CN117352156A - Emergency management system and method for multi-terminal collaborative video real-time interaction - Google Patents

Emergency management system and method for multi-terminal collaborative video real-time interaction Download PDF

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Publication number
CN117352156A
CN117352156A CN202311413042.3A CN202311413042A CN117352156A CN 117352156 A CN117352156 A CN 117352156A CN 202311413042 A CN202311413042 A CN 202311413042A CN 117352156 A CN117352156 A CN 117352156A
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China
Prior art keywords
video
user terminal
data
information
patient
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Pending
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CN202311413042.3A
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Chinese (zh)
Inventor
辛涛
李冬梅
潘源
闫亚洲
程帅
王宇
迟玉祥
吴泳
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971st Navy Hospital Of People 's Liberation Army Of China
Anmed Beijing Medical Technology Co ltd
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971st Navy Hospital Of People 's Liberation Army Of China
Anmed Beijing Medical Technology Co ltd
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Priority to CN202311413042.3A priority Critical patent/CN117352156A/en
Publication of CN117352156A publication Critical patent/CN117352156A/en
Pending legal-status Critical Current

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60Protecting data
    • G06F21/602Providing cryptographic facilities or services
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60Protecting data
    • G06F21/62Protecting access to data via a platform, e.g. using keys or access control rules
    • G06F21/6218Protecting access to data via a platform, e.g. using keys or access control rules to a system of files or objects, e.g. local or distributed file system or database
    • G06F21/6245Protecting personal data, e.g. for financial or medical purposes
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L51/00User-to-user messaging in packet-switching networks, transmitted according to store-and-forward or real-time protocols, e.g. e-mail
    • H04L51/04Real-time or near real-time messaging, e.g. instant messaging [IM]
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00Network arrangements or protocols for supporting network services or applications
    • H04L67/01Protocols
    • H04L67/02Protocols based on web technology, e.g. hypertext transfer protocol [HTTP]
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00Network arrangements or protocols for supporting network services or applications
    • H04L67/01Protocols
    • H04L67/12Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L9/00Cryptographic mechanisms or cryptographic arrangements for secret or secure communications; Network security protocols
    • H04L9/06Cryptographic mechanisms or cryptographic arrangements for secret or secure communications; Network security protocols the encryption apparatus using shift registers or memories for block-wise or stream coding, e.g. DES systems or RC4; Hash functions; Pseudorandom sequence generators
    • H04L9/0618Block ciphers, i.e. encrypting groups of characters of a plain text message using fixed encryption transformation
    • H04L9/0631Substitution permutation network [SPN], i.e. cipher composed of a number of stages or rounds each involving linear and nonlinear transformations, e.g. AES algorithms
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L9/00Cryptographic mechanisms or cryptographic arrangements for secret or secure communications; Network security protocols
    • H04L9/32Cryptographic mechanisms or cryptographic arrangements for secret or secure communications; Network security protocols including means for verifying the identity or authority of a user of the system or for message authentication, e.g. authorization, entity authentication, data integrity or data verification, non-repudiation, key authentication or verification of credentials
    • H04L9/3226Cryptographic mechanisms or cryptographic arrangements for secret or secure communications; Network security protocols including means for verifying the identity or authority of a user of the system or for message authentication, e.g. authorization, entity authentication, data integrity or data verification, non-repudiation, key authentication or verification of credentials using a predetermined code, e.g. password, passphrase or PIN
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L9/00Cryptographic mechanisms or cryptographic arrangements for secret or secure communications; Network security protocols
    • H04L9/32Cryptographic mechanisms or cryptographic arrangements for secret or secure communications; Network security protocols including means for verifying the identity or authority of a user of the system or for message authentication, e.g. authorization, entity authentication, data integrity or data verification, non-repudiation, key authentication or verification of credentials
    • H04L9/3263Cryptographic mechanisms or cryptographic arrangements for secret or secure communications; Network security protocols including means for verifying the identity or authority of a user of the system or for message authentication, e.g. authorization, entity authentication, data integrity or data verification, non-repudiation, key authentication or verification of credentials involving certificates, e.g. public key certificate [PKC] or attribute certificate [AC]; Public key infrastructure [PKI] arrangements

Abstract

The invention provides a multi-terminal collaborative video real-time interaction first-aid management system and a method, wherein the system comprises the following steps: the system comprises an information creation subsystem, a case pushing subsystem and a video opening subsystem; the method comprises the following steps: creating a first electronic case from patient basic information, the basic information comprising: patient name, age, sex, symptoms, treatment measures, etc.; the method comprises the steps of sending a first electronic case to a first user terminal through a network, and establishing information synchronization between the first user terminal and the first electronic case; and establishing video consultation between the ambulance and the first user terminal, realizing instant communication between the ambulance and the first user terminal, simultaneously saving data of the video consultation, and providing a video playback function. The invention can quickly and accurately create the electronic case of the patient, and send the case to the first user terminal through the network, thereby realizing the synchronization and sharing of the case information, being convenient for doctors and other medical staff to check the case information of the patient at any time and providing more accurate and efficient diagnosis and treatment.

Description

Emergency management system and method for multi-terminal collaborative video real-time interaction
Technical Field
The invention relates to the technical field of information interaction control, in particular to a multi-terminal collaborative video real-time interaction emergency management system and method.
Background
Currently, in the face of acute and serious life-threatening diseases, the time from onset to optimal treatment, known as golden time, decreases significantly with 1 minute delay in patient survival and treatment efficacy. However, the traditional emergency treatment measures only depend on the communication between medical staff on an emergency ambulance and medical staff in a hospital, so that an expert in the hospital cannot acquire the real-time state of a patient, and therefore, timely guiding treatment advice cannot be given, and the optimal treatment time is missed after the hospital admission, so that the treatment effect of the patient is affected; therefore, the problem of the dislocation of ambulance transportation and hospital treatment information exists in the traditional first-aid treatment mode, the problem that patient information is synchronized to a pre-hospital system at intervals cannot be solved, a hospital expert cannot remotely grasp the state of a patient in real time, real-time guidance is difficult to be carried out on the patient in the transportation process, and the hospital preparation for the condition of the patient cannot be carried out; eventually leading to the patient losing the golden time of rescue easily, thereby deteriorating the illness and causing serious consequences. Most of the existing emergency treatment processes depend on communication among medical staff, so that the communication is complicated and unstable, and the real state of a patient is difficult to acquire in time.
First, application number: CN201810839212.7 discloses a medical emergency management system, comprising: the system comprises an ambulance dispatching module, an ambulance monitoring module, a medical management module and a storage module; the ambulance dispatching module is used for establishing an alarm task list after receiving an alarm call, rewriting the state of an alarm team into an alarm, and storing the alarm task list in the storage module; the ambulance monitoring module is used for receiving patient information, voice information and video information transmitted on the ambulance in real time and storing the patient information, the voice information and the video information in a file form in the storage module; the medical management module is used for generating an emergency medical record which accords with the format of the hospital information system according to the patient information, storing the emergency medical record in the storage module and transmitting the emergency medical record to the hospital information system. Although the emergency resource efficiency is greatly improved, all data are archived in the whole process, so that emergency quality monitoring is facilitated; however, for emergency patients, immediate communication with medical staff in a hospital cannot be achieved, and the treatment measures cannot be communicated with specialists in the hospital.
Second prior art, application number: CN202111052688.4 discloses an emergency treatment first-aid management system, which comprises an administrator module, a first-aid module, a doctor workstation subsystem and a sub-diagnosis subsystem, wherein the sub-diagnosis subsystem comprises a pre-examination sub-diagnosis module, a sub-diagnosis knowledge base module and a scoring module; the pre-examination triage module comprises a new triage module, an event module, a triage recording module and a triage report module; the doctor workstation subsystem comprises a rescue monitoring workstation and a doctor-leaving workstation, wherein the rescue monitoring workstation and the doctor-leaving workstation are respectively provided with an electronic case management module, a shift recording module, a basic management module and a consultation management module; the first-aid module comprises a vehicle management module, a first-aid group module and an equipment management module. Although the management strength and the high efficiency of the hospital on the business data are improved, emergency resources are allocated reasonably and standardized, and the workload of staff is greatly reduced; but the function is simpler, the intelligent level is lower, and the video interaction between the ambulance and the hospital cannot be realized.
Third, application number: CN202010324405.6 discloses a cabinet of emergency equipment and an emergency management system, comprising a cabinet door, a controller, a collecting device, a locking device and a communication device; the acquisition device is used for acquiring identity information of a user who is about to open the cabinet door under the control of the controller, and the controller is used for controlling the locking device to unlock the cabinet door when the identity information is received; the controller is also configured to send the identity information to the server via the communication device. Although the information of a cabinet opener can be recorded, the use process of the emergency equipment placed in the cabinet can be checked; but the structure is simple, and the treatment efficiency of emergency patients can not be effectively improved.
