CN115331767A - Method for realizing nursing and orderly applying electronic medical records based on sign monitoring data - Google Patents
Method for realizing nursing and orderly applying electronic medical records based on sign monitoring data Download PDFInfo
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Abstract
The application relates to a nursing and electronic medical record ordered application method based on physical sign monitoring data, which combines physical sign data and historical medical record data of a patient, obtains historical physical sign data and indexes of the patient when the secondary disease of the patient recurs or aggravates, refers to the medical record information of the patient by combining the physical sign monitoring data, and learns the previous physical sign data through the historical electronic medical record, so as to perform ordered physical sign management for symptomatic treatment. After new treatment and rehabilitation, this time data will be updated the record in this case history, as follow-up nursing's data basis for judge the recovered condition, there is the basis that history traced to the source in patient's health sign data, possess the order of nursing, effective management, can also carry out hierarchical nursing to a plurality of patients, realize high-efficient, humanized nursing treatment, the trouble of relieving nurse and measuring input vital sign data, can also reduce the interference to inpatient and can acquire the sign data automatically again.
Description
Technical Field
The disclosure relates to the technical field of medical treatment, in particular to a method, a device and a control system for realizing ordered application of nursing and electronic medical records based on sign monitoring data.
Background
The medical process, nursing phase also are comparatively important medical procedure, need carry out the overall process to patient's recovered degree and track, avoid the follow-up postoperative pathological change of appearing of patient or the emergence of other state of an illness, if the nursing is not timely, can aggravate the state of an illness on the contrary.
In the patient care stage, the patient sometimes goes into nursing or transferring, for example, transferring or discharging to a nursing institution for conditioning, if the patient's condition recurs or deteriorates, the patient enters the hospital again, and then various historical sign data and the condition of the patient need to be investigated and consulted, so that the doctor can know the front and back causes and parameters of the patient and deal with the condition of the patient.
In the prior art, most of the monitoring and viewing methods for the vital sign data are disclosed, for example, the invention with the publication number of CN114680842A discloses a monitoring device and a method for summarizing the vital sign data of the monitoring device, which are implemented by acquiring the monitoring data of a plurality of vital signs of a patient; processing the monitoring data of the multiple vital signs to obtain an overview view of the multiple vital signs in a first preset time period; displaying a summary view on the display interface, wherein the summary view comprises: trend information of the multiple vital signs in a first preset time period and abnormal event statistics of the multiple vital signs in the first preset time period. Therefore, medical staff can see trend information and abnormal event statistics in one view, and a display interface does not need to be switched back and forth, so that the efficiency of the medical staff for checking vital sign data is improved. The technology is also used for monitoring and visually checking the physical sign data of the patient, does not relate to the look-up of medical record information before and after the patient by combining with monitoring data, cannot know the physical sign data in the past through historical electronic medical records, and records new physical sign data in the medical records, thereby lacking the ordered management of nursing and effectively nursing a plurality of patients.
Disclosure of Invention
In order to solve the problems, the application provides a method, a device and a control system for realizing ordered application of nursing and electronic medical records based on physical sign monitoring data.
On one hand, the application provides a method for realizing orderly application of nursing and electronic medical records based on sign monitoring data, which comprises the following steps:
acquiring an electronic medical record of a first user, and acquiring historical sign data of the first user from the historical electronic medical record;
setting a physical sign monitoring nursing scheme of a first user according to the historical physical sign data of the first user, and configuring the physical sign monitoring nursing scheme in a medical system;
monitoring the physical sign data of the first user in real time based on the physical sign monitoring nursing scheme, and acquiring and obtaining the physical sign real-time monitoring data of the first user;
writing the real-time physical sign monitoring data into the electronic medical record, updating the real-time physical sign monitoring data, and sending the electronic medical record to a second user;
and the second user receives and carries out hierarchical nursing on the first user according to the updated electronic medical record.
As an optional embodiment of the present application, optionally, acquiring an electronic medical record of a first user, and acquiring historical physical sign data of the first user from the historical electronic medical record, includes:
presetting a file parsing format;
acquiring a historical electronic medical record of a first user, and analyzing the historical electronic medical record to obtain medical record analysis data;
sorting the medical record analysis data according to the file analysis format to obtain a format text containing the historical physical sign parameters of the first user;
and generating and obtaining historical sign data of the first user based on the format text.
