A kind ofly cover the health management system arranged of community and family
Technical field
The present invention relates to a kind of health management system arrangedly, in particular, relating to a kind of is the basis with the ihr, covers the electronic health management system arranged of community and family.
Background technology
According to World Health Organization's report, the total death toll in the whole world was 5,800 ten thousand in 2005, and wherein nearly 3,500 ten thousand people die from chronic disease, and the death toll of Chinese chronic disease has accounted for 7,500,000." Chinese chronic disease report " shows that nearly 300,000,000 people are overweight and fat, dyslipidemia patient 1.6 hundred million, and the chronic 2.8 hundred million, and chronic disease death accounts for total dead ratio and is lasting ascendant trend.
China in 2005 more than 60 years old elderly population reach 1.45 hundred million, the ratio that accounts for total population surpasses 11%, it is predicted, will reach about 4.5 hundred million to 2050, the ratio that accounts for total population will be above 30%.Surpass global average level.(selecting from " China's senile chronic disease present situation and development trend report 2005 ")
In the face of chronic disease constantly increases the global trend of quickening aging with population; People not only have been confined to traditional medical institutions for the demand of health control, and People more and more hopes in family and daily life environment, to obtain comprehensive health care support.And along with the improving constantly of living standard, progressively the change of the theory of health of people, healthy, to keep healthy and cure the disease be not only the thing of government, hospital and medical institutions, also is everyone thing.People are more in the past than the healthy and health care of whenever being concerned about oneself more on one's own initiative, and hope is managed the health data of complicacy.
But, in present medical health field, one all the time outstanding issue be: that medical records disperses, in disorder when doctor and patient need most medical information, even just can not find at all.People's medical information disperses to be stored in different hospitals and medical institutions, and what have possibly be distributed throughout the country.Share although government and relevant department actively promote medical information, and dropped into great amount of manpower and material resources and financial resources, difficult.Because different systems, different data layouts and some artificial factors, the complete health and fitness information that in time obtain oneself are very difficult.(for example emergency treatment etc.) but can not obtain when needing most these information, directly influenced medical quality and effect.So, no matter be health service suppliers such as patient itself, or hospital; All hope to obtain comprehensive patient health information, diagnosis and therapy recording, measurement history etc.; Carry out effective health control, thereby reduce handling cost, and improve the quality of medical treatment, nursing and health care.
Summary of the invention
The object of the present invention is to provide a kind of with ihr (Personal Health Record; Be called for short PHR) be the basis; Cover the electronic health management system arranged of community and family, this health management system arranged can recorder's physiological health, mental health and all information relevant throughout one's life with health, and by means of advanced technologies such as computing machine and networks; Health related information digital collection with the individual transmits, is stored in the health account server with the electronics mode.User, medical institutions and health institution can be whenever and wherever possible, indiscriminately ad. as one wishes consult, retrieve, add up, safeguard oneself health and fitness information; For health risk assessment, health control, disease treatment and targeted health care guidance etc. provide basic guarantee, promote health and improve the quality of living thereby reach.
Above-mentioned purpose of the present invention can realize through following technological means:
Health management system arranged health monitoring equipment, input equipment, storage calculation server and the visual terminal device that is connected through the network data connected mode that comprise of said covering community and family; In addition; Described health management system arranged front end health control terminal, information stores database, information analysis module and the ihr platform of also comprising, wherein:
Said front end health control terminal is positioned on the described visual terminal device; Be connected with said health monitoring equipment, input equipment and storage calculation server; Said front end health control terminal comprises information acquisition module and information feedback module; Said information acquisition module is used for that resulting information is gathered and will be gathered to the personal health information of perhaps being imported by hand by authorized user of said health monitoring equipment survey and is sent to said information stores database, and said information feedback module is used for receiving and display message collection history and analysis result on terminal device;
Described information stores database is positioned on the said storage calculation server; Be connected with said health monitoring equipment, input equipment and visual terminal device, be used for the individual subscriber health and fitness information that collects or the information after receiving said information analysis resume module is stored and to said information feedback module or said ihr platform information and information are provided receiving the instruction back;
Described information analysis module is positioned on the said storage calculation server; Be connected with said health monitoring equipment, input equipment and visual terminal device; Be used for the information and the information that receive are analyzed, contrasted and handles, and the analysis result after will handling sends back information stores database or information feedback module;
Said ihr platform is positioned on the described visual terminal device; Be connected with said health monitoring equipment, input equipment and storage calculation server, it is used for authorized personal user personal information or the new data of typing are inquired about, edited to the data of information stores database.
