP, SCEP, APN, CalDAV, secure distribution, upgrade and revocation specialization. Lock (camera, program install, CardDAV, schedule reminder, Web Clips) application browser, etc.). And (4) setting authority in groups to authorize access to the special program and forcing the background to run. And forbidding the use of unauthorized application programs and enforcing the use of data protection.
As shown in fig. 2, the apparatus may be any terminal device including a mobile phone, a tablet computer, a PDA (Personal Digital Assistant), a POS (Point of Sales), a vehicle-mounted computer, etc., taking the terminal as the mobile phone as an example:
referring to fig. 2, a block diagram of a partial structure of a cellular phone, the cellular phone includes: radio Frequency (RF) circuitry 1510, memory 1520, input unit 1530, display unit 1540, sensor 1550, audio circuitry 1560, wireless fidelity (WiFi) module 1570, processor 1580, and power supply 1590. Those skilled in the art will appreciate that the handset configuration shown in fig. 2 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.
The following describes each component of the mobile phone in detail with reference to fig. 2:
the RF circuit 1510 may be configured to receive and transmit signals during information transmission and reception or during a call, and in particular, receive downlink information of a base station and then process the received downlink information to the processor 1580; in addition, the data for designing uplink is transmitted to the base station. In general, RF circuit 1510 includes, but is not limited to, an antenna, at least one amplifier, a transceiver, a coupler, a Low Noise Amplifier (LNA), a duplexer, and the like. In addition, RF circuit 1510 may also communicate with networks and other devices via wireless communication. The wireless communication may use any communication standard or protocol, including but not limited to global system for Mobile communications (GSM), General Packet Radio Service (GPRS), Code Division Multiple Access (CDMA), Wideband Code Division Multiple Access (WCDMA), Long Term Evolution (LTE), email, Short Messaging Service (SMS), and the like.
The memory 1520 may be used to store software programs and modules, and the processor 1580 performs various functional applications and data processing of the cellular phone by operating the software programs and modules stored in the memory 1520. The memory 1520 may mainly include a storage program area and a storage data area, wherein the storage program area may store an operating system, an application program required for at least one function (such as a sound playing function, an image playing function, etc.), and the like; the storage data area may store data (such as audio data, a phonebook, etc.) created according to the use of the cellular phone, and the like. Further, the memory 1520 may include high-speed random access memory and may also include non-volatile memory, such as at least one magnetic disk storage device, flash memory device, or other volatile solid-state storage device.
The input unit 1530 may be used to receive input numeric or character information and generate key signal inputs related to user settings and function control of the cellular phone. Specifically, the input unit 1530 may include a touch panel 1531 and other input devices 1532. The touch panel 1531, also referred to as a touch screen, can collect touch operations of a user (e.g., operations of the user on or near the touch panel 1531 using any suitable object or accessory such as a finger or a stylus) and drive corresponding connection devices according to a preset program. Alternatively, the touch panel 1531 may include two parts, a touch detection device and a touch controller. The touch detection device detects the touch direction of a user, detects a signal brought by touch operation and transmits the signal to the touch controller; the touch controller receives touch information from the touch sensing device, converts the touch information into touch point coordinates, and sends the touch point coordinates to the processor 1580, and can receive and execute commands sent by the processor 1580. In addition, the touch panel 1531 may be implemented by various types such as a resistive type, a capacitive type, an infrared ray, and a surface acoustic wave. The input unit 1530 may include other input devices 1532 in addition to the touch panel 1531. In particular, other input devices 1532 may include, but are not limited to, one or more of a physical keyboard, function keys (such as volume control keys, switch keys, etc.), a trackball, a mouse, a joystick, and the like.
The display unit 1540 may be used to display information input by the user or information provided to the user and various menus of the mobile phone. The Display unit 1540 may include a Display panel 1541, and optionally, the Display panel 1541 may be configured in the form of a Liquid Crystal Display (LCD), an Organic Light-Emitting Diode (OLED), or the like. Further, the touch panel 1531 may cover the display panel 1541, and when the touch panel 1531 detects a touch operation on or near the touch panel 1531, the touch operation is transmitted to the processor 1580 to determine the type of the touch event, and then the processor 1580 provides a corresponding visual output on the display panel 1541 according to the type of the touch event. Although in fig. 2, the touch panel 1531 and the display panel 1541 are two separate components to implement the input and output functions of the mobile phone, in some embodiments, the touch panel 1531 and the display panel 1541 may be integrated to implement the input and output functions of the mobile phone.
