CN105847331A - Chronic disease recovery remote communication support system based on cyber physical system (CPS) - Google Patents
Chronic disease recovery remote communication support system based on cyber physical system (CPS) Download PDFInfo
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- CN105847331A CN105847331A CN201610151333.3A CN201610151333A CN105847331A CN 105847331 A CN105847331 A CN 105847331A CN 201610151333 A CN201610151333 A CN 201610151333A CN 105847331 A CN105847331 A CN 105847331A
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L67/00—Network arrangements or protocols for supporting network services or applications
- H04L67/01—Protocols
- H04L67/12—Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
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Abstract
The invention belongs to the technical field of communication, and discloses a chronic disease recovery remote communication support system based on a cyber physical system (CPS). The system comprises a doctor client, an administrator client, a patient client and a management controller. In the system, the CPS technology is applied in the interaction between a doctor and a patient suffering from a chronic disease, so that a close doctor-patient relationship can be established, and instructive suggestions can be given according to medical records and current conditions of the patient; the patient can record and store physical sign indexes, daily input and output volumes, laboratory test report photos and other information through the system, real-time dialogues can be carried out between the patient and the doctor, and interactive voice information regarding a disease progress can be converted into the medical records and medical orders. The system provided by the invention solves the problems of inaccurate information, a distant doctor-patient relationship, inconvenient registered treatments, high medical costs of the patient and the like in the conventional treatment process, can effectively detect and reduce the error rate and the examination omission rate of the interactive information, and can help the doctor and the patient to optimize treatment and rehabilitation effects.
Description
Technical field
The invention belongs to communication technical field, be specifically related to a kind of chronic disease rehabilitation based on information physical emerging system CPS long-range
Communication support system.
Background technology
Abbreviation and Key Term definition:
CKD:Chronic Kidney Disease chronic kidney disease, shows as kidney injury and continues more than three months or kidney filter
The rate of mistake descends below specific criteria more than three months.
ESRD:End Stage Renal Disease End-stage renal disease, the whole latter stage of chronic nephropathy, renal failure, need
Carry out hemodialysis or accept renal transplantation.
CPS:cyber physical system information physical emerging system, its collection communicates, calculates and be controlled in one, passes through people
Network process is unitized by machine interactive interface with physics process, it is achieved the operation that system is real-time, reliable, safe.
The definition of chronic disease is by World Health Organization (WHO) WTO " chronic disease belongs to the disease of course of disease length and slower development under normal circumstances.
Heart disease, apoplexy, cancer, chronic respiratory system diseases and diabetes chronic diseases are the most topmost causes of the death, account for
The 63% of all death." treatment of chronic disease and rehabilitation need to expend sufferer and doctor's substantial amounts of time, energy, money, because of
This, utilizing the Internet is current hot research problem and developing direction to change Conventional diagnostic rehabilitation modality.
China adult CKD sickness rate about between 10%～12%, the CKD sickness rate about 5% of child.Controlling of chronic nephropathy
The treatment cycle is long, and timely and effective treatment can be substantially reduced patient and proceed to the ratio of ESRD, extends the life of patient, carries
High quality of life.
CKD client need is periodically gone to see a doctor, regular blood test, routine urinalysis etc.；If it is sick to infect other, need to consider kidney
The treatment advice of sick doctor；Daily need to pay close attention to crucial sign such as body weight, blood pressure, discrepancy amount etc.；It is also noted that diet.
Patient CKD is medical in existing medical system can face following difficulty: long-term the most medical inconvenient, receive medical treatment in allopatry disease
The cost of people is high, because the medication plan comparison of individual variation especially child patient is complicated, low to CKD rudimentary knowledge awareness degree,
There is to need to refer to during other diseases the suggestion of nephropathy doctor, but bad contact of doctor etc..These difficulties reduce CKD's
Therapeutic effect, adds the medical treatment cost of patient.
Information physical system (Cyber Physical Systems) is integrated calculating, communicates and be controlled in intelligence system of future generation integrally.
By to being distributed in the node collection that optional position has comprehensive function or the information detected processes, it is achieved the intelligence of system
Energyization.Such as the Fig. 1 displaying to CPS concept: the utilization in kind sensor network based on embedded system in real world in figure
Process in real time and perception surrounding enviroment or related object, and by network delivery perception information to there is converging information and processing merit
On the node of energy, these nodes are according to the change of user's request in physical environment and network, by high-precision technology and intelligence computation,
Automatically adjust internal correlation and model, produce the control command meeting demand, and pass to correspondence by network by performing order
In kind.Receive exectorial material object and can complete these operations therewith, it is achieved thereby that real world and the interconnection of virtual world.
