CN111681752A - Doctor conjuncted diagnosis and treatment system based on cloud platform - Google Patents
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Abstract
The invention provides a doctor-integrated diagnosis and treatment system based on a cloud platform, which comprises a doctor end, a patient end, a management end and the cloud platform, wherein the doctor end realizes communication between doctors and patients, remote diagnosis and treatment, communication between doctors and doctors, communication between doctors and students and on-line teaching; the patient end realizes the communication, registration, treatment and payment between the patient and the doctor; the management end is an internal information system of a hospital and a superior management department, and realizes patient service, supervision management, authentication management and data analysis; the cloud platform realizes data synchronization and data processing among the terminals; the integration of the in-hospital and out-of-hospital data of various hospitals at all levels is realized through a mature cloud computing technology and a big data technology, unified interface management, resource management, flow management and financial management are constructed, the data are subjected to post-processing deep mining application on the basis, various cloud health services are provided for relevant industries of residents, doctors, hospitals and third parties, and a big health industry ecosphere is constructed.
Description
Technical Field
The invention belongs to the field of computer application software, and particularly relates to a cloud platform-based hospital diagnosis and treatment system.
Background
The statistics of Chinese medical expenses in 2013 show that the GDP growth rate in the first 10 years is 8.5%, and the medical expense growth rate in the last ten years reaches 13.8% and is far higher than the GDP growth rate, and the medical expenses become heavy burden for governments and residents.
The hospital body is expected to promote the subsidence of high-quality medical and health resources, establish a division cooperation mechanism, promote a graded diagnosis and treatment system and the like as an effective way for the reform of the public hospital.
Disclosure of Invention
The technical problem to be solved by the invention is to overcome the existing defects, provide a cloud platform-based hospital diagnosis and treatment system, realize the integration of the data inside and outside the hospital of various hospitals at all levels through a mature cloud computing technology and a big data technology, construct unified interface management, resource management, flow management and financial management, perform post-processing deep mining application on the data on the basis, provide various cloud health services for residents, doctors, hospitals and third-party related industries, and construct a big health industry ecosphere.
In order to achieve the purpose, the invention provides the following technical scheme:
the doctor combined diagnosis and treatment system based on the cloud platform comprises a doctor end, a patient end, a management end and the cloud platform, wherein the doctor end, the patient end, the management end and the cloud platform are connected through the internet or a mobile internet network, the doctor end comprises PC end application software and a mobile end APP, and communication between doctors and patients, remote diagnosis and treatment, communication between doctors and doctors, communication between doctors and students and online teaching are realized; the patient side comprises a mobile side APP, and the patient can communicate with a doctor, register, see a doctor and pay a fee through a mobile terminal; the management end is an internal information system of a hospital and a superior management department, is used by a hospital management part and a health bureau, and realizes patient service, supervision management, authentication management and data analysis, and comprises an HIS (high-level information system), an LIS (LiS) system, an EMR (EMR) system, a PACS (Picture archiving and communication System), an RIS (remote subscriber server) system, an HSS (home subscriber server) system, an HRP (HRP) and other; the cloud platform is used as a data processing center of the medical conjuncted diagnosis and treatment system to realize that: synchronizing data among the doctor side, the patient side and the administration side;
data synchronized by the doctor end, the patient end and the management end are converted and processed;
distributing system data to a doctor end, a patient end and a management end;
and receiving requests of the doctor end and the patient end, integrating and converting the data by the data processing center according to the service requirements if the management end needs to be accessed, sending the requests to the management end, acquiring the data of the management end, and sending the data to the doctor end and the patient end.
As a preferred technical solution of the present invention, the system further comprises a third party mechanism, wherein the third party mechanism comprises a payment mechanism, a medical insurance mechanism, a medicine delivery mechanism and a wearable intelligent device, and realizes the intercommunication between the payment mechanism and the medical insurance mechanism and the doctor end, the patient end and the management end, the intercommunication between the medicine delivery mechanism and the management end, and the intercommunication between the wearable intelligent device and the doctor end and the patient end.
