TW201232495A - Cloud electronic medical record system and operation method thereof - Google Patents
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201232495 六、發明說明： 【發明所屬之技術領域】 _] 本發明侧於-種雲端電子顏系狀其操作方法 ’透過醫療運端㈣模式，使不㈣護人貞能透過平板 電腦來以各自㈣點選進人雲職式之子程式内進 行醫療診斷及記錄，且方便醫師至病相為病患進行診 療’而護士於铺魏依㈣給病患Μ，而適用於各 區域醫院、地ϋ教學醫院、地區醫院等或類似之環境者201232495 VI. Description of the Invention: [Technical Fields of the Invention] _] The present invention is in the form of a cloud electronic electronic system, which operates through the medical terminal (four) mode, so that the (four) guardian can use the tablet computer to (4) Clicking into the sub-program of the person's cloud type for medical diagnosis and recording, and facilitating the doctor to the patient to diagnose the disease. The nurse is in the shop Wei Wei (4) to the patients, and is applicable to various regional hospitals and cellars. Teaching hospitals, regional hospitals, etc. or similar environmentalists
【先前技術】 _ 按’早期各大醫學中心、區域醫院、診所都是透過 人工作業來記錄所有病患資料，當病患前往醫療院所初 料，護士小姐都會給你—張病歷首頁表格填寫個人資 料以建立個人病歷，㈣生於看料再將看診後之病徵 及用藥内容寫於病歷表格上，而當領藥繳費後，該張病 歷表格便歸檔存放。[Prior Art] _ According to the 'early major medical centers, regional hospitals, clinics, all patient data are recorded through manual work. When the patient goes to the medical institution, the nurse will give you the first page of the medical record. The personal data is used to establish a personal medical record. (4) The condition and medication content after the medical examination are written on the medical record form, and the medical record form is archived after the payment of the prescription.
下一次生病時，其護士再根據你的資料來找尋你 的病歷表格，並供醫生來填寫你的病症及用藥内容，進 而重覆仙’然’不管是診所或大型醫院都需耗時相當 大的人力來找尋病歷表格或領藥繳費後之歸檔，如遇到 同時看好幾個不同科目或檢查時，往往可以看到病患看 了-整個上以下午都未看完，其時間上耗在等待病 歷之送達，醫生才能進行看診或檢查，t常浪費了病患 相當長的寶貴相。若病患住院時醫師於巡房時，後面 常常跟著一輛小推車推著欲巡房之病歷供醫師查看翻閱 ’使得常常需要—批醫護人貴跟著醫師來巡房 表單編號A0101 ^ ® 第3頁/共42頁 201232495 币有問題4問時能有人回答，更浪費了相當多的醫護人 人力且^ 4人員需花費大量的時間撰寫病歷内容 0 s因此’本發明人有鑑於上述缺失，期能提出-種使 員月b决速4取、撰寫建立雲端之電子病歷，以便 :仃病患之醫療診斷行為，進而提昇整體醫療之效率之 端電子病歷系統及其操作方法，供操作使用，乃潛心 研〜組製’以提供消費大眾使用。為本發明所欲 研創之發明動機者。 【發明内容】 [ 本發明之主要目的在提供-㈣端電子病歷系統及 Ά作方法’使醫護人貝能透過平板電腦之無線通訊裝 置來連線至·^療雲端資料伺服器内，且不同醫護人員依 各自權限來點選進人雲職⑽式之子程式内進行操作 而方便4師至病房内為病患進行診療且護士於領藥 後能依藥°屬給病患«，藉以提昇整體醫療效率，進而 增加實用性及便利性者。 本發明之-人-目的係在提供—種雲端電子病歷系統 及其操作方法，藉由病患病歷資料加密資料庫中設有電 子病歷’而透過病歷醫護選項内容資料庫來進入病患病 歷資料加密料勒讀取、«建立電子賴，並透過 病歷簽核龍舰核騎病患㈣資料加密資料 庫内之電子賴，使所有醫療診斷及醫療記錄都能在醫 療雲端上完成，具有確保醫療行為運作順暢之效用，進 而增加整體之運用性及實用性者。 本發明之另一目的係在提供—種雲端電子病歷系統 表單编號Α0101 第4頁/共42頁 201232495 及其操作方法，透過雲端應用程式（We b Ap p) 之子程式包含有營運管闕單、建立電子麵首頁選單 、醫檢單鮮、醫料選單、處方朗單、給藥記錄選 I或住院病歷選單等，使輯立起整體醫㈣系之運作 ，並能提昇賴人s之工作效率，進增加整體之便利性 者。 為達上述之目的，本㈣其主要純括有—醫療雲 端貝料伺服器及至少-平板電腦；該醫療雲端資料词服 • 器内係設有病歷醫護選項内容資料庫、病患病歷資料加 密資料庫及病歷隸認證伺服器，其中該病患病歷資料 加在、資料庫巾設有電子病歷，而透^錢醫護選項内容 資料庫來進人病患病歷資料加密#料庫内讀取電子病歷 ’並透過病歷簽核認證舰H來簽核認證病患病歷資料 加也貝料庫内之電子病歷’·以及該平板電腦係、透過無線 通訊裝置與醫療雲端資料賴服器連接，而平板電腦内 設有雲端應用程式’其中該t端應用程式係連結進入病 • 歷醫護選項内容資料庫中，且該雲端應用程式包含有子 程式使不同醫護人員能依各自權限進入雲端應用程式 之子程式内進行醫療診斷及記錄，並將醫療診斷及記錄 回存至醫療雲端資料伺服器中儲存；藉此，以透過彈性 的醫療雲端模式，可快速佈建置至各區域醫院、地區教 學醫院或地區醫院’使醫護人貝能快速操作來進行醫療 行為及醫療過程之記錄者。 本發明之其他特點及具體實施例，可於以下列配合 附圖之洋細5兒明中，進一步瞭解β 【實施方式】 表單編號Α0101 第5頁/共42頁 201232495 [0004] β參考第1至9圖所示，係為本發明之系統架構及 操作方法步驟示意圖。本發明係_種雲端電子病歷系統 ’係包括-醫療雲端資湘服器i。及至少—平板電腦 20 ;該醫療雲端資料舰η ◦内係設有病歷醫護選 項内容資料庫！ i、病患病歷f料加密資料庫丄2及病 歷簽核認證餘ϋ13，其t該病患病歷資料加密資料 =2中設有電子病歷121，而透過病歷醫護選項内 容資料庫11來進入病患病歷資料加密資料庫i 2内讀 取電子病歷1 2 1，並透過病歷簽核認證伺服器1 3來 簽核認證病患病歷資料加密資料庫i 2内之電子病歷工 2 1 ;以及該平板電腦2 〇係透過無線通訊裝置2丄與 醫療雲端資料庫伺服器〇連接，而平板電腦2〇内設有 4應用&式2 2 ’其中該雲端應用程式2 2係連結進 入病歷醫護選項内容資料庫1 1中，㈣雲端應用程式 is有子私式2 2 1 ’使不同醫護人員能依各自權 限'入雲端應用程式22之子程式2 2 1内進行醫療診 斷及s己錄，並將醫療診斷及記錄回存至醫療雲端資料飼 服器1Q中儲存；藉此，以透過彈性的醫療雲端模式， 可决速佈建置至各區域醫院'地區教學醫院或地區醫院 ，使醫護人員能快速操作來進行醫療行為及醫療過程之 記錄者。 .而雲端電子病歷系統之操作方法，係包括下列步驟 • S1 蔓人員透過平板電腦之無線通訊裝置連 線至醫療雲端資料伺服器内； 步驟二S 2、而不 表單編號A0101 同醫濩人員依各自權限點選進入雲端 第6頁/共42頁 201232495 應用程式之子程式内進行操作； 步驟三S 3、並透過病歷醫護選項内容資料庫來進入病 患病歷資料加密資料庫内讀取電子病歷； 步驟四S 4、再透過雲端應用程式之子程式的步驟來進 行病患醫療診斷及記錄；以及 步驟五S 5、70成醫療診斷及記錄後，並將醫療診斷及 °己錄回存至醫療雲端資料飼服器中儲存者。 其中進-步包含有步驟六S6、並透過病歷簽核認 ^ 祠服器來簽核為證病患病歷資料加密資料庫内之電子 病歷；而雲端應用程式（We b Ap p ) 2 2之子程 式2 2 1係為營運管理選#s丄〇、建1電子病歷首頁 選單S20、醫檢單選單S3〇、醫囑單選單S4〇、 處方籤選單S 5 Q、給藥記錄選單s 6 Q或住院病歷選 早S 7 Q等其中任—種；而平板電腦2 ◦之作業系統係 採用Android系統、i〇s系統、^〇s 系統、B 1 a c k B e r r y Ta b ! e t 〇s • 系統或W1 n d Qw s系統等其中任-種來操作執行， 另平板電腦2 Q之無線通訊裝置2 i係採藍芽系統（b 1 u e t 〇 〇 t h)、全球行動通訊系統（G SM)、 整合封包無線電服務系統（GPRS)、低功率行動電 °舌系統（P H S )、無線區網系 '統（W L A N )、微波 存取全球互通系統（WIMAX)、無線高傳真系統（ WI — F I ) '寬頻分碼多工系統（w C D Μ A)或高 速下行封包接入系統（HSDPA)等其中任-種來傳 輸者。 月參考第1至9圖所示，係為本發明之雲端電子病 表單編號A0101 第7頁/共42頁 歷系統架構及操作方法步驟示意圖，而本發明最佳實施 方式係於各區域醫院、地區教學醫院'地區醫院内實施 ，當病患6 0前往醫院住院’而醫師5工至病房内為病 患6 0進行診療，且醫護人s 5 3能於領藥後，依藥喝 給予住院病患6 Q服藥之進行，其中該醫療雲端資料词 服器1 0係建置於遠端之醫療雲端主機上，使醫院之硬 體成本能大幅降低，並提高醫院整體醫療體系之運作， 而設於醫療雲端主機上之醫療雲端資料伺服器工〇内設 有病歷醫護選項内容資料料丄、病患病歷資料加密資 料庫1 2及病歷簽核認證飼服η 3，其中該病患病歷 資料加密資料庫1 2中設有電子病歷！ 2 i，使所有病 患之電子病歷121都能儲存於病患病歷資料加密資料 庫1 2中’且於病患病歷資料加密資料庫丨2設有帳號 密碼來進行加解密以管控電子病歷i 2 i之讀取，其中 該帳號密碼係採用數據加密標準（DES)、國際數據 加密演算法（I D E A)、先進加密標準（A E s )或 加密演算法（RSA)等其卜種來設置，使具有能保 濩病患6 0之隱私，以防止被窺探之效果。 而當醫院之醫護人員（含醫師5 1、行政人員5 2 、護理人員5 3 '藥劑師5 4及醫檢師5 5等）於工作 岈（如第1圖所示），能直接透過平板電腦2〇來進行 點選操作’，或是以個人電® ( P C)《筆記型電腦（ NB)内的網頁瀏覽器來連線點選（圖未示），且該平 电月a 2 〇以無線通訊裝置2 1來連線至醫療雲端主機 上之醫療雲端資料伺服器1 0内讀取資料，而無線通訊 裝置2 1係採藍芽系統（B 1 u e t ◦ 0 t h)、全球 1101 ^ 第8頁/共42頁 201232495The next time you get sick, your nurse will look for your medical record form based on your information and ask the doctor to fill in your illness and medication content, and then repeat the fact that it is a big time for clinics or large hospitals. The manpower to find the medical record form or the archival payment after the payment, if you encounter several different subjects or check at the same time, you can often see the patient read - the whole is not finished in the afternoon, its time is spent Waiting for the medical record to be delivered, the doctor can conduct a visit or check, which often wastes a considerable amount of valuable life. If the patient is in the patrol room when the patient is in hospital, he often follows a small cart and pushes the medical record of the patrol room for the doctor to view it. This makes it often necessary for the medical staff to follow the doctor to patrol the room form number A0101 ^ ® 3 pages / a total of 42 pages 201232495 There are questions in the currency 4 questions can be answered, more waste of a lot of medical personnel and ^ 4 people need to spend a lot of time to write medical records content 0 s therefore 'the inventor in view of the above-mentioned lack, It can be proposed to use the electronic calendar of the cloud to make the electronic medical record of the cloud, so as to improve the overall medical efficiency and the electronic medical record system and its operation method for the operation. , is a painstaking research ~ group system 'to provide consumer use. It is the motive for the invention of the invention. SUMMARY OF THE INVENTION [The main purpose of the present invention is to provide a - (four) electronic medical record system and a method of making a medical device to enable a medical person to connect to the cloud data server through a wireless communication device of a tablet computer, and different The medical staff selects the person in the Yun (10) sub-program according to their respective authority to facilitate the operation of the patient from the 4th division to the ward, and the nurse can give the patient according to the medicine after the medicine is taken. Medical efficiency, which in turn increases practicality and convenience. The human-purpose system of the present invention provides a cloud electronic medical record system and an operation method thereof, and the patient medical record data is accessed through the medical record option content database by using an electronic medical record in the patient medical record data encryption database. Encrypted material reading, «establishing electronic reliance, and signing the dragon ship nuclear riding patient through the medical record (4) electronic data in the data encryption database, so that all medical diagnosis and medical records can be completed in the medical cloud, with medical care The smooth operation of the behavior, which in turn increases the overall applicability and practicality. Another object of the