CN103942402A - Telemedicine service system based on cloud platform and telemedicine service control method - Google Patents
Telemedicine service system based on cloud platform and telemedicine service control method Download PDFInfo
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- CN103942402A CN103942402A CN201310019317.5A CN201310019317A CN103942402A CN 103942402 A CN103942402 A CN 103942402A CN 201310019317 A CN201310019317 A CN 201310019317A CN 103942402 A CN103942402 A CN 103942402A
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Abstract
The invention relates to a telemedicine service system based on a cloud platform and a telemedicine service control method and belongs to the technical field of medical equipment. The system comprises a cloud server, a medical care subject terminal unit and a doctor diagnosis terminal unit. The cloud server is used for storing self-measured vital sign information and doctor diagnosis information of a medical care subject and generating medical record information according to the diagnosis information. The medical care subject terminal unit is used for acquiring the vital sign information of the medical care subject and uploading the vital sign information to the cloud server and can also be used for downloading the diagnosis information and the medical record information so that the information can synchronize with the information of the cloud server. The doctor diagnosis terminal unit is used for downloading the vital sign information of the medical care subject and uploading the corresponding diagnosis information to a cloud server terminal so that a doctor can perform online diagnosis according to the self-collected vital sign information of the medical care subject by means of the doctor diagnosis terminal unit of the system to achieve telemedicine. The cloud server can achieve cloud storage and maintenance of medical records so as to facilitate consultation and downloading, and thus the medical care subject can share the medical record with the family and a service institution.
Description
Technical field
The present invention relates to medical equipment technical field, particularly network remote medical facility technical field, specifically refers to a kind of remote medical service system and Telemedicine control method based on cloud platform.
Background technology
There is the product of hospital information management system (HIS, Health Information System) in international and domestic many enterprises, and its major function is access, integration and the workflow management of medical information.Such as the HighCare digital hospital solution of Japanese NEC Corporation is focused on and optimizes medical procedures management, provide to be standardized as basis, the function of clinical information management in line with international standards.Domestic also have many enterprises to have HIS product, the HIS system of Medical College, Shanghai Communication Univ.'s exploitation that for example Shanghai Ruijin Hospital uses.
These systems have following characteristics:
1) the HIS system of hospital is independent separately, and between system, information is sealed completely, and community clinic, section hospital, home for destitute and front three hospital do not have information sharing.
2) each system operation has strict requirement to computer type and operating system.
3) computing machine of system is connected mainly with Ethernet, and medical space is fixed on hospital, and medical computing machine does not have movability.
4) in HIS, all information is all provided by medical personnel, the information that does not have medical care object to provide.
5) medical care object cannot be checked HIS information.
6) neither one system can realize in medical care object man tele-medicine is provided, take Shandong Prov. Hospital as the Telemedicine System of representative, just utilize Polycom's video conferencing system to solve multi-party video this problem of communicating by letter, patient still needs to have the designated hospital of this system to accept relevant medical services.
7) can remind, warn and provide health medical treatment service feedback to medical care object with the server push technology based on the Internet without any system at present.
Summary of the invention
The object of the invention is to have overcome above-mentioned shortcoming of the prior art, provide a kind of medical care object can gather voluntarily vital sign information at home, doctor carries out inline diagnosis according to gathered information, thereby realize tele-medicine, realize the cloud storage and maintenance of case history simultaneously, and utilize Web service to realize system inside and outside message exchange and data-pushing, can also realize portable emergency call function, and system architecture is simple, very easily dispose, management maintenance and upgrading, with low cost, the remote medical service system based on cloud platform having wide range of applications and Telemedicine control method.
In order to realize above-mentioned object, the remote medical service system based on cloud platform of the present invention has following formation:
Should comprise Cloud Server, medical care object end device and diagnosis end device by the remote medical service system based on cloud platform.
Wherein Cloud Server is in order to store medical care object diagnostic message, and generates the medical record information of medical care object according to diagnostic message; Medical care object end device connects described Cloud Server by network, in order to according to the operation of medical care object, the vital sign information that gathers medical care object is sent to described Cloud Server, and downloads described diagnostic message and medical record information from described Cloud Server; Diagnosis end device also connects described Cloud Server by network, the vital sign information of the medical care object of uploading in order to the Cloud Server download medical care object end device from described, and according to doctor's operation, upload corresponding medical care object diagnostic message to described Cloud Server terminal.
