1. Before applying for consultation, patients should first prepare all the information needed by the competent doctor for consultation, and pay special attention to it according to the disease classification and specialty. The data should include: systematic brief medical history, complete clinical examination (routine, biochemical, medical imaging, pathology and other special items), data and images.
2. The consultation materials are arranged in the order of medical history, clinical examination and medical imaging.
3. Ask the consultant to clearly put forward the purpose and requirements of the consultation.
Second, the application for consultation:
1. Before a hospital submits a consultation to other consultation centers, it must first fill in the application form for remote consultation online and transmit it to the computer of the consultation center of the hospital receiving the consultation.
2. The consultation information is transmitted to the other party's network computer, and the consultation hospital confirms that it is basically complete. After no additional information is needed immediately, notify the applicant of the arrangement and consultation time. Transparent film of medical image data, including X-ray film, CT film, nuclear magnetic disk, etc. , can be taken with a camera or transmitted to a computer, opaque photos such as enlarged photos of other pathological sections, ultrasound pictures, etc. can be input to the computer through color scanning. Three. Determination of consulting experts and consulting time 1. When applying for named expert consultation, three medical experts at different levels in the hospital (two references) must be put forward at the same time, so as to apply for the consultation center of the hospital to invite experts smoothly.
3. After receiving the consultation application and the required information, the hospital consultation center that accepts the consultation application generally makes consultation arrangements within 48 hours, and completes the consultation within 3 working days (emergency consultation can be completed within 12 hours). If an expert cannot arrange a consultation for any reason due to the application for a hospital or the patient's insistence on appointing an expert, the application for a hospital or the patient should consider choosing another consultant or making an appointment to wait if conditions permit.
4. Once the consultation experts and consultation time are determined, the consultation center hospital will notify the applicant hospital and patients 24 hours in advance to make preparations.
Third, the preparation before consultation:
1. 30-60 minutes before each consultation, all parties need to check whether their consultation equipment is running normally, turn it on 20-30 minutes in advance, and call Unicom's consultation equipment to stand by and enter the working state 10- 15 minutes in advance.
2. Participants in the negotiation shall include: computer engineers of both parties; The patient's supervisor, attending physician and superior chief physician; Patients and their families; Invite consulting experts (participants should be present 15 minutes in advance, and arrange consulting steps, topics and questions to be asked).
Fourth, the standard consultation process:
1. At the beginning of the consultation, the computer operators of both sides first introduced the names and identities of the participants and took photos for archiving.
2. The patient's attending physician reports a brief medical history, clinical examination results, and several main problems that need to be solved by consultation at present, about 10 minutes.
4. The consultant will discuss and analyze the condition with the patient's attending physician and superior chief physician for about 20-30 minutes. 3. The consultant directly asks the patient's chief complaint and symptoms for about 10 minutes.
5. Finally, the consultant will make a preliminary diagnosis and treatment plan, about 10 minutes.
6. After the consultation, the consultation expert will fill in the consultation opinion on the application form and send it back to the network center of the application hospital for the reference of the patient's attending physician in the treatment.
Five, the consultation end work:
1. After the consultation is completed, the consultation experts will fill in the consultation opinions and diagnosis and treatment plans, and send them back to the hospital network center where the patients are treated after the consultation on the same day, and convey them to the attending physician.
2. Capture a photo of patients, experts and attending physicians at the consultation site, and archive all the information.