CN116092623B - Health data management method based on basic medical quality control - Google Patents
Health data management method based on basic medical quality control Download PDFInfo
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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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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A90/00—Technologies having an indirect contribution to adaptation to climate change
- Y02A90/10—Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation
Abstract
The invention relates to the technical field of medical big data, in particular to a health data management method based on basic medical quality control, which comprises the following steps: setting a base layer end and a referral end; a patient database is established at the base layer end and is used for storing the case data of the patient; a data transmission channel is established between a base layer end and a referral end; when the base layer receives the diagnosis and treatment instruction, dividing the diagnosis and treatment instruction into examination instruction information and treatment instruction information; for the examination indication information, examining the patient according to the examination indication information, storing examination results to case data of the patient and simultaneously transmitting the examination results to a referral layer; and for the treatment instruction information, treating the patient according to the treatment instruction information, and storing the treatment instruction information in case data of the patient. The medical system architecture can be optimized, the utilization rate of high-quality medical resources is improved, the difficulty of enjoying the high-quality medical resources by the masses is reduced, and the diagnosis and treatment efficiency of the high-quality medical resources is improved.
Description
Technical Field
The invention relates to the technical field of medical big data, in particular to a health data management method based on basic medical quality control.
Background
With the steady promotion of medical upgrading in China, pain points and difficulties of basic medical institutions are developed gradually, and the basic medical institutions lack high-quality medical resources, so that the medical treatment of important patients is very inconvenient. The deployment of quality medical resources between primary medical institutions is made more difficult by the scarcity of quality medical resources themselves.
In view of this, the present application is specifically proposed.
Disclosure of Invention
The invention aims to provide a health data management method based on basic medical quality control, which can optimize the architecture of a medical system, help to improve the utilization rate of high-quality medical resources, reduce the difficulty of enjoying the high-quality medical resources for the masses and improve the diagnosis and treatment efficiency of the high-quality medical resources.
Embodiments of the present invention are implemented as follows:
a health data management method based on basic medical quality control comprises the following steps:
s1: setting a basic layer end and a transfer diagnosis end, wherein the basic layer end is used for checking and diagnosing the patient, and the transfer diagnosis end is used for diagnosing the patient exceeding the diagnosis level of the reference end;
s2: a patient database is established at the base layer end and is used for storing the case data of the patient;
s3: a data transmission channel is established between the basic unit end and the referral end, and the data transmission channel is used for the basic unit end to send the case data of the patient to the referral end and for the referral end to send the diagnosis and treatment instruction to the basic unit end;
s4: when the base layer receives the diagnosis and treatment instruction, dividing the diagnosis and treatment instruction into examination instruction information and treatment instruction information; for the examination indication information, examining the patient according to the examination indication information, storing examination results to case data of the patient and simultaneously transmitting the examination results to a referral layer; and for the treatment instruction information, treating the patient according to the treatment instruction information, and storing the treatment instruction information in case data of the patient.
Further, in step S3, when data transmission is performed through the data transmission channel, the method includes:
s31: establishing an encryption database, wherein the encryption database is formed by random arrangement of non-repeated numbers;
s32: presetting the number of characters in the security character string, and selecting the same number of continuously arranged numbers in an encryption database according to the preset number of characters to form the security character string;
s33: repeating the step S32 to obtain a plurality of security strings;
s34: distinguishing case data, diagnosis and treatment instructions and examination results according to patient identities, respectively packaging the case data, the diagnosis and treatment instructions and the examination results into data packets, and inserting a safety character string between adjacent data packets when transmitting the data packets;
the health data management method based on the basic medical quality control further comprises the following steps: and comparing the security character string received by the receiving side of the data packet with the encryption database to determine the reliability of the data packet.
Further, setting a first updating frequency, reconstructing an encryption database according to the first updating frequency, and synchronizing the reconstructed encryption database at the base layer side and the referral side.
Further, setting a second updating frequency, resetting the number of characters in the security character string according to the second updating frequency, and synchronizing the reset number of characters at the base layer side and the referral side.
Further, in step S34, a time stamp is attached to the package of the data packet, and the time stamp records the generation time of the data in the data packet;
presetting a statistical period, and after receiving the data packet, ordering the data packets belonging to the same statistical period according to the time sequence recorded by the time labels by a receiver of the data packet to be used as a reference of diagnosis and treatment sequence;
wherein, the diagnosis and treatment priority of the former statistic period is larger than that of the latter statistic period.
