CN101345670A - Doctor-patient remote interaction platform and method - Google Patents
Doctor-patient remote interaction platform and method Download PDFInfo
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- CN101345670A CN101345670A CNA2007101185772A CN200710118577A CN101345670A CN 101345670 A CN101345670 A CN 101345670A CN A2007101185772 A CNA2007101185772 A CN A2007101185772A CN 200710118577 A CN200710118577 A CN 200710118577A CN 101345670 A CN101345670 A CN 101345670A
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Abstract
The invention relates to a doctor-patient remote alternation platform and a remote alternation method, comprising: a computer system at a server end, a microcomputer device at a medical referral centre institution end, a microcomputer device at a medical referral application end, a microcomputer device at a medical expert end, which are in a wide area network and realize network connection, thereby realizing facial transmission in a broadcasting mode, medical image of real-time transmission, remote control automatic microscope platform, and alternation speech communication is present on the basis of sharing real-time medical image. Three perfect remote medical solution with different applications are realized, including a pathology remote consultation solution, a pathology remote medical education solutionand a pathology remote medical communication solution.
Description
Technical field
The present invention relates to a kind of doctors and patients' remote interaction platform and remote interaction method, the present invention mainly is made up of remote interaction platform (hardware), tele-medicine consulting system (software) and embedded micrometron platform (hardware).Make full use of existing Internet technology and resource, select suitable access way (comprising E1, DDN, ISDN, LAN, ADSL or the like), can transmit real-time medical image, the Long-distance Control microscope has interactive speech exchange on the basis of sharing real-time medical image.
Background technology
China ground is vast, populous, the medical level disparate development, and tertiary hospitals is distributed in big or middle city substantially, and the Medical Devices of high, precision and frontier are many to be distributed in the big city also.Patient, particularly backwoodsman patient carry out expert consultation because local relatively backward, critical, the difficult patient of medical condition often will be sent to higher level hospital.Increased burden economically to far prescription on individual diagnosis transportation expenses, family members' escorting fee usefulness, hospitalization and medical treatment expenses etc. to patient.Simultaneously, jolting of road caused injury also for the originally fragile sick body of patient, and many patients that do not have condition to go to a doctor to large hospital have then delayed diagnosis and treatment, have caused the misery on the body and mind for patient and family members.Even in the big city, patient also wishes to arrive the treatment that tertiary hospitals is accepted the expert, causes the basic hospital patient to flow into city-level hospital one after another, increased the weight of the burden of city-level hospital, cause the berth anxiety, and basic unit's berth is idle, the result is medical resource skewness and waste.
In addition, the development of modern medicine is also more and more faster, health care personnel are increasing to the demand of all kinds of medical informations, that realizes the medical literature resource sharedly becomes a very urgent task, and all kinds of health care personnel need accept the continuing education of medical science, just can catch up with the paces of modern medicine development.At the problems referred to above, technology that need be by the advanced person with real-time digitized video, in real time sound, the microscope automatic platform is carried out highly integrated and optimize.Therefore, need to propose a kind of doctors and patients' remote interaction platform and remote interaction method.
Summary of the invention
The object of the present invention is to provide a kind of doctors and patients' remote interaction platform and remote interaction method, the present invention mainly is made up of remote interaction platform (hardware), tele-medicine consulting system (software) and embedded micrometron platform (hardware).Make full use of existing Internet technology and resource, select suitable access way (comprising E1, DDN, ISDN, LAN, ADSL or the like), can realize the transmission of the face of broadcast type, transmit real-time medical image, Long-distance Control micrometron platform has interactive speech exchange on the basis of sharing real-time medical image.Realization comprises that pathology remote medical consultation with specialists solution, pathology telemedicine education solution, pathology telemedicine exchange the telemedicine solution three kinds of different application, perfect of solution.
The objective of the invention is to be realized by following technical proposals: a kind of doctors and patients' remote interaction platform, this remote interaction platform comprise that a server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device; Described server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to be in the wan environment and realize that network connects, described wan environment is based on the net territory environment of INTERNET, the software that described server end computer system comprises management server, accounting server, certificate server, database server, is complementary with described computer system; Described medical advice application end microcomputer device connects an optics micrometron; Described medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to mate respectively to have corresponding reference software system.
