TW202209344A - A cloud system of multiplex scheduling for surgery management - Google Patents

A cloud system of multiplex scheduling for surgery management Download PDF

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TW202209344A
TW202209344A TW109128147A TW109128147A TW202209344A TW 202209344 A TW202209344 A TW 202209344A TW 109128147 A TW109128147 A TW 109128147A TW 109128147 A TW109128147 A TW 109128147A TW 202209344 A TW202209344 A TW 202209344A
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medical
surgical
data
information
medical material
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TW109128147A
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黃南競
史一良
柯朝元
黃世鐘
鄒綉菊
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國軍高雄總醫院
醫優科技股份有限公司
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Abstract

The present invention provides a cloud system of multiplex scheduling for surgery management, includes a main cloud server and a surgery management platform. The main cloud server is connected with a surgery information database and a medical material database respectively for data transmission of a medical operation data form an operation on the surgery management platform. The surgery management platform comprises a surgery scheduling module used for managing each a surgery’s demand information, a database managing module used for data-setting of surgery schedule, an in-stock managing module used for managing in-stock amount and information of medical materials, a file–report managing module used for a statistical data or history related to surgery inquired and printed, a supplier managing module used for managing each an information of medical supplier, and an information–linking module used for data transfer by Hospital Information System (HIS); wherein the data transmission is processing in many cross-domain severs base on blockchain.

Description

雲端智慧多工排程互聯管理系統Cloud intelligent multi-project scheduling interconnection management system

本發明係一種醫療材料管理技術領域,特別的是一種透過為醫療機構提供整合不同手術所需各項基本資訊、醫療物資、排程管理的作業管理系統,以及便於有效管理的雲端智慧多工排程互聯管理系統。The invention belongs to the technical field of medical material management, in particular to an operation management system that integrates various basic information, medical supplies, and scheduling management required by different operations for medical institutions, and a cloud-based intelligent multi-task scheduling system that facilitates effective management. Process interconnection management system.

隨著醫療技術和大數據的發展,醫院中的醫療資料在人類健康的發展過程中起著越來越重要的作用,在實際生活中,不同醫療機構都有屬於自己的醫療資料管理系統,醫療資料管理系統是指利用現代電腦軟技術與網路通信技術,從根本上實現對醫院的人流、物流、財流進行綜合管理,對在醫療活動各階段產生的數據進行採集、處理、儲存、提取、傳輸、彙總、加工生成各種信息,從而實現醫院全面的、自動化的管理。工欲善必先利其器,醫院要有好的醫療器材,醫生於診治病患時才能更加得心應手,而醫院器材的安全庫存機制,更能確保醫院能提供穩定的醫療服務,對於醫院的營運很大的助益。然而,關於醫療活動各階段產生的數據的資料傳輸安全性是必須考量的問題。With the development of medical technology and big data, the medical data in hospitals plays an increasingly important role in the development of human health. In real life, different medical institutions have their own medical data management systems. The data management system refers to the use of modern computer software technology and network communication technology to fundamentally realize the comprehensive management of the hospital's flow of people, logistics, and financial flows, and to collect, process, store, and extract the data generated in each stage of medical activities. , transmission, aggregation, processing to generate various information, so as to realize the comprehensive and automatic management of the hospital. If you want to do good work, you must first sharpen your tools. Hospitals must have good medical equipment, so that doctors can be more handy when diagnosing and treating patients, and the safety inventory mechanism of hospital equipment can ensure that hospitals can provide stable medical services. Great help. However, the security of data transmission with respect to data generated at various stages of medical activity is an issue that must be considered.

有鑑於此,職是之故,發明人有鑑於習知技術中所產生之缺失,經過悉心試驗與研究,並一本鍥而不捨之精神,終構思出本發明以克服上述問題。In view of this, the inventors have come up with the present invention to overcome the above-mentioned problems after careful experiments and researches, and the spirit of perseverance in view of the deficiencies in the prior art.

本發明之目的在於提出一種雲端智慧多工排程互聯管理系統,透過為醫療機構提供整合不同手術所需各項基本資訊、醫療物資、排程管理的功能以開發出一使用者操作介面進行設定以及查詢,能有效提升醫療機構進行手術前、中、後不同時程的資訊管理效率;排程管理功能所產生的多筆醫療作業資料可分別在不同網域中所屬的伺服器執行建立區塊與相鄰前一區塊之間的鏈結,藉由區塊的時間戳記與區塊的雜湊值,提供區塊之安全保護機制,以確保區塊完全無法被竄改,實現區塊資料之完整性,所有節點亦取得並儲存相同的區塊鏈資料,若任一節點發生失效、無法存取的狀況,則可透過其他儲存區塊鏈資料的節點取得相同的區塊鏈資料,以確保區塊鏈資料的高可用性。The purpose of the present invention is to provide a cloud-based intelligent multi-task scheduling interconnection management system, by providing medical institutions with the functions of integrating various basic information, medical materials, and scheduling management required for different operations to develop a user interface for setting and query, which can effectively improve the information management efficiency of medical institutions at different time schedules before, during and after surgery; multiple pieces of medical operation data generated by the scheduling management function can be executed on servers in different domains respectively. The link with the adjacent previous block provides a security protection mechanism for the block by means of the block timestamp and the hash value of the block to ensure that the block cannot be tampered with at all and realizes the integrity of the block data. All nodes also obtain and store the same blockchain data. If any node fails and cannot be accessed, the same blockchain data can be obtained through other nodes that store blockchain data to ensure that the High availability of blockchain data.

為達到本發明之目的,本發明提出一種雲端智慧多工排程互聯管理系統,包括一雲端管理伺服器以及一手術作業管理平台,雲端管理伺服器通過網際網路分別電信連接一手術帳目資料庫與一醫材資料庫,手術帳目資料庫與醫材資料庫分別連結一醫療院所的醫療資訊系統(HIS)的資料庫以進行資料交換;手術作業管理平台通過網際網路分別與手術帳目資料庫與醫材資料庫分別電信連接,手術排程管理平台為一使用者操作介面且包含:一帳戶管理模組,用以管理一使用者帳戶權限以及帳戶設定,以使不同權限的使用者可以看到預定權限的模組內容;一手術排程模組,用以提供一管理者進行一手術排程設定,以建立、查詢或編修每一筆的手術需求資訊;一基礎資訊管理模組,用以提供理者根據手術排程設定所包含的基礎資料進行建立、查詢或編修;一訊息推播模組,用以根據每一手術需求資訊對應的每一醫療人員發送一手術排程通知,以使每一醫療人員經由一電子通訊裝置於手術當日之前取得手術需求資訊;以及一資料連結模組,用以連結醫療資訊系統(HIS)的資料庫以進行資料交換,以即時更新手術帳目資料庫與醫材資料庫中的資料;其中該手術作業管理平台中的各該功能模組所產生的一醫療作業資料被多部所屬不同網域的伺服器上執行資料傳輸,手術排程通知的內容至少包含一手術作業的手術日期、手術資訊、病患資訊、手術室地點以及醫療人員資訊。In order to achieve the purpose of the present invention, the present invention proposes a cloud-based intelligent multi-task scheduling interconnection management system, comprising a cloud-based management server and a surgical operation management platform, the cloud-based management server is respectively connected to a surgical account data by telecommunication through the Internet The database and a medical material database, the surgical account database and the medical material database are respectively connected to the database of a medical information system (HIS) of a medical institution for data exchange; the surgical operation management platform is respectively connected with the surgical operation through the Internet. The account database and the medical material database are respectively connected by telecommunication, and the operation scheduling management platform is a user operation interface and includes: an account management module for managing a user account authority and account settings, so that different authority The user can see the module content of the predetermined authority; a surgery scheduling module is used to provide a manager to set a surgery scheduling to create, query or edit the information of each surgery requirement; a basic information management module A group is used to provide the administrator to create, inquire or edit according to the basic data included in the operation schedule setting; a message push module is used to send an operation schedule to each medical staff corresponding to each operation demand information Notification, so that each medical staff can obtain the surgical demand information through an electronic communication device before the day of surgery; and a data link module to link the database of the medical information system (HIS) for data exchange, so as to update the surgery in real time The data in the account database and the medical material database; wherein, a medical operation data generated by each of the functional modules in the surgical operation management platform is transmitted by multiple servers belonging to different domains, and the operation is scheduled for operation. The content of the procedure notification includes at least the operation date, operation information, patient information, operating room location and medical personnel information of a surgical operation.

根據本發明一實施例,其中該手術排程通知將於一提早設定時間通過以簡訊、電子郵件、通訊應用軟體之前述任一種推播形式進行發送至相關醫療人員。According to an embodiment of the present invention, the operation scheduling notification will be sent to the relevant medical personnel at a set time in advance through any of the aforementioned push broadcast formats of text message, email, and communication application software.

根據本發明一實施例,其中該手術作業管理平台中的各功能模組所產生的一醫療作業資料被多部所屬不同網域的伺服器上執行:存放至少一筆醫療作業資料在一區塊中,並根據各該醫療作業資料內容產生對應之一醫療作業資料雜湊值; 各該醫療作業資料根據對應之該醫療作業資料雜湊值鏈結零筆或一筆以上其他相關聯之醫療作業資料; 當該區塊存滿該等醫療作業資料,以該區塊內容產生對應之一區塊雜湊值與記錄該區塊建立當時之一時間戳記,以完成建立該區塊;該區塊根據相鄰之前一個該區塊雜湊值與相鄰之前一個該區塊相串鏈結,以建立該區塊鏈。According to an embodiment of the present invention, a medical operation data generated by each functional module in the surgical operation management platform is executed by multiple servers belonging to different network domains: at least one piece of medical operation data is stored in a block , and generate a corresponding hash value of medical work data according to the content of each medical work data; each medical work data is linked to zero or more other associated medical work data according to the corresponding hash value of the medical work data; When the block is full of the medical operation data, a corresponding block hash value is generated from the block content and a timestamp is recorded when the block was created, so as to complete the creation of the block; the block is based on the adjacent previous one. The block hash value is concatenated with the adjacent previous block to establish the block chain.

根據本發明一實施例,其中該手術作業管理平台更包含一手術紀錄模組,該手術紀錄模組用以提供相關醫療人員進行手術作業的一護理紀錄,該護理紀錄包含:手術作業的一植入物醫材之一醫材條碼的掃描讀取;手術作業的一起始時間與一完成時間之紀錄;手術作業的病患生理資訊之紀錄;其中醫材條碼讀取格式係包括GS1,HIBCC,ICCBBA以及其三個國際組織所規範的條碼格式以及其他特定格式條碼。According to an embodiment of the present invention, the surgical operation management platform further includes a surgical record module, and the surgical record module is used to provide a nursing record of the surgical operation performed by the relevant medical personnel, and the nursing record includes: an implantation of the surgical operation. Scanning and reading of medical material barcodes, one of the incoming medical materials; a record of a start time and a completion time of a surgical operation; a record of the patient's physiological information of the surgical operation; the medical material barcode reading formats include GS1, HIBCC, The barcode format regulated by ICCBBA and its three international organizations and other specific format barcodes.

