CN112885447B - Doctor scheduling and distribution method and system based on medical conjunct consultation - Google Patents
Doctor scheduling and distribution method and system based on medical conjunct consultation Download PDFInfo
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Abstract
The application provides a doctor scheduling and distribution method and a system based on medical conjunct consultation, wherein the method is applied to joint online consultation between a consultation initiating hospital and a consultation participated hospital; comprising the following steps: acquiring consultation application sent by a consultation initiating hospital, and determining consultation items and consultation time according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information; when the consultation application is a non-special consultation application, determining a target consultation doctor list according to the consultation project, the consultation time and the doctor total list; determining the target consultation doctor according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list; the consultation application is assigned to the target consultation doctor. The consultation doctor is not required to be manually selected when the application doctor initiates the consultation application, the system can be automatically and accurately matched with the consultation doctor, and the user can use the system more conveniently.
Description
Technical Field
The application relates to the field of information processing, in particular to a doctor scheduling and distributing method and system based on medical conjunct consultation.
Background
The medical conjunct consultation system is different from the traditional doctor-seeking mode of patient registration-doctor diagnosis, needs to use the patient as a tie, establishes connection and communication among doctors in different hospitals, and determines the applying doctor and the consultation doctor.
There are two main schemes for determining consultation doctors in the current medical conjunct consultation system: one is that the applicant doctor selects consultation doctor; the other is that the doctor of the same consultation at all the superior hospitals can see, and the doctor of the superior hospitals determines whether to receive the consultation to become the consultation doctor.
Unlike traditional in-hospital consultation, the medical conjunct consultation system requires communication between several different hospitals.
At present, most of the modes of determining the medical conjunctive consultation doctor are that the applicant doctor contacts the consultation doctor by means of a communication tool of a third party, and the consultation is carried out after two persons negotiate time. The mode increases the workload of the applicant doctor and the consultation doctor, and brings inconvenience to the consultation.
In the medical conjunct consultation system, because the consultation application hospitals are docked with a plurality of superior hospitals, when the consultation application doctors select the consultation receiving doctors, the doctor professional skills of different hospitals need to be considered, whether the doctors are willing to make the consultation, and when the doctors have time to make the consultation, so that a lot of workload irrelevant to the diagnosis can be brought to the application doctors.
Disclosure of Invention
In view of the problems, the present application has been developed to provide a doctor scheduling and assigning method and system based on medical conjunctive consultation that overcomes the problems or at least partially solves the problems, including:
a doctor scheduling and distribution method based on medical conjunct consultation is applied to joint online consultation between a consultation initiating hospital and a consultation participated hospital;
the method comprises the following steps:
acquiring a consultation application sent by the consultation initiating hospital, and determining consultation items and consultation time according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information;
when the consultation application is a non-special consultation application, determining a target consultation doctor list according to the consultation project, the consultation time and a doctor total list;
determining target consultation doctors according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list;
the consultation application is assigned to the target consultation doctor.
Further, when the consultation application is a non-special consultation application, the step of determining a target consultation doctor list according to the consultation item, the consultation time and the doctor total list includes:
Determining a current doctor list with reserved names in the doctor total list;
and determining the target consultation doctor list according to the consultation project, the consultation time and the current doctor list.
Further, the step of determining the target consultation doctor list according to the consultation project, the consultation time and the current doctor list includes:
determining a project doctor list according to the consultation project and the current doctor list;
and determining the target consultation doctor list according to the consultation time and the project doctor list.
Further, the step of determining the target consultation doctor according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list includes:
determining the reserved name remaining quantity of each doctor in the target consultation doctor list;
and setting the doctor with the most reserved name remaining in the target consultation doctor list as the target consultation doctor.
Further, the method further comprises the following steps:
when the consultation application is a special consultation application with designated consultation hospital information, determining a designated consultation hospital doctor list according to the designated consultation hospital information and the doctor total list;
Determining the target consultation doctor list according to the consultation project, the consultation time and the designated consultation hospital doctor list;
determining the target consultation doctor according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list;
the consultation application is assigned to the target consultation doctor.
Further, the step of determining the target consultation doctor list according to the consultation project, the consultation time and the designated consultation hospital doctor list includes:
determining a project doctor list according to the consultation project and the designated consultation hospital doctor list;
and determining the target consultation doctor list according to the consultation time and the project doctor list.
Further, the method further comprises the following steps:
when the consultation application is a special consultation application with appointed consultation doctor information, determining the target consultation doctor according to the appointed consultation doctor information and the doctor total list;
the consultation application is assigned to the target consultation doctor.
A doctor scheduling and distribution system based on medical conjunct consultation, which is applied to joint online consultation between a consultation initiating hospital and a consultation participated in the hospital;
The method specifically comprises the following steps:
the consultation application acquisition module is used for acquiring a consultation application sent by the consultation initiating hospital and determining consultation items and consultation time according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information;
the first target consultation doctor list determining module is used for determining a target consultation doctor list according to the consultation project, the consultation time and the doctor total list when the consultation application is a non-special consultation application;
the first target consultation doctor determining module is used for determining the target consultation doctor according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list;
and the first consultation application distribution module is used for distributing the consultation application to the target consultation doctor.
