Patient information data management platform for cardiothoracic vascular surgery and working method thereof

文档序号:9907 发布日期:2021-09-17 浏览:52次 中文

1. A patient information data management platform for cardiothoracic vascular surgery, characterized in that: comprises an input module, a patient unit architecture module, a storage module and a feedback module;

the system comprises an input module and a display module, wherein the input module comprises an automatic import component and a manual import component, the automatic import component comprises an automatic case import component, and the manual import component comprises a clinical information import component;

the patient unit module comprises a medical record home page unit, a medical advice information unit, an examination information unit, a checking information unit, an examination item specific information unit, an extracorporeal circulation information unit, a cost detail unit, a bridging information unit and a follow-up visit information unit;

a storage module comprising a platform central database component connected to the input module, the platform central database component comprising a collection of all patient unit modules;

and the feedback module comprises a retrieval component and an output component, and the retrieval component comprises a high-level retrieval component and a comprehensive query component.

2. The patient information data management platform for cardiothoracic vascular surgery of claim 1, wherein: the output components include a mobile terminal brief output component, a clinical data output component, and a comprehensive data output component.

3. The patient information data management platform for cardiothoracic vascular surgery of claim 1, wherein: the platform central database component comprises a distributed data center, the distributed data center comprises a basic information data center and a clinical information data center, a retrieval access port is connected to the distributed data center, and the retrieval access port comprises a comprehensive query port and an advanced retrieval port.

4. The patient information data management platform for cardiothoracic vascular surgery of claim 3, wherein: the comprehensive query port is connected with the comprehensive query component, and the advanced retrieval port is connected with the advanced retrieval component.

5. The patient information data management platform for cardiothoracic vascular surgery of claim 1, wherein: the retrieval access port is connected with a basic information data center, and the advanced retrieval port is connected with a clinical information data center.

6. The method of claim 1 to 5, wherein the patient information data management platform comprises: the method comprises the following steps:

s1, exporting a plurality of related Excel tables from three information systems of his, lis and ris in hospitals every month, basic information of daily Excel registration tables in a department, such as EuroSCORE II score, patient case filing information and operation type, and export tables of specific variable values in Chinese cardiac surgery registration research of foreign hospitals regularly reported every month, and after adjustment such as format conversion, the export tables are imported into a platform through an automatic import component, so that automatic import and architecture of basic data are completed;

s2, aiming at individual patients, inputting part of clinical data such as bypass, extracorporeal circulation and the like in the treatment process, and detailed medical data such as medical examination data in treatment processes such as urine routine, blood routine, feces routine, four items of detection before blood transfusion, blood coagulation, blood biochemistry, renal function, myocardial enzyme, sputum culture, cardiac ultrasonography data, CT, medication and the like and postoperative follow-up data into a system terminal through a manual lead-in component to complete integral data lead-in;

s3, importing the basic patient data acquired in S1 into a basic information data center, importing the detailed medical treatment of the individual patient acquired in S2 into a clinical information data center, and constructing a patient medical record unit through a patient unit module;

s4, integrating the patient medical record units constructed by the patient unit module to form a file package, uploading the file package to a platform central database component, reserving files for storage, and reserving a retrieval port;

s5, when data needs to be retrieved and output, the basic information such as operation name, operation time, sex, age and the like can be primarily screened for the patient, the keyword for query is input through the comprehensive query component, the query request is input into the central database component of the platform through the comprehensive query port, and the target patient information is obtained by feedback after the result is retrieved;

s6, after the information of the target patient output in S5 is captured, secondary retrieval is carried out, the target retrieval is carried out aiming at partial clinical data such as bypass, extracorporeal circulation and the like, and detailed medical data such as medical examination data in treatment processes such as urine routine, blood routine, feces routine, four items of detection before blood transfusion, blood coagulation, blood biochemistry, renal function, myocardial enzyme, sputum culture, cardiac ultrasound data, CT, medication and the like and postoperative follow-up data, a retrieval request is input into a platform central database component through a high-level retrieval port, and the detailed information of a specific case is obtained through feedback after the retrieval result is obtained;

and S7, outputting the data acquired in S5 and S6 through an output component, and finishing the query action.

7. The method of claim 6, wherein the patient information data management platform comprises: the specific output mode of the output through the output component in the S7 is adjusted according to different request sources of the inquirer, when the inquirer searches or inquires through the client, the search result is output through the client brief output component, when the specific patient needs to be shifted, the search result is output through the comprehensive data output component, and when the clinical data of the specific patient needs to be searched, the search data is output through the clinical data output component.

