CN112652406A - Diagnosis information synchronization method, on-line re-diagnosis reservation method and corresponding device - Google Patents
Diagnosis information synchronization method, on-line re-diagnosis reservation method and corresponding device Download PDFInfo
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- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
Abstract
The application provides a diagnosis information synchronization method, an on-line re-diagnosis appointment method and a corresponding device, wherein the synchronization method comprises the following steps: receiving a mark which is added by a doctor through a doctor terminal and corresponds to the doctor for the current visit and is used for on-line re-diagnosis; synchronizing the treatment information of patients meeting preset requirements in the patients who have completed treatment to an internet hospital data center according to an agreed synchronization period; wherein the preset requirements include: the disease diagnosis code of the patient is in the authorized scope of the Internet hospital corresponding to the entity hospital, and the patient is added with an online double-diagnosis mark. This application is through seeing a doctor the information synchronization to internet hospital data center with specific patient in the entity hospital data center to and with internet hospital information synchronization to the entity hospital data center of diagnosing again, the internet hospital data center of both being convenient for is to the affirmation of the patient of diagnosing again, avoids the potential risk problem that brings because medical data fault simultaneously, improves medical safety.
Description
Technical Field
The application relates to the technical field of information processing, in particular to a diagnosis information synchronization method, an on-line re-diagnosis reservation method and a corresponding device.
Background
According to the related documents released at present, doctors can provide online double-diagnosis services for some patients with common diseases and chronic diseases through internet hospitals, and internet diagnosis and treatment behavior subjects mainly aim at some patients with common diseases and chronic diseases at present.
The major problem faced by internet hospitals at present is how to define the follow-up diagnosis, and the follow-up diagnosis required by national documents is that doctors who need to provide internet diagnosis and treatment services take patient medical record data to carry out the follow-up diagnosis, and when a patient lacks offline first-aid diagnosis or medical record data, the patient cannot be identified as the follow-up patient and cannot carry out the internet diagnosis and treatment services. Moreover, due to safety design, information systems of internet hospitals are deployed on an external network, and information systems of entity hospitals are deployed on an internal network, so that medical data faults exist in aspects of prescription, diagnosis and the like of doctors, and medical risk potential hazards are brought to online double-diagnosis.
Disclosure of Invention
An object of the embodiments of the present application is to provide a method for synchronizing information of medical treatment, a method for reserving on-line follow-up medical treatment, and a corresponding device, which are used for synchronizing data related to a specific patient in a data center of an entity hospital to a data center of an interconnected network hospital, thereby facilitating the identification of the follow-up medical treatment patient by the interconnected network hospital, reducing the risk of medical data fault, and improving the medical safety.
In a first aspect, an embodiment of the present application provides a method for synchronizing visit information, which is applied to a data center of a physical hospital, and includes: receiving a mark which is added by the doctor through the doctor terminal and corresponds to the doctor's office for the current visit and can be used for on-line re-diagnosis; synchronizing the information of patients meeting preset requirements in the patients who finish the treatment to an internet hospital data center according to an agreed synchronization period; wherein the preset requirements include: the disease diagnosis code of the patient is in the authorized scope of the Internet hospital corresponding to the entity hospital, and the patient is added with an on-line re-diagnosis mark.
According to the scheme, the information of seeing a doctor of a specific patient in the entity hospital data center is synchronized to the internet hospital data center, so that the information of seeing a doctor of the patient in the internet hospital and the entity hospital under the line is integrated and linked, a set of the data of seeing a doctor and diagnosing aiming at the patient is established in the whole hospital, the inter-networking hospital data center can conveniently identify the patient who is subjected to a double-diagnosis, the problem of potential risks caused by medical data faults is avoided, and the medical safety is improved.
In an alternative embodiment, the visit information does not include medical record information, and the method further comprises: receiving a synchronous request of an internet hospital, wherein the synchronous request comprises the re-diagnosis reservation information of a patient to be re-diagnosed, and the re-diagnosis reservation information comprises the identity ID of the patient to be re-diagnosed and a reservation department; and according to the re-diagnosis reservation information, extracting medical record information of the patient to be re-diagnosed corresponding to the reserved department, and synchronizing the medical record information to the internet hospital data center.
The medical information of the patients synchronized by the entity hospital data center does not include medical record information of the patients, and after the patients to be rescued successfully make a rescore appointment in the internet hospital data center, the entity hospital data center synchronizes the related medical record information to the internet hospital data center according to a synchronization request of the internet hospital data center, so that resource waste is avoided.
In an optional embodiment, the method further comprises: and receiving and storing the re-diagnosis information corresponding to the patients who finish the on-line re-diagnosis synchronously in the data center of the Internet hospital.
The Internet hospital data center also automatically synchronizes the back-office information corresponding to the patients who finish the on-line back-office to the entity hospital data center at regular time, and the entity hospital data center receives the back-office information synchronized with the Internet hospital data center and stores the back-office information in the database, so that doctors in the entity hospital can conveniently make calls and read in outpatient service.
In a second aspect, an embodiment of the present application provides an online double-diagnosis appointment method, which is applied to a data center of an internet hospital, and includes: receiving the re-diagnosis reservation information of a patient to be re-diagnosed, wherein the re-diagnosis reservation information comprises the identity ID of the patient to be re-diagnosed and a reservation department; matching in an online re-diagnosis patient list according to the re-diagnosis appointment information, and determining whether the patient to be re-diagnosed meets the qualification of online re-diagnosis according to a matching result; the online re-diagnosis patient list comprises the clinic information of patients which are synchronized by the data center of the physical hospital and meet the preset requirements, wherein the preset requirements comprise: the disease diagnosis code of the patient is in the authorized scope of the Internet hospital, and the patient is added with an on-line re-diagnosis mark; and when the qualification of on-line re-diagnosis is met, allocating on-line re-diagnosis resources for the patient to be re-diagnosed.
The Internet hospital data center establishes an online re-diagnosis patient list according to the clinic information synchronized by the entity hospital data center, and after receiving the re-diagnosis appointment information of the patient to be re-diagnosed, the re-diagnosis qualification of the patient to be re-diagnosed is determined according to the online re-diagnosis patient list so as to determine whether the qualification meets the online re-diagnosis qualification and effectively determine whether the patient belongs to the re-diagnosis patient in the Internet hospital diagnosis and treatment range.
