CN111863213A - Two-way referral system, two-way referral service platform, and grass-roots first-aid workstation based on primary first aid screening - Google Patents

Abstract

The invention discloses a two-way referral system based on primary-level emergency screening, which is characterized in that a primary-level emergency screening workstation is constructed in a primary-level organization to screen/triage high-risk patients/critical patients, and when the high-risk patients/critical patients are found, a rapid channel referral request is initiated, the rapid channel referral request is forwarded to a pre-stored default referral receiver by a two-way referral service platform, a request result fed back by the default receiver is obtained, and if the request result indicates that the referral is accepted, the primary-level emergency screening workstation is informed that the request is successful; on the other hand, the referral requester, the referral object, the referral receiver and the patient receiving the referral are connected by combining the Internet of things, so that the message can reach the corresponding object in time and can interact. Correspondingly, the invention also provides a corresponding primary emergency screening workstation and a bidirectional referral service platform.

Description

Two-way referral system based on primary first aid screening, two-way referral service platform, grassroots first aid workstation

technical field

The invention relates to the technical field of medical information processing, and relates to a two-way referral system based on primary first aid screening, a two-way referral service platform and a primary first aid workstation.

Background technique

In September 2015, my country promulgated the "Guiding Opinions on Promoting the Construction of a Hierarchical Diagnosis and Treatment System". The opinion stated that by 2020, a hierarchical diagnosis and treatment model featuring first diagnosis at the grassroots level, two-way referral, acute and chronic treatment, and upper and lower linkages will be gradually formed. Basically establish a hierarchical diagnosis and treatment system in line with national conditions. Hierarchical diagnosis and treatment actually refers to grading according to the priority of the disease and the difficulty of treatment. Medical institutions at different levels undertake the diagnosis and treatment of different diseases, and gradually realize the medical process from general practice to specialization. In recent years, various parts of our country have also vigorously promoted the hierarchical diagnosis and treatment system to achieve mutual referral between grassroots and central hospitals, but the effect is very small, mainly because: on the one hand, most of the advantageous medical resources are mainly distributed in the provincial and municipal tertiary hospitals, The basic equipment is poor and the medical service capacity is low, which makes the grassroots not fully utilized, resulting in overcrowded tertiary hospitals, the lack of grassroots hospitals, and a series of problems such as difficulty in seeing a doctor, expensive medical treatment, and contradiction between doctors and patients. , the grass-roots information management mechanism is lagging behind, unable to form an effective information platform for hierarchical diagnosis and treatment management, and there is no relatively unified management module and information exchange platform between the provincial and municipal large hospitals and the grass-roots level. Therefore, it is impossible to achieve resource sharing, let alone Enable rapid two-way referrals.

In view of this, the two-way referral mechanism of grassroots and general hospitals has become a hot research direction at present, and some people have proposed corresponding two-way referral methods and systems, such as Chinese patent application 201410559964, which discloses a hospital two-way referral system, The method and platform, which store the health files uploaded by the referral request client by constructing a health record data center, when the two-way referral processing module receives the referral request sent by the referral request client, according to the preset referral The principle automatically matches the corresponding referral receiving hospital, and the referral receiver receives the referral request forwarded by the two-way referral processing module through the referral receiving client, and indicates that after accepting, the patient's health record will be retrieved from the health record data center. Know the patient's condition in time; Chinese patent application 201610046075 discloses a two-way referral system and referral method that supports hierarchical diagnosis and treatment. And the receiving hospital doctor's diagnosis workstation forwards the referral message and confirms the referral message, so as to realize the information management of hierarchical diagnosis and treatment. However, these two-way referral methods or systems only realize the sharing and intercommunication of hospital information to achieve two-way referral, but they do not mention the construction of primary emergency medicine departments, nor the screening and hierarchical diagnosis and treatment for patients with chronic diseases.

As mentioned above, the first step of hierarchical diagnosis and treatment is the first consultation at the grass-roots level, and the first consultation at the grass-roots level refers to the first consultation system at the grass-roots level for the elderly in urban and rural areas and residents of working age. Those who need to go to other secondary or tertiary hospitals for medical treatment must be referred after the first consultation by the designated medical institutions at the grass-roots level. However, at present, the grass-roots level in my country has not established a complete emergency medicine department, let alone a corresponding chronic disease screening mechanism at the grass-roots level.

However, due to the traditional "home-based care" habit of the people, a large number of elderly people are gathered in residential communities, as well as nursing homes, nursing homes and other elderly care institutions, and there are a large number of high-risk groups and patients with chronic diseases such as cardiovascular and cerebrovascular diseases in the elderly. According to the "Report on Nutrition and Chronic Disease Status of Chinese Residents (2015)", there are currently more than 260 million people with chronic diseases diagnosed. In 2012, the mortality rate of chronic diseases among Chinese residents reached 533/100,000. Major chronic diseases such as cardiovascular and cerebrovascular diseases, malignant tumors, chronic obstructive pulmonary disease, diabetes and neuropsychiatric diseases were the main causes of death. In particular, with changes in lifestyle and an aging population, it is expected that chronic diseases in my country will continue to grow rapidly in the next 10-15 years. These patients mainly belong to community hospitals and other grass-roots units to provide medical services, but the grass-roots medical equipment is backward and the medical resources are weak, which usually cannot meet the medical needs of high-risk groups and patients with cardiovascular and cerebrovascular diseases, that is, the grass-roots cannot be cured; The acute exacerbation is seen in the emergency department. Some people predict that the outpatient volume of large medical centers, especially general outpatient clinics, will decrease by 90% in the next 10 years. Under this background, the emergency emergency system will undertake important tasks. The pre-examination and triage of the emergency department is the primary link of emergency treatment. Safe and effective emergency pre-examination and triage can accurately identify critically ill patients, ensure the safety of patients, and improve the efficiency of emergency operations. Although my country is currently vigorously advocating the construction and development of primary-level emergency medicine departments, currently, pre-examination and triage in my country are not pre-positioned in primary-level medical service institutions. Therefore, the efficiency of first aid is low and affects the effect of first aid.

