CN103136438B - Pre hospital care system, first aid end and hospital's end - Google Patents

Pre hospital care system, first aid end and hospital's end Download PDF

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Publication number
CN103136438B
CN103136438B CN201110398722.3A CN201110398722A CN103136438B CN 103136438 B CN103136438 B CN 103136438B CN 201110398722 A CN201110398722 A CN 201110398722A CN 103136438 B CN103136438 B CN 103136438B
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data
institute
time
aid
display system
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CN103136438A (en
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唐小成
曾令波
李利亚
安敏
张珍奇
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Abstract

The invention discloses a kind of pre hospital care system, ambulance and hospital's end, first aid end includes armarium, video camera and vehicle mounted communication equipment, and vehicle mounted communication equipment receives armarium and the data of video camera transmission, and the data received are transferred to hospital's end.Described hospital end includes: sending and receiving end in institute, it includes the data server of one or more networking, described data server is configured to receive the data coming from first aid end, the data received are carried out protocol analysis, processes and store, and send at least one in data receiver response message, data message and control instruction by communication network to first aid end.Both-way communication in present invention achieves institute and between first aid end, in not only achieving institute and between first aid end to monitoring data before institute, treatment information, the on-the-spot audio/video information for the treatment of mutual, and Pre-hospital emergency process can be made to obtain the timely guidance in institute.

Description

Pre hospital care system, first aid end and hospital's end
Technical field
The present invention relates to medical field, particularly relate to a kind of pre hospital care system.
Background technology
For the patient needing first aid is guarded as early as possible and given treatment to, some pre hospital care systems are suggested, before these institutes First-aid system generally includes first aid end and hospital's end (also referred to as in institute), and first aid end is arranged on emergency tender, generally includes some tools There is the equipment of monitoring and function of emergency treatment, as early as possible patient is guarded to facilitate, it is thus achieved that the physiology ginseng of reflection patient vital signs Number, and according to physiological parameter, the state of patient is diagnosed and is provided the treatment of necessity, and the first aid of pre hospital care system The data that end obtains also have the biggest reference role to carrying out first aid scheme in institute, and therefore pre hospital care is emergency medical program In an important step, the monitoring of pre hospital care and diagnosis data are very important numbers during the whole treatment of patient is rescued According to file.In order to during ensureing pre hospital care and the rescue quality of follow-up first aid in hospital, as early as possible by real-time for first aid end patient's number According in being transferred to institute so that expert provides diagnosis and instructs patient in institute, and formulate therapeutic scheme in advance for diagnosis and treatment in institute and get Quality time, have become as the inexorable trend in pre hospital care systems development process.
But, due to resource-constraineds such as first aid end first-aid apparatus, manpowers, it is ensured that patient can obtain the most effective diagnosis and treatment Just require that Pre-hospital emergency medical data, machine data feed back to expert side in institute the most all sidedly to obtain the auxiliary of resource in institute Help;Further, since armarium uses the features such as circumstance complication is changeable outside institute, for ensureing the real-time effectiveness of related data, net Network transmission means, speed and performance etc. require the most of a relatively high.
At present, although wireless communication technology development is more and more ripe, but, before the institute of existing hospital especially domestic hospitals First-aid system correlation technique is still in the starting stage, is typically all by first aid end with number before Che doctor or nurse clerking institute According to, then join with the hospital that sees and treat patients, sign for.And, the data communication of existing pre hospital care system is limited to first aid end more Short-distance transmission function (such as bluetooth, infrared, serial ports etc.), its data content, speed and distance be all very restricted, More can not get guidance and the diagnosis and treatment suggestion in time of expert in institute.
Summary of the invention
The present invention provides a kind of first aid end, can provide valid data by real-time data transmission to institute for diagnosis in institute.
The present invention also provides for a kind of pre hospital care system, can realize first aid end data and be real-time transmitted in institute, for examining in institute Disconnected offer valid data, are able to receive that the information coming from institute, it is achieved first aid end and the two-way communication of hospital's end simultaneously.
The present invention also provides for a kind of hospital end, it is possible to receive the data from first aid end, can send out to first aid end data simultaneously Send data and/or control command.
According to an aspect of the present invention, it is provided that a kind of pre hospital care system, including first aid end and hospital's end, described first aid end Including: armarium, it is for gathering the physiological parameter of reflection vital sign patient and/or patient being carried out diagnosis and treatment, and exports The medical data of patient;Video camera, it is used for gathering audio-visual data, and exports audio-visual data;Vehicle mounted communication equipment, it is used for connecing Receive armarium and the data of video camera output, and the data received are sent to hospital's end by communication network;Described doctor Institute's end includes: sending and receiving end in institute, and it includes that the data server of one or more networking, described data server are configured to connect Receive the data that first aid end sends, the data received are carried out protocol analysis, processes and store, and by communication network to first aid End sends at least one in data receiver response message, data message and control instruction.
According to a further aspect in the invention, it is provided that a kind of hospital end, including: sending and receiving end in institute, it includes one or more The data server of networking, described data server is configured to receive the data coming from first aid end, to the data received Carry out protocol analysis, process and store;Client in institute, in described institute, client is carried out by communication network and data server Communication, and send in data receiver response message, data message and control instruction at least by data server to first aid end A kind of.
According to another aspect of the invention, it is provided that a kind of first aid end, including: armarium, it is used for gathering reflection patient The physiological parameter of vital sign and/or patient is carried out diagnosis and treatment, and the medical data of patient is sent;Video camera, it is used In gathering audio-visual data, and audio-visual data is sent;Vehicle mounted communication equipment, it is used for receiving armarium and video camera is sent out Data sent, and the data received are sent to receiving terminal by communication network, and receive and come from the data of receiving terminal and connect Receive at least one in response message, data message and control instruction.
Both-way communication in present invention achieves institute and between first aid end, to institute in not only achieving institute and between first aid end Front monitoring data, treatment information, the on-the-spot audio/video information for the treatment of mutual, and Pre-hospital emergency process can be made to obtain in institute Instruct in time.
Institute the inner that the present invention provides not only can receive, process and check monitoring data, treatment before institute by the Internet Information, the on-the-spot audio/video information for the treatment of, and control instruction and instruction can be sent to first aid end, control or instruct first aid end On-the-spot patient gives treatment to work.
The first aid end that the present invention provides in institute, in real time can send institute by the Internet before monitoring data, treatment information and rescue Controlling on-the-spot audio/video information, the doctor that makes to see and treat patients understands patient's state of an illness early, formulates therapeutic scheme early, is closed as early as possible for patient The treatment of reason is raced against time.
Main advantage of the present invention shows themselves in that
Before institute, data are by real-time Transmission to institute, provide valid data for diagnosis in institute, can be to pre hospital care process in institute Carry out real time remote guidance, the most in real time diagnoses and treatment suggestion, configuration and software system are fed back to Pre-hospital emergency on-the-spot, real Existing remote guide, configuration management and device upgrade.