Be somebody's turn to do in the remote medical service system based on cloud platform, described Cloud Server comprises: follow-up information storage function module and medical record information memory function module.Wherein, the vital sign information of the medical care object that follow-up information storage function module is uploaded in order to the medical care object end device described in storing, and provide described diagnosis end device to download; Receive described diagnostic message simultaneously, and provide described medical care object end device to download, and generate newly-increased medical record information with the vital sign information of corresponding medical care object; Medical record information memory function module stores the medical record information of each medical care object, provide described medical care object end device to download, and the newly-increased medical record information receiving according to the follow-up information storage function module from described, newly-increased case history is deposited in the medical record information of corresponding medical care object.
Be somebody's turn to do in the remote medical service system based on cloud platform, described Cloud Server also comprises encrypted communication function module, and described follow-up information storage function module and medical record information memory function module are all by described encrypted communication function module interconnection network.
Be somebody's turn to do in the remote medical service system based on cloud platform, described vital sign information comprises blood pressure, heart rate blood sugar, blood oxygen saturation, body temperature, respiratory rate, body weight, cardiogram, passometer and exercise intensity, and described medical care object end device comprises corresponding vital sign information acquisition module.
Be somebody's turn to do in the remote medical service system based on cloud platform, described medical care object end device also comprises emergency call function module, in order to send emergency calls information according to user's operation to described Cloud Server and diagnosis end device.
Be somebody's turn to do in the remote medical service system based on cloud platform, described emergency call function module also comprises that vital sign is from arbitration functions unit, described vital sign connects described each vital sign information acquisition module from arbitration functions unit, and store the limit value of each vital sign information, in order in the time that the vital sign information of described vital sign information acquisition module collection exceeds limit value, control described emergency call function module and send emergency calls information from the Cloud Server described in trend and diagnosis end device.
Be somebody's turn to do in the remote medical service system based on cloud platform, described emergency calls information at least comprises the described vital sign information that exceeds limit value.
Be somebody's turn to do in the remote medical service system based on cloud platform, described emergency call function module also comprises GPS positioning function unit, and in order to obtain the positional information of medical care object end device by GPS, described emergency calls information also comprises described positional information.
Be somebody's turn to do in the remote medical service system based on cloud platform, described medical care object end device is all connected described Cloud Server by wireless network with diagnosis end device.
Be somebody's turn to do in the remote medical service system based on cloud platform, described wireless network is WLAN or radio wide area network.
Be somebody's turn to do in the remote medical service system based on cloud platform, described Cloud Server comprises Web sockets interface, in order to push the vital sign information of the medical care object that medical care object end device uploads to described diagnosis end device by this Web sockets interface, and push diagnostic message and medical record information by this Web sockets interface to described medical care object end device.
The present invention also provides a kind of control method of utilizing described system to realize Telemedicine based on cloud platform, and the method comprises the following steps:
(1) described medical care object end device gathers the vital sign information of medical care object according to the operation of medical care object;
(2) vital sign information of described medical care object is sent to described Cloud Server by described medical care object end device;
(3) the described vital sign information of described Cloud Server storage;
(4) vital sign information of the medical care object that described diagnosis end device is uploaded from described Cloud Server download medical care object end device;
(5) described diagnosis end device, according to doctor's operation, generates the diagnostic message corresponding with described vital sign information;
(6) described diagnostic message is sent to described Cloud Server by described diagnosis end device;
(7) described Cloud Server generates corresponding medical record information according to described diagnostic message and corresponding vital sign information;
(8) the described medical record information of described Cloud Server storage;
(9) described medical care object end device is downloaded described diagnostic message and medical record information from described Cloud Server.
Should realize in the control method of Telemedicine based on cloud platform, described Cloud Server comprises Web sockets interface, the vital sign information of the medical care object that described diagnosis end device is uploaded from described Cloud Server download medical care object end device, is specially: the vital sign information of the medical care object that described Cloud Server is uploaded to described diagnosis end device propelling movement medical care object end device by this Web sockets interface;
Described medical care object end device is downloaded described diagnostic message and medical record information from described Cloud Server, is specially: described Cloud Server pushes diagnostic message and medical record information by this Web sockets interface to described medical care object end device.
