CN115394451A - Perioperative period medical record real-time monitoring method and device, terminal equipment and storage medium - Google Patents
Perioperative period medical record real-time monitoring method and device, terminal equipment and storage medium Download PDFInfo
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Abstract
The invention provides a perioperative medical record real-time monitoring method, a perioperative medical record real-time monitoring device, terminal equipment and a storage medium, wherein the method comprises the following steps: acquiring patient information, wherein the patient information comprises medical record information of a patient; acquiring doctor information of each doctor; obtaining historical operation data according to doctor information, wherein the historical operation data comprises historical operation types and corresponding historical patient data; determining a mapping relation between historical patient data and historical operation types according to the historical operation data; and determining the type of the surgical operation according to the mapping relation and the medical record information. The method provided by the invention can automatically judge which operation the current patient needs to perform according to the historical data, and which doctor executes the operation, so that the proper doctor can be quickly selected to finish the proper operation type for the patient, the method has a great auxiliary effect on the judgment of the patient's condition by the doctor, and the treatment efficiency of the hospital is improved.
Description
Technical Field
The invention relates to the field of intelligent medical technology clinical informatization, in particular to a perioperative medical record real-time monitoring method, a perioperative medical record real-time monitoring device, terminal equipment and a storage medium.
Background
At present, only basic electronic informatization processing is realized for processing medical data in hospitals, original offline paper medical record files are made into electronic medical record files as per the Xuan department, and specific data in the medical record files are not processed and analyzed, so that a dynamic management medical technology cannot be realized.
The medical technology is the core content of medical quality and is the core competitiveness of hospital development, however, the existing medical data management system still cannot standardize electronic medical record files, improve the application and management capacity of interconnection and intercommunication maturity, the operation process is not intelligent enough, and the management requirements of the current hospital on data interconnection and intercommunication standardization maturity and electronic medical record application level rating cannot be met to a great extent.
Disclosure of Invention
The following is a summary of the subject matter described in detail herein. This summary is not intended to limit the scope of the claims.
The embodiment of the invention provides a perioperative medical record real-time monitoring method, a perioperative medical record real-time monitoring device, terminal equipment and a storage medium, an optimal surgical scheme is decided for a patient by monitoring case information and surgical conditions of the patient in real time, the application rate of an electronic medical record in the perioperative period is improved, interconnection and intercommunication among data are realized, and the perioperative treatment efficiency is improved.
In a first aspect, an embodiment of the present invention provides a perioperative medical record real-time monitoring method, including:
acquiring patient information, wherein the patient information comprises medical record information of a patient;
acquiring doctor information of each doctor;
obtaining historical surgical data according to the doctor information, wherein the historical surgical data comprises historical surgical data and corresponding historical patient data;
determining a mapping relationship between the historical patient data and the historical surgical data according to the historical surgical data;
and determining the type of the surgical operation according to the mapping relation and the medical record information.
In some embodiments, the obtaining historical surgical data from the physician information includes: obtaining the historical operation record of each doctor according to the doctor information; and determining historical operation data and corresponding historical patient data according to the historical operation record.
In some embodiments, after the determining the type of surgical procedure according to the mapping relationship and the medical record information, the method further includes: determining a corresponding operating room grade according to the type of the operation; searching available operating room information corresponding to the operating room grade; matching the surgical application to the patient based on the available operating room information.
In some embodiments, the patient information comprises: the patient's surgical application form information, surgical scheduling information, the patient's current medical condition information, and perioperatively generated medical record information.
In some embodiments, the method further comprises: obtaining physical data of a patient in perioperative period; establishing a plurality of operation monitoring points according to the body data, and setting an abnormal threshold value for each operation monitoring point; and when any one operation monitoring point reaches an abnormal threshold value, sending an alarm prompt.
In some embodiments, after the alarm is given when any one of the operation monitoring points reaches the abnormal threshold, the method further comprises: and adding the alarm prompt and the abnormal information of the operation monitoring point to the medical record information.
In some embodiments, the physical data includes blood loss, respiration, heartbeat, pulse, and blood pressure.
