CN113113138A - Portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capacity - Google Patents
Portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capacity Download PDFInfo
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Abstract
A portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capacity comprises a medical knowledge base, an electronic medical record data index taking a family as a unit, an intelligent auxiliary diagnosis module and a central control system; the medical knowledge base provides general intelligent auxiliary diagnosis and treatment based on evidence-based of authoritative specialty; the electronic medical record data index taking the family as a unit establishes associated information taking the family as a unit; the intelligent auxiliary diagnosis module provides auxiliary diagnosis results through intelligent diagnosis and treatment according to the medical knowledge base; and the central control system controls various services required to be processed by the portable mobile diagnosis and treatment system. Based on the requirements of the state and various provinces on the management requirements of the electronic medical record, a portable diagnosis and treatment system is provided for primary medical workers, and the primary medical workers can use the system conveniently; the diagnosis accuracy of primary medical workers is improved; through medical record data management taking a family as a unit, an effective data base is provided for the targeted popularization and promotion of family doctors.
Description
Technical Field
The invention relates to the technical field of medical treatment, in particular to a portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capacity.
Background
First, in the large background of the medical administration and management department issuing "notice on further advancing the information construction work of medical institutions with electronic medical record as the core" to the health family planning of the production and construction groups of various provinces, autonomous regions, direct prefectures and Xinjiang, all levels of medical institutions deeply develop the information construction work of electronic medical record. But the electronic medical record information management work of the basic medical institutions such as rural health rooms, rural doctors, clinics and the like facing the most basic common people is far from enough. Some basic medical institutions also keep recording medical records in a paper handwriting mode, even some basic medical institutions are not popularized and implement writing and filing of medical records, and the current situation does not talk about electronic medical record informatization management at all.
Secondly, the medical diagnosis is greatly influenced by subjective factors, and when a primary doctor carries out the medical diagnosis, the diagnosis and treatment result is closely related to the medical level, knowledge depth and breadth of the primary doctor. The condition information of the patient is not completely and deeply collected, so that the conditions of missed diagnosis, misdiagnosis and the like of some diseases are caused, the medication contraindication of the comprehensive condition of the patient can be violated by the prescribed medicine, the optimal diagnosis and treatment time of the patient is delayed, and even the life of the patient is threatened.
Therefore, in order to perfect the ecological management of all levels of medical institutions in the major direction of the national electronic medical record management guidance, and match with the complete information of the medical records from the level hospitals to the township health hospitals and then to the basic medical institutions, a portable and mobile medical record management system which can meet the scenes of daily inquiry, doctor visit and the like of the basic medical workers is needed, the basic medical workers are assisted to complete the records of the patient treatment process, the complete and accurate record and storage of the medical record data and prescription data of the patient are ensured, and electronic medical records and prescriptions are provided and printed into paper versions as necessary for the auditing of the main department, so that the normalization and effectiveness of the daily medical events of the basic medical workers and the durability and traceability of the medical data storage are ensured.
Meanwhile, the problems of providing scientific, authoritative and comprehensive intelligent auxiliary diagnosis and treatment capability for primary medical workers, improving the primary medical diagnosis and treatment level, reducing the missed diagnosis/misdiagnosis rate of doctors, guaranteeing the medication standard of patients and the like need to be solved urgently.
Therefore, the portable mobile diagnosis and treatment system with authoritative and comprehensive clinical auxiliary diagnosis and treatment capability is provided for the above problems.
Disclosure of Invention
The invention aims to overcome the defects of the prior art and provide a portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capacity, and the portable mobile diagnosis and treatment system is provided for primary medical workers based on the requirements of the state and various provinces on the management requirements of electronic medical records, so that the primary medical workers can use the portable mobile diagnosis and treatment system conveniently; the diagnosis accuracy of primary medical workers is improved; through medical record data management taking a family as a unit, an effective data base is provided for the targeted popularization and promotion of family doctors.
The purpose of the invention is realized by the following technical scheme:
a portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capacity comprises a medical knowledge base, an electronic medical record data index taking a family as a unit, an intelligent auxiliary diagnosis module and a central control system;
the medical knowledge base provides general intelligent auxiliary diagnosis and treatment based on evidence-based of authoritative specialty;
the electronic medical record data index taking the family as a unit establishes associated information taking the family as a unit;
the intelligent auxiliary diagnosis module provides auxiliary diagnosis results through intelligent diagnosis and treatment according to the medical knowledge base;
and the central control system controls various services required to be processed by the portable mobile diagnosis and treatment system.