The remote medical service system based on cloud platform and the length of run medical services control method that have adopted this invention, its system comprises Cloud Server, medical care object end device and diagnosis end device.The vital sign information of testing oneself and the diagnosis information of Cloud Server storage medical care object, and according to the medical record information of diagnostic message generation medical care object; Medical care object end device gathers the vital sign information of medical care object and uploads to Cloud Server, also can download diagnostic message and medical record information, and can synchronize with Cloud Server information; Diagnosis end device is downloaded the vital sign information of medical care object, and upload corresponding medical care object diagnostic message to Cloud Server terminal, thereby, doctor can gather voluntarily vital sign information at home according to medical care object by the diagnosis end device of native system and carry out inline diagnosis, realizes tele-medicine.Cloud Server is realized the cloud storage and maintenance of case history, and consult and downloads side, and the health and fitness information in Cloud Server can also be shared with relatives and service organization.System of the present invention very easily disposes, manages, safeguards and upgrades simultaneously, can utilize Web service (Web Services) to realize the message exchange between the inside and outside application of healthcare system, and by the data-pushing of system, medical care object can be received healthalert, alarm and other medical cares service in real time, and this system more can further realize portable emergency call function.And remote medical service system and the length of run medical services control method based on cloud platform of the present invention, its simple in structure, with low cost, range of application is also quite extensive.
Brief description of the drawings
Fig. 1 is the remote medical service system structural representation based on cloud platform of the present invention.
Fig. 2 is that the sphygmomanometer in the present invention is connected with healthy assistant by bluetooth and by WLAN or wide-area, wireless network, data is sent to the schematic diagram of cloud healthcare system by healthy assistant.
Fig. 3 is the health and fitness information query interface in the present invention.
Fig. 4 is the remote medical service system based on cloud platform of the present invention system architecture and operational scheme schematic diagram in actual applications.
Embodiment
In order more clearly to understand technology contents of the present invention, describe in detail especially exemplified by following examples.
Referring to shown in Fig. 1, is the remote medical service system structural representation based on cloud platform of the present invention.
In one embodiment, should comprise Cloud Server, medical care object end device and diagnosis end device by the remote medical service system based on cloud platform.
Wherein Cloud Server is in order to store medical care object diagnostic message, and generates the medical record information of medical care object according to diagnostic message.Medical care object end device is all connected described Cloud Server by WLAN or radio wide area network with diagnosis end device.Medical care object end device is in order to according to the operation of medical care object, and the vital sign information that gathers medical care object is sent to described Cloud Server, and downloads described diagnostic message and medical record information from described Cloud Server.The vital sign information of the medical care object that diagnosis end device is uploaded in order to the Cloud Server download medical care object end device from described, and according to doctor's operation, upload corresponding medical care object diagnostic message to described Cloud Server terminal.
In one, more preferably in embodiment, described Cloud Server comprises: follow-up information storage function module, medical record information memory function module and encrypted communication function module.Wherein, the vital sign information of the medical care object that follow-up information storage function module is uploaded in order to the medical care object end device described in storing, and provide described diagnosis end device to download; Receive described diagnostic message simultaneously, and provide described medical care object end device to download, and generate newly-increased medical record information with the vital sign information of corresponding medical care object; Medical record information memory function module stores the medical record information of each medical care object, provide described medical care object end device to download, and the newly-increased medical record information receiving according to the follow-up information storage function module from described, newly-increased case history is deposited in the medical record information of corresponding medical care object.Described follow-up information storage function module and medical record information memory function module are all by described encrypted communication function module interconnection network.
In a kind of further preferred embodiment, described vital sign information comprises blood pressure, heart rate blood sugar, blood oxygen saturation, body temperature, respiratory rate, body weight, cardiogram, passometer and exercise intensity, and described medical care object end device comprises corresponding vital sign information acquisition module.
In another kind of further preferred embodiment, described medical care object end device also comprises emergency call function module, in order to send emergency calls information according to user's operation to described Cloud Server and diagnosis end device.This emergency call function module also comprises that vital sign is from arbitration functions unit, described vital sign connects described each vital sign information acquisition module from arbitration functions unit, and store the limit value of each vital sign information, in order in the time that the vital sign information of described vital sign information acquisition module collection exceeds limit value, control described emergency call function module and send emergency calls information from the Cloud Server described in trend and diagnosis end device.And this emergency calls information at least comprises the described vital sign information that exceeds limit value.Described emergency call function module also comprises GPS positioning function unit, and in order to obtain the positional information of medical care object end device by GPS, described emergency calls information also comprises described positional information.
