CN117690568B - Medical and health combined management system and method based on blockchain - Google Patents
Medical and health combined management system and method based on blockchain Download PDFInfo
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- G—PHYSICS
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- G—PHYSICS
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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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
- G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
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Abstract
The application discloses a medical and health management system and method based on a blockchain, and relates to the technical field of medical systems. The medical care system comprises a hospital institution or a sanitarian institution, wherein the hospital institution or the sanitarian institution joins or exits the blockchain after authorization, and the hospital institution and the sanitarian institution form a medical care alliance; synchronizing the addresses of the institutions in the medical and nutritional alliance, the total amount of resources and the residual amount of resources, realizing the coordination operation of the resources and fully utilizing the resources; establishing a trusted digital identity, issuing a digital medical card bound with personal biological information after authentication is completed on a patient and medical staff, and synchronizing personal medical data; the patient can select a mechanism for subsequent treatment or nursing according to the current resource remaining amount in the medical care alliance after the patient visits the doctor after the digital medical care card authorizes the doctor to the doctor, thereby selecting a mechanism suitable for own diseases, and realizing the whole traceability of data change when the doctor adds and changes the personal medical care data in the digital medical care card.
Description
Technical Field
The application relates to the field of medical systems, in particular to a medical and health combined management system and method based on a blockchain.
Background
Along with the increasing importance of people on self health, not only a few people can treat diseases to hospitals, but also many chronic diseases which cannot be cured to nursing homes can be nursed, so that the quality of life is improved, the deterioration of the chronic diseases is effectively prevented, the combination of medical sanitation and nursing services in recent years promotes the development of medical fusion, and a new mode of cooperation of medical institutions and nursing institutions is explored; however, since the medical facility and the nursing facility generally have their own databases for information security, the information of the nursing facility and the information of the medical facility are independent to form an information island, and the resource data of the nursing facility and the medical facility cannot be shared, so that the patient cannot intuitively and comprehensively know the resource conditions of the nursing facility and the medical facility, and therefore, the nursing facility or the medical facility most suitable for the patient is difficult to select, resource coordination is difficult to be performed between the facilities, resource waste is caused, in addition, the nursing facility cannot comprehensively know the medical information of the patient in the medical facility, targeted nursing is difficult, the medical facility cannot comprehensively know the information of the patient in the nursing facility during treatment of the patient, repeated examination is easy to be performed, and the like, so that data waste is caused.
Thus, the problems of the prior art are: the medical institution and the nursing institution are independent in information, and resource data cannot be shared, so that patients cannot know the total amount of resources and the residual amount of resources of the nursing institution and the medical institution, and therefore the appropriate self-organization is difficult to intuitively select, and meanwhile, each organization cannot obtain more comprehensive patient data, and cross-organization and even cross-regional resource coordination cannot be performed, so that medical and nursing fusion development is difficult to promote. There is a need for a health management system that combines healthcare to enable sharing of resource data between institutions while managing patient health data.
Disclosure of Invention
The application provides a medical care and health management system and a method based on block chains, which aim at the independent information of a medical institution and the nursing institution, and the resource data cannot be shared, so that patients are difficult to know the total amount of resources and the residual amount of resources of the nursing institution and the medical institution, thereby being difficult to intuitively select the institution suitable for the patients, and simultaneously, each institution is difficult to obtain more comprehensive patient data, and the resource coordination of the institutions even in a cross-region way cannot be carried out.
In a first aspect of the present application, there is provided a blockchain-based healthcare combined health management system comprising:
The block chain auditing module is used for enabling a hospital institution or a nursing institution to join or withdraw from the block chain after authorization, and each node on the block chain corresponds to the hospital institution or the nursing institution, so that the hospital institution and the nursing institution form a medical curing alliance;
The data sharing module is used for sharing the resource data of all hospital institutions and sanitarian institutions in the medical care alliance, synchronizing the addresses of the institutions in the medical care alliance, the total amount of resources and the residual amount of resources, wherein the resources comprise the number of medical staff in each department and the number of medical instruments;
The information management module is used for completing the establishment of encryption space of a patient and a medical care alliance by adopting a star file system for hash duplicate-removal type data storage, establishing a trusted digital identity, and issuing a digital medical care card bound with personal biological information after the authentication of the patient and medical care personnel is completed, wherein personal medical care data in the digital medical care card are synchronous;
And the authorized medical treatment module is used for enabling the patient to treat the medical staff after the digital medical care card completes off-line authorization or on-line authorization, the on-line authorization realizes cross-region medical treatment operation of the patient and the medical staff, and after the patient authorizes the medical staff to treat the patient, the patient can select a follow-up treatment or maintenance mechanism according to the current resource remaining amount in the medical care alliance, record the change of data in the digital medical care card and form a trusted flow record.
In an embodiment of the present application, the system further includes a data acquisition module, wherein the digital medical card synchronizes data of the patient in the HIS system of the in-doctor-support alliance organization, the patient authorizes the personal wearable device to collect and synchronize the patient data, and authorizes the mobile terminal to identify and upload medical data generated by the patient in an out-of-alliance organization outside the doctor-support alliance, and the medical data generated by the out-of-alliance organization includes diagnostic data, medication data, inspection results and physical examination results of the patient.
In an embodiment of the present application, the data acquisition module further includes a data comparison sub-module, and after the patient authorization mobile terminal identifies and uploads the medical data generated by the patient in the external institution of the federation, the data comparison sub-module compares the same type of medical data to form a change of the same type of medical data; the data comparison submodule compares medical advice conclusions of the medical and nursing alliance internal institutions and the alliance external institutions, wherein the medical advice conclusions are diagnostic results obtained by medical staff according to medical data, and when the medical advice conclusions are different, the medical advice conclusions and the medical data corresponding to the medical advice conclusions are checked.
In an embodiment of the present application, the information management module further includes a home information management sub-module, and the home information management sub-module uses a hash duplicate removal type interstellar file system for storing data to complete the establishment of a home encryption space, and performs a first-level authorization with each other through the digital medical card to form a home medical record.
In an embodiment of the present application, the system further includes a diet management module, wherein the diet management module obtains diet advice and diet taboo according to patient data, and obtains a family diet advice set and a family diet taboo set when a plurality of family members exist in the family medical care file as patients.
In one embodiment of the present application, after a patient authorizes a medical staff to visit, the patient can select a mechanism for subsequent treatment or maintenance according to the current resource remaining amount in the medical care alliance, which specifically includes:
After the patient is treated, medical staff corresponding to departments and the medical care alliance internal institutions corresponding to instruments for treating or nursing the diseases in the residual resources according to the diseases of the patient; for patients in need of surgery, specific include:
When the patient confirms that the operation is needed after the patient is in a doctor, acquiring the index and the patient index which are needed to be met by the operation, when the patient index meets the index needed by the operation, the patient can select the corresponding equipment of the patient diseases in the residual quantity of the resources before the operation date and the recuperation mechanism of the medical staff of the department corresponding to the patient operation to carry out recuperation, and the self index is maintained to the operation date; when the patient index does not meet the index required by the operation, the patient can select the corresponding apparatus of the patient disease in the residual resource and the nursing mechanism of the medical staff of the department corresponding to the patient operation to adjust the index to the index required by the operation and then determine the operation date;
When the patient needs to be nursed and recovered after the operation, the recovery of different operations corresponds to different instruments, and the patient selects the recuperation mechanism with the instruments corresponding to the operation of the patient in the residual resource amount.
