CN115376679B - Remote image consultation method - Google Patents
Remote image consultation method Download PDFInfo
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- CN115376679B CN115376679B CN202211300143.5A CN202211300143A CN115376679B CN 115376679 B CN115376679 B CN 115376679B CN 202211300143 A CN202211300143 A CN 202211300143A CN 115376679 B CN115376679 B CN 115376679B
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H30/00—ICT specially adapted for the handling or processing of medical images
- G16H30/20—ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
Abstract
The invention discloses a remote image consultation method.A hospital user registers and creates a network hospital on a client, and becomes a hospital administrator and manages the network hospital after creating success; the hospital administrator is in butt joint with other network hospitals, and the two parties are called network cooperative hospitals after the permission of the hospital administrator of the other party; the medical team of one side of the network cooperation hospital uploads medical image data to the cloud DICOM database, a target network cooperation hospital and team are selected, a diagnosis cooperation project is established, and the cloud DICOM database is shared. The network cooperates with the other party of the hospital to check medical image data, receive order diagnosis, report circulation and audit, upload diagnosis reports to a cloud DICOM database and share the diagnosis reports. The remote image consultation method has the advantages that the establishment of the cooperation relationship among hospitals is not limited by the outside, the method is convenient and quick, a doctor can conveniently and efficiently establish a diagnosis cooperation project, and the method is safe, reliable, good in controllability and the like.
Description
Technical Field
The invention relates to a remote medical technology, in particular to a remote image consultation method.
Background
In order to solve the inconvenience of the traditional registration and hospitalization, promote the equalization of medical resources, meet the large situation of epidemic situation prevention and control, avoid the contact of doctors and patients through remote image consultation, reduce the population mobility of hospitals, relieve the receiving and treating pressure of hospitals, reduce the risk of cross infection in sensitive areas and develop a remote consultation system. The remote consultation enables doctors to comprehensively and carefully think, summarize and analyze the illness state of patients without the patients being in person, so that correct diagnosis is made and a scientific and appropriate treatment scheme is formulated, the diagnosis accuracy is improved, the treatment time of the patients is saved, and the trouble of long-distance running, registration and queuing of the patients is avoided.
Medical imaging is a medical discipline that uses medical imaging techniques to diagnose human diseases and interventional devices to perform minimally invasive diagnosis and treatment of human diseases under the guidance of medical imaging techniques. The remote image consultation method utilizes the 5G network, the artificial intelligence technology, the big data, the cloud computing technology and other technologies, can realize that after a patient completes scanning of ultrasound, CT (Computed Tomography), DXR (Digital X-ray radiation measurement), magnetic resonance and the like, image data is transmitted to medical cloud in a hospital through the 5G network, cloud storage and cross-regional consultation of the medical image data are realized, real-time safe sharing of the medical image data is realized in a cloud edge cooperation mode, the requirement of mobile remote image reading is met, intelligent analysis and diagnosis of the image can be realized by combining the image AI technology, doctors are assisted to read the image, and the image reading efficiency of the doctors is improved.
At present, the existing remote consultation system has poor use effect due to the problems of complex operation process of a user, various restrictions of manufacturers, data safety and the like.
At present, the establishment of the cooperation relationship between the existing hospitals is controlled by a remote consultation system development and control factory, and the hospitals do not have the authority to establish the cooperation relationship between the two hospitals. The implementation process of the remote image consultation method comprises the following steps: (1) Firstly, a remote consultation system development and control manufacturer establishes a cooperation relationship between two hospitals in advance; (2) secondly, the hospitals of both parties execute the diagnosis application operation; (3) And finally, if the hospitals of the two parties need to cancel the cooperation, the remote consultation system development and control manufacturer cancels the cooperation relationship of the hospitals of the two parties.
The existing remote image consultation method has the following problems: (1) The establishment or the cancellation of the cooperation among hospitals is set and controlled by a remote consultation system development and control factory, the cooperation cannot be established or cancelled among the hospitals, and the hospitals do not have the control right of the cooperation; (2) The user operation flow is complex, the automatic skip function and the error defense function are lacked, various limitations of manufacturers are caused, and the data security is caused; (3) The use effect of the user is not good, so that the consultation effect is not ideal.
Disclosure of Invention
The invention aims to avoid the defects in the prior art, and provides a remote image consultation method, so that medical image data can be checked, transmitted and managed inside and among medical institutions through a network, and further, safe, reliable and high-controllability remote image consultation can be realized.
The invention adopts the following technical scheme to solve the technical problem.
A remote image consultation method is characterized by comprising the following steps:
step 1: the method comprises the steps that a server is installed and configured, and a browser is installed at a client;
step 2: a hospital user registers and creates a network hospital on a client, and becomes a hospital administrator and is responsible for managing the network hospital after creation success;
and step 3: the hospital administrator is in butt joint with other network hospitals, and the two parties are called network cooperative hospitals after the permission of the hospital administrator of the other party; after the hospital is successfully established, the hospital administrator establishes one or more medical teams, and adds medical staff to the medical teams as members of the medical teams; the hospital administrator assigns permissions to members of a medical team;
and 4, step 4: a medical team of one party of the network cooperation hospital initiates a consultation request and establishes a diagnosis cooperation project;
and 5: and establishing a medical team of a receiver hospital for a diagnosis cooperation project, receiving order diagnosis, transferring and auditing reports, uploading diagnosis reports and sharing diagnosis results.