根據本發明一實施例,其中該手術紀錄模組更包含:一預定手術排程、一手術作業時間、一手術病患資料、一手術名稱、一參與醫療人員、一醫療器材使用、一刀口計價、一手術治療項目及一科別專屬輔助資訊之紀錄。According to an embodiment of the present invention, the operation record module further includes: a predetermined operation schedule, an operation time, an operation patient data, an operation name, a participating medical personnel, a medical equipment use, and an incision price. , One surgical treatment item and a record of special auxiliary information.

根據本發明一實施例,其中該手術作業管理平台在該使用者操作介面之顯示包含有:一常規手術排程選單,用以提供管理者根據指定日期、手術室地點、手術室房號或者手術科別之前述任一者或兩者以上的選擇欄位,進行手術排程設定以查詢手術需求資訊;一常規手術日曆選單,用以提供管理者根據日曆表單上的指定日期、指定當日、手術室房號之前述任一者的點擊選擇以產生一設定選單,通過設定選單進行手術排程設定以建立、查詢或編修手術需求資訊;一常規手術紀錄選單,用以提供管理者根據指定日期區間、手術科別、主刀醫師名稱之前述任一者或兩者以上的選擇欄位以查詢一或多筆的手術需求資訊,並提供管理者根據一或多筆的手術需求資訊進行編修或者列印手術作業報表;一心導管手術排程選單,用以提供管理者根據指定日期、手術室地點、手術室房號、病患相關資訊之前述任一者或兩者以上的選擇欄位,進行手術排程設定以查詢手術需求資訊;一心導管手術日曆選單,用以提供管理者根據日曆表單上的指定日期、指定當日、心導管檢查資訊之前述任一者的點擊選擇以產生一設定選單,通過設定選單進行手術排程設定以建立、查詢或編修手術需求資訊;一心導管手術紀錄選單,用以提供管理者根據指定日期區間、手術科別、主刀醫師名稱之前述任一者或兩者以上的選擇欄位以查詢一或多筆的手術需求資訊,並提供管理者根據一或多筆的手術需求資訊進行編修或者列印手術作業報表。According to an embodiment of the present invention, the display of the surgical operation management platform on the user interface includes: a routine surgery scheduling menu, which is used to provide the administrator with a specified date, operating room location, operating room number or surgery One or more of the above selection fields in the department are used to set the surgical schedule to query the surgical demand information; a regular surgery calendar menu is used to provide the administrator with the specified date, specified day, surgery according to the calendar form. Click and select any one of the aforementioned room numbers to generate a setting menu, through which the operation schedule can be set to create, inquire or edit the surgical demand information; a routine operation record menu is used to provide the administrator according to the specified date interval , Surgical department, the name of the chief surgeon, one or more of the above selection fields to query one or more pieces of surgical demand information, and provide the administrator to edit or print according to one or more pieces of surgical demand information Surgical operation report; a cardiac catheter surgery scheduling menu, which is used to provide administrators to schedule surgery according to any one or more of the above-mentioned selection fields, such as the specified date, operating room location, operating room number, and patient-related information. Program setting to inquire about surgical needs information; a cardiac catheterization calendar menu, which is used for administrators to generate a setup menu by clicking on any one of the specified date, specified date, and cardiac catheterization information on the calendar sheet to generate a setup menu. The menu is used to set surgical schedules to create, inquire or edit the information of surgical requirements; a menu of cardiac catheterization records is used to provide administrators with the choice of one or more of the foregoing according to the specified date interval, surgical department, and the name of the chief surgeon. This field is used to query one or more pieces of surgical demand information, and provide the administrator to edit or print a surgical operation report according to one or more pieces of surgical demand information.

根據本發明一實施例,其中該手術作業管理平台在使用者操作介面之顯示更包含有:一憑單入庫選單,用以提供管理者根據一醫材供應商所提供的一出貨單之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分;一臨時入庫選單,用以提供管理者根據醫材條碼、醫材供應商以及醫材數量之前述任一者或兩者以上之設定,以建立醫材存貨資訊之一部分;一醫材出庫選單,用以提供管理者根據醫材條碼、出庫原因、手術科別之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分;一庫存資料查詢選單,用以提供管理者根據醫材條碼、醫材供應商之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分;一醫材資料管理選單,用以提供管理者根據醫材條碼之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分;以及一醫材出/入庫查詢選單,用以提供管理者根據醫材條碼、日期區間、醫材供應商、手術科別、出/入庫方式之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分。According to an embodiment of the present invention, the display of the surgical operation management platform on the user interface further includes: a voucher storage menu, which is used to provide the manager with the aforementioned tasks according to a shipping note provided by a medical material supplier. One or more settings to query a part of medical material inventory information; a temporary storage menu to provide managers with one or more of the aforementioned medical material barcodes, medical material suppliers and medical material quantity. The setting is used to create a part of the medical material inventory information; a medical material delivery menu is used to provide administrators with the settings of one or more of the aforementioned medical material barcodes, reasons for delivery, and surgical departments to query medical materials. A part of the inventory information; an inventory data query menu, which is used to provide the administrator with a part of the medical material inventory information according to the medical material barcode and the settings of one or more of the above-mentioned medical material suppliers; a medical material data The management menu is used to provide the administrator to inquire a part of the medical material inventory information according to any one or more of the above-mentioned settings of the medical material barcode; One or more settings of the above-mentioned barcode, date range, medical material supplier, surgical department, and out/in storage method can be used to query a part of medical material inventory information.

根據本發明一實施例,其中該手術作業管理平台更包含:一庫存管理模組,用以提供該管理者根據一植入物醫材的一醫材條碼進行建立、查詢或編修植入物醫材的庫存量以及出/入庫記錄;一供應商管理模組,用以提供該管理者針對一供應商資訊或一通訊資料進行建立、查詢或編修;以及一帳目報表管理模組,用以提供管理者通過篩選手術相關的統計資料或者歷史記錄的查詢或列印。According to an embodiment of the present invention, the surgical operation management platform further includes: an inventory management module for providing the administrator to create, query or edit implant medical records according to a medical material barcode of an implant medical material. material inventory and out/in storage records; a supplier management module for the manager to create, inquire or edit a supplier information or a communication data; and an account statement management module for Provide administrators by screening surgery-related statistics or historical records to query or print.

根據本發明一實施例,其中該庫存管理模組包含:一醫療器材庫存、一醫療器材進貨、一醫療器材出貨、一管理需求單、一管理訂貨單、一執行庫存盤點數量稽核、一設定醫療器材庫存水位及一供應商供貨狀況之建立、查詢或編修。According to an embodiment of the present invention, the inventory management module includes: a medical equipment inventory, a medical equipment purchase, a medical equipment shipment, a management demand list, a management order form, an inventory check quantity audit, a setting Establishment, inquiry or editing of medical equipment inventory level and a supplier's supply status.

根據本發明一實施例,其中該帳目報表管理模組包含:一審核手術帳目紀錄、一執行月結醫療器材使用結報、一執行組套醫療器材項目使用結報、一執行特殊項目醫療器材使用結報、一查閱醫療器材使用統計記錄、一查閱組套醫療器材項目使用統計記錄、一查閱特殊項目醫療器材使用統計記錄、一查閱虧損醫療器材項目統計、一查閱手術室使用統計狀況及一產生科別專屬輔助紀錄。According to an embodiment of the present invention, the account statement management module includes: an audit operation account record, a monthly execution report on the use of medical equipment, a report on the use of a set of medical equipment items, and a medical treatment report for special projects. Equipment usage report, one check medical equipment usage statistics, one set medical equipment item usage statistics, one special item medical equipment usage statistics, one loss medical equipment project statistics, one operating room usage statistics and Once a department-specific auxiliary record is generated.

有關本發明的詳細說明及技術內容,配合圖式說明如下,然而所附圖式僅提供參考與說明用,並非用來對本發明加以限制。以下結合附圖對本發明的各種實施例進行詳細描述,但本發明並不僅僅限於這些實施例。本發明涵蓋任何在本發明的精髓和範圍上做的替代、修改、等效方法以及方案。為了使公眾對本發明有徹底的瞭解,在以下本發明優選實施例中詳細說明了具體的細節,而對本領域技術人員來說沒有這些細節的描述也可以完全理解本發明。The detailed description and technical content of the present invention are described below in conjunction with the drawings. However, the accompanying drawings are only for reference and description, and are not intended to limit the present invention. Various embodiments of the present invention will be described in detail below with reference to the accompanying drawings, but the present invention is not limited to these embodiments. The present invention covers any alternatives, modifications, equivalent methods and arrangements made within the spirit and scope of the present invention. In order to give the public a thorough understanding of the present invention, specific details are described in detail in the following preferred embodiments of the present invention, and those skilled in the art can fully understand the present invention without the description of these details.

正如習知技藝所提到,在醫療機構中的各科別進行手術以及使用的醫療用品的專業領域尋求嚴格的管理以及關於物流相關配套措施。請參閱本發明圖1和圖4所示,本發明提出一種雲端智慧多工排程互聯管理系統10,包括一雲端管理伺服器100以及一手術作業管理平台200,雲端管理伺服器100設有一手術帳目資料庫110與一醫材資料庫120,手術帳目資料庫110與醫材資料庫120分別連結一醫療院所的醫療資訊系統(HIS)的資料庫以進行資料交換;手術作業管理平台200通過網際網路分別與手術帳目資料庫110與醫材資料庫120分別電信連接,作業管理平台200提供一管理者根據醫療需求進行一手術排程設定,以產生一或多筆的手術需求資訊且儲存在手術帳目資料庫中,並且提供管理者根據庫存需求以進行一出/入庫設定,以產生一或多筆的醫材存貨資訊且儲存在醫材資料庫中;其中手術作業管理平台為一使用者操作介面,使用者操作介面用以提供管理者查詢一或多筆的手術需求資訊或者一或多筆的醫材存貨資訊,並且根據手術需求資訊產生一手術作業報表,以供相關醫療人員根據手術作業報表中的資訊執行一手術作業,手術作業包含有一常規手術作業或者一心導管手術作業。As mentioned in the prior art, the specialized field of surgery and medical supplies used in various departments in a medical institution seeks strict management and supporting measures related to logistics. Please refer to FIG. 1 and FIG. 4 of the present invention. The present invention provides a cloud-based intelligent multi-task scheduling interconnection management system 10, including a cloud management server 100 and a surgical operation management platform 200. The cloud management server 100 is provided with a surgical operation The account database 110 and a medical material database 120, the operation account database 110 and the medical material database 120 are respectively connected to a database of a medical information system (HIS) of a medical institution for data exchange; a surgical operation management platform The operation management platform 200 is respectively connected to the operation account database 110 and the medical material database 120 by telecommunication respectively through the Internet, and the operation management platform 200 provides a manager to set an operation schedule according to medical needs, so as to generate one or more operation needs The information is stored in the surgical account database, and provides the administrator to perform an out/in storage setting according to the inventory requirements, so as to generate one or more pieces of medical material inventory information and store it in the medical material database; among which the surgical operation management The platform is a user operation interface, and the user operation interface is used for the administrator to inquire about one or more pieces of surgical demand information or one or more pieces of medical material inventory information, and generate a surgical operation report according to the surgical demand information for The relevant medical personnel perform an operation according to the information in the operation report, and the operation includes a routine operation or a cardiac catheterization operation.