In an embodiment of the present application, a patient obtains environmental data suitable for recovery of a disease of the patient according to the disease of the patient, where the environmental data includes temperature, humidity, altitude, and air quality, obtains the environmental data of an address of an organization in the medical care alliance, and selects the environmental data of the address of the organization in the medical care alliance as a target organization.
In an embodiment of the application, medical data of a patient is sorted according to time, so as to obtain variation of the same type of medical data, a time period where the recovery amount of the medical data of the patient is maximum is calculated, and an address of the patient corresponding to the time period where the recovery amount of the medical data is maximum is obtained.
In an embodiment of the present application, the system further includes an association module, where the association module performs a second level authorization on the digital medical cards of patients with the same disease to form a first association crowd, and the patients speak in the first association crowd where the patients are located and share the medical data change condition of the patients; medical staff corresponding to the disease of the patient are added into the first related crowd, and related knowledge of disease prevention and treatment is sent;
the association module carries out secondary authorization on the digital medical cards of the patient families with the same diseases to form a second association crowd, and the patient families speak in the second association crowd where the patient families are located and share the medical data change condition and the diet condition of the patients in the family; medical staff corresponding to the disease of the patient is added into the second related crowd, and relevant knowledge of disease prevention and treatment and nursing is sent;
Collecting the speech of the patient and the family members of the patient, obtaining the evaluation comments of the patient and the family members of the patient on the internal organ of the medical care alliance, rewarding or punishing the mentioned internal organ of the medical care alliance according to the evaluation comments when a plurality of the patient and the family members of the patient are consistent with the evaluation comments of a certain organ, and inquiring the patient and/or the family members of the patient when the evaluation comments of the patient and the family members of the patient in the same family are inconsistent with each other.
In a second aspect of the present application, there is provided a blockchain-based healthcare combined health management method, comprising:
The hospital institution or the sanitarian institution joins or exits the blockchain after authorization, and each node on the blockchain corresponds to the hospital institution or the sanitarian institution, and the hospital institution and the sanitarian institution form a medical and health care alliance;
the resource data of all hospital institutions and sanatorium institutions in the medical care alliance are shared, the addresses of the institutions in the medical care alliance, the total amount of resources and the residual amount of resources are synchronized, and the resources comprise the number of medical staff in each department and the number of medical instruments in each department;
establishing an encryption space of a patient and a medical alliance by adopting a star file system for hash duplicate-removal type data storage, establishing a trusted digital identity, and issuing a digital medical card bound with personal biological information after the patient and medical staff are authenticated, wherein personal medical data in the digital medical card are synchronous;
The patient carries out the diagnosis after the digital medical care card completes the offline authorization or the online authorization on the medical staff, the online authorization realizes the cross-regional diagnosis operation of the patient and the medical staff, after the patient authorizes the medical staff to carry out the diagnosis, the patient can select a mechanism for subsequent treatment or nursing according to the current resource remaining amount in the medical care alliance, record the change of the data in the digital medical care card and form a trusted flow record.
In an embodiment of the present application, the digital medical card synchronizes data of a patient in an HIS system of an in-doctor-patient-alliance organization, the patient authorizes a personal wearable device to collect and synchronize patient data, and authorizes a mobile terminal to identify and upload medical data of the patient generated by an out-of-alliance organization outside the doctor-patient-alliance, the medical data generated by the out-alliance organization including diagnostic data, medication data, examination results, and physical examination results of the patient.
In an embodiment of the present application, after the patient authorizes the mobile terminal to identify and upload the medical data generated by the patient in the outside-alliance organization, the same type of medical data is compared to form a change of the same type of medical data; and comparing the medical advice conclusion of the medical and nursing alliance internal organization with the medical advice conclusion of the alliance external organization, wherein the medical advice conclusion is a diagnosis result obtained by medical staff according to medical data, and when the medical advice conclusion is different, checking the two different medical advice conclusions and the medical data corresponding to the medical advice conclusion.
In an embodiment of the present application, a hash duplicate-removing type interstellar file system for storing data is adopted to complete the establishment of a home encryption space, and the digital medical cards mutually perform primary authorization to form a home medical file.
In an embodiment of the present application, diet advice and diet contra are obtained according to patient data, and when a plurality of family members exist in the family medical record as patients, a family diet advice set and a family diet contra set are obtained.
In one embodiment of the present application, after a patient authorizes a medical staff to visit, the patient can select a mechanism for subsequent treatment or maintenance according to the current resource remaining amount in the medical care alliance, which specifically includes:
After the patient is treated, medical staff corresponding to departments and the medical care alliance internal institutions corresponding to instruments for treating or nursing the diseases in the residual resources according to the diseases of the patient; for patients in need of surgery, specific include:
When the patient confirms that the operation is needed after the patient is in a doctor, acquiring the index and the patient index which are needed to be met by the operation, when the patient index meets the index needed by the operation, the patient can select the corresponding equipment of the patient diseases in the residual quantity of the resources before the operation date and the recuperation mechanism of the medical staff of the department corresponding to the patient operation to carry out recuperation, and the self index is maintained to the operation date; when the patient index does not meet the index required by the operation, the patient can select the corresponding apparatus of the patient disease in the residual resource and the nursing mechanism of the medical staff of the department corresponding to the patient operation to adjust the index to the index required by the operation and then determine the operation date;
When the patient needs to be nursed and recovered after the operation, the recovery of different operations corresponds to different instruments, and the patient selects the recuperation mechanism with the instruments corresponding to the operation of the patient in the residual resource amount.
In an embodiment of the present application, a patient obtains environmental data suitable for recovery of a disease of the patient according to the disease of the patient, where the environmental data includes temperature, humidity, altitude, and air quality, obtains the environmental data of an address of an organization in the medical care alliance, and selects the environmental data of the address of the organization in the medical care alliance as a target organization.
In an embodiment of the application, medical data of a patient is sorted according to time, so as to obtain variation of the same type of medical data, a time period where the recovery amount of the medical data of the patient is maximum is calculated, and an address of the patient corresponding to the time period where the recovery amount of the medical data is maximum is obtained.
In an embodiment of the application, the digital medical cards of patients with the same diseases are subjected to secondary authorization to form a first associated crowd, and the patients speak in the first associated crowd where the patients are located and share the medical data change condition of the patients; medical staff corresponding to the disease of the patient are added into the first related crowd, and related knowledge of disease prevention and treatment is sent;
Performing secondary authorization on the digital medical card of the patient family members with the same diseases to form a second associated crowd, wherein the patient family members speak in the second associated crowd where the patient family members are located and share the medical data change condition and the diet condition of the patient in the family; medical staff corresponding to the disease of the patient is added into the second related crowd, and relevant knowledge of disease prevention and treatment and nursing is sent;
Collecting the speech of the patient and the family members of the patient, obtaining the evaluation comments of the patient and the family members of the patient on the internal organ of the medical care alliance, rewarding or punishing the mentioned internal organ of the medical care alliance according to the evaluation comments when a plurality of the patient and the family members of the patient are consistent with the evaluation comments of a certain organ, and inquiring the patient and/or the family members of the patient when the evaluation comments of the patient and the family members of the patient in the same family are inconsistent with each other.