In preferred embodiment, described Cloud Server comprises Web sockets interface, in order to push the vital sign information of the medical care object that medical care object end device uploads to described diagnosis end device by this Web sockets interface, and push diagnostic message and medical record information by this Web sockets interface to described medical care object end device.
The present invention also provides a kind of control method of utilizing described system to realize Telemedicine based on cloud platform.The method comprises the following steps in one embodiment:
(1) described medical care object end device gathers the vital sign information of medical care object according to the operation of medical care object;
(2) vital sign information of described medical care object is sent to described Cloud Server by described medical care object end device;
(3) the described vital sign information of described Cloud Server storage;
(4) vital sign information of the medical care object that described diagnosis end device is uploaded from described Cloud Server download medical care object end device;
(5) described diagnosis end device, according to doctor's operation, generates the diagnostic message corresponding with described vital sign information;
(6) described diagnostic message is sent to described Cloud Server by described diagnosis end device;
(7) described Cloud Server generates corresponding medical record information according to described diagnostic message and corresponding vital sign information;
(8) the described medical record information of described Cloud Server storage;
(9) described medical care object end device is downloaded described diagnostic message and medical record information from described Cloud Server.
One preferred embodiment in, described Cloud Server comprises Web sockets interface, described diagnosis end device is downloaded the vital sign information of the medical care object that medical care object end device uploads from described Cloud Server, be specially:
The vital sign information of the medical care object that described Cloud Server is uploaded to described diagnosis end device propelling movement medical care object end device by this Web sockets interface;
Described medical care object end device is downloaded described diagnostic message and medical record information from described Cloud Server, is specially:
Described Cloud Server pushes diagnostic message and medical record information by this Web sockets interface to described medical care object end device.
Below introduce system of the present invention concrete application mode in actual applications.
One, be somebody's turn to do the formation of the remote medical service system based on cloud platform
1. grid platform
Hospital lan
Hospital's wireless local (WLAN) net
Public wireless wide area network (China Mobile, UNICOM and telecommunications mobile communications network)
2. electronics medical care case history
3. cloud healthcare system (comprising electronics medical care case history, electronics doctor, hospital and medical care information)
4. Nurse Mobile platform
Mobile doctor's platform
Mobile nurse's platform
5. hospital's Automatic cloud detection device (access cloud healthcare system)
6. family expenses/portable health monitoring device (healthy wrist-watch, monitor station etc., access cloud medical information system)
7. family expenses tele-medicine platform/Domestic health-care assistant.
Two, as shown in Figure 4, its basic function is as follows for remote medical service system based on cloud platform of the present invention and operational scheme:
1. Nurse Mobile grid system
The information that is Nurse Mobile system with the ethernet local area network of hospital and the grid platform of wireless local (WLAN) net and public wireless wide area network (China Mobile, UNICOM and telecommunications mobile communications network) formation transmits hinge.
2. cloud medical care case history
Electronics medical care case history comprises traditional electronic health record, is used for recording patient's essential information, medical history, laboratory result, medicining condition etc., by medical personnel by computer and the access of Nurse Mobile platform.Electronics medical care case history is stored in cloud center, is applicable to outpatient service, operation, emergency treatment, first aid scene, ambulance, tele-medicine or visits the different occasions such as medical treatment.Except comprising traditional electronic health record information, cloud medical care case history is also used for recording the historical information of the vital sign that medical care object records by family expenses or portable monitoring device.Medical care object both can be understood own health status by cloud medical care case history, also can be controlled shared to medical care case history and household and relatives and friends by themselves, allowed them have an opportunity to be concerned about their state of an illness, but did not increase the weight of their burden.Medical care object can also be shared itself and selected doctor or hospital, freely selects doctor or hospital, and the while can be avoided the time-consuming various inspections of costliness.
3. cloud healthcare system
Cloud healthcare system comprises the medical care information of cloud medical care case history, cloud electronics doctor and hospital.The complete vital sign of storing in time patient of cloud medical care case history, makes cloud electronics doctor become possibility.Cloud electronics doctor, by the medical care expert system of cloud computing center, analyzes the vital sign of medical care object, the health status of medical care object is regularly summed up, and given suggestion.Cloud electronics doctor also can, by the emergency condition of medical care object, as falling patient or heartbeat blood pressure severely subnormal etc., notify relevant department or family members in time, makes them carry out emergency treatment to accident.