Prior art is relating to nursing, towards the portable medical service system of personal health and method of servicing, domestic medicine service
The aspects such as system propose a lot of technical schemes, but still common concern be the networking of Conventional diagnostic process, Ge Renjian
The long-range monitoring of health or the patient state of an illness at home.Such as " intelligent home diagnosis and therapy system based on mobile Internet and method
2014105133118 " system paying close attention to diagnosis and treatment at home realizes；" a kind of medical system 2013104214058 " is by various data
Comprehensive analyze, including patient symptom, the medical history of hospital's case history, with the various data such as doctor exchanges, analyze and determine user's
Definite disease, provides solution accordingly.Existing patent rarely has consideration to chronic disease rehabilitation, system reliability, communication process,
Currently without patient after medical institutions are diagnosed as certain chronic disease, for the remote support system correlation technique of rehabilitation course.
Summary of the invention
The present invention provides a kind of chronic disease rehabilitation telecommunication based on information physical emerging system CPS to support system, described system
It is that CPS technology is applied to doctor and chronic disease (as a example by CKD) interpatient interactive process, it is possible to help both sides to set up
Doctor-patient relationship closely, medical history record and the present situation according to patient provide guiding opinion；Patient can by native system record also
The information such as storage sign Index, daily discrepancy amount, laboratory test report picture, and can be with doctor's real time phone call, mutual disease progression language
Message breath can be exchanged into case history and doctor's advice；System can automatically detect abnormal data, according to predeterminable event in real time give doctor or sufferer
The prompting message that feedback is corresponding.
Described chronic disease rehabilitation telecommunication based on information physical emerging system CPS supports system, including doctor's client,
Administrator Client, sufferer client and four parts of Management Controller；
Described sufferer client sends regularly work-up data to Administrator Client, and after being arranged by Administrator Client on
Pass to Management Controller；
Described doctor's client, according to the case history of sufferer client, provides rehabilitation guide suggestion or plan to update case history；If desired
Initiating speech conversation exchanges in real time with sufferer；
Described Administrator Client includes point examining scheduling, message management, payment management, auxiliary doctor formulate rehabilitation programme；
Described Management Controller is responsible for foundation the connection between holding and sufferer client, doctor's client, Administrator Client；
Described Management Controller storage sufferer case history, sends newly-increased to sufferer client, doctor's client, Administrator Client in real time
Medical record information, processes the state of an illness data in case history, detection anomalous event and prompting doctor's call, carries out real time information feedback.
It is an advantage of the current invention that:
The present invention is primarily directed to that information in existing treatment flow process is inaccurate, doctor-patient relationship not closely, registration and medical consultation inconvenient, sick
People's medical treatment cost is high, patient lacks the problem of relevant medical knowledge, utilizes computer, communicates and control technology, it is provided that Yi Zhongyuan
Method is supported in the chronic disease rehabilitation of journey.Meanwhile, the communication process proposed by the present invention, it is possible to effectively check and reduce mutual letter
The error rate of breath, loss, assist a physician and sufferer optimization treatment and rehabilitation efficacy.
Accompanying drawing explanation
Fig. 1 is the displaying of existing CPS concept.
The system composition schematic diagram that Fig. 2 provides for the present invention；
The system-based feedback control mechanism communication process that Fig. 3 provides for the present invention, provides doctors and patients' exchange, case history to consult for sufferer
Deng basic function；
The rehabilitation support scheme communication process that Fig. 4 provides for the present invention, it is intended to provide long-term rehabilitation guide for sufferer.
Detailed description of the invention
The present invention is described in detail with embodiment below in conjunction with the accompanying drawings.
The present invention provides a kind of chronic disease rehabilitation telecommunication based on information physical emerging system CPS to support system, such as Fig. 2
Shown in, described system includes doctor's client, Administrator Client, sufferer client and four parts of Management Controller, institute
Sufferer realizes doctors and patients' exchange, case history consults and daily rehabilitation programme function for realizing helping to state system.
Sufferer client sends regularly work-up data by mobile phone A PP to Administrator Client, and by Administrator Client
Management Controller it is uploaded to after arrangement.Sufferer can consult the case history being stored on Management Controller, it is also possible to doctor's client
Carry out doctors and patients' exchange of real-time voice call form；Receive the instruction i.e. rehabilitation programme from doctor's client, sufferer visitor
Family end can be with the input error of automatic data-detection.
