CN113593722B - System and method for patient pre-established medical care plan communication - Google Patents
System and method for patient pre-established medical care plan communication Download PDFInfo
- Publication number
- CN113593722B CN113593722B CN202110938178.0A CN202110938178A CN113593722B CN 113593722 B CN113593722 B CN 113593722B CN 202110938178 A CN202110938178 A CN 202110938178A CN 113593722 B CN113593722 B CN 113593722B
- Authority
- CN
- China
- Prior art keywords
- patient
- terminal
- ads
- data
- medical care
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 230000006854 communication Effects 0.000 title claims abstract description 45
- 238000004891 communication Methods 0.000 title claims abstract description 43
- 238000000034 method Methods 0.000 title claims description 62
- 238000011156 evaluation Methods 0.000 claims abstract description 27
- 230000002688 persistence Effects 0.000 claims abstract description 25
- 238000007405 data analysis Methods 0.000 claims abstract description 20
- 230000003993 interaction Effects 0.000 claims abstract description 17
- 238000004458 analytical method Methods 0.000 claims abstract description 12
- 238000012360 testing method Methods 0.000 claims description 30
- 238000012795 verification Methods 0.000 claims description 19
- 230000002159 abnormal effect Effects 0.000 claims description 8
- 230000002085 persistent effect Effects 0.000 claims description 8
- 238000012790 confirmation Methods 0.000 claims description 5
- 201000010099 disease Diseases 0.000 claims description 5
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 5
- 238000001514 detection method Methods 0.000 claims description 4
- 230000000153 supplemental effect Effects 0.000 claims description 4
- 238000004393 prognosis Methods 0.000 claims description 2
- 230000008569 process Effects 0.000 description 31
- 238000010586 diagram Methods 0.000 description 9
- 230000015654 memory Effects 0.000 description 8
- 230000006870 function Effects 0.000 description 5
- 238000005516 engineering process Methods 0.000 description 4
- 238000004590 computer program Methods 0.000 description 3
- 230000036541 health Effects 0.000 description 3
- 230000006872 improvement Effects 0.000 description 3
- 238000012545 processing Methods 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 201000011510 cancer Diseases 0.000 description 2
- 238000013500 data storage Methods 0.000 description 2
- 230000002452 interceptive effect Effects 0.000 description 2
- 238000007726 management method Methods 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 1
- 206010062519 Poor quality sleep Diseases 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000001174 ascending effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000008451 emotion Effects 0.000 description 1
- 238000004880 explosion Methods 0.000 description 1
- 230000014509 gene expression Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 230000035790 physiological processes and functions Effects 0.000 description 1
- 238000000513 principal component analysis Methods 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 239000013589 supplement Substances 0.000 description 1
- 230000001755 vocal effect Effects 0.000 description 1
- 230000002747 voluntary effect Effects 0.000 description 1
Classifications
-
- 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
-
- 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
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Epidemiology (AREA)
- General Health & Medical Sciences (AREA)
- Primary Health Care (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Pathology (AREA)
- Medical Treatment And Welfare Office Work (AREA)
Abstract
The technical scheme of the invention is used for communicating with a patient pre-established medical care plan (ACP), 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 the first preset condition is met, the patient terminal sends a patient prenatal legacy (ADs) data set to the data analysis terminal; the data analysis terminal analyzes a patient prenatal legacy (ADs) data set, and when the analysis result accords with a second preset condition, the patient prenatal legacy (ADs) data set is forwarded to the medical care terminal. The medical care terminal evaluates a patient prenatal legacy (ADs) data set, and adds the evaluation result as a supplementary data set to the patient prenatal legacy (ADs) data set to obtain ACP decision data. Also included is storing a patient pre-living orders (ADs) dataset and the evaluation result persistence association. The invention can realize effective ACP communication.
Description
Technical Field
The invention belongs to the technical field of health medical treatment and doctor-patient communication, and particularly relates to a system and a method for communication of a patient pre-established medical care plan and a computer program instruction medium for realizing the method.
Background
The Chinese has been in the range of the aged countries, the aged population has large scale and high speed, and the cancer fatality rate is in an ascending trend, which is a great challenge for the peace care industry in China. The pre-established medical care plan (ADVANCECARE PLANNING, ACP) is an important component in the safety care, and on the premise of respecting the autonomy of patients, encourages the patients to express their own willingness to finish and form written files so as to help the patients at the end stage to obtain medical care services consistent with the own willingness, further improve the care relationship, reduce decision conflicts and reduce the readmission rate of the patients at the end stage.
