CN111462851B

CN111462851B - Open type remote medical platform and method thereof

Info

Publication number: CN111462851B
Application number: CN202010366168.XA
Authority: CN
Inventors: 杨继城
Original assignee: Guangxi Haibao Medical Technology Co ltd
Current assignee: Guangxi Haibao Medical Technology Co ltd
Priority date: 2020-04-30
Filing date: 2020-04-30
Publication date: 2023-03-14
Anticipated expiration: 2040-04-30
Also published as: CN111462851A

Abstract

The invention discloses an open type remote medical platform and a method thereof. The platform realizes seamless integration and integrated operation management with each functional system by intensively displaying each subsystem functional module on the same interface; all diagnosis and treatment data related to the patient are inquired and read in the same interface; the centralized display of all diagnosis and treatment data of the patient and the audio and video images at the far end of the system is supported on a unified interface, and other systems do not need to be switched.

Description

Open type remote medical platform and method thereof

Technical Field

The invention relates to the technical field of telemedicine, in particular to an open telemedicine platform and a method thereof.

Background

With the continuous development of computers, multimedia technologies and remote communication technologies, the application of technologies such as cloud computing, artificial intelligence and big data in the medical field and the continuous improvement of medical informatization and intelligence levels, the application of the internet and remote medical technology builds a good bridge for medical resource sharing and interactive communication between hospitals and hospitals, departments and departments, and experts and doctors, and with the continuous development of medical science and technology, the VR technology is widely applied to remote operation teaching, remote operation guidance and the like in future. Through the development of various remote medical services, the excellent medical resources of a large comprehensive hospital can be better utilized, the medical experience of good experts and doctors can be shared, the medical service quality is greatly improved, and the patient can conveniently see a doctor.

The current remote medical technology and construction status, the facing challenges and existing problems: 1. the remote medical system architecture based on digital optical fiber (private line) deployment only has a fixed communication relation, only point-to-point communication between mechanisms can be realized, and non-mesh sharing is transferred in a tree shape; 2. the application is single, only a certain specific application is needed, the access of a standardized heterogeneous system is very difficult, and the functions of centralized and unified monitoring, maintenance and the like are lacked; 3. becoming a new information island, and 'not opening' among a plurality of islands: the remote service is connected with the department room in the hospital, the remote system is connected with the system in the hospital, and the remote application subsystems are connected; 4. the remote medical system mainly comprises a video conference system, all diagnosis and treatment data required by the consultation of patients and the far-end video images of the audio and video conference system cannot be displayed on the same interface, and experts are not convenient to browse and communicate.

Disclosure of Invention

The invention provides an open type telemedicine platform and a method thereof, aiming at the problems of the existing telemedicine.

In order to solve the problems, the invention is realized by the following technical scheme:

an open type remote medical platform comprises a remote consultation service center, a remote training and education center, an audio and video conference center and a remote system management center;

remote consultation service center: the data interaction of the telemedicine service and the data sharing of the diagnosis and treatment information of the patient are realized, and the user acquires resources and telemedicine service on the cloud platform through registration and alliance, so that the interconnection and the resource sharing of upper and lower hospitals in the platform are realized; the system comprises a registration module, a remote clinical consultation module, a remote image diagnosis module, a remote pathology consultation module and a remote electrocardio consultation module;

a registration module: registering and joining based on the real information provided by the user, carrying out classified management on the user, and providing different authority control aiming at different registered users;

remote clinical consultation module: registering the franchised users to complete remote clinical consultation appointment, remote consultation management, remote consultation starting and remote consultation teaching through a login platform;

the remote image diagnosis module: the access medical institution applies for and provides information and data of patients, mainly comprising radiographic files; the expert provides remote diagnosis service for medical institutions connected with the cloud platform in the region, the services of the two parties work cooperatively, analysis and judgment are carried out according to the radiographic image file forwarded by the platform, and the image diagnosis consultation idea is provided for the patient and then returned to the application end;

remote pathology consultation module: the access medical institution applies for and provides information and data of patients, mainly comprising digital pathological sections; the expert provides remote diagnosis service for medical institutions connected with the cloud platform in the region, the services of the experts and the medical institutions work cooperatively, analysis and judgment are carried out according to the digital pathological section forwarded by the platform, and the pathological diagnosis consultation idea is provided for the patient and then returned to the application end;

remote electrocardio consultation module: the access medical institution applies for and provides information and data of the patient, mainly comprising an electrocardiogram; the expert provides remote diagnosis service for medical institutions connected with the cloud platform in the region, the services of the medical institutions and the cloud platform work cooperatively, and the medical institutions and the cloud platform analyze and judge according to the electrocardiogram pictures forwarded by the platform, and return the electrocardiogram diagnosis consultation advice to the application end of the patient;

remote training and education center: according to the specific training subject application provided by the access hospital, carrying out course on-demand or real-time lecture and carrying out one-to-one or one-to-many remote training;

audio and video conference center: the system is seamlessly integrated in a remote consultation service center in an embedded mode, remote clinical consultation is realized by utilizing a video communication technology, high-definition video and audio communication is carried out in real time, and a specialist can comprehensively know the illness state of a patient and complete virtual face-to-face diagnosis and treatment;

remote system management center: monitoring the case application area assistance condition and case uploading condition of each access mechanism and hospital; and data statistics analysis in the system and the remote clinical consultation service is performed through the data statistics function of the platform.

The open type telemedicine platform further comprises a data center; the data center comprises: various shared service resources of the hospital information platform are registered through the registration service function, and the service resources are shared through the publishing, discovering and accessing mechanisms of the service resources; the patient information WEB browsing service of the Internet is realized through the patient information WEB browsing service; the data gateway is deployed in each level of medical institution of the access platform and is responsible for collecting and pushing nonstandard data to realize standardized forwarding of the data; and platform monitoring management, data security and privacy management and access control are realized through background management.

The open type remote medical platform further comprises a bidirectional referral management center; the two-way referral management center: the system supports the lower-level hospital to realize electronic up-conversion, and also supports the upper-level hospital to realize up-conversion treatment and patient down-conversion; and finishing submission of referral application, referral operation examination, referral management, referral statistics, docking with an external system and referral relationship configuration.

The open type remote medical treatment method realized by the platform comprises a remote consultation process and a remote teaching process;

the remote consultation process specifically comprises the following steps:

step 1.1, a user initiating a consultation application selects icons of 'clinical real-time consultation', 'remote image diagnosis', 'remote pathological diagnosis' or 'remote electrocardiogram diagnosis' on a system main interface through a client, and enters an application consultation interface;

step 1.2, the user initiating the consultation application writes basic and medical record information of the patient according to the guidance of the consultation application interface, and uploads the medical data information of the patient to the system, and the information and information improvement operation of the patient is completed;

step 1.3, when the consultation application is in a state to be examined and consulted, a user initiating the consultation application can open and display the information and the data of all patients related to the consultation application through a client, and can edit and modify the information and the data of the patients required by the execution of the consultation application;

step 1.4, when the consultation application is in a state to be checked and consulted, the user who initiates the consultation application can also initiate to cancel the consultation application through the client, and input the reason for canceling the consultation application so as to cancel the consultation application;

step 1.5, the user with the auditing authority enters background management through the client to audit the consultation application:

when the consultation application passes the examination, a user with the examination authority clicks an agreement link corresponding to the consultation management interface through the client to open a selection expert bullet frame, and a specialist needing to participate in the consultation is selected in the expert bullet frame, and at the moment, the state of the consultation application is changed into a to-be-consulted state; meanwhile, the user initiating the consultation application and the selected expert participating in the consultation receive the notification to be consulted;

when the consultation application is not approved, a user with the approval authority clicks a return link corresponding to the consultation management interface through the client to open a return frame, and inputs the reason for returning in the return frame, and at the moment, the state of the consultation application is changed into a returned state; meanwhile, the user who initiates the consultation application receives the notification of returning the consultation application;

step 1.6, when the consultation application is in a state to be consulted, a user with the auditing permission can initiate the operation of replacing or replacing the consultation specialist through the client, and at the moment, the replaced consultation specialist or the newly replaced consultation specialist can receive corresponding notification;