Background

The medical System (HIS for short) is a marginal science integrating multiple disciplines of medicine, Information, management, computer and the like, is widely applied in developed countries, and creates good social and economic benefits. The medical system is a necessary technical support and infrastructure for modern hospital operation, the aim of realizing the medical system is to strengthen the management of the hospital by means of more modernization, scientification and standardization, improve the working efficiency of the hospital and improve the medical quality, thereby establishing a new image of the modern hospital, which is a necessary direction for the development of the hospital in the future, in order to meet the requirement of the development of the hospital in China, in order to make the Chinese medical science track with the world science and technology early, combine with the application of the novel Internet of things technology, invest a large amount of manpower and material resources, use the advanced experience of the HIS at home and abroad, combine with the traditional management mode and the actual requirement of various domestic hospitals, develop a clinical information management system of departments, the medical system in China is not perfect at present, particularly the information management of patients is not perfect, particularly for the patients of three departments of cardiac surgery, vascular surgery and thoracic surgery, the amount of information which needs to be input, summarized, integrated and tracked for a long time is extremely large, so that a patient information management system for cardiothoracic vascular surgery, which can automatically input and realize data retrieval, screening and output at the same time, is needed.

Disclosure of Invention

The purpose of the invention is as follows: the invention aims to provide a patient information data management platform for cardiothoracic vascular surgery and a working method thereof, aiming at overcoming the defects of the prior art.

The technical scheme is as follows: the invention relates to a patient information data management platform for cardiothoracic vascular surgery, which comprises an input module, a storage module and a feedback module, wherein the input module is used for inputting patient information;

the input module comprises an automatic import component and a manual input component, the automatic import component comprises an automatic case import component, and the manual import component comprises a clinical information import component;

the storage module comprises a platform central database component connected to the input module;

and the feedback module comprises a retrieval component and an output component, and the retrieval component comprises a high-level retrieval component and a comprehensive query component.

Preferably, the output components include a mobile-end profile output component, a clinical data output component, and a comprehensive data output component.

Preferably, the platform central database component comprises a distributed data center, the distributed data center comprises a basic information data center and a clinical information data center, the distributed data center is connected with a retrieval access port, and the retrieval access port comprises a comprehensive query port and an advanced retrieval port.

Preferably, the comprehensive query port is connected with a comprehensive query component, and the advanced retrieval port is connected with an advanced retrieval component.

Preferably, the retrieval access port is connected with a basic information data center, and the advanced retrieval port is connected with a clinical information data center.

A working method of a patient information data management platform for cardiothoracic vascular surgery comprises the following steps:

s1, exporting a plurality of related Excel tables from three information systems of his, lis and ris in hospitals every month, basic information of daily Excel registration tables in a department, such as EuroSCORE II score, patient case filing information and operation type, and export tables of specific variable values in Chinese cardiac surgery registration research of foreign hospitals regularly reported every month, and after adjustment such as format conversion, the export tables are imported into a platform through an automatic import component, so that automatic import and architecture of basic data are completed;

s2, aiming at individual patients, inputting part of clinical data such as bypass, extracorporeal circulation and the like in the treatment process, and detailed medical data such as medical examination data in treatment processes such as urine routine, blood routine, feces routine, four items of detection before blood transfusion, blood coagulation, blood biochemistry, renal function, myocardial enzyme, sputum culture, cardiac ultrasonography data, CT, medication and the like and postoperative follow-up data into a system terminal through a manual lead-in component to complete integral data lead-in;

s3, importing the basic patient data acquired in S1 into a basic information data center, importing the detailed medical treatment of the individual patient acquired in S2 into a clinical information data center, and constructing a patient medical record unit through a patient unit module;

s4, integrating the patient medical record units constructed by the patient unit module to form a file package, uploading the file package to a platform central database component, reserving files for storage, and reserving a retrieval port;

s5, when data needs to be retrieved and output, the basic information such as operation name, operation time, sex, age and the like can be primarily screened for the patient, the keyword for query is input through the comprehensive query component, the query request is input into the central database component of the platform through the comprehensive query port, and the target patient information is obtained by feedback after the result is retrieved;

s6, after the information of the target patient output in S5 is captured, secondary retrieval is carried out, the target retrieval is carried out aiming at partial clinical data such as bypass, extracorporeal circulation and the like, and detailed medical data such as medical examination data in treatment processes such as urine routine, blood routine, feces routine, four items of detection before blood transfusion, blood coagulation, blood biochemistry, renal function, myocardial enzyme, sputum culture, cardiac ultrasound data, CT, medication and the like and postoperative follow-up data, a retrieval request is input into a platform central database component through a high-level retrieval port, and the detailed information of a specific case is obtained through feedback after the retrieval result is obtained;

and S7, outputting the data acquired in S5 and S6 through an output component, and finishing the query action.

