CN113628752A - Electronic medical record reporting and monitoring method and system for heating outpatient service of medical institution - Google Patents
Electronic medical record reporting and monitoring method and system for heating outpatient service of medical institution Download PDFInfo
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Abstract
The invention discloses a method for reporting and monitoring an electronic medical record of a heating outpatient service of a medical institution, which relates to the technical field of data sharing and comprises the following steps: uniformly formulating a data specification and a data specification value domain dictionary of the electronic medical record of the fever clinic; the medical institution writes the electronic medical record of the heating outpatient service according to the formulated content and reports the electronic medical record to the electronic medical record center server side of the data center; and the electronic medical record center server splits the sub-items of the electronic medical record of the heating outpatient service, calculates the index of each sub-item in real time by using a flow calculation technology, performs front-end display, stores the sub-item data in a database, performs historical statistical analysis, and generates a report. The invention also discloses an electronic medical record reporting and monitoring system for the heating outpatient service of the medical institution, which realizes the method by uniformly formulating the module, compiling the reporting module, splitting the detection module and monitoring and analyzing the module, solves the problems of inconsistent storage standards, poor data quality and low utilization rate of clinical data of the heating outpatient service of the medical institution, and simultaneously realizes data sharing.
Description
Technical Field
The invention relates to the technical field of data sharing, in particular to a method and a system for reporting and monitoring an electronic medical record of a heating outpatient service of a medical institution.
Background
In order to implement the strategic thought of 'network strengthening the country', strengthen the service management of the health medical big data, build a first-class regional health medical big data center, build the national standard of the health medical big data construction, and converge the medical service, health service and life service industrial data.
For some reasons, it is desirable to have some control over the information of the febrile patients at the hospital visit. However, in the big data era today, the systems adopted by hospitals are different, the generated personal medical record templates are different, and resources are difficult to share.
Disclosure of Invention
The invention provides a method and a system for reporting and monitoring an electronic medical record of a heating outpatient service of a medical institution, aiming at the problems of inconsistent storage standards, poor data quality and low utilization rate of clinical data of the heating outpatient service of the medical institution, so that data sharing is realized through the electronic medical record of the heating outpatient service with a unified format, and real-time monitoring of a heating patient is realized.
Firstly, the invention provides a method for reporting and monitoring an electronic medical record of a heating outpatient service of a medical institution, which adopts the following technical scheme for solving the technical problems:
a method for reporting and monitoring an electronic medical record of a heating outpatient service of a medical institution comprises the following steps:
uniformly formulating a data specification and a data specification value domain dictionary of the electronic medical record of the fever clinic;
the medical institution writes the electronic medical record of the heating outpatient service according to the formulated content and reports the electronic medical record to the electronic medical record center server side of the data center;
and the electronic medical record center server splits the sub-items of the electronic medical record of the heating outpatient service, calculates the index of each sub-item in real time by using a flow calculation technology, performs front-end display, stores the sub-item data in a database, performs historical statistical analysis, and generates a report.
Optionally, the data specification and data specification value domain dictionary of the related fever outpatient electronic medical record comprises personal basic information, chief complaints, current medical history, past medical history, drug allergy medical history, personal history, new crown vaccination medical history, epidemiological medical history, physical examination, auxiliary examination, preliminary diagnosis and treatment opinions;
and the electronic medical record center server splits the sub-items according to the data specification and the data specification value domain dictionary of the electronic medical record of the heating outpatient service.
Optionally, the indicators of the sub-items included in the electronic medical record of the fever clinic are calculated in real time by adopting a kafka and flink real-time flow calculation technology.
Optionally, after the server side of the electronic medical record center splits the sub-items of the electronic medical record of the heating outpatient service, whether each sub-item obtained by splitting meets the formulated data specification needs to be detected, and after the sub-items which do not meet the data specification are eliminated, the indexes of each sub-item can be calculated in real time by using a stream calculation technology.
Further optionally, the related electronic medical record center server marks sub-items which do not meet the data specification in the heating outpatient electronic medical record, and returns the sub-items to the corresponding medical institution, and after the staff of the medical institution modifies the mark information returned to the heating outpatient electronic medical record, the sub-items can be reported to the electronic medical record center server of the data center again.
