What is a digital physical examination? Simply put, it is to apply digital technology to health examination activities. Specifically, it is the process of collecting, transmitting and processing all kinds of information during physical examination, such as management information, physical examination information and service information. Using network and digital technology, describe the health status digitally with mathematical methods, comprehensively evaluate health indicators and make service plans. The technical system supporting this activity process is called "digital health examination management system".
"Health examination management system" consists of large systems and subsystems! "Health examination management system" consists of large systems and subsystems!
Network (local area network) system
The network construction of the company adopts the multi-point and multi-point radiation network architecture of the main station, with the main station and subsidiaries as sub-stations, and the head office and subsidiaries, subsidiaries and subsidiaries and their terminals can form their own networks. Branches set up by branches can be managed independently and without interference, while ensuring centralized management by the head office. Subsidiaries can also directly pass through the expressway with the head office to achieve cross-level service. Network detection and data breakpoint recovery are realized by establishing static IP private line virtual connection and special tunnel dynamic real-time encryption technology. Branches are connected with the head office's private line through ADSL, which has the advantages of fast running speed, strong anti-interference ability and low cost, and ensures the safety and smoothness of the network.
database system
The number of physical examination members is increasing at the rate of 10,000 every year, resulting in a large number of physical examination data and materials. IT is inevitable to use IT technology to store data. According to the idea of trinity of health education, physical examination and health management, the database is divided into three parts: graphic database of health education knowledge, electronic archive database of customers and public database of physical examination data. The system adopts automatic failover technology to ensure that information is always transmitted.
information processing system
The information processing system consists of subsystems with data acquisition, storage, transmission and processing functions. The information processing center collects, integrates, induces and distributes personnel information, video information, biochemical information, department inspection information and financial information. Information trends and instructions generated by physical examination and administrative centers to ensure that all kinds of information or instructions are received at any terminal according to authority, thus supporting the management, physical examination and service of the company.
Subsystem:
1. Reservation system. The system can meet the needs of individuals and groups to complete appointment registration through the Internet, telephone and physical examination center. After the reservation is successful, the system will automatically generate an ID number. According to the physical examination items, appointment time, physical examination place and other information, the system will automatically issue indicators to all physical examination branches, and inform customers of ID number, date and place of physical examination. The appointment system plays the role of adjusting quantity, careful planning and ensuring quality.
2. Front desk system. According to the schedule, the customer will register at the front desk of the designated medical examination branch with the reserved ID number to confirm the identity of the medical examiner and the medical examination items; The customer marks according to the medical examination registration form and completes the medical examination items; After the client's physical examination, submit the physical examination form to the front desk, register and enter it, and complete the physical examination. The main task of the foreground system is to display the number and progress of physical examination in real time and regulate the flow and speed of physical examination.
3. Financial charging system. The financial charging system supports cash, membership cards, gift cards and other charging methods. The statistical program can carry out statistical and financial analysis according to the classification of units, projects, income, costs and other projects.
4. Automatic data acquisition system. The system automatically collects data information such as biochemical analyzer, blood routine analyzer, urine routine analyzer, X-ray, B-ultrasound, electronic gastroscope, and image information such as spiral CT and PET-CT with digital signals, and uploads them quickly and in real time, and stores them in the unique address of the customer's electronic health file in the physical examination information database. Local timely backup, for the use of the chief physician's final examination consultation.
5. Information input system. Physical examination client's natural information, basic data information and various examination items information, click the mouse box with standard template, and enter standardized and standardized medical examination terms and data. The system quickly collects and inputs text information, converts it into digital information for transmission, and stores it in the customer's electronic health file in the physical examination information base.
6. Basic information setting system. This system is an auxiliary system for clients' physical examination consultation. There are interfaces such as physical examination item setting, charging standard setting, package item setting, chief physician and expert information setting. Customers can consult the physical examination in the physical examination hall through touch screen or network.
7. Physical examination summary analysis system. Abnormal results are automatically provided, and the information processing system automatically selects various inspection results to generate standardized physical examination reports. Automatically generate the health analysis report of team physical examination.
Second, the content includes the classification of team members' dietary nutrition and living habits, exercise, mental state, weight, blood pressure, fasting blood sugar, blood lipid, serum uric acid, blood viscosity, fatty liver, hepatitis, gastric ulcer, cardiovascular and cerebrovascular diseases, kidney diseases, biliary tract diseases, lung (respiratory system), gynecological diseases, urinary system diseases, etc., the percentage of people with various abnormal results, and various charts.
8. Post-inspection service system. Within 5 days after the physical examination, the examinee will receive three reports: the physical examination report, the consultation report of an old Chinese doctor and the health assessment and early warning report issued by the chief final examination doctor. And store it in that digital health records establish by the physical examination center for patients, and customers can inquire through the service telephone or log in to the website with a password to read at any time. Customers can also receive health reminders, holiday greetings, birthday wishes, text messages and emails on a regular basis. Online consultation with experts hired by the company, and participation in online health lectures and salons. Customers can record health diaries online and send them. After inspection, the service system will provide network tracking service.
9. Digital evaluation system. The evaluation criteria are divided into five items.
(1) Evaluation of reporting standards. Describe and diagnose according to standard international medical terms, and check the physical examination results regularly according to international diagnostic standards.
② Process standard evaluation. Refine the doctor's action plan into every action, and standardize tips and honorifics into every sentence. Managers can monitor the physical examination process of each doctor through remote monitoring software and recording software.
(3) Speed standard evaluation. Every department has a fixed speed standard. Through the physical examination software, doctors can immediately tell the examination time of current guests and former guests, so that doctors can accurately grasp the speed and achieve accurate measurement. The physical examination time of each guest in each department, and the average time for each department and doctor to check each guest and all guests every day, week, month and year have detailed statistics and records.
(4) Evaluation of quantitative standards. Physical examination software can accurately count the number of guests who have completed physical examination in various departments and doctors on the same day, week, month and year.
(5) Increase the standard assessment. Through the assessment system, managers can count the workload of each doctor to increase the examination items and sub-health examination items, analyze the reasons for customers to increase the options, and assess the accuracy of doctors' business suggestions.
10. Digital physical examination file retrieval service system. The retrieval system has three functions. First, customer file retrieval, using bar code technology to ensure the uniqueness of customer number and the rapidity and stability of retrieval. The second is the disease classification batch retrieval. The system can retrieve the physical examination numbers of the same batch and different batches of a disease. Third, the statistical retrieval of population incidence. The system can retrieve multiple diseases of a certain population and their proportions.
1 1. Publishing subsystem based on Internet/Intranet. Digital physical examination management system, customers can access their digital files at any time according to the password. Through authority management, the system can make medical examinees query medical examination data across multiple medical examination branches and regions. The system has reserved interfaces, which can be connected with digital hospitals to realize resource sharing.
12. management data summary and analysis system. Real-time dynamic display statistics function. Managers at any level can view any dynamic information of related systems according to their own authority. This information includes physical examination number, cost, material consumption, personnel, division of labor, finance, procedures, authorization, meetings and so on. It enables managers to conveniently mobilize all the resources (including human resources) of the subsystem through this system. Auxiliary decision-making function. Dynamically record work indicators and data, make different statistics and comprehensive analysis according to different needs, predict development trends, and provide reference for decision-making.