CN102184312B - Internet-of-things based medical management monitoring system - Google Patents

Internet-of-things based medical management monitoring system Download PDF

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Publication number
CN102184312B
CN102184312B CN 201110062512 CN201110062512A CN102184312B CN 102184312 B CN102184312 B CN 102184312B CN 201110062512 CN201110062512 CN 201110062512 CN 201110062512 A CN201110062512 A CN 201110062512A CN 102184312 B CN102184312 B CN 102184312B
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patient
server
terminal equipment
alarm
subscriber terminal
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CN 201110062512
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Chinese (zh)
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CN102184312A (en
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刘畅
瞿佳
陈浩
朱明善
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温州医学院眼视光研究院
温州医学院眼视光器械有限公司
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Abstract

The invention discloses an internet-of-things based medical management monitoring system. The system comprises user terminal equipment worn on a patient and a server for realizing management monitoring, wherein the user terminal equipment is communicated with the server through a wireless network; the user terminal equipment comprises a physiological parameter sensor for detecting a physiological parameter of the patient, an input module for inputting disease state data of the patient and a first wireless transmitting and receiving module for transmitting the physiological parameter or the disease state data to the server and receiving a diagnosis instruction of the server; and the server comprises a second wireless transmitting and receiving module for receiving the data transmitted by the user terminal equipment and transmitting the diagnosis instruction to the user terminal equipment, a remote diagnosis module for remote diagnosis of a doctor and an alarm processing module for comparing according to the detected physiological parameter of the patient and a set physiological parameter threshold and giving out an alarm. By using the system, the physiological condition of the patient can be monitored in real time; and the system has high intelligence and high practicability.

Description

Medical control supervisory system based on Internet of Things

Technical field

The present invention relates to a kind of medical control supervisory system.

Background technology

Proposition and domestic policy support at present along with Internet of Things (Internet of Things) notion to technology of Internet of things, Internet of Things will have very strong development trend in future, Internet of Things can fully develop talents in fields such as intelligent medical, Smart Home, intelligent city, intelligence environment protection, intelligent transportation, reading intelligent agricultures.We can so remove to understand Internet of Things: Internet of Things is a sensor-based cognition technology, in conjunction with diverse network and networking, makes each sensor fusion become as a whole system.Internet of Things can be realized identification and the perception between people and the thing, and thing is had the intelligent management effect.And at medical field, the medical treatment Internet of Things comprises body feel network, it is the physiological parameter index of catching and transmit human body by medical sensor and mobile communication equipment, on monitoring and these parameters are uploaded onto the server as life correlation parameters such as the blood pressure of human body, pulse, blood sugar, electrocardio, body temperature, breathings, consult for medical personnel or kith and kin, thereby disease is effectively monitored and prevented.In the medical procedure of reality, the imbalance of the medical resource problems such as difficulty that cause seeking medical advice, thus frequent demand side of doctor causes the decline of quality of medical care to very many patients, and great malpractices such as diagnosis makes mistakes, medication makes mistakes can appear comprising in severe patient.Therefore need develop a kind of patient physiological situation of monitoring in real time, and the system of real-time feedback function can be arranged the situation after patient's medication.

Summary of the invention

There to be the patient physiological situation of to monitor in real time, intelligent poor, deficiency that practicality is relatively poor in the existing medical management system in order overcoming, to the invention provides and a kind ofly can monitor patient physiological situation, intelligent strong, the good medical control supervisory system of practicality in real time based on Internet of Things.

The technical solution adopted for the present invention to solve the technical problems is:

A kind of medical control supervisory system based on Internet of Things, comprise be worn on the patient on one's body subscriber terminal equipment and in order to realize the server of management and monitoring, described subscriber terminal equipment communicates to connect by wireless network and described server data, described subscriber terminal equipment comprises: in order to detect the physiological parameter sensors of patient's physiological parameter, use for the patient and import the load module of state of an illness data and in order to physiological parameter or state of an illness data are sent to server, and first radio receiving transmitting module of the diagnostic instruction of reception server; Described server comprises in order to receive data that subscriber terminal equipment sends and to send second radio receiving transmitting module of diagnostic instruction to subscriber terminal equipment, uses for the remote diagnosis module of doctor's remote diagnosis and the alarm processing module that compares and give the alarm in order to the physiological parameter threshold value according to physiological parameter that detects and setting.