Monitoring and remote guide in real time to pre hospital care process, improves pre-admission measure therapeutic efficiency and quality, also allows The doctor that sees and treat patients understands early, diagnoses patient's state of an illness and status of equipment, formulates correct treatment ahead of time for follow-up institute's internal therapy and arranges Execute and preparation scheme, and complete maintenance work in time.
Accompanying drawing explanation
Fig. 1 is the structural representation of the pre hospital care system in an embodiment of the present invention;
Fig. 2 is the structural representation of first aid end in an embodiment of the present invention;
Fig. 3 is the structural representation of sending and receiving end in an embodiment of the present invention intermediate court;
Fig. 4 is the structural representation of client in an embodiment of the present invention intermediate court;
Fig. 5 is waveform display control flow chart in an embodiment of the present invention;
Fig. 6 is video display control flow chart in an embodiment of the present invention;
Fig. 7 is waveform and video display control flow chart in an embodiment of the present invention;
Fig. 8 is the schematic diagram of first-aid system before the present invention a kind of instantiation intermediate court.
Detailed description of the invention
Combine accompanying drawing below by detailed description of the invention the present invention is described in further detail.
First the term used the application explains.
Armarium, refers to for patient providing detection, guarding, diagnose and/or treat the equipment of function, including but not It is limited to monitor, defibrillation monitor, electrocardiograph, respirator, anesthetic machine etc..
Medical data, refers to the state of an illness with patient or treats relevant data, such as physiological parameter, diagnostic result, patient Report, event data, machine data etc..
Field data, on-the-spot the regarding of the scene residing for patient that refers to some data in addition to medical data, such as patient Frequency evidence, voice data, picture photo, word content (counseling problem that the word of such as doctor describes or proposes), ambulance Present position and driving information etc..
Communication network, refers to carry out the communication network of information transmission, is the most also called for short network, including wire net Network and cordless communication network.In the communications, communication link can be a type of communication network, it is also possible to be by wire communication The communication link that network and cordless communication network combine, such as communication link are by mobile radio network and computer communication network Network forms.
Refer to Fig. 1, pre hospital care system includes that first aid end 100 and hospital's end 200, first aid end 100 and hospital's end 200 lead to Cross communication network 300 and carry out both-way communication.
In one embodiment, hospital's end 200 includes sending and receiving end 210 in institute, and in institute, sending and receiving end 210 receives first aid end 100 Data are processed by the data sent, and serve data to doctor in institute, and in institute, doctor is by diagnostic comments and control command It is sent to first aid end 100 by sending and receiving end in institute 210, thus realizes both-way communication.
In another kind of embodiment, hospital's end 200 also includes client 220 in institute, and in institute, client 220 passes through the Internet Carrying out communication with sending and receiving end in institute 210, in described institute, client 220 sends data by sending and receiving end 210 in institute to first aid end 100 Information and/or control command.
First aid end 100 is generally arranged on ambulance, and ambulance is a kind of motor vehicles, for succouring having tightly outside institute The patient of acute disease feelings, first aid end 100 is arranged in compartment, for acute disease patient is guarded and/or treated.First aid end 100 The first aid Room or other positions can also be placed on.
In one embodiment, refer to Fig. 2, first aid end includes that armarium 110, video camera 120 and vehicle mounted communication set Standby 130.Armarium 110 refers to all kinds of Pre-hospital emergency equipment, include but not limited to monitor, defibrillation monitor, electrocardiograph, Respirators etc., it is for obtaining the physiological parameter of reflection vital sign patient and/or patient carrying out diagnosis and treatment, and is sent by needs Medical data to hospital's end 200 is sent to vehicle mounted communication equipment 130.Video camera 120 for obtain patient sound at the scene As data, and the audio-visual data being sent to hospital's end 200 will be needed to be sent to vehicle mounted communication equipment 130, audio-visual data can wrap Include at least one in voice data, video data and image data.The data of first aid end are passed through logical by vehicle mounted communication equipment 130 Communication network 300 is sent to hospital's end 200, or receives, by communication network 300, data receiver response message, the number that hospital's end transmits It is believed that at least one in breath and control instruction.Between armarium 110 and video camera 120 and vehicle mounted communication equipment 130 permissible Wirelessly carry out data transmission, it is also possible to carry out data transmission by the way of wired.
In a kind of instantiation, can pass through between armarium 110 and video camera 120 and vehicle mounted communication equipment 130 Wirelessly carry out data transmission.Armarium 110 includes the merit of the physiological parameter for gathering reflection vital sign patient Can module the 111, first control module 112 and the first wireless communication module 113.Armarium 110 can further include to be deposited Storage module 114, input/output module 115 and power module 116.Functional module 111, memory module 114, input/output module 115 are connected with power module 116 respectively with the first control module 112, the first control module 112 and the first wireless communication module 113 are connected.The physiological parameter of collection is transferred to the first control module 112 by functional module 111, at the first control module 112 general Data after reason store in memory module 114, and are sent to the first wireless communication module 113, described first wireless telecommunications mould The data received are sent to vehicle mounted communication equipment 130 by block 113.First wireless communication module 113 can be integrated into medical treatment Device interior or independent hardware support module.Input/output module 115 provides input/output interface for armarium 110, Its input interface can be keyboard, control panel or touch screen, and output interface can be acousto-optic output, display or printout Deng.Power supply required for each several part offer that power module 116 is armarium 110.
The data that armarium end processes by sources can be divided three classes, and is described as follows:
1. vital sign, treatment data
Including reflection patient vital signs (ECG SPO2 NIBP IBP TEMP CO2 etc.) parameter value, waveform, 12 lead Any operation that patient was implemented by electrocardio report, trend, event, and emergency staffs, treatment event etc.;Also reception is included Network task instructs, and send in referring mainly to institute instructs event.
2. machine data
Including the warning message of armarium, use information, software and hardware status information, system configuration information;Also include connecing Close at the assignment instructions of network, system configuration, systems soft ware etc..
3. audio-visual data
Including being received in the audio/video information of first aid end, also include by the event information sent in institute.
Armarium internal data processing mode is as follows:
A. the first control module is responsible for gathering functional module vital sign, treatment data and machine data are through processing After, by being transferred to vehicle mounted communication equipment through the first wireless communication module after protocol packing.
B. in the first control module is responsible for the institute received by the first wireless communication module, expert's instruction, audio frequency and video etc. instruct letter Cease after data parsing etc. processes, complete the display output of instruction, the broadcasting of audio frequency and video via its input/output module.
C. the first control module is responsible for machine configuration, system or the module software content received by the first wireless communication module After data parsing etc. processes, complete renewal and the upgrading of software system of machine configuration.
Video camera 120 can be common or web camera, for obtaining the audio frequency and video letter inside and outside first aid scene, ambulance Breath and camera parameters (include focusing, change direction, adjustment amplification etc.).Video camera 120 can have one or more, takes the photograph Camera 120 may be mounted at the front of armarium 110, above, below, the left side or the right side, it is also possible to is independently arranged at close On arbitrary fixture of patient.