present invention is to provide a cloud electronic medical record system form number Α0101, page 4 / total 42 pages 201232495 and its operation method, and a sub-program of the cloud application (We b Ap p) includes an operation management order Establishing electronic front page menus, medical checklists, medical materials menus, prescriptions, drug administration records, or inpatient medical records, etc., so that the operation of the overall medical (4) department can be established and the work of the people can be improved. Efficiency, increase the overall convenience. For the above purposes, this (4) is mainly composed of a medical cloud beacon server and at least a tablet computer; the medical cloud data service device has a medical record content database and patient medical record data encryption. The database and the medical record authentication server, wherein the patient's medical record data is added, the data towel has an electronic medical record, and the medical care option content database is used to enter the patient medical record data encryption. The medical record 'by signing the certification ship H through the medical record to sign the certified patient medical record data plus the electronic medical record in the library, and the tablet computer, through the wireless communication device and the medical cloud data server, and the tablet There is a cloud application in the computer, where the t-end application is linked into the medical record content database, and the cloud application includes a sub-program to enable different medical personnel to enter the cloud application sub-program according to their respective permissions. Medical diagnosis and recording, and return medical diagnosis and records to the medical cloud data server for storage; The medical cloud model can be quickly deployed to regional hospitals, regional teaching hospitals, or regional hospitals. The medical staff can quickly operate to record medical behavior and medical procedures. Further features and specific embodiments of the present invention can be further understood in the following description of the accompanying drawings: [Embodiment] Form No. 1010101 Page 5/Total 42 Page 201232495 [0004] β Reference 1 As shown in FIG. 9, it is a schematic diagram of the steps of the system architecture and operation method of the present invention. The invention relates to a cloud electronic medical record system ‘system includes a medical cloud 资湘服器 i. And at least - tablet 20; the medical cloud data ship η ◦ has a database of medical records of medical records! i, the patient's medical record f material encryption database 丄 2 and medical record signing certification ϋ ϋ 13, the patient's medical record data encryption data = 2 with electronic medical record 121, and through the medical record of the medical record option database 11 into the disease The medical record data encryption database i 2 reads the electronic medical record 1 2 1, and through the medical record signing authentication server 13 to sign the electronic medical record 2 1 in the encrypted patient medical record data encryption database i 2 ; The tablet 2 is connected to the medical cloud database server via the wireless communication device 2, and the tablet 2 has 4 applications & 2 2 ', wherein the cloud application 2 2 is linked to the medical record option. In the content database 1 1 , (4) the cloud application is sub-private 2 2 1 'to enable different medical staff to enter the cloud application 22 sub-program 2 2 1 for medical diagnosis and recording according to their respective permissions, and The medical diagnosis and records are stored in the medical cloud data storage device 1Q for storage; thereby, through the flexible medical cloud mode, it can be quickly set up to the regional hospitals' regional teaching hospitals or regional hospitals, so that the medical staff can Speed operation to conduct medical records and those of the medical procedure. The operation method of the cloud electronic medical record system includes the following steps: • S1 routers connect to the medical cloud data server through the wireless communication device of the tablet; Step 2 S2, without the form number A0101 Each of the permissions is selected to enter the cloud page 6 / a total of 42 pages 201232495 application sub-program operation; Step 3 S 3, and through the medical record option content database to enter the patient medical record data encryption database to read the electronic medical record; Step 4 S4, through the steps of the sub-program of the cloud application to conduct medical diagnosis and recording of the patient; and after step 5 S 5, 70% medical diagnosis and recording, and record the medical diagnosis and the recorded medical record to the medical cloud The data is stored in the feeder. The step-by-step includes the step 6 S6, and the electronic medical record in the encrypted database of the patient's medical record data is signed by the medical record signing and checking device; and the cloud application (We b Ap p ) 2 2 son Program 2 2 1 is the operation management selection #s丄〇, Jian 1 electronic medical record home page menu S20, medical examination single option S3〇, medical order single option S4〇, prescription signing list S 5 Q, medication record menu s 6 Q or Inpatient medical records are selected as early as S 7 Q, and the operating system of Tablet PC 2 is Android system, i〇s system, ^〇s system, B 1 ack B erry Ta b ! et 〇s • system or The W1 nd Qw s system and other functions are implemented, and the tablet 2 Q wireless communication device 2 i adopts the Bluetooth system (b 1 uet 〇〇th), the global mobile communication system (G SM), and the integrated packet. Radio Service System (GPRS), Low Power Mobile System (PHS), Wireless Network System (WLAN), Worldwide Interoperability for Microwave Access (WIMAX), Wireless High-Fax System (WI-FI) Code multiplex system (w CD Μ A) or high speed downlink packet access system HSDPA) and so either - species to pass loser. Referring to Figures 1 to 9 of the present invention, it is a schematic diagram of the system architecture and operation method steps of the cloud electronic disease form number A0101 of the present invention, and the preferred embodiment of the present invention is in various regional hospitals. The regional teaching hospital is implemented in the regional hospital, when the patient 60 goes to the hospital for hospitalization, and the doctor 5 workers to the ward for the patient 60, and the medical staff s 5 3 can take the medicine according to the medicine. The patient 6 Q took the drug, and the medical cloud data server 10 was built on the remote medical cloud host, which greatly reduced the hardware cost of the hospital and improved the operation of the hospital's overall medical system. The medical cloud data server located on the medical cloud host has a medical record option content data, a patient medical record data encryption database 1 2 and a medical record signing certification service η 3, wherein the patient medical record data There is an electronic medical record in the encrypted database 1 2! 2 i, so that all patients' electronic medical records 121 can be stored in the patient's medical record data encryption database 1 2 and the patient's medical record data encryption database 丨 2 has an account password for encryption and decryption to control the electronic medical record i 2 i read, wherein the account password is set by using data encryption standard (DES), international data encryption algorithm (IDEA), advanced encryption standard (AE s ) or encryption algorithm (RSA), etc. It has the privacy to protect patients from 60 to prevent the prying effect. And when the hospital's medical staff (including the physician 5 1 , the administrative staff 5 2 , the nursing staff 5 3 'pharmacist 5 4 and the medical examiner 5 5 , etc.) in the work 岈 (as shown in Figure 1), can directly pass through the slab The computer can be clicked to perform the operation, or it can be connected by a web browser in the Personal Computer® (PC) Notebook (NB) (not shown), and the power is a 2 〇 The wireless communication device 2 1 is connected to the medical cloud data server 10 on the medical cloud host to read data, and the wireless communication device 2 1 adopts the Bluetooth system (B 1 uet ◦ 0 th), global 1101 ^ Page 8 of 42 201232495