As an optional embodiment of the present application, optionally, based on the physical sign monitoring nursing plan, the physical sign data of the first user is monitored in real time, and the physical sign real-time monitoring data of the first user is obtained and obtained, including:
collecting real-time physical sign monitoring data of a first user periodically;
obtaining different biological sign data of a first user under the sign monitoring care plan from the sign real-time monitoring data;
and preprocessing the biological sign data to obtain different types of biological sign data, and storing the biological sign data respectively.
As an optional embodiment of the present application, optionally, writing the real-time monitoring data of the physical sign into the electronic medical record, updating the electronic medical record, and sending the electronic medical record to a second user includes:
setting a refreshing frequency;
according to the refreshing frequency, sequentially writing different types of biological sign data into the electronic medical record and updating;
and sending the updated electronic medical record to a second user.
As an optional embodiment of the present application, optionally, based on the physical sign monitoring care plan, the method for monitoring physical sign data of a first user in real time, and obtaining the physical sign real-time monitoring data of the first user, further includes:
setting a calculation time sequence;
according to the calculation time sequence, carrying out mean calculation on different types of biological sign data in each period in sequence to form a set, and obtaining a sign mean value set of a first user;
and calculating a weighted average value of the sign average value set according to the sign average value set, and taking the weighted average value as a sign real-time nursing value of the first user.
As an optional embodiment of the present application, optionally, based on the physical sign monitoring nursing plan, the physical sign data of the first user is monitored in real time, and the physical sign real-time monitoring data of the first user is obtained and obtained, further including:
according to the method, the real-time physical sign nursing values of all the first users are obtained;
sequencing the real-time physical sign nursing values of all the first users according to preset nursing grade values to obtain nursing grades of the first users;
periodically sending the care level to a second user.
In another aspect of the present application, a device for implementing the method for implementing ordered application of nursing and electronic medical records based on physical sign monitoring data is provided, which includes:
the acquisition module is used for acquiring the electronic medical record of the first user and acquiring historical sign data of the first user from the historical electronic medical record;
the configuration module is used for setting a physical sign monitoring nursing scheme of a first user according to the historical physical sign data of the first user and configuring the physical sign monitoring nursing scheme in a medical system;
the monitoring module is used for monitoring the physical sign data of the first user in real time based on the physical sign monitoring nursing scheme, and acquiring and obtaining the physical sign real-time monitoring data of the first user;
the updating module is used for writing the physical sign real-time monitoring data into the electronic medical record, updating the physical sign real-time monitoring data and sending the electronic medical record to a second user;
and the receiving module is used for receiving and carrying out graded nursing on the first user according to the updated electronic medical record by the second user.
As an optional implementation of the present application, optionally, the obtaining module includes:
the format presetting module is used for presetting a file parsing format; the analysis module is used for acquiring the historical electronic medical record of the first user and analyzing the historical electronic medical record to obtain medical record analysis data; the formatting module is used for sorting the medical record analysis data according to the file analysis format to obtain a format text containing the historical physical sign parameters of the first user; the text generation module is used for generating and obtaining historical sign data of the first user based on the format text;
the monitoring module includes:
the periodic acquisition module is used for periodically acquiring physical sign real-time monitoring data of a first user; obtaining different biological sign data of a first user under the sign monitoring care plan from the sign real-time monitoring data; the preprocessing module is used for preprocessing the biological sign data to obtain different types of biological sign data and storing the biological sign data respectively;
the update module includes:
the clock module is used for setting the refreshing frequency; the refreshing module is used for sequentially writing different types of biological sign data into the electronic medical record and updating the biological sign data according to the refreshing frequency; and the first sending module is used for sending the updated electronic medical record to a second user.
As an optional embodiment of the present application, optionally, the monitoring module further includes:
the time sequence module is used for setting a calculation time sequence;
the mean value calculation module is used for sequentially carrying out mean value calculation on different types of biological sign data in each period according to the calculation time sequence and forming a set to obtain a sign mean value set of the first user;
the weighted calculation module is used for calculating a weighted average value of the sign average value set according to the sign average value set and taking the weighted average value as a sign real-time nursing value of the first user; the system is also used for acquiring the real-time physical sign nursing values of all the first users; the sorting module is used for sorting the physical sign real-time nursing values of all the first users according to preset nursing grade values to obtain nursing grades of the first users; and the second sending module is used for periodically sending the care level to a second user.