Each video camera 120 includes video processing circuits 122, audio frequency processing circuit 124 and the second wireless communication module 126, video processing circuits is used for processing video and picture signal, and audio frequency processing circuit 124 is used for processing audio signal, video camera 120, by the audio frequency and video gathered and view data, regard through audio frequency processing circuit and video processing circuits process, compressed encoding audio Frequently, after image digital signal, data being delivered to the second wireless communication module 126, the second wireless communication module 126 is by audio-visual data It is sent to vehicle mounted communication equipment 130.
Video camera end data processing mode is as follows:
A. the sound, the vedio data that gather process through audio frequency processing circuit and video processing circuits, compressed encoding audio After video signal, and by being transferred to vehicle mounted communication equipment through the second wireless communication module after protocol packing.
B. camera parameters can send to vehicle mounted communication equipment via the second wireless communication module, can receive in institute simultaneously Operation control instruction, completes change camera parameters and come into force.
In a further embodiment, video camera 120 is internal can also not have the second wireless communication module 126, but by sound Audio-visual data after frequency process circuit and video processing circuits process exports the first control module 112 of armarium 110, so It is sent to vehicle mounted communication equipment 130 afterwards by the first wireless communication module 113.In the present embodiment, video camera 120 can pass through Interface (such as USB interface) is connected to armarium, it is also possible to be integrated in armarium 110 internal.
Vehicle mounted communication equipment 130 includes the 3rd wireless communication module the 131, second control module 132 and wireless network communication Module 133.Vehicle mounted communication equipment 130 can further include GPS module 134, memory module 135 and power module 136.Electricity Power supply required for each several part offer that source module 136 is vehicle mounted communication equipment 130.3rd wireless communication module 131 refers to energy Enough vehicle mounted communication equipment is by close range wireless communication mode (including but not limited to infrared, bluetooth and WIFI) and armarium 110, the module of the transmitting-receiving communication of data is completed between video camera 120.In the present embodiment, the 3rd wireless communication module 131 is used for Receive the first wireless communication module 113 of matching with it and the data of the second wireless communication module 125 transmission, and will receive Data are transferred to the second control module 132.GPS module 134 refers at the satellite-signal receiving and sending ambulance location information Reason system.GPS module 134 is able to receive that the global positioning system signal information of ambulance, including position (longitude and latitude), speed, Time, direction etc., and these information are sent to the second control module 132, the data after the second control module 132 will process are deposited Storing up in memory module 135 or be sent to wireless network communication module 133, described wireless network communication module 133 will receive Data be sent to receiving terminal by wireless network, such as hospital's end.Wireless network communication module 133 refer to be integrated into vehicle-mounted logical The wireless network hardware support module of news equipment, it may include multiple different systems (TD-SCDMA, CDMA2000, WCDMA, WiMAX) 3G module, and mechanics of communication 4G/5G module of future generation etc., it can will process through the second control module 132 After be received in that armarium, video camera be internal and the Various types of data of GPS module, by connecting the preferable wireless mobile network of signal Network, the most reliably transmits data sending and receiving end to institute.
Vehicle mounted communication equipment end data processing method is as follows:
A. receive armarium end, video camera end and the Various types of data of GPS module, and the data after processing are beaten through agreement Transmit after bag to wireless network communication module, then be sent to data server in institute by communication network.
B. protocol analysis etc. is carried out by being received in the data such as medical instructions, audio frequency and video that remote data server sends over Process, and the data handled well are transmitted to wireless communication module after protocol packing, finally export to armarium end or take the photograph Camera end.
In the present embodiment, vehicle mounted communication equipment 130 not only can provide the medical data of first aid end and patient to hospital end Audio-visual data, also can provide ambulance present position and driving information to hospital's end, assists the emergency center to hospital's end to complete Vehicle during rescue and the scheduling of hospital of seeing and treating patients, may also receive from simultaneously in remote hospital end audio frequency and video and/or The data such as medical instructions, equipment configuration-direct, the medical rescue to first aid end is instructed or to armarium end or video camera End configures and controls.
In a kind of instantiation, video camera and vehicle mounted communication integration of equipments on removable communicating terminal, such as, will be taken the photograph Camera and vehicle mounted communication integration of equipments be on mobile phone or on various portable computer, by mobile phone or various portable computer passes through Communication network sends the data to hospital's end, or receives, by communication network, data receiver response message, the number that hospital's end transmits It is believed that at least one in breath and control instruction, control instruction can be in audio-frequency information, operational order and video policy paper At least one.
In another kind of instantiation, can lead between armarium 110 and video camera 120 and vehicle mounted communication equipment 130 Cross wired mode to carry out data transmission.Armarium need not the first wireless communication module, and video camera is also without the second nothing Line communication module, corresponding vehicle mounted communication equipment includes wireless network also without the 3rd wireless communication module, vehicle mounted communication equipment Network communication module, wireless network communication module (such as USB interface) by the way of wired is connected with armarium and video camera, Receive armarium and the data of video camera output.In such cases, under vehicle mounted communication equipment is equivalent to current technical situation One 3G module, but it is not limited to 3G module.
When data are transmitted, the application has reached following effect:
1, the real-time of data transmission
Because the bandwidth unstability of the rich and existing 3G wireless network of system information, how to ensure that data pass in real time Defeated is one of the key point of 3G communication system.Use H.264 or MPEG4 series coding techniques Shi Mei road audio-visual data amount exists About 200kb/s, to ensure that home (3G communication network bandwidth can meet demand) can meet transmission 2 road audio-visual datas; And typically mobile environment (carrying a width of about 300kb/s) can transmit 1 road audio-visual data.It addition, solve following problem:
1. for guaranteeing data security and considering that user's share and access, outer net bandwidth occupancy can affect the monitoring effect of transmission of video Really, the data permission of data server is completely by emergency center's control.After determining the hospital that sees and treat patients seen and treated patients, the just open doctor that sees and treat patients The access rights of institute.
2. audio-visual data, is further extended to photo, is not enough to real-time Transmission audio-visual data once the network bandwidth, can timing Take pictures and photo is issued remote data server.
2, the reliability of data transmission
The networking of all wireless network communication modules automatically obtains IP address from operator, subnet mask, DNS, with support with Receiving terminal data server is set up communication and is connected.
1. consider because of network delay on data transmission real-time impact.Different systems wireless network communication module is built simultaneously Vertical connection, the most a certain standard network interrupts, and can automatically switch to another standard network and continue transmission data (in such as 3G standard In the case of Duan, GSM/EDGE standard or other standards can be automatically switched to), it is ensured that network transmission means without seaming and cutting Change;Or only acquiescence standard is set up and is connected, and can automatically switch to the net of another wireless network communication module when network interrupts Network continues transmission data.
2. breakpoint transmission.When occurring suspension in network transmission process, and network can the most heavily join.During suspension, data Data buffer storage is got up by transmitting terminal, and after again networking, the data of caching can be sent to network again, it is ensured that data continuous Property.
3. wireless network communication module can support that new business demand extends, such as 4G network.