行動通訊系統（GSM)、整合封包無線電服務系統（ GPRS)、低功率行動電話系統（pHs)、無線區 網系統（WLAN)、微波存取全球互通线（wi = ΑΧ)或無線高傳真系統（WI—FI)、寬頻分碼多 工系統（WCDMA)或高速下行封包接入系統（hs DPA)等其中任-種來進行上傳或下載之即時傳輸， 另該平板電腦2 Q上之螢幕2 3係採用電容式觸控螢幕 或電阻式觸控螢幕，該電容式觸控螢幕係透過手指來觸 控操作’而電阻式觸控螢幕進—步設有觸控筆，以供觸 控點選操作螢幕2 3畫面，且平板電腦2 Q之作業系統 係採用A n d r 〇 i d系統、i 〇 s系統、w e b 〇 S系統、Black Berry Tablet 〇 S系統或Wi n d 〇Ws系統等其中任_種來操作執行 ，再者，於平板電腦2 0内設有雲端應用程式（We b App)22,而雲端應用程式（Web App) 2 2包含有子程式2 2 1，該子喊2 2 1係包含有營 運管理選單s 1 〇、建立電子病歷首頁選單32〇、醫 才欢單選單S 3 0、醫嘱單選單s 4 0、處方籤選單§ 5 〇、給藥記錄選單S 6 0或住院病歷選單3 7 〇等，使 不同醫護人員（含醫師5 1、行政人員5 2、護理人員 5 3、藥劑師5 4及醫檢師5 5等）能依各自權限進入 雲端應用程式（We b Ap p ) 2 2之子程式2 2丄 内來進行醫療診斷及記錄，而雲端應用程式（We b App)22係連接到醫療雲端資料伺服器1〇之病歷 醫護選項内容資料庫1 1，再透過病歷醫護選項内容資 料庫1 1來進入病患病歷資料加密資料庫1 表單蝙號A0101 2内讀取電 第9頁/共42頁 201232495 子病歷1 2 1，以能在平板電腦2 Q上進行點選病歷醫 護選項、手寫電子病歷i 2 !資料及電子錢i 2 i簽 核之動作，且能將螢幕2 3上所輸入診斷後之文字或選 項顯示於電子病歷1 2 1上，並上傳回存於醫療雲端資 料伺服器1 〇之病患病歷資料力口密資料庫1 2内而當 醫療行為完錢，其醫療院所之各階主管或負責該項醫 療^斷或5己錄之醫護人員能以平板電腦2〇來進入醫療 «端貝料㈤服g1 〇之病歷簽核認證伺服器丨3來簽核 • 認證該電子病歷121狀態或任何醫療行為是否正確， 以不負責者。 另醫護人員（含醫師51、行政人員52 '護理人員5 3、藥劑師5 4及醫檢師55等）在進人雲端電子病歷 系統之操作方法係包括下列步驟（如第2圖所示）： 步驟—S 1 ··醫護人M透過平板電腦之無線通訊裝置連 線至醫療雲端資料伺服器内； 步驟二S2:而不同醫護人員依各自權限點選進入雲端 鲁應用程式之子程式内進行操作； 步驟三S 3 :並透過病歷醫護選仙容資料庫來進入病 患病歷資料加密資料庫内讀取電子病歷； 步驟四S4:再透過雲端應用程式之子程式的步驟來進 行病患醫療診斷及記錄；以及 步驟五S 5 :完成醫療診斷及記錄後，並將醫療診斷及 記錄回存至醫療雲端資料伺服器中儲存者。 ▲其中進一步包含有步驟六S6:並透過病歷簽核認 證伺服H來簽核認證病患病歷資料加密資料庫内之電子 病歷，而在上述步驟四Sd端應用程式（Web 表單編號A0101 第10頁/共42頁 201232495 APP) 22之子程式丄2丄内共有步驟十s丄〇 : ，運管理選單、步驟二十S2〇:建立電子病歷首頁選 早、步驟三十：s 3 0醫檢單選單、步驟四十·· s 4 〇 面囑單選單、步驟五十：s 5 〇處方籤選單、步驟六十 〜S 6 〇給藥記錄選單或步驟七十·· S 7 Q住院病歷選 單等’供其不同醫護人員來點選操作，而步驟十S 1 〇 s運嘗理選單係供行政人員5 2來點選進入，其中該 步驟十S1〇.營運管理選單中包含有下列步驟（如第 3圖所示），步驟十—S11:建立帳號，供行政人員 5 2能替新進之醫護人員（含醫師5 1、行政人員5 2 、護理人員5 3、藥购5 4及醫檢師5 5等）建立新 的帳號，以能進入醫療雲端主機上之醫療雲端資料伺服 器1 0内讀取資料，步驟十二s 1 2 :確認身份別，根 據不同的醫護人員來設定其身份及權限，步驟十三s丄 3:輸入個人基本資料，將醫護人員的個人資料打字輪 入，步驟十四S 1 4 :資料建入帳號，將醫護人員的個 人資料建入，以供讀取辨識，步驟十五s丄5 :產生帳 號憑證及憑證圖檔，藉以產生該醫護人員的辨識帳號憑 證及憑證圖檔，步驟十六S i 6 :寄送帳號憑證、憑證 圖檔及帳戶開通資訊，將該醫護人員所申請核准的帳號 憑證、憑證圖植及帳戶開通資訊寄給申請人，使能依據 所核准的帳號憑證、憑證圖檔及帳戶開通資訊來進入雲 端應用程式2 2之子程式2 2 1來操作進行病患醫療診 斷及記錄者。 而當有病患6 0前往醫院要看病診療時，其行政人 員5 2能透過平板電腦2 0先輸入行政人員5 2的帳號 表單編號A0101 第11頁/共42頁 201232495 及密碼’或是以個人電腦（pMobile Communications System (GSM), Integrated Packet Radio Service (GPRS), Low Power Mobile Phone System (pHs), Wireless Local Area Network (WLAN), Worldwide Interoperability for Microwave Access (wi = ΑΧ) or Wireless High-Fax System ( WI-FI), Broadband Code Division Multiplexing System (WCDMA) or High Speed Downlink Packet Access System (hs DPA), etc. for any upload or download, and the screen on the tablet 2 Q 2 3 It adopts a capacitive touch screen or a resistive touch screen. The capacitive touch screen is touch-operated by a finger. The resistive touch screen is provided with a stylus for touch point selection. The screen is 2 3 screens, and the operating system of the tablet 2 Q is operated by any of the A ndr 〇id system, i 〇s system, web 〇S system, Black Berry Tablet 〇S system or Wi nd 〇Ws system. Execution, in addition, a cloud application (We b App) 22 is provided in the tablet 20, and the cloud application (Web App) 2 2 includes a subroutine 2 2 1, and the sub-call 2 2 1 contains Operation Management Menu s 1 建立, establish electronic medical record home page Single 32 〇, 医才欢单单单S 3 0, medical order single s 4 0, prescription signing list § 5 给药, drug recording record menu S 6 0 or hospitalized medical record menu 3 7 〇, etc., so that different medical staff (including physicians 5 1. Administrative staff 5, nursing staff 5 3, pharmacist 5 4 and medical examiner 5 5, etc.) can enter the cloud application (We b Ap p ) 2 2 subroutine 2 2丄 for medical treatment according to their respective permissions Diagnosis and recording, and the cloud application (We b App) 22 is connected to the medical cloud data server 1〇 medical record option content database 1 1, and then enters the patient medical record data through the medical record option content database 1 1 Encrypted database 1 Form bat number A0101 2 Reading power page 9 / Total 42 pages 201232495 Child medical record 1 2 1, to be able to select medical record medical options on the tablet 2 Q, handwritten electronic medical record i 2 ! The electronic money i 2 i signing action, and the recorded text or option input on the screen 2 3 can be displayed on the electronic medical record 1 2 1 and uploaded back to the medical record of the medical cloud data server 1 The information is in the database of confidentiality 1 2 and when the medical behavior is completed, All the directors of the medical institution or the medical staff responsible for the medical treatment or the five recorded medical records can enter the medical «Terminal material (5) service g1 〇 medical record signing certification server 丨 3 to sign the certificate Authenticate the status of the electronic medical record 121 or any medical behavior is correct, not responsible. Another medical staff (including physician 51, administrative staff 52 'care staff 5 3, pharmacist 5 4 and medical examiner 55, etc.) in the mobile electronic medical record system operation method includes the following steps (as shown in Figure 2) : Step - S 1 · · Medical staff M connects to the medical cloud data server through the wireless communication device of the tablet computer; Step 2 S2: Different medical personnel select the sub-programs of the Cloud Lu application according to their respective permissions. Step 3 S 3: And select the electronic medical record from the patient's medical record data encryption database through the medical record of the medical record; Step 4: S4: Then through the steps of the cloud application subprogram to conduct medical diagnosis of the patient and Recording; and Step 5 S 5: After completing the medical diagnosis and recording, and returning the medical diagnosis and records to the medical cloud data server for storage. ▲This further includes step 6 S6: and through the medical record signing verification server H to sign the electronic medical record in the encrypted patient database data encryption database, and in the above step 4 Sd end application (Web Form No. A0101, page 10 / Total 42 pages 201232495 APP) 22 sub-program 丄 2 共有 total steps 10 s丄〇:, transport management menu, step 20 S2 〇: establish electronic medical record home page early, step 30: s 3 0 medical check single menu Steps 40·s 4 〇 嘱 嘱 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单 单For the different medical personnel to click on the operation, and the step 10 S 1 〇s to play the menu for the administrative staff 52 to click to enter, which step 10 S1 〇. The operation management menu contains the following steps (such as 3)), Step 10—S11: Create an account for the administrative staff to replace the new medical staff (including the physician 5 1 , the administrative staff 5 2 , the nursing staff 5 3 , the drug purchase 5 4 and the medical examiner 5 5, etc.) Create a new account to access the medical cloud host The medical cloud data server reads the data within 10, step 12 s 1 2: confirm the identity, set the identity and authority according to different medical personnel, step 13 s丄3: input personal basic information, will be medical care Person's personal data typing, step 14 S 1 4: The data is built into the account, and the personal data of the medical staff is built in for reading and identification. Step 15 s丄5: Generate account credentials and voucher files. In order to generate the identification account voucher and voucher file of the medical staff, step 16 S i 6: send the account voucher, the voucher image file and the account opening information, and the account voucher, the voucher and the account that the medical staff applied for approval. The opening information is sent to the applicant, and the user's medical diagnosis and recorder can be operated by entering the sub-program 2 2 1 of the cloud application according to the approved account voucher, voucher image and account opening information. When a patient enters the hospital for medical treatment, the administrator can enter the administrative staff member's account number form A0101 page 11/42 page 201232495 and password ' or Personal computer (p
