CN101977181A - Unified emergency response system - Google Patents
Unified emergency response system Download PDFInfo
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- CN101977181A CN101977181A CN2010102656479A CN201010265647A CN101977181A CN 101977181 A CN101977181 A CN 101977181A CN 2010102656479 A CN2010102656479 A CN 2010102656479A CN 201010265647 A CN201010265647 A CN 201010265647A CN 101977181 A CN101977181 A CN 101977181A
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Abstract
The invention provides a unified emergency response system, mainly comprising a car-mounted front-end system, a strategy control and dispatching system, a session system and a control system. The system has the following advantages: the system begins recording the patient information in the whole course on receiving the emergency call, notifies the emergency doctors and the medical specialists of waiting on order, publishes the information such as the advices of the doctors on the electronic medical records of the patients, simultaneously can add relevant doctors to the session platform aiming at medical diagnosis, and transfers the patient information and the acquired data to the hospital via the ambulance client after the patients are transferred to the ambulance, at the moment, the session begins to discuss the emergency treatment scheme, the generated information is stored, and the patients can directly undergo triage and treatment after being transported to the hospital, without wasting time consulting and then determining the treatment scheme, thus not only saving the precious rescue time, but also storing complete data in the whole course of emergency treatment and providing reliable guarantees for patient treatment and for the doctors to obtain complete patient information.
Description
Technical field
The present invention relates to communication technical field, particularly relate to a kind of emergency medical rescue communication system.
Background technology
With reference to Fig. 1, be the schematic flow sheet of the described emergency medical rescue of prior art.
Present emergency medical rescue is manual type substantially, and is as follows:
After first-aid centre receives ambulance call, send the emergency tender to rush for the patient scene at once; After reaching the spot in the emergency tender, patient is carried out field first aid, and in time patient is sent to hospital emergency; After patient arrives emergency ward, hospital convenes related doctor (as emergency physicians and specialist) that this patient is held a consultation, understand the state of an illness and formulate the first aid scheme, carrying out concrete branch then examines, as the treatment or enter ICU (Intensive Care Unit, severe intensivecare unit) etc. of undergoing surgery.
In the single thread mode of this " wiring-go out car-transfer-emergency treatment-consultation of doctors-minute examine ", each link all is incoherent, disperse, and in the way of shifting patient, can not send back hospital to patient's ill information accurately, the first aid scheme can not in time be prepared by hospital, waste valuable rescue time, also caused the disappearance of patient medical information, brought great inconvenience for from now on diagnosis and treatment.
Summary of the invention
Technical problem to be solved by this invention provides a kind of emergency medical rescue communication system, can carry out real time communication in whole first aid process, realizes the parallel of omnidistance a plurality of links.
In order to address the above problem, the invention discloses a kind of emergency medical rescue communication system, comprising:
The vehicle-mounted front-end system is arranged in the emergency tender, is used for gathering in real time and handling the first aid field data, and is real-time transmitted to policy control and dispatching patcher; Described first aid field data comprises patient's audio, video data and/or patient's physiological data and/or patient's electronic health record and/or patient's medication materials and/or doctor's advice;
Policy control and dispatching patcher are used for according to predetermined policy relevant information being sent to vehicle-mounted front-end system and conference system; Wherein, the relevant information that sends to the vehicle-mounted front-end system comprises the first aid instruction, and the relevant information that sends to conference system comprises the first aid field data;
Conference system is used to receive that the laggard guild of first aid field data of real-time transmission examines analysis, and provides branch and examine scheme;
Control system is used to control the real time communication between each system, comprises the communication between vehicle-mounted front-end system, policy control and dispatching patcher, the conference system.
Preferably, described emergency medical rescue communication system also comprises: the authentication system is used for the user who logins each system is carried out authentication, and gives corresponding authority to the specific user.
Preferably, described emergency medical rescue communication system also comprises: the geography information linked system is used for selecting the emergency tender according to the first aid request, and provides best travel route according to current road conditions.