In an optional embodiment, the matching in the list of on-line re-diagnosis patients according to the re-diagnosis appointment information and determining whether the patient to be re-diagnosed satisfies the qualification of on-line re-diagnosis according to the matching result include: judging whether the on-line re-diagnosis patient list has the diagnosis information of the patient to be re-diagnosed in the pre-diagnosis department or not according to the re-diagnosis appointment information; if the visit information exists, judging whether the date of the re-diagnosis appointed by the patient to be re-diagnosed is within the effective period of the re-diagnosis according to the date of the re-diagnosis in the visit information, and judging whether the patient to be re-diagnosed is added with an online re-diagnosis mark corresponding to the appointed department according to the visit information; and when the date of the re-diagnosis is within the effective period of the re-diagnosis and the on-line re-diagnosis mark is added, determining that the patient to be re-diagnosed meets the qualification of the on-line re-diagnosis.
When a patient is on-line for a follow-up visit, the internet hospital data center comprehensively identifies the follow-up visit qualification of the patient by searching the first-time or outpatient record of the corresponding department, judging the time interval from the last off-line visit time, judging whether an on-line follow-up visit mark is provided or not and the like, so that the diagnosis and treatment service provided by the internet hospital is ensured to meet the national policy requirements, and the medical safety is ensured.
In an alternative embodiment, the visit information does not include the medical history information of the patient to be diagnosed, and the method further comprises: after the follow-up appointment of the patient to be diagnosed succeeds, initiating a synchronous request to a data center of an entity hospital according to the follow-up appointment information of the patient to be diagnosed; the synchronization request is used for requesting the entity hospital data center to synchronize the medical record information of the patient to be diagnosed, which corresponds to the appointment department, to the internet hospital data center.
The internet hospital data center adopts an on-demand synchronization mode, and after a patient to be subjected to follow-up consultation appointment successfully in the internet hospital data center, the internet hospital data center requests the entity hospital data center for synchronous and relevant medical record information, so that the doctor of the internet hospital can conveniently read the medical record information during diagnosis and treatment, and resource waste is avoided.
In an optional embodiment, after initiating the synchronization request to the physical hospital data center, the method further comprises: marking the current state of the patient to be diagnosed as a waiting state; and after receiving medical record information, corresponding to the appointment department, of the patient to be diagnosed synchronized by the entity hospital data center, marking the current state of the patient to be diagnosed as a state to be diagnosed.
By the scheme, the patient to be diagnosed can conveniently and effectively master the progress and the state of the current re-diagnosis appointment.
In an optional embodiment, the method further comprises: and synchronizing the re-diagnosis information corresponding to the patients who finish the on-line re-diagnosis to the entity hospital data center according to an appointed synchronization period.
By the scheme, the set of the information about the treatment taking the patient as the center can be established in the data center of the entity hospital, and the integration of the information about the treatment of the patient is realized.
In an alternative embodiment, the visit information for the patients in the on-line reviewable patient list includes a suggested time for the on-line review; the method further comprises the following steps: for any target patient in the list of on-line re-diagnosis patients, before the on-line re-diagnosis time corresponding to the target patient arrives, sending an on-line re-diagnosis prompt to a user terminal of the target patient; the on-line double-diagnosis reminder is used for reminding the target patient to carry out on-line double-diagnosis at the recommended on-line double-diagnosis time.
In a third aspect, an embodiment of the present application provides a medical information synchronization apparatus configured in a data center of a physical hospital, including: the mark receiving module is used for receiving a mark which is added by a doctor through the doctor terminal and corresponds to the doctor for the on-line re-diagnosis or not; the information synchronization module is used for synchronizing the information of the patients meeting the preset requirements in the patients who have completed the treatment to the Internet hospital data center according to the appointed synchronization period; wherein the preset requirements include: the disease diagnosis code of the patient is in the licensed permission range of the Internet hospital corresponding to the physical hospital, and the patient is added with an online double-diagnosis mark.
In a fourth aspect, an embodiment of the present application provides an appointment apparatus for online double-examination, configured in a data center of an internet hospital, including: the appointment receiving module is used for receiving the re-diagnosis appointment information of the patient to be re-diagnosed, wherein the re-diagnosis appointment information comprises the identity ID of the patient to be re-diagnosed and an appointment department; the qualification matching module is used for matching in an online re-diagnosis patient list according to the re-diagnosis appointment information and determining whether the patient to be re-diagnosed meets the qualification of online re-diagnosis according to a matching result; wherein the online re-diagnosis patient list includes the clinic information of the patients meeting the preset requirements synchronized by the data center of the entity hospital, and the preset requirements include: the disease diagnosis code of the patient is in the licensed permission range of the Internet hospital, and the patient is added with an online double-diagnosis mark; and the resource allocation module is used for allocating online re-diagnosis resources to the patient to be re-diagnosed when the patient to be re-diagnosed meets the qualification of online re-diagnosis.
Drawings
To more clearly illustrate the technical solutions of the embodiments of the present application, the drawings that are required to be used in the embodiments of the present application will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present application and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.
Fig. 1 is a simplified schematic diagram of a medical information synchronization system provided in an embodiment of the present application;
fig. 2 is a flowchart of a visit information synchronization method provided in an embodiment of the present application;
fig. 3 is a flowchart of a method for synchronizing visit information according to an embodiment of the present disclosure;
fig. 4 is a flowchart of an appointment method for online double diagnosis according to an embodiment of the present disclosure;
FIG. 5 is a flow chart of one implementation of step 320 of the on-line review appointment method;
fig. 6 is another flowchart of an appointment method for online double diagnosis according to an embodiment of the present disclosure;
fig. 7 is a schematic diagram of a visit information synchronization device provided in an embodiment of the present application;
fig. 8 is a schematic view of an appointment apparatus for online double-examination according to an embodiment of the present application.
Detailed Description
The technical solutions in the embodiments of the present application will be described below with reference to the drawings in the embodiments of the present application.