step 1.7, the user initiating the consultation application and the consultation specialists, namely the consultation participants, start consultation through the client at the scheduled consultation time, and the clients of all the consultation participants enter a consultation interface at the moment; in the consultation interface, the information and data option bar of the patient is displayed on one side of the consultation interface, the specific content of the information and data display of the patient is in the middle of the consultation interface, and the real-time video window of each consultation participant is displayed on the other side of the consultation interface;

step 1.8, when all the consultation participants enter the consultation interface through the client, the user initiating the consultation application designates a consultation host, and each consultation participant can consult the patient based on the consultation interface displayed by the client:

when clinical real-time consultation is carried out, consultation participants can click each option on information and data option columns of patients through client sides, and select to check each item of basic and medical record information of the patients and each item of medical data information of the patients, wherein the medical data information mainly checks disease course records;

when the remote image diagnosis is carried out, all consultation participants can click each option on the information and data option column of the patient through the client, and select to check each item of basic and medical record information of the patient and each item of medical data information of the patient, wherein the medical data information mainly checks the radiographic image file; in addition, the consultation host can simultaneously enter the image file collaboration interface by clicking the examination options on the information and data option bar of the patient, and each consultation participant can carry out multi-party collaborative discussion on the image file of the patient displayed on the image file collaboration interface;

during remote pathological diagnosis, consultation participants can click each option on information and data option columns of patients through client terminals, and select to check each item of basic and medical record information of the patients and each item of medical data of the patients, wherein the medical data mainly check digital pathological sections; in addition, the consultation host can simultaneously enter the digital pathological section collaborative interface by clicking the pathological options on the information and data option columns of the patients, and each consultation participant carries out multi-party collaborative discussion on the digital pathological sections of the patients displayed on the digital pathological section collaborative interface;

when the remote electrocardio diagnosis is carried out, all consultation participants can click each option on the information and data option column of the patient through the client, and select to check each item of basic and medical record information of the patient and each item of medical data of the patient, wherein the medical data mainly check an electrocardio picture;

step 1.9, in the whole remote consultation process, the consultation specialists can write consultation opinions books at any time through the client and can call the consultation opinions written by other people;

step 1.10, after the remote consultation is finished, the user initiating the consultation application writes the consultation record related to the consultation through the client, and after the consultation record is written, the state of the consultation application can be changed into a finished state;

the remote teaching process specifically comprises the following steps:

step 2.1, selecting a remote education and training icon on a main interface of the system by an expert user with qualification through a client, entering a remote teaching interface, and uploading teaching data to the system through the remote teaching interface;

2.2, allowing the user with the auditing authority to enter background management through the client to audit the teaching materials uploaded by the experts, and if the auditing is passed, displaying the teaching materials in a file material list of a remote teaching interface; otherwise, the teaching material is returned;

2.3, searching or inquiring a remote teaching file data list of a remote teaching interface by a common user through a client to find out teaching data to be checked;

step 2.4, selecting a remote education and training icon on a system main interface by an expert user with qualification through a client, entering a remote teaching interface, and issuing a live broadcast application;

2.5, the user with the auditing authority enters background management through the client to audit the live broadcast application provided by the expert, and if the audit is passed, the live broadcast application state is changed into live broadcast; otherwise, the live broadcast application is returned or cancelled;

and 2.6, searching or inquiring a live broadcast list of the remote teaching interface by the common user through the client to find the live broadcast needing to be checked.

The step 1.9 further includes the following steps: in the whole process of remote consultation, each consultation participant can share the current consultation screen to other users who do not participate in consultation for watching.

The step 1.9 further includes the following steps: during the whole process of remote consultation, the consultation host can click the relevant removal button of a consultation participant to remove the consultation participant from the current consultation or close the screen sharing function in progress of the consultation participant.

The open type remote medical treatment method further comprises a bidirectional referral process, wherein the bidirectional referral process specifically comprises the following steps:

step 3.1, submitting a referral application to a medical department of the applicant by a doctor of the applicant, wherein the referral application filling content comprises basic information of a patient, medical record information of the patient and referral information, and if the referral of the applicant is of a referral type, extra rehabilitation needs to be filled; after submitting the referral application, changing the referral state into a state to be audited;

step 3.2, after receiving the referral application, the medical department of the applicant judges whether the referral application can pass or not, fills the reason for passing or not, and keeps the state to be checked; after receiving the referral application, the medical department of the receiver judges whether the medical department can pass or not, fills the reason, and simultaneously determines the hospital admission department and the hospital admission time; if the patient is admitted in hospital, a corresponding doctor and a corresponding bed need to be arranged, and the patient is in a state of waiting for treatment after passing;

3.3, after the patient is in hospital according to the schedule, confirming the received patient by a doctor or a system of the hospital, and confirming the receiving by a corresponding doctor under the condition of in-hospital; after the reception of the treatment, the state of the referral is changed to be finished; if the patient is not admitted on time, the referral status is changed to expired.

After the step 3.2 and before the step 3.3, the method further comprises the following referral change and referral cancellation steps:

as the referral information needs to be changed under the condition that the referral information is confirmed by both hospitals under the emergency, the medical department of the hospital to be referred can initiate the referral only under the condition that the referral state is the state to be referred; the changed referral state is kept for receiving a treatment;

as the referral needs to be cancelled under the condition that the referral information of the hospitals of both parties is confirmed in an emergency, the cancellation can be initiated by the medical department of the hospital to be referred only under the condition that the referral state is the state to be referred; the state changes to cancelled after cancellation.

The open telemedicine method of claim 4, prior to step 1, further comprising the steps of registering and logging in, wherein the registering comprises patient registration, health care provider registration and institution department registration.

Compared with the prior art, the invention has the following characteristics:

1. an open telemedicine cloud platform is established based on the internet technology and the cloud technology, data interaction of telemedicine services and data sharing of diagnosis and treatment information of patients are achieved, users acquire resources and telemedicine services on the cloud platform through registration and alliance, and the resources and the telemedicine services are expanded to a mobile terminal, so that the telemedicine services on the cloud platform can be used on a PAD or a mobile phone terminal;

2. different terminal equipment based on Windows, iSO and Android operating systems are fully compatible, and retrieval of medical images is realized at any time and any place;

3. and (3) data access aspect: various types of clinical information, inspection and examination reports and the like of patients with standard/non-standard compatibility are comprehensively provided;

4. the function modules of all application subsystems are displayed in a centralized manner on the same interface, seamless integration and integrated operation management with all application subsystems are realized, and all diagnosis and treatment data related to a patient are inquired and read in the same interface;

5. the centralized display of all diagnosis and treatment data of the patient and the audio and video images at the far end of the system is realized on a unified interface, and other systems do not need to be switched.

Drawings

FIG. 1 is a system architecture diagram of an open telemedicine platform.

Fig. 2 is a system main interface diagram of an open telemedicine platform.

FIG. 3 is a diagram of a consultation interface of an open telemedicine platform.

Detailed Description

In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail below with reference to the accompanying drawings in conjunction with specific examples.

In order to meet the requirement of developing remote medical service among all levels of medical units, an open remote medical information platform is built based on the Internet and the cloud technology, a remote medical service platform tool with fixed and unfixed scenes is provided for a demand end mechanism and a doctor, and an expert end mechanism and the doctor, and monitoring and management of whiteboards, quality, charging, expert resources and the like are provided for a platform operator. The platform is communicated with the information systems inside and outside the hospital, and data interconnection and intercommunication among systems supporting remote medical service among the institutions is realized.

An open type remote medical platform is shown in fig. 1 and comprises a data center, a remote consultation service center, a remote training and education center, an audio and video conference center, a remote system management center and a two-way referral management center.

1. Data center

1.1 registration service function

The registration service is used for registering various shared service resources of the hospital information platform, and realizes service resource sharing through a release-discovery-access mechanism of the service resources. The registration service is one of the most basic services in a closed loop system of medical information. The registration service includes a registration management service for individuals, healthcare personnel, healthcare institutions, healthcare terminology, and the system provides unique identification for these entities. Various types of registries (e.g., personal registries, health care facility registries, etc.) are formed for various types of entities, each having the ability to manage and resolve the problem of multiple identifiers for a single entity. The registry has an internal, non-published identifier. This section will describe this mechanism and define the basic functions, interface requirements, etc. of the relevant registration service, while giving reference to the implementation of the registration service.

