CN110491525A - A kind of Telemedicine Consultation method and system - Google Patents
A kind of Telemedicine Consultation method and system Download PDFInfo
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- CN110491525A CN110491525A CN201910583486.9A CN201910583486A CN110491525A CN 110491525 A CN110491525 A CN 110491525A CN 201910583486 A CN201910583486 A CN 201910583486A CN 110491525 A CN110491525 A CN 110491525A
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- G—PHYSICS
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- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
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Abstract
The invention discloses a kind of Telemedicine Consultation method and systems, consultation of doctors request is parsed, sets up consultation of doctors team, consultation of doctors Team Member includes expert team member, general doctor member and intern member, make general doctor that can also participate in consultation of doctors process, it is horizontal to improve whole medical treatment；The consultation of doctors data of generation is stored to consultation of doctors document data base, while history consultation of doctors data repeatedly being called to assist this consultation of doctors process, avoids the wasting of resources；In the entire consultation of doctors stage, data check integration work transfers to system aid in treatment, has saved the time of consultation of doctors Team Member, has allowed to simultaneously participate in multiple consultation of doctors processes, improve consultation of doctors efficiency, is conducive to hold a consultation grouping of data storage and recycling；Using the simulation consultation of doctors subsystem initiation simulation consultation of doctors, user is helped to improve itself medical level, while improving the utilization rate of consultation of doctors data, it helps to find and solve the problems, such as to leave during the history consultation of doctors, promote the raising of whole medical treatment level.
Description
Technical field
The present invention relates to technical field of long-distance medical, in particular to a kind of Telemedicine Consultation method and system.
Background technique
It is modern with the fast development of computer technology, microelectric technique, the communication technology, network technology, multimedia technology
Also step by step calculation machine and the networking of some diagnoses and treatment methods of medicine, patient may span across a limitation selection distant place for space-time region
Well-known expert sees a doctor, i.e. Telemedicine Consultation.Using computer, Communications and Information Systems technology for patient provide it is quick and easy,
Economic and efficient medical services.
Currently, the operating mode of Telemedicine Consultation is usually that attending physician/patient proposes that consultation of doctors request or guidance are asked
It asks, expert's respond request is given and instructed.This operating mode, which to hold a consultation every time, to be confined between a limited number of individual, is only examined
Consider disease treatment itself, most of doctor is to the initiation of the consultation of doctors and by having no to discover, the raising for whole medical treatment level
It helps little, does not also account for the recycling of consultation of doctors data, cause the significant wastage of valuable data resource.
In addition, the data that the expert of response faces only has patient after attending physician/patient or patient initiate consultation of doctors request
Case history needs appropriate experts voluntarily to handle patient medical record, leads to effectively hold a consultation time length, consultation of doctors inefficiency.
Summary of the invention
It is an object of that present invention to provide a kind of Telemedicine Consultation method and system, the meeting that attending physician/patient is initiated
It examines request to be parsed, several doctors is transferred from medical resources bank and set up consultation of doctors team, consultation of doctors Team Member includes being responsible for
The expert team member of guiding treatment, the general doctor member and intern member for further including adjuvant treatment and learning, make general
Logical doctor can also participate in consultation of doctors process, and it is horizontal to improve whole medical treatment；The consultation of doctors data of generation is stored to consultation of doctors data number
According to library, while history consultation of doctors data repeatedly being called to assist this consultation of doctors process, avoids the wasting of resources；The entire consultation of doctors stage point
For at least four stages, data check collects conformity stage, the stage that exchanges of holding a consultation, the consultation of doctors with arrangement stage, first run consultation of doctors opinion
Feedback and evaluation, only consultation of doctors exchange stage need to hold a consultation, and Team Member is online simultaneously, and data check integration work transfers to system auxiliary
Processing is helped, the time of consultation of doctors Team Member has been saved, has allowed to simultaneously participate in multiple consultation of doctors processes, improve consultation of doctors efficiency,
Be conducive to hold a consultation grouping of data storage and recycling；Handling capacity value carries out real-time update to the treatment level of doctor, in conjunction with meeting
Team's creation method is examined, it is horizontal that whole medical treatment is continuously improved；The simulation consultation of doctors is initiated using simulation consultation of doctors subsystem, user is helped to mention
Itself high medical level, while improving the utilization rate of consultation of doctors data, it helps lost during discovery and the solution history consultation of doctors
The problem of staying promotes the raising of whole medical treatment level.
To reach above-mentioned purpose, in conjunction with Fig. 1, the present invention proposes a kind of Telemedicine Consultation method, which comprises
S1: creation medical resource library, medical resource library include consultant's resources bank, consultation of doctors document data base；The meeting
Examine doctor's resources bank for store each doctor identity information, be good at disease type, every kind be good at the corresponding energy of disease type
Force value, can reservation time information；The consultation of doctors document data base is for storing diagnosis and treatment query, corresponding diagnosis and treatment answer, Yi Jili
History consultation of doctors request, the final consultation note of corresponding history.
S2: numberical range locating for binding ability value establishes the corresponding expert database of every kind of disease type, general doctor's number
According to library, intern's database, expert database is in the identity information of the doctor of the first numberical range for storage capacity value,
General doctor database is in the identity information of the doctor of second value range for storage capacity value, and intern's database is used
Third value range is in storage capacity value and intention disease type of holding a consultation is the identity information for corresponding to the doctor of disease type,
The consultation of doctors intention disease type of member in each intern's database is no more than setting amount threshold, the first numberical range
Minimum limit value is greater than the highest limit value of second value range, and the minimum limit value of second value range is greater than third value range most
Ceiling value.
S3: the consultation of doctors request that attending physician/patient sends is received, includes patient identification information and disease in the consultation of doctors request
Data is gone through, setting tag along sort is requested to the consultation of doctors according to medical history information, tag along sort includes consultation of doctors disease type, consultation of doctors time limit model
It encloses, grade of difficulty of holding a consultation, patient identification information.
S4: it is cured according to the expert database, general doctor database, practice that consultation of doctors disease type transfers corresponding disease type
Raw database determines that consultation of doctors Team Member, consultation of doctors Team Member include: M special in conjunction with consultation of doctors time limit range, grade of difficulty of holding a consultation
The expert team of the doctor's composition stored in family's database, the doctor's composition stored in N number of general doctor database general doctor
Intern team in raw team, L intern's database；It wherein, include K consultation of doctors disease type in M expert
Corresponding ability value is greater than the expert of setting capacity threshold；Described M, N, L, K are the positive integer more than or equal to 1, and the K's takes
Value is corresponded with consultation of doctors grade of difficulty.
S5: extracting the keyword in medical history information, generates retrieval formula, retrieves in consultation of doctors document data base with the presence or absence of full
The history of foot retrieval formula, which is held a consultation, requests, if it does, history consultation of doctors request and the final consultation note of corresponding history are transferred, it is raw
At the first search result.
S56: consultation of doctors request and the first search result are sent to consultation of doctors Team Member within the setting time limit, receive meeting
The consultation of doctors opinion of Team Member's feedback is examined, consultation of doctors opinion includes diagnosis and treatment opinion and diagnosis and treatment query, using diagnosis and treatment query as keyword,
It is answered in retrieval consultation of doctors document data base with the presence or absence of corresponding diagnosis and treatment, generates the second search result, diagnosis and treatment opinion, diagnosis and treatment are doubted
It asks, generate first run consultation note after the second search result summarizes.
