CN113593722A - System and method for patient to preset medical care plan communication - Google Patents
System and method for patient to preset medical care plan communication Download PDFInfo
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- CN113593722A CN113593722A CN202110938178.0A CN202110938178A CN113593722A CN 113593722 A CN113593722 A CN 113593722A CN 202110938178 A CN202110938178 A CN 202110938178A CN 113593722 A CN113593722 A CN 113593722A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/20—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
Abstract
The technical scheme of the invention is used for the patient to preset medical care plan (ACP) communication and comprises a patient terminal, a data analysis terminal, a medical care terminal and a persistence terminal. The patient terminal is used for providing a plurality of data interaction interfaces for a patient to receive feedback input of the patient; when a first preset condition is met, the patient terminal sends a patient's living will Advice (ADs) data set to the data analysis terminal; the data analysis terminal analyzes the data set of the patient's living will Advice (ADs), and when the analysis result meets a second preset condition, the data set of the patient's living will Advice (ADs) is forwarded to the medical care terminal. The medical care terminal evaluates a patient's pre-living Advice (ADs) data set and adds an evaluation result as a supplementary data set to the patient's pre-living Advice (ADs) data set to obtain ACP decision data. Further comprising persistently storing in association a patient's pre-living will Advice (ADs) dataset and the assessment results. The invention can realize effective ACP communication.
Description
Technical Field
The invention belongs to the technical field of communication between health care and doctors and patients, and particularly relates to a system and a method for communication between patients with preset medical care plans, and a computer program instruction medium for realizing the method.
Background
China already enters the ranks of aging countries, the aging population is large in scale and fast in speed, and the cancer fatality rate is in an increasing trend, which is a great challenge for the peace and quiet treatment and care industry of China. The Advanced Care Plan (ACP) is an important component in peace and quiet nursing care, and based on the premise of respecting the autonomy of patients, the ACP encourages the patients to express the final will and form written documents to help the final patients to obtain medical care services consistent with the final will, so that the nursing relationship is improved, the decision conflict is reduced, and the readmission rate of the final patients is reduced.
Currently, ACP has been widely used in the medical health system of western developed countries, and a large number of practical studies have been conducted on patients with advanced cancer, but China is still in the beginning stage and mostly surveys ACP attitude and influencing factors.
The patent application CN202110369946.5 of the pending chinese invention proposes a data acquisition and feedback control system for pre-establishing a medical care plan, which includes a medical care management and control center, a care plan entry module, a monitoring and sensing module, a portable monitoring terminal, a network communication module and an emergency alarm module; the medical care management and control center is respectively in communication control connection with the care plan entry module, the monitoring sensing module (3), the portable monitoring terminal, the network communication module and the emergency alarm module. The invention generates reliable and effective nursing care plan based on the input information and physical characteristics of the specific cared person through big data and historical experience data, forms more scientific nursing care plan and better maintains the health of the cared person.
However, pre-emptive healthcare Planning (ACP) requires patients to be fully voluntary, fully conscious, and fully communicative, and therefore, the process of communicating with patients, with medical care, with others (third parties or family relatives) is important; meanwhile, ACP is still in a blank area in China, and how to ensure that the confidentiality, the authenticity and the objectivity of data related to a communication process meet the existing regulations to the greatest extent so as to facilitate the realization of ACP in the future is not reported in the field.
Disclosure of Invention
To solve the above technical problems, the present invention proposes a system and method for patient pre-establishing medical care plan communication, and a computer program instruction medium for implementing the method.
Specifically, in a first aspect of the present invention, a system for patient pre-emptive medical care plan (ACP) communication is provided, the system comprising a first patient terminal, a second data resolution terminal, a third healthcare terminal, and a fourth persistence terminal.
