CN112259178A - Block chain network-based diagnosis method and device and block chain network system - Google Patents

Block chain network-based diagnosis method and device and block chain network system Download PDF

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CN112259178A
CN112259178A CN202011043354.6A CN202011043354A CN112259178A CN 112259178 A CN112259178 A CN 112259178A CN 202011043354 A CN202011043354 A CN 202011043354A CN 112259178 A CN112259178 A CN 112259178A
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information
patient
block chain
medical record
terminal
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苟喜霞
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Beijing Haiyi Tongzhan Information Technology Co Ltd
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F16/00Information retrieval; Database structures therefor; File system structures therefor
    • G06F16/20Information retrieval; Database structures therefor; File system structures therefor of structured data, e.g. relational data
    • G06F16/22Indexing; Data structures therefor; Storage structures
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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
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    • G06F16/20Information retrieval; Database structures therefor; File system structures therefor of structured data, e.g. relational data
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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
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    • G06F16/20Information retrieval; Database structures therefor; File system structures therefor of structured data, e.g. relational data
    • G06F16/27Replication, distribution or synchronisation of data between databases or within a distributed database system; Distributed database system architectures therefor
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60Protecting data
    • G06F21/602Providing cryptographic facilities or services
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60Protecting data
    • G06F21/64Protecting data integrity, e.g. using checksums, certificates or signatures

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Abstract

The invention discloses a diagnosis method and device based on a block chain network and a block chain network system, and relates to the technical field of computers. One embodiment of the method comprises: storing medical record information of a patient, writing the medical record information into a block chain maintained by each node of the block chain network, and sending a treatment message to a target doctor terminal; receiving a diagnosis completion message sent by a target doctor terminal; the diagnosis completion message is sent after the target doctor terminal writes the diagnosis result made by the doctor based on the medical record information into the blockchain, and the medical record information is acquired from the blockchain by the target doctor terminal after receiving the visit message. The implementation mode can realize decentralized diagnosis process and ensure that medical information in the diagnosis process cannot be tampered through the block chain technology.

Description

Block chain network-based diagnosis method and device and block chain network system
Technical Field
The present invention relates to the field of computer technologies, and in particular, to a method and an apparatus for diagnosing based on a blockchain network, and a blockchain network system.
Background
In the existing entity hospitals and internet hospitals, the fact that information such as patient medical records and the like cannot be tampered cannot be guaranteed, and particularly under the condition that medical disputes occur, how to achieve non-tampering and public and searchable of medical information is of great significance. In addition, the prior art requires considerable time and effort for doctors to review the patient's image examination data and write the diagnosis (including the type of disease and the treatment), which affects the diagnosis efficiency.
Disclosure of Invention
In view of this, embodiments of the present invention provide a diagnosis method and apparatus based on a blockchain network, and a blockchain network system, which can implement decentralized diagnosis process and ensure that medical information in a diagnosis process cannot be tampered with by using a blockchain technology.
To achieve the above object, according to one aspect of the present invention, there is provided a diagnosis method based on a blockchain network including a patient terminal and a doctor terminal as network nodes.
The diagnosis method based on the block chain network is applied to a patient terminal and comprises the following steps: storing medical record information of a patient, writing the medical record information into a block chain maintained by each node of the block chain network, and sending a treatment message to a target doctor terminal; receiving a diagnosis completion message sent by a target doctor terminal; the diagnosis completion message is sent after the target doctor terminal writes the diagnosis result made by the doctor based on the medical record information into the blockchain, and the medical record information is acquired from the blockchain by the target doctor terminal after receiving the visit message.
Optionally, the writing the medical record information into the block chain maintained by each node of the block chain network includes: writing the encrypted data and the first index data of the medical record information into the block chain; wherein the first index data is used for inquiring the encrypted data; the visit message carries first index data and a first key for decrypting the encrypted data; the medical record information is acquired from the block chain by the target doctor terminal after receiving the visit message, and comprises the following steps: and the target doctor terminal inquires the encrypted data from the block chain according to the first index data in the treatment message, and decrypts the encrypted data by using the first key in the treatment message to obtain the medical record information.
Optionally, after storing medical record information of the patient, invoking a first intelligent contract deployed in the blockchain to detect the image inspection data to obtain an image detection result; the encrypted data of the medical record information comprises: the medical record information and the encrypted data of the image detection result.
Optionally, before storing the medical record information of the patient, storing the identification information and the payment route information of the patient; after the identification information and the payment route information are verified, writing encrypted data of the identification information and the payment route information and third index data into the block chain, and locally storing the third index data and a third key for decrypting the encrypted data; after the medical record information of the patient is stored, the encrypted data is inquired from the block chain according to the locally stored third index data, the encrypted data is decrypted by using the locally stored third key to obtain the identification information, and the identification information and the medical record information are verified.
Optionally, the diagnosis completion message is sent after the target doctor terminal writes the diagnosis result made by the doctor based on the medical record information into the blockchain, and includes: the target doctor terminal writes the encrypted data and the second index data of the diagnosis result into the block chain; the second index data is used for inquiring the encrypted data of the diagnosis result, and the diagnosis completion message carries the second index data and a second key used for decrypting the encrypted data of the diagnosis result; and, the method further comprises: after receiving a diagnosis completion message sent by a target doctor terminal, inquiring encrypted data of the diagnosis result from the block chain according to second index data in the diagnosis completion message, and decrypting the encrypted data by using a second key in the diagnosis completion message to obtain the diagnosis result; storing the acceptance information of the patient aiming at the diagnosis result, writing the encrypted data of the acceptance information and the fifth index data into the block chain, and sending a response message to the target doctor terminal; the fifth index data is used for inquiring the encrypted data of the acceptance information, and the response message carries the fifth index data and a fifth key for decrypting the encrypted data of the acceptance information; and responding to the acceptance condition information to indicate that the patient accepts the diagnosis result, paying based on the payment route information of the patient, writing the payment result into the block chain, and sending a payment completion message to the target doctor terminal.
Optionally, the method further comprises: and storing evaluation information of the patient on the doctor, adjusting the score and/or the level of the doctor according to the evaluation information and a third intelligent contract which is pre-deployed in the blockchain, and writing the adjusted score and/or level into the blockchain.
Optionally, the medical record information of the patient further comprises symptom information and/or historical visit information; the identification information includes at least one of: name, identification card number, mobile phone number, face feature; the payment route information includes: bank account information and/or electronic account information; further included in the acceptance information is rejection reason information if the acceptance information indicates that the patient rejects acceptance of the diagnostic result.
To achieve the above object, according to still another aspect of the present invention, there is provided a diagnosis method based on a blockchain network
The diagnosis method based on the block chain network is applied to a doctor terminal and comprises the following steps: receiving a visit message sent by a patient terminal; acquiring medical record information of a patient from a blockchain maintained by each node of the blockchain network, storing a diagnosis result made by a doctor based on the medical record information, writing the diagnosis result into the blockchain, and sending a diagnosis completion message to a patient terminal; the medical record information is sent by the patient terminal after the medical record information is stored and written into the block chain.
Optionally, the visit message is sent by the patient terminal after the medical record information is stored and written into the block chain, and includes: the patient terminal writes the encrypted data and the first index data of the medical record information into the block chain; the first index data is used for inquiring the encrypted data, and the visit message carries the first index data and a first key for decrypting the encrypted data; and, the method further comprises: and inquiring the encrypted data from the block chain according to the first index data in the visit message, and decrypting the encrypted data by using the first key in the visit message to obtain the medical record information.
Optionally, the writing the diagnostic result to the blockchain includes: writing the encrypted data and the second index data of the diagnosis result into the block chain; the second index data is used for inquiring the encrypted data of the diagnosis result; and the diagnosis completion message carries second index data and a second key for decrypting encrypted data of the diagnosis result.
Optionally, the diagnosis result is in a text format; and storing diagnosis results made by a doctor based on the medical record information, including: and calling a second intelligent contract deployed in the blockchain to convert the doctor voice into the diagnosis result and store the diagnosis result.
Optionally, the method further comprises: before receiving the visit message, storing identification information, payment path information and authentication information of a doctor, and after verifying the identification information, the payment path information and the authentication information, writing encrypted data and fourth index data of the identification information, the payment path information and the authentication information into the block chain; the authentication information of the doctor comprises medical practice hospital information of the doctor, and the medical practice hospital information is verified based on verified hospital information written into the block chain in advance.
Optionally, the method further comprises: receiving a response message sent by the patient terminal; inquiring encrypted data of the acceptance information of the patient for the diagnosis result from the block chain according to fifth index data in the response message, and decrypting the encrypted data by using a fifth key in the response message to obtain the acceptance information; and the response message is sent by the patient terminal after the acceptance information is stored, and the encrypted data of the acceptance information and the fifth index data for inquiring the encrypted data are written into the block chain.
Optionally, the method further comprises: receiving a payment completion message sent by a patient terminal; obtaining a payment result of the patient terminal for payment from the blockchain; and the payment completion message is sent after the patient terminal pays when judging that the acceptance condition information indicates that the patient accepts the diagnosis result and writes the payment result into the block chain.