As a preferred technical scheme of the invention, the doctor end comprises health consultation, appointment registration, bidirectional referral, mobile consultation, electronic prescription, examination and examination cooperation, remote combined outpatient service, medical and educational cooperation and patient management;
according to the health consultation, doctors in each hospital directly receive the health consultation of the patients through mobile phones by utilizing fragmentation time, ask new patients, old patients and contracted patients for questions and ask for puzzles anytime and anywhere, and conduct triage and guide;
the patient can make an appointment for the general practitioner of the primary hospital through App service or an appointment website, and can make an appointment for the expert of the tertiary hospital through the help of the general practitioner of the primary hospital, so that triage before the hospital visits a doctor and specialized treatment of a sub-specialty are realized on the basis of conventional appointment;
the bidirectional referral supports basic general practitioners and specialized doctors of different levels to carry out bidirectional referral according to the disease conditions, and basic referral patients enjoy the services of green channels, personalized outpatients, bed position priority arrangement and the like of superior hospitals, so that a lot of troubles and links of doctor selection, queuing, registration, payment, waiting, repeated examination and the like during self-diagnosis are saved;
the mobile consultation is characterized in that when general practitioners of primary hospitals encounter difficult cases, a plurality of third-level hospital experts can be invited to conduct consultation on line at any time and any place at a mobile phone end, the expert doctors use fragmentation time to consult medical record data through mobile phones and then propose consultation opinions to be transmitted to the primary doctors, further communication with patients or application doctors is supported through phones, and online multidisciplinary discussion is supported;
under the hospital authorization, the doctor confirms the continuous medication of the on-line follow-up prescription or the long prescription according to the disease development condition of the patient, and the patient can select a nearby pharmacy to take the medicine or use the medicine for logistics distribution after remote payment;
the examination and examination cooperation supports a subordinate medical institution to reserve examination and examination items of a superior hospital, the subordinate hospital directly accesses a direct-visit hospital to examine through a diagnosis and treatment system, and the examination list has the functions of suggestion feedback and attention items;
the remote combined outpatient service utilizes the Internet remote video, and a primary doctor can communicate with a reserved specialist doctor when receiving a patient to jointly diagnose and treat the patient. A remote expert can look up the electronic health file of the patient through the video, simultaneously guide the doctor to check the patient, and guide the doctor to diagnose and treat the patient according to the known symptoms;
the medical education is cooperated, each hospital provides medical education demonstration and remote guidance, and live broadcast and courseware on-demand of operation or training meeting of the hospital are realized, including large-screen live broadcast and mobile phone live broadcast and on-demand in meeting places;
according to the patient management, doctors can manage patients who see a doctor by groups through mobile phone APP, look up relevant diagnosis and treatment information at any time and provide tracking follow-up management for the patients.
As a preferred technical scheme of the invention, the appointment registration is that the large hospital opens to the primary hospital and reserves a certain proportion of specialist number sources, and primary doctors or the branch hospitals help patients to reserve the specialist number sources according to the needs of the patient's condition, so that the sinking of high-quality medical resources is promoted, the service capacity of the primary hospital is improved, the ordered hospitalization habits of the first-time doctor of the patient community are gradually guided, and the malposition hospitalization is reduced.
As a preferred technical scheme of the invention, the hospitalization bidirectional referral process is consistent with the present hospital referral system, a large-scale hospital specially sets a green channel for a diagnosis and treatment system, provides priority service for a particularly urgent patient in primary referral, and a primary and cooperative hospital assists the patient to select a proper expert to make an application for the hospitalization referral for the eligible patient under the conditions of familiarity with the basic conditions, the specialty of the expert and the like of a superior hospital, and after the expert agrees to receive the hospitalization of the patient, the system pushes hospitalization information to an admission preparation center of the hospital to be brought into the admission preparation center for unified management and arranges a bed. On the contrary, the higher level hospital can also refer the rehabilitation patient to the subordinate hospital for rehabilitation treatment, after the doctor of the subordinate hospital receives the information, the system pushes the hospitalization information to the admission department of the subordinate hospital, the admission department arranges the patient bed in a unified way, and the patient completes rehabilitation treatment in the subordinate hospital.