An apparatus comprising a processor, a memory and a computer program stored on the memory and capable of running on the processor, which when executed by the processor performs the steps of the doctor scheduling and assigning method based on medical conjunct consultation as described above.
A computer readable storage medium having stored thereon a computer program which when executed by a processor performs the steps of a doctor scheduling and assigning method based on medical conjunct consultation as described above.
The application has the following advantages:
in the embodiment of the application, a consultation application sent by a consultation initiating hospital is acquired, and consultation items and consultation time are determined according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information; when the consultation application is a non-special consultation application, determining a target consultation doctor list according to the consultation project, the consultation time and a doctor total list; determining target consultation doctors according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list; the consultation application is assigned to the target consultation doctor. The hospitals with insufficient resources, clinics and full experience are connected, the hospitals with high and new technologies are connected in a medical conjunct mode, the lower-level hospitals are taken as main bodies, a plurality of hospitals with large levels are arranged to receive various types of examination, the upper-level hospitals are arranged to carry out scheduling treatment on the examination from the lower-level hospitals according to the expert doctor field, the utilization rate of social resources is greatly improved, and the time cost and the economic cost of general patient seeing a doctor are reduced; according to the preset of the doctor's adept field, workload and consultation time, the consultation efficiency is improved; the consultation doctor is not required to be manually selected when the application doctor initiates the consultation application, the system can be automatically and accurately matched with the consultation doctor, and the user can use the system more conveniently.
Drawings
In order to more clearly illustrate the technical solutions of the present application, the drawings that are needed in the description of the present application will be briefly described below, it being obvious that the drawings in the following description are only some embodiments of the present application, and that other drawings may be obtained according to these drawings without inventive effort to a person skilled in the art.
FIG. 1 is a flow chart of steps of a doctor scheduling and distribution method based on medical conjunctive consultation according to an embodiment of the present application;
FIG. 2 is a schematic illustration of a doctor's conjunct relationship based on doctor scheduling and distribution method for conjunct consultation according to an embodiment of the present application;
FIG. 3 is a schematic illustration of a consultation medical conjunct based on a doctor scheduling and distribution method for medical conjunct consultation according to an embodiment of the present application;
FIG. 4 is a flow chart of a consultation diagnosis application based on a doctor scheduling and distribution method for a doctor's conjunctive consultation according to an embodiment of the present application;
FIG. 5 is a schematic view of a consultation module service component of a doctor scheduling and distribution method based on a doctor's conjunctive consultation according to an embodiment of the present invention;
FIG. 6 is a block diagram of a doctor scheduling and distribution system based on medical conjunctive consultation according to an embodiment of the present application;
Fig. 7 is a schematic structural diagram of a computer device according to an embodiment of the present invention.
Detailed Description
In order to make the objects, features and advantages of the present application more comprehensible, the present application is described in further detail below with reference to the accompanying drawings and detailed description. It will be apparent that the embodiments described are some, but not all, of the embodiments of the present application. All other embodiments, which can be made by one of ordinary skill in the art based on the embodiments herein without making any inventive effort, are intended to be within the scope of the present application.
It should be noted that, in any embodiment of the present invention, the related keywords or domain terms are explained as follows:
WADO: a portion of the DICOM (Digital Imaging and Communications in Medicine ) standard provides a mechanism for accessing a rendering DICOM object from an HTML page or XML document via HTTP or HTTPs protocols and using the DICOM's identifier for resolving access to DICOM objects in an internet environment. DICOM: digital imaging and communication in medicine, an international standard for medical images and related information (ISO 12052), defines medical image formats that can be used for data exchange with quality meeting clinical needs. Kafka: kafka is an open source stream processing platform developed by the Apache software foundation, written by Scala and Java. Kafka is a high throughput distributed publish-subscribe messaging system.
And then: a time period is between starting and finishing running of a plurality of programs, and the programs all run on the same processor, but only one program runs on the processor at any moment. In the invention, a plurality of hospitals release images to a service at the same time, and the service needs serial processing. Fault tolerance: a method and technique for providing uninterrupted service in the case of activated error in running and compensating the error. The fault tolerance of Kafka mainly refers to a copy mechanism of Kafka, when a node in a cluster fails, a request for accessing the failed node is transferred to a normal node, each subject partition has a main copy (Leader) and a plurality of backup copies, the main copy is responsible for reading and writing of a client, the backup copies are responsible for pulling data from the main copy, synchronizing the data, and guaranteeing message persistence. Reverse proxy: the proxy server receives the client network access connection request, then strategically forwards the connection request to a service server actually working in the network, and returns the result processed by the service server to the client initiating the connection request on the network. Load balancing: the request is distributed to a plurality of operation units according to a certain strategy for execution. Micro-services: a software architecture style constructs an application as a set of loosely coupled services, the services being fine-grained and the protocol being lightweight. Gateway: a system before the micro-service is used as the only entrance of the micro-service environment for the visitor outside the service for unified control. The method has high availability: availability refers to the absolute degree of functional continuity within a time window, ensuring high availability is ensuring functional continuity. High performance: performance is an indicator describing the resources occupied by a service processing a request. High performance is the ability to process a request while occupying as little resources as possible.
