WO2020113506A1 - Electronic medical records management systems and method - Google Patents
Electronic medical records management systems and method Download PDFInfo
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- WO2020113506A1 WO2020113506A1 PCT/CN2018/119499 CN2018119499W WO2020113506A1 WO 2020113506 A1 WO2020113506 A1 WO 2020113506A1 CN 2018119499 W CN2018119499 W CN 2018119499W WO 2020113506 A1 WO2020113506 A1 WO 2020113506A1
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- 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 present application relates to the field of medical information technology, and more specifically, to an electronic medical record management system and method.
- EMR Electronic Medical Record
- Electronic Medical Record refers to the computerized medical record, and its content includes all the information of the paper medical record.
- Electronic medical records are produced with the network of hospital computer management, the application of information storage media and the globalization of the Internet.
- Electronic medical records are an inevitable product of information technology and network technology in the medical field, and an inevitable trend in the modern management of hospital medical records.
- the technical problem to be solved by the present application is to provide an electronic medical record management system and method capable of sharing hospital medical record information in view of the above-mentioned defects of the prior art.
- This application proposes an electronic medical record management system in the first aspect to solve its technical problems, including a doctor terminal, a hospital local server, and a cloud server, where:
- the local server of the hospital is used to store the electronic medical record data of the patient in the hospital, receive the medical record change record uploaded by the doctor terminal to operate the electronic medical record data, and upload the medical record change record to the cloud server in synchronization with In the medical record change data node corresponding to the hospital;
- the cloud server is used to establish a medical record change data node for each hospital, respectively storing medical record change records uploaded by each hospital local server, and also storing external access rights and access to electronic medical record data on each hospital local server way;
- the doctor terminal is communicatively connected to the hospital local server of the affiliated hospital to access and operate the electronic medical record data stored on the local server of the hospital, and the doctor terminal is also communicatively connected to the cloud server to access each medical record Change the patient medical record change record in the data node, and access the corresponding hospital local server based on the access rights and access channels stored in the medical record change data node to view the electronic medical record data associated with the patient medical record change record.
- the local server of the hospital stores the electronic medical record data of the patient in the hospital according to a preset holographic electronic medical record template, and the electronic medical record data includes the patient’s chief complaint, medical history, Admission symptoms, vital signs, pathology, imaging, tests, diagnostic procedures, surgery, medication, changes in symptoms, changes in indicators.
- the operation of the electronic medical record data by the doctor terminal includes browsing, adding, modifying, and deleting the electronic medical record data.
- the medical record change record uploaded by the doctor terminal to operate the electronic medical record data includes a change time, a change place, a change person, and a change content.
- the local server of the hospital also periodically uploads the electronic medical record data stored on the local server of the hospital to a medical record change data node corresponding to the hospital on the cloud server for storage.
- the doctor terminal is also used to collect medical record data of a new patient and generate an electronic medical record according to a preset holographic electronic medical record template and upload it to the local hospital server of the hospital.
- the present application provides an electronic medical record management method in the second aspect, including the following steps:
- the hospital local server receives the medical record change record uploaded by the doctor terminal to operate the electronic medical record data and uploads the medical record change record to the medical record change data node corresponding to the hospital on the cloud server synchronously ;
- the method before step S1, further includes collecting medical record data of a new patient through a doctor terminal and generating an electronic medical record according to a preset holographic electronic medical record template and uploading it to the hospital Hospital local server.
- the local server of the hospital stores the electronic medical record data of the patient in the hospital according to a preset holographic electronic medical record template, and the electronic medical record data includes the patient's chief complaint , Medical history, admission symptoms, vital signs, pathology, imaging, testing, diagnostic process, surgery, medication, changes in symptoms, changes in indicators.
- the operation of the electronic medical record data by the doctor terminal includes browsing, adding, modifying, and deleting the electronic medical record data
- the medical record change record includes the time and place of change , Change personnel and change content.
- the electronic medical record management system and method synchronously upload the change records of electronic medical record data on the local server of the hospital to the cloud server, and users such as doctors can access the cloud server through the doctor terminal to browse and view the information of each hospital
- the medical record change records in the medical record change data node and then access the specific electronic medical record data on the corresponding hospital local server through the access rights and access channels stored on the cloud server, to achieve the sharing of local electronic medical record data in each hospital, while at the same time Implement access control.
- the electronic medical record management system and method of the present application solve the problem that the existing medical record systems of the hospitals cannot communicate with each other independently, which can facilitate the doctor to quickly and comprehensively view the patient's medical record information, and help the doctor to carry out the download of the patient based on the holographic medical record information
- One-step precise treatment can also provide a reasonable treatment plan for patients with special conditions.
- FIG. 1 is a schematic structural diagram of an electronic medical record management system according to an embodiment of the present application.
- FIG. 2 is a flowchart of an electronic medical record management method according to an embodiment of the present application.
- Invention Example
- FIG. 1 shows a schematic structural diagram of an electronic medical record management system 100 according to an embodiment of the present application.
- the electronic medical record management system 100 is mainly composed of a cloud server 110, a hospital local server 120 and a doctor terminal 130.
- the local server 120 in the hospital may be, for example, a virtual network server built in the hospital to store the electronic medical record data of the patient in the hospital, and is an electronic medical record system independently managed in each hospital.
- the local server 120 of the hospital may store the electronic medical record data of the patient in the hospital according to a preset holographic electronic medical record template.