The application has the following beneficial effects:
1. through the resource data sharing of the medical institution and the sanitarian institution, when the residual quantity of the institution resources is insufficient for accommodating the patient after the patient is in a doctor of a certain institution, the total quantity of the resources of other sanitarian institutions and medical institutions and the residual quantity of the resources can be given to the patient, so that the institution suitable for the patient is selected, for example, the medical institution or the sanitarian institution with stronger disease curing or sanitarian institution and residual resources for the patient to treat or sanitarian institution is selected; meanwhile, addresses and resource data of all institutions are shared, when a certain institution in the medical and medical alliance has insufficient resources, cross-institution and even cross-regional resource coordination operation can be performed nearby according to the resource residual quantity of other institutions, so that the resources are fully utilized; furthermore, the patient innovates personal health data management, establishes DID by using a blockchain technology, gathers health data established by one person and one code, realizes that each person is the first person of own health responsibility, desensitizes the data on the premise of personal authorization and full guarantee of personal privacy, and returns ownership of the health file to the person by using the blockchain technology; meanwhile, the bottom layer chain is built, and the medical data can be stored infinitely along with the continuous increase of the nodes after the health file is linked; through the blockchain technology, a patient displays personal medical care data in the digital medical care card to medical staff through authorization and data sharing, and when the medical staff adds and changes the personal medical care data in the digital medical care card, the whole process traceability of data change is realized; meanwhile, the medical data of the patient is stored in the digital medical card obtained by one person, namely the data of the medical institution and the data of the nursing institution are included, after the medical personnel are authorized, the medical personnel can check the comprehensive medical data of the previous medical institution and the nursing institution, and finally the patient can realize cross-regional treatment through the on-line authorization of the digital medical card, for example, the treatment service of the cross-regional authoritative specialist can be obtained through the on-line authorization of the digital medical card in the nursing institution even at home.
2. When the digital medical card of the individual is established, no data exists, and a large amount of data before the digital medical card is established is positioned in each institution database, so that the data of the individual in the institution database is synchronized; the authorized mobile terminal further enriches the history data of the patient for the medical data generated by the patient in the institutions outside the medical care alliance, so that the medical staff can more comprehensively know the history data of the patient, and the situation that the patient can only choose to seek medical care in the institutions in the medical care alliance for data loss is avoided; further, the medical data generated by the patient outside the alliance and the data of the organization in the medical alliance are subjected to the same data type comparison through the comparison sub-module, so that the data change condition of the same data type is obtained; comparing the medical advice conclusions, checking two different medical advice conclusions and the medical data corresponding to the medical advice conclusions when the medical advice conclusions are different, and if the medical advice conclusions are all correct conclusions, checking medicines used when the previous medical advice conclusions are obtained due to disease development, and adjusting medication according to improvement or variation of the disease; if the difference of the medical advice conclusion is an error conclusion caused by misdiagnosis or single data abnormality, the medical advice conclusion and corresponding medical data are not included into the reference in the present visit; and deleting the data at will, and if similar medical advice conclusions appear in the follow-up examination, reusing the medical advice conclusions, so that the medical data are prevented from being deleted by mistake.
3. The household information management submodule mutually performs primary authorization through the digital medical cards to form a household medical file, after the digital medical cards form the household medical file through the primary authorization, medical data in other digital medical cards in the household medical file can be checked through any digital medical card in the household medical file, and medical staff can visit patients according to whether the patients suffer from diseases or not or possibly have familiarity and can combine medical data of the family members of the patients.
4. Considering that the time of a doctor is tension, so that a plurality of patients have a period of time from the doctor's visit to the operation, and the period of time possibly causes the operation index to be difficult to be admitted to a hospital due to the tension of a bed of the hospital, the operation date is caused, and the index of the patient does not reach the operation index requirement and delays the time; when the patient index does not meet the index required by the operation, the patient can select the corresponding apparatus of the patient disease in the residual resource and the nursing mechanism of the medical staff of the department corresponding to the patient operation to adjust the self index to the index required by the operation, then determine the operation date, and then maintain the self index to the operation date in the nursing mechanism; in addition, when the patient needs to be nursed and recovered after operation, the recovery of different operations corresponds to different targeted instruments, but various targeted instruments are difficult to set in the operation mechanism, so that the patient can select the recuperation mechanism with the targeted instrument corresponding to the operation of the patient in the residual resource amount to carry out recuperation, and a better recovery effect is achieved.
5. Acquiring environmental data suitable for self disease recovery according to the self disease of a patient, acquiring the environmental data of an address of an institution in the medical and nursing alliance, recommending a travel destination to the institution with the environmental data suitable for self disease recovery of the patient on the basis of travel, for example, the patient suffers from respiratory tract disease, wherein the air quality of the institution in the medical and nursing alliance is good, so that the patient can select to travel to the institution and can select to take care of the institution at the same time; furthermore, the treatment cycle of a plurality of chronic diseases is long, even the chronic diseases can not be cured, the indexes can be restored to be close to the health state through treatment and recuperation, so that the time period with the maximum recovery amount is obtained through arranging the medical data of each stage in the long-time treatment process, and the position of the time period is obtained, for example, the recuperation mechanism of a patient at a certain place has the best recovery effect, and the recuperation mechanism can be selected more preferentially later, so that more visual and more personalized mechanism selection is provided for the patient.
6. The association module provides the secondary authorization for patients suffering from the same disease to form the first association crowd, and medical staff and specialists for treating the disease can also be added into the first association crowd to uniformly send the latest prevention and treatment knowledge of the disease to the patients, so that the patients suffering from the disease can remotely acquire the latest knowledge of the disease, the patients can know the disease of the patients, the disease can be effectively prevented and treated, and the disease cure rate and the disease conversion rate can be improved; in addition, the association module provides the secondary authorization for family members of patients suffering from the same diseases to form the second association crowd, and medical care personnel and nursing specialists for treating the diseases can also be added into the second association crowd to uniformly send the latest disease prevention and treatment and nursing knowledge to the family members of the patients, so that the family members of the patients can remotely acquire the latest disease prevention and treatment and nursing knowledge, the family members of the patients can know the diseases of the patients more, nursing care is carried out on the patients more effectively, and the disease cure rate and the disease improvement rate are improved; further, the evaluation opinions of the patients and the families to the institutions are helpful to improve the service level of the institutions and the supervision of medical staff, but during the period of admission, the patients and the families of the patients are relatively difficult to directly obtain the most real evaluation opinion of the institutions, so in the embodiment, the speech of the patients in the first association crowd and the speech of the families of the patients in the second association crowd are collected, when the evaluation opinions of a plurality of the patients and the families of the patients to the institutions are consistent, the mentioned in-doctor-care alliance institutions are rewarded or punished according to the evaluation opinion, when the evaluation opinion of the patients and the families of the patients in the same family are inconsistent, the patients and/or the families of the patients are inquired and communicated to obtain the patient or the family of the patients which published the unrealistic evaluation opinion, the speech of the patients or the families of the patients is collected later, and when the unrealistic evaluation opinion appears again, the patients or the families of the patients are subjected to operations including second-level authorization or the like, and other patients are avoided.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments consistent with the application and together with the description, serve to explain the principles of the application.