The remote image consultation method of the invention is also characterized in that:
preferably, in step 2, after the hospital is successfully created, the hospital administrator may create one or more medical teams (the hospital administrator may select whether to join the team by default), and allow multiple medical personnel to join multiple medical teams of the hospital as members of the medical team.
Preferably, after the medical team is created, the medical staff joins the medical team by inviting or applying for joining.
Preferably, the hospital administrator assigns and cancels the authority for the members of the medical team.
Preferably, the hospital administrator can set a plurality of authorities for one medical member and cancel the plurality of authorities.
Preferably, the one medical member may join multiple teams of the hospital and share the same rights among the different teams.
Preferably, if the medical member has the item being processed, and the hospital administrator cancels the corresponding right of the member, the system gives a warning prompt to disallow the operation.
Preferably, the member permissions of the medical team comprise hospital administrator permissions, applying doctor permissions, diagnosing doctor permissions and auditing doctor permissions.
Preferably, when the medical team has a medical member, and the hospital administrator deletes the medical team, the system gives a warning prompt to disallow the operation.
Preferably, the medical member can only see the functional module within the authority range of the medical member, and cannot access the functional module without the right of the medical member.
Preferably, when the authority of the medical member changes, the software interface of the medical member is immediately updated, and only the function modules within the authority range are displayed.
Preferably, in step 3, the modes of docking the hospital administrator with other network hospitals include an active application docking mode and an invitation docking mode.
Preferably, the active application docking manner includes the following steps:
step 301: selecting a docked hospital by a hospital administrator who actively applies for the hospital on a docking hospital interface, and sending a docking application to the docked hospital;
step 302: the hospital administrator of the docked hospital checks the docking application of the active application hospital and determines whether the application is passed.
Preferably, the invitation docking manner includes the following steps:
step 311: a hospital administrator of the active invitation hospital selects invitation docking on a docking hospital interface, and the remote image consultation system automatically copies invitation links;
step 312: a hospital administrator of the active inviting hospital sends an invitation link to a hospital administrator of the invited hospital;
step 313: if the hospital administrator of the invited hospital logs in the system, automatically switching to a docking hospital interface, and then docking the hospital administrator of the invited hospital with the active inviting hospital by adopting an active docking application mode;
step 314: if the hospital administrator of the invited hospital does not log in the system, the system automatically transfers to a login interface; after logging in, the hospital administrator of the invited hospital automatically transfers to the interface of the docking hospital, and then the hospital administrator of the invited hospital adopts an active docking application mode to dock with the active inviting hospital.
Preferably, in step 3, after the hospital administrator applies for docking with another network hospital, if the opposite network hospital administrator has not yet checked the docking application, the application dockee hospital administrator may cancel the docking application.
Preferably, in step 3, after the hospital administrator successfully docks with other network hospitals, both parties can cancel the docking.
Preferably, in step 3, if there are events being processed by both parties during the process of undocking the hospital administrator with other network hospitals, the system warns to prompt and does not allow this operation to be performed.
Preferably, in step 4, the application doctor of the medical team uploads the image data to the cloud database, selects the target hospital and the target team, and notifies all members in the designated target team to participate in the diagnosis cooperation project in a message notification manner after initiating the remote application, and members in other teams of the target hospital cannot receive the diagnosis cooperation project.
Preferably, the target hospital includes an own hospital and a docked hospital.
Preferably, the target teams comprise all teams of the selected target hospital.
Preferably, when the medical institution selects that the target hospital is the own hospital, the medical institution establishes a diagnosis cooperation project in the medical structure to perform remote application and remote diagnosis.
Preferably, the remote application is initiated, and a common mode or an emergency mode can be selected.
Preferably, if the remote application is initiated and the emergency mode is selected, the diagnosis data received by the opposite party is marked by red fire to indicate that the emergency application needs to be diagnosed as soon as possible.
Preferably, the remote application is initiated, and a brief medical history and a preliminary diagnosis suggestion can be filled in.
Preferably, the remote application is initiated, and other cases of the patient can be selected to be associated, and other examination reports of the patient can be uploaded as an associated attachment to be sent together with the remote application.
Preferably, after the remote application is initiated, the data becomes an applied state, and the remote application cannot be initiated again.
Preferably, in the step 5, a medical team of a receiver hospital of the diagnosis cooperation project is established, order receiving diagnosis, report circulation examination and verification, a diagnosis report is uploaded, and a diagnosis result is shared.
Preferably, all members of the target medical team receive the message to be diagnosed and can receive a diagnosis.
Preferably, if one member of the target medical team clicks "diagnose", the diagnosis data is locked to display the in-diagnosis status. Other members in the target team cannot diagnose, and when the diagnosis is clicked, a warning prompt is given.
Preferably, after one member of the target medical team clicks diagnosis, the unlocking is selected on the diagnosis interface, the data is changed into the order-receiving state, and other members of the target medical team can click diagnosis to perform diagnosis operation.
Preferably, if one member of the target medical team selects unlocking on the diagnosis interface after clicking 'diagnosis', all diagnosis data of the member, including marked images, uploaded images and diagnosis results, are completely eliminated, and the initial order taking state is recovered.
Preferably, the members in the target medical team can view the associated cases and the associated attachments of the patient to know more cases of the patient and help diagnosis when diagnosing.
Preferably, members of the target medical team, at diagnosis, may use various tools to mark the lesion and upload the patient marking image into a diagnosis report.
Preferably, members of the target medical team can use the system entry or the doctor's personal entry to quickly create a diagnosis report at the time of diagnosis.