Currently, ACP has been widely used in the medical and health system in western developed countries, and a great deal of practical research has been carried out in advanced cancer patients, but China is still in the beginning stage, and most of ACP attitude and influence factors are investigated.
The patent application CN202110369946.5 of the invention in the examined China provides a data acquisition and feedback control system for a pre-established medical care plan, which comprises a medical care management and control center, a care plan input module, a monitoring and sensing module, a portable supervision 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 input module, the monitoring sensing module (3), the portable supervision terminal, the network communication module and the emergency alarm module. Based on the input information and physical characteristics of the specific cared person, the invention generates a reliable and effective care plan through big data and historical experience data, forms a more scientific care plan and better maintains the health of the cared person.
However, the pre-established medical care plan (ADVANCECARE PLANNING, ACP) requires the patient to be fully voluntary, fully aware, fully communicate, and therefore, the communication process with the patient, with the medical care, with other people (third party or family relatives) is important; meanwhile, the ACP is still in a blank zone in China, and how to ensure confidentiality, authenticity and objectivity of data related to a communication process to the greatest extent meets the existing regulations so as to facilitate the implementation of the ACP in the future, and no corresponding technical scheme has been reported in the field.
Disclosure of Invention
To solve the above technical problems, the present invention proposes a system and a method for patient-pre-established medical care plan communication, and a computer program instruction medium implementing the method.
In particular, in a first aspect of the invention, a system for patient pre-established medical care plan (ACP) communication is provided that includes 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 prenatal legacy (ADs) data set to the second data analysis terminal;
the second data analysis terminal analyzes the patient prenatal legacy (ADs) data set, and when the analysis result accords with a second preset condition, the patient prenatal legacy (ADs) data set is forwarded to the third medical care terminal;
The third medical care terminal evaluates the patient prenatal legacy (ADs) data set, and adds the evaluation result as a supplementary data set to the patient prenatal legacy (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 analysis terminal forwards the patient pre-living legacy (ADs) data set to the third medical terminal, the fourth persistence terminal persists the patient pre-living legacy (ADs) data set;
And when the third medical care terminal obtains the evaluation result, the fourth persistence terminal persistence-stores the evaluation result.
In the invention, the persistent storage refers to the adoption of a persistent technology, namely, the data stored in the memory is stored in the hard disk, so that the data is permanently stored, and the data is not lost under the condition that the electronic equipment is powered off or is powered off.
In a second aspect of the invention, there is provided a method for patient pre-established medical care plan (ACP) communication, the method being implementable on the basis of the system of the first aspect described above, the method comprising a plurality of steps S600-S680, each step being implementable by a separate thread or process, when each step is implemented by a process, two processes having a step relationship communicating by a data pipe (DATA PIPELINE) therebetween, if necessary by a unidirectional data pipe.
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 refused time period, if so, refusing the patient and exiting;
otherwise, judging whether the patient is in an abnormal state,
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 prenatal legacy (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 pre-living orders (ADs) dataset;
s670: judging whether the analysis result meets a second preset condition, if so, entering the next step;
S680: evaluating the patient pre-living orders (ADs) dataset and adding the evaluation result as a supplemental dataset to the patient pre-living orders (ADs) dataset to obtain ACP decision data.
As a further improvement, both the step S660 and the step S680 include a data persistence step of associating and persisting the patient pre-living orders (ADs) dataset with the assessment results.
As a further improvement, 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 adopt data pipeline communication;
specifically, the second process and the first process adopt unidirectional data pipeline communication, and the second process unidirectionally transmits data to the first process; the third process and the first process adopt unidirectional data pipeline communication, and data is transmitted to the first process in a unidirectional mode by the third process.
As yet another refinement, prior to said step S600, said method further comprises:
Target patients potentially in need of pre-established medical care plan (ACP) communication are predetermined and an identity database of the target patients is established.
In a third aspect of the invention, there is also disclosed an electronic device for patient-pre-established medical care plan (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 comprising instructions for performing the steps in the method of the second aspect.
As a further implementation, the electronic device may be a terminal device, in particular an image processing terminal device, comprising a processor and a memory, including a mobile terminal, a desktop terminal, a server cluster, etc., comprising a storage medium, executing program instructions, automated by program instructions, for implementing all the step instructions of the method.
