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 arranged, in particular, relate to a kind of based on individual health record, the electronization covering community and family is health management system arranged.
Background technology
According to WHO Report, within 2005, the total death toll in the whole world is 5,800 ten thousand, and wherein nearly 3,500 ten thousand people die from chronic disease, and the death toll of Chinese chronic disease account for 7,500,000." Chinese chronic disease report " shows nearly 300,000,000 people's Overweight and obesities, patients with dyslipidemia 1.6 hundred million, and chronic 2.8 hundred million, and chronic disease death accounts for total death rate in continuing ascendant trend.
China in 2005 more than 60 years old elderly population reach 1.45 hundred million, and the ratio accounting for total population, more than 11%, be it is predicted, will reach about 4.5 hundred million to 2050, and the ratio accounting for total population will more than 30%.Exceed global average level.(selecting from " China's senile chronic disease current status and prospect trend report 2005 ")
In the face of chronic disease constantly increases the world-wide trend accelerating aging with population, people are not only confined to traditional medical institutions for the demand of health control, and people more and more wish in family and everyday environments, obtain comprehensive health care support.And improving constantly along with living standard, the change progressively 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, is also everyone thing.Whenever people are concerned about oneself health and health care than ever more on one's own initiative, and wish to manage the health data of complexity.
But, in present medical health field, one all the time outstanding issue be: when doctor and patient need most medical information, medical records dispersion, in disorder, even just can not find at all.The medical information dispersion of people is stored in Different hospital and medical institutions, and what have may be distributed throughout the country.Although government and relevant department actively promote Medical data sharing, and drop into a large amount of human and material resources and financial resources, difficult.Due to different systems, different data layouts and some artificial factors, the complete health information that will obtain oneself is in time very difficult.When needing most these information (such as emergency treatment etc.), but can not obtain, directly affects quality and the effect of medical treatment.So, no matter be the health service suppliers such as patient itself, or hospital, all wish to obtain comprehensive patient health information, diagnosis and therapy recording, measurement history etc., carry out effective health control, thus reduce handling cost, and the quality improving medical treatment, nursing and keep healthy.
Summary of the invention
The object of the present invention is to provide a kind of with individual health record (Personal Health Record, be called for short PHR) based on, the electronization covering community and family is health management system arranged, this health management system arranged can the physiological health in recorder all one's life, mental health and all information relevant to health, and by means of advanced technologies such as cyber-nets, by the health related information digital collection of individual, electronically transmit, be stored in health account server.User, medical institutions and health institution can consult whenever and wherever possible, indiscriminately ad. as one wishes, retrieve, add up, safeguard the health and fitness information of oneself, for health risk assessment, health control, disease treatment and targeted health care guidance etc. provide basic guarantee, thus reach promotion health and improve the quality of living.
Above-mentioned purpose of the present invention can be realized by following technological means:
Described covering community and family health management system arranged comprises and carries out by network data connected mode the health monitoring equipment, input equipment, storage calculation server and the visual terminal device that are connected, in addition, described health management system arrangedly also comprise front end health control terminal, information storage database, information analysis module and individual health record platform, wherein:
Described front end health control terminal is positioned on described visual terminal device, with described health monitoring equipment, input equipment is connected with storage calculation server, described front end health control terminal comprises information acquisition module and information feedback module, described information acquisition module is used for personal health information that is that survey described health monitoring equipment or that inputted by hand by authorized user and gathers and be sent to described information storage database by gathering the information obtained, described information feedback module is used for receiving and showing information acquisition history and analysis result on the terminal device,
Described information storage database is positioned on described storage calculation server, be connected with visual terminal device with described health monitoring equipment, input equipment, for storing the individual subscriber health and fitness information collected or the information after receiving described information analysis module process and provide information and information to described information feedback module or described individual health record platform after receiving instruction;
Described information analysis module is positioned on described storage calculation server, be connected with visual terminal device with described health monitoring equipment, input equipment, for analyzing the information received and information, contrast and process, and the analysis result after process is sent back information storage database or information feedback module;
Described individual health record platform is positioned on described visual terminal device, be connected with storage calculation server with described health monitoring equipment, input equipment, it is inquired about the data in information storage database for authorized personal user, edit personal information or the new data of typing.
The information acquisition module of described front end health control terminal comprises device data typing unit and artificial data typing unit, wherein said device data typing unit is for gathering with the user's physiological data measured by the Medical Devices of data-transformation facility, and described artificial data typing unit is used for user's physiological data that the personnel's manual entry measurement through authorizing obtains.
Described front end health control terminal also comprises communication module, and described communication module is used for carrying out communication and contact between the user through authorizing.
Described front end health control terminal also comprises information receiver module, and described information receiver module is used for extracting health and fitness information from information storage database and being presented at front end health control terminal.
Described front end health control terminal also comprises prompting module, and described prompting module is used for making prompting according to the setting of user and the result timing of analysis gained to user.