Optionally, the medical record information of the patient further comprises image examination data, symptom information and/or historical visit data; the identification information includes at least one of: name, identification card number, mobile phone number, face feature; the payment route information includes: bank account information and/or electronic account information; the authentication information of the doctor further includes: medical certification information of the doctor; further included in the acceptance information is rejection reason information if the acceptance information indicates that the patient rejects acceptance of the diagnostic result.
To achieve the above object, according to still another aspect of the present invention, there is provided a diagnosis apparatus based on a blockchain network.
The diagnosis device based on the block chain network of the embodiment of the invention is arranged at a patient terminal, and can comprise: the medical record information is written into the block chain maintained by each node of the block chain network, and a medical record information is sent to a target doctor terminal; the first receiving unit is used for receiving a diagnosis completion message sent by a target doctor terminal; the diagnosis completion message is sent after the target doctor terminal writes the diagnosis result made by the doctor based on the medical record information into the blockchain, and the medical record information is acquired from the blockchain by the target doctor terminal after receiving the visit message.
To achieve the above object, according to still another aspect of the present invention, there is provided a diagnosis apparatus based on a blockchain network.
The diagnosis device based on the block chain network of the embodiment of the invention is arranged at a doctor terminal and can comprise: the second receiving unit is used for receiving the treatment information sent by the patient terminal; the diagnosis unit is used for acquiring medical record information of the patient from the block chain maintained by each node of the block chain network, storing a diagnosis result made by a doctor based on the medical record information, writing the diagnosis result into the block chain and sending a diagnosis completion message to the patient terminal; the medical record information is sent by the patient terminal after the medical record information is stored and written into the block chain.
To achieve the above object, according to still another aspect of the present invention, there is provided a block chain network system for diagnosis.
The block chain network system for diagnosis of the embodiment of the invention comprises a patient terminal and a doctor terminal which are used as network nodes; the patient terminal stores medical record information of a patient, writes the medical record information into a block chain maintained by each node of the block chain network, and sends a treatment message to a target doctor terminal; and after receiving the treatment information sent by the patient terminal, the target doctor terminal acquires the medical record information from the block chain, stores a diagnosis result made by a doctor based on the medical record information, writes the diagnosis result into the block chain, and sends a diagnosis completion message to the patient terminal.
Optionally, after the patient terminal stores medical record information of the patient, writing the encrypted data of the medical record information and the first index data into the block chain; wherein the first index data is used for inquiring the encrypted data; the visit message carries first index data and a first key for decrypting the encrypted data; after receiving the visit message, the target doctor terminal inquires the encrypted data from the block chain according to the first index data in the visit message, and decrypts the encrypted data by using the first key in the visit message to obtain the medical record information.
Optionally, after storing the diagnosis result, the target doctor terminal writes the encrypted data and the second index data of the diagnosis result into the block chain; the second index data is used for inquiring the encrypted data of the diagnosis result; and the diagnosis completion message carries second index data and a second key for decrypting encrypted data of the diagnosis result.
Optionally, the medical record information includes image examination data of the patient; after storing medical record information of a patient, the patient terminal calls a first intelligent contract deployed in the block chain to detect the image inspection data to obtain an image detection result, and writes the medical record information, encrypted data of the image detection result and first index data into the block chain.
Optionally, the diagnosis result is in a text format; and the target doctor terminal calls a second intelligent contract deployed in the blockchain to convert doctor voice into the diagnosis result and store the diagnosis result.
Optionally, any patient terminal stores the identification information and payment route information of the patient before storing the medical record information of the patient; after the identification information and the payment route information are verified, writing encrypted data and third index data of the identification information and the payment route information into the block chain, and locally storing the third index data and a third key for decrypting the encrypted data; after storing the medical record information of the patient, the patient terminal queries the encrypted data from the block chain according to the locally stored third index data, decrypts the encrypted data by using the locally stored third key to obtain the identification information, and verifies the identification information and the medical record information.
Optionally, the target doctor terminal stores identification information, payment route information and authentication information of a doctor before receiving the visit message, and writes encrypted data and fourth index data of the identification information, the payment route information and the authentication information into the block chain after checking the identification information, the payment route information and the authentication information; the authentication information of the doctor comprises the practice hospital information of the doctor; and the target doctor terminal verifies the medical practice hospital information of the doctor according to the verified hospital information written into the block chain in advance.
Optionally, after receiving a diagnosis completion message sent by a target doctor terminal, the patient terminal queries encrypted data of the diagnosis result from the block chain according to second index data in the diagnosis completion message, and decrypts the encrypted data by using a second key in the diagnosis completion message to obtain the diagnosis result; storing the acceptance information of the patient aiming at the diagnosis result, writing the encrypted data of the acceptance information and the fifth index data into the block chain, and sending a response message to the target doctor terminal; the fifth index data is used for inquiring the encrypted data of the acceptance information, and the response message carries the fifth index data and a fifth key for decrypting the encrypted data of the acceptance information; in response to the acceptance information indicating that the patient accepts the diagnosis result, the patient terminal performs payment based on the payment route information of the patient after storing the acceptance information, writes the payment result into the block chain, and sends a payment completion message to the target doctor terminal; after receiving the response message, the target doctor terminal inquires the encrypted data of the receiving condition information from the block chain according to fifth index data, and decrypts the encrypted data by using a fifth key to obtain the receiving condition information; obtaining the payment result from the blockchain after receiving the payment completion message.
Optionally, the patient terminal stores evaluation information of the patient on the doctor, adjusts the score and/or the level of the doctor according to the evaluation information and a third intelligent contract pre-deployed in the blockchain, and writes the adjusted score and/or level into the blockchain.
Optionally, the medical record information of the patient further comprises symptom information and/or historical visit information; the identification information includes at least one of: name, identification card number, mobile phone number, face feature; the payment route information includes: bank account information and/or electronic account information; the authentication information of the doctor further includes: medical certification information of the doctor; further included in the acceptance information is rejection reason information if the acceptance information indicates that the patient rejects acceptance of the diagnostic result.
To achieve the above object, according to still another aspect of the present invention, there is provided an electronic apparatus.
An electronic device of the present invention includes: one or more processors; a storage device, configured to store one or more programs, which when executed by the one or more processors, cause the one or more processors to implement the method for diagnosing based on a blockchain network provided by the present invention.
To achieve the above object, according to still another aspect of the present invention, there is provided a computer-readable storage medium.
A computer-readable storage medium of the present invention has stored thereon a computer program which, when executed by a processor, implements the blockchain network-based diagnostic method provided by the present invention.
According to the technical scheme of the invention, the embodiment of the invention has the following advantages or beneficial effects: the patient terminal and the doctor terminal form a decentralized block chain network, when a patient needs to see a doctor, the patient terminal writes medical record information of the patient into the block chain and sends a message to the target doctor terminal, the target doctor terminal obtains the medical record information from the block chain after receiving the message, makes a diagnosis result, writes the diagnosis result into the block chain and sends the message to the patient terminal, and the patient terminal can view the diagnosis result from the block chain after receiving the message. Therefore, patients and doctors can realize complete disease diagnosis and treatment processes based on the block chains stored by respective terminals, the decentralization characteristic can ensure high availability of the system, and meanwhile, the safety traceability of medical information such as patient medical records, diagnosis results and the like can be ensured based on the non-tampering property and the public traceability of data in the block chains (corresponding authority is required for realizing inquiry, for example, corresponding index data and keys are required). In addition, the intelligent contract capable of automatically detecting the image inspection data and the intelligent contract capable of converting doctor voice into text are deployed in the block chain, the former can reduce time and energy consumption of a doctor for viewing the image inspection data, and the latter can realize rapid generation of a diagnosis result.
Further effects of the above-mentioned non-conventional alternatives will be described below in connection with the embodiments.
Drawings
The drawings are included to provide a better understanding of the invention and are not to be construed as unduly limiting the invention. Wherein:
fig. 1 is a schematic diagram illustrating the main steps of a diagnosis method based on a blockchain network performed in a patient terminal according to an embodiment of the present invention;
FIG. 2 is a block-chain network according to an embodiment of the present invention;
FIG. 3 is a flow chart illustrating an embodiment of a patient terminal entering a dwell blockchain network;
FIG. 4 is a schematic flow chart of a physician terminal entering a resident blockchain network according to an embodiment of the present invention;
FIG. 5 is a flow chart illustrating a hospital terminal park blockchain network according to an embodiment of the present invention;
FIG. 6 is a schematic illustration of a patient visit flow in an embodiment of the present invention;
FIG. 7 is a schematic flow chart illustrating a physician's diagnosis in an embodiment of the present invention;
FIG. 8 is a schematic patient feedback flow chart in an embodiment of the present invention;
FIG. 9 is a schematic diagram illustrating the main steps of the diagnosis method based on the blockchain network performed at the doctor terminal according to the embodiment of the present invention;
fig. 10 is a schematic diagram of a main part of a block chain network-based diagnosis apparatus provided in a patient terminal according to an embodiment of the present invention;
fig. 11 is a main part schematic diagram of a diagnosis apparatus based on a blockchain network provided to a doctor terminal in an embodiment of the present invention;
fig. 12 is a schematic structural diagram of an electronic device for implementing the diagnosis method based on the blockchain network in the embodiment of the present invention.