In the technical scheme of the invention, the current state of a patient is fully respected from the beginning in the process of establishing a patient pre-standing medical care plan, and the actual existing patient pre-living legacy (ADs) data set is objectively and fully recorded in each link in consideration of the medical reality and legal compliance; the advice or evaluation of medical staff is carried out on the evaluation result of the patient pre-living will (ADs) data set, so that the communication of both sides of a doctor and a patient about a patient pre-standing medical care plan (ACP) is truly, effectively and objectively existing, the method accords with the current society and medical practice, has a good potential popularization value, the method also adopts a data pipeline technology to carry out unidirectional passage, avoids the interference possibly existing in different patients or different processes, and protects the privacy of the patient and the safety of the data.
Further advantages of the invention will be further elaborated in the description section of the embodiments in connection with the drawings.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings that are 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 other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic diagram of the body module terminal composition of a system for patient-pre-established medical care plan (ACP) communication according to one embodiment of the present invention
FIG. 2 is a schematic diagram of the system for patient pre-established medical care plan (ACP) communication of FIG. 1 in which an ACP decision dataset is derived
FIG. 3 is a schematic block diagram of a patient terminal of the system for patient pre-established medical care plan (ACP) communication of FIG. 1
FIG. 4 is a main body flow diagram of a method for patient pre-established medical care plan (ACP) communication implemented based on the system of FIG. 1
FIG. 5 is a further preferred embodiment of the method of FIG. 4
FIG. 6 is a schematic diagram of a terminal device and a computer-readable storage medium implementing the flow of the method of FIG. 4 or FIG. 5
Detailed Description
The invention will be further described with reference to the drawings and detailed description.
Prior to describing various embodiments of the present invention, related medical concepts used in the present invention will be described.
Pre-established medical care plan (ADVANCECARE PLANNING, ACP): when the intention is clear, the patient indicates willing to accept the intention of treatment and nursing when entering the final state in the future by means of personal life experience and value view under the condition of obtaining relevant information such as disease conditions, disease prognosis, possible final rescue measures and the like, and communicates the intention or plan of the intention with medical staff and/or relatives and friends.
Prenatal will (ADs): also known as prescriptions/prenatal prescriptions, are used to express verbal and written comments for the willingness to attend to treatment and care.
In medical practice, ADs are formed by formulating ACP, so that the problem that medical staff and family members of patients receive treatment against the intention of the patients because the patients cannot express own will under emergency conditions such as disease change is effectively avoided.
In embodiments of the present invention, the above concepts are correspondingly referred to as "patient prenatal legacy (ADs) dataset" and "ACP decision data" for ease of description.
The "patient prenatal will (ADs) dataset" herein may essentially correspond to the "ACP-forming ADs" set forth in the introduction above, except that in the present invention, the assessment results are also added as a supplemental dataset to the patient prenatal will (ADs) dataset to obtain ACP decision data.
Referring to fig. 1, a schematic diagram of the body module terminal of a system for patient-preset medical care plan (ACP) communication according to one 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 convenience of distinction, in this embodiment and the following embodiments, the above terminals are defined in order, that is, the first patient terminal, the second data analysis terminal, the third medical terminal, and the fourth persistence terminal, respectively.
Next, the functions of the above-described respective terminals and the correlation with each other are respectively described in the order.
First patient terminal: for providing a plurality of data interaction interfaces for facing a patient and receiving feedback input from the patient;
Preferably, the feedback input includes an authentication input and a willingness input, and the willingness input inputs corresponding feedback content for interactive content provided by the plurality of data interactive interfaces;
And 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 this embodiment, the parsing function is not performed 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 prenatal legacy (ADs) data set to the second data analysis terminal, and at this time, the second data analysis terminal analyzes the patient prenatal legacy (ADs) data set;
Third healthcare terminal assessment: for the patient pre-living orders (ADs) dataset
It should be noted that in the present embodiment, the evaluation function is not performed as long as there is a patient prenatal legacy (ADs) dataset, but a certain condition needs to be satisfied;
Specifically, only when the analysis result of the second data analysis terminal meets the second preset condition, the patient prenatal legacy (ADs) data set is forwarded to the third medical terminal to perform the evaluation, at this time, the third medical terminal evaluates the patient prenatal legacy (ADs) data set, and adds the evaluation result as a supplementary data set to the patient prenatal legacy (ADs) data set to obtain ACP decision data.
