The content of the invention
, can it is an object of the invention to provide a kind of method that Multidisciplinary Cooperation diagnosis and treatment are realized using mobile remote medicalUsing the chip time of expert, the MDT consultation of doctors is carried out by smart mobile phone whenever and wherever possible, improves consultation of doctors efficiency so that MDT expertService ability extends, and benefits basic hospital patient.
The purpose of the present invention is achieved through the following technical solutions：One kind realizes Multidisciplinary Cooperation using mobile remote medicalThe method of diagnosis and treatment, it comprises the following steps：
A. after the multidisciplinary expert consultation of patient's proposition requires and completes to pay on line or under line, physician passes through doctorThe consultation of doctors for receiving patient's initiation with client is asked；
B. physician fills in patient's basic document by medical client, and the case history in hospital and image are providedMaterial is transmitted to medical client；
C. physician sends the patient data collected by medical client to total platform, and total platform is according to diseaseWith expert consultation team, and the expert into team initiates consultation of doctors request；
D. total platform establishes discussion group, and the expert for receiving request of holding a consultation is drawn in into progress state of an illness discussion in discussion group, begs forBy each filling in consultation of doctors opinion after terminating；
E. total platform chooses a group leader in expert consultation team, each consultation of doctors opinion that expert consultation team is drawnSummarize, draw consultation of doctors report；
F. total platform reports the consultation of doctors that group leader draws and each expert consultation opinion issues patient.
For prior art, the advantage of the invention is that：
1. the present invention has effectively integrated each subject in the whole nation or even worldwide by mobile remote medical modeMedical Technologist, different expert consultation team is formed for different diseases, extend MDT expert services ability, benefit basic unit doctorInstitute patient；In addition instant invention overcomes the limitation of time and region, using the chip time of expert, intelligence is passed through whenever and wherever possibleEnergy mobile phone carries out the MDT consultation of doctors, improves consultation of doctors efficiency.
2. physician is when arranging case history of the duplication demand patient in present hospitals, by being installed on hospital's computerWord converts stand-alone program, can directly by the document copyings such as case history to external equipment, so as to save appropriate experts preciousness whenBetween.
3. according to conditions of patients situation, expert consultation team can design follow-up plan and follow-up form, total platform service peopleMember can assist a physician the patient of long-term follow Supervise；In addition, total platform to assist expert consultation team compile follow-up withTrack data, form the database with learning value.
4. the present invention can be converted to the electronic health record in hospital system the Electronic Health Record of individual, shifting can be passed throughMoved end carries out preservation and checked, convenient to go to a doctor whenever and wherever possible.
Embodiment
Present invention is described in detail with reference to embodiment：
A kind of method that Multidisciplinary Cooperation diagnosis and treatment are realized using mobile remote medical, it comprises the following steps：
A. when patient proposes that (patient actively proposes or doctor suggests that patient needs to carry out for multidisciplinary expert consultation requirementDuring multidisciplinary expert consultation) and complete after being paid on line or under line, physician receives what patient initiated by medical clientConsultation of doctors request；For patient before payment, physician can sign informed consent form with patient；
B. physician fills in patient's basic document by medical client, and the case history in hospital and image are providedMaterial is transmitted to medical client；
C. physician sends the patient data collected by medical client to total platform, and total platform is according to diseaseWith expert consultation team, and the expert into team initiates consultation of doctors request；
D. total platform establishes discussion group, and the expert for receiving request of holding a consultation is drawn in into progress state of an illness discussion in discussion group, begs forBy each filling in consultation of doctors opinion after terminating；
E. total platform chooses a group leader in expert consultation team, each consultation of doctors opinion that expert consultation team is drawnSummarize, draw consultation of doctors report；
F. total platform reports the consultation of doctors that group leader draws and each expert consultation opinion issues patient.
The Electronic Health Record that patient data and expert consultation opinion are organized into patient by total platform is stored in total platformOn, facilitate patient to check at any time.
Because each hospital is generally separately provided Intranet, it can not be connected with external the Internet, therefore the transmission of data is more tiredDifficulty, can not be directly by the document copyings such as case history to external equipment.
In step b, physician installs word conversion stand-alone program on hospital's computer, passes through the disease for recording hospitalGo through and copy in word conversion stand-alone program, the case history word of duplication can be converted into Quick Response Code, physician passes through medical visitorQuick Response Code is scanned at family end, and case history is delivered in medical client.
Physician passes through and text is installed on hospital's computer when arranging case history of the duplication demand patient in present hospitalsWord converts stand-alone program, can directly by the document copyings such as case history to external equipment, so as to save appropriate experts preciousness whenBetween.
When patient medical record word is more, word conversion stand-alone program can generate multiple Quick Response Codes, and physician passes through doctorQuick Response Code is scanned successively with client, to complete the duplication of complete case history.
In step b, physician sends patient data by medical client to information for hospital section, and Information Center passes through WebWebpage sends patient image's data to total platform and/or medical client.
Sufferers themselves also can ask for image document to hospital, be instructed according to platform contact staff, oneself leads to image documentWeb page is crossed to upload to total platform, after upload can automatic synchronization to medical client.