The first patient terminal is used for providing a plurality of data interaction interfaces for a patient and receiving feedback input of the patient;
the second data analysis terminal is connected with the first patient terminal and the third medical care terminal;
when a first preset condition is met, the first patient terminal sends a patient's living will Advice (ADs) data set to the second data analysis terminal;
the second data analysis terminal analyzes the patient's living will Advice (ADs) data set, and when the analysis result meets a second preset condition, the patient's living will Advice (ADs) data set is forwarded to the third medical care terminal;
the third medical care terminal evaluates the patient's living history Advice (ADs) data set, and adds an evaluation result as a supplementary data set to the patient's living history Advice (ADs) data set to obtain ACP decision data;
the fourth persistence terminal is respectively connected with the second data analysis terminal and the third medical care terminal;
when the second data parsing terminal forwards the patient's pre-living will Advice (ADs) dataset to the third healthcare terminal, the fourth persistence terminal persistently stores the patient's pre-living will Advice (ADs) dataset;
and when the third medical care terminal obtains the evaluation result, the fourth persistence terminal stores the evaluation result in a persistence manner.
In the invention, the persistent storage refers to the adoption of a persistent technology, and is to store the data stored in the memory in the hard disk to realize the permanent storage of the data and ensure that the data cannot be lost even if the electronic equipment is shut down or powered off.
In a second aspect of the present invention, there is provided a method for patient-advanced medical care plan (ACP) communication, which may be implemented based on the system of the first aspect, the method including a plurality of steps S600-S680, each of which may be implemented by a separate thread or process, when each step is implemented by a process, two processes having a step relationship communicate with each other through a data pipeline (data pipeline), and if necessary, a unidirectional data pipeline is used for communication.
Specifically, the steps are implemented as follows:
s600: receiving identity verification information of a patient and detecting current input state information of the patient;
s610: judging whether the patient is in a preset rejected time period, if so, rejecting the patient, and quitting;
otherwise, judging whether the patient is in an abnormal state or not,
if yes, rejecting the patient, setting a rejected time period for the patient, and exiting;
otherwise, entering the next step;
s620: providing a plurality of questionnaires or test questionnaires to the patient;
s630: receiving feedback input information of a patient;
s640: obtaining a patient's pre-living Advice (ADs) dataset based on the feedback input information;
s650: judging whether the feedback input information meets a first preset condition, if so, entering the next step, otherwise, returning to the step S620;
s660: parsing the patient's pre-living Advice (ADs) dataset;
s670: judging whether the analysis result meets a second preset condition, if so, entering the next step;
s680: evaluating the patient's pre-living Advice (ADs) dataset and adding the evaluation result as a supplementary dataset to the patient's pre-living Advice (ADs) dataset to obtain ACP decision data.
As a further refinement, said step S660 and said step S680 each include a data persistence step of associating said patient pre-living will order (ADs) dataset with said assessment results for persistence storage.
As a further improvement, data pipe communication is adopted between the first process corresponding to the persistence step, the second process corresponding to the step S660, and the third process corresponding to the step S680;
specifically, the second process and the first process adopt one-way data pipeline communication, and the second process transmits data to the first process in a one-way manner; and the third process and the first process adopt one-way data pipeline communication, and the third process transmits data to the first process in a one-way mode.
As a further improvement, before the step S600, the method further includes:
a target patient who potentially needs to pre-establish medical care plan (ACP) communication is pre-determined and a database of identities of the target patient is established.
In a third aspect of the present invention, there is also disclosed an electronic device for patient-advanced medical care planning (ACP) communication, comprising a processor, a memory, a communication interface, and one or more programs stored in the memory and configured to be executed by the processor, the programs including instructions for performing the steps of the method of the second aspect.
As a further implementation, the electronic device may be a terminal device comprising a processor and a memory, in particular an image processing terminal device, including a mobile terminal, a desktop terminal, a server cluster, etc., which comprises a storage medium, executing program instructions automated by the program instructions for implementing all the step instructions of the method.
According to the technical scheme, in the process of establishing the patient pre-standing medical care plan, the current state of the patient is fully respected from the beginning, the compliance of medical practice and law is considered, and the actually existing data set of the patient's antenatal Advice (ADs) is objectively and fully recorded in each link; and the method aims at the suggestion or evaluation of medical care personnel and also aims at the evaluation result of an ante-living will Advice (ADs) data set of a patient to carry out persistent storage, thereby ensuring that the communication between a doctor and a patient about the preset medical care plan (ACP) of the patient exists really, effectively and objectively, conforming to the current society and medical practice and having better potential popularization value, and the method also adopts a data pipeline technology to carry out one-way traffic, avoiding the possible interference of different patients or different processes and protecting the privacy of the patient and the safety of the data.