Detailed Description
Exemplary embodiments of the present invention are described below with reference to the accompanying drawings, in which various details of embodiments of the invention are included to assist understanding, and which are to be considered as merely exemplary. Accordingly, those of ordinary skill in the art will recognize that various changes and modifications of the embodiments described herein can be made without departing from the scope and spirit of the invention. Also, descriptions of well-known functions and constructions are omitted in the following description for clarity and conciseness. It should be noted that the embodiments of the present invention and the technical features of the embodiments may be combined with each other without conflict.
In the embodiment of the invention, the doctor can diagnose the disease condition of the patient based on the block chain technology. The block chain is an integrated innovation application mode of computer technologies such as fused distributed storage, point-to-point data transmission, a consensus mechanism and an encryption algorithm. In general, a blockchain is an organization structure of information resources, and is logically a linked list formed by one or more blocks, where the blocks are used to store one or more information resources such as transaction records and intelligent contracts, and each node in a blockchain-based distributed network (hereinafter referred to as a blockchain network) holds the same blockchain, and the blockchain network is composed of the nodes holding blockchains.
The block chain can be divided into a public chain, a private chain and a alliance chain according to the application range and different node admission objects. Wherein: public chains are open to all people on the internet, such as bitcoin, ether house. Private chains are typically used inside organizations and are not open to others. Federation chains are open to specific organizations and enterprises. Some of the terms appearing in the examples of the present invention are explained below:
consensus: block chain terminology. There is no single accounting center on the blockchain, and the ledgers are recorded jointly by the whole network, which raises a problem of how to determine whether a transaction is legal. The process of determining whether a transaction is legal and whether a block of packages recommended by a node is approved by everyone is called consensus, and only blocks passing the consensus are approved by the whole network.
Intelligent contract: a piece of program code on the blockchain specifies the rights and obligations of the contractual associate and the terms of the action. Contract associates confirm smart contracts by sending blockchain transactions, paying for digital currency that the contracts may require, invoking functions specified by the smart contracts, and the like.
Fig. 1 is a schematic diagram of main steps of a diagnosis method based on a blockchain network in an embodiment of the present invention, and as shown in fig. 1, the diagnosis method based on a blockchain network in an embodiment of the present invention may specifically perform the following steps:
step S101: and the patient terminal stores medical record information of the patient, writes the medical record information into the block chain maintained by each node of the block chain network, and sends a treatment message to the target doctor terminal.
In an embodiment of the invention, the blockchain network is a computer network consisting of a plurality of network nodes, including a patient terminal and a doctor terminal. In some embodiments, the network node may also comprise a hospital terminal. It is understood that the patient terminal is a terminal used by a patient, the doctor terminal is a terminal used by a doctor, and the hospital terminal is a terminal used by a hospital, and the terminals can be various computing devices such as a smart phone, a tablet computer, a laptop portable computer, a desktop computer, and the like. In specific applications, the terminal generally needs to execute the diagnosis method according to the embodiment of the present invention through a corresponding application program (e.g., an application program on a desktop computer, an APP on a smart phone) set in the terminal. Fig. 2 is a schematic structural diagram of a blockchain network according to an embodiment of the present invention, and as shown in fig. 2, a plurality of patient terminals and doctor terminals may be connected to each other based on any network connection type to form a blockchain network, and each patient terminal and each doctor terminal store the same blockchain therein. In practical applications, the above blockchain network may be a public-chain network.
As a preferred scheme, before executing step S101, the patient terminal, the doctor terminal and the hospital terminal may first enter the parking block chain network through the parking process. Fig. 3 is a schematic flow chart of the method for a patient terminal to enter a dwell blockchain network according to an embodiment of the present invention, and as shown in fig. 3, the patient terminal first stores identification information and payment route information provided by a patient. Illustratively, the identification information of the patient may include at least one of: the name, identification number, mobile phone number, and facial features extracted through a preset algorithm or model, and in some embodiments, the name, identification number, mobile phone number, and facial features may also include age, gender, and the like. The payment route information of the patient may include bank account information (e.g., a bank card number) of the patient or electronic account information such as a payment treasure, a WeChat, and the like. In step S301, the patient terminal invokes a corresponding interface of an authentication system (e.g., a national resident identity information system) to verify the identification information such as the name, the identification number, the face feature, and the like of the patient, and if the verification is passed, the subsequent steps are executed, otherwise, the process is ended. In step S302, the patient terminal invokes a payment verification system (e.g., a bank card center) to verify payment route information such as a bank card number of the patient, and if the payment verification system can determine a binding relationship between the payment route information such as the bank card number and the patient, a subsequent process is executed, otherwise, the process is ended.
In step S303, the patient terminal encrypts the identification information and the payment route information of the patient, where the encryption type may be symmetric encryption or asymmetric encryption, and the asymmetric encryption will be described as an example below. In this step, the patient terminal may randomly generate a paired public key and private key according to an intelligent contract pre-deployed in the blockchain, and encrypt the identification information and payment route information of the patient using the private key. In a specific application, the encryption generally needs to combine the identification information and the payment route information of the patient with the current timestamp for encryption. In step S304, the patient terminal calculates third index data for referring to the encrypted data based on the encrypted data of the patient identification information and the payment route information, for example, a hash value corresponding to the encrypted data as the third index data. In step S305, the patient terminal writes the encrypted data and the third index data into the blockchain. It should be noted that the process of writing the relevant data into the blockchain includes that the data reaches a consensus in the whole blockchain network and is synchronized to each node of the blockchain network, and any consensus mechanism such as PoW (Proof of workload), PoS (Proof of rights and interests), etc. may be adopted. In step S306, the patient terminal stores the third index and a third key for decrypting the encrypted data (i.e., the public key paired with the private key used by the encryption identification information and the payment route information) locally. It is understood that the patient terminal may subsequently obtain the encrypted data from the blockchain through the third index data, and obtain the identification information and payment route information of the patient from the encrypted data by using the third key.
Fig. 4 is a schematic flow chart of a doctor terminal entering a resident block chain network in an embodiment of the present invention, and as shown in fig. 4, the doctor terminal first stores identification information, payment route information, and authentication information provided by a doctor. Illustratively, the identification information of the doctor may include at least one of: the name, identification number, mobile phone number, and facial features extracted through a preset algorithm or model, and in some embodiments, the age, sex, and the like of the doctor may also be included. The payment route information of the doctor may include bank account information (e.g. a bank card number) of the doctor or electronic account information such as a payment treasure, a WeChat, etc., and the authentication information of the doctor may include medical practice hospital information (e.g. a hospital name) where the doctor is located and medical practice certificate information (which may include a certificate number, a medical practice range, etc.).
In step S401, the doctor terminal invokes a corresponding interface of an identity verification system (e.g., a national resident identity information system) to verify the identification information such as the name, the identification number, the face feature, and the like of the doctor, and if the verification is passed, the subsequent steps are executed, otherwise, the flow is ended. In step S402, the doctor terminal calls a corresponding interface of a qualification verification system (e.g., a national health commission official website) to verify the authentication information of the doctor. In practical applications, the doctor terminal may verify the licensed hospital information in the doctor authentication information according to the verified hospital information written in the blockchain in advance, and the content of writing the hospital information in the blockchain will be described below. In step S403, the doctor terminal invokes a payment verification system (e.g., a bank card center) to verify payment route information such as a bank card number of the doctor, and if the payment verification system can determine a binding relationship between the payment route information such as the bank card number and the doctor, a subsequent process is executed, otherwise, the process is ended.
In step S404, the doctor terminal encrypts the doctor' S identification information, payment route information and authentication information, and the encryption type may be symmetric encryption or asymmetric encryption. In a specific application, during encryption, identification information, payment route information and authentication information of a doctor are generally required to be combined with a current timestamp for encryption. In step S405, the doctor terminal calculates fourth index data for querying the encrypted data based on the encrypted data of the doctor identification information, the payment route information, and the authentication information, for example, taking a hash value corresponding to the encrypted data as the fourth index data. In step S406, the doctor terminal writes the encrypted data and the fourth index data into the block chain. In step S407, the doctor terminal stores the fourth index and a fourth key (for example, a public key paired with a private key used for the encrypted identification information, the payment route information, and the authentication information) for decrypting the encrypted data described above locally. It can be understood that the doctor terminal can subsequently obtain the encrypted data from the blockchain through the fourth index data, and obtain the identification information, payment route information and authentication information of the doctor from the encrypted data by using the fourth key.
Fig. 5 is a schematic flow chart of a hospital terminal entering a block chain network according to an embodiment of the present invention, and as shown in fig. 5, the hospital terminal first stores qualification information and payment route information provided by a doctor. Illustratively, the qualification information for the hospital may include at least one of: hospital name, business license information, hospital grade, legal representative, contact phone number, and payment route information of the hospital may include bank account information (such as bank card number) of the hospital or electronic account information such as payment treasure, WeChat, and the like.