EUREKA: is a Netflix development REST (Representational State Transfer) service-based service discovery framework that provides service discovery and enables load balancing and failover. The system comprises a server and a client, wherein the server provides a service registration function, and the client is used for interacting with the server, registering services and realizing built-in load balancing. Minio: an open source high performance, distributed object storage system. Redis: the remote dictionary service is written by using ANSI C language, supports network, and can be based on memory and persistent log type Key-Value database. Nginx: a high performance HTTP and reverse proxy web server. gateway: an implementation of the micro service gateway aims to provide a simple and effective unified API route management mode for a micro service architecture. MYSQL: in a relational database management system, relational databases store data in different tables rather than storing the data in one large repository, which increases speed and flexibility. And (3) container management: a visual management tool of the Docker is used for providing a management panel, so that the container is convenient to operate.
Referring to fig. 2-4, the core of the application is the setting of a hospital conjunct and a scheduling, wherein the hospital conjunct is a consultation relationship complex with a superior hospital established after the negotiation is agreed, and the complex unifies the examination type and the examination position standard. The lower level hospitals set up the consultation relation complex formed by the upper level hospitals which correspondingly receive the consultation aiming at different examination types.
And the scheduling is that after the medical conjunct relation is established, the superior hospital needs to distribute the doctor of the home to the specific working field, and consultation time and maximum workload are set. This behavior is called consultation scheduling. As shown in the following consultation medical conjunct scheduling diagram 3.
To sum up, at the core of the present application, the system allocates the flow of consultation diagnosticians (consultation diagnosticians are examples, consultation audits are similar) as follows:
1. the subordinate hospital initiates consultation application, the selection system distributes diagnostic doctors, and sends the request to the corresponding hospital according to the examination type to acquire consultable doctors (in order to cope with special conditions, a consultation suspending function is provided, after suspending, the request is not sent to the name of the doctor, the consultation request is prevented from being accumulated, and no person is required to process).
2. Matching specialists according to consultation items (the examination type and the examination part together form one consultation item in consultation)
3. According to the scheduling time and the residual workload, firstly screening out the doctor with the closest working time and the largest residual workload.
In this way, the efficiency of consultation is improved, as shown in fig. 4.
Referring to fig. 1, a doctor scheduling and assigning method based on medical conjunctive consultation is shown, which is applied to joint online consultation between a consultation initiating hospital and a consultation participating hospital;
The method comprises the following steps:
s110, acquiring a consultation application sent by the consultation initiating hospital, and determining consultation items and consultation time according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information;
s120, when the consultation application is a non-special consultation application, determining a target consultation doctor list according to the consultation project, the consultation time and a doctor total list;
s130, determining target consultation doctors according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list;
and S140, distributing the consultation application to the target consultation doctor.
In the embodiment of the application, a consultation application sent by a consultation initiating hospital is acquired, and consultation items and consultation time are determined according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information; when the consultation application is a non-special consultation application, determining a target consultation doctor list according to the consultation project, the consultation time and a doctor total list; determining target consultation doctors according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list; the consultation application is assigned to the target consultation doctor. The hospitals with insufficient resources, clinics and full experience are connected, the hospitals with high and new technologies are connected in a medical conjunct mode, the lower-level hospitals are taken as main bodies, a plurality of hospitals with large levels are arranged to receive various types of examination, the upper-level hospitals are arranged to carry out scheduling treatment on the examination from the lower-level hospitals according to the expert doctor field, the utilization rate of social resources is greatly improved, and the time cost and the economic cost of general patient seeing a doctor are reduced; according to the preset of the doctor's adept field, workload and consultation time, the consultation efficiency is improved; the consultation doctor is not required to be manually selected when the application doctor initiates the consultation application, the system can be automatically and accurately matched with the consultation doctor, and the user can use the system more conveniently.
Next, a doctor scheduling and assigning method based on the doctor's conjunctive consultation in the present exemplary embodiment will be further described.
As described in the step S110, a consultation application sent by the consultation initiating hospital is obtained, and a consultation item and a consultation time are determined according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information.
The technical scheme of the invention is characterized in that the medical conjunct and the scheduling are arranged, wherein the medical conjunct is a consultation relationship complex established with a superior hospital after the medical conjunct is agreed with the following hospital as a main body. The type of examination is unified in the complex, and site criteria are examined. The lower level hospitals set up the consultation relation complex formed by the upper level hospitals which correspondingly receive the consultation application aiming at different examination types.
As an example of this, in one embodiment,
as described in step S120, when the consultation application is a non-specific consultation application, a target consultation doctor list is determined according to the consultation item, the consultation time and the doctor total list.