In one embodiment, when first aid end carries out data transmission, first aid end is as the case may be to Virtual network operator Apply for different transport services ranks, create transport services rank and the corresponding table of transmission data, according to corresponding table Understand each transport services rank and answer the data of correspondence transmission, according to significance level and the real-time of data, need transmission Data are the most, and the transport services rank of application is the highest, and network transmission service quality, data that Virtual network operator should provide pass Defeated speed is the best, and time delay is the least, otherwise, the transport services rank that Virtual network operator provides is the highest, and data terminal needs to pass Defeated data volume is the most.In one embodiment, it would be desirable to the data of transmission are divided into different according to significance level and real-time The data of these different stages are added to the queue of regulation, such as, can be added different queues to by rank, it is also possible to all Add same queue to, a queue can only have the data of a kind of rank, it is also possible to include the data of multiple rank.Right Answer in table, transport services rank and queue be mapped, a kind of transport services rank can a corresponding queue, Can also corresponding multiple queues.In another kind of embodiment, it would be desirable to the data of transmission are divided into according to significance level and real-time Different priority, and data are carried out corresponding priority flag, in corresponding table, by transport services rank with preferential Level is mapped, and a kind of transport services rank can corresponding a kind of priority, it is also possible to corresponding multiple priorities.
In a kind of instantiation, first aid end, can setting network transmission as required when by data to hospital's end transmission Service class, comprises the following steps:
Step 1, the processor of armarium obtains the data needing to upload in real time, by data according to Data Source or data Classification adds one or more queues of regulation to.In a kind of instantiation, the data of acquisition include the physiology of Real-time Collection In data, treatment data, event, machine data, patient report, analysis report, audio, video data or On-the-spot Counseling at least one Kind, source or data category according to these data are added to have in the queue of different priorities, each queue assignment I.e. no matter having a kind of priority level, the queue that priority level is the highest, is the queue remaining transmission, transport services rank What is, all should transmit the data in this queue.The source of different pieces of information or the data of data category can be according to settings Rule add in same queue, i.e. one queue can be the data of same Data Source or data category, it is possible to To be the data of multiple Data Source or data category.In a particular application, two classes are the most such as splitted data into: permissible Vital sign, treatment data are categorized as needing to remain the part of transmission, these data will add priority level to High queue;Audio frequency and video and image data are categorized as only needing under special emergency the part of transmission, i.e. audio frequency and video And image data adds in the queue of lower priority, just biography time only the highest in transport services rank or the highest Defeated, the data division of transmission is blocked because transmitting the audio, video data of big flow to be so unlikely to make needs remain, leads Cause critical data and cannot arrive the central control system in institute in time.
Step 2, sends transmission service request to the webserver, and described transmission service request includes for asking network The information of the transport services rank that server provides and the network parameter of data terminal map network transmission service class Configuration.Transport services rank is the highest, it is desirable to the transmission service that Virtual network operator provides is the best, and the data volume that may transmit is more Many.The higher network transmission service class that such as Virtual network operator is asked according to armarium, to armarium distribution higher than general (such as preferably transmission network or node are less in the transmission path of the transmission delay or more excellent of the bandwidth or lower of logical service Route).
Step 3, the transport services content using the webserver to provide according to transmission service request, this transmission is taken Data in the queue that in business request, transport services rank is corresponding are uploaded.Transport services content include bandwidth, Ensureing at least one in the service class of certain transmission delay and data path in a network, the such as webserver is permissible According to the transport services rank of data terminal request, distribute private network for this data terminal, or distribute more bandwidth etc.. In one example, the queue that the transport services rank in transmission service request is corresponding is taken turns by the processor of armarium Ask and upload data, or the mode of timing transmission can also be used, i.e. within a period of time from transport services rank Corresponding queue is read in some queue data carry out data and upload, then within ensuing another a period of time from net Network transmission queue corresponding to service class is read in another queue data carry out data and upload.
In a kind of instantiation, first aid end comprises the following steps when by data to hospital's end transmission:
Step 1, armarium pre-builds the corresponding table of data transport priority and transport services rank.Work as needs When the data volume of transmission is the most, the transport services rank of needs is the highest.First some data transport priority are set, each The corresponding one or more data transport priority of transport services rank.Such as by be there is a need to transmission data be divided into A, B, C, D, E priority five transmission priorities from high to low, transport services rank has Level1, Level2 and Level3 tri- Individual rank, transmits needs according to data, can be that excellent Level3 correspondence passes with setting network transmission service class in corresponding table Defeated priority is the data of A, B, C, D and E, and the Level2 correspondence transmission priority that transport services rank is good is A, B and E Data, transport services rank is the general data that Level1 correspondence transmission priority is A and B.
Step 2, sends transmission service request to the webserver, and described transmission service request includes for asking network The transport services rank that server provides.
Step 3, obtains the data needing to upload, it would be desirable to the data uploaded are according to Data Source or data category mark in real time Note priority.To can be at the packet header of packet or other flag bit according to Data Source or data class during data priority-labeled Other priority-labeled.In a particular application, two classes are the most such as splitted data into: can be by vital sign, treatment data It is categorized as needing to remain the part of transmission;It is categorized as audio frequency and video and image data only needing under special emergency It is relatively low that the part of transmission, i.e. vital sign and treatment data markers is that limit priority, audio frequency and video and image data are labeled as Priority.
Step 4, the transport services content using the webserver to provide according to transmission service request, will have this biography In defeated service request, the data of the priority flag that transport services rank is corresponding are uploaded.Transport services content bag Include at least one in bandwidth, the service class ensureing certain transmission delay and data path in a network.In one example, Armarium is according to the transport services rank inquiry data transport priority in transmission service request and transport services The corresponding table of rank, obtains the data transport priority that transmit, and checks in each packet header or it in buffer queue Priority flag on its flag bit, selected marker has the packet of the data transport priority that transmit to upload.
Transport services rank includes at least two rank, and when first aid end is started working, medical worker can first select Select a kind of transport services rank, the most general transport services rank, send transmission service request, first according to this net Network transmission service class transmission vital sign and treatment data.When situation changes, such as when needing to transmit audio, video data, Then medical worker needs current transport services rank is switched to higher transport services rank.Therefore, upper On the basis of stating embodiment transmission data, when armarium detects transmission service change request, to transport services level Not changing, its process comprises the following steps:
Step 1, armarium receives transmission service change request, generates according to the transport services rank after change new Transmission service request Concurrency give the webserver.
Step 2, determines the data that needs corresponding to the transport services rank after change are uploaded.
Step 3, uses the transport services content uploading data that the webserver newly provides.
Determine that the data that needs corresponding to the transport services rank after change are uploaded can be by inquiry network transmission clothes Business rank obtains the data needing to upload with the corresponding table of the queue with different priorities, it is also possible to transmitted by inquiry network Service class obtains the data needing to upload with the corresponding table of data transport priority.
In another embodiment, the data of collection are divided into different excellent by pre hospital care end according to significance level and real-time First rank, and add the transmission queue corresponding with this priority level to, the queue of different priorities has different transmission strategies, Priority level is the highest, and the least protection of time interval (Internet resources of such as real-time or acquisition) of its data transmission is the best, Priority level is the lowest, the biggest difference of protection time interval of its data transmission, thus increases the transmission of the high data of priority level Amount, reduces the transmission quantity of the low data of priority level, limited Internet resources is more distributed to the data that priority level is high, Improve real-time and the stability of the transmission of high priority data.
