Background technology
Wisdom city is the urban morphology under generation information technical support, Knowledge Society's innovation environment.Wisdom city is based on the application of the generation information technology such as Internet of Things, cloud computing, mass data processing, realizes the application of interconnected, the Intelligent Fusion in comprehensive perception, broadband.The abundant construction and development in wisdom city have embodied that people-oriented, the distinct characteristic of serve the people.
Some as wisdom city organic whole, wisdom medical treatment refers to by making area medical information platform, utilize state-of-the-art Internet of Things and data processing technique, realize the interaction between patient and medical worker, medical institutions, Medical Devices, progressively reach information-based.In the continuous evolution of medical industry, will incorporate the high-tech such as more artificial intelligences, sensing technology, make medical services move towards the intellectuality of real meaning, promote the prosperity and development of medical industry.Under the background of the new medical reform of China, wisdom medical treatment will be the health service of ordinary people.
Yet regrettably, the medical informations in the most areas of Present Domestic be can be regarded as at most digitizing or Semi-digital, do not have complete compartmentalization information platform to integrate community, hospital, medical research mechanism, government department and realize information sharing; " the residents ' health archives " built lack integrated planning design, cannot realize data interconnection with HIS, and Profile information also adopts passive artificial input mode rather than dynamically updates automatically, also cause realizing fault-tolerance judgement.Current health account does not combine with chronic diseases management, and Community Doctor cannot be used this cover system to carry out hypertension, high fat of blood, diabetes, mental disease chronic diseases to resident to carry out examination, file and realize dynamic hierarchical management and health education.
At present, the serious problems that China's medical information system also exists are, because community hospital lacks effective treatment level, for example doctor is few, equipment is few, cause to a certain extent community hospital's Number of Outpatients wretched insufficiency, and but large hospital is overstaffed, in order to alleviate above-mentioned condition, must realize the intercommunication between family's (or individual), community hospital, large hospital, medical research mechanism, Health inspection and management department of medical information and/or health and fitness information and share.Although there is technical scheme to propose information sharing, but conventionally focus between community hospital and individual's intercommunication, and ignored the principal status of public economy of large hospital, lack in addition medical information and/or health and fitness information sharing medical research mechanism and Health inspection and management department, thereby cause the medical research wasting of resources, the medical control office of Hai Shi government department for example health bureau and Bureau of Drugs Supervision lacks effective information and promotes medical reform and develop towards correct direction.Simultaneously, if consider medical patient and/or user's all detections and diagnosis and treatment information, data volume is extremely huge, for example wherein a lot of information relates to image information, in the face of magnanimity information data, lack effective Storage and Processing means, this is also one of serious main obstruction that hinders current medical information and/or health and fitness information integration.
In prior art, the effective solution of the problems referred to above is also rarely had to report, and lack concrete solution, is mostly to rest on macroscopical imagination stage.For example, CN202711256U discloses a kind of Mobile health management system, it comprises at least one health sensor, transmission equipment, healthy cloud service computing platform and Query Result display device, the signal output part of each health sensor and the signal input part of transmission equipment are electrically connected, the signal input part of the signal output part of transmission equipment and healthy cloud service computing platform is electrically connected, and the signal input part of the signal output part of healthy cloud service computing platform and Query Result display device is electrically connected.Yet as described in this patent documentation, this system only relates to allows people can monitor at any time order oneself health and moving situation, does not realize more effectively sharing and utilizing of medical information, health and fitness information.。
CN102654891A discloses a kind of the health management system arranged of community and family that cover, comprise the health monitoring equipment connecting by network data connected mode, input equipment, storage calculation server and visual terminal device, in addition, it also comprises front end health control terminal, information stored data base, information analysis module and individual health record platform, this health management system arranged can recorder the physiological health in all one's life, mental health and all information relevant to health, and by means of advanced technologies such as cyber-nets, by individual health related information digital collection, in electronics mode, transmit, be stored in health account server.Yet, what in fact this patent documentation related to is only the electronic record record of personal health information, only concentrate on community and inter-household medical information, health and fitness information is shared, thereby cause information availability very limited, do not propose effective magnanimity medical information and/or the concrete processing mode of health and fitness information data simultaneously.
