CN101625714A - Remote traditional Chinese medical diagnosis and treatment system - Google Patents

Remote traditional Chinese medical diagnosis and treatment system Download PDF

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Publication number
CN101625714A
CN101625714A CN200910090896A CN200910090896A CN101625714A CN 101625714 A CN101625714 A CN 101625714A CN 200910090896 A CN200910090896 A CN 200910090896A CN 200910090896 A CN200910090896 A CN 200910090896A CN 101625714 A CN101625714 A CN 101625714A
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China
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consultation
doctors
specialists
expert
traditional chinese
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CN200910090896A
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孟庆刚
谢晴宇
王乐
王连心
宋琳莉
李瑞祥
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Beijing University of Chinese Medicine
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Beijing University of Chinese Medicine
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Priority to CN200910090896A priority Critical patent/CN101625714A/en
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Abstract

The invention relates to a remote traditional Chinese medical diagnosis and treatment system which comprises a consultation module, a specialist selection module, a specialist terminal, a host terminal and an analysis platform. The consultation module comprises a consultation initiation unit, a consultation control unit, a consultation report unit and a consultation evaluation unit, and a clinician can log in the consultation initiation unit to send a consultation application; the specialist selection module is used for selecting consultation specialists and appointing a consultation host according to the type of a disease; the consultation control unit is used for opening the analysis platform, bringing in the consultation specialists and controlling a consultation progress; the consultation report unit is used for summarizing a consultation scheme obtained after a deep discussion and forming a consultation report; and after the consultation scheme is executed, the consultation evaluation unit forms the contribution degrees of each specialist participating in the consultation process. In the remote diagnosis and treatment system, the consultation specialists can share a patient case and diagnosis data in real time, and under the help of the analysis platform, the consultation specialists and a patient can more intuitionally communicate mutually, thus the wisdoms of the specialists are integrated, thereby further improving the scientificity of specialist selection and the accuracy of a diagnosis result.

Description

A kind of traditional Chinese medical science remote diagnosis system
Technical field
The present invention relates to telemedicine and medical information field, especially relevant with a kind of traditional Chinese medical science remote medical consultation with specialists system.
Background technology
Traditional Chinese medicine and pharmacy is the traditional medicine of China, is the medical system with unique theoretical style and diagnosis and treatment characteristics that the Chinese nation forms in the long term medical practice gradually.
Remote medical consultation with specialists, be to utilize modern communication instruments such as Email, website, mail, phone, fax, video calling, for the patient finishes analysis of medical record, state of an illness diagnosis, further determine the therapeutic modality of therapeutic scheme, it is novel extremely easily diagnosis and treatment mode, closely cooperating of it and network technology, strong drive the reform and the progress of traditional treatment mode, for the zone extension is moved towards in medical treatment, the service internationalization provides solid foundation and strong condition.The development of modern communications technology, artificial intelligence technology, computer networking technology has also brought new opportunity to develop to remote medical consultation with specialists.
The remote medical consultation with specialists of prior art, certain hour before the consultation of doctors, appropriate experts enters expert's clinic, checks whether oneself video, audio frequency be normal, just passes through media such as paper, pen and writes down problem and data.The consultation of doctors time, then the patient briefly introduced medical history, check result, treatment process.The expert inquires the state of an illness to the patient, and makes diagnostic comments and treatment suggestion, and the answer patient puts question to.The consultation of doctors finishes, and patient's data will be filed by the expert, follows the tracks of the treatment situation after the understanding consultation of doctors in order to medical record.
The traditional Chinese medical science remote medical consultation with specialists system of prior art, appropriate experts can not timely, complete, the case information that obtains the patient by all kinds of means, and the case knowledge that is associated with it, forefathers' summary of experience etc., especially can not share patient history and diagnosis data, bring inconvenience for expert's diagnosis; In consultation of doctors process, between expert and the expert, between expert and the patient, lack necessary interaction; Simultaneously, consultation of doctors conclusion is property really, also temporarily lacks a comprehensive appraisement system, is difficult to realize effective feedback of diagnostic result.
Summary of the invention
At problems of the prior art, the object of the present invention is to provide a kind of traditional Chinese medical science remote medical consultation with specialists system.