1.1.1 patient registration

The patient registration is used for managing the basic information of patients who see a doctor in a hospital, the patient information can be stored completely through the unified management of the basic information of the patients, the problem of inconsistency of the patient information in each system can be solved, and the situation that the basic information of the patients is repeatedly input is avoided.

The patient registration service forms a patient registration library on a hospital information platform, safely stores and maintains diagnosis and treatment identification numbers and basic information of patients, and can provide personnel identity identification functions for medical treatment and public health related business systems.

The patient registry plays two major roles. First, it is the only authoritative source of information and, as far as possible, the only basic source of information for the patient. Secondly, the problem of unique identification of patient identity when spanning multiple information systems is solved. The patient registration service is indispensable for normal operation of a hospital information platform, only through unified patient registration management, the unique identification of patients recorded in each information system of the hospital can be ensured, various diagnosis and treatment business data are associated through the patient registration records which are uniformly managed, and finally, the overall shared diagnosis and treatment information records of the patients in the institution are formed.

1.1.2 medical Care attendant registration

The doctor registration is used for registering and managing basic information of all medical service personnel in a medical unit, the medical service personnel comprise doctors, nurses, medical technical personnel, pharmaceutical staff and other medical personnel who provide medical services, and through recording the basic information and professional information of the doctors, comprehensive control, unified management and reasonable configuration of medical service human resources can be realized. The medical health staff registry is a single directory service, and is a single directory service for medical service providers in the hospital, including doctors, nurses, laboratory doctors, medical imaging professionals, disease prevention and control professionals, women and children health care professionals and other practitioners engaged in resident health service, wherein the system allocates a unique identifier for each medical health staff and provides the unique identifier for the platform and the system and the user interacting with the platform.

1.1.3 institutional departmental registration

The medical health institution (department) registers and manages the basic information of the medical health institution (department), and the integrated management of the basic information of the medical health institution (department) can provide complete and integrated medical health institution (department) information for each application system and patient constructed based on the medical information platform. The system can distribute unique identification to each mechanism and each department, and can solve the problem of unique identification of medical and health service places in medical activities, thereby ensuring that unified and standardized identifiers are used in different systems involved in medical business activities, and simultaneously meeting the interconnection and intercommunication requirements of each medical and health mechanism service mechanism and the unified identification requirement of maintaining resident health record information.

1.2 patient information WEB browsing service

The cloud platform provides patient information WEB browsing services available to the internet. The application program for accessing the personal electronic diagnosis and treatment records based on the WEB page is provided for the terminal user through the browser, so that the unified display of all electronic medical records, examination reports, examination images and other diagnosis and treatment information of the patient in the region is realized. Authorized medical professionals or patients can conveniently access the shared relevant data on the cloud platform through the internet. The WEB browsing service of the patient information can provide retrieval and display services in different medical and health fields according to the specific requirements of users.

The cloud platform also provides a standard DICOM WEB browsing page aiming at medical images, can read image information on the cloud platform, and can perform all operations of a traditional PACS client.

The WEB service can be conveniently embedded into each business system of the organization, can be conveniently retrieved and browsed at a mobile terminal, has super-strong portability, and fully embodies the convenience and flexibility of the Internet technology.

1.3 data gateway

The data gateway is deployed in each level of medical institutions of the access platform and is responsible for collecting and pushing nonstandard data, such as PDF, DOC, JPG, TXT and the like. The main functions are forwarding to achieve data standardization, and the like. The method realizes an efficient and quick image receiving mechanism and ensures the reliability and timeliness of image receiving. Standardized transformations of non-standard data are provided and stored. It provides various functions of lossless compression transmission, standard DICOM forwarding, breakpoint transmission and the like.

1.4 background management service

1.4.1 platform monitoring management

The cloud platform monitoring and management system is designed by adopting a B/S architecture. The service conditions of each mechanism, system, server, database of mainly used collection access platform show the operation condition between each mechanism system of high efficiency to the data information of different sources is managed and demonstrates with unified mode, provides unified visual system monitoring for the user, and its main function includes: monitoring and managing applications, databases, servers, remote services, collecting running conditions and error information of the applications, the databases and the servers, configuring alarm management, providing short message notification service and the like.

The monitoring management system can check the operation chart of the platform application in the current day, log management, the server where the application is located and the managed server, can also see past processing records and provide alarm processing.

The process and the result of each service process should be recorded in the log in detail. And business process analysis and running data statistics can be carried out based on the log. By combining configuration services, the platform can directly check running logs of various cloud services, running statistical logs and the like.

1.4.2 data Security and privacy management

The platform provides the functionality needed to protect patient privacy and the security and privacy policies enforced by the various regional health authorities. Protecting the privacy and security of the patient, ensuring that patient data used in the platform and in the delivery outside of providing normal medical services (e.g., medical insurance, administration, and some form of research) does not reveal the identity of the patient to unauthorized users.

The dynamic password (or called one-time password) can be generated by software, a mobile phone or an electronic token according to the security level and the practicability requirement of the user. The identity authentication technology ensures that the information of the patient is shared safely, quickly and conveniently, and can protect the privacy of the patient and be not stolen by illegal users and hackers.

1.4.3 Access control

The platform provides an access control function and controls the access of users to objects such as files, database tables and the like according to the security policy; the coverage of access control shall include the subject and object related to resource access and the operation between them; configuring an access control strategy by an authorization subject, and strictly limiting the access authority of a default account; the minimum authority required by different accounts for completing respective undertaking tasks is granted, and a mutual restriction relationship is formed between the accounts; the method has the function of setting sensitive marks for important information resources; and strictly controlling the operation of the user on the sensitive marked important information resource according to the security policy.

2. Remote consultation service center

The open type remote medical platform established based on the cloud technology realizes data interaction of remote medical services and data sharing of diagnosis and treatment information of patients, a user obtains resources and remote medical services on the cloud platform through registration and alliance, interconnection and resource sharing of upper and lower hospitals in the platform are realized, and services such as remote clinical consultation, remote image diagnosis, remote pathological diagnosis, remote electrocardio diagnosis, remote medical education, remote appointment, bidirectional referral and the like are provided for an accessed medical institution through the open type resource sharing platform.

2.1 agency affiliation registration

The organization registration service requires users to provide real information for registration and joining, facilitates the classification management of the users by the platform, and provides different authority control for different types of registered users. The service can support the registration and alliance operation of the user at the mobile terminal in the future, and can expand the registration and alliance service of the doctor user.

2.2.1 medical institution affiliation registration

The cloud platform provides online joining registration for medical institutions in the region through the Internet, and the registration module functions comprise user registration, login, password recovery, institution main interface and the like. The organization completes registration by filling real information and uploading data on line, and can use the cloud platform to provide relevant functions for organization users after joining. The cloud platform can manage basic information of the medical institution based on registration service of the medical institution, and provides complete and uniform medical institution information for each remote medical service system and patients on the platform.

2.1.2 doctor alliance (extension)

The cloud platform provides personal online joining registration of doctors through the Internet, and the functions of the registration module comprise user registration, login, password recovery, user personal interface and the like. The doctor completes registration by filling in real information on line, and the allied doctor can use the cloud platform to provide related functions for the doctor user. The cloud platform registers and manages basic information of doctors, including experts, doctors, medical technicians and the like, and can realize comprehensive control, unified management and reasonable configuration on human resources of remote medical services and service users through recording the basic information and professional information of the doctors.

2.1.3 acceptance Module

And the acceptance module is used for examining and approving the qualification of the registered organization user and managing the permission opening of the user using the platform consultation function.

2.2, remote consultation

The cloud platform provides a webpage version remote consultation function through the Internet. The user (member doctor) who registers the member platform can use the related function by logging in the platform web page. The main functions are as follows: remote consultation appointment, remote consultation management, remote consultation starting and remote consultation teaching.

