CN102054118A - Remote medical system - Google Patents

Remote medical system Download PDF

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Publication number
CN102054118A
CN102054118A CN2009102104428A CN200910210442A CN102054118A CN 102054118 A CN102054118 A CN 102054118A CN 2009102104428 A CN2009102104428 A CN 2009102104428A CN 200910210442 A CN200910210442 A CN 200910210442A CN 102054118 A CN102054118 A CN 102054118A
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doctor
data
module
equipment
user
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CN102054118B (en
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俞青
陈绍新
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Abstract

The invention provides a remote medical system. The remote medical system comprises CPE (Customer Premise Equipment), a medical data processing platform and doctor premise equipment which are in network connection. The medical data processing platform comprises an information management module, a communication module, a data acquisition control module, a medical history data acquisition module and an analysis processing module, wherein the information management module is used for receiving and managing the request for a user to access the current system; the communication module is used for establishing the communication connection between the CPE and the doctor premise equipment; the data acquisition control module is used for controlling the CPE to acquire physiological data of the user and multimedia data according to the request of the doctor premise equipment; the medical history data acquisition module is used for withdrawing medical history information of the user from a database in a pre-related hospital; and the analysis processing module is used for analyzing and processing the acquired related data of the user according to the control operation of the doctor premise equipment. The remote medical system can achieve cooperation between medical service mechanisms in different levels and communication and real-time diagnosis between the medical service mechanisms and the user.

Description

A kind of Telemedicine System
Technical field
The present invention relates to network service and medical science field of sensing technologies, particularly relate to a kind of Telemedicine System.
Background technology
Current, along with the sharp increase of social survival pressure and the deterioration of living environment, make people be in a kind of unsound animation often, suffer from various illnesss easilier, as heart disease, hypertension, depression etc., having a strong impact on people's life, study and work.But the threat of the various illnesss of people also can't in time be found and remove to existing medical system, so people just go to hospital to seek medical advice when health goes wrong often, and this just in time finds for people and cure diseases has been brought inconvenience.
At present, hospital uses fixing medical monitoring equipment mostly, by the sensor acquisition human body physiological parameter, by cable data transmission is arrived the monitoring center.This cable that is based upon connects traditional monitor system on the basis often volume is big, power consumption big, is not easy to carry, and has limited patient and medical personnel's action, has increased their burden and risk.
In addition, this traditional medical monitoring method increases patient's psychological pressure and intense strain easily, and then influences patient's health, makes the real physiological situation of diagnostic data and patient produce certain gap, and influence is to the correct diagnosis of the state of an illness.For the primary care service organization that lacks healthcare givers and technology or remote districts, the doctor is difficult to break through the restriction of geographic range especially, adopts prior art to be difficult to provide emergency medical services.
Summary of the invention
Technical matters to be solved by this invention provides a kind of Telemedicine System, with the cooperative cooperating between the medical service organ of realizing different levels, and communication between these medical service organs and the user and real-time diagnosis.
In order to address the above problem, the invention discloses a kind of Telemedicine System, comprise that connecting ustomer premises access equipment, medical data processing platform and doctor by network holds equipment, described medical data processing platform comprises:
Information management module is used to receive and the leading subscriber request that enters current system;
Communication module, the ustomer premises access equipment that is used to set up the system of entering is held communicating to connect of equipment with corresponding doctor;
Data acquisition and control module is used for the data acquisition request that the described doctor's end equipment of foundation sends, and the control ustomer premises access equipment is gathered user's physiological data and multi-medium data;
The history data acquisition module is used for the data acquisition request that the described doctor of foundation holds equipment to send by analysis and processing module, extracts this user's history information from related in advance hospital database;
Analysis and processing module is used for the control operation that the described doctor of foundation holds equipment, links to each other with described information management module, data acquisition and control module and/or history data acquisition module, and this collected user related data is carried out analyzing and processing.
Preferably, described medical data processing platform also comprises:
Data Storage, link to each other with described data acquisition and control module and analysis and processing module, be used for holding the data storage request of equipment according to the doctor, the physiological data and the multi-medium data of data acquisition and control module collection are stored, and the interface that provides the user that described data are checked and retrieved.