Described front end health control terminal also comprises function setting module, carries out function setting as required for user to described information management system.
Described individual health record platform comprises user profile editor module and health and fitness information enquiry module, described user profile editor module is used for authorized user and edits personal information and revise, and described health and fitness information enquiry module is used for authorized user to be inquired about the information stored in information storage database.
Described health and fitness information enquiry module comprises statement-of-health query unit, health records query unit and information automatic analysis feedback unit, described statement-of-health query unit is used for authorized user and inquires about the health analysis report stored in information storage database, described health records query unit is used for authorized user and inquires about the health measurement historical data stored in information storage database, described information intelligent is analyzed feedback unit and is comprised intelligent health Parameter analysis engine, analyses and comparison are carried out and automatic feedback result for the automatic healthy historical information to user and statement-of-health, the current health status of prompting user and the item that should be noted that.
The data model of described individual health record platform is made up of such as lower part: electronic health record data model; Clinical document; Electronic Health Record terminology and inference service; To the storage of XML data and the support of inquiry, by the integration to Personal medical data, provide individual comprehensive, long-term health records; Clinical guidelines model, supports the execution of clinical guidelines based on business process engine, monitoring and assessment; The clinical panel board of health control; Business process engine prototype based on communication is docked with health plan management engine; The sensor events engine of mobile health portals and mobile phone terminal.
Described electronic health record data model is set up based on HL7 RIM (Reference Information Model) standard; Described clinical document is followed HL7 CDA (Clinical Document Architecture) R2 specification and is set up; Described clinical guidelines model is followed HL7 GLIF (Guideline InterchangeFormat)/GELLO (Guideline Expression Language) specification and is set up.
Usefulness of the present invention is: 1. can carry out complete electronical record to personal health information.Personal health archives not only can record all physical examination information, collect doctor, medical information on the electronics at the places such as hospital and control and prevention of disease center or paper, but also the important information comprised the relevant non-medical of health, such as diet habit, sleep habit, hobby (is such as smoked, drink), motion, symptom and the information such as reaction to treatment, no matter user wherever, where seek medical advice, the information such as monitoring record in the past can be recalled at any time for medical care and health personnel's reference, detailed personal health monitoring information can be provided for medical care and health personnel, improve disease treatment accuracy rate,
2. can carry out continuous print, dynamic, digitized record to personal health information, its essential record people physiological health throughout one's life, mental health and all information relevant to health, and by means of advanced technologies such as cyber-nets, by the health related information digital collection of individual, electronically transmit, be stored in health account server.User can consult whenever and wherever possible, indiscriminately ad. as one wishes, retrieve, add up, safeguard the health and fitness information of oneself, for health risk assessment, health control, disease treatment and targeted health care guidance etc. provide basic guarantee, thus the object reaching health promotion and improve the quality of living;
3. the present invention is based on terminal device, utilize wireless communication technique, collect the sign data of condition sensor, and with backstage PHR management system synchronization implementation, guarantee consistance and the validity of front and back end data, rear end will be collected rear data and carry out intelligent health analysis, realize " individual follows the trail of health history, and active participate is healthy ";
4. with individual health record platform (PHR) for core, form the open Eco-system ecosystem, set up the ecosystem be made up of the personal health of height intercommunication, health monitoring product and health service service organization, by network technology, advance the health control of domestic consumer group in the mode of low cost, science.
5. the access way of this management system is versatile and flexible, mobile convenient flexibly, authorized user the terminal of accessing Internet can enter the health and fitness information of personal health information record platform to designated user and inquire about and manage any, Man machine interaction is good, and can only analyze health and fitness information according to the information stored in system and provide analysis result and health promotion scheme, be convenient to community, medical institutions, sufferers themselves or family numbers of patients and carry out health control.
6. landing property is strong, meets the health control needs of basic unit of community of China and family, is also convenient to the management of feasible region resident's Electronic Health Record, realize cooperation with service to advance informatization of regional health construction.
Accompanying drawing explanation
Fig. 1 is configuration diagram of the present invention
Fig. 2 is structural representation of the present invention.
Specific embodiment
Covering community as shown in Figures 1 and 2 and family health management system arranged, comprise health monitoring equipment, input equipment, storage calculation server and visual terminal device, in addition, covering community and the health management system arranged of family also comprise front end health control terminal, information storage database, information analysis module and individual health record platform, wherein:
On the visual terminal device that front end health control terminal is positioned at, be connected with storage calculation server with health monitoring equipment, input equipment.Front end health control terminal comprise for health monitoring equipment is surveyed or gathered by the personal health information of the manual input of authorized user and will the information obtained be gathered be sent to the information acquisition module of information storage database, for receiving and showing the information feedback module of information acquisition history and analysis result on the terminal device, for extracting health and fitness information from information storage database and being presented at the information receiver module of front end health control terminal, for regularly making the prompting module of prompting to user according to the setting of user and the result of analysis gained, as required function setting function setting module and the communication module for carrying out communication and contact between the user through authorizing are carried out to information management system for user.And the information acquisition module of front end health control terminal comprises device data typing unit and artificial data typing unit, device data typing unit is wherein for gathering with the user's physiological data measured by the Medical Devices of data-transformation facility, and artificial data typing unit is used for user's physiological data that the personnel's manual entry measurement through authorizing obtains.
