CN102098322A - Medical information management system - Google Patents
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- CN102098322A CN102098322A CN2009102621388A CN200910262138A CN102098322A CN 102098322 A CN102098322 A CN 102098322A CN 2009102621388 A CN2009102621388 A CN 2009102621388A CN 200910262138 A CN200910262138 A CN 200910262138A CN 102098322 A CN102098322 A CN 102098322A
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Abstract
The invention discloses a medical information management system based on a computer network, which can transfer information to a user terminal through a communication network. The medical information management system comprises a center end server and a plurality of medical servers which are communicated with the center end server, wherein each medical server is used for realizing communication with a plurality of user terminals, and each medical server and the center end server both store at least partly same medical information. Because a clinical path method is implemented through a computer network system and clinical path execution steps are managed through the medical information management system, great convenience is provided for daily work of clinical doctors and nurses, the efficiency of clinical path execution is increased, and the reliability of clinical path execution is ensured.
Description
Technical field
The present invention relates to a kind of medical system, relate in particular to a kind of medical information management system based on computer network.
Background technology
Early stage clinical diagnosis and treatment often all proposes diagnosis and treatment project to patient according to oneself diagnosis and treatment thinking by each doctor, but because each doctor's thinking and experience have nothing in common with each other, the result also can produce different medical effects, thereby is unfavorable for the control of quality of medical care.In addition, for same sick the kind, because each doctor's diagnosis and treatment scheme difference, the expense that causes producing also can be different, so, might produce unnecessary medical expense.For addressing the above problem, people wish to find out a kind of diagnosis and treatment standard mode, make the patient in the while in hospital, receive diagnosis and treatment according to standardized diagnosis and treatment scheme, and can reach desired therapeutic effect.So, quality of medical care can be guaranteed on the one hand, also medical expense can be controlled on the other hand.For this reason, the nineties in last century, take the lead in having proposed at single sick diagnosis and treatment standard mode---clinical path of planting quality and cost management in the U.S..
Clinical path is at certain disease (or operation), with time is transverse axis, with desirable nursing means such as the guidance of being admitted to hospital, diagnosis, inspection, medication, treatment, nursing, diet guide, the plans of educating, leave hospital is the longitudinal axis, formulates standardization treatment nursing flow process (clinical path table).Its function is that the form of utilization chart provides the time, orderly, effectively looks after, and with control of quality and funds, is a kind of whole medical nursing work pattern.Clinical path shortens average time in hospital day by the defining standard hospital day, goes up unnecessary difference to reduce treatment; Simultaneously, can rationally arrange the time and expense, reduce medical treatment cost according to state of an illness needs; And, standard diagnosis and nursing means, the treatment nursing that makes the patient obtain preferred plan is looked after; In addition, also cultivate doctor, nurse's self-disciplining, strengthened the medical care cooperation.
Yet diagnosis and treatment campaign item involved in the clinical path is various, for need contacting many different sick doctor and nurses that plant every day, oneself remembers and manage the project that must carry out these every days if depend alone, is a very thing of difficulty.Because, if miscarriage just might cause omission or mistake to examine, and further may cause malpractice.
Summary of the invention
The object of the present invention is to provide a kind of medical information management system, it includes medical information, can assist a physician or the nurse carries out the clinical path step, thereby guarantee the reliability that clinical path is implemented, and improve the efficient of implementing.
To achieve these goals, a kind of medical information management system of the present invention, can transmit information by communication network and user terminal, medical information management system comprises central terminal server and some medical servers of communicating by letter with described central terminal server, described each medical server is used for realizing communicating by letter with some user terminals, and each medical server all stores to the identical medical information of small part with central terminal server.
As a further improvement on the present invention, described central terminal server is upgraded described to the identical medical information of small part, the described medical information of the unified renewal of some medical servers.
As a further improvement on the present invention, describedly comprise medical knowledge information to the identical medical information of small part; Described medical server is used to monitor the input information of described user terminal, and when difference appears in described input information and corresponding described medical knowledge information, and the information of difference is fed back to the relative users terminal.
As a further improvement on the present invention, described medical knowledge information comprises nutrition, nurses, defends religion clinical treatment knowledge, and the drug safety rule.
As a further improvement on the present invention, described medical server also is used to receive from the described request to the identical medical information of small part of the renewal of user terminal, and described update request is uploaded to central terminal server.
As a further improvement on the present invention, described central terminal server is used for regularly described update request being outputed to particular address, and after the request that receives the confirmation renewal, upgrades described to the identical medical information of small part.
As a further improvement on the present invention, describedly comprise the clinical path data to the identical medical information of small part.