In another aspect of the present application, a control system is further provided, including:
a processor;
a memory for storing processor-executable instructions;
wherein the processor is configured to execute the executable instructions to implement the ordered application method for achieving care and electronic medical records based on the vital sign monitoring data.
The invention has the technical effects that:
the method comprises the steps that historical sign data of a first user are obtained from a historical electronic medical record by obtaining the electronic medical record of the first user; setting a physical sign monitoring nursing scheme of a first user according to the historical physical sign data of the first user, and configuring the physical sign monitoring nursing scheme in a medical system; monitoring the physical sign data of the first user in real time based on the physical sign monitoring nursing scheme, and acquiring and obtaining the physical sign real-time monitoring data of the first user; writing the real-time physical sign monitoring data into the electronic medical record, updating the real-time physical sign monitoring data, and sending the electronic medical record to a second user; and the second user receives and carries out grading nursing on the first user according to the updated electronic medical record. Combine together patient's sign data and historical case history data, when patient's secondary disease relapse or aggravate, obtain patient's historical sign data, index, combine sign monitoring data to look up patient's front and back case history information, know sign data in the past through historical electronic medical record to this is symptomatic to be treated, carries out orderly sign management. After new treatment and rehabilitation, the data update record is used as the data base of follow-up nursing in the case history for judging the rehabilitation condition, so that the physical sign data of the patient has a history tracing base, ordered and effective nursing management is realized, a plurality of patients can be nursed in a grading manner, and efficient and humanized nursing treatment is realized.
By adopting the scheme, the sign data updating records of every time can be recorded in the electronic medical record, so that the body sign data of a patient has historical traceability records, the trouble that nurses measure and input the vital sign data can be solved, the interference of the patients in hospital can be reduced, and the sign data can be automatically acquired. The doctor has great significance for timely acquiring the monitoring information of the medical record in hospital, and the doctor has a win-win effect on both patients and medical care.
Other features and aspects of the present disclosure will become apparent from the following detailed description of exemplary embodiments, which proceeds with reference to the accompanying drawings.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of the specification, illustrate exemplary embodiments, features, and aspects of the disclosure and, together with the description, serve to explain the principles of the disclosure.
FIG. 1 is a schematic diagram illustrating an implementation flow of the method for implementing ordered application of nursing and electronic medical records based on sign monitoring data according to the present invention;
fig. 2 shows a schematic diagram of the composition of an application system of the device of the present invention.
Detailed Description
Various exemplary embodiments, features and aspects of the present disclosure will be described in detail below with reference to the accompanying drawings. In the drawings, like reference numbers can indicate functionally identical or similar elements. While the various aspects of the embodiments are presented in drawings, the drawings are not necessarily drawn to scale unless specifically indicated.
The word "exemplary" is used exclusively herein to mean "serving as an example, embodiment, or illustration. Any embodiment described herein as "exemplary" is not necessarily to be construed as preferred or advantageous over other embodiments.
Furthermore, in the following detailed description, numerous specific details are set forth in order to provide a better understanding of the present disclosure. It will be understood by those skilled in the art that the present disclosure may be practiced without some of these specific details. In some instances, methods, means, elements and circuits that are well known to those skilled in the art have not been described in detail so as not to obscure the present disclosure.
Example 1
In this embodiment, the first user may be a patient or the like, and the second user may be a caregiver, a physician, or other personnel.
This application combines together patient's sign data and historical case history data, when patient's secondary state of an illness relapse or aggravate, obtains historical sign data, the index of patient, combines sign monitoring data to look up patient's front and back case history information, knows sign data in the past through historical electronic medical record to this is to the symptomatic treatment, carries out orderly sign management. After new treatment and rehabilitation, the data update record is used as the data base of follow-up nursing in the case history for judging the rehabilitation condition, so that the physical sign data of the patient has a history tracing base, ordered and effective nursing management is realized, a plurality of patients can be nursed in a grading manner, and efficient and humanized nursing treatment is realized.
As shown in fig. 1, in one aspect, the present application provides a method for implementing ordered application of nursing and electronic medical records based on sign monitoring data, including the following steps:
s1, acquiring an electronic medical record of a first user, and acquiring historical sign data of the first user from the historical electronic medical record;
the patient has the identification, and medical data such as past medical treatment, operation of patient can be obtained from the identification of patient. Such as a medical treatment card, or a medical record or electronic medical record. Preferably, the Internet of things card device records electronic medical record information of the patient. The electronic medical record can be downloaded from an online site and retrieved within the scope of the authority of the doctor. The electronic medical record includes a patient's medical regimen, examination data, and rehabilitation status. When the patient nurses and checks again, the marble data of the patient can be obtained by scanning the identity.
