CN117275691B - Medical treatment integration management system based on wireless communication - Google Patents
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Abstract
The invention discloses a medical integrated management system based on wireless communication, which relates to the technical field of intelligent management and comprises a management end, a patient end and a doctor end; the patient end and the doctor end are used for sending a medical service request to the management end; the management end is used for creating and processing corresponding medical tasks and comprises a registration module, an electronic medical record module, a medical examination module, a medication module and a notification module; the registering module is used for reserving registering service according to a registering request sent by a patient side; the electronic medical record module is used for transmitting, managing and updating the electronic medical record of the patient; the medical examination module is used for planning a path of a medical examination project of a patient and guiding the patient to carry out medical examination according to the planning; the medicine taking module is used for packaging medicines and informing a patient to take the medicines after the medicines are delivered out of the warehouse; the notification module is used for notifying the patient side in a short message and voice mode in the medical service process.
Description
Technical Field
The invention relates to the technical field of information, in particular to a medical integrated management system based on wireless communication.
Background
Along with the rapid development of internet technology, the medical industry is continuously developed towards paperless and high-tech, and a palm hospital enables patients to carry out medical activities such as consultation, registration, medicine buying and the like through mobile phones, so that the medical operation of the patients is facilitated, and meanwhile, the working efficiency of the hospital is also improved.
The patent of application publication number CN106934244A discloses a medical care cloud platform based on intelligent terminal, including medical platform user terminal and medical platform robot end, medical platform user terminal includes: the system comprises a system login unit, an online registration unit, a disease diagnosis guiding unit, an online consultation unit, a appointment diagnosis unit, a user center unit and a medicine management unit; the medical platform robot end is used for processing personal information and patient appointment information by doctors and comprises doctor management units, appointment processing units and consultation recording units. Based on cloud service, the invention independently develops a health medical cloud platform, and provides related medical services such as quick and convenient consultation, consultation and the like through interaction of the intelligent terminal in a voice and video mode. However, the interface of the palm hospital is complex, the operation flow is complex, and the palm hospital is not easy for the elderly (more than or equal to 60) to understand and use, so that the elderly patients who are not on the side of the children still use a field queuing mode to carry out operations such as registering, checking, buying medicine and the like.
In addition, when a patient performs a medical examination, the patient usually performs an item-by-item examination according to a plurality of medical examination items prescribed by a doctor, but because the examination departments are distributed, the patient does not know the real-time queuing condition of each examination window, the patient may take a lot of time on the queuing, resulting in low efficiency of the patient in the hospital for taking a doctor's doctor, and the queuing for a long time is also a great physical burden for the patient.
Disclosure of Invention
The invention aims to solve the technical problem of providing a medical integrated management system based on wireless communication aiming at the defects existing in the prior art.
In order to solve the technical problems, the invention adopts the following technical scheme:
the medical integrated management system based on wireless communication is characterized by comprising a management end, a patient end and a doctor end; the management end is respectively connected with the patient end and the doctor end; the patient end and the doctor end are used for sending a medical service request to the management end; the management end is used for creating and processing corresponding medical tasks according to the medical service requests of the patient end and the doctor end, and comprises a registration module, an electronic medical record module, a medical examination module, a medication module and a notification module; the registering module is used for reserving registering service according to a registering request sent by a patient side; the electronic medical record module is used for transmitting, managing and updating the electronic medical record of the patient; the medical examination module is used for planning a path of a medical examination project of a patient according to a medical examination request sent by a doctor end and guiding the patient to carry out medical examination according to the planning; the medication module is used for packing the medicines according to the on-line medicine prescription list prescribed by a doctor and notifying a patient to take the medicines after the medicines are delivered out of the warehouse; the notification module is used for notifying the patient side in a short message and voice mode according to the related content of the medical service in the medical service process.
The invention is further improved in that the registering module comprises a appointment registering unit and a re-diagnosis registering unit; the appointment registering unit is used for determining a target doctor for patient diagnosis from candidate doctors and registering according to appointment requests sent by a patient side; the re-diagnosis registering unit is used for registering the target doctor automatically at the re-diagnosis time according to the re-diagnosis request sent by the patient side.
