WO2019095550A1 - 区域医疗电子病历共享系统及方法 - Google Patents

区域医疗电子病历共享系统及方法 Download PDF

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Publication number
WO2019095550A1
WO2019095550A1 PCT/CN2018/073189 CN2018073189W WO2019095550A1 WO 2019095550 A1 WO2019095550 A1 WO 2019095550A1 CN 2018073189 W CN2018073189 W CN 2018073189W WO 2019095550 A1 WO2019095550 A1 WO 2019095550A1
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Prior art keywords
electronic medical
medical record
field name
template
field
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PCT/CN2018/073189
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English (en)
French (fr)
Inventor
张贯京
葛新科
王海荣
张红治
周亮
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深圳市前海安测信息技术有限公司
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Publication of WO2019095550A1 publication Critical patent/WO2019095550A1/zh

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06F—ELECTRIC DIGITAL DATA PROCESSING
    • G06F40/00—Handling natural language data
    • G06F40/10—Text processing
    • G06F40/166—Editing, e.g. inserting or deleting
    • 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

Definitions

  • the invention relates to the field of medical informationization, in particular to a regional medical electronic medical record sharing system and method.
  • the medical record is the original record of the patient's diagnosis and treatment in the hospital. It contains the home page, the history record, the test results, the medical order, the surgical record, the nursing record and so on.
  • EMR Electronic Medical Record
  • IHE International Health Organization
  • XDS Cross-Enterprise Document Sharing
  • the main object of the present invention is to provide a regional medical electronic medical record sharing system and method, which aims to solve the technical problem that the electronic medical record dynamic adjustment cannot be realized based on the existing medical information system.
  • the present invention provides a regional medical electronic medical record sharing system operating in a data center, the data center including a processor adapted to implement various computer program instructions and a memory adapted to store a plurality of computer program instructions
  • the data center is communicatively coupled to a plurality of hospital information systems via a network, the computer program instructions being loaded by the processor and performing the following steps:
  • the electronic medical record data in the acquired electronic medical record is stored in a storage field corresponding to the reordered number in the database, and a new electronic medical record is generated.
  • the number of the field name in the electronic medical record template is consistent with the storage field name of the database storing the electronic medical record.
  • the computer program instructions are loaded by the processor, and the following steps are performed: if the field name in the acquired electronic medical record is included in the field name of the electronic medical record template, the obtained electronic medical record will be obtained.
  • the field name is associated with the corresponding field name in the electronic medical record template.
  • the computer program instruction is loaded by the processor, and the following step is performed: if the field name in the acquired electronic medical record is not included in the field name of the electronic medical record template, the electronic medical record template is included in the electronic medical record template. Add a field name that matches the field name in the acquired electronic medical record.
  • the index number is formed by combining the name, the social security number and the identity card number to form an index number.
  • the present invention further provides a regional medical electronic medical record sharing method, which is applied to a data center, wherein the data center is communicably connected to a plurality of hospital information systems via a network, and the method comprises the following steps:
  • the electronic medical record data in the acquired electronic medical record is stored in a storage field corresponding to the reordered number in the database, and a new electronic medical record is generated.
  • the number of the field name in the electronic medical record template is consistent with the storage field name of the database storing the electronic medical record.
  • the method further comprises the following steps: if the field name in the acquired electronic medical record is included in the field name of the electronic medical record template, the field name and the electronic medical record in the acquired electronic medical record are obtained. The corresponding field name in the template is associated.
  • the method further comprises the step of: adding a field name to the electronic medical record template if the field name in the acquired electronic medical record is not included in the field name of the electronic medical record template, The added field name is the same as the field name in the acquired electronic medical record.
  • the index number is formed by combining the name, the social security number and the identity card number to form an index number.
  • the invention adopts the above technical solution, and brings the technical effect that the invention adopts the electronic medical record field matching method to realize the dynamic adjustment of the electronic medical record, and the electronic medical record of different medical institutions can be integrated into the same type of electronic medical record template, It achieves the medical synergy shared by electronic medical records, and can also analyze centralized medical data.
  • FIG. 1 is a schematic diagram of an application environment of a regional medical electronic medical record sharing system of the present invention
  • FIG. 2 is a block diagram showing a preferred embodiment of a regional medical electronic medical record sharing system of the present invention
  • FIG. 3 is a flow chart of a preferred embodiment of a regional medical electronic medical record sharing method of the present invention.
  • FIG. 4 is a schematic illustration of a preferred embodiment of electronic medical record template matching in the present invention.
  • FIG. 1 is a schematic diagram of an application environment of a regional medical electronic medical record sharing system of the present invention.
  • the regional medical electronic medical record sharing system 30 of the present invention operates on the data center 3.
  • the data center 3 is communicably connected to a hospital information system 1 (Hoss Information System, HIS) of each medical institution (a medical institution such as a hospital or a social health center) via the network 2.
  • HIS Hoss Information System
  • the data center 3 accesses the hospital information system 1 of the medical institution after obtaining authorization from each medical institution, and acquires various types of electronic medical record data in the hospital information system 1 of each medical institution.
  • the electronic medical record data includes, but is not limited to, a patient name, a patient's age, a disease time, a disease name, a disease cause, a disease diagnosis information, a drug name, a drug quantity, a doctor name, a hospital and a department, a fee, and a patient's Contact information (for example, email address, mobile phone number, instant messaging account, etc.), disease encyclopedia, government medical policy documents and other information.
  • the hospital information system 1 of each medical institution provides a data import interface (for example, an application interface, Application) Program Interface (API), the device or system accessing the data import interface can obtain electronic medical record data from the hospital information system 1.
  • a data import interface for example, an application interface, Application) Program Interface (API)
  • API Application Program Interface
  • the network 2 may be a wired communication network or a wireless communication network.