Fig. 1 is a schematic diagram of an electronic device in a hardware operating environment according to an embodiment of the present application.
Fig. 2 is a schematic diagram of functional modules of a blockchain-based healthcare and health management system according to an embodiment of the present application.
Fig. 3 is a schematic diagram of a block chain-based medical and health management system according to an embodiment of the present application.
Fig. 4 is a flowchart illustrating a method for managing healthcare and health based on blockchain according to an embodiment of the present application.
The marks in the figure are as follows: 1001-processor, 1002-communication bus, 1003-user interface, 1004-network interface, 1005-memory.
Detailed Description
In order that the above-recited objects, features and advantages of the present application will become more readily apparent, a more particular description of the application will be rendered by reference to the appended drawings and appended detailed description. It will be apparent that the described embodiments are some, but not all, embodiments of the application. All other embodiments, which can be made by those skilled in the art based on the embodiments of the application without making any inventive effort, are intended to be within the scope of the application.
The scheme of the application is further described below with reference to the accompanying drawings.
As shown in fig. 1, the electronic device may include: a processor 1001, such as a central processing unit (Central Processing Unit, CPU), a communication bus 1002, a user interface 1003, a network interface 1004, a memory 1005. Wherein the communication bus 1002 is used to enable connected communication between these components. The user interface 1003 may include a Display, an input unit such as a Keyboard (Keyboard), and the optional user interface 1003 may further include a standard wired interface, a wireless interface. The network interface 1004 may optionally include a standard wired interface, a wireless interface (e.g., a wireless FIdelity (WI-FI) interface). The memory 1005 may be a high-speed random access memory (Random Access Memory, RAM) memory or a stable non-volatile memory (NVM), such as a disk memory. The memory 1005 may also optionally be a storage device separate from the processor 1001 described above.
Those skilled in the art will appreciate that the structure shown in fig. 1 is not limiting of the electronic device and may include more or fewer components than shown, or may combine certain components, or may be arranged in different components.
As shown in fig. 1, an operating system, a data storage module, a network communication module, a user interface module, and an electronic program may be included in the memory 1005 as one type of storage medium.
In the electronic device shown in fig. 1, the network interface 1004 is mainly used for data communication with a network server; the user interface 1003 is mainly used for data interaction with a user; the processor 1001 and the memory 1005 in the electronic device of the present application may be disposed in the electronic device, and the electronic device invokes a medical and health management system based on a blockchain stored in the memory 1005 through the processor 1001, and executes a medical and health management method based on a blockchain provided by the embodiment of the present application.
Based on the foregoing hardware operating environment and system architecture, in a first aspect of the present application, referring to fig. 2, there is provided a blockchain-based healthcare combined health management system, comprising:
The block chain auditing module is used for enabling a hospital institution or a nursing institution to join or withdraw from the block chain after authorization, and each node on the block chain corresponds to the hospital institution or the nursing institution, so that the hospital institution and the nursing institution form a medical curing alliance;
It should be noted that, each node of the blockchain has a corresponding entity organization, and can join and leave the network after authorization. Each organization constitutes a medical and nutritional alliance and jointly maintains the healthy operation of the blockchain. Compared with the openness of a public chain and the privacy of a private chain, the commonly maintained blockchain is more suitable for being used as medical network infrastructure, and simultaneously supports modes such as SDK call, http Restful interface call and the like are provided so as to realize the blockchain use support of multiple platforms and multiple applications;
The data sharing module is used for sharing the resource data of all hospital institutions and sanitarian institutions in the medical care alliance, synchronizing the addresses of the institutions in the medical care alliance, the total amount of resources and the residual amount of resources, wherein the resources comprise the number of medical staff in each department and the number of medical instruments;
It should be noted that, the positions of all institutions in the medical care alliance are synchronized, and the total amount of resources of each institution and the current residual amount of resources of each institution include the number of medical staff in each department and the number of medical instruments in each department, the number of medical staff in each department corresponds to the disease type that the institution can handle and the number of patients that can be accommodated, for example, according to the preset of a institution, one medical nurse corresponds to at most ten medical patients, one physician corresponds to twenty medical patients, the institution is equipped with three medical doctors and six medical nurses, the institution can accommodate at most sixty medical patients, if the institution currently and accommodates forty medical nurses, the residual resources in the department of the institution also have one medical doctor and two medical nurses, and the corresponding medical nurses can also accommodate twenty medical patients; similarly, the medical devices are devices required for treatment and recuperation of patients, and comprise general devices such as beds and various directional devices such as oxygen machines of respiratory patients;
The information management module is used for completing the establishment of encryption space of a patient and a medical care alliance by adopting a star file system for hash duplicate-removal type data storage, establishing a trusted digital identity, and issuing a digital medical care card bound with personal biological information after the authentication of the patient and medical care personnel is completed, wherein personal medical care data in the digital medical care card are synchronous;
And the authorized medical treatment module is used for enabling the patient to treat the medical staff after the digital medical care card completes off-line authorization or on-line authorization, the on-line authorization realizes cross-region medical treatment operation of the patient and the medical staff, and after the patient authorizes the medical staff to treat the patient, the patient can select a follow-up treatment or maintenance mechanism according to the current resource remaining amount in the medical care alliance, record the change of data in the digital medical care card and form a trusted flow record.
It should be noted that IPFS (INTER PLANETARY FILE SYSTEM, interstellar file system) of hash duplicate-removal type stored data can encrypt and store files such as medical data, images and the like through IPFS, an encrypted space between a person and a medical care organization is established, the risk that data are stolen, leaked and even deleted after a traditional central server is attacked is avoided, the expensive cost of purchasing a security scheme is reduced, the self-management control of users on the personal medical care data is realized, and in addition, the distributed type is adopted, the data security is improved, and meanwhile, the cost of data storage is greatly reduced; in addition, the distributed multi-point transmission mode not only greatly improves the transmission speed, but also enables us to access data more quickly and conveniently dynamically;
in this embodiment, by sharing the resource data between the medical facility and the nursing facility, when the remaining amount of the facility resource is insufficient to accommodate the patient after the patient has seen his doctor in a certain facility, the total amount of the resource and the remaining amount of the resource can be given to the patient, so that a facility suitable for the patient can be selected, for example, a medical facility or nursing facility having a strong effect of treating or nursing his/her disease and having the remaining resource for the patient to treat or nursing his/her disease; meanwhile, addresses and resource data of all institutions are shared, when a certain institution in the medical and medical alliance has insufficient resources, cross-institution and even cross-regional resource coordination operation can be performed nearby according to the resource residual quantity of other institutions, so that the resources are fully utilized; furthermore, the patient innovates personal health data management, establishes DID by using a blockchain technology, gathers health data established by one person and one code, realizes that each person is the first person of own health responsibility, desensitizes the data on the premise of personal authorization and full guarantee of personal privacy, and returns ownership of the health file to the person by using the blockchain technology; meanwhile, the bottom layer chain is built, and the medical data can be stored infinitely along with the continuous increase of the nodes after the health file is linked; through the blockchain technology, a patient displays personal medical care data in the digital medical care card to medical staff through authorization and data sharing, and when the medical staff adds and changes the personal medical care data in the digital medical care card, the whole process traceability of data change is realized; meanwhile, the medical data of the patient is stored in the digital medical card obtained by one person, namely the data of the medical institution and the data of the nursing institution are included, after the medical personnel are authorized, the medical personnel can check the comprehensive medical data of the previous medical institution and the nursing institution, and finally the patient can realize cross-regional treatment through the on-line authorization of the digital medical card, for example, the treatment service of the cross-regional authoritative specialist can be obtained through the on-line authorization of the digital medical card in the nursing institution even at home.