The application provides a visit information synchronization method and an on-line follow-up appointment method, by synchronizing the visit information of a specific patient in a data center of a physical hospital to a data center of an internet hospital, the visit information of the patient in the internet hospital and the off-line physical hospital is integrated and linked, and a set of full-visit diagnosis and treatment data for the patient is established in the whole hospital, so that the internet hospital data center can conveniently identify the follow-up patient, the problem of risk potential caused by medical data fault is avoided, and the medical safety is improved.
Fig. 1 shows a simple schematic diagram of a visit information synchronization system in an embodiment of the present application, including: the entity hospital data center 10 and the internet hospital data center 20, and the entity hospital data center 10 and the internet hospital data center 20 may be deployed with an information software system, which is used for recording the treatment information of the patient, and may further include a series of information services such as patient management, doctor management, performance assessment, internal communication, and the like, wherein the entity hospital data center 10 is deployed in an internal hospital network, and the internet hospital data center 20 is deployed in an external network. The doctor terminal 30 connected to the intranet can retrieve the data on the outpatient service of the patient from the data center 10 of the physical hospital when the offline outpatient service is performed, and the doctor terminal 30 connected to the extranet can retrieve the data on the outpatient service of the patient from the data center 20 of the internet hospital when the online outpatient service is performed.
Fig. 2 shows a flowchart of a visit information synchronization method provided in an embodiment of the present application, where the visit information synchronization method is explained based on a physical hospital data center, and as shown in fig. 2, the method includes the following steps:
step 110: and receiving a mark which is added by the doctor through the doctor terminal and corresponds to the doctor room for the current visit and can be used for on-line re-diagnosis.
When a patient is in offline consultation, a doctor calls out the information of the patient from the data center of the entity hospital through the doctor terminal, then issues related medical advice according to the state of an illness of the patient, after the patient is in attendance, the doctor adds an online double-diagnosis mark to the patient through the doctor terminal, and the doctor terminal records the added online double-diagnosis mark in the information of the patient, and uploads the mark to the data center of the entity hospital together for storage. Wherein, the mark for on-line double diagnosis comprises an on-line double diagnosis mark and a mark for non-on-line double diagnosis. In a specific application scenario, when a doctor determines that a disease diagnosis of a patient is within a permitted range of an internet hospital corresponding to the entity hospital and the doctor considers that the patient's condition has a condition for online re-diagnosis, the doctor can add an online re-diagnosis mark to the patient through a doctor terminal to represent that online appointment re-diagnosis can be performed when the patient visits the next time.
The on-line re-diagnosis mark corresponds to the department of the patient who is going to be diagnosed at this time, which means that the patient can go to the department for on-line re-diagnosis, for example, after the patient goes to the department a, a corresponding on-line re-diagnosis mark is added, so the patient can make an appointment for on-line re-diagnosis in department a, but not in department B, because the patient does not have the on-line re-diagnosis mark corresponding to department B.
Each entity hospital corresponds to an internet hospital, and each entity hospital can define various common diseases and chronic diseases which can be treated by the related internet hospital. When the Internet hospital obtains the approval permission of the Internet hospital, the developed common diseases and chronic diseases which can be subjected to the re-diagnosis are reported, the health committee issues corresponding approval licenses according to the types of the common diseases and the chronic diseases reported by the Internet hospital, and the Internet hospital develops the re-diagnosis business based on the approval permission range in the license.
Step 120: according to an appointed synchronization period, synchronizing the treatment information of the patients meeting the preset requirements in the patients who have completed treatment to an Internet hospital data center.
In a specific embodiment, the preset requirements include: the disease diagnosis code of the patient is in the authorized scope of the Internet hospital corresponding to the entity hospital, and the patient is added with an online re-diagnosis mark. Wherein the disease diagnosis code is a code in a specific code system of disease diagnosis preliminarily made by a doctor when a patient is on-line.
After the offline patient visit of the patient is finished, the patient visit information of the patient at the current time is obtained, wherein the patient visit information comprises a disease diagnosis code of the disease suffered by the patient. And the entity hospital data center synchronizes the diagnosis information of the patient, which is in the approval permission range of the Internet hospital and added with the online re-diagnosis mark, of the patient who finishes the diagnosis to the data center of the associated Internet hospital according to the appointed synchronization period.
In a specific embodiment, the patient treatment information of the patient who finishes treatment on the same day in the entity hospital data center, has a disease diagnosis code within the approval permission range of the internet hospital and is added with the online re-diagnosis mark can be automatically synchronized into the database of the internet hospital data center every night, and after the internet hospital data center receives the synchronous treatment information of the entity hospital data center, an online re-diagnosis patient list is formed in the internet hospital data center, so that a related data base is laid for the identification of the re-diagnosis data lattice of the patient in the internet hospital. The night synchronous operation can avoid influencing the business of the entity hospital to a great extent.
In one example, the synchronized visit information may include all the visit information generated when the patient visits off-line, including patient basic information, clinic visit number, clinic date, clinic department, doctor name, doctor job number, disease diagnosis code, on-line reviewer flag, medical history information, etc., which details the patient's chief complaints, symptoms, diagnoses, prescriptions, examination reports, etc. Considering that a part of patients do not go back to the internet hospital after going offline, for example, a part of older elderly people may tend to go to the entity hospital for a back-visit, the entity hospital data center synchronizes all the information of the patients going to the internet hospital data center, which may cause waste of resources.
Therefore, in a specific embodiment, the medical information of the patient synchronized by the entity hospital data center does not include medical information of the patient, and after the patient to be reviewed is successfully scheduled for review in the internet hospital data center, the internet hospital data center requests the entity hospital data center to synchronize the relevant medical information. For this embodiment, the specific implementation process of the entity hospital data center is shown in fig. 3, and includes:
step 210: receiving a synchronization request of an internet hospital, wherein the synchronization request comprises the re-diagnosis reservation information of a patient to be re-diagnosed, and the re-diagnosis reservation information comprises the identity ID of the patient to be re-diagnosed and a reservation department.
