CN109065143A - Intelligent guarding system custodial care facility collecting method - Google Patents

Intelligent guarding system custodial care facility collecting method Download PDF

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Publication number
CN109065143A
CN109065143A CN201811051521.4A CN201811051521A CN109065143A CN 109065143 A CN109065143 A CN 109065143A CN 201811051521 A CN201811051521 A CN 201811051521A CN 109065143 A CN109065143 A CN 109065143A
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data
video stream
medical
script
medical devices
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CN201811051521.4A
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Inventor
姚尚龙
袁学光
黄小红
周洋
赵峰
黄伟佳
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Shenzhen Qianhai Ao Weizhi Control Technology Co Ltd
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Shenzhen Qianhai Ao Weizhi Control Technology Co Ltd
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Priority to CN201811051521.4A priority Critical patent/CN109065143A/en
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

The present invention relates to a kind of medical device data acquisition method, it the steps include: that (1) obtains the operation data of Medical Devices;(2) operation data and extracted valid data of the Medical Devices are identified using script, the operation data includes video stream data and non-video stream data;(3) operation data and extracted valid data of the Medical Devices are identified using script, the operation data includes video stream data and non-video stream data;(4) valid data are formatted, wherein the non-video stream data is converted into unified format;(5) information after converting format is pushed to local server-side.The data acquisition protocol of distinct device is converted to unified agreement by the present invention, so that medical device data acquisition system has more preferably scalability, hospital buys new Medical Devices and may be integrated into set of system by adaptation, it does not need to be further added by new data system, reduces the cost of hospital's updating apparatus.

Description

Intelligent guarding system custodial care facility collecting method
Technical field
The present invention relates to internet of things field, and in particular to a kind of things-internet gateway collecting method, especially one Kind is used for the collecting method of Study On Intelligent Monitoring Techniques and field of medical device.
Background technique
Medical monitoring device generally includes patient monitor, ventilator/Anesthesia machine, syringe pump, camera etc..Patient monitor is a kind of To measure and control physiological parameters of patients, and parameter can be compared with known set value, if parameter occurs beyond certain The device or system of the capable of emitting alarm of range.Patient monitor detects to become in the physiological parameter of certain period of time on-line monitor patient Change trend, it is indicated that situation In danger is minimized complication with the foundation for providing doctor's emergency processing and being treated, thus Achieve the purpose that alleviation and eliminates the state of an illness.The purposes of patient monitor further includes monitoring and processing in addition to measuring and guarding physiological parameter Medication and situation perioperatively.Six parameters of its standard are electrocardio, breathing, non-invasive blood pressure, blood oxygen saturation, pulse and body Temperature.Furthermore optional parameter includes: invasive blood pressure, End-tidal carbon dioxide, breathing mechanics, anesthetic gases, cardiac output are (invasive With it is noninvasive), BIS Propofol-targeted etc..Patient monitor by clinical application in operation, after operation, it is wound nursing, coronary heart disease, critical The ranges such as patient, newborn, premature, hyperbaric oxygen chamber, delivery room are the quite important medical monitoring devices of hospital.
It is often required in hospital using parameters such as blood oxygen, body temperature, the blood pressures for arriving patient monitor real-time monitoring patient and carries out electrocardio Monitoring.Lead to respiratory dysfunction with certain diseases (such as cardiovascular and cerebrovascular disease, hypertension, cerebral infarction, thrombus) as patient and When being unable to autonomous respiration, it is also necessary to configure ventilator/Anesthesia machine auxiliary patient respiration.In addition, if also being needed in medical procedure When realizing the liquid transmission of high-precision, steady pulse free, then need to help to inject using syringe pump.
As the market of China's medical instrument is in steady-state growth, medical monitoring device also from being mainly used for urgent patient in the past Monitoring, the monitoring or even different medical unit and community medical therapy unit for developing to current public ward also proposed application Demand.The popularity rate of medical monitoring device is with national life level correlation, with China's economic development, per capita Income level improves and industry R & D Level further increases, and China's health security system is further improved, high-end Product will gradually become mainstream.Along with the growth of the market demand, medical monitoring device manufacturer also gradually increases, various types of The compatibility of medical monitoring device just at problem, equipment collected medical data cannot uniformly be collected into data platform or Person needs the additional management increased to data, meanwhile, complete real-time is also difficult to accomplish, because this requirement has personnel to want the moment Pay close attention to the variation of patient data.