Another object of the present invention is achieved in that a kind of doctors and patients' remote interaction method, mutual personnel carry out information interchange according to a remote interaction platform, and described remote interaction platform comprises that a server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device; Described server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to be in the wan environment and realize that network connects, described wan environment is based on the net territory environment of INTERNET, the software that described server end computer system comprises management server, accounting server, certificate server, database server, is complementary with described computer system; Described medical advice application end microcomputer device connects an optics micrometron; Described medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to mate respectively to have corresponding reference software system; The step of described remote interaction is:
A, medical advice application end microcomputer device call the counsel requests description document in the microcomputer device, fill in according to documentation requirements and generate the counsel requests file, and this counsel requests file is sent to the server end computer system;
After B, server end computer system are received described counsel requests file, according to the information data in the counsel requests file, from database, search for qualified online Medical Technologist and generate the expert info file, and the expert info file is sent in the medical advice application end microcomputer device;
C, medical advice application end microcomputer device are selected according to the expert info file of receiving, if agree, then counsel requests description document and confirmation are sent to the server end computer system; After the server end computer system is received confirmation and counsel requests description document, will be forwarded to immediately in the medical advice central authority end microcomputer device;
The healthcare givers of D, medical advice central authority end enters the virtual consultation chamber according to the counsel requests description document operation medical advice central authority end microcomputer device of receiving by this microcomputer device Connection Service device end computer system; At this moment, medical advice application end personnel enter the virtual consultation chamber by medical advice application end microcomputer device Connection Service device end computer system;
If E medical advice application end personnel and medical advice central authority end healthcare givers all agree to enter next step program, medical advice application end personnel send confirmation signal by medical advice application end microcomputer device, and the healthcare givers sends confirmation signal by medical advice central authority end microcomputer device; After both sides confirmed to begin consulting, medical advice application end microcomputer device started the optics micrometron and MIcrosope image is sent to the virtual consultation chamber, and both sides can carry out real-time voice, text, image communication; The medical expert holds the link that on the microcomputer device demonstration is entered this virtual consultation chamber;
The accounting server of F, described server end computer system and certificate server start, and the CNP in the deduction medical advice application end account number increases the CNP in the medical advice central authority end account number;
G, healthcare givers send medical advice suggestion report file to the server end computer system by medical advice central authority end microcomputer device, the server end computer system is transmitted to medical advice application end microcomputer device after receiving medical advice suggestion report file.
Compared with the prior art the present invention has following advantage:
1, the present invention is made up of the server end department of computer science client microcomputer device of unifying, and can satisfy between long-distance interactive consulting one to one between medical advice central authority and the medical advice application, the medical institutions, the telemedicine education of one-to-many exchanges with telemedicine between the healthcare givers.
2, the present invention can realize the transmission of the face of broadcast type, transmits real-time medical image.Long-distance Control micrometron platform has interactive speech exchange on the basis of sharing real-time medical image.
3, the present invention has powerful data function, can support multiple Streaming Media, MS OFFICE file, plurality of picture form, for remote medical consultation with specialists consulting, telemedicine education exchange with telemedicine provide powerful effectively, application platform cheaply.
4, method of the present invention has been exempted mailing section work, has not more been needed the patient to hurry back and forth in different cities.Can exempt the worry of looking for expert's difficulty, improve consultation of doctors efficient and saved expert's valuable time, can significantly improve the importance of pathology at medical domain.
5 methods of the present invention have been expanded the spread scope of top medical expert's service range and medical knowledge, enlarged the scope of viewing and emulating, in the pathology expert of the BJ Union Hospital Diagnosis Service that can not only offer the best for the sufferer of the relative backward areas of pathological diagnosis, the service of medical education and medical communication also can be provided for these regional pathologist, and the disequilibrium of pathological diagnosis level is well solved.
Description of drawings
Fig. 1 is a system schematic of the present invention
Embodiment
Embodiment one:
Referring to accompanying drawing, a kind of doctors and patients' remote interaction platform, this remote interaction platform comprise that a server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device; Described server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to be in the wan environment and realize that network connects, described wan environment is based on the net territory environment of INTERNET, the software that described server end computer system comprises management server, accounting server, certificate server, database server, is complementary with described computer system; Described medical advice application end microcomputer device connects an optics micrometron; Described medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to mate respectively to have corresponding reference software system.