Furthermore, the electronic medical record data index taking the family as a unit is centered on the owner of the family.
Furthermore, the portable mobile diagnosis and treatment system also comprises an intelligent electronic medical record template engine, a self-defined medical record template, a centralized-distributed basic-level medicine database based on medicine bar codes, a diagnosis condition statistic module and a safety module;
the intelligent electronic medical record template engine provides a customizable electronic medical record template based on the national requirements on the electronic medical record specification of the basic medical institution, and the intelligent electronic medical record template engine can customize the attention points in the standard electronic medical record specification requirements; the electronic medical record template comprises a medical record template and a prescription template;
the user-defined medical record template comprises an online template and a local template, wherein the online template is a common standardized medical record template of a basic medical institution, and the online template comprises chief complaints and current medical history information of common diseases; the local template comprises a local medical record template and a prescription template, the local template is formed by common medical record data which is arranged by a basic medical institution on the basis of an online template and is related to self medical work, and the local template is a self-defined template;
the centralized-distributed basic drug database based on the drug bar codes is provided with a basic drug library which manages drug data in a centralized manner; the drug bar code-based centralized-distributed basic-level drug database associates basic drug libraries with basic medical institutions as independent units, and further comprises specific drug libraries which are managed and used by the corresponding basic medical institutions; the centralized-distributed basic level drug database based on the drug bar codes performs drug identification through bar code identification;
the visit condition statistics module is used for carrying out statistics on the visit information of the basic medical institution;
the security module guarantees the security of information and data.
Further, the central control system comprises a newly-opened doctor seeing module, and the workflow of the newly-opened doctor seeing module comprises the following steps:
s1: matching patients: after the personal information of the patient of the current patient is input, the newly-started diagnosis module intelligently screens according to the personal information of the patient and provides matched historical patient information;
s2: if no matched historical patient information exists or the matched historical patient information is not consistent with the current patient and the family relationship does not exist between the current patient and the patient in the historical patient information, displaying a basic information interface for inputting the patient;
if the family relationship exists between the current patient and the patient in the historical patient information, adding the current patient to family members of the corresponding patient, and establishing associated information in an electronic medical record data index taking a family as a unit;
if the matched historical patient information is consistent with the current patient, displaying the medical record information of the current patient in the last 3 times of treatment for the doctor to look up;
s3: inputting a chief complaint and a current medical history related to the current patient condition, extracting disease related information of the patient by a data monitoring assistant of a newly-developed diagnosis module, obtaining suspected diseases according to the conformity of the disease related information of the patient and various diseases on the basis of a medical knowledge base through an intelligent algorithm engine, and giving an examination item according to the suspected diseases;
s4: a doctor inputs the results of the diagnosis and examination of the doctor, a data monitoring assistant of the newly-developed diagnosis module captures the information related to the disease of the doctor and the patient, and an intelligent diagnosis assisting module is called to analyze, summarize, deduce and calculate so as to verify the rationality and accuracy of the doctor diagnosis;
s5: after the doctor determines that the diagnosis is correct, calling the intelligent auxiliary diagnosis module to recommend the medicine; after a doctor selects recommended medication or selects a medicine by himself when the doctor prescribes a prescription, the intelligent auxiliary diagnosis module performs medicine rationality check.
Further, the workflow of the newly-started medical treatment module further comprises the following steps:
s6: after the doctor fills in the medical records and makes a prescription, the intelligent auxiliary diagnosis module is called to complete quality control on all text contents;
s7: when the current patient case needs to be saved, the patient case history content is filtered and sensitive information is saved as an electronic case history template through the function of saving as a template.
Further, the security module secures information and data from 3 aspects:
(1) setting an organization code unique to a basic medical organization, wherein the organization code must be input during login;
(2) monitoring the state of the logged equipment, and only the equipment in a specific state can log in;
(3) the encryption, decryption and verification operations are carried out by an algorithm combining a symmetric encryption mode and an asymmetric encryption mode, and an SSL (secure sockets layer) secure transmission protocol is adopted to transmit data.