Specifically, traditional medical custodial care facility, can also be by after collecting the data other than showing on the machine screen Data are networked by the interfaces such as Ethernet and central monitoring system according to certain agreement, and complete to communicate with other hospital bed equipment With the functions such as system upgrade.The application system that traditional custodial care facility is furnished with all is mounted in the PC machine of networking, can be from by it Hospital information system obtains patient information.It is exactly a kind of existing monitor system for example, see Figure of description 1, mode is prison Instrument-work station-central monitoring system is protected, the data of patient monitor are transferred to work station by wired connection or wireless link and supply Nurse checks that patient monitor data are also communicated to central monitoring system simultaneously and check at any time for doctor.The patient monitor of bottom is, for example, MEC-1000, VS-900, IMEC8/10/12, BeneViewT1, BeneViewT5, BeneViewT6/T8 are to step auspicious prison Instrument equipment is protected, the pathological data of patient is transferred to by using the HL7 agreement of professional standard and steps auspicious center by these patient monitors Monitor system or work station.When being guarded using this monitor system, patient is first selected in application system, by patient monitor number According to corresponding to specific patient, use process is more complicated, low efficiency, furthermore there are shortcomings: 1, work station and central monitoring System can only acquire the information of patient monitor and be gathered together, and applicable custodial care facility type is single, and ventilator, syringe pump, Other custodial care facilities such as Anesthesia machine can not be connected by unified equipment and acquire data;2, in patient monitor-work station- Entreat monitor system that can only can only supervise using the equipment of the specified type of same manufacturer production, i.e., the central monitoring system of one manufacturer Control the particular vendor production a variety of patient monitors, and cannot connect monitor other manufacturers patient monitor or other medical monitorings set Standby, the device extension that monitor system is monitored is limited, hospital's updating apparatus increased costs.Therefore, one is needed currently on the market Kind can make the more convenient and fast intelligent guarding system of monitoring, to solve deficiency existing for conventional monitor.
Term explanation:
RTMP: real-time messages agreement (English: Real-Time Messaging Protocol, abbreviation RTMP) is also referred to as real-time Message transmission protocol
MQTT: message queue telemetering transmission (English: Message Queuing Telemetry Transport, referred to as It MQTT) is the messaging protocol based on publish/subscribe normal form under iso standard (ISO/IEC PRF 20922).It works in TCP/IP It is the publish/subscribe designed in the case where bad for the low remote equipment of hardware performance and Network status on protocol suite Type messaging protocol.
JSON:JSON (JavaScript Object Notation, abbreviation JSON) is one kind by Douglas Crow The data interchange language of gram Ford conception and design, lightweight, the language is based on the text for being easy to that people is allowed to read, for passing The data object that the defeated value by attribute value or sequentiality forms.
HL7: health information exchange standard (Health Level 7) is seven layer protocol the 7th of Open System Interconnection (OSI) The agreement of layer (application layer).
HDLC:High Level Data Link Control (high-level data link control procedure).Bit Oriented it is same Walk agreement.
Summary of the invention
For not doing effective integration, processing to a variety of medical datas caused by various Medical Devices in the prior art With the technical issues of displaying and a variety of medical datas of several kinds of medical equipment can not be pushed to the skill of related doctor in real time Art problem, the present invention provides one kind can be by differences such as a variety of custodial care facilities, including patient monitor, ventilator/Anesthesia machine, syringe pump The protocol conversion of equipment is that the method for uniform protocol facilitates doctor so as to acquire a variety of monitoring datas of various equipment in real time Raw rapid pin provides timely diagnosis and treatment project to patient.
A kind of medical device data acquisition method is related in particular to, is included the following steps:
Step 1 obtains the operation data of Medical Devices;
Step 2 identifies the operation data and extracted valid data of the Medical Devices, the operation data using script Including video stream data and non-video stream data;
Step 3 carries out classification processing to the valid data, the information after storing classification processing;
Step 4 formats the valid data, wherein the non-video stream data is converted into unified lattice Formula;
Step 5, the information after format is converted are pushed to local server-side.
In some specific application scenarios, the Medical Devices can be medical monitoring device, the operation data packet The non-video stream data of medical monitoring device and the video stream data of medical monitoring device are included, the non-video stream data includes life Manage data etc..
