CN103336845A - Method and system for recording movement of slow disease patient and follow-up visit - Google Patents
Method and system for recording movement of slow disease patient and follow-up visit Download PDFInfo
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Abstract
The invention discloses a method for recording the movement of a slow disease patient and follow-up visit. The method comprises the following steps: (1) sending patient data to a Web server through a wireless network by a user terminal; (2) storing the received patient data with a file according to an appointed route by the Web server; and (3) after an inquiry command of the user terminal is received by the Web server, reading the patient data from the file according to the appointed route, and sending to the user terminal through the wireless network. The follow-up visit data of the patient and the measured data of physiological and biochemical parameters of human health are recorded with a mobile terminal by the patient for a long time, the follow-up visit data and the measured data form a human health file of the patient to be stored in the Web server, and a doctor uses the mobile terminal to consult the human health file of the patient and provide rehabilitation guidance through E-mails of the system, so that the patient record and doctor follow-up visit are performed in the same system.
Description
Technical field
The present invention relates to data transmission and memory technology.
Background technology
Along with population aging day by day, chronic disease just human life and health in serious harm, has become the great public health problem in the global range.Hypertension, coronary heart disease and diabetes are the ill maximum several frequently seen chronic diseases of the elderly, present national hyperpietic at least 2 hundred million according to estimates, the diabetic reaches 9,200 ten thousand, and with annual 3000000 speed increase, patients with coronary heart disease surpasses 1,000 ten thousand people, from now on annual will increasing with 20% speed.Many studies show that, urban community health services have vital role for the control of chronic disease, for example the make a house call nursing, the doctor of community of health education for district, community family followed up a case by regular visits to etc., can both reduce effectively the elderly the chronic disease morbidity rate, significantly improve the control rate of the state of an illness.Especially the doctor of community follows up a case by regular visits to and can effectively control or stable chronic's the state of an illness, thereby significantly reduces the generation of chronic disease complication, ensures resident's physical and mental health.
At present the doctor follows up a case by regular visits to and mainly contains four kinds of modes: manually follow up a case by regular visits to, letter or e-mail, phone and note and community move the mode of following up a case by regular visits to.First three is planted to tradition and follows up a case by regular visits to mode, and main dependence the full-time personnel that follow up a case by regular visits to link up with manual type and patient, regular or irregular collection Follow-up results, and to following up a case by regular visits to classification and the filing that record is correlated with.Though the 4th kind has been used mobile device, has reduced the manual sorting of the data of following up a case by regular visits to, go and find out what's going on one by one to the doorstep but rely on the doctor.There is several respects deficiency in these modes of following up a case by regular visits to: 1. patient belongs to a passive side, relies on to follow up a case by regular visits to the doctor, make follow up a case by regular visits to workload big, take time and effort; 2. the doctor to follow up a case by regular visits to table be to comprise according to content: health status, clinical manifestation and diagnosis suggestion lack the data recording of health Physiology and biochemistry parameter, especially long record such as blood pressure, blood sugar and electrocardiographic recording etc.; 3. since each community and hospitals at different levels follow up a case by regular visits to information management or the health account management system is difficult to intercommunication, cause patient's the data of following up a case by regular visits to or health account can't realize medical treatment shared (information island); 4. the work of following up a case by regular visits to is heavy, all is to be born by full-time medical worker always, is the work that burden is very heavy to private doctor, clinic and small community hospital.
Summary of the invention
Shortcoming at prior art, the purpose of this invention is to provide a kind of slow patient's moving recording and follow-up method, realize sharing of slow patient's personal health archives, strengthen the enthusiasm that the patient initiatively participates in, improve doctor's the efficient of following up a case by regular visits to, reduce the workload that the doctor follows up a case by regular visits to the doorstep.
To achieve these goals, technical scheme of the present invention is: a kind of slow patient's moving recording and the method for following up a case by regular visits to comprise the steps: that (1) user terminal is sent to Web server with patient data by wireless network; (2) Web server is preserved with file the patient data that receives by the path of appointment; (3) after Web server receives the query statement of user terminal, read patient data by specified path from file, send to user terminal by wireless network.