As a further improvement on the present invention, described clinical path data comprise and the different sick corresponding some clinical path steps of planting.
As a further improvement on the present invention, described clinical path step comprises the some time interval of arranging in certain sequence, and the corresponding diagnosis and treatment campaign item in the corresponding time interval.
As a further improvement on the present invention, described medical server also is used to automatically perform described clinical path step.
Compared with prior art, the invention has the beneficial effects as follows: owing to implement the clinical path method and manage the clinical path execution in step by medical information management system by computer network system, greatly facilitate clinician and nurse's routine work, improve the efficient that clinical path is implemented, and guaranteed the reliability that clinical path is implemented; In addition,, only need to upgrade the knowledge base data in the central terminal server, can unify to upgrade the knowledge base data of the medical server of each hospital owing to adopt distributed server system, thus convenient management; In addition, medical server also can be realized intelligent monitoring according to the medical knowledge storehouse, and by the monitoring feedback, also can further improve the medical knowledge storehouse.
Description of drawings
Fig. 1 is used for the auxiliary schematic block diagram of implementing the computer network system of clinical path method;
Fig. 2 is the FB(flow block) of clinical path implementation method among the present invention;
Fig. 3 A is the sick clinical path table of planting of a concrete example to Fig. 3 C;
Fig. 4 A is to the part screenshot capture of Fig. 4 C user terminal that is Fig. 3 A in the clinical path implementation process of the disease kind shown in Fig. 3 C.
Fig. 5 is an embodiment of medical information management system of the present invention.
Embodiment
The clinical path implementation method is based on computer network system shown in Figure 1 and assists and realize among the present invention.As shown in Figure 1, computer network system 100 comprises medical information management system 10, some user terminals 30 and the communication network 20 of realizing communication between medical information management system 10 and user terminal 30.Well-known to those skilled in the artly be the software that medical information management system 10 and user terminal 30 generally include computer hardware and can carry out by these hardware.Wherein hardware comprises processing module and memory module, and processing module can (Central Processing Unit CPU), be used for executing instruction and working procedure for CPU; Memory module can comprise hard disk, read-only memory (Read Only Memory, ROM) and random asccess memory (Random Access Memory RAM), is used for storing chronically or provisionally data and software.
In the present embodiment, medical information management system 10 can be the webserver, by communication network 20 realize with some user terminals 30 between communicate by letter.Store the clinical path data in its memory module, these data comprise corresponding different sick some clinical path steps of planting.Can cooperate with reference to Fig. 3 A to the clinical path table shown in the 3C, the clinical path step comprises the some time interval of arranging in certain sequence, a series of time intervals that time sequencing after basis shown in first trip is admitted to hospital is arranged, the unit in this time interval can be minute, hour, day or even the week or the moon, specifically decides on different sick kinds.The clinical path step also comprises the corresponding diagnosis and treatment campaign item in the corresponding time interval, shown in file among the figure, comprises main diagnosis and treatment campaign item, emphasis doctor's advice, care project etc.Clinical data also comprises different sick clinical expertises of planting, the inspection survey report of corresponding given patient, MAR, progress note, and the required expense reference value of corresponding diagnosis and treatment campaign item etc.The user of user terminal 30 is generally clinician, nurse or other related personnel, it can be personal computer or other subsidiary terminals that display screen is arranged, as smart mobile phone, personal digital assistant (Personal Digital Assistant, PDA) etc., so that the user carries out visualized operation.In addition, user terminal 30 also comprises operating equipment, as keyboard, mouse or trace ball etc., the person's of being easy to use input information.Communication network 20 can be local area network (LAN), wide area network; The Internet of hospital internal or internet; By the cable network of cable connection or the wireless network of communicating by letter with medical information management system 10 by wave point and user terminal 30.
Is that example illustrates clinical path implementation method among the present invention below in conjunction with Fig. 2 to Fig. 4 with sick kind of acute myocardial infarction AMI.
As shown in Figure 3A, in the specific time interval after arriving hospital emergency department, the doctor of emergency department can make corresponding diagnosis for acute myocardial infarction patients rapidly, and judges whether to do emergency operation, and does which kind of operation etc.The doctor of emergency department can be with diagnostic result by user terminal 30 inputs, and medical information management system 10 receives diagnostic result (step 41) by communication network 20 subsequently.This diagnostic result comprises patient's personal information and sick kind information.Wherein patient's personal information comprises patient's name or medical record number, and other some relevant informations (as shown in the tabulation of Fig. 4 A); Diagnostic result then comprise disease plant title or with the relevant checkup item of disease kind title.