As an optional embodiment of the present application, optionally, the acquiring an electronic medical record of a first user, and acquiring historical physical sign data of the first user from the historical electronic medical record include:
presetting a file parsing format;
acquiring a historical electronic medical record of a first user, and analyzing the historical electronic medical record to obtain medical record analysis data;
sorting the medical record analysis data according to the file analysis format to obtain a format text containing the historical physical sign parameters of the first user;
and generating and obtaining historical sign data of the first user based on the format text.
In the embodiment, the nursing rehabilitation condition of the patient is mainly compared and judged according to the physical sign data of the patient, and whether the patient is rehabilitated or not, the rehabilitation degree or the degree of secondary relapse and deterioration is judged according to the physical sign parameters of the patient. The sign data may be detected values of red blood cells, platelets, white blood cells, or macrophages of the patient, or biological characteristic values of the weight, the cellular water content, and the like of the patient, which is not limited in this embodiment, and is specifically determined according to disease symptom index parameters of the patient. The electronic medical record comprises the data and also has some irrelevant data such as cost, treatment information and the like, and the data are removed firstly to obtain pure characteristic parameters, so that the comparison and judgment of the physical sign data are conveniently carried out subsequently, and the nursing and rehabilitation conditions of the patient are discovered. Therefore, a preset file analysis format is adopted, the historical electronic medical records are analyzed, the obtained analysis information is sorted according to the file analysis format, and a format text only containing the historical physical sign parameters of the first user is obtained. The formatted text may be automatically formed or parsed and processed by the physician via a computer. And setting a text format for filling the historical physical sign parameters in advance in the format text.
After the formatted text is obtained, historical physical sign data about a patient user can be independently formed, so that past characteristic parameters of the patient can be shown and explained.
S2, setting a physical sign monitoring nursing scheme of the first user according to the historical physical sign data of the first user, and configuring the physical sign monitoring nursing scheme in a medical system;
the physical sign monitoring nursing scheme is a scheme for monitoring characteristic parameters of a patient, the monitoring scheme is set according to the disease type of the patient to be monitored, and the monitoring scheme is mainly set from historical physical sign data of the patient. The physical sign monitoring nursing scheme can be specifically set according to the recommendation and the requirement of a doctor, for example, the recovery result of the content of the platelets in the red blood cells of the patient is monitored, and how much the postoperative care of the patient is recovered is. The physical sign monitoring nursing scheme is periodic, measures once or several times in a period, is convenient for sampling and calculating a mean value, forms a monitoring value curve, and visually reflects a recovery state. The medical system may be configured according to the patient's specific monitoring project.
S3, monitoring the physical sign data of the first user in real time based on the physical sign monitoring nursing scheme, and acquiring and obtaining the physical sign real-time monitoring data of the first user;
the physical sign monitoring nursing scheme is a scheme for monitoring the nursing condition of a patient in real time and acquiring biological physical sign data, and obtains each mean value in a period by periodically monitoring the physical sign value of the patient so as to compare the mean value with historical data and judge the physical recovery condition of the patient. The period may be a few hours or days or the like each, specifically set by the physician.
As an optional embodiment of the present application, optionally, based on the physical sign monitoring care plan, the method for monitoring physical sign data of a first user in real time, and obtaining the physical sign real-time monitoring data of the first user includes:
collecting real-time physical sign monitoring data of a first user periodically;
obtaining different biological sign data of a first user under the sign monitoring care plan from the sign real-time monitoring data;
and preprocessing the biological sign data to obtain different types of biological sign data, and storing the biological sign data respectively.
In a period, a patient needs to monitor various parameters of physical sign indexes and recovery indexes for representing the disease, so that different types of biological physical sign data such as daily red blood cell content monitoring values are obtained, various physiological function recovery data of the disease of the patient are monitored, different types of biological physical sign data are obtained and are respectively stored.