The first, second and third existing technologies of the prior art use voice conversation or little letter conversation, the picture quality is low, connect the communication inefficiency and difficult problem, therefore, the invention provides a multi-terminal collaborative video real-time interactive first aid management system and method, after receiving the patient from the ambulance, set up the patient's pre-hospital case and push to the hospital, at this moment medical staff in the hospital have patient to the feedback notice of hospital, through looking up the relevant information of patient, after giving the hospital can receive the feedback of patient, can prepare patient to the treatment scheme and medical facility after hospital in advance, the information is synchronous, prepare in advance; after receiving feedback of pushing the hospital, the command center initiates a video consultation to invite a hospital expert to conduct remote consultation, and timely monitor and guide the patient of the ambulance.
Disclosure of Invention
In order to solve the technical problems, the invention provides an emergency management system for multi-terminal collaborative video real-time interaction, comprising:
the information creation subsystem is responsible for creating a first electronic case according to basic information of a patient, wherein the basic information comprises: patient name, age, sex, symptoms and treatment measures;
The case pushing subsystem is in charge of sending the first electronic case to the first user terminal through a network, and establishing the information synchronization of the first user terminal and the first electronic case;
the video starting subsystem is responsible for establishing video consultation of the ambulance and the first user terminal, realizing instant communication of the ambulance and the first user terminal, simultaneously storing data of the video consultation and providing a video playback function.
Optionally, the information creation subsystem includes:
the communication establishing module is in charge of establishing communication between the intelligent terminal and the first user terminal on the emergency ambulance through identity identification of the intelligent terminal, and recording identity information, communication establishing time and position information of the intelligent terminal;
the information acquisition module is in charge of acquiring identity information and basic vital signs of a patient, establishing a first electronic case with unique identity information, wherein the basic vital signs comprise systolic pressure, diastolic pressure, body temperature and respiratory rate;
the data transmission module is responsible for encrypting the data containing the patient identity information and the basic vital sign by adopting a mode of combining an HTTPS protocol and an SSL certificate, transmitting the encrypted data to the first user terminal through a network, encrypting the data received by the first user terminal by adopting an AES encryption algorithm, and storing the ciphertext in a database of the first user terminal.
Optionally, the data transmission module includes:
the identity information acquisition sub-module is responsible for realizing that the intelligent terminal polls a plurality of first user terminals at regular time based on the identity information of the first user terminals, and acquiring the identity information of the current first user terminals when the identity information of the first user terminals is updated, wherein the first user terminals correspond to the terminals of different hospital internal specialists;
the certificate information acquisition sub-module is responsible for acquiring a revocation list from the intelligent terminal at regular time based on the process and identity information of the first user terminal; acquiring identity information and a revocation list based on revocation list analysis authentication information, and extracting a plurality of intelligent terminal SSL certificates from the revocation list;
the symmetric key generation sub-module is responsible for the intelligent terminal to initiate an HTTPS request to the first user terminal, the intelligent terminal sends an SSL certificate to the first user terminal, the first user terminal verifies the legality of the SSL certificate, the first user terminal generates a random symmetric key, the symmetric key is encrypted by using the public key of the intelligent terminal, the symmetric key sent by the first user terminal is decrypted by using the private key by the intelligent terminal, and the first user terminal and the intelligent terminal use the symmetric key to encrypt and decrypt data transmission.
Optionally, the data transmission module further includes:
the sub-key acquisition sub-module is in charge of acquiring data received by the first user terminal, obtaining an intermediate value leaked by the first user terminal by taking the length of the data as a unit, and carrying out analysis on the intermediate value to obtain a plurality of sub-keys;
the encryption round number setting sub-module is used for setting the encryption round number of AES encryption of data, setting the minimum encryption round number 2, and determining the encryption round number of the data according to the requirement selected by the first user terminal: if the first user terminal has no requirement on the speed, the encryption round number is 6 rounds; the encryption round number is 12 if the first user terminal has high security requirement, and 6 if the first user terminal has no security requirement;
the data encryption sub-module is responsible for predicting round keys used in the nth round of encryption process according to the data to be encrypted and the target data for storing the ciphertext and the plurality of sub-keys; encrypting the data to be encrypted by using an AES encryption key through an AES encryption algorithm, generating encrypted data, and storing the ciphertext in a database of the first user terminal.
Optionally, the case pushing subsystem comprises:
the data pushing module is responsible for calling pushing service of the software service platform, the pushing service is used for generating pushing data according to a first electronic case in the data, and the first user terminal automatically recognizes the pushing data and informs corresponding processing personnel;
the data processing module is in charge of acquiring a processing result of pushing data by a processor, adding the processing result to the first electronic case, and making a treatment scheme of a patient reaching a hospital;
the result display module is responsible for pushing the processing result to the first user terminal for visual display and sending the processing result to the on-duty medical staff terminal.
Optionally, the video opening subsystem includes:
the inquiry request processing module is responsible for initializing a video monitoring system of the ambulance, loading all images acquired by the video monitoring system into a memory of the video monitoring system, acquiring ambulance information according to an inquiry request of a first user terminal, acquiring channel data corresponding to any image in all images from the memory, displaying videos corresponding to the corresponding channel data according to a selection request of the first user terminal, and acquiring characteristic information of the images;
the method comprises the steps that when a certain data frame of a video is obtained, a first user terminal records a current time node, a standard value of a frame number of the certain data frame is obtained according to a collection period of a video monitoring system, a video time stamp of the certain data frame is calculated, video consultation data are stored to a cloud server according to the video time stamp, and an access Uniform Resource Locator (URL) with a valid period of 24 hours is generated;
The video playback reading module is in charge of acquiring the Uniform Resource Locator (URL), receiving video playback sent to the video monitoring system by the user equipment, acquiring storage information of data of video consultation, and reading the data of the video consultation by the user equipment according to the storage information.
Optionally, the video monitoring system includes:
the 5G communication equipment is in charge of receiving and sending 5G signals and providing a 5G network for the ambulance intelligent terminal and the first user terminal;
the camera is in charge of providing a real-time video source, is in wireless connection with the intelligent terminal of the ambulance and is arranged on the ambulance; capturing an image or video of the ambulance, converting the optical signal into an electrical signal by an optical sensor, and converting the electrical signal into a visible image or video by image processing; the system is used for shooting photos, recording videos, monitoring and security protection;
the audio processor is responsible for collecting audio signals of patients and doctors, and performs noise reduction, audio gain and audio effect processing operation through digital signal processing, so that voice interaction of video consultation is realized.
The invention provides a multi-terminal collaborative video real-time interaction first-aid management method, which comprises the following steps:
creating a first electronic case from patient basic information, the basic information comprising: patient name, age, sex, symptoms and treatment measures;
The method comprises the steps of sending a first electronic case to a first user terminal through a network, and establishing information synchronization between the first user terminal and the first electronic case;
and establishing video consultation between the ambulance and the first user terminal, realizing instant communication between the ambulance and the first user terminal, simultaneously saving data of the video consultation, and providing a video playback function.
Optionally, the process of creating the first electronic case according to the basic information of the patient includes the following steps:
establishing communication between the intelligent terminal and the first user terminal on the ambulance through identity identification of the intelligent terminal, and recording identity information, communication establishment time and position information of the intelligent terminal;
acquiring identity information and basic vital signs of a patient, and establishing a first electronic case with unique identity information, wherein the basic vital signs comprise systolic pressure, diastolic pressure, body temperature and respiratory rate;
and encrypting the data containing the patient identity information and the basic vital sign by adopting a mode of combining an HTTPS protocol and an SSL certificate, transmitting the encrypted data to the first user terminal through a network, encrypting the data received by the first user terminal by adopting an AES encryption algorithm, and storing the ciphertext in a database of the first user terminal.
Optionally, the process of establishing a video consultation of the ambulance with the first user terminal comprises the following steps:
initializing a video monitoring system of the ambulance, loading all images acquired by the video monitoring system into a memory of the video monitoring system, acquiring ambulance information according to a query request of a first user terminal, acquiring channel data corresponding to any image in all the images from the memory, displaying videos corresponding to the corresponding channel data according to a selection request of the first user terminal, and acquiring characteristic information of the images;
when a certain data frame of a video is obtained, the first user terminal records a current time node, obtains the standard value of the frame number of the certain data frame according to the acquisition period of the video monitoring system, calculates the video time stamp of the certain data frame, stores the data of video consultation to a cloud server according to the video time stamp, and generates an access Uniform Resource Locator (URL) with the validity period of 24 hours;
and acquiring a Uniform Resource Locator (URL), receiving video playback sent to a video monitoring system by user equipment, acquiring storage information of data of video consultation, and reading the data of the video consultation by the user equipment according to the storage information.