Preferably, the specific output mode outputted by the output module in S7 is adjusted according to the request source of the inquirer, and when the inquirer inquires through the client, the search result is outputted through the client summary output module, when a specific patient needs to be shifted, the search result is outputted through the integrated data output module, and when clinical data of the specific patient needs to be searched, the search data is outputted through the clinical data output module.

Compared with the prior art, the invention has the following beneficial effects: the patient information management system for cardiothoracic vascular surgery can simultaneously carry out automatic import and manual import and realize data retrieval and export, and greatly improves the input, storage, retrieval and output efficiency.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

In the description of the present invention, it is to be understood that the terms "central," "longitudinal," "lateral," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," "axial," "radial," "circumferential," and the like are used in the indicated orientations and positional relationships and are used merely for convenience in describing and simplifying the description, and are not intended to indicate or imply that the referenced device or element must have a particular orientation, be constructed and operated in a particular orientation, and are not to be considered limiting.

The technical solution of the present invention will be described in detail below with specific examples. The following several specific embodiments may be combined with each other, and details of the same or similar concepts or processes may not be repeated in some embodiments.

A patient information data management platform for cardiothoracic vascular surgery comprises an input module, a storage module and a feedback module;

the input module comprises an automatic import component and a manual import component, the automatic import component comprises an automatic case import component, and the manual import component comprises a clinical information import component;

the storage module comprises a platform central database component connected to the input module;

and the feedback module comprises a retrieval component and an output component, and the retrieval component comprises a high-level retrieval component and a comprehensive query component.

The output components include a client profile output component, a clinical data output component, and a composite data output component.

The platform central database component comprises a distributed data center, the distributed data center comprises a basic information data center and a clinical information data center, a retrieval access port is connected to the distributed data center, and the retrieval access port comprises a comprehensive query port and an advanced retrieval port.

The comprehensive query port is connected with the comprehensive query component, and the high-level retrieval port is connected with the high-level retrieval component.

The retrieval access port is connected with the basic information data center, and the advanced retrieval port is connected with the clinical information data center.

Example 1: s1, exporting a plurality of related Excel tables from three information systems of his, lis and ris in hospitals every month, basic information of daily Excel registration tables in a department, such as EuroSCORE II score, patient case filing information and operation type, and export tables of specific variable values in Chinese cardiac surgery registration research of foreign hospitals regularly reported every month, and after adjustment such as format conversion, the export tables are imported into a platform through an automatic import component, so that automatic import and architecture of basic data are completed;

s2, aiming at individual patients, inputting part of clinical data such as bridging, extracorporeal circulation and the like in the treatment process of the individual patients, and detailed medical data such as medical examination data in treatment processes such as urine routine, blood routine, feces routine, four items of detection before blood transfusion, blood coagulation, blood biochemistry, renal function, myocardial enzyme, sputum culture, cardiac ultrasonography data, CT, medication and the like and postoperative follow-up data into a system terminal through a manual lead-in component to complete integral data entry;

s3, importing the basic patient data acquired in S1 into a basic information data center, importing the detailed medical treatment of the individual patient acquired in S2 into a clinical information data center, and constructing a patient medical record unit through a patient unit module;

s4, integrating the patient medical record units constructed by the patient unit module to form a file package, uploading the file package to a platform central database component, reserving files for storage, and reserving a retrieval port;

s5, the inquirer inquires through the client, and can simply inquire basic information such as operation name, operation time, sex, age and the like of the patient;

and S6, outputting the data acquired in the S5 through a client brief output component, and finishing the query action.

Example 2: s1, exporting a plurality of related Excel tables from three information systems of his, lis and ris in hospitals every month, basic information of daily Excel registration tables in a department, such as EuroSCORE II score, patient case filing information and operation type, and export tables of specific variable values in Chinese cardiac surgery registration research of foreign hospitals regularly reported every month, and after adjustment such as format conversion, the export tables are imported into a platform through an automatic import component, so that automatic import and architecture of basic data are completed;

s2, aiming at individual patients, inputting part of clinical data such as bridging, extracorporeal circulation and the like in the treatment process of the individual patients, and detailed medical data such as medical examination data in treatment processes such as urine routine, blood routine, feces routine, four items of detection before blood transfusion, blood coagulation, blood biochemistry, renal function, myocardial enzyme, sputum culture, cardiac ultrasonography data, CT, medication and the like and postoperative follow-up data into a system terminal through a manual lead-in component to complete integral data entry;

s3, importing the basic patient data acquired in S1 into a basic information data center, importing the detailed medical treatment of the individual patient acquired in S2 into a clinical information data center, and constructing a patient medical record unit through a patient unit module;

s4, integrating the patient medical record units constructed by the patient unit module to form a file package, uploading the file package to a platform central database component, reserving files for storage, and reserving a retrieval port;

s5, when a specific patient needs to be shifted, the basic information such as operation name, operation time, sex, age and the like can be primarily screened for the patient, the keyword for inquiry is input through the comprehensive inquiry component, the inquiry request is input into the central database component of the platform through the comprehensive inquiry port, and the target patient information is obtained by feedback after the result is retrieved;

and S6, outputting the data acquired in the S5 through the integrated data output component, and finishing the query action.

