CN102232827A - Remote electrocardio monitoring system - Google Patents

Remote electrocardio monitoring system Download PDF

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Publication number
CN102232827A
CN102232827A CN2010101536906A CN201010153690A CN102232827A CN 102232827 A CN102232827 A CN 102232827A CN 2010101536906 A CN2010101536906 A CN 2010101536906A CN 201010153690 A CN201010153690 A CN 201010153690A CN 102232827 A CN102232827 A CN 102232827A
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ecg
data
electrocardiogram
remote
user profile
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CN2010101536906A
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冯建刚
陆树良
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SHANGHAI FOUR-DIMENSIONAL MEDICAL TECHNOLOGY CO LTD
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SHANGHAI FOUR-DIMENSIONAL MEDICAL TECHNOLOGY CO LTD
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Priority to CN2010101536906A priority Critical patent/CN102232827A/en
Publication of CN102232827A publication Critical patent/CN102232827A/en
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Abstract

The invention discloses a remote electrocardio monitoring system, which comprises data acquisition terminal users, an equipment manufacturer information system group and an electrocardio consultation system, wherein the data acquisition terminal users collect electrocardio data and user information and transmit the electrocardio data and the user information through a network; the equipment manufacturer information system group identifies, receives, stores and analyzes the electrocardio data and the user information at the same time; the electrocardio consultation center receives the analyzed electrocardio data and user information, converts into the electrocardio data and the user information into a uniform standard format and transforms the electrocardio data with the uniform standard format into an electrocardiogram, and a remote electrocardio doctor conducts diagnosis and sends the diagnostic information to the data acquisition terminal users through the network. Therefore, various different data acquisition terminals can work on a same system platform so that the price of remote electrocardio equipment can be lowered, and the high-level medical service can be popularized in communities and countryside.

Description

The remote ecg monitoring system
Technical field
The present invention relates to the remote medical monitoring field, relate in particular to a kind of remote ecg monitoring system.
Background technology
At present, the medical system of China exists following problem: the one, and the overall wretched insufficiency of China's medical resource, and distributed pole is unbalanced, Chinese population accounts for 22% of the world, but the health care resource only accounts for 2% of the world, and 80% of this medical resource of only 2% all concentrates on the city, and has 80% resource to concentrate on large hospital in the city; The 2nd, because there is the problem of unreasonable allocation in China's medical resource, therefore cause the problem ubiquity of the difficulty and high cost of getting medical, the high cost of getting medical treatment.Be that many people trudge on the one hand, seeking medical advice in the strange land, has both increased the difficulty of seeking medical advice, and strengthened financial burden again, also caused large hospital overstaffed on the other hand.
In the mankind's various diseases, heart disease is one of principal disease of serious threat human health and life, and cardiopathic sickness rate occupies the 3rd in China, have the country in addition occupy first.Cardiopathic outbreak has very big occasionality and sudden, therefore, need carry out real-time monitoring to the heart patient, guaranteeing to implement at Best Times the detection and the diagnosis of electrocardiosignal, and provides effective therapeutic scheme.This just requires when patient has sense of discomfort such as cardiopalmus, arrhythmia etc. slightly, just can in time write down electrocardiosignal and data are handed over the analyzing and diagnosing to the doctor, so just can not incur loss through delay golden hour.
In order to address this problem, the way that adopts is a tele-consultation system at present, in theory, as long as physiologic information can convert the signal of telecommunication to after gathering, just can pass through wireless transmission, reaches the purpose of remote diagnosis.Tele-consultation system is a kind of new exclusive application system that merges high-speed data communication technology, multimedia technology and video conferencing technology.By computer network and telecommunication technique, realize trans-regional medical information and service are provided, reach a series of curative activities of remote diagnose and treat diseases purpose.Being transferred to another place by the electronic data with auxiliary examinations such as patient's radiotelegram, MRI sheet, laboratory report list, image and medical history information from a place diagnoses.