Preferably, described emergency medical rescue communication system also comprises: media service system is used for whole rescue process is recorded.
Preferably, described emergency medical rescue communication system also comprises: intelligent assistance system is used for real time access patient's electronic health record, and in conjunction with the first aid field data of vehicle-mounted front-end system acquisition, makes the tentative diagnosis suggestion.
Preferably, described emergency medical rescue communication system also comprises: central server, be used to be provided with the server of each system, comprise the policy control server in policy control and the dispatching patcher, the server of control system, the server of conference system, the server of media server system and the server of authentication system; The client modules of corresponding described each system.
Preferably, the client modules of described policy control and dispatching patcher is arranged on the emergency command center; The client modules of described conference system is arranged on hospital.
Preferably, described geography information linked system is arranged on the emergency command center.
Preferably, described vehicle-mounted front-end system comprises:
Common camera is used to gather situation and the outer road conditions of car in the emergency tender;
The high definition camera is used to gather patient's real-time imaging;
Patient monitor is used to gather patient's physiological data;
The GPS locating module is used to locate the position on emergency tender;
Barcode scanner is used for patient's medication materials of first aid process are added up clearing;
The access device that has touch-screen is used to control described common shooting, high definition shooting, patient monitor, GPS positioning module and barcode scanner, and the first aid field data is real-time transmitted to policy control and dispatching patcher.
Preferably, described emergency medical rescue communication system also comprises: external interface is used for communicating with external system.
Compared with prior art, the present invention has the following advantages:
The invention provides a kind of emergency medical rescue communication system, begin to note patient information from receiving ambulance call with regard to whole process, and notice emergency physicians and specialist await orders, and information such as doctor's advice are published on patient's the electronic health record, also can join related doctor in the meeting platform at medical diagnosis simultaneously, treat that patient is transferred the emergency tender, give hospital patient information and the data passes that collects by the emergency tender client, at this moment meeting begins, the emergency treatment scheme is discussed, the information that produces all can store, treat that patient is transported to hospital and just can directly divides diagnosis and treatment to treat, and therapeutic scheme is determined in the consultation of doctors that need not to lose time again, so both saved valuable rescue time, the data of preservation first aid overall process that again can be complete provide reliable guarantee for patient's treatment and doctor obtain complete patient information.
The communication system that has at present can only provide simple preservation medical record data or initiate meeting, and emergency medical rescue communication system can communicate with telephone network, mobile network and 3G multimedia application etc. and merge easily, with diagnostic message, the data of diagnosing generation, the whole organic combinations of consultation of doctors video/audio together, allow hospital obtain the sufferer information of complete and accurate, improve and make a definite diagnosis efficient, guarantee quality of diagnosis.
Description of drawings
Fig. 1 is the schematic flow sheet of the described emergency medical rescue of prior art;
Fig. 2 is the schematic flow sheet of the described a kind of emergency medical rescue of the embodiment of the invention;
Fig. 3 is the configuration diagram of the described emergency medical rescue communication of embodiment of the invention system;
Fig. 4 is the deployment schematic diagram of the described emergency medical rescue communication of embodiment of the invention system.
Embodiment
For above-mentioned purpose of the present invention, feature and advantage can be become apparent more, the present invention is further detailed explanation below in conjunction with the drawings and specific embodiments.
Analyze existing artificial rescue mode, because in the patient transfer way, can not gather patient's physiological data in time, more can not these important data in real time pass to hospital, so incured loss through delay valuable rescue opportunity and best rescue time, made the bigger energy of needs of patients cost that to get timely medical treatment could save life.
Based on above-mentioned analysis, the present invention proposes a kind of emergency medical rescue communication (Unified emergency response system of system, be called for short the UERS system), can carry out real-time communication based on the Internet, emergency tender deploy client software, can be sent to hospital to the patient's physiological data that collects in real time, and the expert who joins this consultation of doctors meeting can see patient's actual conditions in real time, and in conjunction with the data that collect, in time the consultation of doctors draws diagnostic result, does not waste rescue time at all, thereby realize the slitless connection of first-aid patients, finish the first aid task efficiently to hospital.