Correspondingly, referring to fig. 3, the medical care alliance is formed based on a blockchain technology, and currently comprises a nursing institution A, a hospital B and a hospital C, wherein the nursing institution A corresponds to a node A, the hospital B corresponds to a node B, the hospital C corresponds to a node C, the medical care alliance is subsequently opened to a node n, medical care ecological construction is supported through a plurality of nodes, specifically, a patient manages and authorizes the digital medical care card of the patient through various terminals, data sharing is realized among the medical care alliances after the patient is treated, and remote inquiry and resource coordination are realized among the nursing institution A, the hospital B and the hospital C.
In an embodiment of the present application, the system further includes a data acquisition module, wherein the digital medical card synchronizes data of the patient in the HIS system of the in-doctor-support alliance organization, the patient authorizes the personal wearable device to collect and synchronize the patient data, and authorizes the mobile terminal to identify and upload medical data generated by the patient in an out-of-alliance organization outside the doctor-support alliance, and the medical data generated by the out-of-alliance organization includes diagnostic data, medication data, inspection results and physical examination results of the patient.
In an embodiment of the present application, the data acquisition module further includes a data comparison sub-module, and after the patient authorization mobile terminal identifies and uploads the medical data generated by the patient in the external institution of the federation, the data comparison sub-module compares the same type of medical data to form a change of the same type of medical data; the data comparison submodule compares medical advice conclusions of the medical and nursing alliance internal institutions and the alliance external institutions, wherein the medical advice conclusions are diagnostic results obtained by medical staff according to medical data, and when the medical advice conclusions are different, the medical advice conclusions and the medical data corresponding to the medical advice conclusions are checked.
It should be noted that, the personal wearable device includes health detection devices such as a smart watch with blood oxygen detection function, which are commonly used in the market, and can monitor health data of a patient in real time, so that on one hand, safety of the patient is ensured, and on the other hand, long-time data in daily life can be obtained through long-time data acquisition, and early diagnosis of illness state is prevented from being delayed due to normal data when the patient performs examination; in addition, medical data generated by the external institutions of the patient outside the medical care alliance can be uploaded through OCR (optical character recognition, character recognition) of the mobile terminal, and the medical data comprise relevant information such as diagnosis data, medication data, examination and examination results or physical examination results of the patient;
In this embodiment, there is no data when the digital medical card of the individual is created, and a large amount of data before the digital medical card is created is located in each institution database, so that the individual data in the institution databases are synchronized; the authorized mobile terminal further enriches the history data of the patient for the medical data generated by the patient in the institutions outside the medical care alliance, so that the medical staff can more comprehensively know the history data of the patient, and the situation that the patient can only choose to seek medical care in the institutions in the medical care alliance for data loss is avoided; further, the medical data generated by the patient outside the alliance and the data of the organization in the medical alliance are subjected to the same data type comparison through the comparison sub-module, so that the data change condition of the same data type is obtained; comparing the medical advice conclusions, checking two different medical advice conclusions and the medical data corresponding to the medical advice conclusions when the medical advice conclusions are different, and if the medical advice conclusions are all correct conclusions, checking medicines used when the previous medical advice conclusions are obtained due to disease development, and adjusting medication according to improvement or variation of the disease; if the difference of the medical advice conclusion is an error conclusion caused by misdiagnosis or single data abnormality, the medical advice conclusion and corresponding medical data are not included into the reference in the present visit; and deleting the data at will, and if similar medical advice conclusions appear in the follow-up examination, reusing the medical advice conclusions, so that the medical data are prevented from being deleted by mistake.
In an embodiment of the present application, the information management module further includes a home information management sub-module, and the home information management sub-module uses a hash duplicate removal type interstellar file system for storing data to complete the establishment of a home encryption space, and performs a first-level authorization with each other through the digital medical card to form a home medical record.
In an embodiment of the present application, the system further includes a diet management module, wherein the diet management module obtains diet advice and diet taboo according to patient data, and obtains a family diet advice set and a family diet taboo set when a plurality of family members exist in the family medical care file as patients.
It should be noted that diet management is an important part of health management of patients, diet plays a critical role in disease development of patients, and most diseases can be recovered by taking food according to diet advice, and diet contraindications possibly causing deterioration of the disease exist; further, when a plurality of family members are ill in the family medical care file, generating a family diet proposal set and a family diet tabu set, and when a plurality of patients suffer from different diseases, preparing at least one diet recommended by the patients for each patient; when a plurality of patients suffer from the same disease, the family diet is recommended to be adjusted, so that the risk that family members who are not suffering from the disease also suffer from the same disease is reduced; for example, cardiovascular disease in multiple family members, wherein the family dietary advice set suggests reduced salt intake, which is beneficial for reducing the risk of cardiovascular disease in other family members;
In this embodiment, the home information management submodule mutually performs the first-level authorization through the digital medical cards to form a home medical record, after the home medical record is formed between the digital medical cards through the first-level authorization, medical care data in other digital medical cards in the home medical record can be checked through any digital medical card in the home medical record, and medical staff can visit the patient according to whether the patient suffers from a disease or not or possibly has family genetics and can combine medical care data of the family of the patient.
In one embodiment of the present application, after a patient authorizes a medical staff to visit, the patient can select a mechanism for subsequent treatment or maintenance according to the current resource remaining amount in the medical care alliance, which specifically includes:
After the patient is treated, medical staff corresponding to departments and the medical care alliance internal institutions corresponding to instruments for treating or nursing the diseases in the residual resources according to the diseases of the patient; for patients in need of surgery, specific include:
When the patient confirms that the operation is needed after the patient is in a doctor, acquiring the index and the patient index which are needed to be met by the operation, when the patient index meets the index needed by the operation, the patient can select the corresponding equipment of the patient diseases in the residual quantity of the resources before the operation date and the recuperation mechanism of the medical staff of the department corresponding to the patient operation to carry out recuperation, and the self index is maintained to the operation date; when the patient index does not meet the index required by the operation, the patient can select the corresponding apparatus of the patient disease in the residual resource and the nursing mechanism of the medical staff of the department corresponding to the patient operation to adjust the index to the index required by the operation and then determine the operation date;
When the patient needs to be nursed and recovered after the operation, the recovery of different operations corresponds to different instruments, and the patient selects the recuperation mechanism with the instruments corresponding to the operation of the patient in the residual resource amount.