In a second aspect, an embodiment of the present invention provides a perioperative medical record real-time monitoring apparatus, including:
the first acquisition module is used for acquiring patient information, and the patient information comprises medical record information of a patient;
the second acquisition module is used for acquiring doctor information of each doctor;
the analysis module is used for obtaining historical surgical data according to the doctor information, and the historical surgical data comprises historical surgical data and corresponding historical patient data;
the mapping module is used for determining the mapping relation between the historical patient data and the historical operation data according to the historical operation data;
and the generation module is used for determining the type of the surgical operation according to the mapping relation and the medical record information.
In a third aspect, an embodiment of the present invention provides a terminal device, including a memory, a processor, and a computer program stored in the memory and executable on the processor, where the processor executes the computer program to implement the perioperative medical record real-time monitoring method according to the first aspect.
In a fourth aspect, an embodiment of the present invention provides a storage medium, which stores a computer program, and when the computer program is executed by a processor, the method for real-time monitoring perioperative medical records according to the first aspect is implemented.
The embodiment of the invention comprises the following steps: firstly, obtaining patient information and doctor information of each doctor, wherein the patient information comprises medical record information of a patient; and then obtaining historical operation data comprising historical operation types and historical patient data according to the doctor information, and determining a mapping relation between the historical patient data and the historical operation types according to the historical operation data. And finally, determining the current surgical type according to the case information of the current patient and the mapping relation between the historical patient data and the historical surgical type. According to the scheme provided by the embodiment of the invention, which operation is required by the current patient can be automatically judged according to the historical data, and which doctor executes the operation, so that a proper doctor can be quickly selected to finish a proper operation type for the patient, the doctor can greatly assist in judging the state of illness of the patient, and the treatment efficiency of a hospital is improved.
Additional features and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention. The objectives and other advantages of the invention will be realized and attained by the structure particularly pointed out in the written description and drawings.
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The accompanying drawings are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the example serve to explain the principles of the invention and not to limit the invention.
FIG. 1 is a flow chart of a method for real-time monitoring of perioperative medical records according to an embodiment of the present invention;
FIG. 2 is a flow chart for obtaining historical surgical data provided by an embodiment of the present invention;
FIG. 3 is a flow chart of assigning operating rooms provided by an embodiment of the present invention;
FIG. 4 is a flow chart of surgical monitoring provided by an embodiment of the present invention;
FIG. 5 is a block diagram of a perioperative medical record real-time monitoring apparatus provided in an embodiment of the present invention;
FIG. 6 is a block diagram of a system provided by an embodiment of the present invention;
FIG. 7 is a flow chart of surgical matching provided by an embodiment of the present invention;
fig. 8 is a flow chart of approval provided by an embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is described in further detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
It is noted that while a division of functional blocks is depicted in a block diagram, and logical order is depicted in a flowchart, in some cases the steps depicted and described may be performed in a different order than the division of blocks within a block diagram or flowchart. The terms first, second and the like in the description and in the claims, and the drawings described above, are used for distinguishing between similar elements and not necessarily for describing a particular sequential or chronological order.
The perioperative medical record real-time monitoring method and the application scenario described in the embodiment of the present invention are for more clearly illustrating the technical solution of the embodiment of the present invention, and do not constitute a limitation on the technical solution provided in the embodiment of the present invention, and it can be known by those skilled in the art that the technical solution provided in the embodiment of the present invention is also applicable to similar technical problems with the evolution of the field of clinical informatization of the intelligent medical technology and the emergence of new application scenarios.
As shown in fig. 1, fig. 1 is a flowchart of a perioperative medical record real-time monitoring method according to an embodiment of the present invention. It can be understood that the present invention provides a perioperative medical record real-time monitoring method, including but not limited to step S100, step S200, step S300, step S400 and step S500.
Step S100, patient information is acquired, and the patient information comprises medical record information of a patient.
Step S200, acquiring doctor information of each doctor.
Step S300, obtaining historical operation data according to doctor information, wherein the historical operation data comprises historical operation types and corresponding historical patient data.
