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CN105279618A - Organ donation archive management system - Google Patents

Organ donation archive management system
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CN105279618A
CN105279618ACN201510835696.4ACN201510835696ACN105279618ACN 105279618 ACN105279618 ACN 105279618ACN 201510835696 ACN201510835696 ACN 201510835696ACN 105279618 ACN105279618 ACN 105279618A
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data
management system
organ
organ donation
donation
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药晨
丹子军
蔡明�
石炳毅
高新谱
王瑞
吕雄
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309th Hospital of PLA
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309th Hospital of PLA
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Abstract

Translated fromChinese

本发明提供了一种器官捐献档案管理系统,包括:数据采集和数据录入装置,所述数据包括文字、图像、视频、和/或语音资料;器官捐献数据库,对各器官捐献者的数据进行储存,并且对所有储存数据设定预定分类,每一器官捐献者的数据均按照所述预定分类进行分类储存;数据校对模块,将至少部分录入的数据输出显示,用于校对;数据输出模块;器官捐献数据库接收到操作请求时,将储存的部分或全部数据输出。本发明根据器官捐献管理相关规范、工作流程、伦理原则和法律原则对器官捐献档案管理进行了规范,并通过信息化手段建立起一套集数据采集、监督审核和统计分析于一体的器官捐献档案管理系统,从而确保DCD工作规范、合法和高效开展。

The present invention provides an organ donation file management system, including: a data acquisition and data entry device, the data includes text, image, video, and/or voice data; an organ donation database, which stores the data of each organ donor , and set predetermined categories for all stored data, and the data of each organ donor is classified and stored according to the predetermined categories; the data proofreading module outputs and displays at least part of the entered data for proofreading; the data output module; the organ When the donation database receives an operation request, it outputs some or all of the stored data. The present invention standardizes the management of organ donation files according to the relevant norms, work flow, ethical principles and legal principles of organ donation management, and establishes a set of organ donation files integrating data collection, supervision and review, and statistical analysis through information technology Management system, so as to ensure that the DCD work is carried out in a standardized, legal and efficient manner.

Description

Translated fromChinese
一种器官捐献档案管理系统An organ donation file management system

技术领域technical field

本发明涉及一种档案管理系统,尤其涉及一种器官捐献档案管理系统。The invention relates to a file management system, in particular to an organ donation file management system.

背景技术Background technique

器官捐献是指,基于个人生前的意愿或家属的同意,以无偿捐赠的方式,把自己的器官捐赠给其他病人、或者捐赠给医学院校用于医学教学。虽然中国在器官移植技术方面已经达到世界水平,但是长期以来,有关器官捐献的法律法规不完善、不健全,一定程度上制约了器官捐献的开展。Organ donation refers to donating one's own organs to other patients or donating them to medical schools for medical teaching in the form of gratuitous donation based on the individual's wishes or family members' consent. Although China has reached the world level in terms of organ transplantation technology, for a long time, the laws and regulations related to organ donation have been imperfect and incomplete, which has restricted the development of organ donation to a certain extent.

2013年8月15日国家卫计委印发了《关于人体捐献器官获取与分配管理规定(试行)》的文件通知,标志着我国公民逝世后器官捐献(DonationofCitizensDeath,DCD)在全国范围全面实施。2014年4月8日总后卫生部和国家卫生计生委联合印发《关于军队医院开展人体器官捐献与移植有关工作的通知》,明确军队移植医院将遵照国家有关规定推进DCD工作开展。On August 15, 2013, the National Health and Family Planning Commission issued the "Regulations on the Administration of Human Donated Organs Acquisition and Distribution (Trial)" document notice, marking the full implementation of Donation of Citizens Death (DCD) nationwide. On April 8, 2014, the Ministry of Health of the General Logistics Department and the National Health and Family Planning Commission jointly issued the "Notice on Human Organ Donation and Transplantation in Military Hospitals", specifying that military transplantation hospitals will promote DCD work in accordance with relevant national regulations.

目前,我国器官捐献工作仍处于起步阶段,《中国人体器官捐献工作指南》对捐献者相关资料的管理尚无统一标准和要求,基本靠各个器官获取组织(OrganProcurementOrganizations,以下简称OPO)自行管理,缺乏实时、有效监管。At present, my country's organ donation work is still in its infancy. The "Guidelines for Human Organ Donation Work in China" has no unified standards and requirements for the management of donor-related data. Real-time and effective supervision.