  • the network is preferably a wireless communication network, including but not limited to a GSM network, a GPRS network, a CDMA network, a TD-SCDMA network, a WiMAX network, a TD-LTE network, an FDD-LTE network, and the like.
  • the data center 3 is communicatively coupled to the hospital information system 1 via the network 2 for obtaining various types of electronic medical record data from the hospital information system 1.
  • the hospital information system 1 provides an API interface
  • the data center 3 acquires the electronic based on the authorization of the hospital information system 1 (ie, authorized access to the API interface provided by the hospital information system 1) Medical record data.
  • the electronic medical record data format of the hospital information system 1 of each major medical institution is different, the electronic medical record of each medical institution can be integrated into the common electronic medical record template, so that the electronic medical record data can be exchanged and shared conveniently.
  • the patient obtains electronic medical record data after visiting a different medical institution.
  • the data center 3 is a server of a cloud platform or a data center, and the data transmission capability and data storage capability of the cloud platform or the data center can better manage and/or assist with the data center. 3 connected clients.
  • the data center 3 is also connected via a network 2 with a database 4 for storing electronic medical records.
  • the data center 3 can be communicatively coupled to a client (not shown) via the network 2, and the patient can access the data center 3 through the client and obtain an electronic medical record.
  • the client may be, but is not limited to, any other suitable portable touch screen electronic device such as a smart phone, a tablet computer, a personal digital assistant (PDA), a personal computer, an electronic signboard, and the like.
  • a smart phone such as a smart phone, a tablet computer, a personal digital assistant (PDA), a personal computer, an electronic signboard, and the like.
  • PDA personal digital assistant
  • the data center 3 includes, but is not limited to, a regional medical electronic medical record sharing system 30, a storage unit 31, a processing unit 32, and a communication unit 33.
  • the storage unit 31 can be a read only memory unit ROM, an electrically erasable storage unit EEPROM, a flash memory unit FLASH or a solid hard disk.
  • the processing unit 32 can be a central processing unit (Central) Processing Unit (CPU), Microcontroller (MCU), data processing chip, or information processing unit with data processing function.
  • CPU Central Processing Unit
  • MCU Microcontroller
  • data processing chip or information processing unit with data processing function.
  • the communication unit 33 is a communication interface with a remote communication function, for example, a communication interface supporting wireless communication technologies such as GSM, GPRS, WCDMA, CDMA, TD-SCDMA, WiMAX, TD-LTE, FDD-LTE, and the like. , the wired communication interface of the network cable.
  • a remote communication function for example, a communication interface supporting wireless communication technologies such as GSM, GPRS, WCDMA, CDMA, TD-SCDMA, WiMAX, TD-LTE, FDD-LTE, and the like.
  • the regional medical electronic medical record sharing system 30 includes, but is not limited to, a creating module 311, an obtaining module 312, a converting module 313, a matching module 314, a generating module 315, an associating module 316, and a determining module 317, which are referred to as modules of the present invention.
  • a creating module 311, an obtaining module 312, a converting module 313, a matching module 314, a generating module 315, an associating module 316, and a determining module 317 which are referred to as modules of the present invention.
  • the creating module 311 is configured to create an electronic medical record template and sort the field names in the electronic medical record template, and create a field corresponding to the sorting number in the database 4.
  • the creating module 311 creates an electronic medical record template, and the template of the electronic medical record follows the "Electronic Medical Record Basic Specification" of the Health Care Administration [2010] No. 24 formulated by the Ministry of Health.
  • each field name in the electronic medical record template has a corresponding name.
  • the number is sorted in the form of a number plus a letter. Specifically, as shown in FIG.
  • the number is represented by Mi, wherein the letter M represents a label of an electronic medical record template (ie, an abbreviation of an electronic medical record template), and i represents A positive integer, i is greater than or equal to 1 and less than or equal to N (N represents the total number of field names in the electronic medical record template), for example, M1 represents the first field name in the electronic medical record template, and M2 represents the electronic medical record template.
  • the second field name, Mi represents the i-th field name in the electronic medical record template.
  • the number of the field name in the electronic medical record template is consistent with the storage field name of the database 4 storing the electronic medical record in the data center 3, and thus, the data center 3 is based on The number of the column name in the electronic medical record template can be retrieved from the database 4 and the data corresponding to the field name is displayed in the electronic medical record template.
  • the obtaining module 312 is configured to acquire an electronic medical record from a hospital information system 3. Specifically, the data center 3 calls the API interface of the hospital information system A and acquires the electronic medical record of the hospital information system A.
  • the conversion module 313 is configured to parse the field name in the acquired electronic medical record.
  • the manner of parsing the column name in the acquired electronic medical record is as follows: (1) converting the obtained electronic medical record into an XML format; (2) selecting the name of the field after the label as the field name of the acquired electronic medical record from the XML format. .
  • the conversion module 313 can also number each field name in the acquired electronic medical record. The number is sorted in the form of numbers plus letters. Specifically, as shown in FIG.
  • the number is represented as Ai, wherein the letter A indicates the number of the acquired electronic medical record (ie, the abbreviation of HIS system A), i Represents a positive integer, i is greater than or equal to 1 and less than or equal to the total number of field names in the acquired electronic medical record, for example, A1 represents the first field name in the acquired electronic medical record, and A2 represents the acquired electronic medical record.
  • the second field name, Ai represents the i-th field name in the acquired electronic medical record.
  • the matching module 314 is configured to match the field name corresponding to the acquired electronic medical record with the field name in the electronic medical record template.
