CN102592200A - Patient follow-up system for clinical medicine and scientific research - Google Patents
Patient follow-up system for clinical medicine and scientific research Download PDFInfo
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- CN102592200A CN102592200A CN2012100096895A CN201210009689A CN102592200A CN 102592200 A CN102592200 A CN 102592200A CN 2012100096895 A CN2012100096895 A CN 2012100096895A CN 201210009689 A CN201210009689 A CN 201210009689A CN 102592200 A CN102592200 A CN 102592200A
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Abstract
The invention relates to a patient follow-up system for clinical medicine and scientific research, which consist of a patient management module, a follow-up list module, a short message module, an incoming call module, a medical personnel management module, a super administrator module, a follow-up question type management module, a questionnaire management module, a data import and export module, a scanning image management module, a department message management module, a senior query module, a disease classification management module, a batch print module and a statistical analysis module; and a function module is developed based on a Microsoft WINNT4.0 Server operating platform and runs on a server, is externally connected with a modulator-demodulator, contains GSM (Global System for Mobile Communication)/GPRS (General Packet Radio Service)/CDMA (Code Division Multiple Access) double-frequency communication chips and a GSM Modem for supporting EGDM900/1800 Mhz double-frequency communication and is simultaneously connected with a telephone set, a printer and a medical image film scanner. The patient follow-up system has the beneficial effects that patient resources and disease prognosis data are ensured to be saved; and by means of a network and communication technology, a patient is periodically visited and managed, and the results are tidied and analyzed.
Description
Technical field
The present invention relates to a kind of patient who is used for clinical medicine and scientific research and follow up a case by regular visits to system.
Background technology
Medical follow-up is meant that hospital or health care institution are movable for the medical information of healthy recovery situation, complication, late result and new technology clinical application effect during regularly or irregularly understanding outpatient or discharged patient and leaving hospital.Usually take with home visit, communication and preengage certain medical institutions and carry out further consultation inspection as the means of following up a case by regular visits to.
The work of following up a case by regular visits to is the movable important component parts of each item medical sciences such as medical treatment, scientific research, teaching; Especially for the treatment and the rehabilitation of tumor patient and chronic disease; Follow up a case by regular visits to important link especially; Simultaneously also be to understand patient's rehabilitation situation, instruct rehabilitation outside the patient institute, the important channel of monitored patient disease relapse.For example laryngocarcinoma is ear,nose & throat-neck surgery malignant tumour occurred frequently, in the long duration after the treatment, local recurrence, Cervical Lymph Node Metastasis, DISTANT METASTASES IN very likely occur or second primary tumo(u)r takes place.If regular follow-up is exhorted patient's further consultation on schedule, then can find above-mentioned situation early, obtain the doctor and in time, reasonably handle, prolong patient's life.
The clinical treatment of tumor patient is no doubt important, but the later stage physical and psychological rehabilitation also occupies critical role.Tumor patient is after being in hospital and leaving hospital, and their spirit, psychology receive for a long time to be constrained and misery, and appearance is disheartened, even commits suicide.This poor morale can be destroyed body immunity, brings out new disease; Therefore regular or irregular the following up a case by regular visits to this type patient; Can understand patient's spirit, psychological condition, the doctor can in time take the effective psychological treatment, promotes patient's physical and psychological rehabilitation; Return society early, realized the new medical model of " society-physiology-psychology ".
Tumor patient is after leaving hospital, and aspects such as patient's diet, habits and customs, functional training can obtain doctor's guidance in following up a case by regular visits to.Such as after the patients with laryngeal carcinoma operation, can cause that the patient is taken place, breathing, aphetite disorder, if be the patient of total laryngectomy, can cause organ incomplete, forever to cry out, fistulization oral exposes, severe complication such as lifelong band pipe.Follow up a case by regular visits to and can in time understand the patient and train, voice is taken exercise, situation such as fistulization oral, and obtain the doctor and rationally instruct, improve patient's life quality.
Can obtain different tumor patients in particulars through following up a case by regular visits to, can understand the effect of different oncotherapies, grope the rule of tumor recurrence and transfer through different clinical treatments.Such as the laryngocarcinoma patient of different clinical stagess, take different methods of treatments according to its concrete condition, perform the operation again such as first chemicotherapy, carry out chemicotherapy after the operation again, even carry out the biological targeting treatment; The patient who has is just in time opposite, but concrete therapeutic scheme long-term effect how, and the critical data after these treatments must be gathered through the work of following up a case by regular visits to.
Can also obtain very valuable scientific research data through following up a case by regular visits to; Carry out Clinical Retrospective Study and applied research; And some are followed the trail of with tumour generation, development, molecular biology index that prognosis is relevant, verify whether these indexs are really relevant with generation, development, the prognosis of tumour, realize of the conversion of basic medical achievement in research to clinical practice; Excavate and develop the target of potential tumor biotherapy, for human health is benefited.
In addition, the work of following up a case by regular visits to also has vital role to other chronic diseases.Like chronic rhinitis sinusitis, allergic rhinitis, prominent deaf, Meniere disease chronic diseases, their generation is relevant with patient's environment, individual difference, bacterial virus etc.These epidemiologic datas can be more detailed through the work of following up a case by regular visits to, and also has important effect for the research of paathogenic factor.These chronic diseases are also heavier to people's body and mind infringement in addition, have a strong impact on patient's quality of life, follow up a case by regular visits to the recovery situation that can in time understand patient disease equally, exhort the regular further consultation of patient, instruct rehabilitation, in time solve the psychological problems that brings because of disease.
In a word; Through following up a case by regular visits to; The doctor can in time recognize the result of treatment after the patient leaves hospital, and physical rehabilitation situation and quality of life situation can give the health education and the rehabilitation guide of individuation at any time to patient's treatment, rehabilitation, health care and other life aspects; Help patient's Fighting Disease, make it to recover as early as possible physically and mentally healthy.