In the present embodiment, employed computer installation preferred disposition is as follows:
Server end computer system--rack-mount server
More than CPU frequency double-core 3000 megahertzes
More than the internal memory 1G
More than the SCSI hard disk 60GB
Network interface capabilities 1000M
DVD-ROM。
Medical advice central authority end microcomputer device
More than CPU frequency 1500 megahertzes
Internal memory is more than 512,000,000
More than the SATA hard disk 40GB
Network interface capabilities 100M
128,000,000 independent video cards
DVD-ROM。
Medical advice application end microcomputer device
More than CPU frequency 1500 megahertzes
Internal memory is more than 512,000,000
More than the SATA hard disk 40GB
Network interface capabilities 100M
128,000,000 independent video cards
DVD-ROM。
The medical expert holds microcomputer device
More than CPU frequency 1500 megahertzes
Internal memory is more than 512,000,000
More than the SATA hard disk 40GB
Network interface capabilities 100M
128,000,000 independent video cards
DVD-ROM。
In the present embodiment, medical advice central authority end microcomputer device is by the Internet remote command optics micrometron and carry out voice, video, image, multimedia file transmission with medical advice application organization end and exchange.The function of viewing and emulating provided by the invention can allow other medical advice application ends, medical expert's end to enter virtual consulting room and view and emulate ongoing real time remote medical advice.In virtual consulting room, can pass through the mutual of multimedia file (sound, video, image, text, POWERPOINT, WORD, EXCEL) between the medical institutions or between the healthcare givers, carry out tele-medicine education or telemedicine and exchange.Medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold the reference software system are installed in the microcomputer device, and this system verifies according to landing number of the account, and gives each client and use identity and right accordingly.Medical advice central authority end provides tele-medicine consulting, tele-medicine education, telemedicine to exchange service.Medical advice application termination is received counsel requests and the data from the patient, and proposes counsel requests to medical advice central authority end, obtains advisory opinion, also can apply for the service that tele-medicine education that the medical advice central authority provides exchanges with telemedicine.Medical expert's termination is received the long-range non real-time medical advice request from medical advice application center, and provides the advisory opinion report, also can provide to carry out tele-medicine education and exchange service with telemedicine.The attainable function of this platform comprises carries out tele-medicine consulting interaction between the medical institutions, can realize remote live and non real-time medical advice interaction function; Can realize that also medical institutions or healthcare givers carry out tele-medicine education; Thereby also can realize to carry out between the healthcare givers medical communication and improve their professional skill.
In the present embodiment, the server end computer system designs based on multistage server architecture, have characteristics such as across a network, distributed, dynamic equalization, data distribution, can stable operation on Windows or Linux platform, by expansion servers, allow endless virtual conference room and user online.Because the server end computer system adopts server cluster, have characteristics such as fault recovery, dynamic Hot Spare, thereby can provide round-the-clock continual service for the client.
Server end computer system in the present embodiment adopts distributed server architecture, support tree type and netted two kinds of servers to set up structure, fault-tolerant by multilevel distributed master, multi-point server Hot Spare, on structure, avoided the whole system that causes paralysis effectively because of the separate unit server failure.
Server end computer system in the present embodiment mainly guarantees network security by the following aspects:
1, carries out multi-enciphering at a plurality of transmission levels, greatly improve the confidentiality and the anti-assault ability of system.
2, the login authentication of client is finished on certificate server, and in transmission course, user cipher adopts the MD5 non-reversible algorithm to encrypt, and this algorithm can't be decoded so far.Network layer is carried out the cryptographic check first time, prevents that the hacker from carrying out invalid data deception, buffering flooding;
3, the application data layer adopts 64 DES algorithms to carry out the encryption second time, prevents that disabled user's network monitoring from cracking.
The accounting server of server end computer system, certificate server and database server are placed on Intranet, and the outside cannot be visited; And each server software may operate under the Linux environment, and this also will improve the fail safe of server.The system of this tactic pattern has great extensibility.According to the scale of system requirements, every grade of server can expand to many.When system scale requires to enlarge, can be under the situation that does not influence original system, the convenient respective server of adding can increase power system capacity.The data-handling capacity of assurance system and service ability can reach requirement.
