WO2016201595A1 - 一种基于rfid技术的自动化就诊系统 - Google Patents

一种基于rfid技术的自动化就诊系统 Download PDF

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Publication number
WO2016201595A1
WO2016201595A1 PCT/CN2015/081434 CN2015081434W WO2016201595A1 WO 2016201595 A1 WO2016201595 A1 WO 2016201595A1 CN 2015081434 W CN2015081434 W CN 2015081434W WO 2016201595 A1 WO2016201595 A1 WO 2016201595A1
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WIPO (PCT)
Prior art keywords
medical
information
rfid
server
basic
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PCT/CN2015/081434
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English (en)
French (fr)
Inventor
朱兆丰
顾文超
隋海晶
白青科
赵中华
杨骁俊
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上海市浦东新区人民医院
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Application filed by 上海市浦东新区人民医院 filed Critical 上海市浦东新区人民医院
Priority to PCT/CN2015/081434 priority Critical patent/WO2016201595A1/zh
Publication of WO2016201595A1 publication Critical patent/WO2016201595A1/zh

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G16H10/65—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance

Definitions

  • the invention relates to an automatic management technology for digital information, in particular to an automated medical treatment system.
  • the software has a single function, due to aging and sharpness of the device.
  • the error in information input affects the accuracy of patient information input and forms a bottleneck for self-service equipment.
  • the patient has to queue up to register the number, and more importantly, the most primitive manual labeling has not only affected the speed, but also has a misplaced situation during the chaos.
  • the difference in cognitive ability of patients also affects the promotion and use of self-service devices from another perspective.
  • the present invention aims to provide an automated medical treatment system capable of greatly reducing the time of medical treatment for patients and improving the efficiency of medical treatment, in view of the problems of long time spent on medical treatment, and low medical efficiency.
  • An automated medical treatment system based on RFID technology including HIS server, medical image archiving and communication system (hereinafter referred to as PACS system), computerized medical record system (ie electronic medical record, hereinafter referred to as EMR), mobile care system, supply room Traceability system, physical examination software system, LIS system, the medical treatment system further includes an RFID treatment terminal, and a plurality of RFID reading and writing devices, the HIS server and the medical image archiving and communication system, the computerized medical record system, the mobile nursing system, The supply room traceability system, the physical examination software system, and the LIS system data information are connected, and the HIS server, medical image archiving and communication system, computerized medical record system, mobile care system, supply room traceability system, physical examination software system, and LIS system are respectively connected.
  • the RFID reading and writing device automatically reads the basic medical information of the holder stored in the RFID visiting terminal within the reading range, and according to the basic medical information from the HIS server or the computerized medical record system retrieve the most recent visit information, based on the read
  • the medical information of the recent visit is intelligently calculated to determine the current state of the patient's visit, and the medical status information is sent to the corresponding HIS server, the medical image archiving and communication system, the computerized medical record system, and the mobile care.
  • the RFID treatment terminal is specifically configured to set an RFID chip.
  • the medical card, the social security card, the ID card or the wristband, and the basic medical information of the holder is set in the RFID chip, and the basic medical information includes name, gender, age, ID number, and allergy medicine.
  • the RFID reading and writing device is respectively disposed at a registered payment place of the hospital, each inspection laboratory, a hospital elevator, each treatment department, and a pharmacy.
  • the basic medical information stored on the RFID medical treatment terminal is immediately read, and according to the basic medical information,
  • the HIS server or the computerized medical record system retrieves the latest medical information, and then judges whether the patient pays or registers according to the latest medical information. If the registration is registered, the average is arranged in the registration window for the number and will be arranged.
  • the good serial number and basic medical information are sent to the registration system; if it is a payment, the payment order is arranged according to the weight of the payment event, and the serial number and the payment information of the medical treatment are sent to the charging system.
  • the basic medical information stored on the RFID medical treatment terminal is immediately read, and according to the basic medical treatment
  • the information is retrieved from the HIS server or the computerized medical record system, and the latest medical information is used to determine whether the patient needs to be tested. If necessary, further determine whether the required test items are paid. If there is no payment, the patient will be notified to pay the fee. If the payment has been made, the urgency of the inspection test item will be judged according to the latest medical information, and the examination sequence will be arranged, and the serial number, medical information, basic medical treatment will be arranged.
  • the information is sent to the LIS system, which sends the test results along with the corresponding visit information and basic medical information to the HIS server or computerized medical record system.
  • the basic medical information stored on the RFID medical treatment terminal is immediately read, and according to the basic medical information, Retrieve the most recent HIS server or computerized medical record system The medical information of one visit is judged according to the latest medical information, and the corresponding control information is sent to the elevator controller.
  • the basic medical information stored on the RFID visiting terminal is immediately read and based on the basic medical information.
  • the latest registration information and medical treatment information are retrieved from the HIS server or the computerized medical record system, and the order of medical consultation is arranged according to the latest registration information and medical treatment information, and the serial number and the nearest medical treatment will be arranged.
  • the information and basic medical information are sent to the HIS server doctor client, and the doctor client automatically arranges the doctor according to the received serial number, and retrieves the corresponding electronic medical record in the computerized medical record system according to the corresponding basic medical information, and the corresponding corresponding in the LIS system.
  • a comprehensive diagnosis is performed by examining the test results, etc., and the diagnosis results are sent to the HIS server and the computerized medical record system.