Existing follow up a case by regular visits to the problem that exists in the technology and mainly contain:
1, follow-up rate low, follow up a case by regular visits to of poor quality.China is populous, and medical resource is undeveloped, distribution is unbalanced, causes doctor's routine work very busy, and work is followed up a case by regular visits in the unable processing of most of hospital;
2, relevant speciality personnel and hardware device lack.Most medical institutions are not responsible for the department or the personnel of the work of following up a case by regular visits to specially, even do not have relevant hardware device, and are less for the input of fund yet;
3, the patient many places are in mobile status.Patient is followed up a case by regular visits to comparatively difficulty to the doorstep, and the patient who is positioned at the rural area is difficult for following up a case by regular visits to especially; Phone that the patient stays is unfixing relatively yet, and especially phone number is very easily changed, and causes the work of following up a case by regular visits to interrupt;
4, it is very single to follow up a case by regular visits to means.Length, the accurate rate variance of information, follow-up rate are low to follow up a case by regular visits to the cycle like mail, obviously can not satisfy current medical follow-up requirements of one's work;
5, the work of following up a case by regular visits to does not have following up a case by regular visits to software and following up a case by regular visits to mechanism of a cover system, unification, standard as yet, causes that to follow up a case by regular visits to work efficiency on the low side, and it is higher to lose visit rate and access denial rate, so that a large amount of prognosis of disease data run off.
In sum, the work of following up a case by regular visits to is puzzlement medical personnel's a great problem.This just needs timely standard to follow up a case by regular visits to behavior, and increase also improves the mode of following up a case by regular visits to, and makes great efforts to reduce and loses visit, avoids access denial.
Summary of the invention
The object of the invention is exactly to follow up a case by regular visits to the problem that exists in the work to above-mentioned having now, proposes a kind of patient who is used for clinical medicine and scientific research and follows up a case by regular visits to system and method, utilizes computing machine, network and Realizing Multimedia Technique to follow up a case by regular visits to the computer network inquiry and management of work; Converse with the patient; For the patient provides the internet, voice call, the platform that SMS is followed up a case by regular visits to; Gather follow up data; Promote to follow up a case by regular visits to management scientification, standardization, systematization, make it to become medical treatment, scientific research, teaching department overall understanding disease diagnoses and treatment, prognosis, lapse to the important means of variation, to solve the deficiency of prior art.
This patient who is used for clinical medicine and scientific research that the present invention proposes follows up a case by regular visits to system, it is characterized in that it is made up of following 15 modules:
(1) case control's module; (2) follow up a case by regular visits to list block; (3) SMS module; (4) incoming call module; (5) medical personnel's administration module; (6) super administrator module; (7) follow up a case by regular visits to the problem types administration module; (8) with the access volume administration module; (9) module is derived in data importing; (10) scan image administration module; (11) section office's short message managing module; (12) advanced inquiry module; (13) classification of diseases administration module; (14) bulk print module; (15) statistical analysis module.
Each functional module of native system is based on the WINNT 4.0Server of Microsoft server operation platform development; And on well-known server, move; Modulator-demodular unit that can connect telephone wire of outside connection connects a note cat that comprises GSM/GPRS/CDMA double frequency communication chip and support the communication of EGSM900/1800Mhz double frequency, connects a headset style telephone set simultaneously; Connect a printer, connect a medical image Film scanner.
(1) case control's module comprises that the patient tabulates and increases the patient.
Patient's tabulation can be carried out patient's inquiry, increase patient, editor patient, deletion patient, particulars, printing advice note function.
When getting into case control's module, system carries out logic determines.If patient data is arranged in the database, then get into patient's tabulation, if there is not patient data, then carrying out increases the patient, the keeper carries out new patient's typing operation.
Increase the patient and carry out typing patient particulars function, particulars comprise: patient's ID card No., admission number, name, sex, date of birth, age; The native place, unit, detailed address, patient's landline telephone, patient's mobile phone, name of contact person, contact person's relation; Contact person's landline telephone, contact person's mobile phone, the state of leaving hospital (recovery from illness is not healed, other), diagnostic result, therapeutic modality (operation; Non-operation), surgery incisxal edge (unit centimetre), pathology somatotype, pathological staging, clinical stages, sample source; The sample position, mark this shop, pathological number, pathological examination, scientific research index record, image data image uploading.Be responsible for the doctor, admission time is left hospital the time, operating time.
Wherein the pathology somatotype can be edited, add its value, comprising: differentiation degree (the low differentiation, middle differentiation, high differentiation), and atypical hyperplasia (slight, moderate, severe) is soaked into (being to deny); Its value can be edited, added to pathological staging, and (editing value is according to being the TNM that provides of UICC in 2009 reference value: T by stages
0-4N
0-3M
0-1);
Its value (I, II, III, IV phase) can be edited, added to clinical stages;
The sample source can be edited, added its value, comprises blood, saliva, secretion, tissue, urine etc.; Can fill in sample position and mark this shop under the different sample sources;
Pathological number can be edited and added its value (patient's sample be in hospital between diagnostic period maybe repeatedly various censorship, censorship each time has a pathological number); Its value can be edited, added to the scientific research index, and (difference according to the scientific research index is added.The scientific research index is meant the molecular biology index, like gene, and the factor, albumen etc.); The image data type can be edited, added its value, comprising: CT, and nuclear-magnetism, B ultrasonic, nuclear medicines etc. can correspondence be uploaded plurality of pictures under each image data type, and picture can add and delete, and after uploading, clicks scalable browsing.
Patient's list window comprises three parts: the top is the simple search window, can import the patient's name respectively, sex, and the age is interval, patient's fixed line; Patient's mobile phone, unit, contact person, contact person's fixed line; Contact person's mobile phone, follow up a case by regular visits to (is that not), the patient retrieves in the address on schedule;
The middle part is the patient with operation tabulation: the patient arranges from little arrival by patient's identification number, shows every patient's ID card No. in the tabulation successively, lands password, patient's identification number, name, sex; At the age, the date of birth, DD, is left hospital the date at admission date; Date of surgery, last is followed up a case by regular visits to the date, and life span (moon number that date of surgery experiences with visiting Japan to last) is followed up a case by regular visits to state (existence, death; Lose to visit), whether recur, (be not), to follow up a case by regular visits to (be or not) on schedule.
The bottom is non-patient with operation tabulation: the patient arranges from little arrival by patient's identification number, shows every patient's ID card No. in the tabulation successively, lands password, patient's identification number; Name, sex, age, date of birth; DD is left hospital the date admission date, and last is followed up a case by regular visits to the date; Follow up a case by regular visits to state (recurrence, recurrence), follow up a case by regular visits to (be or not) on schedule.