The server end computer system is supported the tactic pattern of distributed server cluster, has great network-adaptive ability.According to system's place network environment, every station server can be deployed in different places, improve the network-adaptive ability of system; Simultaneously the various rules that provide of coupling system flexible each server of coordinated control system is set load in the reasonable scope, guarantee the stability of a system; Distributing user only multi-point server in the network is increased network utilization.
The server end computer system is supported netted and tree network structure, supports that data are transmitted step by step, the synchronization replication function, beats greatly and solves the network bandwidth, alleviates the burden of individual server.
The server end computer system provides multiple server redirection strategy, for example according to rules such as user ID, meeting room, IP source, area, organization, load balancing, client is assigned on the optimal sub server, thereby increases network utilization greatly and performance.
Server end computer system functions in the present embodiment
.. consultation of doctors management (hall, many consultation of doctors)
.. Security Authentication Service
..Web service
.. Control on Communication service, network telephone service, text chat service
.. database service (management such as user profile, pictorial information, consultation of doctors process recording, system information, the communication information)
.. charge and serve.
In the present embodiment, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold the software in the microcomputer device to adopt current state-of-the-art C/S and B/S structure and the framework exploitation of depositing forms.The chief of the collection C/S of this system and two kinds of structures of B/S makes that system is stable, easy-to-use more, the easy care upgrading, manageability.This software can provide the remote medical consultation with specialists of literal, voice, video, courseware, broadcasting and electronic whiteboard interaction, utilizes existing INTERNET the Internet to carry out remote message transmission.Consulting room in the thyrite medical science net remote medical consultation with specialists system client software virtual reality, the strange land doctor is mutual by voice, real-time video, as staying among the same consulting room.The telepathology expert is by multimedia real-time imaging, voice interface function in the software, makes the consultation of doctors that can access various places multidigit well-known doctor far away from the ordinary people in thousands of miles away any area.Between medical expert and patient, set up brand-new contact, make patient can accept strange land expert's the consultation of doctors and treatment and nursing under it instructs in original place, former hospital, thereby save a large amount of time and money of patient, in the expenditure that has to a certain degree reduced patient.
In the B/S structure in the native system, use current popular J2EE framework, according to the mvc pattern whole tcn system has been divided into three layers, i.e. presentation layer, key-course, model layer.The data of model layer process database wherein, presentation layer is responsible for the video data of the web page, and key-course is the bridge of presentation layer and model layer, is responsible for the exchanges data of control between the two.Whole system has been used the struts+spring+hibernate framework, and hibernate is responsible for the deal with data database data, and struts is responsible for processing page, and spring removes to control struts and hibernate.Consultation of doctors lobby module has been used current popular ajax technology, uses the dojo framework, and the data in asynchronous process hall, the data in hall all are placed in the internal memory, by the asynchronous call java server program of dojo, immediate updating data.
C/S structure in the native system, the TCP/UDP/Multicast agreement is supported in the IP based network exploitation, application layer is supported H.323/SIP agreement, well the audio ﹠ video equipment of compatible various standard agreements.
Tele-medicine consulting system (software) performance in the present embodiment is as follows:
.. Long-distance Control microscope, consulting are presided over
.. collect counsel requests, submit consultation report to, check historical search record, charging
.. obtain real-time imaging, the networking telephone, text chat
.. white boarding, consultation process recording function, screen broadcasting, courseware are synchronous.
.. the consulting application end software performance in the present embodiment is as follows:
.. local control microscope, cooperation Long-distance Control
.. submit counsel requests to, obtain consultation report, check historical search record, charging
.. obtain real-time imaging, transmitting-receiving sound, text chat
.. white boarding, consultation process recording function, screen broadcasting, courseware is synchronous, webpage is synchronous.
.. the onlooker in the present embodiment holds software performance as follows:
.. obtain real-time imaging, the networking telephone, text chat
.. consultation process recording function, white boarding, consultation process recording function, screen broadcasting, courseware are synchronous.