- the holographic electronic medical record data includes, but is not limited to, patient complaints, medical history, admission symptoms, vital signs, pathology, imaging, and inspection , Diagnostic procedures, surgery, medication, changes in symptoms, changes in indicators, etc.
- a plurality of doctor terminals 130 are communicatively connected to the hospital local server 120 of each hospital. Doctors and other users can access the electronic medical record data stored on the hospital local server 120 of the affiliated hospital through the doctor terminal 130, and can browse, add, modify and delete the electronic medical record data stored on the hospital local server 120 of the affiliated hospital , And upload the medical record change record generated by the operation to the local server 120 of the hospital.
- the medical record change record may include various information such as time of change, place of change, person to be changed, and content of change.
- the medical terminal data of the new patient can also be collected through the doctor terminal 130 and generated according to a preset holographic electronic medical record template to be uploaded to the local server 130 of the hospital for storage.
- the local server 120 in the hospital receives the medical record change records from various operations on the electronic medical record data uploaded by the doctor terminal 130 and saves the medical record change records, and simultaneously uploads the medical record change records to the cloud server 110 corresponding to the hospital In the data node of the medical record change.
- the cloud server 110 may be, for example, a cloud virtual network server installed on Facebook Cloud.
- the cloud server 110 establishes a medical record change data node for each hospital, and is used to store the medical record change records uploaded by the local server 120 of each hospital, respectively.
- the external access right and access path of the electronic medical record data on the local server 120 of each hospital are also stored in the corresponding medical record change data node on the cloud server 110.
- the doctor terminals 130 in subordinate hospitals are also in communication with the cloud server 110, so that they can access various medical records on the cloud server 110.
- the patient's medical record change record in the data node and can access the corresponding hospital local server 120 based on the access rights and access channels stored in the medical record change data node, and view the electronic records associated with the patient's medical record change record on each hospital local server 120 Medical record data.
- the local electronic medical record system of each hospital When the local electronic medical record system of each hospital is connected with the cloud server 110, it can be assigned permissions according to a predetermined organizational structure, for example, a doctor-side account can be set up and the number of data transfer permissions can be assigned and the electronic medical record information of patients in different departments can be called Permissions and so on.
- the electronic medical record management system 100 described above in this application realizes shared access to the electronic medical record data on the hospital local server 120 of each hospital, which is convenient for doctors to quickly and comprehensively view the patient's holographic medical record information.
- the hospital local server 120 may also periodically upload the electronic medical record data of patients in the hospital stored on the hospital local server 120 to the cloud server 110 and store it in the medical record change data node corresponding to the hospital.
- the present application also proposes an electronic medical record management method.
- FIG. 2 shows a flowchart of an electronic medical record management method 200 according to an embodiment of the present application. As shown in FIG. 2, the electronic medical record management method 200 includes the following steps:
- Step S210 The local server of the hospital stores the electronic medical record data of the patient in the hospital.
- the local server of the hospital may store the electronic medical record data of the patient in the hospital according to a preset holographic electronic medical record template, where the electronic medical record data includes, but is not limited to, patient complaints, medical history, admission symptoms, vital signs, pathology, imaging, inspection, and diagnosis Process, surgery, medication, changes in symptoms, changes in indicators, etc.
- this method can collect medical record data of a new patient through a doctor terminal and generate an electronic medical record according to a preset holographic electronic medical record template and upload it to the local hospital of the hospital.
- Step S220 accessing the electronic medical record data stored on the local hospital of the hospital through the doctor terminal and operating the electronic medical record data.
- the operations performed by the doctor terminal on the electronic medical record data include browsing, adding, modifying, and deleting the electronic medical record data.
- Step S230 The local server of the hospital receives the medical record change record uploaded by the doctor's terminal to operate the electronic medical record data stored on it and uploads the medical record change record to the medical record corresponding to the hospital on the cloud server synchronously Change the data node.
- the medical record change record includes information such as time of change, place of change, person and content of change.
- the cloud server establishes a medical record change data node for each hospital, which is used to store the medical record change records uploaded by each hospital's local server, and also stores external access rights and access to electronic medical record data on each hospital's local server. way.
- Step S240 access the patient's medical record change records in each medical record change data node on the cloud server through the doctor terminal, and access the corresponding hospital local server based on the access rights and access channels stored in the medical record change data node, view and Describe the electronic medical record data associated with the patient's medical record change records. Therefore, when the doctor diagnoses and treats the patient, not only can the doctor terminal access the electronic medical record information related to the patient stored on the local server of the hospital, but also can access the cloud server through the doctor terminal to view the cloud server The electronic medical record change records of each hospital stored in each medical record change data node, and thereby access the relevant electronic medical record data stored on the local server of other hospitals through the access rights and access channels stored on the cloud server.
Abstract
The present application relates to an electronic medical records management system and method. The method comprises the following steps: alteration records of electronic medical records data on local servers of various hospitals are synchronously uploaded to a cloud server; a user, such as a doctor, accesses the cloud server through a doctor terminal to browse and view alteration records of a patient's medical records in medical records alternation data nodes of respective hospitals, and further accesses specific electronic medical records data on the corresponding local server of a hospital through access permission and access routes stored on the cloud server, thereby realizing the sharing of local electronic medical records data of respective hospitals and the control of access permission. Therefore, the electronic medical records management system and method solve the existing problem of no sharing between independent medical records systems of various hospitals, facilitating doctors to rapidly and comprehensively view the medical records of patients.