S4, writing the real-time physical sign monitoring data into the electronic medical record, updating, and sending the electronic medical record to a second user;
and detecting physical sign data in one period, writing the refreshing into the electronic medical record, updating the electronic medical record, and storing the updated electronic medical record. The real-time physical sign monitoring data obtained by the monitoring is used as historical data of the next nursing, so that the nursing information of the patient is traced and coherent. Secondary monitoring data after nursing is obtained from the last physical sign data, and the change of the same type of numerical values before and after the comparison can be judged so as to judge the nursing rehabilitation condition of the patient.
The doctor receives the real-time physical sign monitoring data and the updated electronic medical record from the background. In this embodiment, preferably adopt visual technique with the sign data of last time and the sign monitoring data of this time to compare the show, the doctor of being convenient for directly perceivedly understands the condition that each item sign index of patient resumes.
The doctor can operate on the updated electronic medical record, such as giving a diagnosis result, a treatment scheme and the like, or giving a specific nursing evaluation score and the like. And after the operation is finished, uploading the electronic medical record to a background or a cloud for storage. The patient can log in the backstage from terminal APP or applet and look over to this adjusts self nursing mode.
As an optional embodiment of the present application, optionally, writing the real-time monitoring data of the physical sign into the electronic medical record, updating the electronic medical record, and sending the electronic medical record to a second user includes:
setting a refreshing frequency;
according to the refreshing frequency, sequentially writing different types of biological sign data into the electronic medical record and updating;
and sending the updated electronic medical record to a second user.
The real-time physical sign monitoring data comprises different types of biological physical sign data of the patient monitored at this time, and after various index data are obtained through monitoring, the monitoring value is reported and the numerical value of the electronic medical record is refreshed according to the periodic refreshing frequency. For example, a mean value of the platelet content of the red blood cells is obtained every 30 minutes within 4 hours, and the mean value is calculated at the 31 st minute and written into an electronic medical record. All parameters are refreshed and recorded in such a way until all the parameters in the period are refreshed.
And S5, the second user receives and carries out hierarchical nursing on the first user according to the updated electronic medical record.
After each item of data of the electronic medical record refreshes the monitoring value, the electronic medical record also has the physical sign value monitored this time except the historical physical sign values, so that a sharp contrast can be formed, and doctors or nursing staff can visually know the nursing recovery condition of patients conveniently. This is used to develop the next care plan for the patient.
The various refreshing and visual display and comparison schemes are realized by adopting corresponding programs.
By adopting the scheme, an ordered graded nursing scheme can be formed for a plurality of patients at the same time.
As an optional embodiment of the present application, optionally, based on the physical sign monitoring nursing plan, the physical sign data of the first user is monitored in real time, and the physical sign real-time monitoring data of the first user is obtained and obtained, further including:
setting a calculation time sequence;
according to the calculation time sequence, carrying out mean calculation on different types of biological sign data in each period in sequence to form a set, and obtaining a sign mean value set of a first user;
and calculating the weighted average value of the sign average value set according to the sign average value set, and taking the weighted average value as the real-time care value of the signs of the first user.
According to the scheme of the step S4, a plurality of mean values are obtained at different stages in a period, and mean values of different types of biological sign data in each period are sequentially calculated according to a calculation time sequence to form a set, so as to obtain a sign mean value set of the first user. For example, within 4 hours, the mean value of the red blood cell platelet content is obtained every 30 minutes, the mean value of the red blood cell platelet content has 8 stages in total, and the index value of the red blood cell platelet content in the period (within 4 hours) is calculated in the embodiment by adopting a weighted calculation mode, and the weighted mean value of the red blood cell platelet content is calculated according to the mean value of the red blood cell platelet content in 8 stages within 4 hours, and is used as the physical sign real-time care value of the first user.
Each sign is calculated according to the above manner, and sign real-time care values of different types of biological signs can be obtained, such as { red blood cell platelet content sign mean value a, and packed cell content b.. Once.. Page }, and finally a weighted average value is calculated for the set and used as a sign real-time care value of the patient.
All patients in the unified period can be nursed the value in real time according to the above-mentioned real-time calculation sign, can obtain the health nursing recovery condition of patient, and the real-time nursing value of patient's sign is different, and its physical fitness and function recovery degree are different, according to the real-time nursing value size sequencing of patient's sign, doctor or nursing staff can provide the priority nursing scheme for the relatively poor patient of recovery degree in view of the above.
As an optional embodiment of the present application, optionally, based on the physical sign monitoring care plan, the method for monitoring physical sign data of a first user in real time, and obtaining the physical sign real-time monitoring data of the first user, further includes:
according to the method, the real-time physical sign nursing values of all the first users are obtained;
sequencing the real-time physical sign nursing values of all the first users according to preset nursing grade values to obtain nursing grades of the first users;
periodically sending the care level to a second user.