白或筆記型電腦（NB )内的網頁澍覽器來連線輪 %铷入1圖未不），經驗證行政 人員5 2之憑證通過後’能透過雲端應用程式2 2來點 :子程式2 2 1步驟二十s 2 〇 :建立電子病歷首頁選 單而心驟一十S2〇:建立電子病歷首頁選單係包 含有下列步驟（如第4圖所示），步驟二—s 2丄：輸 入病患個人資料’首先輸入欲看病的病患6 0之個人資 料（含驗證健保卡資訊等），步驟二二s 2 2 :經演算 • 法產生電子病歷號碼’當輸入完個人資料後，透過内部 演算法來產生出該病患6 Q之電子病歷丄2 i號碼步 驟二三S 2 3 :產生電子病歷首頁，進而能產生出該病 患6 0之電子病歷1 2 1首頁，步驟二四s 2 4 :拋轉 給醤師，並同時能將該病患6 0之電子病歷1 2 1首頁 拋轉給欲看科別及醫師5丄的平板電腦2 〇中，使醫師 5 1能馬上知道有病患6 〇欲前往看診’使病患能馬上 接文泫醫師5 1之醫療診斷，其中該步驟二二s 2 2 : • 經演算法產生電子病歷號碼進一步產生有步驟二二一 S 221 :電子入院同意書’該步驟二二一S221 :電 子入院同意書係包含有步驟二二--S 2 2 1 1 :提供 給病患及家屬閱讀，讓病患6 〇及家屬能閱讀入院同意 書，知道一些入院的相關規定並希望能配合遵守，步驟 二二一二s 2 2 1 2 :病患及家屬於觸控螢幕上簽名， 當病患6 0及家屬看完後能於平板電腦2 〇上之觸控螢 幕2 3上簽名以示負責，步驟二二一三S2 2 1 3 ··產 生電子入院同意書，簽名後’能產生電子入院同意書給 病患6 0及家屬者。 表單蝙號A0101 第12頁/共42頁 201232495White or the web browser in the notebook (NB) to connect the line to the % of the picture. After verification, the administrator can pass the cloud application 2 2: subroutine 2 2 1 Step 20s 2 〇: Create an electronic medical record home page menu and focus on the top ten S2 〇: Create an electronic medical record home page menu contains the following steps (as shown in Figure 4), step two - s 2 丄: input Patient's personal data 'First enter the personal data of the patient who wants to see the disease (including the information on the health insurance card, etc.), step 22: 2 2: After the calculation, the method generates the electronic medical record number 'When the personal data is entered, Internal algorithm to produce the patient's 6 Q electronic medical record 丄 2 i number step two three S 2 3: generate electronic medical record home page, and then can generate the patient's 60 electronic medical record 1 2 1 home page, step two four s 2 4: Throw it to the sergeant, and at the same time, you can turn the patient's 60-year electronic medical record 1 2 1 home page to the tablet 2 欲 in the department and the physician 5 ,, so that the doctor 5 1 can immediately I know that there are patients 6 I want to go to the doctor's office, so that the patient can receive the doctor immediately. Diagnosis, wherein the step two two s 2 2: • The electronic medical record number generated by the algorithm is further generated by step two two one S 221: Electronic Admission Consent 'The Step Two Two One S221: The Electronic Admission Consent contains the second step Second--S 2 2 1 1 : Provided to patients and their families to read, so that patients and their families can read the admission agreement, know some hospital admission regulations and hope to cooperate with them, step 2 22 s 2 2 1 2: The patient and the family are signed on the touch screen. When the patient is 60 and the family members have finished reading, they can sign on the touch screen 2 on the tablet 2 to show responsibility. Step 2:23 S2 2 1 3 · · Generate an electronic admission consent form, after signature, 'can generate an electronic admission consent to the patient 60 and their family members. Form bat number A0101 Page 12 of 42 201232495
而當病患6 0需先經過簡單的醫療檢查（如抽血、 驗展液等），或經醫師5丄開立需醫療檢查項目（如照 X光、切片檢查等）來確認病情時，病患6 〇即可前往 檢驗所來進行檢驗，而醫檢師5 5能透過平板電腦2 〇 上的雲端應用程式2 2來點選子程式2 2 1步驟三+s 3 0 :醫檢單選單，或是以個人電腦（p c)或筆記型 電腦（NB)内的網頁瀏覽器來連線點選（圖未示）， 其中該步驟三十S 3 0 :醫檢單選單係包含有下列步驟 (如第5圖所示），步驟三一s 3 i :醫檢師取得病患 檢體，病患6 0將欲檢查之檢體交給醫檢師5 5或經由 醫檢師5 5來抽取所需驗證之檢體，步驟三二s 3 2 : 醫檢師登入醫檢單選單，而醫檢師5 5經驗證憑證通過 後進入醫檢單選單中，步驟三三s 3 3 :依檢體資料輸 入送檢醫院及病患電子病歷號碼，醫檢師5 5依病患6 0檢體資料上的送檢醫院及病患6 〇電子病歷丄2丄號 碼來輸入，步驟三四s 3 4 :產生醫檢單，使平板電腦 2 0上能產生該名病患6 0之醫檢單，步驟三五s 3 5 :依照醫檢單進行檢體檢驗，"檢師5 5能根據醫師 5 1所開立的醫檢單上所需檢驗項目來進行該病患6 〇 之檢體檢驗，步驟三六S 3 6 :獲得各項檢驗數據，醫 檢師5 5操作檢驗儀器來獲得各項檢驗數據，步驟三七 S 3 7 .將數據建立至醫檢單中，醫檢師5 5將獲得的 各項檢驗數據輸入至該病患6 〇之醫檢單中，步驟三八 S 3 8 ··醫檢師簽名，醫檢師5 5並於該病患6 〇之醫 檢單簽名以示負責，步驟三九S 39 :回存至醫療雲端 資料庫伺服器’將病患6 0之醫檢單完成後， 回存至醫 表單編號A0101 第13頁/共42頁 201232495 療雲端資料庫伺服器1 0，以供醫生5 1讀取判斷病情 者。 而當病患6 0前往預約之科別及診間等待，當護理 人員5 3叫到病患6 〇之號碼時，進入該診間來自述病 情給醫師5 1 了解，或者是病患6 0於住院時，醫師5 1至病房為病患6 〇診療’而護理人員5 3給予病患6 〇之電子病歷1 2 1讓醫師5 1 了解，使醫師5 1能了 解病患6 0之病情，而醫師5 1即透過平板電腦2 〇上When the patient is 60, he or she needs to go through a simple medical examination (such as blood drawing, test solution, etc.), or when the doctor needs to open a medical examination item (such as X-ray, biopsy, etc.) to confirm the condition. The patient can go to the laboratory for testing after 6 ,, and the medical examiner can select the subroutine through the cloud application 2 2 on the tablet 2 2 1 Step 3 + s 3 0 : Medical checklist The menu is either a personal computer (pc) or a web browser in a notebook computer (NB) to connect (not shown), wherein the step 30 S 3 0: the medical checklist includes the following Step (as shown in Figure 5), step 31 s 3 i: The medical examiner obtains the patient's specimen, and the patient 60 will hand over the specimen to be examined to the medical examiner 5 5 or via the medical examiner 5 5 To extract the sample of the required verification, step 32 2 s 3 2: The medical examiner logs into the medical examination list, and the medical examiner enters the medical examination list after passing the verification certificate, step three three s 3 3 : According to the data of the sample, the hospital and the patient's electronic medical record number are sent to the hospital. The medical examiner 5 is based on the patient's data. The patient's data is sent to the hospital and the patient 6 〇 electronic medical record 丄 2 Enter the number, step three or four s 3 4: Generate a medical checklist, so that the medical record of the patient can be generated on the tablet 20, step three five s 3 5: check the sample according to the medical checklist , "Inspector 5 5 can carry out the examination of the patient's 6 根据 according to the required test items on the medical checklist issued by the physician 51, step 36: S 3 6: obtain various test data, doctor The inspector 5 5 operates the inspection instrument to obtain the various inspection data, step three seven S 3 7 . The data is established into the medical examination list, and the medical examiner 5 inputs the various inspection data obtained to the patient 6 In the medical checklist, step 38: S 3 8 ·· The medical examiner signs, the medical examiner 5 5 and the medical checklist of the patient's 6 签名 sign to show responsibility, step 39 S 39: Return to the medical cloud The database server's completed the medical checklist of the patient's 60, and then returned to the medical form number A0101 page 13 / a total of 42 pages 201232495 therapeutic cloud database server 1 0, for the doctor 5 1 read to determine the condition By. When the patient 60 goes to the appointment department and the clinic, when the nursing staff 5 3 calls the patient's 6-digit number, the patient enters the clinic to learn from the doctor 5 1 or the patient 6 0 At the time of hospitalization, the physician 5 1 to the ward is the patient 6 〇 diagnosis and the nursing staff 5 3 to the patient 6 〇 electronic medical record 1 2 1 let the physician 5 1 understand, so that the physician 5 1 can understand the condition of the patient 60 And the physician 5 1 is through the tablet 2
的雲端應用程式22來點選子程式221步驟四十S4 〇 :醫囑單選單，或是以個人電腦（pc)或筆記型電 腦（NB)内的網頁瀏覽器來連線點選（圖未示），其 中該步驟四十S 4 〇 :醫囑單選單係包含有下列步驟（ 如第6圖所示），步驟四—S4 i :選取欲建入醫嘱單 之病患姓名’醫師5 1即點選於平板電腦2 〇上之病患 6 〇名單的姓名’以能閱讀該病患6 〇之醫囑單步驟The cloud application 22 selects the subroutine 221 step forty S4 〇: medical order single menu, or is connected by a web browser in a personal computer (pc) or a notebook computer (NB) (not shown) ), wherein the step forty S 4 〇: the doctor's radio menu contains the following steps (as shown in Figure 6), step four - S4 i: select the patient name to be built into the medical order 'Physician 5 1 The name of the 6-year-old patient on the tablet 2 is selected as a single-step procedure for reading the patient's 6-inch medical order.