Further, it is specially by the non-video stream that the non-video stream data in the step 4, which is converted into unified format, Data are uniformly converted to JSON format, thus the medical data of unified various equipment.Further, it is also possible to by the video stream data It is encoded, such as H.264, H.265 or MPEG-4H.264, M-JPEG etc..
Preferably, the operation data that Medical Devices are obtained in the step 1 is by using the script to the medical treatment Equipment, which is sent, to be required, and then is triggered Medical Devices and sent the operation data automatically to complete.The script is, for example, Python Script, C++ script, C script, java script, Javascript script or VBscript script etc..
The step 5 is that treated that information is directly pushed to local server-side by step 4, or according to client Inquiry/subscription be pushed to local server-side.Specifically, the physiological data format of the medical monitoring device meets HL7 association When view, MQTT protocol propelling is used in the application layer of network model;The physiological data of the medical monitoring device is other than HL7 When extended formatting, after the data link layer deals of network model, pushed by the MQTT of application layer;The medical monitoring device Video stream data encoded in the data link layer of network model, then by the RTMP protocol propelling of application layer.
In addition, the acquisition for operation data, the step 1 is that data center sets from the acquisition medical treatment of other monitor systems Standby operation data so more easily transmits the data of Medical Devices under other monitor systems.Certainly, the step 1 The operation data of Medical Devices can be directly acquired by adapter for data center.
Technical solution proposed by the invention can be adapted to a variety of medical monitoring devices of different vendor, by distinct device Protocol conversion is unified agreement, so as to obtain the real time data of different medical custodial care facility and be stored in the number in gateway According in library, facilitating doctor's rapid pin to provide timely diagnosis and treatment project to patient.Meanwhile the technical solution makes intelligent guarding system Has more preferably scalability, hospital buys new medical monitoring device and do not need to be further added by new data system, new medical treatment Custodial care facility may be integrated into set of system by adaptation, reduce the cost of hospital's updating apparatus.
Detailed description of the invention
Attached drawing 1: prior-art illustration;
Attached drawing 2: intelligent monitor gateway and custodial care facility connection figure;
Attached drawing 3: patient monitor data protocol transition diagram;
Attached drawing 4: video data protocols transition diagram;
Attached drawing 5: other medical device data protocol conversion figures such as ventilator, syringe pump.
Specific embodiment
Intelligent guarding system can mainly include three parts, respectively intelligent guarding system gateway side, intelligent monitor system Local server-side of uniting and intelligent guarding system client, three part coordinateds are to realize each of entire intelligent guarding system A function, such as gateway connection custodial care facility may be implemented, gateway acquisition data/video, check the functions such as data/video.Its In referring to Figure of description 2, intelligent guarding system gateway side includes intelligent monitor gateway and each medical monitoring device.Each doctor Treating custodial care facility is, for example, patient monitor, ventilator, syringe pump, camera or other custodial care facilities.These medical monitorings are set It is standby to be connected by respective interface with intelligent monitor gateway, such as the Medical Devices such as ventilator, syringe pump pass through RS232 interface It is connected with intelligent monitor gateway, camera can connect intelligent monitor gateway by RJ45 or USB interface with patient monitor, some The signals such as video can also connect intelligent monitor gateway by USB interface.
The intelligent monitor gateway is equipped with the apparatus management/control module of corresponding each custodial care facility, that is, includes video flowing control, prison Protect the modules such as instrument control, ventilator control, syringe pump control, camera control.Each control module passes through corresponding adapter Corresponding data are obtained and parsed from each medical monitoring device, may then pass through DAS (Direct-attached Storage) mode of direct-connected storage or local hard drive storage stores data.Apparatus management/control module also has logical simultaneously Cross function of the corresponding adapter to each medical monitoring device configuration relevant parameter.
For patient monitor, by the port of the network interface connection patient monitor of intelligent monitor gateway, using being stored in gateway Python script, C++ script, C script, java script, Javascript script or VBscript script are sent to patient monitor It is required that triggering patient monitor sends patient data automatically, so that gateway receives the HL7 data packet that patient monitor is sent out automatically, by HL7 Data packet use language identical with script is parsed, and the real-time measuring data of patient in wherein OBX sections is extracted, and Data are classified according to mark such as pulse frequency, heart rate, noninvasive diastolic pressure, invasive diastolic pressure therein, and are stored in gateway In interior database.