Preferably, described user terminal comprises patient's terminal and doctor's terminal, patient's terminal comprises patient's portable terminal and electro cardio signal workstation, doctor's terminal comprises doctor's portable terminal and archives work station, wherein patient's portable terminal or doctor's portable terminal show patient data from Web server by special use or general browser, electro cardio signal workstation is used for uploading patient's the electrocardiogram (ECG) data of testing oneself to Web server, the archives work station is used for preserving the patient data of downloading from Web server, and Web server sends Email to patient's portable terminal according to the instruction of doctor's portable terminal by wireless network.
Preferably, described special browser is a special browser that the management of web browser and patient individual basic document is combined, and carries out the bi-directional of patient's user name between browsing page and patient individual basic document are managed.
Preferably, the method for described bi-directional is: in link of webpage design, after this link was sent, browser extracted patient's user name from this link of intercepting and capturing, and was delivered to individual basic document management; Patient's user name, is filled in this webpage when the browser redirect automatically as being embedded in the parameter that carry the patient's query webpage address in the individual basic document supervisory routine.
Preferably, the ftp file transmission method is all adopted at described electrocardio and archives work station: the parameter that sets Web server in the workstation application program, after long-range connection, the path that server contains patient's user name to appointment is retrieved and is determined whether to exist, then it is set to current path if exist, upload file is downloaded file to server or from server then, and refusal uploads and downloads if do not exist then.
Preferably, the file storage organization of described data is made up of a self-defining data set, the order that this data set number is increased progressively according to group number and element by a series of data element encapsulates successively to be formed, and wherein data element is made up of label, data type, data length and data field.
Preferably, described patient data comprises data and measurement data, data partly contains and follows up a case by regular visits to relevant various tables, all contain some options in each table, each option is stored with a data element, all options are stored with a data class SQ in the table, and measurement data partly contains the long-term data of measuring of health Physiology and biochemistry parameter, selects measurement data class SQ storage for use.
Preferably, for the table of repeatedly preserving in the data of following up a case by regular visits to, adopt data set multistage nested, realize having the centralize storage of tree structure formula.
Preferably, in the display interface of patient or doctor's portable terminal, patient's measurement data procedure for displaying mainly divides two steps: (1) constitutes the routing information of store files earlier with server current path and patient's user name, define an array that is used for the storage data, then the data in the numerical value district of the method read data elements that reads by above-mentioned file and being saved in the array; (2) in internal memory, create earlier painting canvas and set paintbrush, data are connected into a curve be depicted on the painting canvas, in internal memory, generate picture at last and in browser display.
Another object of the present invention provides a kind of slow patient's moving recording and follows up a case by regular visits to system, comprise with patient's terminal, doctor's terminal and Web server, patient's terminal comprises patient's portable terminal and electro cardio signal workstation, doctor's terminal comprises doctor's portable terminal and archives work station, Web server comprises database management unit, Email transmitting element and file storage unit, carry out exchanges data by wireless network between portable terminal and the Web server, workstation can be by carrying out exchanges data between broadband network or wireless network and the server.
Compared with prior art, the present invention uses the data of following up a case by regular visits to of portable terminal long record and the measurement data of health Physiology and biochemistry parameter by the patient, these data and data constitute the Web server that a patient's personal health archives are stored in system, the doctor uses portable terminal to consult patient's personal health archives (comprising the data of following up a case by regular visits to) and the Email by system provides rehabilitation guide, has realized that patient's record is followed up a case by regular visits at same system with the doctor to carry out; Patient's personal health archives are stored in Web server with the file of self-defining data structure.This file preserving type has namely reduced the operation of server to database, has improved response speed, has made things convenient for the download with health account of uploading of electrocardio file again; The special browser that has individual basic document management function has namely made things convenient for the doctor to follow up a case by regular visits to, and has protected patient's individual privacy again; The measurement data of blood pressure and blood sugar in browser with sky, week, the moon, year curve display mode, the ecg wave form display mode that the electrocardiogram (ECG) data of testing oneself of different times is changed by page or leaf, make the patient understand the secular variation of self state of an illness, allow the doctor understand the result for the treatment of that different times is taken different pharmaceutical; The file store path of forming with patient's user name is convenient to retrieve, the file of affirmation and workstation is uploaded or downloaded.