目前存在的主要问题包括:1)目前家属身份认证完全靠协调员通过核实家属身份信息进行认证,家属身份资料的真实性无法快速核实,核实过程无法监督。2)目前捐献信息主要依靠协调员手工登记和管理,效率低下。3)目前捐献者档案管理大多由各个OPO组织自行管理,捐献完成登记表仍靠邮寄等传统形式向上级部门报送,缺乏实时有效的监管手段。The main problems at present include: 1) At present, the identity verification of family members depends entirely on the coordinator to verify the identity information of the family members. The authenticity of the identity information of the family members cannot be verified quickly, and the verification process cannot be supervised. 2) At present, the donation information mainly relies on the manual registration and management of the coordinator, which is inefficient. 3) At present, the management of donor files is mostly managed by each OPO organization itself, and the registration form of donation completion is still submitted to the higher-level department in traditional ways such as mailing, lacking real-time and effective supervision methods.

目前,全世界已经进入互联网+的时代,本发明建立了规范的器官捐献档案管理标准,并利用信息化手段建立起科学的档案管理系统,通过大数据分析指导我国DCD工作高起点展开和全面健康发展具有重要意义。At present, the whole world has entered the era of Internet+. This invention establishes a standardized organ donation file management standard, and uses information technology to establish a scientific file management system. Through big data analysis, it guides my country's DCD work to a high starting point and comprehensive health. development is important.

发明内容Contents of the invention

为加强捐献者档案管理,确保DCD工作规范开展,本发明提供了一种器官捐献档案管理系统,以确保DCD工作规范、合法和高效开展。In order to strengthen the management of donor files and ensure the standard development of DCD work, the present invention provides an organ donation file management system to ensure standard, legal and efficient development of DCD work.

本发明所提供的器官捐献档案管理系统,包括:The organ donation file management system provided by the present invention includes:

——数据采集和数据录入装置,所述数据包括文字、图像、视频、和/或语音资料;- data collection and data entry devices, said data including text, image, video, and/or voice data;

——器官捐献数据库,对各器官捐献者的数据进行储存,并且对所有储存数据设定预定分类,每一器官捐献者的数据均按照所述预定分类进行分类储存;——The organ donation database stores the data of each organ donor, and sets a predetermined classification for all stored data, and the data of each organ donor is classified and stored according to the predetermined classification;

——数据校对模块,将至少部分录入的数据输出显示,用于校对;——Data proofreading module, which outputs and displays at least part of the entered data for proofreading;

——数据输出模块;器官捐献数据库接收到操作请求时,将储存的部分或全部数据输出。- Data output module; when the organ donation database receives an operation request, it outputs part or all of the stored data.

在一种优选实施例中,所述器官捐献档案管理系统还包括:In a preferred embodiment, the organ donation file management system further includes:

——信息生成模块,针对储存的每一器官捐献者数据,单独设定一个或多个预定时间,当达到所述预定的时间时,所述器官捐献档案管理系统生成预设内容的信息;——The information generating module, for each stored organ donor data, separately set one or more preset times, when the preset time is reached, the organ donation file management system generates preset information;

——信息发出模块,将生成的预设内容的信息发送给接受者。——The information sending module sends the generated preset content information to the receiver.

在一种优选实施例中,所述器官捐献档案管理系统还包括:In a preferred embodiment, the organ donation file management system further includes:

——统计模块;所采集的每一器官捐献者的数据按照预定规则进行分类储存,器官捐献数据库根据接收到的操作请求,提取所存储的数据中的所有或部分器官捐献者数据中特定类别的数据,统计模块对提取出的该类别的数据进行统计计算,并输出统计计算结果。——Statistics module; the collected data of each organ donor is classified and stored according to predetermined rules, and the organ donation database extracts all or part of the specific categories of organ donor data in the stored data according to the received operation request Data, the statistics module performs statistical calculations on the extracted data of this category, and outputs statistical calculation results.