It should be noted that the general list of doctors is a list of all doctors qualified to receive consultation applications; the doctor in the doctor total list can be in a state comprising the current reserved name, full pre-reserved name and pause of the consultation; when the current appointment amount is full or the consultation is paused, the corresponding doctor is not assigned a new non-special consultation application.
In an embodiment of the present invention, the specific process of determining the target consultation doctor list according to the consultation item, the consultation time and the doctor total list in step S120 when the consultation application is a non-specific consultation application may be further described in conjunction with the following description.
As described in the following steps, a current list of doctors currently having a reservation title in the total list of doctors is determined.
Specifically, a doctor list with the remaining number of the current reservation names greater than zero is screened from the doctor total list, and the part of doctor list is set as the current doctor list. The remaining number of reserved names is used as a primary screening condition, so that corresponding operation resources can be saved in the subsequent screening steps. The maximum number of the appointment names can be the daily average visit number of each doctor in a certain time period (1-3 months), the maximum number of the appointment names can be customized by the doctor, and when the maximum number of the appointment names is customized by the doctor, the selectable range of the customized numerical value is 50% of the daily average visit number of the doctor to 120% of the daily average visit number of the doctor. To prevent excessive accumulation of scheduled consultations from leading to reduced treatment efficiency under the name of the same doctor.
And determining the target consultation doctor list according to the consultation project, the consultation time and the current doctor list as described in the following steps.
In one embodiment of the present invention, the specific process of determining the target consultation doctor list according to the consultation item, the consultation time and the current doctor list may be further described in conjunction with the following description.
And determining a project doctor list according to the consultation project and the current doctor list as described in the following steps.
The method includes the steps that screening of consultation project good for each doctor is conducted from a current doctor list obtained by removing doctors with full current appointment names, so that a project doctor list good for the consultation project is obtained; wherein, each doctor's adept consultation item is selected by the doctor and entered into the database, the doctor's selected adept item may include examination type and examination site, such as: CT chest, CT head; it is also possible to include only the examination type, such as: CT, DR, MR (when the doctor selects only the examination type, the doctor defaults to be good at all examination sites to reduce repetitive operations at the time of information entry to improve the efficiency of information entry). It should be noted that, the consultation items included in the consultation application initiated by the consultation application hospital include an examination type and an examination site. When doctor list screening based on consultation projects is performed, the screening sequence is examination type- & gt examination part.
And determining the target consultation doctor list according to the consultation time and the project doctor list as described in the following steps.
It should be noted that, a doctor list containing the consultation time is selected from the project doctor list, and the target consultation doctor list is generated, where the consultation time corresponding to each doctor is a time period (within a working time period range) customized by the doctor.
As described in step S130, the target consultation doctor is determined according to the target consultation doctor list and the remaining number of reserved names of the doctors in the target consultation doctor list.
In an embodiment of the present invention, the specific process of "determining the target consultation doctor according to the target consultation doctor list and the reserved name remaining number of each doctor in the target consultation doctor list" in step S130 may be further described in conjunction with the following description.
The remaining number of appointment names for each doctor in the list of target consultants is determined as follows.
It should be noted that, the termination time node for calculating the remaining number of the reserved names may be consultation time; the current latest appointment time point can also be; the latest appointment time point corresponding to the week of the consultation time can also be provided.
And setting the doctor with the largest reserved name remaining in the target consultation doctor list as the target consultation doctor as follows.
It should be noted that, according to the remaining number of reserved names of each doctor in the target consultation doctor list, the target consultation doctor list is ranked (the more the remaining number of reserved names is, the higher the ranking is), and the doctor corresponding to the highest ranking is set as the target consultation doctor. When doctors with the same reserved name amount remain, the method can sequentially sort the reserved names according to the pinyin initials corresponding to the last name, the first 1 st word, the first 2 nd word and the first n th word in the names of the doctors; the calculation of the reserve name remaining amount may also be performed for the part of doctors using another expiration time node for the reserve name remaining amount calculation as mentioned before; the two modes can be integrated in a progressive manner.
As an example, when the reserved names of two doctors are the same in number, the initial letters corresponding to the surnames of the two doctors are obtained, and if the initial letters are different, the two doctors are ordered according to the letter ordering sequence corresponding to the initial letters; if the first letters are the same, the first letters corresponding to the 1 st characters of the two doctors are obtained, and the above processes are repeated until the ordering is obtained; or, all words in the name are judged. If the result can not be obtained after judging all the words of the name, calculating the reserved name residual quantity in different modes (for example, when the consultation time is currently used as a termination time node, the latest reserved time point corresponding to the week of the consultation time is replaced as the termination time node).
The consultation application is distributed to the target consultation doctor as described above in step S140.
It should be noted that, the consultation application distributed to the target consultation doctor includes patient information, consultation time and consultation project.
In an embodiment of the present invention, further includes:
when the consultation application is a special consultation application with designated consultation hospital information, determining a designated consultation hospital doctor list according to the designated consultation hospital information and the doctor total list;
the doctor list of the designated consultation hospital is a list generated by the part of doctors corresponding to the designated consultation hospital in the doctor total list; and screening the doctor total list through the designated consultation hospital information during generation, screening a doctor list containing the designated consultation hospital information, and generating the designated consultation hospital doctor list according to the part of doctor list.