US5301105A discloses a kind of integrated healthcare system, and this system comprises for example interconnecting between insurance company of integrated patient, health care supplier and financial institution.Yet the object of the healthcare system in this patent documentation is to realize effective clearing of health care fund.
" health control of community hospital to diabetic ", the < < China doctor > > of community, Lu Cuiling etc., the 15th the 1st phase of volume in 2013, a kind of regularly method to diabetic's control of community hospital is disclosed, wherein by the door-to-door survey to area under one's jurisdiction 49000 people, for resident has set up Family health files, again by chronic disease Classification Management, wherein diabetic has been carried out to careful Classification Management, not only for resident provides best good service, greatly bring into play the service platform effect of community medicine, embody again government's showing great attention to residents ' health problem, make the medical personnel of community and resident set up relation closely simultaneously, promoted social harmony.Yet this management method is very limited to the utilization of residents ' health information, there is no to realize the effectively shared and further excavation in a wider context of medical information, health and fitness information.
To sum up, this area needs a kind of system that can make the intercommunication between family (or individual), community, hospital, medical research mechanism, Health inspection and management department of medical information and/or health and fitness information and share and can tackle mass data storage and processing.
Summary of the invention
For solving the above-mentioned technical matters existing in prior art, the inventor, through further investigation, provides following technical scheme.
On the one hand, the invention provides a kind of health management system arrangedly, it is characterized in that, this system comprises: wisdom hospital system, regional health system and family health care system.
Described wisdom hospital system can be comprised of digital hospital module, integration application module two parts, wherein, digital hospital module can comprise storage and transmission system (PACS) and the doctor workstation of management information system for hospitals (HIS), Laboratory Information Management System (LIS), medical image; Integrate application module and can comprise remote image transmission device and mass data computing system;
Described regional health system can be comprised of regional health platform and public health system two parts, wherein, regional health platform is used for family (or individual), community, hospital, medical research mechanism, Health inspection and management integrating departments in a system, realize and assist medical institutions and other related organization to carry out the evaluation of disease risk factor, formulation, with the intervention of risk factors plan on individual artificial basis, is set up prevention and is controlled the generation of disease and the electronic health care archives (EHR) of development; Described public health system can comprise the community medical service system of basic medical, community's chronic diseases management, health education, bidirectionally transfering consultation; And
Described family health care system can comprise the Portable, multiple parameter measurement mechanism that user can self-help operation, for handicapped, cannot be sent to the video signal medical treatment device that hospital gives treatment to sufferer, to slow disease and old young sufferer remote nursing device, health monitoring device to special populations such as amentia, deformity, infectious diseases, and automatic-prompting administration time, take the Intellectual garment medicine device of taboo, residual drug etc.;
Medical information and/or health and fitness information can be realized interconnection and interflow between described wisdom hospital system, regional health system and family health care system.Preferably, realize the intercommunication between family, community, hospital, medical research mechanism, Health inspection and management department of medical information and/or health and fitness information and share.
Described community typically refers to community hospital, and hospital typically refers to the hospital larger than community hospital, for example comprehensive first class hospital.
Described family health care system is to press close to civic health care most, can realize user for example patient, resident's real-time healthy care and management.
The application of the above-mentioned technology of the present invention in digital medical system Construction process, can realize the lifting of medical service level: long-range visiting avoids visitors to contact with the direct of sufferer, stops illness spread, shortens recovering process; Remote medical consultation with specialists supports advantage medical resource to share and cross-region is distributed rationally; Automatic alarm is monitored the vital sign data of sufferer, reduces Critical Care cost; Clinical decision system assists a physician and analyzes detailed case history, for formulating therapeutic scheme accurately and effectively, provides basis; Wisdom prescription analysis patient's allergy and medication history, the information such as the reflection medicine place of production batch, effectively record and analyze the information such as prescription change, are slow sick treat and health care provides reference.
Of the present invention described when health management system arranged when adopting, if HMOs finds that certain batch of certain medicine occurs quality problems as SFDA, described system can compare described drugs quality information and patient's medication historical information, comparison conclusion information is sent to family health care system as personal terminal, thereby can effectively avoids social fear.Again for example, if HMOs finds that the medical effect of a certain medicine is better and medication is wide, can work out targetedly the medical insurance scheme of this kind medicine.