The invention has the beneficial effects that:
(1) based on the requirements of the state and various provinces on the management requirements of the electronic medical record, the portable diagnosis and treatment system is provided for the primary medical workers, and the primary medical workers can go out of a doctor, see a doctor, make a doctor again and the like in daily life. And a convenient and fast landing solution is provided for popularization and information management of the basic-level electronic medical record.
(2) A set of medical knowledge base with profession, authority, depth and breadth is provided for primary medical workers, and the diagnosis accuracy of the primary medical workers is improved by combining an intelligent diagnosis assisting module;
(3) through medical record data management taking a family as a unit, the distribution and the illness state of basic-level common diseases, chronic diseases and other diseases can be really and effectively recorded, collected and managed, real and comprehensive data can be provided for superior medical administrative departments, and an effective data basis is provided for the targeted popularization and promotion of family doctors;
(4) the efficiency of basic doctor's use this system is improved, reduce use cost.
Drawings
FIG. 1 is a business flow diagram of the present invention;
FIG. 2 is a matching patient flow chart;
FIG. 3 is a flow chart of suspected disease derivation;
FIG. 4 is a first flowchart of the doctor's confirmation and auxiliary confirmation;
FIG. 5 is a second flowchart of the doctor's confirmation and auxiliary confirmation;
FIG. 6 is a flow chart of rational administration;
FIG. 7 is a flow chart of quality control of medical records;
fig. 8 is a state change diagram of the mobile terminal device.
Detailed Description
The embodiments of the present invention are described below with reference to specific embodiments, and other advantages and effects of the present invention will be easily understood by those skilled in the art from the disclosure of the present specification. The invention is capable of other and different embodiments and of being practiced or of being carried out in various ways, and its several details are capable of modification in various respects, all without departing from the spirit and scope of the present invention. It is to be noted that the features in the following embodiments and examples may be combined with each other without conflict.
It should be noted that the drawings provided in the following embodiments are only for illustrating the basic idea of the present invention, and the components related to the present invention are only shown in the drawings rather than drawn according to the number, shape and size of the components in actual implementation, and the type, quantity and proportion of the components in actual implementation may be changed freely, and the layout of the components may be more complicated.
The first embodiment is as follows:
as shown in fig. 1 to 8, a portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capability includes a medical knowledge base, an intelligent electronic medical record template engine, a self-defined medical record template, an electronic medical record data index using a family as a unit, a centralized-distributed basic-level drug database based on drug bar codes, a diagnosis condition statistics module, a security module, an intelligent auxiliary diagnosis module, and a central control system;
the medical knowledge base provides general intelligent auxiliary diagnosis and treatment based on evidence-based of authoritative specialty;
the intelligent electronic medical record template engine provides a customizable electronic medical record template based on the national requirements on the electronic medical record specification of the basic medical institution, and the intelligent electronic medical record template engine can customize the attention points in the standard electronic medical record specification requirements; the electronic medical record template comprises a medical record template and a prescription template;
the primary medical institutions include primary hospitals, villagers, clinics, health rooms and the like.
The primary medical institutions with different levels and different concerns can set unique concerns to support different institutions to independently manage medical data.
The user-defined medical record template comprises an online template and a local template, wherein the online template is a common standardized medical record template of a basic medical institution, and the online template comprises chief complaints and current medical history information of common diseases; the local template comprises a local medical record template and a prescription template, the local template is formed by common medical record data which is arranged by a basic medical institution on the basis of an online template and is related to self medical work, and the local template is a self-defined template;
the electronic medical record data index taking the family as a unit establishes associated information taking the family as a unit;
the electronic medical record data index taking the family as a unit is centered on the householder.
By introducing the medical data of family members, the comprehensive data of various diseases, diagnosis and treatment and the like taking families as units can be quickly established and identified. Through the positioning and analysis of the data index, the single disease population can be quickly positioned and tracked, and real, reliable and full basic data are provided for developing the diagnosis and treatment service of family doctors.