Adopt described emergency medical rescue communication system can realize a kind of brand-new first aid pattern, at first introduce the application scenarios of UERS system below.
With reference to Fig. 2, be the schematic flow sheet of the described a kind of emergency medical rescue of the embodiment of the invention.
After the emergency command center receives ambulance call, create a first aid incident, simultaneously phone is recorded.After the establishment of first aid incident is finished, select a suitable emergency tender, the emergency command center sends the first aid instruction to the emergency tender, and the emergency tender sets out; Simultaneously, emergency physicians that notice is relevant and specialist prepare to participate in consultation of doctors meeting.The patient scene is arrived on the emergency tender, and patient gets on the bus, and meeting begins, and the data that patient is gathered at the moving first-aid station send to first-aid station of hospital, and after patient arrived hospital, patient directly divided and examines.
In above-mentioned first aid flow process, after creating medical events, data such as patient's electronic health record, ambulance call recording will be collected; After notice relevant emergency physicians and specialist, can also collect the doctor's advice information of related doctor; After patient gets on the bus, gather information such as monitoring data and state of an illness description; After consultation of doctors meeting begins, can the collection session data.Hence one can see that, can consult at any time, upgrade and add for the related personnel to all data of patient triage diagnosis from receiving ambulance call.
The main innovation of above-mentioned first aid pattern is: the first, set up the data flow of whole first aid process; The second, emergency treatment and specialist can add the related doctor consultation of doctors at any time.
Application scenarios based on Fig. 2, described emergency medical rescue communication system begins to note patient information with regard to whole process from receiving ambulance call, and notice emergency physicians and specialist await orders, and information such as doctor's advice are published on patient's the electronic health record, also can join related doctor in the meeting platform at medical diagnosis simultaneously, treat that patient is transferred the emergency tender, give hospital patient information and the data passes that collects by the emergency tender client, at this moment meeting begins, the emergency treatment scheme is discussed, the information that produces all can store, treat that patient is transported to hospital and just can directly divides diagnosis and treatment to treat, and therapeutic scheme is determined in the consultation of doctors that need not to lose time again, so both saved valuable rescue time, the data of preservation first aid overall process that again can be complete provide reliable guarantee for patient's treatment and doctor obtain complete patient information.
The characteristics of said system are: can communicate with telephone network, mobile network and 3G multimedia application etc. easily and merge, video, audio frequency and the data that collect consultation of doctors information are organically combined, carry out in real time, can the brand-new first aid pattern in man-machine interaction ground.
With reference to Fig. 3, be the configuration diagram of the described emergency medical rescue communication of embodiment of the invention system.
Described system architecture mainly comprises following a few part:
Central server 31, emergency command center 32, first-aid centre's operator attendance 33, first-aid station of hospital 34, moving first-aid station 35 and emergency tender 36.
Wherein, central server 31 is hinges that system data flows, and finishes the processing and the forwarding of various data, mainly handles identification authentication, data sync, data preservation and data forwarding.Central server 31 can be handled several data, as SIP (Session Initiation Protocol is by ietf definition, an IP-based application layer control protocol) message, RTP (Real-time Transport Protocol, RTP) instruction, RTSP (Real Time Streaming Protocol, real-time streaming protocol) instruction, audio, video data, physiological data, GPS (Global Positioning System, global positioning system) data etc.Various data in the described emergency medical rescue communication system are generally all passed through the forwarding of central server 31.
Unified command scheduling is finished at emergency command center 32, and emergency command center 32 computers send the first aid instruction, and obtains information such as gps data, patient's audio frequency and video and physiological data from central server.First-aid centre's operator attendance 33 can be consulted related data by central server 31, manually cooperates emergency command center 32 to dispatch.