Step S400, determining the mapping relation between the historical patient data and the historical operation type according to the historical operation data.
And step S500, determining the type of the surgical operation according to the mapping relation and the medical record information.
It can be understood that, in the perioperative medical record real-time monitoring method, firstly, patient information and doctor information of each doctor are obtained, wherein the patient information comprises medical record information of a patient; and then obtaining historical operation data comprising historical operation types and historical patient data according to the doctor information, and determining a mapping relation between the historical patient data and the historical operation types according to the historical operation data. And finally, determining the current surgical type according to the case information of the current patient and the mapping relation between the historical patient data and the historical surgical type. According to the scheme provided by the embodiment of the invention, which operation is required by the current patient can be automatically judged according to the historical data, and which doctor executes the operation, so that a proper doctor can be quickly selected to finish a proper operation type for the patient, the doctor can greatly assist in judging the state of illness of the patient, and the treatment efficiency of a hospital is improved.
Specifically, the patient information provided by the present invention includes, but is not limited to, surgical application form information, surgical scheduling information, current patient condition information, and perioperatively generated medical record information of the patient.
As shown in fig. 2, fig. 2 is a flowchart for acquiring historical surgical data according to an embodiment of the present invention. It is understood that step S300 in the embodiment shown in fig. 1 further includes, but is not limited to, step S310 and step S320.
Step S310, obtaining the historical operation record of each doctor according to the doctor information.
Step S320, determining a historical surgery type and corresponding historical patient data according to the historical surgery record.
It is understood that a historical surgical record for each physician is stored in the system, including but not limited to, the type of surgery, the time the surgery was performed, historical patient data for the corresponding patient, etc. Through the historical operation records, the operation type which can be executed by the doctor knife, the patient data corresponding to the operation type and the like can be determined. Therefore, after the historical operation record of the doctor is obtained, the system can determine the historical operation type of the doctor and the corresponding historical patient data according to the information in the historical operation record, and further establish the mapping relation between the historical patient data and the historical operation type.
As shown in fig. 3, fig. 3 is a flow chart of assigning operating rooms according to an embodiment of the present invention. It can be understood that the perioperative medical record real-time monitoring method provided by the invention further includes, but is not limited to, step S610, step S620 and step S630.
And step S610, determining the corresponding operating room grade according to the type of the knife-performing operation.
It will be appreciated that different types of scalpel operation require different hygiene requirements and therefore different types of scalpel operation require operations in operating rooms of a corresponding class of operating rooms. Therefore, it is necessary to determine the corresponding operating room class according to the target type of the surgical procedure.
Step S620, available operating room information corresponding to the operating room level is searched.
It is understood that after determining the operating room level, the operating room information corresponding to the level is determined, and the operating room information includes the room number of the operating room, whether the operating room is scheduled, the scheduled time, and the like. And screening out operating rooms which are not scheduled so as to obtain corresponding available operating room information.
Step S630, matching the surgical application for the patient according to the available operating room information.
It is understood that after determining the operating room level and the operating room information according to the type of the performed surgery, the system assigns the corresponding operating room and the doctor to the surgery of the patient according to the available operating room information, thereby completing the pre-operation preparation.
As shown in fig. 4, fig. 4 is a flow chart of operation monitoring provided by the embodiment of the present invention. It can be understood that the perioperative medical record real-time monitoring method provided by the invention further includes, but is not limited to, step S710, step S720 and step S730.
Step S710, physical data of the patient in perioperative period is obtained.
Step S720, a plurality of operation monitoring points are established according to the body data, and an abnormal threshold value is set for each operation monitoring point.
And step S730, when any operation monitoring point reaches an abnormal threshold value, sending an alarm prompt.