(2) follow up a case by regular visits to list block
Following up a case by regular visits to list box top is the simple search window, can import the patient's name respectively, sex, and the age is interval, patient's fixed line, patient's mobile phone, unit, the contact person, contact person's fixed line, contact person's mobile phone, follow up a case by regular visits to (is that not), the patient retrieves in the address on schedule;
Follow up a case by regular visits to list box middle part and follow up a case by regular visits to patient's tabulation for operation, the system default ordering is for according to patient's identification number successively, expire not follow up a case by regular visits to the patient and stand out, in the tabulation successively display message for whether sending note (be or deny), identification card number, password; Patient's identification number, name, sex, age, date of birth; DD, admission date, date of surgery is left hospital the date, and last is followed up a case by regular visits to the date; Life span (moon number that date of surgery experiences with visiting Japan to last) is followed up a case by regular visits to state (existence, death lose to be visited), follows up a case by regular visits to (be or not) on schedule; Plan is followed up a case by regular visits to the date, and whether recur (is not), on the recurrence date, to be responsible for the doctor.
The patient with operation tabulation can be carried out and call after choosing the operation patient, sends note, and Follow-up results is revised and followed up a case by regular visits to time interval function.
Function is called in entering, will show patient information (unit, the patient address, operation names, operation names, operating time is followed up a case by regular visits at interval for name, patient's sex), can edit Follow-up results and editor patient's data function simultaneously; During selection is called, can select patient's fixed line, patient's mobile phone; Contact person's fixed line, contact person's mobile phone is if there is record in the system; Call and then show the number of choosing in the district in the telephone number frame; Direct click to dial, can clicking after number is connected begins to record carries out calling record, clicks on-hook behind the talk-through; As not writing down required phone in the system, can telephone number manually be imported the telephone number frame, dial then.When conversing with the patient, click Follow-up results, show patient's essential information, follow up a case by regular visits to history (is that title is arranged by following up a case by regular visits to date time), editor's Follow-up results window is wherein followed up a case by regular visits to the Shi Zhongke click date and is checked concrete Follow-up results.System can set up a new Follow-up results with current date during this conversation.Click newly-increased Follow-up results in editor's Follow-up results window, the classification of selection problem, the selection problem, corresponding answer and the remarks of occurring can be chosen corresponding answer when operating personnel and patient converse, submit also preservation to.For the Follow-up results of typing, can edit and deletion action it.
Get into and send SMS, select phone number, can select patient's mobile phone or contact person's mobile phone, respective record is arranged, can occur the respective number of registration in the phone number frame like system.After connecting the note cat, in the short message content frame, import short message content, click and send, short message content sends to corresponding phone number through the note cat; As not writing down number in the system, perhaps respective number change then directly Enters Number in the phone number frame and can send note.
After getting into Follow-up results, its content and function and to call function inediting Follow-up results identical.
Get into to revise and follow up a case by regular visits to the time interval, first year interval input frame occurs, the input respective digital is clicked chronomere then, drop-down menu occurs, the day/moon/year occurs, after the selection, makes corresponding selection; Second year interval and triennium interval operation were with 1 year.Input finishes to click to revise and confirms that system is specifically followed up a case by regular visits at interval according to each patient, expires and reminds the keeper to follow up a case by regular visits to work automatically.
Non-patient with operation operating process is the same.
(3) SMS module
Sending note during this module is tabulated with the patient is same module.
(4) incoming call module
Main station connects the computer telephone modulator-demodular unit, and when incoming call got into, the incoming call module can be searched telephone data in the database according to caller ID, then showed the incoming call patient information if any coupling, and this moment, the keeper can select to answer or do not answer; As answer then prompting and whether record, select recording after, recording module starts, and carries out calling record and preserves, and like incoming call answering not, carries out on-hook.
(5) medical personnel's administration module
Medical personnel's administration module can only land the back by super keeper and use, and comprises increasing or deletion medical personnel user and corresponding password.Medical personnel's login system can only be checked each item data information, can not the executive editor, revise and deletion action.
(6) super administrator module
Can increase deletion new super administrator username and corresponding password in the super administrator module.Super keeper can increase, editor, and each association in the deletion native system is detailed, can increase, edits and delete medical personnel user and corresponding password, can add or delete contact person and phone number in section office's SMS module.
(7) follow up a case by regular visits to the problem types administration module
Before problem is followed up a case by regular visits in increase, need classify for newly-increased problem, this module realizes increasing the problem of following up a case by regular visits to newly classifies, like the habits and customs problem, postoperative rehabilitation problem, epidemiology problem, quality of life problem etc.This module window left is the viewing area, and right-hand is the operational zone.At first in the problem types frame, fill in the problem types of preparatory increase; (this this problem types of numeral decision is followed up a case by regular visits to the DISPLAY ORDER of following up a case by regular visits to problem types in the question and answer viewing area in the webpage the patient in display box, to fill in numeral; This is ascending by numeral in proper order, is arranged in order from top to bottom)." whether can only answer once " in the option, if choose " being ", when then the patient answers the problem under this problem types in following up a case by regular visits to the page, in case can not return modification once more after selected answer is submitted to; If choose " denying ", when then the patient answers the problem under this problem types in following up a case by regular visits to the page, after submitting to, selected answer can return modification once more.
After increasing problem types, click " confirming ", system preserves data, and this problem types is presented in the viewing area immediately simultaneously; As need not preserve, click is closed, and whether system prompt is preserved, and clicks " being ", then preserves, and clicks " denying ", does not then preserve and withdraws from.If delete already added problem types, and can be after the problem types that will delete be chosen in the viewing area, " deletion " in clicking operation district, then this problem types disappears in the viewing area immediately.Continue to increase new problem types like need, then directly " newly-increased problem types " in the clicking operation district, this action pane of system closing is opened a newly-increased problem types window, carries out next operation.
(8) with the access volume administration module
Comprise problem and answer listing function and increase problem and answer function.
This module window comprises viewing area and operational zone.The viewing area shows the problem of having preserved and answer tabulation, and each problem and corresponding answer are ascending by the problem sequence numbering, are arranged in order from top to bottom.Increase, editor and deletion problem and answer function are realized in the operational zone.