First-aid station of hospital 34 mainly analyze and check from patient's collection in worksite to situation, these data mainly contain on-the-spot audio frequency and video, patient's audio frequency and video, patient's physiological data, blood pressure for example, blood oxygen, the rhythm of the heart, temperature etc., the case history that also has patient, medication materials, patient's doctor's advice etc.
Moving first-aid station 35 and emergency tender 36 are a unified system, the first aid instruction appointment emergency tender 36 at emergency command center 32 is received at moving first-aid station 35, emergency tender 36 deploying client softwares, be used to gather the various data at patient scene, handle in real time and pass to first-aid station of hospital 34 by central server 31.
Following client can be disposed in emergency tender 36:
Common camera is used to gather situation and the outer road conditions of car in the emergency tender;
The high definition camera is used to gather patient's real-time imaging;
Patient monitor is used to gather patient's physiological data;
The GPS locating module is used to locate the position on emergency tender;
Barcode scanner is used for patient's medication materials of first aid process are added up clearing;
The access device that has touch-screen is used to control described common shooting, high definition shooting, patient monitor, GPS positioning module and barcode scanner, and the first aid field data is real-time transmitted to policy control and dispatching patcher.
In addition, responsible departments of the government can also directly consult by 31 pairs of all data of central server, so that understand whole first aid process.
The processing of emergency medical rescue communication system is as follows:
Dial ambulance call after patient is ill, the phone incoming call is received at emergency command center 32, produces the first aid incident, and sends the first aid instruction; Central server 31 receives 32 instructions that send from the emergency command center, and instruction is sent to moving first-aid station 35, and starting working after receiving instruction in moving first-aid station 35, assigns emergency tender 36; Emergency tender 36 collection site data, as information such as patient's audio frequency and video, patient's physiological data, patient's medication materials situation, patient's electronic health record, doctor's advices, and field data is returned to central server 31, central server 31 is transmitted to data processing first-aid station of hospital 34 again; First-aid station of hospital 34 organizes related doctor to hold a consultation, treat that patient delivers to hospital after, divide accordingly at once and examine according to consultation of doctors result.
With reference to Fig. 4, be the deployment schematic diagram of the described emergency medical rescue communication of embodiment of the invention system.
Based on the system architecture of Fig. 3, the concrete deployment scenario of described emergency medical rescue communication system is as follows:
Described system mainly comprises following crucial formation:
Vehicle-mounted front-end system 41 is arranged in the emergency tender, is used for gathering in real time and handling the first aid field data, and is real-time transmitted to policy control and dispatching patcher 42; Described first aid field data comprises patient's audio, video data and/or patient's physiological data and/or patient's electronic health record and/or patient's medication materials and/or doctor's advice;
Policy control and dispatching patcher 42 are used for according to predetermined policy relevant information being sent to vehicle-mounted front-end system 41 and conference system 43; Wherein, the relevant information that sends to vehicle-mounted front-end system 41 comprises the first aid instruction, and the relevant information that sends to conference system 43 comprises the first aid field data;
Conference system 43 is used to receive that the laggard guild of first aid field data of real-time transmission examines analysis, and provides branch and examine scheme;
Control system 44 is used to control the real time communication between each system, comprises the communication between vehicle-mounted front-end system 41, policy control and dispatching patcher 42, the conference system 43.
Preferably, described emergency medical rescue communication system can also comprise following formation:
Authentication system 45 is used for the user who logins each system is carried out authentication, and gives corresponding authority to the specific user.
Geography information linked system 46 is used for selecting the emergency tender according to the first aid request, and provides best travel route according to current road conditions.
Media service system 47 is used for whole rescue process is recorded.
Intelligent assistance system 48 is used for real time access patient's electronic health record, and in conjunction with the first aid field data of vehicle-mounted front-end system acquisition, makes the tentative diagnosis suggestion.
External interface 49 is used for communicating with external system.
