Background technology
Smart city is the urban morphology under generation information technology support, Knowledge Society's innovation environment.Smart city base
In the generation information technology application such as Internet of Things, cloud computing, mass data processing, comprehensively perception, the interconnection in broadband, intelligence are realized
The application that can be merged.The abundant construction and development of smart city embody people-oriented, serve the people distinct characteristic.
As some of smart city organic whole, intelligent medical treatment refers to by making area medical information platform, profit
With state-of-the-art Internet of Things and data processing technique, realize mutual between patient and medical worker, medical institutions, Medical Devices
It is dynamic, progressively reach informationization.In the continuous evolution of medical industry, more artificial intelligences, sensing technology will be incorporated contour
Science and technology, makes medical services move towards the intellectuality of real meaning, promotes the prosperity and development of medical industry.In the background of Chinese new medical reform
Under, intelligent medical treatment will be the health service of ordinary people.
However, regrettably, the medical information in current domestic most areas at most can be regarded as digitlization or Semi-digital
Change, community, hospital, medical research mechanism, government department are integrated without complete compartmentalization information platform and realizes information sharing;
" Residential soil " built lacks integrated planning design, it is impossible to realize data interconnection with HIS, Profile information is also adopted
Updated with passive manual input-mode rather than automatic dynamic, also lead to not realize that fault-tolerance judges.Current health
Archives do not combine with chronic diseases management, and Community Doctor can not use this set system to carry out hypertension, high fat of blood, sugar to resident
Urine disease, mental disease chronic diseases carry out examination, file and realize dynamic hierarchical management and health education.
At present, the serious problems that China's medical information system is also present are, because community hospital lacks effective diagnosis and treatment
Level such as doctor is few, equipment is few, causes community hospital's Number of Outpatients wretched insufficiency to a certain extent, and large hospital but people is full
To suffer from, in order to alleviate above-mentioned condition, it is necessary to realize medical information and/or health and fitness information in family(Or it is personal), it is community hospital, big
Intercommunication between hospital, medical research mechanism, Health inspection and management department and shared.Although thering is technical scheme to propose information to be total to
Enjoy, but generally focus between the intercommunication of community hospital and individual, and have ignored the principal status of public economy of large hospital, lack in addition
Weary medical information and/or health and fitness information are shared to medical research mechanism and Health inspection and management department, so as to cause medical section
The wasting of resources is ground, also makes medical control the office such as health bureau and Bureau of Drugs Supervision of government department lack effective information to promote doctor
Change towards correct direction development.Meanwhile, if to consider medical patient and/or all detections of user and medical information,
Data volume is extremely huge, such as wherein many information are related to image information, in face of magnanimity information data, lack effectively storage and
Processing means, this is also seriously to hinder one of current medical information and/or the main obstruction of health and fitness information integration.
Also rarely have report to the effective solution of above mentioned problem in the prior art, and lack specific solution,
More is to rest on macroscopical imagination stage.For example, CN202711256U discloses a kind of Mobile health management system, it include to
Few one health sensor, transmission equipment, healthy cloud service calculating platform and Query Result display device, each health sensing
The signal output part of device and the signal input part of transmission equipment are electrically connected, the signal output part of transmission equipment and healthy cloud
The signal input part of service calculating platform is electrically connected, the signal output part and Query Result of healthy cloud service calculating platform
The signal input part of display device is electrically connected.However, as described in the patent document, the system merely relates to allow people's energy
Enough monitoring oneself health of mesh and moving situation at any time, are not carried out the more effective shared and profit of medical information, health and fitness information
With..
CN102654891A discloses the health management system arranged of a kind of covering community and family, including is connected by network data
Health monitoring equipment, input equipment, storage calculation server and visualization terminal device that the mode of connecing is attached, in addition,
It also includes front end health control terminal, information storage database, information analysis module and individual health record platform, the health
Management system can with the physiological health in recorder's all one's life, mental health and to the related all information of health, and by means of counting
The advanced technology such as calculation machine and network, by personal health related information digital collection, electronically transmits, is stored in health
In archive server.However, the electronic record record for the only personal health information that the patent document is actually related to, only collects
In it is shared in community and inter-household medical information, health and fitness information, so as to cause Information Pull degree very limited, do not have simultaneously
Propose effective magnanimity medical information and/or the specific processing mode of health and fitness information data.