  • the basic medical information stored on the RFID medical treatment terminal is immediately read, and according to the basic medical information from the HIS
  • the server or the computerized medical record system retrieves the latest medical information, determines the prescribed prescription according to the medical information, arranges the order of taking the medicine, and sends the determined prescription and the order of taking the medicine to the dispensing system.
  • the method further includes a mobile medical treatment system
  • the mobile medical treatment system includes a mobile medical treatment terminal
  • the mobile medical treatment terminal completes registration based on the patient's identification information, and then passes through the private wireless network and the HIS server data in the hospital.
  • the corresponding diagnosis and diagnosis information in the HIS server can be obtained, and the medical treatment information sent by the HIS server can be received in real time to guide the patient to the next treatment.
  • the invention provides an automated medical treatment system to receive data in real time for each step of the patient visit, and real-time calculation and adjustment to ensure that all patients can obtain in a reasonable time in each visiting environment. Diagnosis and treatment greatly shorten the waiting time for patients to wait in line and improve the diagnostic efficiency of doctors.
  • the solution provided by the present invention can be implemented on the basis of the existing hospital information system, without the need for overall equipment replacement, feasibility, and wide application prospect.
  • FIG. 1 is a schematic block diagram of an automated medical treatment system of the present invention
  • FIG. 2 is a flow chart showing the operation of the automated medical treatment system of the present invention.
  • the medical treatment system 100 mainly includes a HIS server 101, a medical image archiving and communication system (hereinafter referred to as PACS system) 102, a computerized medical record system (ie, electronic medical record, hereinafter referred to as EMR) 103, and a mobile care system.
  • PACS system medical image archiving and communication system
  • EMR electronic medical record
  • Supply room traceability system 105 physical examination software system 106, LIS system 107, RFID visitor terminal 108, and a number of RFID read/write devices 109.
  • the HIS server 101 and the PACS system 102, the EMR system 103, the mobile care system 104, the supply room traceability system 105, the physical examination software system 106, and the LIS system 107 are connected to each other through respective corresponding local area networks, and the PACS system 102 and the EMR system are connected. 103.
  • the mobile care system 104, the supply room traceability system 105, the physical examination software system 106, and the LIS system 107 transmit the obtained medical or diagnostic information to the HIS server 101, and the HIS server 101 collects and stores the data for sharing. Establish an automatic pre-diagnosis model based on the needs of the HIS server 101, and root Initial pre-diagnosis is based on medical and diagnostics transmitted by other systems.
  • the HIS server 101 the PACS system 102, the EMR system 103, the mobile care system 104, the supply room traceability system 105, the medical examination software system 106, and the LIS system 107 in the system respectively
  • the RFID read/write device 108 is connected.
  • the RFID reading and writing device 108 not only has the basic functions of reading and writing to the corresponding RFID device, but also performs corresponding medical diagnosis on the read data, and performs a medical consultation according to the calculated result. Specifically, the The RFID reading and writing device 108 reads the basic medical information of the holder stored in the RFID medical treatment terminal 109 in the reading range by means of automatic reading or contact reading at a short distance, and according to the basic medical information from the HIS The server or the computerized medical record system retrieves the latest medical information, and then performs intelligent calculation based on the latest medical information read to determine the current medical status of the patient, and the medical status information together with the read medical information. Send to the corresponding HIS server, medical image archiving and communication system, computerized medical record system, mobile care system, supply room traceability system, physical examination software system or LIS system for follow-up automatic medical consultation.
  • the RFID visit terminal 109 here is specifically a medical card, a social security card, an ID card or a wristband provided with an RFID chip, and the RFID chip is provided with basic medical information of the holder, the basic medical information including name, gender, age, and identity. Certificate number, allergy medication.
  • the integrated medical treatment system thus formed is in the specific application, wherein the RFID reading and writing devices are respectively arranged in the hospital's registered payment place, each inspection laboratory, the hospital elevator, each treatment department, and the pharmacy, and respectively corresponding to HIS server, medical image archiving and communication system, computerized medical record system, mobile care system, supply room traceability system, physical examination software system or LIS system data.
  • the RFID reading terminal After the RFID reading and writing device set in the registered payment device recognizes the RFID visiting terminal within its identification range, the RFID reading terminal is read by close automatic reading or contact reading.
  • the basic medical treatment stored on the RFID medical treatment terminal is read by close automatic reading or contact reading.
  • Information retrieve the latest medical information from the HIS server or the computerized medical record system, and then judge whether the patient needs to perform the test according to the latest medical information, and if necessary, further determine the need If the test is not paid, the patient will be notified to pay the fee. If the payment has been made, the urgency of the test will be judged according to the latest medical information, and the test sequence will be arranged and arranged.
  • the serial number, medical information, and basic medical information are sent to the LIS system, and the LIS system sends the test results together with the corresponding medical information and basic medical information to the HIS server or the computerized medical record system.
  • the basic medical information stored on the RFID medical treatment terminal is read by the close automatic reading or the contact reading. And according to the basic medical information, the latest medical information is retrieved from the HIS server or the computerized medical record system, and then the floor of the patient is determined according to the latest medical information, and the corresponding control information is sent to the elevator controller.
  • the basic medical information stored on the RFID visiting terminal is read by close automatic reading or contact reading. And based on the basic medical information from the HIS server or computerized In the medical record system, the latest registration information and medical treatment information are retrieved, and the order of medical consultation is arranged according to the latest registration information and medical treatment information, and the serial number, the latest medical information and the basic medical information are arranged together. Sended to the HIS server doctor client, the doctor client automatically arranges the doctor according to the received serial number, and according to the corresponding basic medical information, the corresponding electronic medical record in the computerized medical record system and the corresponding inspection test result in the LIS system are integrated. Diagnose and send the results to the HIS server and computerized case system.