Further, described subscriber terminal equipment also comprises the RFID reader, is used to read the RFID label information on the Medicine box, monitoring patient drug administration process.

Whether further again, described subscriber terminal equipment also comprises acceleration transducer, three-axis sensor and GPS chip, fall down in order to the monitoring patient, confirms that the patient falls down the back and sends alarm signal and GPS locating information to server and the personnel of requiring assistance.

Described subscriber terminal equipment also comprises: the hot plug processing module, insert in system at any time or remove in order to the control physiological parameter sensors.Described physiological parameter sensors can be communicated by letter with subscriber terminal equipment; Have the hot plug function in the native system software, physiological parameter sensors can insert in system or remove at any time, can not influence the operation of total system in the hot plug process.

As preferred a kind of scheme: described server also comprises the personal health administration module, comprise health control unit, health supervision unit and remote assistance unit, in the described health control unit, record patient take medicine history, hospital admission history and vital sign, physiological parameter according to the patient gives feedback information, in the described health supervision unit, medication guide, Appropriate dietary guide and motion are instructed; In the described remote assistance unit, remind in order to realize long-range medication.

As preferred another kind of scheme: in the described alarm processing module, when monitoring the patient when improper, at first whether detecting sensor breaks away from, if not, be judged to be emergency alarm, change second layer tupe over to, need the user manually input sound all clear; If still effectively, this alarm changes the 3rd layer of tupe over to alarm state, upgrades to server event, make synthetic determination according to the data and the server of patient's input; Do not remove if alarm also, this alarm changes the 4th layer of tupe over to and more default alarm situations coincide, if then system sends alarm automatically, if not then needing medical practitioner or nurse manually to intervene decision.Described comprehensive decision output result is for one of following: a) sound all clear, the medical treatment and nursing that presets b) is provided, c) need the medical monitoring of specialty.

Described server has the HTTP service interface.The software module of subscriber terminal equipment is passed through these HTTP service interfaces with the server collaborative work by wireless telecommunications via the internet.

Technical conceive of the present invention is: use medication curative effect and physical condition that Internet of Things is monitored the patient in real time, all inspections and diagnostic message that the patient enters after the hospital all are stored in the server, the medicine information that also has all doctors to open in the server, comprise medicine contraindication and bad reaction, server is realized tracking and managing in conjunction with diagnostic result and medicine information intelligent management patient's medicining condition.When the sensor rreturn value exceeds default healthy threshold value or exceeds dynamic personal health algorithm index, trigger alerting signal, server is discerned and is handled by the alarm of hierarchy type intelligence, exports reliable alarm result.Server sends the first aid signal during emergency situation, and the patient is provided positioning address; At the same time, server also can be given notice to patient's relatives.

Server software can be realized human-computer interaction function, and the patient imports subjective sign information at subscriber terminal equipment, after information such as dizzy, uncomfortable in chest, and the server feedback that analysis suits according to integrated data.Under normal circumstances, server can remind patient in timing to take medicine, and is obvious as drug side-effect under special circumstances, and server can be pointed out patient's withdrawal.

Under normal operating position, the present invention is to patient body situation and drug effect real-time monitoring, is suitable for chronic disease and needs the crowd of health care, and after being equipped with specific sensor, the present invention can be used for the relevant research of medicine.

This system can monitor drug effect and patient's situations such as rehabilitation degree, in time provides effective suggestion to the patient in rehabilitation course, and healthy the implementation effectively of patient's body managed.Native system adopts suitable state-of-the-art technology, comprise low-power consumption bluetooth BLE(Bluetooth low Energy), REID RFID(Radio Frequency Identification) and micro-electromechanical system (MEMS) (Micro-Electro-Mechanical Systems), guaranteed the monitoring of life state sign and the tracking of medicine.Native system has applied range, strong, the intelligent advantages of higher of applicability, will be widely used at medical field.