Secondly, the invention provides an electronic medical record reporting and monitoring system for a heating outpatient service of a medical institution, and the technical scheme adopted for solving the technical problems is as follows:
an electronic medical record reporting and monitoring system for a heating outpatient service of a medical institution structurally comprises:
the unified formulation module is deployed in the data center and used for uniformly formulating the data specification and the data specification value domain dictionary of the electronic medical record of the fever clinic and issuing the data specification and the data specification value domain dictionary to different medical institutions;
the compiling and reporting module is deployed in the medical institution and used for assisting the medical institution to compile the electronic medical record of the heating outpatient service according to the formulated content and reporting the electronic medical record to an electronic medical record center server side of the data center;
the splitting detection module is deployed at the server side of the electronic medical record center and used for splitting sub-items of the electronic medical record of the fever clinic;
and the monitoring analysis module is deployed at the server side of the electronic medical record center and used for calculating the index of each sub-item in real time by using a flow calculation technology, performing front-end display, storing the sub-item data into a database, performing historical statistical analysis and generating a report.
Optionally, the data specification and data specification value domain dictionary of the related fever outpatient electronic medical record comprises personal basic information, chief complaints, current medical history, past medical history, drug allergy medical history, personal history, new crown vaccination medical history, epidemiological medical history, physical examination, auxiliary examination, preliminary diagnosis and treatment opinions;
and the monitoring display module splits the subentries according to the data specification and the data specification value domain dictionary of the electronic medical record of the fever clinic.
Optionally, the related monitoring and analyzing module calculates the sub-item indexes contained in the electronic medical record of the fever clinic in real time by adopting a kafka and flink real-time flow calculation technology.
Optionally, after the related splitting detection module splits the sub-items of the electronic medical record of the fever clinic, the splitting detection module is further configured to detect whether each of the split sub-items meets the formulated data specification, and after the sub-items that do not meet the data specification are removed, the monitoring analysis module may calculate the index of each sub-item in real time by using a stream calculation technology.
Further optionally, the related splitting detection module marks sub-items which do not meet the data specification in the electronic medical record of the heating outpatient service, and returns the sub-items to the corresponding medical institution, and the staff of the medical institution modifies the marking information returned to the electronic medical record of the heating outpatient service by compiling the reporting module, and then reports the information to the server of the electronic medical record center of the data center again.
Compared with the prior art, the electronic medical record reporting and monitoring method and system for the heating outpatient service of the medical institution have the beneficial effects that:
(1) the data specification and the data specification value domain dictionary of the electronic medical record of the heating outpatient service are formulated in a unified way, the compiling format and the content of the electronic medical record of the heating outpatient service are specified, the electronic medical record of the heating outpatient service in the unified format is reported to the data center, and data sharing is realized, so that on one hand, the medical committee can comprehensively master the clinical symptoms of a heating patient, on the other hand, the monitoring and supervision based on the clinical data of the heating outpatient service are enhanced, the application level of medical data is improved, the application expansion of the heating related field is facilitated, and meanwhile, conditions are created and a solid foundation is laid for the high-quality application of the subsequent clinical data of other departments;
(2) the invention solves the problems of inconsistent storage standards, poor data quality and low utilization rate of clinical data of the heating outpatient service of medical institutions, is beneficial to enhancing the monitoring application of the clinical data and improving the application level of the medical data.
Drawings
FIG. 1 is a flow chart of a method according to a first embodiment of the present invention;
fig. 2 is a flow connection block diagram of a second embodiment of the present invention.
The reference information in the drawings indicates:
1. a unified formulation module 2, a compiling and reporting module 3, a splitting and detecting module 4 and a monitoring and analyzing module;
A. the system comprises a data center, a medical institution, a C and an electronic medical record center server.
Detailed Description
In order to make the technical scheme, the technical problems to be solved and the technical effects of the present invention more clearly apparent, the following technical scheme of the present invention is clearly and completely described with reference to the specific embodiments.
The first embodiment is as follows:
with reference to fig. 1, this embodiment provides a method for reporting and monitoring an electronic medical record of a heating outpatient service of a medical institution, which includes the following steps:
and (I) uniformly formulating a data specification and a data specification value domain dictionary of the electronic medical record of the fever clinic.
The data specification and data specification value domain dictionary of the electronic medical record of the fever outpatient service comprises personal basic information, chief complaints, current medical history, past medical history, drug allergy medical history, personal medical history, new crown vaccination medical history, epidemiological medical history, physical examination, auxiliary examination, preliminary diagnosis and treatment opinions.
And (II) the medical institution B compiles the electronic medical record for the heating outpatient service according to the formulated content and reports the electronic medical record to the electronic medical record center server C of the data center A.
It is to be added that the number of medical institutions B is not limited to one.
And thirdly, according to the data specification and the data specification value domain dictionary of the electronic medical record of the heating clinic, the electronic medical record center server C splits the sub-items of the electronic medical record of the heating clinic, calculates the index of each sub-item in real time by adopting a kafka and flex real-time flow calculation technology, performs front-end display, and meanwhile, stores the sub-item data in a database and performs historical statistical analysis to generate a report.