四一S 4 2 :進入醫療雲端資料庫伺服器讀取病患資 而平板電腦2 〇即透過無線通訊裝置2 1來連線至 療雲端資料伺服器1〇之病患病歷資料加密資料庫i 内讀取該病患6Q之電子病歷121資料，步驟四三 4 3 ··建入醫囑及建入藥囑，醫師5 1係根據病患6 之病情’在病患6 0之電子病歷1 2 1上建入醫師5 敘述病情之醫囑及該病患6 Q所需服用藥物品名及 量之藥囑，步驟四四S44:產生醫喝單，依上述之 囑及藥囑來產生該病患"之醫嘱單，步驟四五S 4 1師簽名，醫師51並於該病患6〇之醫囑單簽名 示負責’而在上述之步驟二 表單編號地01 —4 3 ·建入醫囑進一步 第Μ頁/共42頁 201232495 3有步驟四三一一 4 3 1 1 :新增醫囑項目，步驟四三 —4 3 1 2 :設定開始曰期，醫師5 1可以於醫囑項 目上設定開始日期，步驟四三一三S 4 3 1 3 :設定結 東曰期’醫師5 1可以於醫囑項目上設定結束曰期，步 驟四二—四S4314:醫囑建立完成，醫師5丄完成 。玄病患6 〇之醫囑的建立，步驟四三一五S4 3 1 5 : 回存至醫療雲端資料庫伺服器，醫師5 i將完成之醫囑 回存至醫療雲端資料庫伺服器i 〇中，另該步驟四三一 S4311:新增醫囑項目進一步設有步驟四三二一 s43 2 1 :選擇醫囑項目及步驟四三三一gag 3 1 …、°玄項4囑可選取，而步驟四三二一 S4 3 2 1 :選 擇醫屬項目進—步包含有步驟四三二二S 4 3 2 2 :數 值設定，醫師5 1於醫囑中將相關的數值輸人，步驟四 二一 —^ j ^ 二 4 3 2 3 :建立相關數值，醫師5 i於醫囑中 建立相關的數值，步驟四三二四S 4 3 2 4 :完成，另 步驟四三三— 3 4 J 3 1 :無該項醫囑可選取進一步設 有步驟四三三二。^ 4332 :選取自建醫囑項目，醫師 51如於步驟四二： — — —S 4 3 3 1 :選擇醫囑項目中無 可選擇的項目的話， J以另選擇步驟四三三二§433 2:選取自建醫囑項目，Siyi S 4 2: Enter the medical cloud database server to read the patient's resources and the tablet computer 2 is connected to the cloud data server through the wireless communication device 2 1 to the patient's medical record data encryption database i Read the information of the patient's 6Q electronic medical record 121, step four three 4 3 ··into the doctor's advice and build the medicine, the doctor 5 1 is based on the condition of the patient 6 'in the patient's electronic medical record 1 2 1 Build a doctor 5 to describe the condition of the doctor and the patient's 6 Q need to take the name and amount of the drug, step 4:4 S44: generate a doctor's drink, according to the above mentioned sputum and medicine to produce the patient " The doctor's order, step four five S 4 1 division signature, the doctor 51 and the patient's medical record in the patient's 6 示 single sign is responsible for 'and in the above step 2 form number 01 - 4 3 · built into the doctor's page further / Total 42 pages 201232495 3 steps 4:41 1 3 1 1 : Add a medical order, step four three - 4 3 1 2: set the start period, the doctor 5 1 can set the start date on the doctor's item, step four Three one three S 4 3 1 3 : Set the end of the period of the 'Physician 5 1 can be set on the medical order 曰, Step forty-two - Four S4314: the doctor's advice is established, physicians 5 Shang complete. The establishment of the medical treatment of the 6-year-old patient, step 4:35, S4 3 1 5: Return to the medical cloud database server, and the physician 5 i will return the completed medical certificate to the medical cloud database server i. Another step of the four three one S4311: the new medical order project is further set up steps four three two one s43 2 1: select the medical order project and steps four three three one gag 3 1 ..., ° Xuan item 4 嘱 can be selected, and steps four three 21 S4 3 2 1 : Selecting the medical project step-by-step includes step 4:32 S 4 3 2 2: value setting, the physician 5 1 enters the relevant value in the doctor's order, step 4:21—^ j ^ 2 4 3 2 3 : Establish the relevant value, the physician 5 i establishes the relevant value in the doctor's order, step four three two four S 4 3 2 4: complete, another step four three three - 3 4 J 3 1 : no such The doctor's order can be further selected to have steps 4, 3, 32. ^ 4332: Select the self-built medical order program, the doctor 51 as in step 42: - S 4 3 3 1 : If there is no alternative item in the choice medical order, J choose another step four three three two § 433 2: Choose a self-built medical program,
來自仃輸入，步驟四三三三S 輸入4囑内容’而醫師5 1根據該病* 5 〇 之病情來輸入醫屬内容，步驟四H、50 醫囑成為選項，醫師 --四4 3 3 4 .該 成為新選項，步驟四：：議該病患6Q之醫嘱能 師5 1並可將該醫喝 ^ 4 3 3 5 :送交審核，醫From 仃 input, step four three three three S input 4 嘱 content 'and physician 5 1 according to the disease * 5 〇 condition to enter the medical content, step four H, 50 doctor's orders become an option, physician - four 4 3 3 4 This becomes a new option, Step 4:: The patient of the 6Q medical doctor can be 5 1 and can be sent to the doctor for treatment. 4 3 3 5 :
4336 ··完成 、X審核’步驟四三三六S 表單蝙號咖 该步驟四三S 4 3 :建立藥囑 第15頁/共42頁 201232495 進一步包含有步驟四三四— ，步驟四三四二“，4。 1 .新增藥嘱項目 —s 4 3 4 2 :設定開始日期， 可以於_項目上設定開始日期，步驟四三四 =定結束曰期’醫師51可W上設定 、" 步驟四二四四S 4 3 4 4 :藥囑4336 ··Complete, X-review' step four three three six S form bac number coffee step four or three S 4 3: establish medicine 嘱 page 15 / total 42 pages 201232495 further contains steps four three four -, step four three four Second ", 4. 1 . New drug 嘱 project - s 4 3 4 2 : Set the start date, you can set the start date on the _ item, step four three four = fixed end period 'Physician 51 can be set on, " ; Step 4 24 4 S 4 3 4 4 : Medicine
醫師51完成該病患6〇之藥嘱的建立，步驟四三四五 S 4 3 4 5 :回存至醫療雲端資料庫伺服器，醫師5 i 將完成之藥°屬回存至醫療雲端資料庫伺服器i 0中，而 心驟四_四-s 4 3 4 i :新增藥囑項目進—步設有 步驟四三五—S435l:選取藥品，醫師51根據病 患6 0之病情來決定需要用藥之藥品，該步驟四三五一 5 4 3 5 1 :選取藥品包含有步驟四三五二s 4 3 5 2 :選取服用途徑，醫師51可以根據病患60及病情來 決定樂品的服料徑為σ服或打針等方式，步驟四三五 三S 4 3 5 3 :選取服用頻率，醫師5丄可以根據病患 6 0之病情來決定藥品需要三餐前後服用、睡前服用或 -天-次等用藥頻率，步驟四三五四8 4 3 5 4 :選取 服用劑量’醫師51可以根據病患60之病情來決定藥 品給付的劑量，以確保不會用藥過量，步驟四三五五s 4 3 5 5 :完成’醫師5丄完成藥品之用藥後回存者。 當病患6 0看完醫師5 1後’其醫師5丄即嘱咐可 以前往領藥處領取藥品，或者是病患6〇於住院時由 護理人員5 3於領藥後依Μ給于住院病患6 〇服藥， 而領藥處之藥_5 4即透過平板電腦2 Q上的雲瑞應 用程式2 2來點選子程式2 2 1步驟五十s 5 〇 :處 藏選單，或是以個人電腦（PC)或筆記型電腦（Nb 表單编號A0I01 第16頁/共42頁 201232495 )内的網頁〉#彳覽器來連線點選（圖未示），其中該步驟 五十S 5 0 ·處方籤選單係包含有下列步驟（如第7圖 所示），步驟五一一S 5 1 1 :醫師確認無誤，當醫師 5 1開完病患後開立用藥之處方籤，步驟五一二$ 5 1 2 :醫師用印，醫師5 1確認處方籤無誤後即於處方籤 上簽名以不負責，步驟五一三S 5 1 3 :送至藥劑師， 醫師5 1簽名後之處方籤即拋轉到領藥處之藥劑師5 4 之平板電腦2 0上’而步驟五一四s 5丄4 :藥劑師登Physician 51 completes the establishment of the drug 〇6 of the patient, step 4:34, S 4 3 4 5: restores to the medical cloud database server, and the physician 5 i restores the completed drug to the medical cloud data. The library server i 0, and the heart of the four _ four-s 4 3 4 i: the new drug 嘱 project step-by-step step 435-S435l: select the drug, the doctor 51 according to the condition of the patient 60 Decide on the medicine you need to take medicine. Step 4:35 5 4 3 5 1 : Select the medicine to include the steps 4:35 s 4 3 5 2: Select the route of administration, the doctor 51 can decide the music according to the patient 60 and the condition. The dressing diameter is σ clothing or injection, etc. Step 4 3 5 3 S 4 3 5 3 : Select the frequency of taking, 5 医师 doctor can decide the medicine needs to take before and after three meals, take before bedtime according to the condition of the patient 60 Or-day-time medication frequency, step four three five four 8 4 3 5 4: select the dose of 'physicist 51 can determine the dose of medicine according to the condition of the patient 60 to ensure that the drug will not be overdose, step four three Five Five S 4 3 5 5 5 : Complete the 'Physician 5' to return the drug after completing the drug. When the patient is 60, after seeing the doctor 5 1 'the doctor is 5, he can go to the drug-collecting department to get the medicine, or the patient 6 is in the hospital, the nursing staff 5 3 after the medicine is given to the hospitalized disease. Suffering 6 〇 medication, and taking the medicine _5 4 through the cloud 2 application on the tablet 2 Q to select the subroutine 2 2 1 step 50 s 5 〇: the collection menu, or Pages in the personal computer (PC) or laptop (Nb form number A0I01 page 16 / page 423232495) > #彳器 to connect to the line (not shown), where the step 50 S 5 0 · The prescription checklist contains the following steps (as shown in Figure 7), Step 5:1 S 5 1 1: The doctor confirms that it is correct, and when the physician opens the patient after the patient opens the patient, the procedure is as follows: Step 5 One or two $ 5 1 2: Physician prints, the doctor 5 1 confirms that the prescription is signed and signed on the prescription card is not responsible, step 513 S 5 1 3: sent to the pharmacist, physician 5 1 sign after the sign That is, the pharmacist of the pharmacist 5 4 on the tablet computer is on the '0' and the step is five four s 5丄4: the pharmacist
入系統，其該藥劑師5 4能透過平板電腦2 〇輸入其帳 號及密碼來認證’步驟五—5丄5 :輸入藥劑師姓 名，而藥劑師5 4需輸入本身之姓名，步驟五—六s 5 1 6 .驗s登藥劑師身份’透過醫療雲端資料庫词服器1 0來驗證藥劑師5 4身份，步驟五一七s 5 1 7 ·正確Into the system, the pharmacist can enter the account number and password to authenticate through the tablet 2 ' 'Step 5 - 5 丄 5: Enter the name of the pharmacist, and the pharmacist 5 4 must enter its own name, step five - six s 5 1 6 .Check s pharmacist identity 'Verify the pharmacist 5 4 identity through the medical cloud database vocabulary machine 10, step 517 s 5 1 7 · Correct
