Summary of the invention
To solve the above problems, the present invention provides a kind of cloud platform system for monitoring various disease surgery complication and sidesMethod, cloud platform system and method for the present invention, can systematically in certain region or the whole country, assist doctor statistics andStandardization records the development and treatment health of the probability that various disease surgery complication occur and the various disease surgery complication of analysisMultiple situation, provides the postoperative complications data of more comprehensive variety classes disease for doctor, helps to improve doctor on the wholeBound pair is treated in the understanding of various disease surgery complication and is further improved various disease art formulas and therapeutic modality.
The cloud platform system of the various disease surgery complication of monitoring of the present invention, comprising: hardware and Internet resources layer are put downPlatform data interface tier, platform operation management layer, platform core database layer, platform application supporting layer, platform application layer, complicationMonitor layer；
The hardware and Internet resources layer include: server, store equipment, interchanger, firewall and Internet network,The server and storage equipment are used for Disease Primitive case information and corresponding disease case that classification storage various regions uploadSign monitoring information；
The platform data interface layer include: image archiving and communication system (PACS) interface, electronic medical record system interface,Medical environment electronic data interchange standard (HL7) data transformation interface, laboratory inspection system data interface, hospital information systemInterface, clinic information system interface, for obtaining the Disease Primitive case information；
The platform operation management layer include: system management module, authority management module, safety management module, registration withAuthentication management module, content managing module, user journal management module, backup management module, it is comprehensive for being carried out to platformManagement, while ensuring the data safety of platform user；
The platform application supporting layer includes disease keyword index module, keyword index labeling module, structuring numberAccording to recording module, structural data picture and text extraction module, for will be stored in the server or store diagnosis in equipment, controlTreat etc. standards disunity, naming rule confusion Disease Primitive case information by seek unity of standard classified, marked, obtainTo standardization Disease case information；
The platform core database layer includes: core database A, core database B, and the core database A is used forThe Disease Primitive case information that typing and inquiry various regions upload, the core database B is for typing and inquires the markThe sign monitoring information of standardization Disease case information and Disease；
The platform application layer is for facilitating doctor quickly to check the standardization Disease case information, mentioning for doctorFor the application of various dimensions and disease surgery assessment, comprising: ODP in operation logging modle, ODP in operation Follow-up After module, caseOperations Research and chemical examination module, disease surgery questionnaire and evaluation module, disease fast diagnose selecting module, disease art formula is fast selectedSelect module；
The complication monitor layer is used to that doctor to be facilitated to carry out lasting disease surgery complication to the Disease and supervisesSurvey and correct treatment deviation, comprising: the long-range Registration Module of disease surgery complication, postoperative complications follow-up cue module, postoperativeComplication rehabilitation assessment module, complication type block, complication international code module, complication diversity module, complication systemCount analysis module.
The method of the various disease surgery complication of monitoring of the present invention, includes the following steps:
The registration and authentication management module pair in cloud platform operation management layer by monitoring various disease surgery complicationThe registered information managing and certification of Disease and doctor；
The Disease Primitive case information is filled in or uploaded to ODP in operation logging modle in platform application layer；
The Disease Primitive case information is transmitted by interchanger and Internet network and stores serverOr in storage equipment；
It is stored on the server or the storage equipment by the core database A typing of platform core database layerThe Disease Primitive case information；
The standards such as diagnosis, the treatment being stored in server or storage equipment are not united by platform application supporting layerOne, the Disease Primitive case information of naming rule confusion is classified, is marked by unified standard, is standardizedDisease case information；
Standardization Disease case information and disease described in core database B typing by platform core database layerThe sign monitoring information of patient；
Doctor checks standardization described in the core database B by the ODP in operation logging modle in platform application layerDisease case information and the sign monitoring information；
Doctor checks the Disease when different by the ODP in operation inspection in platform application layer from chemical examination moduleThe every chemical examination and inspection information of intermediate node, every chemical examination and inspection information, including at least one of: the disease troubleX-ray, nuclear magnetic resonance MRI, CT, B ultrasound imaging data, various analysis datas and the various survey report data of person；
Doctor passes through international in the disease surgery questionnaire and evaluation module in platform application layer and domestic common assessment handSection and assessment tool assess the Disease postoperative curative effect；