S6: first run consultation note is sent to consultation of doctors Team Member, while creating session window, session members include curing mainly
Doctor/patient and consultation of doctors Team Member.
S7: the new consultation of doctors opinion and diagnosis and treatment answer of consultation of doctors Team Member feedback are received, new consultation of doctors note is generated after summarizing
Whether record, be sent to expert team's request confirmation for new consultation note and hold a consultation and finish, if it is confirmed that the consultation of doctors finishes, by new meeting
Record is examined as final consultation note and is sent to consultation of doctors Team Member and attending physician/patient, terminates this consultation of doctors, it otherwise, will
New consultation note is sent to consultation of doctors Team Member, repeats this step, until expert team's confirmation consultation of doctors finishes, the meeting that will confirm that
Record is examined as final consultation note and is sent to consultation of doctors Team Member and attending physician/patient, terminates this consultation of doctors.
S8: diagnosis and treatment query and corresponding diagnosis and treatment answer, consultation of doctors request and corresponding final consultation of doctors record storage are extremely held a consultation
In document data base.
S9: the ability value of evaluation consultation of doctors Team Member again adjusts the expert database for corresponding to disease type, general doctor
Database, intern's database composition of personnel.
Based on aforementioned Telemedicine Consultation method, the present invention further mentions a kind of tele-consultation system, the system packet
Include medical resource library, the consultation of doctors subsystem, examination/evaluation subsystem.
The medical resource library includes consultant's resources bank, consultation of doctors document data base；Consultant's resources bank is used
In store the identity information of each doctor, be good at disease type, every kind be good at the corresponding ability value of disease type, can subscription time
Information；The consultation of doctors document data base requests for storing diagnosis and treatment query, corresponding diagnosis and treatment answer and the history consultation of doctors, is corresponding
The final consultation note of history.
The medical resource library includes library categorization module and enquiry module, in which:
The library categorization module establishes the corresponding expert's number of every kind of disease type for numberical range locating for binding ability value
According to library, general doctor database, intern's database, expert database is in the first numberical range for storage capacity value
The identity information of doctor, general doctor database are in the identity information of the doctor of second value range for storage capacity value,
Intern's database is in third value range and consultation of doctors intention disease type for storage capacity value as corresponding disease type
Doctor identity information, the minimum limit value of the first numberical range is greater than the highest limit value of second value range, second value model
The minimum limit value enclosed is greater than the highest limit value of third value range.
The enquiry module is used to inquire corresponding data from consultation of doctors document data base according to retrieval formula or keyword,
Enquiry module includes that retrieval formula generates engine, for extracting the keyword in medical history information, generates retrieval formula.
Preferably, the medical resource library, especially consultation of doctors document data base are an open database, are looked into convenient for user
Inquiry data, learning and communication.Wherein, for certain special disease cases, reading permission can be set according to actual needs.
The consultation of doctors subsystem include the consultation of doctors request receiving module, the consultation of doctors request analysis module, the consultation of doctors team's creation module,
Consultation of doctors management module.
The consultation of doctors request receiving module is used to receive the consultation of doctors request that attending physician/patient sends, the meeting that will be received
It examines request and is sent to consultation of doctors request analysis module, include patient identification information and medical history information in the consultation of doctors request.
The consultation of doctors request analysis module is used to request setting tag along sort, tag along sort packet to the consultation of doctors according to medical history information
Consultation of doctors disease type, consultation of doctors time limit range, the consultation of doctors grade of difficulty, patient identification information are included, parsing result is sent to consultation of doctors pipe
Manage module.
The consultation of doctors management module calls consultation of doctors team creation module, transfers corresponding disease according to consultation of doctors disease type
The expert database of type, general doctor database, intern's database, in conjunction with consultation of doctors time limit range, consultation of doctors grade of difficulty
Determine consultation of doctors Team Member, consultation of doctors Team Member includes: the expert team, N number of that the doctor that stores in M expert database forms
Intern group in the general doctor team of the doctor's composition stored in general doctor database, L intern's database
Team；It wherein, include that the corresponding ability value of K consultation of doctors disease type is greater than the expert for setting capacity threshold in M expert；It is described
M, N, L, K are the positive integer more than or equal to 1, and the value and consultation of doctors grade of difficulty of the K corresponds.
The consultation of doctors management module comprises the following modules:
1) for calling the enquiry module to extract the keyword in medical history information, retrieval formula, the retrieval consultation of doctors are generated
In document data base with the presence or absence of meet retrieval formula history hold a consultation request, if it does, transfer history the consultation of doctors request and it is right
The final consultation note of the history answered generates the module of the first search result.
2) for consultation of doctors request and the first search result to be sent to the mould of consultation of doctors Team Member within the setting time limit
Block.
3) for receiving the consultation of doctors opinion of consultation of doctors Team Member feedback, opinion of holding a consultation includes diagnosis and treatment opinion and diagnosis and treatment query,
It calls enquiry module using diagnosis and treatment query as keyword, is answered in retrieval consultation of doctors document data base with the presence or absence of corresponding diagnosis and treatment,
The second search result is generated, the mould of first run consultation note is generated after diagnosis and treatment opinion, diagnosis and treatment query, the second search result are summarized
Block.
4) for first run consultation note to be sent to consultation of doctors Team Member, while session window is created, session members include
The module of attending physician/patient and consultation of doctors Team Member.
5) for receiving the new consultation of doctors opinion and diagnosis and treatment answer of consultation of doctors Team Member feedback, the new consultation of doctors is generated after summarizing
Whether record, be sent to expert team's request confirmation for new consultation note and hold a consultation and finish, if it is confirmed that the consultation of doctors finishes, it will be new
Consultation note is sent to consultation of doctors Team Member and attending physician/patient as final consultation note, terminates this consultation of doctors, otherwise,
New consultation note is sent to consultation of doctors Team Member, repeats this step, until expert team's confirmation consultation of doctors finishes, will confirm that
Consultation note is sent to consultation of doctors Team Member and attending physician/patient as final consultation note, terminates the module of this consultation of doctors.
6) for answer diagnosis and treatment query and corresponding diagnosis and treatment, hold a consultation request and the extremely meeting of corresponding final consultation of doctors record storage
Examine the module in document data base.
Ability value of the examination/evaluation subsystem for evaluation consultation of doctors Team Member again, adjusts corresponding disease type
Expert database, general doctor database, intern's database composition of personnel.
Entire Telemedicine Consultation method includes following four part.
First part, request analysis of holding a consultation
Attending physician or patient propose consultation of doctors request, include patient identification information and medical history information in consultation of doctors request,
Medical history information is not limited to written historical materials, further includes imaging material etc..System pre-processes consultation of doctors request, including data
Cleaning, data screening, format conversion etc. then request setting tag along sort to the consultation of doctors according to medical history information, and tag along sort includes
Consultation of doctors disease type, consultation of doctors time limit range, consultation of doctors grade of difficulty, patient identification information etc..
The second part, the creation of consultation of doctors team
The purpose that tag along sort is arranged is to create corresponding consultation of doctors team, and consultation of doctors Team Member includes being responsible for guiding treatment
Expert team member, further include adjuvant treatment and study general doctor member and intern member, on the one hand make except special
General doctor other than family can also participate in consultation of doctors process, by practical process of holding a consultation, improve itself medical level, Jin Erti
High whole medical treatment is horizontal, and on the other hand, general doctor using mode is randomly selected stage by stage, by being randomly incorporated into general doctor,
It absorbs all the useful ideas, expands diagnosis and treatment thinking, promote medical advance.