Medical information management system 10 disposes corresponding clinical path step (step 42) for patient then.Medical information management system 10 at first mates diagnostic result and clinical path data, promptly inquiry is planted or the corresponding corresponding clinical path step of checkup item with sick in its memory module, after finding, this clinical path step and patient's personal information is associated.So, the user can inquire about corresponding clinical path data according to patient's personal information at user terminal.Shown in Fig. 4 A, during above-mentioned acute myocardial infarction patients hospitalization, the clinician can be by selected this patient of the patient's personal list of information among the figure for understanding its patient's condition, and user terminal 30 sends to medical information management system 10 with query requests by communication network 20 subsequently; Medical information management system 10 inquires this patient's information in its memory module, and related with it clinical path step is presented on the display screen of user terminal 30 by communication network 20.Shown in the sectional drawing of Fig. 4 B, what the first half of screen showed is the clinical path step of this disease kind, promptly corresponding diagram 3A to the clinical path heading of 3B capable in order time interval of arranging.The user wants to check concrete step, just can click corresponding path node, shows the specifying information of this step subsequently in the latter half of screen, its correspondence be the required diagnosis and treatment campaign item of finishing in the corresponding time interval in the clinical path table.
Next, medical information management system 10 automatically performs selected clinical path step (step 43).Medical information management system 10 can judge whether the interior at interval corresponding diagnosis and treatment campaign item of time corresponding is carried out according to predetermined order.If there is corresponding project not carry out in the official hour interval, then medical information management system 10 is by communication network 20 display alarm information on the display screen of user terminal 30.Shown in Fig. 4 C,, can show to beat and collude the expression executed, and uncompleted project is then left a blank to show prompting for the project of having finished; Preferably, also can deepen or different colours the font of finished item not.In case project is finished, the user can choose corresponding project by user terminal, and the executing state of 10 automatically synchronous these projects of medical information management system shows executed information by communication network 20 subsequently on the display screen of user terminal 30.Right side field among Fig. 4 A also shows the link of audit report, MAR and progress note in the memory module of having finished and be kept at medical information management system 10.The user can click as required and consult, and medical information management system 10 can show corresponding clinical data by communication network 20 according to the query requests of user terminal on the display screen of user terminal.
Be the control medical expense, the expense state of medical information management system 10 in can also dynamic monitoring clinical path implementation.When the user carries out the expense that corresponding diagnosis and treatment campaign item is produced by user terminal 30 inputs, medical information management system 10 is this information synchronously, and this actual cost value and within it corresponding expense reference value of storage compared, as variant, then medical information management system 10 shows the information of this expense variance on the display screen of user terminal by communication network 20, so that the user analyzes the difference place, and when being arranged, problem can in time correct.
Fig. 5 is an embodiment of medical information management system of the present invention.In the present embodiment, medical information management system 10 comprises a central terminal server 11 and realizes mutual some medical servers 12 of communicating by letter with this central terminal server by network.These medical servers 12 can be the servers that is separately positioned in the different hospitals, and each medical server 12 is connected to realize communication by internal network with some user terminals 30 of corresponding hospital internal again.Each work station that these user terminals 30 can be the hospital internal diagnosis and therapy systems is as outpatient doctor, resident doctor's work station, nursing station, system, surgery anesthesia system etc.Central terminal server 11 all stores to the identical medical information of small part with each medical server 12, these medical informations comprise the above-mentioned clinical path data of having mentioned, clinical data, cost information etc., also comprise and the corresponding sick corresponding medical knowledge information of planting, as clinical treatment knowledge such as nutrition, nursing, Wei Jiao, and the drug safety rule etc.
If the doctor finds prescription problem is arranged, just can in time correct; If the doctor judges that its prescription of opening is no problem, but the medical knowledge of medical server 12 stored is when having problem, and it can be imported it in the feedback interface of user terminal 30 and think the problem points that exists and new suggested more.Corresponding medical server 12 can receive this update request, and it is uploaded to central terminal server 11.Central terminal server 11 can these update requests of statistics information, and regularly (as January once) these information are outputed to particular address, as expert's email address.The expert can judge whether these update requests are necessary, whether exist as problem, and more whether new suggested is applicable to normal conditions etc.If update request is adopted, central terminal server 11 will receive the affirmation update request that comes from specific user terminal (as the user terminal that is used to upgrade).This affirmation update request comprises the clauses and subclauses of required renewal and at the concrete lastest imformation of these clauses and subclauses.After central terminal server 11 renewals are finished, can be by network upgrade, the unified medical knowledge information of upgrading the same item of storage in each medical server 12.Certainly, this step of updating is equally applicable to clinical path data, clinical data, reaches cost information etc.