For realizing this purpose, technical scheme of the present invention is as follows:
A kind of traditional Chinese medical science remote medical consultation with specialists system comprises that consultation of doctors module, expert select module, expert terminals, host's terminal and analysis platform:
Described consultation of doctors module, comprise that unit, consultation of doctors control module are initiated in the consultation of doctors, hold a consultation report unit and consultation of doctors evaluation unit, need the clinician who initiates remote medical consultation with specialists to login described consultation of doctors initiation unit, send consultation of doctors application, what the described consultation of doctors initiated that the unit receives its input waits to hold a consultation patient's each side clinic diagnosis information, sends described consultation of doctors control module to; Described consultation of doctors control module reads the disease type of being put down in writing in the described clinic diagnosis information, is transmitted in described expert and selects module;
Described expert selects module, is connected with described consultation of doctors module, and according to the disease type of described consultation of doctors control module input, the expert who selects association area in experts database is for participating in the appropriate experts of this time consultation of doctors; And in appropriate experts, specify consultation of doctors host, and described appropriate experts and consultation of doctors host list are transmitted in described consultation of doctors control module;
Described consultation of doctors control module is opened described analysis platform, include described appropriate experts in, described consultation of doctors control module sends to each terminal and detects instruction, receive the normal report of duty of all consultation of doctors terminal feedbacks after, described consultation of doctors control module begins to carry out the remote medical consultation with specialists of this time traditional Chinese medical science; The matching unit of described analysis platform is match reference information in knowledge base and case storehouse;
Described consultation of doctors control module is controlled the remote medical consultation with specialists of this time traditional Chinese medical science and is carried out the problem proposition stage, proposes diagnosis and treatment conceptual level, scheme discuss stage, appropriate experts is in the described consultation of doctors of consultation of doctors terminal-joined, consultation of doctors host participates in the described consultation of doctors in described host's terminal, and described consultation of doctors report unit gathers the consultation of doctors scheme that obtains and forms consultation of doctors report after deeply inquiring into;
Described consultation of doctors evaluation unit receives the feedback after this clinician carries out consultation of doctors scheme, forms respectively to participate in the contribution degree of appropriate experts in this consultation of doctors process, and this contribution degree is transmitted in described expert selects module.
Traditional Chinese medical science remote medical consultation with specialists of the present invention system, preferably, described expert selects module to comprise the rank unit, and a rank of carrying out according to this domain expert's contribution degree is safeguarded in described rank unit in experts database, and described expert selects module to determine to participate in the list of expert of this time consultation of doctors according to described rank.
Traditional Chinese medical science remote medical consultation with specialists of the present invention system, preferred, described expert selects module also to comprise host's determining unit, and the expert that this host's determining unit selects contribution degree to rank the first in described rank is the host that holds a consultation.
Traditional Chinese medical science remote medical consultation with specialists of the present invention system, preferred, described consultation of doctors control module sends to each terminal and detects instruction, is detected the duty of the related equipment of this time remote medical consultation with specialists automatically and is fed back this duty to described consultation of doctors control module by consultation of doctors terminal.
Traditional Chinese medical science remote medical consultation with specialists of the present invention system, preferably, after every appropriate experts is drafted the Chinese traditional medical diagnose scheme, send to analysis platform by described consultation of doctors terminal, the matching unit of described analysis platform at first in knowledge base to this its argument foundation of diagnosis and treatment scheme matched and searched, if any problem, matching result is returned this expert terminals, determine its correctness for this appropriate experts.
Traditional Chinese medical science remote medical consultation with specialists of the present invention system, preferably, to a medical image, the result of described consultation of doctors terminal is finished this appropriate experts on this expert terminals this image information, mail to described analysis platform by consultation of doctors control module, for consultation of doctors participant Real-Time Sharing.
Traditional Chinese medical science remote medical consultation with specialists of the present invention system, preferred, described consultation of doctors evaluation unit is transmitted in described rank unit to upgrade the contribution degree value rank of each appropriate experts with this contribution degree.