Carry out increase problem and answer operation: at first in the problem types frame, select this problem types (problem types is accomplished) in module 7; Input problem stem in question box; In " DISPLAY ORDER frame ", fill in this problem DISPLAY ORDER number (DISPLAY ORDER of problem in patient's accession page followed up a case by regular visits in this numeral decision), and in problem sequence number frame, import respective digital (this numeral this problem of decision putting in order in problem list); In " whether the remarks frame is arranged ", click selection " being " and perhaps " deny ",, then " eject the remarks input window ",, do not eject " remarks input window " as selecting " denying " as selecting " being ".Character according to problem; Can carry out multinomial selection and individual event selection definition to the selection of its answer, as choose " individual event selection ", then follow up a case by regular visits to the patient when following up a case by regular visits to this problem answers of page selection; Can only select an answer; As choose " multinomial selection ", and then follow up a case by regular visits to the patient when following up a case by regular visits to this problem answers of page selection, can select a plurality of answers.Checking on one's answers at last increases, edits and delete.As increase answer; Jump out " increasing the answer window "; In " in the newly-increased answer frame " input answer, insert numeral in the answer actual value frame, this numeral is answer assignment (1. smart grain 2. cereals 3. wine 4. cigarettes ...) and determine answer to follow up a case by regular visits to the DISPLAY ORDER under the problem stem in the page the patient.If there is the problem of hiding down in this answer; Then choose and hide the problem option, then jump out to increase and hide the problem window, this window does not provide " selecting the problem types choice box "; Carry out automatic editing (as 11 for problem sequence number system according to the primal problem sequence number; Represent that this hiding problem is that sequence number is No. 1 a hiding problem under 1 the answer under the primal problem stem), in adding for hiding problem answers, the interpolation function (1.1.1) of the problem of hiding is provided once more still.If the problem that increases and preserve or answer are made amendment or are deleted, then click the corresponding button and operate.
Following up a case by regular visits to after problem and answer under problem types and the module (8) edit under the module (7), can appear at automatically the patient follow up a case by regular visits in the webpage with in the access volume, in habits and customs questionnaire, postoperative rehabilitation questionnaire, epidemiology questionnaire, quality of life questionnaire.
(9) module is derived in data importing
The data importing function realizes that Excel formatted data table imports in the patient's tabulation in the native system.The gauge outfit of this tables of data is provided with according to native system especially, after the importing, system can be automatic recognition data table gauge outfit below content, and be added into the patient and tabulate under the respective item, such as identification card number, patient's name, sex, age etc.Carry out to import data, then system prompt selects the Excel tables of data to deposit the path, and selections needs the Excel tables of data that imports, and system judges whether up to specification, as meets and then imports successfully, shows the importing data, as does not meet, and then points out and fails.
The data export function realizes that patient's data exports as the data file of Excel form, and project has contained the total data in patient's tabulation, conveniently carries out medical statistical analysis and research work.
(10) scan image administration module
The scan image module comprises the scanning sequence appointment, imports scan image, deletion scan image, reading scan image.Wherein scanning sequence appointment and reading scan image are positioned under the software master menu, import scan image, and deletion scan image function then is included in the module (1) and increases in patient, editor patient's function and this module reading scan image function.
The execution scanning sequence is specified, and system ejects path block, selects the drive and the catalogue of the scanner executive routine installation of installation, and invisible scanning appearance executive routine.After the appointment, carry out importing scan image function, automated system operation scanner executive routine.
Carry out the reading scan image, system ejects patient's tabulation that existing view data is preserved, and DISPLAY ORDER is arranged in order according to admission number is ascending; Click this patient; System shows the image that has scanned and preserved respectively according to module (1) image data type (like CT, B ultrasonic, nuclear-magnetism etc.).Like certain image of need deletion, click deletion; Amplify certain image like need, click image, eject the image preview frame, scalable or dwindle display image.
(11) section office's short message managing module
Section office's short message managing module comprises newly-increased office staff's classification, newly-increased personnel, and the editorial staff, the deletion personnel send SMS.
At first in newly-increased office staff's classfying frame, fill in specific name (leader of section office, doctor, nurse, trainee earlier; The postgraduate, doctor etc.), then click and confirm; Newly-increased personnel's classification is presented in the display box, before each classification, a choice box is arranged, and chooses destination object during bulk SMS simultaneously.
Open newly-increased personnel's window, select office staff's classification, in newly-increased personnel's frame, fill in name; Fill in post in the post; Fill in phone number in the contact method, click and confirm, newly-increased personnel are presented at corresponding office staff and classify down; Choice box is arranged before the name, choose destination object during bulk SMS simultaneously.Like editor or deletion personnel, then choose corresponding personnel's name, click editor or deletion.
Open and send the note window, choose the choice box before corresponding personnel's classification or the concrete personnel's title, in sending the short message content frame, fill in to send to click after the content and send, number of characters is defined as 140 bytes (70 Chinese characters) in the short message content frame.
(12) advanced inquiry module
The advanced inquiry module comprises the search terms display window, the result for retrieval window.Clicking increases search terms, then ejects the detailed window of search terms, and patient's particulars in this window display module (1) comprise: patient's ID card No., admission number, name, sex; Date of birth, age, native place, unit, detailed address, patient's landline telephone, patient's mobile phone; Name of contact person, contact person's relation, contact person's landline telephone, contact person's mobile phone, the patient follows up a case by regular visits to state, the state of leaving hospital; Admission time is left hospital the time, operating time, diagnostic result, therapeutic modality, operating time; Surgery incisxal edge (unit centimetre), last is with visiting Japan recurrence date, pathology somatotype, pathological staging, clinical stages; The sample source, sample position, sample type, pathological number, pathological examination, scientific research index option.Can once add a plurality of search terms according to the retrieval needs, after click is confirmed, the search terms of increase will be presented at the search terms display window, in respective blocks, import term, or select drop-down option to retrieve, and result for retrieval is presented in the result for retrieval window.
(13) classification of diseases administration module
The classification of diseases module comprises that classification of diseases selects, the management of medical diagnosis on disease title, clinical stages management function.