The application of tele-consultation system can improve the service quality and the work efficiency of medical system greatly, can utilize multiple communication network by the interactive multimedia Telemedicine System, make the consultation of doctors of carrying out " face-to-face " between the user that is in the strange land and the medical expert.Tele-medicine superior be in: (1) can make patient place oneself in the midst of in the environment of oneself being familiar with, and when saving a large amount of time and expense, obtains expert's medical services in real time; (2) can improve the configuration of medical resource; (3) if tele-medicine can be promoted in community and rural medical treatment, can make high-caliber medical services obtain extending; (4) what is more important, the use of telemedicine information acquiring technology can really reach the health care whole cost and turn to prevention from treatment.
Yet, the software development of present telemedicine equipment all is from terminal, processing system until central station finishes, be that present telemedicine equipment all only possesses single technology, a kind of telemedicine equipment can only use on a platform, all can only on platform separately, use as lead electrocardio equipment, multi-lead electrocardio equipment and multiparameter wireless custodial care facility etc. of the electrocardio equipment, three that singly leads, can't on a plurality of platforms, work simultaneously.Owing to singly be that the remote ecg system just has ten kinds nearly at present, and consider and have other acquisition systems from now on, as heart of fetus monitoring (fetal rhythm), sleep monitoring etc., the platform of telemedicine information own just will be very complicated, more be unfavorable for data base's foundation and application, can't reach the requirement that modern medicine such as electronic health record is served the individual.From open angle, the telemedicine center needs to insert the information that all collecting devices are uploaded, and serves the user, and in other words, the kind of equipment should be to be selected by the user, can not stipulate just as moving the client uses the mobile phone of what brand.If but there are not to insert various application system central station operation system of software, be difficult to the imagination one tame telemedicine information platform and can support all terminal units, thus can be to the selection of user or medical institutions for the application terminal justice.
Therefore, how to set up a remote ecg consultation system, make its access that can support various remote ecg equipment, set up unified database platform, become the technical problem that industry is needed solution badly.
Summary of the invention
The object of the present invention is to provide a kind of remote ecg monitoring system, can only carry out the remote ecg consultation of doctors, the problem that various different types of data collection stations can not be worked on same system platform by its corresponding system of electrocardio equipment vendors with the electrocardiogram (ECG) data that solves the collection of existing electrocardio equipment.
For addressing the above problem, the present invention proposes a kind of remote ecg monitoring system, and described remote ecg monitoring system comprises:
The data collection station user uses certain remote ecg equipment to gather electrocardiogram (ECG) data and user profile, and electrocardiogram (ECG) data and user profile is sent by network;
Information system group of equipment vendors, comprise system of multiple remote ecg equipment vendors, described multiple remote ecg equipment vendors' system identification also receives electrocardiogram (ECG) data and the user profile that described data collection station user sends and preserves, according to the Data Transport Protocol of each remote ecg equipment described electrocardiogram (ECG) data and user profile are resolved simultaneously, make it have first kind of form, and will send by network through the electrocardiogram (ECG) data with first kind of form and the user profile of resolving; And
The electrocardio consultation system, receive electrocardiogram (ECG) data with first kind of form and user profile that information system group of described equipment vendors sends, it is carried out secondary resolves, change into electrocardiogram (ECG) data and user profile with unified cannonical format, and preserve, simultaneously described electrocardiogram (ECG) data with unified cannonical format is converted to EGC pattern, and diagnoses and diagnostic message is sent to the data collection station user by network by the remote ecg doctor.
Optionally, described data collection station user is the personal user.
Optionally, described data collection station user is local medical institutions, for example medical institutions such as community hospital and township hospital.
Optionally, described data collection station user is local health service mechanism, for example health service such as MEC and nursing house mechanism.