Description of drawings
The present invention is described in further detail below in conjunction with accompanying drawing.
Fig. 1 is the block diagram of system of the present invention.
Fig. 2 is file store path figure.
Fig. 3 is data structure diagram.
Fig. 4 is the process flow diagram that reads of data element.
Fig. 5 is the conveying flow figure of patient's user name.
Fig. 6 is ECG waveform flow for displaying figure.
Embodiment
See also Fig. 1, slow patient's moving recording of the present invention with follow up a case by regular visits to system and comprise patient's user terminal, doctor's user terminal (following patient's terminal and the doctor's terminal of abbreviating as respectively) and Web server.Patient's terminal comprises patient's portable terminal and electro cardio signal workstation, and doctor's terminal comprises doctor's portable terminal and archives work station, and Web server comprises database management unit, Email transmitting element and file storage unit.Portable terminal is smart mobile phone, panel computer and other mobile internet surfing equipment.Carry out exchanges data by wireless networks such as 2G, 3G, WIFI between portable terminal and the Web server, workstation can carry out exchanges data by broadband network or wireless network and Web server.Patient and doctor use information such as user name that portable terminal registers in system and E-mail address to be stored in database.The patient uses portable terminal input data and data, is sent to Web server by wireless network, and Web server elder generation is from database retrieval and examine patient's user name, then data and the data received is preserved by the path of appointment with file.Doctor or patient use portable terminal to consult patient's data and data, Web server elder generation is from database retrieval and examine patient's user name, read patient's data and data then from file by specified path, send to doctor or patient's portable terminal by wireless network, shown by special use or general browser.Email and the patient who comes out from database retrieval and doctor's E-mail address that the doctor uses system to provide send to the patient by wireless network with rehabilitation guide.File is uploaded or downloaded in electrocardio and archives work station by the path of containing patient's user name of server appointment.Web server mainly provides data base administration, Email to send and the file storage.
Patient and doctor's log-on message uses MS SQL Server relational database to manage.For guaranteeing the uniqueness in file access path, user name is set to major key in database table, makes that each patient or doctor's user name is unique.For the protection to patient and doctor's privacy, do not comprise individual basic document during registration, user name, password, E-mail address, user identity (patient or doctor) and registration date are only arranged.These information according to user's registration have designed two master meter PatMembers and DrMembers and have managed.The system that considers provides a plurality of sick selections of planting and the preservation of data and data thereof for the patient, has also designed three subtabulation BPMembers, BSMembers and CHMembers respectively by hypertension, diabetes and three sick kinds of coronary heart disease.These subtabulations preserve respectively separately sick patient's user name of planting with ID number etc., owing to the field of each subtabulation concerns simply less, do not do detailed description here.The master meter effect provides system login checking, and user identification confirmation is provided, the retrieval that patient or doctor's user name be provided with examine, the file access path of appointment is provided, and is provided for patient that Email sends and doctor's E-mail address.
In order to reduce the time of database data retrieval, improve the work efficiency of server, upload and download for the ease of the file of workstation, patient's data and data all adopt file to store and classify.Storage folder is called after BPFile, BSFile, CHFile and BLRFile respectively.That BPFile stores is hypertensive data and data, BSFile storage diabetes, CHFile storage coronary heart disease, BLRFile stores blood fat, liver function and kidney merit data.Owing to may include a plurality of electrocardiogram (ECG) data files of uploading in the data of each patients with coronary heart disease, in the CHFile file, set up one deck file down again for ease of management, deposit patient's electrocardiogram (ECG) data file separately, file is named as CH_User01 with patient's user name, wherein User01 is user name, and CH_ is the sick kind of prefix designates.The filename of data on file and data is with the name of patient's user name in the file of each classification, and extension name is customized for .taj.The file store path of tree structure is seen Fig. 2, and system's current path is obtained by function S erver.MapPath (), and file File is a sort file folder that adds for other file that is different under the current path.Be example with coronary heart disease, the path of its data and data storage file be current path+File CHFile CH_User01 CH_User01.taj.
See also Fig. 2, as long as according to patient's user name, can set up the path of patient's data and data storage file, file is read and write.