And the fourth persistence terminal is used for executing a persistence storage function.
In this embodiment, the persistent storage refers to storing the data stored in the memory in the hard disk by adopting a persistence technology, so as to realize permanent storage of the data, and ensure that the data is not lost even when the electronic device is powered off or turned off.
To avoid excessive data storage and also to avoid storing invalid content, in the present embodiment, persistent storage is not performed on all data, but objective real data that is valid and compliant.
Specifically, the fourth persistent terminal is respectively connected with the second data analysis terminal and the third medical care terminal; when the second data analysis terminal forwards the patient pre-living legacy (ADs) data set to the third medical terminal, the fourth persistence terminal persists the patient pre-living legacy (ADs) data set; and when the third medical care terminal obtains the evaluation result, the fourth persistence terminal persistence-stores the evaluation result.
Referring to fig. 2 on the basis of fig. 1, fig. 2 is a schematic diagram of a system for patient pre-established medical care plan (ACP) communication to obtain an ACP decision data set as described in fig. 1.
In fig. 2, the plurality of data interaction interfaces are sequentially displayed on the display interface of the first patient terminal, each of the data interaction interfaces providing at least one questionnaire or test questionnaire;
as an example of the specific content of the questionnaire, the questionnaire can be used for investigating the knowledge degree of the patient on the condition of the patient, including the illness state and the treatment means; the degree of knowledge of the patient's pre-established medical care plan (ACP) may be investigated and alleviated;
Specific examples of the test questionnaire include a test for how well a patient knows about his/her own illness state, a treatment means, and a patient's pre-established medical care plan (ACP) after the aforementioned questionnaire.
The invention is not particularly limited in this regard and any prior art relating to patient pre-established medical care planning (ACP) may be employed.
Then, receiving feedback input of the patient, wherein the feedback input is the feedback input aiming at the questionnaire or the testing questionnaire and comprises touch text input, touch selection input and touch confirmation input;
Obtaining a patient prenatal legacy (ADs) dataset based on the feedback input when the feedback input meets a first preset condition;
preferably, the first preset condition includes one or any combination of the following conditions:
(1) The feedback input completion time of the patient for the questionnaire or the test questionnaire does not exceed a first standard duration, and the completion rate of the questionnaire or the test questionnaire is not lower than a first proportion;
(2) The correctness of the test questionnaire completed by the patient is not lower than a second proportion;
(3) At least one discard option is selected from the questionnaire completed by the patient;
(4) The test questionnaire completed by the patient contains at least a plurality of different options for the same question.
After obtaining the patient pre-living orders (ADs) dataset, it is necessary to continuously determine whether a second preset condition is satisfied to determine whether to perform an evaluation, and then enter an analysis stage, where the analysis stage includes evaluating the questionnaire or testing questionnaire to obtain a plurality of analysis results, including scoring, quantifying/qualitative expert opinion, etc., and specifically, the present known evaluation techniques, such as principal component analysis, etc., may be adopted, which is not particularly limited in the present invention.
And when the analysis result accords with the second preset condition, entering an evaluation stage.
The second preset condition comprises one or any combination of the following conditions:
(1) The patient provides a confirmation input for each of the questionnaires or each of the test questionnaires;
(2) A score of the questionnaire for the patient is greater than a third value;
(3) The score of the test questionnaire for the patient is greater than a fourth value.
And then, receiving an evaluation result of the special medical staff on the patient prenatal legacy (ADs) data set, and adding the evaluation result as a supplementary data set to the patient prenatal legacy (ADs) data set to obtain ACP decision data.
The evaluation result may be the supplement advice, legal advice, clinical practice possibility, etc. of the medical staff on the patient's pre-living Advice (ADs) data set, which is not particularly limited by the present invention.
Fig. 3 is a schematic block diagram of a patient terminal of the system for patient pre-established medical care plan (ACP) communication depicted in fig. 1.
In fig. 3, the first patient terminal includes a human-computer interaction module including an identity verification module and a status detection module;
The identity verification module is used for receiving identity verification information of a patient;
the state detection module is used for detecting input state information when a patient inputs the identity verification information through the identity verification module;
When the input state information is in an abnormal state, sending out early warning prompt information on the data interaction interface, refusing the current patient to continuously input 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.