The health service committee staff can check the data of the abnormal change according to the report and further monitor the consequences caused by the abnormal data.
In this embodiment, after the electronic medical record center server C splits the sub-items of the electronic medical record of the fever clinic, it needs to detect whether each of the split sub-items meets the formulated data specification, and after the sub-items that do not meet the data specification are excluded, the index of each sub-item can be calculated in real time by using the stream calculation technology.
And the electronic medical record center server C marks the sub-items which do not meet the data specification in the heating outpatient electronic medical record and returns the sub-items to the corresponding medical institution B, and the staff of the medical institution modifies the mark information of the heating outpatient electronic medical record and reports the modified mark information to the electronic medical record center server C of the data center A again.
Example two:
with reference to fig. 2, this embodiment provides an electronic medical record reporting and monitoring system for a heating outpatient service of a medical institution, which includes:
the unified formulation module 1 is deployed in the data center A, and is used for uniformly formulating the data specification and the data specification value domain dictionary of the electronic medical record of the fever clinic and issuing the data specification and the data specification value domain dictionary to different medical institutions;
the compiling and reporting module 2 is deployed in the medical institution B and is used for assisting the medical institution B to compile the electronic medical record of the heating outpatient service according to the formulated content and reporting the electronic medical record to an electronic medical record center server C of the data center A;
the splitting detection module 3 is deployed at the electronic medical record center server C and is used for splitting sub-items of the electronic medical record of the fever clinic;
and the monitoring analysis module 4 is deployed at the electronic medical record center server C and is used for calculating the index of each sub-item in real time by adopting a kafka and flink real-time flow calculation technology, performing front-end display, storing the sub-item data into a database, performing historical statistical analysis and generating a report.
The health service committee staff can check the data of the abnormal change according to the report and further monitor the consequences caused by the abnormal data.
In this embodiment, the data specification and data specification value domain dictionary of the electronic medical record for fever outpatient service includes personal basic information, chief complaints, current medical history, past medical history, medical allergy history, personal history, new crown vaccination history, epidemiological history, physical examination, auxiliary examination, preliminary diagnosis, and treatment opinions. And the monitoring display module splits the subentries according to the data specification and the data specification value domain dictionary of the electronic medical record of the fever clinic.
In this embodiment, after the splitting detection module 3 splits the sub-items of the electronic medical record of the fever clinic, it is further configured to detect whether each of the split sub-items meets the formulated data specification, and after the sub-items that do not meet the data specification are excluded, the monitoring analysis module 4 may calculate the index of each sub-item in real time by using a stream calculation technology. The splitting detection module 3 marks sub-items which do not meet the data specification in the electronic medical record of the heating outpatient service, and returns the sub-items to the corresponding medical institution B, and the staff of the medical institution modifies the marking information returned to the electronic medical record of the heating outpatient service by compiling the reporting module 2, and then reports the information to the electronic medical record center server C of the data center A again.
It is to be added that the number of medical institutions B is not limited to one.
In summary, the method and the system for reporting and monitoring the electronic medical record of the heating outpatient service of the medical institution can realize data sharing, are beneficial to comprehensive control of clinical symptoms of a heating patient by health care committee on the one hand, and are beneficial to enhancing monitoring and supervision based on the clinical data of the heating outpatient service on the other hand, improve the application level of medical data, and solve the problems of inconsistent storage standards, poor data quality and low utilization rate of the clinical data of the heating outpatient service of the medical institution B.
The principles and embodiments of the present invention have been described in detail using specific examples, which are provided only to aid in understanding the core technical content of the present invention. Based on the above embodiments of the present invention, those skilled in the art should make any improvements and modifications to the present invention without departing from the principle of the present invention, and therefore, the present invention should fall into the protection scope of the present invention.
Claims (10)
1. A method for reporting and monitoring an electronic medical record of a heating outpatient service of a medical institution is characterized by comprising the following steps:
uniformly formulating a data specification and a data specification value domain dictionary of the electronic medical record of the fever clinic;
the medical institution writes the electronic medical record of the heating outpatient service according to the formulated content and reports the electronic medical record to the electronic medical record center server side of the data center;
and the electronic medical record center server splits the sub-items of the electronic medical record of the heating outpatient service, calculates the index of each sub-item in real time by using a flow calculation technology, performs front-end display, stores the sub-item data in a database, performs historical statistical analysis, and generates a report.