In this embodiment, when the time of the doctor in the hospital and the bed are tense, the patient index meets the index required by the operation, the patient can be selected to be in charge of the corresponding instrument of the patient disease in the residual resource and the nursing institution of the medical staff of the corresponding department of the patient operation, and the self index is maintained to the operation date; when the patient index does not meet the index required by the operation, the patient can select the corresponding apparatus of the patient disease in the residual resource and the nursing mechanism of the medical staff of the department corresponding to the patient operation to adjust the self index to the index required by the operation, then determine the operation date, and then maintain the self index to the operation date in the nursing mechanism; in addition, when the patient needs to be nursed and recovered after operation, the recovery of different operations corresponds to different targeted instruments, but various targeted instruments are difficult to set in the operation mechanism, so that the patient can select the recuperation mechanism with the targeted instrument corresponding to the operation of the patient in the residual resource amount to carry out recuperation, and a better recovery effect is achieved.
In an embodiment of the present application, a patient obtains environmental data suitable for recovery of a disease of the patient according to the disease of the patient, where the environmental data includes temperature, humidity, altitude, and air quality, obtains the environmental data of an address of an organization in the medical care alliance, and selects the environmental data of the address of the organization in the medical care alliance as a target organization.
In an embodiment of the application, medical data of a patient is sorted according to time, so as to obtain variation of the same type of medical data, a time period where the recovery amount of the medical data of the patient is maximum is calculated, and an address of the patient corresponding to the time period where the recovery amount of the medical data is maximum is obtained, wherein the recovery amount is an amount of recovery of abnormal medical data of the patient to normal data due to illness.
It should be noted that, some patients will not affect the daily mobility of the patients in the early stage of chronic diseases, such as diabetes, hypertension and rheumatism, so that the patients usually keep good mood to help the recovery of chronic diseases or slow down the development of chronic diseases, so that in recent years, a traveling recuperation mode appears, and the purposes of traveling and recuperation are achieved by going to other urban recuperation modes;
In this embodiment, environmental data suitable for recovery of the disease of the patient is obtained according to the disease of the patient, and the environmental data of the address of the institution in the medical care alliance is obtained, and on the basis of travel, the destination of travel is recommended to the institution location with the environmental data suitable for recovery of the disease of the patient, for example, the patient suffers from respiratory tract disease, at the moment, the air quality of the institution location in the medical care alliance is good, so that the patient can choose to travel to the institution location and can choose to take care at the institution; furthermore, the treatment cycle of a plurality of chronic diseases is long, even medicines are needed to be taken for a whole life, but indexes can be restored to be close to the health state through treatment and recuperation, so that the time period with the maximum recovery amount is obtained through arrangement of medical data of each stage in the long-time treatment process, and the position of the time period is obtained, for example, the recuperation mechanism of a patient at a certain place has the best recovery effect, and the recuperation mechanism can be selected more preferentially later, so that more visual and more personalized mechanism selection is provided for the patient.
In an embodiment of the present application, the system further includes an association module, where the association module performs a second level authorization on the digital medical cards of patients with the same disease to form a first association crowd, and the patients speak in the first association crowd where the patients are located and share the medical data change condition of the patients; medical staff corresponding to the disease of the patient are added into the first related crowd, and related knowledge of disease prevention and treatment is sent;
the association module carries out secondary authorization on the digital medical cards of the patient families with the same diseases to form a second association crowd, and the patient families speak in the second association crowd where the patient families are located and share the medical data change condition and the diet condition of the patients in the family; medical staff corresponding to the disease of the patient is added into the second related crowd, and relevant knowledge of disease prevention and treatment and nursing is sent;
Collecting the speech of the patient and the family members of the patient, obtaining the evaluation comments of the patient and the family members of the patient on the internal organ of the medical care alliance, rewarding or punishing the mentioned internal organ of the medical care alliance according to the evaluation comments when a plurality of the patient and the family members of the patient are consistent with the evaluation comments of a certain organ, and inquiring the patient and/or the family members of the patient when the evaluation comments of the patient and the family members of the patient in the same family are inconsistent with each other.
It should be noted that, the second-level authorization is different from the first-level authorization, and the digital medical card performs the second-level authorization, so that the patient who performs the same second-level authorization can communicate with the digital medical card, but cannot actively view the data in the digital medical card of other patients;
In this embodiment, the association module provides the second level authorization for the patient suffering from the same disease to form the first association crowd, and meanwhile, medical staff and specialists for treating the disease can also be added into the first association crowd to uniformly send the latest prevention and treatment knowledge of the disease to the patient, so that the patient suffering from the disease can remotely acquire the latest disease knowledge, the patient can know the disease of the patient, the disease can be prevented and treated more effectively, and the disease cure rate and the disease conversion rate can be improved; in addition, the association module provides the secondary authorization for family members of patients suffering from the same diseases to form the second association crowd, and medical care personnel and nursing specialists for treating the diseases can also be added into the second association crowd to uniformly send the latest disease prevention and treatment and nursing knowledge to the family members of the patients, so that the family members of the patients can remotely acquire the latest disease prevention and treatment and nursing knowledge, the family members of the patients can know the diseases of the patients more, nursing care is carried out on the patients more effectively, and the disease cure rate and the disease improvement rate are improved;
Further, the evaluation opinions of the patients and the families to the institutions are helpful to improve the service level of the institutions and the supervision of medical staff, but during the period of admission, the patients and the families of the patients are relatively difficult to directly obtain the most real evaluation opinion of the institutions, so in the embodiment, the speech of the patients in the first association crowd and the speech of the families of the patients in the second association crowd are collected, when the evaluation opinions of a plurality of the patients and the families of the patients to the institutions are consistent, the mentioned in-doctor-care alliance institutions are rewarded or punished according to the evaluation opinion, when the evaluation opinion of the patients and the families of the patients in the same family are inconsistent, the patients and/or the families of the patients are inquired and communicated to obtain the patient or the family of the patients which published the unrealistic evaluation opinion, the speech of the patients or the families of the patients is collected later, and when the unrealistic evaluation opinion appears again, the patients or the families of the patients are subjected to operations including second-level authorization or the like, and other patients are avoided.