Optionally, described electrocardio consultation system comprises:
Electrocardiogram (ECG) data transmission middleware platform receives electrocardiogram (ECG) data with first kind of form and user profile that information system group of described equipment vendors sends, it is carried out secondary resolve, and changes into electrocardiogram (ECG) data and user profile with unified cannonical format;
The EGC pattern processing system, receive and preserve electrocardiogram (ECG) data with unified cannonical format and user profile that described electrocardiogram (ECG) data transmission middleware platform sends, and described electrocardiogram (ECG) data with unified cannonical format is converted to EGC pattern, according to the rule of normal ECG described EGC pattern is discerned simultaneously, and with described EGC pattern and user profile output;
The diagnostic feedback system, receive EGC pattern and user profile that the EGC pattern processing system is sent, according to a default cardiac diagnosis class library, find out corresponding electrocardio disease, and diagnose by the remote ecg doctor, confirm whether need the consultation of doctors, as not holding a consultation, the electric standard term is write and is replied report and send to the data collection station user by network diligently; As the needs consultation of doctors, then inform doctor on duty, to carry out secondary after doctor on duty confirms to need to hold a consultation and hold a consultation, the consultation of doctors finishes back motive electric standard term and writes the answer report and send to the data collection station user by network;
The user information management system, preservation user's various information, and the historical diagnostic message of recording user;
Security of system and Operation Log Management system, number of the account, password and authority to doctor on duty manage, and the ratio of number of users, time of having a rest length, rest period and the normal electrocardio and the abnormal electrocardiogram of doctor's on duty landing time, diagnosis is carried out statistical management.
Optionally, described diagnostic feedback system comprises the queuing subsystem, and the queuing principle of described queuing subsystem is: arrive first first processing, but the personal user has abnormal electrocardiogram record priority treatment.
Optionally, if there is the EGC pattern that surpasses five minutes not have the doctor handling, then system sends alarm signal and notifies the duty director, and the EGC pattern in this terminal is on average routed to other doctor's terminals on duty automatically in the described queuing subsystem; And do not handle if certain bar EGC pattern surpasses three minutes at certain doctor's terminal on duty, then system sends alarm signal and notifies the duty director, and this electrocardiogram is sent to duty director's terminal, and is handled by the duty director, and SMS notification is responsible for simultaneously.
Optionally, described have the electrocardiogram (ECG) data of first kind of form and the form of user profile is the XML form, or the TXT form, or the EDI form.
Optionally, described electrocardiogram (ECG) data and user profile with unified cannonical format is the data file with DICOM agreement of unified standard.
Optionally, described network is wireless network or the Internet.
The present invention makes it compared with prior art owing to adopt above technical scheme, has following advantage and good effect:
(1) remote ecg monitoring system provided by the invention can be supported the access of various remote ecg equipment, and the electrocardiogram (ECG) data of various remote ecg equipment collection is converted into uniform data format, and it can be worked on a platform;
(2) service object of remote ecg monitoring system provided by the invention can be personal user, local Consultation Center, local electrocardiogram acquisition center and local administrative department of public health, thereby makes high-caliber medical services to promote in community and rural area;
(3) because remote ecg monitoring system provided by the invention can be supported the access of various remote ecg equipment, thereby will cause the price of various remote ecg equipment to descend, thereby the expense of saving the patient make more patients can enjoy modern prevention technique.
Description of drawings
The remote ecg monitoring system sketch map that Fig. 1 provides for the embodiment of the invention.
The specific embodiment
Below in conjunction with the drawings and specific embodiments the remote ecg monitoring system that the present invention proposes is described in further detail.According to the following describes and claims, advantages and features of the invention will be clearer.It should be noted that accompanying drawing all adopts very the form of simplifying and all uses non-ratio accurately, only in order to convenient, the purpose of the aid illustration embodiment of the invention lucidly.