  • the manner of matching the field name corresponding to the acquired electronic medical record with the field name in the electronic medical record template is as follows: searching for the field name in the acquired electronic medical record in the field name of the electronic medical record template
  • the field names in the acquired electronic medical records include “name”, “gender”, “age”, “contact information”, “social security number”, “ID number”, “date of visit” ", "patient department”, “medical doctor”, “current medical history”, “symptom description”, etc.
  • the generating module 315 is configured to generate a new electronic medical record template according to the matched result and reorder the field names in the new electronic medical record template, and create a storage field corresponding to the reordered number in the database 4. Specifically, if the field name in the acquired electronic medical record is included in the field name of the electronic medical record template, the field name in the acquired electronic medical record and the corresponding field in the electronic medical record template are selected. Name association. It should be noted that because the names of the fields of the electronic medical records of different medical institutions are different, and the meanings are the same, for example, the names of the electronic medical records of some medical institutions are “social security numbers”, and the electronic organizations of some medical institutions. The field name of the medical record is “social security computer number” or “social security number”.
  • the field name of the electronic medical record template can be expanded, that is, each field name in the electronic medical record template can be set more.
  • the field name "social security number" in the electronic medical record template may be expanded to a plurality of names such as "social security computer number” or "social security number”.
  • a field name is added to the electronic medical record template, and the added field name and the acquired electronic medical record are obtained.
  • the names in the fields are the same. For example, if the field name in the acquired electronic medical record is “Doctor Profile” and the field name is not included in the electronic medical record template, the “Doctor Profile” field is added to the electronic medical record template.
  • the association module 316 is configured to use the electronic medical record data in the acquired electronic medical record (ie, the field name corresponding to the input data, for example, the corresponding input data in the field name “name” is “Zhang San”, then “Zhang San”
  • the electronic medical record data is stored in the storage field corresponding to the reordered number in the database 4, and a new electronic medical record is generated.
  • the field names of the electronic medical records in the hospital information system A correspond to the sorting numbers (ie, Mi) in the electronic medical record template, and the sorting numbers in the electronic medical record templates have corresponding numbers in the database 4.
  • the field is stored. Therefore, the association module 316 can directly store the electronic medical record data in the electronic medical record in the hospital information system A in the database 4 of the data center 3.
  • the determining module 317 is configured to determine whether to acquire an electronic medical record of the next hospital information system 1. Specifically, if the data center 3 authorizes the acquisition of the electronic medical records of the five hospital information systems 1, when the acquisition of the electronic medical records in the hospital information system 1 is completed, the API interface of the next hospital information system is automatically switched. And obtain the electronic medical record in the next hospital information system. The determining module 317 determines, according to the API call record, whether the electronic medical records of each authorized access to the hospital information system 1 are acquired.
  • FIG. 3 there is shown a flow chart of a preferred embodiment of the regional medical electronic medical record sharing method of the present invention.
  • the various method steps of the regional medical electronic medical record sharing method are implemented by a computer software program stored in a computer readable storage medium in the form of computer program instructions.
  • the storage medium may include a read only memory, a random access memory, a magnetic disk or an optical disk, etc.
  • the computer program instructions can be loaded by a processor (for example, the processing unit 32) and perform the following steps S11 to S18.
  • the method includes the following steps:
  • Step S11 Create an electronic medical record template and sort the column names in the electronic medical record template, and create a field corresponding to the sort number in the database 4.
  • the creating module 311 creates an electronic medical record template, and the template of the electronic medical record follows the "Electronic Medical Record Basic Specification" of the Health Care Administration [2010] No. 24 formulated by the Ministry of Health.
  • each field name in the electronic medical record template has a corresponding name.
  • the number is sorted in the form of a number plus a letter. Specifically, as shown in FIG.
  • the number is represented by Mi, wherein the letter M represents a label of an electronic medical record template (ie, an abbreviation of an electronic medical record template), and i represents A positive integer, i is greater than or equal to 1 and less than or equal to N (N represents the total number of field names in the electronic medical record template), for example, M1 represents the first field name in the electronic medical record template, and M2 represents the electronic medical record template.
  • the second field name, Mi represents the i-th field name in the electronic medical record template.
  • the number of the field name in the electronic medical record template is consistent with the storage field name of the database 4 storing the electronic medical record in the data center 3, and thus, the data center 3 is based on The number of the column name in the electronic medical record template can be retrieved from the database 4 and the data corresponding to the field name is displayed in the electronic medical record template.
  • Step S12 Obtain an electronic medical record from a hospital information system 3. Specifically, the data center 3 calls the API interface of the hospital information system A and acquires the electronic medical record of the hospital information system A.
  • Step S13 Parse the field name in the acquired electronic medical record.
  • the manner of parsing the field name in the acquired electronic medical record is as follows: (1) converting the obtained electronic medical record into an XML format; (2) selecting the field after the label by selecting the name behind the label from the XML format name.
  • the conversion module 313 can also number each field name in the acquired electronic medical record. The number is sorted in the form of numbers plus letters. Specifically, as shown in FIG.
  • the number is represented as Ai, wherein the letter A indicates the number of the acquired electronic medical record (ie, the abbreviation of HIS system A), i Represents a positive integer, i is greater than or equal to 1 and less than or equal to the total number of field names in the acquired electronic medical record, for example, A1 represents the first field name in the acquired electronic medical record, and A2 represents the acquired electronic medical record.
  • the second field name, Ai represents the i-th field name in the acquired electronic medical record.
  • Step S14 Match the field name corresponding to the acquired electronic medical record with the field name in the electronic medical record template.
  • the manner of matching the field name corresponding to the acquired electronic medical record with the field name in the electronic medical record template is as follows: searching for the field name in the acquired electronic medical record in the field name of the electronic medical record template
  • the field names in the acquired electronic medical records include “name”, “gender”, “age”, “contact information”, “social security number”, “ID number”, “date of visit” ", "patient department”, “medical doctor”, “current medical history”, “symptom description”, etc.