The information creation subsystem of the present invention creates a first electronic case from patient basic information, the basic information including: patient name, age, sex, symptoms, treatment measures, etc.; the case pushing subsystem sends the first electronic case to a first user terminal through a network, and establishes information synchronization between the first user terminal and the first electronic case; the video starting subsystem establishes video consultation between the ambulance and the first user terminal, realizes instant communication between the ambulance and the first user terminal, stores data of the video consultation, and provides a video playback function; according to the scheme, the electronic case of the patient can be quickly and accurately created through the information creation subsystem and the case pushing subsystem, and the case is sent to the first user terminal through the network, so that the synchronization and sharing of the case information are realized, doctors and other medical staff can conveniently check the case information of the patient at any time, and more accurate and efficient diagnosis and treatment are provided; meanwhile, the video starting subsystem is used for carrying out video consultation on the ambulance and the first user terminal, so that the instant messaging of remote medical treatment is realized, a doctor can diagnose and rescue a patient under the remote condition, the rescue time is shortened, and the rescue effect is improved; in addition, the data of video consultation is saved, the video playback function is provided, the video consultation can be used for subsequent research and education, and the medical technology level and the medical quality are improved. The embodiment improves the transmission and sharing efficiency of the patient case information, realizes the instant communication of remote medical treatment, and improves the rescue effect and the medical quality.
In this embodiment, the specific process includes: creating a patient: after receiving a patient, a pre-hospital emergency medical staff creates a pre-hospital case of the patient in an emergency green tract according to basic information of the patient; pushing the patient: the medical staff in the hospital pushes the patient before the hospital into the hospital in the emergency green tract system, and the medical staff in the hospital can receive the notification of the patient and synchronize the information of the patient in the hospital before the hospital; starting a video conference: the hospital command center can select an ambulance, select a hospital expert to start video consultation, and the medical care of the ambulance can initiate the video consultation by using the Pad before the hospital; video conference playback: all video records of the video consultation are stored, and a video playback function is provided for later learning of hospitals and optimization of first-aid processes; after receiving a patient from an emergency ambulance, creating a pre-hospital case of the patient and pushing the pre-hospital case to a hospital, wherein medical staff in the hospital can have feedback notification of the patient to the hospital at the moment, and after the hospital can receive the feedback of the patient by checking the related information of the patient, the treatment scheme and medical facilities after the patient arrives at the hospital can be prepared in advance, and the information is synchronous and prepared in advance; after receiving feedback of pushing the hospital, the command center initiates a video consultation to invite a hospital expert to conduct remote consultation, and timely monitor and guide the patient of the ambulance; after the ambulance receives the patient in the first-aid process, the medical nursing device can carry out remote video consultation with medical nursing in a hospital, doctors in the hospital conduct rescue guidance on the patient in real time, and a consultation video record is reserved, so that the subsequent consultation is convenient.
Additional features and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention. The objectives and other advantages of the invention will be realized and attained by the structure particularly pointed out in the written description and claims thereof as well as the appended drawings.
The technical scheme of the invention is further described in detail through the drawings and the embodiments.
Drawings
The accompanying drawings are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate the invention and together with the embodiments of the invention, serve to explain the invention. In the drawings:
FIG. 1 is a block diagram of an emergency management system for multi-terminal collaborative video real-time interaction in embodiment 1 of the present invention;
FIG. 2 is a block diagram of an information creation subsystem according to embodiment 2 of the present invention;
fig. 3 is a block diagram of a data transmission module in embodiment 3 of the present invention;
fig. 4 is a block diagram of a data transmission module in embodiment 4 of the present invention;
FIG. 5 is a block diagram of a case pushing subsystem in embodiment 5 of the present invention;
FIG. 6 is a block diagram of a video on subsystem in embodiment 6 of the present invention;
FIG. 7 is a block diagram of a video monitoring system according to embodiment 7 of the present invention;
FIG. 8 is a flow chart of a method for managing emergency of real-time interaction of multi-terminal collaborative videos in embodiment 8 of the present invention;
FIG. 9 is a schematic diagram of an emergency management method for multi-terminal collaborative video real-time interaction in embodiment 8 of the present invention;
fig. 10 is a process diagram of creating a first electronic case based on patient basic information in embodiment 9 of the present invention;
fig. 11 is a process diagram of transmitting a first electronic case to a first user terminal through a network in embodiment 10 of the present invention;
fig. 12 is a process diagram of establishing a video consultation of an ambulance with a first user terminal in embodiment 11 of the present invention.
Detailed Description
The preferred embodiments of the present invention will be described below with reference to the accompanying drawings, it being understood that the preferred embodiments described herein are for illustration and explanation of the present invention only, and are not intended to limit the present invention.
The terminology used in the embodiments of the application is for the purpose of describing particular embodiments only and is not intended to be limiting of the embodiments of the application. As used in the examples and the appended claims, the singular forms "a," "an," and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise. It should also be understood that the term "and/or" as used herein refers to and encompasses any or all possible combinations of one or more of the associated listed items.
When the following description refers to the accompanying drawings, the same numbers in different drawings refer to the same or similar elements, unless otherwise indicated. The implementations described in the following exemplary examples are not representative of all implementations consistent with the present application. Rather, they are merely examples of apparatus and methods consistent with some aspects of the present application as detailed in the accompanying claims. In the description of this application, it should be understood that the terms "first," "second," "third," and the like are used merely to distinguish between similar objects and are not necessarily used to describe a particular order or sequence, nor should they be construed to indicate or imply relative importance. The specific meaning of the terms in this application will be understood by those of ordinary skill in the art as the case may be.
Example 1: as shown in fig. 1, an embodiment of the present invention provides an emergency management system for real-time interaction of multi-terminal collaborative video, including:
the information creation subsystem is responsible for creating a first electronic case according to basic information of a patient, wherein the basic information comprises: patient name, age, sex, symptoms, treatment measures, etc.;
the case pushing subsystem is in charge of sending the first electronic case to the first user terminal through a network, and establishing the information synchronization of the first user terminal and the first electronic case;
The video starting subsystem is responsible for establishing video consultation of the ambulance and the first user terminal, realizing instant communication between the ambulance and the first user terminal, simultaneously storing data of the video consultation and providing a video playback function;
the working principle and beneficial effects of the technical scheme are as follows: the information creation subsystem of the present embodiment creates a first electronic case from patient basic information including: patient name, age, sex, symptoms, treatment measures, etc.; the case pushing subsystem sends the first electronic case to a first user terminal through a network, and establishes information synchronization between the first user terminal and the first electronic case; the video starting subsystem establishes video consultation between the ambulance and the first user terminal, realizes instant communication between the ambulance and the first user terminal, stores data of the video consultation, and provides a video playback function; according to the scheme, the electronic case of the patient can be quickly and accurately created through the information creation subsystem and the case pushing subsystem, and the case is sent to the first user terminal through the network, so that the synchronization and sharing of the case information are realized, doctors and other medical staff can conveniently check the case information of the patient at any time, and more accurate and efficient diagnosis and treatment are provided; meanwhile, the video starting subsystem is used for carrying out video consultation on the ambulance and the first user terminal, so that the instant messaging of remote medical treatment is realized, a doctor can diagnose and rescue a patient under the remote condition, the rescue time is shortened, and the rescue effect is improved; in addition, the data of video consultation is saved, the video playback function is provided, the video consultation can be used for subsequent research and education, and the medical technology level and the medical quality are improved. The embodiment improves the transmission and sharing efficiency of the patient case information, realizes the instant communication of remote medical treatment, and improves the rescue effect and the medical quality.
In this embodiment, the specific process includes: creating a patient: after receiving a patient, a pre-hospital emergency medical staff creates a pre-hospital case of the patient in an emergency green tract according to basic information of the patient; pushing the patient: the medical staff in the hospital pushes the patient before the hospital into the hospital in the emergency green tract system, and the medical staff in the hospital can receive the notification of the patient and synchronize the information of the patient in the hospital before the hospital; starting a video conference: the hospital command center can select an ambulance, select a hospital expert to start video consultation, and the medical care of the ambulance can initiate the video consultation by using the Pad before the hospital; video conference playback: all video records of the video consultation are stored, and a video playback function is provided for later learning of hospitals and optimization of first-aid processes; after receiving a patient from an emergency ambulance, creating a pre-hospital case of the patient and pushing the pre-hospital case to a hospital, wherein medical staff in the hospital can have feedback notification of the patient to the hospital at the moment, and after the hospital can receive the feedback of the patient by checking the related information of the patient, the treatment scheme and medical facilities after the patient arrives at the hospital can be prepared in advance, and the information is synchronous and prepared in advance; after receiving feedback of pushing the hospital, the command center initiates a video consultation to invite a hospital expert to conduct remote consultation, and timely monitor and guide the patient of the ambulance; after the ambulance receives the patient in the first-aid process, the medical nursing device can carry out remote video consultation with medical nursing in a hospital, doctors in the hospital conduct rescue guidance on the patient in real time, and a consultation video record is reserved, so that the subsequent consultation is convenient.