The identity ID of the patient to be reviewed is used to uniquely characterize the patient to be reviewed, which may be the identification number of the patient to be reviewed, or a unique code number assigned to the patient to be reviewed when the patient to be reviewed first visits the physical hospital.
Step 220: and according to the re-diagnosis reservation information, extracting medical record information of the patient to be re-diagnosed corresponding to the reserved department, and synchronizing the medical record information to an internet hospital data center.
After receiving the synchronization request and the re-diagnosis reservation information of the internet hospital data center, the entity hospital data center extracts the medical record information of the patient to be re-diagnosed corresponding to the reserved department from the database according to the identity ID and the reserved department, and synchronizes the medical record information to the internet hospital data center, so that a doctor of the internet hospital can conveniently call and read the medical record information during on-line re-diagnosis.
The synchronization mode is an on-demand synchronization mode, namely, the entity hospital data center only synchronizes some basic information of the doctor to the interconnected hospital data center every day, such as basic information of the patient, the clinic number, the clinic date, the clinic department, the name of the doctor, the work number of the doctor, the disease diagnosis code, the mark for on-line re-diagnosis, and the like. For patients who successfully reserve a review at the internet hospital data center, and who definitely go on-line review at a certain day, the internet hospital data center requests the entity hospital data center to synchronize detailed medical record information of the patients.
In addition, when the entity hospital data center synchronizes the visit information to the internet hospital data center according to the agreed synchronization period, the internet hospital data center also automatically synchronizes the visit information corresponding to the patients who have completed the online follow-up visit to the entity hospital data center at regular time according to the agreed synchronization period, and the entity hospital data center receives the visit information synchronized with the internet hospital data center and stores the visit information in the database, so that doctors in the entity hospital can make a call and review when in an outpatient service.
Further, fig. 4 shows a flowchart of an online review appointment method provided in the embodiment of the present application, where the online review appointment method is described based on an internet hospital data center, and as shown in fig. 4, the online review appointment method includes the following steps:
step 310: and receiving the re-diagnosis reservation information of the patient to be re-diagnosed, wherein the re-diagnosis reservation information comprises the identity ID of the patient to be re-diagnosed and a reservation department.
The patient to be rescued can input the rescued appointment information through the user terminal, and the rescued appointment information is uploaded to the internet hospital data center through the user terminal. The identity ID of the patient to be reviewed is used to uniquely characterize the patient to be reviewed, which may be the identification number of the patient to be reviewed or a unique code number assigned to the patient to be reviewed when the patient to be reviewed visits the physical hospital for the first time. Optionally, the review appointment information may further include a review date and a review time for the patient to be reviewed, a selected review doctor, and the like.
Step 320: and matching in the online re-diagnosis patient list according to the re-diagnosis appointment information, and determining whether the patient to be re-diagnosed meets the qualification of online re-diagnosis according to the matching result.
The online re-diagnosis patient list is established and formed according to the clinic information of the patients which are synchronized by the entity hospital data center and meet the preset requirements. The entity hospital data center synchronizes the clinic information of the patients with the online clinic reviewable marks, wherein the disease diagnosis codes of the patients who finish off-line clinic visit are within the allowable range of the Internet hospital practice according to the appointed synchronization period, so that the online clinic patient list is formed.
After receiving the re-diagnosis appointment information of the patient to be re-diagnosed, the internet hospital data center identifies the re-diagnosis qualification of the patient to be re-diagnosed so as to determine whether the on-line re-diagnosis qualification can be met. Specifically, one implementation of step 320 is shown in fig. 5, and includes:
step 3201: and judging whether the on-line re-diagnosis patient list has the diagnosis information of the patient to be re-diagnosed in the pre-diagnosis department or not according to the re-diagnosis reservation information.
The Internet hospital data center inquires whether the same identity ID and the treatment record of the same department exist in an online re-treatment patient list according to the identity ID of the patient to be re-treated and the appointment department, if so, the patient to be re-treated is shown to be subjected to an offline outpatient service in the appointment department before, and if not, prompt information is sent to a user terminal of the patient to be re-treated so as to indicate the patient to be re-treated to go to the entity hospital for treatment.
Step 3202: if the patient to be re-diagnosed is in the re-diagnosis information of the appointed department, judging whether the re-diagnosis date appointed by the patient to be re-diagnosed is within the re-diagnosis validity period according to the re-diagnosis date in the re-diagnosis information.
The visit information of the patient to be re-diagnosed in the appointed department comprises the date of the patient to be re-diagnosed, the internet hospital data center judges whether the date of the re-diagnosis appointed by the patient to be re-diagnosed is within the effective period of the re-diagnosis according to the date of the re-diagnosis, and the effective period of the re-diagnosis can be flexibly set according to different departments and disease types. When the information of a plurality of times of visits of the patient to be rescued in the appointment department exists in the visit information, the date of the visit with the most recent time is selected as the date of the visit. One specific way of determining the scheduled review date is to determine whether the review date is within 21 days from the review date (or the most recent review date among the plurality of review dates) in the review message if the set review validity period is 21 days, and if so, determine that the review date is within the review validity period, and if not, determine that the review date is not within the review validity period.
And if the scheduled re-diagnosis date is not within the re-diagnosis validity period, sending prompt information to the user terminal of the patient to be re-diagnosed so as to instruct the patient to be re-diagnosed to go to the entity hospital for diagnosis.
Step 3203: if the patient is in the effective period of the re-diagnosis, judging whether the patient to be re-diagnosed is added with an online re-diagnosis mark corresponding to the appointed department according to the re-diagnosis information.
If the scheduled review date is within the review validity period, the next judgment is carried out, namely whether the online review mark corresponding to the scheduled department is added to the patient to be reviewed is judged. When a patient to be subjected to a re-diagnosis is in an offline diagnosis, a doctor adds a corresponding on-line re-diagnosis mark through a doctor terminal, and the added on-line re-diagnosis mark corresponds to a department at the time of the next diagnosis.