In step S501, the hospital terminal calls a corresponding interface of a qualification verification system (e.g., a national health commission official website) to check qualification information of the hospital. In step S502, the hospital terminal invokes a payment verification system (e.g., a bank card center) to verify payment route information such as a bank card number of the hospital, and if the payment verification system can determine a binding relationship between the payment route information such as the bank card number and the hospital, a subsequent process is executed, otherwise, the process is ended. In step S503, the hospital terminal encrypts the qualification information and the payment route information of the hospital, and the encryption type may be symmetric encryption or asymmetric encryption. In a specific application, the hospital qualification information and the payment route information are generally required to be encrypted together with the current time stamp during encryption. In step S504, the hospital terminal calculates sixth index data for querying the encrypted data based on the encrypted data of the hospital qualification information and the payment route information, for example, taking a hash value corresponding to the encrypted data as the sixth index data. In step S505, the hospital terminal writes the encrypted data and the sixth index data into the block chain. In step S506, the hospital terminal stores the sixth index and a sixth key (for example, a public key paired with a private key used for encrypting the certification information and the payment route information) for decrypting the encrypted data described above locally. It is to be understood that the hospital terminal may subsequently obtain the above encrypted data from the blockchain through the sixth index data, and obtain the qualification information and payment route information of the hospital from the encrypted data by using the sixth key. The hospital that has performed steps S501 to S505 is a verified hospital, and the verified hospital information written in the blockchain may be used to verify the medical hospital information in the authentication information provided by the doctor.
In step S101, the patient terminal stores medical record information provided by the patient, writes the medical record information into the block chain, and sends a visit message to the target doctor terminal. The medical record information may include one or more of the following: patient symptom information, historical visit data (e.g., diagnostic procedures and results at a physical hospital, which may also be directly obtained from a corresponding interface provided at the hospital), imaging examination data (e.g., color Doppler, CT image data, various laboratory sheets such as blood routine, biochemical data, etc., CT representing computed tomography). The target doctor terminal can be a terminal used by a doctor appointed by the patient, or can be a terminal used by a doctor automatically recommended to the patient based on medical record information according to an intelligent contract pre-deployed in the block chain.
As a preferred scheme, after storing medical record information provided by a patient, the patient terminal may query encrypted data of patient identification information and payment route information from the blockchain by using third index data stored in advance locally, and decrypt the encrypted data by using a third key stored in advance locally to obtain the patient identification information and payment route information, and thereafter, the patient terminal may compare whether the patient identification information is consistent with corresponding data of the medical record information to verify the medical record information, for example, compare whether the identification information is consistent with data of name, gender, age, and the like in the medical record information. And when the verification is passed, the subsequent flow can be executed, otherwise, the flow is ended.
In practical application, after the patient terminal stores the medical record information, the encrypted data of the medical record information and the first index data for querying the encrypted data can be written into the block chain. Wherein the first index data may be a hash value of the encrypted data. In this case, the visit message sent by the patient terminal to the target doctor terminal may carry the first index data and a first key (e.g., a public key paired with a private key used to encrypt medical record information) for decrypting the encrypted data. It can be understood that the target doctor terminal can subsequently obtain the medical record information of the patient according to the first index data and the first key.
Preferably, if the medical record information of the patient includes the image examination data of the patient, the patient terminal may invoke a first intelligent contract pre-deployed in the blockchain to detect the image examination data after storing the medical record information to obtain an image detection result. The first intelligent contract comprises corresponding algorithms of image processing and target identification, can detect targets such as nodules and the like and provide related information such as target size and position, and through the arrangement, reference opinions can be provided for diagnosis of a doctor, time and energy consumed by the doctor for viewing image examination data are reduced, and diagnosis and treatment efficiency is improved. Thereafter, the patient terminal may package and encrypt the medical record information and the image detection result (in practical applications, the current timestamp may also be combined), and write the encrypted data and the first index data for querying the encrypted data into the blockchain. In some embodiments, the data encrypted and written into the blockchain may include patient identification information and payment route information in addition to the medical record information, the image detection result, and the current timestamp, the patient identification information may be used for further identity verification performed by the doctor terminal, and the payment route information may be used to support a subsequent payment process. In one embodiment, after the patient terminal performs the visit process, the payment of the service fee can be performed according to the payment rule specified by the corresponding intelligent contract, after the payment is completed, the payment result can be written into the block chain, and the related service fee can be transferred according to the payment route information of the corresponding doctor.
Fig. 6 is a schematic diagram of a patient treatment process in an embodiment of the present invention, and as shown in fig. 6, in step S601, the patient terminal obtains encrypted data of patient identification information and payment route information from the blockchain according to the third index data, and performs decryption by using the third key to obtain the identification information and the payment route information of the patient. In step S602, the patient terminal compares the patient identification information with the relevant data in the medical record information to verify the medical record information. In step S603, the patient terminal invokes the first intelligent contract to detect the image inspection data in the medical record information, so as to obtain an image detection result. In step S604, the patient terminal encrypts the medical record information and the image detection result. In step S605, the patient terminal takes the hash value of the encrypted data as first index data. In step S606, the patient terminal writes the encrypted data and the first index data into the blockchain. In step S607, the patient terminal sends the visit message carrying the first index data and the first key to the target doctor terminal.
Step S102: and the patient terminal receives the diagnosis completion message sent by the target doctor terminal. The diagnosis completion message is sent after the target doctor terminal writes the diagnosis result made by the doctor based on the medical record information of the patient into the blockchain, and the medical record information is acquired from the blockchain by the target doctor terminal after receiving the treatment message.
In this step, after receiving the visit message, the target doctor terminal may query encrypted data of the medical record information from the blockchain according to the first index data in the visit message (in some embodiments, the encrypted data may also be encrypted data of the medical record information and the image detection result, and may also be encrypted data of the medical record information, the image detection result, the patient identity information, and the payment route information), and decrypt the encrypted data with the first key in the visit message to obtain the medical record information, or the medical record information and the image detection result, or the medical record information, the image detection result, the patient identity information, and the payment route information. After the target doctor terminal acquires the patient identity information, the patient identity information and related data such as name, age, sex and the like in the medical record information can be further verified to ensure that the diagnosis information is correct.
Thereafter, the target doctor terminal can store the diagnosis result made by the doctor based on the medical record information or the medical record information and the aforementioned image detection result. Particularly, the doctor can only send out voice without writing a diagnosis result during diagnosis, and the target doctor terminal can call a second intelligent contract which is deployed in the blockchain in advance to convert the doctor voice into the diagnosis result in a text format and store the diagnosis result. It will be appreciated that the second intelligent contract includes a corresponding algorithm for converting speech to text. Through above setting, can further improve and diagnose efficiency.
In the embodiment of the invention, after the target doctor terminal stores the diagnosis result, the encrypted data of the diagnosis result and the second index data for inquiring the encrypted data can be written into the block chain. In this case, the diagnosis completion message sent by the target doctor terminal to the patient terminal may carry the second index data and a second key (e.g., a public key paired with a private key used to encrypt the diagnosis result) for decrypting the encrypted data. After receiving the diagnosis completion message, the patient terminal can obtain a diagnosis result according to the second index data and the second key, thereby completing the diagnosis process.
In an alternative scheme, after receiving the diagnosis completion message, the patient terminal may query the encrypted data of the diagnosis result from the blockchain according to the second index data in the diagnosis completion message, and decrypt the encrypted data with the second key in the diagnosis completion message to obtain the diagnosis result. Thereafter, when the patient makes a decision on acceptance, the patient terminal may store acceptance information. Generally, the acceptance information may indicate whether the patient accepts the diagnosis result, and if the patient refuses to accept the diagnosis result, the acceptance information may further include refusal reason information. Thereafter, the patient terminal may write the encrypted data of the acceptance information and fifth index data (which may be a hash value of the encrypted data) for querying the encrypted data into the blockchain, and send a response message to the target doctor terminal, where the fifth index data and a fifth key (for example, a public key paired with a private key used for encrypting the acceptance information) for decrypting the encrypted data of the acceptance information may be carried in the response message.
As an alternative, when the acceptance information indicates that the patient accepts the diagnosis result, the patient terminal may pay according to a corresponding intelligent contract pre-deployed in the block chain, that is, interact with a corresponding institution (e.g., a bank) by using the payment route information and perform procedures such as identity authentication, thereby implementing money transfer. For example, the patient terminal may first freeze the deposit in the patient's bank card, and then deduct the money according to the rules defined by the smart contract (the identity of the payee may also be authenticated during deduction), where the deducted money may include service fees, drug fees, and subsequent check fees. After the payment is completed, the patient terminal may encrypt the payment result into the blockchain and send a payment completion message to the target doctor terminal. After the patient performs the payment process based on his terminal, subsequent drug collection, further examination, etc. may be performed. It should be noted that the above payment process may be executed in parallel with the process of writing the acceptance information into the block chain, or may be executed according to any sequence, which is not limited in the present invention.
After receiving the response message, the target doctor terminal inquires the encrypted data of the acceptance information from the blockchain according to the fifth index data carried in the response message, and decrypts the encrypted data by using the fifth key in the response message to obtain the acceptance information of the patient. If the acceptance information indicates that the patient accepts the diagnosis result, the target doctor terminal may receive a payment completion message transmitted from the patient terminal, and after receiving the message, the target doctor terminal may charge a corresponding money (e.g., a service fee) based on a corresponding intelligent contract. It will be appreciated that the cost of the medication, the cost of follow-up examinations, etc. may be collected by the hospital terminal through interaction of the patient terminal with the hospital terminal. In a specific application, when a doctor diagnoses a plurality of patients, the doctor terminal can preferentially process medical record information of historical patients, and can also process medical record information of each patient according to a time sequence. During the diagnosis process, the doctor can select whether to start the video visit with the patient.