Cloud healthcare system is made up of accumulation layer, basic management layer, application-interface layer and access layer.Accumulation layer multiple memory device by storage device management system, quantity is huge and that be distributed in different geographical is connected together via Internet.Basic management layer is realized the collaborative work between multiple memory devices, and same service is externally provided.Content delivering system, data encryption technology guarantee data can not accessed by undelegated user.At application-interface layer, cloud healthcare system is according to practical business type, provides corresponding application service to Nurse Mobile platform, medical, family expenses and portable medical care equipment, family expenses tele-medicine platform etc.Access layer, by the public application interface of standard, makes any one authorized user can login cloud healthcare system, and corresponding access type and addressing means is provided.
4. Nurse Mobile platform
The medical care platform of Nurse Mobile system is used by medical personnel.Doctor can utilize mobile doctor's platform, access or establishment patient's information and diagnosis and therapy recording, and record or inquiry laboratory test results, online database and the medical science chart of access disease or health problem, and prescription is delivered to pharmacy.Mobile nurse's platform can check and carry out doctor's advice at any time in ward, record medical care object information.
Mobile doctor's platform has portable feature, can be whenever and wherever possible in the accurate information of cloud medical care case history system access:
Information Access---essential information, vital sign and case history inquiry
Report checks---inspection/check system, picture system
Medication is auxiliary---clinical application knowledge base, taboo warning system
Diagnostic support system (medical treatment & health database and medical science chart)
Doctor's advice system---assign doctor's advice, prescribe
Tele-medicine---be connected with family expenses tele-medicine platform, tele-medicine is delivered to house.Also can move doctor's platform with other and be connected, carry out plural consultation
Prescription system (medicine interaction checks, writes out a prescription and delivers to pharmacy)
Under push away information and warning system
The system of operation and management (medical expense etc.)
Mobile nurse's platform has following functions:
Check/execute the task
Doctor's advice is checked and is carried out
Vital sign input and inquiry
Berth arranges and management
Nursing implementation
Record nursing information
Remind in time and arrange work
Accurately relieve
The other doctor's advice of carrying out of bed, gathers vital sign, in real time, and precise and high efficiency
Bar code is confirmed, is stopped mistake
5. Domestic health-care monitoring device
Domestic health-care monitoring device divides and has two kinds of forms from portable angle: portable and desk-top.From dividing with the connected mode of Nurse Mobile system, there is direct connection and be indirectly connected two kinds: direct-connected monitor oneself, with wide-area, wireless network data transmit-receive module, can oneself directly be sent to data cloud healthcare system; The monitor indirectly connecting must send the data to the strong doctor's system of cloud by healthy assistant.Healthy assistant is based on panel computer (or smart mobile phone), the responsible software and hardware system that receives health monitor data and they are sent to cloud healthcare system, introduces at next joint in detail.Health monitor is different according to their function and integrated level, portability and data mode, and price and function difference are totally different.The health data that they gather generally comprises:
Sphygmomanometer
Systolic pressure (high pressure)
Diastolic pressure (low pressure)
Heart rate
Blood sugar
Blood oxygen saturation
Body temperature
Respiratory rate
Body weight
Cardiogram
Passometer
Exercise intensity (heat Calculation)
6. family expenses tele-medicine platform/healthy assistant
Family expenses tele-medicine platform is the equipment of a tele-medicine that has audio frequency and video call function, be used for carrying out remote diagnosis, expert consultation, information service and On line inspection.Family expenses tele-medicine platform/healthy assistant has following functions:
The plug into desk-top or portable health monitor of family expenses, shows in real time and analyzes vital sign
The vital sign of collection is sent to cloud medical care case history
Check oneself vital sign historical data and medical care case history, and pass on cloud electronics doctor's suggestion
Sharing of the cloud medical care case history of control medical care object
Tele-medicine reservation and paying
Carry out tele-medicine by Voice & Video and mobile doctor's platform
Reservation and reminding service
Special service: positioning service and abnormal alarm
Other amusements and informational function
Family expenses tele-medicine platform/healthy assistant will realize at mobile panel computer or intelligent terminal (containing smart mobile phone), be a large characteristic of native system.Like this, Nurse Mobile system revolutionaryly expands to family by traditional tele-medicine place from the website of specifying, and makes medical care object just can enjoy medical services at home.The healthy assistant who realizes on intelligent terminal, except the platform as family expenses tele-medicine, also can expand many functions and service.