Description
一种电子病历管理系统和方法 技术领域 Electronic medical record management system and method
[0001] 本申请涉及医疗信息技术领域， 更具体地说， 涉及一种电子病历管理系统和方 法。 [0001] The present application relates to the field of medical information technology, and more specifically, to an electronic medical record management system and method.
背景技术 Background technique
[0002] 电子病历 （Electronic Medical Record， 简称为 EMR） ， 是指计算机化的病历， 它的内容包括纸张病历的所有信息。 电子病历是随着医院计算机管理网络化、 信息存储介质的应用及 Internet的全球化而产生的。 电子病历是信息技术和网络 技术在医疗领域的必然产物， 是医院病历现代化管理的必然趋势。 [0002] Electronic Medical Record (Electronic Medical Record, referred to as EMR) refers to the computerized medical record, and its content includes all the information of the paper medical record. Electronic medical records are produced with the network of hospital computer management, the application of information storage media and the globalization of the Internet. Electronic medical records are an inevitable product of information technology and network technology in the medical field, and an inevitable trend in the modern management of hospital medical records.
[0003] 经过近 20年的发展， 医院信息系统已初具规模， 许多医院相继建立起医院范围 的信息系统。 由于各个医院、 患者的病历都属于私人信息， 难以公开， 即便是 现在各个医院都有了很多的病历系统， 但各个病历系统均各自独立存在， 病历 信息不能很好的共享， 不便于应用和管理。 [0003] After nearly 20 years of development, hospital information systems have begun to take shape, and many hospitals have successively established hospital-wide information systems. Since the medical records of each hospital and patient are private information, it is difficult to disclose it. Even though there are many medical record systems in each hospital, each medical record system exists independently, and the medical record information cannot be well shared, which is not easy to apply and manage. .
技术问题 technical problem
[0004] 本申请要解决的技术问题在于， 针对现有技术的上述缺陷， 提供一种能够实现 医院病历信息共享的电子病历管理系统和方法。 [0004] The technical problem to be solved by the present application is to provide an electronic medical record management system and method capable of sharing hospital medical record information in view of the above-mentioned defects of the prior art.
问题的解决方案 Solution to the problem
技术解决方案 Technical solution
[0005] 本申请为解决其技术问题在第一方面提出一种电子病历管理系统， 包括医生终 端、 医院本地服务器和云端服务器， 其中： [0005] This application proposes an electronic medical record management system in the first aspect to solve its technical problems, including a doctor terminal, a hospital local server, and a cloud server, where:
[0006] 所述医院本地服务器用于存储患者在该医院的电子病历数据， 接收医生终端上 传的对该电子病历数据进行操作的病历更改记录并将所述病历更改记录同步上 传至云端服务器上与该医院对应的病历变更数据节点中； [0006] The local server of the hospital is used to store the electronic medical record data of the patient in the hospital, receive the medical record change record uploaded by the doctor terminal to operate the electronic medical record data, and upload the medical record change record to the cloud server in synchronization with In the medical record change data node corresponding to the hospital;
[0007] 所述云端服务器用于为每个医院建立病历变更数据节点， 分别存储每个医院本 地服务器上传的病历更改记录， 并还存储每个医院本地服务器上电子病历数据 的对外访问权限和访问途径；
[0008] 所述医生终端与所属医院的医院本地服务器通信连接以访问医院本地服务器上 存储的电子病历数据并对该电子病历数据进行操作， 所述医生终端还与云端服 务器通信连接以访问各个病历变更数据节点中的病患病历更改记录， 并基于病 历变更数据节点中存储的访问权限和访问途径访问对应的医院本地服务器， 查 看与所述病患病历更改记录关联的电子病历数据。 [0007] The cloud server is used to establish a medical record change data node for each hospital, respectively storing medical record change records uploaded by each hospital local server, and also storing external access rights and access to electronic medical record data on each hospital local server way; [0008] The doctor terminal is communicatively connected to the hospital local server of the affiliated hospital to access and operate the electronic medical record data stored on the local server of the hospital, and the doctor terminal is also communicatively connected to the cloud server to access each medical record Change the patient medical record change record in the data node, and access the corresponding hospital local server based on the access rights and access channels stored in the medical record change data node to view the electronic medical record data associated with the patient medical record change record.
[0009] 根据本申请第一方面的一个实施例中， 所述医院本地服务器按照预设的全息电 子病历模板存储患者在该医院的电子病历数据， 所述电子病历数据包括病患主 诉、 病史、 入院症状、 生命体征、 病理、 影像、 检验、 诊断过程、 手术、 用药 、 症状变化、 指标变化。 [0009] According to an embodiment of the first aspect of the present application, the local server of the hospital stores the electronic medical record data of the patient in the hospital according to a preset holographic electronic medical record template, and the electronic medical record data includes the patient’s chief complaint, medical history, Admission symptoms, vital signs, pathology, imaging, tests, diagnostic procedures, surgery, medication, changes in symptoms, changes in indicators.
[0010] 根据本申请第一方面的一个实施例中， 所述医生终端对电子病历数据进行操作 包括对电子病历数据进行浏览、 增添、 修改和删除。 [0010] According to an embodiment of the first aspect of the present application, the operation of the electronic medical record data by the doctor terminal includes browsing, adding, modifying, and deleting the electronic medical record data.
