CN103150469A - Telemedicine service system and realizing method thereof based on cloud technology - Google Patents
Telemedicine service system and realizing method thereof based on cloud technology Download PDFInfo
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- CN103150469A CN103150469A CN2013100495917A CN201310049591A CN103150469A CN 103150469 A CN103150469 A CN 103150469A CN 2013100495917 A CN2013100495917 A CN 2013100495917A CN 201310049591 A CN201310049591 A CN 201310049591A CN 103150469 A CN103150469 A CN 103150469A
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Abstract
The invention discloses a telemedicine service system based on a cloud technology, which comprises CPE (customer premise equipment) controlled by a patient, a remote cloud server communicated with the CPE through a remote communication network, and medical end equipment which is controlled by medical staff and communicated with the remote cloud server through the remote communication network or the internet, wherein each of the CPE and the medical end equipment comprises personal portable medical equipment or family medical equipment. The invention further discloses a realizing method for the telemedicine service system. Through the system and the method, excellent medical staff around the world can be gathered for reasonable distribution and application of the human resources, and teletherapy can be realized truly. Therefore, the system and the method have high utility value and popularization value.
Description
Technical field
The present invention relates to a kind of medical system, specifically, relate to a kind of remote medical service system based on cloud and its implementation.
Background technology
Society, the medical level of various countries, each department has obvious differentiation in different regions, particularly vast rural area and backcountry, medical service level is obviously limited, often occurs occuring because the medical skill deficiency causes the event of delay treatment.Adopting Tele medicine is one of Main Means that solves this phenomenon.
At present, the Telemedicine System that has developed both at home and abroad has many defectives, should not promote the use of.As: Chinese patent application number be a kind of Telemedicine System of 200810006916.2, send data by wireless communication mode, still be confined to bring a lot of inconvenience to patient in hospital's communications zone, in fact can not be referred to as tele-medicine.Chinese patent application number is a kind of remote medical service system based on GPRS network of 201010123637.1, only be confined to patient to doctor (individual be'ss to the individual) communication range, in case patient's change of illness state, when the doctor who contacts can not process the amateur state of an illness, not only waste both sides' time, and may cause the state of an illness to be incured loss through delay.Chinese patent application number is a kind of hand-held mobile safety long-distance medical treatment ﹠ health state monitor system of 201210072944.0, and its data can only be transmitted by Bluetooth technology at hospital's regional area, can't the patient after going home be guarded at all.Chinese patent application number is 03825262.7 Telemedicine System, and electronic measuring device must be connected with phone or PDA, has brought very large extraneous expense to patient.
But, the problem of above-mentioned various technology maximums but is, existing Tele medicine all can't be crossed over the restriction of area, country, the outstanding doctor that can't gather various countries, the whole world, and utilize speciality separately to carry out immunotherapy targeted autoantibody to different patients, therefore, its practical value of existing Tele medicine is not high.
Summary of the invention
The object of the present invention is to provide a kind of remote medical service system based on cloud, mainly solve the tele-medicine that exists in prior art and be subjected to regional limits to cause greatly doctor's professional speciality to be difficult to the problem of efficient performance.
To achieve these goals, the technical solution used in the present invention is as follows:
Remote medical service system based on cloud, comprise the ustomer premises access equipment of being controlled by patient, the long-range Cloud Server that is communicated with this ustomer premises access equipment by telecommunications network, and control and pass through the medical treatment end equipment that telecommunications network or internet are communicated with this long-range Cloud Server by medical personnel.
In the present invention, described long-range Cloud Server is generally transferred to third company's management that administrative responsibile institution, industry association or client user authorize, but not by hospital management.
Further, described ustomer premises access equipment comprises portable personal Medical Devices or home medical equipment, and similarly, described medical end equipment also comprises portable personal Medical Devices or home medical equipment.
Again further, described Medical Devices comprise diagnostic device or/and therapeutic equipment.
And in order to realize more efficiently communication, described telecommunications network is 2.5G, 3G, 4G or 5G communication network.