As a preferred technical scheme of the invention, the examination and examination are cooperated, and a cloud image technology is used for providing medical image film service and remote film reading diagnosis service for patients and clinicians through a desktop terminal or a mobile terminal.
As a preferred technical solution of the present invention, in the remote combined clinic, the physicians of both parties respectively schedule the time period for carrying out the remote combined clinic according to their own time arrangement, the doctor or the patient realizes the appointment of the remote combined clinic through the diagnosis and treatment system, and the doctor, the location, the time and the remote specialist doctor who needs to visit the remote combined clinic are determined through the matching of time resources; the patient visits the doctor at the position of the doctor receiving the doctor according to the appointed time, the doctors of the two parties call the other party to carry out remote video combined outpatient service on time, the remote specialist doctor refers to the data and the state of the patient through the video, guides the doctor receiving the doctor to carry out physical examination on the patient, and guides the doctor receiving the doctor to diagnose and treat the patient according to the understood disease.
As a preferred technical scheme of the invention, the doctor end also comprises a family doctor contract, so as to realize contract service, mobile follow-up visit and health management of the family doctor and the corresponding patient.
As a preferred technical scheme of the invention, the patient side comprises health consultation, appointment registration, medicine purchase, order taking, expense payment, personal management and information; the health consultation is to search doctors for health consultation and enjoy doctor answering and puzzlement at any time and any place; the patient can make an appointment for the general practitioner of the primary hospital and can make an appointment for the expert of the tertiary hospital with the help of the general practitioner of the primary hospital through the App service or the appointment website; the medicine purchasing step is to purchase prescription medicines prescribed by doctors on line and to distribute the medicines to a home or a nearby pharmacy for taking the medicines; the order taking function provides functions of checking and checking report inquiry, electronic film management and the like; the payment supports payment ways such as payment treasure, WeChat payment and bank card payment; the personal management is used for providing functions of checking personal information, managing doctors, receiving reminding messages and the like; the information provides functions of queuing inquiry, hospital introduction, doctor introduction, health care knowledge and the like.
As a preferable technical scheme of the invention, the patient side can also communicate with the doctor side and the management side through a hospital WeChat public number, a hospital Paibao Living number, a hospital APP, a hospital website and a self-service medical terminal.
Compared with the prior art, the invention has the beneficial effects that:
1. the invention takes an entity hospital as a support and a hierarchical diagnosis and treatment as a core, initiates a system of 'internet + integrated medical system + doctor' and constructs a mobile intelligent medical cloud platform for comprehensive cooperation among medical institutions in the integrated medical system. By utilizing cloud computing and mobile internet technologies, medical resources of all levels of medical institutions in the area are integrated in a free alliance and sharing win-win mode, a new mode of cooperation between hospitals, cooperation between doctors and patients and interaction between doctors and patients is established, various services in the assisted medical combination body are rapidly expanded and efficiently operated, so that the service efficiency, value and quality of experts in the central hospital are improved, the service capability and medical level of the cooperative hospitals are improved, the goal that patients can enjoy high-quality medical services at home gates is achieved, and the hospitalizing cost is reduced.
2. Information exchange and flow cooperation of all levels of medical institutions are completed in a cloud service mode, interconnection and intercommunication with the interior of a central hospital and other medical and health institutions are realized through unified interface management, unified resource management, unified flow management and unified financial management, and multi-point operation of doctors is supported.
3. The mobile internet and cloud computing technology is fully utilized, the multi-door third-party service terminals are integrated, the medical service process is deeply optimized, the information intercommunication and sharing are comprehensively upgraded, and the full-process mobile intelligent medical service of the patient is realized through the functions of health consultation, appointment diagnosis and treatment, mobile payment, examination and inspection report inquiry, process guidance, health management and the like. The patient can acquire medical resources and health support at any time outside the hospital, the process of seeing a doctor can be known in real time in the hospital, the diagnosis and treatment result can be mastered in time, the medical experience of the patient and the environment and order of the hospital are greatly improved, and the soft environment of convenient service is perfected.