The centralized-distributed basic drug database based on the drug bar codes is provided with a basic drug library which manages drug data in a centralized manner; the drug bar code-based centralized-distributed basic-level drug database associates basic drug libraries with basic medical institutions as independent units, and further comprises specific drug libraries which are managed and used by the corresponding basic medical institutions; the centralized-distributed basic level drug database based on the drug bar codes performs drug identification through bar code identification;
the unique drug library is exclusively shared by the corresponding primary medical institution.
The data reading capability of the camera of the mobile terminal is combined with the data expression capability of the medicine bar code, so that the convenient, efficient and accurate medicine data identification, search and positioning capabilities are provided, the convenient medicine management and lookup capabilities are provided for basic doctors, and the convenient and accurate medicine basic knowledge query capabilities of medicine symptomatic, taboo, usage amount, pharmacology of pharmacists, storage methods and the like are realized.
The visit condition statistics module is used for carrying out statistics on the visit information of the basic medical institution;
the information of seeing a doctor includes the functions of counting the number of people seeing a doctor, counting the amount of used medicine, counting income, making doctor's condition of seeing a doctor to be unified and the like. The diagnosis condition statistics module provides a data basis for drug purchase, sale and storage for the basic medical institution.
The safety module guarantees the safety of information and data;
through the unique coding characteristic, the specific data algorithm and the encryption logic, safe, complete and reliable data management and operation and maintenance services are provided for users of the electronic medical record system, and the data in the system can be guaranteed to run in a safe and stable environment.
The intelligent auxiliary diagnosis module provides auxiliary diagnosis results through intelligent diagnosis and treatment according to the medical knowledge base;
and the central control system controls various services required to be processed by the portable mobile diagnosis and treatment system.
The technical solution will be described in detail and completely with reference to the accompanying drawings of the business process, and it is obvious that the described business process is only a part of the process of the present invention, and not the whole business process. Based on the business process in the present invention, all other business processes obtained by those skilled in the art without creative efforts belong to the protection scope of the present invention.
As shown in fig. 1, the central control system includes a newly-opened doctor-seeing module, a drug library module, a doctor-seeing recording module, a data statistics module and a system setting module.
The workflow of the newly-started diagnosis module comprises the following steps:
s1: matching patients: after the personal information of the patient of the current patient is input, the newly-started diagnosis module intelligently screens according to the personal information of the patient and provides matched historical patient information;
the personal information of the patient can be the mobile phone number of the patient, and the mobile phone number of the patient can be complete 11 digits and can also be any digit which does not exceed 11 digits;
the historical patient information comprises patient names, contact information, ages, addresses and the like;
the doctor starts to ask and inputs the mobile phone number of the patient. And the newly-started diagnosis module dynamically displays the historical patient information matched with the doctor input content for the doctor to select according to the doctor input content through intelligent screening logic.
S2: if no matched historical patient information exists or the matched historical patient information is not consistent with the current patient and the family relationship does not exist between the current patient to be treated and the patient in the historical patient information, the current patient is a new patient, a basic patient information input interface is displayed, and the current patient is stored as the new patient;
if the family relationship exists between the current patient and the patient in the historical patient information, adding the current patient to family members of the corresponding patient, and establishing associated information in an electronic medical record data index taking a family as a unit for subsequently establishing basic disease data providing conditions taking the family as the unit;
if the matched historical patient information is consistent with the current patient, displaying the medical record information of the current patient in the last 3 times of treatment for the doctor to look up;
s3: referring to fig. 3, a chief complaint and a current medical history related to the current patient's condition are entered, a data monitoring assistant of a newly developed diagnosis module extracts disease-related information of the patient, a suspected disease is obtained by an intelligent algorithm engine based on a medical knowledge base according to the conformity of the disease-related information of the patient with various diseases, and an examination item is given according to the suspected disease;
the disease-related information of the patient comprises factors such as sex, age and inducement in disease description, duration, position, nature, degree, aggravation and remission, and chief complaints related to the current patient disease;
the evidence of the disease is completed through the inspection items.
Clicking the suspected disease, displaying common symptoms and physical signs of the suspected disease, and highlighting the chief complaint related to the current patient condition and the symptoms and physical signs matched with the suspected disease in the current medical history;
checking the suggestions of the examination items, and displaying the method for identifying and determining diseases through the examination items;
the disease identification and diagnosis are carried out by comprehensive analysis and derivation of indexes, parameters, report contents and the like of examination and inspection items to obtain a conclusion;
therefore, relevant reference and suggestion are provided for primary doctors, the doctors are assisted to carry out diagnosis, detailed and comprehensive auxiliary reference data are provided for further confirming the diagnosis of the patients, and the accuracy of the doctors in identifying the illness states of the patients is improved.