Third part, part of formally holding a consultation
After having created consultation of doctors team, into the formal consultation of doctors, the present invention is proposed, is held a consultation data by effective use history,
Save the time of consultation of doctors member.Entire formal consultation of doctors part is divided into four-stage: data check and arrangement stage, first run consultation of doctors meaning
See and collects conformity stage, consultation of doctors exchange stage, consultation of doctors feedback and evaluation.
In data check and arrangement stage: according to medical history information, the patient identification information for including in this consultation of doctors request, looking into
Consultation of doctors document data base is ask, similar history consultation of doctors data information is arranged, provides historical data for this consultation of doctors and support.It will arrange
History the consultation of doctors data information and this consultation of doctors request be distributed to the consultation of doctors team in each member, so that it is quickly understood disease
Feelings give first run consultation of doctors opinion in conjunction with itself knowledge.At this stage, it holds a consultation in team between each member without all meetings
Words, can freely select the time completes this stage work content, and the related diagnosis and treatment query generated in diagnosis and treatment process can be used as the consultation of doctors
Opinion is submitted together.
First run consultation of doctors opinion collects conformity stage: when the first run for being collected into all consultation of doctors members holds a consultation opinion, into head
Wheel consultation of doctors opinion collects conformity stage, firstly, being directed to diagnosis and treatment query, retrieves consultation of doctors document data base, judgement using enquiry module
With the presence or absence of existing answer, secondly, analyzing the diagnosis and treatment opinion of each consultation of doctors member, first round consultation note is generated, the
One wheel consultation note in include integration after diagnosis and treatment opinion, diagnosis and treatment query, for the search result of diagnosis and treatment query.
The consultation of doctors exchange stage: being distributed to each consultation of doctors member for the first round consultation note of generation, while opening all meetings
Window is talked about, all session windows can be using modules such as video, texts, it is therefore an objective to all consultation of doctors members be allow to combine the first round
Consultation note carries out disclosed mutually exchange, this part exchanged with traditional consultation of doctors it is similar, the difference is that increasing into
The management module of member, since consultation of doctors team of the invention is different with traditional consultation of doctors team, in order to make entirely to hold a consultation the exchange stage
Can orderly carry out, according to the consultation of doctors member type, be provided with different session grades, for example, only have text exchange permission,
It is provided simultaneously with text exchange and exchanges permission etc. with video, it is preferred that there is at least one rights management user in session members,
It can change, manage the session grade of each session members.
After consultation of doctors exchange, each consultation of doctors member provides the second wheel consultation of doctors opinion according to exchange result, according to same
Mode integrated after generate second wheel consultation note, second wheel consultation note in include integration after second wheel the consultation of doctors opinion,
Diagnosis and treatment query, corresponding diagnosis and treatment answer.Due to having carried out disclosed consultation of doctors exchange, the consultation of doctors opinion that epicycle generates is possible to
Final consultation note, therefore, generation second take turns consultation note after, by second wheel consultation note be sent to the consultation of doctors at
Member, request expert team member is confirmed whether that the consultation of doctors finishes, if it is confirmed that the consultation of doctors finishes, using the second wheel consultation note as final
Consultation note achieves, if expert team member thinks that the generate second wheel consultation note has dispute or has new diagnosis and treatment
Thinking can repeat the aforementioned consultation of doctors exchange stage, until the consultation note generated obtains expert team member approval.
Four processes, consultation of doctors result is summarized and member's examination
After terminating the consultation of doctors, the consultation note generated in diagnosis and treatment process, diagnosis and treatment query, corresponding diagnosis and treatment answer are achieved,
In case subsequent calls.In addition, the performance and learning outcome to this consultation of doctors member are checked and rated, dynamic updates the energy of consultation of doctors member
Force value improves consultation of doctors member's enthusiasm, consolidates this consultation of doctors learning outcome, improves the medical level of whole member, increase Gao Shui
The quantity of flat healthcare givers constitutes benign cycle.
The above technical solution of the present invention, compared with existing, significant beneficial effect is:
(1) consultation of doctors request that attending physician/patient initiates is parsed, several doctors is transferred from medical resources bank
Consultation of doctors team is set up, consultation of doctors Team Member includes the expert team member for being responsible for guiding treatment, further includes adjuvant treatment and study
General doctor member and intern member, make general doctor that can also participate in consultation of doctors process, it is horizontal to improve whole medical treatment.
(2) consultation of doctors data generated is stored to consultation of doctors document data base, while repeatedly calling history consultation of doctors data auxiliary
This consultation of doctors process, avoids the wasting of resources.
(3) the entire consultation of doctors stage was divided at least four stages, and data check and arrangement stage, first run consultation of doctors opinion are collected whole
The conjunction stage, the consultation of doctors exchange stage, the consultation of doctors feedback and evaluation, only the consultation of doctors exchange stage need to hold a consultation Team Member simultaneously it is online, money
Material inquiry integration work transfers to system aid in treatment, has saved the time of consultation of doctors Team Member, has allowed to simultaneously participate in multiple
Consultation of doctors process improves consultation of doctors efficiency, is conducive to hold a consultation grouping of data storage and recycling.
(4) handling capacity value carries out real-time update to the treatment level of doctor, in conjunction with consultation of doctors team's creation method, constantly mentions
High whole medical treatment is horizontal.
(5) the simulation consultation of doctors is initiated using simulation consultation of doctors subsystem, user is helped to improve itself medical level, improve consultation of doctors money
While the utilization rate of material, it helps find and solve the problems, such as to leave during the history consultation of doctors, promote whole medical treatment horizontal
Raising.
It should be appreciated that as long as aforementioned concepts and all combinations additionally conceived described in greater detail below are at this
It can be viewed as a part of the subject matter of the disclosure in the case that the design of sample is not conflicting.In addition, required guarantor
All combinations of the theme of shield are considered as a part of the subject matter of the disclosure.
Can be more fully appreciated from the following description in conjunction with attached drawing present invention teach that the foregoing and other aspects, reality
Apply example and feature.The features and/or benefits of other additional aspects such as illustrative embodiments of the invention will be below
Description in it is obvious, or learnt in practice by the specific embodiment instructed according to the present invention.
Detailed description of the invention
Attached drawing is not intended to drawn to scale.In the accompanying drawings, identical or nearly identical group each of is shown in each figure
It can be indicated by the same numeral at part.For clarity, in each figure, not each component part is labeled.
Now, example will be passed through and the embodiments of various aspects of the invention is described in reference to the drawings, in which:
Fig. 1 is the flow chart of Telemedicine Consultation method of the invention.
Specific embodiment
In order to better understand the technical content of the present invention, special to lift specific embodiment and institute's accompanying drawings is cooperated to be described as follows.
In conjunction with Fig. 1, the present invention proposes a kind of Telemedicine Consultation method, which comprises
S1: creation medical resource library, medical resource library include consultant's resources bank, consultation of doctors document data base；The meeting
Examine doctor's resources bank for store each doctor identity information, be good at disease type, every kind be good at the corresponding energy of disease type
Force value, can reservation time information；The consultation of doctors document data base is for storing diagnosis and treatment query, corresponding diagnosis and treatment answer, Yi Jili
History consultation of doctors request, the final consultation note of corresponding history.