On the basis of above-mentioned hardware system, the present invention also provides its concrete implementation method, comprises the following steps:
(1) use the medical treatment end equipment of oneself holding to register at long-range Cloud Server by medical personnel, automatically set up medical personnel's database by long-range Cloud Server afterwards;
(2) ustomer premises access equipment when the user uses, gathers user's physiological parameter in real time automatically, and transfers in real time or regularly long-range Cloud Server by telecommunications network;
(3) after long-range Cloud Server receive data, automatically carry out data and process, to set up the case history archive corresponding with this ustomer premises access equipment, all data that after this sent by this ustomer premises access equipment all are stored among this case history archive;
(4) according to the data that receive, long-range Cloud Server carries out cloud computing automatically, holds the user's of described ustomer premises access equipment state of an illness type with Preliminary division, and with this state of an illness type stores among described case history archive;
(5) according to the state of an illness type of Preliminary division and the record of described medical personnel's database, the medical treatment end equipment that the physiological parameter that long-range Cloud Server sends described ustomer premises access equipment automatically sends to corresponding medical personnel to hold;
(6) after the medical treatment end equipment held by oneself of medical personnel receives user's physiological parameter, to long-range Cloud Server feedback processing scheme, long-range Cloud Server first is stored in this processing scheme among corresponding case history archive, then according to the content of this processing scheme and the type of ustomer premises access equipment, ustomer premises access equipment is dealt with.
Further, the concrete steps of described step (1) comprising:
(1a) medical personnel are by the identity information of medical end equipment to long-range Cloud Server input oneself, and operation type, operation time, be good at realm information, by long-range Cloud Server, the information that medical personnel submit to is examined afterwards, after the audit approval, feed back auditing result to medical personnel;
(1b) according to medical personnel's information of all registrations, medical personnel are classified, set up at last medical personnel's database.
again further, the concrete grammar of described step (5) is: at first long-range Cloud Server is sought in medical personnel's database and is good at the field medical personnel identical and idle with described state of an illness type, if have, the medical treatment end equipment that the physiological parameter that directly described ustomer premises access equipment is sent sends to corresponding medical personnel to hold, otherwise, seek idle medical personnel according to the degree of closeness of the field of being good at and described state of an illness type, after determining medical personnel, the medical treatment end equipment that the physiological parameter that more described ustomer premises access equipment is sent sends to corresponding medical personnel to hold,
When all online medical personnel's the field of being good at is all uncorrelated with described state of an illness type, the state of an illness processing scheme that long-range Cloud Server calling system prestores, and to ustomer premises access equipment feedback processing result.
Further, in described step (6), after long-range Cloud Server was stored in corresponding case history archive with processing scheme, if ustomer premises access equipment is diagnostic device, long-range Cloud Server directly sent to ustomer premises access equipment with processing scheme, for the user; If ustomer premises access equipment is therapeutic equipment, and processing scheme need to adjust the systematic parameter of therapeutic equipment, and long-range Cloud Server directly sends instruction to ustomer premises access equipment, controls ustomer premises access equipment and automatically revises systematic parameter; Situation for not needing to revise the therapeutic equipment systematic parameter sends to ustomer premises access equipment with processing scheme, for the user.Described ustomer premises access equipment shows by display after receiving the processing scheme of long-range Cloud Server feedback, perhaps plays back by loudspeaker.
Consider privacy problem, the communication between described ustomer premises access equipment, long-range Cloud Server and medical end equipment adopts cipher mode to carry out.
Compared with prior art, the present invention has following beneficial effect:
(1) the present invention in conjunction with the long-range Cloud Server of modern communication networks, internet and non-support hospital management, becomes of the present invention one large advantage.Third company's management that long-range Cloud Server is authorized by administrative responsibile institution, industry association or client user, not only reduced the input cost that single hospital hardware and manpower are safeguarded, and avoided the restriction of hospital to medical personnel, as long as medical personnel obtain the gerentocratic approval of long-range Cloud Server, with its signing cooperation agreement, just can freely practise medicine, and be not subjected to the restriction in time, place, so can greatly promote the individual initiative that participates in of medical personnel, medical personnel's individual speciality is brought into play to greatest extent.And medical personnel can oneself hold the participation time, are conducive to improve the rationality of medical personnel's human resource distribution.After the medical personnel of various countries, the whole world are registered to long-range Cloud Server, due to the time difference of various countries, the whole world, can guarantee that the medical personnel of different field in 24 hours have the people to exist, thereby really be embodied as patient's effectively service in 24 hours.