US5301105A discloses a kind of integrated healthcare system, and the system includes integrated patient, health care
Interconnecting between such as insurance company of supplier and financial institution.However, healthcare system in the patent document
Purpose is to realize effective clearing of health care fund.
" health control of the community hospital to diabetic ",《Chinese community doctor》, Lu Cuiling etc., 2013 volume 15
1st phase, a kind of method that community hospital is periodically prevented and treated diabetic is disclosed, wherein by entering to the people of area under one's jurisdiction 49000
Family is investigated, and is that resident establishes Family health files, then by chronic disease Classification Management, wherein diabetic has been carried out it is careful
Classification Management, only resident does not provide optimal good service, greatly plays the service platform effect of community medicine, and body
Highest attention of the present government to residents ' health problem, while making community doctors and nurses establish close relation with resident, promotes
The harmony of society.However, utilization of the management method to residents ' health information is very limited, it is no to realize medical letter
The effectively shared and further excavation of breath, health and fitness information in a wider context.
To sum up, this area needs one kind to make medical information and/or health and fitness information in family(Or it is personal), community, doctor
Intercommunication between institute, medical research mechanism, Health inspection and management department and shared and cope with mass data storage and place
The system of reason.
The content of the invention
To solve above-mentioned technical problem present in prior art, there is provided following skill by further investigation by the present inventor
Art scheme.
On the one hand, the invention provides one kind is health management system arranged, it is characterised in that the system includes:Wisdom hospital
System, regional health system and family health care system.
The wisdom hospital system can be made up of digital hospital module, integration application module two parts, wherein, numeral doctor
Institute's module can include management information system for hospitals(HIS), LIMS(LIS), medical image storage and
Transmission system(PACS)And doctor workstation;Remote image transmission device and mass data meter can be included by integrating application module
Calculate processing system;
The regional health system can be made up of regional health platform and public health system two parts, wherein, region
Hygienic platform is used for family(Or it is personal), community, hospital, medical research mechanism, Health inspection and management integrating departments are at one
In system, realize and assist medical institutions and other related organizations to carry out the evaluation of disease risk degree, formulate based on individual
Intervention of risk factors plan, set up prevention and control disease occurrence and development Electronic Health Record(EHR);It is described public
Health department can include basic medical, community chronic disease management, health education, the community medical service system of bidirectionally transfering consultation;With
And
The family health care system can including the use of person can self-help operation Portable, multiple parameter measurement apparatus, for row
Dynamic inconvenience can not be sent to the video signal medical treatment device that hospital carries out treatment sufferer, to slow sick and old young sufferer remote nursing device,
To the health monitoring device of the special populations such as amentia, deformity, infectious disease, and the automatic medicine taking prompting time, take taboo, residue
The intelligent medicine taking device of dose etc.;
Medical information and/or health and fitness information can be in the wisdom hospital system, regional health system and family health care systems
Realize and interconnect between system.Preferably, realize medical information and/or health and fitness information in family, community, hospital, medical research
Intercommunication between mechanism, Health inspection and management department and shared.
The community typically refers to community hospital, and hospital typically refers to the hospital bigger than community hospital, such as comprehensive first
Level hospital.
The family health care system is most to press close to civic health care, can realize user such as patient, resident
Real time health is looked after and managed.
Application of the above-mentioned technology of the present invention during digital medical system Construction, can be achieved carrying for medical service level
Rise:Long-range visit avoids visitors from being contacted with the direct of sufferer, prevents illness spread, shortens recovering process;Remote medical consultation with specialists is supported
Advantage medical resource is shared and cross-region is distributed rationally;Automatic alarm is monitored to the vital sign data of sufferer, reduction weight
Disease nursing cost;Clinical decision system, which assists a physician, analyzes detailed case history, and base is provided to formulate accurately and effectively therapeutic scheme
Plinth;Wisdom prescription analysis patient of hypersensitivity and medication history, reflect the information such as medicine place of production batch, effectively record and analysis prescription change
It is that slow disease treatment and health care provide reference etc. information.