For example, after the patient is in the department B, the doctor considers that the patient does not meet the online re-diagnosis condition, adds the non-online re-diagnosis mark, then after the patient is in the department A, the doctor adds a corresponding online re-diagnosis mark for the patient through the doctor terminal, and in the appointed synchronization period, the entity hospital data center synchronizes the diagnosis information of the patient in the department A and the department B to the internet hospital data center, but the patient only has the online re-diagnosis qualification in the department A and does not have the online re-diagnosis qualification in the department B. Therefore, when the patient to be reviewed makes an on-line review appointment in department B, it is determined through step 3201 that the review information of the patient to be reviewed in department B exists in the list of the on-line review patients, and it is determined through step 3202 that the scheduled review date is also within the review validity period, it is determined through step 3203 that the patient to be reviewed does not have the on-line review flag corresponding to department B, and thus, the following steps are not performed.
And if the on-line re-diagnosis mark corresponding to the reserved department is not added to the patient to be re-diagnosed, sending prompt information to the user terminal of the patient to be re-diagnosed so as to instruct the patient to be re-diagnosed to go to the entity hospital for diagnosis.
Step 3204: if the on-line re-diagnosis mark exists, the patient to be re-diagnosed is determined to meet the qualification of on-line re-diagnosis.
It can be understood that, in an actual scenario, the confirmation of the review qualification of the patient to be reviewed by the internet hospital data center may also be determined in a different order from the above-mentioned steps 3201 and 3204, for example, after the step 3201, it may be determined whether the patient to be reviewed is added with an online review mark corresponding to the appointment department according to the review information, and if the online review mark is added, it may be determined whether the review date appointed by the patient to be reviewed is within the review validity period; obviously, after step 3201, it may also be determined whether the patient to be reviewed is added with the on-line review mark corresponding to the appointed department, and whether the review date appointed by the patient to be reviewed is within the review effective period, and when the review date is within the review effective period and the on-line review mark is added, it is determined that the patient to be reviewed satisfies the qualification of on-line review. The order in which the above embodiments are shown is merely one implementation.
After step 320, continue with step 330: and when the qualification of on-line re-diagnosis is met, allocating on-line re-diagnosis resources for the patient to be re-diagnosed.
The online re-diagnosis resources distributed to the patient to be re-diagnosed comprise one or more of the re-diagnosis date, the re-diagnosis time and the re-diagnosis doctor when the patient to be re-diagnosed carries out online re-diagnosis. When a patient to be subjected to a follow-up diagnosis appointment, a request can be sent to the Internet hospital data center by selecting the date of the follow-up diagnosis, the time of the follow-up diagnosis and a follow-up doctor, and after the Internet hospital data center determines that the patient to be subjected to the follow-up diagnosis meets the qualification of the on-line follow-up diagnosis, the patient to be subjected to the follow-up diagnosis is determined to be distributed to the selected date of the follow-up diagnosis, the time of the follow-up diagnosis and the follow-up doctor. Or, in the case that the patient to be diagnosed does not select the information such as the date of the re-diagnosis, the internet hospital data center may reasonably allocate resources to the patient to be diagnosed according to the idle time period and the doctor who is in the idle state in the reserved department. And after the on-line review resource allocation is completed, the follow-up appointment success of the patient to be reviewed is shown.
Alternatively, the patient visit information synchronized by the physical hospital data center to the internet hospital data center may include all the visit information generated when the patient visits offline, the system comprises basic information of patients, clinic numbers, clinic dates, clinic departments, names of doctors who receive the doctor, the numbers of the doctors who receive the doctor, disease diagnosis codes, on-line re-diagnosis marks, medical record information and the like, and considers that part of patients can not be subjected to on-line re-diagnosis in an internet hospital after on-line diagnosis, if all the information of the treatment is synchronized to the data center of the internet hospital, the waste of resources is caused, thus, the visit information synchronized by the physical hospital data center to the internet hospital data center does not include medical history information of the patient, and, then, in the internet hospital data center, the on-line follow-up patient list does not contain the medical record information of the patient.
The internet hospital data center adopts an on-demand synchronization mode, and after a patient to be subjected to follow-up diagnosis appointment successfully in the internet hospital data center, the internet hospital data center requests the entity hospital data center for synchronizing the related medical record information so as to facilitate the retrieval of doctors of the internet hospital during diagnosis and treatment.
Optionally, after the online review resources are allocated to the patient to be reviewed, it may be determined that the review appointment of the patient to be reviewed is successful, and the internet hospital data center sends a prompt message indicating that the appointment is successful to the user terminal of the patient to be reviewed, and reminds the patient to be reviewed to perform the online review in the allocated review time in the prompt message. After the follow-up appointment of the patient to be subjected to follow-up examination is successful, the internet hospital data center further executes: initiating a synchronous request to a data center of the entity hospital according to the follow-up appointment information of the patient to be subjected to follow-up examination; the synchronization request is used for requesting the entity hospital data center to synchronize the medical record information of the patient to be diagnosed corresponding to the appointment department to the internet hospital data center.
After receiving the synchronization request and the re-diagnosis reservation information of the internet hospital data center, the entity hospital data center extracts the medical record information of the patient to be re-diagnosed corresponding to the reserved department from the database according to the identity ID and the reserved department, and synchronizes the medical record information to the internet hospital data center.
Wherein, the medical record information can include: the allergic history mark, the past medical history, the chief complaint (description of the main symptoms related to the disease and the duration time of the disease), the present medical history, the diagnosis, the physical examination, the examination report, the inspection report and the like.
It should be noted that there are two possible application scenarios in the above embodiment:
1. advance reservation
The patient to be retested initiates a retest appointment request to the internet hospital data center at least one day in advance, the internet hospital data center receives the retest appointment information input by the patient to be retested when initiating the retest appointment request, the retest qualification is determined through the steps 3201 and 3204, and if the patient to be retested meets the retest qualification, the on-line retest resource can be distributed to the patient to be retested to complete the retest appointment.
For a plurality of patients to be diagnosed who are successfully subjected to the follow-up appointment on the same day, the Internet hospital data center automatically pushes the identity ID of each patient to be diagnosed and the appointed department to the entity hospital data center at regular time in the same day, the entity hospital data center searches in the database according to the received information, and the searched medical record information of each patient to be diagnosed is synchronized to the Internet hospital data center in batch.