Determining the target consultation doctor list according to the consultation project, the consultation time and the designated consultation hospital doctor list as follows;
firstly, a doctor list with reserved names is screened out from the doctor list of the designated consultation hospital; secondly, screening the screened doctor list based on consultation items, and screening a doctor list with consultation qualification of the consultation items; and screening the consultation time of the doctor list subjected to the secondary screening, screening the doctor list with the reserved name in the consultation time, and finally generating the target consultation doctor list from the doctor list subjected to the tertiary screening.
In one embodiment of the present invention, the specific process of determining the target consultation doctor list according to the consultation item, the consultation time and the designated consultation hospital doctor list may be further described in conjunction with the following description.
As described in the following steps, a list of project doctors is determined based on the consultation project and the list of designated consultation hospital doctors.
And determining the target consultation doctor list according to the consultation time and the project doctor list as described in the following steps.
Determining the target consultation doctor according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list as follows;
specifically, determining the reserved name remaining quantity of each doctor in the target consultation doctor list; and setting the doctor with the largest reserved name remaining in the target consultation doctor list as the target consultation doctor.
It should be noted that, the termination time node for calculating the remaining number of the reserved names may be consultation time; the current latest appointment time point can also be; the latest appointment time point corresponding to the week of the consultation time can also be provided.
It should be noted that, according to the remaining number of reserved names of each doctor in the target consultation doctor list, the target consultation doctor list is ranked (the more the remaining number of reserved names is, the higher the ranking is), and the doctor corresponding to the highest ranking is set as the target consultation doctor. When doctors with the same reserved name amount remain, the method can sequentially sort the reserved names according to the pinyin initials corresponding to the last name, the first 1 st word, the first 2 nd word and the first n th word in the names of the doctors; the calculation of the reserve name remaining amount may also be performed for the part of doctors using another expiration time node for the reserve name remaining amount calculation as mentioned before; the two modes can be integrated in a progressive manner.
As an example, when the reserved names of two doctors are the same in number, the initial letters corresponding to the surnames of the two doctors are obtained, and if the initial letters are different, the two doctors are ordered according to the letter ordering sequence corresponding to the initial letters; if the first letters are the same, the first letters corresponding to the 1 st characters of the two doctors are obtained, and the above processes are repeated until the ordering is obtained; or, all words in the name are judged. If the result can not be obtained after judging all the words of the name, calculating the reserved name residual quantity in different modes (for example, when the consultation time is currently used as a termination time node, the latest reserved time point corresponding to the week of the consultation time is replaced as the termination time node).
The consultation application is distributed to the target consultation doctor as follows.
It should be noted that, the consultation application distributed to the target consultation doctor includes patient information, consultation time and consultation project.
In an embodiment of the present invention, further includes:
when the consultation application is a special consultation application with designated consultation doctor information, determining the target consultation doctor according to the designated consultation doctor information and the doctor total list;
when the consultation application is a special consultation application containing the information of the designated consultation doctor, the consultation application is directly distributed to the name of the doctor as long as the doctor total list contains the information of the designated consultation doctor, and whether the doctor currently has the remaining reserved name or not. However, when the designated doctor is pre-filled during the assignment, the doctor is reminded to conduct pre-consultation negotiation with the applicant during the assignment of the consultation application.
The consultation application is distributed to the target consultation doctor as follows.
It should be noted that, the consultation application distributed to the target consultation doctor includes patient information, consultation time and consultation project.
Referring to fig. 5, in a specific implementation, the system implementation can be divided into two modules, i.e., consultation service and storage service, where the storage service module processes the inspection images and reports, and provides the reading support. The subordinate hospital sends images in standard DICOM (Digital imaging and Communications in Medicine, digital imaging and communication in medicine) format to WADO (Web Access to DICOM Persistent Object) service, and WADO service receives the request and then pushes the images to a Kafka message queue, and the consumption service monitors the message queue, consumes the images, invokes a storage service for archiving and storing. By using the method, the concurrent pressure is greatly relieved, the concurrent capability of the system for processing the image uploading is improved, and the fault tolerance of the image uploading is realized by means of the fault tolerance of Kafka. The images are stored, and meanwhile, the images are cached, and the caching is preferentially queried when the images are queried during the film reading, so that the performance is improved. The consultation module provides a unique access entrance through the reverse proxy, thereby realizing unified control and load balancing of the request, enhancing control through the micro-service gateway, and further improving the safety of the system by utilizing gateway safety authentication, current limiting and load balancing logic called by the micro-service cluster, and realizing high availability and high performance of the system. The service architecture scheme separates the film reading service required by the business, ensures the high availability and high performance of the system, and enables the system to concentrate on consultation business processing.
For system embodiments, the description is relatively simple as it is substantially similar to method embodiments, and reference is made to the description of method embodiments for relevant points.