On market, most monitor all needs to be indirectly connected with cloud healthcare system by healthy assistant.Figure 2 shows that a sphygmomanometer is connected with healthy assistant by bluetooth, and by WLAN or wide-area, wireless network, data are sent to the schematic diagram of cloud healthcare system by healthy assistant." data upload " in figure is a function key of healthy assistance application.
After the healthy assistant's local data base of vital sign data typing, data are further sent to cloud healthcare system, share, and do data backup for family doctor and relatives.The data analysis of healthy assistant to medical care object, and the suggestion of health care and medical aspect is provided.
Medical care object checks that historical data has two kinds of modes: check healthy assistant's local data base or check cloud healthcare system database.Medical care object also can be checked the case history that is stored in cloud healthcare system with computing machine.Authorized relatives good friend also can check from their account the health and fitness information of medical care object, and health and fitness information query interface as shown in Figure 3.
Healthy assistant can also provide reservation and reminding service.According to the schedule setting in advance, healthy assistant will remind old man what time to take medicine, and some is taken blood pressure, heartbeat, and some should be taken exercises, some Gai Qu hospital has checked etc.User also can send to family doctor or relatives with email data.
Special service comprises positioning service, as display position information on map, shows that in real time route map is as trip guide, the monitoring etc. of running away from home according to the address of establishing in advance.The medical care object of monitoring of running away from home is carried GPS device reservation service.In the time that he walks out of preset range, will produce warning to service centre.Special service also comprises alert service.When user falls, vital sign abnormalities or seek help while needs, warning will be received by service centre, and service is provided.
Healthy assistant can also realize other value-added services and friendship service, as the handy service for the people, household services reservation, amusement and leisure etc.
7. medical monitoring device
The medical monitoring device of Nurse Mobile system can be on the existing monitoring device of hospital basis, adds that radio receiving transmitting module accesses cloud medical care case history.
Three, the remote medical service system based on cloud platform of the present invention has following characteristics:
1. the professional platform independence of Nurse Mobile system
Nurse Mobile system will adopt smartGWT and smartGWT Mobile to realize.System is moved on Chrome browser, and the system that therefore ensures can be moved in Windows, Linux or Unix operating system.The use of smartGWT Mobile has also ensured that system can move on panel computer or smart mobile phone.The inside and outside application of healthcare system that runs on different platform and realize with different language, can come mutual with the data layout of standard by Web service.Data stream communication based on Web Socket and HTML5 provides two-way TCP passage interaction technique to server data push function, makes it efficient and stable.
Nurse Mobile system security
1) database security:
Adopt PostgreSQL as electronics medical care case history and with the central database of its associated documents.PostgreSQL is the object relationship type Database Systems of a well-known open source code.It develops moulding through the effort of 15 years, has very ripe framework.It has good reputation at aspects such as reliability, data integrity and correctness and data securities, is widely used in web application.
2) application security:
User and mechanism authenticate, and verify data is encrypted
The user that electronics medical care case history only limits to authorize or mechanism are used
Data access session management, concurrent connection be connected overtime management
Set up the secure data search mechanism based on user class, different user has different data retrieval authorities
Stop the direct accessing database of any client, only have directly access local database of background server application program.Electronics medical care medical record data be gone to read or be changed to client must by server application
Zero parameter operation, forbids adding network address parameter and attacks to eliminate possible url-path, forbids additional fill order
Utilize program daily record that the application of data access is audited and monitored
3) security of web application server:
Enable the built-in security manager of web application server
Web application must move in sandbox (sandbox)
In limiting network application program, be performed to greatest extent the ability of malicious operation
Forbid the root directory of application program with beyond temp directory, set up that network is connected or file system is carried out to access
Protection close port, forbids from any fill order beyond the machine
The log recording of support standard and network address access monitoring
Support SSL/HTTPS
4) security of cloud host server:
Support coded communication (SSH, SSL etc.)