根據本發明的手術作業管理系統10,本發明更提出因應前述手術作業管理系統10所建構出的一手術作業管理平台200;手術作業管理平台200主要包括一帳戶管理模組210、一手術排程管理模組220、一基礎資訊管理模組230、一庫存管理模組240、一帳目報表管理模組250、一供應商管理模組260以及一資料連結模組270等多個功能模組。本發明前述揭示手術作業管理平台200為一使用者操作介面(例如:網站平台)以供使用者使用網站平台進行操作/管理,而前述些模組(210、220、230、240、250、260、270)分別包含多個單元以供管理者進行手術需求資訊以及醫材存貨資訊之建立、查詢或編輯,以下將配合圖式進行說明。According to the surgical operation management system 10 of the present invention, the present invention further proposes a surgical operation management platform 200 constructed in response to the aforementioned surgical operation management system 10; the surgical operation management platform 200 mainly includes an account management module 210, a surgical schedule A management module 220 , a basic information management module 230 , an inventory management module 240 , an account statement management module 250 , a supplier management module 260 , and a data link module 270 are multiple functional modules. The foregoing disclosure of the present invention discloses that the surgical operation management platform 200 is a user interface (eg, a website platform) for users to use the website platform for operation/management, and the aforementioned modules (210, 220, 230, 240, 250, 260) , 270) respectively contain a plurality of units for the administrator to create, inquire or edit the information of surgical requirements and the inventory of medical materials, which will be explained with the diagram below.

請參閱圖2a~2f所示,其分別顯示使用者操作介面的各功能模組的應用範例。手術排程管理模組220用以提供管理者進行手術排程設定以建立、查詢或編修每一筆的手術需求資訊;基礎資訊管理模組230用以提供管理者針對手術排程設定所包含的基礎資料進行建立、查詢或編修;庫存管理模組240用以提供管理者根據一醫材條碼進行建立、查詢或編修醫材的庫存量以及出/入庫記錄;帳目報表管理模組250用以提供管理者針對手術相關的統計資料或者歷史記錄的查詢或列印;供應商管理模組260用以提供管理者針對一供應商資訊或一通訊資料進行建立、查詢或編修;資料連結模組270用以連結醫療資訊系統(HIS)的資料庫以進行資料交換,以即時更新手術帳目資料庫110與醫材資料庫120的資料。Please refer to FIGS. 2a-2f, which respectively show application examples of each functional module of the user interface. The operation scheduling management module 220 is used to provide the administrator with the operation scheduling setting to create, inquire or edit each operation demand information; the basic information management module 230 is used to provide the administrator with the basis for the operation scheduling setting. Data is created, inquired or edited; the inventory management module 240 is used to provide administrators to create, inquire or edit the inventory and out/in storage records of medical materials according to a medical material barcode; the account statement management module 250 is used to provide The administrator can query or print the statistical data or historical records related to the operation; the supplier management module 260 is used to provide the administrator with creating, querying or editing a supplier information or a communication data; the data linking module 270 is used for By linking the database of the medical information system (HIS) for data exchange, the data of the surgical account database 110 and the medical material database 120 can be updated in real time.

首先,在對本發明實施例進行描述的過程中出現的部分名詞或術語適用於如下解釋:First of all, some nouns or terms appearing in the process of describing the embodiments of the present invention are suitable for the following explanations:

區塊鏈:是一種分散式資料儲存技術。其相關技術包括分散式儲存、點對點傳輸、共識機制、加密演算法等電腦技術的新型應用模式。例如,區塊鏈將資料分成不同的區塊,每個區塊透過特定的資訊連結到上一區塊的後面,前後順連來 呈現一套完整的資料。其中“區塊”是指儲存記錄的檔,記錄其創建期間內發生的所有價值變換活動;“鏈”是指按時間先後順序將區塊儲存在資料庫。Blockchain: is a decentralized data storage technology. Its related technologies include new application models of computer technologies such as decentralized storage, point-to-point transmission, consensus mechanisms, and encryption algorithms. For example, the blockchain divides data into different blocks, each block is linked to the back of the previous block through specific information, and a complete set of data is presented in sequence. Among them, "block" refers to the file that stores records, recording all the value conversion activities that occurred during its creation period; "chain" refers to the storage of blocks in the database in chronological order.

對稱加密演算法:是指加密和解密使用相同金鑰的加密演算法,具體地,在對稱加密演算法中,資料發信方將明文(原始資料)和加密金鑰一起經過加密演算法處理後,使其變成複雜的加密密文發送出去;收信方接收到密文後,使用加密用過的金鑰及相同演算法的逆演算法對密文進行解密,才能使其恢復成可讀明文。Symmetric encryption algorithm: refers to the encryption algorithm that uses the same key for encryption and decryption. Specifically, in the symmetric encryption algorithm, the data sender processes the plaintext (original data) and the encryption key together with the encryption algorithm. , make it into a complex encrypted ciphertext and send it out; after receiving the ciphertext, the recipient uses the used encryption key and the inverse algorithm of the same algorithm to decrypt the ciphertext to restore it to readable plaintext .

非對稱加密演算法:是指加密和解密使用不同金鑰的加密演算法。具體地,在非對稱加密演算法中,資料發信方使用收信方的公開金鑰將明文(原始資料)加密,收信方利用自己的私密金鑰解密。Asymmetric encryption algorithm: An encryption algorithm that uses different keys for encryption and decryption. Specifically, in the asymmetric encryption algorithm, the data sender encrypts the plaintext (original data) using the recipient's public key, and the recipient uses its own private key to decrypt.

數位簽章:是指用來鑒別數位資訊的方法,資料發信方用一個雜湊函數從報文文本中產生報文摘要,然後利用自己的私密金鑰將報文摘要進行加密,並將加密後的摘要作為報文的數位簽章與報文一起發送給收信方,收信方在接收到報文後,首先用與發送一樣的雜湊函數從接收到的原始報文中計算出報文摘要,接著再用發信方的公開金鑰來對報文的附加的數位簽章進行解密,如果兩個摘要相同,則確認該數位簽章來自資料發信方。Digital signature: refers to the method used to identify digital information. The data sender uses a hash function to generate a message digest from the message text, and then encrypts the message digest with its own private key, and encrypts the encrypted message. The digest of the message is sent to the recipient together with the digital signature of the message. After receiving the message, the recipient first uses the same hash function as the sending to calculate the message digest from the received original message. Then use the sender's public key to decrypt the additional digital signature of the message. If the two digests are the same, it is confirmed that the digital signature comes from the data sender.

理論上講,區塊鏈是一種幾乎不可能被更改的分散式資料庫,不依賴於單一的技術,而是多種技術整合的結果。由於區塊鏈由眾多節點共同組成一個端到端的網路,不存在中心化的設備和管理機構,任何人都可以參與到區塊鏈網路,每一台設備都能作為一個節點,每個節點都允許獲得一份完整的資料庫拷貝。節點之間基於一套共識機制,共同維護整個區塊鏈,任意一個節點失效,其餘節點仍能正常工作。區塊鏈的運行規則是公開透明的,所有的資料資訊也是公開的,因此每一筆交易都對所有節點可見。但是,在某些特定的區塊鏈應用中,例如區塊鏈徵信系統、區塊鏈公益、區塊鏈智慧合約等應用中,應用方希望交易資料對外保密並只允許特定的應用方及監管機構可以查看交易資料。這種情況下,就需要對資料的訪問進行控制。In theory, blockchain is a decentralized repository that is almost impossible to change, not dependent on a single technology, but the result of the integration of multiple technologies. Since the blockchain is composed of many nodes to form an end-to-end network, there is no centralized equipment and management organization, anyone can participate in the blockchain network, each device can be used as a node, each Nodes are allowed to obtain a complete copy of the database. Based on a consensus mechanism, the nodes jointly maintain the entire blockchain. If any node fails, the rest of the nodes can still work normally. The operating rules of the blockchain are open and transparent, and all data information is also public, so every transaction is visible to all nodes. However, in some specific blockchain applications, such as blockchain credit reporting systems, blockchain public welfare, blockchain smart contracts, etc., the application party hopes that the transaction data will be kept secret and only specific application parties and Regulators can view transaction profiles. In this case, access to the data needs to be controlled.

目前,現有技術對於區塊鏈上資料的存取控制主要採用如下兩種方案:第一種方案,控制交易資料的讀取許可權,這種方案需要對所有的鏈上資料訪問節點都實現一套複雜的資料讀取許可權控制系統;第二種方案,將交易資料儲存在鏈下的可信協力廠商,鏈上只儲存交易資料摘要,但是這種方案需要確保可信協力廠商的安全,一旦這個可信協力廠商出現安全問題,那麼交易資料也將處於危險之中。可以看出,上述兩種方案都存在一些局限,兩種方案本質上都是採用傳統的安全邊界控制來實現資料的保護,對於交易資料的保護都不是非常有保障。例如,對於上述第一種方案,一旦某個節點的系統許可權被突破,則所有資料都將洩漏;對於上述第二種方案,將交易資料存在線下的可信協力廠商,採用的也是邊界安全控制方法,同樣存在系統許可權被突破的風險。隨著駭客滲透技術變得越來越強大,而作業系統的漏洞更是防不勝防,所以依靠這樣的方案難於保障資料的安全。At present, the existing technology mainly adopts the following two schemes for the access control of data on the blockchain: the first scheme is to control the read permission of transaction data. This scheme requires that all data access nodes on the chain implement a A complex data reading permission control system; the second scheme stores the transaction data in the trusted third-party manufacturer off-chain, and only stores the transaction data summary on the chain, but this scheme needs to ensure the security of the trusted third-party manufacturer, In the event of a security problem with this trusted third-party, transaction data will also be at risk. It can be seen that the above two schemes have some limitations. Both schemes essentially use traditional security boundary control to achieve data protection, and the protection of transaction data is not very guaranteed. For example, for the first scheme above, once the system permission of a node is breached, all the data will be leaked; for the second scheme above, the trusted third-party manufacturer that stores the transaction data offline, also adopts the boundary The security control method also has the risk of system permission being breached. As hacker penetration technology becomes more and more powerful, and operating system loopholes are more difficult to guard against, it is difficult to ensure the security of data by relying on such a scheme.