Traditional Chinese medical science remote medical consultation with specialists of the present invention system, preferred, consultation of doctors module also comprises record cell, is used for writing down every expert's of investigation process speech and suggestion.
As shown from the above technical solution, the present invention has following beneficial effect: the invention discloses a kind of traditional Chinese medical science remote medical consultation with specialists system, be by modern communications technology, artificial intelligence technology, computer networking technology etc., the traditional Chinese medical science remote medical consultation with specialists system that, curative effect true to acatalepsia very important decision not remarkable, public health emergency is carried out the consultation of doctors investigation of effective colony.Traditional Chinese medical science remote medical consultation with specialists of the present invention system has shortened making a definite diagnosis the time of intractable case, has saved medical treatment cost, has remedied emergency medical services defect of insufficient from far-off regions, also provides better medical education for the medical worker of remote districts simultaneously.Traditional Chinese medical science remote medical consultation with specialists of the present invention system, make the expert who is in different regions break through the restriction of geographic range, share patient history and diagnosis data, make consultation of doctors participant to exchange mutually more intuitively, thereby help improving the accuracy of diagnostic result and can improving the efficient of traditional Chinese medical science remote medical consultation with specialists.Traditional Chinese medical science remote medical consultation with specialists of the present invention system has perfect feedback and appraisement system, has further improved the science that the expert selects and the accuracy of diagnostic result.
Below by drawings and Examples, technical scheme of the present invention is described in further detail.
Description of drawings
Fig. 1 is the modular structure figure of the traditional Chinese medical science remote medical consultation with specialists system of the preferred embodiment of the present invention.
Embodiment
The invention will be further described below in conjunction with accompanying drawing and preferred embodiment.
Traditional Chinese medical science remote medical consultation with specialists of the present invention system, both be applicable to critical and patient state of an illness complexity, also be applicable to very important decision to public health emergency, consultation of doctors participant (doctor, expert etc.), it is other to be sitting in consultation of doctors terminal (as computing machine) simultaneously, pass through video, voice, literal, communication exchanges such as picture, consultation of doctors participant can browse to all case information and the image informations of patient in the open qualitative and quantitative analysis platform, also can on the qualitative and quantitative analysis platform, retrieve and inquire about the relevant medical knowledge of this area, each participant that holds a consultation can carry out deep discussion on this basis, finally draws consultation of doctors conclusion.The qualitative and quantitative analysis platform of the opening in this instructions (abbreviation analysis platform), be in order to accelerate retrieval and inquiry velocity, gather information such as information, expert info and the retrieval of this time the hold a consultation required case information of using, relevant knowledge and Query Result in advance, it is deposited on the specific shared platform, and promptly Kai Fang qualitative and quantitative analysis platform (abbreviation analysis platform) is for consultation of doctors participant visit.
Traditional Chinese medical science remote medical consultation with specialists of the present invention system in implementation process, use and improve gradually following database: tcm knowledge storehouse (hereinafter to be referred as knowledge base), case storehouse, experts database; Following elder generation is introduced it respectively.
Knowledge base links to each other with analysis platform, and the support of medical knowledge aspect is provided for analysis platform; Knowledge base is the dynamic data base that this area medical knowledge and medical science association area knowledge make up after record, processing.This database is not unalterable, but it is open, dynamic, all the time follow the trail of the medical science new knowledge of state-of-the-art medical outcome in this area and medical practice accumulation, and the new knowledge of the other field relevant with this medical domain (as network technology, image technique, nutrition etc.); This database also has functions such as management function and comprehensive inquiry.Can pass through the relevant knowledge of this illness of name query of illness; Also can pass through patient's symptom and check data etc., inquire about its disease that takes a disease.
The case storehouse also links to each other with analysis platform, and the support of case information aspect is provided for analysis platform; The case storehouse is meant case information record, arrangement and handles the dynamic data base that the back makes up.This database also dynamically updates, and constantly new case data is mended in the database especially representative model case; Functions such as the comprehensive inquiry of this database and diagnostic evaluation.Can obtain the diagnostic message of this case by the name query relevant case of illness; By the diagnostic evaluation function, from a plurality of cases of a certain illness, filter out preferred version for expert's reference.