The handset can also include at least one sensor 1550, such as light sensors, motion sensors, and other sensors. Specifically, the light sensor may include an ambient light sensor that adjusts the brightness of the display panel 1541 according to the brightness of ambient light and a proximity sensor that turns off the display panel 1541 and/or the backlight when the mobile phone is moved to the ear. As one of the motion sensors, the accelerometer sensor can detect the magnitude of acceleration in each direction (generally, three axes), can detect the magnitude and direction of gravity when stationary, and can be used for applications of recognizing the posture of a mobile phone (such as horizontal and vertical screen switching, related games, magnetometer posture calibration), vibration recognition related functions (such as pedometer and tapping), and the like; as for other sensors such as a gyroscope, a barometer, a hygrometer, a thermometer, and an infrared sensor, which can be configured on the mobile phone, further description is omitted here.
WiFi belongs to short-distance wireless transmission technology, and the mobile phone can help a user to receive and send e-mails, browse webpages, access streaming media and the like through a WiFi module 1570, and provides wireless broadband internet access for the user. Although fig. 2 shows WiFi module 1570, it is understood that it does not belong to the essential components of the handset and may be omitted entirely as needed within the scope not changing the essence of the invention.
The processor 1580 is a control center of the mobile phone, connects various parts of the entire mobile phone by using various interfaces and lines, and performs various functions of the mobile phone and processes data by operating or executing software programs and/or modules stored in the memory 1520 and calling data stored in the memory 1520, thereby integrally monitoring the mobile phone. Optionally, the processor 1580 may include one or more processing units; preferably, the processor 1580 may integrate an application processor, which mainly handles operating systems, user interfaces, application programs, and the like, and a modem processor, which mainly handles wireless communications. It is to be appreciated that the modem processor may not be integrated into the processor 1580.
The handset also includes a power supply 1590 (e.g., a battery) for powering the various components, which may preferably be logically coupled to the processor 1580 via a power management system to manage charging, discharging, and power consumption management functions via the power management system.
Although not shown, the mobile phone may further include a camera, a bluetooth module, etc., which are not described herein.
It can be clearly understood by those skilled in the art that, for convenience and brevity of description, the specific working processes of the modules, the related working units and the devices described above may refer to the corresponding processes in the foregoing method embodiments, and are not described herein again.
And the RFID wristband A108 is connected with the nursing station A105 and used for identifying, matching and tracking patients, medical staff, medicines, goods and materials and the like.
Each patient wears a unique bar code wrist strap which contains basic information and important medical information of the patient and is used for identity confirmation of the patient when the patient receives various medical services, thereby ensuring that accurate and efficient identity confirmation is realized when any medical treatment is carried out.
The system adopts the bar code technology, the mobile computing technology and the wireless network technology to realize the function of checking the patient identity and the medicine bar code of nurses, and avoids medical errors. When the wireless calling technology is adopted to realize the help seeking of the patient, the nurse responds in time, the environment of the transfusion room is improved, and the working strength and the working pressure of the nurse are reduced.
The system has the following characteristics:
1) the bar code duplex label ensures the safety of medication;
2) the error accident is avoided by the bar code scanning and checking;
3) the patient needs to be answered in time by wireless calling;
4) the working process of nurses is simplified, and the working intensity and pressure are reduced;
5) the waiting time of the patient is reduced, and the satisfaction degree of the patient is improved;
6) the hospital management level is improved, and the social effect of the hospital is improved.
The invention has the following advantages:
medical angle
From the medical perspective, the method really achieves the purpose of treating the critically ill patients anytime and anywhere, timeliness and accuracy. When a doctor in work holds the wireless terminal, the doctor can check the real-time physiological data, medical history, PACS, LIS and other information of a patient at any place in a hospital at any time, and can make corresponding medical advice processing in time, and the doctor can automatically perform voice recognition to call related personnel in the hospital, so that the main doctor can perform mobile diagnosis and treatment in the whole hospital.
Medical treatment model
The medical mode has revolutionary breakthrough, and the traditional mode that a great amount of handwritten medical record data needs to be carried in ward round is fundamentally changed. Both the handwriting tablet personal computer and the monitor can be used as wireless terminals of the HIS system, medical staff and patients can comprehensively inquire patient information at the bedside, meanwhile, the informatization ward round can take a nursing program as a framework, each patient is correctly evaluated in five stages of evaluation, diagnosis, planning, implementation and evaluation, and the integral nursing taking the patient as the center is promoted.