Further advantages of the invention will be apparent in the detailed description section in conjunction with the drawings attached hereto.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without creative efforts.
FIG. 1 is a schematic diagram of the main module terminal components of a system for patient-pre-plan medical care (ACP) communication, in accordance with an embodiment of the present invention
FIG. 2 is a schematic diagram of a system for patient-initiated medical care plan (ACP) communication to obtain an ACP decision data set as described in FIG. 1
FIG. 3 is a block diagram of a patient terminal of the system for patient-advanced medical care plan (ACP) communication of FIG. 1
FIG. 4 is a body flow diagram of a method for patient-advanced medical care planning (ACP) communication implemented based on the system of FIG. 1
FIG. 5 is a further preferred embodiment of the method illustrated in FIG. 4
FIG. 6 is a schematic diagram of a computer-readable storage medium and a terminal device for implementing the method flow of FIG. 4 or FIG. 5
Detailed Description
The invention is further described with reference to the following drawings and detailed description.
Before describing the various embodiments of the present invention, the relevant medical concepts used by the present invention will be described.
Pre-established medical care program (ACP): the medical treatment system is used for indicating the willingness of a patient to receive treatment and care when the patient is in an end-of-life state in the future by means of personal life experience and value view under the condition of acquiring relevant information such as disease conditions, disease prognosis and possibly taken end-of-life rescue measures when the patient is aware of the information, and communicating the willingness with medical staff and/or relatives and friends.
Pre-living will (ADs): also known as pre-standing medical instructions/pre-living advice, is used to express oral and written opinions of the will of the impending treatment care.
In medical practice, ACP is formulated to form ADs, so that the problem that medical staff and family members of patients can not express their own will under emergency conditions such as disease change and the like, and the patients can receive treatment against the intention of the medical staff and the family members of the patients is effectively avoided.
In the embodiment of the present invention, for convenience of description, the above concepts are referred to as "patient's living will Advice (ADs) data set" and "ACP decision data" correspondingly.
The "patient's pre-living will (ADs) dataset" herein may essentially correspond to the "making ACP to form ADs" in the introductory portion, except that in the present invention, the results of the assessment are also added as a supplementary dataset to the patient's pre-living will (ADs) dataset to obtain ACP decision data.
Referring to fig. 1, a schematic diagram of a group of main module terminals of a system for patient pre-determined medical care plan (ACP) communication according to an embodiment of the present invention is shown.
In fig. 1, the system includes a patient terminal, a data parsing terminal, a medical care terminal, and a persistence terminal.
For the convenience of differentiation, in this embodiment and the following embodiments, the terminals are defined in order, that is, the first patient terminal, the second data analysis terminal, the third healthcare terminal, and the fourth persistence terminal.
Next, the functions and the mutual association of the above-described respective terminals are described in the stated order, respectively.
A first patient terminal: for providing a plurality of data interaction interfaces to a patient and receiving feedback input from the patient;
preferably, the feedback input here includes an authentication input and a will input, and the will input inputs corresponding feedback contents for the interactive contents provided by the plurality of data interactive interfaces;
the second data analysis terminal: the first patient terminal and the third medical care terminal are connected and used for executing an analysis function;
it should be noted that, in the present embodiment, the parsing function is not executed as long as there is a feedback input, but a certain condition needs to be satisfied;
when a first preset condition is met, the first patient terminal sends a patient's living will Advice (ADs) data set to the second data analysis terminal, and at the moment, the second data analysis terminal analyzes the patient's living will Advice (ADs) data set;
evaluating a third medical care terminal: for the patient's pre-living Advice (ADs) dataset
It is noted that in the present embodiment, the evaluation function is not performed as long as there is a patient's pre-living will order (ADs) dataset, but rather certain conditions need to be satisfied;
specifically, only when the analysis result of the second data analysis terminal meets a second preset condition, the data set of the patient's living will Advice (ADs) is forwarded to the third medical care terminal to perform evaluation, and at this time, the third medical care terminal evaluates the data set of the patient's living will Advice (ADs) and adds the evaluation result as a supplementary data set to the data set of the patient's living will Advice (ADs) to obtain ACP decision data.