S2: numberical range locating for binding ability value establishes the corresponding expert database of every kind of disease type, general doctor's number
According to library, intern's database, expert database is in the identity information of the doctor of the first numberical range for storage capacity value,
General doctor database is in the identity information of the doctor of second value range for storage capacity value, and intern's database is used
Third value range is in storage capacity value and intention disease type of holding a consultation is the identity information for corresponding to the doctor of disease type,
The consultation of doctors intention disease type of member in each intern's database is no more than setting amount threshold, the first numberical range
Minimum limit value is greater than the highest limit value of second value range, and the minimum limit value of second value range is greater than third value range most
Ceiling value.
S3: the consultation of doctors request that attending physician/patient sends is received, includes patient identification information and disease in the consultation of doctors request
Data is gone through, setting tag along sort is requested to the consultation of doctors according to medical history information, tag along sort includes consultation of doctors disease type, consultation of doctors time limit model
It encloses, grade of difficulty of holding a consultation, patient identification information.
S4: it is cured according to the expert database, general doctor database, practice that consultation of doctors disease type transfers corresponding disease type
Raw database determines that consultation of doctors Team Member, consultation of doctors Team Member include: M special in conjunction with consultation of doctors time limit range, grade of difficulty of holding a consultation
The expert team of the doctor's composition stored in family's database, the doctor's composition stored in N number of general doctor database general doctor
Intern team in raw team, L intern's database；It wherein, include K consultation of doctors disease type in M expert
Corresponding ability value is greater than the expert of setting capacity threshold；Described M, N, L, K are the positive integer more than or equal to 1, and the K's takes
Value is corresponded with consultation of doctors grade of difficulty.
S5: extracting the keyword in medical history information, generates retrieval formula, retrieves in consultation of doctors document data base with the presence or absence of full
The history of foot retrieval formula, which is held a consultation, requests, if it does, history consultation of doctors request and the final consultation note of corresponding history are transferred, it is raw
At the first search result.
S56: consultation of doctors request and the first search result are sent to consultation of doctors Team Member within the setting time limit, receive meeting
The consultation of doctors opinion of Team Member's feedback is examined, consultation of doctors opinion includes diagnosis and treatment opinion and diagnosis and treatment query, using diagnosis and treatment query as keyword,
It is answered in retrieval consultation of doctors document data base with the presence or absence of corresponding diagnosis and treatment, generates the second search result, diagnosis and treatment opinion, diagnosis and treatment are doubted
It asks, generate first run consultation note after the second search result summarizes.
S6: first run consultation note is sent to consultation of doctors Team Member, while creating session window, session members include curing mainly
Doctor/patient and consultation of doctors Team Member.
S7: the new consultation of doctors opinion and diagnosis and treatment answer of consultation of doctors Team Member feedback are received, new consultation of doctors note is generated after summarizing
Whether record, be sent to expert team's request confirmation for new consultation note and hold a consultation and finish, if it is confirmed that the consultation of doctors finishes, by new meeting
Record is examined as final consultation note and is sent to consultation of doctors Team Member and attending physician/patient, terminates this consultation of doctors, it otherwise, will
New consultation note is sent to consultation of doctors Team Member, repeats this step, until expert team's confirmation consultation of doctors finishes, the meeting that will confirm that
Record is examined as final consultation note and is sent to consultation of doctors Team Member and attending physician/patient, terminates this consultation of doctors.
S8: diagnosis and treatment query and corresponding diagnosis and treatment answer, consultation of doctors request and corresponding final consultation of doctors record storage are extremely held a consultation
In document data base.
S9: the ability value of evaluation consultation of doctors Team Member again adjusts the expert database for corresponding to disease type, general doctor
Database, intern's database composition of personnel.
Based on aforementioned Telemedicine Consultation method, the present invention further mentions a kind of tele-consultation system, the system packet
Include medical resource library, the consultation of doctors subsystem, examination/evaluation subsystem.
The medical resource library includes consultant's resources bank, consultation of doctors document data base；Consultant's resources bank is used
In store the identity information of each doctor, be good at disease type, every kind be good at the corresponding ability value of disease type, can subscription time
Information；The consultation of doctors document data base requests for storing diagnosis and treatment query, corresponding diagnosis and treatment answer and the history consultation of doctors, is corresponding
The final consultation note of history.
The medical resource library includes library categorization module and enquiry module, in which:
The library categorization module establishes the corresponding expert's number of every kind of disease type for numberical range locating for binding ability value
According to library, general doctor database, intern's database, expert database is in the first numberical range for storage capacity value
The identity information of doctor, general doctor database are in the identity information of the doctor of second value range for storage capacity value,
Intern's database is in third value range and consultation of doctors intention disease type for storage capacity value as corresponding disease type
Doctor identity information, the minimum limit value of the first numberical range is greater than the highest limit value of second value range, second value model
The minimum limit value enclosed is greater than the highest limit value of third value range.
The enquiry module is used to inquire corresponding data from consultation of doctors document data base according to retrieval formula or keyword,
Enquiry module includes that retrieval formula generates engine, for extracting the keyword in medical history information, generates retrieval formula.
The consultation of doctors subsystem include the consultation of doctors request receiving module, the consultation of doctors request analysis module, the consultation of doctors team's creation module,
Consultation of doctors management module.
The consultation of doctors request receiving module is used to receive the consultation of doctors request that attending physician/patient sends, the meeting that will be received
It examines request and is sent to consultation of doctors request analysis module, include patient identification information and medical history information in the consultation of doctors request.
The consultation of doctors request analysis module is used to request setting tag along sort, tag along sort packet to the consultation of doctors according to medical history information
Consultation of doctors disease type, consultation of doctors time limit range, the consultation of doctors grade of difficulty, patient identification information are included, parsing result is sent to consultation of doctors pipe
Manage module.
The consultation of doctors management module calls consultation of doctors team creation module, transfers corresponding disease according to consultation of doctors disease type
The expert database of type, general doctor database, intern's database, in conjunction with consultation of doctors time limit range, consultation of doctors grade of difficulty
Determine consultation of doctors Team Member, consultation of doctors Team Member includes: the expert team, N number of that the doctor that stores in M expert database forms
Intern group in the general doctor team of the doctor's composition stored in general doctor database, L intern's database
Team；It wherein, include that the corresponding ability value of K consultation of doctors disease type is greater than the expert for setting capacity threshold in M expert；It is described
M, N, L, K are the positive integer more than or equal to 1, and the value and consultation of doctors grade of difficulty of the K corresponds.
The consultation of doctors management module comprises the following modules:
1) for calling the enquiry module to extract the keyword in medical history information, retrieval formula, the retrieval consultation of doctors are generated
In document data base with the presence or absence of meet retrieval formula history hold a consultation request, if it does, transfer history the consultation of doctors request and it is right
The final consultation note of the history answered generates the module of the first search result.
2) for consultation of doctors request and the first search result to be sent to the mould of consultation of doctors Team Member within the setting time limit
Block.
3) for receiving the consultation of doctors opinion of consultation of doctors Team Member feedback, opinion of holding a consultation includes diagnosis and treatment opinion and diagnosis and treatment query,
It calls enquiry module using diagnosis and treatment query as keyword, is answered in retrieval consultation of doctors document data base with the presence or absence of corresponding diagnosis and treatment,
The second search result is generated, the mould of first run consultation note is generated after diagnosis and treatment opinion, diagnosis and treatment query, the second search result are summarized
Block.