Medical management
From the aspect of management, the application of the wireless technology can really block the loophole, reduce the cost and improve the benefit. Such as full closed-loop management of drugs; tracking and managing the whole process of equipment and consumables; the comprehensive management of the patient realizes the anti-slipping of the patient, the anti-theft of the baby, the instrument positioning, the personnel track management, the one-to-one mapping management of the infusion medicines and the like, and lays a good technical foundation for further improving the management level of the hospital.
Is convenient for patients
The patient can be conveniently treated, the full self-service of the patient can be realized based on the application of the service system for intelligently identifying the patient information, the patient can register by self, and various examination reports can be inquired and printed by self.
In the embodiments provided in the present application, it should be understood that the disclosed systems, modules and/or units may be implemented in other ways. For example, the above-described method embodiments are merely illustrative, and for example, the division of the modules is only one logical functional division, and other divisions may be realized in practice, for example, a plurality of modules or components may be combined or integrated into another system, or some features may be omitted, or not executed. The units described as separate parts may or may not be physically separate, and parts displayed as units may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the units can be selected according to actual needs to achieve the purpose of the solution of the embodiment.
The foregoing is only a partial embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and decorations can be made without departing from the principle of the present invention, and these modifications and decorations should also be regarded as the protection scope of the present invention.
Claims (6)
1. A mobile ward round system based on a hospital information platform is characterized by comprising an HIS data center, a data exchange platform, a local area network, a wireless switch, a nursing station, a PC terminal, a printer, a mobile terminal and an RFID (radio frequency identification) wrist strap;
the HIS data center comprises CIS, LIS, PACS, MIS and BIS databases and is used for collecting, storing, processing, extracting and exchanging various medical data;
the data exchange platform is used for carrying out data interaction with the HIS data center;
the local area network comprises a LAN and a WLAN and is used for assisting the data exchange platform to interact with the nursing station;
the wireless switch is used for assisting the local area network to complete the functions;
the nursing station is used for medical care personnel to manage services, and the services comprise a medical advice management function, an examination management function, an inspection management function, a physical sign management function and intelligent identification;
the PC end is connected with the nursing station and is used for assisting the management business of medical care personnel;
the printer is connected with the nursing station and used for printing the operation needing to be printed by the medical staff;
the mobile terminal is connected with the nursing station and used for bar code scanning to quickly identify information of a user and a patient and inquire archive files related to the condition of the patient;
the RFID wrist strap is connected with the nursing station and used for identifying, matching and tracking patients, medical staff, medicines, materials and the like.
2. The mobile ward-round system of claim 1, wherein the nursing station is based on an SOA architecture design, and adopts a distributed, multi-level and loosely-coupled architecture to provide an extended interface conforming to HL7V3 standard for seamless integration with other existing information systems of a hospital.
3. The mobile ward-round system of claim 1, further comprising a SOAP protocol to perform data interaction.
4. The mobile ward-round system of any one of claims 1-3, wherein the nursing stations comprise a mobile doctor nursing station, a mobile nurse nursing station
The mobile doctor nursing station is used for inquiring various information of the patient and contacting the patient, issuing medical advice and contacting a nurse at any time and any place by the doctor through the mobile terminal;
the mobile nurse nursing station is used for nurses to complete acquisition and recording of various nursing information of patients by the aid of the mobile terminal beside the patient bed so that the nursing information can be automatically stored in the database, records of various vital signs are completed, and a trend graph is automatically generated.
5. The mobile ward-round system of claim 4, wherein the carestation comprises the following modules:
the basic function module is used for user registration, login, verification and authority management;
the user management module is used for managing the users of the system according to different authorities by system management personnel and medical personnel, and comprises but is not limited to: adding a new user, deleting the user, inquiring a certain user, and modifying user information;
the medical advice management module is used for displaying the basic information and the patient list, selecting and calling the patient information and adding the medical advice;
the examination and inspection application module is used for a doctor to accurately diagnose the illness state of the patient;
and the file management module is used for adding file information according to preset information in the file management module by a user, wherein the file information comprises personal files and family member files.
6. The mobile ward round system of claim 1, wherein the HIS data center is set up in an ORACLE database.
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Application publication date: 20200410 |