And the fourth persistent terminal is used for executing the persistent storage function.
In this embodiment, the persistent storage refers to using a persistent technology, and is to store data stored in the memory in the hard disk, so as to implement permanent storage of the data, and ensure that the data is not lost even when the electronic device is powered off or powered off.
In order to avoid an excessive data storage proportion and also to avoid storing invalid contents, in the present embodiment, the persistent storage is not performed for all data, but is valid and legislated objective real data.
Specifically, the fourth persistence terminal is connected to the second data analysis terminal and the third medical care terminal respectively; when the second data parsing terminal forwards the patient's pre-living will Advice (ADs) dataset to the third healthcare terminal, the fourth persistence terminal persistently stores the patient's pre-living will Advice (ADs) dataset; and when the third medical care terminal obtains the evaluation result, the fourth persistence terminal stores the evaluation result in a persistence manner.
Referring to fig. 2 based on fig. 1, fig. 2 is a schematic diagram of a system for patient-advanced medical care planning (ACP) communication to obtain an ACP decision data set according to fig. 1.
In fig. 2, the plurality of data interaction interfaces are sequentially displayed on the display interface of the first patient terminal, and each data interaction interface provides at least one questionnaire or test questionnaire;
as an example of the specific content of the questionnaire, the questionnaire may be a degree of understanding of the patient about his/her own condition, including the disease condition and the treatment means; but also survey and ease the degree of understanding of the patient's pre-established medical care plan (ACP), etc.;
specific examples of the test questionnaire include a test of the patient's condition, treatment means, and the degree of patient's pre-established medical care plan (ACP) after the questionnaire.
The present invention is not limited in this regard and any prior art relating to patient-pre-determined medical care planning (ACP) may be used.
Then, receiving feedback input by the patient, the feedback input being feedback input for the questionnaire or test questionnaire, including touch text input, touch selection input, and touch confirmation input;
obtaining a patient's pre-living Advice (ADs) dataset based on the feedback input when the feedback input satisfies a first preset condition;
preferably, the first preset condition includes one of the following conditions or any combination thereof:
(1) the feedback input completion time of the patient for the questionnaire or the test questionnaire does not exceed a first standard time, and the completion rate of the questionnaire or the test questionnaire is not lower than a first proportion;
(2) the accuracy of the patient's completion of the test questionnaire is not less than a second proportion;
(3) at least one abandonment option is selected from the questionnaire completed by the patient;
(4) the test questionnaire completed by the patient contains at least a number of different options for the same question.
After obtaining the data set of the patient's pre-living will Advice (ADs), it is necessary to continuously determine whether a second preset condition is met to determine whether to perform the evaluation, and at this time, an analysis stage is entered, where the analysis stage includes evaluating the questionnaire or testing the questionnaire to obtain a plurality of analysis results, including scoring, quantitative/qualitative expert opinions, and the like.
And entering an evaluation stage when the analysis result meets a second preset condition.
The second preset condition comprises one of the following conditions or any combination thereof:
(1) the patient provides confirmation input for each of the questionnaires or each test questionnaire;
(2) the questionnaire for the patient scoring greater than a third value;
(3) the test questionnaire for the patient is scored greater than a fourth value.
Then, receiving an evaluation result of the patient's pre-living Advice (ADs) data set by a dedicated medical staff, and adding the evaluation result as a supplementary data set to the patient's pre-living Advice (ADs) data set to obtain ACP decision data.
The evaluation result may be supplementary advice, legal advice, clinical practice possibility, etc. of the medical staff for the patient's living will Advice (ADs) data set, and the present invention is not particularly limited thereto.
Fig. 3 is a block diagram of a patient terminal of the system for patient-advanced medical care plan (ACP) communication of fig. 1.
In fig. 3, the first patient terminal comprises a human-computer interaction module comprising an identity verification module and a status detection module;
the identity authentication module is used for receiving identity authentication information of a patient;
the state detection module is used for detecting input state information when the patient inputs the identity authentication information through the identity authentication module;
and when the input state information is in an abnormal state, sending early warning prompt information on the data interaction interface, refusing the current patient to continue inputting the identity verification information, and refusing the current patient to input the identity verification information on the first patient terminal within a preset time period.