Remote management terminal software performance in the present embodiment is as follows:
.. Long-distance Control microscope, consulting are presided over
.. subscriber information management, user authority management, accounting management
.. ad distribution and management service
The system information issuing service.
In the present embodiment, it is 03140597.5 disclosed optics micrometron that micrometron can use China Patent No., this microscope has a main microscope that is made of eyepiece, object lens, objective table, condenser, lighting source, an image scanning video camera is equipped with at described main microscope top, described object lens are provided with electrodynamic transducer, described objective table is provided with horizontal cross shaft motor and horizontal longitudinal axis motor, and the column of described main microscope is provided with the vertical axes motor; Described horizontal cross shaft motor drives with a specimen holder locating rack by transmission mechanism and is connected, and described horizontal longitudinal axis motor drives with described objective table by transmission mechanism and is connected, and described vertical axes motor drives with objective table by transmission mechanism and is connected; A controller is arranged, this controller by embedded Control circuit, LCDs, horizontal cross shaft motor-drive circuit, horizontal longitudinal axis motor-drive circuit, vertical axes motor-drive circuit, move horizontally control command encoder, vertical mobile control command encoder, lamplight brightness control command encoder, object lens conversion and control command encoder, operating grip and constitute.It is 200420087936.4 disclosed controllers and the operation sequence that is complementary that described controller can adopt China Patent No..Described controller inserts computer system by data wire.
In the present embodiment, described acquisition range is the zone of object lens scanning, and this zone is set in advance by the operator, and by controller input computer system.Described acquisition order and step-length are meant route that objective table is advanced in the gatherer process and the distance that moves once.Objective table can be advanced by multiple route, but must can cover the Zone Full of section, and the distance and the size and the multiplying power of object lens that objective table moves once are relevant, still must guarantee to have certain overlapping region between time piece image and the last piece image.In the present embodiment, the multiplying power of object lens can be selected in 4 times, 10 times, 40 times, 100 times.
Micrometron in the present embodiment adopts the embedded micrometron platform of AMP2000 to adopt international advanced collecting and distributing control technology of DCS and module embedded structure, makes microscope and integrated, the one integrated mass of automatic control system height.Consummate control technology makes manual objective table and focalizer upgrade to automatic control system, moves steadily fast, and return is accurately errorless; The micron order segmentation guarantees that automatic focus accurately puts in place.Accurate trace ball formula microscope stage controller can carry out plane 360 degree and control, and feel is smoothly not jerky, and this patented technology is reached the international leading level.The embedded micrometron many CPU of employing multithreading of system mobile platform control mode has realized that XYZ three-shaft linkage, multiple spot plane correction, multiple spot position memory, mechanical clearance compensate automatically.
Micrometron functional characteristics in the present embodiment is as follows:
.. Remote strange land remote control microscope, expert obtain consultation of doctors initiative
.. browse synchronously and browse section, two-way cross complaint under the mirror in real time synchronously
.. automatically the seamless spliced technology of picture mosaic high accuracy, generate big visual field panoramic picture automatically
.. a plurality of specific field of view position memories of self-return, accurate returning quickly
.. automatic scan is created integrated control technology, is realized the objective table three-shaft linkage
Micrometron performance index in the present embodiment are as follows:
Maximum moving range X-axis: be not less than 70mm, Y-axis is not less than 30mm, and the Z axle is not less than 3mm
Mobile accuracy X-axis: 1.25um, Y-axis: 1.25um, Z axle: 0.125um
Micro-platform controller of mode of operation trace ball or computer mouse
The optional Olympus of microscope, moral card, Nikon trinocular microscope
The plain CMOS high-definition color of camera system 470000 pixel CCD high definition colour imagery shots or hundred everythings digital camera head.