The other drop-down selector button of click classification of diseases choice box shows operation case or non-operation case, makes corresponding selection back click and confirms, display window shows with this classification of diseases to be the Main classification tree of title (operation case or non-operation case).Click the medical diagnosis on disease title then and manage, eject medical diagnosis on disease title management of dialogs frame, in the diagnosis name frame, insert the disease name that will increase, click and confirm to preserve, this disease name is shown in one and goes on foot under the classification of diseases that chooses.
The clinical stages management; Eject and add clinical stages management of dialogs frame; The top is medical diagnosis on disease title choice box; Click drop-down button and select the medical diagnosis on disease title of typing, it is by stages corresponding to select the back in adding the clinical stages frame, to fill in, and comprises that like this disease a plurality of clinical stagess then can repeatedly add clinical stages.
TNM divides period management, ejects and adds TNM management of dialogs frame by stages, and the top is a medical diagnosis on disease title choice box; The medical diagnosis on disease title of drop-down selection typing; Select the back to fill in the frame by stages correspondingly adding TNM by stages, comprise a plurality of TNM by stages, can repeatedly add TNM by stages like this disease.
(14) bulk print module
The bulk print module comprises prints patient's data, bulk print advice note function.
Printing patient data function can be clicked and confirm once with needing the patient who prints choose simultaneously, and data are through the printer output of outside connection, and content is consistent in output content of pages and the patient's tabulation; Print the advice note function and can print the patient's name, identification card number and generate login password at random supplies patient's logon server to get into the own page of following up a case by regular visits to, and answers the problem of following up a case by regular visits to of being correlated with.
(15) statistical analysis module
Statistical analysis module is carried out function of statistic analysis, comprises operation patients and non-operation patients statistical study.
Click the operation patients statistical study, eject and select window, window is enumerated the classification of diseases detail, select required disease after, click and confirm, show patient's composition analysis, follow up a case by regular visits to and lose visit rate statistics.
Click patient's composition analysis, system can list patient's sex statistical item automatically according to database, difference clinical stages statistical item.Wherein patient's sex statistical item comprises several examples of the male sex, several examples of women, number percent number separately; Difference clinical stages statistical item comprises the routine number of this disease different sexes patient under various clinical stagess, accounts for the total routine hundreds of proportion by subtraction numbers of this disease.Age is formed statistics and can calculate its mean age, The median age and standard error according to selected disease patient's age.The Excel data file can printed or export as to analysis result.
Beneficial effect of the present invention is the expansion of following up a case by regular visits to mode to original, the upgrading of original technology of following up a case by regular visits to, and the blank of domestic correlative technology field has been filled up in the innovation of original mechanism of following up a case by regular visits to, and the technical progress that brings is conspicuous.
Description of drawings
Fig. 1 is an operational scheme block diagram of the present invention;
Fig. 2 is a module composition frame chart of the present invention;
Fig. 3 is case control's module frame chart;
Fig. 4 follows up a case by regular visits to the list block block diagram;
Fig. 5 is patient's note and section office's SMS module block diagram;
Fig. 6 is the incoming call module frame chart;
Fig. 7 is medical personnel's administration module block diagram;
Fig. 8 is super managerial personnel's administration module block diagram;
Fig. 9 follows up a case by regular visits to problem types administration module block diagram;
Figure 10 is with access volume administration module block diagram;
Figure 11 is that module frame chart is derived in data importing;
Figure 12 is that the patient lands and follows up a case by regular visits to the webpage FB(flow block).
Figure 13 is that the patient lands and follows up a case by regular visits to webpage and answer and to follow up a case by regular visits to the problem synoptic diagram.
Embodiment
The general structure of native system is as shown in Figure 1.The structure of each functional module and operational scheme as stated, and shown in Fig. 2-12.The embodiment of native system is following, gives an example with the squamous carcinoma of larynx case.
At first on the computing machine of the loading WINNT 4.0Server of a Microsoft server operation platform, master routine is installed, is guaranteed that this server connects external network; The headset style telephone set that can dial external call is linked to each other with the modulator-demodular unit of computing machine; Connect a note cat that comprises GSM/GPRS/CDMA double frequency communication chip and support the communication of EGSM900/1800Mhz double frequency through USB port, drive this note cat; Connect a printer through USB port, and drive this printer; Connect a medical image Film scanner through USB port, drive this scanner.
At first to medical personnel's administration module (5), super administrator module (6), follow up a case by regular visits to problem types administration module (7) and carry out data maintenance with access volume administration module (8).Follow up a case by regular visits to problem types administration module (7), questionnaire administration module (8), section office's short message managing modules (11) and classification of diseases administration module (13) and carry out data typing and maintenance.
Click the system's icon on the computer desktop, the super administrator username and password of input gets into the system of following up a case by regular visits on the log-in interface.Click case control's module (1), carrying out increases the patient, and the keeper carries out new patient's typing operation.Get into input interface typing patient particulars successively: like patient's ID card No. 140148195702101****, admission number 578121, the name king so-and-so, the sex man; Date of birth 19570210, age 54, Ying County, Shanxi, native place, Ying County Materials Bureau of unit; In detail Ying County, address street row is certain number, patient's landline telephone 03502900***, patient's mobile phone 130090810**, the name of contact person king so-and-so; The contact person concerns the father and son, contact person's landline telephone 03502900***, and contact person's mobile phone 131110080**, the patient follows up a case by regular visits to state: existence; The state of leaving hospital: recovery from illness, admission time 20100213 is left hospital the time 20100315, operating time 20100216; The therapeutic modality operation, 0.6 centimetre of surgery incisxal edge, last is with visiting Japan 20110216, and the recurrence date does not have; Pathological examination larynx PDSCC, pathological number 20106788, the pathology somatotype hangs down differentiated squamous-cell carcinomas.
Click the diagnostic result drop-down menu, select squamous carcinoma of larynx (glottis type); Click the pathological staging drop-down menu, select T3N0M0; Click the clinical stages drop-down menu, select the II phase.
Click the other menu that increases of scientific research index record, add pack albumen one by one ++ ++, ezrin +++, the calcium attachment proteins+; Neural adhesion albumen +++, CD44++, (+number representative is weak positive for CD24-; ++ number represent the medium positive, +++number represent strong positive ,-number represent negative).