Example 3: s1, exporting a plurality of related Excel tables from three information systems of his, lis and ris in hospitals every month, basic information of daily Excel registration tables in a department, such as EuroSCORE II score, patient case filing information and operation type, and export tables of specific variable values in Chinese cardiac surgery registration research of foreign hospitals regularly reported every month, and after adjustment such as format conversion, the export tables are imported into a platform through an automatic import component, so that automatic import and architecture of basic data are completed;

s2, aiming at individual patients, inputting part of clinical data such as bridging, extracorporeal circulation and the like in the treatment process of the individual patients, and detailed medical data such as medical examination data in treatment processes such as urine routine, blood routine, feces routine, four items of detection before blood transfusion, blood coagulation, blood biochemistry, renal function, myocardial enzyme, sputum culture, cardiac ultrasonography data, CT, medication and the like and postoperative follow-up data into a system terminal through a manual lead-in component to complete integral data entry;

s3, importing the basic patient data acquired in S1 into a basic information data center, importing the detailed medical treatment of the individual patient acquired in S2 into a clinical information data center, and constructing a patient medical record unit through a patient unit module;

s4, integrating the patient medical record units constructed by the patient unit module to form a file package, uploading the file package to a platform central database component, reserving files for storage, and reserving a retrieval port;

s5, when the clinical data of a specific patient needs to be retrieved, the patient can be preliminarily screened for basic information such as operation name, operation time, sex, age and the like, the keyword of the query is input through the comprehensive query component, the query request is input into the central database component of the platform through the comprehensive query port, and the target patient information is obtained by feedback after the result is retrieved;

s6, after the information of the target patient output in S5 is captured, secondary retrieval is carried out, the target retrieval is carried out aiming at partial clinical data such as bypass, extracorporeal circulation and the like, and detailed medical data such as treatment process medical examination data such as urine routine, blood routine, feces routine, four items of detection before blood transfusion, blood coagulation, blood biochemistry, renal function, myocardial enzyme, sputum culture, heart ultrasound data, CT, medication and the like and postoperative follow-up data, a retrieval request is sent to be input into a central database component of a platform through a high-level retrieval port, and the detailed information of a specific case is obtained through the retrieval and feedback after the result is obtained;

and S7, outputting the data acquired in S5 and S6 through a clinical data output component, and finishing the query action.

The technical scheme has the advantages that the patient information management system for the cardiothoracic vascular surgery can be used for inputting and retrieving large information amount data of patients in three departments of cardiac surgery, vascular surgery and thoracic surgery and tracking the data for a long time, can simultaneously carry out automatic introduction and manual introduction, can realize data retrieval and derivation, and greatly improves the input, storage, retrieval and output efficiency.

In the actual operation scene, the data output of the information platform has four forms, which are respectively:

(1) by manually operating a small program, relevant case and variable data are respectively imported into two systems of 'registration research for coronary artery bypass grafting in Jiangsu province' and 'registration research for aortic disease surgical treatment in Jiangsu province', and the system is applied to a subject project system of two provinces and multiple centers in the role of a mother library;

(2) aiming at the data of personalized modules such as bridging, extracorporeal circulation and the like, all exports can be clicked at a user side to obtain all variables and clinical data of all cases, namely an Excel format;

(3) retrieving and exporting, namely advanced retrieving, and exporting basic information of a patient according with retrieval conditions, wherein the basic information is in an Excel format;

(4) and (4) retrieving and exporting-comprehensive inquiring, and exporting relevant clinical information of the patient according with retrieval conditions, wherein the relevant clinical information is in an Excel format.

In the present invention, unless otherwise explicitly specified or limited, the first feature "on" or "under" the second feature may be directly contacting the first feature and the second feature or indirectly contacting the first feature and the second feature through an intermediate. Also, a first feature "on," "above," and "over" a second feature may mean that the first feature is directly above or obliquely above the second feature, or that only the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature may be directly under or obliquely under the first feature, or may simply mean that the first feature is at a lower level than the second feature. In the description herein, reference to the description of the term "one embodiment," "some embodiments," "an example," "a specific example" or "some examples," or the like, means that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above are not necessarily intended to refer to the same embodiment or example.

Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, various embodiments or examples and features of different embodiments or examples described in this specification can be combined and combined by one skilled in the art without contradiction.

Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; and the modifications or the substitutions do not make the essence of the corresponding technical solutions depart from the scope of the technical solutions of the embodiments of the present invention.

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