[0011] 根据本申请第一方面的一个实施例中， 所述医生终端上传的对电子病历数据进 行操作的病历更改记录包括变更时间、 变更地点、 变更人员和变更内容。 [0011] According to an embodiment of the first aspect of the present application, the medical record change record uploaded by the doctor terminal to operate the electronic medical record data includes a change time, a change place, a change person, and a change content.
[0012] 根据本申请第一方面的一个实施例中， 所述医院本地服务器还定期将医院本地 服务器上存储的电子病历数据上传至云端服务器上与该医院对应的病历变更数 据节点中保存。 [0012] According to an embodiment of the first aspect of the present application, the local server of the hospital also periodically uploads the electronic medical record data stored on the local server of the hospital to a medical record change data node corresponding to the hospital on the cloud server for storage.
[0013] 根据本申请第一方面的一个实施例中， 所述医生终端还用于采集新患者的病历 数据并按照预设的全息电子病历模板生成电子病历上传至所属医院的医院本地 服务器。 [0013] According to an embodiment of the first aspect of the present application, the doctor terminal is also used to collect medical record data of a new patient and generate an electronic medical record according to a preset holographic electronic medical record template and upload it to the local hospital server of the hospital.
[0014] 本申请为解决其技术问题在第二方面提出一种电子病历管理方法， 包括如下步 骤： [0014] In order to solve its technical problems, the present application provides an electronic medical record management method in the second aspect, including the following steps:
[0015] S1、 在医院本地服务器存储患者在该医院的电子病历数据； [0015] S1, storing the electronic medical record data of the patient in the hospital at the local server of the hospital;
[0016] S2、 通过医生终端访问所属医院的医院本地服务器上存储的电子病历数据并对 该电子病历数据进行操作； [0016] S2. Accessing the electronic medical record data stored on the hospital local server of the affiliated hospital through the doctor terminal and operating the electronic medical record data;
[0017] S3、 由所述医院本地服务器接收医生终端上传的对该电子病历数据进行操作的 病历更改记录并将所述病历更改记录同步上传至云端服务器上与该医院对应的 病历变更数据节点中； [0017] S3. The hospital local server receives the medical record change record uploaded by the doctor terminal to operate the electronic medical record data and uploads the medical record change record to the medical record change data node corresponding to the hospital on the cloud server synchronously ;
[0018] S4、 通过医生终端访问云端服务器上各个病历变更数据节点中的病患病历更改
记录， 并基于病历变更数据节点中存储的访问权限和访问途径访问对应的医院 本地服务器， 查看与所述病患病历更改记录关联的电子病历数据。 [0018] S4, accessing the medical record change in each medical record change data node on the cloud server through the doctor terminal Record, and access the corresponding hospital local server based on the access rights and access channels stored in the medical record change data node, and view the electronic medical record data associated with the patient medical record change record.
[0019] 根据本申请第二方面的一个实施例中， 所述方法在步骤 S1之前还包括通过医生 终端采集新患者的病历数据并按照预设的全息电子病历模板生成电子病历上传 至所属医院的医院本地服务器。 [0019] According to an embodiment of the second aspect of the present application, before step S1, the method further includes collecting medical record data of a new patient through a doctor terminal and generating an electronic medical record according to a preset holographic electronic medical record template and uploading it to the hospital Hospital local server.
[0020] 根据本申请第二方面的一个实施例中， 所述步骤 S1中医院本地服务器按照预设 的全息电子病历模板存储患者在该医院的电子病历数据， 所述电子病历数据包 括病患主诉、 病史、 入院症状、 生命体征、 病理、 影像、 检验、 诊断过程、 手 术、 用药、 症状变化、 指标变化。 [0020] According to an embodiment of the second aspect of the present application, in step S1, the local server of the hospital stores the electronic medical record data of the patient in the hospital according to a preset holographic electronic medical record template, and the electronic medical record data includes the patient's chief complaint , Medical history, admission symptoms, vital signs, pathology, imaging, testing, diagnostic process, surgery, medication, changes in symptoms, changes in indicators.
[0021] 根据本申请第二方面的一个实施例中， 所述医生终端对电子病历数据进行操作 包括对电子病历数据进行浏览、 增添、 修改和删除， 所述病历更改记录包括变 更时间、 变更地点、 变更人员和变更内容。 [0021] According to an embodiment of the second aspect of the present application, the operation of the electronic medical record data by the doctor terminal includes browsing, adding, modifying, and deleting the electronic medical record data, and the medical record change record includes the time and place of change , Change personnel and change content.
发明的有益效果 Beneficial effects of invention
有益效果 Beneficial effect
[0022] 根据本申请实施例的电子病历管理系统和方法将医院本地服务器上的电子病历 数据的更改记录同步上传到云端服务器， 医生等用户可通过医生终端访问云端 服务器来浏览和查看各个医院的病历变更数据节点中的病患病历更改记录， 进 而通过云端服务器上存储的访问权限和访问途径访问相应的医院本地服务器上 的具体电子病历数据， 实现各个医院本地电子病历数据的共享， 同时又能实现 访问权限的控制。 因而本申请的电子病历管理系统和方法解决了现有的各个医 院病历系统独立存在无法互通的问题， 能够方便医生快速全面查看病患的病历 信息， 帮助医生根据全息病患病历信息对患者进行下一步的精准治疗， 同时可 针对特殊病情的患者综合给出合理的治疗方案。 [0022] The electronic medical record management system and method according to the embodiments of the present application synchronously upload the change records of electronic medical record data on the local server of the hospital to the cloud server, and users such as doctors can access the cloud server through the doctor terminal to browse and view the information of each hospital The medical record change records in the medical record change data node, and then access the specific electronic medical record data on the corresponding hospital local server through the access rights and access channels stored on the cloud server, to achieve the sharing of local electronic medical record data in each hospital, while at the same time Implement access control. Therefore, the electronic medical record management system and method of the present application solve the problem that the existing medical record systems of the hospitals cannot communicate with each other independently, which can facilitate the doctor to quickly and comprehensively view the patient's medical record information, and help the doctor to carry out the download of the patient based on the holographic medical record information One-step precise treatment can also provide a reasonable treatment plan for patients with special conditions.