The embodiment can help the patient to obtain the state remotely monitored by the expert in the hospital on the ambulance and provide guidance, so that the emergency quality of the patient is improved, the gold treatment time of the emergency of the patient is ensured, and a better curative effect is achieved for the patient; the problem of complex and unstable medical care communication in a pre-hospital is solved; leading the first-aid process, leading the first-aid process from the ambulance to the expert doctor in the patient hospital to give guidance, shortening the rescue time and improving the medical quality.
Example 2: as shown in fig. 2, on the basis of embodiment 1, the information creation subsystem provided in the embodiment of the present invention includes:
the communication establishing module is in charge of establishing communication between the intelligent terminal and the first user terminal on the emergency ambulance through identity identification of the intelligent terminal, and recording identity information, communication establishing time and position information of the intelligent terminal;
the information acquisition module is in charge of acquiring identity information of a patient and basic vital signs, establishing a first electronic case with unique identity information, wherein the basic vital signs comprise systolic pressure, diastolic pressure, body temperature, respiratory rate and the like;
the data transmission module is responsible for encrypting the data containing the patient identity information and the basic vital sign by adopting a mode of combining an HTTPS protocol and an SSL certificate, transmitting the encrypted data to the first user terminal through a network, encrypting the data received by the first user terminal by adopting an AES encryption algorithm, and storing a ciphertext in a database of the first user terminal;
The working principle and beneficial effects of the technical scheme are as follows: the communication establishing module of the embodiment establishes communication between the intelligent terminal and the first user terminal on the emergency ambulance through identity identification of the intelligent terminal, and records identity information, communication establishing time and position information of the intelligent terminal; the information acquisition module acquires identity information of a patient and basic vital signs, a first electronic case with unique identity information is established, and the basic vital signs comprise systolic pressure, diastolic pressure, body temperature, respiratory rate and the like; the data transmission module encrypts data containing patient identity information and basic vital signs in a mode of combining an HTTPS protocol and an SSL certificate, transmits the encrypted data to the first user terminal through a network, encrypts the data received by the first user terminal by adopting an AES encryption algorithm, and stores ciphertext in a database of the first user terminal; the scheme is that a safe and reliable system is established for communication between an intelligent terminal and a first user terminal on an emergency ambulance, patient identity information and basic vital signs can be obtained, and an electronic case with unique identity is established; the specific meaning is as follows: providing secure communications: by using HTTPS protocol and SSL certificate, the safety of data transmission is ensured, the data is prevented from being stolen or tampered, and the privacy and confidentiality of the identity information and basic vital signs of the patient are ensured; rapidly establishing communication: through the identity recognition of the intelligent terminal, the communication between the intelligent terminal and the first user terminal can be quickly established, and the rescue work efficiency on the ambulance is improved; establishing an electronic case: by acquiring the identity information and basic vital signs of the patient, an electronic case with unique identity can be established, so that medical staff can check and update the illness state information of the patient at any time, and more accurate medical service is provided; providing real-time data transmission: through the data transmission module, the data of the identity information and the basic vital sign of the patient can be transmitted to the first user terminal in real time, so that medical staff can quickly acquire the illness state information of the patient and make timely rescue decisions. The embodiment provides a safe, reliable, high-efficient swift communication and data transmission module, can promote the rescue work efficiency and the patient's of ambulance on.
After the patient case is created in the embodiment, the identity information and the basic vital signs of the patient are automatically encrypted and pushed to the hospital green road system, so that the synchronization of the pre-hospital information and the hospital information is realized; processing and encrypting storage of personal information to ensure protection of privacy of patients and information security; in the data transmission process, an HTTPS protocol and an SSL certificate are used for encryption so as to ensure the security of data in transmission; once the data arrives at the server, further storing in a highly secure manner; the AES encryption algorithm is adopted to encrypt the data received by the first user terminal, and then the ciphertext is stored in the database, so that the encryption mode ensures the safety and privacy protection of sensitive information of a patient in the storage process. The embodiment ensures confidentiality and integrity of patient data through security measures, meets the requirements of laws and regulations on medical data processing, and provides higher-level data security and privacy protection.
Example 3: as shown in fig. 3, on the basis of embodiment 2, the data transmission module provided in the embodiment of the present invention includes:
the identity information acquisition sub-module is responsible for realizing that the intelligent terminal polls a plurality of first user terminals at regular time based on the identity information of the first user terminals, and acquiring the identity information of the current first user terminals when the identity information of the first user terminals is updated, wherein the first user terminals correspond to the terminals of different hospital internal specialists;
The certificate information acquisition sub-module is responsible for acquiring a revocation list from the intelligent terminal at regular time based on the process and identity information of the first user terminal; acquiring identity information and a revocation list based on revocation list analysis authentication information, and extracting a plurality of intelligent terminal SSL certificates from the revocation list;
the symmetric key generation sub-module is responsible for initiating an HTTPS request to the first user terminal by the intelligent terminal, the intelligent terminal sends an SSL certificate to the first user terminal, the first user terminal verifies the legality of the SSL certificate, the first user terminal generates a random symmetric key, the symmetric key is encrypted by using the public key of the intelligent terminal, the symmetric key sent by the first user terminal is decrypted by using the private key by the intelligent terminal, and the symmetric key is used by the first user terminal and the intelligent terminal for encrypting and decrypting data transmission;
the working principle and beneficial effects of the technical scheme are as follows: the identity information acquisition sub-module of the embodiment realizes that the intelligent terminal polls a plurality of first user terminals at regular time based on the identity information of the first user terminals, and acquires the identity information of the current first user terminal when the identity information of the first user terminal is updated, wherein the first user terminal corresponds to the terminals of different hospital internal specialists; the certificate information acquisition sub-module acquires a revocation list from the intelligent terminal at regular time based on the process and identity information of the first user terminal; acquiring identity information and a revocation list based on revocation list analysis authentication information, and extracting a plurality of intelligent terminal SSL certificates from the revocation list; the symmetric key generation sub-module intelligent terminal initiates an HTTPS request to the first user terminal, the intelligent terminal sends an SSL certificate to the first user terminal, the first user terminal verifies the legality of the SSL certificate, the first user terminal generates a random symmetric key, the symmetric key is encrypted by using the public key of the intelligent terminal, the symmetric key sent by the first user terminal is decrypted by using the private key by the intelligent terminal, and the first user terminal and the intelligent terminal use the symmetric key for encrypting and decrypting data transmission; the scheme realizes safe and reliable identity authentication and data transmission between the intelligent terminal and the first user terminal; the specific meaning is as follows: identity information acquisition sub-module: the identity information of the intelligent terminal and the first user terminal can be timely acquired and updated by inquiring the identity information of the first user terminal at regular time, so that the accuracy and consistency of the identities of the two communication parties are ensured, and the safety of communication is improved; certificate information acquisition sub-module: the revocation list of the first user terminal is obtained at fixed time, so that the intelligent terminal can know which SSL certificates of the first user terminal are revoked, and the validity of the certificates used by the two communication parties are ensured; symmetric key generation sub-module: and an HTTPS request is initiated to the first user terminal through the intelligent terminal, verification of an SSL certificate and generation of a symmetric key are carried out, confidentiality and integrity of data transmission of both communication parties are ensured, and data is prevented from being tampered and stolen. The embodiment provides a safe and reliable identity authentication and data transmission mechanism, ensures the safety and reliability of communication between the intelligent terminal and the first user terminal, and ensures the confidentiality and integrity of patient identity information and medical data. The system has important significance for rescue work and patient treatment on emergency ambulances, and can improve rescue efficiency and medical service quality.