4) for first run consultation note to be sent to consultation of doctors Team Member, while session window is created, session members include
The module of attending physician/patient and consultation of doctors Team Member.
5) for receiving the new consultation of doctors opinion and diagnosis and treatment answer of consultation of doctors Team Member feedback, the new consultation of doctors is generated after summarizing
Whether record, be sent to expert team's request confirmation for new consultation note and hold a consultation and finish, if it is confirmed that the consultation of doctors finishes, it will be new
Consultation note is sent to consultation of doctors Team Member and attending physician/patient as final consultation note, terminates this consultation of doctors, otherwise,
New consultation note is sent to consultation of doctors Team Member, repeats this step, until expert team's confirmation consultation of doctors finishes, will confirm that
Consultation note is sent to consultation of doctors Team Member and attending physician/patient as final consultation note, terminates the module of this consultation of doctors.
6) for answer diagnosis and treatment query and corresponding diagnosis and treatment, hold a consultation request and the extremely meeting of corresponding final consultation of doctors record storage
Examine the module in document data base.
Ability value of the examination/evaluation subsystem for evaluation consultation of doctors Team Member again, adjusts corresponding disease type
Expert database, general doctor database, intern's database composition of personnel.
In further embodiment, the system also includes simulation consultation of doctors subsystem, the simulation consultation of doctors subsystem is used for
The simulation request sent according to user, chooses corresponding history consultation of doctors request from medical resources bank, and creation includes the user's
Simulation consultation of doctors team, holds a consultation.
The simulation consultation of doctors is carried out based on history consultation of doctors request and history consultation note, simulates consultation of doctors process with the formal consultation of doctors
Journey, difference are that will not select true doctor participates in the consultation of doctors.Preferably, user initiates the simulation for one of consultation of doctors request
After application, system discloses the simulation application and open addition engine within the scope of a setting time, for participating in other intentions
The user of simulation can participate in into the simulation consultation of doctors, and in the case of this kind, simulation consultation of doctors Team Member includes that intention participates in simulation
User, the user for initiating simulation application and several robotic users.It is allowed users to more in depth by simulating the consultation of doctors
Solve the disease case consultation of doctors process and final medical treatment result, enhance learning effect.
The several technical points in Telemedicine Consultation method and system referred to below for the present invention are described in detail.
One, creation consultation of doctors team
From the foregoing it will be appreciated that consultation of doctors Team Member includes: the expert team of the doctor's composition stored in M expert database, N
The general doctor team of the doctor's composition stored in a general doctor database, the intern in L intern's database
Team；It wherein, include that the corresponding ability value of K consultation of doctors disease type is greater than the expert for setting capacity threshold in M expert；Institute
Stating M, N, L, K is the positive integer more than or equal to 1, and the value and consultation of doctors grade of difficulty of the K corresponds.
In consultation of doctors Team Member, expert team, which is mainly responsible for, to be proposed diagnosis and treatment scheme and instructs general doctor, it is contemplated that is examined
Therapeutic effect, consultation of doctors grade of difficulty is higher, and the quantity of corresponding highly qualified specialist is more.In the present invention, pass through disease class of holding a consultation
The corresponding ability value of type evaluates medical level of the doctor in terms of the consultation of doctors disease, and ability value herein is a dynamic value.
While general doctor team is mainly responsible for auxiliary proposition diagnosis and treatment scheme, by participating in consultation of doctors process, itself is improved
Medical level.The consultation of doctors Team Member that the present invention refers to may be from the multiple hospitals in multiple areas, since patient cures the disease tool
There is regional feature, the patient that each consultation of doctors Team Member touches is usually different, causes each doctor for controlling
Treating a certain disease has its unique understanding, by introducing general doctor team, can effectively widen examining for entire consultation of doctors team
Thinking is treated, and then influences the diagnosis and treatment thinking of consultation of doctors Team Member region.
The main purpose that intern team participates in the consultation of doctors is to improve itself medical treatment by participating in high-caliber consultation of doctors process
It is horizontal.
The present invention provides one of methods for creating consultation of doctors team, and detailed process is as follows:
S41: by expert each in expert database can reservation time information compare with time limit range pair, filter out and meet
Several expert's identity informations of time limit range, constitute alternative expert database, with set capacity threshold as reference, will be alternatively special
Family's database is divided into the first alternative expert database and the second alternative expert database, wherein the first alternative expert database
The expert's identity information for being more than or equal to setting capacity threshold for storing the corresponding ability value of consultation of doctors disease type, second is alternative special
Family's database is used to store expert's identity information that the corresponding ability value of consultation of doctors disease type is less than setting capacity threshold.
S42: the corresponding ability value of K consultation of doctors disease type is randomly selected from the first alternative expert database and is more than or equal to
The expert for setting capacity threshold, selects (M-K) a expert to form further according to following formula from the second alternative expert database
Expert team:
S-SA=Δ S >=0
Wherein, xiIt is the corresponding ability value of consultation of doctors disease type of i-th of expert, xjIt is the consultation of doctors disease class of j-th of expert
The corresponding ability value of type, SAIt is total energy force value threshold value corresponding with consultation of doctors grade of difficulty, S is the consultation of doctors disease of the expert team of composition
Sick type is corresponding can force value.The total energy force value for the expert team set up by management and the quantity of highly qualified specialist ensure
There is enough abilities to cope with this consultation of doctors for the expert team of establishment.
Preferably, one of selection of specialists principle are as follows: (M-K) a expert of selection makes the value of Δ S minimum, that is,
The corresponding total energy force value threshold value of the closest consultation of doctors grade of difficulty of the ability value of the expert team ultimately generated.Due to what is carried out simultaneously
Holding a consultation, it is multiple to request to have, and such creation method can effectively avoid medical resource under the premise of ensuring to hold a consultation effect
Waste.More preferred, while considering two variables of value minimum and expert consultation frequency of Δ S, for example, preferential selection setting
(a period of time before such as current time) consultation of doctors lower expert of frequency, makes each expert ginseng as much as possible in time range
Exchange with to the consultation of doctors, passes through exchange and itself medical capabilities and whole medical treatment level are continuously improved.
S43: by doctor each in general doctor database can reservation time information compare with time limit range pair, filter out
Meet the identity information of several doctors of time limit range, constitutes alternative general doctor database.
S44: the member in alternative general doctor database is arranged according to the sequence of ability value from high to low, is divided into N
A section randomly selects a doctor from each section and forms general doctor team.The general doctor selected by this method
With certain randomness and generality, the medical level of general doctor can be improved from whole angle.
S45: by intern each in intern's database can reservation time information compare with time limit range pair, sieve
The identity information for meeting several interns of time limit range is selected, alternative intern's database is constituted.
S46: by the member in alternative intern's database according to from far near suitable of the last time for participating in the consultation of doctors
Sequence arrangement chooses L foremost doctors and constitutes intern team.The selection of intern is similar by the way of being lined up,
Purpose is to participate in each intern can in an orderly manner in consultation of doctors study.
In some instances, if including the identity information of designated doctor in the consultation of doctors request, designated doctor is made
Consultation of doctors team is added for expert team member.
For example, being directed to certain difficult and complicated cases, when attending physician or patient specify certain authoritative expert to participate in the consultation of doctors, will enclose
Consultation of doctors team is set up around the authoritative expert.