4. Through various forms such as cell-phone APP and PC, provide services such as two-way bright referral, mobile consultation, long-range joint outpatient service, multidisciplinary consultation, inspection and examination appointment. Through smooth and quick communication of spanning space at any time and any place among doctors, convenient business cooperation among the doctors is realized, so that the quality and the efficiency of medical service are effectively improved, the diagnosis level and the service capability of basic doctors are improved, and the service efficiency and the service value of specialized doctors are improved.
5. The hospitals can develop video teaching services based on medical teaching linkage, and carry out direct teaching, clinical demonstration, health knowledge popularization and the like on hospitals and doctors in the hospital. Under the condition that the internet condition allows, medical workers can browse or search related videos for on-demand through the computer end and the mobile end under the video teaching module at any time and any place, so that the time and space limitations are broken through, and medical re-education services are obtained very conveniently.
Drawings
Fig. 1 is an overall architecture diagram of the cloud platform-based medical combination diagnosis and treatment system of the present invention;
fig. 2 is a functional architecture diagram of the cloud platform-based medical combination diagnosis and treatment system of the present invention.
Detailed Description
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 not all of the 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.
Referring to fig. 1-2, the present embodiment provides a technical solution: the doctor conjuncted diagnosis and treatment system based on the cloud platform comprises a doctor end, a patient end, a management end and the cloud platform, wherein the doctor end, the patient end, the management end and the cloud platform are connected through the internet or a mobile internet network.
The doctor end comprises PC end application software and a mobile end APP, so that communication between doctors and patients and remote diagnosis and treatment, communication between doctors and doctors, communication between doctors and students and on-line teaching are realized, and the doctor end comprises health consultation, appointment registration, bidirectional referral, mobile consultation, electronic prescription, inspection and examination cooperation, remote combined outpatient service, medical teaching cooperation and patient management; according to the health consultation, doctors in each hospital directly receive the health consultation of the patients through mobile phones by utilizing fragmentation time, ask new patients, old patients and contracted patients for questions and ask for puzzles anytime and anywhere, and conduct triage and guide; the patient can make an appointment for the general practitioner of the primary hospital through App service or an appointment website, and can make an appointment for the expert of the tertiary hospital through the help of the general practitioner of the primary hospital, so that triage before the hospital visits a doctor and specialized treatment of a sub-specialty are realized on the basis of conventional appointment; the bidirectional referral supports basic general practitioners and specialized doctors of different levels to carry out bidirectional referral according to the disease conditions, and basic referral patients enjoy the services of green channels, personalized outpatients, bed position priority arrangement and the like of superior hospitals, so that a lot of troubles and links of doctor selection, queuing, registration, payment, waiting, repeated examination and the like during self-diagnosis are saved; the mobile consultation is characterized in that when general practitioners of primary hospitals encounter difficult cases, a plurality of third-level hospital experts can be invited to conduct consultation on line at any time and any place at a mobile phone end, the expert doctors use fragmentation time to consult medical record data through mobile phones and then propose consultation opinions to be transmitted to the primary doctors, further communication with patients or application doctors is supported through phones, and online multidisciplinary discussion is supported; under the hospital authorization, the doctor confirms the continuous medication of the on-line follow-up prescription or the long prescription according to the disease development condition of the patient, and the patient can select a nearby pharmacy to take the medicine or use the medicine for logistics distribution after remote payment; the examination and examination cooperation supports a subordinate medical institution to reserve examination and examination items of a superior hospital, the subordinate hospital directly accesses a direct-visit hospital to examine through a diagnosis and treatment system, and the examination list has the functions of suggestion feedback and attention items; the remote combined outpatient service utilizes the Internet remote video, and a primary doctor can communicate with a reserved specialist doctor when receiving a patient to jointly diagnose and treat the patient. A remote expert can look up the electronic health file of the patient through the video, simultaneously guide the doctor to check the patient, and guide the doctor to diagnose and treat the patient according to the known symptoms; the medical education is cooperated, each hospital provides medical education demonstration and remote guidance, and live broadcast and courseware on-demand of operation or training meeting of the hospital are realized, including large-screen live broadcast and mobile phone live broadcast and on-demand in meeting places; according to the patient management, doctors can manage patients who see a doctor by groups through mobile phone APP, look up relevant diagnosis and treatment information at any time and provide tracking follow-up management for the patients.