Example 4: as shown in fig. 4, on the basis of embodiment 2, the data transmission module provided in the embodiment of the present invention further includes:
the sub-key acquisition sub-module is in charge of acquiring data received by the first user terminal, obtaining an intermediate value leaked by the first user terminal by taking the length of the data as a unit, and carrying out analysis on the intermediate value to obtain a plurality of sub-keys;
the encryption round number setting sub-module is used for setting the encryption round number of AES encryption of data, setting the minimum encryption round number 2, and determining the encryption round number of the data according to the requirement selected by the first user terminal: if the first user terminal has no requirement on the speed, the encryption round number is 6 rounds; the encryption round number is 12 if the first user terminal has high security requirement, and 6 if the first user terminal has no security requirement;
the data encryption sub-module is responsible for predicting round keys used in the nth round of encryption process according to the data to be encrypted and the target data for storing the ciphertext and the plurality of sub-keys; encrypting data to be encrypted by using an AES encryption key through an AES encryption algorithm to generate encrypted data, and storing ciphertext in a database of a first user terminal;
The working principle and beneficial effects of the technical scheme are as follows: the sub-key obtaining sub-module of the embodiment obtains data received by the first user terminal, obtains an intermediate value leaked by the first user terminal by taking the length of the data as a unit, and performs pair analysis based on the intermediate value to obtain a plurality of sub-keys; the encryption round number setting submodule sets the encryption round number of AES encryption of the data, sets the minimum encryption round number 2, and determines the encryption round number of the data according to the requirement selected by the first user terminal: if the first user terminal has no requirement on the speed, the encryption round number is 6 rounds; the encryption round number is 12 if the first user terminal has high security requirement, and 6 if the first user terminal has no security requirement; the data encryption sub-module is used for predicting round keys used in the nth round encryption process according to the data to be encrypted and target data for storing ciphertext and a plurality of sub-keys; encrypting data to be encrypted by using an AES encryption key through an AES encryption algorithm to generate encrypted data, and storing ciphertext in a database of a first user terminal; the scheme ensures the security and privacy of the data. By using the AES encryption algorithm and multiple encryption rounds, the data can be effectively protected from unauthorized access and theft; meanwhile, according to the requirements of users on speed and safety, the number of encryption wheels can be flexibly adjusted to balance the safety and performance requirements; in addition, by presuming the round key used in the encryption process, the attack difficulty to the encryption algorithm can be increased, and the security of the system is improved. In summary, it is intended to provide a highly secure data transmission and storage solution.
Example 5: as shown in fig. 5, on the basis of embodiment 1, the case pushing subsystem provided in the embodiment of the present invention includes:
the data pushing module is responsible for calling pushing service of the software service platform, the pushing service is used for generating pushing data according to a first electronic case in the data, and the first user terminal automatically recognizes the pushing data and informs corresponding processing personnel;
the data processing module is in charge of acquiring a processing result of pushing data by a processor, adding the processing result to the first electronic case, and making a treatment scheme of a patient reaching a hospital;
the result display module is responsible for pushing the processing result to the first user terminal for visual display and sending the processing result to the on-duty medical staff terminal;
the working principle and beneficial effects of the technical scheme are as follows: the data pushing module of the embodiment invokes a pushing service of the software service platform, wherein the pushing service is used for generating pushing data according to a first electronic case in the data, and the first user terminal automatically identifies the pushing data and notifies corresponding processing personnel; the data processing module acquires a processing result of pushing data by a processor, adds the processing result to the first electronic case, and formulates a treatment scheme of a patient reaching a hospital; the result display module pushes the processing result to the first user terminal for visual display and sends the processing result to the on-duty medical staff terminal; the scheme realizes automation of data pushing, processing and displaying, and improves the efficiency and accuracy of medical data processing. Push data can be generated according to the first electronic case through push service of the software service platform, and corresponding processing personnel are automatically notified, so that manpower resources and time cost are saved; meanwhile, the processing result of the pushing data by the processing personnel can be directly added into the electronic case, so that the subsequent treatment scheme is convenient to formulate. The result display module pushes the processing result to the first user terminal for visual display, so that the participation of the patient and the knowledge of the treatment progress are improved. Meanwhile, the processing result is also sent to the terminal of the medical staff on duty, so that the medical staff can acquire the processing result of the patient in time, and the working efficiency and the cooperation capability of the medical staff are improved. Overall, the embodiment can improve the processing efficiency, accuracy and collaboration of medical data, and improve the quality of medical service and experience of patients; once patient information is created and filled out prior to the hospital, the system will use these security measures to push the data into the hospital; in the hospital, the emergency green tract system can automatically identify and receive the data pushed before the hospital and automatically create an hospital case according to the information, the automatic process improves the efficiency of the emergency process, reduces the requirement of manual operation and ensures the synchronism of the data before the hospital and the hospital; medical staff in the hospital can directly use the medical staff in the hospital to operate without manually inputting or transcribing patient information before the hospital, so that potential data input errors are further reduced, the accuracy and the instantaneity of data are improved, and the medical staff in the hospital are beneficial to providing emergency services for patients more quickly; the automatic data synchronization and case creation process shows the innovation and intelligence of our system, is hopeful to improve the emergency efficiency and provides better medical services for patients. Meanwhile, the data transmission and storage scheme also meets the advanced safety standard, and the privacy and confidentiality of patient data are ensured.
Example 6: as shown in fig. 6, on the basis of embodiment 1, the video opening subsystem provided in the embodiment of the present invention includes:
the inquiry request processing module is responsible for initializing a video monitoring system of the ambulance, loading all images acquired by the video monitoring system into a memory of the video monitoring system, acquiring ambulance information according to an inquiry request of a first user terminal, acquiring channel data corresponding to any image in all images from the memory, displaying videos corresponding to the corresponding channel data according to a selection request of the first user terminal, and acquiring characteristic information of the images;
the method comprises the steps that when a certain data frame of a video is obtained, a first user terminal records a current time node, a standard value of a frame number of the certain data frame is obtained according to a collection period of a video monitoring system, a video time stamp of the certain data frame is calculated, video consultation data are stored to a cloud server according to the video time stamp, and an access Uniform Resource Locator (URL) with a valid period of 24 hours is generated;
the video playback reading module is in charge of acquiring a Uniform Resource Locator (URL), receiving video playback sent to the video monitoring system by the user equipment, acquiring storage information of video consultation data, and reading the video consultation data by the user equipment according to the storage information;
The working principle and beneficial effects of the technical scheme are as follows: the inquiry request processing module of the embodiment initializes a video monitoring system of the ambulance, loads all images acquired by the video monitoring system into a memory of the video monitoring system, acquires ambulance information according to an inquiry request of a first user terminal, acquires channel data corresponding to any image in all images from the memory, displays videos corresponding to the corresponding channel data according to a selection request of the first user terminal, and acquires characteristic information of the images; when a certain data frame of the video is obtained by the time stamp obtaining module, the first user terminal records the current time node, obtains the standard value of the frame number of the certain data frame according to the acquisition period of the video monitoring system, calculates the video time stamp of the certain data frame, and stores the data of the video consultation according to the video time stamp; the video playback reading module receives video playback sent by the user equipment to the video monitoring system, acquires storage information of video consultation data, and reads the video consultation data according to the storage information; the scheme realizes the functions of initializing, inquiring request processing, acquiring the time stamp and playing back and reading the video of the ambulance video monitoring system, and improves the efficiency and the reliability of the ambulance video monitoring; by initializing the video monitoring system, the system can load all images into the memory, so that subsequent query and playback operations are facilitated; the inquiry request processing module can acquire ambulance information according to the inquiry request of the user, acquire channel data of corresponding images from the memory, and display videos corresponding to the corresponding channel data according to the selection of the user. Meanwhile, the characteristic information of the image can be obtained, and more data support is provided; the time stamp obtaining module can record the current time node and calculate the video time stamp of a certain data frame according to the acquisition period of the video monitoring system, so as to accurately store the data of video consultation; the video playback reading module can receive a video playback request sent by the user equipment and read corresponding video consultation data according to the storage information, so that a video playback function is realized; in order to ensure the safety and privacy of video data, video records of video consultation are stored on a highly safe cloud server, the video records cannot be directly accessed, the protection of patient privacy and the safety of the video data are ensured, when the records of the video consultation are required to be checked, access URLs for 24 hours are generated, when the records of the video consultation are required to be checked, the system generates an access URL with the validity period of 24 hours, the URLs are unique and encrypted, only authorized users can access the URL, the access right of the video data is effectively limited, and only suitable personnel can be ensured to check the URL; the generated access URL can automatically expire after 24 hours, so that the video data can not be abused or reserved for a long time, and the safety of the video data is further enhanced; the video data is not only for the page view of the patient, but also plays an important role in the follow-up study and emergency procedure duplication, hospitals can use the image data to improve the emergency procedure, train medical staff and improve the emergency efficiency, and the video record is precious medical data, so that medical teams can be helped to continuously improve the emergency service quality; not only ensures the safety and privacy of video data, but also provides powerful tools for medical teams to learn, improve and optimize emergency procedures to provide better medical services, and exhibits innovations in terms of data management and privacy protection. Overall, the embodiment can improve the operation efficiency, the data reliability and the user experience of the ambulance video monitoring system, and provide better video consultation service and support for medical staff.