Embodiment two:
A kind of doctors and patients' remote interaction method, it is characterized in that, mutual personnel carry out information interchange according to a remote interaction platform, and described remote interaction platform comprises that a server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device; Described server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to be in the wan environment and realize that network connects, described wan environment is based on the net territory environment of INTERNET, the software that described server end computer system comprises management server, accounting server, certificate server, database server, is complementary with described computer system; Described medical advice application end microcomputer device connects an optics micrometron; Described medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to mate respectively to have corresponding reference software system; The equipment disposition of present embodiment is identical with embodiment one, and the step of described remote interaction is:
A, medical advice application end microcomputer device call the counsel requests description document in the microcomputer device, fill in according to documentation requirements and generate the counsel requests file, and this counsel requests file is sent to the server end computer system;
After B, server end computer system are received described counsel requests file, according to the information data in the counsel requests file, from database, search for qualified online Medical Technologist and generate the expert info file, and the expert info file is sent in the medical advice application end microcomputer device;
C, medical advice application end microcomputer device are selected according to the expert info file of receiving, if agree, then counsel requests description document and confirmation are sent to the server end computer system; After the server end computer system is received confirmation and counsel requests description document, will be forwarded to immediately in the medical advice central authority end microcomputer device;
The healthcare givers of D, medical advice central authority end enters the virtual consultation chamber according to the counsel requests description document operation medical advice central authority end microcomputer device of receiving by this microcomputer device Connection Service device end computer system; At this moment, medical advice application end personnel enter the virtual consultation chamber by medical advice application end microcomputer device Connection Service device end computer system;
If E medical advice application end personnel and medical advice central authority end healthcare givers all agree to enter next step program, medical advice application end personnel send confirmation signal by medical advice application end microcomputer device, and the healthcare givers sends confirmation signal by medical advice central authority end microcomputer device; After both sides confirmed to begin consulting, medical advice application end microcomputer device started the optics micrometron and MIcrosope image is sent to the virtual consultation chamber, and both sides can carry out real-time voice, text, image communication; The medical expert holds the link that on the microcomputer device demonstration is entered this virtual consultation chamber, and click can enter, and carries out real-time voice, video, text, POWERPOINT, WORD, EXECL, realtime graphic interchange;
The accounting server of F, described server end computer system and certificate server start, and the CNP (consulting is counted) in the deduction medical advice application end account number increases the CNP (consultation of doctors is counted) in the medical advice central authority end account number;
G, healthcare givers send medical advice suggestion report file to the server end computer system by medical advice central authority end microcomputer device, the server end computer system is transmitted to medical advice application end microcomputer device after receiving medical advice suggestion report file.
In the present embodiment, other medical advice application end microcomputer device also can be realized link, and click can enter and view and emulate, learns and carry out real-time voice, video, text, POWERPOINT, WORD, EXECL, realtime graphic and exchange.
In the present embodiment, fill in tele-medicine advisory opinion report file after medical advice central authority end healthcare givers consulting is finished, and submit to server system.To enter the server system database to consulting complexity of case and the evaluation that the microsection manufacture quality is carried out in the medical advice suggestion report file, for from now on analysis of cases, sum up a large amount of foundations is provided.
In the present embodiment, the server end computer system is transmitted to medical advice application end after receiving medical advice suggestion report file, and medical advice application end receives medical advice suggestion report file by medical advice application end microcomputer device.
In the present embodiment, remote medical consultation with specialists terminal patient or other experts can realize the network online by common telecommunications such as ADSL or limited broadband carrying dialing.Start the remote interaction platform, land consultation of doctors hall, fill in and submit to consultation of doctors request, and patient's basic medical information state is ready to (as the data such as result, tentative diagnosis result, treatment results and patient's medical image picture of medical history, the reason of being admitted to hospital, various check and chemical examination) in advance.Server will provide consultation of doctors service for the suitable authority's of consultation of doctors application side coupling expert automatically according to consultation of doctors request slip.
During holding a consultation, the expert can see the real-time imaging of passing back under the mirror by long-range microscopical move of control, and in conjunction with patient's basic medical information state data, the expert provides diagnosis basis for remote medical consultation with specialists.When the consultation of doctors, expert and consultation of doctors application side enter the meeting room of setting simultaneously, and by audio ﹠ video equipment, consultation of doctors both sides realize the interactive connection based on real-time sound, video.The audio frequency of system's high sharpness video and high-fidelity has guaranteed consultation of doctors both sides' accurate interchange.The characteristics of double fluid unification are the demonstration at the synchronous unified interface of data flow and video flowing, but the both sides limit of being convenient to hold a consultation understand at patient's the state of an illness data that provides, the expert carries out " observation " to patient's medical image simultaneously and reaches " interrogation ".The overall understanding conditions of patients is diagnosed accurately.In the consultation of doctors process, can record whole meeting rhonchus, video and other operational motions by the recording function of software systems, after being convenient to hold a consultation, the discussion between the expert group reaches the tracing property consultation of doctors to the backup of consultation of doctors data and emphasis patient.The consultation of doctors finishes, and the expert fills in the consultation of doctors diagnosis report of standard, by system's transmitting-receiving file function, sends to the patient in real time.System will charge expert and agreement consultation of doctors back, consultation of doctors application side.