上述由手術作業管理平台200產生的多筆醫療作業資料與雲端管理伺服器100之間的傳輸是基於區塊鏈(Blockchain)的架構;以下說明本發明基於區塊鏈(Blockchain)架構的互聯管理系統。請參考圖4所示,首先,區塊鏈係由複數個區塊,亦即N個區塊(區塊1~區塊K)所形成。相鄰的兩區塊,例如區塊1與區塊2、區塊2與區塊3,依此類推,乃至區塊K-1與區塊K係相串鏈結(chaining),形成該區塊鏈。至於兩兩區塊之間的鏈結方式,將在文後有更詳細之說明。其中該區塊鏈及其所具有之區塊可建立與存放在不同網域(不同電信業者)的多部網路伺服器上,而各該伺服器以網路相連接,該網路可為私有網路(private network)、公開網路(public network)或混合式網路(hybrid network)等。然,不以上述該等網路型態為限制本發明之實施。The above-mentioned transmission between the multiple pieces of medical operation data generated by the surgical operation management platform 200 and the cloud management server 100 is based on the block chain (Blockchain) structure; the following describes the interconnection management based on the block chain (Blockchain) structure of the present invention system. Referring to FIG. 4 , first, the blockchain is formed by a plurality of blocks, that is, N blocks (block 1 to block K). Two adjacent blocks, such as block 1 and block 2, block 2 and block 3, and so on, and even block K-1 and block K are chained together to form the block blockchain. As for the linking method between the two blocks, there will be a more detailed explanation later in the article. The blockchain and its blocks can be established and stored on multiple network servers in different network domains (different telecom operators), and each of the servers is connected by a network, and the network can be Private network, public network or hybrid network, etc. Of course, the above-mentioned network types are not intended to limit the implementation of the present invention.

承上所述,單一區塊的內容,亦即存放於該單一區塊內的內容,以區塊K為例,係包含該區塊K的前一個區塊之一區塊雜湊值(a hashing value of the previous block),亦即該區塊K的前一區塊K-1之一區塊雜湊值、存放在該區塊K內的一筆或複數筆醫療作業資料之紀錄,亦即n筆醫療作業資料之紀錄(醫療作業資料K1~醫療作業資料Kn)、該區塊K完成建立之一時間戳記(time stamp)以及該區塊K之一區塊雜湊值。其中,該區塊K之該區塊雜湊值係由該區塊K的前一區塊K-1之該區塊雜湊值、該一筆或複數筆醫療作業資料K1~Kn之紀錄以及該區塊完成建立時之該時間戳記透過一安全雜湊演算法(cryptographic hash function)所產生。在本發明中所採用之該安全雜湊演算法並不以SHA-512演算法為限制。再者,SHA-512演算法為現有廣泛使用之能夠將資料運算與轉換為一固定長度值的演算法,因此,在此不再贅述該SHA-512演算法之運算與轉換方式。As mentioned above, the content of a single block, that is, the content stored in the single block, taking block K as an example, includes a hashing value (a hashing value) of a block before the block K. value of the previous block), that is, a block hash value of the previous block K-1 of the block K, a record of one or more medical operation data stored in the block K, that is, n records Records of medical work data (medical work data K1 ~ medical work data Kn), a time stamp when the block K is created, and a block hash value of the block K. Wherein, the block hash value of the block K is composed of the block hash value of the previous block K-1 of the block K, the record of the one or more pieces of medical operation data K1~Kn, and the block The timestamp upon completion of the creation is generated by a cryptographic hash function. The secure hash algorithm used in the present invention is not limited to the SHA-512 algorithm. Furthermore, the SHA-512 algorithm is a widely used algorithm that can operate and convert data into a fixed-length value. Therefore, the operation and conversion method of the SHA-512 algorithm will not be repeated here.

請參考圖3所示,以該區塊K為當下做為存放醫療作業資料之區塊為例,是以,定義該區塊K為一操作區塊。由於該操作區塊係為該區塊K,因此,該區塊K之前的所有區塊,亦即區塊1~區塊K-1係已完成建立,換言之,該K-1個區塊的內容將無法再變更。因此,可透過驗證各該區塊相關聯的區塊之區塊雜湊值是否發生變更,即可判斷該區塊1~區塊K-1的內容是否遭到竄改。在本實施例中,透過在該區塊K存放區塊K-1之該區塊雜湊值,因此,使得該區塊K-1與該區塊K相互鏈結。同樣地,該區塊2存放區塊1之該區塊雜湊值、該區塊3存放區塊2之該區塊雜湊值,依此類推,乃至該區塊K存放區塊K-1之該區塊雜湊值,如此,透過相鄰兩兩區塊的鏈結,使得區塊1至區塊K相串鏈結,形成該區塊鏈。再者,透過鏈結該區塊K的前一個該區塊K-1之該區塊雜湊值,一旦當該區塊鏈中任一該區塊的資料內容遭到竄改,可立即地、準確地察覺,藉此判斷資料是否完整,以及確保資料之資料完整性(integrity)。Please refer to FIG. 3 , taking the block K as the current block for storing medical operation data as an example, therefore, the block K is defined as an operation block. Since the operation block is the block K, all blocks before the block K, that is, block 1 to block K-1, have been established. The content can no longer be changed. Therefore, it can be determined whether the contents of the block 1 to the block K-1 have been tampered with by verifying whether the block hash value of the block associated with each block has changed. In this embodiment, by storing the block hash value of the block K-1 in the block K, the block K-1 and the block K are linked to each other. Similarly, the block 2 stores the block hash value of block 1, the block 3 stores the block hash value of block 2, and so on, and even the block K stores the block hash value of block K-1. Block hash value, in this way, through the linking of two adjacent blocks, block 1 to block K are linked in series to form the block chain. Furthermore, by linking the block hash value of the block K-1 before the block K, once the data content of any block in the block chain is tampered with, it can be immediately and accurately to detect the integrity of the data, and to ensure the integrity of the data.

承上所述,存放於該區塊K的該等醫療作業資料K1~Kn不必然存在著相關聯的關係。以醫療機構(需求端)與醫材供應商(供應端)之醫療物資交易為例,該醫療機構(需求端)為建立醫療作業資料的單位,而該醫材供應商(供應端)為接收醫療作業資料的單位,該醫療機構(需求端)建立給該醫材供應商(供應端)的所有醫療作業資料之間可定義互為相關聯的關係。因此,存放於該區塊K的該等醫療作業資料K1~Kn不必然存在著相關聯的關係,係指該等該醫療機構(需求端)建立給該醫材供應商(供應端)的所有醫療作業資料不會存放在同一個區塊中,就實際面而言,交易資料的時間差異,也使得該等相關聯的醫療作業資料不必然存放在同一個區塊中。在本實施例中,該等相關聯的醫療作業資料係隨機地依建立,醫療作業資料的時間存放在當下操作中的該區塊中,亦即,可能部分存放在相同的區塊中,亦可能部分分散在不同的區塊中。As mentioned above, the medical operation data K1~Kn stored in the block K do not necessarily have an associated relationship. Taking the medical material transaction between a medical institution (demand side) and a medical material supplier (supply side) as an example, the medical institution (demand side) is the unit that establishes medical operation data, and the medical material supplier (supplier side) is the receiving side. A unit of medical work data, and a relationship can be defined between all medical work data established by the medical institution (demand side) to the medical material supplier (supplier end). Therefore, the medical operation data K1~Kn stored in the block K do not necessarily have an associated relationship, which refers to all the medical materials established by the medical institution (demand side) to the medical material supplier (supplier side). The medical operation data will not be stored in the same block. In practice, the time difference of the transaction data also makes the related medical operation data not necessarily stored in the same block. In this embodiment, the associated medical operation data are randomly established, and the time of the medical operation data is stored in the block in the current operation, that is, it may be partially stored in the same block, or Possibly partially scattered in different blocks.

該區塊K之該時間戳記係為當該區塊K存滿該等醫療作業資料K1~Kn時,亦即,不再接收其他醫療作業資料存入時,定義該區塊K完成建立,並且該區塊K之該時間戳記即為該區塊K完成建立時當下之日期與時間。此外,該時間戳記係透過以毫秒的時間格式進行記錄與儲存,為各式存取端進行轉換其所需的日期時間格式。透過紀錄不同區塊建立時之時間戳記資訊,搭配區塊鏈之前後區塊時間順序關係,亦即,建立在後的區塊其時間戳記必晚於建立在前的區塊的時間戳記,換言之,建立在後的區塊其時間戳記之毫秒數必大於建立在前的區塊的時間戳記之毫秒數。藉此,可透過判斷不同區塊間之時間戳記的先後資訊,以驗證是否發生任一區塊遭到竄改或發生偽造的狀況,以及驗證該等區塊的建立時間之合理性(rationality)。因此,該區塊K之該區塊雜湊值係由該區塊K-1之該區塊雜湊值、該複數醫療作業資料K1~Kn之紀錄以及該區塊完成建立時之該時間戳記透過該安全雜湊演算法所產生。The time stamp of the block K is defined as when the block K is full of the medical operation data K1~Kn, that is, when no other medical operation data is to be stored, it is defined that the block K completes the establishment, and The time stamp of the block K is the date and time when the block K was created. In addition, the time stamp is recorded and stored in millisecond time format so that various access points can convert their desired date time format. By recording the time stamp information of different blocks when they are created, the time sequence relationship between the blocks before and after the blockchain is matched, that is, the timestamp of the block created later must be later than the timestamp of the block created earlier, in other words , the milliseconds of the timestamp of the block created after it must be greater than the number of milliseconds of the timestamp of the block created before. In this way, by judging the sequence information of time stamps between different blocks, it is possible to verify whether any block has been tampered with or forged, and to verify the rationality of the creation time of these blocks. Therefore, the block hash value of the block K is composed of the block hash value of the block K-1, the records of the plurality of medical operation data K1~Kn, and the time stamp when the block was created through the Generated by a secure hash algorithm.

以圖6之該醫療作業資料K1為例,單一醫療作業資料的內容包含該醫療作業資料K1的建立者之一公開金鑰(issuer’s public key)、該醫療作業資料K1的接收者之一公開金鑰(receiver’s public key)、該醫療作業資料K1之交易內容、與該醫療作業資料K1相關聯之零筆或一筆以上醫療作業資料之醫療作業資料雜湊值、該醫療作業資料K1建立時之一時間戳記(time stamp)以及該醫療作業資料K1之一醫療作業資料雜湊值。其中該醫療作業資料K1的建立者之該公開金鑰與該醫療作業資料K1的接收者之該公開金鑰可使用非對稱加密演算法中的RSA演算法(Rivest-Shmir-Adleman cryptography)、或者橢圓曲線演算法(elliptic curve cryptography, ECC)產生,但不以上述兩種演算法為限制。亦可為對稱加密演算法中的DES資料加密標準(Data Encryption Standard)、AES進階加密標準(Advanced Encryption Standard)產生。Taking the medical operation data K1 in FIG. 6 as an example, the content of a single medical operation data includes the public key of the issuer's public key of the creator of the medical operation data K1 and the public key of one of the recipients of the medical operation data K1. key (receiver's public key), the transaction content of the medical work data K1, the medical work data hash value of zero or more pieces of medical work data associated with the medical work data K1, a time when the medical work data K1 was created A time stamp and a hash value of medical work data of the medical work data K1. The public key of the creator of the medical work data K1 and the public key of the receiver of the medical work data K1 can use the RSA algorithm (Rivest-Shmir-Adleman cryptography) in the asymmetric encryption algorithm, or Elliptic curve cryptography (ECC) is generated, but not limited to the above two algorithms. It can also be generated for the DES data encryption standard (Data Encryption Standard) and AES advanced encryption standard (Advanced Encryption Standard) in the symmetric encryption algorithm.