The invention is further improved in that the electronic medical record module comprises a medical record transmission unit and a medical record updating unit; the medical record transmission unit is used for transmitting the electronic medical record of the patient to a target doctor at the doctor end; and the medical record updating unit is used for integrating the diagnosis result, the examination item and the medication information of the patient after the diagnosis and treatment are completed, and updating the electronic medical record of the patient.
The invention is further improved in that the medical examination module comprises a medical examination item data acquisition unit and a medical examination item path planning unit; the medical examination item data acquisition unit is used for acquiring patient medical examination item data uploaded by a doctor end; the medical examination item path planning unit is used for substituting the patient medical examination item data into a medical examination item path planning strategy to carry out medical examination item path planning of the patient.
The invention further improves that the medical examination project path planning strategy comprises the following specific steps:
s21, arranging medical examination item data of patients into an ordered queue by taking the patients as units, numbering the ordered queue, wherein the number is 1-N i ，N i For the number of medical examination items of patient i, if the examination items are ordered, they are ordered, otherwise, they are followedArranging machines;
s22, carrying out batch aggregation on the patient medical examination items according to the uploading time of the patient medical examination items and a preset time period, and rolling to generate a planning interval;
s23, constructing a path planning model of a patient medical examination project in a planning interval and optimizing the model;
s24, inputting the patient medical examination item data set in the planning interval into an optimized planning interval patient medical examination item path planning model to obtain a patient medical examination item planning path in the planning interval.
A still further improvement of the present invention is that the constructing a path planning model for a medical examination item of a patient within a planning interval in step S23 includes: planning variables, objective functions and constraint conditions of a patient medical examination project path planning model in a planning interval; the planning variable of the patient medical examination project path planning model in the planning interval is x kij Sum s oij ，x kij Is a binary variable, x kij =1 means that patient i is performing the j-th medical examination item on medical examination device k, otherwise x kij ＝0；s oij A j-th medical examination item start time for patient i; i denotes a patient number within the planning interval, k denotes a medical examination device number, k=1, 2.
The invention is further improved in that the objective function of the patient medical examination project path planning model in the planning interval is as follows:
F＝w w min{T w }+w e min{T e }，
wherein T is w Representing the maximum value of the average waiting time of the patient to perform the medical examination project in the planning interval, min { T } w ' represent T w T, minimum value of (2) w The calculation formula of (2) is as follows:
T w ＝max{(T wi ) 1≤i≤n }，
wherein T is wi The weighted average waiting time of the examination items of patient i is represented, i represents the patient number in the planning interval, i=N, n is the number of patients in the planned interval;
T wi the calculation formula of (2) is as follows:
wherein a is i Numbering the first medical examination item of patient i in the planned interval, b i The last medical examination item of patient i in the planning interval is numbered 1.ltoreq.a i ≤b i ≤N i ，N i Total number of medical examination items for patient i, w ij Emergency weighting, s, for patient i's jth medical examination item oij For the j-th medical examination item start time of patient i,a of patient i i Item medical examination item start time, e oij The end time, t, for the j-th medical examination item of patient i s A starting time for the planning interval;
T e representing the maximum value of the service time of the medical examination equipment in the planning interval, min { T } e ' represent T e T, minimum value of (2) e The calculation formula of (2) is as follows:
T e ＝max{(T ek ) 1≤k≤s }，
wherein T is ek The use time of the medical examination device k in the planning interval is represented, k is the number of the medical examination device, k=1, 2, & gt, s is the number of the medical examination devices;
T ek the calculation formula of (2) is as follows:
wherein a is i Numbering the first medical examination item of patient i in the planned interval, b i The last medical examination item made for patient i within the planning intervalNumber, x kij Is a binary variable, x kij =1 means that patient i is performing the j-th medical examination item on medical examination device k, otherwise x kij ＝0，y kij The time required for patient i to perform the jth medical examination item on medical examination device k;
w w and w e Respectively represent min { T } w Sum min { T } e Weight coefficient, w w +w e ＝1。
The invention is further improved in that the constraint condition of the patient medical examination project path planning model in the planning interval comprises:
there is no priority among patients who first enter the planning interval, and the medical examination item emergency degree weight w of all patients is given ij Is a positive constant;
placing a patient who does not complete all medical examination items in a planning interval and the rest of the medical examination items in a new planning interval, and improving the emergency degree weight w of the rest of the medical examination items of the patient ij Re-planning the path together with the medical examination project data of the patient entering the new planning interval for the first time;
the medical examination items of the patient are carried out according to a preset queue sequence;
each medical examination item of the patient is completed by a medical examination device;
at the same time, only one patient can use one medical examination device.