Therefore, there is an urgent need for a patient-centered service concept with the purpose of giving priority to acute and critical illness, and to establish a set of hierarchical management for emergency patient triage that is suitable for my country's national conditions and applies emergency triage to primary medical service institutions. model.

SUMMARY OF THE INVENTION

In view of the above existing technical problems, the present invention provides a two-way referral server platform based on primary first aid screening.

In order to solve the above-mentioned technical problems, the technical scheme adopted in the present invention is:

A two-way referral service platform based on primary first aid screening, comprising:

The obtaining module is used to obtain the fast-track referral request sent by the primary first aid screening workstation, and obtain the request result fed back by the default referral recipient;

The referral module is configured to forward the fast-track referral request to a pre-stored default referral recipient, and when the request result is that the default referral recipient indicates that the fast-track referral request is accepted, send the request to the default referral recipient. The primary first aid screening workstation sends back a notification that the request is successful;

Wherein, the fast-track referral request is when the chronic disease screening experts/emergency pre-examination and triage personnel obtain that the object to be screened/emergency patient is a high-risk chronic disease patient/urgent critical patient according to the collected screening data/vital sign data In critically ill patients, it is initiated through the primary first aid screening workstation.

Further, the two-way referral service platform also includes:

a patient management module, configured to notify the referral module to forward the fast-track referral request when an instruction indicating that the referral object agrees to the referral is obtained from the fast-track referral request;

Wherein, the instruction expressing consent to the referral is added to the fast-track referral request when the primary first aid screening workstation acquires the instruction that the referral object expresses consent to the referral.

Further, the two-way referral service platform also includes:

Referral database to store basic information and event status of referral events;

The referral module is also used to update the event status of each referral event in the referral database in real time, and notify the grassroots emergency screening workstation and the referral object of the latest event status of the referral event. , and/or the default referral recipient of the referral.

Wherein, the acquisition module is further used to acquire the rehabilitation referral request initiated by the non-primary institution, and the request result fed back by the default primary-level emergency screening workstation; the patient management module is also used to acquire the information filled in by the non-primary institution Rehabilitation referral form, and forward it to the referral object to notify the referral object to confirm whether to agree to the downward referral, and when the referral object has obtained the instruction that the referral object agrees to the referral, the rehabilitation referral added to said rehabilitation referral request;

The referral module is further configured to send the rehabilitation referral request to the default primary first aid screening workstation, and when the request result fed back by the default primary first aid screening workstation indicates that the rehabilitation referral request is accepted. , and feed back a notification that the request is successful to the referral object and the default primary first aid screening workstation, respectively.

Further, the two-way referral service platform also includes:

Free clinic database, used to store pre-planned free clinic activity plans;

The push module is used for pushing the free diagnosis activity plan stored in the free diagnosis database to the referral object and/or the primary first aid screening workstation.

Another aspect of the present invention also provides a basic level first aid screening workstation, which includes:

The data collection device is used to periodically collect the screening data of the screened objects for the chronic disease screening experts to carry out disease screening, or to collect the real-time vital sign data of emergency patients for triage by the emergency pre-examination and triage personnel;

at least one memory for storing the real-time vital sign data and screening data;

The grassroots referral terminal is used to obtain screening results/triage results, and when the screening result indicates that the screening object is a high-risk chronic disease patient, or the triage result indicates that the emergency patient is an acute and critically ill patient, the two-way referral The diagnosis service platform initiates a fast-track referral request, and receives the request result fed back by the two-way referral service platform.

Further, the primary first aid screening workstation also includes:

The primary-level rehabilitation terminal is used to receive the referral request initiated by the non-primary institution forwarded by the two-way referral service platform, obtain the request result of the primary-level referral recipient, and then feed it back to the non-primary institution through the two-way referral service platform. grassroots institutions.

Based on the above-mentioned grassroots first aid screening workstation and two-way referral service platform, the present invention also provides a two-way referral system based on grassroots first aid screening, which includes:

At least one basic-level emergency screening workstation is used to periodically collect the screening data of the screened objects for screening by disease screening experts, or to collect real-time vital sign data of emergency patients for emergency pre-examination and triage personnel Triage is performed, and when the triage result is that the emergency patient is an acute and critically ill patient, or the screening result is that the screened object is a high-risk chronic disease patient, a fast-track referral request is initiated;

a two-way referral service platform, configured to obtain the fast-track referral request, and forward the fast-track referral request to a pre-stored default referral recipient; and obtain the request result fed back by the default referral recipient, And when the request result indicates that the fast-track referral request is accepted, notify the grassroots triage terminal and/or the emergency patient referral request to succeed;

At least one non-primary referral terminal, configured to receive the fast-track referral request forwarded by the referral service platform, and notify the default referral recipient to confirm whether to accept the request, and obtain the request for feedback from the default referral recipient The result is forwarded to the referral service platform.