The patient side comprises a mobile terminal APP, the patient realizes communication with a doctor, registration, treatment and payment affairs through a mobile terminal, and the patient side comprises health consultation, appointment registration, medicine purchase, order taking, expense payment, personal management and information; the health consultation is to search doctors for health consultation and enjoy doctor answering and puzzlement at any time and any place; the patient can make an appointment for the general practitioner of the primary hospital and can make an appointment for the expert of the tertiary hospital with the help of the general practitioner of the primary hospital through the App service or the appointment website; the medicine purchasing step is to purchase prescription medicines prescribed by doctors on line and to distribute the medicines to a home or a nearby pharmacy for taking the medicines; the order taking function provides functions of checking and checking report inquiry, electronic film management and the like; the payment supports payment ways such as payment treasure, WeChat payment and bank card payment; the personal management is used for providing functions of checking personal information, managing doctors, receiving reminding messages and the like; the information provides functions of queuing inquiry, hospital introduction, doctor introduction, health care knowledge and the like.
The management end is an internal information system of a hospital and a superior management department, is used by a hospital management part and a health bureau, and realizes patient service, supervision management, authentication management and data analysis, and comprises an HIS system, an LIS system, an EMR system, a PACS system, a RIS system, an HSS system, an HRP and other peripheral application systems.
The cloud platform is used as a data processing center of the medical conjuncted diagnosis and treatment system to realize that: synchronizing data among the doctor side, the patient side and the administration side; data synchronized by the doctor end, the patient end and the management end are converted and processed; distributing system data to a doctor end, a patient end and a management end; and receiving requests of the doctor end and the patient end, integrating and converting the data by the data processing center according to the service requirements if the management end needs to be accessed, sending the requests to the management end, acquiring the data of the management end, and sending the data to the doctor end and the patient end.
In the embodiment, the appointment registration is realized by opening a large hospital to a primary hospital and reserving expert number sources in a certain proportion, and primary doctors or a branch hospital help patients to appointment the expert number sources according to the needs of the patient's condition, so that high-quality medical resources are promoted to sink, the service capacity of the primary hospital is improved, the ordered hospitalizing habits of the first-time diagnosis of the patient community are gradually guided, and the malposition hospitalizing is reduced.
In this embodiment, the bidirectional referral procedure for hospitalization is consistent with the referral system of the existing hospital, a large-scale hospital specially sets a green channel for the diagnosis and treatment system, and provides a priority service for a particularly urgent patient for primary referral, the primary and cooperative hospitals assist the patient to select a proper expert under the conditions of familiarity with the basic conditions, the specialty of the expert and the like of the superior hospital, so as to provide an application for hospitalization referral for the eligible patient, and after the expert agrees to receive the hospitalization of the patient, the system pushes hospitalization information to the admission preparation center of the hospital, brings the information into the admission preparation center for unified management, and arranges a bed. On the contrary, the higher level hospital can also refer the rehabilitation patient to the subordinate hospital for rehabilitation treatment, after the doctor of the subordinate hospital receives the information, the system pushes the hospitalization information to the admission department of the subordinate hospital, the admission department arranges the patient bed in a unified way, and the patient completes rehabilitation treatment in the subordinate hospital.
In this embodiment, the examination and examination cooperate with a cloud imaging technology to provide medical image film service and remote film reading and diagnosis service for patients and clinicians through a desktop terminal or a mobile terminal.
In the embodiment, in the remote combined clinic, the two doctors each schedule the time period for carrying out the remote combined clinic according to their own time arrangement, and the doctor or the patient can make an appointment for the remote combined clinic through the diagnosis and treatment system, and determine the doctor, the place, the time and the remote specialist doctor who needs to visit the remote combined clinic through the matching of time resources; the patient visits the doctor at the position of the doctor receiving the doctor according to the appointed time, the doctors of the two parties call the other party to carry out remote video combined outpatient service on time, the remote specialist doctor refers to the data and the state of the patient through the video, guides the doctor receiving the doctor to carry out physical examination on the patient, and guides the doctor receiving the doctor to diagnose and treat the patient according to the understood disease.
