RU2476931C1 - Apparatus for remote medical consultations and control of patient's health information - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: apparatus for remote medical consultations and control of patient's health information comprises a patient's health information memory, an information processing unit, a processor unit, an operator's workstation control unit and a network access unit supplied by a mobile transmission unit of patient's diagnostic telemetry and by a decoder with a network access unit designed as an interactive Web access interface.

EFFECT: higher processing speed and patient service effectiveness.

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Description

The invention relates to medicine, in particular to telemedicine, and can be used to conduct remote medical consultations and control the medical data of the patient.

Currently, against the background of the widespread introduction of computer technology and the Internet, work is actively ongoing in the field of creating modern information and communication technologies for solving the tasks of remote counseling and remote monitoring of the patient’s health.

Known telemedicine systems made in the form of a telemedicine complex representing a set of programs and tools for receiving and transmitting medical data in the form of audio and video signals (Grigoryev A.I., Orlov O.I. et al. Clinical medicine. - M .: The company "Word", 2001, p.18-20). In the same source, p.79-88 describes a telemedicine system equipped with a computer with a network interface and peripheral equipment for monitoring and maintaining the patient’s health.

The disadvantage of these technical solutions is the lack of funds in them that ensure prompt decision-making in conditions of incomplete medical information about the patient's condition in a particular situation.

A device is known, presented in the form of an information-analytical and medical-diagnostic complex, containing user workstations, a control unit and a medical-diagnostic module with a registration unit (utility model No. 85822 according to class A61M 21/00 of 08/20/2009).

This complex allows, in the opinion of its author, to carry out both the diagnostic process and treatment with adequate information analysis and documentation of clinical examination data of patients.

The disadvantage of this technical solution is the relatively low efficiency of the treatment and prophylactic measures (for example, in the field of cardiology), due to the insufficient accumulation of diagnostic information in the database and the operational exchange data between the diagnostic center and the medical institution.

The closest technical solution for the totality of essential features is a device, which is an information-analytical system in the field of telemedicine and contains workstations of remote users, a control unit, a database, an information processing unit, a user identification unit, a diagnostic data memory unit, and a communication unit made in the form of an interface (RF patent No. 2251965 according to class A61B 50/20 dated 05/20/2005).

This technical solution has insufficient effectiveness of treatment and preventive measures, due to insufficient transmission of diagnostic information, the lack of the ability for the user to change and supplement the data of an electronic medical record with remote web access.

The problem to which the invention is directed, is to increase the effectiveness of therapeutic measures.

The problem is solved due to the fact that the device for conducting remote medical consultations and monitoring of patient’s medical data, comprising a patient’s medical data memory unit, an information processing unit, a processor unit, an operator’s workstation control unit and a network access unit, is equipped with a mobile telemetric diagnostic transmission unit patient data and a decoder, the network access unit is made in the form of an interactive interface with web access, with one output of the mobile unit in front of the telemetry diagnostic data of the patient is connected to the input of the decoder, the output of which is connected to the processor unit, the other output of the mobile telemetry diagnostic data transmission unit of the patient is connected to the processor unit, the third output of the mobile telemetry diagnostic data transmission unit of the patient is connected to the first input of the control unit of the operator’s workstation, the other input of which is connected to the network access unit, one output of the operator workstation control unit is connected to the processor unit, another output of the operator workstation control unit is connected to the first input of the information processing unit, the third output of the operator workstation control unit is connected to the second input of the information processing unit, the outputs of the information unit are connected to the processor unit, while the outputs of the network access unit are connected to the processor unit and the inputs and outputs of the patient diagnostic data memory are also connected to the processor unit.

Figure 1 shows a block diagram of a device for conducting remote medical consultations and monitoring patient medical data, where 1 is a mobile unit for transmitting telemetric diagnostic data of a patient, 2 is a decoder, 3 is a processor unit, 4 is a memory block of a patient's medical data, 5 - information processing unit, 6 - operator workstation control unit, 7 - network access unit.

Unit 1 for transmitting telemetric diagnostic data of a patient may include a stationary (e.g. home) telephone, satellite phone, mobile phone, communicator, stationary computer, laptop, netbook, tablet computer, stationary and mobile Internet devices, and any other devices that transmit diagnostic patient data (electrocardiogram, blood pressure level, heart rate, amount of carbon dioxide when exhaling, maximum expiratory capacity, bullets oic oxymetry, blood glucose meter, body weight, etc.).

Block 2 - the decoder is a decoder in combination with a telemetry data converter.

Block 3 - a processor made using solid-state circuits.