在一种优选实施例中,所述器官捐献档案管理系统,包括中央管理系统和一个或以上客户端,其中:In a preferred embodiment, the organ donation file management system includes a central management system and one or more clients, wherein:

所述中央管理系统包括所述器官捐献数据库、数据校对模块、信息生成模块和信息发出模块;The central management system includes the organ donation database, a data proofreading module, an information generation module and an information sending module;

所述客户端与中央管理系统之间通过通信网络连接,所述客户端包括所述数据采集装置和所述数据录入装置,所录入的数据通过通信网络输送至中央管理系统;所述中央管理系统接收到的数据,通过数据校对模块对录入的至少部分信息进行校对,并将数据储存入器官捐献数据库。The client is connected to the central management system through a communication network, the client includes the data acquisition device and the data entry device, and the entered data is sent to the central management system through the communication network; the central management system For the received data, at least part of the entered information is checked by the data checking module, and the data is stored in the organ donation database.

在一种更优选实施例中,所述中央管理系统接收到数据后,通过通信网络向数据校对模块发出所需校对信息,数据校对模块收到信息后,对信息进行校对。In a more preferred embodiment, after receiving the data, the central management system sends the required proofreading information to the data proofreading module through the communication network, and the data proofreading module proofreads the information after receiving the information.

在一种更优选实施例中,数据校对模块收到信息后,启动提醒功能。In a more preferred embodiment, after the data proofreading module receives the information, it activates the reminder function.

在一种优选实施例中,所述器官捐献档案管理系统包括处理器,处理器判断输入的数据是否包含预设的必须数据类型,当所述必须数据类型全部录入,则允许进行储存。In a preferred embodiment, the organ donation file management system includes a processor, and the processor judges whether the input data contains preset necessary data types, and allows storage when all the necessary data types are entered.

所述处理器可以是设于客户端和/或中央管理系统。The processor can be located in the client and/or in the central management system.

在一种优选实施例中,所述处理器位于客户端,客户端还包括客户端数据储存设备,处理器判断输入的数据是否包含预设的必须数据类型,当所述必须数据类型全部录入,则允许将数据储存至所述客户端数据储存设备;所述客户端数据储存设备将储存的数据编码后发送至中央管理系统,由中央管理系统解码后,通过数据校对模块进行校对。In a preferred embodiment, the processor is located at the client, and the client also includes a client data storage device, and the processor judges whether the input data contains preset necessary data types, and when all the necessary data types are entered, The data is then allowed to be stored in the client data storage device; the client data storage device encodes the stored data and sends it to the central management system, which is decoded by the central management system and then verified by the data verification module.

在一种优选实施例中,所述器官捐献档案管理系统还包括临时储存单元,客户端录入的数据储存如临时储存单元中,所述数据校对模块发出数据资料确认指令后,中央管理系统将数据储存入器官捐献数据库。In a preferred embodiment, the organ donation file management system further includes a temporary storage unit, and the data entered by the client is stored in the temporary storage unit. After the data verification module issues a data confirmation instruction, the central management system will save the data Stored in an organ donation database.

在一种优选实施例中,所述中央管理系统还包括日志生成模块,中央管理系统内储存预设指令类型,中央管理系统接收到与该预设指令类型相同类型的操作指令时,生成操作日志。In a preferred embodiment, the central management system further includes a log generation module, the central management system stores a preset instruction type, and when the central management system receives an operation instruction of the same type as the preset instruction type, an operation log is generated .

在一种优选实施例中,所述器官捐献档案管理系统设有权限控制模块,所述权限控制模块可以是位于客户端和/或中央管理系统。In a preferred embodiment, the organ donation file management system is provided with an authority control module, and the authority control module may be located at the client end and/or the central management system.

其中,所述权限控制模块设置:Wherein, the authority control module sets:

——权限授予用户,用于建立新的用户,并赋予新的用户管理和/或使用器官捐献管理系统的权限;——Privilege granted to users is used to create new users and give new users the authority to manage and/or use the organ donation management system;

——权限监督用户,由权限授予用户设定,用于监督所生成的操作日志与用户权限是否匹配;——Permission supervision user, which is set by the permission granting user, is used to supervise whether the generated operation log matches the user permission;

——数据校对用户,对部分或全部录入的数据进行校对,并向中央管理系统发出数据正确和/或不正确的指令。——Data proofreading users, proofread part or all of the entered data, and issue correct and/or incorrect data instructions to the central management system.

在一种优选实施例中,所述数据在器官捐献数据库内,数据备份采用逻辑备份和物理备份中的一种或几种,并优选为逻辑备份和物理备份的结合。In a preferred embodiment, the data is in the organ donation database, and data backup adopts one or more of logical backup and physical backup, and is preferably a combination of logical backup and physical backup.