Core concept of the present invention is, a kind of remote ecg monitoring system is provided, described remote ecg monitoring system comprises the data collection station user, information system group of equipment vendors and electrocardio consultation system, described data collection station user gathers electrocardiogram (ECG) data and user profile and sends to information system group of described equipment vendors by network, information system group of described equipment vendors discerns reception and preservation to described electrocardiogram (ECG) data and user profile, simultaneously described electrocardiogram (ECG) data and user profile are resolved, described electrocardio Consultation Center receives described electrocardiogram (ECG) data and user profile through resolving, and convert it into electrocardiogram (ECG) data and user profile with unified cannonical format, simultaneously described electrocardiogram (ECG) data with unified cannonical format is converted to EGC pattern, and diagnoses and diagnostic message is sent to the data collection station user by network by the remote ecg doctor.Thereby make various data collection station on same system platform, to work, can impel the decline of remote ecg equipment price, make high-caliber medical services to promote in community and rural area.
Please refer to Fig. 1, the remote ecg monitoring system sketch map that Fig. 1 provides for the embodiment of the invention, as shown in Figure 1, this remote ecg monitoring system comprises:
Data collection station user 100, described data collection station 100 uses certain remote ecg equipment to gather electrocardiogram (ECG) data and user profile, and electrocardiogram (ECG) data and user profile are sent by network;
Information system group of equipment vendors 200, information system group of described equipment vendors 200 comprises system of multiple remote ecg equipment vendors, described multiple remote ecg equipment vendors' system identification also receives electrocardiogram (ECG) data and the user profile that described data collection station user 100 sends and preserves, according to the Data Transport Protocol of each remote ecg equipment described electrocardiogram (ECG) data and user profile are resolved simultaneously, make it have first kind of form, and will send by network through the electrocardiogram (ECG) data with first kind of form and the user profile of resolving, wherein, described first kind of form is the XML form, or TXT form, or EDI form; And
Electrocardio consultation system 300, described electrocardio consultation system 300 receives electrocardiogram (ECG) data with first kind of form and the user profile that information system group of described equipment vendors 200 sends, it is carried out secondary resolves, change into electrocardiogram (ECG) data and user profile with unified cannonical format, and preserve, simultaneously described electrocardiogram (ECG) data with unified cannonical format is converted to EGC pattern, and diagnoses and diagnostic message is sent to data collection station user 100 by network by remote ecg doctor 400.
Wherein, described data collection station user 100 can be and is personal user, local medical institutions and local health service mechanism.Described local medical institutions can be medical institutions such as community hospital or township hospital, and local health service mechanism can be health service mechanisms such as MEC or nursing house.
Further, described electrocardio consultation system 300 comprises:
Electrocardiogram (ECG) data transmission middleware platform, described electrocardiogram (ECG) data transmission middleware platform receives electrocardiogram (ECG) data with first kind of form and the user profile that information system group of described equipment vendors 200 sends, it is carried out secondary resolve, change into electrocardiogram (ECG) data and user profile with unified cannonical format;
The EGC pattern processing system, described EGC pattern processing system receives and preserves electrocardiogram (ECG) data with unified cannonical format and the user profile that described electrocardiogram (ECG) data transmission middleware platform sends, and described electrocardiogram (ECG) data with unified cannonical format is converted to EGC pattern, according to the rule of normal ECG described EGC pattern is discerned simultaneously, and with described EGC pattern and user profile output;
The diagnostic feedback system, described diagnostic feedback system receives EGC pattern and the user profile that the EGC pattern processing system is sent, according to a default cardiac diagnosis class library, find out corresponding electrocardio disease, and diagnose by remote ecg doctor 400, confirm whether need the consultation of doctors, as not holding a consultation, the electric standard term is write and is replied report and send to data collection station user 100 by network diligently; As the needs consultation of doctors, then inform doctor on duty, to carry out secondary after doctor on duty confirms to need to hold a consultation and hold a consultation, the consultation of doctors finishes back motive electric standard term and writes the answer report and send to data collection station user 100 by network;
The user information management system, preservation user's various information, and the historical diagnostic message of recording user;
Security of system and Operation Log Management system, number of the account, password and authority to doctor on duty manage, and the ratio of number of users, time of having a rest length, rest period and the normal electrocardio and the abnormal electrocardiogram of doctor's on duty landing time, diagnosis is carried out statistical management.