And when the input state information is in a normal state, after the input state information and the authentication information are associated and coded and encrypted, the input state information and the authentication information are sent to the fourth persistence terminal, and feedback input of a patient is received through the data interaction interface, wherein the feedback input comprises voice input and touch input, and a patient prenatal legacy (ADs) dataset is obtained based on the voice input and/or the touch input.
The embodiment depicted in fig. 3 is configured such that the acquired patient pre-living legacy (ADs) dataset is not only objective and realistic, but also normal willingness expressions of the patient to conform to the nature of patient pre-established medical care plan (ACP) communication.
Based on the embodiments of fig. 1-3, fig. 4 is a main body flow diagram of a method for patient pre-established medical care plan (ACP) communication implemented based on the system of fig. 1.
The method comprises a plurality of steps S600-S680, each step can be realized by a separate thread or process, when each step is realized by adopting a process, two processes with step relationship communicate by a data pipeline (DATA PIPELINE), and if necessary, unidirectional 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 refused time period, if so, refusing the patient and exiting;
otherwise, judging whether the patient is in an abnormal state,
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 prenatal legacy (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 pre-living orders (ADs) dataset;
s670: judging whether the analysis result meets a second preset condition, if so, entering the next step;
S680: evaluating the patient pre-living orders (ADs) dataset and adding the evaluation result as a supplemental dataset to the patient pre-living orders (ADs) dataset to obtain ACP decision data.
As yet another refinement, prior to said step S600, said method further comprises:
Target patients potentially in need of pre-established medical care plan (ACP) communication are predetermined and an identity database of the target patients is established.
Corresponding to the foregoing system embodiment, in the foregoing step S650, the satisfaction of the first preset condition includes satisfaction of one or any combination of the following conditions:
(1) The feedback input completion time of the patient for the questionnaire or the test questionnaire does not exceed a first standard duration, and the completion rate of the questionnaire or the test questionnaire is not lower than a first proportion;
(2) The correctness of the test questionnaire completed by the patient is not lower than a second proportion;
(3) At least one discard option is selected from the questionnaire completed by the patient;
(4) The test questionnaire completed by the patient contains at least a plurality of different options for the same question.
In the step S670, the meeting the second preset condition includes meeting one or any combination of the following conditions:
(1) The patient provides a confirmation input for each of the questionnaires or each of the test questionnaires;
(2) A score of the questionnaire for the patient is greater than a third value;
(3) The score of the test questionnaire for the patient is greater than a fourth value.
It should be noted that in the above embodiments of the present invention, the options or combinations given by the above first preset condition and the second preset condition are not exhaustive, but examples.
In fact, as a person skilled in the art can appreciate, the first preset condition may be an input state condition, an input number condition, or an input content condition that is satisfied by the preset feedback input, and the second preset condition may be a score value or a confirmation value of the feedback input of the patient under satisfaction of the first preset condition.
Further, in the above method, whether the patient is in an abnormal state is judged by detecting input state information when the patient inputs authentication information.
When the input state information is in an abnormal state, sending out early warning prompt information, refusing the current patient to continuously input the identity verification information, and refusing the current patient to input the identity verification information within a preset time period.
The input state information is mainly used for judging whether the emotion, the physiological state, the wakefulness and the like of the current patient are stable, for example, whether the face is normal, the eye is normal, the posture is normal, the tear is formed, the state is low, and the like.
As yet another refinement, referring to fig. 5, both the step S660 and the step S680 include a data persistence step that associates the patient pre-living orders (ADs) dataset with the assessment results for persistence.
As a further improvement, 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 adopt data pipeline communication;
specifically, the second process and the first process adopt unidirectional data pipeline communication, and the second process unidirectionally transmits data to the first process; the third process and the first process adopt unidirectional data pipeline communication, and data is transmitted to the first process in a unidirectional mode by the third process.
The methods described in fig. 5 and 4 may be performed automatically by program instructions through terminal devices, including processors and memories, especially image processing terminal devices, including mobile terminals, desktop terminals, servers, server clusters, etc.