In a particular embodiment, for the Transmission Time Interval that different priority level transmission queue assignment is different, priority The Transmission Time Interval of the queue that the Transmission Time Interval of not high queue is low less than priority level, between the transmission time of individual queue Being divided into fixing or adjustable, described transmission strategy is control module by the data transmitted in queue according to corresponding with this transmission queue Transmission Time Interval is sent to communication apparatus;Or data are divided into different priority levels according to real-time and importance, described Transmission strategy is to retransmit after important data demand bust this, only to transmission success, transmits unessential data demand Retransmit after failure, the most unsuccessful after retransmitting set point number, then stop transmission;Or the data in the first specified queue are set to Sample rate is adjustable, the data in the second specified queue is set to video resolution and/or frame rate is adjustable, described transmission strategy For converting the sample rate of the data in the first specified queue according to predetermined condition, or the regarding of data in conversion the second specified queue Frequency division resolution and/or frame rate.
Hospital's end is usually located in hospital, and in one embodiment, hospital's end includes in institute client in sending and receiving end and institute, In institute, sending and receiving end can be arranged on emergency center, it is also possible to being arranged on a certain hospital, in institute, client is generally arranged at and respectively connects Examining in hospital, in institute, in client and institute, sending and receiving end carries out communication by the Internet, to facilitate each client to receive and dispatch in checking institute The data of the patient on end.For the patient on some ambulance, its hospital that sees and treat patients can be with the doctor at place, sending and receiving end in institute Institute is identical, it is also possible to different with the hospital at place, sending and receiving end in institute.However, it is understood by those of ordinary skill in the art that, receive in institute Side of making a start can also arrange client at least one institute, to facilitate relevant medical worker to check.
As it is shown on figure 3, in one embodiment, in institute, sending and receiving end 210 includes the data server of one or more networking 211, described data server 211 is configured to receive the data coming from the transmission of first aid end wireless network communication module, docking The data received carry out protocol analysis, process and store, and by communication network to first aid end send data receiver response message, At least one in data message and control instruction.Consider that audio-visual data amount is big, high to the software and hardware memory requirement of server.Many Individual data server is for according to call data storage classification storage, such as vital sign, treatment data, machine data and GPS number According to being stored in a data server, and audio-visual data is stored in another data server.
In a kind of embodiment, data server also can comprise one or more management system or software, such as command scheduling system System, patient data management software, configuration management software and machine information management software, enter Various types of data with personnel in supporting institute Line pipe reason and control.In institute, sending and receiving end can receive the data come from individual first aid end, for ease of management, creates in institute on sending and receiving end Have tables of data corresponding with the data coming from this first aid end for first aid end numbering, and the number with association in time in tables of data It is associated further through time key between according to.By management system or software, tables of data is written and read operation.User can be by number Patient data is managed according to the management system installed on server or long-range first aid end equipment is scheduling or controls. User also can install the management system on browser logon data server by client in institute, is managed patient data Or long-range first aid end equipment is scheduling or controls.
In another embodiment, installing one or more management system or software in institute in client, in institute, client is passed through Communication network obtains data from data server, is processed data by management system or software.
In institute, sending and receiving end data processing method is as follows:
A. networking is first carried out in institute between data server, to realize just to be visited by different clients by internetwork connection mode Ask and control the demand of management.
B. institute outer end only need to configure 1 time with the data server of emergency center, just can establish connection.As long as giving first aid to outside institute Car end device power-up, just can automatically set up network and connect, and immediately send data, it is not necessary to emergency center personnel carry out any behaviour Make.
C. data server receives all kinds of armarium, the Various types of data of video camera and instruction by Internet, and right It carries out protocol analysis, processes and store.
D. institute's controlling system can pass through Internet, the communication network provided in conjunction with native system, sending and receiving end outside institute Send data message and control instruction.
Due to gather the equipment of data and process data, the equipment of checking data is different equipment, and distinct device it Between clock may be different, for the data relevant with the time, the clock difference of equipment will affect the real-time that waveform shows And verity, and then affect the diagnosis of doctor.For avoiding producing because of time irreversibility patient's state of an illness, the mistake of location information Judge and ensure reliability and the accuracy of GPS location of patient data's transmission, in data server end Criterion clock, institute The client terminal having the networked devices of institute outer end, emergency center and the hospital that sees and treat patients all synchronizes on the basis of this clock.Root According to the time synchronized service agreement in communication system, timing monitors each equipment end outside institute, in institute continuously, to use in guarantee system Unified clock system.
For making the clock between each equipment synchronize, in institute sending and receiving end 210 be configured with by the time of data server, In the time of first aid end and institute, the time of client carries out the function synchronized.Therefore, in another kind of embodiment, as it is shown on figure 3, In institute, sending and receiving end 210 also includes clock synchronization module 212, clock synchronization module 212 for by the time of data server 211, In the time of first aid end 100 and institute, the time of client 220 synchronizes.
In a kind of instantiation, the clock synchronization module 212 timing detection time of data server, the time of first aid end With the time of client in institute, by the time of client 220 in the time of data server 211, the time of first aid end 100 and institute Compare with fiducial time, obtain respective time offset, client in data server 211, first aid end 100 and institute 220 when carrying out communication each other, and the parameter relevant with the time carries out the adjustment of corresponding time offset.Fiducial time can The time of client to be chosen, such as by data server in the time of data server, the time of first aid end and institute The time of client in time of first aid end and institute as fiducial time, is compared by the time with the time of data server, Obtaining the time offset of client in first aid end and institute, the data relevant with the time of first aid end are being carried out by data server When processing and store, according to the time offset of first aid end, data are adjusted.Data server is by relevant with the time When data are sent to client in institute, according to the time offset of client in institute, data are adjusted.Certainly, this area skill Art personnel should be appreciated that clock synchronization module 212 can also select the clock of miscellaneous equipment as reference clock.
In another kind of instantiation, clock synchronization module 212 timing the detection time of data server 211, first aid end The time of client 220 in the time of 100 and institute, by client in the time of data server, the time of first aid end and institute Time compared with fiducial time, obtained respective time offset, when system initialization or execution time synchronized instruction, Up-to-date time offset is sent to client in data server, first aid end and institute, makes data server, first aid end and institute Interior client revises respective the machine time, reaches time synchronized.Still by the time of data server as fiducial time to be Example illustrates, and the time offset of client in clock synchronization module 212 timing renewal first aid end and institute, at the beginning of every subsystem During beginningization, or when clock synchronization module 212 timing client in first aid end and institute sends time synchronized instruction, will be the most up-to-date Time offset be separately sent to client in first aid end and institute, due to using the time of data server as fiducial time, So can need not send time synchronized instruction to data server, in first aid end and institute, client receives time synchronized and refers to After order, revise respective the machine time, reach the time synchronized with data server.