Information storage database is positioned at and stores on calculation server, be connected with visual terminal device with health monitoring equipment, input equipment, for storing the individual subscriber health and fitness information collected or the information after receiving information analysis module process and provide information and information to information feedback module or individual health record platform after receiving instruction;
Information analysis module is positioned at and stores on calculation server, be connected with visual terminal device with health monitoring equipment, input equipment, for analyzing the information received and information, contrast and process, and the analysis result after process is sent back information storage database or information feedback module;
On the visual terminal device that individual health record platform is positioned at, be connected with storage calculation server with health monitoring equipment, input equipment, it is inquired about the data in information storage database for authorized personal user, edit personal information or the new data of typing.Individual health record platform comprises user profile editor module and health and fitness information enquiry module, user profile editor module is used for authorized user and edits personal information and revise, and health and fitness information enquiry module is used for authorized user to be inquired about the information stored in information storage database.Health and fitness information enquiry module comprises statement-of-health query unit, health records query unit and information intelligent analyze feedback unit, statement-of-health query unit is used for authorized user and inquires about the health analysis report stored in information storage database, health records query unit is used for authorized user and inquires about the health measurement historical data stored in information storage database, information intelligent is analyzed feedback unit and is comprised intelligent health Parameter analysis engine, analyses and comparison are carried out and automatic feedback result for the automatic healthy historical information to user and statement-of-health, the current health status of prompting user and the item that should be noted that.
Wherein, the data model of individual health record platform is made up of following several part: based on the electronic health record data model of HL7RIM (Reference Information Model) standard; Follow the clinical document of HL7 CDA (Clinical Document Architecture) R2 specification; Electronic Health Record terminology and inference service; To the storage of XML data and the support of inquiry, by the integration to Personal medical data, provide individual comprehensive, long-term health records; Follow the clinical guidelines model of HL7 GLIF (Guideline InterchangeFormat)/GELLO (Guideline Expression Language) specification, the execution of clinical guidelines is supported, monitoring and assessment based on business process engine; The clinical panel board of health control; Business process engine prototype based on communication is docked with health plan management engine; The parts such as the sensor events engine of mobile health portals and mobile phone terminal.
The individual health record platform be made up of above-mentioned part can realize resident's Electronic Health Record, based on decision support (chronic disease management) system of clinical guidelines and portable medical support system three zones.
Resident's Electronic Health Record manages based on the health account of XML, is responsible for extracting health account information from the patient data collected, is stored in health account storehouse, and the medical terminology that managing health archives need.The content of health account is externally issued by information service, for other infosystems; Based on the regional health service bus of IHE (Integrating the Healthcare Enterprise), be responsible for the data gathering patient from the existing infosystem of hospital.Resident's Electronic Health Record follows International Medical health interoperability standard to reach interconnecting of system in region, as HL7 RIM, the standards such as CDA R2 and IHE XDS, realize the Semantic Interoperation based on Ministry of Public Health's Residential soil data standard, realize the flexible and efficient storage to electronic health record data, inquiry and analysis.
Decision support (chronic disease management) system based on clinical guidelines can provide medical decision making support, the implementation effect of health plan and quality analysis, and remote patient sign gathers and mobile initiatively care.Realize the computerize of clinical practice guideline based on international standard, contribute in the interoperability of carrying out applying clinical practice guideline in chronic diseases management, reusability.Use flow engine to perform computerized clinical practice guideline based on industry member standard, contribute to popularization, actual effect that applying clinical practice guideline carries out chronic diseases management.Based on service-oriented opening architecture, realize the seamless integration with existing clinic information system (as hospital information system, Electronic Health Record system etc.).There is provided database service interface based on HL7 RIM model, realize the effective combination with existing various clinical data.Based on HL7 GELLO standard implementation to the assessment of patient's state of an illness, provide effective decision support.
Portable medical support system, based on the system architecture of specification and service-oriented (SOA), provides the ability of flexible combination between each assembly of system and expansion.Based on the business procedure of communication, by merging mobile communication in medical procedures, voice, the technology such as instant message, accelerate people and people, mutual between people and system.Mobile phone application and equipment control, ensure privacy of user and data security and managing mobile phone application.Integrated health management door, provides 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 by network data line, wireless network, can carry out effective data cube computation and transmission each other.
Above embodiment is for understanding the present invention's; not the those of ordinary skill of limitation of the present invention, related fields, on the basis of technical scheme described in claim; can also make multiple change or modification, these changes or modification should be understood to still belong to protection scope of the present invention.