In other examples, when team's creation of holding a consultation fails, different processing strategies is introduced according to failure cause.
For example, the group of corresponding consultation of doctors grade of difficulty can not be set up due to the doctor's negligible amounts for meeting consultation of doctors time limit range
Team needs to determine processing strategie according to the clinician's types lacked at this time.
The method also includes:
The number of the consultation of doctors team created within the scope of the consultation of doctors time limit for including in response to consultation of doctors request is insufficient, and analysis failure is former
Cause:
If 1) failure cause is that expert team number is insufficient, it is not good enough to may result in treatment effect, sends the first inquiry
Information is confirmed whether adjustment consultation of doctors time limit range to attending physician/patient, and provides selectable consultation of doctors time limit range ,/
Patient is determined to select a time again according to the actual situation or be held a consultation within the former time limit using existing consultation of doctors team.
2) if failure cause is that general doctor's number is insufficient or intern's number is insufficient, due to treatment effect
Influence is smaller, failure cause and the second inquiry message can be sent to attending physician/patient, to be confirmed whether using current wound
The consultation of doctors team built.
During the consultation of doctors, it is possible to may require that and introduce new consultation of doctors member, for example, having found that case history provides when consultation of doctors exchange
The medical difficult point for never including in material, and currently consultation of doctors Team Member can introduce when being bad to handle the medical treatment difficult point
New consultation of doctors member enters consultation of doctors team.
The selection of new consultation of doctors member can be initiated application, system by expert team and select appropriate person according to application,
It can be recommended by expert team.
By taking the latter as an example, the method also includes:
The consultation of doctors member for receiving any one expert initiation introduces application, it will examines member and introduces application and corresponding confirmation
Request is sent to all expert team members, if the ratio that the quantity of the confirmation request received accounts for Team Member's quantity is greater than
Setting ratio threshold value introduces new consultation of doctors member, and is divided to corresponding consultation of doctors team according to its ability value.
Two, consultation of doctors process
From the foregoing it will be appreciated that consultation of doctors process is divided into four-stage, it is therefore an objective to consultation of doctors efficiency is improved, consultation of doctors data is effectively arranged,
Constitute benign cycle.
First, consultation of doctors Team Member needs to provide first run consultation of doctors opinion when being connected to consultation of doctors request, terminates in the confirmation consultation of doctors
When need to provide final consultation of doctors opinion, the process including generating during the consultation of doctors is held a consultation opinion, these consultation of doctors opinions are that can chase after
The text information or video data to trace back, convenient for achieving and recycling.
Second, during the consultation of doctors, the Team Member that holds a consultation can propose to effectively exchange and learn in consultation of doctors opinion
Diagnosis and treatment query makes answer by the Team Member that holds a consultation or retrieves corresponding answer from consultation of doctors document data base, this part
Work the key point for carrying out, on the one hand helping to facilitate in discovery disease synchronous with disease treatment, is broken through, on the other hand, newly
The answer of generation or the answer retrieved are aided with present illness case, as valuable medical data resource are subsequent after archive
The diagnosis and treatment of other diseases provide instruction.
Third summarizes integration process by diagnosis and treatment opinion at least twice, sufficient excavation can be done to present illness case,
Enable the consultation of doctors Team Member for participating in holding a consultation quickly understand the current consultation of doctors simultaneously to judge in next step as a result, making.
4th, the history chat record of recording conversation window will store after the information sifting in history chat record to meeting
Examine document data base.History chat record can also provide data branch other than it can trace consultation of doctors process for the simulation consultation of doctors
It holds, it is more life-like to make entirely to simulate consultation of doctors process, enhances user experience, reinforces user's learning effect.
For example, user proposes simulation request, the system creation simulation consultation of doctors, in the consultation of doctors exchange stage, system equally creates one
Session window, session window member are the robot that several are modeled to consultation of doctors Team Member, and the consultation of doctors proposed for user is anticipated
See or diagnosis and treatment query, inquire corresponding history chat record, makes answer etc..
5th, in addition, medical level is constantly progressive, history consultation of doctors data is effectively adjusted by the simulation consultation of doctors
With, it helps it finds and solves the problems, such as to leave during the history consultation of doctors, promote the raising of whole medical treatment level.For the party
Face, the system also includes a review subsystems, when user has found history meeting in simulation process or during data check
In place of leftover problem during examining or diagnostic error, it may be found that leftover problem or diagnostic error in place of and it is corresponding
Answer be committed to review subsystem, audited by special administrative staff, will be answered accordingly with attachment after the approval
Or the form of annotation is marked in former history consultation of doctors data.
Three, the stage is checked and rated
Team Member hold a consultation by constantly participating in the consultation of doctors, study, enhances the medical level of itself, each consultation of doctors is cured
For the member of raw resources bank, ability value is a dynamic value.In order to promote the benign development of whole system, the consultation of doctors is improved
The enthusiasm of doctor, the present invention are provided with appraisal mechanism.
Here is one of appraisal mechanism, it should be understood that wire examination method is not limited to this one kind.Specifically, step S9
In, again evaluation the consultation of doctors Team Member ability value process the following steps are included:
In conjunction with the mutual evaluation score value inside final consultation note and expert team member, each expert team of COMPREHENSIVE CALCULATING
This consultation of doctors score value of member, adjusts the ability value of expert team member.
Examination paper are generated, examination paper are sent to general doctor team member and intern Team Member, in conjunction with examination score value
With expert team member to the evaluation score value of general doctor team member, practice team member, each general doctor team is calculated
This consultation of doctors score value of member, practice team member, adjust the ability value of general doctor team member, practice team member.
It is comprehensive by being scored mutually inside expert team member after the consultation of doctors for expert team member
Contribution proportion corresponding to each expert in the diagnosis and treatment scheme that score value and final consultation note are recorded, calculates each expert at this
Contribution margin in the secondary consultation of doctors adjusts the ability value of expert team member as this score value of holding a consultation.
For general doctor team member and intern Team Member, the variation of ability value is embodied in two sides
Face: the performance during holding a consultation and the inspection to learning outcome during the entire consultation of doctors integrate the performance calculating in terms of the two
Its this consultation of doctors score value, adjusts its ability value.Preferably, examination paper can be automatically generated by system according to consultation of doctors data, can also be with
It is created and is generated by expert team member.
Various aspects with reference to the accompanying drawings to describe the present invention in the disclosure, shown in the drawings of the embodiment of many explanations.
Embodiment of the disclosure need not be defined on including all aspects of the invention.It should be appreciated that a variety of designs and reality presented hereinbefore
Those of apply example, and describe in more detail below design and embodiment can in many ways in any one come it is real
It applies, this is because conception and embodiment disclosed in this invention are not limited to any embodiment.In addition, disclosed by the invention one
A little aspects can be used alone, or otherwise any appropriately combined use with disclosed by the invention.
Although the present invention has been disclosed as a preferred embodiment, however, it is not to limit the invention.Skill belonging to the present invention
Has usually intellectual in art field, without departing from the spirit and scope of the present invention, when can be used for a variety of modifications and variations.Cause
This, the scope of protection of the present invention is defined by those of the claims.