S4: see fig. 4 and 5. A doctor inputs the results of the diagnosis and examination of the doctor, a data monitoring assistant of the newly-developed diagnosis module captures the information related to the disease of the doctor and the patient, and an intelligent diagnosis assisting module is called to analyze, summarize, deduce and calculate so as to verify the rationality and accuracy of the doctor diagnosis;
the disease information includes information such as major features and symptoms, examination and examination indexes and parameters.
If the diagnosis of the doctor conflicts with the diagnosis result of the auxiliary diagnosis given by the intelligent auxiliary diagnosis module, the reason and the related information of the conflict are displayed by warning words with different colors on an auxiliary diagnosis interface;
the reasons for conflict include, but are not limited to: the information of missed diagnosis, misdiagnosis and insufficient basis and the like and provides relevant reasons of missed diagnosis, misdiagnosis and insufficient basis.
Therefore, the doctor is assisted to complete further diagnosis, the accuracy of diagnosis and treatment results of the doctor is improved, and the missed diagnosis and misdiagnosis rate is reduced.
S5: referring to fig. 6, after the doctor determines that the diagnosis is correct, the intelligent diagnosis assisting module is called to recommend the medicine;
the intelligent auxiliary diagnosis module carries out medication recommendation and considers information such as comprehensive illness state information, allergy history, past history, blood pressure, pulse, age, weight, pregnancy state, examination and inspection results and the like of the patient; the medicine recommended for administration comprises Chinese patent medicine and western medicine.
When a doctor makes a prescription, the intelligent auxiliary diagnosis module carries out medicine rationality check after selecting recommended medicines or selecting medicines by self;
the drug rationality check includes, but is not limited to: whether to trigger medication contraindications (including but not limited to, physical signs, age, pregnancy status, etc.) of the patient is a scene of reasonable medication, whether to take excessive medication, whether to take effective medication, etc.
Displaying detailed information of medication on an auxiliary diagnosis interface; the detailed information of the medication comprises the detailed information of the medicine such as the commercial name of the medicine, the packaging specification, the national medicine standard number, the approved literature number, the usage amount, the adverse reaction, the contraindication, the caution item, the medicine interaction, the manufacturing enterprise and the like.
S6: see fig. 7. After the doctor fills in the medical records and makes a prescription, the intelligent auxiliary diagnosis module is called to complete quality control on all text contents;
the quality control comprises: the medical record text content is fully detected, and the integration and cleaning of the medical record text content are completed by adopting traditional semantics, NLP technology-based analysis and inference model-based content quality control from multiple angles such as text semantic description, professional term description, word normalization and context semantic consistency in time, performing data integration, data cleaning, field analysis and the like; performing semantic understanding, element recognition and medical term normalization to complete word segmentation and normalization; carrying out knowledge calculation, knowledge reasoning and knowledge verification to finish reasoning judgment;
therefore, the method can ensure that the text content of the medical record achieves the complete effectiveness and filling timeliness of medical record data in form and connotation, and ensure the text term standardization, the medical record expression consistency and the clinical diagnosis and treatment logic rigor.
Through the steps, one-time diagnosis and treatment service is completed.
S7: the current patient case has universality, specificity and the like, and when the patient case needs to be stored, the medical record content of the patient is stored as an electronic medical record template after sensitive information is filtered through the function of storing as a template on a newly-opened visit page, so that all doctors in the same basic medical institution can use the electronic medical record template for the next time.
Similarly, the prescription can be stored as an electronic medical record template for the next use.
Because the system runs on the portable mobile terminal and runs the health information data of people in a specific range, the information safety requirements on the system and equipment are particularly high. The security module secures information and data from 3 aspects:
1. setting an organization code unique to a basic medical organization, wherein the organization code must be input during login;
for registered basic medical institution issuing institution codes, the institution codes are input by institution management personnel, and the content is a series of characters with special meanings and is generated through a special encryption algorithm. When the institution doctor logs in and registers, the institution code distributed by the institution must be filled in. And the organization code can be logged in by checking.