See also Fig. 3, file data structure is made up of a self-defining data set.The order that data set number is increased progressively according to group number and element by a series of data element encapsulates successively to be formed, and wherein data element is made up of label, data type, data length and data field.Label number is formed (each 2 byte), data type DT(2 byte by group number and element) its definition sees Table 1, data length DL(2 byte) length of expression data field store data, data field DF store data.
Table 1
Except the definition of the DT in the table 1, DT is SQ (Sequence of Items, the clauses and subclauses sequence) time, represent that this is a nested data set, its data field comprises the sequence that one or more clauses and subclauses (Item) are formed, composition difference according to each clauses and subclauses can be divided into: (1) simple mode, formed by the data element of the data type of definition in the table 1; (2) nested pattern is that the data set of SQ is formed by several DT, forms multistage nested; (3) mixed mode, the i.e. mixing of preceding two kinds of patterns.Have 3 special data elements in each clauses and subclauses sequence, the one, clauses and subclauses (Item) data element, the beginning of expression clauses and subclauses, its label be (FFFE, E000); The 2nd, clauses and subclauses finish (Item End) data element, label be (FFFE, E00D); The 3rd, EOS (Sequence End) data element, its label be (FFFE, E0DD).According to the content difference of storage, nested data set SQ is divided into data class and measurement data class, and the data class only contains the data element of ST, FL and US data type, and the measurement data class contains the data element of OW data type.Nested data set is suitable for having the data storage of tree structure.
Because it is storage file is a binary file in essence, similar to the read-write of the read-write of this document and binary file.Be example to read file, reading of file is data element and the order thereof that opens file and exist in the post analysis file, reads the data element and the assignment that exist in the file according to this order then and gives memory variable or array.See also Fig. 4, if SQ clauses and subclauses sequence only comprises the clauses and subclauses of simple mode, then run through in order, if include the clauses and subclauses of nested pattern or mixed mode, then when running into SQ, repeat to read the complete procedure of SQ clauses and subclauses sequence.It is identical with the process of reading that file is write, and no longer describes in detail.
Patient data comprises data and measurement data, data partly contains medical history table, diagnosis and treatment table and follows up a case by regular visits to table etc., all contain some options in each table, each option is stored with a data element, and all options are stored with a data class SQ in the table.The table of following up a case by regular visits to for repeatedly preserving can adopt data set multistage nested, realizes having the centralize storage of tree structure formula.Measurement data partly contains the long-term data of measuring such as blood pressure, blood sugar, electrocardio, blood fat, liver function and kidney merit, and the cumulative data amount is big, selects measurement data class SQ storage for use, and the data type that is characterized in storing data is short[] array (DT=OW).Below to follow up a case by regular visits to table and the cardiac electrical example that is stored as, two kinds of different storage meanss of detail file and data.Table 2 label is (003B, 0011), and SQ is the data element structure of data class, and it has adopted multistage nested mode to encapsulate to follow up a case by regular visits to the repeatedly saving result of table.Table 3 label is (003B, 1100), and it has encapsulated whole options of following up a case by regular visits to table of wherein once preserving.Table 4 label is that (5300,0100), SQ are the data element structure of measurement data class, and it has encapsulated electrocardiogram (ECG) data.
The structure of table 2 (003B, 0011) data element (nested a plurality of SQ among the SQ)
The structure of (003B, the 1100) data element in table 3 table 2 (wherein 1 SQ)
The structure of table 4 (5300,0100) data element
Use Web server to send the method for Email: Mail Transfer protocol (SMTP) service that Internet information service (II) is installed and disposes at Web server, IIS SMTP service be with e-mail forward to smtp server to transmit, from the master meter PatMembers of database and DrMembers, retrieve patient and doctor's Email address, the mail matter topics word is made as the doctor follows up a case by regular visits to+doctor's user name, the System.Net.Mail.MailMessage class that use ASP.NET provides sends to the patient with doctor's rehabilitation guide.
Do not comprise individual basic document such as name, age, sex, occupation, phone and address etc. in patient's log-on message, can protect patients ' privacy effectively, but because the doctor is difficult to remember that patient's user name is followed up a case by regular visits to the doctor makes troubles.The way that addresses this problem is that the browser of mobile terminal of individual basic document management with the doctor combined, realize carrying out the bi-directional of patient's user name between browsing page and the management of patient individual basic document, thus the individual basic document of patient that the doctor can be utilized easily be stored in portable terminal.