根據本發明一實施例,其中該醫療作業資料K1之該醫療作業資料雜湊值係由該醫療作業資料K1的建立者之該公開金鑰、該醫療作業資料K1的接收者之該公開金鑰、該醫療作業資料K1之交易內容、與該醫療作業資料K1相關聯之該零筆或一筆以上醫療作業資料之醫療作業資料雜湊值以及該醫療作業資料K1建立時之該時間戳記透過一安全雜湊演算法(cryptographic hash function)所產生。According to an embodiment of the present invention, the medical operation data hash value of the medical operation data K1 is determined by the public key of the creator of the medical operation data K1, the public key of the receiver of the medical operation data K1, The transaction content of the medical work data K1, the medical work data hash value of the zero or more pieces of medical work data associated with the medical work data K1, and the timestamp when the medical work data K1 was created are calculated through a secure hash algorithm generated by the cryptographic hash function.

根據本發明一實施例,其中該安全雜湊演算法並不以SHA-512演算法為限制。藉此,透過對該醫療作業資料K1的完整資料(包含建立者之公開金鑰、該接收者之公開金鑰、該醫療作業資料K1之交易內容、與該醫療作業資料K1相關聯之該零筆或一筆以上醫療作業資料之醫療作業資料雜湊值以及該醫療作業資料K1建立時之該時間戳記)進行計算其安全雜湊值。藉此,由於雜湊值的計算特性,當該醫療作業資料K1的任一資料遭到竄改,可準確地察覺出來該醫療作業資料K1已遭到破壞,以確保該醫療作業資料K1之資料完整性(integrity)。該醫療作業資料K1的建立者之該公開金鑰係為建立該醫療作業資料的單位其所提供之公開金鑰。該醫療作業資料K1的接收者之該公開金鑰係為接收該醫療作業資料K1的單位所提供之公開金鑰。According to an embodiment of the present invention, the secure hash algorithm is not limited to the SHA-512 algorithm. Thereby, through the complete data of the medical operation data K1 (including the public key of the creator, the public key of the receiver, the transaction content of the medical operation data K1, the zero associated with the medical operation data K1 The hash value of medical operation data of one or more pieces of medical operation data and the time stamp when the medical operation data K1 is created) are used to calculate the security hash value. Therefore, due to the calculation characteristics of the hash value, when any data of the medical operation data K1 is tampered with, it can be accurately detected that the medical operation data K1 has been damaged, so as to ensure the data integrity of the medical operation data K1 (integrity). The public key of the creator of the medical work data K1 is the public key provided by the unit that created the medical work data. The public key of the recipient of the medical work data K1 is the public key provided by the unit that receives the medical work data K1.

根據本發明一實施例,該醫療作業資料K1之該時間戳記係為該醫療作業資料K1建立時當下之日期與時間。此外,該時間戳記係透過以毫秒的時間格式進行記錄與儲存,為各式存取端進行轉換其所需的日期時間格式。According to an embodiment of the present invention, the time stamp of the medical operation data K1 is the date and time when the medical operation data K1 is created. In addition, the time stamp is recorded and stored in millisecond time format so that various access points can convert their desired date time format.

請再配合參考圖1以及圖2a~2f所示,根據本發明一實施例,其中手術作業管理平台200在使用者操作介面之顯示包含有一常規手術排程選單、一常規手術日曆選單以及一常規手術紀錄選單,常規手術排程選單用以提供管理者根據指定日期、手術室地點、手術室房號或者手術科別之前述任一者或兩者以上的選擇欄位,進行手術排程設定以查詢手術需求資訊;常規手術日曆選單用以提供管理者根據日曆表單上的指定日期、指定當日、手術室房號之前述任一者的點擊選擇以產生一設定選單,通過設定選單進行手術排程設定以建立、查詢或編修手術需求資訊;常規手術紀錄選單用以提供管理者根據指定日期區間、手術科別、主刀醫師名稱之前述任一者或兩者以上的選擇欄位以查詢一或多筆的手術需求資訊,並提供管理者根據一或多筆的手術需求資訊進行編修或者列印手術作業報表,如圖2b。Please refer to FIG. 1 and FIGS. 2a-2f again. According to an embodiment of the present invention, the display of the surgical operation management platform 200 on the user interface includes a routine surgery schedule menu, a routine surgery calendar menu, and a routine surgery menu. The operation record menu and the routine operation schedule menu are used to provide the administrator with the selection field of the specified date, operating room location, operating room number or any one or more of the above-mentioned fields of surgical department to set the surgical schedule to Inquire about surgical demand information; the conventional surgery calendar menu is used for the administrator to generate a setting menu by clicking on any one of the specified date, the specified day, and the operating room number on the calendar sheet to generate a setting menu, and the operation can be scheduled through the setting menu. Set to create, inquire or edit information on surgical needs; the routine operation record menu is used to provide administrators to inquire one or more of the above selection fields according to the specified date range, surgical department, and the name of the chief surgeon. The operation demand information of the pen, and provide the administrator to edit or print the operation report according to one or more pieces of operation demand information, as shown in Figure 2b.

根據本發明一實施例,其中通過常規手術紀錄選單以對一或多筆的手術需求資訊進行編修的部分包含病患身分資訊、手術基本資料、手術計價資料、手術參與人員、手術使用醫材資料、病患手術前護理紀錄、病患手術中護理紀錄、病患手術後護理紀錄之前述任一者或兩者以上。According to an embodiment of the present invention, the part in which one or more pieces of surgical demand information are edited through the conventional surgical record menu includes patient identity information, basic surgical data, surgical pricing data, surgical participants, and surgical material data. , One or more of the above-mentioned nursing records of patients before surgery, nursing records of patients during surgery, and nursing records of patients after surgery.

根據本發明一實施例,其中手術作業管理平台200在使用者操作介面之顯示包含有一心導管手術排程選單、一心導管手術日曆選單以及一心導管手術紀錄選單,心導管手術排程選單用以提供管理者根據指定日期、手術室地點、手術室房號、病患相關資訊之前述任一者或兩者以上的選擇欄位,進行手術排程設定以查詢手術需求資訊;心導管手術日曆選單,用以提供管理者根據日曆表單上的指定日期、指定當日、心導管檢查資訊之前述任一者的點擊選擇以產生一設定選單,通過設定選單進行手術排程設定以建立、查詢或編修手術需求資訊,如圖2c;心導管手術紀錄選單,用以提供管理者根據指定日期區間、手術科別、主刀醫師名稱之前述任一者或兩者以上的選擇欄位以查詢一或多筆的手術需求資訊,並提供管理者根據一或多筆的手術需求資訊進行編修或者列印手術作業報表。According to an embodiment of the present invention, the display of the surgical operation management platform 200 on the user operation interface includes a cardiac catheterization procedure scheduling menu, a cardiac catheterization operation calendar menu and a cardiac catheterization operation record menu, and the cardiac catheterization operation scheduling menu is used to provide The administrator can set the operation schedule according to any one or more of the above-mentioned selection fields, such as the specified date, the location of the operating room, the room number of the operating room, and the patient-related information. It is used to provide the administrator with a click selection according to any one of the specified date, the specified date, and the cardiac catheterization information on the calendar form to generate a setting menu, and the operation scheduling setting is performed through the setting menu to create, query or edit the operation requirements. Information, as shown in Figure 2c; the cardiac catheterization record menu, which is used to provide the administrator with one or more selection fields to query one or more operations according to the specified date interval, surgical department, and the name of the chief surgeon. Demand information, and provide administrators to edit or print surgical operation reports according to one or more surgical demand information.

根據本發明一實施例,其中通過心導管手術紀錄選單以對一或多筆的手術需求資訊進行編修的部分包含病患身分資訊、手術基本資料、手術計價資料、手術參與人員、手術使用醫材資料、病患手術前護理紀錄、病患手術中護理紀錄、病患手術後護理紀錄以及心導管檢查資料之前述任一者或兩者以上。According to an embodiment of the present invention, the part for editing one or more pieces of surgical demand information through the cardiac catheterization record menu includes patient identity information, basic surgical data, surgical pricing data, surgical participants, and medical materials used in surgery. One or more of the aforementioned data, patient care records before surgery, patient care records during surgery, patient post-operative care records, and cardiac catheterization data.

根據本發明一實施例,其中手術作業管理平台200在使用者操作介面之顯示包含有一憑單入庫選單、一臨時入庫選單、一醫材出庫選單、一庫存資料查詢選單、一醫材資料管理選單以及一醫材出/入庫查詢選單,憑單入庫選單用以提供管理者根據一醫材供應商所提供的一出貨單之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分;臨時入庫選單用以提供管理者根據醫材條碼、醫材供應商以及醫材數量之前述任一者或兩者以上之設定,以建立醫材存貨資訊之一部分;醫材出庫選單用以提供管理者根據醫材條碼、出庫原因、手術科別之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分;庫存資料查詢選單用以提供管理者根據醫材條碼、醫材供應商之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分;醫材資料管理選單用以提供管理者根據醫材條碼之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分;醫材出/入庫查詢選單用以提供管理者根據醫材條碼、日期區間、醫材供應商、手術科別、出/入庫方式之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分,如圖2d。According to an embodiment of the present invention, the display of the surgical operation management platform 200 on the user interface includes a voucher storage menu, a temporary storage menu, a medical material output menu, an inventory data query menu, a medical material data management menu, and A medical material out/in inquiry menu, the voucher in-stock menu is used for the administrator to inquire a part of the medical material inventory information according to one or more of the above-mentioned settings of a shipment note provided by a medical material supplier ;The temporary storage menu is used to provide the administrator with one or more of the settings of the medical material barcode, medical material supplier and medical material quantity to create a part of the medical material inventory information; the medical material delivery menu is used to provide The administrator can inquire a part of the medical material inventory information according to the settings of any one or more of the above-mentioned medical material barcode, storage reason, and surgical department; The supplier's one or more of the above settings can be used to query part of the medical material inventory information; the medical material data management menu is used to provide managers A part of inquiring medical material inventory information; the medical material out/in inquiry menu is used to provide administrators with any one or more of the aforementioned medical material barcodes, date ranges, medical material suppliers, surgical departments, and out/in storage methods. is set to query a part of medical material inventory information, as shown in Figure 2d.