Developing rapidly and popularizing along with medical imaging devices such as X ray, nuclear magnetic resonance, tomoscans, the medical image sharpness obtaining significantly improves, institute takes up space also and obviously to increase, and meanwhile, the factor such as increase of major disease incidence causes medical image data amount to increase rapidly.At present, large hospital every day is by the data that produce more than 50 GB, full institute total amount of data has reached 30 TB ranks, doctor needs to read continually image data every day and carrys out auxiliary diagnosis, if the medical information in a city or region and/or health and fitness information data are added together, its quantity of information is huge by making.Therefore, well behaved medical image transmission and storage system seem extremely important.
For this reason, the invention provides a kind of storage and transmission system (PACS) of medical image, memory module in the storage of described medical image and transmission system (PACS) comprises centralised storage server, distributed storage server and firewall system, this Picture Archiving and Communication System moves to distributed storage server by all original data, centralised storage server only retains recent images data, and centralised storage server and distributed storage server are for preserve the new view data producing simultaneously.
By such mode, save the space of centralised storage server, the slow problem of secondary storage read or write speed in disposal route before effectively solving, store data in simultaneously, be also conducive to use in distributed storage server Open Source Platform for example parallel computation framework (MapReduce) framework of Hadoop carry out parallel computation.In later stage system upgrade process, only need to increase simply the interstitial content of Hadoop cluster, can elevator system memory capacity and calculated performance.In order to realize the resource sharing between different medical tissue, each LAN (Local Area Network) can connect outer net by fire wall.For the request from outer online workstation, fire wall needs first it to be carried out to safety certification and access control, and the request that only meets security regulations is just forwarded to medical information and/or health and fitness information central server.
In a preferred embodiment, described mass data computing system can comprise: (1) steering order memory storage, and this device is with n DBMS form, to store the first multi-level memory cell of control command, wherein n is at least 2 integer; (2) data storage device, this device is with m DBMS form, to store the second multi-level memory cell of data, wherein m is greater than 2 integer; (3) address pointer, it is electrically connected to described steering order memory storage and described data storage device, is used in reference to the first address of described steering order memory storage and the second address of described data storage device; (4) multi-level signal demoder, it is electrically connected to described steering order memory storage, for the described steering order with the storage of n DBMS form of decoding, and read from the first address of described steering order memory storage, thereby the control signal that represents described control command is provided; (5) data processing unit, it is electrically connected to described multi-level signal demoder and described data storage device, for the treatment of the described data with the storage of m DBMS form, and read from the second address of described data storage device, thereby output signal is provided.
In a preferred embodiment, regional health platform of the present invention comprises: the network transmission module, memory module and the processing module that connect successively.The mass data computing system of wisdom hospital system also can adopt each processing module identical with described regional health platform.
Described network transmission module can be wireless data transfer module, it is comprised of 1 above single-chip microcomputer, 1 above wireless chip and 1 above RS232 chip, the initialization of described Single-chip Controlling wireless chip and data input and data output, wireless chip in whole system as the carrier of data input and data output, and play a part CRC check and threshold determination, RS232 chip is that the level of serial communication is changed, thereby foundation is communicated by letter with terminal,, so that user does debugging in later stage system development, use.
Described single-chip microcomputer is preferably MSP430F1232 single-chip microcomputer, and described wireless chip is preferably CC1100 wireless chip.
Because MSP430 family chip is micro-power consumption control device, and the power consumption of CC1100 is ultralow, so this entire system power consumption is very low, has solved well the exigent Wireless Data Transmission project of power consumption.
Described terminal can be such as being inquiry Printing machine, mobile phone, PC etc.
In described regional health platform, memory module can be comprised of a plurality of memory nodes and the internal network that they are linked together, wherein data storage is deposited by individual memory cells with stored fragments form, number consecutive storage unit and can be distributed in different physical nodes by plurality of distribution scheduling mode, to realize on mathematical logic, disperse continuously and physically, the table data of large section are stored in continuous storage unit, during table Data Growth, the quantity of extension storage fragment is to reach dilatation effect, during memory node access data with the operation anticipation of moving into and move out of marking mode determination data, the operation of moving out that score is high, move into operation and enforcement migration action when score value reaches threshold condition that score is low, realize memory load equilibrium.