Click sample source drop-down menu, select tissue; Fill in the left side glottis in the sample position, T1001 fills in mark this shop, clicks and submits to; Click sample source drop-down menu, select blood; Sample is filled in venous blood in the position, and Y1001 fills in mark this shop, clicks and submits to; Click sample source drop-down menu, select urine, sample is filled in urina sanguinis in the position, and N1001 fills in mark this shop, clicks and submits to.
Click the image data type, select CT, click and add image, system's operation scanning sequence; Patient CT sheet is put into scanner, click scan, the good back of scanning is clicked and is confirmed; Then image thumbnails is presented in this window, clicks thumbnail image below submit button, returns typing image data type interface.As under this image data type, add more CT images, click once more and add image.Click that thumbnail image is scalable to be browsed, as think deletion, click the below delete button, as browse other images and click the below return push-button.
Whole data typing finishes and click to preserve, and this patient's relevant information is presented in patient's tabulation, revises or adds content and can click patient's below editor patient's button of tabulating like need; As to delete the patient, then click deletion patient button; Browse whole patient informations like need, then click below particulars button.Click the below and print the advice note button, then the webpage password is followed up a case by regular visits to for the patient distributes to land automatically by system, and ejects printing page information the preview window, comprises new line " No.1 Hospital, Shanxi Medical Univ's ENT & HN Surgery Dept. is followed up a case by regular visits to advice note ", lands and follows up a case by regular visits to web page address; The patient's name, ID card No., patient's identification number, password; The hospital address, telephone number is explained " logon web page needs name, ID card No.; patient's identification number, and password is indispensable, and properly preserves individual privacy information "; Click the print button of printing page information the preview window below, this page is printed through external printer, as not printing, then clicks cancel button.
After advice note is printed and to be finished, give the patient after leaving hospital, and follow up a case by regular visits to the basic method of application and the operation steps of webpage, the benefit of the work of following up a case by regular visits to is described to patient's explanation and demonstration when the patient handles.
Click the tabulation of following up a case by regular visits on the master menu, get into this module, the patient information of visible typing just now appears in the tabulation; Choose this patient, click the below modification and follow up a case by regular visits to interval buttons, because this patient is the patient that newly leaves hospital; Import 3 in the input frame at interval in first year; Click chronomere then, drop-down menu occurs, select the moon; Second year interval input frame input digit 6, the moon is selected by chronomere, and triennium is input frame input digit 1 at interval, and year is selected by chronomere.Input finishes to click to revise and confirms.System can expire according to this time interval and remind the keeper to follow up a case by regular visits to work automatically; For example: can be 1 year system on May 16th, 2010, on August 16th, 2010, on November 16th, 2010; Ejected prompting frame respectively on February 16th, 2011, prompting the keeper follow up a case by regular visits to this patient; Can be 1 year system on August 16th, 2011, ejected prompting frame prompting keeper on February 16th, 2012 this patient is followed up a case by regular visits to; Can eject prompting frame prompting keeper on February 16th, 2013 the 3rd year system follows up a case by regular visits to the patient.
For example: on May 16th, 2010, system can eject prompting frame prompting keeper this patient is followed up a case by regular visits to.Get into and send SMS, select phone number, select patient's mobile phone; Can occur the registered number of system in the phone number frame, in the short message content frame, import short message content: " king so-and-so you is good, you on February 16th, 2010 in the treatment that undergos surgery of my institute's ear,nose & throat-neck surgery; should follow up a case by regular visits to registration on May 16th, 2010, please visit the network address of following up a case by regular visits on the advice note and login, follow up a case by regular visits to question answering; and incoming call follows up a case by regular visits to the check preregistration, welcomes Call Advisory.No.1 Hospital, Shanxi Medical Univ's ENT & HN Surgery Dept. wishes that you live a happy life! ", to click and send, short message content sends on patient's mobile phone through the note cat.After note was sent and finished, then following up a case by regular visits in the tabulation was that " not sending note " becomes " being " automatically.
If the patient lands and follows up a case by regular visits to webpage and carry out the filling in and submitting to of relevant issues (like Figure 13) on schedule; Then system understands the time that record data upgrade automatically; Follow up a case by regular visits to simultaneously " to follow up a case by regular visits to " in the tabulation on schedule and can become " being ", " last is followed up a case by regular visits to the time " system can be recorded as the date that the patient submits a question automatically.
If the patient does not land and follows up a case by regular visits to webpage on schedule, then the keeper carries out phone and follows up a case by regular visits to.
Function is called in entering, will show patient information; Select then to show patient's phone number 130090810** in patient's cell-phone telephone number frame that direct click to dial, number are connected back click beginning recording and carried out calling record, click on-hook behind the talk-through; When conversing with the patient, system can set up a new Follow-up results with current date (on May 16th, 2010) during this conversation.Click newly-increased Follow-up results in editor's Follow-up results window, the classification of selection problem, the selection problem, corresponding answer and the remarks of occurring when operating personnel and patient converse, can be chosen corresponding answer according to patient's answer, submit also preservation to.Follow-up results for typing can be edited and deletion action it.
The patient carries out the registration of check time in following up a case by regular visits to the keeper; The keeper clicks section office's short message managing module afterwards; Select this patient's person in charge doctor; In " display box ", choose this person in charge doctor, in sending the short message content frame, fill in " so-and-so will in such a month, and on such a day return institute's check in certain year the patient king that you are responsible for ", click and send.
Above-mentioned instance shows that useful technique effect of the present invention is embodied in:
(1) the present invention is an integrated computer technology, voice call, and SMS, Internet technology and realize follow up a case by regular visits to platform gathered follow up data is preserved and management, has promoted to follow up a case by regular visits to management scientification, standardization, systematization.
(2) interactivity of the present invention is strong; The patient uploads that to follow up a case by regular visits to information mode various, can initiatively land to follow up a case by regular visits to webpage or incoming call and carry out active and follow up a case by regular visits to, and the keeper also can send a telegraph the patient and carry out passive following up a case by regular visits to; Effectively active is followed up a case by regular visits to passive following up a case by regular visits to and combine, promote to follow up a case by regular visits to that everything goes well with your work accomplishes.