Patient monitor port is accessed in real time by intelligent monitor gateway video interface, obtains video flowing.According to coding techniques, example Such as H.264, H.265 or MPEG-4 is by video stream encryption, then according to needing to be sent to by network interface to real-time video In local server-side.
For ventilator, ventilator serial ports is accessed by the serial ports of intelligent monitor gateway in real time, is made by oneself by sending producer The query requirement of the fixed format of justice obtains the data flow that ventilator is sent out.By data flow (mainly low and high level) basis The decoding of format as defined in producer, sorts data into and protects further according to indexs such as tidal volume, airway pressure, respiratory rate, respiratory quotients It deposits, and finds warning information.
For syringe pump, syringe pump serial ports is accessed by the serial ports of intelligent monitor gateway in real time, is made by oneself by sending producer The query requirement of the fixed format of justice obtains the data flow that syringe pump is sent out.By data flow (mainly low and high level) basis The decoding of format as defined in producer is sorted data into and is protected according to the indexs such as target level, existing concentration, plasma concentration, effect-site concentration It deposits, and finds warning information.
After by the storage of the classification physiological data of above-mentioned each medical monitoring device, unified JSON format is converted them to It stores and JSON file is uniformly transferred to local server-side using Data Transport Protocol (such as MQTT).With the production of each custodial care facility For raw physiological data, physiological data is packaged into JSON file according to certain format, and the content in JSON file, which is divided into, to disappear Classification, four timestamp, device type and specific data parts are ceased, all data is marked out under specific data and contains with representative Justice.Specific format is as follows:
1. patient monitor data:
2. Anesthesia machine data:
3. injecting Pump data:
4. other medical device datas:
For video stream data, intelligent monitor gateway by collected video stream data by H.264, H.265 or Local server-side is directly transmitted to by transmission of video agreement (such as RTMP agreement) after MPEG-4 coding.
Physiological data will be transferred into local server-side after JSON language unity format.Each device data is unified Transmission before format and after unified format is described in detail below, and is totally followed intelligent monitor gateway and is adopted from each medical monitoring device Collect data, then unify format and is sent to local server-side.
The protocol conversion for the physiological data that patient monitor measures is referring to shown in Figure of description 3, in the RJ45 interface of physical layer Using IEEE802.3 agreement, IP agreement is used in network layer, uses TCP or udp protocol in transport layer, uses HL7 in application layer Agreement is sent data in intelligent monitor gateway.It is transferred to local server-side from intelligent monitor gateway again later, such as MQTT agreement transmitting real-time data is used in application layer.
The protocol conversion of video data is referring to shown in Figure of description 4, in physical layer according to VGA, HDMI or DVI agreement It is transmitted by corresponding interface, uses HDLC protocol in data link layer, be transferred to local clothes from intelligent monitor gateway later Business device end, such as RTMP agreement transmitting real-time data is used in application layer.
The protocol conversion of other medical device datas such as ventilator, syringe pump is referring to shown in Figure of description 5, in physical layer By RS232 interface according to RS232 agreement, HDLC protocol is used in data link layer, makes agreement by oneself using producer in application layer Related data is transferred to intelligent monitor gateway.Data are transferred to local server-side from intelligent monitor gateway later, wherein 802.3 agreement of IEEE is used in physical layer, uses IP agreement in network layer, Transmission Control Protocol is used in transport layer, makes in application layer With MQTT agreement transmitting real-time data.
By the conversion of intelligent monitor intra-gateway, it is by homogeneous classification via the data that the different agreement of different layers obtains Video data or physiological data.Video flowing is transferred to local service using transmission of video agreement (such as RTMP agreement) in application layer Device end, physiological data are packaged into JSON file and are transferred to local server-side using Data Transport Protocol (such as MQTT agreement), Then used again by the user of client.
Specifically, when receiving requirement of the local server-side to video push, intelligent monitor gateway will carry out video The patient monitor real time monitoring picture and camera of stream encryption are recorded picture and are transmitted to using transmission of video agreement (such as RTMP agreement) Local server-side, to meet the Treatment need of doctor.
When receiving requirement of the local server-side to data-pushing, intelligent monitor gateway is by the real-time survey of classification annotation Amount data are transmitted to local server-side using Data Transport Protocol (such as MQTT agreement), to meet the Treatment need of doctor.