When the input state information is in a normal state, the input state information and the authentication information are sent to the fourth persistent terminal after being encrypted through the associated codes, feedback input of a patient is received through the data interaction interface, the feedback input comprises voice input and touch input, and an administration to the patient (ADs) data set is obtained based on the voice input and/or the touch input.
The embodiment illustrated in fig. 3 is configured such that the acquired patient's pre-living will (ADs) data set is not only objectively realistic, but is also expressed in the patient's normal willingness to comply with the nature of the patient's pre-established medical care plan (ACP) communication.
Based on the embodiments of fig. 1-3, fig. 4 is a body flow diagram of a method for patient-Advanced Care Plan (ACP) communication implemented based on the system of fig. 1.
The method comprises a plurality of steps S600-S680, wherein each step can be realized by a separate thread or process, when each step is realized by adopting a process, two processes with step relation communicate with each other through a data pipeline (data pipeline), and if necessary, one-way data pipeline communication is adopted.
Specifically, the steps are implemented as follows:
s600: receiving identity verification information of a patient and detecting current input state information of the patient;
s610: judging whether the patient is in a preset rejected time period, if so, rejecting the patient, and quitting;
otherwise, judging whether the patient is in an abnormal state or not,
if yes, rejecting the patient, setting a rejected time period for the patient, and exiting;
otherwise, entering the next step;
s620: providing a plurality of questionnaires or test questionnaires to the patient;
s630: receiving feedback input information of a patient;
s640: obtaining a patient's pre-living Advice (ADs) dataset based on the feedback input information;
s650: judging whether the feedback input information meets a first preset condition, if so, entering the next step, otherwise, returning to the step S620;
s660: parsing the patient's pre-living Advice (ADs) dataset;
s670: judging whether the analysis result meets a second preset condition, if so, entering the next step;
s680: evaluating the patient's pre-living Advice (ADs) dataset and adding the evaluation result as a supplementary dataset to the patient's pre-living Advice (ADs) dataset to obtain ACP decision data.
As a further improvement, before the step S600, the method further includes:
a target patient who potentially needs to pre-establish medical care plan (ACP) communication is pre-determined and a database of identities of the target patient is established.
Corresponding to the foregoing system embodiment, in the foregoing step S650, the first preset condition is satisfied, which includes one of the following conditions or any combination thereof:
(1) the feedback input completion time of the patient for the questionnaire or the test questionnaire does not exceed a first standard time, and the completion rate of the questionnaire or the test questionnaire is not lower than a first proportion;
(2) the accuracy of the patient's completion of the test questionnaire is not less than a second proportion;
(3) at least one abandonment option is selected from the questionnaire completed by the patient;
(4) the test questionnaire completed by the patient contains at least a number of different options for the same question.
In the step S670, the second preset condition is satisfied, which includes one of the following conditions or any combination thereof:
(1) the patient provides confirmation input for each of the questionnaires or each test questionnaire;
(2) the questionnaire for the patient scoring greater than a third value;
(3) the test questionnaire for the patient is scored greater than a fourth value.
It is to be noted that, in the above embodiments of the present invention, the options or combinations given by the first preset condition and the second preset condition are not exhaustive, but examples.
In fact, as one skilled in the art can appreciate, the first preset condition may be a preset input state condition, an input number condition, or an input content condition that the feedback input satisfies, and the second preset condition may be a score value or a confirmation value of the feedback input of the patient under the satisfaction of the first preset condition.
Further, in the above method, it is determined whether the patient is in an abnormal state by detecting input state information when the patient inputs authentication information.
And when the input state information is in an abnormal state, sending out early warning prompt information, refusing the current patient to continue inputting the authentication information, and refusing the current patient to input the authentication information within a preset time period.
The input status information is mainly used to determine whether the current patient is emotional, stable physiological status, awake, etc., such as whether the face is normal, normal eye, normal posture, lacrimation, cachexia, etc. the present invention is not limited to this, but mainly considers whether the current patient with an absolute symptom is stable in physiological and psychological conditions and can express normal or real will.