Experts database is meant appropriate experts (comprise the expert who participated in the consultation of doctors and meet expert's condition, but do not participate in the expert of the consultation of doctors as yet) each side information record, puts and handle the dynamic data base that the back makes up in order.Enter the expert of experts database for each, remove and to write down its personal information (comprising name, academic title, contact method etc.), also will write down its field of being good at, participate in the main experience of the consultation of doctors etc.Experts database selects module to be connected with the expert; Select in the module the expert,, carry out rank according to the contribution degree in this field remote medical consultation with specialists by the rank unit to the expert in each field.
As shown in Figure 1, the traditional Chinese medical science remote medical consultation with specialists system of the preferred embodiment of the present invention, comprise that consultation of doctors module, expert select module, expert terminals, host's terminal and analysis platform: described consultation of doctors module comprises consultation of doctors initiation unit, consultation of doctors control module, consultation of doctors report unit, record cell and consultation of doctors evaluation unit.
The clinician who need to initiate remote medical consultation with specialists logins the described consultation of doctors and initiates the unit, sends consultation of doctors application, and what the described consultation of doctors initiated that the unit receives its input waits to hold a consultation patient's each side clinic diagnosis information, sends described consultation of doctors control module to; Described consultation of doctors control module reads the disease type of putting down in writing in the described clinic diagnosis information, sends described expert to and selects module;
Described expert selects module, is connected with described consultation of doctors module, and according to the disease type that described consultation of doctors control module transmits, the expert who selects association area in experts database is for participating in the appropriate experts of this time consultation of doctors; And in appropriate experts, specify consultation of doctors host, and described appropriate experts and consultation of doctors host list are transmitted in described consultation of doctors control module;
Described consultation of doctors control module is opened described analysis platform, include described appropriate experts in, described consultation of doctors control module sends to each terminal and detects instruction, receive the normal report of duty of all consultation of doctors terminal feedbacks after, described consultation of doctors control module begins to carry out the remote medical consultation with specialists of this time traditional Chinese medical science; The matching unit of described analysis platform is match reference information in knowledge base and case storehouse;
Described consultation of doctors control module is controlled the remote medical consultation with specialists of this time traditional Chinese medical science and is carried out the problem proposition stage, proposes diagnosis and treatment conceptual level, scheme discuss stage, appropriate experts is in the described consultation of doctors of consultation of doctors terminal-joined, consultation of doctors host participates in the described consultation of doctors in described host's terminal, and described consultation of doctors report unit gathers the consultation of doctors scheme that obtains and forms consultation of doctors report after deeply inquiring into;
Described consultation of doctors evaluation unit receives the feedback after this clinician carries out consultation of doctors scheme, forms respectively to participate in the contribution degree of appropriate experts in this consultation of doctors process, and this contribution degree is transmitted in described expert selects module.
Traditional Chinese medical science remote medical consultation with specialists of the present invention system needs the support of computer network, database technology, Flame Image Process and image transmission technology etc.Be on the space between the expert of different regions and exchange, its audio frequency, video and data etc. need transmit by network.By the INTERNET network, or other local, Metropolitan Area Network (MAN) or wide area network, as long as the expert who is in different regions can share the various audio frequency and video and the data message of whole consultation of doctors process before its oneself consultation of doctors terminal.Traditional Chinese medical science remote medical consultation with specialists of the present invention system, consultation of doctors control module can be realized long-range interchange and the data transmission between the appropriate experts by the technology of teleconference of the prior art or Web conference.Database technology is used for foundation, maintenance and mutual with consultation of doctors participant thereof to experts database, knowledge base, case storehouse.Consultation of doctors participant is according to authority separately, send dependent instruction (for example query statement) by consultation of doctors control module to qualitative and quantitative analysis platform or each database, qualitative and quantitative analysis platform or each database are to consultation of doctors control module feedback correlated results (for example Query Result).
Remote medical consultation with specialists method of the present invention both can directly be retrieved and each database of inquiry by consultation of doctors participant, obtained required case information, knowledge and expert info, and in such cases, consultation of doctors participant's shared platform is the summation of each database.In the preferred embodiments of the present invention, in order to accelerate retrieval and inquiry velocity, gather information such as information, expert info and the retrieval of this time the hold a consultation required case information of using, relevant knowledge and Query Result in advance, it is deposited on the specific shared platform, be on the described qualitative and quantitative analysis platform, for consultation of doctors participant visit.