In remote interaction platform of the present invention, can carry out tele-medicine consultation of doctors net explorer application, appropriate experts information inquiry, tele-medicine consultation of doctors application, tele-medicine consultation of doctors cancellation, the tele-medicine consultation of doctors report, etc. all multi-functional.Simultaneously, also be provided with the electronic health record storehouse in the remote interaction platform of the present invention, in order to detail record consultation of doctors patient's basic document and diagnostic result.
The configuration software function is as follows in remote interaction platform of the present invention:
.. many people consulting room can hold 50 people simultaneously, satisfies the consultation of doctors, teaching purposes
.. consulting room is looked on function and is allowed the member that the ongoing consultation of doctors is looked on
.. the multi-channel video system supports 2 tunnel video broadcastings.The microscopically realtime graphic, expert's video
.. multi-path voice is supported 4 people speech simultaneously, fully satisfies speech exchange, interactive demand
.. several data sharing mode supporting documentation share, webpage synchronously, multiple functions such as classroom mark, electronic whiteboard, desktop programs share, exchange files, Flash Synchronization Control
.. DVD, WMV, ASF, audio/video file synchronized broadcastings such as VCD are supported in files in stream media broadcasting
.. the consultation of doctors is recorded, playback allows you reproduce whole consultation of doctors process
.. open cradle head control technology is adopted in the control of microscope automatic platform, thereby realizes remote monitoring function
.. more video equipment is supported Firewire (1394), DV, video equipments such as USB and capture card
.. GDI adopts unified ODBC interface, supports SQL Server, large databases such as My SQL, Oracle
.. better video compression algorithm is introduced advanced H.264 compression algorithm, saves more bandwidth
.. stronger Image Smoothing Skill is thoroughly eliminated the assorted point of picture, color lump.
Embodiment three:
Present embodiment is the improvement on the previous embodiment basis, and employed equipment and software are identical with embodiment two, and the step of described remote interaction is:
A, medical advice application end microcomputer device call the counsel requests description document in the microcomputer device, fill in the generation demand file according to documentation requirements, and this counsel requests file is sent to the server end computer system;
After B, server end computer system are received described counsel requests file, according to the information data in the counsel requests file, from database, search for qualified Medical Technologist and generate qualified Medical Technologist's information list file, this listing file is sent to medical advice application end.Medical advice application end is selected the consulting Medical Technologist in listing file after, the server end computer system sends to the medical expert with counsel requests file and selection result and holds in the microcomputer device;
The Medical Technologist of C, medical expert's end uses the medical expert to hold microcomputer device to check off-line consulting request slip, select by the information in the counsel requests file, if select to agree consulting, the accounting server of described server end computer system and certificate server start, CNP in the deduction medical advice application end account number increases the CNP in the medical advice central authority end account number;
After the Medical Technologist of D, medical expert's end agrees consulting, diagnose and use the medical expert to hold microcomputer device to send medical advice suggestion report file to the server end computer system by the counsel requests description document in the consulting application; The server end computer system is transmitted to medical advice application end after receiving medical advice suggestion report file, medical advice application end receives medical advice suggestion report file by medical advice application end microcomputer device.
Claims (3)
1, a kind of doctors and patients' remote interaction platform is characterized in that, this remote interaction platform comprises that a server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device; Described server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to be in the wan environment and realize that network connects, described wan environment is based on the net territory environment of INTERNET, the software that described server end computer system comprises management server, accounting server, certificate server, database server, is complementary with described computer system; Described medical advice application end microcomputer device connects an optics micrometron; Described medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to mate respectively to have corresponding reference software system.