2. Instant reservation
For example, the patient is scheduled for the re-diagnosis in the morning of the day and is scheduled for the re-diagnosis in the morning or afternoon, the internet hospital data center firstly determines the qualification of the re-diagnosis according to the re-diagnosis scheduling information of the patient to be re-diagnosed, and the determination step is the same as the determination mode in the advance scheduling. For the patient to be rescued who is successfully ordered immediately, the Internet hospital data center immediately initiates a synchronization request to the entity hospital data center, and pushes the identity ID and the ordered department to the entity hospital data center, and the entity hospital data center immediately synchronizes corresponding medical record information to the Internet hospital data center according to the received identity ID and the ordered department.
In order to facilitate the patient to be diagnosed to effectively grasp the current progress and status, as shown in fig. 6, after the internet hospital data center issues a synchronization request to the entity hospital data center, the method further includes:
step 410: and marking the current state of the patient to be diagnosed as the waiting state.
The waiting state indicates that the internet hospital data center is synchronizing the medical record information of the patient to be diagnosed.
Step 420: after receiving medical record information of the patient to be diagnosed synchronized by the entity hospital data center, which corresponds to the appointment department, the current state of the patient to be diagnosed is marked as a state to be diagnosed.
After the medical record information of the patient to be diagnosed is synchronously finished, the current state is changed from the waiting state to the treatment state, the treatment state indicates that the medical record information is synchronously finished, and the on-line re-diagnosis can be started in the scheduled re-diagnosis time.
Optionally, the internet hospital data center synchronizes the review information corresponding to the patient who completes the online review to the entity hospital data center according to an agreed synchronization period. In a specific embodiment, the internet hospital data center is arranged to automatically synchronize the review information (including medical order information) of the patients who complete online review on the same day of the internet hospital to the entity hospital data center at night. In this way, a set of patient-centered treatment information can be established in the entity hospital data center, and the integration of all treatment information of patients is realized.
Optionally, when the patient is in an offline consultation, the doctor adds an online review mark corresponding to the current consultation department to the patient through the doctor terminal, and simultaneously, the doctor terminal can record the recommended online review time for the patient. At every night, the online review time is recommended, and the online review mark and other review information of the patient are synchronized to the internet hospital data center. In a specific embodiment, the internet hospital data center sends an online follow-up reminding to a user terminal of a target patient before the recommended online follow-up time corresponding to the target patient arrives for any target patient in an online follow-up patient list; the on-line double-visit reminder is used for reminding the target patient to carry out on-line double-visit at the recommended on-line double-visit time.
According to the technical scheme provided by the embodiment of the application, the patient treatment information (including the information during off-line treatment and the information during on-line re-treatment) can be integrated and linked, when a doctor in an entity hospital performs off-line treatment, the patient treatment information during off-line treatment can be called from the entity hospital data center through the doctor terminal, and meanwhile, the re-treatment information during on-line re-treatment of the patient can be called. The on-line review information retrieval method is specifically realized in a way that a retrieval button of on-line review information is embedded in a page displayed by a doctor terminal, the doctor terminal receives the trigger of a doctor when clicking the retrieval button, retrieves the review information from a data center of an entity hospital and displays the review information on the page for the doctor to consult and comprehensively judge, and medical errors caused by information splitting are reduced.
Meanwhile, when the doctor of the Internet hospital carries out on-line re-diagnosis on the patient, the doctor terminal can be used for calling the historical re-diagnosis information of the patient from the Internet hospital data center, and meanwhile, the information of the patient when the patient is in off-line treatment can be called. The online examination information retrieval method is specifically realized in the way that an examination button of offline examination information is embedded into a page displayed by a doctor terminal, the doctor terminal receives the trigger of a doctor when clicking the examination button, the offline examination information is retrieved from a data center of an internet hospital and displayed on the page for a doctor to consult, the doctor can conveniently make the doctor in the internet hospital have sufficient recognition and sufficient diagnosis and treatment basis on the condition that the patient cannot be examined, and the medical risk is reduced.
To sum up, the technical scheme provided by the embodiment of the application has the following technical effects:
(1) the entity hospital data center synchronizes the patient's visit information meeting the requirements to the Internet hospital data center at regular time, when the patient makes a re-visit on the appointment line, the Internet hospital data center comprehensively confirms the patient's re-visit qualification by searching the first-visit or outpatient record of the corresponding department, judging the time interval from the last offline visit time, judging whether the online re-visit mark is provided or not and the like, thereby ensuring that the diagnosis and treatment service provided by the Internet hospital meets the national policy requirements and ensuring the medical safety.
(2) The entity hospital data center synchronizes the medical record information of the first or outpatient service of the patient in the corresponding department to the internet hospital data center, provides information such as patient chief complaints, symptoms, diagnoses, prescriptions, inspection reports and the like for the diagnosis and treatment of the internet hospital doctors, ensures the continuity and integrity of offline and online information for seeing a doctor, and reduces medical risks.
(3) After the re-diagnosis information of the internet hospital data center is synchronized to the entity hospital data center, a set of full-hospitalization diagnosis and treatment data with a patient as the center can be established through information integration, medical record reference is provided for doctors in clinic of the entity hospital during diagnosis, comprehensive judgment is facilitated, and medical errors caused by information splitting are reduced.
Based on the same inventive concept, an embodiment of the present application further provides a visit information synchronization apparatus configured in a data center of an entity hospital, as shown in fig. 7, the apparatus includes:
the mark receiving module 510 is configured to receive an online re-diagnosis mark, which is added by the doctor through the doctor terminal to the patient to be diagnosed and corresponds to the current department of diagnosis;
the information synchronization module 520 is configured to synchronize the visit information of the patients meeting the preset requirements among the patients who completed the visit to the internet hospital data center according to the agreed synchronization period; wherein the preset requirements include: the disease diagnosis code of the patient is in the industry-executing permission range of the Internet hospital corresponding to the entity hospital, and the patient is added with an online double-diagnosis mark.