Further, the two-way referral system also includes:

At least one referral object terminal is used to receive the referral form sent by the grassroots first aid screening workstation, and obtain an instruction that the referral object agrees to the referral, and send it to the referral service platform; accordingly,

The referral service platform is also used to obtain the referral form filled in by the pre-screening triage personnel/disease screening experts, and forward it to the referral object terminal carried by the referral object for the referral object to confirm whether or not to agree to the referral. The referral form is added to the fast-track referral request when the instruction that the referral object agrees to the referral is obtained.

Further, the two-way referral service system also includes:

At least one patient terminal, configured to receive a referral notification sent by the non-primary referral terminal, and obtain an instruction that the patient agrees to receive a diagnosis, and send it to the non-primary referral terminal; accordingly,

The non-basic level referral terminal is further configured to generate a corresponding referral notification according to the fast-track referral request, and send it to the recipient terminal to notify the recipient of the consultation; and when receiving the consultation When the instruction sent by the client terminal expressing consent to the consultation, it will be fed back to the referral service platform.

Further, the two-way referral service system also includes:

Non-primary rehabilitation equipment, used to initiate a rehabilitation referral request to the two-way referral service platform;

grassroots rehabilitation equipment, used for receiving rehabilitation referral requests sent by the two-way referral service platform; accordingly,

The patient terminal is also used to obtain the rehabilitation referral form filled out by the patient, and forward it to the non-primary rehabilitation device, so as to trigger the non-primary rehabilitation device to initiate the two-way referral service platform. Rehabilitation referral requests;

The two-way referral service platform is further configured to acquire the rehabilitation referral request initiated by the non-primary rehabilitation equipment, and forward the rehabilitation referral request to the default primary rehabilitation equipment, and when the primary rehabilitation equipment is acquired. The device feedback means that when the rehabilitation referral request is accepted, a notification that the request is successful is fed back to the non-primary rehabilitation terminal.

The benefits of the present invention are:

The present invention screens/triages high-risk chronic disease patients/critically ill patients by constructing a basic-level first aid screening workstation in a basic-level institution, and initiates a fast-track referral request when a high-risk chronic disease patient/critically ill patient is found. The two-way referral service platform forwards the fast-track referral request to the pre-stored default referral recipient, and obtains the request result fed back by the default recipient. If the request result indicates that the referral is accepted, it will notify the grassroots first aid screening The query station request is successful; on the other hand, the referral requester, the referral object, the referral recipient and the patient are connected in combination with the Internet of Things, so that the message can reach the corresponding object in time.

Description of drawings

FIG. 1 is a schematic diagram of functional modules of an embodiment of a basic-level emergency screening workstation according to the present invention;

2 is a schematic diagram of functional modules of an embodiment of a two-way referral service platform based on primary first aid screening according to the present invention;

3 is a schematic diagram of the framework of an embodiment of a two-way referral system based on primary first aid screening according to the present invention;

4 is a sequence diagram of an embodiment in which the bidirectional referral system in FIG. 3 realizes upward referral;

5 is a sequence diagram of an embodiment in which the bidirectional referral system in FIG. 3 realizes upward referral and downward referral;

FIG. 6 is a sequence diagram of another embodiment in which the bidirectional referral system in FIG. 3 realizes bidirectional referral and downward referral.

Detailed ways

The present invention will be described in detail below with reference to the accompanying drawings.

In order to make the objectives, technical solutions and advantages of the present invention clearer, the present invention will be further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are only used to explain the present invention, but not to limit the present invention.

Definition of noun:

Referral requesting party: The referral requesting party in this article refers to the party who initiates the referral. In the case of a referral request from a lower-level medical institution, the higher-level medical institution is the referral requester. For example, when a primary level initiates a referral request for upward referral to a municipal central hospital, the primary level is the requesting party; or, when a municipal central hospital initiates a downward referral referral request to a primary level, the municipal level The Central Hospital is the referral requesting party.

Referral recipient: The referral recipient in this article is the party that only receives referrals. If the grassroots initiates a referral request to a higher-level/level-level medical institution, the higher-level medical institution that receives the referral request is the Referral recipient; if a higher-level medical institution initiates a referral request to a lower-level/equivalent medical institution, the higher-level medical institution is the referral requester. For example, when the primary level initiates a referral request for upward referral to a municipal central hospital, the municipal central hospital is the recipient of the referral; or, when the municipal central hospital initiates a referral request for downward referral to the primary level, the This grassroots level is the referral recipient. As mentioned above, the medical service is usually provided by the grassroots level for patients with chronic diseases. However, once a chronically diseased patient develops, the grassroots level cannot be cured and needs to be referred to a general hospital. Therefore, in order to save time, the present invention Provides a green channel for referral from the grassroots to the municipal central hospital, that is, once the grassroots finds the onset of a chronic disease patient, that is, once the substrate finds that the emergency patient who needs to be referred is marked as a chronic disease patient, it will directly report to the preset city. If a central hospital at a level initiates a fast-track referral request, the central hospital at the municipal level is the default referral recipient preset in the referral service platform.

Receiver: The patient in this article refers to the doctor who receives the referral object and diagnoses and treats the referral object after the referral object reaches the referral recipient.