对附图的简要说明 Brief description of the drawings
附图说明 BRIEF DESCRIPTION
[0023] 下面将结合附图及实施例对本申请作进一步说明， 附图中： [0023] The present application will be further described below in conjunction with the accompanying drawings and embodiments. In the drawings:
[0024] 图 1是本申请一个实施例的电子病历管理系统的结构示意图； [0024] FIG. 1 is a schematic structural diagram of an electronic medical record management system according to an embodiment of the present application;
[0025] 图 2是本申请一个实施例的电子病历管理方法的流程图。
发明实施例 [0025] FIG. 2 is a flowchart of an electronic medical record management method according to an embodiment of the present application. Invention Example
本发明的实施方式 Embodiments of the invention
[0026] 为了使本申请的目的、 技术方案及优点更加清楚明白， 以下结合附图及实施例 ， 对本申请进行进一步详细说明。 应当理解， 此处所描述的具体实施例仅仅用 以解释本申请， 并不用于限定本申请。 [0026] In order to make the purpose, technical solution and advantages of the present application more clear, the following describes the present application in further detail with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are only used to explain the present application, and are not used to limit the present application.
[0027] 图 1示出了根据本申请一个实施例的电子病历管理系统 100的结构示意图。 如图 1所示， 该电子病历管理系统 100主要由云端服务器 110、 医院本地服务器 120和 医生终端 130构成。 医院本地服务器 120可以是例如架设在所属医院内的虚拟网 络服务器， 用于存储患者在该医院的电子病历数据， 是各个医院内自主管理的 电子病历系统。 医院本地服务器 120可以按照预设的全息电子病历模板来存储患 者在该医院的电子病历数据， 该全息电子病历数据包括但不限于病患主诉、 病 史、 入院症状、 生命体征、 病理、 影像、 检验、 诊断过程、 手术、 用药、 症状 变化、 指标变化等等。 各个医院的医院本地服务器 120通信连接有多个医生终端 130。 医生等用户可以通过医生终端 130来访问所属医院的医院本地服务器 120上 存储的电子病历数据， 并且可以对所属医院的医院本地服务器 120上存储的电子 病历数据进行浏览、 增添、 修改和删除等操作， 并将该操作产生的病历更改记 录上传给医院本地服务器 120。 具体来说， 所述病历更改记录可以包括变更时间 、 变更地点、 变更人员和变更内容等各种信息。 针对在医院本地服务器 120上尚 无电子病历数据的新患者， 还可通过医生终端 130采集新患者的病历数据并按照 预设的全息电子病历模板生成电子病历上传至医院本地服务器 130进行存储。 医 院本地服务器 120接收医生终端 130上传的对其上电子病历数据进行各种操作所 产生的病历更改记录并保存该病历更改记录， 同时将该病历更改记录同步上传 至云端服务器 110上与该医院对应的病历变更数据节点中。 云端服务器 110可以 是例如架设在阿里云的云端虚拟网络服务器。 云端服务器 110上为每个医院建立 病历变更数据节点， 分别用于存储每个医院本地服务器 120上传的病历更改记录 。 各个医院本地服务器 120上的电子病历数据的对外访问权限和访问途径亦被存 储在云端服务器 110上的相应病历变更数据节点中。 各个医院下属的医生终端 13 0还与云端服务器 110通信连接， 从而可以访问云端服务器 110上的各个病历变更
数据节点中的病患病历更改记录， 并可基于病历变更数据节点中存储的访问权 限和访问途径访问对应的医院本地服务器 120, 查看各个医院本地服务器 120上 的与病患病历更改记录关联的电子病历数据。 各个医院的本地电子病历系统在 与云端服务器 110对接时， 可以根据预先设定的组织架构进行权限分配， 例如可 设置医生端账户并分配调用数据的数量权限及调用不同科室的病患电子病历信 息的权限等等。 如此， 本申请上述的电子病历管理系统 100便实现了各家医院的 医院本地服务器 120上的电子病历数据的共享访问， 方便医生快速全面查看病患 的全息病历信息。 根据本申请的优选实施例中， 医院本地服务器 120还可定期将 医院本地服务器 120上存储的本院患者的电子病历数据上传至云端服务器 110上 与该医院对应的病历变更数据节点中保存。 [0027] FIG. 1 shows a schematic structural diagram of an electronic medical record management system 100 according to an embodiment of the present application. As shown in FIG. 1, the electronic medical record management system 100 is mainly composed of a cloud server 110, a hospital local server 120 and a doctor terminal 130. The local server 120 in the hospital may be, for example, a virtual network server built in the hospital to store the electronic medical record data of the patient in the hospital, and is an electronic medical record system independently managed in each hospital. The local server 120 of the hospital may store the electronic medical record data of the patient in the hospital according to a preset holographic electronic medical record template. The holographic electronic medical record data includes, but is not limited to, patient complaints, medical history, admission symptoms, vital signs, pathology, imaging, and inspection , Diagnostic procedures, surgery, medication, changes in symptoms, changes in indicators, etc. A plurality of doctor terminals 130 are communicatively connected to the hospital local server 120 of each hospital. Doctors and other users can access the electronic medical record data stored on the hospital local server 120 of the affiliated hospital through the doctor terminal 130, and can browse, add, modify and delete the electronic medical record data stored on the hospital local server 120 of the affiliated hospital , And upload the medical record change record generated by the operation to the local server 120 of the hospital. Specifically, the medical record change record may include various information such as time of change, place of change, person to be changed, and content of change. For new patients who do not have electronic medical record data on the local server 120 of the hospital, the medical terminal data of the new patient can also be collected through the doctor terminal 130 and generated according to a preset holographic electronic medical record template to be uploaded to the local server 130 of the hospital for storage. The local server 120 in the hospital