The comparison and conversion between the real-time care value of the physical sign and the care level value is not limited in this embodiment, and may be a direct relationship or other manners, specifically set by a doctor according to the condition of the patient. However, for the same batch of patients, the nursing grade value can be set in such a way that the nursing sequence of the patients is automatically issued.
The method for receiving, calculating and displaying the physical sign real-time nursing value by the management background is realized by a program, and the embodiment does not require.
Therefore, the nursing grading system can provide a grading and priority nursing scheme for a plurality of patients through comprehensive calculation and sequencing of the real-time physical sign nursing values, and the nursing grading efficiency is improved.
Example 2
Based on the implementation principle of embodiment 1, in another aspect of the present application, a device for implementing the method for implementing ordered application of nursing and electronic medical records based on sign monitoring data is provided, which includes:
the acquisition module is used for acquiring an electronic medical record of a first user and acquiring historical sign data of the first user from the historical electronic medical record;
the configuration module is used for setting a physical sign monitoring nursing scheme of a first user according to the historical physical sign data of the first user and configuring the physical sign monitoring nursing scheme in a medical system;
the monitoring module is used for monitoring the physical sign data of the first user in real time based on the physical sign monitoring nursing scheme, and acquiring and obtaining the physical sign real-time monitoring data of the first user;
the updating module is used for writing the physical sign real-time monitoring data into the electronic medical record, updating the physical sign real-time monitoring data and sending the electronic medical record to a second user;
and the receiving module is used for receiving and carrying out graded nursing on the first user according to the updated electronic medical record by the second user.
As an optional implementation of this application, optionally, the obtaining module includes:
the format presetting module is used for presetting a file parsing format; the analysis module is used for acquiring the historical electronic medical record of the first user and analyzing the historical electronic medical record to obtain medical record analysis data; the formatting module is used for sorting the medical record analysis data according to the file analysis format to obtain a format text containing the historical physical sign parameters of the first user; the text generation module is used for generating and obtaining historical sign data of the first user based on the format text;
the monitoring module includes:
the periodic acquisition module is used for periodically acquiring physical sign real-time monitoring data of a first user; obtaining different biological sign data of a first user under the sign monitoring care plan from the sign real-time monitoring data; the preprocessing module is used for preprocessing the biological sign data to obtain different types of biological sign data and storing the biological sign data respectively;
the update module includes:
the clock module is used for setting a refreshing frequency; the refreshing module is used for sequentially writing different types of biological sign data into the electronic medical record and updating the biological sign data according to the refreshing frequency; and the first sending module is used for sending the updated electronic medical record to a second user.
As an optional implementation of the present application, optionally, the monitoring module further includes:
the time sequence module is used for setting a calculation time sequence;
the mean value calculation module is used for sequentially carrying out mean value calculation on different types of biological sign data in each period according to the calculation time sequence and forming a set to obtain a sign mean value set of the first user;
the weighted calculation module is used for calculating the weighted average value of the sign average value set according to the sign average value set and taking the weighted average value as a sign real-time nursing value of the first user; the system is also used for acquiring the real-time physical sign nursing values of all the first users; the sorting module is used for sorting the real-time physical sign nursing values of all the first users according to preset nursing grade values to obtain nursing grades of the first users; and the second sending module is used for periodically sending the care level to a second user.
For specific functions and application interaction principles of the above modules, reference is made to the description of embodiment 1 specifically, and this embodiment is not described again.
It should be apparent to those skilled in the art that all or part of the processes of the methods of the above embodiments may be implemented by hardware related to instructions of a computer program, and the program may be stored in a computer readable storage medium, and when executed, may include the processes of the embodiments of the control methods as described above. The modules or steps of the invention described above can be implemented by a general purpose computing device, they can be centralized on a single computing device or distributed over a network of multiple computing devices, and they can alternatively be implemented by program code executable by a computing device, so that they can be stored in a storage device and executed by a computing device, or they can be separately fabricated into various integrated circuit modules, or multiple modules or steps thereof can be fabricated into a single integrated circuit module. Thus, the present invention is not limited to any specific combination of hardware and software.