Doctor's client, according to the case history of sufferer client, provides rational rehabilitation guide or plan to update case history.If desired may be used
Exchange in real time with sufferer with initiating speech conversation.
Administrator Client is mainly responsible for system administration, examines scheduling, message management, payment management, auxiliary doctor's formulation including point
Rehabilitation programme (specifically includes and arranges the reasonable input range threshold value of sufferer client state of an illness index of correlation, arranges doctor's client doctor
Advise the maximum duration uploaded interval and doctor's call-prompting is set).
Management Controller is responsible for foundation the connection between holding and sufferer client, doctor's client, Administrator Client, sets up
And safeguard the management function to case history.Described Management Controller storage sufferer case history, in real time to sufferer client, doctor client
End, Administrator Client send newly-increased medical record information, process the state of an illness data such as the sign in case history, laboratory test report, and detection sufferer refers to
The anomalous events such as mark is abnormal, doctor's advice is the most periodically uploaded and prompting doctor's call, carry out real time information feedback.
Described doctors and patients' exchange sends based on the networking telephone, text message and picture so that doctors and patients can the most comprehensively exchange the state of an illness
And medical information.
Case history design in native system meets chronic disease clinical characters, and information is succinctly comprehensive, and graphically, readability is easily had access to, and
Real-time update can be made according to doctors and patients' communicational aspects.
Rehabilitation programme, according to chronic disease feature, is collected patient's vital sign data and discrepancy amount in time, is periodically provided rehabilitation for patient
Suggestion.
From system structure design, Management Controller is core component, relies on the closed loop feedback in Fig. 1 to control, and system can have
Effect is supported doctor patient communication, is promoted information integrity and accuracy.
The present invention devises sufferer client, Administrator Client, basic feedback machine between doctor's client and Management Controller
Communication process processed, system can set up the real-time reliable interaction process between four directions, especially as the Management Controller of the system core,
Information accuracy, ageing detection and management are played a major role.
Described basic feedback mechanism communication process is as it is shown on figure 3, comprise the steps:
The first step, it is pre-configured that Administrator Client carries out system.
Administrator Client arranges reminder events so that system possesses the ability automatically carrying out detecting, and accomplishes real-time reminding.Thing
Part is defined as follows:
Sufferer client detects input value anomalous event A1 automatically: sufferer client input value is abnormal, by definition A1 parameter mould
Input value effective range drafted by plate；
Management Controller detection sufferer Indexes Abnormality event A2: Management Controller judges patient's Indexes Abnormality, is joined by definition A2
Input value effective range drafted by digital-to-analogue plate；
Management Controller detection doctor's client the most periodically uploads doctor's advice event A3: doctor's doctor's advice is the most periodically uploaded, when drafting the longest
Between be spaced d；
Management Controller reminds doctor's client call event A4: before doctor converses, prompting is reminded with time-out, when drafting the front t of call
Quarter reminds.
Second step, sufferer client sends word state of an illness message to Administrator Client；
Described word state of an illness message, specifically includes that the message such as main suit, sign information, various laboratory test report results.
Sufferer: A1 event detection
Function: client carries out detecting automatically, report an error prompting.
If input value is beyond effective range [a, b]:
When input value is less than a, and prompting sufferer input is wrong, again inputs；
When input value is more than b, and prompting sufferer input is wrong, again inputs.
3rd step, Administrator Client arranges word message and is uploaded to Management Controller；
Described word message is the interactive information of Administrator Client and sufferer client, and Administrator Client is by described mutual
Message is organized into cannonical format and is uploaded to Management Controller, the medical record information in interpolation or more new database.
4th step, Management Controller storage case history analytical data；
After storage case history, doctor, sufferer and Administrator Client are by newly-increased for acquisition medical record information；The data analyzed are mainly derived from
The state of an illness data such as the sign of sufferer, laboratory test report.
Management Controller: sufferer client is carried out A2 event detection
Function: carry out sufferer Indexes Abnormality feedback according to the result monitored.
Management Controller: doctor's client is carried out A3 event detection
Function: when after system storage case history, if be detected that doctor's client exceedes the untreated case history of duration d, remind doctor's client
Write doctor's advice.
5th step: doctor's client upload doctor's advice is to Management Controller；
Doctor's client checks patient history case history, analysing patient's condition, uploads doctor's advice to Management Controller, renewal case history.Update disease
After going through, doctor, sufferer and Administrator Client are by newly-increased for acquisition medical record information.