Optionally, the apparatus further comprises: the medical record synchronization module is used for receiving a synchronization request of an internet hospital, wherein the synchronization request comprises the re-diagnosis reservation information of a patient to be re-diagnosed, and the re-diagnosis reservation information comprises the identity ID of the patient to be re-diagnosed and a reservation department; and extracting medical record information of the patient to be subjected to the follow-up diagnosis corresponding to the reserved department according to the follow-up diagnosis reservation information, and synchronizing the medical record information to the internet hospital data center.
Optionally, the apparatus further comprises: and the return-consultation synchronous receiving module is used for receiving return-consultation information corresponding to the patient who completes the on-line return-consultation synchronously by the Internet hospital data center and storing the return-consultation information.
The foregoing diagnosis information synchronization apparatus has the same basic principles and technical effects as those of the diagnosis information synchronization method in the previous method embodiment, and for brief description, no part of this embodiment is mentioned, and reference may be made to corresponding contents in the foregoing method embodiment, which is not described herein again.
The embodiment of the present application further provides an online double-examination appointment apparatus, configured in an internet hospital data center, as shown in fig. 8, the apparatus includes:
the appointment receiving module 610 is configured to receive a re-diagnosis appointment message of a patient to be re-diagnosed, where the re-diagnosis appointment message includes an identity ID of the patient to be re-diagnosed and an appointment department;
a qualification matching module 620, configured to perform matching in an online review patient list according to the review appointment information, and determine whether the patient to be reviewed meets the qualification of online review according to a matching result; wherein, the online re-diagnosis patient list comprises the clinic information of the patients which are synchronized by the entity hospital data center and meet the preset requirements, and the preset requirements comprise: the disease diagnosis code of the patient is in the authorized scope of the Internet hospital, and the patient is added with an online double-diagnosis mark;
a resource allocation module 630, configured to allocate online review resources to the patient to be reviewed when the patient to be reviewed satisfies the qualification for online review.
Optionally, the qualification matching module 620 specifically includes:
the diagnosis information inquiry unit is used for judging whether the on-line re-diagnosis patient list contains the diagnosis information of the patient to be re-diagnosed in the pre-diagnosis department or not according to the re-diagnosis reservation information;
a visit information judging unit, configured to judge, when the visit information exists, whether a re-diagnosis date reserved by the patient to be re-diagnosed is within a re-diagnosis validity period according to the visit date in the visit information, and judge, according to the visit information, whether an online re-diagnosis mark corresponding to the reserved department room is added to the patient to be re-diagnosed;
and the re-diagnosis qualification determining unit is used for determining that the patient to be re-diagnosed meets the qualification of on-line re-diagnosis when the re-diagnosis date is within the re-diagnosis effective period and the on-line re-diagnosis mark is added.
Optionally, the apparatus further comprises: the synchronous request module is used for initiating a synchronous request to a data center of an entity hospital according to the re-diagnosis reservation information of the patient to be re-diagnosed after the re-diagnosis reservation of the patient to be re-diagnosed is successful; the synchronization request is used for requesting the entity hospital data center to synchronize the medical record information of the patient to be reviewed, which corresponds to the appointment department, to the internet hospital data center.
Optionally, the apparatus further comprises: the state marking module is used for marking the current state of the patient to be diagnosed as a waiting state after the synchronous request module sends a synchronous request to the entity hospital data center; and after receiving the medical record information of the patient to be diagnosed, which is synchronized by the entity hospital data center and corresponds to the appointed department, marking the current state of the patient to be diagnosed as the state to be diagnosed.
Optionally, the apparatus further comprises: and the return-to-visit synchronous sending module is used for synchronizing the return-to-visit information corresponding to the patients who finish the online return-to-visit to the entity hospital data center according to the appointed synchronization period.
Optionally, the visit information of the patients in the online re-diagnosis patient list comprises a recommended online re-diagnosis time; the device further comprises: the system comprises a re-diagnosis reminding module, a re-diagnosis reminding module and a user terminal, wherein the re-diagnosis reminding module is used for sending an on-line re-diagnosis reminding to the user terminal of a target patient before the re-diagnosis time on a recommendation line corresponding to the target patient arrives for any target patient in an on-line re-diagnosis patient list; the on-line double-diagnosis reminding device is used for reminding the target patient to carry out on-line double-diagnosis at the recommended on-line double-diagnosis time.
The above-mentioned appointment apparatus for on-line double-diagnosis is the same as the appointment method for on-line double-diagnosis in the previous embodiment, and the basic principle and the technical effects thereof are the same.
In the embodiments provided in the present application, it should be understood that the disclosed apparatus and method may be implemented in other ways. The above-described embodiments of the apparatus are merely illustrative, and for example, the division of the unit is only one logical functional division, and there may be other divisions when the actual implementation is performed. Furthermore, the functional modules in the embodiments of the present application may be integrated together to form an independent part, or each module may exist separately, or two or more modules may be integrated to form an independent part.
In this document, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions.
The above description is only an example of the present application and is not intended to limit the scope of the present application, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, improvement and the like made within the spirit and principle of the present application shall be included in the protection scope of the present application.
Claims (11)
1. A visit information synchronization method is applied to a data center of a physical hospital, and comprises the following steps:
receiving a mark which is added by a doctor through a doctor terminal and corresponds to the doctor for the current visit and is used for on-line re-diagnosis;
synchronizing the treatment information of patients meeting preset requirements in the patients who have completed treatment to an internet hospital data center according to an agreed synchronization period; wherein the preset requirements include: the disease diagnosis code of the patient is in the authorized scope of the Internet hospital corresponding to the entity hospital, and the patient is added with an online double-diagnosis mark.
2. The method of claim 1, wherein the encounter information does not include medical record information, the method further comprising:
receiving a synchronization request of an internet hospital, wherein the synchronization request comprises the re-diagnosis reservation information of a patient to be re-diagnosed, and the re-diagnosis reservation information comprises the identity ID of the patient to be re-diagnosed and a reservation department;
and according to the re-diagnosis reservation information, extracting medical record information of the patient to be re-diagnosed corresponding to the reserved department, and synchronizing the medical record information to the internet hospital data center.
3. The method of claim 1, further comprising:
and receiving and storing the re-diagnosis information corresponding to the patients who finish the on-line re-diagnosis synchronously by the data center of the Internet hospital.