  • Step S15 Generate a new electronic medical record template according to the matched result and reorder the field names in the new electronic medical record template, and create a storage field corresponding to the reordered number in the database 4. Specifically, if the field name in the acquired electronic medical record is included in the field name of the electronic medical record template, the field name in the acquired electronic medical record and the corresponding field in the electronic medical record template are selected. Name association. It should be noted that because the names of the fields of the electronic medical records of different medical institutions are different, and the meanings are the same, for example, the names of the electronic medical records of some medical institutions are “social security numbers”, and the electronic organizations of some medical institutions. The field name of the medical record is “social security computer number” or “social security number”.
  • the field name of the electronic medical record template can be expanded, that is, each field name in the electronic medical record template can be set more.
  • the field name "social security number" in the electronic medical record template may be expanded to a plurality of names such as "social security computer number” or "social security number”.
  • a field name is added to the electronic medical record template, and the added field name and the acquired electronic medical record are obtained.
  • the names in the fields are the same. For example, if the field name in the acquired electronic medical record is “Doctor Profile” and the field name is not included in the electronic medical record template, the “Doctor Profile” field is added to the electronic medical record template.
  • Step S16 The electronic medical record data in the acquired electronic medical record (that is, the data corresponding to the input of the field name, for example, the corresponding input data in the field name "name” is "Zhang San", then "Zhang San” is the electronic
  • the medical record data is stored in the storage field of the database 4 corresponding to the reordered number.
  • the field names of the electronic medical records in the hospital information system A correspond to the sorting numbers (ie, Mi) in the electronic medical record template, and the sorting numbers in the electronic medical record templates have corresponding numbers in the database 4.
  • the field is stored. Therefore, the association module 316 can directly store the electronic medical record data in the electronic medical record in the hospital information system A in the database 4 of the data center 3.