Fig. 7 is a schematic view of a doctor diagnosis process in the embodiment of the present invention, and as shown in fig. 7, in step S701, the target doctor terminal acquires medical record information of the patient or medical record information and an image detection result from the block chain. In step S702, the target doctor terminal stores a diagnosis result obtained by the doctor based on the medical record information or the medical record information and the image detection result. In particular, the diagnosis result may be a text generated by the doctor's voice by the target doctor's terminal invoking the second smart contract. In step S703, the target doctor terminal encrypts the diagnosis result. In step S704, the target doctor terminal takes the hash value of the encrypted data as second index data. In step S705, the target doctor terminal writes the encrypted data and the second index data into the block chain. In step S706, the target doctor terminal transmits a diagnosis completion message to the corresponding patient terminal. In step S707, the patient terminal stores the reception information provided by the patient. In step S708, the patient terminal encrypts the reception information. In step S709, the patient terminal takes the hash value of the encrypted data as fifth index data. In step S710, the patient terminal writes the encrypted data and the fifth index data into the blockchain. In step S711, the patient terminal transmits a response message to the target doctor terminal. In step S712, if the acceptance information indicates that the patient accepts the diagnosis result, the patient terminal automatically performs payment according to the corresponding smart contract. In step S713, the patient terminal writes the payment result to the blockchain. In step S714, the patient terminal transmits a payment completion message to the target doctor terminal. In step S715, the target doctor terminal acquires the acceptance information from the blockchain. In step S716, the target doctor terminal obtains the payment result from the blockchain and performs a collection action.
In practice, after the patient is treated for a period of time based on the diagnosis made by the doctor, the patient may give feedback to the doctor. Specifically, the patient terminal may store evaluation information of the patient on the doctor, adjust the score and/or the level of the doctor according to the evaluation information and a third intelligent contract pre-deployed in the blockchain, and finally write the adjusted score and/or level into the blockchain. It will be appreciated that the above data may be written to the blockchain after encryption. Through the above arrangement, dynamic consideration of the doctor's diagnosis level can be realized based on patient evaluation. In an actual scene, the patient terminal can also propose a double-check or change other doctors for the same doctor according to the corresponding intelligent contract and the evaluation information. In order to avoid the malicious evaluation of individual patients, corresponding rules can be set in the intelligent contract, for example, patients with poor evaluation frequency or proportion larger than a threshold value are added into a blacklist. Fig. 8 is a schematic diagram of a patient feedback process in an embodiment of the present invention, and as shown in fig. 8, in step S801, a patient terminal stores evaluation information provided by a patient. In step S802, the patient terminal invokes a third intelligent contract to adjust the doctor' S score or level. In step S803, the patient terminal writes the adjusted doctor score or rank into the block chain.
Fig. 9 is a schematic diagram of main steps of a diagnosis method based on a blockchain network executed in a doctor terminal in an embodiment of the present invention, and as shown in fig. 9, the diagnosis method may perform the following specific steps: step S901, a doctor terminal receives a treatment message sent by a patient terminal; step S902, a doctor terminal acquires medical record information of a patient from a blockchain maintained by each node of the blockchain network, stores a diagnosis result made by the doctor based on the medical record information, writes the diagnosis result into the blockchain, and sends a diagnosis completion message to the patient terminal; the medical record information is sent by the patient terminal after the medical record information is stored and written into the block chain. Since the specific procedures of the related medical visits, diagnoses, payments, evaluations, etc. have been described above, they will not be repeated here.
In the technical scheme of the embodiment of the invention, a decentralized block chain network is formed by a patient terminal and a doctor terminal, when a patient needs to see a doctor, the patient terminal writes medical record information of the patient into a block chain and sends a message to a target doctor terminal, the target doctor terminal obtains the medical record information from the block chain after receiving the message, makes a diagnosis result, writes the diagnosis result into the block chain and sends the message to the patient terminal, and the patient terminal can check the diagnosis result from the block chain after receiving the message. Therefore, patients and doctors can realize complete disease diagnosis and treatment processes based on the block chains stored by respective terminals, the decentralization characteristic can ensure the high availability of the system, and meanwhile, the safety traceability of medical information such as patient medical records, diagnosis results and the like can be ensured based on the non-tampering property and the open traceability of data in the block chains. In addition, the intelligent contract capable of automatically detecting the image inspection data and the intelligent contract capable of converting doctor voice into text are deployed in the block chain, the former can reduce time and energy consumption of a doctor for viewing the image inspection data, and the latter can realize rapid generation of a diagnosis result.
It should be noted that, for the convenience of description, the foregoing method embodiments are described as a series of acts, but those skilled in the art will appreciate that the present invention is not limited by the order of acts described, and that some steps may in fact be performed in other orders or concurrently. Moreover, those skilled in the art will appreciate that the embodiments described in the specification are presently preferred and that no acts or modules are necessarily required to implement the invention.
To facilitate a better implementation of the above-described aspects of embodiments of the present invention, the following also provides related systems for implementing the above-described aspects.
Referring to fig. 2, a blockchain network system for diagnosis according to an embodiment of the present invention may include a patient terminal and a doctor terminal as network nodes; the patient terminal stores medical record information of a patient, writes the medical record information into a block chain maintained by each node of the block chain network, and sends a treatment message to a target doctor terminal; and after receiving the treatment information sent by the patient terminal, the target doctor terminal acquires the medical record information from the block chain, stores a diagnosis result made by a doctor based on the medical record information, writes the diagnosis result into the block chain, and sends a diagnosis completion message to the patient terminal.
In the embodiment of the invention, after the medical record information of a patient is stored, the encrypted data and the first index data of the medical record information are written into the block chain by the patient terminal; wherein the first index data is used for inquiring the encrypted data; the visit message carries first index data and a first key for decrypting the encrypted data; after receiving the visit message, the target doctor terminal inquires the encrypted data from the block chain according to the first index data in the visit message, and decrypts the encrypted data by using the first key in the visit message to obtain the medical record information.
In specific application, after the diagnosis result is stored, the target doctor terminal writes the encrypted data and the second index data of the diagnosis result into the block chain; the second index data is used for inquiring the encrypted data of the diagnosis result; and the diagnosis completion message carries second index data and a second key for decrypting encrypted data of the diagnosis result.
In practical application, the medical record information comprises image examination data of a patient; after storing medical record information of a patient, the patient terminal calls a first intelligent contract deployed in the block chain to detect the image inspection data to obtain an image detection result, and writes the medical record information, encrypted data of the image detection result and first index data into the block chain.
As a preferred scheme, the diagnosis result is in a text format; and the target doctor terminal calls a second intelligent contract deployed in the blockchain to convert doctor voice into the diagnosis result and store the diagnosis result.
Preferably, any patient terminal stores the identification information and payment path information of the patient before storing the medical record information of the patient; after the identification information and the payment route information are verified, writing encrypted data and third index data of the identification information and the payment route information into the block chain, and locally storing the third index data and a third key for decrypting the encrypted data; after storing the medical record information of the patient, the patient terminal queries the encrypted data from the block chain according to the locally stored third index data, decrypts the encrypted data by using the locally stored third key to obtain the identification information, and verifies the identification information and the medical record information.
In an optional scheme, before receiving the visit message, the target doctor terminal stores identification information, payment route information and authentication information of a doctor, and writes encrypted data and fourth index data of the identification information, the payment route information and the authentication information into the block chain after verifying the identification information, the payment route information and the authentication information; the authentication information of the doctor comprises the practice hospital information of the doctor; and the target doctor terminal verifies the medical practice hospital information of the doctor according to the verified hospital information written into the block chain in advance.
In some embodiments, after receiving a diagnosis completion message sent by a target doctor terminal, a patient terminal queries encrypted data of the diagnosis result from the block chain according to second index data in the diagnosis completion message, and decrypts the encrypted data by using a second key in the diagnosis completion message to obtain the diagnosis result; storing the acceptance information of the patient aiming at the diagnosis result, writing the encrypted data of the acceptance information and the fifth index data into the block chain, and sending a response message to the target doctor terminal; the fifth index data is used for inquiring the encrypted data of the acceptance information, and the response message carries the fifth index data and a fifth key for decrypting the encrypted data of the acceptance information; in response to the acceptance information indicating that the patient accepts the diagnosis result, the patient terminal performs payment based on the payment route information of the patient after storing the acceptance information, writes the payment result into the block chain, and sends a payment completion message to the target doctor terminal; after receiving the response message, the target doctor terminal inquires the encrypted data of the receiving condition information from the block chain according to fifth index data, and decrypts the encrypted data by using a fifth key to obtain the receiving condition information; obtaining the payment result from the blockchain after receiving the payment completion message.
In an actual scene, the patient terminal stores evaluation information of a patient on a doctor, adjusts the score and/or the level of the doctor according to the evaluation information and a third intelligent contract which is pre-deployed in the block chain, and writes the adjusted score and/or level into the block chain.
In addition, in the embodiment of the present invention, the medical record information of the patient further includes symptom information and/or historical visit information; the identification information includes at least one of: name, identification card number, mobile phone number, face feature; the payment route information includes: bank account information and/or electronic account information; the authentication information of the doctor further includes: medical certification information of the doctor; further included in the acceptance information is rejection reason information if the acceptance information indicates that the patient rejects acceptance of the diagnostic result.