Preferably, the members of the target medical team can temporarily store the diagnosis result in the diagnosis process and continue the diagnosis later.
Preferably, the member of the target medical team needs to transfer the diagnosis report to the audit if the member only has the diagnosis authority. If the member has both the diagnosis authority and the verification authority, the member does not need to transfer verification and can directly submit the uploading report.
Preferably, when the members in the target medical team submit the report in a streaming manner or directly, the diagnostician and the auditing doctor need to set a personal electronic signature, and apply the electronic signature to the diagnosis report, so as to increase the authenticity of the diagnosis report.
Preferably, when the auditor audits the diagnosis report, if the audit does not pass, the return report can be selected, and the reason for the return is given, and the report is returned to the diagnostician for re-diagnosis.
Preferably, after receiving the returned diagnosis report, the diagnostician may choose to re-diagnose, and after diagnosis, re-circulation of the review is performed.
Preferably, after the auditor passes the audit, a diagnosis report with the two-dimensional code is generated. The patient image can be viewed by scanning the two-dimensional code.
Compared with the prior art, the invention has the beneficial effects that:
the invention discloses a remote image consultation method.A hospital user registers and establishes a network hospital on a client, becomes a hospital manager after establishing success and manages the network hospital, and comprises the steps of establishing one or more medical teams and distributing authority to medical personnel in the team; the hospital administrator is in butt joint with other network hospitals, and the two parties are called network cooperative hospitals after the permission of the hospital administrator of the other party; a medical team of one of the network cooperation hospitals uploads medical image data to a cloud DICOM (Digital Imaging and Communications in Medicine) database, selects a target network cooperation hospital and team, initiates a remote consultation request, establishes a diagnosis cooperation project, and shares the cloud DICOM database. The network cooperates with the other party of the hospital to check medical image data, receive order diagnosis, report circulation and audit, upload diagnosis reports to a cloud DICOM database and share the diagnosis reports.
According to the remote image consultation method, a user applies for establishing a hospital, a hospital administrator applies for docking the hospital or invites to dock the hospital, a cooperation relationship between the two hospitals is established, and then the remote image consultation method is used between the hospitals to check, transmit and manage medical image data through a network, so that the remote image consultation is realized, and the remote image consultation method has the advantages of the following aspects.
1. The establishment and the cancellation of the cooperation relationship among the hospitals are controlled by the hospitals, and various docking modes are provided, so that the system is more convenient and flexible.
2. Before applying for docking, after docking, the system provides a link for checking the details of the other side hospital, and is simple and easy to use.
The invitation docking uses automatic skip, and the user use under various different conditions is considered, so that the simple and efficient application docking of doctors is facilitated.
3. When the diagnostician diagnoses an error, the diagnostician reviews the returned diagnosis report, and the diagnostician diagnoses again, so that the diagnostician can conveniently correct the error.
4. Applying for butt joint to set administrator authority, providing user access control and preventing user from unauthorized access.
5. For operations with serious consequences, the red button mark is used, when the operations with the serious consequences such as butt joint cancellation and the like are executed, the warning information can be popped up again, and the operations can be executed after the confirmation;
6. if both parties have a transaction in progress, the system alerts the prompt and does not allow this to be performed.
7. When initiating the remote application, the applicant can select other cases of the associated patient and upload other examination reports of the patient, thereby helping the diagnostician to better know the illness state of the patient and giving a more accurate diagnosis report.
8. In the diagnosis report, a focus image or a marking image of the patient can be added, so that the readability of the diagnosis report is increased.
9. In the diagnosis report, the diagnosticians and the auditors display the personal electronic signatures, so that the report authenticity is increased.
The remote image consultation method has the advantages that the establishment of the cooperation relationship among hospitals is not limited by the outside, the method is convenient and quick, a doctor can conveniently and efficiently establish a diagnosis cooperation project, and the method is safe, reliable, good in controllability and the like.
Drawings
Fig. 1 is an architecture diagram of a remote image consultation system of a remote image consultation method according to the invention.
Fig. 2 is a flowchart of an active application docking method of the remote image consultation method according to the present invention.
Fig. 3 is a flowchart illustrating an invitation docking manner of a remote image consultation method according to the present invention.
Fig. 4 is a user interface relationship diagram of a remote image consultation system of the remote image consultation method according to the invention.
Fig. 5 is a flowchart of the method for remote image consultation for creating hospitals and teams according to the present invention.
Fig. 6 is a flowchart illustrating a process of establishing an invitation to join a medical team according to a remote video consultation method of the present invention.
Fig. 7 is a flowchart illustrating a process of establishing a medical team joining team according to the remote image consultation method of the present invention.
Fig. 8 is a flowchart of a consultation application, diagnosis and review process of the remote image consultation method according to the present invention.
Fig. 9 is a schematic view illustrating a maintenance process of a cloud server according to a remote image consultation method of the present invention.
Fig. 10 is a physical topology diagram of a remote image consultation method according to the present invention.
Fig. 11 is a data flow diagram of a remote image consultation method according to the present invention.
The present invention will be further described with reference to the following detailed description and accompanying drawings.
Detailed Description
Referring to fig. 1 to 11, a remote image consultation method according to the present invention includes the following steps:
step 1: the method comprises the steps that a server is installed and configured, and a browser is installed at a client;
in step 1, server installation and configuration and client browser installation are carried out; installing original Mysql, orthanc, nginx and Docker services on a server, starting the services, and performing security group configuration, alarm strategy configuration and the like on the server; a client needs to install a Google browser or an Edge browser; the remote image consultation system comprises the client and the server. Fig. 10 is a physical topology diagram of the remote image consultation method.