This system can effectively realize that data are distributed to be deposited, capable of dynamic dilatation, and storage drift realizes memory load equilibrium.
In described regional health platform, processing module comprises overall minute module unit, projection question blank read-write cell, task allocation unit, scheduling mode dispensing unit and computing node unit; Within described overall minute, module unit is connected with memory module by network transmission module; Projection question blank read-write cell is connected with memory module by network transmission module; Task allocation unit is connected with memory module by network transmission module, and is connected with computing node unit; Scheduling mode dispensing unit is connected with task allocation unit; Computing node unit is connected with memory module by network transmission module, and is connected with task allocation unit; Overall minute module unit, for carrying out piecemeal according to regional location by community, obtains community's piecemeal and stores in memory module; Projection question blank read-write cell is used for the valid data of the projection question blank that definite each community's piecemeal is corresponding and the valid data in community's segment data, and stores the valid data in projection question blank corresponding to each community's piecemeal and the valid data in community's segment data into memory module; Scheduling mode dispensing unit is used for arranging task allocation scheme; Task allocation unit is for determining idle computing node unit, and from memory module, reads community's piecemeal and send to idle computing node unit; Computing node unit is for the valid data from the memory module extraction projection question blank corresponding with community's piecemeal and the valid data in community's segment data, and the data in Bing Dui community piecemeal are processed.
Described family health care system is to press close to civic health care most, can realize user for example patient, resident's real-time healthy care and management.In another embodiment, the Portable, multiple parameter measurement mechanism in family health care system of the present invention can comprise height and weight BMI pick-up unit, waistline pick-up unit, body fat component detection apparatus, blood pressure detector, screening for diabetes device, high fat of blood screening apparatus, cardiovascular function assessment and screening apparatus, eyesight and colour blindness examination (illness in eye early warning examination) device, tcm constitution identification and Appropriate dietary guide device.
Described Portable, multiple parameter measurement mechanism can be monitored family health care system user's multiple physiological parameter information, and measurement result is transferred to intelligent terminal, this intelligent terminal sends to described wisdom hospital system and/or regional health system by received measurement result according to user's demand, described wisdom hospital system and/or regional health system are stored the measurement result receiving, assessment and analysis, and evaluation result is transferred to family health care system, within described intelligent terminal is integrated in described Portable, multiple parameter measurement mechanism, or be intelligent terminal independently.
Described intelligent terminal can be wired or wireless transmitting device.
In another embodiment, described Portable, multiple parameter measurement mechanism can arrange in the family, also can unify to concentrate in self-service examination handling facility for user.
Described self-service examination handling facility can comprise healthy cabin or mobile health check-up vehicle.For example, construction be take community medical service center as basic " healthy cabin ", for the construction of health account with dynamically update brand-new solution is provided, again plan health account system, make it information completely, standard (meet national standard and meet this area need of work); Set up open health account access standard, make it to carry out the preparation of other medical informations of this area such as access HIS, LIS, PACS and/or health and fitness information system; Realize community's chronic diseases management in the application of " healthy cabin " and regional platform; Build and improve health education mechanism, and realize the track record in health account (EHR).
" healthy cabin " generally take self-service examination as main, and it is auxiliary that doctor assists, and the software systems that provide must be the robotizations of height, realize and exempt from as much as possible to input self-help operation, to facilitate person under inspection to complete examination; So software must possess good input and output, control function, and have good fault-tolerance.
Of the present invention health management system arranged, can realize well electronic records management, chronic diseases management, Health Education, HIS, LIS, the PACS of propelling in hospital, medical research mechanism and HMOs and community medicine builds or makes it to interconnect with residents ' health electronic record (EHR), information sharing between community medicine in feasible region, disease control, health bureau; Access Comprehensive hospitals is information-based, realizes facilities for the convenience of the people and the regional cooperation mechanism such as changing the place of examination mutually between community and Comprehensive hospitals, green channel.Can also build the health management system arranged and realization of family-centered and the data sharing of community platform, realize fitness-for-all file administration in the whole district; Build special Consultation Center, as region electrocardio Consultation Center, PACS Consultation Center; Improve each main diseases kind chronic diseases management, realize hypertension grading management, type ii diabetes management, cerebral apoplexy management, the management of severe mental disease; The health education base of foundation centered by community, realizes with the work in health education base, region and linking, and synchronous archives is dynamically followed the tracks of; Area medical platform access scientific research institution, realizes slow disease and medical technical support.