  • Step S17 It is judged whether or not the electronic medical record of the next hospital information system 1 is acquired. Specifically, if the data center 3 authorizes the acquisition of the electronic medical records of the five hospital information systems 1, when the acquisition of the electronic medical records in the hospital information system 1 is completed, the API interface of the next hospital information system is automatically switched. And obtain the electronic medical record in the next hospital information system. The determining module 317 determines, according to the API call record, whether the electronic medical records of each authorized access to the hospital information system 1 are acquired. When the electronic medical records of each authorized access to the hospital information system 1 are completed, the process is directly terminated. Otherwise, if it is necessary to acquire the electronic medical record of the next hospital information system 1, the flow returns to step S12.
  • the invention adopts the above technical solution, and brings the technical effect that the invention adopts the electronic medical record field matching method to realize the dynamic adjustment of the electronic medical record, and the electronic medical record of different medical institutions can be integrated into the same type of electronic medical record template, It achieves the medical synergy shared by electronic medical records, and can also analyze centralized medical data.

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Abstract

一种区域医疗电子病历共享系统及方法，该方法包括：根据匹配的结果生成新的电子病历模板并对新的电子病历模板中的栏位名称进行重新排序编号，并在数据库中创建对应重新排序编号后的存储栏位（S15）；将获取的电子病历中的电子病历数据存储于数据库中对应重新排序编号后的存储栏位并生成新的电子病历（S16）；当每个授权访问的医院信息系统的电子病历均被获取完成后，对所有新的电子病历建立索引号，并将相同索引号的新的电子病历进行关联。实现电子病历的动态调整，可以将不同医疗机构的电子病历转换为通用电子病历，实现了电子病历的共享，同时确保了电子病历的通用性。

Description

区域医疗电子病历共享系统及方法 技术领域
本发明涉及医疗信息化领域，尤其涉及一种区域医疗电子病历共享系统及方法。
 背景技术
病历是病人在医院诊断治疗全过程的原始记录，它包含有首页、病程记录、检查检验结果、医嘱、手术记录、护理记录等等。随着医院计算机管理网络化，电子病历(EMR，Electronic Medical Record)应运而生。作为科技进步的产物，电子病历因其方便记录，易存储等优点被越来越广泛的应用在医疗系统中。
近年来，国家在政策上加大力度推行电子病历共享系统，并依托现有的技术规范与信息技术，在局部地区建立了区域医疗信息共享系统。现有系统主要使用医疗机构信息集成规范(Integrating the Healthcare Enterprise，IHE)提出的跨机构文档共享(Cross-Enterprise Document Sharing，XDS)技术框架。IHE XDS技术框架的基本理念是采用注册和发布信息模型来存储和分享临床文档，主要定义的角色包括文档储存库和文档注册库。
但是，现有系统只是通过特定的文档编辑器导出普通介质，由患者自行携带和保管。在处理跨域电子病历共享时，不能确保数据的动态调整以达到医疗协同性，同时也无法进行集中式医疗数据分析及医疗服务。
 技术问题
本发明的主要目的在于提供一种区域医疗电子病历共享系统及方法，旨在解决基于现有的医疗信息化系统中无法实现电子病历动态调整的技术问题。
 技术解决方案
为实现上述目的，本发明提供了一种区域医疗电子病历共享系统，运行于数据中心中，该数据中心包括适于实现各种计算机程序指令的处理器以及适于存储多条计算机程序指令的存储器，所述数据中心通过网络与多个医院信息系统通信连接，所述计算机程序指令由处理器加载并执行如下步骤：
创建电子病历模板并对电子病历模板中的栏位名称进行排序编号，并在数据库中创建对应排序编号的栏位；
从一个医院信息系统中获取电子病历；
解析获取的电子病历中的栏位名称；
将获取的电子病历对应的栏位名称与电子病历模板中的栏位名称进行匹配；
根据匹配的结果生成新的电子病历模板并对新的电子病历模板中的栏位名称进行重新排序编号，并在数据库中创建对应重新排序编号后的存储栏位；
将获取的电子病历中的电子病历数据存储于数据库中对应重新排序编号后的存储栏位，并生成新的电子病历。
优选的，所述电子病历模板中的栏位名称的编号与存储电子病历的数据库的存储栏位名称一致。
优选的，所述计算机程序指令由处理器加载还执行如下步骤：若匹配的结果中为获取的电子病历中的栏位名称包含在电子病历模板的栏位名称中，则将获取的电子病历中的栏位名称与电子病历模板中对应的栏位名称关联。
优选的，所述计算机程序指令由处理器加载还执行如下步骤：若匹配的结果中为获取的电子病历中的栏位名称不包含在电子病历模板的栏位名称中，则将电子病历模板中增加一个栏位名称，该增加的栏位名称与获取的电子病历中的栏位名称一致。