Further, described diagnostic feedback system comprises the queuing subsystem, and the queuing principle of described queuing subsystem is: arrive first first processing, but the personal user has abnormal electrocardiogram record priority treatment.Have the EGC pattern that surpasses five minutes not have the doctor handling in described queuing subsystem, then system sends alarm signal and notifies the duty director, and the EGC pattern in this terminal is on average routed to other doctor's terminals on duty automatically; And do not handle if certain bar EGC pattern surpasses three minutes at certain doctor's terminal on duty, then system sends alarm signal and notifies the duty director, and this electrocardiogram is sent to duty director's terminal, and is handled by the duty director, and SMS notification is responsible for simultaneously.
Further, described electrocardiogram (ECG) data and user profile with unified cannonical format is the data file with DICOM agreement of unified standard.
Wherein, described network can be wireless network or the Internet, and promptly described data collection station user can utilize wireless network to transmit electrocardiogram (ECG) data and user profile by mobile phone 102, also can utilize the Internet to transmit electrocardiogram (ECG) data and user profile by PDA equipment 101.
In sum, the invention provides a kind of remote ecg monitoring system, described remote ecg monitoring system comprises the data collection station user, information system group of equipment vendors and electrocardio consultation system, described data collection station user gathers electrocardiogram (ECG) data and user profile and sends to information system group of described equipment vendors by network, information system group of described equipment vendors discerns reception and preservation to described electrocardiogram (ECG) data and user profile, simultaneously described electrocardiogram (ECG) data and user profile are resolved, described electrocardio Consultation Center receives described electrocardiogram (ECG) data and user profile through resolving, and convert it into electrocardiogram (ECG) data and user profile with unified cannonical format, simultaneously described electrocardiogram (ECG) data with unified cannonical format is converted to EGC pattern, and diagnoses and diagnostic message is sent to the data collection station user by network by the remote ecg doctor.Thereby make various data collection station on same system platform, to work, can impel the decline of remote ecg equipment price, make high-caliber medical services to promote in community and rural area.
Obviously, those skilled in the art can carry out various changes and modification to invention and not break away from the spirit and scope of the present invention.Like this, if of the present invention these are revised and modification belongs within the scope of claim of the present invention and equivalent technologies thereof, then the present invention also is intended to comprise these changes and modification interior.

Claims (10)

1. a remote ecg monitoring system is characterized in that, comprising:
The data collection station user uses certain remote ecg equipment to gather electrocardiogram (ECG) data and user profile, and electrocardiogram (ECG) data and user profile is sent by network;
Information system group of equipment vendors, comprise system of multiple remote ecg equipment vendors, described multiple remote ecg equipment vendors' system identification also receives electrocardiogram (ECG) data and the user profile that described data collection station user sends and preserves, according to the Data Transport Protocol of each remote ecg equipment described electrocardiogram (ECG) data and user profile are resolved simultaneously, make it have first kind of form, and will send by network through the electrocardiogram (ECG) data with first kind of form and the user profile of resolving; And
The electrocardio consultation system, receive electrocardiogram (ECG) data with first kind of form and user profile that information system group of described equipment vendors sends, it is carried out secondary resolves, change into electrocardiogram (ECG) data and user profile with unified cannonical format, and preserve, simultaneously described electrocardiogram (ECG) data with unified cannonical format is converted to EGC pattern, and diagnoses and diagnostic message is sent to data collection station by network by the remote ecg doctor.
2. remote ecg monitoring system as claimed in claim 1 is characterized in that, described data collection station user is the personal user.
3. remote ecg monitoring system as claimed in claim 1 is characterized in that, described data collection station user is local medical institutions.
4. remote ecg monitoring system as claimed in claim 1 is characterized in that, described data collection station user is a local health service mechanism.