  • the basic medical information stored on the RFID medical treatment terminal is read by close automatic reading or contact reading, and According to the basic medical information, the latest medical information is retrieved from the HIS server or the computerized medical record system, and the prescribed prescription is determined according to the medical information, and the order of taking the medicine is arranged, and the determined prescription and the taking order are sent to the dispensing. system.
  • the present invention also adds a mobile medical treatment system 110 to the above-mentioned automated medical treatment system, and the mobile medical treatment system 110 specifically includes a customized mobile medical treatment terminal 110a and a hospital.
  • the mobile terminal 110a is provided with corresponding medical consultation software, which is connected with the HIS server 101 through a dedicated wireless network in the hospital, and then, after the RFID medical treatment terminal 108 completes the authentication, the corresponding medical and diagnostic information in the HIS server 101 can be obtained.
  • the patient receives the medical reminder information sent by the HIS server in real time, so as to guide the patient to the next visit.
  • the mobile medical treatment terminal 110a can only be used inside the hospital, and the patient needs to be temporarily registered and collected at the registered payment place of the hospital when the medical registration is completed, and after the medical treatment is finished, the registered payment place of the hospital is returned, and the information is cancelled.
  • the specific automated medical treatment system can be used to control the medical status of each patient in real time without changing the operation and management mechanism of the existing hospital.
  • the platoon greatly reduces the waiting time for patients to wait in the medical treatment, so as to improve the patient's medical efficiency.
  • the patient holds the corresponding RFID social security card.
  • the basic social security information corresponding to the social security personnel is written in the RFID chip: name, contact address, telephone number, social security number, ID number , social security amount, etc.
  • the medical staff When the patient needs to receive the mobile medical treatment terminal 110a, he/she applies for the mobile medical treatment terminal 110a by means of his own RFID social security card to the registration office when registering for each visit.
  • the medical staff first establishes a data connection with the HIS server through the dedicated wireless local area network in the hospital through the mobile wireless terminal 110a; after establishing the communication connection, the authentication request is sent to the HIS server through the mobile medical treatment terminal 110a, the authentication request
  • the HIS server After receiving the corresponding request, the HIS server identifies the corresponding RFID social security card through the RFID read/write device connected thereto, and reads the basic social security information stored therein, and will read the basic social security information and the analytical certificate. The requested information is matched; if it matches, the authentication is completed, and a corresponding database is established in the HIS server to store the registration information corresponding to the registrant, and the binding with the EMR system is completed at the same time.
  • the patient obtains the corresponding medical consultation information by moving the medical treatment terminal 110a, and completes the entire medical treatment process according to the guidance of the medical consultation information.
  • the RFID reading and writing device When the patient holds his own RFID social security card and mobile medical treatment terminal 110a, the RFID reading and writing device in the vicinity thereof recognizes the corresponding RFID social security card, and the contact reading method (that is, the patient contacts the RFID social security card with the RFID reading and writing device) To complete the reading of the information, the following solution) reads the corresponding basic social security information, and retrieves the latest medical information from the HIS server according to the information. If the medical treatment information indicates that it is not the day and there is no registered payment, it is determined that the patient needs to be registered, and the information is sent to the HIS server.
  • the HIS server After receiving the information, the HIS server retrieves the unique identification code of the mobile medical treatment terminal 110a requested by the patient, and transmits the selected information of the registered medical visit or visiting to the mobile medical treatment terminal 110a running the patient. After the patient selects the registered visit, the HIS server will retrieve the information of the currently visited department and the visiting doctor to the patient's mobile visit terminal 110a.
  • the patient selects the visiting department and the doctor required by the mobile medical treatment terminal 110a, and the mobile medical treatment terminal 110a transmits the registration information determined by the patient to the HIS server, and the HIS server stores the information in its corresponding database, and then moves the medical treatment terminal 110a.
  • the HIS server stores the information in its corresponding database, and then moves the medical treatment terminal 110a.
  • the RFID reading and writing device set in the registered payment area recognizes the RFID medical treatment terminal entering the identification range, and then reads the basic medical information stored on the RFID medical treatment terminal by means of contact reading. And according to the basic medical information, the last visit information of the patient is extracted from the HIS server as the selected registration information, and then the patient is required to be registered, and the average is arranged to the registration window to perform the registration number, and the serial number is arranged. And basic medical information is sent to the registration system.
  • the registration system When the number is reached to the patient for registration, after confirming the information with the staff, the registration system will automatically complete the registration operation and send the completed registration information to the HIS server and the EMR system. This action can also be done on the automatic registration machine.
  • the HIS server receives the registration number from the patient, and sends the completed registration information to the patient's mobile medical treatment terminal 110a.
  • the mobile medical treatment terminal 110a retrieves the hospital indoor map and guides the patient to quickly find the corresponding visiting department through the wireless positioning technology.
  • the RFID reading and writing device is set in each visiting department.
  • the basic medical information stored on the RFID treatment terminal is read by means of contact reading, and the basic medical information is adjusted from the HIS server or the computerized medical record system.
  • the client and the doctor client automatically arrange a visit according to the received serial number, and according to the corresponding basic medical information, the corresponding electronic medical record in the computerized medical record system and the corresponding test test result in the LIS system are retrieved for comprehensive diagnosis, and the diagnosis is made.