Doctor performs the operation to Disease by the long-range Registration Module of disease surgery complication in complication monitor layer concurrentDisease is fast registered, and the quick registration can call the complication international code module in the complication monitor layer to be automaticallyThe Disease postoperative complication is classified and is compiled according to international standard industrial classification method (ICS)/international code system (IUG)Code；
Doctor selects the rating information of disease surgery complication by the complication diversity module in complication monitor layer, makesThe assessment and processing of the Disease postoperative complication meet international norm；
Complication statistical analysis module in complication monitor layer concurrently carries out programming count to Disease operationAnd analysis；
Disease Primitive case information is filled in or uploaded to the ODP in operation logging modle in platform application layerMethod particularly includes:
Doctor is former by the Disease by medical environment electronic data interchange standard (HL7) data transformation interfaceBeginning case information is automatically converted to original electron by medical environment electronic data interchange standard (HL7) the data-interface engineMedical record data；
Doctor imports the Disease original electron medical record data；
Disease Primitive case information is filled in or uploaded to the ODP in operation logging modle in platform application layerMethod particularly includes:
Doctor is introduced directly into the Disease original electron medical record data by electronic medical record system interface；
Disease Primitive case information is filled in or uploaded to the ODP in operation logging modle in platform application layerSpecific method further include:
The Disease imports the sign monitoring information of the Disease by the disease surveillance device of profession；
Disease Primitive case information is filled in or uploaded to the ODP in operation logging modle in platform application layerSpecific method further include:
Doctor imports various analysis datas and various survey report data by laboratory inspection system data interface；
Doctor imports medication information and relevant charging information required for scientific research by hospital information system interfaces；
Doctor imports nursing information required for scientific research by clinic information system interface；
The doctor performs the operation to Disease by the long-range Registration Module of disease surgery complication in complication monitor layerComplication is fast registered further comprising the steps of:
Doctor fast diagnoses selecting module determination by the disease in platform application layer and quickly selects to meet international markThe diagnostic mode of quasi- and domestic habit；
Doctor quickly selects and fills in the disease by the quick selecting module of disease art formula in platform application layer and suffers fromThe art formula that person is lived through.
The cloud platform system and method for the various disease surgery complication of monitoring of the present invention, on the one hand can effectively collectThe operation of certain region or national various disease surgery cases and the information of complication, on the other hand unite to the information of collectionThe Information procession of one standard ultimately forms medical information completely various disease surgery complication databases.Pass through statistical analysisIllness rate, treatment method and and the data such as operative effect and disease surgery complication probability of happening, can in time scientificallyOperative effect is assessed, facilitates doctor and corrects treatment deviation, reduce and prevent the generation of postoperative complication, improve various diseases and suffer fromThe therapeutic effect and quality of life of person, and reduce medical expense.
Specific embodiment
With reference to the accompanying drawing to the cloud platform system and method for the various disease surgery complication of monitoring of the present invention do intoOne step explanation.
Fig. 1 is the structural representation of the cloud platform system embodiment of the various disease surgery complication of monitoring provided by the inventionFigure.As shown in Figure 1, cloud platform system described in the present embodiment includes: hardware and Internet resources layer, platform data interface layer, platformOperation management layer, platform core database layer, platform application supporting layer, platform application layer, complication monitor layer.
The hardware and Internet resources layer include: server, store equipment, interchanger, firewall and Internet network,It is the basis of the cloud platform system.The Disease that the server and storage equipment are uploaded for classification storage various regions is originalThe sign monitoring information of case information and corresponding disease case.The cloud platform system uses at least two databases simultaneouslyOn the one hand server improves data bank service treating capacity in this way, on the other hand ensure that data safety as master-slave back-up.
The platform data interface layer includes: 1) image archiving and communication system (PACS) interface: for importing operation diseaseX-ray, nuclear magnetic resonance MRI and CT, the imaging datas such as B ultrasound of example；It is also used to import and leads to original paper operation case dataCross the image conversion operation case data taken pictures；2) electronic medical record system interface: for being introduced directly into original electron case history numberAccording to；3) it medical environment electronic data interchange standard (HL7) data transformation interface: is used for the original paper case dataOriginal electron medical record data is automatically converted to by medical environment electronic data interchange standard (HL7) the data-interface engine；4) laboratory inspection system data interface: for importing the analysis data and various survey report data etc. of various operation cases；5) hospital information system interfaces, for importing medication information and relevant charging information required for scientific research；6) clinic information systemInterface is for importing nursing information required for scientific research etc..