The invention is further improved in that the specific mode of the optimized planning section in the step S24 is to construct a genetic simulated annealing algorithm by introducing temperature parameters and cooling operation of the simulated annealing algorithm, and perform optimization solution on the planning model of the patient medical examination path in the planning section;
initializing population by using genetic algorithm, integrating two information of patient medical examination item sequence and medical examination equipment allocation in planning interval on a chromosome by adopting a two-layer real number coding mode, wherein the length of the chromosome is 2nN i N represents the number of patients in the planning interval, N i Indicating that patient i has N medical examination items to be planned, and each layer has a coding length of nN i ；
UsingAs a fitness function, calculating fitness values of population individuals, wherein F is an objective function of a patient medical examination project path planning model in the planning interval, and a calculation formula of F is as follows:
F＝w w min{T w }+w e min{T e }，
wherein T is w Average waiting time maximum value, T of medical examination project for patient in planning interval e For planning a maximum value, w, of the time of use of a medical examination device in an interval w And w e Represents the weight coefficients of the two, and w w +w e ＝1；
And performing simulated annealing algorithm operation in the temporary population, generating a new solution, comparing the new solution with the fitness value of the current solution, and continuously iterating to search for a global optimal solution.
The specific steps of guiding the patient to carry out medical examination according to the planning sequence are that the global optimal solution is decoded to obtain an optimal target value and an optimal planning scheme, and the optimal planning scheme is based on a planning variable x kij Sum s oij And guiding the patient to go to the department where the corresponding medical examination equipment is located at the corresponding time for medical examination.
The invention is further improved in that the medication module is connected with a pharmacy system and comprises a prescription sheet uploading unit, a patient confirmation unit, a medication packaging unit and a medication taking unit; the prescription uploading unit is used for uploading a medicine prescription issued by a doctor to the pharmacy system; the patient confirmation unit is used for transmitting the drug prescription and the price to a patient end, and the patient confirms and pays through the mobile phone; the medicine packaging unit is used for packaging medicines according to the medicine prescription list in a pharmacy; the medicine taking unit is used for informing the patient to take medicine from the pharmacy after the delivery is completed.
Compared with the prior art, the invention has the following beneficial effects:
1. according to the time of uploading the patient medical examination items by the doctor side, carrying out batch collection on the patient medical examination items, and rolling to generate a planning interval; the method comprises the steps that a medical examination project path planning model of a patient in a planning interval is constructed and optimized, so that a medical examination project planning path of the patient in the planning interval is obtained, the patient is guided to go to a department where corresponding medical examination equipment is located at corresponding time to carry out medical examination, the patient is free from queuing for a long time, and meanwhile, medical equipment resources of a hospital are more balanced in use;
2. the system is used for sending medical service requests to the management end through the patient end and the doctor end, the management end creates and processes corresponding medical tasks, the management end realizes queuing, medical examination, medicine taking and re-diagnosis processes of the patient through the registering module, the electronic medical record module, the medical examination module, the medicine taking module and the notification module, and in the medical service process, the patient is notified by using a short message and a voice mode according to relevant contents of medical services, the operation of the patient end is simple, the process is more friendly and easy to accept for the old, and the medical experience of the patient is improved.
