【摘要】：對醫(yī)療工作而言,處方的正確是很重要的,如有不慎甚至?xí)斐芍旅蠊?因而有必要對處方進行點評。但目前大多數(shù)醫(yī)院的處方點評還在依靠人力,而未能利用信息技術(shù)。即使部分醫(yī)院使用了的處方點評系統(tǒng),也是功能固定,難以二次開發(fā);或成本高昂,并非一般機構(gòu)所愿意承擔的。本文通過與調(diào)查分析,研究了在B/S架構(gòu)下,開發(fā)新的處方點評系統(tǒng)的條件和可行性,并詳細描述了我們已經(jīng)開發(fā)且完成了主要功能的系統(tǒng)。我們開發(fā)的處方點評系統(tǒng)能夠?qū)崿F(xiàn)的功能包括:導(dǎo)入處方和藥品數(shù)據(jù);由管理者分配任務(wù),讓操作者進行手動點評之后審核。這部分的處方是自動隨機分配的,因而減少了準備的花費。不僅如此,通過數(shù)據(jù)庫中的藥品信息和用藥規(guī)則,系統(tǒng)能對大量處方進行自動點評。而自動點評的規(guī)則,又可以在線修改,或由文本程序進行修改。系統(tǒng)還提供平臺化的服務(wù),通過API,外來程序也可以通過我們的系統(tǒng),來自動分析處方。此外,在我們的開發(fā)中,還有基于神經(jīng)網(wǎng)絡(luò)的對用藥規(guī)則(用量為主)的參數(shù)生成的嘗試。在結(jié)構(gòu)方面,該系統(tǒng)基于LAMP架構(gòu),使用改進的MVC開發(fā)模式,并在數(shù)據(jù)庫中用JSON存儲復(fù)雜數(shù)據(jù)。前端使用HTML、Java Script及CSS,而服務(wù)端使用PHP語言。另外還有少數(shù)功能如處方及藥品導(dǎo)入,是通過Java實現(xiàn)的。軟件本身的體積并不大,屬于輕量級的應(yīng)用程序,可以用于小型、低端配置的設(shè)備。該系統(tǒng)兼具部分大型網(wǎng)站架構(gòu)特性,有中轉(zhuǎn)服務(wù)器,能分布處理,保證負載均衡。另外,可以確保各項事務(wù)的冪等性,一定程度上也具有原子性、一致性。該系統(tǒng)在界面設(shè)計方面也頗為考究,使用Bootstrap開發(fā)了符合標準的響應(yīng)式界面,能在多數(shù)情況下確保操作的無誤。在系統(tǒng)的安全方面,我們設(shè)計了防止SQL注入的機制。在功能測試時,我們使用了十余醫(yī)生的數(shù)千條處方進行測試,包括對處方進行隨機抽取、自動點評出具報告在內(nèi),功能均能正確實現(xiàn)。在文中,我們對該系統(tǒng)中所用的理論依據(jù)與開發(fā)技術(shù),及其功能實現(xiàn)皆做了說明。對于數(shù)據(jù)庫的結(jié)構(gòu)、存儲方式,各項技術(shù)的運用過程進行了詳細的描述。另外,還對該系統(tǒng)未來可以做的事情做了簡單的介紹。
[Abstract]:The correct prescription is very important to the medical work, such as carelessness or even fatal consequences, so it is necessary to comment on the prescription. But most hospitals still rely on manpower for prescription reviews rather than information technology. Even the prescription evaluation system used in some hospitals is fixed, difficult to develop again, or costly, and is not something that the average organization is willing to undertake. Through investigation and analysis, this paper studies the conditions and feasibility of developing a new prescription evaluation system under the framework of B / S, and describes in detail the system that we have developed and completed the main functions. The functions of the prescription evaluation system we developed include importing prescriptions and drug data, assigning tasks to the managers and allowing operators to conduct manual review and review. This part of the prescription is automatically randomly assigned, thus reducing the cost of preparation. Not only that, through the database of drug information and drug use rules, the system can automatically comment on a large number of prescriptions. The rules of automatic review can be modified online or modified by a text program. The system also provides platform-based services that automatically analyze prescriptions through API, foreign programs as well as our systems. In addition, in our development, there is a neural network based on the use of drug rules (dosage-based) parameter generation attempt. In terms of structure, the system is based on LAMP architecture, uses improved MVC development mode, and uses JSON to store complex data in database. The front end uses HTML,Java Script and CSS, and the server uses PHP language. In addition, a few functions, such as prescription and drug import, are implemented through Java. The software itself is not large and is a lightweight application that can be used in small, low-end devices. The system also has some large-scale website architecture features, has transit server, can distribute processing, ensure load balance. In addition, it can ensure idempotent and, to a certain extent, atomicity and consistency of transactions. The system is also very sophisticated in interface design, using Bootstrap to develop a standard responsive interface, in most cases to ensure that the operation is correct. In terms of system security, we designed a mechanism to prevent SQL injection. In the functional test, we use thousands of prescriptions of more than ten doctors to test, including random sampling of prescriptions, automatic evaluation report, the function can be realized correctly. In this paper, the theoretical basis, development technology, and function realization of the system are explained. The structure of the database, storage methods, the application of various technologies are described in detail. In addition, the system can be done in the future to do a simple introduction.
【學(xué)位授予單位】：電子科技大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：TP311.52;R95

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