In the technical scheme of the embodiment of the invention, a decentralized block chain network is formed by a patient terminal and a doctor terminal, when a patient needs to see a doctor, the patient terminal writes medical record information of the patient into a block chain and sends a message to a target doctor terminal, the target doctor terminal obtains the medical record information from the block chain after receiving the message, makes a diagnosis result, writes the diagnosis result into the block chain and sends the message to the patient terminal, and the patient terminal can check the diagnosis result from the block chain after receiving the message. Therefore, patients and doctors can realize complete disease diagnosis and treatment processes based on the block chains stored by respective terminals, the decentralization characteristic can ensure the high availability of the system, and meanwhile, the safety traceability of medical information such as patient medical records, diagnosis results and the like can be ensured based on the non-tampering property and the open traceability of data in the block chains. In addition, the intelligent contract capable of automatically detecting the image inspection data and the intelligent contract capable of converting doctor voice into text are deployed in the block chain, the former can reduce time and energy consumption of a doctor for viewing the image inspection data, and the latter can realize rapid generation of a diagnosis result.
Fig. 10 is a schematic diagram of a main part of a diagnosis apparatus based on a blockchain network, which is installed in a patient terminal according to an embodiment of the present invention, and as shown in fig. 10, the apparatus 1000 may include a diagnosis unit 1001 and a first receiving unit 1002.
The medical treatment unit 1001 may be configured to store medical record information of a patient, write the medical record information into a blockchain maintained by each node of the blockchain network, and send a medical treatment message to a target doctor terminal; the first receiving unit 1002 may be configured to receive a diagnosis completion message sent by a target doctor terminal; the diagnosis completion message is sent after the target doctor terminal writes the diagnosis result made by the doctor based on the medical record information into the blockchain, and the medical record information is acquired from the blockchain by the target doctor terminal after receiving the visit message.
In an embodiment of the present invention, the clinic unit 1001 is further configured to: writing the encrypted data and the first index data of the medical record information into the block chain; wherein the first index data is used for inquiring the encrypted data; the visit message carries first index data and a first key for decrypting the encrypted data; the medical record information is acquired from the block chain by the target doctor terminal after receiving the visit message, and comprises the following steps: and the target doctor terminal inquires the encrypted data from the block chain according to the first index data in the treatment message, and decrypts the encrypted data by using the first key in the treatment message to obtain the medical record information.
Preferably, the medical record information comprises image examination data of the patient; the device 1000 further comprises a first processing unit for: after medical record information of a patient is stored, calling a first intelligent contract deployed in the block chain to detect the image inspection data so as to obtain an image detection result; and the encrypted data of the medical record information comprises: the medical record information and the encrypted data of the image detection result.
As a preferred aspect, the device 1000 may further comprise a patient information storage and verification unit for: storing identification information and payment route information of a patient before storing medical record information of the patient; after the identification information and the payment route information are verified, writing encrypted data of the identification information and the payment route information and third index data into the block chain, and locally storing the third index data and a third key for decrypting the encrypted data; after the medical record information of the patient is stored, the encrypted data is inquired from the block chain according to the locally stored third index data, the encrypted data is decrypted by using the locally stored third key to obtain the identification information, and the identification information and the medical record information are verified.
In a specific application, the diagnosis completion message is sent after the target doctor terminal writes a diagnosis result made by a doctor based on the medical record information into the block chain, and includes: the target doctor terminal writes the encrypted data and the second index data of the diagnosis result into the block chain; the second index data is used for inquiring the encrypted data of the diagnosis result, and the diagnosis completion message carries the second index data and a second key used for decrypting the encrypted data of the diagnosis result; and, the device 1000 may further comprise a feedback and payment unit for: after receiving a diagnosis completion message sent by a target doctor terminal, inquiring encrypted data of the diagnosis result from the block chain according to second index data in the diagnosis completion message, and decrypting the encrypted data by using a second key in the diagnosis completion message to obtain the diagnosis result; storing the acceptance information of the patient aiming at the diagnosis result, writing the encrypted data of the acceptance information and the fifth index data into the block chain, and sending a response message to the target doctor terminal; the fifth index data is used for inquiring the encrypted data of the acceptance information, and the response message carries the fifth index data and a fifth key for decrypting the encrypted data of the acceptance information; and responding to the acceptance condition information to indicate that the patient accepts the diagnosis result, paying based on the payment route information of the patient, writing the payment result into the block chain, and sending a payment completion message to the target doctor terminal.
In practical applications, the apparatus 1000 may further comprise an evaluation unit for: and storing evaluation information of the patient on the doctor, adjusting the score and/or the level of the doctor according to the evaluation information and a third intelligent contract which is pre-deployed in the blockchain, and writing the adjusted score and/or level into the blockchain.
In addition, in the embodiment of the present invention, the medical record information of the patient further includes symptom information and/or historical visit information; the identification information includes at least one of: name, identification card number, mobile phone number, face feature; the payment route information includes: bank account information and/or electronic account information; further included in the acceptance information is rejection reason information if the acceptance information indicates that the patient rejects acceptance of the diagnostic result.
Fig. 11 is a schematic diagram of a main part of a diagnosis apparatus based on a blockchain network, which is provided at a doctor terminal in an embodiment of the present invention, and as shown in fig. 11, the apparatus 1100 may include a second receiving unit 1101 and a diagnosis unit 1102.
The second receiving unit 1101 may be configured to receive a diagnosis message sent by a patient terminal, and the diagnosis unit 1102 may be configured to acquire medical record information of a patient from a blockchain maintained by each node of the blockchain network, store a diagnosis result made by a doctor based on the medical record information, write the diagnosis result into the blockchain, and send a diagnosis completion message to the patient terminal; the medical record information is sent by the patient terminal after the medical record information is stored and written into the block chain.
In this embodiment of the present invention, the medical information is sent by the patient terminal after the patient terminal stores the medical information and writes the medical information into the block chain, and the method includes: the patient terminal writes the encrypted data and the first index data of the medical record information into the block chain; the first index data is used for inquiring the encrypted data, and the visit message carries the first index data and a first key for decrypting the encrypted data; and, the diagnostic unit 1102 may be further operable to: and inquiring the encrypted data from the block chain according to the first index data in the visit message, and decrypting the encrypted data by using the first key in the visit message to obtain the medical record information.
In particular applications, the diagnostic unit 1102 may be further configured to: writing the encrypted data and the second index data of the diagnosis result into the block chain; the second index data is used for inquiring the encrypted data of the diagnosis result; and the diagnosis completion message carries second index data and a second key for decrypting encrypted data of the diagnosis result.
In practical application, the diagnosis result is in a text format; and, the diagnostic unit 1102 may be further operable to: and calling a second intelligent contract deployed in the blockchain to convert the doctor voice into the diagnosis result and store the diagnosis result.
As a preferred aspect, the device 1100 may further comprise a doctor information storage and verification unit for: before receiving the visit message, storing identification information, payment path information and authentication information of a doctor, and after verifying the identification information, the payment path information and the authentication information, writing encrypted data and fourth index data of the identification information, the payment path information and the authentication information into the block chain; the authentication information of the doctor comprises medical practice hospital information of the doctor, and the medical practice hospital information is verified based on verified hospital information written into the block chain in advance.
Preferably, the apparatus 1100 may further comprise a feedback receiving unit for: receiving a response message sent by the patient terminal; inquiring encrypted data of the acceptance information of the patient for the diagnosis result from the block chain according to fifth index data in the response message, and decrypting the encrypted data by using a fifth key in the response message to obtain the acceptance information; and the response message is sent by the patient terminal after the acceptance information is stored, and the encrypted data of the acceptance information and the fifth index data for inquiring the encrypted data are written into the block chain.
In some embodiments, the device 1100 may further comprise a payment result receiving unit for: receiving a payment completion message sent by a patient terminal; obtaining a payment result of the patient terminal for payment from the blockchain; and the payment completion message is sent after the patient terminal pays when judging that the acceptance condition information indicates that the patient accepts the diagnosis result and writes the payment result into the block chain.
In addition, in the embodiment of the present invention, the medical record information of the patient further includes image examination data, symptom information and/or historical visit data; the identification information includes at least one of: name, identification card number, mobile phone number, face feature; the payment route information includes: bank account information and/or electronic account information; the authentication information of the doctor further includes: medical certification information of the doctor; further included in the acceptance information is rejection reason information if the acceptance information indicates that the patient rejects acceptance of the diagnostic result.
The invention also provides the electronic equipment. The electronic device of the embodiment of the invention comprises: one or more processors; a storage device, configured to store one or more programs, which when executed by the one or more processors, cause the one or more processors to implement the method for diagnosing based on a blockchain network provided by the present invention.
Referring now to FIG. 12, shown is a block diagram of a computer system 1200 suitable for use with the electronic device implementing an embodiment of the present invention. The electronic device shown in fig. 12 is only an example, and should not bring any limitation to the functions and the scope of use of the embodiment of the present invention.
As shown in fig. 12, the computer system 1200 includes a Central Processing Unit (CPU)1201, which can perform various appropriate actions and processes in accordance with a program stored in a Read Only Memory (ROM)1202 or a program loaded from a storage section 1208 into a Random Access Memory (RAM) 1203. In the RAM1203, various programs and data necessary for the operation of the computer system 1200 are also stored. The CPU1201, ROM 1202, and RAM1203 are connected to each other by a bus 1204. An input/output (I/O) interface 1205 is also connected to bus 1204.