优选的，所述索引号是将姓名、社保号及身份证号三者合一而形成索引号。
另一方面，本发明还提供一种区域医疗电子病历共享方法，应用于数据中心中，所述数据中心通过网络与多个医院信息系统通信连接，该方法包括如下步骤：
创建电子病历模板并对电子病历模板中的栏位名称进行排序编号，并在数据库中创建对应排序编号的栏位；
从一个医院信息系统中获取电子病历；
解析获取的电子病历中的栏位名称；
将获取的电子病历对应的栏位名称与电子病历模板中的栏位名称进行匹配；
根据匹配的结果生成新的电子病历模板并对新的电子病历模板中的栏位名称进行重新排序编号，并在数据库中创建对应重新排序编号后的存储栏位；
将获取的电子病历中的电子病历数据存储于数据库中对应重新排序编号后的存储栏位，并生成新的电子病历。
优选的，所述电子病历模板中的栏位名称的编号与存储电子病历的数据库的存储栏位名称一致。
优选的，该方法还包括如下步骤：若匹配的结果中为获取的电子病历中的栏位名称包含在电子病历模板的栏位名称中，则将获取的电子病历中的栏位名称与电子病历模板中对应的栏位名称关联。
优选的，该方法还包括如下步骤：若匹配的结果中为获取的电子病历中的栏位名称不包含在电子病历模板的栏位名称中，则将电子病历模板中增加一个栏位名称，该增加的栏位名称与获取的电子病历中的栏位名称一致。
优选的，所述索引号是将姓名、社保号及身份证号三者合一而形成索引号。
 有益效果
本发明采用上述技术方案，带来的技术效果为：本发明采用电子病历栏位匹配的方式实现电子病历的动态调整，对不同医疗机构的电子病历可以整合到同一种类型的电子病历模板中，达到了电子病历共享的医疗协同性，同时也可以集中式医疗数据分析。
 附图说明
图1是本发明区域医疗电子病历共享系统的应用环境示意图；
图2是本发明区域医疗电子病历共享系统的优选实施例的模块示意图；
图3是本发明区域医疗电子病历共享方法的优选实施例的流程图；
图4是本发明中电子病历模板匹配的优选实施例的示意图。
本发明目的实现、功能特点及优点将结合实施例，参照附图做进一步说明。
 本发明的最佳实施方式
为更进一步阐述本发明为达成预定发明目的所采取的技术手段及功效，以下结合附图及较佳实施例，对本发明的具体实施方式、结构、特征及其功效，详细说明如下。应当理解，此处所描述的具体实施例仅仅用以解释本发明，并不用于限定本发明。
参照图1所示，图1是本发明区域医疗电子病历共享系统的应用环境示意图。本发明中的区域医疗电子病历共享系统30运行于数据中心3上。所述数据中心3通过网络2与各个医疗机构（医院、社康中心等医疗机构）的医院信息系统1（Hospital Information System，HIS）通信连接。
其中，所述数据中心3获得各个医疗机构的授权后访问医疗机构的医院信息系统1，并获取各个医疗机构的医院信息系统1中的各种类型的电子病历数据。所述电子病历数据包括，但不限于，患者姓名、患者年龄、患病时间、疾病名称、患病原因、疾病诊断信息、药品名称、药品数量、医生姓名、就诊医院及科室、费用及患者的联系方式（例如，电子邮箱地址、手机号码、即时通信账号等）、疾病百科、政府医疗政策文件等信息。
进一步地，各个医疗机构的医院信息系统1均提供数据导入接口（例如，应用程序接口，Application Program Interface，API），接入该数据导入接口的设备或系统都可以从所述医院信息系统1中获取电子病历数据。
在本实施例中，所述网络2可以是有线通讯网络或无线通讯网络。所述网络优选为无线通讯网络，包括但不限于，GSM网络、GPRS网络、CDMA网络、TD-SCDMA网络、WiMAX网络、TD-LTE网络、FDD-LTE网络等无线传输网络。
所述数据中心3通过所述网络2与医院信息系统1通信连接，用于从所述医院信息系统1获取各种类型的电子病历数据。具体地说，所述医院信息系统1提供API接口，所述数据中心3在所述医院信息系统1授权的基础上（即授权接入所述医院信息系统1提供的API接口）获取所述电子病历数据。需要说明的是，由于各大医疗机构的医院信息系统1中电子病历数据格式不同，通过将各个医疗机构的电子病历整合到通用的电子病历模板中，可以实现电子病历数据的互通及共享，方便患者获取在不同医疗机构就诊后的电子病历数据。
需要说明的是，所述数据中心3是云平台或数据中心的某一台服务器，通过云平台或数据中心的数据传输能力及数据存储能力，可以更好地管理及/或协助与该数据中心3连接的客户端。
所述数据中心3还通过网络2连接有数据库4，所述数据库4用于储存电子病历。
所述数据中心3可以通过网络2与客户端（图中未示出）通信连接，患者可以通过客户端访问数据中心3并获取电子病历。
所述客户端可以是，但不限于，智能手机、平板电脑、个人数字助理（Personal Digital Assistant, PDA）、个人电脑、电子看板等其它任意合适的便携式触摸屏电子设备。
参照图2所示，是本发明区域医疗电子病历共享系统的优选实施例的模块示意图。在本实施例中，所述区域医疗电子病历共享系统30应用于数据中心3。该数据中心3包括， 但不仅限于，区域医疗电子病历共享系统30、存储单元31、处理单元32、及通讯单元33。
所述的存储单元31可以为一种只读存储单元ROM，电可擦写存储单元EEPROM、快闪存储单元FLASH或固体硬盘等。
所述的处理单元32可以为一种中央处理器（Central Processing Unit，CPU）、微控制器（MCU）、数据处理芯片、或者具有数据处理功能的信息处理单元。
所述的通讯单元33为一种具有远程通讯功能的通讯接口，例如支持GSM、GPRS、WCDMA、CDMA、TD-SCDMA、WiMAX、TD-LTE、FDD-LTE等无线通讯技术的通讯接口，支持USB、网线的有线通讯接口。
所述区域医疗电子病历共享系统30包括，但不局限于，创建模块311、获取模块312、转换模块313、匹配模块314、生成模块315、关联模块316及判断模块317，本发明所称的模块是指一种能够被所述数据中心3的处理单元32执行并且能够完成固定功能的一系列计算机程序指令段，其存储在所述数据中心3的存储单元31中。
所述创建模块311用于创建电子病历模板并对电子病历模板中的栏位名称进行排序编号，并在数据库4中创建对应排序编号的栏位。在本实施例中，所述创建模块311创建一个电子病历模板，该电子病历的模板遵循卫生部制定的卫医政发〔2010〕24号的《电子病历基本规范》。需要说明的是，由于电子病历模板中包括多个栏位名称，为了方便后续与其他医疗机构的HIS系统中的电子病历进行匹配，所述电子病历模板中的每个栏位名称都有一个对应的编号。所述编号是数字加字母的形式进行排序，具体地说，如图4所示，所述编号表示为 Mi，其中，字母M表示电子病历模板的标号（即电子病历模板的简称），i表示正整数，i大于或等于1且小于等于N（N表示电子病历模板中的栏位名称的总数量），例如，M1表示电子病历模板中的第一个栏位名称，M2表示电子病历模板中的第2个栏位名称，Mi表示电子病历模板中的第i个栏位名称。