(2) in the present invention, medical personnel register to be needed through could be successful after supvr's audit of long-range Cloud Server, is not that anyone can register on long-range Cloud Server and practise medicine, and so can effectively stop cheat doctor, bad doctor.
(3) the present invention utilizes the cloud memory technology to be encrypted storage to all information of ustomer premises access equipment and the transmission of medical end equipment, only have the medical personnel that confirmed through long-range Cloud Server just can see, so, security and the privacy of user profile had both effectively been guaranteed, for medical personnel provide the treatment foundation, kill two birds with one stone again.
(4) the present invention utilizes cloud computing technology to carry out the automatic classification of the state of an illness, thus not only for determining that medical personnel provide foundation, but also can provide foundation for medical personnel determine processing scheme, shorten treatment time;
(5) the present invention utilizes the cloud service technology that medical personnel are classified, and when need seeking medical personnel, can seek quickly and accurately the medical personnel that need, thereby patient is contacted with corresponding medical personnel's Rapid Establishment, guarantees that the state of an illness is not incured loss through delay.
(6) state of an illness data that in the present invention, user side sends sends to corresponding medical personnel by long-range Cloud Server according to the cloud computing result; before these medical personnel do not receive for the first time state of an illness data; these medical personnel can't obtain any data relevant with this patient in long-range Cloud Server; after even medical personnel obtain for the first time state of an illness data; also only can check this patient's case history archive; and any data that can't check other patients; therefore; the present invention not only can protect patient's privacy, and can definitely avoid the bad doctor doctor that walks randomly.
(7) the present invention controls ustomer premises access equipment by long-range Cloud Server and automatically revises device parameter, and the problem of having avoided the own modification of user easily to make mistakes has improved the operation accuracy rate of therapeutic equipment.
(8) the present invention is owing to having gathered a large amount of medical personnel, the medical personnel of same area are also a lot, therefore are easy to realize doctor's remote medical consultation with specialists, utilize everybody wisdom, solve difficult and complicated cases, thereby provide an approach of being convenient to realize for the healing of difficult and complicated cases.
(9) the present invention has realized outstanding medical personnel's big collection of various countries, each department, be equivalent to the large integration of medical care resource, this is a great change of method of service in medical service system, it makes good resource obtain more fully, more reasonably utilize, and the appearance of having stopped waste resources, the development of medical service system is had very great and profound significance.
(10) in the present invention, all medical personnel can carry out daily interchange by long-range Cloud Server, thereby provide the intercommunion platform of a medical services aspect for various countries, the whole world, can effectively promote the lifting of medical personnel self operation attainment and medical technical ability, and then attract more medical personnel to add native system, make medical treatment end resource continually, life and growth in nature, finally form a benign cycle.
Embodiment
The invention will be further described below in conjunction with embodiment, and embodiments of the present invention include but not limited to the following example.
Embodiment
Take Lee of one remote mountain areas, Chinese Chengdu as example, suppose that Lee suffers from the blood sugar disease, now treat by remote medical service system of the present invention.
At first, the medical personnel of various countries, whole world different field register to remote medical server.Submit identity document, doctor's certificate, current work certificate to remote medical server during registration, and fill in nationality, address, contact method, length of service in remote medical server, be good at the information such as field.After this, the supvr of remote medical server examines the medical personnel certificate of submitting to and the information of filling in, and examines rear approval registration, and so far, medical personnel can practise medicine by native system.
Suppose: described remote medical server is positioned at the London, and federation is in charge of by International Medical, and guarantees the normal operation of this remote medical server.So far, have the doctor Wang from Chinese Chengdu successfully to register, it is good at the blood sugar treatment, and successfully cures hundreds of blood sugar patients, none failure; Have the doctor Chen from the BeiJing, China successfully to register, it also is good at the sick treatment of blood sugar, also successfully cures hundreds of blood sugar patients, none failure; Have the Wu from the Tokyo successfully to register, it is good at treatment internal medicine class disease; Have the Tom from the U.S. successfully to register, it is good at and treats neurology department's disease.Remote server is set up medical personnel's database, and is different according to the field, and establishing category-A is that blood sugar is sick, and category-B is internal medicine, and the C class is neurology department, so just Wang and Chen are divided to category-A, Wu is divided to category-B, and Tom is divided to the C class.