2.2.1 remote consultation appointment

Confirming the patient data: supporting the display of a patient list, selecting a registered patient and supporting the modification of information or the uploading of a data document; the newly-built patient can manually input patient information, and also supports automatic information acquisition from the cloud platform, and backfill is automatically completed; the method supports uploading of screenshots, scanning files, DICOM files and report documents, and supports batch uploading. (the documents comprise jpg pictures, word documents, excel tables and ppt documents, and the uploaded images correspond to the simultaneously uploaded reports);

selecting an expert: supporting displaying all expert lists meeting the conditions; supporting quick expert inquiry: supporting the input of expert expertise or expert names to inquire the experts according with the patient condition; the condition inquiry expert is supported according to two modes of adept diseases and city/hospital/department/name;

determining the appointment date and time: supporting the display of scheduling information of a specified expert; the scheduling information of all selected experts is displayed through dates, and different experts can be represented in different colors; the method supports selection of check boxes in front of the expert names of the selected expert list, and only displays the scheduling information of a plurality of experts; the date and time frame in the schedule information is supported to be clicked, and the selection of the current consultation date and time is automatically completed;

confirming consultation schedule: after the selection of the consultation date and time is automatically completed, the time period can be still modified before submission; supporting consultation priority setting; support selection of a manager (host), which can be changed in the process; the appointment reminding is supported, and after the appointment is submitted, the system can automatically send an email or a short message to the experts participating in the consultation; through mails, experts can confirm participation or cancel non-participation; in the future, the mobile terminal can realize the notification and confirmation operation through WeChat or short message.

2.2.2 remote consultation management

Consultation and inquiry: the remote consultation appointment meeting the conditions can be inquired and displayed in a list form; supporting the viewing of the detailed information of patients and the detailed information of experts;

consultation editing: confirmation and cancellation of consultation: when the expert does not confirm the appointment consultation schedule, the initiator or the administrator can confirm or cancel the remote consultation appointment; the system may support setting conditions for the consultation appointment to be successful (e.g., all invited experts confirmed/at least one confirmed/others); support remote consultation reservation editing: the consultation time and the consultation purpose can be modified;

scheduling management: supporting the scheduling template, namely allocating available resources of the appointed date of the appointed expert in the morning or afternoon; and the scheduling management is supported, so that the overall scheduling configuration condition of the specified expert can be checked, and the current month is displayed.

2.2.3 remote consultation Start

Consultation start/end: the remote consultation to be participated in is supported to be quickly inquired by inputting the name or the consultation date of the patient and is displayed in a list; the display list is divided into two types of conferences which are hosted by me and conferences which are participated by me; supporting the viewing of applicant information and patient information; the host starts the conference, and the non-host needs to wait for inviting to enter the conference; the host can be replaced in the conference; the consultation participants can exit the meeting midway and the interface can display the name of the exit expert. The host finishes the conference after exiting;

consultation main interface function: the host can designate the screen to be synchronously shared with other participants, and the screen supports marking (whiteboard function); DICOM medical image co-operation; the participators can actively upload the data or share and display the data only through the desktop; providing Web browsing admission record, medical record, examination record and image data of patient; providing a Web interface to view local files (supporting word, excel, ppt and the like) shared by the participants; displaying the video interfaces of all online experts in real time; and supports real-time audio communication; supporting screen recording and storing video files (directly storing the video files on a cloud platform);

consultation report: the consultation report can be written and saved directly on a web interface; support for template maintenance (common template/my template); and supporting the viewing of historical consultation reports.

2.2.4 remote consultation teaching

Consultation video: providing a query function according to conditions, and displaying the completed remote consultation videos meeting the conditions in a list; supporting the viewing of the participation expert information; web viewing of the video is provided or the consultation recording screen video is downloaded.

Consultation report: providing a report inquiring function according to conditions, wherein the remote consultation reports meeting the conditions are displayed in a list; web review consultation reports are supported.

2.2.5 consultation statistics

The system counts the number of the consultation cases of each expert in day/week/month, has two expression forms of a line graph and a list, and can export the results to excel.

2.2.6 System management

The system provides functions of authority maintenance, information maintenance, directory setting, dictionary management, password management and the like.

2.3 remote image diagnosis

The remote image diagnosis service is applied by the access medical institution and provides clinical data and image data of the patient, including radiological image data and partial video data, and diagnosis opinions are provided by the superior medical institution. The service belongs to a non-real-time interaction mode. The cloud platform provides a webpage version of non-real-time interactive mode remote diagnosis service through the Internet. Through the cloud platform, the radiology department expert can provide remote diagnosis service for medical institutions connected to the cloud platform in the region, and the service cooperative work of the two parties can be completed through the webpage provided by the cloud platform. The mechanism for registering the joining platform can log in the platform webpage to use related functions. The consultation end does not need to interact with the application end in real time in a non-real-time interaction mode, and the consultation end mainly analyzes and judges according to the image and medical record data of the patient forwarded by the consultation platform, gives an image diagnosis consultation idea to the patient and returns the image diagnosis consultation idea to the application end.

The business process of remote image diagnosis is mainly as follows:

remote diagnosis application: the cloud platform supports the application doctor to transmit the image information of the patient to the cloud end through the image equipment, inquires the relevant information of the patient through the cloud platform, can supplement and record the information as required, and performs registration confirmation of remote service.

Remote diagnosis report writing: the radiology department specialist can check the application information of the application through the cloud platform, remotely retrieve and check information such as patient images, write a diagnosis report through the cloud platform, directly store the report in the cloud end after the report is finished, and share the report.

Report acquisition printing: the doctor can look over the patient diagnosis report of saving in the cloud through cloud platform, or print patient's report.

The registered joined user can realize the following functions through a remote image diagnosis module of the login platform:

image uploading service: the platform can receive related image files such as DICOM 3.0-compliant radiology equipment and the like to the server, and meanwhile, the server supports wide area network transmission;

and modifying the diagnosis request information: after the application for uploading the patient image, the application doctor needs to log in the system and select the received image information on the webpage; the Chinese name, the identification card number, the medical insurance card number, the examination type, the examination part and other information of the patient are additionally recorded;

and (3) registration confirmation uploading: after the doctor applies for additional information, the registration and uploading are confirmed (after the uploading is confirmed, the doctor in the XX hospital can check the patient record);

report initial write function: in an on-demand mode (the on-demand mode is a mode that an applicant completes initial writing of a report and an expert reviews the report), the applicant completes initial writing of the report on a webpage; after completion, the data is stored on the cloud platform;

inquiring an expert of a task to be diagnosed to log in a cloud platform webpage, and checking a task list in a remote diagnosis service interface; the expert can inquire the patient record according to the information such as the examination time of the patient, the equipment type, the equipment name and the like;

image WEB browsing: browsing the examination image of the patient through a webpage;

report writing/auditing: completing the writing of a diagnosis report on a webpage; in an on-demand mode, checking the initial report of the application doctor; after completion, the file is stored on the cloud platform;

report inquiry: the application doctor can inquire the report information of the patient according to the name, the report state, the urgency and the time of the patient on the cloud platform; support fuzzy inquiry of names; report status query: all, checked, report initial writing and report completion; and (3) emergency degree query: all, ordinary and emergency treatment; inquiring the time period: today, date segment;

report preview and print: the application doctor can check the completed report on the webpage and print the report; the preview report supports the electronic signature function.

2.4 remote pathological consultation

The remote pathological consultation service is applied by an access medical institution and provides clinical data and pathological digital slices of a patient, including partial video data, and experts browse, analyze and diagnose the digital slices through a client, send pathological consultation and diagnosis reports and issue consultation opinions. The cloud platform provides webpage version remote pathology consultation service through the Internet. Through the cloud platform, the expert can provide remote diagnosis service for medical institutions connected to the cloud platform in the region, and the service cooperative work of the two parties can be completed through the webpage provided by the cloud platform. The mechanism for registering the joining platform can log in the platform webpage to use related functions. The method mainly comprises the steps of analyzing and judging according to the pathological digital section and medical record data of the patient forwarded by the consultation platform, and providing diagnosis consultation opinions to the patient and then returning the diagnosis consultation opinions to an application terminal.