  • the results are sent to the HIS server and the computerized medical record system.
  • the doctor visits and records the HIS server doctor client and sends the diagnosis to the HIS server and the computerized medical record system.
  • the HIS server After receiving the initial diagnosis result of the doctor, the HIS server guides the patient to pay the payment and conduct an examination test through the mobile medical treatment terminal 110a.
  • the payment process is as follows.
  • the mobile medical treatment terminal 110a retrieves the indoor map of the hospital, and uses the wireless positioning technology to guide the patient to quickly find the corresponding inspection laboratory.
  • the RFID reading and writing device disposed at each inspection laboratory recognizes the RFID treatment terminal entering the identification range, and then reads and stores the RFID treatment terminal by means of contact reading.
  • Basic medical information retrieve the latest medical information from the HIS server or the computerized medical record system, and then judge whether the patient needs to perform the test according to the latest medical information, and if necessary, further Determining whether the required test laboratory project is to be paid. If there is no payment, the patient is notified to pay the fee. If the fee has been paid, the urgency of checking the test item is judged according to the latest medical information, and the test sequence is arranged to be checked.
  • the serial number, medical information, and basic medical information are sent to the LIS system, and the LIS system will The test results are sent to the HIS server or the computerized medical record system along with the corresponding medical information and basic medical information.
  • the mobile medical treatment terminal 110a retrieves the indoor map of the hospital, and uses the wireless positioning technology to guide the patient to quickly find the corresponding diagnostic department for further diagnosis.
  • the specific process is as above.
  • the HIS server After receiving the final diagnosis result of the doctor, the HIS server guides the patient to pay and take the medicine through the mobile treatment terminal 110a.
  • the payment process is as follows.
  • the mobile medical treatment terminal 110a retrieves the indoor map of the hospital, and uses the wireless positioning technology to guide the patient to quickly find the corresponding medicine taking room.
  • the RFID reading and writing device disposed at the medicine taking room recognizes the RFID medical treatment terminal entering the identification range, and then reads the basic medical treatment stored on the RFID medical treatment terminal by means of contact reading.
  • Information retrieve the latest medical information from the HIS server or the computerized medical record system, and then determine the prescribed prescription and arrange the order of taking the medicine according to the medical information, and determine the prescription and the order of taking the medicine. Send to the dispensing system.