Drawings
FIG. 1 is a schematic diagram of a medical integrated management system based on wireless communication;
FIG. 2 is a schematic diagram of a registration module of a medical integrated management system based on wireless communication according to the present invention;
FIG. 3 is a schematic diagram of an electronic medical record module of the integrated medical management system based on wireless communication;
FIG. 4 is a schematic diagram of a medication module of a medical integrated management system based on wireless communication according to the present invention;
fig. 5 is a schematic diagram of a medical examination project path planning procedure of the medical integrated management system based on wireless communication.
Detailed Description
The invention is further described below with reference to the accompanying drawings. The following examples are only for more clearly illustrating the technical aspects of the present invention, and are not intended to limit the scope of the present invention.
Specific implementations of the invention are described in detail below in connection with specific embodiments.
Example 1
In this embodiment, as shown in fig. 1, there is provided a medical integrated management system based on wireless communication, including: the management end, the patient end and the doctor end; the management end is respectively connected with the patient end and the doctor end; the patient end and the doctor end are used for sending a medical service request to the management end; the management end is used for creating and processing corresponding medical tasks according to the medical service requests of the patient end and the doctor end. The management end comprises a registration module, an electronic medical record module, a medical examination module, a medication module and a notification module; the registering module is used for reserving registering service according to a registering request sent by a patient side; the electronic medical record module is used for transmitting, managing and updating the electronic medical record of the patient; the medical examination module is used for planning a path of a medical examination project of a patient according to a medical examination request sent by a doctor end and guiding the patient to carry out medical examination according to a planning sequence; the medication module is used for packing the medicines according to the on-line medicine prescription list prescribed by a doctor and notifying a patient to take the medicines after the medicines are delivered out of the warehouse; the notification module is used for notifying the patient side in a short message and voice mode according to the related content of the medical service in the medical service process.
In this embodiment, as shown in fig. 2, the registration module includes a appointment registration unit and a review registration unit; the appointment registering unit is used for determining a target doctor for patient diagnosis from candidate doctors and registering according to appointment requests sent by a patient side; the re-diagnosis registering unit is used for registering the target doctor automatically at the re-diagnosis time according to the re-diagnosis request sent by the patient side.
In this embodiment, as shown in fig. 3, the electronic medical record module includes a medical record transmission unit and a medical record update unit; the medical record transmission unit is used for transmitting the electronic medical record of the patient to a target doctor at the doctor end; and the medical record updating unit is used for integrating the diagnosis result, the examination item and the medication information of the patient after the diagnosis and treatment are completed, and updating the electronic medical record of the patient.
In this embodiment, the medical examination module includes a medical examination item data acquisition unit and a medical examination item path planning unit; the medical examination item data acquisition unit is used for acquiring patient medical examination item data uploaded by a doctor end; the medical examination item path planning unit is used for substituting the patient medical examination item data into a medical examination item path planning strategy to carry out medical examination item path planning of the patient.
In this embodiment, as shown in fig. 4, the medication module is connected to a pharmacy system, and includes a prescription uploading unit, a patient confirmation unit, a medication packaging unit, and a medication taking unit; the prescription uploading unit is used for uploading a medicine prescription issued by a doctor to the pharmacy system; the patient confirmation unit is used for transmitting the drug prescription and the price to a patient end, and the patient confirms and pays through the mobile phone; the medicine packaging unit is used for packaging medicines according to the medicine prescription list in a pharmacy; the medicine taking unit is used for informing the patient to take medicine from the pharmacy after the delivery is completed.
Example 2
In this embodiment, there is provided a medical integrated management system based on wireless communication, including: the management end, the patient end and the doctor end; the management end comprises a registration module, an electronic medical record module, a medical examination module, a medication module and a notification module.