The business process of the remote pathology consultation is mainly as follows:

remote diagnosis application: the cloud platform supports the access mechanism to transmit pathological digital section information of the patient to the cloud end, and related clinical information of the patient is inquired through the cloud platform, so that the information can be additionally recorded as required, and the registration of remote service is confirmed.

Remote diagnosis report writing: the application information of the organization can be checked by a pathologist expert through the cloud platform, the remote digital section is browsed, a diagnosis report is written through the cloud platform, and the report is directly stored in the cloud end after being completed and is shared.

Report acquisition printing: the access mechanism can view the patient diagnosis report stored in the cloud end through the cloud platform or print the patient report.

Registered joined users can realize the following functions through a remote pathology consultation module of a login platform:

pathological digital section uploading service: the platform can receive related digital pathological section files conforming to DICOM3.0 to a server, and meanwhile, the server supports wide area network transmission;

and modifying the diagnosis request information: after the patient data is uploaded, an access institution doctor needs to log in the system and select the received data information on a webpage; the information of the Chinese name, the identification card number, the medical insurance card number, the examination type, the examination part and the like of the patient is additionally recorded;

and (3) registration confirmation uploading: after the doctor registers the information, the registration and uploading are confirmed (after the uploading is confirmed, the doctor in the XX hospital can check the patient record);

report initial write function: in an on-demand mode (the on-demand mode is a mode that a doctor of an access organization finishes the initial writing of a report and an expert audits the report), the doctor applies to finish the initial writing of the report on a webpage; after completion, the file is stored on the cloud platform;

querying a task to be diagnosed: the expert logs in a cloud platform webpage and can check a task list in a remote diagnosis service interface; the expert can inquire the patient record according to the information such as the examination time of the patient, the equipment type, the equipment name and the like;

image WEB browsing: browsing a pathological digital section image of a patient through a webpage;

report writing/auditing: completing the writing of a diagnosis report on a webpage; in an on-demand mode, checking the initial report of the application doctor; after completion, the data is stored on the cloud platform;

report query: the application doctor can inquire the report information of the patient according to the name, the report state, the urgency and the time of the patient on the cloud platform; support fuzzy inquiry of names; report status query: all, checked, report initial writing and report completion; and (3) emergency degree query: all, ordinary and emergency treatment; inquiring the time period: today, date segment;

2.5 remote electrocardiographic consultation

The cloud platform provides webpage version remote electrocardiogram consultation service through the Internet. Through the cloud platform, the expert can provide remote clinical consultation service for medical institutions connected to the cloud platform in the region, and the service cooperative work of the two parties can be completed through the webpage provided by the cloud platform. The mechanism for registering the joining platform can log in the platform webpage to use related functions. The cloud platform adopts a unified DICOM standard data format, so that data generated by equipment of different medical institutions can be analyzed, diagnosed and reported through the same diagnosis software and through an instant message system; the patient electrocardiogram data and the medical data are submitted by the access mechanism, forwarded to xx hospital experts for analysis and judgment through the cloud platform, and returned to the application end after a diagnosis report is given.

The business process of the remote electrocardiogram consultation is mainly as follows:

remote diagnosis application: the cloud platform supports the access mechanism to transmit patient electrocardiographic data to the cloud end through a unified DICOM standard by means of electrocardiographic device data acquisition, and inquires relevant clinical information of a patient through the cloud platform, so that the information can be additionally recorded as required, and remote service registration and confirmation can be carried out.

Remote diagnosis report writing: an electrocardio expert can check the application information of the access mechanism through the cloud platform, remotely retrieve and check the electrocardio data and other information of a patient, write a diagnosis report through the cloud platform, directly store the report in the cloud end after the report is finished and realize sharing.

The registered joined users can realize the following functions through a remote electrocardio consultation module of a login platform:

the electrocardio data uploading service comprises the following steps: the platform can receive electrocardio image data acquired by electrocardio equipment, convert the electrocardio image data into a format conforming to DICOM3.0 through the gateway and upload the electrocardio image data to the server, and meanwhile, the server supports wide area network transmission;

and modifying the diagnosis request information: after the patient data of the applicant is uploaded, an access mechanism needs to log in a system and select the received data information on a webpage; the information of the Chinese name, the identification card number, the medical insurance card number, the examination type, the examination part and the like of the patient is additionally recorded;

and (3) registration confirmation uploading: after the doctor applies for additional information, the registration is confirmed to be uploaded (after the uploading is confirmed, the specialist can check the patient record);

report initial write function: in an on-demand mode (the on-demand mode is a mode that an applicant completes initial writing of a report and an XX hospital expert reviews the report), the applicant completes initial writing of the report on a webpage; after completion, the data is stored on the cloud platform;

inquiring a task to be diagnosed: an expert of the XX hospital logs in a cloud platform webpage and can check a task list in a remote diagnosis service interface; the expert can inquire the patient record according to the information such as the examination time of the patient, the equipment type, the equipment name and the like;

image WEB browsing: browsing the electrocardio-image data of a patient through a webpage;

3. Remote training and education center

According to the specific training subject application proposed by the hospital, on-demand or real-time lectures of courses (including lectures or operations) can be carried out, and one-to-one or one-to-many remote training can be carried out. In the real-time lecture mode, students in the lecture scene can see the wonderful lantern display made by experts besides the training scene condition, and can also communicate with lecturers after class. The education training content comprises clinical diagnosis and treatment training, imaging and pathological diagnosis capability, examination operation skill, management and the like. After the training is finished, the system is required to carry out necessary arrangement and storage on the training content of the expert, and the feedback opinions of the training hospital are recorded.

3.1 remote training module

The remote medical platform has a remote digital training function, and can be used for doctors to share patient image data, exchange the patient image data in real time and cooperatively analyze the image data so as to obtain a diagnosis result. In addition, the function can be used for remote training, all participants can see the real-time operation of the image by the host (the host authority can be authorized to other participants), and the training is more vivid and specific. The main functions are as follows:

and remote interactive communication and consultation between medical experts and doctors and patients in application hospitals are supported. Remote control of a camera in different places is supported, and an observation visual angle is adjusted in real time; the bedside requirement of critically ill patients is supported, and the patients can receive the remote clinical consultation and remote monitoring service of experts in real time on the sickbed.

The remote clinical consultation service among the consultation application hospital, different health department (management) hospitals and different provincial hospitals is supported; and the system supports multiple specialists across specialties, mechanisms and regions to simultaneously carry out real-time combined consultation on the same basic-level patient. When applying for consultation to different hospitals, the system should be switched rapidly and seamlessly, and the response efficiency and the expansion capability of the system are enhanced.

Remote education is developed, synchronization of audio and video of teaching experts and courseware slides is supported, the teaching experts and the courseware slides can be interactively communicated, and live broadcasting and video recording in the training process are supported.

High-definition video conferences among medical institutions are supported, and business requirements of academic exchange, case discussion, experience sharing and the like among the medical institutions are met.

And audio and video recording/playback supports recording and video playback in the processes of consultation, meeting and teaching. When the conditions permit, the system can be interconnected with the video platform of the emergency command system, and the reporting of audio and video information is supported.

3.2 remote education Module

The remote education system supports two training modes of real-time interaction and courseware on demand. The real-time interactive training can ensure that the audio and video of the teaching expert and the courseware are played synchronously, support the real-time interaction of training participants, support the video recording of the training process, store the video in a general file format in a remote consultation center, and support the making, sorting and classifying of the streaming media courseware. The real-time interactive training comprises the support of remote operation sightseeing, remote nursing teaching and remote teaching ward round. The system supports courseware on-demand service and has courseware management functions of adding, deleting, uploading, inquiring and the like.

The remote clinical consultation teaching function realized by the remote education training module comprises:

1) Consultation video

Providing a query function according to conditions, and displaying the completed remote clinical consultation videos meeting the conditions in a list; supporting the viewing of the information of the participating experts; web viewing of the video is provided or the consultation recording screen video is downloaded.

1.2 Consultation report

Providing a report inquiring function according to conditions, wherein the remote clinical consultation reports meeting the conditions are displayed in a list; web viewing consultation reports are supported.