It should be noted that, in the perioperative period, in order to make a better judgment on the patient's condition, the physical state of the patient needs to be monitored, the physical data of the patient in the perioperative period needs to be obtained first, and then a plurality of operation monitoring points are established according to the physical data, so that the physical state of the patient in the perioperative period can be monitored in real time. Meanwhile, an abnormal threshold value is set for each operation monitoring point, when body data is monitored, if any operation monitoring point reaches the abnormal threshold value, the abnormal body condition of the patient is indicated, medical care personnel need to immediately handle the abnormal body condition, and at the moment, the system can send an alarm prompt. The number of operation monitoring points can be increased according to different operations, and the operation monitoring points include but are not limited to blood transfusion volume, blood loss volume, respiration, heartbeat, pulse and blood pressure. During statistical analysis, the data obtained from the operation monitoring points are compared with other cases with the same disease symptoms of the patient, an intelligent algorithm is used for sorting the data and analyzing and checking the data, and reasons with different data volumes are analyzed, so that an analysis report is generated.
As shown in FIG. 5, the present invention also provides a real-time perioperative medical record monitoring device 100. It is understood that the perioperative medical record real-time monitoring apparatus 100 includes, but is not limited to, a first obtaining module 110, a second obtaining module 120, an analyzing module 130, a mapping module 140, and a generating module 150. The first acquiring module 110 is configured to acquire patient information, where the patient information includes, but is not limited to, medical record information of a patient; a second obtaining module 120, configured to obtain doctor information of each doctor; an analysis module 130 for obtaining historical surgical data according to the doctor information, wherein the historical surgical data includes, but is not limited to, historical surgical types and corresponding historical patient data; the mapping module 140 is configured to determine a mapping relationship between historical patient data and historical surgery types according to the historical surgery data; and the generating module 150 is used for determining the type of the surgical operation according to the mapping relation and the medical record information. The device obtains patient information and doctor information of each doctor, wherein the patient information comprises medical record information of the patient; and then obtaining historical operation data comprising historical operation types and historical patient data according to the doctor information, and determining a mapping relation between the historical patient data and the historical operation types according to the historical operation data. And finally, determining the current surgical type according to the case information of the current patient and the mapping relation between the historical patient data and the historical surgical type. According to the scheme provided by the embodiment of the invention, which operation is required by the current patient can be automatically judged according to the historical data, and which doctor executes the operation, so that a proper doctor can be quickly selected to finish a proper operation type for the patient, the doctor can greatly assist in judging the state of illness of the patient, and the treatment efficiency of a hospital is improved.
As shown in fig. 6, fig. 6 is a system structure diagram provided in the embodiment of the present invention. It is understood that the present embodiment of the invention also includes data centers, medical technology systems, surgical management, continuous improvement, new technology and projects, and hospital data. HIS (Healthcare Information System), i.e., hospital management Information System; LIS (Laboratory Information System), laboratory (clinical Laboratory) Information System; PACS (Picture archiving and communication systems), medical image archiving and communication systems; the AIMS (Adventist International Medical Society) International Medical Association. The data center can comprise a plurality of disease case libraries, operation libraries, new technical projects and the like of hospitals, and the data center is connected with the server, so that data intercommunication among the hospitals is realized. The case library is the state information of patients in hospitals, the new technical project is a new and advanced treatment means introduced by each hospital, and the operation records of each hospital are recorded in the operation library. In the medical technology system, because the new technical projects introduced by hospitals are different and the situations of the hospitals are different, the institutional specifications made according to the new technical projects are different, for example: quality control measures, therapeutic effect judgment standards, evaluation methods and the like in the system specifications may be different in different hospitals. In the operation management, 84 operation monitoring points are deeply decomposed when an operation is performed, the operation monitoring points can be increased according to different operations, and the operation monitoring points comprise: blood transfusion, blood loss, etc. During statistical analysis, data obtained from the operation monitoring points are compared with international cases with the same disease symptoms of patients, an intelligent algorithm is used for sorting the data, analysis and proofreading are carried out, and reasons with different data volumes are analyzed, so that an analysis report is generated. In the new technology and project, after the operation of the new technology and project is performed on a patient, the effect of the new technology and project is evaluated by analyzing the condition of the patient after the operation.