Said front end health control terminal information acquisition module comprises device data typing unit and artificial data typing unit; Wherein said device data typing unit is used to gather the measured user's physiological data of Medical Devices that has data-transformation facility, and described artificial data typing unit is used for user's physiological data of measuring through personnel's manual entry of authorizing.
Described front end health control terminal also comprises communication module, and said communication module is used for through carrying out communication and contact between the user who authorizes.
Described front end health control terminal also comprises the information receiver module, and said information receiver module is used for extracting health and fitness information and being presented at front end health control terminal from the information stores database.
Described front end health control terminal also comprises prompting module, and said prompting module is used for regularly the user being made prompting according to user's setting with the result who analyzes gained.
Described front end health control terminal also comprises the function setting module, is used for the user and as required said information management system is carried out function setting.
Described ihr platform comprises user profile editor module and health and fitness information enquiry module; Said user profile editor module is used for authorized user to be edited and revises personal information, and said health and fitness information enquiry module is used for authorized user to be inquired about information stores database canned data.
Described health and fitness information enquiry module comprises that statement-of-health query unit, health records query unit and information analyzes feedback unit automatically; Said statement-of-health query unit is used for the health analysis report that authorized user stores the information stores database and inquires about; Said health records query unit is used for the health measurement historical data that authorized user stores the information stores database and inquires about; Said information intelligent is analyzed feedback unit and is comprised intelligent health parameter analysis engine, is used for automatically user's healthy historical information with statement-of-health is analysed and compared and feedback result, the item pointing out the present health status of user and should be noted that automatically.
The data model of described ihr platform is by constituting like the lower part: electronic health care file data model; Clinical document; Electronic health care archives terminology and reasoning service; To the storage of XML data and the support of inquiry,, provide the individual comprehensive, long-term health records through integration to individual medical data; The clinical guidelines model, based on the execution of business process engine support clinical guidelines, monitoring and assessment; The clinical panel board of health control; Business procedure engine prototype based on communication is docked with the health plan management engine; Move the sensor events engine of health portals and mobile phone end.
Said electronic health care file data model is set up based on HL7 RIM (Reference Information Model) standard; Said clinical document is followed HL7 CDA (Clinical Document Architecture) R2 standard and is set up; Said clinical guidelines model is followed HL7 GLIF (Guideline InterchangeFormat)/GELLO (Guideline Expression Language) standard and is set up.