Traditional Chinese medical science remote medical consultation with specialists of the present invention system, consultation of doctors participant comprise appropriate experts and consultation of doctors host, can also comprise wait to hold a consultation patient and this wait to hold a consultation patient's clinician, in the technical support personnel who participates in remote medical consultation with specialists is not included in.Each participant that holds a consultation participated in remote medical consultation with specialists respectively before expert terminals, host's terminal and clinical terminal.Hold a consultation patient's clinician of the patient and waiting of waiting to hold a consultation can participate in remote medical consultation with specialists in clinical terminal jointly.
Below in conjunction with the step that traditional Chinese medical science remote medical consultation with specialists of the present invention system carries out traditional Chinese medical science remote medical consultation with specialists, introduce traditional Chinese medical science remote medical consultation with specialists of the present invention system in detail:
Step 1: initiate remote medical consultation with specialists.
The promoter, promptly need to initiate clinician (this clinician normally wait to hold a consultation doctor in charge of patient of remote medical consultation with specialists, this clinician can participate in one of expert of remote medical consultation with specialists) consultation of doctors of login consultation of doctors module initiates the unit, send consultation of doctors application to consultation of doctors module, and provide the patient's that waits to hold a consultation clinic diagnosis information by the requirement that the unit is initiated in the consultation of doctors, clinic diagnosis information comprises detailed medical history information, and this case data can comprise the patient's that waits to hold a consultation personal information, individual physiological data data, the pathological data data, physical and chemical index and survey data, medical image data, the experience of seeing a doctor waits and can be used for the each side useful information of remote medical consultation with specialists for the appropriate experts reference.
Step 2: determine appropriate experts.
Consultation of doctors control module receives the consultation of doctors and initiates the clinic diagnosis information that the unit transmits, and reads the disease type of waiting to hold a consultation and being put down in writing in patient's case information wherein, is transmitted in the expert and selects module; Described expert selects module to comprise rank unit, expert's selected cell and host's determining unit.Described expert's selected cell selects the expert of association area for participating in the expert of this time consultation of doctors in experts database, and the quantity of appropriate experts is determined according to concrete condition, as 5 people, 7 people or 9 people etc.In experts database, expert's the quantity of being good at a certain field is more than or equal to the desired minimum expert's quantity of holding a consultation, but be more than required expert's quantity under the situation mostly, in this case, the expert selects also can comprise among another embodiment of module selected at random unit, determines at random that in selectable scope the expert of some participates in the consultation of doctors; And the traditional Chinese medical science remote medical consultation with specialists system of the preferred embodiment of the present invention, its expert selects expert's selected cell of module, and this domain expert's of transmitting according to the rank unit contribution degree rank determines to participate in the list of expert of this time consultation of doctors.When the contribution degree rank was identical, expert's selected cell was selected at random.After the expert selected module to finish selection, the list of expert of will holding a consultation was transmitted in consultation of doctors control module.Can't participate in the consultation of doctors as wherein one or more, can select by the next bit of contribution degree rank or following several expert persons fill vacancies in the proper order or select one or more experts to fill vacancies in the proper order at random, after appropriate experts can be participated in the consultation of doctors according to arrangement of time answer consultation of doctors control module separately, the appropriate experts of holding a consultation of attending a meeting can determine that consultation of doctors control module generates final appropriate experts list.
Step 3: in appropriate experts, specify consultation of doctors host (or claiming to preside over the expert).
Expert's designating unit specifies the mode of presiding over the expert also various embodiments can be arranged.Can participate in specifying one to be consultation of doctors host at random among the appropriate experts; Also can be according to this domain expert's contribution degree rank, the appropriate experts of specifying contribution degree to rank the first is consultation of doctors host; Also can send ballot paper, by the ballot of consultation of doctors terminal, gather voting results by consultation of doctors control module, therefrom select consultation of doctors host, and notify each appropriate experts by consultation of doctors terminal by expert's designating unit by the appropriate experts that participates in the consultation of doctors to each expert terminals.The clinician who initiates the consultation of doctors also is the occasion of appropriate experts, the situation for the treatment of consultation of doctors patient because of this clinician is clearer, therefore can specify this clinician to be consultation of doctors host, be that expert's designating unit judges at first whether this clinician appears in the appropriate experts list, if then specify this clinician to be consultation of doctors host.