Specific embodiments
Provide the following examples and comparative example to describe the present invention.Yet, should understand the present invention and be not limited to actual conditions or the details described in these embodiment.
embodiment 1
Arrange one health management system arranged, this system comprises: wisdom hospital system, regional health system and family health care system, described wisdom hospital system is comprised of digital hospital module, integration application module two parts, wherein, digital hospital module comprises storage and transmission system (PACS) and the doctor workstation of management information system for hospitals (HIS), Laboratory Information Management System (LIS), medical image; Integrate application module and comprise remote image transmission device and mass data computing system; Described regional health system is comprised of regional health platform and public health system two parts, wherein, regional health platform is used for family, community, hospital, medical research mechanism, Health inspection and management integrating departments in a system, realize and assist medical institutions and other related organization to carry out the evaluation of disease risk factor, formulation, with the intervention of risk factors plan on individual artificial basis, is set up prevention and is controlled the generation of disease and the electronic health care archives (EHR) of development; Described public health system comprises the community medical service system of basic medical, community's chronic diseases management, health education, bidirectionally transfering consultation; And described family health care system comprises the Portable, multiple parameter measurement mechanism that user can self-help operation, for handicapped, cannot be sent to the video signal medical treatment device that hospital gives treatment to sufferer, to slow disease and old young sufferer remote nursing device, health monitoring device to special populations such as amentia, deformity, infectious diseases, and automatic-prompting administration time, take the Intellectual garment medicine device of taboo, residual drug etc.; Medical information and/or health and fitness information are realized interconnection and interflow between described wisdom hospital system, regional health system and family health care system.
Described being integrated in " the healthy cabin " that is located at community medical service center, measurement mechanism wherein comprises as follows: medical human-body balance, human body composition analyser, ultrasonic bone density measuring instrument, survey meter of blood pressure, Intelligent blood sugar system, cardiovascular function measuring instrument, pulmonary function detection instrument, Electrocardiography instrument, microcirculation tester, atherosclerosis detector, electronic video force measuring instrument, psychological tester, tongue are as instrument, digital traditional Chinese medical science system and inquiry and print system.
When community resident detects, described system is sent to community medical service system by information, community medical service system can be carried out statistical study to testing result, realize the demand of slow sick examination, assessment and management, community medical service system can be carried out targetedly health and be explained and publicised and educate.
When community resident is after hospital's diagnosis and treatment during in convalescence or observation period, can carry out the measurement of relevant item at " the healthy cabin " at community medical service center, place, hospital doctor can carry out long-rangely transferring and carrying out analysis and evaluation, then assessment result is sent to this health cabin and prints, or personal mobile phone.
Health inspection and management mechanism can, according to the variation of community resident health measurement result in each in period, explain and publicise with educational effect and make evaluation the health of community medical service system.
Community resident also can be under voluntary precursor, by my testing result send to medical research mechanism for imparting knowledge to students, research purpose.
The present invention is health management system arranged and existing health management system arranged, disclosed health management system arranged the comparing of CN102654891A for example, can realize interconnecting of medical information between family, community, hospital, medical research mechanism, Health inspection and management department and/or health and fitness information, realize effective utilization of medical information and/or health and fitness information, due to its mass data processing ability, ensured medical information and/or health and fitness information transmission and processed smoothness, quick, accurate simultaneously.
This written description use-case discloses the present invention, comprises optimal mode, and also makes those skilled in the art can manufacture and use the present invention.Scope that can granted patent of the present invention is defined by the claims, and can comprise other example that those skilled in the art expect.If this other example has the structural element of the literal language that does not differ from claims, or if this other example comprises and the literal language of claims equivalent structure element without substantial differences, within the scope of this other example intention in claims.Can not cause under inconsistent degree, by reference to all references part of reference is herein incorporated herein.