Owing to implement the clinical path method and manage the clinical path execution in step by medical information management system by computer network system, made things convenient for clinician and nurse's routine work, improve the efficient that clinical path is implemented, and guaranteed the reliability that clinical path is implemented; In addition,, only need to upgrade the knowledge base data in the central terminal server, can unify to upgrade the knowledge base data of the medical server of each hospital owing to adopt distributed server system, thus convenient management; In addition, medical server also can be realized intelligent monitoring according to the medical knowledge storehouse, and by the monitoring feedback, also can further improve the medical knowledge storehouse.
Claims (10)
1. medical information management system, can transmit information by communication network and user terminal, it is characterized in that, medical information management system comprises central terminal server and some medical servers of communicating by letter with described central terminal server, described each medical server is used for realizing communicating by letter with some user terminals, and each medical server all stores to the identical medical information of small part with central terminal server.
2. medical information management system as claimed in claim 1 is characterized in that, described central terminal server is upgraded described to the identical medical information of small part, the described medical information of the unified renewal of some medical servers.
3. medical information management system as claimed in claim 1 is characterized in that, describedly comprises medical knowledge information to the identical medical information of small part; Described medical server is used to monitor the input information of described user terminal, and when described input information difference occurs with corresponding medical knowledge information, and the information of difference is fed back to the relative users terminal.
4. medical information management system as claimed in claim 1 is characterized in that, described medical knowledge information comprises nutrition, nurses, defends religion clinical treatment knowledge, and the drug safety rule.
5. medical information management system as claimed in claim 1 is characterized in that, described medical server also is used to receive from the described request to the identical medical information of small part of the renewal of user terminal, and described update request is uploaded to central terminal server.
6. medical information management system as claimed in claim 5 is characterized in that, described central terminal server is used for regularly described update request being outputed to particular address, and after the request that receives the confirmation renewal, upgrades described to the identical medical information of small part.
7. as the described medical information management system of above-mentioned each claim, it is characterized in that, describedly comprise the clinical path data to the identical medical information of small part.
8. medical information management system as claimed in claim 7 is characterized in that, described clinical path data comprise and the different sick corresponding some clinical path steps of planting.
9. medical information management system as claimed in claim 8 is characterized in that, described clinical path step comprises the some time interval of arranging in certain sequence, and the corresponding diagnosis and treatment campaign item in the corresponding time interval.
10. medical information management system as claimed in claim 8 is characterized in that, described medical server also is used to automatically perform described clinical path step.
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Cited By (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102509000A (en) * | 2011-10-14 | 2012-06-20 | 广东巨龙信息技术有限公司 | Method and system for displaying clinical pathway integrated data transmission |
| CN103617474A (en) * | 2013-09-30 | 2014-03-05 | 上海市东方医院（同济大学附属东方医院） | System and method for managing clinical path variation based on dynamic routing algorithm |
| CN103679602A (en) * | 2012-09-25 | 2014-03-26 | 大连运邦科技发展有限公司 | Clinical pathway medical management system |
| CN103679393A (en) * | 2013-12-27 | 2014-03-26 | 上海市东方医院（同济大学附属东方医院） | Clinical pathway management evaluation index system and method based on analytic hierarchy process |
| CN103827873A (en) * | 2011-07-14 | 2014-05-28 | 马林克罗特有限公司 | Injection data management system and method |
| CN104408329A (en) * | 2014-12-18 | 2015-03-11 | 北京大学深圳医院 | Electronic clinical nursing path management system and method |