Referring to fig. 6, a doctor scheduling and distribution system based on medical conjunctive consultation according to an embodiment of the present application is shown, the system being applied to joint online consultation between a consultation initiating hospital and a consultation participating hospital;
the method specifically comprises the following steps:
the consultation application acquiring module 610 is configured to acquire a consultation application sent by the consultation initiating hospital, and determine a consultation item and a consultation time according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information;
a first target consultation doctor list determining module 620, configured to determine a target consultation doctor list according to the consultation item, the consultation time and a doctor total list when the consultation application is a non-specific consultation application;
a first target consultation doctor determining module 630, configured to determine a target consultation doctor according to the target consultation doctor list and the remaining number of reserved names of each doctor in the target consultation doctor list;
A first consultation application distribution module 640, configured to distribute the consultation application to the target consultation doctor.
In one embodiment of the present invention, the first target consultation doctor list determining module 620 includes:
the first current doctor list determining submodule is used for determining a current doctor list with reservation names in the doctor total list;
and the first target consultation doctor list determining submodule is used for determining the target consultation doctor list according to the consultation project, the consultation time and the current doctor list.
In an embodiment of the present invention, the first target consultation doctor list determining submodule includes:
the first project doctor list determining submodule is used for determining a project doctor list according to the consultation project and the current doctor list;
and the first target consultation doctor list determining submodule is used for determining the target consultation doctor list according to the consultation time and the project doctor list.
In one embodiment of the present invention, the first target consultation doctor determining module 630 includes:
the reserved name remaining quantity determining submodule is used for determining reserved name remaining quantity of each doctor in the target consultation doctor list;
And the target consultation doctor determining submodule is used for setting the doctor with the largest reserved name remaining number in the target consultation doctor list as the target consultation doctor.
In an embodiment of the present invention, further includes:
the specific consultation hospital doctor list determining module is used for determining a specific consultation hospital doctor list according to the specific consultation hospital information and the doctor total list when the consultation application is a special consultation application with the specific consultation hospital information;
the second target consultation doctor list determining module is used for determining the target consultation doctor list according to the consultation project, the consultation time and the designated consultation hospital doctor list;
the second target consultation doctor determining module is used for determining the target consultation doctor according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list;
and the second consultation application distribution module is used for distributing the consultation application to the target consultation doctor.
In an embodiment of the present invention, the second target consultation doctor list determining module includes:
the second project doctor list determining submodule is used for determining a project doctor list according to the consultation project and the designated consultation hospital doctor list;
And the second target consultation doctor list determining submodule is used for determining the target consultation doctor list according to the consultation time and the project doctor list.
In an embodiment of the present invention, further includes:
the third target consultation doctor determining module is used for determining the target consultation doctor according to the appointed consultation doctor information and the doctor total list when the consultation application is a special consultation application with the appointed consultation doctor information;
and the third consultation application distribution module is used for distributing the consultation application to the target consultation doctor.
Referring to fig. 7, a computer device for doctor scheduling and distribution method based on medical conjunctive consultation according to the present invention may specifically include the following:
the computer device 12 described above is embodied in the form of a general purpose computing device, and the components of the computer device 12 may include, but are not limited to: one or more processors or processing units 16, a system memory 28, a bus 18 that connects the various system components, including the system memory 28 and the processing units 16.
Bus 18 represents one or more of several types of bus 18 structures, including a memory bus 18 or memory controller, a peripheral bus 18, an accelerated graphics port, a processor, or a local bus 18 using any of a variety of bus 18 architectures. By way of example, and not limitation, such architectures include Industry Standard Architecture (ISA) bus 18, micro channel architecture (MAC) bus 18, enhanced ISA bus 18, video Electronics Standards Association (VESA) local bus 18, and Peripheral Component Interconnect (PCI) bus 18.
Computer device 12 typically includes a variety of computer system readable media. Such media can be any available media that is accessible by computer device 12 and includes both volatile and nonvolatile media, removable and non-removable media.
The system memory 28 may include computer system readable media in the form of volatile memory, such as Random Access Memory (RAM) 30 and/or cache memory 32. The computer device 12 may further include other removable/non-removable, volatile/nonvolatile computer storage media. By way of example only, storage system 34 may be used to read from or write to non-removable, nonvolatile magnetic media (commonly referred to as a "hard disk drive"). Although not shown in fig. 7, a magnetic disk drive for reading from and writing to a removable non-volatile magnetic disk (e.g., a "floppy disk"), and an optical disk drive for reading from or writing to a removable non-volatile optical disk such as a CD-ROM, DVD-ROM, or other optical media may be provided. In such cases, each drive may be coupled to bus 18 through one or more data medium interfaces. The memory may include at least one program product having a set (e.g., at least one) of program modules 42, the program modules 42 being configured to carry out the functions of embodiments of the invention.
A program/utility 40 having a set (at least one) of program modules 42 may be stored in, for example, a memory, such program modules 42 including, but not limited to, an operating system, one or more application programs, other program modules 42, and program data, each or some combination of which may include an implementation of a network environment. Program modules 42 generally perform the functions and/or methods of the embodiments described herein.