Step 3: the equipment of remote medical consultation with specialists is prepared.
Consultation of doctors control module sends to each terminal and detects instruction, automatically detect by consultation of doctors terminal, or manually detect by the consultation of doctors participant or technical support personnel, whether the audio that port connected that detects the terminal of respectively holding a consultation can operate as normal, whether each software and hardware is working properly, detect login and use shared platform whether normal, whether network service is unimpeded between detection hosting terminal and each expert terminals, after each terminal detection of holding a consultation is errorless, to the report of consultation of doctors control module, consultation of doctors control module sends signal to host's terminal after receiving the normal report of duty of all consultation of doctors terminal feedbacks, and prompting consultation of doctors host can begin to carry out the remote medical consultation with specialists of this time traditional Chinese medical science.
Step 4: match reference information, open qualitative and quantitative analysis platform.
The matching unit of analysis platform, in the case information at the patient that waits to hold a consultation, the medical information and the relevant information in this field of coupling in knowledge base, the diagnostic message of coupling the type case and diagnostic result, curative effect information in the case storehouse are for consultation of doctors participant reference.And this reference information sent to analysis platform or directly send to the terminal of respectively holding a consultation, use and reference before remote medical consultation with specialists with in the remote medical consultation with specialists process for appropriate experts.Before the consultation of doctors, consultation of doctors control module can send this reference information by modes such as Emails to the appropriate experts that participates in this time consultation of doctors according to the contact method of the appropriate experts of putting down in writing in the experts database.Simultaneously, consultation of doctors control module can send the information such as list, consultation of doctors host person that participate in appropriate experts to each consultation of doctors participant, or is placed on analysis platform and consults for consultation of doctors participant.Consultation of doctors control module is open with analysis platform, the list of expert that analysis platform transmits according to consultation of doctors control module, include each appropriate experts in this analysis platform, being about to each expert terminals (comprising host's terminal) is connected with analysis platform, make each appropriate experts to login analysis platform by expert terminals, resources such as data, information and opinion are provided to this analysis platform, and share the resource on this analysis platform.
Step 5: the problem of carrying out the remote medical consultation with specialists of this time traditional Chinese medical science proposes the stage.
The idiographic flow of this process can be determined by actual conditions.For example can be following process:
At first set forth patient's state of an illness, briefly set forth or demonstrate patient's medical history information, image and physico-chemical examination data, and set forth problem and the difficulty that in the diagnosis and treatment process, is run at present by the clinician who files an application.Appropriate experts is listened attentively to diagnosis and treatment process and is checked related data.Under the hosting of presiding over the expert, analyze this case history problem demanding prompt solution, as: 1, because acatalepsia does not really have definite therapeutic scheme, need to formulate therapeutic scheme; Though 2 patients diagnose clearly, and not obvious other therapeutic scheme etc. of seeking of result of treatment.According to actual needs, also can divide different subprocess to consultation of doctors process, as diagnose definite subprocess and diagnosis and treatment scheme to determine subprocess, each subprocess is execution in step 5-step 8 respectively.
Step 6: the proposition diagnosis and treatment conceptual level of carrying out the remote medical consultation with specialists of this time traditional Chinese medical science.
Every appropriate experts is drafted the Chinese traditional medical diagnose scheme, send to analysis platform by consultation of doctors control module, the matching unit of analysis platform at first in knowledge base to its argument foundation of opinion matched and searched of every expert, if any problem, matching result can be returned this expert terminals, determine its correctness by the expert; As no problem, then this diagnosis and treatment scheme is gathered to presiding over terminal, whether this diagnosis and treatment scheme is issued each expert terminals by presiding over expert's decision, allow each appropriate experts discuss by analysis platform.