  • the patient After the patient completes the taking of the medicine, the patient returns the mobile medical treatment terminal 110a to the hospital, and the hospital completes the information cancellation.
  • the RFID reading and writing device installed in the elevator of the hospital recognizes the RFID visiting terminal within the recognition range, and then reads the contact by reading and reading.
  • the basic medical information stored on the terminal of the RFID visit, and according to the basic medical information, the latest medical information is retrieved from the HIS server or the computerized medical record system, and then the floor of the patient is determined according to the latest medical information, and sent Corresponding control information to the elevator controller.
  • the above-mentioned whole medical treatment process is arranged in a timely manner according to the actual situation of each patient, and the medical treatment process is arranged in a timely manner, thereby greatly reducing the waiting time for the patient to be queued for disease, and effectively improving the medical treatment efficiency.

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Abstract

本发明公开了一种基于RFID技术的自动化就诊系统，该系统现有的医院信息化系统基础上实施，其还包括RFID就诊终端、以及若干的RFID读写装置，本系统中的RFID读写装置自动读取进入读取范围内的RFID就诊终端中存储的持有者的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据读取到的最近一次就诊信息进行智能计算确定患者此时的就诊状态，且将该就诊状态信息连同读取到的就诊信息发送至医院信息化系统统进行后续的自动就诊安排。本发明提供的方案能保证所有的患者在每个就诊环境都能够在合理的时间内获得诊治，大大缩短患者排队等待的时间，提高医生的诊断效率。

Description

一种基于RFID技术的自动化就诊系统 技术领域
本发明涉及数字信息的自动管理技术，具体涉及一种自动化就诊系统。
背景技术
近几年来，中国的医疗体制改革正发展迅速，各医院的医疗服务水平也有了显著的提高。如医疗检验环境有了很大的改善,而检验中心信息化是未来数字化医院的基础，检验科大量的理化数据，信息构成了诊疗过程和决策的重要依据。为临床提供全面、快捷、准确的资料，实现检验服务的自助化、智能化、信息网络化是数字化医院发展的必由之路。
但是在公共医疗的微观细节方面，从挂号、付费、问诊、检测、取药等环节都需要人工输入相关信息，各个环节都有大量患者进行排队，其中在检测环节排队现场特别明显，现如今患者检验项目日益增多、检验台前人满为患，检验中心对患者信息处理的不及时等问题还是比较突出，一项调查显示在检验中心患者平均排队等候时间超过30分钟以上的医院超过80％。日均检验人次超过千人以上在许多二甲医院已经很常规了。一些医院和医疗机构为了改变这种状态开始应用自助式取化验报告单的设备，而这些设备中的多数采用了打印的患者条码来完成功能的实现，软件功能单一，由于设备老化、清晰度下降造成信息输入失误影响了患者信息输入的准确性，形成了自助设备的瓶颈。其次患者还要排队登记取号码，更主要的是最原始的手工操作贴标签不仅影响了速度，忙乱中时有贴错的情况发生。同时患者认知能力的差异也从另外一个角度影响了检验自助设备的推广使用。
由于上述原因，使得患者的整个就医过程时间长，即使简单疾病的就医都需要半天，大部分时间患者需要带病排队等待，就医效率低下。
发明内容
针对目前患者利用公共医疗系统进行就诊时，所花时间长，就医效率低等问题，本发明的目的在于提供一种能够大大降低患者就医时间、提高就医效率的自动化就诊系统。
为了达到上述目的，本发明采用如下的技术方案：
一种基于RFID技术的自动化就诊系统，该系统包括HIS服务器、医学影像存档与通讯系统(以下简称PACS系统)、计算机化的病案系统(即电子病历，以下简称EMR)、移动护理系统、供应室追溯系统、体检软件系统、LIS系统，该就诊系统还包括RFID就诊终端、以及若干的RFID读写装置，所述HIS服务器分别与医学影像存档与通讯系统、计算机化的病案系统、移动护理系统、供应室追溯系统、体检软件系统、LIS系统数据信息相连，所述HIS服务器、医学影像存档与通讯系统、计算机化的病案系统、移动护理系统、供应室追溯系统、体检软件系统、LIS系统分别连接RFID读写装置，所述RFID读写装置自动读取进入读取范围内的RFID就诊终端中存储的持有者的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据读取到的最近一次就诊信息进行智能计算确定患者此时的就诊状态，且将该就诊状态信息连同读取到的就诊信息发送至对应的HIS服务器、医学影像存档与通讯系统、计算机化的病案系统、移动护理系统、供应室追溯系统、体检软件系统或者LIS系统进行后续的自动就诊安排。
在该就诊系统的优选方案中，所述RFID就诊终端具体为设置RFID芯片 的医疗卡、社保卡、身份证或腕带，RFID芯片内设置有持有者的基本医疗信息，所述基本医疗信息包括姓名、性别、年龄、身份证号码、过敏药物。
进一步的，所述RFID读写装置分别设置在医院的挂号缴费处、各个检查化验室处、医院电梯内、各就诊科室处、药房处。
再进一步的，设置在挂号缴费处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，将立即去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据最近一次的就诊信息判断该患者进行缴费还是进行挂号，若为挂号，则平均安排到挂号窗口进行排号，并将排好的序号和基本医疗信息发送给挂号系统；若为缴费，则根据缴费事件的轻重智能安排缴费次序，并将排好的序号和就诊缴费信息发送给收费系统。