Preferably, described medical data processing platform also comprises:
Database links to each other with described information management module, Data Storage, is used to store described user's related data, and, safeguard the information of described hospital end equipment.
Preferably, described doctor's end equipment is arranged on hospital, and described ustomer premises access equipment is arranged in the ambulance; Described medical data processing platform also comprises:
Alarm module is used for sending first aid according to the warning request that described ustomer premises access equipment triggers and reports to the police.
Preferably, described doctor's end equipment is one or more, when described doctor's end equipment is positioned at a plurality of different location, communicates by cordless communication network or wireline communication network between described doctor's end equipment.
Preferably, described network connects and comprises by Internet connection, or cordless communication network connects.
Preferably, described ustomer premises access equipment is arranged in primary care service organization or the user family.
Preferably, described ustomer premises access equipment, medical data processing platform and doctor hold the communication port of the dialogue-based initiation protocol Session Initiation Protocol foundation of equipment to carry out network service.
Preferably, the encoding and decoding of adopting extending video codec SVC H.264 to carry out video of described multi-medium data are handled.
Preferably, described ustomer premises access equipment, medical data processing platform and doctor's end equipment distributed system for adopting the cloud computing technology to form.
Compared with prior art, the present invention has the following advantages:
The present invention is based on telecommunication technique and audio frequency, video coding and decoding technology, cooperative cooperating between the medical service organ of realization different levels, and communication between these medical service organs and the user and real-time diagnosis, make user and doctor not limited by the region of medical service organ, help the user to get rid of healthy unexpected hidden danger in the very first time, thereby promote people's health indicator and quality of life, really high-quality medical services are pushed lack to the primary care service organization of healthcare givers and technology or remote districts.
Description of drawings
Fig. 1 is the structured flowchart of a kind of Telemedicine System embodiment of the present invention;
Fig. 2 is the structural representation of a kind of Telemedicine System instantiation of the present invention.
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.
The present invention can be used in numerous general or special purpose computingasystem environment or the configuration.For example: multicomputer system, server, network PC, small-size computer, mainframe computer, comprise distributed computing environment of above any system or equipment or the like.
The present invention can describe in the general context of the computer executable instructions of being carried out by computing machine, for example program module.Usually, program module comprises the routine carrying out particular task or realize particular abstract, program, object, assembly, data structure or the like.Also can in distributed computing environment, put into practice the present invention, in these distributed computing environment, by by communication network connected teleprocessing equipment execute the task.In distributed computing environment, program module can be arranged in the local and remote computer-readable storage medium that comprises memory device.
With reference to figure 1, show the structured flowchart of a kind of Telemedicine System embodiment of the present invention, it can comprise that specifically connecting ustomer premises access equipment 11, medical data processing platform 12 and doctor by network holds equipment 13, and wherein, described medical data processing platform 12 specifically can comprise with lower module:
Information management module 101 is used to receive and the leading subscriber request that enters current system;
Communication module 102, the ustomer premises access equipment that is used to set up the system of entering is held communicating to connect of equipment with corresponding doctor;
Data acquisition and control module 103 is used for the data acquisition request that the described doctor of foundation holds equipment, and the control ustomer premises access equipment is gathered user's physiological data and multi-medium data;
History data acquisition module 104 is used for the data acquisition request that the described doctor of foundation holds equipment to send by analysis and processing module, extracts this user's history information from related in advance hospital database;
Analysis and processing module 105 is used for the control operation that the described doctor of foundation holds equipment, links to each other with described information management module, data acquisition and control module and/or history data acquisition module, and this collected user related data is carried out analyzing and processing.
The present invention mainly is by computer technology, the communication technology and multimedia technology, combines with medical skill, in order to improve diagnosis and medical level, reduce medical expenses, to satisfy brand-new medical services of broad masses of the people's health care demand.The major function that the present invention can provide comprises: remote diagnosis, expert consultation, information service, On line inspection exchange etc. with long-range.Simply be exactly, doctor and patient are in different places, and the doctor is known conditions of patients by various scientific and technological media, and provide medical services for the patient.
The present invention can bring following advantage:
1, in appropriate place and family healthcare, can greatly reduce time and the cost that transports patient.