As shown in fig. 1, the remote image consultation system mainly includes several parts, such as a client, a server, and cloud computing.
The following functions are implemented on the client. 1) Registering and logging in: user registration and user login; 2) A website home page: displaying a message notification and a user operation log; 3) The personal center: setting user basic information, electronic signature/viewing authority/password modification and viewing personal collection cases; 4) Hospital management: and the user applies for establishing the hospital and displays the hospital information. A user applies for a docking hospital and displays information of the docking hospital; 5) Managing a team: viewing my team, displaying a team list and setting member permission; 6) And (5) to-be-processed auditing: checking by a hospital, adding in team checking, and uploading a report for checking; 7) Remote application: uploading data to a cloud, selecting a target hospital and a target team, initiating an application, finishing diagnosis and checking a report; 8) Remote diagnosis: receiving orders, reading films, writing reports, circulating and checking to generate a diagnosis report with two-dimensional codes; 9) And (4) statistical report forms: data statistics and chart statistics.
The server side realizes the functions of the following aspects. 1) A data interface: providing a standard DICOM3.0 data interface and storing cloud data; 2) And (3) container service management: the cloud service management system is used for managing a plurality of cloud service containers and deploying a plurality of data service centers.
The functions of the following aspects are realized on the cloud computing side. 1) Backup and recovery of server mirror images: the server uses an ECS (electronic computer Service) complete machine backup to perform server backup; when the server side has errors, all services of the server side are recovered through the backed-up ECS; 2) Data disk snapshot and recovery: the server-side database is automatically backed up to the data disk regularly through snapshots; when client data appears; when the data is wrong, the server-side database rolls back the disk to recover the data through cloud disk snapshot; 3) Monitoring and warning prompting of server resources: the server monitors resources in real time; logging the error reason; and displaying an alarm prompt according to the alarm rule.
Step 2: a hospital user registers and creates a network hospital on a client, and becomes a hospital administrator and is responsible for managing the network hospital after creation success; hospital staff register and log in the remote image consultation system to become a common hospital user; the user of the common hospital can apply for creating the network hospital, in order to avoid the user from creating a false hospital at will, at the moment, a super manager of the remote image consultation system needs to audit the user of the common hospital for creating the hospital, if the audit is passed, the creation of the network hospital is successful, the system allocates a unique network hospital number for the network hospital, meanwhile, the user of the common hospital enjoys the authority of the administrator of the hospital, and otherwise, the creation of the network hospital fails. Fig. 5 is a flow chart of creating a hospital user and creating a team among the hospital users.
And step 3: the hospital administrator is in butt joint with other network hospitals, and the two parties are called network cooperative hospitals after the permission of the hospital administrator of the other party; fig. 3 is a flow chart of active application docking and invitation docking in hospital docking, respectively, as in fig. 2.
After the hospital is successfully established, the hospital administrator establishes one or more medical teams, and adds medical staff to the medical teams as members of the medical teams; the hospital administrator assigns permissions to members of a medical team;
and 4, step 4: a medical team of one party of the network cooperation hospital initiates a consultation request and establishes a diagnosis cooperation project; one party of the network cooperation hospital uploads medical image data to a cloud DICOM database, a target network cooperation hospital and a team are selected, a remote consultation request is initiated, a diagnosis cooperation project is established, and the cloud DICOM database is shared.
And 5: the medical teams of the (recipient hospital) hospitals establishing the diagnosis cooperation project mutually transmit the medical image data and the diagnosis analysis results. And the other party of the network cooperation hospital checks the medical image data, receives the order for diagnosis, and uploads the diagnosis report to the cloud DICOM database and diagnoses the result.
The remote image consultation system of the remote image consultation method takes hospitals and teams as a starting point, carries out user access control by distributing user rights, transmits image data through the standard DICOM3.0, realizes remote image consultation between the interior of a medical structure and a medical institution, and outputs a diagnosis report and a statistical report. The method has the advantages that the system operation process is simplified as much as possible, user operation prompts and serious consequence warning prompts in multiple aspects are set, user error defense measures are set, various user operation links and user operation logs are provided, data storage and recovery procedures are provided, data safety is ensured, and users with different authorities can use the method simply and conveniently.
In specific implementation, in the step 2, a hospital administrator establishes a medical team after the hospital is successfully created, and adds medical staff to the medical team. After the hospital is successfully created, the hospital administrator creates one or more medical teams (the hospital administrator may choose whether to join the team by default) and allows multiple medical personnel to join multiple medical teams of the hospital. If the medical team has medical members, the system gives a warning prompt when the hospital administrator deletes the team, and the operation is not allowed to be executed.
In specific implementation, in the process of establishing the medical team, medical personnel are added in a mode of inviting to join or applying for joining.
As in fig. 5, 6 and 7, a hospital administrator can set up one or more medical teams at any time (whether to join a team by default may be selected at the time of medical team setup); as shown in fig. 6, a hospital administrator invites ordinary individual users (registered on behalf of individuals) to apply for joining a certain team of the hospital by way of "invite to group"; or other common individual users apply for joining a certain team of the hospital by means of "apply for admission", as shown in fig. 7. Therefore, the medical team of the network hospital can be established by active invitation (invitation to group) or passive application (application to group). Medical personnel, as a general individual user, may choose to join certain teams of a hospital. After the common individual user applies for joining the team, in order to prevent the non-false common individual user from joining the hospital, a hospital administrator is required to audit the joining application of the common individual user, if the audit is passed, the common individual user successfully joins the team, otherwise, the joining team fails, and the reason of the joining failure is returned.