Beneficial effect of the present invention mainly shows: can monitor in real time the patient physiological situation, intelligent strong, practicality is good.

Description of drawings

Fig. 1 is based on the hardware synoptic diagram of the medical control supervisory system of Internet of Things.

Fig. 2 is based on the software function module of the medical control supervisory system of Internet of Things, wherein, and 1. 2. subscriber terminal equipment software of server software.

Fig. 3 is the system wireless network frame diagram.

Fig. 4 is the server software Organization Chart, wherein, and 3. 4. system library function layer of application layer.

Embodiment

Below in conjunction with accompanying drawing the present invention is further described.

With reference to Fig. 1~Fig. 4, a kind of medical control supervisory system based on Internet of Things, comprise be worn on the patient on one's body subscriber terminal equipment and in order to realize the server of management and monitoring, described subscriber terminal equipment communicates to connect by wireless network and described server data, described subscriber terminal equipment comprises: in order to detect the physiological parameter sensors of patient's physiological parameter, use for the patient and import the load module of state of an illness data and in order to physiological parameter or state of an illness data are sent to server, and first radio receiving transmitting module of the diagnostic instruction of reception server; Described server comprises in order to receive data that subscriber terminal equipment sends and to send second radio receiving transmitting module of diagnostic instruction to subscriber terminal equipment, uses for the remote diagnosis module of doctor's remote diagnosis and the alarm processing module that compares and give the alarm in order to the physiological parameter threshold value according to physiological parameter that detects and setting.

The sensor of present embodiment can be the mini-medical sensor of active or passive type; This system comprises a plurality of radio micro medical treatment transducers, this mini-medical sensor very convenient daily wearing, and also the sensor of individual types still is Wicresoft, is used to measure parameters such as blood pressure, blood sugar, drug concentration.This mini-medical sensor power consumption is very low, uses BLE(Bluetooth Low Energy) and subscriber terminal equipment carry out radio communication, the parameter that human life is correlated with all sends on the subscriber terminal equipment.BLE is a kind of Proximity Wireless Transfer Technology, is similar to Bluetooth technology, is commonly called as " little bluetooth ".Its predecessor is the Wibree of Nokia research and development, has low in energy consumptionly, and effective range is big, and Time Created is short etc., and advantage will be widely used on the portable set.The subscriber terminal equipment of this system is the embedded system of a special use, has wireless communication chips such as BLE, can pass through general wireless protocol communications such as bluetooth, WIFI.Subscriber terminal equipment is based on the embedded system of Cortex A9 processor architecture, and has base band signal processing chip, supports GSM and 3G communication standard, energy and long-range server radio communication.The Android operating system of subscriber terminal equipment is explorative system, can support the installation of various application software.The Android application software of subscriber terminal equipment is the main communication link contact of sensor and server software.Subscriber terminal equipment also has jumbo flash storer and RAM capacity, can preserve a large amount of historical datas, and application software can be carried out partial statistics.The key distinction of subscriber terminal equipment and smart mobile phone is that it does not have dsp chip and multimedia process chip, does not need complicated digital signal processing function, and the digital signal processing of all complexity is all carried out on the processor with cloud computing service.Compare with the smart mobile phone hardware configuration, all unnecessary chips have been simplified in the design of subscriber terminal equipment, have so not only simplified hardware configuration, and have reduced power consumption to a great extent.Subscriber terminal equipment has basic input and output function, and the user can import the relevant subjective state of an illness, sends to remote server by GSM or 3G network, and feedback result shows to subscriber terminal equipment after the long-range reception information, and reminds the patient to check.Subscriber terminal equipment software is based on the module architectures exploitation, and the sensor assembly of all connected systems all is hot plug, can insert at any time or shift out, and can dynamically increase or remove temporarily.But native system does not need whenever all sensors all to connect and works effectively, has therefore designed algorithm based on imperfect vital sign data in system server terminal, and this algorithm synthesis is analyzed active data and given the patient reliably with reference to feedback.Subscriber terminal equipment occlusion body temperature sensor, pulse transducer and MEMS sensor etc., (mainly containing acceleration transducer and three-axis sensor), this sensor can be used for monitoring whether the patient falls down or other fortuitous events take place.Subscriber terminal equipment also comprises the GPS chip, and when server was confirmed patient's something unexpected happened, subscriber terminal equipment enabled the GPS positioning function, and server receives the longitude and latitude geographical location information, and this information is taken place together to the rescue personnel.Subscriber terminal equipment also comprises RFID reader chip, and this chip is used to monitor patient's the situation of taking medicine.Have electronic tag on patient's the Medicine box, in patient's drug administration process, the RFID reader of subscriber terminal equipment identification electronic tag, and communicate, read and write relevant information, finish monitoring patient drug administration process.Where necessary, the doctor can realize long-range interrogation by server and patient's direct dialogue.