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 carrying out 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 communication of a patient pre-established medical care plan (ACP) for the first time, and has the following advantages:
(1) Fully respecting the current state of the patient from the beginning, and taking medical reality and legal compliance into consideration, objectively and fully recording the actual existing patient prenatal legacy (ADs) data set in each link;
(2) The advice or evaluation of medical staff is carried out and the evaluation result of the patient prenatal legacy Advice (ADs) data set is also carried out and stored for a long time, thereby ensuring that the communication of doctors and patients with respect to the patient pre-established medical care plan (ACP) really and effectively exists objectively, conforming to the current society and medical practice, having better potential popularization value,
(3) The data pipeline technology is adopted for unidirectional passage, so that possible interference of different patients or different processes is avoided, and the privacy of the patients and the safety of the data are protected;
(4) Purposefully and purposefully persisting useful data, and avoiding explosion of data storage.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (6)
1. A system for patient pre-established 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 pre-standing medical care plan (ACP) is an intention or plan for indicating the willingness of the patient to accept treatment and care when the patient enters a final state in the future by means of personal life experience and value view under the condition that the patient obtains relevant information such as disease conditions, disease prognosis, final rescue measures possibly taken and the like when the patient knows the intention, and communicating the intention with medical staff and/or relatives and friends;
The method is characterized in that:
Sequentially displaying a 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 and receives feedback input of a patient, and the feedback input is the feedback input aiming at the questionnaire or the test questionnaire;
The second data analysis terminal is connected with the first patient terminal and the third medical care terminal; obtaining a patient pre-living orders (ADs) dataset based on the feedback input when at least one discard option is selected in the questionnaire that the feedback input indicates patient completion, the first patient terminal sending the patient pre-living orders (ADs) dataset to the second data resolution terminal;
The second data analysis terminal analyzes the patient pre-living orders (ADs) data set, and forwards the patient pre-living orders (ADs) data set to the third medical care terminal when the patient provides confirmation input for each questionnaire or each test questionnaire; the third medical care terminal evaluates the patient prenatal legacy (ADs) data set, and adds the evaluation result as a supplementary data set to the patient prenatal legacy (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 analysis terminal forwards the patient pre-living legacy (ADs) data set to the third medical terminal, the fourth persistence terminal persists the patient pre-living legacy (ADs) data set;
when the third medical care terminal obtains the evaluation result, the fourth persistence terminal persistence-stores the evaluation result; the first patient terminal is used for providing a plurality of data interaction interfaces for a patient and receiving feedback input of the patient, and specifically comprises the following steps: 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 patient terminal transmits a patient prenatal legacy (ADs) dataset to the second data resolution terminal when the feedback inputs simultaneously satisfy the following conditions:
(1) The feedback input completion time of the patient for the questionnaire or the test questionnaire does not exceed a first standard duration, and the completion rate of the questionnaire or the test questionnaire is not lower than a first proportion;
(2) The correctness of the test questionnaire completed by the patient is not lower than a second proportion;
(3) The test questionnaire completed by the patient at least comprises a plurality of different options aiming at the same question;
The patient pre-living orders (ADs) dataset is comprised of feedback input data of the patient for the questionnaire and/or test questionnaire;
the second data analysis terminal analyzes the patient prenatal legacy (ADs) data set, and forwards the patient prenatal legacy (ADs) data set to the third medical care terminal when the analysis result simultaneously meets the following conditions:
(1) A score of the questionnaire for the patient is greater than a third value;
(2) The score of the test questionnaire for the patient is greater than a fourth value.
2. The system for patient-pre-established medical care plan (ACP) communication of claim 1, wherein:
The first patient terminal comprises a man-machine interaction module, wherein the man-machine interaction module comprises an identity verification module and a state detection module;
The identity verification module is used for receiving identity verification information of a patient;
the state detection module is used for detecting input state information when a patient inputs the identity verification information through the identity verification module;
When the input state information is in an abnormal state, sending out early warning prompt information on the data interaction interface, refusing the current patient to continuously input 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. A system for patient-pre-established medical care plan (ACP) communication as claimed in claim 2, wherein:
And when the input state information is in a normal state, after the input state information and the authentication information are associated and coded and encrypted, the input state information and the authentication information are sent to the fourth persistence terminal, and feedback input of a patient is received through the data interaction interface, wherein the feedback input comprises voice input and touch input, and a patient prenatal legacy (ADs) dataset is obtained based on the voice input and/or the touch input.