The platform application supporting layer is back-end data control centre and specification center, for that will be stored in the serverOr the standards disunity such as diagnosis, treatment in storage equipment, the Disease Primitive case information of naming rule confusion are logicalIt crosses unified standard classified, marked, obtains standardization Disease case information, the unified standard is described for that will acquireThe unified standard of the dedicated medical terminology of disease description and the general international standard of use, comprising: parting standard, diagnostic criteria, lifeName standard, evaluation criteria etc..
It is described that be classified, marked by unified standard include: 1) disease keyword index module；2) keyword index markInjection molding block: including Disease basic document standard index, history information mark index, vital sign standard index, handArt information labeling index, iconography information labeling index, important inspection mark index；3) it Structure data entry module: is used forMedical history information is compareed, by manual entry structural data 4) structural data picture and text extraction module: for compareing medical history informationImage data extracts structural data, the structuring number such as OCR technique or human assistance mode by system automatic identificationAccording to for by it is described have unified standard data information content decompose, become the data item that user can click one by one, canExport as the field of EXCEL.
Whole Disease case informations that the platform core database layer is uploaded for typing or inquiry various regions.CoreDatabase is separately operable in two-server: 1) core database A is run in First Core server, for typing and is looked intoAsk various regions upload Disease Primitive case information, including the Disease image conversion operation case data, X-ray,The imaging datas such as nuclear magnetic resonance MRI and CT, B ultrasound, original electron medical record data, laboratory inspection system data, analysis dataWith medication information, relevant charging information, nursing information required for various survey report data, scientific research etc.；2) core databaseB: running in second Core server, for typing and easily inquires the standardization Disease case information and instituteThe sign monitoring information for stating Disease, is conducive to the further analysis of doctor, and the sign monitoring information of the disease case is logicalThe disease surveillance device for crossing profession directly exports and is uploaded to the server or the storage equipment, and the export can be logicalThe mode for crossing wired or wireless network transmission carries out data transmission and communicates；
The platform operation management layer is used to provide management and business monitoring function for the manager of platform, pushes platformOperation flow operating, including following 7 modules: 1) system management module: for different stage administrator to the cloud platform systemThe differentiated control of system and each subsystem.2) authority management module: for being used for different identities such as medical institutions, doctor, patientsPerson configures the access right of the cloud platform system, implements multistage rights management mechanism.3) it registration and authentication management module: is used forRegistered information managing and certification to Disease and doctor are conducive to the function of utmostly playing authority management module.4)Content managing module: for being managed to the content information that platform is issued.5) safety management module: for the cloud platformSystem carries out security setting, ensures platform information safety.6) backup management module: for the disease in the core database AStandardization Disease case information backup in patient's Primitive case information and the core database B, furtherEnsure the safe operation of the Disease and the data storage and the cloud platform system of the doctor.7) user journal managementModule: login times and access habits etc. for recording and managing different user form the basic data of customer service, into oneStep ensures the data safety of the cloud platform system.
The platform application layer includes: 1) ODP in operation logging modle: the operation for recording the Disease is concurrentDisease；2) ODP in operation Follow-up After module: for Disease described in regular follow-up；3) ODP in operation inspection and chemical examination module:Show the Disease in the every chemical examination and inspection information of different time nodes for systematicness；4) disease surgery questionnaire withEvaluation module: for providing a variety of international and domestic common postoperative evaluation means and assessment tool for various diseases；5) diseaseSick quick diagnosis selecting module: for providing a variety of diagnostic modes for meeting international standard and domestic habit；6) disease art formula is fastPrompt selecting module: for being directed to the disease of each disease especially Surgical Operation complexity, up to tens kinds of efficiently art is providedFormula selection and filler tools.