In one embodiment, in institute, client carries out communication, client in described institute by the Internet and data server On end install management software browser, in described institute client by data server to first aid end send data message and/ Or control command.In institute, client includes one or more client terminal computer, is distributed in different place and is made by different personnel With, such as terminal computer can be used by the dispatcher of emergency center, it is also possible to the hospital medical personnel that see and treat patients being networked make With.
Terminal computer mainly provides and accesses in institute the function of Various types of data in the data server of sending and receiving end, it is achieved by one The operation terminal that individual or multiple client users browse, control, includes, but is not limited to patient data's management, command scheduling, reality Time mutual, configuration management, updating and management, equipment information management function, auxiliary realizes the scheduling of remote medical emergency car, auxiliary rescues merit Energy, Remote configuration, remote upgrade and equipment control.Specific as follows:
A. patient data's management.Support monitoring patient is correlated with in real time vital sign, treatment data, and support patient's number According to being analyzed, the function such as report output, provide input for medical diagnosis in institute, convenient feelings of the most really diagnosing a disease, with To rationally treatment.
B. command scheduling.Pre hospital care data can be called by command dispatching system, to support to believe ambulance GPS location Breath carries out real-time monitoring analysis, it is achieved formulate traffic route fast and easily for ambulance, supports the ambulance of pre hospital care Management and running.Simultaneously, it is achieved the hospital that sees and treat patients specified by ambulance, set up the hospital that sees and treat patients in advance and realize real-time data together with institute outer end Step accesses.
C. real-time, interactive.Audio/video information on-the-spot with first aid in being capable of obtaining ambulance, and directly lead in terminal Cross all kinds of input equipment (such as keyboard, mouse, touch screen, video call terminal etc.) remotely and first aid On-the-spot Interaction.Language can be inputted Message ceases, it is achieved send instruction and audio-visual data by server to armarium;All kinds of control instruction can be inputted, it is achieved remotely Treatment is instructed, the maintenance function of machine, can be amplified photographic head, stretches, the operation such as rotation.
D. configuration management.The machine configuration that user may browse through or sends over outside editor institute, and it is sent to institute's external equipment In end system, complete the configuration modification of machine.
E. updating and management.By inquiry data server end, the software system version of the armarium end software version of acquisition This etc. relevant information, and make the software system after renewal come into force, completion system software or the upgrading of corresponding module software.
F. equipment information management.User can monitor and manage the machine state information of institute's external equipment in real time, grasps outside institute Status of equipment.
In one embodiment, the data that described armarium sends include that event, described event include that event occurs Time And Event title, when in described institute, client is connected on the data that display includes event, showed on the time that event occurs The prompting relevant with event.Event can be various medical events, can include that physiological parameter exceedes alarm limit and produces Alert event, treatment event, at least one in Action Events and flag event.
In another kind of embodiment, in same institute, client can include one or more display system, is used for monitoring The situation of multiple stage ambulance, patient vital signs, treatment information, audio/video information show at different display screens.From display Data content divides, and multiple display systems include medical data display system and field data display system.Medical data shows System is for showing the medical data of patient, such as physiological parameter waveform, diagnostic result or the machine data etc. of patient.On-the-spot number According to display system for showing the field data of patient, the audio-visual data at such as patient scene or picture, word etc..From display window Mouth divides, and multiple display systems include windows display system and single window display system.Windows display system can show many Individual window view, each window view correspondence shows the situation of an ambulance, single window display system only show one specific The view of window.
As shown in Figure 4, in institute, client 220 includes the first display system 221 and the second display system 222, the first display System 221 and the second display system 222 connect.
In an instantiation, the first display system 221 is display configured to multiwindow view, and each window correspondence shows Coming from the medical data (such as physiological parameter Wave data) of the patient of a first aid end, the second display system 222 is configured For showing single window view, and the physiological parameter ripple that switch window shows with selected window in the first display system 221 Shape.I.e. using two screen display vital sign information, one of them screen display is shown as multiwindow view, monitors multiple patient the most simultaneously; After selecting a patient in multiwindow layout, show the more detailed vital sign information of this patient at another screen.Its Waveform display control flow is as it is shown in figure 5, comprise the following steps:
Step S11, the first display system and the second display system are set up communication and are connected.Can be that the first display system is to Two display systems send connection request, and the second display system is by the information of rear return successful connection.
Step S12, the first display system display multiwindow view, each window correspondence shows and comes from a first aid end The physiological parameter Wave data of patient, monitors multiple patient the most simultaneously, receives user and select window during display, Identify that this chooses the first aid end numbering that window is corresponding.
Step S13, first aid end numbering is sent to the second display system by the first display system.
Step S14, the second display system receives the first aid end numbering that the first display system sends, returns and receive successfully letter Breath.
Step S15, the second display system data server of sending and receiving end in institute sends request, it is desirable to obtain this first aid end Physiological parameter Wave data.
Step S16, data server inquiry tables of data, the physiological parameter waveform of this first aid end is returned to the second display system Data.
Step S17, the second display system shows according to the physiological parameter Wave data received from data server.
In an instantiation, the first display system 221 is display configured to multiwindow view, and each window correspondence shows Coming from patient medical data's (such as physiological parameter Wave data) of a first aid end, the second display system 222 is configured to The single window view of display, and the field data that switch window shows with selected window in the first display system 221.I.e. use Two screens show patient information, one of them screen display multiwindow view, monitor multiple patient, at multiwindow view simultaneously After one patient of middle selection, show, at another screen, the video pictures that this patient amplifies, check with doctor in facilitating institute.It regards Frequency display control flow as shown in Figure 6, comprises the following steps:
Step S21, the first display system and the second display system are set up communication and are connected.Can be that the first display system is to Two display systems send connection request, and the second display system is by the information of rear return successful connection.
Step S22, the first display system display multiwindow view, each window correspondence shows and comes from a first aid end The medical data of patient, receives user during display and selectes window, identify that this chooses the first aid end that window is corresponding Numbering.
Step S23, first aid end numbering is sent to the second display system by the first display system.
Step S24, the second display system receives the first aid end numbering that the first display system sends, returns and receive successfully letter Breath.
Step S25, the second display system data server of sending and receiving end in institute sends request, it is desirable to obtain this first aid end Audio-visual data.
Step S26, data server inquiry tables of data, the audio-visual data of this first aid end is returned to the second display system.
Step S27, the second display system shows according to the audio-visual data received from data server.
Client in institute, medical data and the field data of patient are associated.By first aid end number (or rescue Car numbering or title) and the time, can be mutually positioned, call mutually.Such as after the vital sign information selecting a patient, its Corresponding audio/video information, GPS information also can be selected and display the details of out.
According to present disclosure, it will be appreciated by those skilled in the art that the first display system can also be configured Show the field data of the patient on multiple stage emergency tender for correspondence in its multiwindow, and the second display system is configured it single The video data of window view switches to the medical data of the first aid end that the window selected with in windows display system is corresponding Or field data.As further improved plan, may also allow for user and select the first display system to be display multiple stage emergency tender On the field data of patient or medical data, the second display system is to show the on-the-spot number of the patient on selected emergency tender According to still medical data.Certainly, the second display system can have two or more display screens, and respectively with the first display system is even Connecing, one of them is for showing the field data of selected patient, and another is for showing the medical data of selected patient.In like manner, First display system can also have two or more display screens, and one for showing the on-the-spot number of the patient on multiple stage emergency tender According to, another is for showing the medical data of the patient on multiple stage emergency tender.