The long-range server that provides cloud computing to serve is the core of this system, not only has the reception and the sending function of signal, also has powerful cloud computing service function.

Book server software provides data to send temporary service, when subscriber terminal equipment shutdown or off-line state, the temporary user's of server feedback information sends after the subscriber terminal equipment start is interconnected again, and subscriber terminal equipment software returns by communication protocol and receives into function signal.

Book server software provides HTTP service interface, and the user can pass through the internet checking corresponding information.User equipment software also can be carried out communication with server software by the HTTP service interface of book server software.

After the data that book server software reception subscriber terminal equipment sends over, provide heuristic intelligence feedback, for the patient provides decision references.

Book server software allows the patient that parameter manually is set in real time, enjoys maximum right of priority, and other all intelligence feedbacks are all based on manual setting parameter later.

Book server software can synchronization server and subscriber terminal equipment on the data that are used to follow the trail of.Book server software contains the personal health administration module, and the personal health administration module comprises health control, health supervision and remote assistance three partial functions.This three partial functions module can provide the patient information of tracking: comprise patient's situations such as history, hospital admission history, vital sign of taking medicine; Vital sign real-time monitoring and long-range medication guide, Appropriate dietary guide, motion are instructed.The personal health administration module also has the personal health algorithm, after patient's parameter is effectively calculated, gives feedback information accurately.

With reference to Fig. 4, server software is made up of two-tier system, is respectively top layer and bottom.Top layer is application layer (functional layer), uses for the described all functions of system software, comprises alarm identification and processing module, integrated data management module, personal health administration module, wireless data transceiver module and cloud computing interface module; Bottom is the built-in function layer, for application layer provides relevant system library function, comprises the built-in function of database, network, cloud computing middleware, internet interface (HTTP) and other software interface (comprising DICOM and HIS).

The long-range server of cloud computing service that provides is placed on areal center hospital.This server is supported DICOM(Digitalimaging and Communications in Medicine) standard, PACS(Picture Archiving and Communication Systems with hospital) interconnected, and and the HIS(Hospital Information System of central hospital) data sharing.

For the protection of data security and patients ' privacy, book server software has to be encrypted and security set, only allows ability granted access after subscriber terminal equipment and the patient login.

Book server software has the integrated data management module, comprises functions such as data directory, data analysis, data processing, data storing.

Book server software also has alarm identification and processing module, and alarm is handled and is made up of four different level tupes.

When server software monitors the patient when improper, the Android application software of subscriber terminal equipment and sensor are made the rough handling decision together, and whether detecting sensor situation such as breaks away from; If alarm condition still clearly, the Android application software directly rises to emergency alarm by subscriber terminal equipment, changes second layer tupe over to, needs the user manually to import and sounds all clear; If still effectively, this alarm changes the 3rd layer of tupe over to alarm state, upgrades to server event, server software can be made a comprehensive decision according to the data and the cloud computing service function of patient's input.Do not remove if alarm also, this alarm changes the 4th layer of tupe over to and more default alarm situations coincide, if then system sends alarm automatically, if not then needing medical practitioner or nurse manually to intervene decision.This comprehensive decision output the possibility of result is the b that a) sounds all clear) medical treatment and nursing that presets c is provided) need the medical monitoring of specialty

The method of this multilayer level alarm has significantly reduced the alert quantity of mistake, and the patient can be by the subjective identification control alarm of native system.

