CN102361482B - Based on rural area and the community medicine visual remote service system of public communication network - Google Patents

Based on rural area and the community medicine visual remote service system of public communication network Download PDF

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Publication number
CN102361482B
CN102361482B CN201110311217.0A CN201110311217A CN102361482B CN 102361482 B CN102361482 B CN 102361482B CN 201110311217 A CN201110311217 A CN 201110311217A CN 102361482 B CN102361482 B CN 102361482B
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visual remote
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hospital
communication network
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CN102361482A (en
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杨文韬
杨丹
王洁月
李卫民
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Abstract

The invention discloses a kind of rural area based on public communication network and community medicine visual remote service system, the user terminal comprise Internet Server, being connected with Internet Server; The visual remote consultation service platform server group that described the Internet comprises China Telecom's global eyes Platform Server group and is attached thereto.Compared with prior art, the service range that present system can greatly expand, improves the utilization ratio of system, lowers the construction cost of system, realizes visual remote medical treatment " platform moves, serves downward ".

Description

Based on rural area and the community medicine visual remote service system of public communication network
Technical field
The invention belongs to visual remote technical field of communication network, be specifically related to a kind of rural area based on public communication network and community medicine visual remote service system.
Background technology
Utilize communication network technology to solve basic unit common people " Expensive and hard to visit doctors " problem for rural area and community medicine remote service be applied and developed.Domestic existing tele-medicine platform mainly contains two kinds of point-to-point (point-to-point) architectures and client/server architecture (c/s), point-to-point structure only has service side and serviced side two kinds of structure consultation of doctors directly to carry out (as Nanjing Military Command's remote expert consultation system) two sides, this schema flexibility is poor, does not support plural consultation; (c/s) mode service side, serviced side, server three category node, service side and serviced side belongs to client, request is issued service side by server, consultation of doctors data forward often through server, and the integration capability of system can be distributed on each mini system, to realize distributed treatment by this pattern.
This tele-medicine construction scheme with terrestrial wideband communication for primary communications means; With the Lossless transport of DICOM, store, be reproduced as main technical characterstic; The technology path of core is turned to WEB.Adopt modular method for designing, each module can combinationally use and can be used alone.Its nucleus module comprises the system of three soft and hardwares one and an expansion module and long-range radiology system, video conferencing system, remote training system, clinical consulation data transmission and consultation of doctors administration extensions module.Use compound mode: 1) use independent long-range emission center to carry out teleradiology service; 2) independent streaming media service center is used to carry out the inside and outside remote training of institute, program request, broadcast, surgery observation mode; 3) independent video service office is used to carry out video conference business; 4) use long-range emission center, video conference center and add-on module, carry out remote medical consultation with specialists service; 5) all modules are used to carry out the multiple Telemedicines such as remote medical consultation with specialists, remote training, surgery observation.Current domestic this Telemedicine System service range 1, to N number of point, is tele-medicine proprietary system, is deployed in chain hospital both sides (need server several or more than ten), tree network structure ,serve among a small circle.In such a configuration, can not loop be produced between any two nodes, therefore can not realize the interchange between medical institutions at the same level; Every one-level site builds all needs substantial contribution to lay hardware device, and the downward need in terminal site are established between local area network (LAN), hospital of subordinate and can not laterally, longitudinally be networked therefore be difficult to be deployed to small towns, community and outlying mountain area.The whole province's health resources can not be made full use of, the resource of left unused level hospital of cities and counties and County Hospital.
Summary of the invention
The object of the invention is for above-mentioned prior art not enough, a kind of rural area based on public communication network and community medicine visual remote service system are provided, to expand the service range of system, the utilization ratio of raising system, the construction cost of attenuating system, realize visual remote medical treatment " platform moves, serves downward ".
The present invention is achieved by the following technical programs:
Rural area based on public communication network of the present invention and community medicine visual remote service system, the user terminal comprise Internet Server, being connected with Internet Server; The visual remote consultation service platform server group that described the Internet comprises China Telecom's global eyes Platform Server group and is attached thereto.
Described user terminal comprises provincial hospital terminal, City Hospitals terminal, County Hospital terminal, township level or community hospital's terminal, at village level hospital terminal.
Described terminal comprises video camera, microphone, IPTV set top box, encoder, computer or television machine, projecting apparatus, 3G mobile, sound equipment, and they adopt optical fiber or wireless mode to be connected with described Internet Server by switch or router.