As a further refinement, referring to fig. 5, said step S660 and said step S680 each comprise a data persistence step of associating said patient pre-living will orders (ADs) dataset with said assessment results for persistence storage.
As a further improvement, data pipe communication is adopted between the first process corresponding to the persistence step, the second process corresponding to the step S660, and the third process corresponding to the step S680;
specifically, the second process and the first process adopt one-way data pipeline communication, and the second process transmits data to the first process in a one-way manner; and the third process and the first process adopt one-way data pipeline communication, and the third process transmits data to the first process in a one-way mode.
The methods described in fig. 5 and 4 may be performed automatically by program instructions through a terminal device comprising a processor and a memory, especially an image processing terminal device, including a mobile terminal, a desktop terminal, a server cluster, and the like.
Thus, referring to fig. 6, the present embodiment also provides a computer-readable storage medium having stored thereon computer program instructions; the program instructions are executed by an image terminal processing device comprising a processor and a memory for implementing all or part of the steps of the method. The processor and the memory are connected through a bus to form internal communication of the terminal equipment.
The invention provides an effective technical scheme for the communication of a patient's pre-established medical care plan (ACP) for the first time, and has the following advantages:
(1) fully honoring the current state of the patient from the beginning, and objectively and fully recording the actually existing patient ante-natal Advice (ADs) data set in each link in consideration of the compliance of medical practice and law;
(2) aiming at the suggestion or evaluation of medical care personnel and the evaluation result of an ante-living will Advice (ADs) data set of a patient, the method carries out persistent storage, thereby ensuring that the communication between doctors and patients about the preset medical care plan (ACP) of the patient exists really, effectively and objectively, conforming to the current society and medical practice, having better potential popularization value,
(3) the data pipeline technology is adopted for one-way passing, so that possible interference of different patients or different processes is avoided, and the privacy of the patients and the safety of data are protected;
(4) purposefully and purposefully storing useful data persistently, and avoiding data storage explosion.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (10)
1. A system for a patient to pre-establish medical care plan (ACP) communication, the system comprising a first patient terminal, a second data resolution terminal, a third healthcare terminal, and a fourth persistence terminal;
the method is characterized in that:
the first patient terminal is used for providing a plurality of data interaction interfaces for a patient and receiving feedback input of the patient;
the second data analysis terminal is connected with the first patient terminal and the third medical care terminal;
when a first preset condition is met, the first patient terminal sends a patient's living will Advice (ADs) data set to the second data analysis terminal;
the second data analysis terminal analyzes the patient's living will Advice (ADs) data set, and when the analysis result meets a second preset condition, the patient's living will Advice (ADs) data set is forwarded to the third medical care terminal;
the third medical care terminal evaluates the patient's living history Advice (ADs) data set, and adds an evaluation result as a supplementary data set to the patient's living history Advice (ADs) data set to obtain ACP decision data;
the fourth persistence terminal is respectively connected with the second data analysis terminal and the third medical care terminal;
when the second data parsing terminal forwards the patient's pre-living will Advice (ADs) dataset to the third healthcare terminal, the fourth persistence terminal persistently stores the patient's pre-living will Advice (ADs) dataset;
and when the third medical care terminal obtains the evaluation result, the fourth persistence terminal stores the evaluation result in a persistence manner.
2. The system for patient-advanced medical care plan (ACP) communication as recited in claim 1, wherein:
the first patient terminal comprises a man-machine interaction module, and the man-machine interaction module comprises an identity verification module and a state detection module;
the identity authentication module is used for receiving identity authentication information of a patient;
the state detection module is used for detecting input state information when the patient inputs the identity authentication information through the identity authentication module;
and when the input state information is in an abnormal state, sending early warning prompt information on the data interaction interface, refusing the current patient to continue inputting the identity verification information, and refusing the current patient to input the identity verification information on the first patient terminal within a preset time period.
3. The system for patient-advanced medical care plan (ACP) communication as recited in claim 2, wherein: when the input state information is in a normal state, the input state information and the authentication information are sent to the fourth persistent terminal after being encrypted through the associated codes, feedback input of a patient is received through the data interaction interface, the feedback input comprises voice input and touch input, and an administration to the patient (ADs) data set is obtained based on the voice input and/or the touch input.