Furthermore, a checking period is set in the using time of the encryption database, and the distribution condition and the distribution frequency of the characters corresponding to the security character strings in the encryption database in the checking period are counted so as to be used for giving optimization references to the generation rules of the security character strings.
Further, if the security character string received by the receiving side of the data packet is matched with the encryption database, determining the boundary of the data packet according to characters at two ends of the security character string;
if the security character string received by the receiving side of the data packet is not matched with the encryption database, discarding the security character string and the data packet adjacent to the security character string, wherein the discarding length is up to the end of the nearest security character string which can be matched with the encryption database.
Further, the health data management method based on the basic medical quality control further comprises the following steps: setting a reserved time length at a sender of a data packet, and temporarily storing the data which is sent out and is in the reserved time length by the sender;
and when the security character string received by the receiving side of the data packet is not matched with the encryption database, returning the unmatched security character string to the sending side, positioning the data in the retention time according to the rest characters in the unmatched security character string by the sending side, and retransmitting the data packet adjacent to the successfully positioned security character string if the positioning is successful.
The technical scheme of the embodiment of the invention has the beneficial effects that:
by taking the health data management method based on the basic level medical quality control provided by the embodiment of the invention as a basis, medical examination equipment and treatment equipment can be placed down, so that the basic level end has higher examination and treatment means, the diagnosis and treatment scheme of a key patient is designated by a medical expert team, the formulated diagnosis and treatment instruction is sent to the basic level end through a diagnosis transfer end, and the basic level end executes a specific treatment process according to the information in the diagnosis and treatment instruction.
Through the design, the expert team is prevented from running back and forth, the patient is prevented from being transferred in different areas, and the efficiency and timeliness of receiving treatment of the patient are greatly improved. Therefore, the time spent by the expert team and the patient on the road can be effectively reduced, the professional value of the expert team can be fully exerted, the utilization rate of high-quality medical resources is improved, and the method has positive significance for high-quality resource sharing.
The case data of the patient are stored in the basic level end, so that the data pressure of the referral end can be effectively reduced, meanwhile, the comprehensive evaluation of the local public health by each basic level end is facilitated, and the method has a guiding effect on the improvement of a local health service system. The diagnosis and treatment instruction is divided into the examination instruction information and the treatment instruction information, and only the treatment instruction information and the examination result are stored, so that the data reduction degree of the base layer end is greatly improved, and the data pressure of the base layer end is reduced.
In general, the health data management method based on the basic medical quality control provided by the embodiment of the invention can optimize the architecture of a medical system, help to improve the utilization rate of high-quality medical resources, reduce the difficulty of enjoying the high-quality medical resources for the masses, and improve the diagnosis and treatment efficiency of the high-quality medical resources.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings that are needed in the embodiments will be briefly described below, it being understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and other related drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
Fig. 1 is a schematic flow chart of a health data management method based on basic medical quality control according to an embodiment of the present invention;
fig. 2 is a flow chart of a transmission mode when a base layer end and a referral end perform data transmission through a data transmission channel in the health data management method based on the quality control of the base layer medical science according to the embodiment of the invention.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present invention more apparent, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention, and it is apparent that the described embodiments are some embodiments of the present invention, but not all embodiments of the present invention. The components of the embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the invention, as presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
It should be noted that: like reference numerals and letters denote like items in the following figures, and thus once an item is defined in one figure, no further definition or explanation thereof is necessary in the following figures.
Referring to fig. 1, the present embodiment provides a health data management method based on basic-level medical quality control, which includes the following steps:
s1: setting a basic layer end and a transfer diagnosis end, wherein the basic layer end is used for checking and diagnosing the patient, and the transfer diagnosis end is used for diagnosing the patient exceeding the diagnosis level of the reference end;
s2: a patient database is established at the base layer end and is used for storing the case data of the patient;
s3: a data transmission channel is established between the basic unit end and the referral end, and the data transmission channel is used for the basic unit end to send the case data of the patient to the referral end and for the referral end to send the diagnosis and treatment instruction to the basic unit end;
s4: when the base layer receives the diagnosis and treatment instruction, dividing the diagnosis and treatment instruction into examination instruction information and treatment instruction information; for the examination indication information, examining the patient according to the examination indication information, storing examination results to case data of the patient and simultaneously transmitting the examination results to a referral layer; and for the treatment instruction information, treating the patient according to the treatment instruction information, and storing the treatment instruction information in case data of the patient.