In specific implementation, the hospital administrator assigns permissions to members of a medical team. One medical member may enjoy multiple rights. If the medical member has the item being processed, and the hospital administrator cancels the corresponding right of the member, the system gives a warning prompt and does not allow the operation to be executed.
The hospital administrator has the function of assigning the authority and is responsible for assigning the authority to each team member. A single doctor user supports multiple rights, including: applying for doctor's authority, diagnosing doctor's authority, checking doctor's authority, hospital administrator's authority. The system automatically displays the functional modules in the corresponding authority range according to the current user authority, and prevents illegal users from unauthorized access.
In particular, the members of the medical team include an applicant doctor, a diagnostician and an audit doctor.
In specific implementation, in step 3, the docking modes of the hospital administrator and other network hospitals include an active application docking mode and an invitation docking mode.
The member permissions of the medical team comprise hospital administrator permissions, doctor application permissions, doctor diagnosis permissions and doctor examination permissions. The medical members can only see the functional modules within the authority range of the medical members and cannot access the functional modules without the right of the medical members. When the medical member authority is changed, the software interface of the medical member is immediately updated, and only the functional modules in the authority range are displayed.
The remote image consultation system provides an operation interface (a user operation interface is shown in figure 4) for connecting with the hospital, and only the hospital administrator is authorized to operate by the user. Two docking modes are provided: an active application docking mode and an invitation docking mode.
In specific implementation, the active application docking mode comprises the following steps:
step 301: selecting a docked hospital by a hospital administrator who actively applies for the hospital on a docking hospital interface, and sending a docking application to the docked hospital;
step 302: the hospital administrator of the docked hospital checks the docking application of the active application hospital and determines whether the application is passed.
Referring to fig. 2, in the process of actively applying for the docking mode, hospital administrators cooperate with each other to complete establishment and cancellation of a cooperation relationship between hospitals. For example, after a hospital A actively applies for docking with a hospital B, if a hospital administrator of the hospital B passes the application, the two parties establish a cooperation relationship, and the two parties become a network cooperation hospital; otherwise, the application is invalid, the two parties do not establish a cooperation relationship, and the reason of the butt joint failure is returned. After the application of the hospital A cancels the cooperation with the hospital B, if the examination of the hospital administrator of the hospital B is passed, the cooperation is cancelled by the two parties, otherwise, the application is invalid, the cooperation cannot be cancelled, and the two parties still keep the state of the network cooperation hospital. The active application docking mode process includes the following processes.
1. A, a hospital administrator logs in a system, and the hospital administrator enters a hospital list by clicking 'application for docking' on a docking hospital interface A; a, a hospital administrator searches hospital numbers of other hospitals (such as B hospital) in a hospital list, displays detail information of the B hospital, and clicks and applies for docking the B hospital;
2. after the administrator of the B hospital logs in the system, the administrator of the B hospital receives the notice of the application message of the A hospital sent by the system; b, the hospital administrator reviews the docking hospital application in a docking hospital review list in the to-be-handled review module; if the administrator of the B hospital selects to pass the application, the two parties establish a cooperative relationship, and the hospitals of the opposite party are displayed in the lists of the docked hospitals of the administrators of the two parties; if the administrator of the B hospital chooses to refuse the docking, the administrator of the A hospital applies that the docking of the B hospital is invalid.
As shown in fig. 3, in a specific implementation, the invitation docking manner includes the following steps:
step 311: a hospital administrator of the active invitation hospital selects invitation docking on a docking hospital interface, and the remote image consultation system automatically copies invitation links;
step 312: actively inviting a hospital administrator of the hospital to send an invitation link to a hospital administrator of the invited hospital;
step 313: if the hospital administrator of the invited hospital logs in the system, automatically switching to a docking hospital interface, and then docking the hospital administrator of the invited hospital with the active inviting hospital by adopting an active application docking mode;
step 314: if the hospital administrator of the invited hospital does not log in the system, the system automatically transfers to a login interface; after logging in, the hospital administrator of the invited hospital automatically transfers to the interface of the docking hospital, and then the hospital administrator of the invited hospital adopts an active docking application mode to dock with the active inviting hospital.
For example, a hospital administrator logs in the system, and the hospital administrator as an active inviter performs invitation docking on the docking hospital interface. A hospital administrator clicks 'invite docking', namely, copies the invite docking link, sends the docking link to a user B, and the user B pastes the docking link.
If the user B is a hospital administrator and logs in the system, the system automatically jumps to a hospital list, the hospital list only displays information of the hospital A at the moment, and the hospital administrator B can click 'apply for docking' to dock the hospital A in an active application docking mode.
If user B is a hospital administrator not logged into the system, the system automatically jumps to a login interface. After the user B logs in the system, the system automatically jumps to a hospital list and only displays information of the hospital A, and a manager of the hospital B can click 'apply for docking' and dock the hospital A by adopting an active applying and docking mode.
After the administrator of the B hospital applies for docking the A hospital and logs in the system, the administrator of the A hospital receives the notification of the docking application message and audits the docking hospital application in the docking hospital audit list of the auditing module to be audited. If the application is passed, the two parties establish a cooperative relationship, and the opposite party hospital is displayed on the list of the docked hospitals of the hospital administrators of the two parties. If the administrator of the A hospital chooses to refuse the docking, the administrator of the B hospital applies that the docking of the A hospital is invalid.