It will be understood by those skilled in the art that all or part of the processes of the methods of the above embodiments may be implemented by hardware related to instructions of a computer program, and the program may be stored in a computer readable storage medium, and when executed, may include the processes of the embodiments of the control methods as described above. The storage medium may be a magnetic disk, an optical disk, a Read-only memory (ROM), a Random Access Memory (RAM), a flash memory (FlashMemory), a hard disk (hard disk drive, abbreviated as HDD) or a Solid State Drive (SSD), etc.; the storage medium may also comprise a combination of memories of the kind described above.
Example 3
Still further, in another aspect of the present application, a control system is further provided, including:
a processor;
a memory for storing processor-executable instructions;
wherein the processor is configured to execute the executable instructions to implement the ordered application method for achieving care and electronic medical records based on the vital sign monitoring data.
Embodiments of the present disclosure provide a control system including a processor and a memory for storing processor-executable instructions. Wherein the processor is configured to execute the executable instructions to implement any one of the methods described above for achieving ordered application of care and electronic medical records based on the vital sign monitoring data.
Here, it should be noted that the number of processors may be one or more. Meanwhile, in the control system of the embodiment of the present disclosure, an input device and an output device may be further included. The processor, the memory, the input device, and the output device may be connected by a bus, or may be connected by other means, and are not limited specifically herein.
The memory, which is a computer-readable storage medium, may be used to store software programs, computer-executable programs, and various modules, such as: the program or module corresponds to the method for realizing orderly application of nursing and electronic medical records based on sign monitoring data. The processor executes various functional applications of the control system and data processing by executing software programs or modules stored in the memory.
The input device may be used to receive an input number or signal. Wherein the signal may be a key signal generated in connection with user settings and function control of the device/terminal/server. The output means may comprise a display device such as a display screen.
Having described embodiments of the present disclosure, the foregoing description is intended to be exemplary, not exhaustive, and not limited to the disclosed embodiments. Many modifications and variations will be apparent to those of ordinary skill in the art without departing from the scope and spirit of the described embodiments. The terminology used herein was chosen in order to best explain the principles of the embodiments, the practical application, or technical improvements to the technology in the marketplace, or to enable others of ordinary skill in the art to understand the embodiments disclosed herein.
Claims (10)
1. A method for realizing nursing and orderly applying electronic medical records based on physical sign monitoring data is characterized by comprising the following steps:
acquiring an electronic medical record of a first user, and acquiring historical sign data of the first user from the historical electronic medical record;
setting a physical sign monitoring nursing scheme of a first user according to the historical physical sign data of the first user, and configuring the physical sign monitoring nursing scheme in a medical system;
monitoring the physical sign data of the first user in real time based on the physical sign monitoring nursing scheme, and acquiring and obtaining the physical sign real-time monitoring data of the first user;
writing the real-time physical sign monitoring data into the electronic medical record, updating the real-time physical sign monitoring data, and sending the electronic medical record to a second user;
and the second user receives and carries out grading nursing on the first user according to the updated electronic medical record.
2. The method of claim 1, wherein obtaining the electronic medical record of the first user and obtaining the historical vital sign data of the first user from the historical electronic medical record comprises:
presetting a file parsing format;
acquiring a historical electronic medical record of a first user, and analyzing the historical electronic medical record to obtain medical record analysis data;
sorting the medical record analysis data according to the file analysis format to obtain a format text containing the historical physical sign parameters of the first user;
and generating and obtaining historical sign data of the first user based on the format text.
3. The method of claim 1, wherein the method for achieving nursing and orderly applying electronic medical records based on the vital sign monitoring data comprises, based on the vital sign monitoring nursing protocol, monitoring the vital sign data of the first user in real time, and obtaining the vital sign real-time monitoring data of the first user:
collecting real-time physical sign monitoring data of a first user periodically;
obtaining different biological sign data of a first user under the sign monitoring care plan from the sign real-time monitoring data;
and preprocessing the biological sign data to obtain different types of biological sign data, and storing the biological sign data respectively.
4. The method as claimed in claim 3, wherein writing and updating the real-time monitoring data of the physical signs into the electronic medical record, and sending the electronic medical record to a second user comprises:
setting a refreshing frequency;
according to the refreshing frequency, sequentially writing different types of biological sign data into the electronic medical record and updating;
and sending the updated electronic medical record to a second user.