4. A method for patient pre-established medical care plan (ACP) communication, the method being implemented based on a system for patient pre-established medical care plan (ACP) communication according to claim 1 or 2, characterized in that:
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 refused time period, if so, refusing the patient and exiting;
otherwise, judging whether the patient is in an abnormal state,
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 prenatal legacy (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 pre-living orders (ADs) dataset;
s670: judging whether the analysis result meets a second preset condition, if so, entering the next step;
S680: evaluating the patient pre-living orders (ADs) dataset and adding the evaluation result as a supplemental dataset to the patient pre-living orders (ADs) dataset to obtain ACP decision data; and, the step S660 and the step S680 each include a data persistence step of associating and persisting the patient pre-living legacy (ADs) dataset and the evaluation result.
5. The method for patient-pre-established medical care plan (ACP) communication of claim 4, wherein:
Whether the patient is in an abnormal state is judged by detecting input state information when the patient inputs authentication information.
6. The method for patient-pre-established medical care plan (ACP) communication of claim 4, wherein:
prior to the step S600, the method further comprises:
Target patients potentially in need of pre-established medical care plan (ACP) communication are predetermined and an identity database of the target patients is established.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110938178.0A CN113593722B (en) | 2021-08-16 | 2021-08-16 | System and method for patient pre-established medical care plan communication |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110938178.0A CN113593722B (en) | 2021-08-16 | 2021-08-16 | System and method for patient pre-established medical care plan communication |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN113593722A CN113593722A (en) | 2021-11-02 |
| CN113593722B true CN113593722B (en) | 2024-05-07 |
Family
ID=78258094
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202110938178.0A Active CN113593722B (en) | 2021-08-16 | 2021-08-16 | System and method for patient pre-established medical care plan communication |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN113593722B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114358212B (en) * | 2022-01-25 | 2024-01-30 | 电子科技大学 | Cancer prescriptions index data analysis system based on K-means |
Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2001099027A2 (en) * | 2000-06-20 | 2001-12-27 | Freeman Mark B | Information delivery system for application when time is of the essence |
| CN102576376A (en) * | 2009-07-08 | 2012-07-11 | 史蒂文·查尔斯·科恩 | Medical history system |
| CN107423565A (en) * | 2017-07-26 | 2017-12-01 | 中山大学 | A kind of medical rescue contract method based on intelligent contract technology |
| US10108811B1 (en) * | 2013-06-27 | 2018-10-23 | Interacvault Inc. | Dynamic secure interactive electronic vault |
| CN109561431A (en) * | 2019-01-17 | 2019-04-02 | 西安电子科技大学 | The WLAN access control system and method identified based on more password identity |
| US10296716B1 (en) * | 2006-11-06 | 2019-05-21 | Mlp Technology, Inc. | System of and method for collecting and transmitting advance care planning and directives documentation |
| CN110289107A (en) * | 2019-05-10 | 2019-09-27 | 南方医科大学珠江医院 | A kind of medical follow up control method |
| US10530580B1 (en) * | 2013-06-27 | 2020-01-07 | Interacvault Inc. | Enhance interactive electronic vault |
| CN111401024A (en) * | 2020-03-26 | 2020-07-10 | 北京爱传承养老产业服务集团有限公司 | Hope advice template generation method used in Hope advice booking process |
| CN111584095A (en) * | 2020-04-21 | 2020-08-25 | 中国人民解放军海军军医大学 | Auxiliary support system for participating in treatment decision of primary liver cancer patient |
| CN112639988A (en) * | 2018-06-25 | 2021-04-09 | 皇家飞利浦有限公司 | Perioperative education and appointment for surgical patients |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20020188182A1 (en) * | 2001-06-11 | 2002-12-12 | Haines John Edward | System and method for scoring and managing patient progression |
| US20030130873A1 (en) * | 2001-11-19 | 2003-07-10 | Nevin William S. | Health care provider information system |
-
2021
- 2021-08-16 CN CN202110938178.0A patent/CN113593722B/en active Active
Patent Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2001099027A2 (en) * | 2000-06-20 | 2001-12-27 | Freeman Mark B | Information delivery system for application when time is of the essence |