6th step: doctor's client sends word message to Administrator Client；
If doctor's client has demand can carry out written communication with Administrator Client, mainly include the perfect etc. of doctor's advice.
7th step: Administrator Client arranges word message and is uploaded to Management Controller；
Described word message is the interaction message of Administrator Client and doctor's client, and described is disappeared by Administrator Client alternately
Breath is organized into cannonical format and is uploaded to Management Controller, medical record information (the doctor's advice portion adding or updating in Management Controller data base
Point).
8th step: sufferer client is by the call of Administrator Client's reservation with doctor's client；
If sufferer client wants exchanges acquisition by doctors and patients and more comprehensively instructs, word message can be sent out with Administrator Client and enter
Row call subscription.
9th step: Administrator Client consults the air time with doctor's client；
Administrator Client sends out word message Xiang doctor's client, drafts an air time, and it is logical to notify that sufferer client waits
Words.
Management Controller: doctor's client is carried out A4 event detection；
Function: after doctor's client and Administrator Client consult the air time, before distance call, the t time proceeds by prompting；
When system detects that doctor's client has been crossed subscription time and also do not initiated call, remind.
Tenth step: doctor's client initiates call to sufferer client；
Doctor is initiator, makes a phone call to patient within the time of regulation.
11st step: sufferer client answers the call from doctor's client.
12nd step: Management Controller preserves the message registration of sufferer client and doctor's client.
The present invention focuses on provides rehabilitation guide steady in a long-term into sufferer.The rehabilitation programme that in rehabilitation course, system is formulated according to doctor,
Can self-timing remind doctor and patient, i.e. rehabilitation support scheme communication, described rehabilitation support scheme communication process as shown in Figure 4,
Comprise the steps:
The first step, it is pre-configured that Administrator Client carries out system.
When, after sufferer client customization rehabilitation programme, Administrator Client arranges reminder events.Event definition is as follows:
Management Controller reminds sufferer client to carry out the A5 event that information is uploaded: Management Controller is by the disease not uploading information
Suffer from client to carry out uploading state of an illness information reminding, just remind after exceeding block out time e.
Management Controller reminds doctor's client to carry out the A6 event of schedule regeneration: Management Controller is by the disease uploading information
Suffer from doctor's client corresponding to client and be updated schedule reminder, just exceed after block out time f after sufferer client upload information
Remind.
Second step: sufferer client initiates rehabilitation programme customization to Management Controller；
3rd step: sufferer client sends word message to Administrator Client.
Above-mentioned word message specifically includes that sufferer discrepancy amount and sign information etc..
4th step: Administrator Client carries out message with doctor's client and exchanges.
Administrator Client formulates diet guidance jointly according to doctor's client suggestion, emergency case processes, medication and chemical examination
Plan etc..
Management Controller: A5 event detection.
Function: Management Controller, according to the plan of customization, is automatically reminded to sufferer client and carries out information and upload, and patient can obtain health for a long time
Multiple guidance.
5th step: sufferer client periodically uploads the information such as sign and the state of an illness to Management Controller.
Sufferer carries out uploading of the information such as sign as per the schedule.
Management Controller: A6 event detection
Function: Management Controller will be updated schedule reminder to doctor's client that the sufferer client uploading information is corresponding.
6th step: doctor's client updates rehabilitation programme and uploads to Management Controller；
Doctor's client, according to the indices of up-to-date sufferer, updates rehabilitation programme table.
7th step: Management Controller is according to the rehabilitation programme data genaration chart in a period of time；
Sufferer client can obtain sign change curve etc. in a period of time, allows patient become more apparent upon the state of an illness of oneself.
8th step: sufferer client obtains schedule and instructs；
Above-mentioned schedule instructs and mainly includes the rehabilitation programme information such as medication, chemical examination, sign charts.
Claims (5)
1. chronic disease rehabilitation telecommunication based on information physical emerging system CPS supports system, it is characterised in that: described system
Including doctor's client, Administrator Client, sufferer client and four parts of Management Controller；
Described sufferer client sends regularly work-up data to Administrator Client, and after being arranged by Administrator Client on
Pass to Management Controller；
Described doctor's client, according to the case history of sufferer client, provides rehabilitation guide suggestion or plan to update case history；If desired
Initiating speech conversation exchanges in real time with sufferer；
Described Administrator Client includes point examining scheduling, message management, payment management, auxiliary doctor formulate rehabilitation programme；
Described Management Controller is responsible for foundation the connection between holding and sufferer client, doctor's client, Administrator Client；
Described Management Controller storage sufferer case history, sends newly-increased to sufferer client, doctor's client, Administrator Client in real time
Medical record information, processes the state of an illness data in case history, detection anomalous event and prompting doctor's call, carries out real time information feedback.