4. Audio and video conference center

The audio and video conference center is seamlessly integrated in the remote consultation service center in an embedded mode, and an audio and video conference system does not need to be started independently. The remote clinical consultation is realized by utilizing the video communication technology, high-definition video and audio communication is carried out in real time, so that the expert can comprehensively know the illness state of the patient, the face-to-face diagnosis and treatment effect of one room is achieved, and the diagnosis and treatment process of looking for the patient can be still completed.

The audio and video conference system supports mainstream encryption technologies (such as H.235 signaling encryption, AES media stream encryption, TLS signaling encryption and SRTP media stream encryption technologies), provides full-network full-service signaling from end to end, from end to system side, from multiple points for consultation and the like, and provides an encryption and decryption scheme for the media streams, so that the safety of the consultation process is greatly ensured, and the leakage of patients and medical care information in the remote medical treatment process is prevented.

5. Remote system management center

The remote medical platform system management center is mainly used for a management layer to monitor assistance conditions and case uploading conditions of case application areas of all access mechanisms and hospitals. Through the data statistics function of the platform, data statistics analysis in the system and remote clinical consultation service supports relevant statistics on cases, medical image quantity and distribution, remote clinical consultation, report quantity, equipment and doctor workload, positive rate, node connection condition and the like of each access mechanism, and each statistical data provides an effective analysis basis for management layer leaders.

6. Bidirectional referral management module

Two-way referral service based on internet + open telemedicine platform had both supported subordinate's hospital and has realized the last-in of electronization, has also supported higher-in hospital to realize the processing of going up and the patient is transferred downwards to the realization can directly initiate the application when needing to refer to inpatients to regional medical center. In addition, the system also needs to receive transfer applications sent by other hospital institutions in the regional medical association, perform corresponding processing, and confirm that the system can timely inform the personnel of the relevant medical institutions after receiving the transfer applications.

6.1 filing the referral application

And (3) submitting an application: the doctor of the applicant submits the application to the medical department of the hospital, the filling content comprises basic information of the patient, medical record information of the patient and referral information, and if the referral of the applicant is of a referral type, additional rehabilitation needs to be filled. And after the application is submitted, the state is changed to be audited.

Introduction into a patient: the basic information of the patient is imported from the hospital system by searching the treatment number and the name, so that the applicant can conveniently fill in the information.

Uploading medical records: the applicant is allowed to upload medical records in a given pdf and picture format.

6.2 review of referral operations

And (4) auditing: after receiving the application, the medical department of the applicant judges whether the application can pass or not, fills the passing/failing reason, and keeps the state to be checked; and after receiving the application, the medical department of the reception party judges whether the medical department can pass or not, fills the reason, and simultaneously determines the hospital admission department and the hospital admission time, if the medical department is hospital admission, the corresponding reception doctor and the bed are required to be arranged, and the state after passing is the state to be subjected to the reception. The corresponding reason can be inquired on the referral application.

And (3) changing: in case of an emergency, the referral information needs to be changed when both hospitals have confirmed the referral information, and the medical department of the hospital to be referred can initiate the referral only when the status is the state to be referred. The changed state is kept for receiving a diagnosis.

And (3) cancellation: in case of an emergency, the referral information is required to be cancelled when both hospitals confirm, and the cancellation can be initiated by the medical department of the hospital to be referred only when the state is the state to be referred. The state changes to cancelled after cancellation.

Confirming and receiving a diagnosis: after the patient is admitted as scheduled, the patient is confirmed to be received by a doctor or a system of the inpatient side, and the corresponding doctor is confirmed to receive a doctor in the inpatient state; after receiving the visit, the status change is completed. If the patient is not admitted on time, the status changes to expired.

Downloading referral information: and (4) downloading referral information including the referral list and the uploaded medical record accessories, and downloading the referral information in a compressed package form.

6.3, referral management

And (3) performing seen management by a primary doctor: the primary doctor can see the referral of his application and assign him to the referral.

And (4) management seen in medical places: the medical office can see the referral of his application and assign him to the referral.

6.4, transfer statistics

The regional administrator can know the referral condition of each hospital through the statistical function.

6.5 docking with external systems

Initiating referral in an electronic medical record: the system is connected with the CCD, a referral is directly initiated from the medical record of a certain patient, and the basic information of the patient is obtained from the CCD.

Checking referral information in the electronic medical record: the CCD is connected with the patient, and the referral information is displayed in the medical record information of the patient. And transmitting the referral information to the CCD for retrieval.

Initiating remote clinical consultation when submitting a referral application: and docking with the remote clinical consultation, initiating the remote clinical consultation when submitting a referral application, and transmitting the basic information of the patient in the referral information to the remote clinical consultation system.

And (3) outpatient transfer: the number source information of the outpatient service is released to the referral system.

Confirming admission of hospitalization and consultation: and interfacing with the admission system, and bringing basic information of the patient in the referral system into the admission system.

6.6 configuration of referral relationship

The hospital-to-hospital referral is configured to determine which type of referral includes up-conversion, down-conversion and level-conversion.

The system is based on a C/S and B/S mixed architecture and is developed by NET; all the subsystem function modules are displayed in a centralized manner on the same interface, so that seamless integration and integrated operation management with all the function systems are realized; all diagnosis and treatment data related to the patient are inquired and read in the same interface; each remote clinical consultation subsystem supports centralized display of all diagnosis and treatment data of patients and audio and video images of the remote end on a unified interface without switching other systems.

The remote medical service is transplanted to the internet, based on the internet technology and the cloud technology, the deployment construction of a remote medical platform is realized at the cloud end, the remote medical service which is the core of high-quality medical resources, such as remote clinical consultation, remote image diagnosis, remote pathological diagnosis, remote electrocardio diagnosis, remote medical continuing education, remote appointment, bidirectional referral and the like, is provided for an accessed medical institution through an open resource sharing platform, and a user can conveniently and directly operate in a workstation through a browser by providing a WEB service interface.

Establishing a video exchange platform based on software and hardware equipment of a telemedicine platform to be constructed at present, and ensuring interconnection and intercommunication with telemedicine equipment or platforms of other brands; the deployment construction of an expert end in a hospital is completed by utilizing hardware equipment of a built ward comprehensive management platform of the hospital, and the functions of consultation in the hospital, audio and video conference and the like are realized; if the hospital has the wireless ward round equipment, the mobile terminal deployment is completed by using the equipment.

In addition, the remote medical service is transplanted to the Internet through the construction of the cloud platform, and meanwhile, the WEB service is expanded to the application of the mobile terminal, so that the remote medical service on the cloud platform can be used at a PAD or mobile phone terminal, and the convenience and the flexibility of the Internet technology are fully utilized. The terminal requirements for access consultation can be simultaneously supported, including: professional video and audio consultation terminals, common computers with video and audio peripherals, smart phones with video and audio functions and the like all need to provide corresponding access software to realize reliable communication of a platform needing consultation. Both the application end and the consultation end can flexibly select a proper mode to access the consultation.

The invention can break the technical barriers existing among the prior remote medical systems and establish a completely open remote medical platform, so that each access hospital can finish the access work of the platform without repeatedly investing hardware and network construction. Through the remote medical service platform, longitudinal integration of resources is implemented on medical institutions of different grades, the coordination of medical and health services is improved as a core, graded diagnosis and treatment are realized as a root, ordered connection of all links of the medical and health services is formed, all medical institutions connected into the platform are enabled to be in work division cooperation, resource sharing, seamless connection and efficient operation, the continuity, accessibility and efficiency of the medical services are highlighted, the overall performance of the medical services is improved, graded diagnosis and treatment, bidirectional referral, base level of experts at regular intervals, special construction unified coordination, talent training flow mechanism and shared sharing of supply and demand resources are really realized. The system is based on a C/S and B/S mixed architecture and is developed by NET; all subsystem function modules are displayed in a centralized manner on the same interface, so that seamless integration and integrated operation management with all function systems are realized; all diagnosis and treatment data related to the patient are inquired and read in the same interface; the centralized display of all diagnosis and treatment data of the patient and the audio and video images at the far end of the system is realized on a unified interface, and other systems do not need to be switched.