The basic level end can be basic medical institutions such as community hospitals, patients are diagnosed and treated by the basic level end, and if the illness state of the patients exceeds the diagnosis and treatment capacity range of the basic level end, the patients need to be transferred, and case data of the patients are transmitted to the transfer end through a data transmission channel.
The consultation terminal is used by a medical expert team to carry out diagnosis and treatment work on the patient after receiving the case data uploaded by the primary terminal, so that the efficiency and the speed of interventional therapy of the medical expert are greatly improved.
Based on the method, the medical examination equipment and the treatment equipment can be lowered, so that the basic level end has higher examination and treatment means, the diagnosis and treatment scheme of the important patient is designated by a medical expert team, the formulated diagnosis and treatment instruction is sent to the basic level end through the diagnosis and treatment end, and the basic level end executes a specific treatment process according to the information in the diagnosis and treatment instruction.
Through the design, the expert team is prevented from running back and forth, the patient is prevented from being transferred in different areas, and the efficiency and timeliness of receiving treatment of the patient are greatly improved. Therefore, the time spent by the expert team and the patient on the road can be effectively reduced, the professional value of the expert team can be fully exerted, the utilization rate of high-quality medical resources is improved, and the method has positive significance for high-quality resource sharing.
In addition, the case data of the patient are stored in the basic level end, so that the data pressure of the referral end can be effectively reduced, meanwhile, the comprehensive evaluation of the local public health by each basic level end is facilitated, and the method has a guiding effect on the improvement of a local health service system.
On the other hand, the diagnosis and treatment instruction is divided into examination instruction information and treatment instruction information, and only the treatment instruction information and the examination result are stored, so that the data reduction degree of the base layer end is greatly improved, and the data pressure of the base layer end is reduced.
In general, the health data management method based on basic medical quality control can optimize the architecture of a medical system, help to improve the utilization rate of high-quality medical resources, reduce the difficulty of enjoying the high-quality medical resources for the masses, and improve the diagnosis and treatment efficiency of the high-quality medical resources.
In this embodiment, referring to fig. 2, in step S3, when the base layer side and the referral side perform data transmission through the data transmission channel, the transmission mode includes the following steps:
s31: establishing an encryption database, wherein the encryption database is formed by random arrangement of non-repeated Arabic numerals;
s32: presetting the number of characters in the security character string, and selecting the same number of continuously arranged numbers in an encryption database according to the preset number of characters to form the security character string;
s33: repeating the step S32 to obtain a plurality of security strings;
s34: the case data, the diagnosis and treatment instructions and the examination results are distinguished according to the identity of the patient and are respectively packaged into data packets, and when the data packets are transmitted, a safety character string is inserted between the adjacent data packets.
The number of the characters in the security character string can be flexibly selected according to actual conditions.
The health data management method based on the basic medical quality control further comprises the following steps: and comparing the security character string received by the receiving side of the data packet with the encryption database to determine the reliability of the data packet. If the number of the received characters of the security character string is the same as the preset number of the characters, and the character segment matched with the security character string can be found in the encryption database, the transmission of the security character string is reliable, and the reliability of the data packet adjacent to the security character string is reliable. If the number of characters of the received security character string is different from the preset number of characters, or the received security character string cannot find a matched character segment in the encryption database, the security character string is tampered or hijacked, then the data packet adjacent to the security character string is possibly damaged, and the information reliability of the data packet cannot be guaranteed.
The data packet is sent in the above manner, and the security string functions at least include the following points: 1. the method has the advantages that the method can protect the transmitted data, has confusion, and improves the difficulty of accurately stealing the data; 2. because the number of the characters is preset and the selection of the characters is random, the number of the digits of different safety character strings is different, the flexibility and uncertainty of the safety character strings are greatly improved, the risk of hijacking and tampering of the data is greatly reduced, and once the data is hijacked and tampered, the data is easy to find; 3. the security character string is randomly determined through the encryption database, so that the encryption difficulty is reduced, but the sensitivity of the security character string to the indication of data errors is improved; 4. the data packets of the patient are arranged between the adjacent safety character strings, and the safety character strings are favorable for accurately positioning the data packets, so that the data packets can be accurately grabbed.