Chronic disease rehabilitation telecommunication based on information physical emerging system CPS the most according to claim 1 supports system, its
It is characterised by: described sufferer client, Administrator Client, basic feedback machine between doctor's client and Management Controller
Communication process processed, comprises the steps:
The first step, it is pre-configured that Administrator Client carries out system；
Second step, sufferer client sends word state of an illness message to Administrator Client；
3rd step, Administrator Client arranges word message and is uploaded to Management Controller；
4th step, Management Controller storage case history analytical data；
5th step: doctor's client upload doctor's advice is to Management Controller；
6th step: doctor's client sends word message to Administrator Client；
7th step: Administrator Client arranges word message and is uploaded to Management Controller；
8th step: sufferer client is by the call of Administrator Client's reservation with doctor's client；
9th step: Administrator Client consults the air time with doctor's client；
Tenth step: doctor's client initiates call to sufferer client；
11st step: sufferer client answers the call from doctor's client；
12nd step: Management Controller preserves the message registration of sufferer client and doctor's client.
Chronic disease rehabilitation telecommunication based on information physical emerging system CPS the most according to claim 2 supports system, its
It is characterised by: the pre-configured Administrator Client of including of described system arranges reminder events, accomplishes real-time reminding, described prompting
Event definition is as follows:
Sufferer client detects input value anomalous event A1 automatically: sufferer client input value is abnormal, by definition A1 parameter mould
Input value effective range drafted by plate；
Management Controller detection sufferer Indexes Abnormality event A2: Management Controller judges patient's Indexes Abnormality, is joined by definition A2
Input value effective range drafted by digital-to-analogue plate；
Management Controller detection doctor's client the most periodically uploads doctor's advice event A3: doctor's doctor's advice is the most periodically uploaded, when drafting the longest
Between be spaced d；
Management Controller reminds doctor's client call event A4: before doctor converses, prompting is reminded with time-out, when drafting the front t of call
Quarter reminds.
Chronic disease rehabilitation telecommunication based on information physical emerging system CPS the most according to claim 1 supports system, its
It is characterised by: the rehabilitation programme that in rehabilitation course, system is formulated according to doctor, doctor and patient, i.e. rehabilitation can be reminded to prop up by self-timing
Holding mechanism communication, described rehabilitation support scheme communication process comprises the steps:
The first step, it is pre-configured that Administrator Client carries out system；
Second step: sufferer client initiates rehabilitation programme customization to Management Controller；
3rd step: sufferer client sends word message to Administrator Client；
4th step: Administrator Client carries out message with doctor's client and exchanges；
5th step: sufferer client periodically uploads sign and state of an illness information to Management Controller；
6th step: doctor's client updates rehabilitation programme and uploads to Management Controller；
7th step: Management Controller is according to the rehabilitation programme data genaration chart in a period of time；
8th step: sufferer client obtains schedule and instructs.
Chronic disease rehabilitation telecommunication based on information physical emerging system CPS the most according to claim 4 supports system, its
It is characterised by: described system is pre-configured to be included when, after sufferer client customization rehabilitation programme, Administrator Client arranges prompting thing
Part, described reminder events is defined as follows:
Management Controller reminds sufferer client to carry out the A5 event that information is uploaded: Management Controller is by the disease not uploading information
Suffer from client to carry out uploading state of an illness information reminding, just remind after exceeding block out time e；
Management Controller reminds doctor's client to carry out the A6 event of schedule regeneration: Management Controller is by the disease uploading information
Suffer from doctor's client corresponding to client and be updated schedule reminder, just exceed after block out time f after sufferer client upload information
Remind.
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| CN108962385A (en) * | 2018-08-29 | 2018-12-07 | 高路 | Interactive system and method in a kind of Internal Medicine-Cardiovascular Dept. rehabilitation based on Internet of Things |
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| CN111933276A (en) * | 2020-07-22 | 2020-11-13 | 复旦大学 | Intelligent hospital-oriented person-information-physical system |
| CN112133430A (en) * | 2020-10-15 | 2020-12-25 | 丁玉 | Clinical biochemical dynamic monitoring system |
| CN116805525A (en) * | 2023-08-21 | 2023-09-26 | 营动智能技术(山东)有限公司 | Chronic disease informationized management method, system and storage medium |
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|---|---|
| CN105847331B (en) | 2019-04-16 |
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