When receiving requirement of the local server-side to alarm pushing, intelligent monitor gateway is by the real-time survey of classification annotation Data are measured compared with corresponding each parameter threshold, when discovery is not in term of reference, it is abnormal to represent this index. In addition, can't detect a certain index, the alarm signal sent from instrument is but received, this also represents alarm signal.By these Alarm signal is transmitted to local server-side using Data Transport Protocol (such as MQTT agreement), to meet the Treatment need of doctor.
When local server-side issues query subscription to intelligent monitor gateway by message transmission protocol, intelligent monitor net After pass is connected to subscription, the data being stored in internal database are inquired at once, after having result, (such as by Data Transport Protocol MQTT agreement) it is pushed to local server-side at once, to meet the Treatment need of doctor.
When local server-side issues configuration/control subscription to intelligent monitor gateway by message transmission protocol, intelligence It can guard after gateway is connected to subscription, receive the requirement in subscribing at once, the parameter configuration that will subscribe to equipment is completed, and is passed by data Defeated agreement (such as MQTT agreement) returns to configuration successful or failure news, to meet doctor to the need of Medical Devices parameter preset It asks.
In addition, existing central monitoring system is all the custodial care facility that can only be adapted to a manufacturer, by connecting this manufacturer Equipment obtain data after, transmit data to local same manufacturer data center, but the equipment that other manufacturers can not be connected.It is right This, the present invention can also add one layer of upper layer data center in existing data center, and new upper layer data center is under Data are read in the data center of layer, or the data of the Medical Devices of different vendor also can be read directly, are used to this simultaneous Hold the medical monitoring device that different vendor produces, realizes the whole of the data center of different vendor's medical device data passback It closes.Meanwhile above-mentioned design can also solve the problems, such as different vendor's medical device data processing real-time, such as can pass through reading After taking the data in central monitoring system or data center, using data protocol conversion method of the invention, carry out at analysis Local server-side is sent directly to after reason.
The some embodiments of the present invention recited above that only explain through diagrams, due to the common of same technique field It is easy to carry out several modifications and change on this basis for technical staff, therefore this specification is not intended to office of the present invention Limit is in shown and described specific structure and the scope of application, therefore all corresponding modifications that may be utilized and equivalent, Belong to the applied the scope of the patents of the present invention.

Claims (10)

1. a kind of medical device data acquisition method, includes the following steps:
Step 1 obtains the operation data of Medical Devices;
Step 2 identifies that the operation data and extracted valid data of the Medical Devices, the operation data include using script Video stream data and non-video stream data;
Step 3 carries out classification processing to the valid data, the information after storing classification processing;
Step 4 formats the valid data, wherein the non-video stream data is converted into unified format;
Step 5, the information after format is converted are pushed to local server-side.
2. the method as described in claim 1, the Medical Devices are medical monitoring device, and the operation data includes medical treatment prison The non-video stream data of equipment and the video stream data of medical monitoring device are protected, the non-video stream data includes physiological data.
3. method according to claim 1 or 2, it is specific that the non-video stream data in the step 4 is converted into unified format For the non-video stream data is uniformly converted to JSON format.
4. it is method according to claim 1 or 2, it further include encoding the video stream data.
5. method according to claim 1 or 2, the operation data that Medical Devices are obtained in the step 1 is by using institute It states script and sends requirement to the Medical Devices, and then trigger Medical Devices and send the operation data automatically to complete.
6. the method as described in claims 1 or 2 or 5, the script is Python script, C++ script, C script, Java foot Originally, Javascript script or VBscript script.
7. method according to claim 1 or 2, the step 5 is that treated that information is directly pushed to local by step 4 Server end, or local server-side is pushed to according to inquiry/subscription of client.
8. the method for claim 7, when the physiological data format of the medical monitoring device meets HL7 agreement, in net The application layer of network model uses MQTT protocol propelling;The physiological data of the medical monitoring device is the extended formatting other than HL7 When, after the data link layer deals of network model, pushed by the MQTT of application layer;The video flowing of the medical monitoring device Data are encoded in the data link layer of network model, then pass through the RTMP protocol propelling of application layer.
9. the method as described in claim 1, the step 1 obtains Medical Devices from other monitor systems for data center Operation data.
10. the method as described in claim 1, the step 1 directly acquires Medical Devices by adapter for data center Operation data.
CN201811051521.4A 2018-09-10 2018-09-10 Intelligent guarding system custodial care facility collecting method Pending CN109065143A (en)

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Application publication date: 20181221