2. Monitoring the state of the logged equipment, and only the equipment in a specific state can log in;
as shown in fig. eight, during the login and registration process, various states of the currently logged-in device are detected, only the device in the active state can be logged in for use, and each device can be guaranteed to be logged in for use only by the mechanism and personnel designated by the system platform. The content and range of the data which can be checked after logging in are determined by the corresponding authority, and only the data with the specified range and authority can be checked. If the doctor of the organization leaves the office or the doctor of the organization illegally uses the equipment for other reasons, the administrator of the organization can actively lock the equipment, the equipment cannot be used after being locked, and any data cannot be checked, so that the risk of data leakage is guaranteed.
3. Carrying out encryption, decryption and verification operation by an algorithm combining a symmetric encryption mode and an asymmetric encryption mode, and transmitting data by adopting an SSL (secure sockets layer) secure transmission protocol;
in the process of data transmission between the mobile terminal and the server, the encryption, decryption and verification operations are performed on the information such as equipment information, token, data parameters and data request source by an algorithm combining two symmetric encryption modes and an asymmetric encryption mode, the data is transmitted by adopting an SSL (secure socket layer) secure transmission protocol, the security, reliability and integrity of the whole process of data request, transmission and analysis are guaranteed, and the access service is released only when the request passes the verification.
By the portable mobile diagnosis and treatment system with the auxiliary diagnosis and treatment capacity, independent and (or) centralized and customized management can be supported for basic medical institutions and independent medical working individuals on the premise that the basic medical institutions such as rural washrooms, villages and clinics meet the management requirements of the state on electronic medical records, and the portable mobile diagnosis and treatment system with the intelligent auxiliary diagnosis and treatment capacity and electronic medical record informatization management is provided.
A portable removal system of diagnosing of supplementary ability of diagnosing in area can:
(1) based on the requirements of the state and various provinces on the management requirements of the electronic medical record, the portable diagnosis and treatment system is provided for primary medical workers. Is convenient for primary medical workers to go out of a doctor, see a doctor, make a double-check and the like in daily life. And a convenient and fast landing solution is provided for popularization and information management of the basic-level electronic medical record.
(2) The system provides a professional and authoritative medical knowledge base with depth and breadth for primary medical workers, so that the primary medical workers can conveniently learn professional medical knowledge by using spare time, the knowledge area is enlarged, the diagnosis ability is improved, and the situations of missed diagnosis, misdiagnosis, overdose/contraindication, even delay of the patient's condition and the like are reduced.
(3) Through medical record data management taking a family as a unit, the distribution and the illness state of basic-level common diseases, chronic diseases and other diseases can be really and effectively recorded, collected and managed, real and comprehensive data can be provided for superior medical administrative departments, and an effective data basis is provided for the targeted popularization and promotion of family doctors.
(4) The efficiency of basic doctor's use this system is improved, reduce use cost, provide the following ability in the system:
providing an online template and a local template, finishing classification and summarization of the templates according to disease categories, dividing the templates into a medical record template and a prescription template, and providing functions of newly adding, modifying and deleting the disease categories, the medical record template and the prescription template.
Providing common diseases is a keyword management function. On the basis that the system provides thousands of general disease description term entries, a user-defined maintenance keyword function is provided. And quickly inputting the text in the process of compiling the medical record text writing.
The above-mentioned embodiments only express the specific embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the present invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention.
Claims (6)
1. The utility model provides a portable removal system of diagnosing of ability is diagnose in area which characterized in that: the system comprises a medical knowledge base, an electronic medical record data index taking a family as a unit, an intelligent auxiliary diagnosis module and a central control system;
the medical knowledge base provides general intelligent auxiliary diagnosis and treatment based on evidence-based of authoritative specialty;
the electronic medical record data index taking the family as a unit establishes associated information taking the family as a unit;
the intelligent auxiliary diagnosis module provides auxiliary diagnosis results through intelligent diagnosis and treatment according to the medical knowledge base;
and the central control system controls various services required to be processed by the portable mobile diagnosis and treatment system.