再进一步的，设置在各个检查化验室处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，将立即去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据最近一次的就诊信息判断该患者是否需要进行检查化验，若需要，则进一步判断所需的检测化验项目是否缴费，若没有缴费，则通知患者进行缴费，若已经缴费，根据最近一次的就诊信息判断其检查化验项目的紧急性，并以此来安排检查化验次序，并将排好的序号、就诊信息、基本医疗信息发送给LIS系统，LIS系统将检查化验结果连同对应的就诊信息、基本医疗信息一起发送至HIS服务器或者计算机化的病案系统。
再进一步的，设置在医院电梯内的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，将立即去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近 一次的就诊信息，再根据最近一次的就诊信息判断患者所要去的楼层，并发送对应的控制信息至电梯控制器。
再进一步的，设置在各就诊科室处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，将立即去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的挂号信息以及就诊信息，再根据最近一次的挂号信息以及就诊信息，来安排就医问诊的次序，并将排好的序号、最近的就诊信息、基本医疗信息一起发送至HIS服务器医生客户端，医生客户端根据接收的序号自动安排就诊，并根据对应的基本医疗信息调取计算机化的病案系统中对应的电子病历、LIS系统中对应的检查化验结果等进行综合诊断，并将诊断结果发送至HIS服务器和计算机化的病案系统中。
再进一步的，设置在药房处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，将立即去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据该就诊信息确定所开处方以及安排取药次序，并将确定的处方以及取药次序发送至配药系统。
在上述的自动化就诊系统中，其还包括一移动就诊系统，该移动就诊系统包括移动就诊终端，该移动就诊终端基于患者的身份识别信息完成注册，再通过医院内的专用无线网络与HIS服务器数据相接，再基于RFID就诊终端完成认证后，可调取HIS服务器中对应的就诊及诊断信息，同时实时接收HIS服务器所发的就诊提示信息，以此来指导患者进行下一步的就诊。
本发明提供自动化就诊系统实现患者就诊的每个环节都实时接收数据，并实时计算调整，以保证所有的患者在每个就诊环境都能够在合理的时间内获得 诊治，大大缩短患者排队等待的时间，提高医生的诊断效率。
同时，本发明提供的方案能够在现有的医院信息化系统基础上实施，无需进行整体的设备更换，可行性，应用前景广。
附图说明
以下结合附图和具体实施方式来进一步说明本发明。
图1为本发明自动化就诊系统的原理框图；
图2为本发明自动化就诊系统的运行流程图。
具体实施方式
为了使本发明实现的技术手段、创作特征、达成目的与功效易于明白了解，下面结合具体图示，进一步阐述本发明。
本实例提供的自动化就诊系统基于现有的医院信息化系统以及RFID技术构成。如图1所示，该就诊系统100其主要包括HIS服务器101、医学影像存档与通讯系统(以下简称PACS系统)102、计算机化的病案系统(即电子病历，以下简称EMR)103、移动护理系统104、供应室追溯系统105、体检软件系统106、LIS系统107、RFID就诊终端108、以及若干的RFID读写装置109。
其中HIS服务器101与PACS系统102、EMR系统103、移动护理系统104、供应室追溯系统105、体检软件系统106、LIS系统107之间通过相应的专用局域网进行数据信息相连，PACS系统102、EMR系统103、移动护理系统104、供应室追溯系统105、体检软件系统106以及LIS系统107将所获得医疗或诊断信息都传输至HIS服务器101，由HIS服务器101进行收集整理和存储进行数据的共享，同时根据需要HIS服务器101建立自动预诊模型，并根 据其它系统传输的医疗和诊断进行初步的预诊。
在此基础上，为了有效降低患者就医的排队等待时间，系统中的HIS服务器101、PACS系统102、EMR系统103、移动护理系统104、供应室追溯系统105、体检软件系统106以及LIS系统107分别连接RFID读写装置108。
该RFID读写装置108除了具有对相应的RFID设备进行读、写的基本功能外，其还对读取到的数据进行相应的就诊计算，并根据计算得到的结果进行就诊安排，具体的，该RFID读写装置108通过近距离的自动读取或接触读取的方式，读取进入读取范围内的RFID就诊终端109中存储的持有者的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据读取到的最近一次就诊信息进行智能计算确定患者此时的就诊状态，且将该就诊状态信息连同读取到的就诊信息发送至对应的HIS服务器、医学影像存档与通讯系统、计算机化的病案系统、移动护理系统、供应室追溯系统、体检软件系统或者LIS系统进行后续的自动就诊安排。
这里的RFID就诊终端109具体为设置RFID芯片的医疗卡、社保卡、身份证或腕带，RFID芯片内设置有持有者的基本医疗信息，所述基本医疗信息包括姓名、性别、年龄、身份证号码、过敏药物。
由此形成的自动化就诊系统在具体应用时，其中的RFID读写装置分别设置在医院的挂号缴费处、各个检查化验室处、医院电梯内、各就诊科室处、药房处，并分别与对应的HIS服务器、医学影像存档与通讯系统、计算机化的病案系统、移动护理系统、供应室追溯系统、体检软件系统或者LIS系统数据相接。
设置在挂号缴费处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，通过近距离的自动读取或接触读取的方式去读取该RFID就诊终端 上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据最近一次的就诊信息判断该患者进行缴费还是进行挂号，若为挂号，则平均安排到挂号窗口进行排号，并将排好的序号和基本医疗信息发送给挂号系统；若为缴费，则根据缴费事件的轻重智能安排缴费次序，并将排好的序号和就诊缴费信息发送给收费系统。
设置在各个检查化验室处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，通过近距离的自动读取或接触读取的方式去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据最近一次的就诊信息判断该患者是否需要进行检查化验，若需要，则进一步判断所需的检测化验项目是否缴费，若没有缴费，则通知患者进行缴费，若已经缴费，根据最近一次的就诊信息判断其检查化验项目的紧急性，并以此来安排检查化验次序，并将排好的序号、就诊信息、基本医疗信息发送给LIS系统，LIS系统将检查化验结果连同对应的就诊信息、基本医疗信息一起发送至HIS服务器或者计算机化的病案系统。
设置在医院电梯内的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，通过近距离的自动读取或接触读取的方式去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据最近一次的就诊信息判断患者所要去的楼层，并发送对应的控制信息至电梯控制器。