Data collection equipment: The data collection equipment in this article refers to various equipment used to collect patient vital sign data, and vital sign data includes various screening data for chronic disease screening, such as blood lipids, blood pressure and other vital sign data.

Emergency screening experts: The emergency screening experts in this article include chronic disease screening experts and emergency pre-examination triage personnel. The chronic disease screening experts refer to the data collected according to various screening equipment, and are referred to as screening experts for short. , Emergency pre-examination and triage personnel refer to the voluntary personnel of emergency triage in grass-roots institutions, referred to as triage personnel. Of course, the screening specialist may also be a triager, and similarly, the triager may also be a screening specialist, such as a doctor who is both a screening specialist and a triager in the emergency department.

First aid event: The first aid event in this article refers to that when the primary first aid screening workstation finds that the emergency patient is a critically ill patient, or that the screened object is a high-risk chronic disease patient, it determines that the patient needs first aid and initiates a fast-track referral request to the referral center. The entire incident of the patient being admitted, and each stage of the emergency incident will respond to the corresponding incident status, such as referral request, pending receipt, received, pending review, and admission status. Among them, referral Request, which means that the referral requester initiated a referral request, but the referral request has not been accepted by the referral recipient; Pending, means that the referral recipient has accepted the referral request, but the emergency patient has not yet arrived, so it is waiting for the emergency department The status of the patient's arrival; Received, it means that the patient has reached the referral recipient, and the referral recipient has arranged a corresponding receptionist for the referral object; Pending review means that the receptionist has received the admission notice, but It has not been confirmed whether the referral object is accepted; waiting for admission, it means that the receptionist has indicated that the referral object is accepted and will be treated for the referral object; invalid, it means that the receptionist refuses to accept the referral object, or emergency treatment Incident was on hold for more than 24 hours.

The core idea of the present invention is to screen/triage high-risk chronic disease patients/critically ill patients by constructing a basic-level first aid screening workstation in basic institutions, and initiate fast-track transfer when a high-risk chronic disease patient/critically ill patient is found. The two-way referral service platform forwards the fast-track referral request to the pre-stored default referral recipient, and obtains the request result fed back by the default recipient. If the request result indicates that the referral is accepted, then Notify the grassroots emergency screening workstation that the request is successful; on the other hand, combined with the Internet of Things, the referral requester, the referral object, the referral recipient and the patient are connected, so that the message can reach the corresponding object in time.

Example 1

Referring to FIG. 1 , it is a schematic frame diagram of an embodiment of a basic-level emergency screening workstation of the present invention. Specifically, the basic-level emergency screening workstation of this embodiment includes:

The data collection device is used to periodically collect the screening data of the screened objects for the chronic disease screening experts to carry out disease screening, or to collect the real-time vital sign data of emergency patients for triage by the emergency pre-examination and triage personnel;

At least one memory, connected to the data collection device, is used for the patient data collected by the data collection device, and constructs a corresponding patient information database and an emergency screening expert database; wherein, the patient information database includes basic information of patients (such as name, address, gender and contact information, etc.) and medical data (such as date and time of registration, department and doctor for registration, vital signs data collected in emergency, screening data collected periodically, and whether it is a chronic disease patient, etc.) , and the emergency screening expert database includes the basic information of each grass-roots chronic disease screening expert and each emergency pre-examination triage personnel, such as name, department, contact information, etc.;

The grassroots referral terminal is connected to the memory and the data collection device, and is used to obtain the screening result/triage result, and when the screening result is that the screening object is a high-risk chronic disease patient, or the triage result is that the emergency patient is a For critically ill patients, initiate a fast-track referral request to the two-way referral service platform, and receive the request results fed back by the two-way referral service platform.

Usually, before the grassroots emergency screening workstation initiates a fast-track referral request, it is necessary to obtain the consent of the referral object or his family (for simplicity, the consent of the referral object or his family is collectively referred to as the referral object’s consent). The referral form filled with the referral information can be printed out to the referral object (or family member) for confirmation, and after agreeing to sign, scan the electronic copy and upload it to the grassroots referral terminal, so that when the grassroots referral When the terminal obtains the referral form, it can know the confirmation result of the referral object. If it is agreed, it will initiate a fast-track referral request, as shown in Figure 4; Send the form to the referral target terminal carried by the referral target, and receive the referral document that has been confirmed by the referral target or family members fed back by the referral target terminal, and obtain the confirmation result of the referral target. Agree, then initiate a fast-track referral request, see Figure 5.

In a specific embodiment, the data collection device specifically includes: an identity scanner, which is used to scan the identity information (such as certificate number, name, address) and avatar identification and extraction in the documents of the screened object/emergency patient, and generate Document text information and avatar pictures, thus solving the problem of quickly, accurately and efficiently entering documents into the computer information system, replacing the process of document copying and manual input, and improving work efficiency; various mobile medical equipment standing in various medical institutions, such as Mobile electrocardiographs, portable monitors, etc., and the medical equipment is used to realize real-time collection and remote transmission of vital sign data through the Internet of Things system; and various intelligent auxiliary equipment, such as smart bracelets, time mother clock, emergency time tracking It is used to collect state data at emergency time.