2. The method for reporting and monitoring the electronic medical record of the fever clinic of the medical institution as claimed in claim 1, wherein the data normative and data normative value domain dictionary of the electronic medical record of the fever clinic comprises personal basic information, chief complaints, current medical history, past history, medical allergy history, personal history, new crown vaccination history, epidemiological history, physical examination, auxiliary examination, preliminary diagnosis and treatment opinions;
and the electronic medical record center server splits the sub-items according to the data specification and the data specification value domain dictionary of the electronic medical record of the heating outpatient service.
3. The method as claimed in claim 1, wherein the kafka and flink real-time flow calculation technique is used to calculate the sub-item index of the electronic medical record in the fever clinic.
4. The method as claimed in claim 1, wherein after the sub-items of the electronic medical record are split by the electronic medical record center server, it is required to detect whether each of the split sub-items meets the established data standard, and after the sub-items that do not meet the data standard are excluded, the index of each sub-item can be calculated in real time by using a flow calculation technique.
5. The method for reporting and monitoring the electronic medical record of the heating outpatient department of the medical institution as claimed in claim 4, wherein the electronic medical record center server marks the sub-items which do not meet the data specification in the electronic medical record of the heating outpatient department and returns the sub-items to the corresponding medical institution, and the staff of the medical institution can report the sub-items to the electronic medical record center server of the data center again after modifying the marking information of the electronic medical record of the heating outpatient department.
6. The utility model provides an electronic medical record of medical institution's outpatient service that generates heat reports and monitoring system which characterized in that, its structure includes:
the unified formulation module is deployed in the data center and used for uniformly formulating the data specification and the data specification value domain dictionary of the electronic medical record of the fever clinic and issuing the data specification and the data specification value domain dictionary to different medical institutions;
the compiling and reporting module is deployed in the medical institution and used for assisting the medical institution to compile the electronic medical record of the heating outpatient service according to the formulated content and reporting the electronic medical record to an electronic medical record center server side of the data center;
the splitting detection module is deployed at the server side of the electronic medical record center and used for splitting sub-items of the electronic medical record of the fever clinic;
and the monitoring analysis module is deployed at the server side of the electronic medical record center and used for calculating the index of each sub-item in real time by using a flow calculation technology, performing front-end display, storing the sub-item data into a database, performing historical statistical analysis and generating a report.
7. The system for reporting and monitoring the electronic medical record of the fever outpatient service of a medical institution as claimed in claim 6, wherein the data normative and data normative value domain dictionary of the electronic medical record of the fever outpatient service comprises personal basic information, chief complaints, current medical history, past history, medical allergy history, personal history, new crown vaccination history, epidemiological history, physical examination, auxiliary examination, preliminary diagnosis and treatment opinions;
and the monitoring display module splits the subentries according to the data specification and the data specification value domain dictionary of the electronic medical record of the fever clinic.
8. The system for reporting and monitoring the electronic medical record of the fever clinic of the medical institution as claimed in claim 6, wherein the monitoring and analyzing module adopts the kafka and flink real-time flow computing technology to compute the sub-item index included in the electronic medical record of the fever clinic in real time.
9. The system as claimed in claim 6, wherein the splitting module is further configured to detect whether each of the split sub-items meets the established data specification after splitting the sub-items of the electronic medical record of the heating clinic, and the monitoring and analyzing module calculates the index of each sub-item in real time by using a flow computing technique after removing the sub-items that do not meet the data specification.
10. The system for reporting and monitoring the electronic medical record of the heating outpatient department of the medical institution as claimed in claim 9, wherein the splitting detection module marks the sub-items which do not meet the data specification in the electronic medical record of the heating outpatient department and returns the sub-items to the corresponding medical institution, and the staff of the medical institution modifies the marked information of the electronic medical record returned to the heating outpatient department by writing the reporting module and reports the modified information to the server of the electronic medical record center of the data center again.
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| CN107045591A (en) * | 2017-03-23 | 2017-08-15 | 广州辉博信息技术有限公司 | A kind of electronic medical record system of female pelvic floor dysfunctional disease |
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| CN112397193A (en) * | 2020-11-16 | 2021-02-23 | 康键信息技术（深圳）有限公司 | Data reporting method, device, equipment and storage medium |
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Patent Citations (4)
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| CN104573350A (en) * | 2014-12-26 | 2015-04-29 | 深圳市前海安测信息技术有限公司 | System and method for general practitioner auxiliary diagnosis and therapy based on network hospital |
| CN107045591A (en) * | 2017-03-23 | 2017-08-15 | 广州辉博信息技术有限公司 | A kind of electronic medical record system of female pelvic floor dysfunctional disease |
| CN109189784A (en) * | 2018-08-09 | 2019-01-11 | 纳里健康科技有限公司 | A kind of method of distributed electronic medical record data integration |
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| Title |
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