In a second aspect of the present application, referring to fig. 4, there is provided a blockchain-based healthcare combined health management method comprising:
The hospital institution or the sanitarian institution joins or exits the blockchain after authorization, and each node on the blockchain corresponds to the hospital institution or the sanitarian institution, and the hospital institution and the sanitarian institution form a medical and health care alliance;
the resource data of all hospital institutions and sanatorium institutions in the medical care alliance are shared, the addresses of the institutions in the medical care alliance, the total amount of resources and the residual amount of resources are synchronized, and the resources comprise the number of medical staff in each department and the number of medical instruments in each department;
establishing an encryption space of a patient and a medical alliance by adopting a star file system for hash duplicate-removal type data storage, establishing a trusted digital identity, and issuing a digital medical card bound with personal biological information after the patient and medical staff are authenticated, wherein personal medical data in the digital medical card are synchronous;
The patient carries out the diagnosis after the digital medical care card completes the offline authorization or the online authorization on the medical staff, the online authorization realizes the cross-regional diagnosis operation of the patient and the medical staff, after the patient authorizes the medical staff to carry out the diagnosis, the patient can select a mechanism for subsequent treatment or nursing according to the current resource remaining amount in the medical care alliance, record the change of the data in the digital medical care card and form a trusted flow record.
In an embodiment of the present application, the digital medical card synchronizes data of a patient in an HIS system of an in-doctor-patient-alliance organization, the patient authorizes a personal wearable device to collect and synchronize patient data, and authorizes a mobile terminal to identify and upload medical data of the patient generated by an out-of-alliance organization outside the doctor-patient-alliance, the medical data generated by the out-alliance organization including diagnostic data, medication data, examination results, and physical examination results of the patient.
In an embodiment of the present application, after the patient authorizes the mobile terminal to identify and upload the medical data generated by the patient in the outside-alliance organization, the same type of medical data is compared to form a change of the same type of medical data; and comparing the medical advice conclusion of the medical and nursing alliance internal organization with the medical advice conclusion of the alliance external organization, wherein the medical advice conclusion is a diagnosis result obtained by medical staff according to medical data, and when the medical advice conclusion is different, checking the two different medical advice conclusions and the medical data corresponding to the medical advice conclusion.
In an embodiment of the present application, a hash duplicate-removing type interstellar file system for storing data is adopted to complete the establishment of a home encryption space, and the digital medical cards mutually perform primary authorization to form a home medical file.
In an embodiment of the present application, diet advice and diet contra are obtained according to patient data, and when a plurality of family members exist in the family medical record as patients, a family diet advice set and a family diet contra set are obtained.
In one embodiment of the present application, after a patient authorizes a medical staff to visit, the patient can select a mechanism for subsequent treatment or maintenance according to the current resource remaining amount in the medical care alliance, which specifically includes:
After the patient is treated, medical staff corresponding to departments and the medical care alliance internal institutions corresponding to instruments for treating or nursing the diseases in the residual resources according to the diseases of the patient; for patients in need of surgery, specific include:
When the patient confirms that the operation is needed after the patient is in a doctor, acquiring the index and the patient index which are needed to be met by the operation, when the patient index meets the index needed by the operation, the patient can select the corresponding equipment of the patient diseases in the residual quantity of the resources before the operation date and the recuperation mechanism of the medical staff of the department corresponding to the patient operation to carry out recuperation, and the self index is maintained to the operation date; when the patient index does not meet the index required by the operation, the patient can select the corresponding apparatus of the patient disease in the residual resource and the nursing mechanism of the medical staff of the department corresponding to the patient operation to adjust the index to the index required by the operation and then determine the operation date;
When the patient needs to be nursed and recovered after the operation, the recovery of different operations corresponds to different instruments, and the patient selects the recuperation mechanism with the instruments corresponding to the operation of the patient in the residual resource amount.
In an embodiment of the present application, a patient obtains environmental data suitable for recovery of a disease of the patient according to the disease of the patient, where the environmental data includes temperature, humidity, altitude, and air quality, obtains the environmental data of an address of an organization in the medical care alliance, and selects the environmental data of the address of the organization in the medical care alliance as a target organization.
In an embodiment of the application, medical data of a patient is sorted according to time, so as to obtain variation of the same type of medical data, a time period where the recovery amount of the medical data of the patient is maximum is calculated, and an address of the patient corresponding to the time period where the recovery amount of the medical data is maximum is obtained.
In an embodiment of the application, the digital medical cards of patients with the same diseases are subjected to secondary authorization to form a first associated crowd, and the patients speak in the first associated crowd where the patients are located and share the medical data change condition of the patients; medical staff corresponding to the disease of the patient are added into the first related crowd, and related knowledge of disease prevention and treatment is sent;
Performing secondary authorization on the digital medical card of the patient family members with the same diseases to form a second associated crowd, wherein the patient family members speak in the second associated crowd where the patient family members are located and share the medical data change condition and the diet condition of the patient in the family; medical staff corresponding to the disease of the patient is added into the second related crowd, and relevant knowledge of disease prevention and treatment and nursing is sent;
Collecting the speech of the patient and the family members of the patient, obtaining the evaluation comments of the patient and the family members of the patient on the internal organ of the medical care alliance, rewarding or punishing the mentioned internal organ of the medical care alliance according to the evaluation comments when a plurality of the patient and the family members of the patient are consistent with the evaluation comments of a certain organ, and inquiring the patient and/or the family members of the patient when the evaluation comments of the patient and the family members of the patient in the same family are inconsistent with each other.
It should be noted that, referring to the specific implementation of the block chain-based medical and health management system according to the first aspect of the embodiment of the present application, the description is omitted herein.
It should be noted that, in this document, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that an article or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such article or apparatus. Without further limitation, an element defined by the phrase "comprising … …" does not exclude the presence of other like elements in an article or apparatus that includes the element.
The above provides a block-chain-based healthcare management system, and specific examples are applied to illustrate the principles and embodiments of the present application, and the above examples are only used to help understand the block-chain-based healthcare management system and its core ideas; meanwhile, as those skilled in the art will vary in the specific embodiments and application scope according to the idea of the present application, the present disclosure should not be construed as limiting the present application in summary.
Claims (8)
1. A blockchain-based healthcare combined health management system, comprising:
The block chain auditing module is used for enabling a hospital institution or a nursing institution to join or withdraw from the block chain after authorization, and each node on the block chain corresponds to the hospital institution or the nursing institution, so that the hospital institution and the nursing institution form a medical curing alliance;
The data sharing module is used for sharing the resource data of all hospital institutions and sanitarian institutions in the medical care alliance, synchronizing the addresses of the institutions in the medical care alliance, the total amount of resources and the residual amount of resources, wherein the resources comprise the number of medical staff in each department and the number of medical instruments;
The information management module is used for completing the establishment of encryption space of a patient and a medical care alliance by adopting a star file system for hash duplicate-removal type data storage, establishing a trusted digital identity, and issuing a digital medical care card bound with personal biological information after the authentication of the patient and medical care personnel is completed, wherein personal medical care data in the digital medical care card are synchronous;
The authorized medical treatment module is used for enabling the patient to carry out medical treatment after the digital medical care card completes off-line authorization or on-line authorization on the medical staff, the on-line authorization realizes cross-region medical treatment operation of the patient and the medical staff, and after the patient authorizes the medical staff to carry out the medical treatment, the patient can select a mechanism for subsequent treatment or maintenance according to the current resource remaining amount in the medical care alliance, record the change of data in the digital medical care card and form a trusted flow record;
The digital medical card is used for synchronizing data of a patient in an HIS system of an internal medical alliance organization, the patient authorizes a personal wearable device to acquire and synchronize the data of the patient, and authorizes a mobile terminal to identify and upload medical data of the patient generated by an external alliance organization outside the medical alliance, wherein the medical data generated by the external alliance organization comprises diagnosis data, medication data, inspection and examination results and physical examination results of the patient;
The data acquisition module further comprises a data comparison sub-module, and after the patient authorization mobile terminal identifies and uploads the medical data generated by the patient in the alliance external organization, the data comparison sub-module compares the same medical data types to form the change of the same medical data types; the data comparison submodule compares medical advice conclusions of the medical and nursing alliance internal institutions and the alliance external institutions, wherein the medical advice conclusions are diagnostic results obtained by medical staff according to medical data, and when the medical advice conclusions are different, the medical advice conclusions and the medical data corresponding to the medical advice conclusions are checked; if the difference of the doctor advice conclusion is caused by the disease development, checking the medicine used by the previous disease, and adjusting the medicine according to the improvement or the variation of the disease; if the difference of the order conclusions is an error conclusion caused by misdiagnosis or single data abnormality, the order conclusions and the corresponding medical data are not included into the reference in the present visit.