Usefulness of the present invention is: can carry out complete electronical record to personal health information 1..The personal health archives not only can write down all physical examination information, collect the doctor, electronics that hospital and disease prevention and control center etc. locates or the medical information on the paper; But also comprise important information to the relevant non-medical treatment of health; For example diet habit, sleep habit, hobby (for example smoke, drink etc.), motion, symptom and to the information such as reaction of treatment, no matter the user is wherever; Where seek medical advice; The information such as monitoring record that can access at any time in the past supply medical care and health personnel's reference, can detailed personal health monitoring information be provided for the medical care and health personnel, improve the disease treatment accuracy rate;
2. can carry out continuous, dynamic, digitized record to personal health information; Its essential record people physiological health, mental health and all information relevant throughout one's life with health; And by means of advanced technologies such as computing machine and networks; Health related information digital collection with the individual transmits, is stored in the health account server with the electronics mode.The user can be whenever and wherever possible, indiscriminately ad. as one wishes consult, retrieve, add up, safeguard oneself health and fitness information; For health risk assessment, health control, disease treatment and targeted health care guidance etc. provide basic guarantee, thus the purpose that reaches health promotion and improve the quality of living;
3. the present invention is based on terminal device; Utilize wireless communication technique, compile the sign data of condition sensor, and with backstage PHR management system synchronization implementation; Guarantee the consistance and the validity of front and back end data; The rear end will be compiled the back data and carry out the intelligent health analysis, realize " individual follows the trail of health history, initiatively participates in healthy ";
4. be core with ihr platform (PHR); Form the open Eco-system ecosystem; Set up the ecosystem that a personal health by the height intercommunication, health monitoring product and health service service organization are formed; Through network technology, advance the crowd's of domestic consumer health control with mode low-cost, science.
5. the access way of this management system is versatile and flexible, mobile convenient flexibly; Authorized user can get into personal health information record platform at any terminal that can insert the internet health and fitness information of designated user is inquired about and managed; The man-machine interaction performance is good; And can only analyze health and fitness information and provide analysis result and the health promotion scheme according to canned data in the system, be convenient to community, medical institutions, patient or family numbers of patients and carry out health control.
6. landing property is strong, meets the health control needs of basic unit of China community and family, also is convenient to realize the management of regional resident's electronic health care archives, realizes that cooperation with service advances regional health information construction.
Description of drawings
Fig. 1 is a configuration diagram of the present invention
Fig. 2 is a structural representation of the present invention.
Specific embodiment
Health management system arranged like Fig. 1 and covering community shown in Figure 2 and family; Comprise health monitoring equipment, input equipment, storage calculation server and visual terminal device; In addition; Cover health management system arranged front end health control terminal, information stores database, information analysis module and the ihr platform of also comprising of community and family, wherein:
On the visual terminal device that front end health control terminal is positioned at, be connected with health monitoring equipment, input equipment and storage calculation server.Front end health control terminal comprise be used for health monitoring equipment is surveyed or gather and will gather the information acquisition module that resulting information is sent to the information stores database by the personal health information of the manual input of authorized user; Be used to receive and display message is gathered historical and analysis result on terminal device information feedback module; Be used for extracting health and fitness information and being presented at the information receiver module at front end health control terminal from the information stores database; Be used for the user being made the prompting module of prompting according to user's setting and result's timing of analyzing gained; Being used for the user carries out function setting function setting module to information management system as required and is used for passing through the communication module that carries out communication and contact between the user who authorizes.And front end health control terminal information acquisition module comprises device data typing unit and artificial data typing unit; Device data typing unit wherein is used to gather the measured user's physiological data of Medical Devices that has data-transformation facility, and artificial data typing unit is used for user's physiological data of measuring through personnel's manual entry of authorizing.
The information stores database is positioned on the storage calculation server; Be connected with health monitoring equipment, input equipment and visual terminal device, be used for the individual subscriber health and fitness information that collects or the information after receiving the information analysis resume module is stored and to information feedback module or ihr platform information and information are provided receiving the instruction back;
The information analysis module is positioned on the storage calculation server; Be connected with health monitoring equipment, input equipment and visual terminal device; Be used for the information and the information that receive are analyzed, contrasted and handles, and the analysis result after will handling sends back information stores database or information feedback module;
On the visual terminal device that the ihr platform is positioned at; Be connected with health monitoring equipment, input equipment and storage calculation server, it is used for authorized personal user personal information or the new data of typing are inquired about, edited to the data of information stores database.The ihr platform comprises user profile editor module and health and fitness information enquiry module; The user profile editor module is used for authorized user to be edited and revises personal information, and the health and fitness information enquiry module is used for authorized user to be inquired about information stores database canned data.The health and fitness information enquiry module comprises statement-of-health query unit, health records query unit and information intelligent analysis feedback unit; The statement-of-health query unit is used for the health analysis report that authorized user stores the information stores database and inquires about; The health records query unit is used for the health measurement historical data that authorized user stores the information stores database and inquires about; Information intelligent is analyzed feedback unit and is comprised intelligent health parameter analysis engine, is used for automatically user's healthy historical information with statement-of-health is analysed and compared and feedback result, the item pointing out the present health status of user and should be noted that automatically.