The complication monitor layer includes: 1) the long-range Registration Module of disease surgery complication: for respectively for not of the same raceThe disease of class provides the quick registration function of tens of kinds of common surgical complication and fast stepping on for other rare postoperative complicationsCite sb. for meritorious service can, such as be directed to gynecological disease, system have 16 kinds of Common Gynecologic Diseases postoperative complications quick registration function, Yi JiqiThe quick registration function 2 of his rare gynecological disease postoperative complication) postoperative complications follow-up cue module: respectively according to notThe feature of congener disease surgery complication provides the prompt of different types of disease surgery complication management for doctorInformation；3) postoperative complications rehabilitation assessment module: for tracking the case by the medicine questionnaire for providing international standardPostoperative complications rehabilitation situation, is such as directed to gynaecology's basin bottom disease surgery patient, and system can provide basin bottom organ prolapse evaluation questionnaire(POP-Q), pelvic floor disorder influence simple questionnaire 7 (PFIQ-7), pelvic organ prolapse/urinary incontinence sexual function questionnaire (PISQ-12),The urinary incontinence influences the multiple assessments modules such as questionnaire (IIQ-7), pelvic floor dysfunction questionnaire (PFDI-20)；4) complication world generationCode module: by providing international standard industrial classification method (ICS)/international code system (IUG), convenient for doctor respectively to different types ofDisease surgery complication carries out whole world identification and statistics, and for example mesh sheet treatment and non-mesh sheet treatment gynecological disease postoperative complication mentionsFor international standard industrial classification method (ICS)/international code system (IUG), know convenient for the whole world to the gynecological disease postoperative complicationNot with statistics；5) internationally recognized postoperative complications staging hierarchy (Clavien-Dindo), side complication diversity module: are usedJust doctor quickly selects the rating information of the disease surgery complication, makes the assessment and processing of the disease surgery complicationMeet international norm；6) complication statistical analysis module: automatic for being carried out to different types of disease surgery complicationStatistics, analysis and diagrammatic representation.
Fig. 2 is the method flow diagram of the various disease surgery complication of monitoring provided by the invention.As shown in Fig. 2, a kind of prisonThe method for surveying various disease surgery complication, includes the following steps:
S100, pass through registration in the cloud platform operation management layer that monitors various disease surgery complication and authentication management mouldRegistered information managing and certification of the block to Disease and doctor；
The Disease Primitive case letter is filled in or uploaded to S101, the ODP in operation logging modle in platform application layerBreath；
S102, the Disease Primitive case information is transmitted by interchanger and Internet network and stores clothesIt is engaged in device or storage equipment；
S103, the server or the storage are stored in by the core database A typing of platform core database layerThe Disease Primitive case information in equipment；
S104, described diagnosis, treatment being stored in server or storage equipment etc. is marked by platform application supporting layerQuasi- disunity, naming rule confusion the Disease Primitive case information by unified standard classified, marked, obtainStandardize Disease case information；
Disease case information is standardized described in S105, the core database B typing by platform core database layerAnd the sign monitoring information of Disease；
S106, doctor are checked described in the core database B by the ODP in operation logging modle in platform application layerStandardize Disease case information and the sign monitoring information；
S107, doctor check the Disease not by the ODP in operation inspection in platform application layer with chemical examination moduleWith the every chemical examination and inspection information of timing node, every chemical examination and inspection information, including at least one of: the diseaseX-ray, nuclear magnetic resonance MRI, CT, B ultrasound imaging data, various analysis datas and the various survey report data of patient；
S108, doctor are commonly commented by the international and country in the disease surgery questionnaire and evaluation module in platform application layerEstimate means and assessment tool to assess the Disease postoperative curative effect；
S109, doctor perform the operation to Disease by the long-range Registration Module of disease surgery complication in complication monitor layerComplication is fast registered, and the quick registration can call the complication international code mould in the complication monitor layer automaticallyBlock be the Disease postoperative complication according to international standard industrial classification method (ICS)/international code system (IUG) carry out classification andCoding；
S110, doctor select the classification letter of disease surgery complication by the complication diversity module in complication monitor layerBreath makes the assessment of the Disease postoperative complication and processing meet international norm；
Complication statistical analysis module in S111, complication monitor layer, which performs the operation to the Disease, concurrently to carry out automaticallyStatistics and analysis.
Preferably, Disease Primitive case is filled in or uploaded to the ODP in operation logging modle in platform application layerInformation method particularly includes:
Doctor is former by the Disease by medical environment electronic data interchange standard (HL7) data transformation interfaceBeginning case information is automatically converted to original electron by medical environment electronic data interchange standard (HL7) the data-interface engineMedical record data；
Doctor imports the Disease original electron medical record data.