receives the medical record change records from various operations on the electronic medical record data uploaded by the doctor terminal 130 and saves the medical record change records, and simultaneously uploads the medical record change records to the cloud server 110 corresponding to the hospital In the data node of the medical record change. The cloud server 110 may be, for example, a cloud virtual network server installed on Alibaba Cloud. The cloud server 110 establishes a medical record change data node for each hospital, and is used to store the medical record change records uploaded by the local server 120 of each hospital, respectively. The external access right and access path of the electronic medical record data on the local server 120 of each hospital are also stored in the corresponding medical record change data node on the cloud server 110. The doctor terminals 130 in subordinate hospitals are also in communication with the cloud server 110, so that they can access various medical records on the cloud server 110. The patient's medical record change record in the data node, and can access the corresponding hospital local server 120 based on the access rights and access channels stored in the medical record change data node, and view the electronic records associated with the patient's medical record change record on each hospital local server 120 Medical record data. When the local electronic medical record system of each hospital is connected with the cloud server 110, it can be assigned permissions according to a predetermined organizational structure, for example, a doctor-side account can be set up and the number of data transfer permissions can be assigned and the electronic medical record information of patients in different departments can be called Permissions and so on. In this way, the electronic medical record management system 100 described above in this application realizes shared access to the electronic medical record data on the hospital local server 120 of each hospital, which is convenient for doctors to quickly and comprehensively view the patient's holographic medical record information. According to a preferred embodiment of the present application, the hospital local server 120 may also periodically upload the electronic medical record data of patients in the hospital stored on the hospital local server 120 to the cloud server 110 and store it in the medical record change data node corresponding to the hospital.
[0028] 基于以上所介绍的电子病历管理系统， 本申请还提出一种电子病历管理方法。 [0028] Based on the electronic medical record management system introduced above, the present application also proposes an electronic medical record management method.
图 2示出了根据本申请一个实施例的电子病历管理方法 200的流程图。 如图 2所示 ， 该电子病历管理方法 200包括如下步骤： FIG. 2 shows a flowchart of an electronic medical record management method 200 according to an embodiment of the present application. As shown in FIG. 2, the electronic medical record management method 200 includes the following steps:
[0029] 步骤 S210, 在医院本地服务器存储患者在该医院的电子病历数据。 医院本地服 务器可按照预设的全息电子病历模板存储患者在该医院的电子病历数据， 所述 电子病历数据包括但不限于病患主诉、 病史、 入院症状、 生命体征、 病理、 影 像、 检验、 诊断过程、 手术、 用药、 症状变化、 指标变化等等。 具体实施例中 ， 本方法可通过医生终端采集新患者的病历数据并按照预设的全息电子病历模 板生成电子病历上传至所属医院的医院本地服务器。 [0029] Step S210: The local server of the hospital stores the electronic medical record data of the patient in the hospital. The local server of the hospital may store the electronic medical record data of the patient in the hospital according to a preset holographic electronic medical record template, where the electronic medical record data includes, but is not limited to, patient complaints, medical history, admission symptoms, vital signs, pathology, imaging, inspection, and diagnosis Process, surgery, medication, changes in symptoms, changes in indicators, etc. In a specific embodiment, this method can collect medical record data of a new patient through a doctor terminal and generate an electronic medical record according to a preset holographic electronic medical record template and upload it to the local hospital of the hospital.
[0030] 步骤 S220, 通过医生终端访问所属医院的医院本地服务器上存储的电子病历数 据并对该电子病历数据进行操作。 医生终端对电子病历数据进行的操作包括对 电子病历数据进行浏览、 增添、 修改和删除等等。 [0030] Step S220, accessing the electronic medical record data stored on the local hospital of the hospital through the doctor terminal and operating the electronic medical record data. The operations performed by the doctor terminal on the electronic medical record data include browsing, adding, modifying, and deleting the electronic medical record data.