The present invention utilizes public communication network to connect province, city, county (district), township, at village level hospital, be built into the official communication service system visual far away and " network hospital " that can cover the whole nation, its feature has: 1) can realize province, cities and counties, counties and districts, township and community hospital at many levels, the complete networking between hospital of the superior and the subordinate, between sane level hospital; 2) high-quality health resources at different levels can be made full use of, comprise Medical Technologist's resource of cities and counties and County Hospital, carry out point-to-point, multiple spot Cases Discussion (containing township level application); 3) far consult expert system (containing experts database) by three grades to realize manage-Big urban hospital expert and basic hospital being connected by area under one's jurisdiction medical services, make township hospital, community hospital patient can obtain Big urban hospital expert visual visual remote consultation of doctors consulting, and directly can proceed to higher level's Public Medical Institutions by far consulting expert in diagnosing the diseases's contact, reservation overall process subordinate hospital doctor and higher level's hospital expert contact, and patient does not need to contact with higher level expert; 4) total platform and far consult that medical site is undertaken unifying building by project development side, telecommunications and partner, installs, safeguarded, management, regularly upgrading, medical institutions be without the need to machine room and specialized network attendant; 5) have medical treatment, telecommunications industry supporting quality assurance, the perspective design of system, the official communication services far away related to meets current health, telecommunications system work flow process, policy, personnel, technology, place, equipment requirement substantially; Realization medical treatment, telecommunication resources are shared, and common target is pursued in medical treatment, each comfortable different field of telecommunication system worker---alleviate " the difficulty and high cost of getting medical; 6) support mobile video, namely Medical Technologist can pass through mobile video, instructs application consulting on-the-spot whenever and wherever possible; 7) system can reach civilian highest video definition (1080P HD video) as long as hospital surgical, teaching are relayed live----authorize the whole province situation of all-level hospitals all can watch, and can visual remote scene put question to, answer; 8) can be undertaken by various terminal, the program request of health education video data, watch the healthy lecture of expert live, remote patient monitoring, remote medical consultation with specialists consulting, set up the medical information tie that " electronic health record " main contents work in coordination with interconnected construction, carry out that health care information, remote log, roll-call expert service, fare payment system are interconnected, operative site relays platform etc., promote the fast development 9 of tele-medicine in China) can Quick Casting be other network applications, such as: rural information far consults service platform, logistics platform, remote teaching etc.Compared with prior art, system can greatly Extension of service scope, improves the utilization ratio of system, lowers the construction cost of system, realize tele-medicine " platform moves, serves downward ".
Below in conjunction with embodiment, the present invention is described further.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
Fig. 2 is functional schematic of the present invention.
Embodiment
Based on the rural area of public communication network and community medicine visual remote service system as shown in Figure 1, comprise the Internet 1, user terminal, the visual remote consultation service platform server group 12 that the Internet 1 comprises China Telecom's global eyes Platform Server group 11 and is attached thereto, user terminal is connected with China Telecom global eyes Platform Server group 11 and visual remote consultation service platform server group 12; China Telecom's global eyes Platform Server group 11 comprises center management server, NM server, WEB server, interface server, dispatch server, streaming media server etc.; Visual remote consultation service platform server group 12 comprises visual remote consulting system management server, expert system server, WEB server, consultation of doctors management server, cities and counties' management server, database server, backup server etc.; User terminal comprises provincial hospital terminal 2, City Hospitals terminal 3, County Hospital terminal 4, township level or community hospital's terminal 5, at village level hospital terminal 6, terminal 2,3,4,5,6 at different levels comprises video camera, microphone, IPTV set top box, encoder, computer or television machine, projecting apparatus, 3G mobile, sound equipment, and they adopt optical fiber or wireless mode to be connected with described Internet Server by switch or router.
After the present invention uses client software (MOC), can to throw the net being distributed in medical terminal that various level is scattered with one and be together in series, higher level hospital and subordinate's Hospital medical scene is made to realize laterally with longitudinally networking, there is provided the visual remote Health Care Services of direct user oriented unit (compatible family), its functional structure as shown in Figure 2.Overcome on the one hand the problem that conventional visualization Telemedicine System tree network structure can not carry out between arbitrary node communicating, again can effectively to far consulting the visual remote consultant expert systems at different levels of service platform, visual remote at different levels consulting unit manages and right assignment.The mobile terminal of IP Telecommunication Network, the Internet, IPTV net, 3G wireless network, being the bearer network of whole system, is the transmission channel of system business stream, transmission visual media stream and control flow check.
After logging in native system website, click website one-level column and " far consult management "; Input account, password are downloaded telereference videoconference client software and are installed to computer desktop (only need operate once, be downloaded and installed when hospital checks and accepts by technical staff); Click telereference expert system and determine to invite consulting hospital and expert and line duration; Click " application is made a report on " under medical advice application column, fill in that table is made a report in application, higher level Medical Technologist timing login system checks reservation situation: click medical advice service bar and " wait for and seek advice from case history " now, 1) check each case history details; 2) case history that receives of the consulted hospital of prompting, can carry out telereference according to the arrange an order according to class and grade expert of time reservation of expert; 3) log in China Telecom's global eyes client (click client software), expert arranges video authority, and both sides carry out video connection; 4) log in telereference system, click medical advice service bar and " wait for consulting case history " now, describe in detail according to operation demonstration video and carry out filling in of telereference and case history.Carry out the long-distance video consultation of doctors, long distance monitoring, visiting, distance education training, remote medical consultation with specialists management, medical imaging share real time remote diagnosis; Reservation overall process subordinate hospital arranges an order according to class and grade according to telereference expert system and to contact with higher level's hospital expert, and subordinate's physician in hospital informs that patient's telereference expert is in the hospital outpatient time, and patient's outpatient service is seen a doctor or expert's Admission formality is looked in outpatient service; Higher level expert helps to take in institute, and patient does not need to contact with expert, turn after telereference in principle higher level's patient in hospital when expert hospital goes to work, the consulting hours look for expert to see a doctor, Admission formality.