Further, in another specific embodiment, the primary first aid screening workstation further includes:

The clinical assistant decision-making system is used to combine stroke big data, artificial intelligence technology, and a robot-assisted diagnosis system for the purpose of enhancing medical-related decision-making and prescription accuracy, and improving the efficiency and quality of medical services. Specifically, the clinical assistant decision-making system can be integrated on the above-mentioned grassroots referral terminal, and its principle is as follows:

First, sample data is collected, and the preprocessed sample data is divided into training data and test data; in a specific embodiment, the first-line data and prognosis of 200 stroke patients before/after the onset are collected, and all data are standardized, Normalize to form a vector for discriminative training;

Secondly, a chronic disease recognition model is constructed by combining a linear machine learning method and a nonlinear deep learning method; in a specific embodiment, a support vector machine (supporting vector machine, SVM) and a convolutional neural network (Convolutional Neural Network, CNN) are used ) to train the training data to form a preliminary recognition model;

Then, use the formed preliminary identification module to perform transfer learning and reinforcement learning, and perform correction; in a specific embodiment, the test data is used as the input of the identification model, and the identification results of the identification model are obtained by experienced medical staff Judgment, if the identification result is correct, enter the consent information, if the identification result is wrong, enter the disagreement information, after a large number of tests, the final chronic disease identification model is obtained, that is, by incorporating new variables in the transfer learning of SVM. In cross-validation, the artificial neural network can be trained by changing the reward-penalty coefficient to obtain the final chronic disease recognition model.

Further, in the present embodiment, referring to FIG. 5 and FIG. 6 , the grass-roots first aid screening workstation also includes a grass-roots rehabilitation terminal, which is connected to the above-mentioned memory and is used for receiving the information sent by the two-way referral service platform and initiated by non-primary institutions. Rehabilitation referral request, obtain the request result of the rehabilitation referral recipient, and then feed it back to the non-primary institution (such as the default referral recipient above) through the two-way referral server platform.

Embodiment 2

Referring to FIG. 2 , it is a schematic framework diagram of an embodiment of a two-way referral service platform based on primary first aid screening of the present invention. Specifically, in this embodiment, the two-way referral service platform includes:

The obtaining module is used to obtain the fast-track referral request sent by the primary first aid screening workstation, and obtain the request result fed back by the default referral recipient;

A referral module, used for forwarding the fast-track referral request acquired by the acquisition module to a pre-stored default referral recipient, and when the request result fed back by the default referral recipient is that the fast-track referral request is accepted When the request is successful, a notification that the request is successful is fed back to the primary first aid screening workstation.

In this embodiment, the fast-track referral request is when the chronic disease screening experts/emergency pre-examination triage personnel in the grass-roots emergency screening workstation obtain the screened object/emergency according to the collected screening data/vital sign data When the patient is a high-risk chronic disease patient/critically ill patient, the chronic disease screening expert/emergency pre-examination and triage personnel will initiate through the primary emergency screening workstation, and send the two-way referral server platform through the Internet of Things.

Usually, before the primary emergency screening workstation initiates a fast-track referral request, the consent of the referral object or his family is required (see Figure 4 and Figure 5, for simplicity, the consent of the referral object or his family is collectively referred to as referral The consent of the patient), therefore, further, the two-way referral service platform of the present embodiment also includes:

The patient management module is used to notify the above-mentioned referral module to forward the fast-track referral request initiated by the basic-level emergency screening workstation to the pre-stored when the instruction of the referral object expressing consent to the referral is obtained from the fast-track referral request The default referral recipient for .

In this embodiment, the two-way referral service platform further includes a memory, which stores the basic information of all basic-level institutions and non-primary institutions in the area (corresponding basic-level institution databases and non-primary-level institution databases can be constructed), and each The default referral recipient when the grassroots emergency screening workstation initiates a fast-track referral request (a corresponding database of default referral relationships can be constructed. Usually, multiple grassroots emergency screening workstations that are close to each other correspond to the same default referral at the same time. diagnosis receiver), so that when the two-way referral service platform receives the fast-track referral request sent by the basic-level emergency screening workstation, it can automatically query the corresponding default referral receiver according to the basic information of the basic-level emergency screening workstation , and forwards the fast-track referral request to the default referral recipient, so that special dispatchers are not required for temporary dispatch, which improves the efficiency of first aid, especially for high-risk diseases such as stroke, which must race against time. Efficiency of first aid.

In this embodiment, the instruction of the referral object expressing consent is carried in the fast-track request in advance. Usually, before the chronic disease screening expert/emergency pre-examination and triage personnel initiates the fast-track referral request through the primary emergency screening workstation, the referral object (that is, the screening object/emergency patient) has been obtained in advance. ) consent, such as making the referral but printing it out for the referral object to confirm and sign, then scan it for archiving, and add it as an attachment to the fast-track referral request; it can also be pre-generated electronically directly through the primary first aid screening workstation After filling out the referral form, the corresponding screening expert/emergency pre-examination and triage personnel will send it to the referral object terminal carried by the referral object, and then the primary first aid screening workstation will obtain the referral through the Internet of Things. The confirmation result returned by the referral object (including agreeing to the referral or rejecting the referral) returned by the object terminal, and when the confirmation result indicates that the referral is agreed, the primary first aid screening workstation will initiate the two-way referral service platform. A fast-track referral request with this instruction to agree to the referral.