2, a kind of doctors and patients' remote interaction method, it is characterized in that, mutual personnel carry out information interchange according to a remote interaction platform, and described remote interaction platform comprises that a server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device; Described server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to be in the wan environment and realize that network connects, described wan environment is based on the net territory environment of INTERNET, the software that described server end computer system comprises management server, accounting server, certificate server, database server, is complementary with described computer system; Described medical advice application end microcomputer device connects an optics micrometron; Described medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to mate respectively to have corresponding reference software system; The step of described remote interaction is:
A, medical advice application end microcomputer device call the counsel requests description document in the microcomputer device, fill in according to documentation requirements and generate the counsel requests file, and this counsel requests file is sent to the server end computer system;
After B, server end computer system are received described counsel requests file, according to the information data in the counsel requests file, from database, search for qualified online Medical Technologist and generate the expert info file, and the expert info file is sent in the medical advice application end microcomputer device;
C, medical advice application end microcomputer device are selected according to the expert info file of receiving, if agree, then counsel requests description document and confirmation are sent to the server end computer system; After the server end computer system is received confirmation and counsel requests description document, will be forwarded to immediately in the medical advice central authority end microcomputer device;
The healthcare givers of D, medical advice central authority end enters the virtual consultation chamber according to the counsel requests description document operation medical advice central authority end microcomputer device of receiving by this microcomputer device Connection Service device end computer system; At this moment, medical advice application end personnel enter the virtual consultation chamber by medical advice application end microcomputer device Connection Service device end computer system;
If E medical advice application end personnel and medical advice central authority end healthcare givers all agree to enter next step program, medical advice application end personnel send confirmation signal by medical advice application end microcomputer device, and the healthcare givers sends confirmation signal by medical advice central authority end microcomputer device; After both sides confirmed to begin consulting, medical advice application end microcomputer device started the optics micrometron and MIcrosope image is sent to the virtual consultation chamber, and both sides can carry out real-time voice, text, image communication; The medical expert holds the link that on the microcomputer device demonstration is entered this virtual consultation chamber;
The accounting server of F, described server end computer system and certificate server start, and the CNP in the deduction medical advice application end account number increases the CNP in the medical advice central authority end account number;
G, healthcare givers send medical advice suggestion report file to the server end computer system by medical advice central authority end microcomputer device, the server end computer system is transmitted to medical advice application end microcomputer device after receiving medical advice suggestion report file.
3, a kind of doctors and patients' remote interaction method, it is characterized in that, mutual personnel carry out information interchange according to a remote interaction platform, and described remote interaction platform comprises that a server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device; Described server end computer system, medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to be in the wan environment and realize that network connects, described wan environment is based on the net territory environment of INTERNET, the software that described server end computer system comprises management server, accounting server, certificate server, database server, is complementary with described computer system; Described medical advice application end microcomputer device connects an optics micrometron; Described medical advice central authority end microcomputer device, medical advice application end microcomputer device, medical expert hold microcomputer device to mate respectively to have corresponding reference software system; The step of described remote interaction is:
A, medical advice application end microcomputer device call the counsel requests description document in the microcomputer device, fill in the generation demand file according to documentation requirements, and this counsel requests file is sent to the server end computer system;
After B, server end computer system are received described counsel requests file, according to the information data in the counsel requests file, from database, search for qualified Medical Technologist and generate qualified Medical Technologist's information list file, this listing file is sent to medical advice application end.Medical advice application end is selected the consulting Medical Technologist in listing file after, the server end computer system sends to the medical expert with counsel requests file and selection result and holds in the microcomputer device;
The Medical Technologist of C, medical expert's end uses the medical expert to hold microcomputer device to check off-line consulting request slip, select by the information in the counsel requests file, if select to agree consulting, the accounting server of described server end computer system and certificate server start, CNP in the deduction medical advice application end account number increases the CNP in the medical advice central authority end account number;
After the Medical Technologist of D, medical expert's end agrees consulting, diagnose and use the medical expert to hold microcomputer device to send medical advice suggestion report file to the server end computer system by the counsel requests description document in the consulting application; The server end computer system is transmitted to medical advice application end after receiving medical advice suggestion report file, medical advice application end receives medical advice suggestion report file by medical advice application end microcomputer device.
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