根據本發明一實施例,其中通過憑單入庫選單以查詢部分包含供應商名稱、出貨區域、出貨科別、出貨單建立日期、醫材種類、醫材到貨數量之前述至少一者的資訊;通過臨時入庫選單以建立部分包含供應商名稱、醫材條碼、醫材品名、入庫數量之前述至少一者的一條碼資料;通過醫材出庫選單以查詢部分包含醫材條碼、醫材品名、出庫原因之前述至少一者的資訊;通過庫存資料查詢選單以查詢部分包含醫材條碼、醫材品名、存貨數量之前述至少一者的資訊;通過醫材資料管理選單以查詢部分包含醫材的品名(中/英文)、類別、規格、條碼(REF碼)、有效日期、價格、計價方式、許可證號、供應商名稱、單次使用量、健保碼之前述任一者或其兩者以上的資訊;通過醫材出/入庫查詢選單以查詢部分包含醫材條碼、醫材品名、供應商名稱、入庫科別、出庫科別、入庫方式、出庫方式、入庫日期、出庫日期之前述任一者或其兩者以上的資訊。前述醫材可以泛指各式各樣的醫療耗材及手術器械等等。According to an embodiment of the present invention, the query part includes at least one of the supplier name, shipping area, shipping department, date of creation of the shipping note, type of medical materials, and quantity of medical materials delivered through the voucher receipt menu. Information; through the temporary warehousing menu to create a part of barcode data that includes at least one of the supplier name, medical material barcode, medical material product name, and storage quantity; through the medical material outbound menu to query the part that includes medical material barcode, medical material product name , the information of at least one of the reasons for leaving the warehouse; through the inventory data query menu, the query part contains the information of at least one of the above-mentioned medical material barcode, medical material product name, and inventory quantity; through the medical material data management menu, the query part contains medical materials. product name (Chinese/English), category, specification, barcode (REF code), expiry date, price, pricing method, license number, supplier name, single usage amount, health insurance code or any of the foregoing The above information; through the medical material out/in query menu, the query part includes the medical material barcode, medical material product name, supplier name, storage department, outbound department, storage method, storage method, storage date, and storage date. one or more of the information. The aforementioned medical materials can generally refer to various medical consumables, surgical instruments, and the like.

承上所述,請參閱圖3所示,醫材上的條碼(REF碼)主要通過一醫材識別裝置30進行識別;醫材識別裝置30包含條碼掃描器31以及連接條碼掃描器31的電子終端設備32;電子終端設備22可以是獨立具有運算分析與資料處理以及聯網功能的終端設備,並通過網際網路連接雲端管理伺服器100以實現資料交互,例如個人電腦或者筆記型電腦,而電子終端設備32可安裝有解碼應用程式;而條碼掃描器31可用於掃描目標醫材包裝上的識別條碼G,並將掃描解碼後的資料通過電子終端設備32並經由雲端管理伺服器100透過有線或無線網路傳送至醫材資料庫120;其中識別條碼G可為單一識別碼(Unique Device Identification, UDI),其可為GS1、HIBCC或ICCBBA等三個國際組織所規範的條碼格式。醫材資料庫120可分別與醫療機構的大型資料庫整合,例如醫療資訊系統(Healthcare /Hospital Information System,HIS),醫療資訊系統中可具有上述存貨資料庫DB2,醫材資料庫120用以對一目標醫材上的識別條碼G進行分析。圖3中所示為目標醫材的識別條碼G,在本實施例中係以GS1國際條碼(一維線性條碼, GTIN)標準為例,但不作為本發明的限制,亦可以是GS1-128的一維線性條碼標準。目標醫材之識別條碼G可分為A區塊、B區塊、C區塊及D區塊;其中,A區塊表示為GS1總部分配國家代號,B區塊表示為國家分配廠商代號,C區塊表示為商品代號,而D區塊表示為依公式算出檢核碼;基本上由A區塊及B區塊即可識別此醫療材料是何者醫材供應商所提供的產品,而D區塊根據固定計算公式所算出的數值,用以檢核條碼掃瞄時是否正確。As mentioned above, please refer to FIG. 3 , the barcode (REF code) on the medical material is mainly identified by a medical material identification device 30 ; the medical material identification device 30 includes a barcode scanner 31 and an electronic device connected to the barcode scanner 31 . The terminal device 32; the electronic terminal device 22 can be a terminal device with independent functions of computing analysis, data processing and networking, and is connected to the cloud management server 100 through the Internet to realize data interaction, such as a personal computer or a notebook computer, while the electronic The terminal device 32 can be installed with a decoding application; and the barcode scanner 31 can be used to scan the identification barcode G on the package of the target medical material, and pass the scanned and decoded data through the electronic terminal device 32 and through the cloud management server 100 through wired or The wireless network is transmitted to the medical material database 120; wherein the identification barcode G can be a unique identification code (Unique Device Identification, UDI), which can be a barcode format regulated by three international organizations such as GS1, HIBCC or ICCBBA. The medical material database 120 can be respectively integrated with large databases of medical institutions, such as a medical information system (Healthcare/Hospital Information System, HIS). The identification barcode G on a target medical material is analyzed. Figure 3 shows the identification barcode G of the target medical material. In this embodiment, the GS1 international barcode (one-dimensional linear barcode, GTIN) standard is used as an example, but it is not a limitation of the present invention, and it can also be a GS1-128 barcode. One-dimensional linear barcode standard. The identification barcode G of the target medical materials can be divided into A block, B block, C block and D block; among them, block A represents the country code assigned to the GS1 headquarters, block B represents the country assigned manufacturer code, C The block represents the product code, and the D block represents the check code calculated according to the formula; basically, the A block and the B block can identify the product provided by the medical material supplier, and the D block is the product provided by the medical material supplier. The value calculated by the block according to the fixed calculation formula is used to check whether the barcode scanning is correct.

醫材資料庫120可透過大數據分析技術事先分析多個醫材供應商所供應的醫材包裝上的識別條碼G的編碼方式;其中,醫材資料庫120可將各個醫材包裝上的識別條碼G之商品代號(例如:C區塊)分為第一部份、第二部份及第三部份。若目標醫材包裝上的識別條碼G中的商品代號之號碼數為3的倍數時,醫材資料庫120使第一部份、第二部份及第三部份之號碼數相等;若目標醫材包裝上的識別條碼G中的商品代號之號碼數不等於3的倍數時,醫材資料庫120使第二部份之號碼數大於或小於第一部份及第三部份;若目標醫材包裝上的識別條碼G中的商品代號之號碼數為8碼,第二部份之號碼數為2碼,而第一部份及第三部份之號碼數為3碼;而在另一實施例中,若目標醫材包裝上的識別條碼G之商品代號為7碼,第二部份之號碼數為3碼,而第一部份及第三部份之號碼數為2碼,以此類推。接下來,醫材資料庫120可以根據各個醫療用品之功能、類型及型號分別對第一部份、第二部份及第三部份產生第一邏輯規則、第二邏輯規則及第三邏輯規則。The medical material database 120 can analyze the coding method of the identification barcode G on the medical material packaging provided by a plurality of medical material suppliers in advance through the big data analysis technology; wherein, the medical material database 120 can analyze the identification code G on each medical material packaging The commodity code of barcode G (eg block C) is divided into the first part, the second part and the third part. If the number of the commodity code in the identification barcode G on the package of the target medical material is a multiple of 3, the medical material database 120 makes the numbers of the first part, the second part and the third part equal; When the number of the product code in the identification barcode G on the medical material package is not equal to a multiple of 3, the medical material database 120 makes the number of the second part larger or smaller than that of the first part and the third part; if the target The number of the product code in the identification barcode G on the medical material package is 8 codes, the number of the second part is 2 codes, and the number of the first part and the third part is 3 codes; In one embodiment, if the product code of the identification barcode G on the package of the target medical material is 7 codes, the number of codes in the second part is 3 codes, and the number of codes in the first part and the third part is 2 codes, And so on. Next, the medical material database 120 can generate the first logic rule, the second logic rule and the third logic rule for the first part, the second part and the third part respectively according to the function, type and model of each medical product .

透過上述的方式,醫材資料庫120則可得知各個醫材供應商根據其各個醫材的功能、類型及型號針對此醫療用品之商品代號之第一部份、第二部份及第三部份各自的編碼邏輯。接著,醫材資料庫120可同樣將目標醫材的識別條碼之商品代號分為第一部份C1、第二部份C2及第三部份C3,並可根據第一邏輯規則、第二邏輯規則及第三邏輯規則判斷目標醫材的功能、類型及型號以產生分析結果,並根據此分析結果執行醫療用品管理記錄。當然,上述僅為舉例,本實施例之醫材識別裝置30可應用於各種不同類型的條碼標準,均可以達到極佳的效果以大幅提供醫材管理的效率。再者,醫療人員可以透過條碼掃描器31掃描目標醫材上的條碼來直接進行管理,而不必透過人工的方式記錄醫療用品之使用狀況,故可大幅提升效率且具極高的精確度。醫材資料庫120通過大數據分析技術事先針對各個供應商所供應的醫材上的條碼中的商品代號分為多個部份,並分別針對各個部份的編碼邏輯進行分析以找出各自的邏輯規則,故可更為精確地識別各個醫療用品之功能、類型及型號。Through the above method, the medical material database 120 can know the first part, the second part and the third part of the commodity code of the medical product according to the function, type and model of each medical material supplier. Part of the respective encoding logic. Next, the medical material database 120 can also divide the commodity code of the identification barcode of the target medical material into the first part C1, the second part C2 and the third part C3, and can be based on the first logic rule and the second logic The rule and the third logic rule determine the function, type and model of the target medical material to generate an analysis result, and execute the medical supplies management record according to the analysis result. Of course, the above are only examples, and the medical material identification device 30 of this embodiment can be applied to various types of barcode standards, all of which can achieve excellent results and greatly improve the efficiency of medical material management. Furthermore, medical personnel can directly manage the target medical materials by scanning the barcode on the target medical material through the barcode scanner 31 , and do not need to manually record the use status of the medical supplies, so the efficiency can be greatly improved and the accuracy is extremely high. The medical material database 120 uses big data analysis technology to divide the commodity code in the barcode on the medical material supplied by each supplier into multiple parts in advance, and analyzes the coding logic of each part to find out the corresponding code. Logical rules, so the function, type and model of each medical product can be more accurately identified.

根據本發明一實施例,其中手術作業管理平台200在使用者操作介面之顯示更可包含有一醫材使用報表選單、一手術台數報表選單以及一手術室使用報表選單,醫材使用報表選單用以提供管理者根據日期區間、醫材供應商、手術科別之前述任一者或兩者以上之設定,以查詢或列印手術相關的統計資料或者歷史記錄之一部分;手術台數報表選單,用以提供管理者根據日期區間之設定,以查詢或列印手術相關的統計資料或者歷史記錄之一部分;手術室使用報表選單,用以提供管理者根據日期區間之設定,以查詢或列印手術相關的統計資料或者歷史記錄之一部分,如圖2e。According to an embodiment of the present invention, the display of the surgical operation management platform 200 on the user operation interface may further include a medical material usage report menu, an operating table number report menu, and an operating room usage report menu. The medical material usage report menu is used for In order to provide administrators with the settings of any one or more of the above-mentioned date range, medical material supplier, and surgical department, to query or print a part of the statistical data or historical records related to surgery; the operating table number report menu, It is used to provide administrators to query or print surgery-related statistical data or part of historical records according to the settings of the date range; the operating room uses the report menu to provide managers to query or print surgery according to the settings of the date range The relevant statistics or part of the historical record is shown in Figure 2e.