An open type remote medical treatment method realized by utilizing the open type remote medical treatment platform specifically comprises the following steps:

(1) User registration and login process

Step 1.1, registration:

step 1.1.1 patient registration

The patient registration is used for managing the basic information of patients who see a doctor in a coming hospital, the patient information can be stored completely through unified management of the basic information of the patients, the problem of inconsistency of the patient information in each system can be solved, and the situation that the basic information of the patients is repeatedly input is avoided.

The patient registry plays two major roles. First, it is the only source of authoritative information and, as far as possible, the only source of basic information for the patient. Secondly, the problem of unique identification of patient identity when crossing multiple information systems is solved. The patient registration service is indispensable for normal operation of a hospital information platform, only through unified patient registration management, the unique identification of patients recorded in each information system of the hospital can be ensured, various diagnosis and treatment business data are associated through the patient registration records which are managed in a unified mode, and finally, the overall shared diagnosis and treatment information records of the patients in the institution are formed.

Step 1.1.2 registration of medical and health service personnel

Step 1.1.3, registration of institutional departments

The medical health institution (department) registers and is used for managing the basic information of the medical health institution (department), and the integrated management of the basic information of the medical health institution (department) can provide complete and integrated medical health institution (department) information for each application system and patient built based on the medical information platform. The system can distribute unique identification to each mechanism and department, and can solve the problem of unique identification of medical treatment and health service places in medical activities, thereby ensuring that uniform and standardized identifiers are used in different systems involved in medical business activities, and simultaneously meeting the interconnection and intercommunication requirements of each medical treatment and health mechanism service mechanism and the uniform identification requirement of maintaining resident health record information.

Step 1.2, login

And step 1.2.1, the user double-clicks the desktop client icon and opens the open type remote medical platform client. And when the system detects that the local client is not the client with the latest version, popping up a software version upgrading prompt, and allowing a user to select whether to update the software version. Otherwise, directly entering a login interface.

And step 1.2.2, the user inputs an account and a password to log in on a login interface. If the password is forgotten, a 'forgot password' button on a login interface can be clicked, and a new password is set through the verification of a mobile phone number of a user.

And step 1.2.3, entering a system main interface (shown in figure 2) when the system verifies that the account number and the password of the user are correct.

(2) Consultation process

2.1, the user initiating the consultation application selects the icons of clinical real-time consultation, remote image diagnosis, remote pathological diagnosis or remote electrocardio diagnosis on the main interface of the system through the client and enters the consultation application interface. See fig. 2.

And 2.2, the user initiating the consultation application fills in basic and medical record information of the patient according to the guidance of the consultation application interface so as to help an expert to more intuitively and thoroughly know the current condition of the patient and the past medical history of the consultation patient. After completing the basic and medical information filling of the patient, the user initiating the consultation application can upload the medical data information (admission record, disease course record, examination, pathology, electrocardiogram, other menus) of the patient to the system, and at the moment, the information and information of the patient are completed.

And 2.3, when the consultation application is in a state to be audited and consulted, the user initiating the consultation application can open and display the information and the data of all patients related to the consultation application at present, and can edit and modify the information and the data of the patients required by executing the consultation application.

And 2.4, when the consultation application is in a state to be checked and consulted, the user initiating the application can also initiate cancellation of the consultation application and input a relevant reason for canceling the consultation application so as to cancel the consultation application.

2.5, the user with the auditing authority enters background management through the client to audit the applied consultation:

the user with the auditing authority opens a selection expert bullet frame by clicking an agreement link corresponding to the consultation management interface, and selects an expert needing to participate in the consultation in the bullet frame, at the moment, the consultation application state is changed into a consultation waiting state, and the user initiating the consultation application and the selected consultation expert receive the consultation waiting notice which displays important information of the consultation (such as a consultation number/a consultation doctor/consultation time and the like).

And the user with the auditing authority opens the return reason bullet frame by clicking the return link corresponding to the consultation management interface, and inputs the reason of being returned (failure of auditing) in the bullet frame, at the moment, the state of the consultation application is changed into the returned state, and meanwhile, the user initiating the consultation application receives the notification of the return consultation application, and the notification displays the return reason.

And 2.6, when the consultation application is in a to-be-consulted state, the user with the auditing authority can initiate the operation of replacing or replacing the consultation specialist, and at the moment, the replaced consultation specialist or the newly replaced consultation specialist can receive related notification.

And 2.7, starting consultation by consultation participants (a user initiating a consultation application and a consultation specialist) through client sides at the scheduled consultation time, wherein the client sides of all the consultation participants enter a consultation interface. In the consultation interface, the information and data options of the patient are displayed on one side (such as the left side or the upper side) of the consultation interface, the specific content of the information and data display of the patient is displayed in the middle of the consultation interface, and the real-time video window of each consultation participant is displayed on the other side (such as the right side or the lower side) of the consultation interface. See fig. 3.

2.8, when all the consultation participants enter the consultation interface, the user initiating the consultation application specifies a consultation host (generally, the user initiating the consultation application is the consultation host), and each consultation participant performs consultation on the patient based on the consultation interface displayed by the client:

when clinical real-time consultation is carried out, consultation participants can select to check all basic and medical record information of a patient and all medical data of the patient by clicking all options on the information and data option columns of the patient, wherein the medical data mainly checks the course record;

when the remote image diagnosis is carried out, all consultation participants can select to check all basic and medical record information of the patient and all medical data information of the patient by clicking all options on the information and information option columns of the patient, wherein the medical data information mainly checks the image file; in addition, the consultation host can simultaneously enter the image file collaborative interface by clicking the examination options on the information and data option columns of the patients, and each consultation participant carries out multi-party collaborative discussion on the image files of the patients displayed on the image file collaborative interface;

during remote pathological diagnosis, consultation participants can select to check various basic and medical record information of a patient and various medical data of the patient by clicking various options on information and data option columns of the patient, wherein the medical data mainly checks digital pathological sections; in addition, the consultation host can simultaneously enter the digital pathological section collaborative interface by clicking the pathological options on the information and data option columns of the patients, and each consultation participant carries out multi-party collaborative discussion on the digital pathological sections of the patients displayed on the digital pathological section collaborative interface;

when the remote electrocardiogram diagnosis is carried out, all consultation participants can select to check various basic data and medical record information of the patient and various medical data information of the patient by clicking various options on the information and information option columns of the patient, wherein the medical data information mainly checks electrocardiogram pictures;

2.9, in the whole consultation process, the consultation specialists can write the consultation opinions books at any time and can call the consultation opinions books written by other people.

2.10, the remote consultation participants can share the current consultation screen to other users who do not participate in the consultation. Furthermore, the consultation moderator can click on the relevant removal button of a certain consultation participant to remove the consultation participant from the current consultation or close the screen sharing function in progress of the certain consultation participant when the consultation is in progress.

2.11, after the remote consultation is completed, the user initiating the consultation application compiles a relevant consultation record aiming at the consultation, and after the consultation record is compiled, the state of the consultation application is changed into a completed state.

(3) Remote teaching process

3.1, selecting a remote education and training icon on a system main interface by an expert user with qualification, entering a remote teaching interface, and uploading teaching data to the system through the remote teaching interface;

3.2, the user with the auditing authority enters background management to audit the teaching materials or the live broadcast application uploaded by the expert, and if the auditing is passed, the teaching materials can be displayed in a file material list of a remote teaching interface; otherwise, the instructional material is returned.

3.3, the ordinary user finds out the teaching materials to be checked by searching or inquiring the remote teaching file material list of the remote teaching interface.

3.4, selecting a remote education and training icon on a system main interface by an expert user with qualification, entering a remote teaching interface, and issuing a live broadcast application;

3.5, the user with the auditing authority enters background management to audit the live broadcast application, and if the audit is passed, the live broadcast application state is changed into live broadcast; otherwise, the live broadcast application is returned or cancelled, and at this time, the qualified expert can execute the relevant reissuing operation for the returned and cancelled live broadcast application.

3.6, finding the live broadcast needing to be checked by the common user through searching or inquiring the live broadcast list of the remote teaching interface.