The medical examination module is used for planning a path of a medical examination project of a patient according to a medical examination request sent by a doctor end and guiding the patient to carry out medical examination according to a planning sequence. In this embodiment, as shown in fig. 5, the specific steps of path planning for the medical examination item of the patient are:
s21, receiving patient medical examination item data uploaded by a doctor end, arranging the medical examination items into an orderly queue by taking a patient as a unit, numbering the medical examination items, and numbering the medical examination items with the numbers of 1-N i ，N i For the number of medical examination items of patient i, the examination items are ordered if ordered, otherwise randomly ordered, which may be expressed as<Patient, patient medical examinationCheck item queue>；
S22, carrying out batch aggregation on the patient medical examination items according to the uploading time of the patient medical examination items and a preset time period, and rolling to generate a planning interval;
the patient who needs to carry out medical examination is continuous, and the time of uploading the medical examination item is not fixed, so it is difficult to uniformly plan, the planning process is required to be divided into a plurality of static planning intervals based on the idea of rolling scheduling, and the path planning is carried out on the medical examination item of the patient who uploads the medical examination item in each interval. And (3) collecting the patients uploading the medical examination items in the planning interval while carrying out the path planning of the medical examination items of the patients in the planning interval, starting a next planning interval after the time of the planning interval is over, and carrying out the path planning of the medical examination items on the patients uploading the medical examination items in the previous planning interval and the patients not finishing all the items in the previous planning interval, wherein the former planning of all the medical examination items and the latter planning of the rest medical examination items.
S23, constructing a path planning model of a patient medical examination project in a planning interval;
parameters of the patient medical examination item path planning model within the planning interval include:
i: patient numbers within the planning interval, i=1,..n, n is the number of patients within the planning interval;
N i : patient i total number of medical examination items;
ij: patient i, j=1, m i ；
t s : planning a start time of the interval;
k: medical examination equipment number, k=1, 2,..s, s is the number of medical examination equipment;
s oi j, the j-th medical examination item start time of patient i;
e oij patient i's j-th medical examination item end time;
x kij binary variable, x kij =1 indicates that patient i is in the medical examination facilityPerforming the j-th medical examination item on k, otherwise x kij ＝0；
y kij Patient i takes time to perform the j-th medical examination item on medical examination device k.
The constructing a path planning model for a medical examination item of a patient in a planning interval in step S23 includes: planning variables, objective functions and constraints of a patient medical examination project path planning model within a planning interval.
The planning variable of the path planning model of the patient medical examination project in the planning interval is x kij Sum s oij 。
The objective function of the patient medical examination project path planning model in the planning interval is as follows:
F＝w w min{T w }+w e min{T e }，
wherein T is w Representing the maximum value of the average waiting time of the patient to perform medical examination project in the planning interval, T w The calculation formula is as follows:
T w ＝max{(T wi ) 1≤i≤n }，
wherein T is wi Representing the weighted average waiting time, T, of the examination items of patient i wi The calculation formula is as follows:
wherein a is i A first medical examination item number, b, representing the progress of patient i in the planned interval i The last medical examination item number of patient i in the planning interval is 1.ltoreq.a i ≤b i ≤N i ，w ij A j-th medical examination item emergency weight representing patient i;
T e representing the maximum value of the service time of the medical examination equipment in the planning interval, T e The calculation formula of (2) is as follows:
T e ＝max{(T ek ) 1≤k≤s }，
wherein the method comprises the steps of，T ek Representing the time of use, T, of the medical examination device k within the planning interval ek The calculation formula of (2) is as follows:
w w and w e Represents the weight coefficients of the two, and w w +w e ＝1。
Constraints of the patient medical examination item path planning model within the planning interval include:
there is no priority among patients who first enter the planning interval, and the medical examination item emergency degree weight w of all patients is given ij Is a positive constant;
placing a patient who does not complete all medical examination items in a planning interval and the rest of the medical examination items in a new planning interval, and improving the emergency degree weight w of the rest of the medical examination items of the patient ij Re-planning the path together with the medical examination project data of the patient entering the new planning interval for the first time;
the medical examination items of the patient are carried out according to a preset queue sequence;
each medical examination item of the patient is completed by a medical examination device;
at the same time, only one patient can use one medical examination device.
S24, inputting the patient medical examination item data set in the planning interval into an optimized planning interval patient medical examination item path planning model to obtain a patient medical examination item planning path in the planning interval.