與否，並確認該名藥劑師5 4是否正確，步驟五一八S 5 1 8 ·顯示需配藥之處方籤，而通過後，即能於平板 電腦2 0上顯示出病患6 〇所需配藥之處方藏，步驟五 九S5 1 9 .選取處方籤，而藥劑師54即可點取要 騎配藥之處謂，步驟五二零s 5 2 Q :依處方藏配 藥’藥劑師5 4根據處方籤上的藥品選項來拿去藥品， 步驟五二-s 5 2 i :綠認配藥無誤，而藥劑師$ 4確 認配藥後，依據服用頻率來包裹藥品成—包狀，步驟五 二二S 5 2 2 :處方藏藥劑師簽名用印，而藥劑師5 4 、配好藥之處方籤上簽名以示負責，步驟五二三$ $ 2 3 ·回存至醫療雲端資料庫伺服器，藥劑師“將病·Whether or not, and confirm whether the pharmacist 5 4 is correct, step 518 S 5 1 8 · display the sign where the drug needs to be dispensed, and after passing, it can show the patient 6 〇 on the tablet 20 Where the medicine is stored, step 5:9 S5 1 9 . Select the prescription, and the pharmacist 54 can take the place to take the medicine. Step 5:20s 5 2 Q: According to the prescription, the pharmacist 5 4 The drug option on the prescription is taken to get the medicine, step 52-s 5 2 i: the green medicine is correct, and the pharmacist $4 confirms the medicine, according to the frequency of taking the medicine into a package, step 5 22 S 5 2 2 : The signature pharmacist signature is printed, and the pharmacist 5 4, the prescription is signed to show responsibility, step 5 23 3 $ 2 3 ·Restore to the medical cloud database server, pharmacist "The disease will be
6 〇之處方籤完成配藥後，即回存至醫療雲端資料相 服器1〇中者。 了坪1J 表單編號A0101 第17頁/共42頁 2012324956 After the completion of the dispensing, the person will return to the medical cloud data server.坪1J Form No. A0101 Page 17 of 42 201232495
而領藥處之護理人員5 3於藥劑師5 4配好藥後， 即可通知病患6 C)前來領取藥品，或者是通知負責病房 照顧病患6 0之護理人員5 3來領取藥品，而領藥處之 護理人員5 3即可透過平板_2 Q上的雲端應用程式 ^ 2來點選子程式2 2丄步驟六+s 6 〇 :給藥記錄選 單’或是以個人電腦（PC)或筆記型電腦（Nb)内 的肩頁來!覽器來連線點選（圖未示），其中該步驟六十 s 6 〇 :給藥記錄選單係包含有下列步驟（如第8圖所 下）’步驟六一S611:護士登人系統’該領藥處 之護理人員5 3登人雲端應用程式2 2内，步驟六一二 s 6 1 2 :輸人護士姓名，該護理人貴5 3並輸入其姓 名及編號，步驟六-三s 6 1 3 :檢驗護士身份，透過 醫療雲端資料庫伺服器上0來驗證護理人員5 3的身份 ’步驟六iS 6 1 4 :正確與否，並確認該名護理人 員5 3是否正確’步驟六一6丄5 :顯示病患姓名 及電子病歷，而通過後，即能於平板電腦2 〇上顯示出 病患6 0姓名及電子病歷i 2丄，步驟六一六s 6工6 :選取欲建立給藥記錄單之病患，而護理人員5 3能點 選名人建立給藥記錄單之病患6 0，步驟六一七§ 6 1 7 :於該班別用印，護理人M 5 3於當班之班別上來用印 以示負責，步驟六一八s 6丄8 :給藥記錄單，並於給 藥6己錄單上確認，並核對藥包上之資料是否正確，步驟 六一九S 6 1 9 :領藥與否，而護理人員5 3判斷是否 能給病患6 0領取藥包，步驟六二零s 6 2 〇 :護士領 藥’而護理人員5 3確認領取藥包後發給病患6 〇來攜 帶回家服用，步驟六二—S621 :護士於處方藏用印 表單编號A0101 第18頁/共42頁 201232495 ’護理人員於5 3發完藥包後於處方^上用印以示負責 ’步驟六-二S 6 i 2 :護士於給藥記錄單用印，而護 理人員5 3再於給藥記錄單上用印以示負責者 而病患6 0如經過醫師5 1於診間診斷後，發現病 患6 〇病情嚴重需要立即住院㈣或進行治療時，其醫 師5 1即可透過平板電腦2 〇上的雲端應用程式2 2來The nursing staff of the drug-receiving department can notify the patient 6 C) to receive the medicine after the pharmacist 5 4 is equipped with the medicine, or notify the nursing staff in charge of the patient in the ward to receive the medicine. The caregiver at the drugstore can use the cloud application 2 on the tablet_2 to select the subroutine 2 2丄Step 6+s 6 〇: Drug Recording Menu' or a personal computer ( PC) or the shoulder computer in the notebook computer (Nb)! Click on the browser to view the connection (not shown), where the step is sixty s 6 〇: the medication record menu contains the following steps (such as the 8th In the figure below, 'Step 6: S611: Nurse's Personnel System', the nursing staff of the drugstore 5 3, the cloud application 2 2, step 612 s 6 1 2: the name of the nurse, the caregiver Expensive 5 3 and enter its name and number, step six-three s 6 1 3: check the identity of the nurse, verify the identity of the nursing staff 5 3 through the medical cloud database server on the server's step six iS 6 1 4: correct with No, and confirm whether the caregiver 5 3 is correct' Step 6:6丄5: Display the patient's name and electronic medical record, and pass It can display the patient's name and electronic medical record i 2丄 on the tablet 2, step 6:16 s 6 work 6: select the patient who wants to establish the medication record, and the nursing staff can The selected person establishes the medication record form of the patient 60. Step 6:17 § 6 1 7: In the class, the caregiver M 5 3 is in charge of the class on duty and is responsible for the printing, step 6:18 s 6丄8: The medication record form is confirmed on the 6-individual record, and the information on the medicine package is checked. Step 6:19 S 6 19: Whether the medicine is taken or not, and the nursing staff 5 3 judge whether Can receive the drug pack for the patient 60, step six 20s 6 2 〇: the nurse takes the medicine' and the nursing staff 5 3 confirms that the medicine pack is sent to the patient 6 〇 to carry it home, step 62 - S621 : Nurse in the prescription for the use of printed form number A0101 page 18 / a total of 42 pages 201232495 'Nursing staff in the 5 3 after the completion of the drug pack on the prescription ^ printed with the responsibility of 'step six-two S 6 i 2: nurses give The medication record is printed, and the caregiver 5 3 is printed on the medication record to show the person in charge and the patient is 60. When the disease was found suffering from severe illness requiring hospitalization 6 billion or (iv) be treated immediately, it can be through the physician 51 cloud applications on tablets 2 billion to 22
點選子程式221步驟七+S7〇:住院病歷選單，或 是以個人電腦（PC)或筆記型電腦（NB)内的網頁 劉覽器來連線點選（圖未示），其中該步驟七十S70 :住院病歷選單係包含有下列步驟（如第9圖所示）， 步驟七—S7 1 1 :醫師登入系統，該名看診醫師5 1即可登入雲端應用程式2 2内，步驟七一二s 7 1 2 :輸入醫師姓名’該醫師5丄並輸入其姓名及編號，步 驟七一三S 7 1 3 :驗證醫師身份，透過醫療雲端資料 庫伺服器1 0來驗證醫師5 1的身份，步驟七—四s 7Click on the subroutine 221 Step 7 + S7〇: Inpatient medical record menu, or click on the web browser in the personal computer (PC) or laptop (NB) (not shown), where the step Seventy S70: The inpatient medical record menu contains the following steps (as shown in Figure 9), Step 7 - S7 1 1 : The physician logs into the system, the visiting doctor 5 1 can log into the cloud application 2 2, steps七 s 7 1 2 : Enter the doctor's name 'The doctor 5 丄 and enter its name and number, step 713 S 7 1 3: verify the identity of the physician, verify the physician through the medical cloud database server 10 1 Identity, steps VII - 4 s 7
1 4 :正確與否，並確認該名醫師5 i是否正破步驟 七一五S 7 1 5 :顯示所有病患姓名及病歷號碼，於平 板電腦2 0上顯示出目前看診之所有病患6 〇姓名及電 子病歷1 2 1號碼’步驟七—六s 7工6 :選取欲建立 住院病歷之病患姓名，於平板電腦2 〇上點選該名病患 6 0之姓名，以建立該名病患6 ◦之住院病歷，步驟七 一七S 7 1 7 :進入醫療雲端資料庫伺服器讀取電子病 歷，而平板電腦2 G即連線至醫療雲端資料耗服器丄 0内讀取該名病患6〇之電子病歷121，步驟七一八 S 7 1 8 ·產生住院病歷，進而能產生該名病患6 〇之 住院病歷，步驟七—九s 7丄9 :醫師輸入主訴，而醫 201232495 師5 1並於該名病患6 0之住院病歷上輸入該名病患6 0之診斷病情，步驟七二零S 7 2 0 :醫師輸入病史資 料’而醫師5 1並於該名病患6 0之住院病歷上輸入該 名病患6 0之病史資料，步驟七二一 S 7 2 1 :醫師開 立檢驗單，如該名病患6 0需進一步進行檢驗的話，醫 師5 1即開立檢驗單以能進行相關之檢驗，步驟七二二 S 7 2 2 2 ·取得檢驗資料，而經過相關之檢驗後，來 取得該名病患6 0之檢驗數據，步驟七二三s 7 2 3 : 醫師建立診斷’而醫師5 1根據該名病患6 0之檢驗數 據來診斷病情及病因，步驟七二四S 7 2 4 ··醫師建立 治療計劃’而醫師5 1根據診斷出來的病情及病因，來 擬定對該名病患6 〇最好的治療計劃，步驟七二五§ 7 2 5 ·醫師確認完成住院病歷’擬出治療計劃後即完成 該名病患6 0之住院病歷，步驟七二六s 7 2 6 :醫師 於病患住院病歷簽名，而醫師5 i於住院病歷上簽名用 印以示負責，步驟七二七S 7 2 7 :回存至醫療雲端資 料庫伺服器，而醫師5 1將病患之住院病歷擬出治療計 劃後，即回存至醫療雲端資料庫伺服器丄〇中者。 由以上可知，以本發明之系統及其操作方法，具有 如下之優點： 1、 透過醫護人員以平板電腦來進行醫療行為之進行或 點選，使能快速提供診斷醫療服務，並提昇醫療效率， 進而增加整體之實用性者。 2、 因此能降低各區域醫院、地區教學醫院或地區醫院 的電子病歷使用之建置成本，進而能降低營運成本，並 提昇醫療效率者。 表單編號A0101 第20頁/共42頁 201232495 3、並透過彈性的醫療雲端模式，可快速佈建置至各區 域醫院、地區教學醫院或地區醫院’使醫護人員能快速 操作進行醫療行為及醫療過程之記錄者。 藉由以上詳細說明，可使熟知本項技藝者明瞭本發明的 確可達成前述目的，已符合專利法之規定，爰提出專利 申請。 