(3) the present invention possesses intelligent characteristics, is following up a case by regular visits to the time of different patient's regulation individual characteies, and initiatively points out the keeper to carry out the regular follow-up to the patient, effectively improves the patient and follows up a case by regular visits to efficient.
(4) related data of institute of the present invention record patient is full and accurate, in order, is that study of disease takes place, and lapses to and patient's later stage rehabilitation provides detailed research data.
(5) problem of following up a case by regular visits to that comprises of the present invention can infinitely be added according to clinical and scientific research needs.
(6) the scientific research index among the present invention record can infinitely add according to the scientific research needs, for the fundamental research of disease provides the firsthand information.
(7) data export function of the present invention has powerful compatibility, can patient's data be exported as the Excel form, and the existing main flow statistical analysis software of convenient importing like SPSS, effectively guarantees later stage scientific payoffs output.
(8) a plurality of modules of the present invention comprise quick search function, make things convenient for the keeper to transfer the data of target patient.
(9) the present invention can make hospital have more patient's resource, has guaranteed that to a certain extent there are stronger viability and development power in hospital in intense market competition, promotes economic benefit.
(10) through the present invention's following up a case by regular visits to the patient; " doctor-patient-hospital " closely related to together, more make the patient experience the care and the love of hospital, promote the confidence of patient disease rehabilitation; Make them return society early; Bring into play the function of " society-physiology-psychology " new medical model, good facilitation has been played in the improvement of doctor-patient relationship, increased society & culture's benefit.
(11) the present invention makes the patient that leaves hospital obtain continuing and reasonably observes, and in time understands the state of an illness to lapse to rule, can in time give patient's specialization, scientific guidance and suggestion simultaneously; Make the patient can early detection, early diagnosis, early treatment; Early rehabilitation has been practiced thrift patient's expense.
In sum, the present invention is the expansion of following up a case by regular visits to mode to original, the upgrading of original technology of following up a case by regular visits to, and the innovation of original mechanism of following up a case by regular visits to has been filled up domestic correlative technology field and has been got blankly, and the useful technique effect that brings is obvious.
Claims (5)
1. a patient who is used for clinical medicine and scientific research follows up a case by regular visits to system, it is characterized in that: it is made up of following 15 modules:
(1) case control's module, list block is followed up a case by regular visits in (2), (3) SMS module, (4) incoming call module; (5) medical personnel's administration module, (6) super administrator module, the problem types administration module is followed up a case by regular visits in (7), and (8) are with the access volume administration module; (9) module, (10) scan image administration module, (11) section office short message managing module, (12) advanced inquiry module are derived in data importing; (13) classification of diseases administration module, (14) bulk print module, (15) statistical analysis module; Each functional module is based on the WINNT 4.0Server of Microsoft server operation platform development; And on well-known server, move; Modulator-demodular unit that can connect telephone wire of outside connection connects a note cat that comprises GSM/GPRS/CDMA double frequency communication chip and support the communication of EGSM900/1800Mhz double frequency, connects a headset style telephone set simultaneously; Connect a printer, connect a medical image Film scanner;
(1) case control's module comprises that the patient tabulates and increases the patient, and the patient tabulates and carries out patient's inquiry, increases the patient, editor patient, deletion patient, particulars, printing advice note function; Increase the patient and carry out typing patient particulars function;
The list box top of following up a case by regular visits to of (2) following up a case by regular visits in the list block is the simple search window; Carry out patient information and carry out search function; Patient's tabulation is followed up a case by regular visits to for operation in the middle part; System default ordering is for according to patient's identification number successively, expire not follow up a case by regular visits to the patient and stand out, in the tabulation successively display message for whether sending note; The patient with operation tabulation is after choosing the operation patient, and execution is called, and sends note, and Follow-up results is revised and followed up a case by regular visits to time interval function, gets into to call function, shows patient information; Get into and send SMS, select phone number, can send note;
(3) sending note in SMS module and the patient tabulation is same module;
(4) incoming call module, main station connects the computer telephone modulator-demodular unit, when incoming call gets into; The incoming call module is searched telephone data in the database according to caller ID, then shows the incoming call patient information if any coupling, and this moment, the keeper can select to answer or do not answer; As answer then prompting and whether record, after selecting to record, recording module starts; Carry out calling record and preserve, like incoming call answering not, on-hook;
(5) medical personnel's administration module; Medical personnel's administration module can only land the back by super keeper and use, and comprises increasing or deletion medical personnel user and corresponding password that medical personnel's login system can only be checked each item data information; Can not be any editor, revise and delete function;
(6) super administrator module; Can increase, delete new super administrator username and corresponding password in the super administrator module; Each association that super keeper can increase, edits and delete in the native system is detailed; Can increase, edit or delete medical personnel user and corresponding password, contact person and phone number in interpolation or the deletion section office SMS module;
(7) follow up a case by regular visits to the problem types administration module, before problem is followed up a case by regular visits in increase, need classify for newly-increased problem, this module realizes increasing the problem of following up a case by regular visits to and newly classifies; This module window left is the viewing area, and right-hand is the operational zone, at first in the problem types frame, fills in the problem types of preparatory increase, in display box, fills in numeral; Whether can only answer once, if choose " being ", when then the patient answers the problem under this problem types in following up a case by regular visits to the page, in case can not return modification once more after selected answer is submitted to; If choose " denying ", after submitting to, selected answer can return modification once more, and behind the increase problem types, click and confirm and can preserve; This problem is presented in the viewing area immediately simultaneously, and as not preserving, click is closed, and whether system prompt is preserved; Click " being ", then preserve, click " denying ", do not preserve and withdraw from;
(8) with the access volume administration module; Comprise problem and answer listing function and increase problem and answer function; This module window comprises viewing area and operational zone, and the viewing area shows has preserved problem and answer, and each problem and corresponding answer are ascending by the problem sequence numbering; Be arranged in order from top to bottom, increase, editor and deletion problem and answer function are realized in the operational zone;
(9) module is derived in data importing, and the data importing function realizes Excel formatted data table, and the gauge outfit of this tables of data is according to the native system setting; Import the back system and can be added into the patient according to gauge outfit below content and tabulate under the respective item, carry out importing data, then system prompt selects Excel formatted data table to deposit the path; The Excel formatted data table that selection need to import, system judges whether up to specification, as meets and then import successfully; Show to import data, as do not meet, then prompting failure;