In this embodiment, the patient end can also communicate with the doctor end and the management end through the hospital wechat public number, the hospital payment treasure life number, the hospital APP, the hospital website and the self-service medical terminal.
Example 2
The present embodiment is different from embodiment 1 in that:
in this embodiment, the system further includes a third-party mechanism, where the third-party mechanism includes a payment mechanism, a medical insurance mechanism, a medicine distribution mechanism, and a wearable intelligent device, and the intercommunication between the payment mechanism and the medical insurance mechanism, the intercommunication between the medical administration mechanism and the management end, the intercommunication between the wearable intelligent device and the medical administration end, and the intercommunication between the wearable intelligent device and the patient end are achieved.
In this embodiment, the doctor end further includes a family doctor contract, so as to implement contract service, mobile follow-up visit and health management between the family doctor and the corresponding patient.
The invention takes an entity hospital as a support and a hierarchical diagnosis and treatment as a core, initiates a system of 'internet + integrated medical system + doctor' and constructs a mobile intelligent medical cloud platform for comprehensive cooperation among medical institutions in the integrated medical system. By utilizing cloud computing and mobile internet technologies, medical resources of all levels of medical institutions in the area are integrated in a free alliance and sharing win-win mode, a new mode of cooperation between hospitals, cooperation between doctors and patients and interaction between doctors and patients is established, various services in the assisted medical combination body are rapidly expanded and efficiently operated, so that the service efficiency, value and quality of experts in the central hospital are improved, the service capability and medical level of the cooperative hospitals are improved, the goal that patients can enjoy high-quality medical services at home gates is achieved, and the hospitalizing cost is reduced.
The invention integrates multi-scene remote medical application under the same platform system, fully strengthens communication cooperation among doctors, realizes cross-hospital cooperation, and improves the service capability and technical level of primary doctors. The system can be distributed in a doctor consulting room and in front of a patient bed, even supports on-line consultation and multi-person and multi-subject consultation at a mobile phone end, and the movable consultation at any time and any place greatly facilitates development of consultation services among medical institutions, so that the remote work efficiency of doctors can be improved in our hospital, and the foundation can be effectively assisted. For the primary hospital, the medical level is improved in daily business, and online consultation of superior experts also attracts patients to go offline for medical treatment, so that the popularity of the primary hospital is improved.
The popularization and the application of the invention can bring huge social benefits:
1. and (4) policy level: the high-quality resources of a large-scale medical institution are sunk and inclined, the service capacity of a basic medical and health institution is improved, the diagnosis and treatment system is used for promoting double sinking, and the establishment of a basic first diagnosis mode, a bidirectional referral mode, a quick-slow treatment mode and an up-and-down linkage grading diagnosis and treatment mode is promoted, so that the optimal allocation of medical resources is realized, residents are guided to see medical doctors in order, and the deep development of the improvement of the medical and health system is promoted comprehensively.
2. Hospital layer: the integration and optimization of medical resources are realized, the utilization rate of high-quality and scarce resources of large-scale medical institutions is improved, the service capacity and the service level of basic medical systems and basic doctors are improved, the trust of residents on basic doctors is gradually strengthened, and the ecological healthy development of the medical industry is promoted.
3. And (3) a doctor layer: through smooth and quick communication of spanning space at any time and any place among doctors, convenient business cooperation among the doctors is realized, so that the quality and the efficiency of medical service are effectively improved, the diagnosis level and the service capability of basic doctors are improved, and the service efficiency and the service value of specialized doctors are improved.