Because image document data are larger, above-mentioned Quick Response Code method can not meet the requirement of its data transfer.The present invention willTotal platform, medical client and Information Center are associated, and the transmission of image document is carried out by Information Center, can be diagnosed a disease with reachingGo through highly effective gathering, foundation and the transmission of data.
The data transfer computer of connection hospital's Intranet and external the Internet can be all set in the Information Center of hospital.
Information Center is when assisting to transmit, it is necessary to receive the patient's name of total platform or the transmission of medical client, cure mainly doctorTeacher, consultation of doctors numbering and image check time.
The image document sent by Information Center, image clearly is complete, greatly facilitates third-party diagnostic analysis, keeps awayPatient's inconvenience carried with or the sharpness problems taken pictures are exempted from.
In step c, according to the situation of various disease, expert consultation team includes at least six section office, and each section office includeAt least two experts, total platform each expert can initiate consultation of doctors request after choosing team into team, and each section office at least needOne expert receives consultation of doctors request.
Such as in the Multidisciplinary Cooperation diagnosis and treatment of tumour, expert consultation team relates generally to section office：Internal Medicine-Oncology, department of general surgery,Dept. of radiology, Invasive Technology Department, pathology department, image department, related training (such as Infectious Disease, Cardiological, hematology, orthopaedics, gynaecology, paediatricsDeng according to the different related specialists' participations of various cancers needs).
Also include team secretary in expert consultation team, the patient data collected by physician is sent to by total platformTeam secretary, whether complete it is responsible for auditing patient data by team secretary, and physician is fed back to, in expert consultation teamGroup leader specified by team secretary.
, can be together with patient data and disease when registered doctor of total platform into team initiates consultation of doctors request in step cGo through and send together, expert, which can be first checked after case history, to be decided whether to receive consultation of doctors request again.
In step d, the consultation of doctors opinion include diagnostic comments, check opinion, treatment recommendations and other.
In step a, when patient proposes multidisciplinary expert consultation requirement, patient is scanned in medical client by mobile phoneQuick Response Code, fill in essential information and pay the bill, after physician is by medical client confirmation and price, choose whetherReceive consultation of doctors request.
The initiation of the consultation of doctors has two ways：Patient scans in medical client Quick Response Code to physician Shen by wechatIt please hold a consultation or physician directly helps patient to initiate the consultation of doctors by medical client.
Patient can directly scan Quick Response Code in medical client, and put down by wechat by application programs such as handset WechatsPlatform progress basic document, which is filled in, pays the bill and received, checks consultation of doctors report.
According to conditions of patients situation, expert consultation team can design follow-up plan and follow-up form, total platform service personnelThe patient of the long-term follow that can assist a physician Supervise；Total platform to assist expert consultation team compiles follow-up tracking data,Form the database with learning value.
Multidisciplinary Cooperation diagnosis and treatment Team Member and responsibility are as follows：
Physician：It is daily that multidisciplinary expert consultation in patient's selection line is suggested according to conditions of patients, it is responsible for initiating meetingExamine, upload patient data, the details of multidisciplinary expert consultation on line are linked up with patient.
Multidisciplinary expert consultation expert：It is daily that multidisciplinary expert consultation in patient's selection line is suggested according to conditions of patients, haveWhen patient needs multidisciplinary expert consultation on line, the physician for patient being given initiation is responsible for follow-up；Play an active part in multidisciplinaryExpert consultation overall process discussion, and conscientiously fill in the consultation of doctors opinion of oneself.
Multidisciplinary expert consultation group leader：It is daily that multidisciplinary expert consultation in patient's selection line is suggested according to conditions of patients, haveWhen patient needs multidisciplinary expert consultation on line, the physician for patient being given initiation is responsible for follow-up；It is responsible for leading online moreSubject expert consultation, and after the consultation of doctors terminates, fill in consultation of doctors report.
Multidisciplinary expert consultation team secretary：Whether the consultation of doctors medical history information that the physician that responsible examination ＆ verification is initiated uploadsCompletely, the consultation of doctors is initiated if qualified, requires that initiating doctor's supplement uploads, and specifies multidisciplinary expert consultation if incompleteGroup leader, the consultation of doctors participate in multidisciplinary expert consultation overall process after initiating.
Multidisciplinary expert consultation also includes attending nurse and Information Center engineer.
Attending nurse：Be responsible on line the consultation of doctors terminate after, Following-up Service is actively initiated to patient.Sometimes attending nurse withMultidisciplinary expert consultation team secretary is same people, is just responsible for two responsibilities simultaneously.
Information Center engineer：When the physician of initiation or patient need to export medical history information from Information Center,There is provided and coordinate.It can be held a concurrent post by the physician initiated or related data is submitted by patient oneself.
The registration step of Multidisciplinary Cooperation diagnosis and treatment team doctor is as follows：
1. application program is downloaded by mobile terminal；
2. fill in essential information；
3. sign User Agreement；
4. data is improved and certificate uploads；
5. wait the examination ＆ verification of total platform.