设置在各就诊科室处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，通过近距离的自动读取或接触读取的方式去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化 的病案系统中调取最近一次的挂号信息以及就诊信息，再根据最近一次的挂号信息以及就诊信息，来安排就医问诊的次序，并将排好的序号、最近的就诊信息、基本医疗信息一起发送至HIS服务器医生客户端，医生客户端根据接收的序号自动安排就诊，并根据对应的基本医疗信息调取计算机化的病案系统中对应的电子病历、LIS系统中对应的检查化验结果等进行综合诊断，并将诊断结果发送至HIS服务器和计算机化的病案系统中。
设置在药房处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，通过近距离的自动读取或接触读取的方式去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据该就诊信息确定所开处方以及安排取药次序，并将确定的处方以及取药次序发送至配药系统。
在上述方案的基础上，为了进一步提高患者就医的便捷性，本发明还在上述的自动化就诊系统中增加一套移动就诊系统110，该移动就诊系统110具体包括一定制的移动就诊终端110a以及医院内专用的无线局域网络110b。移动终端110a内设置有相应的就诊软件，其通过医院内的专用无线网络与HIS服务器101数据相接，再基于RFID就诊终端108完成认证后，可调取HIS服务器101中对应的就诊及诊断信息，同时实时接收HIS服务器所发的就诊提示信息，以此来指导患者进行下一步的就诊。
该移动就诊终端110a只能够在医院内部使用，并且需要患者在就诊挂号时在医院的挂号缴费处临时注册领取，并且在就诊结束后，归还医院的挂号缴费处，并进行信息注销。
由此构成的自动化就诊系统在具体应用时，能够在不改变现有医院的运行管理机制的前提下，由该系统实时掌握每个患者的就医状态，进行合理就医安 排，大大降低患者在就医各个环节排队等待的时间，以此来提高患者的就医效率。
以下通过一具体的应用实例来进一步的说明本方案：
参见图1，患者持有相应的RFID社保卡，该RFID社保卡在被领取时，在RFID芯片内写入对应社保人员的基本社保信息：姓名、联系地址、电话号码、社保号、身份证号、社保金额等等。
患者若需领取移动就诊终端110a时，在每次就诊挂号时，凭借自己的RFID社保卡到挂号处申请移动就诊终端110a。申请时，由医务人员首先将相应的移动就诊终端110a通过医院内的专用无线局域网络与HIS服务器建立数据连接；在建立通信连接后，通过移动就诊终端110a向HIS服务器发送认证请求，该认证请求包括相应的移动就诊终端110a的唯一识别码与申请人的手机号码、申请人者姓名、申请人身份证号码、申请人社保号中的两种或以上的组合。
HIS服务器在接受到相应的请求后，通过与其相连的RFID读写装置来识别对应的RFID社保卡，并读取其内存储的基本社保信息，且将读取到到的基本社保信息、解析认证请求得到的信息进行匹配；若匹配，完成认证，并在HIS服务器建立对应的数据库，以存储注册者对应的就诊信息，同时完成与EMR系统的绑定。
由此，患者通过移动就诊终端110a来获取相应的就诊信息，根据就诊信息的指导完成整个就诊过程。
当患者持有自己的RFID社保卡和移动就诊终端110a，其附近的RFID读写装置识别到相应的RFID社保卡，通过接触读取的方式(即患者通过将RFID社保卡与RFID读写装置接触，来完成信息的读取，以下同解)读取到其上相应的基本社保信息，根据该信息从HIS服务器中调取其最近一次的就诊信息， 若该就诊信息显示不是当天且没有挂号缴费，则判断该患者需要挂号，并且该信息发送至HIS服务器。
HIS服务器接受到该信息后，调取患者申请的移动就诊终端110a的唯一识别码，并向运行患者的移动就诊终端110a发送挂号就诊或探视的选择信息。患者在选择挂号就诊后，HIS服务器将调取当前出诊的科室以及出诊医生的信息给患者的移动就诊终端110a。
患者通过移动就诊终端110a选择自己所需的就诊科室以及医生，移动就诊终端110a将患者确定的挂号信息发送至HIS服务器，HIS服务器将该信息存储于其对应的数据库中，接着移动就诊终端110a调取医院室内地图，通过无线定位技术，指导患者快速找到离自己最近的挂号窗口。
患者在达到挂号缴费处后，设置在挂号缴费处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，通过接触读取的方式去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器中提取到患者最近一次的就诊信息为选择确定的挂号信息，则判断该患者需要进行挂号，则平均安排到挂号窗口进行排号，并将排好的序号和基本医疗信息发送给挂号系统。
通过排号到达患者进行挂号时，在与工作人员确认信息后，挂号系统将自动完成相应的挂号动作，并将完成挂号的信息发送至HIS服务器以及EMR系统。该动作也可有患者在自动挂号机上完成。
HIS服务器在收到患者完成挂号，发送完成挂号信息至患者的移动就诊终端110a，该移动就诊终端110a调取医院室内地图，通过无线定位技术，指导患者快速找到对应的就诊科室。
当患者达到对应的就诊科室时，设置在各就诊科室处的RFID读写装置识 别出进入其识别范围内的RFID就诊终端后，通过接触读取的方式去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的挂号信息以及就诊信息，再根据最近一次的挂号信息以及就诊信息，来安排就医问诊的次序，并将排好的序号、最近的就诊信息、基本医疗信息一起发送至HIS服务器医生客户端，医生客户端根据接收的序号自动安排就诊，并根据对应的基本医疗信息调取计算机化的病案系统中对应的电子病历、LIS系统中对应的检查化验结果等进行综合诊断，并将诊断结果发送至HIS服务器和计算机化的病案系统中。
在医生完成初步诊断，需要进一步检查化验室，则就诊医生通过HIS服务器医生客户端进行相应的记录和分配，并将诊断结果发送至HIS服务器和计算机化的病案系统中。
HIS服务器在收到医生的初步诊断结果后，则通过移动就诊终端110a引导患者进行缴费和进行检查化验。其中缴费过程如上挂号过程。
患者在完成检测项目缴费后，该移动就诊终端110a调取医院室内地图，通过无线定位技术，指导患者快速找到对应的检查化验室。
当患者达到对应的检查化验室时，设置在各个检查化验室处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，通过接触读取的方式去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据最近一次的就诊信息判断该患者是否需要进行检查化验，若需要，则进一步判断所需的检测化验项目是否缴费，若没有缴费，则通知患者进行缴费，若已经缴费，根据最近一次的就诊信息判断其检查化验项目的紧急性，并以此来安排检查化验次序，并将排好的序号、就诊信息、基本医疗信息发送给LIS系统，LIS系统将 检查化验结果连同对应的就诊信息、基本医疗信息一起发送至HIS服务器或者计算机化的病案系统。
患者在完成相应的检测项目后，该移动就诊终端110a调取医院室内地图，通过无线定位技术，指导患者快速找到对应的诊断科室进行进一步的诊断。具体的过程如上。