Wherein, the data model of ihr platform is made up of following several sections: based on the electronic health care file data model of HL7RIM (Reference Information Model) standard; Follow the clinical document of HL7 CDA (Clinical Document Architecture) R2 standard; Electronic health care archives terminology and reasoning service; To the storage of XML data and the support of inquiry,, provide the individual comprehensive, long-term health records through integration to individual medical data; Follow the clinical guidelines model of HL7 GLIF (Guideline InterchangeFormat)/GELLO (Guideline Expression Language) standard, based on the execution of business process engine support clinical guidelines, monitoring and assessment; The clinical panel board of health control; Business procedure engine prototype based on communication is docked with the health plan management engine; Move the parts such as sensor events engine of health portals and mobile phone end.
The ihr platform that is made up of above-mentioned part can realize resident's electronic health care archives, based on decision support (chronic disease management) system and the portable medical support system three big functions of clinical guidelines.
Resident's electronic health care archives are based on the health account management of XML, are responsible for from the patient data that collects, extracting health account information, be stored in the health account storehouse, and the medical terminology of managing health archives needs.The content of health account is externally issued through information service, supplies other infosystems to use; Based on the regional Health Services bus of IHE (Integrating the Healthcare Enterprise), be responsible for from the existing infosystem of hospital, gathering patient's data.Resident's electronic health care archives are followed international health care interoperability standard to reach interconnecting of the interior system in zone; Like HL7 RIM; Standards such as CDA R2 and IHE XDS; Realization realizes the flexible and efficient storage to the electronic health care file data based on the semantic interoperability of Ministry of Public Health's residents ' health file data standard, inquiry and analysis.
Decision support (chronic disease management) system based on clinical guidelines can provide the medical decision making support, the implementation effect of health plan and quality analysis, and the remote patient sign is gathered and is moved initiatively and show loving care for.Based on the computerize of international standard realization clinical practice guideline, help interoperability, the reusability of applying clinical practice guideline in carrying out slow sick management.Clinical practice guideline based on industry member standard use flow engine object computerization helps the applying clinical practice guideline to carry out popularization, the actual effect of slow sick management.Based on service-oriented opening architecture, realize seamless integration with existing clinic information system (like hospital information system, electronic health care archives economy etc.).Based on HL7 RIM model the data, services interface is provided, realizes combining with existing the effective of various clinical datas.Realize assessment based on HL7 GELLO standard, effective decision support is provided patient's state of an illness.
The portable medical support system is based on the system architecture of standard and service-oriented (SOA), and flexible combination and the ability of expansion between each assembly of system are provided.Based on the business procedure of communication, through in medical procedures, merging technology such as mobile communication, voice, instant message, quicken people and people, mutual between people and the system.Mobile phone application and equipment control guarantee the application of privacy of user and data security and managing mobile phone.The comprehensive health managing portal provides the health account door, the clinical panel board of health plan, and health plan has charge of the instruments and coils and mobile health portals.
Health monitoring equipment, input equipment, storage calculation server and visual terminal device are connected through network data line, wireless network, can carry out active data connection and transmission each other.
Above embodiment is the usefulness that supplies to understand the present invention; Be not to be limitation of the present invention, the those of ordinary skill in relevant field is on the basis of the said technical scheme of claim; Can also make multiple variation or modification, these variations or modification are to be understood that to still belonging to protection scope of the present invention.