| US10296716B1 (en) * | 2006-11-06 | 2019-05-21 | Mlp Technology, Inc. | System of and method for collecting and transmitting advance care planning and directives documentation |
| CN102576376A (en) * | 2009-07-08 | 2012-07-11 | 史蒂文·查尔斯·科恩 | Medical history system |
| US10108811B1 (en) * | 2013-06-27 | 2018-10-23 | Interacvault Inc. | Dynamic secure interactive electronic vault |
| US10530580B1 (en) * | 2013-06-27 | 2020-01-07 | Interacvault Inc. | Enhance interactive electronic vault |
| CN107423565A (en) * | 2017-07-26 | 2017-12-01 | 中山大学 | A kind of medical rescue contract method based on intelligent contract technology |
| CN112639988A (en) * | 2018-06-25 | 2021-04-09 | 皇家飞利浦有限公司 | Perioperative education and appointment for surgical patients |
| CN109561431A (en) * | 2019-01-17 | 2019-04-02 | 西安电子科技大学 | The WLAN access control system and method identified based on more password identity |
| CN110289107A (en) * | 2019-05-10 | 2019-09-27 | 南方医科大学珠江医院 | A kind of medical follow up control method |
| CN111401024A (en) * | 2020-03-26 | 2020-07-10 | 北京爱传承养老产业服务集团有限公司 | Hope advice template generation method used in Hope advice booking process |
| CN111584095A (en) * | 2020-04-21 | 2020-08-25 | 中国人民解放军海军军医大学 | Auxiliary support system for participating in treatment decision of primary liver cancer patient |
Non-Patent Citations (2)
| Title |
|---|
| 社区老年慢性病患者预立医疗照护计划干预模式构建研究;冯清蕊;中国优秀硕士学位论文全文数据库;20210615(第6期);全文 * |
| 终末期患者家属在预立医疗照护计划代理决策中的研究及评价;缪佳芮;陈柳柳;张江辉;邱业银;邓仁丽;;医学与哲学(B)(06);全文 * |
Also Published As
| Publication number | Publication date |
|---|---|
| CN113593722A (en) | 2021-11-02 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| Blomberg et al. | Effect of machine learning on dispatcher recognition of out-of-hospital cardiac arrest during calls to emergency medical services: a randomized clinical trial | |
| Crane et al. | Routine collection of patient-reported outcomes in an HIV clinic setting: the first 100 patients | |
| US20240112818A1 (en) | Structured medical data classification system for monitoring and remediating treatment risks | |
| US20210057112A1 (en) | Method and system for mobile triage | |
| US9070357B1 (en) | Using speech analysis to assess a speaker's physiological health | |
| CN109310317A (en) | System and method for automated medicine diagnosis | |
| Vogenberg | Predictive and prognostic models: implications for healthcare decision-making in a modern recession | |
| US20120221251A1 (en) | Systems and methods for selecting, ordering, scheduling, administering, storing, interpreting and transmitting a plurality of psychological, neurobehavioral and neurobiological tests | |
| JP2002512712A (en) | Disease management system | |
| JP2008210399A (en) | Disease management system | |
| KR102479692B1 (en) | Big data and cloud system based AI(artificial intelligence) emergency medical care decision-making and emergency patient transfer system and method thereof | |
| US11948691B1 (en) | Predicting addiction relapse and decision support tool | |
| Birinci | A digital opportunity for patients to manage their health: Turkey National Personal Health Record System (The e-Nabız) | |
| CN112951414A (en) | Primary medical clinical assistant decision-making system | |
| CN113593722B (en) | System and method for patient pre-established medical care plan communication | |
| CN115116569A (en) | A digital system for providing cancer digital disease management | |
| Sasmito et al. | A Systematic Review: Early Warning System for Hospital Wards | |
| CN114974530A (en) | Post-diagnosis follow-up method, system and storage medium | |
| Subbian et al. | A Novel Tool for Evaluation of Mild Traumatic Brain Injury Patients in the Emergency Department: Does Robotic Assessment of Neuromotor Performance Following Injury Predict the Presence of Postconcussion Symptoms at Follow‐up? | |
| CN109754878B (en) | Chronic nephropathy screening method, device, equipment and storage medium | |
| Lee et al. | Prehospital notification using a mobile application can improve regional stroke care system in a metropolitan area | |
| US9750408B1 (en) | ICU telemedicine system for varied EMR systems | |
| AU2020103509A4 (en) | An artificial intelligence based system to identify the medical condition prior to doctor consultation | |
| Marin et al. | Hypertension detection based on machine learning | |
| CN116472591A (en) | Techniques for generating predictive outcomes associated with spinal muscular atrophy using artificial intelligence |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |