The processing method of doctor's advice information and systemTechnical field
The present invention relates to field of information processing, be specifically related to processing method and the system of a kind of doctor's advice information.
Background technology
Along with the development of information technology, hospital doctor can generate tool electronization and information-based doctor's advice information, and medication is believedThe process of breath and management become the important component part of hospital informatioization management system.
Patient is in the whole flow process sought medical advice, and running through most is exactly assigning, implement and feeding back of medication.It relates toAnd to doctor terminal order entry system, pharmacist's end medical order treatment and medication management system, nursing end order execution system.At present fromDoctor's doctor's advice open pharmacist's this process of process to doctor's advice, can be audited by doctor's advice diagnosis that doctor is made withMedication carries out Pre-reading, to point out doctor the unreasonable part of unwitnessed medication, and cures for medicine for nursing staffAdvise execution link the most still lack in real time, accurately perform record feed back so that the quality management of these links andMedical treatment tracing management cannot be implemented.
Summary of the invention
It is an object of the invention to provide processing method and the system of a kind of doctor's advice information, perform record letter by medication nursingThe medication information ceased and preset is mated, and improves the correctness that medication performs, it is ensured that the safety of patient medication.
For achieving the above object, first aspect, the invention provides the processing system of a kind of doctor's advice information, including: firstTerminal, processor and memorizer；
First terminal, for identifying the Patient ID information of patient, and is sent to processor by described Patient ID information；
Processor, for inquiring about the medication information obtaining correspondence, institute from described memorizer according to described Patient ID informationState medication information and include medicine name, times for spraying, medication moment and persistent period；
Described first terminal is additionally operable to when patient medication, gathers medication nursing and performs record information, and is sent to describedProcessor, described processor performs record information according to described medication nursing and mates with described medication information, generates couplingResult.
Further, described processor generation matching result specifically includes:
Described medication nursing performs medicine name, times for spraying, medication moment and the persistent period in record information and instituteStating the medicine name in medication information, times for spraying, medication moment and persistent period mates, and generates matching result.
Further, described first terminal collection medication nursing execution record information specifically includes:
Identify the medicine id information used by described patient, and described medicine id information is sent to processor；
Described processor is by the described patient of storage in drug information corresponding for described medicine id information and described memorizerMedication information mate, if the match is successful, then using receive described medicine id information time as the first medication moment；
At the end of patient medication, described first terminal again identifies that described medicine id information, and is sent to described processDevice, described processor using again receive described medicine id information time as the second medication moment, during by described first medicationCarve the time difference with the described second medication moment as the medication persistent period.
Further, described first terminal is additionally operable to when drug information corresponding to described medicine id information and described memorizerWhen the medication information of the described patient of middle storage is not mated, receive the information that processor sends, according to described informationGenerate the first warning information.
Further, described system also includes the second terminal, performs for the medication nursing sent according to described processorRecord information generates feedback information and is sent to described processor.
Further, described first terminal is additionally operable to receive the feedback information that described processor sends, according to described feedbackInformation generates the second warning information.
Second aspect, the invention provides the processing method of a kind of doctor's advice information, including:
The Patient ID information of first terminal identification patient, and described Patient ID information is sent to processor；
The medication information obtaining correspondence inquired about from described memorizer by described processor according to described Patient ID information, describedMedication information includes medicine name, times for spraying, medication moment and persistent period；
Described first terminal, when patient medication, gathers medication nursing and performs record information, and be sent to described processor,Described processor performs record information according to described medication nursing and mates with described medication information, generates matching result.
The processing method of doctor's advice information that the present invention provides and system, the progress that real time record doctor's advice performs with complete letterBreath, the whole process performing doctor's advice carries out real-time tracking and supervision, and medication nursing performs record information and the use presetMedicine information is mated, and improves the accuracy that doctor's advice performs, has ensured the safety of patient medication.
Accompanying drawing explanation
The processing system schematic diagram of the medical information that Fig. 1 provides for the embodiment of the present invention one；
The process flow figure of the doctor's advice information that Fig. 2 provides for the embodiment of the present invention two.
Detailed description of the invention
Below by drawings and Examples, technical scheme is described in further detail.
Described embodiment is only some embodiments of the present invention rather than whole embodiments.Based on the present inventionIn embodiment, those of ordinary skill in the art obtained under not making creative work premise all other implementExample, broadly falls into the scope of protection of the invention.
The whole flow process sought medical advice along with patient, it is simply that the generation of information of doctor's advice for medicine, examination & verification process and perform feedbackProcess.Technical solution of the present invention is mainly for the execution feedback stage of doctor's advice, and nurse utilizes first terminal to hold doctor's advice informationRow specifically gathers, and recording medicine nursing execution information；Doctor utilizes the second terminal to comment the implementation status of doctor's adviceValency and feedback, thus realize the processing procedure of doctor's advice information.
The doctor's advice information processing system of the present invention, solve medication from open to perform whole during, manyThe fracture of intermediate link flow of information, information problem inconsistent, inaccurate, it takes framework as the leading factor with doctor's advice program, around whole doctorAdvise handling process, construct medication closed loop and perform system, improve the accuracy that doctor's advice performs, ensured the peace of patient medicationQuan Xing.
Embodiment one
The processing system schematic diagram of the doctor's advice information that Fig. 1 provides for the embodiment of the present invention one.As it is shown in figure 1, described systemIncluding: first terminal 1, processor 2 and memorizer 3；
First terminal 1, for identifying the Patient ID information of patient, and is sent to processor 2 by Patient ID information.
Concrete, first terminal 1 scans the identity such as patient's wrist strap, and the identity information obtaining patient is sent to processor2。
Processor 2, for inquiring about the medication information obtaining correspondence, medication information bag from memorizer according to Patient ID informationInclude medicine name, times for spraying, medication moment and persistent period.
Wherein, in memorizer, the medication information of storage is the doctor's advice letter that doctor opens when diagnosing according to the state of an illness of patientMedication information in breath, including medicine name, times for spraying, medication moment and persistent period etc..Processor 2 is according to the ID of patientInformation can inquire the doctor's advice information that this patient is corresponding in memory, thus obtains the medication information of this patient.
First terminal 1 is additionally operable to when patient medication, gathers medication nursing and performs record information, and is sent to processor 2,Processor 2 performs record information according to medication nursing and mates with medication information, generates matching result.
Concrete, first terminal 1 identifies the medicine id information used by patient, and medicine id information is sent to processor 2；The medication information of the patient of storage in drug information corresponding for medicine id information and memorizer is mated by processor 2, ifThe match is successful, then using the time of reception medicine id information as the first medication moment；At the end of patient medication, first terminal is againSecondary identification medicine id information, and it is sent to processor 2, the time again receiving medicine id information is used by processor 2 as secondThe medicine moment, using the time difference in the first medication moment and the second medication moment as the medication persistent period, and according to receiving medicineThe number of times of id information determines times for spraying.Processor 2 medication nursing is performed the medicine name in record information, times for spraying,Medication moment and persistent period mated with the medicine name in medication information, times for spraying, medication moment and persistent period,Generate matching result.
First terminal 1 gathers medication nursing execution record information and is sent to processor 2, can perform with real time record doctor's adviceProgress with complete information, doctor's advice is performed flow process and carries out real-time tracking and supervision, it is thus possible to improve doctor's advice perform justReally property.
First terminal 1 is additionally operable to when the medication of the patient of storage in drug information corresponding to medicine id information and memorizer 3When information is not mated, receive the information that processor 2 sends, generate the first warning information according to information.
Concrete, when patient medication, if the patient of storage in drug information corresponding to medicine id information and memorizer 3Medication information when not mating, illustrate that the medicine name of this medicine, times for spraying, medication moment, persistent period are wrong, then processDevice 2 sends information to first terminal 1, specifically includes: nomenclature of drug is wrong, times for spraying is wrong, the medication moment is wrong, useThe medicine persistent period is wrong, and first terminal 1 generates the first warning information according to this information, reminds the nurse performing doctor's advice,Again medicine information is checked, it is ensured that the safety of patient medication according to doctor's advice.
The processing system of the doctor's advice information of the present invention also includes the second terminal 4, protects for the medication sent according to processor 2Reason performs record information and generates feedback information and be sent to processor 2.Doctor utilizes the second terminal 4 to enter the implementation status of doctor's adviceRow is evaluated and feedback, and feedback information is sent to processor 2, the knot performed for doctor's advice after now having performed for doctor's adviceThe examination & verification that fruit is carried out.
First terminal 1 is additionally operable to receive the feedback information that processor 2 sends, and generates the second alarm letter according to feedback informationBreath.Doctor utilizes the second terminal 4 to feed back the implementation status of doctor's advice, and by processor 2, feedback information is sent to firstTerminal 1, carries out reference for doctor's advice operational staff.
The processing system of doctor's advice information that the present invention provides, the progress that real time record doctor's advice performs with complete information, to doctorThe whole process advising execution carries out real-time tracking and supervision, medication nursing performs record information and enters with the medication information presetRow coupling, improves the accuracy that doctor's advice performs, has ensured the safety of patient medication.
Embodiment two
The process flow figure of the doctor's advice information that Fig. 2 provides for the embodiment of the present invention two.As in figure 2 it is shown, method includes:
Step 201, the Patient ID information of first terminal identification patient, and described Patient ID information is sent to processor；
Step 202, the medication obtaining correspondence inquired about from described memorizer by described processor according to described Patient ID informationInformation, described medication information includes medicine name, times for spraying, medication moment and persistent period；
Step 203, described first terminal, when patient medication, gathers medication nursing and performs record information, and be sent to instituteStating processor, described processor performs record information according to described medication nursing and mates with described medication information, generationJoin result.
It is detailed that the concrete execution process of the processing method of the doctor's advice information that embodiment two provides has been given in embodiment oneThin description, here is omitted.
The processing method of doctor's advice information that the present invention provides, the progress that real time record doctor's advice performs with complete information, to doctorThe whole process advising execution carries out real-time tracking and supervision, medication nursing performs record information and enters with the medication information presetRow coupling, improves the accuracy that doctor's advice performs, has ensured the safety of patient medication.
Embodiment three
The present embodiment, as a example by the information of doctor's advice for medicine at once completing single-dose processes, belongs to this doctor's advice types of drug bagInclude and be not limited only to oral drugs, external used medicine etc., as a example by oral drugs:
It is as follows that medication performs process:
The Patient ID information of first terminal identification patient, and Patient ID information is sent to processor；
The medication information obtaining correspondence inquired about from memorizer by processor according to Patient ID information, and medication information includes medicineTitle, times for spraying, medication moment；
First terminal, when patient medication, gathers medication nursing and performs information, and recording and sending is to processor, processor rootPerform record information according to medication nursing to mate with medication information, generate matching result.
In a specific example, in memorizer, the oral drug administration time set in advance is as shown in table 1:
Table 1
When patient medication, the time of oral for scanning medicated bag is performed time, note as oral drugs doctor's advice by first terminalEntering medication nursing and perform record, and be sent to processor, processor performs record information and the medication preset according to medication nursingInformation is mated, when oral drugs doctor's advice performs the time before and after the default oral drug administration time in the range of error,All thinking and be administered on time, otherwise prompting administration time is wrong.
Embodiment four
The present embodiment is as a example by the information of doctor's advice for medicine being administered continuously processes.Belong to this doctor's advice types of drug to include and not onlyIt is limited to intravenous drip medicine, Micropump persistent instillation medicine etc., as a example by intravenous drip medicine:
It is as follows that medication performs process:
The Patient ID information of first terminal identification patient, and Patient ID information is sent to processor；
The medication information obtaining correspondence inquired about from memorizer by processor according to Patient ID information, and medication information includes medicineTitle, times for spraying, persistent period and delivery time；
First terminal, when patient medication, gathers medication nursing and performs record information, and be sent to processor, processor rootPerform record information according to medication nursing to mate with medication information, generate matching result.
In a specific example, in memorizer, the persistent period of venoclysis medicine set in advance is as shown in table 2:
Table 2
When patient medication, the time started that the time of scanning venous transfusion is performed as venoclysis medication,After patient fluid infusion, again scan the medicine bar code information on venous transfusion bottle or bag, as venoclysis medicationThe termination time performed, this doctor's advice execution end time and doctor's advice are performed time started two time point and subtracts each other, quiet for thisThe arteries and veins infusion infusion of drug persistent period, compared with the infusion duration being previously set, when venoclysis infusion of drug continuesTime, in the range of venoclysis infusion of drug persistent period allowable error set in advance, all thinks that infusion duration closesReason, otherwise prompting infusion duration is wrong.
In a specific example, venoclysis drug administration time interval set in advance such as table 3 institute in memorizerShow:
| Administration frequency | Administration time is spaced | Error |
| Every day 1 time | 24 hours | 2 hours |
| Every day 2 times | More than 8 hours | 0.5 hour |
| Every 8h 1 time | 8 hours | 0.5 hour |
| Every 12h 1 time | 12 hours | 1 hour |
Table 3
When patient medication, obtain this venoclysis medication and perform the time started；Once this medicine doctor's advice before acquisitionPerform the time started；Compared with this doctor's advice execution time started is performed the time started with a front doctor's advice, when this doctor's advicePerform time started and front doctor's advice and perform the interval time of time started in the range of error presetting interval time,All thinking and be administered on time, otherwise prompting administration time is wrong.
Embodiment five
The present embodiment is as a example by the information of doctor's advice for medicine that many days are administered once processes.
It is as follows that medication performs process:
The Patient ID information of first terminal identification patient, and Patient ID information is sent to processor；
The medication information obtaining correspondence inquired about from memorizer by processor according to Patient ID information, and medication information includes medicineTitle, times for spraying and delivery time；
First terminal, when patient medication, gathers medication nursing and performs record information, and be sent to processor, processor rootPerform record information according to medication nursing to mate with medication information, generate matching result.
In a specific example, in memorizer, the drug administration set in advance interval date is as shown in table 4:
| Medicine | The interval date |
| Leuprorelin | Every 4 weeks 1 time |
| Rituximab | One week 1 time |
| Alendronate sodium 70mg | One week 1 time |
Table 4
When patient medication, when transferring this medicine of first use before this patient, the date that doctor's advice performs；By this medicationCompared with doctor's advice execution date of date and front this medicine of first use performed, successively twice is used this medicine date intervals andDrug administration set in advance interval is mated, when this medication execution date and interval date of using this medicine last timeMeeting dosing interval set in advance, then it is assumed that be administered, otherwise prompting administration date intervals is wrong on time.
Embodiment six
The present embodiment is as a example by the information of doctor's advice for medicine having administration time order processes.
Some medicine, time special during antitumor drug drug combination, the administration order of two medicines seems particular importance, should basisThe pharmacological action of medicine or the use order of pharmacokinetics feature reasonable arrangement combination medicine, otherwise can cause medicine to be treatedThe reduction of effect or the increase of untoward reaction.
It is as follows that medication performs process:
The Patient ID information of first terminal identification patient, and Patient ID information is sent to processor；
The medication information obtaining correspondence inquired about from memorizer by processor according to Patient ID information, and medication information includes medicineTitle, times for spraying, medication sequencing；
First terminal, when patient medication, gathers medication nursing and performs record information, and be sent to processor, processor rootPerform record information according to medication nursing to mate with medication information, generate matching result.
In a specific example, in memorizer, drug administration set in advance order is as shown in table 5:
| First use medicine | After use medicine |
| Gemcitabine | Cisplatin |
| Cyclophosphamide | Paclitaxel |
| Fluorouracil | Methotrexate |
Table 5
When patient medication, for there being the medicine of medication sequencing requirement, the doctor's advice transferring these medicines respectively performsTime；The time that the doctor's advice of these medicines performed compares, record successively use order；The time that performed by multi-medicament is with in advanceThe drug administration order set is mated, and is consistent with order of administration set in advance when this medication performs sequencingTime, then it is assumed that being administered correct, otherwise prompting order of administration is wrong.
Embodiment seven
The present embodiment is as a example by the information of doctor's advice for medicine of the medicine of tool pot life processes.
Stability after the preparation of any medicine has certain time limit, if the medicine having some veins to use is deposited after preparingTime limit is long, can occur because of the instability of medicine that degraded was lost efficacy, and not only makes medicine not reach preferable therapeutic effect, also can increaseAdd the incidence rate of medicine toxicity.
It is as follows that medication performs process:
The Patient ID information of first terminal identification patient, and Patient ID information is sent to processor；
The medication information obtaining correspondence inquired about from memorizer by processor according to Patient ID information, and medication information includes medicineTitle, times for spraying, drug use time limit set；
First terminal, when patient medication, gathers medication nursing and performs record information, and be sent to processor, processor rootPerform record information according to medication nursing to mate with medication information, generate matching result.