2, can manage and distribute the emergency medical services of remote districts well;
3, can make the doctor break through the restriction of geographic range, share patient's case history and diagnostic message, thereby help the development of clinical research.
In a preferred embodiment of the present invention, described ustomer premises access equipment can be a PC, by inserting collecting device such as interfaces such as USB, collecting device can comprise physiological data collecting device and audio ﹠ video equipment, wherein, the physiological data collecting device can be worn on user's wrist for one, arm, neck, human body such as waist or shank, to gather the portable set of physiological data, the physiological data of being gathered can comprise: body temperature, blood pressure, pulse, cardiogram, oxygen concentration, vital capacity, one or multinomial data combination in blood sugar and the respiratory rate.
For example, this physiological data collecting device can comprise infrared thermometer monitoring temperature data.The principle of infrared thermometer thermometric is that the infrared energy that human body is launched is transformed into electric signal, because the size of infrared energy is associated with the temperature of human body itself, according to the electric signal size that is transformed into, just can determine body temperature.According to this principle, by measuring the surface temperature of human body forehead, the temperature difference of revising forehead and actual body temperature just can show body temperature accurately.During use, detection window need only be aimed at user's forehead position, just can record human body temperature fast, conveniently, accurately.
And for example, described physiological data collecting device can also comprise that electronic sphygmomanometer detects blood pressure data.In this case, that the wearing mode of this equipment can adopt is arm-type, wrist formula or finger-type, for arm-type device, then directly records the blood pressure of body surface trunk; For wrist formula and finger-type device, then at first measure the blood pressure of the terminal little blood vessel of human body, and then, draw the blood pressure of trunk by converting.
For another example, described physiological data collecting device can also utilize analog channel to gather the vibration-sensing signal at wrist and finish counting, to carry out the measurement of pulse; Utilize analog channel continuous acquisition electrocardio transducing signal to finish Electrocardiographic collection; The collection of other physiological data all can utilize modern biosensor technique.Concentrate on one by acquisition function with multiple human body physiological datas such as body temperature, blood pressure, pulse, cardiogram, heart magnetic, oxygen concentration, vital capacity, blood sugar and respiratory rates, have integrated, image data is diversified, wear the performance of portability.
In concrete the application, described audio ﹠ video equipment can directly be connected on the ustomer premises access equipment, audio ﹠ video equipment generally has functions such as the coding of video, voice data and decoding, video/audio transmission, in practice, can adopting H.264, extending video codec SVC carries out the encoding and decoding processing of video.
Except above-mentioned functions, generally can also comprise single-chip microcomputer, microcontroller in the ustomer premises access equipment, hardware such as A/D functional module, high capacity FLASH ROM and data RAM, owing to relate to prior art constructions, the present invention has not just described in detail this.
In specific implementation, described ustomer premises access equipment can also upload to the medical data processing platform automatically the data of being gathered, and holds equipment calls to check for the doctor.Described doctor holds equipment can adopt PC, and miscellaneous equipments such as mobile phone realize that described medical data processing platform can adopt one or more server to realize.Because the superiority of server process performance, in practice, described medical data processing platform can respond the request that a plurality of doctors hold equipment simultaneously, thereby satisfies the demand of user for a plurality of expert consultations.
Carrying out expert consultation with the application embodiment of the invention is example, suppose that the user comes certain community medical service station because of the burst miocardial infarction and goes to a doctor, but the doctor in the community medical service station can't be to this user's treatment, two chief physicians that need at once relate to two intracardiac sections of front three hospital hold a consultation, so login this Telemedicine System, at this moment, information management module receives the request that this community medical service station user of reason enters current system, since this community medical service station user to preset rank higher, so with its preferential connecting system, the user selects required chief physician then, the doctor that communication module is then set up this ustomer premises access equipment and these two chief physicians holds communicating to connect of equipment, comprises that setting up video connects, voice connection etc.; These two chief physicians just can diagnose this user and give treatment in real time then; For example, certain chief physician Zhang San sends the request of gathering heart rate data, and then data acquisition and control module can be controlled the heart rate of wearing user ustomer premises access equipment collection user on one's body according to this request, and synchronous transmission video, voice data; Perhaps, when another chief physician Li Si checks user's pathological data by the output terminal of analysis and processing module, send the collection request of this user's medical history, from related good hospital database in advance, this user's medical history is extracted so analysis and processing module connects data acquisition module; Analysis and processing module can also be further according to these two chief physicians' control operation, the Human Physiology data of being gathered are associated with patient's diagnosis information, and utilize history data that the Human Physiology data of being gathered are carried out analysis-by-synthesis, thereby determine the present health of patient, and relevant information is fed back to the doctor in mode more intuitively, provide more professional guidance and suggestion for the doctor simultaneously.