惟以上所述者，僅為本發明之較佳實施例而已，當 不能以此限定本發嫩之範圍；&，凡蝴，日月申：1 4 : Correct or not, and confirm whether the doctor 5 i is breaking the step VII S 7 1 5 : Display all patient names and medical record numbers, and display all the patients currently seen on the tablet 20 6 〇 Name and electronic medical record 1 2 1 number 'Step 7 - 6 s 7 6: Select the name of the patient who wants to establish the inpatient medical record, click on the name of the patient 60 on the tablet 2 to create the name Inpatient hospitalization of 6 patients, step 7:17 S 7 1 7: Enter the medical cloud database server to read the electronic medical record, and the tablet 2 G is connected to the medical cloud data consumption device 丄0 to read The patient's 6-year electronic medical record 121, step 718 S 7 1 8 · Generated a hospitalized medical record, which can produce a hospitalized medical record of the patient's 6 ,, step VII s 7 丄 9: the doctor enters the complaint, And the doctor 201232495 Division 5 1 and the patient's medical record of 60 patients entered the diagnosis of the patient's condition 60, step 7:20S 7 2 0: the physician entered the medical history data and the physician 5 1 Enter the medical history of the patient's medical history on the hospitalized medical record of 60 patients, step 7:21 S 7 2 1 : Open the inspection form. If the patient is required to conduct further tests, the physician will open a checklist to perform the relevant test. Step 7 22 S 7 2 2 2 · Obtain the test data and pass the relevant After the test, to obtain the test data of the patient 60, step 7 23 s 7 2 3: the physician establishes the diagnosis 'and the doctor 5 1 according to the test data of the patient to diagnose the disease and the cause, the steps七七四S 7 2 4 ··Physician establishes a treatment plan' and the physician 5 1 draws the best treatment plan for the patient according to the diagnosed condition and cause, step 7 25 § 7 2 5 · The doctor confirms that the inpatient medical record is completed. After the treatment plan is prepared, the hospitalized medical record of the patient is completed. Step 7:26 s 7 2 6: The doctor signs the patient's medical record, and the physician 5 i signs the medical record on the hospitalized medical record. Responsible for the decision, step 7:27 S 7 2 7: Return to the medical cloud database server, and the physician 51 will return the patient's medical record to the medical cloud database server after the patient's medical record is prepared. Those who are in the middle. It can be seen from the above that the system of the present invention and the method of operating the same have the following advantages: 1. Performing or selecting medical treatments by using medical personnel through a tablet computer, enabling rapid provision of diagnostic medical services and improving medical efficiency. Then increase the overall practicality. 2. Therefore, it can reduce the construction cost of electronic medical records used in hospitals, regional teaching hospitals or regional hospitals in various regions, thereby reducing operating costs and improving medical efficiency. Form No. A0101 Page 20 of 42 201232495 3, and through the flexible medical cloud mode, can be quickly deployed to hospitals, regional teaching hospitals or regional hospitals in various regions' so that medical staff can quickly operate for medical behavior and medical procedures The recorder. From the above detailed description, it will be apparent to those skilled in the art that the present invention can achieve the aforesaid purpose, and the patent application is in accordance with the provisions of the patent law. However, the above is only a preferred embodiment of the present invention, and it is not possible to limit the scope of the present invention; &
[0005] 專利範圍及說明書内容所作之簡單的等效變化與修飾， 皆應仍屬本發明專利涵蓋之範圍内。 ,圓八間皁說明】 第1圖為本發明之系統架構示意圖。 第2圖為本發明之操作方法之步驟示意圖。 第3圖為本發明之營運管理選單之步驟示意圖。 第4圖為本發明之建立電子絲首㈣單之步驟示意圖 0 • 第5圖為本發明之醫檢單選單之步驟示意圖。 第6圖為本發明之醫囑單選單之步驟示意圖。 第7圖為本發明之處方籤選單之步驟示意圖。 第8圖為本發明之給藥記錄選單之步驟示意圖 第9圖為本發明之住院病歷選單之步驟示意圖 【主要元件符號說明】 [_] 1 0、醫療雲端資料伺服器 11、病歷醫護選項内容資料庫 1 2、病患病歷資料加密資料庫[0005] The simple equivalent changes and modifications made by the scope of the patent and the contents of the specification are still within the scope of the invention. Description of the round eight soaps Figure 1 is a schematic diagram of the system architecture of the present invention. Figure 2 is a schematic diagram showing the steps of the method of operation of the present invention. Figure 3 is a schematic diagram showing the steps of the operation management menu of the present invention. Fig. 4 is a schematic view showing the steps of establishing an electronic wire head (four) in the present invention. 0 • Fig. 5 is a schematic view showing the steps of the medical examination single menu of the present invention. Figure 6 is a schematic view showing the steps of the medical order single list of the present invention. Figure 7 is a schematic diagram of the steps of the checklist of the invention. Figure 8 is a schematic view showing the steps of the medication recording list of the present invention. Figure 9 is a schematic diagram of the steps of the inpatient medical record menu of the present invention. [Key element symbol description] [_] 1 0, medical cloud data server 11, medical record medical option content Database 1 2, patient medical record data encryption database
表單編號A010I 第21頁/共42頁 201232495 1 2 1、電子病歷 1 3、病歷簽核認證伺服器 2 〇、平板電腦Form No. A010I Page 21 of 42 201232495 1 2 1. Electronic medical record 1 3. Medical record-certification server 2 〇, tablet
2 1、無線通訊裝置 2 2、雲端應用程式 2 2 1、子程式 2 3、螢幕 5 1、醫師 5 2、行政人員 5 3、護理人員 5 4、藥劑師 5 5、醫檢師 6 〇、病患 S 1、步驟一：醫護人員透過平板電腦之無線通訊裝置 連線至醫療雲端資料伺服器内2 1. Wireless communication device 2 2. Cloud application 2 2 1. Subprogram 2 3, screen 5 1 , physician 5 2, administrative staff 5 3, nursing staff 5 4, pharmacist 5 5, medical examiner 6 〇, Patient S 1. Step 1: The medical staff connects to the medical cloud data server through the wireless communication device of the tablet computer.
=2'步驟二：而不同醫護人員依各自權限點選進入雲 端應用程式之子程式内進行操作 S 3、步驟三：並透過病歷醫護選項内容資料庫來進入 病患病歷資料加密資料庫内讀取電子病歷 、步驟四4透過雲端應錄式之子程式的步驟來 進行病患醫療診斷及記錄 S 5 '步驟五：完Μ療診斷及記錄後，並《療診斷 及°己錄回存至醫療雲端資料舰器中儲存 S 6、步驟六：並透過錢簽核認證储H來簽核切、證 病患病歷資料加密資料庫内之電子病Μ “ s1〇、步驟十：營運管理選單 表單編號A0101 第22頁/共42頁 201232495 s11、步驟十一：建立帳號 S12'步驟十二：確認身份別 S 1 3、步驟十三：輸入個人基本資料 S 1 4、步驟十四：資料寫入建入帳號 S 1 ς D、步驟十五：產生帳號憑證及憑證圖檔 5 1 λ 步驟十六：寄送帳號憑證、憑證圖檔及帳戶開 通資訊給申請人 s 2 0、步驟二十：建立電子病歷首頁選單 _ s 21、步驟二一：輸入病患個人資料 s 2 2、步驟二二：經演算法產生電子病歷號碼 S221、步驟二二一：電子入院同意書 S 2 2 1 1、步驟二二 ：提供給病患及家屬閱讀 S 2 2 1 2、步驟二二一二：病患及家屬於觸控螢幕上 簽名 S2213、步驟二二一三：產生電子入院同意書 S 2 3、步驟二三：產生電子病歷首頁 φ S24、步驟二四：拋轉給醫師 S 3 0、步驟三十：醫檢單選單 S 3 1、步驟三一：醫檢師取得病患檢體 S 3 2、步驟三二：醫檢師登入醫檢單選單 S 3 3、步驟三三：依檢體資料輸入送檢醫院及病患電 子病歷號碼 S 34、步驟三四：產生醫檢單 S 3 5、步驟三五：依照醫檢單進行檢體檢驗 S 3 6、步驟二六·獲得各項檢驗數據 S 3 7、步驟三七：將數據建立至醫檢單中 表單編號A0101 第23頁/共42頁 201232495 S 3 8、步驟三八：醫檢師簽名 S 3 9、步驟三九：回存至醫療雲端資料庫伺服器 S 4 0、步驟四十：醫囑單選單 S 4 1、步驟四一：選取欲建入醫囑單之病患姓名 S 4 2、步驟四二··進入醫療雲端資料庫伺服器讀取病 患資料 S 4 3、步驟四三：建入醫囑及建入藥囑 S 4 3 1 1、步驟四三——：新增醫囑項目 S 4 3 1 2、步驟四三一二：設定開始曰期 S 4 3 1 3、步驟四三一三：設定結束曰期 S43 1 4、步驟四三一四：醫囑進立完成 S4 3 1 5、步驟四三一五：回存至醫療雲端資料庫伺 服器 54321、 步驟四三二一：選擇醫囑項目 54322、 步驟四三二二：數值設定 S 4 3 2 3、步驟四三二三：建立相關數值 S4324、步驟四三二四··完成 S4 3 3 1、步驟四三三一：無該項醫囑可選取 54332、 步驟四三三二：選取自建醫囑項目 54333、 步驟四三三三：輸入醫囑内容 S 4 3 3 4、步驟四三三四：該醫囑成為選項 54335、 步驟四三三五：送交審核 54336、 步驟四三三六：完成 S 4 3 4 1、步驟四三四一 ··新增藥囑項目 S 4 3 4 2、步驟四三四二：設定開始曰期 S 4 3 4 3、步驟四三四三：設定結束曰期 表單編號A0101 第24頁/共42頁 201232495 S 4 3 44、步驟四三四四：藥囑建立完成 S 4 3 4 5、步驟四三四五：回存至醫療雲端資料庫伺 服器 S43 5 1、步驟四三五一：選取藥品 S4352 '步驟四三五二··選取服用途徑 S4 3 5 3、步驟四三五三：選取服用頻率 S 4 3 5 4、步驟四三五四：選取服用劑量 S4355、步驟四三五五：完成 S44、步驟四四：產生醫囑單 S 4 5、步驟四五：醫師簽名 S 5 0、步驟五十：處方籤選單 S 5 1 1、步驟五--：醫師確認無誤 S 5 1 2、步驟五一二：醫師用印 S 5 1 3、步驟五一三：送至藥劑師 S 5 1 4、步驟五一四：藥劑師登入系統 S 5 1 5、步驟五一五：輸入藥劑師姓名 S 5 1 6、步驟五一六：驗證藥劑師身份 S 5 1 7、步驟五一七：正確與否 S 5 1 8、步驟五一八：顯示需配藥之處方籤 S 5 1 9、步驟五一九：選取處方籤 S 5 2 0、步驟五二零：依處方籤配藥 S 5 2 1、步驟五二一：確認配藥無誤 S 5 2 2、步驟五二二：處方籤藥劑師簽名用印 S 5 2 3、步驟五二三··回存至醫療雲端資料庫伺服器 S 6 0、步驟六十：給藥記錄選單 S 6 1 1、步驟六--：護士登入系統 表單編號A0101 第25頁/共42頁 201232495 S 6 1 2、步驟六一二：輸入護士姓名 S 6 1 3、步驟六一三：檢驗護士身份 S6 14、步驟六一四：正確與否 S 6 1 5 '步驟六一五：顯示病患姓名及電子病歷 S 6 1 6、步驟六一六：選取欲建立給藥記錄單之病患 S 6 1 7、步驟六一七：於該班別用印 S 6 1 8、步驟六一八：給藥記錄單 S 6 1 9、步驟六一九：領藥與否 S 6 2 0、步驟六二零：護士領藥 S 6 2 1、步驟六二一：護士於處方籤用印 S622、步驟六二二：護士於給藥記錄單用印 S 7 0、步驟七十··住院病歷選單 S 7 1 1、步驟七·--:醫師登入系統 S 7 1 2、步驟七一二：輸入醫師姓名 S 7 1 3、步驟七一三：驗證醫師身份 S714、步驟七一四：正確與否 S 7 1 5、步驟七一五：顯示所有病患姓名及病歷號碼 S 7 1 6、步驟七一六：選取欲建立住院病歷之病患姓 名 S 7 1 7、步驟七一七：進入醫療雲端資料庫伺服器讀 取電子病歷 S 7 1 8、步驟七一八：產生住院病歷 S 7 1 9、步驟七一九··醫師輸入主訴 S 7 2 0、步驟七二零·醫師輸入病史資料 S 7 2 1、步驟七二一：醫師開立檢驗單 S 7 2 2、步驟七二二：取得檢驗資料 表單編號A0101 第26頁/共42頁 201232495 S 7 2 3、步驟七二三：醫師建立診斷 S 7 2 4、步驟七二四：醫師建立治療計劃 S 7 2 5、步驟七二五：醫師確認完成住院病歷 S 7 2 6、步驟七二六：醫師於病患住院病歷簽名 S 7 2 7、步驟七二七：回存至醫療雲端資料庫伺服器=2'Step 2: Different medical personnel select the sub-programs of the cloud application according to their respective permissions to operate S 3, step 3: and enter the patient medical record data encryption database through the medical record option content database. The electronic medical record, step 4 4, through the steps of the cloud-based sub-program to conduct medical diagnosis and record of the patient