In particular implementations, operations for "undoubtedly apply for docking" and "undocking" are defined as operations with serious consequences. In the operation with serious consequences, a red button mark is used in the system, and when the operation with serious consequences such as butt joint cancellation is executed, the warning information is popped up again to prompt a manager to confirm that the operation can be executed at the rear part. Therefore, the error in the butt joint process caused by misoperation can be avoided.
Non-hospital administrators only have the right to view the docked hospital, but cannot cancel docking, and the display is gray.
If both parties have a transaction being processed during the docking process, the system alerts and prompts and does not allow this operation to be performed.
And auditing the application of the docking hospital in a hospital docking auditing list of the module to be audited, selecting 'pass' or 'reject' application, providing a hospital name link, and checking the details of the hospital. In the case where "reject" docking is selected, a reject reason needs to be given.
In the step 3, if there is an item being processed in both parties, the system warns and prompts, and does not allow the operation to be executed, in the process of undoing the docking between the hospital administrator and the other network hospital.
In specific implementation, in the step 4, the doctor applying for the medical team uploads the image data to the cloud database, selects the target hospital and the target team, and informs all members in the target team to participate in the diagnosis cooperation project. All members of the target team can receive the diagnostic collaboration project. Members of other teams of the hospital cannot receive the diagnosis collaboration item.
A medical team at a networked cooperative hospital includes a plurality of physicians with associated privileges.
Referring to fig. 8, an applicant initiating a diagnosis cooperation project uploads image data to a cloud database, selects cloud data, selects a target hospital (i.e., a hospital of the applicant and a docked hospital), selects a target team (i.e., a team corresponding to the target hospital), selects an emergency degree, fills in a brief medical history, sends a remote application diagnosis, and informs all members of the target team in a message notification manner.
And the diagnostician receives the notification of the message to be diagnosed, enters a list to be diagnosed, receives the order, diagnoses and locks, reads the film, quickly writes a diagnosis report by using the system entries, and submits the report for examination.
And the auditing doctor receives the notice of the report message to be audited, enters an uploading report auditing list, reads the film and checks the diagnosis report. And if the audit is passed, uploading the report to the cloud, otherwise, returning the report to the diagnostician, giving a return reason, receiving the return report by the diagnostician, re-diagnosing, re-submitting the report audit, re-auditing the auditor, and uploading the diagnosis report to the cloud until the report audit is passed.
And the applying doctor receives the information notification of the diagnosis report, generates a diagnosis report with a two-dimensional code and checks the details of the report.
And the hospital administrator checks the statistical form in real time and exports the statistical form to excel. Including data statistics and chart statistics, application statistics, and diagnostic statistics. And summarizing and counting the workload of doctors, teams and hospitals. Fig. 11 is a data flow diagram of the remote image consultation method according to the present invention.
The butt joint process of the invention also has the following technical characteristics.
1. When the user B is invited to be docked, if the user B is not a hospital administrator, the system automatically jumps to a hospital list, only the information of the hospital A is displayed, at the moment, the details of the hospital A can be only checked, docking cannot be applied, and after the user B enjoys the authority of the administrator, the interface is refreshed, so that the docking of the hospital A can be applied.
2. If the user B is not registered, the system automatically jumps to a login interface, after the user is registered and logged in, the system automatically jumps to a hospital list and only displays the information of the hospital A, at the moment, the details of the hospital A can only be checked, the user cannot apply for docking, and after the user B enjoys the authority of an administrator, the interface is refreshed, and the user can apply for docking the hospital A.
3. And (4) checking the hospital list and the to-be-handled check list, and providing functions of checking details of the hospital, including addresses, creators, creation time and the like of the hospital.
4. The hospital list is docked, and a function of clicking the hospital link hospital list to view the details of the hospital is provided.
5. And a docking hospital interface is provided, a list of the applied docking hospitals is displayed, and the application docking can be cancelled at any time.
6. The docked hospital list provides a docking canceling function, and a hospital administrator can cancel the cooperation relationship between the two parties at any time.
7. The method comprises the steps of canceling the docking application and the docking, using a red button mark, and popping up the warning information again when a hospital administrator performs operations with serious consequences such as canceling and the like, and confirming that the operation can be performed at the rear.
8. Only the hospital administrator enjoys the functions of applying for docking and inviting for docking, common users do not display a docking hospital interface, and doctor users, who are not administrators, only display the docked hospital and cannot execute applying for docking, inviting for docking and canceling for docking.
9. If both parties have the items being processed, if the hospitals of both parties apply for diagnosis, the system gives warning prompt when executing the docking cancellation, the docking cancellation is not allowed, and the docking cancellation can be carried out only when the hospitals of both parties do not have the items being processed.
The user usage limitation includes the following aspects: 1) When registering, the mobile phone number must input 11 digits; 2) When registering, the user name must input 4-16 characters, and only numbers, letters and underlines are allowed to be used; 3) When registering, the password must input 6 to 16 characters, and only numbers, letters and underlines are allowed to be used; 4) The user name @ domain name must be input into the mailbox in the user basic information; 5) When data is uploaded, the size of an uploaded ZIP compression packet is not more than 1GB, and the size of an uploaded single image is not more than 20MB; 6) A maximum of 5 images are allowed to be added to the diagnosis report; 7) During reading, at most 9 images are allowed to be displayed simultaneously; 8) For data statistics, the derived data format must be EXCEL.