5. The method of claim 3, wherein the method for achieving nursing care and orderly applying electronic medical records based on the vital sign monitoring data comprises the steps of monitoring the vital sign data of the first user in real time based on the vital sign monitoring nursing plan, and obtaining the vital sign real-time monitoring data of the first user, and further comprises:
setting a calculation time sequence;
according to the calculation time sequence, carrying out mean value calculation on different types of biological sign data in each period in sequence to form a set, and obtaining a sign mean value set of a first user;
and calculating the weighted average value of the sign average value set according to the sign average value set, and taking the weighted average value as the real-time care value of the signs of the first user.
6. The method of claim 5, wherein the method for achieving nursing and orderly applying electronic medical records based on the vital sign monitoring data comprises the steps of monitoring the vital sign data of the first user in real time based on the vital sign monitoring nursing plan, and obtaining the vital sign real-time monitoring data of the first user, and further comprising:
the method according to claim 5, obtaining the real-time nursing values of the signs of all the first users;
sequencing the real-time physical sign nursing values of all the first users according to preset nursing grade values to obtain nursing grades of the first users;
periodically sending the care level to a second user.
7. An apparatus for implementing the method for orderly applying nursing and electronic medical records based on physical sign monitoring data according to any one of claims 1-6, comprising:
the acquisition module is used for acquiring the electronic medical record of the first user and acquiring historical sign data of the first user from the historical electronic medical record;
the configuration module is used for setting a physical sign monitoring nursing scheme of a first user according to the historical physical sign data of the first user and configuring the physical sign monitoring nursing scheme in a medical system;
the monitoring module is used for monitoring the physical sign data of the first user in real time based on the physical sign monitoring nursing scheme, and acquiring and obtaining the physical sign real-time monitoring data of the first user;
the updating module is used for writing the physical sign real-time monitoring data into the electronic medical record, updating the physical sign real-time monitoring data and sending the electronic medical record to a second user;
and the receiving module is used for receiving and carrying out graded nursing on the first user according to the updated electronic medical record by the second user.
8. The apparatus of claim 7, wherein the obtaining module comprises:
the format presetting module is used for presetting a file parsing format; the analysis module is used for acquiring the historical electronic medical record of the first user and analyzing the historical electronic medical record to obtain medical record analysis data; the formatting module is used for sorting the medical record analysis data according to the file analysis format to obtain a format text containing the historical physical sign parameters of the first user; the text generation module is used for generating and obtaining historical sign data of the first user based on the format text;
the monitoring module includes:
the periodic acquisition module is used for periodically acquiring physical sign real-time monitoring data of a first user; obtaining different biological sign data of a first user under the sign monitoring care plan from the sign real-time monitoring data; the preprocessing module is used for preprocessing the biological sign data to obtain different types of biological sign data and storing the biological sign data respectively;
the update module includes:
the clock module is used for setting the refreshing frequency; the refreshing module is used for sequentially writing different types of biological sign data into the electronic medical record and updating the biological sign data according to the refreshing frequency; and the first sending module is used for sending the updated electronic medical record to a second user.
9. The apparatus of claim 8, wherein the monitoring module further comprises:
the time sequence module is used for setting a calculation time sequence;
the mean value calculation module is used for sequentially carrying out mean value calculation on different types of biological sign data in each period according to the calculation time sequence and forming a set to obtain a sign mean value set of the first user;
the weighted calculation module is used for calculating the weighted average value of the sign average value set according to the sign average value set and taking the weighted average value as a sign real-time nursing value of the first user; the system is also used for acquiring the real-time physical sign nursing values of all the first users; the sorting module is used for sorting the physical sign real-time nursing values of all the first users according to preset nursing grade values to obtain nursing grades of the first users; and the second sending module is used for periodically sending the care level to a second user.
10. A control system, comprising:
a processor;
a memory for storing processor-executable instructions;
wherein the processor is configured to execute the executable instructions to implement a method for implementing ordered application of nursing and electronic medical records based on physical signs monitoring data according to any one of claims 1 to 7.
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN118628212A (en) * | 2024-08-12 | 2024-09-10 | 四川互慧软件有限公司 | Automatic nursing grading method and medium for home nursing |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN118628212A (en) * | 2024-08-12 | 2024-09-10 | 四川互慧软件有限公司 | Automatic nursing grading method and medium for home nursing |
| CN118628212B (en) * | 2024-08-12 | 2024-11-05 | 四川互慧软件有限公司 | Automatic nursing grading method and medium for home nursing |
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