The following components are connected to the I/O interface 1205: an input section 1206 including a keyboard, a mouse, and the like; an output portion 1207 including a display device such as a Cathode Ray Tube (CRT), a Liquid Crystal Display (LCD), and the like, and a speaker; a storage section 1208 including a hard disk and the like; and a communication section 1209 including a network interface card such as a LAN card, a modem, or the like. The communication section 1209 performs communication processing via a network such as the internet. A driver 1210 is also connected to the I/O interface 1205 as needed. A removable medium 1211, such as a magnetic disk, an optical disk, a magneto-optical disk, a semiconductor memory, or the like, is mounted on the drive 1210 as necessary, so that a computer program read out therefrom is mounted into the storage section 1208 as necessary.
In particular, the processes described in the main step diagrams above may be implemented as computer software programs, according to embodiments of the present disclosure. For example, embodiments of the invention include a computer program product comprising a computer program embodied on a computer readable medium, the computer program comprising program code for performing the method illustrated in the main step diagram. In the above-described embodiment, the computer program can be downloaded and installed from a network through the communication section 1209, and/or installed from the removable medium 1211. The computer program, when executed by the central processing unit 1201, performs the above-described functions defined in the system of the present invention.
It should be noted that the computer readable medium shown in the present invention can be a computer readable signal medium or a computer readable storage medium or any combination of the two. A computer readable storage medium may be, for example, but not limited to, an electronic, magnetic, optical, electromagnetic, infrared, or semiconductor system, apparatus, or device, or any combination of the foregoing. More specific examples of the computer readable storage medium may include, but are not limited to: an electrical connection having one or more wires, a portable computer diskette, a hard disk, a Random Access Memory (RAM), a read-only memory (ROM), an erasable programmable read-only memory (EPROM or flash memory), an optical fiber, a portable compact disc read-only memory (CD-ROM), an optical storage device, a magnetic storage device, or any suitable combination of the foregoing. In the present invention, a computer readable storage medium may be any tangible medium that can contain, or store a program for use by or in connection with an instruction execution system, apparatus, or device. In the present invention, a computer readable signal medium may include a propagated data signal with computer readable program code embodied therein, for example, in baseband or as part of a carrier wave. Such a propagated data signal may take many forms, including, but not limited to, electro-magnetic, optical, or any suitable combination thereof. A computer readable signal medium may also be any computer readable medium that is not a computer readable storage medium and that can communicate, propagate, or transport a program for use by or in connection with an instruction execution system, apparatus, or device. Program code embodied on a computer readable medium may be transmitted using any appropriate medium, including but not limited to: wireless, wire, fiber optic cable, RF, etc., or any suitable combination of the foregoing.
The flowchart and block diagrams in the figures illustrate the architecture, functionality, and operation of possible implementations of systems, methods and computer program products according to various embodiments of the present invention. In this regard, each block in the flowchart or block diagrams may represent a module, segment, or portion of code, which comprises one or more executable instructions for implementing the specified logical function(s). It should also be noted that, in some alternative implementations, the functions noted in the block may occur out of the order noted in the figures. For example, two blocks shown in succession may, in fact, be executed substantially concurrently, or the blocks may sometimes be executed in the reverse order, depending upon the functionality involved. It will also be noted that each block of the block diagrams or flowchart illustration, and combinations of blocks in the block diagrams or flowchart illustration, can be implemented by special purpose hardware-based systems which perform the specified functions or acts, or combinations of special purpose hardware and computer instructions.
The units described in the embodiments of the present invention may be implemented by software or hardware. The described units may also be provided in a processor, and may be described as: a processor includes a treatment unit and a first receiving unit. Where the names of the units do not in some cases constitute a limitation of the unit itself, for example, a clinic unit may also be described as a "unit assisting the first receiving unit to receive a diagnosis complete message".
As another aspect, the present invention also provides a computer-readable medium that may be contained in the apparatus described in the above embodiments; or may be separate and not incorporated into the device. The computer readable medium carries one or more programs which, when executed by the apparatus, cause the apparatus to perform steps comprising: storing medical record information of a patient, writing the medical record information into a block chain maintained by each node of the block chain network, and sending a treatment message to a target doctor terminal; receiving a diagnosis completion message sent by a target doctor terminal; the diagnosis completion message is sent after the target doctor terminal writes the diagnosis result made by the doctor based on the medical record information into the blockchain, and the medical record information is acquired from the blockchain by the target doctor terminal after receiving the visit message.
In the technical scheme of the embodiment of the invention, a decentralized block chain network is formed by a patient terminal and a doctor terminal, when a patient needs to see a doctor, the patient terminal writes medical record information of the patient into a block chain and sends a message to a target doctor terminal, the target doctor terminal obtains the medical record information from the block chain after receiving the message, makes a diagnosis result, writes the diagnosis result into the block chain and sends the message to the patient terminal, and the patient terminal can check the diagnosis result from the block chain after receiving the message. Therefore, patients and doctors can realize complete disease diagnosis and treatment processes based on the block chains stored by respective terminals, the decentralization characteristic can ensure the high availability of the system, and meanwhile, the safety traceability of medical information such as patient medical records, diagnosis results and the like can be ensured based on the non-tampering property and the open traceability of data in the block chains. In addition, the intelligent contract capable of automatically detecting the image inspection data and the intelligent contract capable of converting doctor voice into text are deployed in the block chain, the former can reduce time and energy consumption of a doctor for viewing the image inspection data, and the latter can realize rapid generation of a diagnosis result.
The above-described embodiments should not be construed as limiting the scope of the invention. Those skilled in the art will appreciate that various modifications, combinations, sub-combinations, and substitutions can occur, depending on design requirements and other factors. Any modification, equivalent replacement, and improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (29)

1. A diagnosis method based on a blockchain network, the blockchain network comprising a patient terminal and a doctor terminal as network nodes; the method is applied to a patient terminal and comprises the following steps:
storing medical record information of a patient, writing the medical record information into a block chain maintained by each node of the block chain network, and sending a treatment message to a target doctor terminal;
receiving a diagnosis completion message sent by a target doctor terminal; the diagnosis completion message is sent after the target doctor terminal writes the diagnosis result made by the doctor based on the medical record information into the blockchain, and the medical record information is acquired from the blockchain by the target doctor terminal after receiving the visit message.
2. The method of claim 1,
the writing of the medical record information into the block chain maintained by each node of the block chain network comprises: writing the encrypted data and the first index data of the medical record information into the block chain; wherein the first index data is used for inquiring the encrypted data; the visit message carries first index data and a first key for decrypting the encrypted data;
the medical record information is acquired from the block chain by the target doctor terminal after receiving the visit message, and comprises the following steps: and the target doctor terminal inquires the encrypted data from the block chain according to the first index data in the treatment message, and decrypts the encrypted data by using the first key in the treatment message to obtain the medical record information.
3. The method of claim 2, wherein the medical record information includes image examination data of the patient; the method further comprises:
after medical record information of a patient is stored, calling a first intelligent contract deployed in the block chain to detect the image inspection data so as to obtain an image detection result; and
the encrypted data of the medical record information comprises: the medical record information and the encrypted data of the image detection result.
4. The method of claim 2, further comprising:
storing identification information and payment route information of a patient before storing medical record information of the patient; after the identification information and the payment route information are verified, writing encrypted data of the identification information and the payment route information and third index data into the block chain, and locally storing the third index data and a third key for decrypting the encrypted data;
after the medical record information of the patient is stored, the encrypted data is inquired from the block chain according to the locally stored third index data, the encrypted data is decrypted by using the locally stored third key to obtain the identification information, and the identification information and the medical record information are verified.
5. The method according to claim 4, wherein the diagnosis completion message is sent by the target doctor terminal after writing the diagnosis result made by the doctor based on the medical record information into the block chain, and comprises:
the target doctor terminal writes the encrypted data and the second index data of the diagnosis result into the block chain; the second index data is used for inquiring the encrypted data of the diagnosis result, and the diagnosis completion message carries the second index data and a second key used for decrypting the encrypted data of the diagnosis result; and, the method further comprises:
after receiving a diagnosis completion message sent by a target doctor terminal, inquiring encrypted data of the diagnosis result from the block chain according to second index data in the diagnosis completion message, and decrypting the encrypted data by using a second key in the diagnosis completion message to obtain the diagnosis result; storing the acceptance information of the patient aiming at the diagnosis result, writing the encrypted data of the acceptance information and the fifth index data into the block chain, and sending a response message to the target doctor terminal; the fifth index data is used for inquiring the encrypted data of the acceptance information, and the response message carries the fifth index data and a fifth key for decrypting the encrypted data of the acceptance information;
and responding to the acceptance condition information to indicate that the patient accepts the diagnosis result, paying based on the payment route information of the patient, writing the payment result into the block chain, and sending a payment completion message to the target doctor terminal.
6. The method of claim 2, further comprising:
and storing evaluation information of the patient on the doctor, adjusting the score and/or the level of the doctor according to the evaluation information and a third intelligent contract which is pre-deployed in the blockchain, and writing the adjusted score and/or level into the blockchain.
7. The method of claim 5,
the medical record information of the patient further comprises symptom information and/or historical clinic data;
the identification information includes at least one of: name, identification card number, mobile phone number, face feature;
the payment route information includes: bank account information and/or electronic account information;
further included in the acceptance information is rejection reason information if the acceptance information indicates that the patient rejects acceptance of the diagnostic result.