Claims (10)
1. a kind of Telemedicine Consultation method, which is characterized in that the described method includes:
S1: creation medical resource library, medical resource library include consultant's resources bank, consultation of doctors document data base；The consultation of doctors doctor
Raw resources bank be used to store the identity information of each doctor, be good at disease type, every kind be good at the corresponding ability value of disease type,
It can reservation time information；The consultation of doctors document data base is for storing diagnosis and treatment query, corresponding diagnosis and treatment answer and the history consultation of doctors
Request, the final consultation note of corresponding history；
S2: numberical range locating for binding ability value establish the corresponding expert database of every kind of disease type, general doctor database,
Intern's database, expert database are in the identity information of the doctor of the first numberical range for storage capacity value, generally
Doctor database is in the identity information of the doctor of second value range for storage capacity value, and intern's database is for depositing
Energy storage force value is in third value range and intention disease type of holding a consultation is the identity information for corresponding to the doctor of disease type, each
The consultation of doctors intention disease type of member in intern's database be no more than setting amount threshold, the first numberical range it is minimum
Limit value is greater than the highest limit value of second value range, and the highest that the minimum limit value of second value range is greater than third value range limits
Value；
S3: receiving the consultation of doctors request that attending physician/patient sends, and includes that patient identification information and case history provide in the consultation of doctors request
Material, according to medical history information to the consultation of doctors request setting tag along sort, tag along sort include the consultation of doctors disease type, the consultation of doctors time limit range,
The consultation of doctors grade of difficulty, patient identification information；
S4: the expert database, general doctor database, intern's number of corresponding disease type are transferred according to consultation of doctors disease type
According to library, consultation of doctors Team Member is determined in conjunction with consultation of doctors time limit range, consultation of doctors grade of difficulty, consultation of doctors Team Member includes: M expert's number
According to the general doctor group of the doctor's composition stored in the expert team of the doctor's composition stored in library, N number of general doctor database
Intern team in team, L intern's database；It wherein, include that K consultation of doctors disease type is corresponding in M expert
Ability value be greater than setting capacity threshold expert；Described M, N, L, K are the positive integer more than or equal to 1, the value of the K with
Grade of difficulty of holding a consultation corresponds；
S5: extracting the keyword in medical history information, and generation retrieval formula is retrieved in consultation of doctors document data base with the presence or absence of satisfaction inspection
The history of rope formula is held a consultation request, if it does, transfer history consultation of doctors request and the final consultation note of corresponding history, generates the
One search result；
S56: being sent to consultation of doctors Team Member for consultation of doctors request and the first search result within the setting time limit, receives consultation of doctors group
The consultation of doctors opinion of team's member's feedback, consultation of doctors opinion includes diagnosis and treatment opinion and diagnosis and treatment query, using diagnosis and treatment query as keyword, retrieval
Hold a consultation document data base in the presence or absence of corresponding diagnosis and treatment answer, generate the second search result, by diagnosis and treatment opinion, diagnosis and treatment query,
Second search result generates first run consultation note after summarizing；
S6: first run consultation note is sent to consultation of doctors Team Member, while creating session window, session members include curing mainly doctor
Life/patient and consultation of doctors Team Member；
S7: receiving the new consultation of doctors opinion and diagnosis and treatment answer of consultation of doctors Team Member feedback, new consultation note generated after summarizing, will
Whether new consultation note is sent to expert team's request confirmation, which holds a consultation, finishes, if it is confirmed that the consultation of doctors finishes, the new consultation of doctors is remembered
Record is sent to consultation of doctors Team Member and attending physician/patient as final consultation note, terminates this consultation of doctors, otherwise, will be new
Consultation note is sent to consultation of doctors Team Member, repeats this step, until expert team's confirmation consultation of doctors finishes, the consultation of doctors note that will confirm that
Record is sent to consultation of doctors Team Member and attending physician/patient as final consultation note, terminates this consultation of doctors；
S8: by diagnosis and treatment query and corresponding diagnosis and treatment answer, consultation of doctors request and corresponding final consultation of doctors record storage to the data of holding a consultation
In database；
S9: the ability value of evaluation consultation of doctors Team Member again adjusts expert database, the general doctor data of corresponding disease type
Library, intern's database composition of personnel.
2. Telemedicine Consultation method according to claim 1, which is characterized in that the method also includes:
If including the identity information of designated doctor in the consultation of doctors request, it is added designated doctor as expert team member
Hold a consultation team.
3. Telemedicine Consultation method according to claim 1, which is characterized in that the session window includes video session
Window, text session window, the member of the session window are provided with session grade.
4. Telemedicine Consultation method according to claim 1, which is characterized in that in step S4, when the combination is held a consultation
Limit range, the consultation of doctors grade of difficulty determine the consultation of doctors Team Member the following steps are included:
S41: by expert each in expert database can reservation time information compare with time limit range pair, filter out and meet the time limit
Several expert's identity informations of range, constitute alternative expert database, to set capacity threshold as reference, by alternative expert's number
The first alternative expert database and the second alternative expert database are divided into according to library, wherein the first alternative expert database is used for
The corresponding ability value of storage consultation of doctors disease type is more than or equal to expert's identity information of setting capacity threshold, second alternative expert's number
It is used to store expert's identity information that the corresponding ability value of consultation of doctors disease type is less than setting capacity threshold according to library；
S42: the corresponding ability value of K consultation of doctors disease type is randomly selected from the first alternative expert database and is more than or equal to setting
The expert of capacity threshold selects (M-K) a expert to form expert further according to following formula from the second alternative expert database
Team:
S-SA=Δ S >=0
Wherein, xiIt is the corresponding ability value of consultation of doctors disease type of i-th of expert, xjIt is the consultation of doctors disease type pair of j-th of expert
The ability value answered, SAIt is total energy force value threshold value corresponding with consultation of doctors grade of difficulty, S is the consultation of doctors disease class of the expert team of composition
The corresponding total energy force value of type, (M-K) a expert of selection make the value of Δ S minimum；
S43: by doctor each in general doctor database can reservation time information compare with time limit range pair, filter out and meet
The identity information of several doctors of time limit range constitutes alternative general doctor database；
S44: the member in alternative general doctor database is arranged according to the sequence of ability value from high to low, is divided into N number of area
Between, a doctor is randomly selected from each section forms general doctor team；
S45: by intern each in intern's database can reservation time information compare with time limit range pair, filter out
The identity information for meeting several interns of time limit range constitutes alternative intern's database；
S46: the member in alternative intern's database is arranged according to the sequence of the last time for participating in the consultation of doctors from far near
Column choose L foremost doctors and constitute intern team.
5. Telemedicine Consultation method according to claim 1, which is characterized in that the method also includes:
The number of the consultation of doctors team created within the scope of the consultation of doctors time limit for including in response to consultation of doctors request is insufficient, analyzes failure cause,
If failure cause is that expert team's number is insufficient, sends the first inquiry message and be confirmed whether to adjust to attending physician/patient
Consultation of doctors time limit range, and selectable consultation of doctors time limit range is provided and is otherwise sent to failure cause and the second inquiry message
Attending physician/patient, to be confirmed whether using the consultation of doctors team that currently creates.
6. Telemedicine Consultation method according to claim 1, which is characterized in that the method also includes:
The consultation of doctors member for receiving any one expert initiation introduces application, it will examines member and introduces application and corresponding confirmation request
All expert team members are sent to, if the ratio that the quantity of the confirmation request received accounts for Team Member's quantity is greater than setting
Proportion threshold value introduces new consultation of doctors member, and is divided to corresponding consultation of doctors team according to its ability value.