本发明根据器官捐献管理相关规范、工作流程、伦理原则和法律原则对器官捐献档案管理进行了规范,并通过信息化手段建立起一套集数据采集、监督审核和统计分析于一体的器官捐献档案管理系统,从而确保DCD工作规范、合法和高效开展。The present invention standardizes the management of organ donation files according to the relevant norms, work flow, ethical principles and legal principles of organ donation management, and establishes a set of organ donation files integrating data collection, supervision and review, and statistical analysis through information technology Management system, so as to ensure that the DCD work is carried out in a standardized, legal and efficient manner.

附图说明Description of drawings

图1为本发明器官捐献档案管理系统流程图;Fig. 1 is a flow chart of the organ donation file management system of the present invention;

图2为本发明器官捐献档案管理系统信息录入窗口示意图;Fig. 2 is a schematic diagram of the information input window of the organ donation file management system of the present invention;

图3为本发明器官捐献档案管理系统统计模块的统计计算结果输出实例;Fig. 3 is an output example of statistical calculation results of the statistical module of the organ donation file management system of the present invention;

图4为权限控制模块模型示意图;Fig. 4 is a schematic diagram of the authority control module model;

图5为本发明器官捐献档案管理系统数据审核模块的审核窗口示意图。Fig. 5 is a schematic diagram of the review window of the data review module of the organ donation file management system of the present invention.

具体实施方式detailed description

参照附图,下面通过具体实施例对本发明器官捐献档案管理系统进行更为详细的介绍和说明,但是下述实施例仅为举例,并不限制本发明范围。Referring to the accompanying drawings, the organ donation file management system of the present invention will be introduced and illustrated in more detail below through specific embodiments, but the following embodiments are only examples and do not limit the scope of the present invention.

实施例1Example 1

参照图1,本发明器官捐献档案管理系统包括文档信息采集11,还连接有高清晰度拍照仪12,能够快速采集图像资料。图像采集信息包括:捐献者身份证、户口本、家属身份证、户口本、证明关系相关材料、死亡判定书、人体捐献器官获取手术知情同意书、人体器官捐献伦理审批表、人体器官捐献伦理审查同意书、ECMO知情同意书、中国人体器官捐献登记表、中国人体器官捐献完成登记表、中国红十字会困难家庭救助申请表、死亡证明等。Referring to Fig. 1, the organ donation file management system of the present invention includes a file information collection 11, and is also connected with a high-definition camera 12, which can quickly collect image data. Image collection information includes: donor ID card, household registration booklet, family ID card booklet, household registration booklet, relevant materials proving relationship, death judgment, informed consent for human organ donation surgery, human organ donation ethics approval form, human organ donation ethics review Consent, ECMO Informed Consent, Chinese Human Organ Donation Registration Form, Chinese Human Organ Donation Completion Registration Form, Chinese Red Cross Society Relief Application Form for Difficult Families, Death Certificate, etc.

本发明器官捐献档案管理系统还连接有高清摄像头与音频采集设施13,可以对捐献者家属进行拍照、录音,留取影音资料,便于开展实名认证工作。The organ donation file management system of the present invention is also connected with a high-definition camera and an audio collection facility 13, which can take pictures and record audio of the donor's family members, and retain audio and video materials, so as to facilitate real-name authentication.

所有数据信息采集后,协调员21通过客户端录入数据信息,根据录入信息性质设置结构化和非结构化信息录入框,包括捐献者的姓名、性别、出生年月、籍贯、死亡原因、捐献器官、捐献日期等基本信息,如图2所示。本发明器官捐献档案管理系统预设必须录入的信息类别(必填项,图中带*选项)和可选信息类别(可选项),必填项是中要求器官捐献必须具备的相关资料,若缺项则整个建档过程无法完成。通过此项设置可以强行要求OPO组织严格按照标准填报数据,从而规范流程。该系统将登记信息分为结构化和非结构化数据,操作简便,大大提高协调员21工作效率。本发明制定了器官捐献电子档案数据结构模型,通过采集结构化数据和非结构化数据统一生成标准的数据文件。After all the data information is collected, the coordinator 21 enters the data information through the client, and sets structured and unstructured information input boxes according to the nature of the input information, including the name, gender, date of birth, place of origin, cause of death, and organ donation of the donor. , donation date and other basic information, as shown in Figure 2. The organ donation file management system of the present invention presets the information categories that must be entered (required items, with * options in the figure) and optional information categories (optional items). If there are missing items, the entire filing process cannot be completed. Through this setting, the OPO organization can be forced to fill in the data in strict accordance with the standard, so as to standardize the process. The system divides registration information into structured and unstructured data, which is easy to operate and greatly improves the work efficiency of coordinators 21 . The invention formulates the data structure model of the organ donation electronic archives, and uniformly generates standard data files by collecting structured data and unstructured data.