User access right control: the functional modules accessible by the user correspond to the authority of the user, and the user can only access the functional modules in the authority range and cannot access the functional modules in the non-authority range.
And (3) system timeout control: the invention provides a time-out control function, and the system can automatically log out after a preset idle time interval (30 minutes) is reached, thereby preventing the user from obtaining permanent authorization.
User error defense includes the following aspects.
1) Non-operable functions: the invention provides a gray display of inoperable functions. If a non-hospital administrator does not modify hospital information, docking can not be cancelled; the data for applying for diagnosis is transmitted, and the diagnosis cannot be applied again.
2) And (5) prompting the operation of an illegal user: the invention can give a prompt for the operation of an illegal user, and when the hospitals of the two parties have the data being processed, the prompt of the butt joint can be cancelled; when the team has a member, the prompt of the team is deleted; when the user has data being processed, the team quitting prompt is given, and the administrator deletes the prompt of the team member; a non-data uploader, locking or unlocking will prompt; the non-application creator withdraws the application to prompt; when the data diagnosis is locked, the non-diagnostic person will prompt; when the data is checked and locked, the non-auditors can prompt the audit;
3) Severe outcome warning prompt: the invention uses the red button mark for the operation with serious consequences, when the operation with serious consequences such as deletion, cancellation and the like is executed, the warning information can be popped up again, and the operation can be executed after the confirmation. Such as: deleting signatures, canceling collections, canceling butt joints, quitting teams, joining teams, deleting teams, locking applications, withdrawing applications, collecting cases and returning after auditing;
4) Emergency error correction: the invention provides an emergency error correction function, and if the user operates the device wrongly, the error can be corrected by withdrawing the operation. If the administrator withdraws the establishment of the hospital application and withdraws the docking hospital application; the user withdraws the joining team application; the doctor applying for diagnosis is recudited after the doctor withdraws to apply for diagnosis and circulation review; diagnosing a doctor return application; the diagnostician referrals to other teams; the auditor fails the examination, and the diagnostician makes a new diagnosis.
Responding to the timeout indication includes the following aspects.
1) Interface response timeout prompt: when the maximum concurrent number of the client is larger, or the CPU utilization rate or the memory utilization rate of the server is higher than an alarm set value, the system interface response of the client is overtime, and the system gives an interface response overtime prompt;
2) Uploading a file response timeout prompt: when the data file uploaded by the user is large, the uploaded file is overtime, and the system gives an uploading overtime prompt.
When the user inputs an error, the invention has corresponding prompt; when the server-side service is unavailable, the system of the invention reports errors; in case of network failure, the system of the present invention will report an error; when the interface response time-out, the system of the invention will report an error; the background log intercepts the error reason, and the system can continue to run by restarting after the background restores or recovers the network. When the browser crashes, the system crashes and the webpage abnormally exits, the browser can be restarted for recovery.
When hardware faults occur, such as server downtime, power failure and network disconnection, the system of the invention at the client side prompts that the service is unavailable, the system of the invention can still continue to operate, and data cannot be lost.
When the system of the invention fails, such as the user input is illegal, the system of the invention can still operate, and the data can not be lost.
For an individual user, setting an individual electronic signature by the user, and applying the individual electronic signature to a diagnosis report;
the data save and restore mechanism of the present invention includes the following aspects. 1) Backup and recovery of server mirror images: the server uses an ECS complete machine backup to perform server backup; and when the server side has an error, all services of the server side are recovered through the backup ECS. 2) Data disk snapshot and recovery: the server-side database is automatically backed up to the data disk regularly through snapshots; and when the client data has errors, the server database rolls back the disk to recover the data through cloud disk snapshot.
Fig. 9 illustrates a maintenance process of a server on a cloud computing side according to the present invention, which includes the following aspects.
1. And (3) container service management: and providing container service management, wherein the container service management is responsible for managing each service in the cloud, monitoring the running state of each service and controlling the opening and closing of each service. If the cloud service is abnormal and has errors, the service can be recovered by restarting the service.
2. Cloud monitoring and alarming: the server provides an alarm strategy setting function and a cloud monitoring function, and the functions comprise cloud host monitoring and event monitoring.
When the number of the concurrent users of the client side is continuously increased, the server side exceeds the parameter value set by the alarm rule, the server side gives an alarm, and operation and maintenance personnel, namely alarm contact persons, immediately receive an alarm message. And checking the alarm details.
The server monitors resources in real time; logging the error reason; by checking the error log, the error reason is positioned, and then the system error is repaired and the alarm is relieved.
3. Backup and recovery of cloud disk data: the data is stored in a server-side database, and the server provides an automatic regular backup function for the cloud disk snapshots. By creating a policy, a policy name, a backup time, a repeat date, a standby retention time are set. And backing up the database to the data disk and backing up the data. When data is wrong, the disk is rolled back through the backed-up snapshot, and then the data disk can be recovered.
4. Backup and recovery of the cloud server ECS complete machine: the server provides the backup and recovery functions of the cloud server ECS complete machine. And configuring a backup strategy, setting a backup plan name, starting backup starting time, executing intervals and backup retention time according to the ECS whole backup guide, and finishing the whole backup of the ECS server. And when the server side has errors, restoring all services of the server side through the backed-up ECS.
The remote image consultation method has the following advantages.