The specific mode of the optimized path planning model of the patient medical examination project in the planning interval in the step S24 is to construct a genetic simulated annealing algorithm by introducing temperature parameters and cooling operation of the simulated annealing algorithm, and perform optimization solution on the path planning model of the patient medical examination in the planning interval;
the genetic simulated annealing algorithm combines the global searching capability of the genetic algorithm and the local searching capability of the simulated annealing algorithm, and the detailed steps of the genetic simulated annealing algorithm are as follows:
s1, initializing parameters including population size, evolution termination iteration number, crossover probability, mutation probability, annealing initial temperature, termination temperature and temperature cooling coefficient;
s2, generating an initialization population;
s3, calculating fitness values of population individuals, and enabling iteration times to be 0;
s4, obtaining a temporary population through genetic operations such as selection, crossing, mutation and the like by comparing individual fitness values;
s5, performing simulated annealing algorithm operation in the temporary population, determining the initial temperature of the simulated annealing algorithm, generating an initial solution and calculating a corresponding objective function value;
s6, generating a new solution through a disturbance strategy, calculating an objective function value corresponding to the new solution, judging whether the new solution is accepted by using a Metropolis criterion, and switching to the step S7 if the new solution is accepted, and switching to the step S5 if the new solution is not accepted;
s7, detecting whether the full search is carried out at the temperature, if so, turning to the step S7, and if not, turning to the step S5;
s8, judging whether the simulated annealing termination condition is met, if yes, memorizing the current optimal solution in a memory table, and continuing iteration in the step S9; if not, carrying out annealing operation to step S4;
s9, judging whether the iteration process reaches the maximum iteration number, if not, adding one to the iteration number, and turning to the step S4 to perform a new iteration process; if yes, go to step S9;
s10, comparing all the optimal solutions in the memory table to obtain a final optimal solution, and outputting an optimal target value and an optimal scheduling scheme.
In this embodiment, when a genetic algorithm is used to initialize a population, two layers of real number coding modes are adopted to integrate two kinds of information, namely the sequence of the medical examination items of the patient in the planning interval and the distribution of the medical examination equipment, on a chromosome, wherein the length of the chromosome is 2nN i N represents the number of patients in the planning interval, N i Indicating that patient i has N medical examination itemsDividing, each layer has a coding length of nN i ；
UsingAs a fitness function, calculating fitness values of population individuals, wherein F is an objective function of a patient medical examination project path planning model in the planning interval, and a calculation formula of F is as follows:
F＝w w min{T w }+w e min{T e }，
wherein T is w Representing the maximum value of the average waiting time of the patient to perform medical examination project in the planning interval, T w The calculation formula is as follows: t (T) w ＝max{(T wi ) 1≤i≤n }, wherein T is wi Representing the weighted average waiting time of the examination items of patient i;
T e representing the maximum value of the service time of the medical examination equipment in the planning interval, T e The calculation formula of (2) is as follows: t (T) e ＝max{(T ek ) 1≤k≤s }, wherein T is ek Representing the time of use of the medical examination device k within the planning interval;
w w and w e Represents the weight coefficients of the two, and w w +w e ＝1；
And performing simulated annealing algorithm operation in the temporary population, generating a new solution, comparing the new solution with the fitness value of the current solution, and continuously iterating to search for a global optimal solution.
In this embodiment, the specific step of guiding the patient to perform the medical examination according to the planning order is to decode the global optimal solution to obtain an optimal target value and an optimal planning scheme, and according to a planning variable in the optimal planning scheme: 1) Whether patient i is performing the jth medical examination item x on the medical examination device k kij The method comprises the steps of carrying out a first treatment on the surface of the 2) Patient i's jth medical examination item start time s oij Directing patient i to go to the department where the corresponding medical examination device is located at the corresponding time to perform the medical examination, e.g., at s oij -reminding the patient i to go to the department where the planned medical examination device is located for medical examination at 10 min.
The foregoing has shown and described the basic principles and main features of the present invention and the advantages of the present invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, and that the above embodiments and descriptions are merely illustrative of the principles of the present invention, and various changes and modifications may be made without departing from the spirit and scope of the invention, which is defined in the appended claims. The scope of the invention is defined by the appended claims and equivalents thereof.