客户端输入的信息,通过通信网络发送至中央管理系统,中央管理系统包括校对模块,将家属本人与其身份证一同拍照并上传至上级监管部门,上级监管部门可通过网上身份核实系统对家属身份进行核实确认,确保核实工作准确无误,避免以虚假身份进行器官买卖行为。可通过远程网络共享实现上级部门的实时监管。The information entered by the client is sent to the central management system through the communication network. The central management system includes a proofreading module, which takes photos of the family members and their ID cards and uploads them to the superior supervision department. The superior supervision department can verify the identity of the family members through the online identity verification system. Verification and confirmation to ensure that the verification work is accurate and avoid organ trading under false identities. Real-time supervision of superior departments can be realized through remote network sharing.

校对后,监督员22将客户端输入的信息编号,并储存至器官捐献数据库3。可以实现文件数据备份和数据库数据备份,对数据库的数据备份将采用逻辑备份和物理备份相结合的方式,解决数据库在实际运行过程中可能出现的各种问题。After proofreading, the supervisor 22 numbers the information input by the client and stores it in the organ donation database 3 . File data backup and database data backup can be realized, and the data backup of the database will adopt a combination of logical backup and physical backup to solve various problems that may arise during the actual operation of the database.

管理员23对储存的数据,可通过预设关键词、预设数据类别发出查询等操作请求,器官捐献数据库3根据操作请求,将数据导出生成捐献者电子档案41。为协调员、监督者提供实时查询、导出、打印捐献者电子档案服务。The administrator 23 can issue operation requests such as query through preset keywords and preset data categories for the stored data, and the organ donation database 3 will export the data according to the operation request to generate the donor electronic file 41 . Provide coordinators and supervisors with real-time query, export, and print donor electronic file services.

管理员23通过预设关键词、预设数据类别发出查询请求,器官捐献数据库3将所需数据信息提取,管理员通过统计模块42对提取的数据进行统计,为管理人员提供从数据不同维度实时的统计分析服务。如图3所示,图中例举了器官捐献者性别、血型、原发病、捐献类别等类别的数据,但是本发明并不仅限于成,也可以是包括籍贯、年龄、受教育程度、接收捐献者、捐献器官类型等其他类别。The administrator 23 sends a query request through preset keywords and preset data categories, the organ donation database 3 extracts the required data information, and the administrator performs statistics on the extracted data through the statistical module 42, providing managers with real-time information from different dimensions of the data. statistical analysis services. As shown in Figure 3, the data of organ donors such as gender, blood type, primary disease, and donation type are listed as examples in the figure, but the present invention is not limited to donors, and may also include place of origin, age, education level, acceptance Donor, donated organ type, and other categories.

本发明还可以记录接受器官者的信息,比如接受器官移植的患者,便于后续将捐献者器官者情况与受者术后恢复情况进行关联分析,为器官捐献工作积累经验,进一步规范技术流程,提高器官捐献工作质量和医疗安全。同时为器官移植质量控制管理提供随访数据。本发明通过对捐献者和受者大量的信息数据积累,为后期大数据分析,指导DCD工作具有重要意义。The present invention can also record the information of organ recipients, such as patients receiving organ transplantation, so as to facilitate subsequent correlation analysis between the donor’s organ situation and the postoperative recovery of the recipient, so as to accumulate experience for organ donation, further standardize the technical process, and improve Organ donation quality and medical safety. At the same time, it provides follow-up data for organ transplantation quality control management. The present invention accumulates a large amount of information data of donors and recipients, and it is of great significance to guide DCD work for later big data analysis.

统计模块42能够快速将所需数据进行统计分析,并能够以数据形式导出。The statistical module 42 can quickly perform statistical analysis on the required data and export it in the form of data.