As shown in fig. 7, fig. 7 is a flow chart of the operation matching provided by the embodiment of the invention. It will be appreciated that in this embodiment, the corresponding operating room level is determined by the type of surgical procedure being performed on the target; searching available operating room information corresponding to the operating room grade; responding to the surgical application based on the available operating room information. Through the mode, the required operating room information can be inquired and matched in advance, so that the aim of preparing the operation in advance can be fulfilled.
As shown in fig. 8, fig. 8 is a flowchart of approval provided by the embodiment of the present invention. It will be appreciated that the present invention also provides an approval process for surgery. Specifically, after the approver receives the approval information, the application information is displayed on the terminal device of the approver, and the approver feels whether the operation application is approved or not through comprehensive consideration. Referring to fig. 8, a tube bed doctor (i.e., a master doctor) initiates an application, approves the examination and approves, and operating room personnel prepare for scheduling matters of the examined operation.
In addition, the embodiment of the invention provides terminal equipment. The terminal device comprises a memory, a processor and a computer program which is stored on the memory and can run on the processor, and when the processor executes the computer program, the real-time perioperative medical record monitoring method in the embodiment is realized.
The memory is used as a non-transitory storage medium for storing a non-transitory software program and a non-transitory computer executable program, such as the perioperative medical record real-time monitoring method in the above embodiment of the present invention. The processor executes the non-transitory software program and the instructions stored in the memory, so as to realize the perioperative medical record real-time monitoring method in the above embodiment of the invention.
The memory may include a storage program area and a storage data area, wherein the storage program area may store an operating system, an application program required for at least one function; the storage data area can store data and the like required by executing the perioperative medical record real-time monitoring method in the embodiment. Further, the memory may include high speed random access memory, and may also include non-transitory memory, such as at least one disk storage device, flash memory device, or other non-transitory solid state storage device. It should be noted that the memory may alternatively comprise memory located remotely from the processor, and that such remote memory may be coupled to the terminal via a network. Examples of such networks include, but are not limited to, the internet, intranets, local area networks, mobile communication networks, and combinations thereof.
The non-transitory software programs and instructions required to implement the perioperative medical record real-time monitoring method in the above-described embodiment are stored in the memory, and when executed by the one or more processors, the perioperative medical record real-time monitoring method in the above-described embodiment is performed, for example, at least one of the method steps S100 to S500 in fig. 1, the method steps S310 to S320 in fig. 2, the method steps S610 to S630 in fig. 3, and the method steps S710 to S730 in fig. 4 described above is performed.
The present invention also provides a storage medium storing computer-executable instructions for causing a computer to execute the perioperative medical record real-time monitoring method in the above-described embodiment, for example, at least one of the method steps S100 to S500 in fig. 1, the method steps S310 to S320 in fig. 2, the method steps S610 to S630 in fig. 3, and the method steps S710 to S730 in fig. 4 described above is executed.
The above-described embodiments of the apparatus are merely illustrative, wherein the units illustrated as separate components may or may not be physically separate, i.e. may be located in one place, or may also be distributed over a plurality of network elements. Some or all of the modules may be selected according to actual needs to achieve the purpose of the solution of the present embodiment.
One of ordinary skill in the art will appreciate that all or some of the steps, systems, and methods disclosed above may be implemented as software, firmware, hardware, and suitable combinations thereof. Some or all of the physical components may be implemented as software executed by a processor, such as a central processing unit, digital signal processor, or microprocessor, or as hardware, or as an integrated circuit, such as an application specific integrated circuit. Such software may be distributed on computer readable media, which may include computer storage media (or non-transitory media) and communication media (or transitory media). The term computer storage media includes volatile and nonvolatile, removable and non-removable media implemented in any method or technology for storage of information such as computer readable instructions, data structures, program modules or other data, as is well known to those of ordinary skill in the art. Computer storage media includes, but is not limited to, RAM, ROM, EEPROM, flash memory or other memory technology, CD-ROM, digital Versatile Disks (DVD) or other optical disk storage, magnetic cassettes, magnetic tape, magnetic disk storage or other magnetic storage devices, or any other medium which can be used to store the desired information and which can accessed by a computer. In addition, communication media typically embodies computer readable instructions, data structures, program modules or other data in a modulated data signal such as a carrier wave or other transport mechanism and includes any information delivery media as is well known to those skilled in the art.