See also Fig. 5, the transmission method of patient's user name: (1) transmission from browsing page to individual basic document management: in link of webpage design, when clicking this link, can produce the link that another carries this patient's user name, after this link is sent, browser will block and obtain this link, and extract patient's user name, be delivered to the interpolation patient page of individual basic document management.(2) manage transmission to browsing page from individual basic document: click the patient individual basic document record that is shown in tabulation, its user name is as being embedded in the parameter that carry the patient's query webpage address in the program, when the browser redirect, automatically be filled in this webpage, the doctor can fast query arrive this patient's data and data.
The patient's data part shows that by sky, week, month, year curve electrocardiogram (ECG) data shows with ecg wave form respectively as the measurement data of blood pressure and blood sugar.Web displaying ecg wave form, blood pressure and blood glucose curve in that mobile device is browsed all adopt the static images display packing, are that example is illustrated below with the EGC waveform data.The EGC waveform data procedure for displaying mainly divides two steps, and the one, the reading of EGC waveform data, the 2nd, the drafting of EGC waveform data.The ECG Wave data reads: constitute the routing information that stores the ECG file with server current path and patient's user name earlier, define a short type array that is used for storage ECG data, then the method that reads by above-mentioned file read (5300,1010) data element the numerical value district data and be saved in the short array.See also Fig. 6, the drafting of ecg wave form: in internal memory, create painting canvas earlier and set paintbrush, call the function DrawLines of Graphics class among the C# again, the ECG Wave data is connected into a curve be depicted on the painting canvas, in internal memory, generate picture at last and in browser display.
Electro cardio signal workstation is used for uploading the electrocardiogram (ECG) data file to Web server, and the archives work station is used for from Web server downloading patient personal health files.Workstation uploads and downloads the document transmission method that file all adopts ftp server: the user name that sets Web server in the workstation application program, the IP address, port, login password, be connected by using Windows SDK function InternetConnect () to finish with Web server is long-range, using FtpSetCurrentDirectory () that specified path "/File/CHFile/CH_ patient user name " is retrieved determines whether to exist, then it is set to current path if exist, use FtpPutFile () upload file to Web server, use FtpGetFile () to download file from Web server, refusal uploads and downloads if do not exist then.
The present invention has following advantage: (1) patient is the passive side that the doctor follows up a case by regular visits to no longer fully.The patient uses portable terminal to record whenever and wherever possible and preserves testing oneself or the clinic measurement data of the data of following up a case by regular visits to and health Physiology and biochemistry parameter, and the doctor uses same equipment also can consult whenever and wherever possible, provides diagnostic comments and instructs by Email.Therefore the patient records the intervention that does not need the doctor to follow up a case by regular visits to, strengthened the enthusiasm that the patient initiatively participates in, greatly improve doctor's the efficient of following up a case by regular visits to again, reduced the workload that the doctor follows up a case by regular visits to, be conducive to private doctor, clinic and small community hospital to slow patient's management.(2) patient's blood pressure, blood glucose level data and cardiogram of testing oneself for a long time, help on the one hand the patient can be recorded by a period of time relatively, find the variation of physical condition, situations such as disease progression trend, result for the treatment of, the consciousness for the treatment of is adhered in enhancing; Help the doctor to understand the patient in more detail on the other hand and take medicine and the curative effect situation, and provide more accurate, the diagnostic comments of science more.(3) realized sharing of slow patient's personal health archives, no matter when and where any doctor can consult according to patient's user name, is convenient to the doctor to the understanding of conditions of patients.(4) patient individual essential information only is stored in doctor's portable terminal, has protected patients ' privacy effectively.
Claims (10)
1. slow patient's moving recording and the method for following up a case by regular visits to is characterized in that, comprise the steps:
(1) user terminal is sent to Web server with patient data by wireless network;
(2) Web server is preserved with file the patient data that receives by the path of appointment;
(3) after Web server receives the query statement of user terminal, read patient data by specified path from file, send to user terminal by wireless network.