根據本發明一實施例,其中手術作業管理平台在使用者操作介面之顯示包含有一手術基礎設定選單以及一手術同意書設定選單,手術基礎設定選單用以提供管理者根據手術室地點、手術室房號、手術等級、手術室房號開放時間之前述任一者或兩者以上之選項進行建立、查詢或編修;手術同意書設定選單用以提供管理者自行編撰或者上傳手術同意書以供查詢或編修,如圖2f。According to an embodiment of the present invention, the display of the surgical operation management platform on the user interface includes a surgical basic setting menu and a surgical consent setting menu. You can create, query or edit any one or more of the above-mentioned options, such as number, surgery level, and operating room number and opening hours; the surgical consent form setting menu is used for administrators to compile or upload the surgical consent form for query or editing. Edited as shown in Figure 2f.

帳戶管理模組210用以管理一使用者帳戶權限以及帳戶設定,可讓不同權限的使用者可以看到預定權限的模組內容,並且提供特定管理權限者查看使用者的登入/登出的時間以及使用時間。在本實施例中,在進入手術作業管理平台200的使用者操作介面時,需輸入使用者帳號以及對應的密碼以完成登入,當輸入錯誤的使用者帳號或者錯誤密碼超過設定次數時,則封鎖使用者帳號;在此說明,前述設定次數可由最高權限管理者進行設定,例如5次或10次的錯誤嘗試登入,當超過設定次數材進行封鎖,且最高權限管理者可於手術作業管理平台200中查看被封鎖的使用者帳號,以降低網路駭客駭入網站平台的風險。以下針對完成登入後的使用者操作介面進行各個功能模組的說明。The account management module 210 is used to manage a user's account authority and account settings, so that users with different authority can see the module content of the predetermined authority, and users with specific management authority can view the user's login/logout time and usage time. In this embodiment, when entering the user operation interface of the surgical operation management platform 200, the user account and the corresponding password need to be entered to complete the login. User account; it is explained here that the above-mentioned set times can be set by the administrator with the highest authority. For example, 5 or 10 wrong login attempts will be blocked when the set number is exceeded, and the administrator with the highest authority can log in to the operation management platform 200. View blocked user accounts in to reduce the risk of cyber-hackers hacking the website platform. The following describes each function module for the user interface after logging in.

綜上所述,本發明所提出的一種雲端智慧多工排程互聯管理系統,透過為醫療機構提供整合不同手術所需各項基本資訊、醫療物資、排程管理的功能以開發出一使用者操作介面進行設定以及查詢,能有效提升醫療機構進行手術前、中、後不同時程的資訊管理效率;再者,通過排程管理功能所產生的多筆醫療作業資料可分別在不同網域中所屬的伺服器執行建立區塊與相鄰前一區塊之間的鏈結,藉由區塊的時間戳記與區塊的雜湊值,提供區塊之安全保護機制,以確保區塊完全無法被竄改,實現區塊資料之完整性,所有節點亦取得並儲存相同的區塊鏈資料,若任一節點發生失效、無法存取的狀況,則可透過其他儲存區塊鏈資料的節點取得相同的區塊鏈資料,以確保區塊鏈資料的高可用性。To sum up, the cloud intelligent multi-task scheduling interconnection management system proposed by the present invention develops a user by providing medical institutions with the functions of integrating various basic information, medical materials, and scheduling management required for different operations. Setting and querying through the operation interface can effectively improve the information management efficiency of medical institutions at different time schedules before, during and after surgery; in addition, multiple pieces of medical operation data generated through the scheduling management function can be stored in different domains. The server it belongs to executes the establishment of the link between the block and the adjacent previous block, and provides the block's security protection mechanism through the block's time stamp and the block's hash value to ensure that the block cannot be accessed at all. tampering to achieve the integrity of block data, all nodes also obtain and store the same block chain data, if any node fails and cannot be accessed, the same block chain data can be obtained through other nodes that store block chain data. Blockchain data to ensure high availability of blockchain data.

雖然本發明以前述之較佳實施例揭露如上,然其並非用以限定本發明,任何熟習相像技藝者,在不脫離本發明之精神和範圍內,當可作些許之更動與潤飾,因此本發明之專利保護範圍須視本說明書所附之申請專利範圍所界定者為準。惟以上所述之具體實施例,僅係用於例釋本發明之特點及功效,而非用於限定本發明之可實施範疇,於未脫離本發明上揭之精神與技術範疇下,任何運用本發明所揭示內容而完成之等效改變及修飾,均仍應為下述之申請專利範圍所涵蓋。Although the present invention is disclosed by the above-mentioned preferred embodiments, it is not intended to limit the present invention. Anyone who is familiar with the similar arts can make some changes and modifications without departing from the spirit and scope of the present invention. Therefore, this The scope of patent protection of the invention shall be determined by the scope of the patent application attached to this specification. However, the above-mentioned specific embodiments are only used to illustrate the features and effects of the present invention, rather than to limit the applicable scope of the present invention. Without departing from the spirit and technical scope of the present invention, any application Equivalent changes and modifications made by the disclosed contents of the present invention should still be covered by the following patent application scope.

100:雲端管理伺服器 110:手術帳目資料庫 120:醫材資料庫 200:手術作業管理平台 210:帳戶管理模組 220:手術排程管理模組 230:基礎資訊管理模組 240:庫存管理模組 250:帳目報表管理模組 260:供應商管理模組 270:資料連結模組 30:醫材識別裝置 31:條碼掃描器 32:電子終端設備 G:識別條碼 K:區塊100: Cloud Managed Server 110: Surgical Accounts Database 120: Medical Materials Database 200: Surgical operation management platform 210: Account Management Module 220: Surgery Schedule Management Module 230: Basic Information Management Module 240: Inventory Management Module 250: Account Statement Management Module 260: Supplier Management Module 270:Data Link Module 30: Medical material identification device 31: Barcode Scanner 32: Electronic terminal equipment G: Identification barcode K: block

圖1係繪製本發明之雲端智慧多工排程互聯管理系統的方塊示意圖。 圖2a~2f係繪製本發明之使用者操作介面的應用範例示意圖。 圖3係繪製本發明之醫材識別裝置的運作架構示意圖。 圖4係繪製基於本發明之圖1的運作架構示意。 圖5係繪製本發明之醫療作業資料的區塊鏈方塊圖。 圖6係繪製本發明之醫療作業資料區塊的內容方塊圖。FIG. 1 is a schematic block diagram of the cloud-based intelligent multi-task scheduling interconnection management system of the present invention. 2a-2f are schematic diagrams illustrating application examples of the user interface of the present invention. FIG. 3 is a schematic diagram illustrating the operation structure of the medical material identification device of the present invention. FIG. 4 is a schematic diagram illustrating the operation structure of FIG. 1 based on the present invention. FIG. 5 is a block chain block diagram for drawing medical operation data of the present invention. FIG. 6 is a block diagram illustrating the content of the medical operation data block of the present invention.

100:雲端管理伺服器100: Cloud Managed Server

110:手術帳目資料庫110: Surgical Accounts Database

120:醫材資料庫120: Medical Materials Database

200:手術作業管理平台200: Surgical operation management platform

210:帳戶管理模組210: Account Management Module

220:手術排程管理模組220: Surgery Schedule Management Module

230:基礎資訊管理模組230: Basic Information Management Module

240:庫存管理模組240: Inventory Management Module

250:帳目報表管理模組250: Account Statement Management Module

260:供應商管理模組260: Supplier Management Module

270:資料連結模組270:Data Link Module

Claims (10)