Further, setting a first updating frequency, reconstructing an encryption database according to the first updating frequency, and synchronizing the reconstructed encryption database at the base layer side and the referral side. Setting a second updating frequency, resetting the number of characters in the security character string according to the second updating frequency, and synchronizing the reset number of characters at the base layer end and the referral end.
Through the design, the safety of the safety character string is greatly improved, the rule of the safety character string is more difficult to control, the leakage risk of the character quantity of the encryption database and the safety character string is lower, and the prompting effect of the safety character string on data tampering and hijacking is further ensured.
In step S34, a time stamp is attached to the package of the data packet, and the time stamp records the generation time of the data in the data packet;
presetting a statistical period, and after receiving the data packet, ordering the data packets belonging to the same statistical period according to the time sequence recorded by the time labels by a receiver of the data packet to be used as a reference of diagnosis and treatment sequence;
wherein, the diagnosis and treatment priority of the former statistic period is larger than that of the latter statistic period.
The preset statistical period can be flexibly set according to actual needs, and through the design, the information in the data packet can be processed according to the sequence in the statistical period, so that the base layer end and the referral end can take care of the patient visit sequence to a certain extent, and the diagnosis and treatment flow is more orderly and standard.
Optionally, a checking period may be set in the service time of the encrypted database, and the distribution condition and the distribution frequency of the characters corresponding to the security character strings in the encrypted database in the checking period are counted, so as to be used for giving an optimization reference to the generation rule of the security character strings.
The checking period can be flexibly selected according to actual needs, for example, the service time of the encryption database is equally divided into a plurality of checking periods. If the positions of the selected character segments in the encrypted database are found to be very concentrated during one or more inspection cycles when the security character string is generated, it is indicated that the generation rule (random selection) of the security character string is not reasonable. Because the positions of the selected character segments in the encrypted database are very concentrated when the security character strings are generated at the moment, if the security character strings are continuously copied by a network hacker, the numerical arrangement condition of the part of the encrypted database can be more easily copied, so that the part of the content of the encrypted database is compromised. In this way, a hacker can easily locate the data packet of the patient, the content of the data packet can be tampered by using the intercepted content of the encrypted database after hijacking the data packet, and the tampered trace cannot be found by analyzing the security character string, so that the data security of the data packet faces a huge risk.
The above problems can be well avoided by the above design. In addition, the generation rule (random selection) of the security character string can be monitored, and the risk of hijacking of the data packet caused by changing the generation rule (random selection) of the security character string by a network hacker is avoided.
It should be noted that, once the received security string is found to be mismatched in the transmission process, the security of the data transmission channel can be evaluated, so that the problem is eliminated and the risk of data theft is reduced. When the received security character strings are not matched, the transmission channel can be replaced for transmission.
Further, if the security character string received by the receiving side of the data packet is matched with the encryption database, determining the boundary of the data packet according to characters at two ends of the security character string;
if the security character string received by the receiving side of the data packet is not matched with the encryption database, discarding the security character string and the data packet adjacent to the security character string, wherein the discarding length is up to the end of the nearest security character string which can be matched with the encryption database.
In this way, by means of the security character string, it can be quickly determined which data packets are reliable and which data packets are unreliable, so that reliable data packets are received, unreliable data packets are discarded, and the accuracy of data is ensured.
To be suitable, in order to correct unreliable data packets, the health data management method based on the quality control of basic-level medicine further comprises the following steps: setting a reserved time length at a sender of a data packet, and temporarily storing the data which is sent out and is in the reserved time length by the sender; the reservation time length can be flexibly set according to actual needs.
And when the security character string received by the receiving side of the data packet is not matched with the encryption database, returning the unmatched security character string to the sending side, positioning the data in the retention time according to the rest characters in the unmatched security character string by the sending side, and retransmitting the data packet adjacent to the successfully positioned security character string if the positioning is successful.
For the part of the security character string which is tampered, for example, the security character string lacks a part, the rest characters are used for searching in the encryption database, if the successfully matched part can be successfully positioned, the original state of the security character string is determined according to the matched part, and the security character string is restored. At this point, there may be a variety of recovery results. And positioning the data in the retention time by using the recovery results, and retransmitting the data packet adjacent to the security character string if the same security character string is found.
The receiver checks the retransmitted data packets after they are received and if the data packets were previously received (excluding discarded), then no further acceptance is repeated. If not (not discarded) the data packet is received.