2. slow patient's moving recording according to claim 1 and the method for following up a case by regular visits to, it is characterized in that, described user terminal comprises patient's terminal and doctor's terminal, patient's terminal comprises patient's portable terminal and electro cardio signal workstation, doctor's terminal comprises doctor's portable terminal and archives work station, wherein patient's portable terminal or doctor's portable terminal show patient data from Web server by special use or general browser, electro cardio signal workstation is used for uploading patient's the electrocardiogram (ECG) data of testing oneself to Web server, the archives work station is used for preserving the patient data of downloading from Web server, and Web server sends Email to patient's portable terminal according to the instruction of doctor's portable terminal by wireless network.
3. slow patient's moving recording according to claim 2 and the method for following up a case by regular visits to, it is characterized in that, described special browser is a special browser that the management of web browser and patient individual basic document is combined, and carries out the bi-directional of patient's user name between browsing page and patient individual basic document are managed.
4. slow patient's moving recording according to claim 3 and the method for following up a case by regular visits to, it is characterized in that, the method of described bi-directional is: in link of webpage design, after this link is sent, browser extracts patient's user name from this link of intercepting and capturing, and is delivered to individual basic document management; Patient's user name, is filled in this webpage when the browser redirect automatically as being embedded in the parameter that carry the patient's query webpage address in the individual basic document supervisory routine.
5. slow patient's moving recording according to claim 2 and the method for following up a case by regular visits to, it is characterized in that, the ftp file transmission method is all adopted at described electrocardio and archives work station: the parameter that sets Web server in the workstation application program, after long-range connection, the path that server contains patient's user name to appointment is retrieved and is determined whether to exist, then it is set to current path if exist, upload file is downloaded file to server or from server then, does not then refuse to upload or download if do not exist.
6. slow patient's moving recording according to claim 1 and the method for following up a case by regular visits to, it is characterized in that, the file storage organization of described data is made up of a self-defining data set, the order that this data set number is increased progressively according to group number and element by a series of data element encapsulates successively to be formed, and wherein data element is made up of label, data type, data length and data field.
7. slow patient's moving recording according to claim 6 and the method for following up a case by regular visits to, it is characterized in that, described patient data comprises data and measurement data, data partly contains and follows up a case by regular visits to relevant various tables, all contain some options in each table, each option is stored with a data element, and all options are stored with a data class SQ in the table, measurement data partly contains the long-term data of measuring of health Physiology and biochemistry parameter, selects measurement data class SQ storage for use.
8. slow patient's moving recording according to claim 7 and the method for following up a case by regular visits to is characterized in that, for the table of following up a case by regular visits to that needs in the data repeatedly to preserve, adopt data set multistage nested, realize having the centralize storage of tree structure formula.
9. slow patient's moving recording according to claim 7 and the method for following up a case by regular visits to, it is characterized in that, in the display interface of patient or doctor's portable terminal, patient's measurement data procedure for displaying mainly divides two steps: (1) constitutes the routing information of store files earlier with server current path and patient's user name, define an array that is used for the storage data, then the data in the numerical value district of the method read data elements that reads by above-mentioned file and being saved in the array; (2) in internal memory, create earlier painting canvas and set paintbrush, data are connected into a curve be depicted on the painting canvas, in internal memory, generate picture at last and in browser display.
Slow patient's moving recording with follow up a case by regular visits to system, it is characterized in that, include patient's terminal, doctor's terminal and Web server, patient's terminal comprises patient's portable terminal and electro cardio signal workstation, doctor's terminal comprises doctor's portable terminal and archives work station, Web server comprises database management unit, Email transmitting element and file storage unit, carry out exchanges data by wireless network between portable terminal and the server, workstation can be by carrying out exchanges data between broadband network or wireless network and the server.
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| CN103646369A (en) * | 2013-12-02 | 2014-03-19 | 李文雯 | Personal electronic health record system based on four-level platform archiving management |
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| CN104966164A (en) * | 2015-06-24 | 2015-10-07 | 芜湖扬宇机电技术开发有限公司 | Staff health examination data management system |
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| CN110085304A (en) * | 2018-01-26 | 2019-08-02 | 上海贝生医疗科技有限公司 | Integrated diagnostic support system and method outside the acquisition of neoplastic hematologic disorder data and patio, institute |
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