The computer device 12 may also communicate with one or more external devices 14 (e.g., keyboard, pointing device, display 24, camera, etc.), one or more devices that enable a healthcare worker to interact with the computer device 12, and/or any devices (e.g., network card, modem, etc.) that enable the computer device 12 to communicate with one or more other computing devices. Such communication may occur through an input/output (I/O) interface 22. Moreover, computer device 12 may also communicate with one or more networks such as a Local Area Network (LAN), a Wide Area Network (WAN), and/or a public network such as the Internet, through network adapter 20. As shown, network adapter 20 communicates with other modules of computer device 12 via bus 18. It should be appreciated that although not shown in fig. 7, other hardware and/or software modules may be used in connection with computer device 12, including, but not limited to: microcode, device drivers, redundant processing units 16, external disk drive arrays, RAID systems, tape drives, data backup storage systems 34, and the like.
The processing unit 16 executes various functional applications and data processing by running programs stored in the system memory 28, for example, implementing doctor scheduling and assigning methods based on medical conjunctive consultation provided by the embodiments of the present invention.
That is, the processing unit 16 realizes when executing the program: acquiring a consultation application sent by the consultation initiating hospital, and determining consultation items and consultation time according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information; when the consultation application is a non-special consultation application, determining a target consultation doctor list according to the consultation project, the consultation time and a doctor total list; determining target consultation doctors according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list; the consultation application is assigned to the target consultation doctor.
In an embodiment of the present invention, the present invention further provides a computer readable storage medium having stored thereon a computer program which, when executed by a processor, implements doctor scheduling and assigning methods based on medical conjunct consultation as provided in all embodiments of the present application:
That is, the program is implemented when executed by a processor: acquiring a consultation application sent by the consultation initiating hospital, and determining consultation items and consultation time according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information; when the consultation application is a non-special consultation application, determining a target consultation doctor list according to the consultation project, the consultation time and a doctor total list; determining target consultation doctors according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list; the consultation application is assigned to the target consultation doctor.
Any combination of one or more computer readable media may be employed. The computer readable medium may be a computer-readable signal medium or a computer-readable storage medium. The computer readable storage medium can be, for example, but not limited to, an electronic, magnetic, optical, electromagnetic, infrared, or semiconductor system, or device, or a combination of any of the foregoing. More specific examples (a non-exhaustive list) of the computer-readable storage medium would include the following: 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 this document, 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, or device.
The computer readable signal medium may include a propagated data signal with computer readable program code embodied therein, either in baseband or as part of a carrier wave. Such a propagated data signal may take any of a variety of forms, including, but not limited to, electro-magnetic, optical, or any suitable combination of the foregoing. 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.
Computer program code for carrying out operations of the present invention may be written in any combination of one or more programming languages, including an object oriented programming language such as Java, smalltalk, C ++ and conventional procedural programming languages, such as the "C" programming language or similar programming languages. The program code may execute entirely on the healthcare worker computer, partly on the healthcare worker computer, as a stand-alone software package, partly on the healthcare worker computer and partly on a remote computer or entirely on the remote computer or server. In the case of a remote computer, the remote computer may be connected to the healthcare worker computer through any type of network, including a Local Area Network (LAN) or a Wide Area Network (WAN), or may be connected to an external computer (e.g., connected via the internet using an internet service provider). In this specification, each embodiment is described in a progressive manner, and each embodiment is mainly described by differences from other embodiments, and identical and similar parts between the embodiments are all enough to be referred to each other.
While preferred embodiments of the present embodiments have been described, additional variations and modifications in those embodiments may occur to those skilled in the art once they learn of the basic inventive concepts. It is therefore intended that the following claims be interpreted as including the preferred embodiments and all such alterations and modifications as fall within the scope of the embodiments of the present application.
Finally, it is further noted that relational terms such as first and second, and the like are 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. Moreover, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or terminal that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or terminal. Without further limitation, an element defined by the phrase "comprising one … …" does not exclude the presence of other like elements in a process, method, article or terminal device comprising the element.
The doctor scheduling and distributing method and system based on the medical conjuncted consultation provided by the application are described in detail, and specific examples are applied to the explanation of the principle and the implementation of the application, and the explanation of the examples is only used for helping to understand the method and the core idea of the application; meanwhile, as those skilled in the art will have modifications in the specific embodiments and application scope in accordance with the ideas of the present application, the present description should not be construed as limiting the present application in view of the above.