一種雲端智慧多工排程互聯管理系統,其包括: 一雲端管理伺服器,通過網際網路分別電信連接一手術帳目資料庫與一醫材資料庫,該手術帳目資料庫與該醫材資料庫分別連結一醫療院所的醫療資訊系統的資料庫以進行資料交換;以及 一手術作業管理平台,通過網際網路分別與該手術帳目資料庫與該醫材資料庫分別電信連接,該手術排程管理平台為一使用者操作介面且其包含: 一帳戶管理模組,用以管理一使用者帳戶權限以及帳戶設定,以使不同權限的使用者可以看到預定權限的模組內容; 一手術排程模組,用以提供一管理者進行一手術排程設定,以建立、查詢或編修每一筆的手術需求資訊; 一基礎資訊管理模組,用以提供該管理者根據該手術排程設定所包含的基礎資料進行建立、查詢或編修; 一訊息推播模組,用以根據每一手術需求資訊對應的每一醫療人員發送一手術排程通知,以使每一該醫療人員經由一電子通訊裝置於手術當日之前取得手術需求資訊;以及 一資料連結模組,用以連結該醫療資訊系統的資料庫以進行資料交換,以即時更新該手術帳目資料庫與該醫材資料庫中的資料; 其中該手術作業管理平台中的各該功能模組所產生的一醫療作業資料被多部所屬不同網域的伺服器上執行資料傳輸。A cloud-based intelligent multi-task scheduling interconnection management system, comprising: A cloud management server, respectively telecommunicationly connecting a surgical account database and a medical material database through the Internet, and the surgical account database and the medical material database are respectively connected to the data of a medical information system of a medical institution repository for data exchange; and A surgical operation management platform is respectively connected with the surgical account database and the medical material database by telecommunication through the Internet. The surgical scheduling management platform is a user operation interface and includes: an account management module for managing a user's account authority and account settings, so that users with different authority can see the module content with predetermined authority; an operation scheduling module, which is used for providing an administrator to set a surgical schedule to create, inquire or edit each operation demand information; a basic information management module for providing the administrator to create, query or edit according to the basic data included in the operation schedule setting; a message push module for sending an operation scheduling notification according to each medical staff corresponding to each surgical demand information, so that each medical staff can obtain the surgical demand information through an electronic communication device before the day of the operation; and a data linking module for linking the database of the medical information system for data exchange, so as to update the data in the surgical account database and the medical material database in real time; Wherein, a medical operation data generated by each of the functional modules in the surgical operation management platform is transmitted to a plurality of servers belonging to different network domains. 如請求項1所述之雲端智慧多工排程互聯管理系統,其中該手術排程通知的內容至少包含一手術作業的手術日期、手術資訊、病患資訊、手術室地點以及參與醫療人員之資訊,而該手術排程通知將於一提早設定時間通過以簡訊、電子郵件、通訊應用軟體之前述任一種推播形式進行發送至相關醫療人員。The cloud-based intelligent multi-task scheduling interconnection management system according to claim 1, wherein the content of the operation scheduling notification at least includes the operation date, operation information, patient information, operating room location and information of participating medical personnel of one operation operation , and the surgery schedule notification will be sent to the relevant medical staff at a set time in advance through any of the aforementioned push broadcasts via SMS, email, or communication application software. 如請求項1所述之雲端智慧多工排程互聯管理系統,其中該醫療作業資料被多部所屬不同網域的伺服器上執行: 存放至少一筆醫療作業資料在一區塊中,並根據各該醫療作業資料內容產生對應之一醫療作業資料雜湊值; 各該醫療作業資料根據對應之該醫療作業資料雜湊值鏈結零筆或一筆以上其他相關聯之醫療作業資料; 當該區塊存滿該等醫療作業資料,以該區塊內容產生對應之一區塊雜湊值與記錄該區塊建立當時之一時間戳記,以完成建立該區塊; 該區塊根據相鄰之前一個該區塊雜湊值與相鄰之前一個該區塊相串鏈結,以建立該區塊鏈。The cloud-based intelligent multi-task scheduling interconnection management system according to claim 1, wherein the medical operation data is executed by multiple servers belonging to different network domains: storing at least one piece of medical work data in a block, and generating a corresponding hash value of medical work data according to the content of each medical work data; Each of the medical operation data is linked to zero or more than one other related medical operation data according to the corresponding hash value of the medical operation data; When the block is full of the medical operation data, generate a corresponding block hash value based on the block content and record a timestamp when the block was created, so as to complete the creation of the block; The block is linked with the adjacent previous block according to the hash value of the adjacent previous block to establish the block chain. 如請求項1所述之雲端智慧多工排程互聯管理系統,其中該手術作業管理平台更包含一手術紀錄模組,該手術紀錄模組用以提供相關醫療人員進行手術作業的一護理紀錄,該護理紀錄包含: 手術作業的一植入物醫材之一醫材條碼的掃描讀取; 手術作業的一起始時間與一完成時間之紀錄; 手術作業的病患生理資訊之紀錄; 其中醫材條碼讀取格式係包括GS1,HIBCC,ICCBBA以及其三個國際組織所規範的條碼格式以及其他特定格式條碼。The cloud-based intelligent multi-task scheduling interconnection management system according to claim 1, wherein the surgical operation management platform further comprises an operation record module, and the operation record module is used to provide a nursing record of the operation performed by the relevant medical personnel, The care record contains: Scanning and reading of the barcode of one of the medical materials for an implant in a surgical operation; A record of a start time and a completion time of the operation; Records of patient physiological information for surgical operations; The medical material barcode reading formats include GS1, HIBCC, ICCBBA and the barcode formats regulated by its three international organizations and other specific format barcodes. 如請求項4所述之雲端智慧多工排程互聯管理系統,其中該手術紀錄模組更包含:一預定手術排程、一手術作業時間、一手術病患資料、一手術名稱、一參與醫療人員、一醫療器材使用、一刀口計價、一手術治療項目及一科別專屬輔助資訊之紀錄。The cloud-based intelligent multi-task scheduling interconnection management system according to claim 4, wherein the surgery record module further comprises: a scheduled surgery schedule, a surgery operation time, a surgery patient data, a surgery name, a medical participation Records of personnel, one medical equipment use, one incision pricing, one surgical treatment item, and one department-specific auxiliary information. 如請求項1所述之雲端智慧多工排程互聯管理系統,其中該手術作業管理平台在該使用者操作介面之顯示包含有: 一常規手術排程選單,用以提供管理者根據指定日期、手術室地點、手術室房號或者手術科別之前述任一者或兩者以上的選擇欄位,進行手術排程設定以查詢手術需求資訊; 一常規手術日曆選單,用以提供管理者根據日曆表單上的指定日期、指定當日、手術室房號之前述任一者的點擊選擇以產生一設定選單,通過設定選單進行手術排程設定以建立、查詢或編修手術需求資訊; 一常規手術紀錄選單,用以提供管理者根據指定日期區間、手術科別、主刀醫師名稱之前述任一者或兩者以上的選擇欄位以查詢一或多筆的手術需求資訊,並提供管理者根據一或多筆的手術需求資訊進行編修或者列印手術作業報表; 一心導管手術排程選單,用以提供管理者根據指定日期、手術室地點、手術室房號、病患相關資訊之前述任一者或兩者以上的選擇欄位,進行手術排程設定以查詢手術需求資訊; 一心導管手術日曆選單,用以提供管理者根據日曆表單上的指定日期、指定當日、心導管檢查資訊之前述任一者的點擊選擇以產生一設定選單,通過設定選單進行手術排程設定以建立、查詢或編修手術需求資訊;以及 一心導管手術紀錄選單,用以提供管理者根據指定日期區間、手術科別、主刀醫師名稱之前述任一者或兩者以上的選擇欄位以查詢一或多筆的手術需求資訊,並提供管理者根據一或多筆的手術需求資訊進行編修或者列印手術作業報表。The cloud-based intelligent multi-task scheduling interconnection management system as claimed in claim 1, wherein the operation management platform's display on the user operation interface includes: A general surgery schedule menu, which is used to provide the administrator with the selection field of the specified date, operating room location, operating room number, or any one or more of the aforementioned selection fields of the surgical department, to set the surgical schedule to query the surgery demand information; A conventional surgery calendar menu, which is used for the administrator to generate a setting menu according to any one of the specified date, specified day, and operating room number on the calendar sheet to generate a setting menu, and set the operation schedule through the setting menu to create , query or edit information on surgical needs; A routine operation record menu, which is used to provide the administrator with one or more selection fields of the specified date range, surgical department, and the name of the chief surgeon to inquire about one or more pieces of surgical demand information, and provide management The operator edits or prints the operation report according to one or more pieces of surgical demand information; A cardiac catheterization procedure scheduling menu, which is used to provide administrators with one or more selection fields of the specified date, operating room location, operating room room number, and patient-related information to set the surgical schedule for query. information on surgical needs; A cardiac catheterization calendar menu, which is used to provide the administrator according to the click selection of any one of the specified date, specified date, and cardiac catheterization information on the calendar sheet to generate a setting menu, and the operation schedule is set through the setting menu to create , query or edit information on surgical needs; and A cardiac catheterization record menu, which is used to provide administrators with one or more selection fields of the specified date range, surgical department, and the name of the chief surgeon to inquire about one or more pieces of surgical demand information, and provide management The operator edits or prints the operation report according to one or more pieces of surgical demand information. 如請求項1所述之雲端智慧多工排程互聯管理系統,其中該手術作業管理平台在使用者操作介面之顯示更包含有: 一憑單入庫選單,用以提供管理者根據一醫材供應商所提供的一出貨單之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分; 一臨時入庫選單,用以提供管理者根據醫材條碼、醫材供應商以及醫材數量之前述任一者或兩者以上之設定,以建立醫材存貨資訊之一部分; 一醫材出庫選單,用以提供管理者根據醫材條碼、出庫原因、手術科別之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分; 一庫存資料查詢選單,用以提供管理者根據醫材條碼、醫材供應商之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分; 一醫材資料管理選單,用以提供管理者根據醫材條碼之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分;以及 一醫材出/入庫查詢選單,用以提供管理者根據醫材條碼、日期區間、醫材供應商、手術科別、出/入庫方式之前述任一者或兩者以上之設定,以查詢醫材存貨資訊之一部分。The cloud-based intelligent multi-task scheduling interconnection management system as claimed in claim 1, wherein the operation management platform of the surgical operation further includes: A voucher storage menu, which is used for the administrator to inquire a part of the medical material inventory information according to one or more of the above-mentioned settings of a shipping note provided by a medical material supplier; A temporary warehousing menu, which is used for the administrator to create a part of medical material inventory information according to any one or more of the aforementioned settings of medical material barcode, medical material supplier and medical material quantity; A medical material delivery menu, which is used to provide administrators with a part of the medical material inventory information according to the settings of one or more of the above-mentioned barcodes, reasons for stocking out, and surgical departments; An inventory information query menu, which is used for the administrator to query a part of the medical material inventory information according to the medical material barcode and the settings of one or more of the above-mentioned medical material suppliers; A medical material data management menu, which is used for the administrator to inquire a part of the medical material inventory information according to one or more of the aforementioned settings of the medical material barcode; and A medical material out/in query menu, which is used to provide administrators to inquire about medical materials according to any one or more of the above-mentioned settings of medical material barcode, date range, medical material supplier, surgical department, and out/in storage method. part of the material inventory information. 如請求項1所述之雲端智慧多工排程互聯管理系統,其中該手術作業管理平台更包含: 一庫存管理模組,用以提供該管理者根據一植入物醫材的一醫材條碼進行建立、查詢或編修植入物醫材的庫存量以及出/入庫記錄; 一供應商管理模組,用以提供該管理者針對一供應商資訊或一通訊資料進行建立、查詢或編修;以及 一帳目報表管理模組,用以提供管理者通過篩選手術相關的統計資料或者歷史記錄的查詢或列印。The cloud-based intelligent multi-task scheduling interconnection management system according to claim 1, wherein the surgical operation management platform further comprises: an inventory management module, which is used for providing the manager to create, inquire or edit the inventory and out/in storage records of the implant medical material according to a medical material barcode of an implant medical material; a supplier management module for providing the manager with creating, querying or editing a supplier information or a communication data; and An accounting statement management module is used to provide the administrator with the query or print of the statistical data or historical records related to the screening operation. 如請求項8所述之雲端智慧多工排程互聯管理系統,其中該庫存管理模組包含:一醫療器材庫存、一醫療器材進貨、一醫療器材出貨、一管理需求單、一管理訂貨單、一執行庫存盤點數量稽核、一設定醫療器材庫存水位及一供應商供貨狀況之建立、查詢或編修。The cloud-based intelligent multi-task scheduling interconnection management system according to claim 8, wherein the inventory management module includes: a medical equipment inventory, a medical equipment purchase, a medical equipment delivery, a management demand list, and a management order form , 1. Perform inventory check and quantity audit, 1. Set medical equipment inventory level and 1. Establish, inquire or edit supplier supply status. 如請求項8所述之雲端智慧多工排程互聯管理系統,其中該帳目報表管理模組包含:一審核手術帳目紀錄、一執行月結醫療器材使用結報、一執行組套醫療器材項目使用結報、一執行特殊項目醫療器材使用結報、一查閱醫療器材使用統計記錄、一查閱組套醫療器材項目使用統計記錄、一查閱特殊項目醫療器材使用統計記錄、一查閱虧損醫療器材項目統計、一查閱手術室使用統計狀況及一產生科別專屬輔助紀錄。The cloud-based intelligent multi-task scheduling interconnection management system as claimed in claim 8, wherein the accounting report management module includes: an audit operation accounting record, a monthly execution report on the use of medical equipment, and an execution set of medical equipment Project use report, one-execution special project medical equipment use report, one-check medical equipment usage statistics records, one-check sets of medical equipment project usage statistics records, one-check special-project medical equipment use statistics records, one-check loss-making medical equipment items Statistics, check the operating room usage statistics and generate department-specific auxiliary records.
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