S 5 'Step 5: After the diagnosis and recording of the treatment, and the diagnosis and the recorded record back to the medical cloud Store the data in the ship S 6 , Step 6: and sign the certificate and verify the electronic disease in the encrypted database of the patient's medical record data through the money signing certification. “ s1〇, Step 10: Operation Management Menu Form No. A0101 Page 22 of 42 201232495 s11, Step 11: Create Account S12' Step 12: Confirm Identity S 1 3, Step 13: Enter Personal Basic Information S 1 4, Step 14: Data Write Account S 1 ς D, Step 15: Generate account voucher and voucher file 5 1 λ Step 16: Send account voucher, voucher file and account opening information to applicant s 2 0, Step 20: Create an electronic Calendar home page menu _ s 21, step 21: input patient's personal data s 2 2, step 22: through the algorithm to generate electronic medical record number S221, step 2 21: electronic admission consent S 2 2 1 1, step two 2: Provided to patients and their families to read S 2 2 1 2, Step 2 22: Patients and their families belong to the touch screen signature S2213, Step 2:23: Generate electronic admission consent S 2 3, Step 2 Third: generate electronic medical record home page φ S24, step two four: throw to the doctor S 3 0, step thirty: medical checklist S 3 1, step three: the medical examiner obtains the patient sample S 3 2, steps 32: Medical examiner login medical checklist S 3 3, step three three: according to the sample data input to the hospital and patient electronic medical record number S 34, step three four: generate medical checklist S 3 5, step three V: Checking the sample according to the medical checklist S 3 6. Step 2 6. Obtain the test data S 3 7. Step 37: Establish the data to the medical checklist Form No. A0101 Page 23 / Total 42 Page 201232495 S 3 8. Step 38: Medical examiner's signature S 3 9. Step 39: Return to medical treatment Cloud database server S 4 0, step 40: medical order single S 4 1, step 4: select the patient name to be built into the medical order S 4 2, step 4 2 · enter the medical cloud database server Read patient data S 4 3, step four three: build into the doctor's advice and build medicine 嘱 S 4 3 1 1 , step four three -: add medical order S 4 3 1 2, step four three one two: set start S 4 3 1 3, Step 4 3:3: Set the end of the period S43 1 4, Step 4: 3: 4: The medical order is completed S4 3 1 5, Step 4:35: Return to the medical cloud database Server 54321, Step 4:32: Select the medical order item 54322, Step 4322: Value setting S 4 3 2 3, Step 4 3 2 3: Establish the relevant value S4324, Step 4 3 2 4 · Complete S4 3 3 1. Step 4: 3: If you do not have this order, you can choose 54332, Step 4:32: Select Self-built Medical Item 54433, Step 4 3 3: Enter the medical order content S 4 3 3 4, Step 4 3 3 4 : The doctor's order becomes option 54335, step four three three five: sent to review 54436, step four three Six: Complete S 4 3 4 1、Step 4 3 4··Additional Drugs Project S 4 3 4 2. Step 4 3 4: Set Start Period S 4 3 4 3, Step 4 3 4: Set Ending Form No. A0101 Page 24 / Total 42 Pages 201232495 S 4 3 44, Step 4 3 4: Completed the Medicines S 4 3 4 5, Step 4 3 4: Return to the Medical Cloud Database Server S43 5 1. Step 4:35: Select the drug S4352 'Step 4 3 5 · Select the route of administration S4 3 5 3, Step 4 3 5: Select the frequency of taking S 4 3 5 4, Step 4 3 5: Select the dose S4355, step four three five five: complete S44, step four four: generate medical order S 4 5, step four five: physician signature S 5 0, step fifty: prescription signing list S 5 1 1, step five - -: The doctor confirms that there is no error S 5 1 2. Step 5: 2: Doctor prints S 5 1 3, Step 5:3: Send to pharmacist S 5 1 4, Step 5:4: Pharmacist login system S 5 1 5, Step 5:5: Enter the name of the pharmacist S 5 1 6. Step 5:6: Verify the identity of the pharmacist S 5 1 7, Step 5:7: Correct No S 5 1 8. Step 5:8: Display the sign of the need to dispense S 5 1 9, Step 5:9: Select the prescription S 5 2 0, Step 5:20: According to the prescription, the medicine S 5 2 1 521: Confirm that the dispensing is correct S 5 2 2. Step 5: 2: Prescribe the pharmacist signature S 5 2 3, Step 5 2 3··Restore to the medical cloud database server S 6 0, step 60 : Drug Recording Menu S 6 1 1 , Step 6 --: Nurse Login System Form No. A0101 Page 25 / Total 42 Pages 201232495 S 6 1 2. Step 6: 2: Enter Nurse Name S 6 1 3, Step 6 III: Test nurse identity S6 14、Step 6:4: Correct or not S 6 1 5 'Step 6:5: Display the patient's name and electronic medical record S 6 1 6, Step 6:6: Select to establish the medication record The patient S 6 17 7. Step 6:7: Print in the class S 6 1 8, Step 6:8: Drug Recording Form S 6 1 9, Step 6:9: Drugs or not S 6 2 0 Step 6:20: Nurses take medicine S 6 2 1 , Step 6:1: Nurses use S622 for prescriptions, Step 6 22: Nurses use the medication records S 7 0, Step 70 · Inpatient medical record menu S 7 1 1 , Step 7 ·--: Physician login system S 7 1 2. Step 712: Enter the doctor's name S 7 1 3, Step VII: Verification Physician identity S714, step 714: correct or not S 7 1 5, step VII: display all patient names and medical record numbers S 7 1 6, step 716: select the patient name to establish the inpatient medical record S 7 1 7. Step VII: Enter the medical cloud database server to read the electronic medical record S 7 1 8 , Step 718: Generate the hospitalized medical record S 7 1 9 , Step 7:19 · Physician input complaint S 7 2 0, Step VII20 · Physician input medical history data S 7 2 1 , Step 7 21: Physician open inspection form S 7 2 2, Step 7 22: Obtain inspection data Form No. A0101 Page 26 / Total 42 Page 201232495 S 7 2 3, Step 7:3: Physician establishes diagnosis S 7 2 4, Step 7 24: Physician establishes treatment plan S 7 2 5, Step 7 25: Physician confirms completion of inpatient medical record S 7 2 6 , Step 7 2 Six: doctor in the hospital inpatient medical record signature S 7 2 7, step 7 27: return to medical End database server
表單編號A0101 第27頁/共42頁Form No. A0101 Page 27 of 42
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| TW100103747A TW201232495A (en) | 2011-01-31 | 2011-01-31 | Cloud electronic medical record system and operation method thereof |
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| TW100103747A TW201232495A (en) | 2011-01-31 | 2011-01-31 | Cloud electronic medical record system and operation method thereof |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI467521B (en) * | 2012-08-30 | 2015-01-01 | Chun Shin Ltd | System and method for learning clinical diagnosis |
| TWI549092B (en) * | 2015-03-05 | 2016-09-11 | 國泰醫療財團法人國泰綜合醫院 | Computerized physician order entry system and product of computer program |
| TWI562005B (en) * | 2015-06-25 | 2016-12-11 | ||
| CN109671474A (en) * | 2017-10-13 | 2019-04-23 | 谢明家 | Intelligent healthy management system |
| TWI672660B (en) * | 2019-01-09 | 2019-09-21 | 健康力科技股份有限公司 | Medicine receiving and vending system with pharmacist voucher |
| CN110660458A (en) * | 2018-06-29 | 2020-01-07 | 林哲民 | Block chain tooth implanting system |
| CN110797111A (en) * | 2018-08-03 | 2020-02-14 | 家恩股份有限公司 | Device and method for establishing electronic medical record |
-
2011
- 2011-01-31 TW TW100103747A patent/TW201232495A/en unknown
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI467521B (en) * | 2012-08-30 | 2015-01-01 | Chun Shin Ltd | System and method for learning clinical diagnosis |
| TWI549092B (en) * | 2015-03-05 | 2016-09-11 | 國泰醫療財團法人國泰綜合醫院 | Computerized physician order entry system and product of computer program |
| TWI562005B (en) * | 2015-06-25 | 2016-12-11 | ||
| CN109671474A (en) * | 2017-10-13 | 2019-04-23 | 谢明家 | Intelligent healthy management system |
| CN110660458A (en) * | 2018-06-29 | 2020-01-07 | 林哲民 | Block chain tooth implanting system |
| CN110797111A (en) * | 2018-08-03 | 2020-02-14 | 家恩股份有限公司 | Device and method for establishing electronic medical record |
| TWI672660B (en) * | 2019-01-09 | 2019-09-21 | 健康力科技股份有限公司 | Medicine receiving and vending system with pharmacist voucher |
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