Step 7: the scheme discuss stage of carrying out the remote medical consultation with specialists of this time traditional Chinese medical science.
Each expert is at host's subject under discussion, and each airs his own views by multiple modes such as video, voice, communication text interchanges, and the free investigation time can be determined according to actual conditions.The record cell of consultation of doctors module can be recorded speech and the suggestion of every expert in the investigation process truly, and provides forefathers' experience in knowledge base and the case storehouse and suggestion for appropriate experts reference and aid decision making.
In this process, each participant of holding a consultation, can pass through communication exchanges such as video, voice, literal, picture, each appropriate experts can browse to all medical record information and the image informations of patient in the shared platform, need piece image is wherein handled for proving certain problem as appropriate experts, this appropriate experts can be finished this Flame Image Process in its oneself consultation of doctors terminal, and processing result image is mail to shared platform by consultation of doctors control module, shares for consultation of doctors participant; Each appropriate experts can be carried out deep discussion on this basis.
In the process that remote medical consultation with specialists is carried out, select who consultation of doctors participant speech by presiding over the definite order of making a speech of expert and a certain moment.Consultation of doctors control module is according to the selection of presiding over the expert, and the on-the-spot audio/video information that switches this expert terminals is the audio/video information of this moment to each expert terminals transmission.Consultation of doctors participant such as need are made a speech, can be in its terminal, send speaking request by consultation of doctors control module, consultation of doctors control module gathers the speaking request that consultation of doctors terminal is sent, send to host's terminal, the host makes a choice by the consultation of doctors, or is made a choice by certain rule by consultation of doctors control module, as the sequencing by the request of receiving.Consultation of doctors participant asks if any other, in the time of can not finding on analysis platform as need retrieval, the relevant knowledge of inquiring about or case information, handle by consultation of doctors control module, and this result beamed back the consultation of doctors terminal that proposes this request, by this mode, realized the sharing of patient's case and diagnosis data in the consultation of doctors process.
Step 8: the conclusion of carrying out the remote medical consultation with specialists of this time traditional Chinese medical science forms the stage.
Preside over the expert and draft the clinician that the consultation of doctors carries into execution a plan and conveys to this time of initiation remote medical consultation with specialists according to above-mentioned consultation of doctors process conformity.This scheme determination can be as determining that consultation of doctors host is determined by the appropriate experts ballot.Final described consultation of doctors report unit gathers the consultation of doctors scheme that obtains and forms consultation of doctors report after deeply inquiring into.
Step 9: the execution of traditional Chinese medical science remote medical consultation with specialists, feedback and evaluation phase.
This clinician is after carrying out consultation of doctors scheme, in time feed back to consultation of doctors evaluation unit, if knotty problem is resolved, consultation of doctors module receives this clinician's evaluation, perhaps receive to participate in the evaluation of each appropriate experts of the consultation of doctors, gather, respectively participate in the contribution degree of appropriate experts in this diagnosis and treatment process accuracy of disease cognitive (promptly to) to form by consultation of doctors evaluation unit, this contribution degree is transmitted in the rank unit, to upgrade the contribution degree value of each appropriate experts in the experts database.The contribution degree value of each appropriate experts can be the summation or the mean value of the contribution degree value that is obtained of all consultation of doctors that this appropriate experts is participated in, and also can calculate weighted mean value according to the importance of each consultation of doctors.
Do not solve and to resend consultation of doctors request to consultation of doctors module if knotty problem, reorganize remote medical consultation with specialists.It is short to carry out with feedback when needed compole as this, is in the time range that each appropriate experts can be waited for, then can be solved until knotty problem by the control module continuation execution in step 5-step 9 of holding a consultation.
Above-described only is preferable possible embodiments of the present invention; described embodiment is not in order to limit scope of patent protection of the present invention; therefore the equivalent structure done of every utilization instructions of the present invention and accompanying drawing content changes, and in like manner all should be included in protection scope of the present invention.