Preferably, in conjunction with the system architecture of Fig. 3 and the system deployment of Fig. 4, in another specific embodiment, a plurality of systems in the described emergency medical rescue communication system all adopt the client-server structure, and most servers all are arranged on central server, and promptly central server is the general designation of each system server.Specify as follows:
Control system, adopt Session Initiation Protocol, also can be described as soft switchcall server based on SIP, has the client-server structure, wherein server is arranged in the central server, be used for controlling all communications in the emergency medical rescue communication system, be independent of the transmission network, mainly finish and call out control, resource allocation, protocol processes, route, authentication, major functions such as charging, all business that can provide the available circuit switch to provide to the user simultaneously, and provide programmability to the third party, can be easily and telephone network, mobile network and 3G multimedia application etc. communicate and merge.
The vehicle-mounted front-end system, be arranged in the emergency tender, the various vital sign parameter acquisition instruments that can comprise the multimedia diagnosis terminal, join with terminal, audio ﹠ video equipment, human-computer interaction device etc., interconnected by these equipment collects significant datas such as human body information and field condition;
Policy control and dispatching patcher specifically are divided into policy control server and unified dispatching platform, and policy control server wherein is arranged on central server, and realizes that the unified dispatching platform of calling function is arranged on the emergency command center.The policy control server is provided with multiple strategy, and unified dispatching platform can send instruction to moving first-aid station and first-aid station of hospital according to corresponding strategy.For example, it is a kind of strategy that ambulance call is received at the emergency command center, and unified dispatching platform sends the first aid instruction according to this strategy to the moving first-aid station, and the emergency tender is assigned according to instruction in the moving first-aid station; The emergency tender returns the field data that collects to central server and meets another kind of strategy again, and unified dispatching platform sends instructions to first-aid station of hospital according to this strategy and holds a consultation.In a word, unified dispatching platform can call each module in the emergency medical rescue communication system according to Different Strategies, cooperates and finishes first aid.
Conference system, have the client-server structure, wherein server is arranged in the central server, and client deployment is at first-aid station of hospital and moving first-aid station, can convene doctor and expert the patient in the emergency tender also to be held a consultation, even instruct the front doctor treatment that undergos surgery in the strange land.
Intelligent assistance system, be arranged on first-aid station of hospital, can be with HIS (the Hospital information System of hospital, hospital information system) system connects, the corresponding patient's of real time access information such as electronic health record, patient's state of an illness of finding of the patient's state of an illness that provides according to first aid request personnel, emergency tender first-aid personnel simultaneously, and in conjunction with this patient's medical history in the past etc., make preliminary judgement and dispose suggestion.
The geography information linked system is arranged on the unified dispatching platform at emergency command center, after receiving the first aid request, the staff can determine patient position according to this system, select suitable emergency tender, and, provide best travel route figure according to current road conditions.
Media service system has the client-server structure, and wherein server is arranged on the central server, this system starts after triggering the first aid affairs immediately, whole rescue process, comprise that audio frequency and video, data, flow process, time, traffic route etc. record, be provided with the back playback.
The authentication system has the client-server structure, and wherein server is arranged in the central server, can carry out authentication to the user who enters described emergency medical rescue communication system, and make specific user have corresponding authority.Described authentication system can authenticate a plurality of system login wherein.
Client modules, the client that comprises a plurality of systems, can be deployed on the user computer of emergency command center, emergency command branch center, first-aid station of hospital, moving first-aid station and government administration section, realize collection, the analysis and shared of data, for the science first aid provides safeguard.
External interface, described emergency medical rescue communication system has opening, can do butt joint easily with the outside by external interface, as the HIS system of traffic system, each hospital, generalized information system (Geographic Information System, GIS-Geographic Information System), telephone network etc.