5. remote ecg monitoring system as claimed in claim 1 is characterized in that, described electrocardio consultation system comprises:
Electrocardiogram (ECG) data transmission middleware platform receives electrocardiogram (ECG) data with first kind of form and user profile that information system group of described equipment vendors sends, it is carried out secondary resolve, and changes into electrocardiogram (ECG) data and user profile with unified cannonical format;
The EGC pattern processing system, receive and preserve electrocardiogram (ECG) data with unified cannonical format and user profile that described electrocardiogram (ECG) data transmission middleware platform sends, and described electrocardiogram (ECG) data with unified cannonical format is converted to EGC pattern, according to the rule of normal ECG described EGC pattern is discerned simultaneously, and with described EGC pattern and user profile output;
The diagnostic feedback system, receive EGC pattern and user profile that the EGC pattern processing system is sent, according to a default cardiac diagnosis class library, find out corresponding electrocardio disease, and diagnose by the remote ecg doctor, confirm whether need the consultation of doctors, as not holding a consultation, the electric standard term is write and is replied report and send to the data collection station user by network diligently; As the needs consultation of doctors, then inform doctor on duty, to carry out secondary after doctor on duty confirms to need to hold a consultation and hold a consultation, the consultation of doctors finishes back motive electric standard term and writes the answer report and send to the data collection station user by network;
The user information management system, preservation user's various information, and the historical diagnostic message of recording user;
Security of system and Operation Log Management system, number of the account, password and authority to doctor on duty manage, and the ratio of number of users, time of having a rest length, rest period and the normal electrocardio and the abnormal electrocardiogram of doctor's on duty landing time, diagnosis is carried out statistical management.
6. remote ecg monitoring system as claimed in claim 5 is characterized in that, described diagnostic feedback system comprises the queuing subsystem, and the queuing principle of described queuing subsystem is: arrive first first processing, but the personal user has abnormal electrocardiogram record priority treatment.
7. remote ecg monitoring system as claimed in claim 6, it is characterized in that, described queuing subsystem is interior if there is the EGC pattern that surpasses five minutes not have the doctor handling, then system sends alarm signal and notifies the duty director, and the EGC pattern in this terminal is on average routed to other doctor's terminals on duty automatically; And do not handle if certain bar EGC pattern surpasses three minutes at certain doctor's terminal on duty, then system sends alarm signal and notifies the duty director, and this electrocardiogram is sent to duty director's terminal, and is handled by the duty director, and SMS notification is responsible for simultaneously.
8. remote ecg monitoring system as claimed in claim 5 is characterized in that, described have the electrocardiogram (ECG) data of first kind of form and the form of user profile is the XML form, or the TXT form, or the EDI form.
9. remote ecg monitoring system as claimed in claim 5 is characterized in that, described electrocardiogram (ECG) data and user profile with unified cannonical format is the data file with DICOM agreement of unified standard.
10. remote ecg monitoring system as claimed in claim 1 is characterized in that, described network is wireless network or the Internet.
CN2010101536906A 2010-04-22 2010-04-22 Remote electrocardio monitoring system Pending CN102232827A (en)

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CN102961130A (en) * 2012-12-06 2013-03-13 常州普适信息科技有限公司 Wireless three-electrode ECG (electrocardiogram) acquisition system
CN104042209A (en) * 2014-07-02 2014-09-17 成都医莲物联网联合诊所投资管理有限公司 System and method for remote electrocardio inspection
CN106031634A (en) * 2015-03-19 2016-10-19 上海道拓文化传播有限公司 Tele-cardio monitoring method and system
CN108430312A (en) * 2015-12-21 2018-08-21 美多尼克监测公司 Label arrhythmia episode is for the system and method that promptly examine
CN105631202A (en) * 2015-12-27 2016-06-01 哈尔滨米米米业科技有限公司 Mobile phone electrocardio monitoring center diagnosis system
CN106407718A (en) * 2016-11-01 2017-02-15 东莞理工学院 Medical monitoring automatic queuing system and medical automatic queuing method
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CN108133738A (en) * 2016-11-30 2018-06-08 上海家链医疗科技有限公司 A kind of medical services managing device and interactive medical service management system
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Application publication date: 20111109