进一步地，为了方便电子病历中的数据存储，所述电子病历模板中的栏位名称的编号与数据中心3中存储电子病历的数据库4的存储栏位名称一致，如此一来，数据中心3根据电子病历模板中栏位名称的编号就可以从数据库4中调出将该栏位名称对应的数据并显示于电子病历模板中。
所述获取模块312用于从一个医院信息系统3中获取电子病历。具体地说，所述数据中心3调用医院信息系统A的API接口并获取医院信息系统A的电子病历。
所述转换模块313用于解析获取的电子病历中的栏位名称。所述解析获取的电子病历中栏位名称的方式如下：（1）将获取的电子病历转换为XML格式；（2）从XML格式中通过选取标签后面的名称作为获取的电子病历的栏位名称。此外，所述转换模块313还可以对获取的电子病历中的每个栏位名称进行编号。所述编号是数字加字母的形式进行排序，具体地说，如图4所示，所述编号表示为 Ai，其中，字母A表示获取的电子病历的标号（即HIS系统A的简称），i表示正整数，i大于或等于1且小于等于获取的电子病历中的栏位名称的总数量，例如，A1表示获取的电子病历中的第一个栏位名称，A2表示获取的电子病历中的第2个栏位名称，Ai表示获取的电子病历中的第i个栏位名称。
所述匹配模块314用于将获取的电子病历对应的栏位名称与电子病历模板中的栏位名称进行匹配。具体地说，将获取的电子病历对应的栏位名称与电子病历模板中的栏位名称进行匹配的方式如下：将获取的电子病历中的栏位名称在电子病历模板的栏位名称中进行检索，例如，如图4所示，获取的电子病历中的栏位名称包括“姓名”、“性别”、“年龄”、“联系方式”、“社保号”、“身份证号”、“就诊日期”、“就诊科室”、“就诊医生”、“现病史”、“症状描述”等，将上述栏位名称逐个在电子病历模板的栏位名称中进行检索。
所述生成模块315用于根据匹配的结果生成新的电子病历模板并对新的电子病历模板中的栏位名称进行重新排序编号，并在数据库4中创建对应重新排序编号后的存储栏位。具体地说，若匹配的结果中为获取的电子病历中的栏位名称包含在电子病历模板的栏位名称中，则将获取的电子病历中的栏位名称与电子病历模板中对应的栏位名称关联。需要说明的是，由于不同医疗机构的电子病历的栏位名称表达方式不同，而表达意思相同，例如，有的医疗机构的电子病历的栏位名称为“社保号”，有的医疗机构的电子病历的栏位名称为“社保电脑号”或“社保编号”，为了确保匹配精确，所述电子病历模板的栏位名称可以拓展，即所述电子病历模板中的每个栏位名称可以设置多个相关名称，例如，所述电子病历模板中的栏位名称“社保号”还可以拓展为“社保电脑号”或“社保编号”等多个名称。若匹配的结果中为获取的电子病历中的栏位名称不包含在电子病历模板的栏位名称中，则将电子病历模板中增加一个栏位名称，该增加的栏位名称与获取的电子病历中的栏位名称一致。例如，若获取的电子病历中的栏位名称为“医生简介”，而电子病历模板中没有该栏位名称，则在电子病历模板中增加该“医生简介”的栏位。
所述关联模块316用于将获取的电子病历中的电子病历数据（即栏位名称对应输入的数据，例如，栏位名称“姓名”中对应输入的数据为“张三”，则“张三”即为电子病历数据）存储于数据库4中对应重新排序编号后的存储栏位，并生成新的电子病历。具体地说，通过图4可知，医院信息系统A中电子病历的栏位名称均对应于电子病历模板中的排序编号（即Mi），而电子病历模板中的排序编号在数据库4中有对应的存储栏位，因此，所述关联模块316可以直接将医院信息系统A中电子病历中的电子病历数据存储于数据中心3的数据库4中。
所述判断模块317用于判断是否获取下一个医院信息系统1的电子病历。具体地说，若所述数据中心3授权获取五个医院信息系统1的电子病历，则当完成一个医院信息系统1中的电子病历的获取后，在自动切换到下一个医院信息系统的API接口并获取该下一个医院信息系统中的电子病历。所述判断模块317根据API调用记录判断是否每个授权访问的医院信息系统1的电子病历均被获取。
参照图3所示，是本发明区域医疗电子病历共享方法的优选实施例的流程图。在本实施例中，在本实施例中，所述的区域医疗电子病历共享方法的各种方法步骤通过计算机软件程序来实现，该计算机软件程序以计算机程序指令的形式存储于计算机可读存储介质中，存储介质可以包括：只读存储器、随机存储器、磁盘或光盘等，所述计算机程序指令能够被处理器（例如处理单元32）加载并执行如下步骤S11至步骤S18。该方法包括以下步骤：
步骤S11：创建电子病历模板并对电子病历模板中的栏位名称进行排序编号，并在数据库4中创建对应排序编号的栏位。在本实施例中，所述创建模块311创建一个电子病历模板，该电子病历的模板遵循卫生部制定的卫医政发〔2010〕24号的《电子病历基本规范》。需要说明的是，由于电子病历模板中包括多个栏位名称，为了方便后续与其他医疗机构的HIS系统中的电子病历进行匹配，所述电子病历模板中的每个栏位名称都有一个对应的编号。所述编号是数字加字母的形式进行排序，具体地说，如图4所示，所述编号表示为 Mi，其中，字母M表示电子病历模板的标号（即电子病历模板的简称），i表示正整数，i大于或等于1且小于等于N（N表示电子病历模板中的栏位名称的总数量），例如，M1表示电子病历模板中的第一个栏位名称，M2表示电子病历模板中的第2个栏位名称，Mi表示电子病历模板中的第i个栏位名称。
进一步地，为了方便电子病历中的数据存储，所述电子病历模板中的栏位名称的编号与数据中心3中存储电子病历的数据库4的存储栏位名称一致，如此一来，数据中心3根据电子病历模板中栏位名称的编号就可以从数据库4中调出将该栏位名称对应的数据并显示于电子病历模板中。
步骤S12：从一个医院信息系统3中获取电子病历。具体地说，所述数据中心3调用医院信息系统A的API接口并获取医院信息系统A的电子病历。
步骤S13：解析获取的电子病历中的栏位名称。所述解析获取的电子病历中栏位名称的方式如下：（1）将获取的电子病历转换为XML格式；（2）从XML格式中通过选取标签后面的名称即为获取的电子病历的栏位名称。此外，所述转换模块313还可以对获取的电子病历中的每个栏位名称进行编号。所述编号是数字加字母的形式进行排序，具体地说，如图4所示，所述编号表示为 Ai，其中，字母A表示获取的电子病历的标号（即HIS系统A的简称），i表示正整数，i大于或等于1且小于等于获取的电子病历中的栏位名称的总数量，例如，A1表示获取的电子病历中的第一个栏位名称，A2表示获取的电子病历中的第2个栏位名称，Ai表示获取的电子病历中的第i个栏位名称。