7. Telemedicine Consultation method according to claim 1, which is characterized in that the method also includes:
The history chat record of recording conversation window will be stored after the information sifting in history chat record to consultation of doctors data
Library.
8. Telemedicine Consultation method according to claim 1, which is characterized in that in step S9, the evaluation consultation of doctors again
Team member ability value process the following steps are included:
In conjunction with the mutual evaluation score value inside final consultation note and expert team member, each expert team member of COMPREHENSIVE CALCULATING
This consultation of doctors score value, adjust expert team member ability value.
Examination paper are generated, examination paper are sent to general doctor team member and intern Team Member, in conjunction with examination score value and specially
Team Member, family to the evaluation score value of general doctor team member, practice team member, calculate each general doctor team member,
This consultation of doctors score value of practice team member, adjusts the ability value of general doctor team member, practice team member.
9. a kind of tele-consultation system, which is characterized in that the system comprises medical resource library, the consultation of doctors subsystem, examination/
Evaluate subsystem；
The medical resource library includes consultant's resources bank, consultation of doctors document data base；Consultant's resources bank is for depositing
Store up the identity information of each doctor, be good at disease type, every kind be good at the corresponding ability value of disease type, can subscription time letter
Breath；The consultation of doctors document data base requests for storing diagnosis and treatment query, corresponding diagnosis and treatment answer and the history consultation of doctors, is corresponding
The final consultation note of history；
The medical resource library includes library categorization module and enquiry module, in which:
The library categorization module for numberical range locating for binding ability value establish the corresponding expert database of every kind of disease type,
General doctor database, intern's database, expert database are in the doctor of the first numberical range for storage capacity value
Identity information, general doctor database for storage capacity value be in second value range doctor identity information, practise
Doctor database is in third value range for storage capacity value and intention disease type of holding a consultation is the doctor of corresponding disease type
Raw identity information, the minimum limit value of the first numberical range are greater than the highest limit value of second value range, second value range
Minimum limit value is greater than the highest limit value of third value range；
The enquiry module is used to inquire corresponding data from consultation of doctors document data base according to retrieval formula or keyword, inquires
Module includes that retrieval formula generates engine, for extracting the keyword in medical history information, generates retrieval formula；
The consultation of doctors subsystem includes consultation of doctors request receiving module, consultation of doctors request analysis module, consultation of doctors team's creation module, the consultation of doctors
Management module；
The consultation of doctors request receiving module is used to receive the consultation of doctors request that attending physician/patient sends, and the consultation of doctors received is asked
It asks and is sent to consultation of doctors request analysis module, include patient identification information and medical history information in the consultation of doctors request；
The consultation of doctors request analysis module is used to request setting tag along sort to the consultation of doctors according to medical history information, and tag along sort includes meeting
Disease type, consultation of doctors time limit range, the consultation of doctors grade of difficulty, patient identification information are examined, parsing result is sent to consultation of doctors management mould
Block；
The consultation of doctors management module calls consultation of doctors team creation module, transfers corresponding disease type according to consultation of doctors disease type
Expert database, general doctor database, intern's database, in conjunction with the consultation of doctors time limit range, the consultation of doctors grade of difficulty determine
Hold a consultation Team Member, the consultation of doctors Team Member include: stored in M expert database doctor composition expert team, it is N number of generally
General doctor team, the intern team in L intern's database of the doctor's composition stored in doctor database；Its
In, it include the expert that the corresponding ability value of K consultation of doctors disease type is greater than setting capacity threshold in M expert；The M, N,
L, K is the positive integer more than or equal to 1, and the value and consultation of doctors grade of difficulty of the K corresponds；
The consultation of doctors management module comprises the following modules:
For calling the enquiry module to extract the keyword in medical history information, retrieval formula is generated, consultation of doctors data number is retrieved
It holds a consultation and requests according to the history for retrieving formula with the presence or absence of satisfaction in library, request to go through with corresponding if it does, transferring the history consultation of doctors
The final consultation note of history generates the module of the first search result；
For consultation of doctors request and the first search result to be sent to the module of consultation of doctors Team Member within the setting time limit；
For receiving the consultation of doctors opinion of consultation of doctors Team Member feedback, consultation of doctors opinion includes diagnosis and treatment opinion and diagnosis and treatment query, and calling is looked into
Module is ask using diagnosis and treatment query as keyword, is answered in retrieval consultation of doctors document data base with the presence or absence of corresponding diagnosis and treatment, generation the
Two search results generate the module of first run consultation note after summarizing diagnosis and treatment opinion, diagnosis and treatment query, the second search result；
For first run consultation note to be sent to consultation of doctors Team Member, while session window is created, session members include curing mainly doctor
The module of life/patient and consultation of doctors Team Member；
New consultation of doctors opinion and diagnosis and treatment for receiving consultation of doctors Team Member feedback are answered, and new consultation note is generated after summarizing,
It new consultation note is sent to expert team's request confirmation whether holds a consultation and finish, if it is confirmed that the consultation of doctors finishes, by the new consultation of doctors
Record is sent to consultation of doctors Team Member and attending physician/patient as final consultation note, terminates this consultation of doctors, otherwise, will be new
Consultation note be sent to the consultation of doctors Team Member, repeat this step, until expert team confirmation the consultation of doctors finish, the consultation of doctors that will confirm that
Record is sent to consultation of doctors Team Member and attending physician/patient as final consultation note, terminates the module of this consultation of doctors；
For by diagnosis and treatment query and corresponding diagnosis and treatment answer, consultation of doctors request and corresponding final consultation of doctors record storage to the data of holding a consultation
Module in database；
Ability value of the examination/evaluation subsystem for evaluation consultation of doctors Team Member again, adjusts the special of corresponding disease type
Family database, general doctor database, intern's database composition of personnel.
10. tele-consultation system according to claim 9, which is characterized in that the system also includes simulations to hold a consultation
Subsystem, the simulation that the simulation consultation of doctors subsystem is used to be sent according to user are requested, are chosen from medical resources bank corresponding
History consultation of doctors request, creation include the simulation consultation of doctors team of the user, are held a consultation.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910583486.9A CN110491525A (en) | 2019-07-01 | 2019-07-01 | A kind of Telemedicine Consultation method and system |
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| CN201910583486.9A CN110491525A (en) | 2019-07-01 | 2019-07-01 | A kind of Telemedicine Consultation method and system |
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Cited By (6)
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| CN111180089A (en) * | 2019-12-31 | 2020-05-19 | 创业慧康科技股份有限公司 | Multidisciplinary telemedicine cloud platform configuration system and method |
| CN111276261A (en) * | 2020-01-16 | 2020-06-12 | 创业慧康科技股份有限公司 | MDT consultation system |
| CN111276260A (en) * | 2020-01-16 | 2020-06-12 | 创业慧康科技股份有限公司 | Cloud-based cross-medical joint multidisciplinary joint consultation system |
| CN111477351A (en) * | 2020-05-07 | 2020-07-31 | 成都奇恩生物科技有限公司 | Remote medical specialist consultation system and method for genetic diseases |
| CN112837827A (en) * | 2021-02-07 | 2021-05-25 | 武汉源启科技股份有限公司 | Online team inquiry method, device, server and storage medium |
| CN114664425A (en) * | 2022-05-25 | 2022-06-24 | 四川省医学科学院·四川省人民医院 | Vein treatment management cloud platform and construction method |
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