2. The blockchain-based medical and health management system according to claim 1, wherein the information management module further comprises a family information management sub-module, the family information management sub-module completes establishment of a family encryption space by adopting a hash duplicate-removal type interstellar file system for storing data, and a family medical and health file is formed by performing primary authorization on the digital medical and health card.
3. The blockchain-based healthcare combined management system of claim 2, further comprising a diet management module that derives diet advice and diet taboo from patient data, and derives a set of family diet advice and a set of family diet taboo when there are multiple family members in the family healthcare profile that are patients.
4. The blockchain-based healthcare combination health management system of claim 1, wherein after a patient authorizes a healthcare worker to visit a doctor, the patient can select a follow-up treatment or maintenance institution according to the current resource remaining in the healthcare alliance, specifically comprising:
After the patient is treated, medical staff corresponding to departments and the medical care alliance internal institutions corresponding to instruments for treating or nursing the diseases in the residual resources according to the diseases of the patient; for patients in need of surgery, specific include:
When the patient confirms that the operation is needed after the patient is in a doctor, acquiring the index and the patient index which are needed to be met by the operation, when the patient index meets the index needed by the operation, the patient can select the corresponding equipment of the patient diseases in the residual quantity of the resources before the operation date and the recuperation mechanism of the medical staff of the department corresponding to the patient operation to carry out recuperation, and the self index is maintained to the operation date; when the patient index does not meet the index required by the operation, the patient can select the corresponding apparatus of the patient disease in the residual resource and the nursing mechanism of the medical staff of the department corresponding to the patient operation to adjust the index to the index required by the operation and then determine the operation date;
When the patient needs to be nursed and recovered after the operation, the recovery of different operations corresponds to different instruments, and the patient selects the recuperation mechanism with the instruments corresponding to the operation of the patient in the residual resource amount.
5. The blockchain-based healthcare management system of claim 4, wherein the patient obtains environmental data suitable for disease recovery of the patient according to the disease of the patient, the environmental data including temperature, humidity, altitude and air quality, obtains the environmental data of the location of the institution in the healthcare alliance, and selects the environmental data of the location of the institution in the healthcare alliance as a target institution for the disease of the patient.
6. The blockchain-based medical and health management system according to claim 5, wherein medical data of patients are sorted according to time, variation of the same type of medical data is obtained, a time period where the recovery amount of the medical data of the patients is maximum is calculated, and an address of the patient corresponding to the time period where the recovery amount of the medical data is maximum is obtained.
7. The blockchain-based healthcare combination health management system of any one of claims 1-6, further comprising an association module that performs a second level authorization on the digital healthcare card of patients with the same disease to form a first associated crowd in which the patient speaks and shares his medical data changes; medical staff corresponding to the disease of the patient are added into the first related crowd, and related knowledge of disease prevention and treatment is sent;
the association module carries out secondary authorization on the digital medical cards of the patient families with the same diseases to form a second association crowd, and the patient families speak in the second association crowd where the patient families are located and share the medical data change condition and the diet condition of the patients in the family; medical staff corresponding to the disease of the patient is added into the second related crowd, and relevant knowledge of disease prevention and treatment and nursing is sent;
Collecting the speech of the patient and the family members of the patient, obtaining the evaluation comments of the patient and the family members of the patient on the internal organ of the medical care alliance, rewarding or punishing the mentioned internal organ of the medical care alliance according to the evaluation comments when a plurality of the patient and the family members of the patient are consistent with the evaluation comments of a certain organ, and inquiring the patient and/or the family members of the patient when the evaluation comments of the patient and the family members of the patient in the same family are inconsistent with each other.
8. A blockchain-based medical and health management method, comprising:
The hospital institution or the sanitarian institution joins or exits the blockchain after authorization, and each node on the blockchain corresponds to the hospital institution or the sanitarian institution, and the hospital institution and the sanitarian institution form a medical and health care alliance;
the resource data of all hospital institutions and sanatorium institutions in the medical care alliance are shared, the addresses of the institutions in the medical care alliance, the total amount of resources and the residual amount of resources are synchronized, and the resources comprise the number of medical staff in each department and the number of medical instruments in each department;
establishing an encryption space of a patient and a medical alliance by adopting a star file system for hash duplicate-removal type data storage, establishing a trusted digital identity, and issuing a digital medical card bound with personal biological information after the patient and medical staff are authenticated, wherein personal medical data in the digital medical card are synchronous;
The patient carries out the diagnosis after the digital medical care card completes the offline authorization or the online authorization on the medical staff, the online authorization realizes the cross-regional diagnosis operation of the patient and the medical staff, after the patient authorizes the medical staff to carry out the diagnosis, the patient can select a mechanism for subsequent treatment or nursing according to the current resource remaining amount in the medical care alliance, record the change of the data in the digital medical care card and form a trusted flow record;
The digital medical card synchronizes data of a patient in an HIS system of an internal medical alliance organization, the patient authorizes a personal wearable device to acquire and synchronize the data of the patient, and authorizes a mobile terminal to identify and upload medical data generated by the patient outside the external medical alliance organization, wherein the medical data generated by the external medical alliance organization comprises diagnosis data, medication data, inspection and examination results of the patient;
After the patient authorization mobile terminal identifies and uploads the medical data generated by the patient outside the alliance, the same medical data type is compared to form the change of the same medical data type; comparing the medical advice conclusions of the medical and nursing alliance internal institutions and the medical advice conclusions of the alliance external institutions, wherein the medical advice conclusions are diagnostic results obtained by medical staff according to medical data, and when the medical advice conclusions are different, checking the two different medical advice conclusions and the medical data corresponding to the medical advice conclusions; if the difference of the doctor advice conclusion is caused by the disease development, checking the medicine used by the previous disease, and adjusting the medicine according to the improvement or the variation of the disease; if the difference of the order conclusions is an error conclusion caused by misdiagnosis or single data abnormality, the order conclusions and the corresponding medical data are not included into the reference in the present visit.
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