(10) scan image administration module comprises the scanning sequence appointment, imports scan image; The deletion scan image, the reading scan image, wherein scanning sequence appointment and reading scan image are positioned under the software strain menu; Import scan image; Deletion scan image function then is included in and increases in patient, editor patient and this module reading scan image function, and the scanning sequence appointment need come invisible scanning appearance executive routine according to drive and catalogue that the scanner executive routine of installing is installed, after the formulation; When importing the scanning patter function executing, the operation scanner is swept program in native system automatically; After carrying out the reading scan image function, system ejects patient's tabulation that existing view data is preserved, and DISPLAY ORDER is arranged in order according to admission number is ascending, clicks this patient, and system shows the image that has scanned and preserved respectively according to module (1) image data type; Like certain image of need deletion, click deletion; Amplify certain image like need, click image, eject the image preview frame, scalable or dwindle display image;
(11) section office's short message managing module comprises newly-increased office staff's classification, newly-increased personnel, and the editorial staff, the deletion personnel send SMS; At first in newly-increased office staff's classfying frame, fill in specific name earlier, then click and confirm, newly-increased personnel's classification can be presented in the display box, before each classification, a choice box is arranged; Be convenient to bulk SMS, open newly-increased personnel's window, select office staff's classification, in newly-increased personnel's frame, fill in name; Fill in post in the post, fill in phone number in the contact method, click and confirm; Newly-increased personnel can be presented at corresponding office staff and classify down, and choice box is arranged before the name, are convenient to send note for individual persons and use; Like editor or deletion personnel, then choose corresponding personnel's name, click editor or deletion; Open and send the note window, choose the choice box before corresponding personnel's classification or the concrete personnel's title, in sending the short message content frame, fill in to send to click after the content and send;
(12) advanced inquiry module, the advanced inquiry module comprises the search terms display window, the result for retrieval window; Clicking increases search terms, then ejects the detailed window of search terms, patient's particulars in this window display module; Can once add a plurality of search terms according to the retrieval needs, after click is confirmed, the search terms of increase will be presented at the search terms display window; In respective blocks, import term, or select drop-down option to retrieve, result for retrieval is presented in the result for retrieval window;
(13) classification of diseases administration module comprises that classification of diseases selects, the management of medical diagnosis on disease title, clinical stages management function; TNM is function by stages, clicks the other drop-down selector button of classification of diseases choice box, shows operation case or non-operation case; Make corresponding selection back click and confirm, it is the Main classification tree of title that display window shows with this classification of diseases, clicks the management of medical diagnosis on disease title then; Eject medical diagnosis on disease title management of dialogs frame, in the diagnosis name frame, insert the disease name that will increase, click and confirm to preserve; This disease name is shown in one and goes on foot under the classification of diseases that chooses, and the clinical stages management is ejected and added clinical stages management of dialogs frame;
(14) bulk print module comprises the patient's data of printing, and printing patient data function can be clicked and confirm once with needing the patient who prints choose simultaneously, and data are through the printer output of outside connection, and content is consistent in output content of pages and the patient's tabulation; Print the advice note function and can print patient's name, identification card number and generate login password at random, supply patient's logon server to get into the page of following up a case by regular visits to of oneself, answer the relevant problem of following up a case by regular visits to;
(15) statistical analysis module, statistical analysis module is carried out function of statistic analysis, comprises operation patients and non-operation patients statistical study; Click the operation patients statistical study, eject and select window, window is enumerated the classification of diseases detail; After selecting required disease specific; Click and confirm, show patient's composition analysis, follow up a case by regular visits to and lose visit rate statistics; Click patient's composition analysis, system can list patient's sex statistical item automatically according to database, difference clinical stages statistical item, and wherein patient's sex statistical item comprises several examples of the male sex, several examples of women, number percent number separately; Difference clinical stages statistical item comprises the routine number of this disease different sexes patient under various clinical stagess; Account for the total routine hundreds of proportion by subtraction numbers of this disease, the age is formed statistics and can calculate its mean age, The median age and standard error according to selected disease patient's age; The Excel data file can printed or export as to analysis result.
2. the patient who is used for clinical medicine and scientific research according to claim 1 follows up a case by regular visits to system, it is characterized in that in case control's module, increases the patient and carries out typing patient particulars function, and particulars comprise: patient's ID card No., admission number, name, sex; Date of birth, age, native place, unit, detailed address, patient's landline telephone, patient's mobile phone; Name of contact person, contact person's relation, contact person's landline telephone, contact person's mobile phone, patient's existence, the state of following up a case by regular visits to that death or mistake are visited, the state of leaving hospital; Admission time is left hospital the time, operating time, diagnostic result, therapeutic modality, operating time, surgery incisxal edge; Last is with visiting Japan recurrence date, pathology somatotype, pathological staging, clinical stages, sample source; The sample position, sample type, pathological number, pathological examination, scientific research index record, image data image uploading.
3. the patient who is used for clinical medicine and scientific research according to claim 2 follows up a case by regular visits to system, it is characterized in that the pathology somatotype can edit, add its value, comprises differentiation degree, atypical hyperplasia; Its value can be edited, added to pathological staging; Its value can be edited, added to clinical stages; The sample source can be edited, added its value, comprises blood, saliva, secretion, tissue, blood etc.; Pathological number can be edited and added its value; Its value can be edited, added to the scientific research index; Image data can be edited, add its value, comprises CT, nuclear-magnetism, and B ultrasonic, nuclear medicine etc., each image data can correspondence be uploaded plurality of pictures, and picture can add and delete, and after uploading, clicks scalable the browsing in back.
4. the patient who is used for clinical medicine and scientific research according to claim 1 follows up a case by regular visits to system; It is characterized in that system carries out logic determines, if patient data is arranged in the database when getting into case control's module; Then get into patient's tabulation; If there is not patient data, then carrying out increases the patient, and the keeper carries out new patient's typing operation.
5. the patient who is used for clinical medicine and scientific research according to claim 1 follows up a case by regular visits to system, it is characterized in that in section office's SMS module, number of characters is defined as 140 bytes in the short message content frame.
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