Further, the memory of the two-way referral service platform of this embodiment is also used to store the basic information of the referral event (such as the address where the emergency occurred, the time of the incident, the contact person and other basic information) and the event state; and The event state of each referral event in the referral database is updated in real time by the above-mentioned referral module. Specifically, different event states can be marked respectively for the referral requesting party and the referral receiving party. When the recipient accepts the fast-track referral request (including referral information) forwarded by the two-way referral service platform, the event status of the referral event will be marked as "pending consultation", and when the referral object reaches the default referral referral recipient, When the default referral recipient notifies the pre-assigned recipients for consultation, the event status on the referral requester side is updated to "pending review", and the event status of the referral recipient is updated to "received." ”, when the recipient views the corresponding notice and agrees to the consultation, the event status on the requester side of the referral will be updated to “pending consultation”, and if the recipient refuses the consultation, the patient will be referred The event status on the requesting side is updated to "invalid" (further, referral events that have been in the "pending" state for more than 24 hours can be automatically marked as "invalid"); of course, corresponding event status can also be constructed. data such as:

The waiting-seeking database is used to store various emergency events in the "waiting-seeking" state;

Diagnosed database, which is used to store various emergency events in the "diagnosed" state;

The database to be reviewed is used to store various emergency events in the state of "to be reviewed";

Invalid referral database, used to store various emergency events in the "invalid" state.

Furthermore, the referral service platform can also create different databases to be received, databases to be received, databases to be reviewed and databases of invalid referrals for different referral requesting parties, that is, each referral requesting party corresponds to one database. The database to be admitted, the database that has been admitted, the database to be reviewed, and the database of invalid referrals; of course, corresponding databases can also be constructed for different referral recipients.

Of course, when the event status is updated, the referral module will also notify the grassroots emergency screening workstation, the referral object, the default referral recipient, and/or the recipient of the latest event status of the referral event.

Furthermore, when a patient can undergo rehabilitation treatment in a grass-roots institution after being treated in a non-primary institution (such as the default referral recipient), it needs to be referred downward. Specifically, the non-primary institution can use its corresponding The rehabilitation system/equipment that initiates a rehabilitation referral request to the two-way referral service platform, correspondingly,

The acquisition module is also used to acquire the rehabilitation referral request initiated by the non-primary institution, and the request result fed back by the default primary-level emergency screening workstation; specifically, usually, when referring downwards, it follows the original path when referring upwards. Transfer back, that is, if a primary-level first-aid screening workstation acts as the referral requester and initiates a fast-track referral request when making a referral upward, a non-primary institution is stored in the two-way referral service platform as the primary-level emergency screening The default referral recipient of the workstation, and when the referral object needs to be referred down after being treated by the default recipient, and a rehabilitation referral request is initiated to the two-way referral service platform through the rehabilitation system/device, the two-way referral The referral service platform defaults the primary first aid screening workstation as the recipient of the rehabilitation referral, and forwards the rehabilitation referral request to the primary first aid screening workstation;

The patient management module is also used to obtain the rehabilitation referral form filled out by the non-primary institution, and forward it to the referral object to notify the referral object to confirm whether he agrees to the downward referral, and when the referral object is obtained, it indicates that he agrees to the referral. Add the rehabilitation referral form to the above-mentioned rehabilitation referral request;

The referral module is further configured to send the rehabilitation referral request with the rehabilitation referral form added to the default primary first aid screening workstation, and when the request result fed back by the default primary first aid screening workstation indicates that the rehabilitation referral request is accepted , and feed back a notification of successful request to the referral object and the default primary first aid screening workstation respectively.

Further, in this embodiment, the two-way referral service platform also includes:

Free clinic database, which is used to store free clinic activity plans pre-planned by non-primary institutions;

The push module is used to push the free clinic activity plan stored in the free clinic database to the referral object and/or the primary first aid screening workstation.

Further, in this embodiment, the two-way referral service platform also includes:

The comprehensive management module is used to define different operators and configure different operation rights for different operators; Diagnosis objects, reception staff, system administrators, etc.

Embodiment 3

Referring to FIG. 3 , it is a schematic frame diagram of an embodiment of a two-way referral system based on primary first aid screening of the present invention. Specifically, in this embodiment, the two-way referral system includes:

At least one primary-level emergency screening workstation is used to collect real-time vital sign data of emergency patients for triage by primary-level pre-examination and triage personnel, and to periodically collect screening data of screened objects for chronic disease screening experts Screening, and when the triage result is that the emergency patient is a critically ill patient, or the screening result is that the screened object is a high-risk patient with chronic disease, initiate a fast-track referral request to the referral service platform; specifically, The grassroots first aid screening workstation in this embodiment adopts the grassroots first aid screening workstation in the above-mentioned first embodiment, and its working principle is the same, which will not be repeated here;

The two-way referral service platform is used to obtain the fast-track referral request sent by the above-mentioned basic-level emergency screening workstation, and forward it to the preset default referral recipient; and obtain the request result fed back by the default referral recipient, and when The request result indicates that when the fast-track request is accepted, the primary first aid screening workstation and/or the referral object is notified that the referral is successful; The service platform, its working principle is the same, and will not be repeated here;

At least one non-primary referral terminal, used to receive the fast-track referral request forwarded by the above-mentioned two-way referral service platform, and notify the pre-assigned patient to confirm whether to accept the request; and obtain the request result fed back by the default recipient, And forward it to the two-way referral service platform.