[0031] 步骤 S230, 由医院本地服务器接收所属的医生终端上传的对其上存储的电子病 历数据进行操作的病历更改记录并将所述病历更改记录同步上传至云端服务器 上与该医院对应的病历变更数据节点中。 病历更改记录包括变更时间、 变更地 点、 变更人员和变更内容等信息。 具体来说， 云端服务器上为每个医院建立病 历变更数据节点， 分别用于存储每个医院本地服务器上传的病历更改记录， 并 还存储每个医院本地服务器上电子病历数据的对外访问权限和访问途径。
[0032] 步骤 S240, 通过医生终端访问云端服务器上各个病历变更数据节点中的病患病 历更改记录， 并基于病历变更数据节点中存储的访问权限和访问途径访问对应 的医院本地服务器， 查看与所述病患病历更改记录关联的电子病历数据。 由此 ， 当医生对病患进行诊断和治疗时， 不仅可以通过医生终端访问所属医院本地 服务器上存储的与该患者相关的电子病历信息， 而且还可以通过医生终端访问 云端服务器， 查看云端服务器上各个病历变更数据节点中存储的各家医院的电 子病历更改记录， 并从而通过云端服务器上存储的访问权限和访问途径访问其 它医院本地服务器上存储的相关电子病历数据。 [0031] Step S230: The local server of the hospital receives the medical record change record uploaded by the doctor's terminal to operate the electronic medical record data stored on it and uploads the medical record change record to the medical record corresponding to the hospital on the cloud server synchronously Change the data node. The medical record change record includes information such as time of change, place of change, person and content of change. Specifically, the cloud server establishes a medical record change data node for each hospital, which is used to store the medical record change records uploaded by each hospital's local server, and also stores external access rights and access to electronic medical record data on each hospital's local server. way. [0032] Step S240, access the patient's medical record change records in each medical record change data node on the cloud server through the doctor terminal, and access the corresponding hospital local server based on the access rights and access channels stored in the medical record change data node, view and Describe the electronic medical record data associated with the patient's medical record change records. Therefore, when the doctor diagnoses and treats the patient, not only can the doctor terminal access the electronic medical record information related to the patient stored on the local server of the hospital, but also can access the cloud server through the doctor terminal to view the cloud server The electronic medical record change records of each hospital stored in each medical record change data node, and thereby access the relevant electronic medical record data stored on the local server of other hospitals through the access rights and access channels stored on the cloud server.
[0033] 以上所述仅为本申请的较佳实施例而已， 并不用以限制本申请， 凡在本申请的 精神和原则之内所作的任何修改、 等同替换和改进等， 均应包含在本申请的保 护范围之内。
[0033] The above are only preferred embodiments of the present application, and are not intended to limit the present application. Any modification, equivalent replacement, and improvement made within the spirit and principle of the present application should be included in this Within the scope of protection applied for.
Claims
权利要求书 Claims
[权利要求 1] 一种电子病历管理系统， 其特征在于， 包括医生终端、 医院本地服务 器和云端服务器， 其中： [Claim 1] An electronic medical record management system, characterized by comprising a doctor terminal, a hospital local server and a cloud server, wherein:
所述医院本地服务器用于存储患者在该医院的电子病历数据， 接收医 生终端上传的对该电子病历数据进行操作的病历更改记录并将所述病 历更改记录同步上传至云端服务器上与该医院对应的病历变更数据节 占中. 所述云端服务器用于为每个医院建立病历变更数据节点， 分别存储每 个医院本地服务器上传的病历更改记录， 并还存储每个医院本地服务 器上电子病历数据的对外访问权限和访问途径； 所述医生终端与所属医院的医院本地服务器通信连接以访问医院本地 服务器上存储的电子病历数据并对该电子病历数据进行操作， 所述医 生终端还与云端服务器通信连接以访问各个病历变更数据节点中的病 患病历更改记录， 并基于病历变更数据节点中存储的访问权限和访问 途径访问对应的医院本地服务器， 查看与所述病患病历更改记录关联 的电子病历数据。 The local server of the hospital is used to store the electronic medical record data of the patient in the hospital, receive the medical record change record uploaded by the doctor terminal to operate the electronic medical record data, and upload the medical record change record to the cloud server synchronously corresponding to the hospital Of the medical record change data is in the middle. The cloud server is used to establish a medical record change data node for each hospital, store the medical record change records uploaded by each hospital local server, and also store the electronic medical record data on each hospital local server. External access rights and access channels; the doctor terminal is communicatively connected to the hospital local server of the affiliated hospital to access the electronic medical record data stored on the hospital local server and operate on the electronic medical record data, and the doctor terminal is also communicatively connected to the cloud server To access the patient medical record change records in each medical record change data node, and access the corresponding hospital local server based on the access rights and access channels stored in the medical record change data node, to view the electronic medical record data associated with the patient medical record change records .
[权利要求 2] 根据权利要求 1所述的电子病历管理系统， 其特征在于， 所述医院本 地服务器按照预设的全息电子病历模板存储患者在该医院的电子病历 数据， 所述电子病历数据包括病患主诉、 病史、 入院症状、 生命体征 、 病理、 影像、 检验、 诊断过程、 手术、 用药、 症状变化、 指标变化 [Claim 2] The electronic medical record management system according to claim 1, wherein the local server of the hospital stores electronic medical record data of patients in the hospital according to a preset holographic electronic medical record template, and the electronic medical record data includes Patient complaints, medical history, admission symptoms, vital signs, pathology, imaging, tests, diagnostic procedures, surgery, medication, changes in symptoms, changes in indicators
[权利要求 3] 根据权利要求 1所述的电子病历管理系统， 其特征在于， 所述医生终 端对电子病历数据进行操作包括对电子病历数据进行浏览、 增添、 修 改和删除。 [Claim 3] The electronic medical record management system according to claim 1, wherein the operation of the electronic medical record data by the doctor terminal includes browsing, adding, modifying and deleting the electronic medical record data.