4. An on-line consultation appointment method is applied to an internet hospital data center and comprises the following steps:
receiving the re-diagnosis reservation information of a patient to be re-diagnosed, wherein the re-diagnosis reservation information comprises the identity ID of the patient to be re-diagnosed and a reservation department;
matching in an online re-diagnosis patient list according to the re-diagnosis appointment information, and determining whether the patient to be re-diagnosed meets the qualification of online re-diagnosis according to a matching result; wherein, the online re-diagnosis patient list comprises the clinic information of the patients which are synchronized by the entity hospital data center and meet the preset requirements, and the preset requirements comprise: the disease diagnosis code of the patient is in the authorized scope of the Internet hospital, and the patient is added with an on-line re-diagnosis mark;
and when the qualification of on-line re-diagnosis is met, allocating on-line re-diagnosis resources for the patient to be re-diagnosed.
5. The method of claim 4, wherein the matching in the list of on-line review patients according to the review appointment information and determining whether the patient to be reviewed satisfies the qualification of on-line review according to the matching result comprises:
judging whether the on-line re-diagnosis patient list has the diagnosis information of the patient to be re-diagnosed in the pre-diagnosis department or not according to the re-diagnosis appointment information;
if the visit information exists, judging whether the re-diagnosis date reserved by the patient to be re-diagnosed is within the re-diagnosis validity period according to the visit date in the visit information, and judging whether an online re-diagnosis mark corresponding to the reserved department is added to the patient to be re-diagnosed according to the visit information;
and when the date of the re-diagnosis is within the effective period of the re-diagnosis and the on-line re-diagnosis mark is added, determining that the patient to be re-diagnosed meets the qualification of the on-line re-diagnosis.
6. The method of claim 5, wherein the visit information does not include medical record information of the patient to be reviewed, the method further comprising:
after the follow-up appointment of the patient to be diagnosed succeeds, initiating a synchronization request to a data center of an entity hospital according to the follow-up appointment information of the patient to be diagnosed; the synchronization request is used for requesting the entity hospital data center to synchronize the medical record information of the patient to be diagnosed corresponding to the appointment department to the internet hospital data center.
7. The method of claim 6, wherein upon initiating a synchronization request to a physical hospital data center, the method further comprises:
marking the current state of the patient to be diagnosed as a waiting state;
and after receiving medical record information, corresponding to the appointment department, of the patient to be diagnosed synchronized by the entity hospital data center, marking the current state of the patient to be diagnosed as a state to be diagnosed.
8. The method according to any one of claims 4-7, further comprising:
and synchronizing the re-diagnosis information corresponding to the patients who finish the on-line re-diagnosis to the entity hospital data center according to an appointed synchronization period.
9. The method of claim 4, wherein the visit information for the patients in the on-line reviewable patient list includes a suggested time for the on-line review; the method further comprises the following steps:
for any target patient in the list of on-line re-diagnosis patients, before the on-line re-diagnosis time corresponding to the target patient arrives, sending an on-line re-diagnosis prompt to a user terminal of the target patient; the on-line double-diagnosis reminder is used for reminding the target patient to carry out on-line double-diagnosis at the recommended on-line double-diagnosis time.
10. A medical information synchronizer, configured in a data center of a physical hospital, comprising:
the mark receiving module is used for receiving a mark which is added by a doctor through the doctor terminal and corresponds to the doctor for the on-line re-diagnosis or not;
the information synchronization module is used for synchronizing the treatment information of the patients meeting the preset requirements in the patients who have completed treatment to the Internet hospital data center according to the appointed synchronization period; wherein the preset requirements include: the disease diagnosis code of the patient is in the authorized scope of the Internet hospital corresponding to the entity hospital, and the patient is added with an online double-diagnosis mark.
11. An appointment device for online follow-up examination, which is configured in an internet hospital data center, comprising:
the appointment receiving module is used for receiving the re-diagnosis appointment information of the patient to be re-diagnosed, wherein the re-diagnosis appointment information comprises the identity ID of the patient to be re-diagnosed and an appointment department;
the qualification matching module is used for matching in an online re-diagnosis patient list according to the re-diagnosis appointment information and determining whether the patient to be re-diagnosed meets the qualification of online re-diagnosis according to a matching result; wherein, the online re-diagnosis patient list comprises the clinic information of the patients which are synchronized by the entity hospital data center and meet the preset requirements, and the preset requirements comprise: the disease diagnosis code of the patient is in the authorized scope of the Internet hospital, and the patient is added with an on-line re-diagnosis mark;
and the resource allocation module is used for allocating online re-diagnosis resources to the patient to be re-diagnosed when the patient to be re-diagnosed meets the qualification of online re-diagnosis.
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| CN202010602206.7A CN112652406A (en) | 2020-06-28 | 2020-06-28 | Diagnosis information synchronization method, on-line re-diagnosis reservation method and corresponding device |
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| CN202010602206.7A CN112652406A (en) | 2020-06-28 | 2020-06-28 | Diagnosis information synchronization method, on-line re-diagnosis reservation method and corresponding device |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113241195A (en) * | 2021-05-10 | 2021-08-10 | 上海芳冕医疗器械有限公司 | Remote consultation monitoring system and equipment |
| CN113823422A (en) * | 2021-09-24 | 2021-12-21 | 上海联空网络科技有限公司 | Online intelligent medical seeking method, mobile terminal and system |
| CN115472275A (en) * | 2022-11-14 | 2022-12-13 | 武汉盛博汇信息技术有限公司 | Diagnosis system and method based on online and offline integrated management |
-
2020
- 2020-06-28 CN CN202010602206.7A patent/CN112652406A/en active Pending
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113241195A (en) * | 2021-05-10 | 2021-08-10 | 上海芳冕医疗器械有限公司 | Remote consultation monitoring system and equipment |
| CN113823422A (en) * | 2021-09-24 | 2021-12-21 | 上海联空网络科技有限公司 | Online intelligent medical seeking method, mobile terminal and system |
| CN115472275A (en) * | 2022-11-14 | 2022-12-13 | 武汉盛博汇信息技术有限公司 | Diagnosis system and method based on online and offline integrated management |
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