Further, the two-way referral system of this embodiment also includes:

At least one referral object terminal is used to receive the referral form sent by the above-mentioned primary first aid screening workstation/non-primary institution, and obtain the instruction of the referral object expressing consent to the referral, and send it to the primary first aid screening workstation/non-primary institution. grassroots institutions; accordingly,

The primary-level emergency screening workstation/non-primary-level institution is also used to obtain the referral form filled out by emergency screening experts/recipients, and forward it to the referral object terminal carried by the referral object for the referral object to confirm whether they agree or not. Referral, and when the instruction of the referral object expressing consent to the referral is obtained, the referral form is added to the corresponding fast-track referral request/rehabilitation referral request.

Further, the two-way referral system of the present embodiment also includes:

At least one patient terminal is used to receive a referral notification sent by a non-primary referral terminal to prompt the patient to confirm whether or not to agree to the patient, and when it obtains an instruction that the patient agrees to the patient, send it to the non-primary level. Referral Terminal; accordingly,

The non-primary referral terminal is also used to generate a corresponding referral notification according to the received fast-track referral request, and generate a corresponding referral notification and send it to the patient terminal carried by the pre-assigned patient; When the instruction to agree to the consultation sent from the patient terminal is sent, it will be fed back to the above-mentioned two-way referral service platform.

Usually, when a patient needs to return to a grass-roots institution for rehabilitation after treatment, a non-primary institution needs to initiate a rehabilitation referral request for downward referral. Therefore, in another embodiment, the two-way referral system further includes: :

Non-primary rehabilitation equipment, used to initiate rehabilitation referral requests to the two-way referral service platform;

Grassroots rehabilitation equipment, used to receive rehabilitation referral requests sent by the two-way referral service platform; accordingly,

The patient terminal is also used to obtain the rehabilitation referral form filled out by the patient, and forward it to the non-primary-level rehabilitation device, so as to trigger it to initiate a rehabilitation referral request to the two-way referral service platform; specifically, the non-primary-level rehabilitation device Before initiating a rehabilitation referral request, the referral terminal forwards the received rehabilitation referral form (which can be printed out or directly sent electronically) to the referral object to notify the referral object to confirm whether to agree to the downward referral, and When obtaining the instruction that the referral object agrees to the referral, add the rehabilitation referral form to the rehabilitation referral request, and send the rehabilitation referral request to the two-way referral service platform;

The two-way referral service platform is also used to obtain rehabilitation referral requests initiated by non-primary rehabilitation equipment, and forward the rehabilitation referral request to the default primary rehabilitation equipment. , and report the successful request to the two-way referral service platform.

Embodiment 4

The present invention also provides another two-way referral system based on primary first aid screening, which includes each module in the third embodiment above, and has the same working principle. The difference is that in this embodiment, the two-way referral system in the two-way referral system The two-way referral service platform also includes:

The statistical analysis module is used to periodically perform statistical analysis on emergency events and generate corresponding visual charts. In a specific embodiment, the period of statistical analysis can be preset to be daily or monthly or time-sharing (such as 1, 2, 4, 6, 8h), and the items of statistical analysis can be emergency visits, emergency visits by department, entry and exit. The number of people in the emergency room (observation), etc., and the corresponding visual charts are generated, such as the graphical analysis of emergency attendance by department, the graphic analysis of emergency attendance by time period, the statistical analysis of emergency attendance by department, and the trend graphic analysis of various departments and other statistical graphics .

Further, in a specific embodiment, the referral service platform further includes:

The printing module is used for acquiring a printing operation instruction, and sending a printing control instruction to an external printing device to print the chart selected in the printing operation instruction.

Embodiment 5

The present invention also provides another two-way referral system based on primary first aid screening, which includes each module in the third embodiment, and has the same working principle. The difference is that in this embodiment, the two-way referral system further includes: :

Expert database, used to store expert information and its corresponding expert terminal information;

The first-aid on-site terminal is used for first-aid personnel to initiate on-site guidance requests; correspondingly, in this embodiment, the referral service platform further includes:

On-site guidance expert database, used to store the basic information of on-site guidance experts;

The on-site guidance module is used to obtain the on-site guidance request initiated by the emergency on-site terminal, and forward it to the user terminal of the on-site guidance expert.

The above descriptions are only preferred embodiments of the present invention and are not intended to limit the present invention. Any modifications, equivalent replacements and improvements made within the spirit and principles of the present invention shall be included in the protection of the present invention. within the range.

Claims (11)

1. A two-way referral service platform, comprising:

the acquisition module is used for acquiring a rapid channel referral request sent by the primary emergency screening workstation and acquiring a request result fed back by a default referral receiver;

the referral module is used for forwarding the quick channel referral request to a prestored default referral receiver, and feeding back a notification that the request is successful to the primary emergency screening workstation when the request result is that the default referral receiver indicates that the quick channel referral request is accepted;

the quick channel referral request is initiated through the primary first-aid screening workstation when a screened object/an emergency patient is a high-risk chronic patient/a critical patient according to the acquired screening data/vital sign data by a chronic screening expert/an emergency pre-examination triage staff.

2. The two-way referral service platform of claim 1 further comprising:

the patient management module is used for informing the referral module to forward the quick channel referral request when an instruction that the referral object indicates to approve the referral is acquired from the quick channel referral request;

wherein the instructions indicating approval to referral are added to the quick channel referral request when the primary emergency screening workstation obtains the instructions indicating approval to referral by the referral subject.

3. The two-way referral service platform of claim 1 further comprising:

the referral database is used for storing basic information and event states of referral events;

the referral module is further configured to update the event status of each referral event in the referral database in real time, and notify the primary emergency screening workstation, the referral subject, and/or the default referral recipient of the latest event status of the referral event.