Claims (8)

1. a traditional Chinese medical science remote medical consultation with specialists system is characterized in that, described traditional Chinese medical science remote medical consultation with specialists system comprises that consultation of doctors module, expert select module, expert terminals, host's terminal and analysis platform:
Described consultation of doctors module, comprise that unit, consultation of doctors control module are initiated in the consultation of doctors, hold a consultation report unit and consultation of doctors evaluation unit, need the clinician who initiates remote medical consultation with specialists to login described consultation of doctors initiation unit, send consultation of doctors application, what the described consultation of doctors initiated that the unit receives its input waits to hold a consultation patient's each side clinic diagnosis information, sends described consultation of doctors control module to; Described consultation of doctors control module reads the disease type of being put down in writing in the described clinic diagnosis information, is transmitted in described expert and selects module;
Described expert selects module, is connected with described consultation of doctors module, and according to the disease type of described consultation of doctors control module input, the expert who selects association area in experts database is for participating in the appropriate experts of this time consultation of doctors; And in appropriate experts, specify consultation of doctors host, and described appropriate experts and consultation of doctors host list are transmitted in described consultation of doctors control module;
Described consultation of doctors control module is opened described analysis platform, include described appropriate experts in, described consultation of doctors control module sends to each terminal and detects instruction, receive the normal report of duty of all consultation of doctors terminal feedbacks after, described consultation of doctors control module begins to carry out the remote medical consultation with specialists of this time traditional Chinese medical science; The matching unit of described analysis platform is match reference information in knowledge base and case storehouse;
Described consultation of doctors control module is controlled the remote medical consultation with specialists of this time traditional Chinese medical science and is carried out the problem proposition stage, proposes diagnosis and treatment conceptual level, scheme discuss stage, appropriate experts is in the described consultation of doctors of consultation of doctors terminal-joined, consultation of doctors host participates in the described consultation of doctors in described host's terminal, and described consultation of doctors report unit gathers the consultation of doctors scheme that obtains and forms consultation of doctors report after deeply inquiring into;
Described consultation of doctors evaluation unit receives the feedback after this clinician carries out consultation of doctors scheme, forms respectively to participate in the contribution degree of appropriate experts in this consultation of doctors process, and this contribution degree is transmitted in described expert selects module.
2. traditional Chinese medical science remote medical consultation with specialists as claimed in claim 1 system, it is characterized in that, described expert selects module to comprise the rank unit, a rank of carrying out according to this domain expert's contribution degree is safeguarded in described rank unit in experts database, described expert selects module to determine to participate in the list of expert of this time consultation of doctors according to described rank.
3. traditional Chinese medical science remote medical consultation with specialists as claimed in claim 2 system is characterized in that described expert selects module also to comprise host's determining unit, and the expert that this host's determining unit selects contribution degree to rank the first in described rank is consultation of doctors host.
4. traditional Chinese medical science remote medical consultation with specialists as claimed in claim 1 or 2 system, it is characterized in that, described consultation of doctors control module sends to each terminal and detects instruction, is detected the duty of the related equipment of this time remote medical consultation with specialists automatically and is fed back this duty to described consultation of doctors control module by consultation of doctors terminal.
5. traditional Chinese medical science remote medical consultation with specialists as claimed in claim 1 system, it is characterized in that, after every appropriate experts is drafted the Chinese traditional medical diagnose scheme, send to analysis platform by described consultation of doctors terminal, the matching unit of described analysis platform at first in knowledge base to this its argument foundation of diagnosis and treatment scheme matched and searched, if any problem, matching result is returned this expert terminals, determine its correctness for this appropriate experts.
6. as claim 4 or 5 described traditional Chinese medical science remote medical consultation with specialists systems, it is characterized in that, to a medical image, the result of described consultation of doctors terminal is finished this appropriate experts on this expert terminals this image information, mail to described analysis platform by consultation of doctors control module, for consultation of doctors participant Real-Time Sharing.
7. traditional Chinese medical science remote medical consultation with specialists as claimed in claim 2 system is characterized in that described consultation of doctors evaluation unit is transmitted in described rank unit to upgrade the contribution degree value rank of each appropriate experts with this contribution degree.
8. traditional Chinese medical science remote medical consultation with specialists as claimed in claim 1 system is characterized in that, consultation of doctors module also comprises record cell, is used for writing down every expert's of investigation process speech and suggestion.
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