4. The system for patient-advanced medical care plan (ACP) communication as recited in claim 1, wherein:
the first patient terminal is used for providing a plurality of data interactive interfaces for a patient and receiving feedback input of the patient, and specifically comprises:
sequentially displaying the plurality of data interaction interfaces on a display interface of the first patient terminal, wherein each data interaction interface provides at least one questionnaire or test questionnaire;
the first preset condition comprises one of the following conditions or any combination thereof:
(1) the feedback input completion time of the patient for the questionnaire or the test questionnaire does not exceed a first standard time, and the completion rate of the questionnaire or the test questionnaire is not lower than a first proportion;
(2) the accuracy of the patient's completion of the test questionnaire is not less than a second proportion;
(3) at least one abandonment option is selected from the questionnaire completed by the patient;
(4) the test questionnaire completed by the patient contains at least a number of different options for the same question.
5. The system of claim 4, wherein the patient is pre-positioned for medical care plan (ACP) communication, and wherein:
said patient's pre-living Advice (ADs) dataset consisting of feedback input data of said patient for said questionnaire and/or test questionnaire;
the second preset condition comprises one of the following conditions or any combination thereof:
(1) the patient provides confirmation input for each of the questionnaires or each test questionnaire;
(2) the questionnaire for the patient scoring greater than a third value;
(3) the test questionnaire for the patient is scored greater than a fourth value.
6. A method for a patient to pre-establish medical care plan (ACP) communication, comprising:
the method comprises the following steps:
s600: receiving identity verification information of a patient and detecting current input state information of the patient;
s610: judging whether the patient is in a preset rejected time period, if so, rejecting the patient, and quitting;
otherwise, judging whether the patient is in an abnormal state or not,
if yes, rejecting the patient, setting a rejected time period for the patient, and exiting;
otherwise, entering the next step;
s620: providing a plurality of questionnaires or test questionnaires to the patient;
s630: receiving feedback input information of a patient;
s640: obtaining a patient's pre-living Advice (ADs) dataset based on the feedback input information;
s650: judging whether the feedback input information meets a first preset condition, if so, entering the next step, otherwise, returning to the step S620;
s660: parsing the patient's pre-living Advice (ADs) dataset;
s670: judging whether the analysis result meets a second preset condition, if so, entering the next step;
s680: evaluating the patient's pre-living Advice (ADs) dataset and adding the evaluation result as a supplementary dataset to the patient's pre-living Advice (ADs) dataset to obtain ACP decision data;
and, said step S660 and said step S680 each comprise a data persistence step of associating said patient pre-living will Advice (ADs) dataset and said assessment results for post-persistence storage.
7. The method of claim 6, wherein the patient is pre-positioned for medical care plan (ACP) communication,
the first preset condition is satisfied, including one of the following conditions or any combination thereof:
(1) the feedback input completion time of the patient for the questionnaire or the test questionnaire does not exceed a first standard time, and the completion rate of the questionnaire or the test questionnaire is not lower than a first proportion;
(2) the accuracy of the patient's completion of the test questionnaire is not less than a second proportion;
(3) at least one abandonment option is selected from the questionnaire completed by the patient;
(4) the test questionnaire completed by the patient contains at least a number of different options for the same question.
8. The method of claim 7, wherein the patient is pre-positioned for medical care plan (ACP) communication,
said patient's pre-living Advice (ADs) dataset consisting of feedback input data of said patient for said questionnaire and/or test questionnaire;
the second preset condition is satisfied, which includes one of the following conditions or any combination thereof:
(1) the patient provides confirmation input for each of the questionnaires or each test questionnaire;
(2) the questionnaire for the patient scoring greater than a third value;
(3) the test questionnaire for the patient is scored greater than a fourth value.
9. A method for patient pre-emptive medical care plan (ACP) communication according to any one of claims 6-8, wherein:
and judging whether the patient is in an abnormal state or not by detecting input state information when the patient inputs authentication information.
10. A method for patient pre-emptive medical care plan (ACP) communication according to any one of claims 6-8, wherein:
before the step S600, the method further includes:
a target patient who potentially needs to pre-establish medical care plan (ACP) communication is pre-determined and a database of identities of the target patient is established.
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