When Lee used the portable personal Medical Devices, the portable personal Medical Devices began to gather the current blood sugar concentration information of Lee automatically, and are transferred on the long-range Cloud Server that is positioned at London by GPRS network in real time; Long-range Cloud Server is set up Lee's case history archive, records its personal information and state of an illness information, and stores; Afterwards, long-range Cloud Server calculates blood sugar concentration information, and it blood sugar concentration with the normal person is compared, and is defined as the blood sugar disease; At this moment, long-range Cloud Server directly enters and seeks online person in category-A, if Wang and Chen are online, according to nearby principle, the Wang is defined as Lee's diagnosis and treatment doctor, and at once Lee's current state of an illness information is sent to the Wang, if the Wang is not online, Chen is defined as Lee's diagnosis and treatment doctor, and at once Lee's current state of an illness information is sent to Chen.
Nearby principle is selected the doctor, can provide convenience for the follow-up doctors and patients that may occur exchange face to face, also can avoid as much as possible IMPAIRED VERBAL COMMUNICATION.
After medical treatment end equipment that the Wang holds receives Lee's state of an illness information, make a concrete analysis of, provide the prescription for the treatment of blood sugar disease, and prescription is sent to long-range Cloud Server, long-range Cloud Server first stores prescription in Lee's case history archive, it is sent on the portable personal Medical Devices that Lee holds again, show by the display on the portable personal Medical Devices, Lee just can treat according to the prescription that shows.
The Wang can consult the case history archive of Lee on long-range Cloud Server in providing the process of concrete prescription, if oneself can't determine prescription, can also exchange, discuss with Chen by long-range Cloud Server.
If Lee uses insulin pump to carry out the sick treatment of blood sugar, long-range Cloud Server can directly send instruction, and according to the content of prescription, the dosage that insulin pump uses is revised in remote control, perhaps sends instruction, and whether Lee is by its own manual modification in inquiry.
During Lee treats according to Wang's prescription, the portable personal Medical Devices that Lee holds gather Lee's blood sugar concentration information in real time, and immediately send on long-range Cloud Server, long-range Cloud Server directly sends to the Wang with blood sugar concentration information, no longer separately seeks other doctors.The Wang can be according to the information of receiving, adjusts in real time prescription, and feed back to Lee by long-range Cloud Server, so that Lee's completed treatment better.And the Wang can also carry out communication with Lee, in order to understand better the state of an illness.
Any interactive information between Lee and Wang all is encrypted alternately, and is stored among long-range Cloud Server, for future use.
In the present invention, as long as the area that has network, can communicate all can utilize present technique to carry out teletherapy and remote service.And the communication network of indication in the present invention comprises the existing various communication technology, as GPRS network (2.5G), 3G network, 4G network, 5G network etc.
Above-described embodiment is only to be an embodiment who illustrates that principle of work of the present invention and the course of work are enumerated, and non-limiting protection scope of the present invention.And the field that the present invention uses is very extensive, and case study on implementation is numerous; can't enumerate at all; therefore, the simple change of not paying creative work or the modification carried out as long as adopt design concept of the present invention all should belong to protection scope of the present invention.
Claims (10)
1. based on the remote medical service system of cloud, it is characterized in that, comprise the ustomer premises access equipment of being controlled by patient, the long-range Cloud Server that is communicated with this ustomer premises access equipment by telecommunications network, and control and pass through the medical treatment end equipment that telecommunications network or internet are communicated with this long-range Cloud Server by medical personnel.
2. the remote medical service system based on cloud according to claim 1, it is characterized in that, described ustomer premises access equipment comprises portable personal Medical Devices or home medical equipment, and similarly, described medical end equipment also comprises portable personal Medical Devices or home medical equipment.