(4) Background management

And the user with the management authority selects a 'background management' icon on the system main interface, enters a background management interface, and maintains the hospital, the department, the user, the authority, the basic data and the like of the platform through the background management interface.

(5) Expert database

The user selects an 'expert database' icon on a main interface of the system, enters an expert database interface, previews various subject experts through the expert database interface and knows the expert excellence field and detailed information.

(6) Personal setting

And the user selects a 'personal setting' icon on the main interface of the system, enters a personal setting interface and sets the personal account password through the personal setting interface.

By constructing an open type remote medical platform taking a central hospital as a core, taking the platform as a consultation hub center, upwards establishing connection with national-level and provincial-level three-level hospitals, downwards establishing connection with a primary-level hospital, establishing brand new contact among medical experts, the primary-level hospital and patients, gradually developing remote services such as remote clinical consultation, remote specialist diagnosis, remote education, remote operation guidance and the like, and improving the primary-level medical sanitation level; meanwhile, the sharing of high-quality medical resources and the equalization of medical services are promoted, the medical service capability of a hospital is effectively enhanced, the treatment level of difficult and serious cases is improved, and the problem of public medical attendance is relieved.

It should be noted that, although the above-mentioned embodiments of the present invention are illustrative, the present invention is not limited thereto, and thus the present invention is not limited to the above-mentioned embodiments. Other embodiments, which can be made by those skilled in the art in light of the teachings of the present invention, are considered to be within the scope of the present invention without departing from its principles.

Claims

1. An open type telemedicine method is based on an open type telemedicine platform which comprises a remote consultation service center, a remote training and education center, an audio and video conference center and a remote system management center;

the remote image diagnosis module: the access medical institution applies for and provides information and data of patients, mainly comprising radiographic files; the expert provides remote diagnosis service for medical institutions connected with the cloud platform in the region, the services of the two parties work cooperatively, analysis and judgment are carried out according to the radiographic image file forwarded by the platform, and the radiographic image file provides image diagnosis consultation ideas for the patient and then returns the image diagnosis consultation ideas to the application end;

remote pathology consultation module: the access medical institution provides applications and provides information and data of patients, mainly comprising digital pathological sections; the expert provides remote diagnosis service for medical institutions connected with the cloud platform in the region, the services of the experts and the medical institutions work cooperatively, analysis and judgment are carried out according to the digital pathological section forwarded by the platform, and the pathological diagnosis consultation idea is provided for the patient and then returned to the application end;

remote electrocardiogram consultation module: the access medical institution applies for and provides information and data of patients, mainly comprising electrocardiogram pictures; the expert provides remote diagnosis service for medical institutions connected with the cloud platform in the region, the services of the medical institutions and the cloud platform work cooperatively, and the medical institutions and the cloud platform analyze and judge according to the electrocardiogram pictures forwarded by the platform, and return the electrocardiogram diagnosis consultation advice to the application end of the patient;

remote system management center: monitoring the assistance condition and case uploading condition of case application areas of each access institution and hospital; through the data statistics function of the platform, the data statistics analysis in the system and the remote clinical consultation service is carried out;

the method is characterized by comprising a remote consultation process and a remote teaching process;

the remote consultation process specifically comprises the following steps:

step 1.1, a user initiating a consultation application selects a 'clinical real-time consultation', 'remote image diagnosis', 'remote pathological diagnosis' or 'remote electrocardiogram diagnosis' icon on a system main interface through a client and enters an application consultation interface;

when the consultation application is not approved, the user with the approval authority clicks the return link corresponding to the consultation management interface through the client to open the return frame, and inputs the reason of being returned in the return frame, and at the moment, the consultation application state is changed into a returned state; meanwhile, the user who initiates the consultation application receives the notification of returning the consultation application;

step 1.7, starting consultation by a user initiating a consultation application and consultation specialists, namely consultation participants, through client sides at the scheduled consultation time, and enabling the client sides of all the consultation participants to enter a consultation interface; in the consultation interface, the information and data option bar of the patient is displayed on one side of the consultation interface, the specific content of the information and data display of the patient is in the middle of the consultation interface, and the real-time video window of each consultation participant is displayed on the other side of the consultation interface;

step 1.8, when all the consultation participants enter the consultation interface through the client, the user initiating the consultation application designates a consultation host, and each consultation participant performs consultation on the patient based on the consultation interface displayed by the client:

when clinical real-time consultation is carried out, consultation participants can click each option on the information and data option columns of the patients through the client, and select to check each item of basic and medical record information of the patients and each item of medical data of the patients, wherein the medical data mainly check the course of disease records;

when the remote image diagnosis is carried out, all consultation participants can click each option on the information and data option column of the patient through the client, and select to check each item of basic and medical record information of the patient and each item of medical data information of the patient, wherein the medical data information mainly checks the radiographic image file; in addition, the consultation host can simultaneously enter the image file collaborative interface by clicking the examination options on the information and data option columns of the patients, and each consultation participant carries out multi-party collaborative discussion on the image files of the patients displayed on the image file collaborative interface;

during remote pathological diagnosis, consultation participants can click each option on information and data option columns of patients through client terminals, and select to check each item of basic and medical record information of the patients and each item of medical data of the patients, wherein the medical data mainly check digital pathological sections; in addition, the consultation host can enable all consultation participants to enter the digital pathological section collaborative interface at the same time by clicking the pathological options on the information and data option columns of the patients, and each consultation participant carries out multi-party collaborative discussion on the digital pathological sections of the patients displayed on the digital pathological section collaborative interface;

when the remote electrocardiogram diagnosis is carried out, all consultation participants can click each option on the information and data option column of the patient through the client, and select to check each item of basic and medical record information of the patient and each item of medical data of the patient, wherein the medical data mainly check an electrocardiogram picture;

the remote teaching process specifically comprises the following steps:

2.2, allowing the user with the auditing authority to enter background management through the client to audit the teaching materials uploaded by the experts, and displaying the teaching materials in a file material list of a remote teaching interface if the auditing is passed; otherwise, the teaching material is returned;

2.4, selecting a remote education and training icon on a system main interface by an expert user with qualification through the client, entering a remote teaching interface, and issuing a live broadcast application;

2. An open telemedicine method as in claim 1 further comprising, in step 1.9:

during the whole process of remote consultation, each consultation participant can share the current consultation screen to other users who do not participate in consultation to watch.

3. The open telemedicine method of claim 1, further comprising, in step 1.9:

during the whole process of remote consultation, the consultation host can click the relevant removal button of a consultation participant to remove the consultation participant from the current consultation or close the screen sharing function in progress of the consultation participant.

4. The open telemedicine method of claim 1, further comprising a two-way referral procedure, wherein the two-way referral procedure comprises the steps of:

step 3.2, after receiving the referral application, the medical department of the applicant judges whether the referral application can pass or not, fills the reason of passing or not, and keeps the state to be checked; after receiving the referral application, the medical department of the receiver judges whether the patient can pass or not, fills in the reason, and simultaneously determines the admission department and the admission time; if the patient is admitted to the hospital in the hospital, a corresponding doctor and a corresponding bed need to be arranged, and the patient is in a state of waiting for treatment after passing;

3.3, after the patient is in hospital according to the schedule, confirming the received patient by a doctor or a system of the hospital, and confirming the receiving by a corresponding doctor under the condition of in-hospital; after the reception of the consultation, the state of the referral is changed to be completed; if the patient is not admitted on time, the referral status is changed to expired.

5. The open telemedicine method of claim 4, further comprising the following referral alteration and referral cancellation steps after step 3.2 and before step 3.3:

as the referral information needs to be changed under the condition that the referral information is confirmed by both hospitals in an emergency, the medical department of the hospital to be referred can initiate the referral only under the condition that the referral state is the state to be referred; the changed referral state is kept for receiving a treatment;

as the referral needs to be cancelled under the condition that the referral information is confirmed by the hospitals of both sides in an emergency, the cancellation can be initiated by the medical department of the hospital to be referred only under the condition that the referral state is the state to be referred; the state changes to cancelled after cancellation.

6. The open telemedicine method of claim 1, further comprising the steps of registering and logging in prior to step 1, wherein the registering comprises patient registration, health care attendant registration and institutional departmental registration.