Claims (4)
1. The medical integrated management system based on wireless communication is characterized by comprising a management end, a patient end and a doctor end; the management end is respectively connected with the patient end and the doctor end; the patient end and the doctor end are used for sending a medical service request to the management end; the management end is used for creating and processing corresponding medical tasks according to the medical service requests of the patient end and the doctor end, and comprises a registration module, an electronic medical record module, a medical examination module, a medication module and a notification module; the registering module is used for reserving registering service according to a registering request sent by a patient side; the electronic medical record module is used for transmitting, managing and updating the electronic medical record of the patient; the medical examination module is used for planning a path of a medical examination project of a patient according to a medical examination request sent by a doctor end and guiding the patient to carry out medical examination according to the planning; the medication module is used for packing the medicines according to the on-line medicine prescription list prescribed by a doctor and notifying a patient to take the medicines after the medicines are delivered out of the warehouse; the notification module is used for notifying the patient side in a short message and voice mode according to the related content of the medical service in the medical service process; the registering module comprises a appointment registering unit and a re-diagnosis registering unit; the appointment registering unit is used for determining a target doctor for patient diagnosis from candidate doctors and registering according to appointment requests sent by a patient side; the re-diagnosis registering unit is used for registering a target doctor automatically at re-diagnosis time according to a re-diagnosis request sent by a patient end; the electronic medical record module comprises a medical record transmission unit and a medical record updating unit; the medical record transmission unit is used for transmitting the electronic medical record of the patient to a target doctor at the doctor end; the medical record updating unit is used for integrating the diagnosis result, the examination item and the medication information of the patient after diagnosis and treatment are completed, and updating the electronic medical record of the patient; the medical examination module comprises a medical examination item data acquisition unit and a medical examination item path planning unit; the medical examination item data acquisition unit is used for acquiring patient medical examination item data uploaded by a doctor end; the medical examination item path planning unit is used for substituting the patient medical examination item data into a medical examination item path planning strategy to carry out medical examination item path planning of the patient; the medical examination project path planning strategy comprises the following specific steps:
s21, arranging medical examination item data of patients into an ordered queue by taking the patients as units, numbering the ordered queue, wherein the number is 1-N i ，N i The number of the medical examination items of the patient i is arranged in sequence if the examination items have sequence requirements, or arranged randomly;
s22, carrying out batch aggregation on the patient medical examination items according to the uploading time of the patient medical examination items and a preset time period, and rolling to generate a planning interval;
s23, constructing a path planning model of a patient medical examination project in a planning interval and optimizing the model;
s24, inputting the patient medical examination item data set in the planning interval into an optimized planning interval patient medical examination item path planning model to obtain a patient medical examination item planning path in the planning interval; the constructing a path planning model for a medical examination item of a patient in a planning interval in step S23 includes: planning variables, objective functions and constraint conditions of a patient medical examination project path planning model in a planning interval; the planning variable of the patient medical examination project path planning model in the planning interval is x kij Sum s oij ，x kij Is a binary variable, x kij =1 means that patient i is performing the j-th medical examination item on medical examination device k, otherwise x kij ＝0；s oij At the beginning of the j-th medical examination item for patient iA compartment; i denotes a patient number within a planned interval, k denotes a medical examination device number, k=1, 2,..s, s denotes the number of examination devices; the objective function of the patient medical examination project path planning model in the planning interval is as follows:
F＝w w min{T w }+w e min{T e }，
wherein T is w Representing the maximum value of the average waiting time of the patient to perform the medical examination project in the planning interval, min { T } w ' represent T w T, minimum value of (2) w The calculation formula is as follows:
T w ＝max{(T wi ) 1≤i≤n }，
wherein T is wi The weighted average waiting time of the examination items of the patient i is represented, i represents the patient number in the planning interval, i=1.