4. The public layer: the medical service system has the advantages that the medical service system can guide the public to see a doctor orderly and reasonably, help the public to establish a more scientific and reasonable tendency to see a doctor, break through space-time limitation, effectively take charge of medical resources, guarantee the benefits of the public to the maximum extent, and enable residents to enjoy convenient, efficient and safe medical health services orderly.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (10)
1. Conjuncted system of diagnosing of doctor based on cloud platform, its characterized in that: the cloud platform comprises a doctor end, a patient end, a management end and a cloud platform, wherein the doctor end, the patient end, the management end and the cloud platform are connected through the Internet or a mobile Internet network, the doctor end comprises PC end application software and a mobile end APP, and communication between doctors and patients, communication between doctors and doctors, communication between doctors and students and online teaching are realized; the patient side comprises a mobile side APP, and the patient can communicate with a doctor, register, see a doctor and pay a fee through a mobile terminal; the management end is an internal information system of a hospital and a superior management department, is used by a hospital management part and a health bureau, and realizes patient service, supervision management, authentication management and data analysis, and comprises an HIS (high-level information system), an LIS (LiS) system, an EMR (EMR) system, a PACS (Picture archiving and communication System), an RIS (remote subscriber server) system, an HSS (home subscriber server) system, an HRP (HRP) and other; the cloud platform is used as a data processing center of the medical conjuncted diagnosis and treatment system to realize that: synchronizing data among the doctor side, the patient side and the administration side; data synchronized by the doctor end, the patient end and the management end are converted and processed; distributing system data to a doctor end, a patient end and a management end; and receiving requests of the doctor end and the patient end, integrating and converting the data by the data processing center according to the service requirements if the management end needs to be accessed, sending the requests to the management end, acquiring the data of the management end, and sending the data to the doctor end and the patient end.
2. The cloud platform based hospital clinic diagnosis and treatment system according to claim 1, wherein: the medical safety system is characterized by further comprising a third-party mechanism, wherein the third-party mechanism comprises a payment mechanism, a medical safety mechanism, a medicine distribution mechanism and wearable intelligent equipment, the intercommunication between the payment mechanism and the medical safety mechanism and the doctor end, the intercommunication between the medicine distribution mechanism and the management end and the intercommunication between the wearable intelligent equipment and the doctor end and the patient end are realized.
3. The cloud platform based hospital clinic diagnosis and treatment system according to claim 1, wherein: the doctor end comprises health consultation, appointment registration, bidirectional referral, mobile consultation, electronic prescription, examination and examination cooperation, remote combined outpatient service, medical education cooperation and patient management;
according to the health consultation, doctors in each hospital directly receive the health consultation of the patients through mobile phones by utilizing fragmentation time, ask new patients, old patients and contracted patients for questions and ask for puzzles anytime and anywhere, and conduct triage and guide;
the patient can make an appointment for the general practitioner of the primary hospital through App service or an appointment website, and can make an appointment for the expert of the tertiary hospital through the help of the general practitioner of the primary hospital, so that triage before the hospital visits a doctor and specialized treatment of a sub-specialty are realized on the basis of conventional appointment;
the bidirectional referral supports basic general practitioners and specialized doctors of different levels to carry out bidirectional referral according to the disease conditions, and basic referral patients enjoy the services of green channels, personalized outpatients, bed position priority arrangement and the like of superior hospitals, so that a lot of troubles and links of doctor selection, queuing, registration, payment, waiting, repeated examination and the like during self-diagnosis are saved;
the mobile consultation is characterized in that when general practitioners of primary hospitals encounter difficult cases, a plurality of third-level hospital experts can be invited to conduct consultation on line at any time and any place at a mobile phone end, the expert doctors use fragmentation time to consult medical record data through mobile phones and then propose consultation opinions to be transmitted to the primary doctors, further communication with patients or application doctors is supported through phones, and online multidisciplinary discussion is supported;
under the hospital authorization, the doctor confirms the continuous medication of the on-line follow-up prescription or the long prescription according to the disease development condition of the patient, and the patient can select a nearby pharmacy to take the medicine or use the medicine for logistics distribution after remote payment;
the examination and examination cooperation supports a subordinate medical institution to reserve examination and examination items of a superior hospital, the subordinate hospital directly accesses a direct-visit hospital to examine through a diagnosis and treatment system, and the examination list has the functions of suggestion feedback and attention items;
the remote combined outpatient service utilizes the Internet remote video, and a primary doctor can communicate with a reserved specialist doctor when receiving a patient to jointly diagnose and treat the patient. A remote expert can look up the electronic health file of the patient through the video, simultaneously guide the doctor to check the patient, and guide the doctor to diagnose and treat the patient according to the known symptoms;
the medical education is cooperated, each hospital provides medical education demonstration and remote guidance, and live broadcast and courseware on-demand of operation or training meeting of the hospital are realized, including large-screen live broadcast and mobile phone live broadcast and on-demand in meeting places;
according to the patient management, doctors can manage patients who see a doctor by groups through mobile phone APP, look up relevant diagnosis and treatment information at any time and provide tracking follow-up management for the patients.