2. The portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capability according to claim 1, wherein: the electronic medical record data index taking the family as a unit is centered on the householder.
3. The portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capability according to claim 1, wherein: the portable mobile diagnosis and treatment system also comprises an intelligent electronic medical record template engine, a self-defined medical record template, a centralized-distributed basic-level medicine database based on medicine bar codes, a diagnosis condition statistic module and a safety module;
the intelligent electronic medical record template engine provides a customizable electronic medical record template based on the national requirements on the electronic medical record specification of the basic medical institution, and the intelligent electronic medical record template engine can customize the attention points in the standard electronic medical record specification requirements; the electronic medical record template comprises a medical record template and a prescription template;
the user-defined medical record template comprises an online template and a local template, wherein the online template is a common standardized medical record template of a basic medical institution, and the online template comprises chief complaints and current medical history information of common diseases; the local template comprises a local medical record template and a prescription template, the local template is formed by common medical record data which is arranged by a basic medical institution on the basis of an online template and is related to self medical work, and the local template is a self-defined template;
the centralized-distributed basic drug database based on the drug bar codes is provided with a basic drug library which manages drug data in a centralized manner; the drug bar code-based centralized-distributed basic-level drug database associates basic drug libraries with basic medical institutions as independent units, and further comprises specific drug libraries which are managed and used by the corresponding basic medical institutions; the centralized-distributed basic level drug database based on the drug bar codes performs drug identification through bar code identification;
the visit condition statistics module is used for carrying out statistics on the visit information of the basic medical institution;
the security module guarantees the security of information and data.
4. The portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capability according to any one of claims 1 to 3, wherein: the central control system comprises a newly-opened doctor seeing module, and the work flow of the newly-opened doctor seeing module comprises the following steps:
s1: matching patients: after the personal information of the patient of the current patient is input, the newly-started diagnosis module intelligently screens according to the personal information of the patient and provides matched historical patient information;
s2: if no matched historical patient information exists or the matched historical patient information is not consistent with the current patient and the family relationship does not exist between the current patient and the patient in the historical patient information, displaying a basic information interface for inputting the patient;
if the family relationship exists between the current patient and the patient in the historical patient information, adding the current patient to family members of the corresponding patient, and establishing associated information in an electronic medical record data index taking a family as a unit;
if the matched historical patient information is consistent with the current patient, displaying the medical record information of the current patient in the last 3 times of treatment for the doctor to look up;
s3: inputting a chief complaint and a current medical history related to the current patient condition, extracting disease related information of the patient by a data monitoring assistant of a newly-developed diagnosis module, obtaining suspected diseases according to the conformity of the disease related information of the patient and various diseases on the basis of a medical knowledge base through an intelligent algorithm engine, and giving an examination item according to the suspected diseases;
s4: a doctor inputs the results of the diagnosis and examination of the doctor, a data monitoring assistant of the newly-developed diagnosis module captures the information related to the disease of the doctor and the patient, and an intelligent diagnosis assisting module is called to analyze, summarize, deduce and calculate so as to verify the rationality and accuracy of the doctor diagnosis;
s5: after the doctor determines that the diagnosis is correct, calling the intelligent auxiliary diagnosis module to recommend the medicine; after a doctor selects recommended medication or selects a medicine by himself when the doctor prescribes a prescription, the intelligent auxiliary diagnosis module performs medicine rationality check.
5. The portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capability according to claim 4, wherein: the workflow of the newly-started diagnosis module further comprises the following steps:
s6: after the doctor fills in the medical records and makes a prescription, the intelligent auxiliary diagnosis module is called to complete quality control on all text contents;
s7: when the current patient case needs to be saved, the patient case history content is filtered and sensitive information is saved as an electronic case history template through the function of saving as a template.
6. The portable mobile diagnosis and treatment system with auxiliary diagnosis and treatment capability according to claim 3, wherein: the security module secures information and data from 3 aspects:
(1) setting an organization code unique to a basic medical organization, wherein the organization code must be input during login;
(2) monitoring the state of the logged equipment, and only the equipment in a specific state can log in;
(3) the encryption, decryption and verification operations are carried out by an algorithm combining a symmetric encryption mode and an asymmetric encryption mode, and an SSL (secure sockets layer) secure transmission protocol is adopted to transmit data.
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