Claims (2)

1., based on rural area and the community medicine visual remote service system of public communication network, it is characterized in that: the user terminal comprise Internet Server, being connected with Internet Server; The visual remote consultation service platform server group that described the Internet comprises China Telecom's global eyes Platform Server group and is attached thereto, realizes video by described China Telecom global eyes Platform Server group and visual remote consultation service platform server group between described user terminal and is connected the dynamic interaction with long-range " face-to-face "; Described China Telecom global eyes Platform Server group comprises center management server, NM server, WEB server, interface server, dispatch server, streaming media server; Described visual remote consultation service platform server group comprises visual remote consulting system management server, expert system server, WEB server, consultation of doctors management server, cities and counties' management server, database server, backup server; Described user terminal comprises provincial hospital terminal, City Hospitals terminal, County Hospital terminal, township level or community hospital's terminal, at village level hospital terminal.
2. the rural area based on public communication network according to claim 1 and community medicine visual remote service system, it is characterized in that: described terminal comprises video camera, microphone, IPTV set top box, encoder, computer or television machine, projecting apparatus, 3G mobile, sound equipment, they adopt optical fiber or wireless mode to be connected with described Internet Server by switch or router.
CN201110311217.0A 2011-10-14 2011-10-14 Based on rural area and the community medicine visual remote service system of public communication network Active CN102361482B (en)

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CN104063572A (en) * 2013-03-22 2014-09-24 中国科学院沈阳自动化研究所 Basic level generalization medical service information system
CN104754287B (en) * 2013-12-25 2017-12-12 中国电信股份有限公司 Video monitoring equipment configuration parameter delivery method and system
CN104036154A (en) * 2014-07-02 2014-09-10 成都医莲物联网联合诊所投资管理有限公司 Distributed remote medical system
CN104616234A (en) * 2015-02-14 2015-05-13 张英华 Internet-based medical healthcare system and medical healthcare method
CN108063786A (en) * 2016-12-02 2018-05-22 王健 A kind of Telemedicine System
CN106899319A (en) * 2017-03-13 2017-06-27 成都育芽科技有限公司 A kind of accurate medical services in community big data comprehensive service platform and its method

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