If user's state of an illness is comparatively serious, be inconvenient to go out, described ustomer premises access equipment can also be placed in the user family, promptly need not patient and go out to seek medical advice, the doctor just can guard, diagnose and give treatment to patient.
If patient's aspectual character occurs unusual, need treatment on the spot, in a kind of application of the present invention, described doctor holds equipment can be arranged in the hospital, ustomer premises access equipment can be arranged in the ambulance, and this ustomer premises access equipment that is arranged in the ambulance can insert the medical data processing platform in the mode of wireless telecommunications; In this case, described medical data processing platform can also comprise alarm module, is used for sending first aid according to the warning request that described ustomer premises access equipment triggers and reports to the police.When promptly in case the doctor finds that the patient is in a critical condition, can send the first aid warning to hospital terminal or ambulance terminal, because the monitoring center of hospital has doctor on duty usually, therefore can notify the doctor immediately by sounding the alarm, in practice, the mode of reporting to the police can have multiple, as: directly send alarm sound or send light; Perhaps, warning message is sent on doctor on duty or diagnosis and treatment doctor's the mobile phone by short message; Perhaps, directly dial doctor on duty or diagnosis and treatment doctor's mobile phone; Perhaps, directly notify ambulance that the user is carried out first aid.Wherein, warning message can comprise patient's information such as the doctor in charge, patient name.
In a preferred embodiment of the present invention, described medical data processing platform can also comprise Data Storage, this module links to each other with described data acquisition and control module and analysis and processing module, be used for holding the data storage request of equipment according to the doctor, the physiological data and the multi-medium data of data acquisition and control module collection are stored, and the interface that provides the user that described data are checked and retrieved, physiological data by record this user of a period of time, as ante cibum, in the meal, blood glucose value after meal can also be as the state of an illness to the user, the foundation that therapeutic scheme etc. are analyzed.
As another embodiment of the present invention, described medical data processing platform can also comprise database, can link to each other with described information management module, Data Storage, is used to store described user's related data, and, safeguard the information of described hospital end equipment.
In specific implementation, described Telemedicine System can be set up on IP-based internet or the various cordless communication network, supports various access waies can comprise optical fiber, ADSL, 2G/3G, WiFi, WiMax etc.Described ustomer premises access equipment, medical data processing platform and doctor hold equipment to carry out network service based on Session Initiation Protocol, http protocol, HTTPS agreement etc.In addition, be to improve the handling property of system, can also described ustomer premises access equipment, medical data processing platform and doctor's end equipment is organized as the distributed system of employing cloud computing (Cloud Computing) technology.
For making those skilled in the art understand the present invention better, below the embodiment of the invention is further specified by an object lesson.
With reference to figure 2, show the structural drawing of a kind of Telemedicine System of the present invention, this system comprises that ustomer premises access equipment 21, medical data processing platform 22 and doctor hold equipment 23.Wherein, described medical data processing platform 22 comprises with lower module:
Information management module 201, this module can be distributed different authorities and priority etc. according to user's concrete condition, to realize functions such as reservation (plan) diagnosis in the reality, consulting, real-time queuing, urgent diagnosis.This module can be got up patient, doctor and medical resource (as Medical Devices, place etc.) information management effectively.Under the effect of communication module (not shown), this module can hold equipment 23 to communicate to connect with the ustomer premises access equipment 21 that enters system, corresponding doctor;
Data acquisition and control module 202, this module and ustomer premises access equipment 21, doctor hold equipment 23 to communicate to connect, the data acquisition request that can send based on doctor's end equipment, control ustomer premises access equipment 21 is gathered various data (user's physiological data, multi-medium data), and transmit described user's related data, with the destination that is transferred to that guarantees that all data can be safe, reliable, timely, complete;
Data Storage 203, this module link to each other with described data acquisition and control module 202, the data of be used to preserve, management data collection control module 202 control ustomer premises access equipments 21 being gathered, and the user can further be provided the interface to the checking of data, retrieval etc., can also guarantee security of storage data and integrality simultaneously.