Example 7: as shown in fig. 7, on the basis of embodiment 6, the video monitoring system provided in the embodiment of the present invention includes:
the 5G communication equipment is in charge of receiving and sending 5G signals and providing a 5G network for the ambulance intelligent terminal and the first user terminal;
the camera is in charge of providing a real-time video source, is in wireless connection with the intelligent terminal of the ambulance and is arranged on the ambulance; capturing an image or video of the ambulance, converting the optical signal into an electrical signal by an optical sensor, and converting the electrical signal into a visible image or video by image processing; the system is used for shooting photos, recording videos, monitoring, security and the like;
the audio processor is responsible for collecting audio signals of a patient and a doctor, and performing noise reduction, audio gain and audio effect processing operation through digital signal processing so as to realize voice interaction of video consultation;
the working principle and beneficial effects of the technical scheme are as follows: the 5G communication device of the embodiment receives and transmits 5G signals and provides a 5G network for the ambulance intelligent terminal and the first user terminal; the camera provides a real-time video source, is in wireless connection with the intelligent terminal of the ambulance and is arranged on the ambulance; capturing an image or video of the ambulance, converting the optical signal into an electrical signal by an optical sensor, and converting the electrical signal into a visible image or video by image processing; the system is used for shooting photos, recording videos, monitoring, security and the like; the audio processor collects audio signals of a patient and a doctor, and performs noise reduction, audio gain and audio effect processing operation through digital signal processing, so that voice interaction of video consultation is realized; according to the scheme, the 5G communication equipment, the camera and the audio processor are applied to the intelligent ambulance terminal, so that the efficiency and the quality of medical rescue service are improved; firstly, through the access of the 5G communication equipment, the intelligent terminal of the ambulance and the first user terminal can realize high-speed and stable network connection, support large-scale data transmission and real-time communication, provide a better networking environment for the ambulance, enable medical staff to quickly acquire relevant information of a patient, carry out remote consultation and medical guidance, and improve the medical rescue capability of the ambulance; secondly, the installation and real-time video transmission functions of the camera can provide real-time visual information of the surrounding environment of the ambulance, so that more accurate and comprehensive condition understanding is provided for medical staff; meanwhile, the monitoring and security functions of the camera can ensure the safety inside and outside the ambulance, and effectively prevent and cope with various potential dangerous situations; finally, the application of the audio processor can realize voice interaction in the ambulance, including voice communication between the patient and the doctor and voice interaction of remote consultation; through operations such as noise reduction, audio gain and audio effect processing, the quality and definition of audio can be improved, better voice communication experience is provided for medical staff, and the accuracy and timeliness of medical guidance are ensured. The embodiment utilizes the advanced technology of the 5G communication equipment, the camera and the audio processor to provide high-efficiency and intelligent medical rescue service for the ambulance, improves the operation efficiency and rescue capability of the ambulance and provides better medical guarantee for patients.
Example 8: as shown in fig. 8, on the basis of embodiment 1-embodiment 7, the method for managing emergency treatment of multi-terminal collaborative video real-time interaction provided by the embodiment of the invention comprises the following steps:
s100: creating a first electronic case from patient basic information, the basic information comprising: patient name, age, sex, symptoms, treatment measures, etc.;
s200: the method comprises the steps of sending a first electronic case to a first user terminal through a network, and establishing information synchronization between the first user terminal and the first electronic case;
s300: establishing a video consultation of the ambulance and the first user terminal, realizing instant communication between the ambulance and the first user terminal, simultaneously saving data of the video consultation, and providing a video playback function;
the working principle and beneficial effects of the technical scheme are as follows: the present embodiment first creates a first electronic case from patient basic information including: patient name, age, sex, symptoms, treatment measures, etc.; secondly, the first electronic case is sent to a first user terminal through a network, and information synchronization between the first user terminal and the first electronic case is established; finally, establishing a video consultation of the ambulance and the first user terminal, realizing instant communication of the ambulance and the first user terminal, simultaneously saving data of the video consultation, and providing a video playback function, wherein a schematic diagram is shown in fig. 9; according to the scheme, the electronic case of the patient can be quickly and accurately created through the information creation subsystem and the case pushing subsystem, and the case is sent to the first user terminal through the network, so that the synchronization and sharing of the case information are realized, doctors and other medical staff can conveniently check the case information of the patient at any time, and more accurate and efficient diagnosis and treatment are provided; meanwhile, the video starting subsystem is used for carrying out video consultation on the ambulance and the first user terminal, so that the instant messaging of remote medical treatment is realized, a doctor can diagnose and rescue a patient under the remote condition, the rescue time is shortened, and the rescue effect is improved; in addition, the data of video consultation is saved, the video playback function is provided, the video consultation can be used for subsequent research and education, and the medical technology level and the medical quality are improved. The embodiment improves the transmission and sharing efficiency of the patient case information, realizes the instant communication of remote medical treatment, and improves the rescue effect and the medical quality.
In this embodiment, the specific process includes: creating a patient: after receiving a patient, a pre-hospital emergency medical staff creates a pre-hospital case of the patient in an emergency green tract according to basic information of the patient; pushing the patient: the medical staff in the hospital pushes the patient before the hospital into the hospital in the emergency green tract system, and the medical staff in the hospital can receive the notification of the patient and synchronize the information of the patient in the hospital before the hospital; starting a video conference: the hospital command center can select an ambulance, select a hospital expert to start video consultation, and the medical care of the ambulance can initiate the video consultation by using the Pad before the hospital; video conference playback: all video records of the video consultation are stored, and a video playback function is provided for later learning of hospitals and optimization of first-aid processes; after receiving a patient from an emergency ambulance, creating a pre-hospital case of the patient and pushing the pre-hospital case to a hospital, wherein medical staff in the hospital can have feedback notification of the patient to the hospital at the moment, and after the hospital can receive the feedback of the patient by checking the related information of the patient, the treatment scheme and medical facilities after the patient arrives at the hospital can be prepared in advance, and the information is synchronous and prepared in advance; after receiving feedback of pushing the hospital, the command center initiates a video consultation to invite a hospital expert to conduct remote consultation, and timely monitor and guide the patient of the ambulance; after the ambulance receives the patient in the first-aid process, the medical nursing device can carry out remote video consultation with medical nursing in a hospital, doctors in the hospital conduct rescue guidance on the patient in real time, and a consultation video record is reserved, so that the subsequent consultation is convenient.
The embodiment can help the patient to obtain the state remotely monitored by the expert in the hospital on the ambulance and provide guidance, so that the emergency quality of the patient is improved, the gold treatment time of the emergency of the patient is ensured, and a better curative effect is achieved for the patient; the problem of complex and unstable medical care communication in a pre-hospital is solved; leading the first-aid process, leading the first-aid process from the ambulance to the expert doctor in the patient hospital to give guidance, shortening the rescue time and improving the medical quality.
Example 9: as shown in fig. 10, on the basis of embodiment 8, the process for creating the first electronic case according to the basic information of the patient provided by the embodiment of the present invention includes the following steps:
s101: establishing communication between the intelligent terminal and the first user terminal on the ambulance through identity identification of the intelligent terminal, and recording identity information, communication establishment time and position information of the intelligent terminal;
s102: acquiring identity information and basic vital signs of a patient, and establishing a first electronic case with unique identity information, wherein the basic vital signs comprise systolic pressure, diastolic pressure, body temperature, respiratory rate and the like;
s103: encrypting data containing patient identity information and basic vital signs by adopting a mode of combining an HTTPS protocol and an SSL certificate, transmitting the encrypted data to a first user terminal through a network, encrypting the data received by the first user terminal by adopting an AES encryption algorithm, and storing ciphertext in a database of the first user terminal;
The working principle and beneficial effects of the technical scheme are as follows: according to the embodiment, firstly, through identification of the intelligent terminal, communication between the intelligent terminal on the emergency ambulance and the first user terminal is established, and identity information, communication establishment time and position information of the intelligent terminal are recorded; secondly, acquiring identity information and basic vital signs of a patient, and establishing a first electronic case with unique identity information, wherein the basic vital signs comprise systolic pressure, diastolic pressure, body temperature, respiratory rate and the like; finally, encrypting the data containing the patient identity information and the basic vital signs in a mode of combining an HTTPS protocol and an SSL certificate, transmitting the encrypted data to the first user terminal through a network, encrypting the data received by the first user terminal by adopting an AES encryption algorithm, and storing the ciphertext in a database of the first user terminal; the scheme is that a safe and reliable system is established for communication between an intelligent terminal and a first user terminal on an emergency ambulance, patient identity information and basic vital signs can be obtained, and an electronic case with unique identity is established; the specific meaning is as follows: providing secure communications: by using HTTPS protocol and SSL certificate, the safety of data transmission is ensured, the data is prevented from being stolen or tampered, and the privacy and confidentiality of the identity information and basic vital signs of the patient are ensured; rapidly establishing communication: through the identity recognition of the intelligent terminal, the communication between the intelligent terminal and the first user terminal can be quickly established, and the rescue work efficiency on the ambulance is improved; establishing an electronic case: by acquiring the identity information and basic vital signs of the patient, an electronic case with unique identity can be established, so that medical staff can check and update the illness state information of the patient at any time, and more accurate medical service is provided; providing real-time data transmission: through the data transmission module, the data of the identity information and the basic vital sign of the patient can be transmitted to the first user terminal in real time, so that medical staff can quickly acquire the illness state information of the patient and make timely rescue decisions. The embodiment provides a safe, reliable, high-efficient swift communication and data transmission module, can promote the rescue work efficiency and the patient's of ambulance on.