步骤S14：将获取的电子病历对应的栏位名称与电子病历模板中的栏位名称进行匹配。具体地说，将获取的电子病历对应的栏位名称与电子病历模板中的栏位名称进行匹配的方式如下：将获取的电子病历中的栏位名称在电子病历模板的栏位名称中进行检索，例如，如图4所示，获取的电子病历中的栏位名称包括“姓名”、“性别”、“年龄”、“联系方式”、“社保号”、“身份证号”、“就诊日期”、“就诊科室”、“就诊医生”、“现病史”、“症状描述”等，将上述栏位名称逐个在电子病历模板的栏位名称中进行检索。
步骤S15：根据匹配的结果生成新的电子病历模板并对新的电子病历模板中的栏位名称进行重新排序编号，并在数据库4中创建对应重新排序编号后的存储栏位。具体地说，若匹配的结果中为获取的电子病历中的栏位名称包含在电子病历模板的栏位名称中，则将获取的电子病历中的栏位名称与电子病历模板中对应的栏位名称关联。需要说明的是，由于不同医疗机构的电子病历的栏位名称表达方式不同，而表达意思相同，例如，有的医疗机构的电子病历的栏位名称为“社保号”，有的医疗机构的电子病历的栏位名称为“社保电脑号”或“社保编号”，为了确保匹配精确，所述电子病历模板的栏位名称可以拓展，即所述电子病历模板中的每个栏位名称可以设置多个相关名称，例如，所述电子病历模板中的栏位名称“社保号”还可以拓展为“社保电脑号”或“社保编号”等多个名称。若匹配的结果中为获取的电子病历中的栏位名称不包含在电子病历模板的栏位名称中，则将电子病历模板中增加一个栏位名称，该增加的栏位名称与获取的电子病历中的栏位名称一致。例如，若获取的电子病历中的栏位名称为“医生简介”，而电子病历模板中没有该栏位名称，则在电子病历模板中增加该“医生简介”的栏位。
步骤S16：将获取的电子病历中的电子病历数据（即栏位名称对应输入的数据，例如，栏位名称“姓名”中对应输入的数据为“张三”，则“张三”即为电子病历数据）存储于数据库4中对应重新排序编号后的存储栏位，。具体地说，通过图4可知，医院信息系统A中电子病历的栏位名称均对应于电子病历模板中的排序编号（即Mi），而电子病历模板中的排序编号在数据库4中有对应的存储栏位，因此，所述关联模块316可以直接将医院信息系统A中电子病历中的电子病历数据存储于数据中心3的数据库4中。
步骤S17：判断是否获取下一个医院信息系统1的电子病历。具体地说，若所述数据中心3授权获取五个医院信息系统1的电子病历，则当完成一个医院信息系统1中的电子病历的获取后，在自动切换到下一个医院信息系统的API接口并获取该下一个医院信息系统中的电子病历。所述判断模块317根据API调用记录判断是否每个授权访问的医院信息系统1的电子病历均被获取。当每个授权访问的医院信息系统1的电子病历均被获取完成后，直接结束流程，否则，若还需要获取下一个医院信息系统1的电子病历，则流程返回步骤S12。
以上仅为本发明的优选实施例，并非因此限制本发明的专利范围，凡是利用本发明说明书及附图内容所作的等效结构或等效流程变换，或直接或间接运用在其他相关的技术领域，均同理包括在本发明的专利保护范围内。
 工业实用性
本发明采用上述技术方案，带来的技术效果为：本发明采用电子病历栏位匹配的方式实现电子病历的动态调整，对不同医疗机构的电子病历可以整合到同一种类型的电子病历模板中，达到了电子病历共享的医疗协同性，同时也可以集中式医疗数据分析。

Claims (10)

  1. 一种区域医疗电子病历共享系统，运行于数据中心中，其特征在于，该数据中心包括适于实现各种计算机程序指令的处理器以及适于存储多条计算机程序指令的存储器，所述数据中心通过网络与多个医院信息系统通信连接，所述计算机程序指令由处理器加载并执行如下步骤：创建电子病历模板并对电子病历模板中的栏位名称进行排序编号，并在数据库中创建对应排序编号的栏位；从一个医院信息系统中获取电子病历；解析获取的电子病历中的栏位名称；将获取的电子病历对应的栏位名称与电子病历模板中的栏位名称进行匹配；根据匹配的结果生成新的电子病历模板并对新的电子病历模板中的栏位名称进行重新排序编号，并在数据库中创建对应重新排序编号后的存储栏位；及将获取的电子病历中的电子病历数据存储于数据库中对应重新排序编号后的存储栏位，并生成新的电子病历。
  2. 如权利要求1所述的区域医疗电子病历共享系统，其特征在于，所述电子病历模板中的栏位名称的编号与存储电子病历的数据库的存储栏位名称一致。
  3. 如权利要求1所述的区域医疗电子病历共享系统，其特征在于，所述计算机程序指令由处理器加载还执行如下步骤：若匹配的结果中为获取的电子病历中的栏位名称包含在电子病历模板的栏位名称中，则将获取的电子病历中的栏位名称与电子病历模板中对应的栏位名称关联。
  4. 如权利要求1所述的区域医疗电子病历共享系统，其特征在于，所述计算机程序指令由处理器加载还执行如下步骤：若匹配的结果中为获取的电子病历中的栏位名称不包含在电子病历模板的栏位名称中，则将电子病历模板中增加一个栏位名称，该增加的栏位名称与获取的电子病历中的栏位名称一致。
  5. 如权利要求1所述的区域医疗电子病历共享系统，其特征在于，所述索引号是将姓名、社保号及身份证号三者合一而形成索引号。
  6. 一种区域医疗电子病历共享方法，应用于数据中心中，其特征在于，所述数据中心通过网络与多个医院信息系统通信连接，该方法包括如下步骤：创建电子病历模板并对电子病历模板中的栏位名称进行排序编号，并在数据库中创建对应排序编号的栏位；从一个医院信息系统中获取电子病历；解析获取的电子病历中的栏位名称；将获取的电子病历对应的栏位名称与电子病历模板中的栏位名称进行匹配；根据匹配的结果生成新的电子病历模板并对新的电子病历模板中的栏位名称进行重新排序编号，并在数据库中创建对应重新排序编号后的存储栏位；及将获取的电子病历中的电子病历数据存储于数据库中对应重新排序编号后的存储栏位，并生成新的电子病历。
  7. 如权利要求6所述的区域医疗电子病历共享方法，其特征在于，所述电子病历模板中的栏位名称的编号与存储电子病历的数据库的存储栏位名称一致。
  8. 如权利要求6所述的区域医疗电子病历共享方法，其特征在于，该方法还包括如下步骤：若匹配的结果中为获取的电子病历中的栏位名称包含在电子病历模板的栏位名称中，则将获取的电子病历中的栏位名称与电子病历模板中对应的栏位名称关联。
  9. 如权利要求6所述的区域医疗电子病历共享方法，其特征在于，该方法还包括如下步骤：若匹配的结果中为获取的电子病历中的栏位名称不包含在电子病历模板的栏位名称中，则将电子病历模板中增加一个栏位名称，该增加的栏位名称与获取的电子病历中的栏位名称一致。
  10. 如权利要求6所述的区域医疗电子病历共享方法，其特征在于，所述索引号是将姓名、社保号及身份证号三者合一而形成索引号。
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