History data acquisition module 204, this module can be an acting server, can extract the patient's who is distributed in different hospital database (need in advance related, gain access) relevant medical history information by this acting server, for doctor's diagnosis provides abundant more information.Also provide convenience for user inquiring.And the realization of acting server also helps to improve safety of data;
Database 205 can link to each other with information management module 201, Data Storage 203, is used for storing the relevant information of patient, doctor, system etc., as electronic health record, user account number, charge information, consultation of doctors information etc.;
Analysis and processing module 206, this module can be held the control operation of equipment according to the doctor, links to each other with above-mentioned arbitrary module, so that the user related data that obtains is handled, or further in mode more intuitively relevant information is represented to the doctor.By the various data of gathering are carried out Macro or mass analysis, provide more professional guidance and suggestion for the doctor simultaneously simultaneously.
More than a kind of Telemedicine System provided by the present invention is described in detail, used specific case herein principle of the present invention and embodiment 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. a Telemedicine System is characterized in that, comprises that connecting ustomer premises access equipment, medical data processing platform and doctor by network holds equipment, and described medical data processing platform comprises:
Information management module is used to receive and the leading subscriber request that enters current system;
Communication module, the ustomer premises access equipment that is used to set up the system of entering is held communicating to connect of equipment with corresponding doctor;
Data acquisition and control module is used for the data acquisition request that the described doctor's end equipment of foundation sends, and the control ustomer premises access equipment is gathered user's physiological data and multi-medium data;
The history data acquisition module is used for the data acquisition request that the described doctor of foundation holds equipment to send by analysis and processing module, extracts this user's history information from related in advance hospital database;
Analysis and processing module is used for the control operation that the described doctor of foundation holds equipment, links to each other with described information management module, data acquisition and control module and/or history data acquisition module, and this collected user related data is carried out analyzing and processing.
2. the system as claimed in claim 1 is characterized in that, described medical data processing platform also comprises:
Data Storage, link to each other with described data acquisition and control module and analysis and processing module, be used for holding the data storage request of equipment according to the doctor, the physiological data and the multi-medium data of data acquisition and control module collection are stored, and the interface that provides the user that described data are checked and retrieved.
3. system as claimed in claim 2 is characterized in that, described medical data processing platform also comprises:
Database links to each other with described information management module, Data Storage, is used to store described user's related data, and, safeguard the information of described hospital end equipment.
4. system as claimed in claim 1 or 2 is characterized in that, described doctor's end equipment is arranged on hospital, and described ustomer premises access equipment is arranged in the ambulance; Described medical data processing platform also comprises:
Alarm module is used for sending first aid according to the warning request that described ustomer premises access equipment triggers and reports to the police.
5. the system as claimed in claim 1 is characterized in that, described doctor's end equipment is one or more, when described doctor's end equipment is positioned at a plurality of different location, communicates by cordless communication network or wireline communication network between described doctor's end equipment.
6. the system as claimed in claim 1 is characterized in that, described network connects and comprises by Internet connection, or cordless communication network connects.
7. the system as claimed in claim 1 is characterized in that, described ustomer premises access equipment is arranged in primary care service organization or the user family.
8. the system as claimed in claim 1 is characterized in that, the communication port that described ustomer premises access equipment, medical data processing platform and doctor hold the dialogue-based initiation protocol Session Initiation Protocol of equipment to set up carries out network service.
9. the system as claimed in claim 1 is characterized in that, the encoding and decoding that described multi-medium data adopts extending video codec SVC H.264 to carry out video are handled.
10. the system as claimed in claim 1 is characterized in that, described ustomer premises access equipment, medical data processing platform and the doctor's end equipment distributed system for adopting the cloud computing technology to form.
CN200910210442.8A 2009-11-02 2009-11-02 A kind of Telemedicine System Expired - Fee Related CN102054118B (en)

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