In sum, emergency medical rescue communication provided by the invention system, begin to note patient information from receiving ambulance call with regard to whole process, and notice emergency physicians and specialist await orders, and information such as doctor's advice are published on patient's the electronic health record, also can join related doctor in the meeting platform at medical diagnosis simultaneously, treat that patient is transferred the emergency tender, give hospital patient information and the data passes that collects by the emergency tender client, at this moment meeting begins, the emergency treatment scheme is discussed, the information that produces all can store, treat that patient is transported to hospital and just can directly divides diagnosis and treatment to treat, and therapeutic scheme is determined in the consultation of doctors that need not to lose time again, so both saved valuable rescue time, the data of preservation first aid overall process that again can be complete provide reliable guarantee for patient's treatment and doctor obtain complete patient information.
Each embodiment in this specification all adopts the mode of going forward one by one to describe, and what each embodiment stressed all is and the difference of other embodiment that identical similar part is mutually referring to getting final product between each embodiment.
More than to a kind of emergency medical rescue communication provided by the present invention system, be described in detail, used specific case herein principle of the present invention and execution mode are set forth, the explanation of above embodiment just is used for helping to understand method of the present invention and core concept thereof; Simultaneously, for one of ordinary skill in the art, according to thought of the present invention, the part that all can change in specific embodiments and applications, in sum, this description should not be construed as limitation of the present invention.
Claims (10)
1. an emergency medical rescue communication system is characterized in that, comprising:
The vehicle-mounted front-end system is arranged in the emergency tender, is used for gathering in real time and handling the first aid field data, and is real-time transmitted to policy control and dispatching patcher; Described first aid field data comprises patient's audio, video data and/or patient's physiological data and/or patient's electronic health record and/or patient's medication materials and/or doctor's advice;
Policy control and dispatching patcher are used for according to predetermined policy relevant information being sent to vehicle-mounted front-end system and conference system; Wherein, the relevant information that sends to the vehicle-mounted front-end system comprises the first aid instruction, and the relevant information that sends to conference system comprises the first aid field data;
Conference system is used to receive that the laggard guild of first aid field data of real-time transmission examines analysis, and provides branch and examine scheme;
Control system is used to control the real time communication between each system, comprises the communication between vehicle-mounted front-end system, policy control and dispatching patcher, the conference system.
2. system according to claim 1 is characterized in that, also comprises:
The authentication system is used for the user who logins each system is carried out authentication, and gives corresponding authority to the specific user.
3. system according to claim 1 is characterized in that, also comprises:
The geography information linked system is used for selecting the emergency tender according to the first aid request, and provides best travel route according to current road conditions.
4. system according to claim 1 and 2 is characterized in that, also comprises:
Media service system is used for whole rescue process is recorded.
5. system according to claim 1 is characterized in that, also comprises:
Intelligent assistance system is used for real time access patient's electronic health record, and in conjunction with the first aid field data of vehicle-mounted front-end system acquisition, makes the tentative diagnosis suggestion.
6. system according to claim 4 is characterized in that, also comprises:
Central server is used to be provided with the server of each system, comprises the policy control server in policy control and the dispatching patcher, the server of control system, the server of conference system, the server of media server system and the server of authentication system;
The client modules of corresponding described each system.
7. system according to claim 6 is characterized in that:
The client modules of described policy control and dispatching patcher is arranged on the emergency command center;
The client modules of described conference system is arranged on hospital.
8. system according to claim 3 is characterized in that:
Described geography information linked system is arranged on the emergency command center.
9. system according to claim 1 is characterized in that, described vehicle-mounted front-end system comprises:
Common camera is used to gather situation and the outer road conditions of car in the emergency tender;
The high definition camera is used to gather patient's real-time imaging;
Patient monitor is used to gather patient's physiological data;
The GPS locating module is used to locate the position on emergency tender;
Barcode scanner is used for patient's medication materials of first aid process are added up clearing;
The access device that has touch-screen is used to control described common shooting, high definition shooting, patient monitor, GPS positioning module and barcode scanner, and the first aid field data is real-time transmitted to policy control and dispatching patcher.
10. system according to claim 1 is characterized in that, also comprises:
External interface is used for communicating with external system.
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