3. the remote medical service system based on cloud according to claim 2, is characterized in that, described Medical Devices comprise diagnostic device or/and therapeutic equipment.
4. according to claim 1 and 2 or 3 described remote medical service systems based on cloud, is characterized in that, described telecommunications network is 2.5G, 3G, 4G or 5G communication network.
5. based on the implementation method of the remote medical service system of cloud, it is characterized in that, comprise the following steps:
(1) use the medical treatment end equipment of oneself holding to register at long-range Cloud Server by medical personnel, automatically set up medical personnel's database by long-range Cloud Server afterwards;
(2) ustomer premises access equipment when the user uses, gathers user's physiological parameter in real time automatically, and transfers in real time or regularly long-range Cloud Server by telecommunications network;
(3) after long-range Cloud Server receive data, automatically carry out data and process, to set up the case history archive corresponding with this ustomer premises access equipment, all data that after this sent by this ustomer premises access equipment all are stored among this case history archive;
(4) according to the data that receive, long-range Cloud Server carries out cloud computing automatically, holds the user's of described ustomer premises access equipment state of an illness type with Preliminary division, and with this state of an illness type stores among described case history archive;
(5) according to the state of an illness type of Preliminary division and the record of described medical personnel's database, the medical treatment end equipment that the physiological parameter that long-range Cloud Server sends described ustomer premises access equipment automatically sends to corresponding medical personnel to hold;
(6) after the medical treatment end equipment held by oneself of medical personnel receives user's physiological parameter, to long-range Cloud Server feedback processing scheme, long-range Cloud Server first is stored in this processing scheme among corresponding case history archive, then according to the content of this processing scheme and the type of ustomer premises access equipment, ustomer premises access equipment is dealt with.
6. the implementation method of the remote medical service system based on cloud according to claim 5, is characterized in that, the concrete steps of described step (1) comprising:
(1a) medical personnel are by the identity information of medical end equipment to long-range Cloud Server input oneself, and operation type, operation time, be good at realm information, by long-range Cloud Server, the information that medical personnel submit to is examined afterwards, after the audit approval, feed back auditing result to medical personnel;
(1b) according to medical personnel's information of all registrations, medical personnel are classified, set up at last medical personnel's database.
7. the implementation method of the remote medical service system based on cloud according to claim 6, is characterized in that, the concrete grammar of described step (5) is:
At first long-range Cloud Server is sought in medical personnel's database and is good at the field medical personnel identical and idle with described state of an illness type,
If have, the medical treatment end equipment that the physiological parameter that directly described ustomer premises access equipment is sent sends to corresponding medical personnel to hold,
Otherwise, seek idle medical personnel according to the degree of closeness of the field of being good at and described state of an illness type, after determining medical personnel, then the medical treatment end equipment that sends to corresponding medical personnel to hold the physiological parameter that described ustomer premises access equipment sends;
When all online medical personnel's the field of being good at is all uncorrelated with described state of an illness type, the state of an illness processing scheme that long-range Cloud Server calling system prestores, and to ustomer premises access equipment feedback processing result.
8. the implementation method of the remote medical service system based on cloud according to claim 7, is characterized in that, in described step (6), and after long-range Cloud Server is stored in corresponding case history archive with processing scheme,
If ustomer premises access equipment is diagnostic device, long-range Cloud Server directly sends to ustomer premises access equipment with processing scheme, for the user;
If ustomer premises access equipment is therapeutic equipment, and processing scheme need to adjust the systematic parameter of therapeutic equipment, and long-range Cloud Server directly sends instruction to ustomer premises access equipment, controls ustomer premises access equipment and automatically revises systematic parameter;
Situation for not needing to revise the therapeutic equipment systematic parameter sends to ustomer premises access equipment with processing scheme, for the user.
9. the implementation method of the remote medical service system based on cloud according to claim 8, it is characterized in that, described ustomer premises access equipment shows by display after receiving the processing scheme of long-range Cloud Server feedback, perhaps plays back by loudspeaker.
10. the implementation method of the described remote medical service system based on cloud of any one according to claim 5~9, is characterized in that, the communication between described ustomer premises access equipment, long-range Cloud Server and medical end equipment adopts cipher mode to carry out.
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