When Real Time Observation and playback physiological parameter Wave data, some patient also can be shown on wave shape display system Physiological parameter Wave data, when doctor to a certain moment interested time, can show in video display system that this patient is at this The audio-visual data in moment.Such as the first display system 221 and the second display system 222 are connected, select the first display system 221 are configured to show the physiological parameter Wave data of the patient coming from a first aid end, the second display system 222 are configured to Show audiovisual presentation or the picture of the patient of this first aid end, its waveform and video display control flow chart as it is shown in fig. 7, comprises Following steps:
Step S31, the first display system and the second display system are set up communication and are connected.
Step S32, the first display system comes from the physiological parameter Wave data of the patient of a first aid end, in display During receive the point chosen on waveform of user, identify the temporal information of this point.Such as there occurs warning thing at this time point Part, demonstrates alarm on monitoring interface, and doctor can click on this point, and the first display system obtains the temporal information of this point.
Step S33, first aid end numbering and temporal information are sent to the second display system by the first display system.
Step S34, the second display system receives first aid end numbering and the temporal information that the first display system sends, and return connects Receive successful information.
Step S35, the second display system data server of sending and receiving end in institute sends request, it is desirable to obtain this first aid end The audio-visual data in this time.
Step S36, data server inquiry tables of data, the sound in this time of this first aid end is returned to the second display system As data.
Step S37, the second display system shows according to the audio-visual data received from data server.
Client in institute, according to vital sign situation and the therapeutic state of patient, once occur fatal arrhythmia or During emergency, support monitoring interface of client in institute is spoken automatically, light alarm.
As shown in Figure 8, for the composition schematic diagram of first-aid system before a kind of instantiation intermediate court of the application, by this Shen Please, in institute, client can reach following effect:
A. in the hospital that sees and treat patients, connect by setting up network, so that it may access corresponding patient in emergency center's data server end All data.The patient data that the patient details seen in the client of hospital of seeing and treating patients and emergency center are seen is complete Unanimously, it is achieved data sharing.The display terminal of same user can include two indicator screens, an available display screen display Show patient vital signs, treatment information, show the audio/video information of this patient place ambulance with another display screen;
B. data can be managed concentratedly by client user, the operation application such as including derivation, analysis, report output. Can look back the historical data of patient, and can by historical data to scheme, the various ways such as table shows;Can print and record various The report of form, such as patient information, trendgram/table, 12 leads electrocardio report etc.;
C. client user can monitor machine operation and the status information of Pre-hospital emergency equipment in real time;
D. client user can obtain, edit the machine configuration of Pre-hospital emergency equipment, newly configured can be sent to outside institute Armarium end;
E client user can obtain, the system of Pre-hospital emergency equipment and module software information.New systems soft ware and mould Block software can be sent to armarium outside institute and complete software upgrading;
Before the most all institutes, data are also supported integrated with hospital's other information systems of seeing and treating patients, it is achieved quickly access, before supporting institute Data expanded application in institute.
Above content is to combine specific embodiment further description made for the present invention, it is impossible to assert this Bright being embodied as is confined to these explanations.For general technical staff of the technical field of the invention, do not taking off On the premise of present inventive concept, it is also possible to make some simple deduction or replace, all should be considered as belonging to the protection of the present invention Scope.

Claims (22)

1. a pre hospital care system, including first aid end and hospital's end, it is characterised in that described first aid end includes:
Armarium, it is for gathering the physiological parameter of reflection vital sign patient and/or patient being carried out diagnosis and treatment, and exports trouble The medical data of person;
Video camera, it is used for gathering audio-visual data, and exports audio-visual data;
Vehicle mounted communication equipment, it is for receiving armarium and the data of video camera output, and by the data received by leading to Communication network is sent to hospital's end;
Described hospital end includes:
Sending and receiving end in institute, it includes that the data server of one or more networking, described data server are configured to receive suddenly Rescue the data that end sends, the data received are carried out protocol analysis, processes and store, and sent out to first aid end by communication network Send at least one in data receiver response message, data message and control instruction;
Wherein said first aid end when by data to the transmission of described hospital end, the data that described armarium transmits as required Source or data category setting network transmission service class, add data to have in the queue of different priorities, to network Server sends transmission service request, and described transmission service request includes the network transmission for asking the webserver to provide The information of service class, then uses the transport services content that the webserver provides according to transmission service request, should Data in the queue that in transmission service request, transport services rank is corresponding are uploaded.
2. pre hospital care system as claimed in claim 1, it is characterised in that described hospital end also includes client in institute, institute In stating institute, client carries out communication by communication network and data server, and sends data by data server to first aid end Receive at least one in response message, data message and control instruction.
3. pre hospital care system as claimed in claim 2, it is characterised in that in described institute, sending and receiving end is additionally configured to data In the time of server, the time of first aid end and institute, the time of client synchronizes.
4. pre hospital care system as claimed in claim 3, it is characterised in that in described institute, sending and receiving end is configured to regularly detect The time of client in the time of data server, the time of first aid end and institute, by the time of data server, first aid end time Between and institute in time of client compare with fiducial time, obtain respective time offset, in data server, first aid When client carries out communication each other in end and institute, the parameter relevant with the time is carried out the tune of corresponding time offset Whole;Or sending and receiving end is configured to timing and detects client in the time of data server, the time of first aid end and institute in described institute Time, the time of client in the time of data server, the time of first aid end and institute was compared with fiducial time, To respective time offset, when system initialization or execution time synchronized instruction, up-to-date time offset is sent to Client in data server, first aid end and institute, when making that client revises respective the machine in data server, first aid end and institute Between, reach time synchronized.
5. pre hospital care system as claimed in claim 4, it is characterised in that described fiducial time is data server, first aid The time of any one in client in end and institute.
6. the pre hospital care system as according to any one of claim 2-5, it is characterised in that the number that described armarium sends According to including event, described event includes Time To Event and event title, and in described institute, client is connected on display and includes thing During the data of part, the time that event occurs shows the prompting about this event.
7. the pre hospital care system as according to any one of claim 2-5, it is characterised in that in described institute, client includes doctor Treating data presentation system and field data display system, medical data display system is display configured to come from a first aid end The physiological parameter Wave data of patient, the sound of the patient that field data display display system is display configured to this first aid end regards Frequently image or picture, and video display system switches the audio frequency and video figure of display with time point selected in wave shape display system Picture or picture.
8. the pre hospital care system as according to any one of claim 2-5, it is characterised in that in described institute, client includes many Window display system and single window display system, wherein windows display system is display configured to multiwindow view, each window The corresponding display of mouth comes from medical data or the field data of the patient of a first aid end, and single window display system is configured to show Show a window view, and switch the video data of its window view with window selected in windows display system.