HIS服务器在收到医生的最终诊断结果后，则通过移动就诊终端110a引导患者进行缴费和取药。其中缴费过程如上挂号过程。
患者在完成缴费后，该移动就诊终端110a调取医院室内地图，通过无线定位技术，指导患者快速找到对应的取药室。
患者在达到取药室后，设置在取药室处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，通过接触读取的方式去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据该就诊信息确定所开处方以及安排取药次序，并将确定的处方以及取药次序发送至配药系统。患者在完成取药后，将移动就诊终端110a归还给医院，由医院完成信息注销。
在上述就诊过程中，若患者需要使用到医院内的电梯时，设置在医院电梯内的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，通过接触读取的方式去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据最近一次的就诊信息判断患者所要去的楼层，并发送对应的控制信息至电梯控制器。
上述的整个就医过程由系统根据每个患者的实际情况实时合理安排就医进程，大大减少患者带病排队等待的时间，有效提高就医效率。
以上显示和描述了本发明的基本原理、主要特征和本发明的优点。本行业的技术人员应该了解，本发明不受上述实施例的限制，上述实施例和说明书中描述的只是说明本发明的原理，在不脱离本发明精神和范围的前提下，本发明还会有各种变化和改进，这些变化和改进都落入要求保护的本发明范围内。本发明要求保护范围由所附的权利要求书及其等效物界定。

Claims (9)

  1. 一种基于RFID技术的自动化就诊系统，该系统包括HIS服务器、医学影像存档与通讯系统、计算机化的病案系统、移动护理系统、供应室追溯系统、体检软件系统、LIS系统，其特征在于，所述就诊系统还包括RFID就诊终端、以及若干的RFID读写装置，所述HIS服务器分别与医学影像存档与通讯系统、计算机化的病案系统、移动护理系统、供应室追溯系统、体检软件系统、LIS系统数据信息相连，所述HIS服务器、医学影像存档与通讯系统、计算机化的病案系统、移动护理系统、供应室追溯系统、体检软件系统、LIS系统分别连接RFID读写装置，所述RFID读写装置自动读取进入读取范围内的RFID就诊终端中存储的持有者的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据读取到的最近一次就诊信息进行智能计算确定患者此时的就诊状态，且将该就诊状态信息连同读取到的就诊信息发送至对应的HIS服务器、医学影像存档与通讯系统、计算机化的病案系统、移动护理系统、供应室追溯系统、体检软件系统或者LIS系统进行后续的自动就诊安排。
  2. 根据权利要求1所述的一种基于RFID技术的自动化就诊系统，其特征在于，所述RFID就诊终端具体为设置RFID芯片的医疗卡、社保卡、身份证或腕带，RFID芯片内设置有持有者的基本医疗信息，所述基本医疗信息包括姓名、性别、年龄、身份证号码、过敏药物。
  3. 根据权利要求1所述的一种基于RFID技术的自动化就诊系统，其特征在于，所述RFID读写装置分别设置在医院的挂号缴费处、各个检查化验室处、医院电梯内、各就诊科室处、药房处。
  4. 根据权利要求3所述的一种基于RFID技术的自动化就诊系统，其特征在于，设置在挂号缴费处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，将立即去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据最近一次的就诊信息判断该患者进行缴费还是进行挂号，若为挂号，则平均安排到挂号窗口进行排号，并将排好的序号和基本医疗信息发送给挂号系统；若为缴费，则根据缴费事件的轻重智能安排缴费次序，并将排好的序号和就诊缴费信息发送给收费系统。
  5. 根据权利要求3所述的一种基于RFID技术的自动化就诊系统，其特征在于，设置在各个检查化验室处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，将立即去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据最近一次的就诊信息判断该患者是否需要进行检查化验，若需要，则进一步判断所需的检测化验项目是否缴费，若没有缴费，则通知患者进行缴费，若已经缴费，根据最近一次的就诊信息判断其检查化验项目的紧急性，并以此来安排检查化验次序，并将排好的序号、就诊信息、基本医疗信息发送给LIS系统，LIS系统将检查化验结果连同对应的就诊信息、基本医疗信息一起发送至HIS服务器或者计算机化的病案系统。
  6. 根据权利要求3所述的一种基于RFID技术的自动化就诊系统，其特征在于，设置在医院电梯内的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，将立即去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据最近一次的就诊信息判断患者所要去的楼层，并发送对应的控 制信息至电梯控制器。
  7. 根据权利要求3所述的一种基于RFID技术的自动化就诊系统，其特征在于，设置在各就诊科室处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，将立即去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的挂号信息以及就诊信息，再根据最近一次的挂号信息以及就诊信息，来安排就医问诊的次序，并将排好的序号、最近的就诊信息、基本医疗信息一起发送至HIS服务器医生客户端，医生客户端根据接收的序号自动安排就诊，并根据对应的基本医疗信息调取计算机化的病案系统中对应的电子病历、LIS系统中对应的检查化验结果等进行综合诊断，并将诊断结果发送至HIS服务器和计算机化的病案系统中。
  8. 根据权利要求3所述的一种基于RFID技术的自动化就诊系统，其特征在于，设置在药房处的RFID读写装置识别出进入其识别范围内的RFID就诊终端后，将立即去读取该RFID就诊终端上存储的基本医疗信息，并根据该基本医疗信息从HIS服务器或者计算机化的病案系统中调取最近一次的就诊信息，再根据该就诊信息确定所开处方以及安排取药次序，并将确定的处方以及取药次序发送至配药系统。
  9. 根据权利要求1所述的一种基于RFID技术的自动化就诊系统，其特征在于，其还包括一移动就诊系统，该移动就诊系统包括移动就诊终端，该移动就诊终端基于患者的身份识别信息完成注册，再通过医院内的专用无线网络与HIS服务器数据相接，再基于RFID就诊终端完成认证后，可调取HIS服务器中对应的就诊及诊断信息，同时实时接收HIS服务器所发的就诊提示信息，以此来指导患者进行下一步的就诊。
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CN117709493A (zh) * 2023-12-26 2024-03-15 江苏道朴网络科技有限公司 一种基于历史病理的智能医疗问诊系统

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