8. A diagnosis method based on a blockchain network, the blockchain network comprising a patient terminal and a doctor terminal as network nodes; the method is applied to a doctor terminal and comprises the following steps:
receiving a visit message sent by a patient terminal;
acquiring medical record information of a patient from a blockchain maintained by each node of the blockchain network, storing a diagnosis result made by a doctor based on the medical record information, writing the diagnosis result into the blockchain, and sending a diagnosis completion message to a patient terminal; wherein,
the visit message is sent by the patient terminal after the medical record information is stored and written into the block chain.
9. The method of claim 8, wherein the visit message is sent by the patient terminal after storing the medical record information and writing the medical record information to the blockchain, comprising:
the patient terminal writes the encrypted data and the first index data of the medical record information into the block chain; the first index data is used for inquiring the encrypted data, and the visit message carries the first index data and a first key for decrypting the encrypted data; and, the method further comprises:
and inquiring the encrypted data from the block chain according to the first index data in the visit message, and decrypting the encrypted data by using the first key in the visit message to obtain the medical record information.
10. The method of claim 8, wherein writing the diagnostic result to the blockchain comprises:
writing the encrypted data and the second index data of the diagnosis result into the block chain; the second index data is used for inquiring the encrypted data of the diagnosis result; and the diagnosis completion message carries second index data and a second key for decrypting encrypted data of the diagnosis result.
11. The method of claim 8, wherein the diagnostic result is in a text format; and storing diagnosis results made by a doctor based on the medical record information, including:
and calling a second intelligent contract deployed in the blockchain to convert the doctor voice into the diagnosis result and store the diagnosis result.
12. The method of claim 10, further comprising:
before receiving the visit message, storing identification information, payment path information and authentication information of a doctor, and after verifying the identification information, the payment path information and the authentication information, writing encrypted data and fourth index data of the identification information, the payment path information and the authentication information into the block chain; wherein,
the authentication information of the doctor includes medical practice hospital information of the doctor, and the medical practice hospital information is verified based on verified hospital information written in the block chain in advance.
13. The method of claim 12, further comprising:
receiving a response message sent by the patient terminal;
inquiring encrypted data of the acceptance information of the patient for the diagnosis result from the block chain according to fifth index data in the response message, and decrypting the encrypted data by using a fifth key in the response message to obtain the acceptance information; wherein,
and the response message is sent by the patient terminal after the acceptance information is stored, and the encrypted data of the acceptance information and the fifth index data for inquiring the encrypted data are written into the block chain.
14. The method of claim 13, further comprising:
receiving a payment completion message sent by a patient terminal;
obtaining a payment result of the patient terminal for payment from the blockchain; wherein,
and the payment completion message is sent after the patient terminal pays when judging that the acceptance condition information indicates that the patient accepts the diagnosis result and writes the payment result into the block chain.
15. The method according to claim 13 or 14,
the medical record information of the patient further comprises image examination information, symptom information and/or historical clinic information;
the identification information includes at least one of: name, identification card number, mobile phone number, face feature;
the payment route information includes: bank account information and/or electronic account information;
the authentication information of the doctor further includes: medical certification information of the doctor;
further included in the acceptance information is rejection reason information if the acceptance information indicates that the patient rejects acceptance of the diagnostic result.
16. A diagnosis apparatus based on a blockchain network, the blockchain network including a patient terminal and a doctor terminal as network nodes; characterized in that the device is arranged at a patient terminal and comprises:
the medical record information is written into the block chain maintained by each node of the block chain network, and a medical record information is sent to a target doctor terminal;
the first receiving unit is used for receiving a diagnosis completion message sent by a target doctor terminal; the diagnosis completion message is sent after the target doctor terminal writes the diagnosis result made by the doctor based on the medical record information into the blockchain, and the medical record information is acquired from the blockchain by the target doctor terminal after receiving the visit message.
17. A diagnosis apparatus based on a blockchain network, the blockchain network including a patient terminal and a doctor terminal as network nodes; it is characterized in that the device is arranged at a doctor terminal and comprises:
the second receiving unit is used for receiving the treatment information sent by the patient terminal;
the diagnosis unit is used for acquiring medical record information of the patient from the block chain maintained by each node of the block chain network, storing a diagnosis result made by a doctor based on the medical record information, writing the diagnosis result into the block chain and sending a diagnosis completion message to the patient terminal; the medical record information is sent by the patient terminal after the medical record information is stored and written into the block chain.
18. A blockchain network system for diagnosis, characterized in that the system comprises a patient terminal and a doctor terminal as network nodes; wherein,
the patient terminal stores medical record information of a patient, writes the medical record information into a block chain maintained by each node of the block chain network, and sends a treatment message to a target doctor terminal;
and after receiving the treatment information sent by the patient terminal, the target doctor terminal acquires the medical record information from the block chain, stores a diagnosis result made by a doctor based on the medical record information, writes the diagnosis result into the block chain, and sends a diagnosis completion message to the patient terminal.
19. The system of claim 18,
after the patient terminal stores medical record information of a patient, writing encrypted data and first index data of the medical record information into the block chain; wherein the first index data is used for inquiring the encrypted data; the visit message carries first index data and a first key for decrypting the encrypted data;
after receiving the visit message, the target doctor terminal inquires the encrypted data from the block chain according to the first index data in the visit message, and decrypts the encrypted data by using the first key in the visit message to obtain the medical record information.
20. The system of claim 19, wherein the target doctor terminal writes the encrypted data and the second index data of the diagnosis result into the block chain after storing the diagnosis result; wherein,
the second index data is used for inquiring the encrypted data of the diagnosis result; and the diagnosis completion message carries second index data and a second key for decrypting encrypted data of the diagnosis result.
21. The system of claim 20,
the medical record information comprises image examination data of the patient;
after storing medical record information of a patient, the patient terminal calls a first intelligent contract deployed in the block chain to detect the image inspection data to obtain an image detection result, and writes the medical record information, encrypted data of the image detection result and first index data into the block chain.
22. The system of claim 20, wherein the diagnostic result is in a text format; and the target doctor terminal calls a second intelligent contract deployed in the blockchain to convert doctor voice into the diagnosis result and store the diagnosis result.
23. The system of claim 20,
before any patient terminal stores medical record information of a patient, the identification information and payment path information of the patient are stored; after the identification information and the payment route information are verified, writing encrypted data and third index data of the identification information and the payment route information into the block chain, and locally storing the third index data and a third key for decrypting the encrypted data;
after storing the medical record information of the patient, the patient terminal queries the encrypted data from the block chain according to the locally stored third index data, decrypts the encrypted data by using the locally stored third key to obtain the identification information, and verifies the identification information and the medical record information.
24. The system of claim 23,
before receiving the visit message, the target doctor terminal stores identification information, payment path information and authentication information of a doctor, and writes encrypted data and fourth index data of the identification information, the payment path information and the authentication information into the block chain after verifying the identification information, the payment path information and the authentication information; wherein,
the authentication information of the doctor comprises the medical practice hospital information of the doctor;
and the target doctor terminal verifies the medical practice hospital information of the doctor according to the verified hospital information written into the block chain in advance.
25. The system of claim 23,
after receiving a diagnosis completion message sent by a target doctor terminal, the patient terminal inquires encrypted data of the diagnosis result from the block chain according to second index data in the diagnosis completion message, and decrypts the encrypted data by using a second key in the diagnosis completion message to obtain the diagnosis result; storing the acceptance information of the patient aiming at the diagnosis result, writing the encrypted data of the acceptance information and the fifth index data into the block chain, and sending a response message to the target doctor terminal; the fifth index data is used for inquiring the encrypted data of the acceptance information, and the response message carries the fifth index data and a fifth key for decrypting the encrypted data of the acceptance information;
in response to the acceptance information indicating that the patient accepts the diagnosis result, the patient terminal performs payment based on the payment route information of the patient after storing the acceptance information, writes the payment result into the block chain, and sends a payment completion message to the target doctor terminal;
after receiving the response message, the target doctor terminal inquires the encrypted data of the receiving condition information from the block chain according to fifth index data, and decrypts the encrypted data by using a fifth key to obtain the receiving condition information; obtaining the payment result from the blockchain after receiving the payment completion message.
26. The system of claim 25, wherein the patient terminal stores evaluation information of the patient on the doctor, adjusts the score and/or level of the doctor according to the evaluation information and a third intelligent contract pre-deployed in the blockchain, and writes the adjusted score and/or level into the blockchain.
27. The system of claim 25 or 26,
the medical record information of the patient further comprises symptom information and/or historical clinic data;
the identification information includes at least one of: name, identification card number, mobile phone number, face feature;
the payment route information includes: bank account information and/or electronic account information;
the authentication information of the doctor further includes: medical certification information of the doctor;
further included in the acceptance information is rejection reason information if the acceptance information indicates that the patient rejects acceptance of the diagnostic result.
28. An electronic device, comprising:
one or more processors;
a storage device for storing one or more programs,
when executed by the one or more processors, cause the one or more processors to implement the method of any one of claims 1-15.
29. A computer-readable storage medium, on which a computer program is stored, which, when being executed by a processor, carries out the method according to any one of claims 1-15.
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