In a specific example, the first terminal drug use set in advance time limit is as shown in table 6:
Table 6
When patient medication, obtain medication and perform the time started；Obtain this part of medicine in medication processing systemThe preparation time；With it, are prepared time two time point this part of medication execution time started subtract each other, with joining of being previously setAfter system, the pot life compares, when medicine be formulated into medication perform time within the pot life set in advance time,Then thinking that administration is correct, otherwise prompting is beyond the pot life.
Embodiment eight
In a specific example, a transfusion doctor's advice of certain patient:
Injection pantoprazole (Pan Lisu) 40mg intravenous drip in every 12 hours 1 time
0.9% sodium chloride injection 100ml intravenous drip in every 12 hours 1 time
Set this part transfusion to patient's infusion predetermined point of time as: first part morning 8:00, second part evening 20:00.
It is as follows that medication performs process:
1, by scanning medicine bar code information, venous drug dispensing center confirms that charge and first part of pantoprazole of preparation are defeatedDuring liquid, information of doctor's advice for medicine processing system records preparation time point (time point 1)；
2, after receiving pantoprazole transfusion, by mobile scanning terminal patient's wrist strap, obtain the identity information of patient withThe effective information of doctor's advice for medicine of this patient；
3, scan the pantoprazole bar code information that will give, confirm in pantoprazole transfusion and patient's active drug doctor's advicePantoprazole order contents match (i.e. this part doctor's advice is the most effective), can be administered after coupling is correct.At information of doctor's advice for medicineIt is the time started (time point 2) that doctor's advice performs the sweep time that reason system is recorded；
4, when, after patient's pantoprazole infusion-completed, again scanning medicine bar code information, information of doctor's advice for medicine processing systemRecord the termination time (time point 3) performed sweep time as doctor's advice；
5, repeating said process, information of doctor's advice for medicine processing system records second part of pantoprazole transfusion preparation time point(time point 4), the time started (time point 5) of second part of pantoprazole execution and the time of termination (time point 6).
Information of doctor's advice for medicine processing system performs process to above medication and is evaluated:
1, pantoprazole performs the evaluation of administration time point: time point 2 and time point 5 should respectively fall in 7:30～8:30,In the range of 19:30～20:30, it is correct for being just considered administration time point, otherwise carries out doctor's advice execution, scans pantoprazoleDuring medicine bar code information, it is prompted to medicine time point wrong.
2, pantoprazole performs the evaluation at administration time interval: time point 5 deducts time point 2, and its difference should be 11～13In the range of, it is correct for being just considered administration time interval, otherwise at second part of pantoprazole of scanning, carries out doctor's advice executionTime, prompting is administered time interval and goes beyond the scope.
3, the pantoprazole pot life is evaluated: time point 2 deducts time point 1, and time point 5 deducts time point 4, if less than4 hours, then it is assumed that be administered correct, otherwise point out when being administered scanning beyond the pot life, it is impossible to use.
Above for pantoprazole (Pan Lisu) 40mg, the execution evaluation result of 1 doctor's advice of intravenous drip in every 12 hours is removedInstant outside nursing terminal is reminded, also can be saved in information of doctor's advice for medicine processing system, daily or periodically add upAnalyze, be conducive to nursing to improve medical treatment and medicine quality.
Professional should further appreciate that, each example described in conjunction with the embodiments described hereinUnit and algorithm steps, it is possible to electronic hardware, computer software or the two be implemented in combination in, hard in order to clearly demonstratePart and the interchangeability of software, the most generally describe composition and the step of each example according to function.These functions perform with hardware or software mode actually, depend on application-specific and the design constraint of technical scheme.Professional and technical personnel can use different methods to realize described function to each specifically should being used for, but this realizationIt is not considered that it is beyond the scope of this invention.
The method described in conjunction with the embodiments described herein or the step of algorithm can use hardware, processor to performSoftware module, or the combination of the two implements.Software module can be placed in random access memory (RAM), internal memory, read only memory(ROM), electrically programmable ROM, electrically erasable ROM, depositor, hard disk, moveable magnetic disc, CD-ROM or technical fieldIn any other form of storage medium well known in.
Above-described detailed description of the invention, has been carried out the purpose of the present invention, technical scheme and beneficial effect furtherDescribe in detail, be it should be understood that the detailed description of the invention that the foregoing is only the present invention, be not intended to limit the present inventionProtection domain, all within the spirit and principles in the present invention, any modification, equivalent substitution and improvement etc. done, all should compriseWithin protection scope of the present invention.