Block 4 - memory block of the patient’s medical data in the form of electronic medical records.

Block 5 - block information processing.

Block 6 - control unit for the operator’s workplace.

Block 7 - the network access unit provides Internet communication with the information processing unit, as well as access via the Internet to the patient’s medical data storage unit, the server of which is connected to the processor unit. Such communication provides patient consultation in the mode of remote web access.

The device for conducting remote medical consultations and monitoring the patient’s medical data is designed to provide operation in the mode of recording telemetry data in an electronic medical record, for consulting a patient in voice call mode, in a doctor-memory unit data exchange mode, for consulting a patient in use mode an interactive interface and for remote access by a doctor or patient using the interactive interface.

The mode of recording telemetric data in an electronic card is as follows.

The patient initiates the removal and sending of indicators of his state of health (for example, an ECG using a personal cardiomonitor) using block 1 (in figure 1 this is illustrated by communication 1-1).

The encrypted signal from block 1 enters the decoder 1, for example, the Backend of the terminal manufacturer, i.e. receiver-processor of such a signal (communication 1-2). The decoder converts the received encrypted signal into a standard data format and sends it to the processor unit (communication 1-3).

The processor unit receives typical data and generates control signals of the data processing request in unit 4, where the information is received for storage and attached to a specific patient record (communication 1-4).

Patient consultation in voice call mode is as follows.

From block 1, the patient initiates a call request to establish a voice connection with the doctor’s workstation (communication 2-1).

Through a public communication network, the request arrives at block 6 (communication 2-2). Block 6 processes the incoming request and gives a command to establish a connection between block 5 and block 1 (communication 2-3). At the same time, block 6 instructs processor block 3 to generate a request for identification of the patient who initiated the call (communication 2-4).

At the same time, there is an exchange of patient identification data between block 4 and block 3 (communication 2-5). Through the processing unit, a voice connection is established between block 1 and block 5 (communication 2-6), interactive voice interaction “patient-doctor” and data exchange between block 5 and block 4 (communication 2-7).

The data exchange mode "doctor-memory block" is as follows.

Block 5 through the processor block initiates a request to block 4 in order to identify the patient who initiated the call (communication 3-1), and there is a two-way data exchange between block 5 through block 3 and block 4 during the voice call “patient-doctor” (communication 3 -2).

Consultations of the patient in the mode of using the interactive interface are as follows.

The patient through the communication unit using block 7 initiates a request to establish an Internet connection with the doctor’s workstation (communication 4-1).

Through the Internet, the request arrives at block 6 (communication 4-2), while block 6 processes the incoming request and gives a command to establish a connection between block 5 and block 7 (communication 4-3). Via block 3, a voice connection is established between block 7 and block 5 (communication 4-4), and through communication 4-5, an interactive patient-doctor interaction takes place, data is exchanged between block 5 and block 4.

Data exchange in the "patient-memory block" mode is as follows.

Block 7 using the interactive interface through block 3 initiates a request to block 4 in order to identify the patient and obtain the patient access to his data (communication 5-1), after which there is a two-way data exchange between block 5 through block 3 and block 7 using the interactive interface.

Thus, this device allows the patient to make calls in the voice call mode and in the Internet communication mode using the interactive interface, change and supplement the allowed sections of the electronic medical record with remote web access, and also allows the patient to simultaneously access the medical record web and calling a doctor.

Ultimately, this allows you to increase the effectiveness of treatment and preventive measures.

Claims (1)

A device for conducting remote medical consultations and monitoring patient’s medical data, comprising a patient’s medical data memory unit, an information processing unit, a processor unit, an operator’s workstation control unit and a network access unit, characterized in that it is equipped with a mobile unit for transmitting telemetric diagnostic data of a patient and a decoder, the network access unit is made in the form of an interactive interface with web access, with one output of the mobile telemetry transmission unit the patient’s agnostic data is connected to the input of the decoder, the output of which is connected to the processor unit, the other output of the patient’s mobile telemetric diagnostic data transmission unit is connected to the processor unit, the third output of the patient’s telemetric diagnostic data mobile transmission unit is connected to the first input of the operator workstation control unit, another input which is connected to the network access unit, one output of the operator workstation control unit is connected to the processor unit, another output the operator workstation control unit is connected to the first input of the information processing unit, the third output of the operator workstation control unit is connected to the second input of the information processing unit, the outputs of the information unit are connected to the processor unit, while the outputs of the network access unit are connected to the processor unit, and the inputs and the outputs of the patient diagnostic data memory are also connected to the processor unit.