[权利要求 4] 根据权利要求 1所述的电子病历管理系统， 其特征在于， 所述医生终 端上传的对电子病历数据进行操作的病历更改记录包括变更时间、 变 更地点、 变更人员和变更内容。 [Claim 4] The electronic medical record management system according to claim 1, wherein the medical record change record uploaded by the doctor terminal to operate the electronic medical record data includes the time of change, the place of change, the person to be changed, and the content of change.
[权利要求 5] 根据权利要求 1所述的电子病历管理系统， 其特征在于， 所述医院本
地服务器还定期将医院本地服务器上存储的电子病历数据上传至云端 服务器上与该医院对应的病历变更数据节点中保存。 [Claim 5] The electronic medical record management system according to claim 1, characterized in that the hospital The local server also periodically uploads the electronic medical record data stored on the hospital's local server to the cloud server's medical record change data node corresponding to the hospital for storage.
[权利要求 6] 根据权利要求 1所述的电子病历管理系统， 其特征在于， 所述医生终 端还用于采集新患者的病历数据并按照预设的全息电子病历模板生成 电子病历上传至所属医院的医院本地服务器。 [Claim 6] The electronic medical record management system according to claim 1, wherein the doctor terminal is further used to collect medical data of a new patient and generate an electronic medical record according to a preset holographic electronic medical record template and upload it to the hospital Hospital local server.
[权利要求 7] 一种电子病历管理方法， 其特征在于， 包括如下步骤： [Claim 7] An electronic medical record management method, comprising the following steps:
51、 在医院本地服务器存储患者在该医院的电子病历数据； 51. The local server of the hospital stores the electronic medical record data of patients in the hospital;
52、 通过医生终端访问所属医院的医院本地服务器上存储的电子病历 数据并对该电子病历数据进行操作； 52. Access the electronic medical record data stored on the local server of the hospital through the doctor terminal and operate the electronic medical record data;
53、 由所述医院本地服务器接收医生终端上传的对该电子病历数据进 行操作的病历更改记录并将所述病历更改记录同步上传至云端服务器 上与该医院对应的病历变更数据节点中； 53. The hospital local server receives the medical record change record uploaded by the doctor terminal to operate the electronic medical record data and uploads the medical record change record to the medical record change data node corresponding to the hospital on the cloud server synchronously;
54、 通过医生终端访问云端服务器上各个病历变更数据节点中的病患 病历更改记录， 并基于病历变更数据节点中存储的访问权限和访问途 径访问对应的医院本地服务器， 查看与所述病患病历更改记录关联的 电子病历数据。 54. Access the patient's medical record change records in each medical record change data node on the cloud server through the doctor terminal, and access the corresponding hospital local server based on the access rights and access channels stored in the medical record change data node to view the patient medical record Change the electronic medical record data associated with the record.
[权利要求 8] 根据权利要求 7所述的电子病历管理方法， 其特征在于， 所述方法在 步骤 S1之前还包括通过医生终端采集新患者的病历数据并按照预设的 全息电子病历模板生成电子病历上传至所属医院的医院本地服务器。 [Claim 8] The electronic medical record management method according to claim 7, wherein before the step S1, the method further includes collecting medical record data of a new patient through a doctor terminal and generating electronic data according to a preset holographic electronic medical record template The medical record is uploaded to the local server of the hospital.
[权利要求 9] 根据权利要求 7所述的电子病历管理方法， 其特征在于， 所述步骤 S1 中医院本地服务器按照预设的全息电子病历模板存储患者在该医院的 电子病历数据， 所述电子病历数据包括病患主诉、 病史、 入院症状、 生命体征、 病理、 影像、 检验、 诊断过程、 手术、 用药、 症状变化、 指标变化。 [Claim 9] The electronic medical record management method according to claim 7, wherein in step S1, the local server of the hospital stores electronic medical record data of the patient in the hospital according to a preset holographic electronic medical record template, the electronic The medical record data includes the patient's chief complaint, medical history, admission symptoms, vital signs, pathology, imaging, testing, diagnostic process, surgery, medication, changes in symptoms, changes in indicators.
[权利要求 10] 根据权利要求 7所述的电子病历管理方法， 其特征在于， 所述医生终 端对电子病历数据进行操作包括对电子病历数据进行浏览、 增添、 修 改和删除， 所述病历更改记录包括变更时间、 变更地点、 变更人员和 变更内容。
[Claim 10] The electronic medical record management method according to claim 7, wherein the operation of the electronic medical record data by the doctor terminal includes browsing, adding, modifying, and deleting the electronic medical record data, and the medical record change record Including change time, change location, change personnel and change content.
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| CN111613282A (en) * | 2020-04-30 | 2020-09-01 | 卫宁健康科技集团股份有限公司 | Cloud medical record construction method, system, equipment and medium for disaster site |
| CN112055064B (en) * | 2020-08-26 | 2023-11-28 | 北京致医健康信息技术有限公司 | Data synchronization method, device, equipment and storage medium |
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| CN113345582A (en) * | 2021-06-01 | 2021-09-03 | 华中科技大学同济医学院附属协和医院 | Public health management system and use method thereof |
| CN113626486A (en) * | 2021-07-15 | 2021-11-09 | 广州市挖米科技有限责任公司 | SAAS electronic medical record structured high-speed transmission and display method and device |
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| CN103700050A (en) * | 2012-09-27 | 2014-04-02 | 捷达世软件（深圳）有限公司 | Case data management method and system |
| CN106934243A (en) * | 2017-03-17 | 2017-07-07 | 北京好运到信息科技有限公司 | A kind of electronic health record management method and system |
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