4. The cloud platform based hospital clinic diagnosis and treatment system according to claim 3, wherein: and the appointment registration is that the large hospital opens to the primary hospital and reserves a certain proportion of specialist number sources, and primary doctors or the hospital branches help patients to reserve the specialist number sources according to the requirements of the state of an illness.
5. The cloud platform based hospital clinic diagnosis and treatment system according to claim 3, wherein: the hospital admission bidirectional referral process is consistent with the existing hospital admission system, a large-scale hospital specially sets a green channel for a diagnosis and treatment system, priority service is provided for a patient who is particularly urgent in primary referral, the primary and cooperative hospitals assist the patient to select a proper expert under the conditions of familiarity with basic conditions, expert specialties and the like of a superior hospital, an application of hospital admission is made for the patient meeting conditions, after the expert agrees to receive the hospitalization of the patient, the system pushes hospitalization information to an admission preparation center of the hospital, the admission preparation center brings the hospitalization information into the admission preparation center for unified management, and a bed position is arranged. On the contrary, the higher level hospital can also refer the rehabilitation patient to the subordinate hospital for rehabilitation treatment, after the doctor of the subordinate hospital receives the information, the system pushes the hospitalization information to the admission department of the subordinate hospital, the admission department arranges the patient bed in a unified way, and the patient completes rehabilitation treatment in the subordinate hospital.
6. The cloud platform based hospital clinic diagnosis and treatment system according to claim 3, wherein: and in the cooperation of the inspection and the examination, a cloud image technology is used, and medical image film service and remote film reading diagnosis service are provided for patients and clinicians through a desktop terminal or a mobile terminal.
7. The cloud platform based hospital clinic diagnosis and treatment system according to claim 3, wherein: in the remote combined outpatient service, doctors of two parties respectively schedule the time period for carrying out the remote combined outpatient service according to own time arrangement, the doctors or patients realize the appointment of the remote combined outpatient service through the diagnosis and treatment system, and the doctors who receive the remote combined outpatient service, the place and the time and the remote specialist doctors who need to see the service are determined through the matching of time resources; the patient visits the doctor at the position of the doctor receiving the doctor according to the appointed time, the doctors of the two parties call the other party to carry out remote video combined outpatient service on time, the remote specialist doctor refers to the data and the state of the patient through the video, guides the doctor receiving the doctor to carry out physical examination on the patient, and guides the doctor receiving the doctor to diagnose and treat the patient according to the understood disease.
8. The cloud platform based hospital clinic diagnosis and treatment system according to claim 3, wherein: the doctor end also comprises a family doctor contract, so that contract service, mobile follow-up visit and health management of the family doctor and the corresponding patient are realized.
9. The cloud platform based hospital clinic diagnosis and treatment system according to claim 1, wherein: the patient side comprises health consultation, appointment registration, medicine purchase, order taking, expense payment, personal management and information; the health consultation is to search doctors for health consultation and enjoy doctor answering and puzzlement at any time and any place; the patient can make an appointment for the general practitioner of the primary hospital and can make an appointment for the expert of the tertiary hospital with the help of the general practitioner of the primary hospital through the App service or the appointment website; the medicine purchasing step is to purchase prescription medicines prescribed by doctors on line and to distribute the medicines to a home or a nearby pharmacy for taking the medicines; the order taking function provides functions of checking and checking report inquiry, electronic film management and the like; the payment supports payment ways such as payment treasure, WeChat payment and bank card payment; the personal management is used for providing functions of checking personal information, managing doctors, receiving reminding messages and the like; the information provides functions of queuing inquiry, hospital introduction, doctor introduction, health care knowledge and the like.
10. The cloud platform based hospital clinic diagnosis and treatment system according to claim 1, wherein: the patient end can also communicate with the doctor end and the management end through a hospital wechat public number, a hospital payment treasure life number, a hospital APP, a hospital website and a self-service medical terminal.
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Application publication date: 20200918 |