T wi The calculation formula of (2) is as follows:
wherein a is i Numbering the first medical examination item of patient i in the planned interval, b i The last medical examination item of patient i in the planning interval is numbered 1.ltoreq.a i ≤b i ≤N i ，N i Total number of medical examination items for patient i, w ij Emergency weighting for the jth medical examination item of patient i,a of patient i i Emergency weighting of item medical examination item s oij A start time for a j-th medical examination item of patient i,/->A of patient i i Item medical examination item start time, e oi(j-1) Medical test for patient i, item j-1Search term end time, t s A starting time for the planning interval;
T e representing the maximum value of the service time of the medical examination equipment in the planning interval, min { T } e ' represent T e T, minimum value of (2) e The calculation formula of (2) is as follows:
T e ＝max{(T ek ) 1≤k≤s }，
wherein T is ek Representing the time of use of the medical examination device k in the planning interval, k being the medical examination device number, k=1, 2,..s, s being the number of examination devices;
T ek the calculation formula of (2) is as follows:
wherein a is i Numbering the first medical examination item of patient i in the planned interval, b i Number, x for last medical examination item performed by patient i in planning interval kij =1 means that patient i is performing the j-th medical examination item on medical examination device k, otherwise x kij ＝0，y kij The time required for patient i to perform the jth medical examination item on medical examination device k;
w w and w e Respectively represent min { T } w Sum min { T } e Weight coefficient, w w +w e ＝1。
2. The wireless communication based medical integrated management system of claim 1, wherein constraints of the patient medical examination item path planning model within the planning interval include:
there is no priority among patients who first enter the planning interval, and the medical examination item emergency degree weight w of all patients is given ij Is a positive constant;
placing a patient who does not complete all medical examination items in a planning interval and the rest medical examination items in a new planning interval, and improving the patientIs the remaining medical examination item urgency weight w ij Re-planning the path together with the medical examination project data of the patient entering the new planning interval for the first time;
the medical examination items of the patient are carried out according to a preset queue sequence;
each medical examination item of the patient is completed by a medical examination device;
at the same time, only one patient can use one medical examination device.
3. The integrated medical management system based on wireless communication according to claim 2, wherein the specific way of the optimized path planning model of the patient medical examination item in the planning interval in step S24 is to construct a genetic simulated annealing algorithm by introducing temperature parameters and cooling operation of the simulated annealing algorithm, and perform optimization solution on the path planning model of the patient medical examination in the planning interval;
initializing population by using genetic algorithm, integrating two information of patient medical examination item sequence and medical examination equipment allocation in planning interval on a chromosome by adopting a two-layer real number coding mode, wherein the length of the chromosome is 2nN i N represents the number of patients in the planning interval, N i Indicating that patient i has N medical examination items to be planned, and each layer has a coding length of nN i ；
UsingAs a fitness function, calculating fitness values of population individuals, wherein F is an objective function of a patient medical examination project path planning model in the planning interval, and a calculation formula of F is as follows:
F＝w w min{T w }+w e min{T e }，
wherein T is w Average waiting time maximum value, T of medical examination project for patient in planning interval e For planning a maximum value, w, of the time of use of a medical examination device in an interval w And w e Represents the weight coefficients of the two, and w w +w e ＝1；
Performing simulated annealing algorithm operation in the temporary population, generating a new solution, comparing the new solution with the fitness value of the current solution, continuously iterating, and searching for a global optimal solution;
the specific steps of guiding the patient to carry out medical examination according to the planning sequence are that the global optimal solution is decoded to obtain an optimal target value and an optimal planning scheme, and the optimal planning scheme is based on a planning variable x kij Sum s oij And guiding the patient to go to the department where the corresponding medical examination equipment is located at the corresponding time for medical examination.
4. The integrated medical management system based on wireless communication according to claim 3, wherein the medication module is connected with a pharmacy system and comprises a prescription uploading unit, a patient confirmation unit, a medication packaging unit and a medication taking unit; the prescription uploading unit is used for uploading a medicine prescription issued by a doctor to the pharmacy system; the patient confirmation unit is used for transmitting the drug prescription and the price to a patient end, and the patient confirms and pays through the mobile phone;
the medicine packaging unit is used for packaging medicines according to the medicine prescription list in a pharmacy; the medicine taking unit is used for informing the patient to take medicine from the pharmacy after the delivery is completed.
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