| CN104504488A (en) * | 2014-11-13 | 2015-04-08 | 同心医联科技（北京）有限公司 | System and method for intelligentizing tumor disease management under multidisciplinary collaboration |
| CN104992065A (en) * | 2015-07-13 | 2015-10-21 | 深圳瑞麦科技有限公司 | Server, mobile terminal, system and method for assisting user in medicine use |
| CN106021956A (en) * | 2016-06-12 | 2016-10-12 | 南宁思飞电子科技有限公司 | Medical patient information management system |
| CN106453339A (en) * | 2016-10-21 | 2017-02-22 | 宁波江丰生物信息技术有限公司 | Pathology consultation platform |
| CN109165968A (en) * | 2018-07-20 | 2019-01-08 | 广东医睦科技有限公司 | A kind of medical expense information processing method, system, device and storage medium |
| CN109192262A (en) * | 2018-09-17 | 2019-01-11 | 北京惠每云科技有限公司 | A kind of data transmission method and device |
| CN109448865A (en) * | 2018-11-01 | 2019-03-08 | 唐杨烽 | ICU Clinical Decision Support Systems |
| CN109741817A (en) * | 2018-12-27 | 2019-05-10 | 中山大学附属第一医院 | A kind of bundling care method, device, terminal device and storage medium |
| CN109817349A (en) * | 2019-01-23 | 2019-05-28 | 成都智一云科科技有限公司 | It is a kind of based on disease control intelligent use system outside the institute of doctor's advice mode in hospital |
| CN110197705A (en) * | 2019-04-25 | 2019-09-03 | 胡盛寿 | A kind of clinical data service system and method based on cloud platform |
| CN111383123A (en) * | 2018-12-29 | 2020-07-07 | 天津幸福生命科技有限公司 | Clinical medical expense statistical method and device, storage medium and electronic equipment |
| CN117556790A (en) * | 2024-01-02 | 2024-02-13 | 四川大学华西医院 | Medical information processing method, device, equipment and storage medium |
-
2009
- 2009-12-15 CN CN2009102621388A patent/CN102098322A/en active Pending
Cited By (21)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103827873A (en) * | 2011-07-14 | 2014-05-28 | 马林克罗特有限公司 | Injection data management system and method |
| CN102509000A (en) * | 2011-10-14 | 2012-06-20 | 广东巨龙信息技术有限公司 | Method and system for displaying clinical pathway integrated data transmission |
| CN103679602A (en) * | 2012-09-25 | 2014-03-26 | 大连运邦科技发展有限公司 | Clinical pathway medical management system |
| CN103617474A (en) * | 2013-09-30 | 2014-03-05 | 上海市东方医院（同济大学附属东方医院） | System and method for managing clinical path variation based on dynamic routing algorithm |
| CN103679393A (en) * | 2013-12-27 | 2014-03-26 | 上海市东方医院（同济大学附属东方医院） | Clinical pathway management evaluation index system and method based on analytic hierarchy process |
| CN103679393B (en) * | 2013-12-27 | 2017-01-25 | 上海市东方医院（同济大学附属东方医院） | Clinical pathway management evaluation index system and method based on analytic hierarchy process |
| CN104504488A (en) * | 2014-11-13 | 2015-04-08 | 同心医联科技（北京）有限公司 | System and method for intelligentizing tumor disease management under multidisciplinary collaboration |
| CN104408329A (en) * | 2014-12-18 | 2015-03-11 | 北京大学深圳医院 | Electronic clinical nursing path management system and method |
| CN104992065A (en) * | 2015-07-13 | 2015-10-21 | 深圳瑞麦科技有限公司 | Server, mobile terminal, system and method for assisting user in medicine use |
| CN106021956B (en) * | 2016-06-12 | 2019-01-08 | 上海云贵信息科技有限公司 | Medical patient information management system |
| CN106021956A (en) * | 2016-06-12 | 2016-10-12 | 南宁思飞电子科技有限公司 | Medical patient information management system |
| CN106453339A (en) * | 2016-10-21 | 2017-02-22 | 宁波江丰生物信息技术有限公司 | Pathology consultation platform |
| CN109165968A (en) * | 2018-07-20 | 2019-01-08 | 广东医睦科技有限公司 | A kind of medical expense information processing method, system, device and storage medium |
| CN109192262A (en) * | 2018-09-17 | 2019-01-11 | 北京惠每云科技有限公司 | A kind of data transmission method and device |
| CN109448865A (en) * | 2018-11-01 | 2019-03-08 | 唐杨烽 | ICU Clinical Decision Support Systems |
| CN109741817A (en) * | 2018-12-27 | 2019-05-10 | 中山大学附属第一医院 | A kind of bundling care method, device, terminal device and storage medium |
| CN111383123A (en) * | 2018-12-29 | 2020-07-07 | 天津幸福生命科技有限公司 | Clinical medical expense statistical method and device, storage medium and electronic equipment |
| CN109817349A (en) * | 2019-01-23 | 2019-05-28 | 成都智一云科科技有限公司 | It is a kind of based on disease control intelligent use system outside the institute of doctor's advice mode in hospital |
| CN110197705A (en) * | 2019-04-25 | 2019-09-03 | 胡盛寿 | A kind of clinical data service system and method based on cloud platform |
| CN117556790A (en) * | 2024-01-02 | 2024-02-13 | 四川大学华西医院 | Medical information processing method, device, equipment and storage medium |
| CN117556790B (en) * | 2024-01-02 | 2024-04-16 | 四川大学华西医院 | Medical information processing method, device, equipment and storage medium |
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Application publication date: 20110615 |