Preferably, Disease Primitive case is filled in or uploaded to the ODP in operation logging modle in platform application layerInformation method particularly includes:
Doctor is introduced directly into the Disease original electron medical record data by electronic medical record system interface.
Preferably, Disease Primitive case is filled in or uploaded to the ODP in operation logging modle in platform application layerThe specific method of information further include:
The Disease imports the sign monitoring information of the Disease by the disease surveillance device of profession.
Preferably, Disease Primitive case is filled in or uploaded to the ODP in operation logging modle in platform application layerThe specific method of information further include:
Doctor imports various analysis datas and various survey report data by laboratory inspection system data interface；
Doctor imports medication information and relevant charging information required for scientific research by hospital information system interfaces；
Doctor imports nursing information required for scientific research by clinic information system interface.
Preferably, the doctor suffers from disease by the long-range Registration Module of disease surgery complication in complication monitor layerPerson's postoperative complication is fast registered further comprising the steps of:
Doctor fast diagnoses selecting module determination by the disease in platform application layer and quickly selects to meet international markThe diagnostic mode of quasi- and domestic habit；
Doctor quickly selects and fills in the disease by the quick selecting module of disease art formula in platform application layer and suffers fromThe art formula that person is lived through.
It preferably, further include following step before the registered information managing to the Disease and doctor and certificationIt is rapid:
The safety management module in cloud platform operation management layer by monitoring various disease surgery complication is to the cloudPlateform system carries out security setting, ensures platform information safety.
The system management module in cloud platform operation management layer by monitoring various disease surgery complication is to platform systemSystem and each subsystem differentiated control；
The authority management module in cloud platform operation management layer by monitoring various disease surgery complication is therapeutic machineThe different identities user such as structure, doctor, Disease configures the access right of the cloud platform system, implements multistage permission pipeReason.
Preferably, Disease is standardized described in the core database B typing by platform core database layerAfter case information and sign monitoring information, further includes:
Backup management module in platform operation management layer believes the Disease Primitive case in the core database AThe standardization Disease case information automated back-up in breath and the core database B, so that doctor or patient missThe Disease Primitive case information or the standardization Disease case information are restored after operation.
Preferably, the complication statistical analysis module in the complication monitor layer performs the operation to the Disease concurrentIt is further comprising the steps of after carrying out programming count and analyzing:
By user journal management module records in platform operation management layer and manage different user login times andAccess habits form the basic data of customer service.
The beneficial effect of the cloud platform system and method for the various disease surgery complication of monitoring described in the present embodiment is:
(1) the cloud platform system provided in this embodiment in the design process respectively from the network infrastructure of system,Boundary calculates the security function that safe four aspects of environment, application devise system, makes the cloud platform system in complicated netThere is very strong stability under network environment.
(2) core database while use at least two database servers, progress master-slave back-up, such oneAspect improves data bank service treating capacity, on the other hand ensure that data safety.
(3) the platform application layer provides variety classes disease specialization case information application module, establishes differenceType disease specialization data system is conducive to specialist and utilizes this plateform system development disease surgery concurrent steadily in the long termDisease research and clinical position.
(4) the complication monitor layer had both considered the normal of the country from the generation and rehabilitation of multiple dimensions assessment complicationSee complication, and merge international state-of-the-art complication assessment, classification and statistical analysis technique, to make this system in various diseasesThe statistical analysis of sick postoperative complication reduces scientific research cost while having the leading level in the world.
In embodiment provided by the present invention, it should be understood that each module can store computer-readable at oneStorage medium in, including some instructions are used so that computer equipment (can be personal computer, server, orNetwork equipment etc.) or processor (processor) composition structure of the embodiment of the present invention.And the storage medium include: USB flash disk,Mobile hard disk, read-only memory (Read-Only Memory, ROM), random access memory (Random AccessMemory, RAM), Electrical Erasable programmable read-only memory (Electrically-Erasable ProgrammableRead-Only Memory, EEPROM), the various media that can store program code such as disk or CD.
The above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations；Although with reference to the foregoing embodimentsInvention is explained in detail, those skilled in the art should understand that: it still can be to previous embodimentDocumented technical solution is modified, or equivalent substitution of some or all of the technical features；And these are repairedChange or replaces, the range for technical solution of the embodiment of the present invention that it does not separate the essence of the corresponding technical solution.