All private data exchanges (data retrieval or application deployment) must be transmitted by SSL/HTTPS
Private data turnover and application deployment must carry out authentication to prevent that being traversed (brute force) cracks by SSH key instead of password
The isolation of process, network and storage
Intrusion detection
Port-monitoring
Safety is closed rule framework
Leak regular update
Long-range log recording
In sum, the Nurse Mobile system integration technology such as wireless mobile communications, intelligent terminal, internet, Data Mining, cloud computing, self-navigation, life data collection in real time, micro sensing, artificial intelligence and expert system in one, to set up one centered by medical care object, health detection is basic, tele-medicine is means, convenience-for-people and improve the novel doctor-nurse relationship of medical system efficiency.
Nurse Mobile system is by the achievement of modern high technology and the solution of innovation, create taking long-term digital health and monitored as means, relatives good friend and family doctor participate in monitoring, and novel doctor-nurse relationship centered by medical care object, for patient provides in time, the medical care service of convenient and high-quality, there are huge society and economic benefits:
Medical care object carries out health monitoring easily, understands at any time health condition, and prevent disease occurs.Make Most patients not yet develop into before irreversible and prevent its generation or delay its process in disease, avoid expensive medical expense by cheap health monitoring
Health monitoring is participated in by medical care Object Selection relatives good friend, family doctor and service organization, allows them both have an opportunity to be concerned about their state of an illness, but increases the weight of not too much their burden
Service organization processes in time to the various abnormal conditions of medical care object, saves in time life
Medical personnel store/provide medical care data whenever and wherever possible, and medical care service is delivered to first aid scene, street and huge numbers of families
Medical space is expanded to family by tele-medicine, and huge numbers of families are sent in medical care service to
Medical care information sharing, simplifies workflow, promotes medical care cooperation
Improve hospital and medical worker work efficiency, reduce the delay that disease is made a definite diagnosis in therapeutic process
Integrate medical resource, Medical data sharing, avoids the various recheckings of time-consuming costliness
From the requirement to system, cross-platform application does not have strict requirement to computer type and operating system, is beneficial to very much universal
Open Nurse Mobile system can avoid each hospital must have and safeguard the needs of the medical information system of oneself, greatly reduces IT expense.
The remote medical service system based on cloud platform and the length of run medical services control method that have adopted this invention, its system comprises Cloud Server, medical care object end device and diagnosis end device.The vital sign information of testing oneself and the diagnosis information of Cloud Server storage medical care object, and according to the medical record information of diagnostic message generation medical care object; Medical care object end device gathers the vital sign information of medical care object and uploads to Cloud Server, also can download diagnostic message and medical record information, and can synchronize with Cloud Server information; Diagnosis end device is downloaded the vital sign information of medical care object, and upload corresponding medical care object diagnostic message to Cloud Server terminal, thereby, doctor can gather voluntarily vital sign information at home according to medical care object by the diagnosis end device of native system and carry out inline diagnosis, realizes tele-medicine.Cloud Server is realized the cloud storage and maintenance of case history, and consult and downloads side, and the health and fitness information in Cloud Server can also be shared with relatives and service organization.System of the present invention very easily disposes, manages, safeguards and upgrades simultaneously, can utilize Web service (Web Services) to realize the message exchange between the inside and outside application of healthcare system, and by the data-pushing of system, medical care object can be received healthalert, alarm and other medical cares service in real time, and this system more can further realize portable emergency call function.And remote medical service system and the length of run medical services control method based on cloud platform of the present invention, it is simple in structure, with low cost, and range of application is also quite extensive.
In this instructions, the present invention is described with reference to its specific embodiment.But, still can make various amendments and conversion obviously and not deviate from the spirit and scope of the present invention.Therefore, instructions and accompanying drawing are regarded in an illustrative, rather than a restrictive.
Claims (13)
1. the remote medical service system based on cloud platform, is characterized in that, described system comprises:
Cloud Server, in order to store medical care object diagnostic message, and according to the medical record information of diagnostic message generation medical care object;
Medical care object end device, connect described Cloud Server by network, in order to according to the operation of medical care object, the vital sign information that gathers medical care object is sent to described Cloud Server, and downloads described diagnostic message and medical record information from described Cloud Server;
Diagnosis end device, connect described Cloud Server by network, the vital sign information of the medical care object of uploading in order to the Cloud Server download medical care object end device from described, and according to doctor's operation, upload corresponding medical care object diagnostic message to described Cloud Server terminal.