After the patient case is created in the embodiment, the identity information and the basic vital signs of the patient are automatically encrypted and pushed to the hospital green road system, so that the synchronization of the pre-hospital information and the hospital information is realized; processing and encrypting storage of personal information to ensure protection of privacy of patients and information security; in the data transmission process, an HTTPS protocol and an SSL certificate are used for encryption so as to ensure the security of data in transmission; once the data arrives at the server, further storing in a highly secure manner; the AES encryption algorithm is adopted to encrypt the data received by the first user terminal, and then the ciphertext is stored in the database, so that the encryption mode ensures the safety and privacy protection of sensitive information of a patient in the storage process. The embodiment ensures confidentiality and integrity of patient data through security measures, meets the requirements of laws and regulations on medical data processing, and provides higher-level data security and privacy protection.
Example 10: as shown in fig. 11, on the basis of embodiment 8, the process for sending the first electronic case to the first user terminal through the network provided by the embodiment of the present invention includes the following steps:
S201: the method comprises the steps of calling a pushing service of a software service platform, wherein the pushing service is used for generating pushing data according to a first electronic case in data, and a first user terminal automatically identifies the pushing data and informs corresponding processing personnel;
s202: the method comprises the steps of obtaining a processing result of a processing person on push data, adding the processing result to a first electronic case, and making a treatment scheme of a patient reaching a hospital;
s203: pushing the processing result to a first user terminal for visual display, and sending the processing result to an on-duty medical staff terminal;
the working principle and beneficial effects of the technical scheme are as follows: firstly, calling a push service of a software service platform, wherein the push service is used for generating push data according to a first electronic case in data, and a first user terminal automatically identifies the push data and informs corresponding processing personnel; secondly, obtaining a processing result of a processing person on the push data, adding the processing result to the first electronic case, and simultaneously making a treatment scheme of a patient reaching a hospital; finally pushing the processing result to a first user terminal for visual display, and sending the processing result to an on-duty medical staff terminal; the scheme realizes automation of data pushing, processing and displaying, and improves the efficiency and accuracy of medical data processing. Push data can be generated according to the first electronic case through push service of the software service platform, and corresponding processing personnel are automatically notified, so that manpower resources and time cost are saved; meanwhile, the processing result of the pushing data by the processing personnel can be directly added into the electronic case, so that the subsequent treatment scheme is convenient to formulate. The result display module pushes the processing result to the first user terminal for visual display, so that the participation of the patient and the knowledge of the treatment progress are improved. Meanwhile, the processing result is also sent to the terminal of the medical staff on duty, so that the medical staff can acquire the processing result of the patient in time, and the working efficiency and the cooperation capability of the medical staff are improved. Overall, the embodiment can improve the processing efficiency, accuracy and collaboration of medical data, and improve the quality of medical service and experience of patients; once patient information is created and filled out prior to the hospital, the system will use these security measures to push the data into the hospital; in the hospital, the emergency green tract system can automatically identify and receive the data pushed before the hospital and automatically create an hospital case according to the information, the automatic process improves the efficiency of the emergency process, reduces the requirement of manual operation and ensures the synchronism of the data before the hospital and the hospital; medical staff in the hospital can directly use the medical staff in the hospital to operate without manually inputting or transcribing patient information before the hospital, so that potential data input errors are further reduced, the accuracy and the instantaneity of data are improved, and the medical staff in the hospital are beneficial to providing emergency services for patients more quickly; the automatic data synchronization and case creation process shows the innovation and intelligence of our system, is hopeful to improve the emergency efficiency and provides better medical services for patients. Meanwhile, the data transmission and storage scheme also meets the advanced safety standard, and the privacy and confidentiality of patient data are ensured.
Example 11: as shown in fig. 12, on the basis of embodiment 8, the process for establishing a video consultation between an ambulance and a first user terminal provided by the embodiment of the present invention includes the following steps:
s301: initializing a video monitoring system of the ambulance, loading all images acquired by the video monitoring system into a memory of the video monitoring system, acquiring ambulance information according to a query request of a first user terminal, acquiring channel data corresponding to any image in all the images from the memory, displaying videos corresponding to the corresponding channel data according to a selection request of the first user terminal, and acquiring characteristic information of the images;
s302: when a certain data frame of a video is obtained, the first user terminal records a current time node, obtains the standard value of the frame number of the certain data frame according to the acquisition period of the video monitoring system, calculates the video time stamp of the certain data frame, stores the data of video consultation to a cloud server according to the video time stamp, and generates an access Uniform Resource Locator (URL) with the validity period of 24 hours;
s303: acquiring a Uniform Resource Locator (URL), receiving video playback sent to a video monitoring system by user equipment, acquiring storage information of video consultation data, and reading the video consultation data by the user equipment according to the storage information;
The working principle and beneficial effects of the technical scheme are as follows: the method comprises the steps of initializing a video monitoring system of an ambulance, loading all images acquired by the video monitoring system into a memory of the video monitoring system, acquiring ambulance information according to a query request of a first user terminal, acquiring channel data corresponding to any image in all the images from the memory, displaying videos corresponding to the corresponding channel data according to a selection request of the first user terminal, and acquiring characteristic information of the images; secondly, when a certain data frame of the video is obtained, the first user terminal records the current time node, obtains the standard value of the frame number of the certain data frame according to the acquisition period of the video monitoring system, calculates the video time stamp of the certain data frame, and stores the data of the video consultation according to the video time stamp; finally, receiving video playback sent by the user equipment to the video monitoring system, acquiring storage information of video consultation data, and reading the video consultation data by the user equipment according to the storage information; the scheme realizes the functions of initializing, inquiring request processing, acquiring the time stamp and playing back and reading the video of the ambulance video monitoring system, and improves the efficiency and the reliability of the ambulance video monitoring; by initializing the video monitoring system, the system can load all images into the memory, so that subsequent query and playback operations are facilitated; the inquiry request processing module can acquire ambulance information according to the inquiry request of the user, acquire channel data of corresponding images from the memory, and display videos corresponding to the corresponding channel data according to the selection of the user. Meanwhile, the characteristic information of the image can be obtained, and more data support is provided; the time stamp obtaining module can record the current time node and calculate the video time stamp of a certain data frame according to the acquisition period of the video monitoring system, so as to accurately store the data of video consultation; the video playback reading module can receive a video playback request sent by the user equipment and read corresponding video consultation data according to the storage information, so that a video playback function is realized; in order to ensure the safety and privacy of video data, video records of video consultation are stored on a highly safe cloud server, the video records cannot be directly accessed, the protection of patient privacy and the safety of the video data are ensured, when the records of the video consultation are required to be checked, access URLs for 24 hours are generated, when the records of the video consultation are required to be checked, the system generates an access URL with the validity period of 24 hours, the URLs are unique and encrypted, only authorized users can access the URL, the access right of the video data is effectively limited, and only suitable personnel can be ensured to check the URL; the generated access URL can automatically expire after 24 hours, so that the video data can not be abused or reserved for a long time, and the safety of the video data is further enhanced; the video data is not only for the page view of the patient, but also plays an important role in the follow-up study and emergency procedure duplication, hospitals can use the image data to improve the emergency procedure, train medical staff and improve the emergency efficiency, and the video record is precious medical data, so that medical teams can be helped to continuously improve the emergency service quality; not only ensures the safety and privacy of video data, but also provides powerful tools for medical teams to learn, improve and optimize emergency procedures to provide better medical services, and exhibits innovations in terms of data management and privacy protection. Overall, the embodiment can improve the operation efficiency, the data reliability and the user experience of the ambulance video monitoring system, and provide better video consultation service and support for medical staff.
It will be apparent to those skilled in the art that various modifications and variations can be made to the present invention without departing from the spirit or scope of the invention. Thus, it is intended that the present invention also include such modifications and alterations insofar as they come within the scope of the appended claims or the equivalents thereof.