In this way, the data self-rescue can be carried out on the occasional packet loss condition (non-network attack) of the data packet, and the smooth transmission of the data is ensured.
In summary, the health data management method based on the quality control of basic medical science provided by the embodiment of the invention can optimize the architecture of the medical system, help to improve the utilization rate of high-quality medical resources, reduce the difficulty of enjoying the high-quality medical resources for the masses, and improve the diagnosis and treatment efficiency of the high-quality medical resources.
The above description is only of the preferred embodiments of the present invention and is not intended to limit the present invention, but various modifications and variations can be made to the present invention by those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (4)
1. A health data management method based on basic medical quality control is characterized by comprising the following steps:
s1: setting a basic unit end and a referral end, wherein the basic unit end is used for performing physical examination and diagnosis and treatment on patients, and the referral end is used for performing diagnosis and treatment on patients exceeding the diagnosis and treatment level of the basic unit end;
s2: a patient database is established at the base layer end and is used for storing case data of patients;
s3: a data transmission channel is established between the basic unit end and the referral end, and the data transmission channel is used for the basic unit end to send the case data of the patient to the referral end and for the referral end to send diagnosis and treatment instructions to the basic unit end;
s4: when the base layer receives the diagnosis and treatment instruction, dividing the diagnosis and treatment instruction into examination instruction information and treatment instruction information; for the examination indication information, examining the patient according to the examination indication information, storing examination results to case data of the patient and simultaneously transmitting the examination results to the referral terminal; for the treatment instruction information, treating the patient according to the treatment instruction information, and storing the treatment instruction information in case data of the patient;
in the step S3, when data is transmitted through the data transmission channel, the method includes:
s31: establishing an encryption database, wherein the encryption database is formed by non-repeated random arrangement of numbers;
s32: presetting the number of characters in a security character string, and selecting the same number of continuously arranged numbers in the encryption database according to the preset number of characters to form the security character string;
s33: repeating the step S32 to obtain a plurality of security character strings;
s34: distinguishing the case data, the diagnosis and treatment instruction and the examination result according to the identity of the patient, respectively packaging the case data, the diagnosis and treatment instruction and the examination result into data packets, and inserting a safety character string between adjacent data packets when transmitting the data packets;
the health data management method based on the basic medical quality control further comprises the following steps: comparing the security character string received by the receiving side of the data packet with the encryption database to determine the reliability of the data packet;
setting a first updating frequency, reconstructing the encryption database according to the first updating frequency, and synchronizing the reconstructed encryption database at the base layer end and the referral end;
setting a second updating frequency, resetting the number of characters in the safety character string according to the second updating frequency, and synchronizing the reset number of characters at the base layer end and the referral end;
setting a checking period in the using time of the encryption database, and counting the distribution condition and distribution frequency of the characters corresponding to the security character strings in the encryption database in the checking period, so as to be used for giving optimization references to the generation rules of the security character strings.
2. The method for managing health data based on basic medical quality control according to claim 1, wherein in the step S34, a time stamp is attached to the package of the data packet, and the time stamp records the generation time of the data in the data packet;
presetting a statistics period, and after receiving the data packet, ordering the data packets belonging to the same statistics period according to the time sequence recorded by the time tag by a receiver of the data packet to be used as a reference of diagnosis and treatment sequence;
wherein, the diagnosis and treatment priority of the former statistic period is larger than that of the latter statistic period.
3. The health data management method based on basic medical quality control according to claim 1, wherein if a security string received by a receiving party of a data packet is matched with the encryption database, determining a boundary of the data packet according to characters at both ends of the security string;
and if the security character string received by the receiving side of the data packet is not matched with the encryption database, discarding the security character string and the data packet adjacent to the security character string, wherein the discarding length is up to the end part of the nearest security character string which can be matched with the encryption database.
4. The method for health data management based on basic-level medical quality control according to claim 3, further comprising: setting a reserved time length at a sender of a data packet, and temporarily storing the data which is sent out and is in the reserved time length by the sender;
and when the security character string received by the receiving side of the data packet is not matched with the encryption database, returning the unmatched security character string to the sending side, positioning the data in the retention time according to the rest characters in the unmatched security character string by the sending side, and retransmitting the data packet adjacent to the successfully positioned security character string if the positioning is successful.
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