9. pre hospital care system as claimed in claim 8, it is characterised in that described single window display system is configured to it The video data of window view switches to the medical data of the first aid end that the window selected with in windows display system is corresponding Or field data.
10. pre hospital care system as claimed in claim 1, it is characterised in that described vehicle mounted communication equipment is by wired or nothing The mode of line is connected with armarium and video camera, receives armarium and the data of video camera output.
11. pre hospital care systems as claimed in claim 10, it is characterised in that armarium includes for gathering reflection patient The functional module of the physiological parameter of vital sign, the first control module and the first wireless communication module, described functional module will be adopted The physiological parameter of collection is transferred to the first control module, and the data after the first control module will process are sent to the first wireless telecommunications mould Block, the data received are sent by described first wireless communication module;Video camera includes for processing regarding of video signal Frequency processes circuit, for processing audio frequency processing circuit and second wireless communication module of audio signal, described audio frequency processing circuit Respectively sound, video data being sent to the second wireless communication module with video processing circuits, described second wireless communication module will The sound, the video data that receive send;Vehicle mounted communication equipment includes the 3rd wireless communication module, the second control module and nothing Line network communication module, described 3rd wireless communication module is for receiving the first wireless communication module and the second nothing matched with it The data that line communication module sends, and the data received are transferred to the second control module, after the second control module will process Data be sent to wireless network communication module, the data received are sent out by described wireless network communication module by communication network Deliver to hospital's end.
12. pre hospital care systems as claimed in claim 10, it is characterised in that described vehicle mounted communication equipment includes wireless network Communication module, described wireless network communication module is connected with armarium and video camera by the way of wired, receives medical treatment and sets The data that standby and video camera exports.
13. pre hospital care systems as claimed in claim 1, it is characterised in that described video camera and vehicle mounted communication integration of equipments On removable communicating terminal, described removable communicating terminal receives, also by communication network, data receiver that hospital end transmits should Answer at least one in information, data message and control instruction.
Hospital's end of the pre hospital care system that 14. 1 kinds are applied to as described in any one of claim 1-13, it is characterised in that bag Include:
Sending and receiving end in institute, it includes that the data server of one or more networking, described data server are configured to receive From the data sent in first aid end, the data received are carried out protocol analysis, processes and store, wherein said data server According to call data storage classification storage;
Client in institute, in described institute, client carries out communication by communication network and data server, and passes through data, services Device sends data message and/or control command to first aid end.
15. hospital as claimed in claim 14 ends, it is characterised in that in described institute, sending and receiving end also includes for by data, services In the time of device, the time of first aid end and institute, the time of client carries out the clock synchronization module synchronized.
16. hospital as claimed in claim 15 ends, it is characterised in that described clock synchronization module timing detection data server Time, the time of first aid end and institute in time of client, by visitor in the time of data server, the time of first aid end and institute The time of family end compared with fiducial time, obtained respective time offset, visitor in data server, first aid end and institute When family end carries out communication each other, the parameter relevant with the time is carried out the adjustment of corresponding time offset;Or time described The time of client in the clock synchronization module timing detection time of data server, the time of first aid end and institute, by data, services In the time of device, the time of first aid end and institute, the time of client compared with fiducial time, obtained respective time migration Amount, when system initialization or execution time synchronized instruction, is sent to data server, first aid end by up-to-date time offset With client in institute, in making data server, first aid end and institute, client revises respective the machine time, reaches time synchronized.
The 17. hospital's ends as according to any one of claim 14-16, it is characterised in that in described institute, sending and receiving end includes urgency Rescuing the tables of data that end numbering is corresponding with the data coming from this first aid end, in described institute, client includes wave shape display system and regards Frequently display system, wave shape display system is display configured to come from the physiological parameter Wave data of the patient of a first aid end, Receive the point that user chooses on waveform, temporal information corresponding for this point is sent to video display system, video display system Be configured to receive the temporal information that wave shape display system sends, obtain in tables of data this first aid end to should temporal information Video data and show.
The 18. hospital's ends as according to any one of claim 14-16, it is characterised in that in described institute, client includes many windows Mouth display system and single window display system, wherein windows display system is display configured to multiwindow view, each window Corresponding display comes from medical data or the field data of the patient of a first aid end, and single window display system is display configured to One window view, and switch the video data of its window view with window selected in windows display system.
19. hospital as claimed in claim 18 ends, it is characterised in that in described institute, sending and receiving end includes first aid end numbering and comes From the tables of data that the data in this first aid end are corresponding, it is right in multiwindow view that windows display system is configured to receive user Selecting of window, identifies that this chooses the first aid end numbering that window is corresponding, first aid end numbering is sent to single window display system;Single Window display system is configured to receive the first aid end numbering that windows display system sends, and obtains this first aid end in tables of data Medical data or field data showing.
The first aid end of the pre hospital care system that 20. 1 kinds are applied to as described in any one of claim 1-13, including:
Armarium, it is for gathering the physiological parameter of reflection vital sign patient and/or patient being carried out diagnosis and treatment, and by patient Medical data send;
Video camera, it is used for gathering audio-visual data, and is sent by audio-visual data;
Vehicle mounted communication equipment, it is for receiving armarium and the data of video camera output, and by the data received by leading to Communication network is sent to receiving terminal, and receives in data receiver response message, data message and the control instruction coming from receiving terminal At least one;
Wherein said first aid end when by data to the transmission of described hospital end, the data that described armarium transmits as required Source or data category setting network transmission service class, add data to have in the queue of different priorities, to network Server sends transmission service request, and described transmission service request includes the network transmission for asking the webserver to provide The information of service class, then uses the transport services content that the webserver provides according to transmission service request, should Data in the queue that in transmission service request, transport services rank is corresponding are uploaded.
21. first aid ends as claimed in claim 20, it is characterised in that armarium includes for gathering reflection patient vitals's body The functional module of the physiological parameter levied, the first control module and the first wireless communication module, the life that described functional module will gather Reason parameter is transferred to the first control module, and the data after the first control module will process are sent to the first wireless communication module, institute State the first wireless communication module the data received to be sent;Video camera includes the Video processing for processing video signal Circuit, for processing audio frequency processing circuit and second wireless communication module of audio signal, described audio frequency processing circuit and video Processing circuit and respectively sound, video data are sent to the second wireless communication module, described second wireless communication module will receive Sound, video data sends;Vehicle mounted communication equipment includes the 3rd wireless communication module, the second control module and wireless network Communication module, described 3rd wireless communication module is for receiving the first wireless communication module and the second wireless telecommunications matched with it The data received and are transferred to the second control module by the data that module sends, the second control module will process after data Being sent to wireless network communication module, the data received are sent to connect by described wireless network communication module by communication network Receiving end, and receive come from least one in data receiver response message, data message and control instruction.
The 22. first aid ends as described in claim 20 or 21, it is characterised in that described video camera and vehicle mounted communication integration of equipments exist On removable communicating terminal, described removable communicating terminal carries out both-way communication by communication network and receiving terminal.
CN201110398722.3A 2011-12-05 Pre hospital care system, first aid end and hospital's end Active CN103136438B (en)

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