4. The two-way referral service platform of claim 2,

the acquisition module is also used for acquiring a rehabilitation referral request initiated by the non-primary institution and a request result fed back by a default primary emergency screening workstation;

the patient management module is further used for acquiring a rehabilitation referral list filled by the non-primary institution, forwarding the rehabilitation referral list to a referral object to inform the referral object to confirm whether the referral object agrees to referral, and adding the rehabilitation referral list to the rehabilitation referral request when an instruction that the referral object indicates agreement of referral is acquired;

the referral module is further configured to send the rehabilitation referral request to the default primary emergency screening workstation, and when a request result fed back by the default primary emergency screening workstation indicates that the rehabilitation referral request is accepted, respectively feed back a notification that the request is successful to the referral object and the default primary emergency screening workstation.

5. The bi-directional referral service platform of any one of claims 1-4, further comprising:

the system comprises a medical treatment database, a database management system and a database management system, wherein the medical treatment database is used for storing pre-planned medical treatment activity schemes;

and the pushing module is used for pushing the medical examination activity scheme stored in the medical examination database to the referral object and/or the primary emergency screening workstation.

6. A two-way referral system based on primary aid screening, comprising:

at least one primary emergency screening workstation according to any one of claims 1 to 5, for periodically acquiring screening data of a screened object for screening by a disease screening specialist, or acquiring real-time vital sign data of an emergency patient for triage by emergency pre-screening triage personnel, and initiating a fast channel referral request when the triage result is that the emergency patient is a critical patient or the screening result is that the screened object is a high-risk and slow-rate patient;

the bidirectional referral service platform is used for acquiring the quick channel referral request and forwarding the quick channel referral request to a prestored default referral receiver; and obtaining a request result fed back by the default referral receiving party, and when the request result shows that the quick channel referral request is accepted, informing the primary triage terminal and/or the emergency patient that the referral request is successful;

And the non-primary referral terminal is used for receiving the rapid channel referral request forwarded by the referral service platform, notifying a default referral receiver to confirm whether the request is accepted or not, acquiring a request result fed back by the default referral receiver and forwarding the request result to the referral service platform.

7. The two-way referral system of claim 1 further comprising:

the system comprises at least one referral object terminal, a referral service platform and a primary emergency screening workstation, wherein the referral object terminal is used for receiving a referral order sent by the primary emergency screening workstation, acquiring an instruction of referring to the referral object to approve the referral and sending the instruction to the referral service platform; then the process is repeated accordingly,

the referral service platform is further used for acquiring a referral form filled by pre-examination triage personnel/disease screening experts, forwarding the referral form to a referral object terminal carried by the referral object for the referral object to confirm whether to approve the referral, and adding the referral form to the rapid channel referral request when an instruction that the referral object indicates approval of the referral is acquired.

8. The two-way referral system of claim 7 further comprising:

at least one receiver terminal, configured to receive a referral notification sent by the non-primary referral terminal, obtain an instruction indicating that the receiver agrees to receive a referral, and send the instruction to the non-primary referral terminal; accordingly, the number of the first and second electrodes,

The non-primary referral terminal is also used for generating a corresponding referral notice according to the rapid channel referral request and sending the referral notice to the receiver terminal to inform the receiver of receiving the referral; and when receiving the instruction which is sent by the receiver terminal and indicates that the receiver agrees to receive the doctor, feeding back the instruction to the referral service platform.

9. The bidirectional referral system of claim 6 or 7 or 8 further comprising:

the non-primary rehabilitation equipment is used for initiating a rehabilitation referral request to the bidirectional referral service platform;

the basic-level rehabilitation equipment is used for receiving a rehabilitation referral request sent by the bidirectional referral service platform; accordingly, the number of the first and second electrodes,

the patient receiver terminal is further used for acquiring the rehabilitation referral list filled by the patient receiver and forwarding the rehabilitation referral list to the non-primary-level rehabilitation equipment so as to trigger the non-primary-level rehabilitation equipment to initiate a rehabilitation referral request to the bidirectional referral service platform;

the bidirectional referral service platform is further used for acquiring a rehabilitation referral request initiated by the non-primary-level rehabilitation equipment, forwarding the rehabilitation referral request to the default primary-level rehabilitation equipment, and feeding back a notification of successful request to the non-primary-level rehabilitation terminal when the acquired representation fed back by the primary-level rehabilitation equipment accepts the rehabilitation referral request.

10. A primary aid screening workstation, comprising:

the data acquisition equipment is used for periodically acquiring screening data of a screened object for a chronic disease screening specialist to screen diseases or acquiring real-time vital sign data of an emergency patient for emergency pre-examination triage personnel to triage;

at least one memory for storing the real-time vital sign data and screening data;

and the primary referral terminal is used for acquiring the screening result/triage result, and when the screening result indicates that the screening object is a high-risk slow patient or the triage result indicates that the emergency patient is a critical patient, initiating a rapid channel referral request to the bidirectional referral service platform and receiving a request result fed back by the bidirectional referral service platform.

11. The first aid screening workstation of claim 11, further comprising:

and the basic-level rehabilitation terminal is used for receiving the referral request initiated by the non-basic-level mechanism and forwarded by the bidirectional referral service platform, acquiring the request result of the basic-level referral receiver and feeding back the request result to the non-basic-level mechanism through the bidirectional referral service platform.

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