The medical control supervisory system of present embodiment is carried out real-time monitoring to the patient, and the important parameter of some and disease association is analyzed and early warning, and patient's life is effectively ensured; A kind of patient also is provided subjective state of an illness input function, comprise the input of headache, sign situation such as uncomfortable in chest, nauseating, weak, the suggestion that the bad reaction of the analysis of server software incorporating parametric, diagnosis and medicine proposes to suit to the patient is to curative effect and drug safety real-time monitoring.Subscriber terminal equipment has the quick identification sensor, supports the multiple sensors module, supports hot plug, has the favorable expansibility function.Subscriber terminal equipment software has good versatility, supports the equipment of number of different types, comprises equipment such as smart mobile phone, PDA.

Claims (7)

1. medical control supervisory system based on Internet of Things, it is characterized in that: described medical control supervisory system comprise be worn on the patient on one's body subscriber terminal equipment and in order to realize the server of management and monitoring, described subscriber terminal equipment communicates to connect by wireless network and described server data, described subscriber terminal equipment comprises: in order to detect the physiological parameter sensors of patient's physiological parameter, use for the patient and import the load module of state of an illness data and in order to physiological parameter or state of an illness data are sent to server, and first radio receiving transmitting module of the diagnostic instruction of reception server; Described server comprises data that send in order to the reception subscriber terminal equipment and second radio receiving transmitting module that sends diagnostic instruction to subscriber terminal equipment, use for the remote diagnosis module of doctor's remote diagnosis and the alarm processing module that compares and give the alarm in order to physiological parameter threshold value according to physiological parameter that detects and setting, in the described alarm processing module, when monitoring the patient when improper, at first whether detecting sensor breaks away from, if not, be judged to be emergency alarm, change second layer tupe over to, need the user manually to import and sound all clear; If still effectively, this alarm changes the 3rd layer of tupe over to alarm state, upgrades to server event, make synthetic determination according to the data and the server of patient's input; If also, alarm do not remove, this alarm changes the 4th layer of tupe over to, more whether coincide with default alarm situations, if then system sends alarm automatically, if not then needing medical practitioner or nurse manually to intervene decision, described comprehensive decision output result is for one of following: a) sound all clear, the medical treatment and nursing that presets b) is provided, c) need the medical monitoring of specialty.
2. the medical control supervisory system based on Internet of Things as claimed in claim 1, it is characterized in that: described subscriber terminal equipment also comprises the RFID reader, is used to read the RFID label information on the Medicine box, monitoring patient drug administration process.
3. the medical control supervisory system based on Internet of Things as claimed in claim 1 or 2, it is characterized in that: described subscriber terminal equipment also comprises acceleration transducer, three-axis sensor and GPS chip, whether fall down in order to the monitoring patient, confirm that the patient falls down the back and sends alarm signal and GPS locating information to server and the personnel of requiring assistance.
4. the medical control supervisory system based on Internet of Things as claimed in claim 3, it is characterized in that: described subscriber terminal equipment also comprises: the hot plug processing module, insert in system at any time or remove in order to the control physiological parameter sensors.
5. the medical control supervisory system based on Internet of Things as claimed in claim 1 or 2, it is characterized in that: described server also comprises the personal health administration module, comprise health control unit, health supervision unit and remote assistance unit, in the described health control unit, record patient take medicine history, hospital admission history and vital sign, physiological parameter according to the patient gives feedback information, and in the described health supervision unit, medication guide, Appropriate dietary guide and motion are instructed; In the described remote assistance unit, remind in order to realize long-range medication.
6. the medical control supervisory system based on Internet of Things as claimed in claim 1 or 2, it is characterized in that: described server has the HTTP service interface.
7. the medical control supervisory system based on Internet of Things as claimed in claim 1 or 2 is characterized in that: subscriber terminal equipment utilization BLE technology and sensor carry out radio communication.
CN 201110062512 2011-03-15 2011-03-15 Internet-of-things based medical management monitoring system CN102184312B (en)

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