实施例2Example 2

参照图4,本发明器官捐献档案管理系统,还包括权限控制模块,包括权限授予用户,即系统管理员101,负责定义系统角色102、角色拥有的权限(功能104)、将角色授予用户103等。Referring to Fig. 4, the organ donation file management system of the present invention also includes an authority control module, including an authority granting user, that is, a system administrator 101, responsible for defining a system role 102, the authority possessed by the role (function 104), granting the role to the user 103, etc. .

数据校对模块位于单独的客户端,该客户端设置数据校对用户,其他客户端录入数据后,中央管理系统向权限监督用户发出数据校对指令,数据校对可以是通过系统数据对比自动校对,例如,中央管理系统将数据分类发送,数据校对用户的客户端储存有相关数据,并且与中央管理系统发送的数据类型一一匹配;也可以是数据校对用户发出信号,告知校对人员进行人工校对。因此,OPO上级部门能够通过监管界面登陆,对档案资料进行审核、编号和认证,从而实现监管职能,审核窗口如图5所示。The data proofreading module is located in a separate client. This client sets up data proofreading users. After other clients enter data, the central management system sends data proofreading instructions to authority supervision users. Data proofreading can be automatically proofread through system data comparison, for example, the central The management system sends the data by category, and the client of the data proofreading user stores relevant data, which matches the data type sent by the central management system one by one; the data proofreading user can also send a signal to inform the proofreading personnel to perform manual proofreading. Therefore, the higher-level department of OPO can log in through the supervision interface to review, number and authenticate the archives, so as to realize the supervision function. The review window is shown in Figure 5.

通过校对后,数据校对模块向中央管理系统发出确认指令,中央管理系统将数据进行编号储存。本实施例中,更优选地,当数据校对模块发出校对通过的确认指令后,中央管理系统激活编号储存命令,从而将数据储存如数据库,但是如果校对数据模块发出未能通过校对的指令后,中央管理系统不激活编号储存命令,即使人为操作,数据库也不能接受储存数据。After passing the proofreading, the data proofreading module sends a confirmation command to the central management system, and the central management system stores the data in numbers. In this embodiment, more preferably, after the data proofreading module sends out the confirmation order of proofreading, the central management system activates the number storage command, thereby storing the data as a database, but if the proofreading module sends out the order that the proofreading fails, The central management system does not activate the serial number storage command, even if it is manually operated, the database cannot accept stored data.

权限监督用户可以位于单独的客户端,或者与其他用户共用客户端,用于监督其他用户的操作。例如,中央管理系统设有操作日志生成模块,对系统关键业务功能和操作进行预设,当中央管理系统实施这些预设的操作时,生成完备的日志和审计功能,各类型用户在系统中所进行的操作全部记录在操作日志中,系统的操作记录也保存在系统日志中,便于进行系统管理。The authority supervision user can be located in a separate client, or share the client with other users to supervise the operations of other users. For example, the central management system has an operation log generation module, which presets the key business functions and operations of the system. When the central management system implements these preset operations, it generates complete logs and audit functions. All the operations performed are recorded in the operation log, and the system operation records are also saved in the system log, which is convenient for system management.

实施例3Example 3

本实施例中,中央管理系统对包括信息生成模块,针对储存的每一器官捐献者数据,单独设定一个或多个预定时间,当达到所述预定的时间时,所述中央管理系统生成预设内容的信息,并根据家属登记的手机号码发送信息。In this embodiment, the central management system includes an information generating module, and for each stored organ donor data, one or more preset times are set individually, and when the preset time is reached, the central management system generates a preset Set the content of the information, and send information according to the registered mobile phone number of the family members.

以上对本发明的具体实施例进行了详细描述,但其只是作为范例,本发明并不限制于以上描述的具体实施例。对于本领域技术人员而言,任何对本发明进行的等同修改和替代也都在本发明的范畴之中。因此,在不脱离本发明的精神和范围下所作的均等变换和修改,都应涵盖在本发明的范围内。The specific embodiments of the present invention have been described in detail above, but they are only examples, and the present invention is not limited to the specific embodiments described above. For those skilled in the art, any equivalent modifications and substitutions to the present invention are also within the scope of the present invention. Therefore, equivalent changes and modifications made without departing from the spirit and scope of the present invention shall fall within the scope of the present invention.

Claims (9)

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