1. The manufacturer only needs to perform hospital creation and audit, so that a user is prevented from maliciously creating false hospitals, other users such as hospital verification and team verification joining are checked, a hospital administrator is responsible for the check, and a report is uploaded to perform the check, and the check hospital is responsible for the check. More audit authority controls are given to the doctors in the hospital, and the actual operation of the doctors is facilitated.
2. The operation flow is simple, and the operation is convenient for users.
3. User use limitation is set, and system errors caused by illegal use of the user are avoided.
4. Unauthorized access prevention measures are set, so that the function that a user is out of the access authority range is prevented, and meanwhile, the user is prevented from logging in for a long time and leaking user information and hospital, team and data information.
5. User error defense is provided, inoperable functions are displayed in grey, illegal user operation prompt, serious consequence warning prompt and emergency error correction are achieved, and user use errors are prevented.
6. Providing a response overtime prompt, responding the overtime prompt by the interface, uploading files, responding the overtime prompt and informing a user.
7. The error continuous operation capability is provided, the software reports error prompt according to the condition, and the restart can be quickly recovered.
8. And fault tolerance is provided, and when an error occurs, the client gives a prompt, but data cannot be lost.
9. An electronic signature is provided to support user resistance to denial.
10. And a data storage and recovery mechanism is provided to ensure that data cannot be lost.
It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.
Furthermore, it should be understood that although the present specification describes embodiments, not every embodiment includes only a single embodiment, and such description is for clarity purposes only, and it is to be understood that all embodiments may be combined as appropriate by one of ordinary skill in the art to form other embodiments as will be apparent to those of skill in the art from the description herein.
Claims (10)
1. A remote image consultation method is characterized by comprising the following steps:
step 1: the method comprises the steps that a server is installed and configured, and a browser is installed at a client;
and 2, step: a hospital user registers and creates a network hospital on a client, and becomes a hospital administrator and is responsible for managing the network hospital after creation success;
and 3, step 3: the hospital administrator is in butt joint with other network hospitals, and the two parties are called network cooperative hospitals after the permission of the hospital administrator of the other party; after the hospital is successfully established, the hospital administrator establishes one or more medical teams, and adds medical staff to the medical teams as members of the medical teams; the hospital administrator assigns permissions to members of a medical team;
the medical team of the network hospital can be established in two ways of active invitation or passive application; medical staff can choose to join certain teams of the hospital as a common individual user; after the common individual user applies for joining the team, in order to avoid the non-false common individual user from joining the hospital, a hospital administrator is required to examine the joining application of the common individual user, if the examination is passed, the common individual user successfully joins the team, otherwise, the joining team fails, and the reason of the joining failure is returned;
the hospital administrator distributes authorities for members of a medical team, one medical member can enjoy a plurality of authorities, if the medical member has items being processed and the hospital administrator cancels the corresponding authority of the member, the system gives a warning prompt and does not allow the operation to be executed;
and 4, step 4: a medical team of one party of the network cooperation hospital initiates a consultation request and establishes a diagnosis cooperation project;
and 5: and establishing a medical team of a receiver hospital for a diagnosis cooperation project, receiving order diagnosis, transferring and auditing reports, uploading diagnosis reports and sharing diagnosis results.
2. The method as claimed in claim 1, wherein in step 3, the medical staff is added by invitation to join or application to join.
3. The method as claimed in claim 1, wherein in step 3, the authorities of the members of the medical team include hospital administrator authority, doctor application authority, doctor diagnosis authority and doctor audit authority.
4. The method as claimed in claim 3, wherein the members of the medical team only see the functional modules within their own right and cannot access them without unauthorized access.
5. The method as claimed in claim 3, wherein when the authority of the member of the medical team changes, the software interface of the member with changed authority is updated immediately, and only the function modules within the authority range are displayed.
6. The method as claimed in claim 1, wherein in step 3, the hospital administrator interfaces with other network hospitals by means of an active application interface and an invitation interface.
7. The method as claimed in claim 6, wherein the active docking method comprises the steps of:
step 301: selecting a docked hospital by a hospital administrator who actively applies for the hospital on a docking hospital interface, and sending a docking application to the docked hospital;
step 302: the hospital administrator of the docked hospital reviews the docking application of the active application hospital and decides whether the application is passed.
8. The method as claimed in claim 6, wherein the invitation interfacing means comprises the steps of:
step 311: a hospital administrator of the active invitation hospital selects invitation docking on a docking hospital interface, and the remote image consultation system automatically copies invitation links;
step 312: actively inviting a hospital administrator of the hospital to send an invitation link to a hospital administrator of the invited hospital;
step 313: if the hospital administrator of the invited hospital logs in the system, automatically switching to a docking hospital interface, and then docking the hospital administrator of the invited hospital with the active inviting hospital by adopting an active application docking mode;
step 314: if the hospital administrator of the invited hospital does not log in the system, the system automatically transfers to a login interface; after logging in, the hospital administrator of the invited hospital automatically transfers to the interface of the docking hospital, and then the hospital administrator of the invited hospital adopts an active docking application mode to dock with the active inviting hospital.
9. The method as claimed in claim 1, wherein in step 3, if the hospital administrator undoes the docking with the other network hospital, the system will give a warning if both parties have the transaction, and will not allow the transaction.
10. The method according to claim 1, wherein in step 4, the medical team doctors upload image data to a cloud database to select a target hospital and a target team; and after the remote application is initiated, all members in the designated target team are informed to participate in the diagnosis cooperation project in a message informing mode.
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