The embodiments of the present invention have been described in detail with reference to the accompanying drawings, and the present invention is not limited to the embodiments described above, and various changes can be made within the knowledge of those skilled in the art without departing from the spirit of the present invention.
Claims (10)
1. A perioperative medical record real-time monitoring method is characterized by comprising the following steps:
acquiring patient information, wherein the patient information comprises medical record information of a patient;
acquiring doctor information of each doctor;
obtaining historical operation data according to the doctor information, wherein the historical operation data comprises historical operation types and corresponding historical patient data;
determining a mapping relationship between the historical patient data and the historical surgery type according to the historical surgery data;
and determining the type of the surgical operation according to the mapping relation and the medical record information.
2. The perioperative medical record real-time monitoring method as recited in claim 1, wherein the obtaining of historical surgical data from the physician information comprises:
obtaining the historical operation record of each doctor according to the doctor information;
and determining the historical operation type and the corresponding historical patient data according to the historical operation record.
3. The perioperative medical record real-time monitoring method according to claim 2, after determining the type of the surgical procedure according to the mapping relationship and the medical record information, further comprising:
determining a corresponding operating room grade according to the type of the knife-holding operation;
searching available operating room information corresponding to the operating room grade;
matching the surgical application to the patient based on the available operating room information.
4. The perioperative medical record real-time monitoring method as recited in claim 1, wherein the patient information includes: the patient's surgical application form information, surgical scheduling information, the patient's current medical condition information, and perioperatively generated medical record information.
5. The perioperative medical record real-time monitoring method according to claim 1, characterized in that the method further comprises:
obtaining physical data of a patient in a perioperative period;
establishing a plurality of operation monitoring points according to the body data, and setting an abnormal threshold value for each operation monitoring point;
and when any one operation monitoring point reaches the abnormal threshold value, sending an alarm prompt.
6. The perioperative medical record real-time monitoring method according to claim 5, wherein after the alarm prompt is issued when any one of the operation monitoring points reaches an abnormal threshold, the method further comprises:
and adding the alarm prompt and the abnormal information of the operation monitoring point to the medical record information.
7. The perioperative medical record real-time monitoring method as recited in claim 6, wherein the body data includes blood loss, respiration, heartbeat, pulse and blood pressure.
8. The utility model provides a perioperative period case history real-time monitoring device which characterized in that includes:
the first acquisition module is used for acquiring patient information, and the patient information comprises medical record information of a patient;
the second acquisition module is used for acquiring doctor information of each doctor;
the analysis module is used for obtaining historical surgical data according to the doctor information, and the historical surgical data comprises historical surgical types and corresponding historical patient data;
the mapping module is used for determining the mapping relation between the historical patient data and the historical operation type according to the historical operation data;
and the generation module is used for determining the type of the surgical operation according to the mapping relation and the medical record information.
9. A terminal device, comprising a memory, a processor and a computer program stored on the memory and operable on the processor, wherein the processor implements the perioperative medical record real-time monitoring method according to any one of claims 1 to 7 when executing the computer program.
10. A storage medium, characterized in that a computer program is stored, which, when being executed by a processor, implements the perioperative medical record real-time monitoring method according to any one of claims 1 to 7.
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| Application Number | Priority Date | Filing Date | Title |
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| CN202211012651.3A CN115394451A (en) | 2022-08-23 | 2022-08-23 | Perioperative period medical record real-time monitoring method and device, terminal equipment and storage medium |
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| CN202211012651.3A CN115394451A (en) | 2022-08-23 | 2022-08-23 | Perioperative period medical record real-time monitoring method and device, terminal equipment and storage medium |
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| CN202211012651.3A Pending CN115394451A (en) | 2022-08-23 | 2022-08-23 | Perioperative period medical record real-time monitoring method and device, terminal equipment and storage medium |
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