2. the remote medical service system based on cloud platform according to claim 1, is characterized in that, described Cloud Server comprises:
Follow-up information storage function module, the vital sign information of the medical care object of uploading in order to the medical care object end device described in storing, and provide described diagnosis end device to download; Receive described diagnostic message simultaneously, and provide described medical care object end device to download, and generate newly-increased medical record information with the vital sign information of corresponding medical care object;
Medical record information memory function module, store the medical record information of each medical care object, provide described medical care object end device to download, and the newly-increased medical record information receiving according to the follow-up information storage function module from described, newly-increased case history is deposited in the medical record information of corresponding medical care object.
3. the remote medical service system based on cloud platform according to claim 2, it is characterized in that, described Cloud Server also comprises encrypted communication function module, and described follow-up information storage function module and medical record information memory function module are all by described encrypted communication function module interconnection network.
4. the remote medical service system based on cloud platform according to claim 1, it is characterized in that, described vital sign information comprises blood pressure, heart rate blood sugar, blood oxygen saturation, body temperature, respiratory rate, body weight, cardiogram, passometer and exercise intensity, and described medical care object end device comprises corresponding vital sign information acquisition module.
5. the remote medical service system based on cloud platform according to claim 4, it is characterized in that, described medical care object end device also comprises emergency call function module, in order to send emergency calls information according to user's operation to described Cloud Server and diagnosis end device.
6. the remote medical service system based on cloud platform according to claim 5, it is characterized in that, described emergency call function module also comprises that vital sign is from arbitration functions unit, described vital sign connects described each vital sign information acquisition module from arbitration functions unit, and store the limit value of each vital sign information, in order in the time that the vital sign information of described vital sign information acquisition module collection exceeds limit value, control described emergency call function module and send emergency calls information from the Cloud Server described in trend and diagnosis end device.
7. the remote medical service system based on cloud platform according to claim 6, is characterized in that, described emergency calls information at least comprises the described vital sign information that exceeds limit value.
8. the remote medical service system based on cloud platform according to claim 5, it is characterized in that, described emergency call function module also comprises GPS positioning function unit, in order to obtain the positional information of medical care object end device by GPS, described emergency calls information also comprises described positional information.
9. according to the remote medical service system based on cloud platform described in any one in claim 1 to 8, it is characterized in that, described medical care object end device is all connected described Cloud Server by wireless network with diagnosis end device.
10. the remote medical service system based on cloud platform according to claim 9, is characterized in that, described wireless network is WLAN or radio wide area network.
11. remote medical service systems based on cloud platform according to claim 9, it is characterized in that, described Cloud Server comprises Web sockets interface, in order to push the vital sign information of the medical care object that medical care object end device uploads to described diagnosis end device by this Web sockets interface, and push diagnostic message and medical record information by this Web sockets interface to described medical care object end device.
12. 1 kinds of control methods of utilizing system described in claim 1 to realize Telemedicine based on cloud platform, is characterized in that, described method comprises the following steps:
(1) described medical care object end device gathers the vital sign information of medical care object according to the operation of medical care object;
(2) vital sign information of described medical care object is sent to described Cloud Server by described medical care object end device;
(3) the described vital sign information of described Cloud Server storage;
(4) vital sign information of the medical care object that described diagnosis end device is uploaded from described Cloud Server download medical care object end device;
(5) described diagnosis end device, according to doctor's operation, generates the diagnostic message corresponding with described vital sign information;
(6) described diagnostic message is sent to described Cloud Server by described diagnosis end device;
(7) described Cloud Server generates corresponding medical record information according to described diagnostic message and corresponding vital sign information;
(8) the described medical record information of described Cloud Server storage;
(9) described medical care object end device is downloaded described diagnostic message and medical record information from described Cloud Server.
13. control methods that realize Telemedicine based on cloud platform according to claim 12, it is characterized in that, described Cloud Server comprises Web sockets interface, the vital sign information of the medical care object that described diagnosis end device is uploaded from described Cloud Server download medical care object end device, is specially:
The vital sign information of the medical care object that described Cloud Server is uploaded to described diagnosis end device propelling movement medical care object end device by this Web sockets interface;
Described medical care object end device is downloaded described diagnostic message and medical record information from described Cloud Server, is specially:
Described Cloud Server pushes diagnostic message and medical record information by this Web sockets interface to described medical care object end device.
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