Claims (10)

1. The utility model provides a real-time interactive first aid management system of cooperation video of many terminals which characterized in that includes:
the information creation subsystem is responsible for creating a first electronic case according to basic information of a patient, wherein the basic information comprises: patient name, age, sex, symptoms and treatment measures;
the case pushing subsystem is in charge of sending the first electronic case to the first user terminal through a network, and establishing the information synchronization of the first user terminal and the first electronic case;
the video starting subsystem is responsible for establishing video consultation of the ambulance and the first user terminal, realizing instant communication of the ambulance and the first user terminal, simultaneously storing data of the video consultation and providing a video playback function.
2. The emergency management system for multi-terminal collaborative video real-time interaction according to claim 1, wherein the information creation subsystem comprises:
The communication establishing module is in charge of establishing communication between the intelligent terminal and the first user terminal on the emergency ambulance through identity identification of the intelligent terminal, and recording identity information, communication establishing time and position information of the intelligent terminal;
the information acquisition module is in charge of acquiring identity information and basic vital signs of a patient, establishing a first electronic case with unique identity information, wherein the basic vital signs comprise systolic pressure, diastolic pressure, body temperature and respiratory rate;
the data transmission module is responsible for encrypting the data containing the patient identity information and the basic vital sign by adopting a mode of combining an HTTPS protocol and an SSL certificate, transmitting the encrypted data to the first user terminal through a network, encrypting the data received by the first user terminal by adopting an AES encryption algorithm, and storing the ciphertext in a database of the first user terminal.
3. The emergency management system for multi-terminal collaborative video real-time interaction according to claim 2, wherein the data transmission module comprises:
the identity information acquisition sub-module is responsible for realizing that the intelligent terminal polls a plurality of first user terminals at regular time based on the identity information of the first user terminals, and acquiring the identity information of the current first user terminals when the identity information of the first user terminals is updated, wherein the first user terminals correspond to the terminals of different hospital internal specialists;
The certificate information acquisition sub-module is responsible for acquiring a revocation list from the intelligent terminal at regular time based on the process and identity information of the first user terminal; acquiring identity information and a revocation list based on revocation list analysis authentication information, and extracting a plurality of intelligent terminal SSL certificates from the revocation list;
the symmetric key generation sub-module is responsible for the intelligent terminal to initiate an HTTPS request to the first user terminal, the intelligent terminal sends an SSL certificate to the first user terminal, the first user terminal verifies the legality of the SSL certificate, the first user terminal generates a random symmetric key, the symmetric key is encrypted by using the public key of the intelligent terminal, the symmetric key sent by the first user terminal is decrypted by using the private key by the intelligent terminal, and the first user terminal and the intelligent terminal use the symmetric key to encrypt and decrypt data transmission.
4. The emergency management system for multi-terminal collaborative video real-time interaction according to claim 2, wherein the data transmission module further comprises:
the sub-key acquisition sub-module is in charge of acquiring data received by the first user terminal, obtaining an intermediate value leaked by the first user terminal by taking the length of the data as a unit, and carrying out analysis on the intermediate value to obtain a plurality of sub-keys;
The encryption round number setting sub-module is used for setting the encryption round number of AES encryption of data, setting the minimum encryption round number 2, and determining the encryption round number of the data according to the requirement selected by the first user terminal: if the first user terminal has no requirement on the speed, the encryption round number is 6 rounds; the encryption round number is 12 if the first user terminal has high security requirement, and 6 if the first user terminal has no security requirement;
the data encryption sub-module is responsible for predicting round keys used in the nth round of encryption process according to the data to be encrypted and the target data for storing the ciphertext and the plurality of sub-keys; encrypting the data to be encrypted by using an AES encryption key through an AES encryption algorithm, generating encrypted data, and storing the ciphertext in a database of the first user terminal.
5. The multi-terminal collaborative video real-time interactive emergency management system according to claim 1, wherein the case pushing subsystem comprises:
the data pushing module is responsible for calling pushing service of the software service platform, the pushing service is used for generating pushing data according to a first electronic case in the data, and the first user terminal automatically recognizes the pushing data and informs corresponding processing personnel;
The data processing module is in charge of acquiring a processing result of pushing data by a processor, adding the processing result to the first electronic case, and making a treatment scheme of a patient reaching a hospital;
the result display module is responsible for pushing the processing result to the first user terminal for visual display and sending the processing result to the on-duty medical staff terminal.
6. The emergency management system for multi-terminal collaborative video real-time interaction according to claim 1, wherein the video enabling subsystem comprises:
the inquiry request processing module is responsible for initializing a video monitoring system of the ambulance, loading all images acquired by the video monitoring system into a memory of the video monitoring system, acquiring ambulance information according to an inquiry request of a first user terminal, acquiring channel data corresponding to any image in all images from the memory, displaying videos corresponding to the corresponding channel data according to a selection request of the first user terminal, and acquiring characteristic information of the images;
the method comprises the steps that when a certain data frame of a video is obtained, a first user terminal records a current time node, a standard value of a frame number of the certain data frame is obtained according to a collection period of a video monitoring system, a video time stamp of the certain data frame is calculated, video consultation data are stored to a cloud server according to the video time stamp, and an access Uniform Resource Locator (URL) with a valid period of 24 hours is generated;
The video playback reading module is in charge of acquiring the Uniform Resource Locator (URL), receiving video playback sent to the video monitoring system by the user equipment, acquiring storage information of data of video consultation, and reading the data of the video consultation by the user equipment according to the storage information.
7. The emergency management system for multi-terminal collaborative video real-time interaction according to claim 1, wherein the video monitoring system comprises:
the 5G communication equipment is in charge of receiving and sending 5G signals and providing a 5G network for the ambulance intelligent terminal and the first user terminal;
the camera is in charge of providing a real-time video source, is in wireless connection with the intelligent terminal of the ambulance and is arranged on the ambulance; capturing an image or video of the ambulance, converting the optical signal into an electrical signal by an optical sensor, and converting the electrical signal into a visible image or video by image processing; the system is used for shooting photos, recording videos, monitoring and security protection;
the audio processor is responsible for collecting audio signals of patients and doctors, and performs noise reduction, audio gain and audio effect processing operation through digital signal processing, so that voice interaction of video consultation is realized.
8. The emergency management method for the multi-terminal collaborative video real-time interaction is characterized by comprising the following steps of:
Creating a first electronic case from patient basic information, the basic information comprising: patient name, age, sex, symptoms and treatment measures;
the method comprises the steps of sending a first electronic case to a first user terminal through a network, and establishing information synchronization between the first user terminal and the first electronic case;
and establishing video consultation between the ambulance and the first user terminal, realizing instant communication between the ambulance and the first user terminal, simultaneously saving data of the video consultation, and providing a video playback function.
9. The emergency management method of multi-terminal collaborative video real-time interaction according to claim 8, wherein the process of creating the first electronic case from the patient basic information comprises the steps of:
establishing communication between the intelligent terminal and the first user terminal on the ambulance through identity identification of the intelligent terminal, and recording identity information, communication establishment time and position information of the intelligent terminal;
acquiring identity information and basic vital signs of a patient, and establishing a first electronic case with unique identity information, wherein the basic vital signs comprise systolic pressure, diastolic pressure, body temperature and respiratory rate;
and encrypting the data containing the patient identity information and the basic vital sign by adopting a mode of combining an HTTPS protocol and an SSL certificate, transmitting the encrypted data to the first user terminal through a network, encrypting the data received by the first user terminal by adopting an AES encryption algorithm, and storing the ciphertext in a database of the first user terminal.
10. The emergency management method of multi-terminal collaborative video real-time interaction according to claim 8, wherein the process of establishing a video consultation of an ambulance with a first user terminal comprises the steps of:
initializing a video monitoring system of the ambulance, loading all images acquired by the video monitoring system into a memory of the video monitoring system, acquiring ambulance information according to a query request of a first user terminal, acquiring channel data corresponding to any image in all the images from the memory, displaying videos corresponding to the corresponding channel data according to a selection request of the first user terminal, and acquiring characteristic information of the images;
when a certain data frame of a video is obtained, the first user terminal records a current time node, obtains the standard value of the frame number of the certain data frame according to the acquisition period of the video monitoring system, calculates the video time stamp of the certain data frame, stores the data of video consultation to a cloud server according to the video time stamp, and generates an access Uniform Resource Locator (URL) with the validity period of 24 hours;
and acquiring a Uniform Resource Locator (URL), receiving video playback sent to a video monitoring system by user equipment, acquiring storage information of data of video consultation, and reading the data of the video consultation by the user equipment according to the storage information.
CN202311413042.3A 2023-10-27 2023-10-27 Emergency management system and method for multi-terminal collaborative video real-time interaction Pending CN117352156A (en)

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