Claims (4)
1. A doctor scheduling and distribution method based on medical conjunct consultation is characterized in that the method is applied to joint online consultation between a consultation initiating hospital and a consultation participated hospital;
the method comprises the following steps:
acquiring a consultation application sent by the consultation initiating hospital, and determining consultation items and consultation time according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information; specifically, determining a current doctor list with a reserved name currently in the doctor total list; determining a target consultation doctor list according to the consultation project, the consultation time and the current doctor list, wherein the method comprises determining a project doctor list according to the consultation project and the current doctor list; determining the target consultation doctor list according to the consultation time and the project doctor list;
When the consultation application is a non-special consultation application, determining a target consultation doctor list according to the consultation project, the consultation time and a doctor total list; the target consultation doctor list adopts reserved balance surplus quantity and/or doctor name initials to sort;
determining target consultation doctors according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list; specifically, determining the reserved name remaining quantity of each doctor in the target consultation doctor list; setting the doctor with the most reserved name remaining in the target consultation doctor list as the target consultation doctor;
when the consultation application is a special consultation application with designated consultation hospital information, determining a designated consultation hospital doctor list according to the designated consultation hospital information and the doctor total list;
determining the target consultation doctor list according to the consultation project, the consultation time and the designated consultation hospital doctor list; specifically, determining a project doctor list according to the consultation project and the designated consultation hospital doctor list; determining the target consultation doctor list according to the consultation time and the project doctor list;
Determining the target consultation doctor according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list;
when the consultation application is a special consultation application with appointed consultation doctor information, determining the target consultation doctor according to the appointed consultation doctor information and the doctor total list; when the appointment of the target consultation doctor is full, reminding the target consultation doctor when the appointment of the target consultation doctor is distributed;
the consultation application is assigned to the target consultation doctor.
2. A doctor scheduling and distribution system based on medical conjunct consultation, which is characterized in that the system is applied to joint online consultation between a consultation initiating hospital and a consultation participated in the hospital;
the method specifically comprises the following steps:
the consultation application acquisition module is used for acquiring a consultation application sent by the consultation initiating hospital and determining consultation items and consultation time according to the consultation application; the consultation application comprises a special consultation application and a non-special consultation application, wherein the special consultation application comprises designated consultation doctor information or designated consultation hospital information;
the first target consultation doctor list determining module is used for determining a target consultation doctor list according to the consultation project, the consultation time and the doctor total list when the consultation application is a non-special consultation application;
The first target consultation doctor determining module is used for determining the target consultation doctor according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list;
the first consultation application distribution module is used for distributing the consultation application to the target consultation doctor;
wherein the first target consultation doctor list determining module includes:
the first current doctor list determining submodule is used for determining a current doctor list with reservation names in the doctor total list;
the first target consultation doctor list determining submodule is used for determining the target consultation doctor list according to the consultation project, the consultation time and the current doctor list;
the first target consultation doctor list determining submodule includes:
the first project doctor list determining submodule is used for determining a project doctor list according to the consultation project and the current doctor list;
the first target consultation doctor list determining submodule is used for determining a target consultation doctor list according to the consultation time and the project doctor list;
the first target consultation doctor determining module includes:
The reserved name remaining quantity determining submodule is used for determining reserved name remaining quantity of each doctor in the target consultation doctor list;
the target consultation doctor determining submodule is used for setting the doctor with the largest reserved name remaining quantity in the target consultation doctor list as the target consultation doctor;
the specific consultation hospital doctor list determining module is used for determining a specific consultation hospital doctor list according to the specific consultation hospital information and the doctor total list when the consultation application is a special consultation application with the specific consultation hospital information;
the second target consultation doctor list determining module is used for determining the target consultation doctor list according to the consultation project, the consultation time and the designated consultation hospital doctor list;
the second target consultation doctor determining module is used for determining the target consultation doctor according to the target consultation doctor list and the reserved name remaining quantity of each doctor in the target consultation doctor list;
the second consultation application distribution module is used for distributing the consultation application to the target consultation doctor;
the second target consultation doctor list determining module includes:
The second project doctor list determining submodule is used for determining a project doctor list according to the consultation project and the designated consultation hospital doctor list;
the second target consultation doctor list determining submodule is used for determining the target consultation doctor list according to the consultation time and the project doctor list;
the third target consultation doctor determining module is used for determining the target consultation doctor according to the appointed consultation doctor information and the doctor total list when the consultation application is a special consultation application with the appointed consultation doctor information;
and the third consultation application distribution module is used for distributing the consultation application to the target consultation doctor.
3. An apparatus comprising a processor, a memory, and a computer program stored on the memory and capable of running on the processor, which when executed by the processor, implements the method of claim 1.
4. A computer readable storage medium, characterized in that the computer readable storage medium has stored thereon a computer program which, when executed by a processor, implements the method according to claim 1.
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| CN111540453A (en) * | 2020-04-21 | 2020-08-14 | 京东方科技集团股份有限公司 | Remote consultation method and related equipment |
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| CN107895200A (en) * | 2017-11-15 | 2018-04-10 | 广东天泽阳光康众医疗投资管理有限公司 | A kind of intelligence reservation hospital register method, device, terminal device and storage medium |
| CN110718292A (en) * | 2019-10-10 | 2020-01-21 | 江苏盖睿健康科技有限公司 | System and method for realizing remote consultation |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN106407707A (en) * | 2016-09-30 | 2017-02-15 | 中国人民解放军总医院 | Automatic hierarchical diagnosis remote consultation system and method |
| CN111540453A (en) * | 2020-04-21 | 2020-08-14 | 京东方科技集团股份有限公司 | Remote consultation method and related equipment |
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