When using the present invention it is described health management system arranged when, if medical management agency such as SFDA has found certain of certain medicine
There are quality problems in batch, and the system medication historical information of the drugs quality information and patient can be compared point
Analysis, will compare conclusion information and sends to family health care system such as personal terminal, so as to be prevented effectively from social fear.Example again
Such as, medical management agency then can be worked out targetedly if it find that the medical effect of a certain medicine is preferable and medication is wide
The medical insurance scheme of the kind medicine.
Developing rapidly and popularizing with medical imaging devices such as X-ray, nuclear magnetic resonance, tomoscans, obtained medical science
Image definition is significantly improved, and is taken up space and is also significantly increased, meanwhile, the factor such as increase of major disease incidence causes medical science
The increase of image data amount is rapid.At present, a large hospital will produce 50 more than GB data daily, and full institute's total amount of data is
Through having reached 30 TB ranks, doctor, which is required for continually reading image data daily, carrys out auxiliary diagnosis, if by a city or
The medical information and/or health and fitness information data in region are added together, and its information content will make huge.Therefore, one it is functional
Medical image transmission and storage system seem extremely important.
Therefore, the invention provides a kind of storage of medical image and Transmission system(PACS), the medical image deposits
Storage and Transmission system(PACS)In memory module include centralised storage server, distributed storage server and fire wall system
All original data are moved to distributed storage server, centralised storage clothes by system, the Picture Archiving and Communication System
Business device only retains recent images data, and centralised storage server and distributed storage server are used to preserve what is newly produced simultaneously
View data.
The space of centralised storage server is saved by such mode, effectively solves to deposit with two grades in pre-treating method
The problem of read or write speed is slow is stored up, while storing data in, being also beneficial in distributed storage server using Open Source Platform example
Such as Hadoop parallel computation frame(MapReduce)Framework carries out parallel computation.During later stage system upgrade, it is only necessary to
Simply increase the interstitial content of Hadoop clusters, you can lifting system memory capacity is with calculating performance.In order to realize different doctors
The resource-sharing between tissue is treated, each LAN can connect outer net by fire wall.For asking from outer online work station
Ask, fire wall needs first to carry out safety certification and access control to it, and the request for only meeting security regulations is just forwarded to doctor
Treat information and/or health and fitness information central server.
In a preferred embodiment, the mass data calculates processing system and can included:(1)Control instruction is stored
Device, the device is the first multi-level memory cell that control command is stored in n DBMSs form, wherein n be at least 2 it is whole
Number;(2)Data storage device, the device is the second multi-level memory cell for carrying out data storage in m DBMS forms, and wherein m is
Integer more than 2;(3)Address pointer, it is electrically connected to the control instruction storage device and the data storage device, is used for
Point to the first address of the control instruction storage device and the second address of the data storage device;(4)Multi-level signal
Decoder, it is electrically connected to the control instruction storage device, refers to for decoding the control stored in n DBMSs form
Order, and be read out from the first address of the control instruction storage device, so as to provide the control for representing the control command
Signal processed;With(5)Data processing unit, it is electrically connected to the multi-level signal decoder and the data storage device, uses
In the processing data stored in m DBMSs form, and it is read out from the second address of the data storage device, from
And output signal is provided.
In a preferred embodiment, regional health platform of the invention includes:The network transmission module that is sequentially connected,
Memory module and processing module.The mass data of wisdom hospital system calculates processing system and can also used and the regional health
Each processing module of platform identical.
The network transmission module can be wireless data transfer module, its by more than 1 piece single-chip microcomputer, more than 1 piece wirelessly
Chip and more than 1 piece of RS232 chips composition, the initialization of the single-chip microcomputer control wireless chip and data send and connect
Receive, the carrier that wireless chip sends and receives as data in the entire system, and play the work of CRC check and threshold determination
With, RS232 chips are then that the level of serial communication is changed, so that the communication with terminal is set up, so that user is in the later stage
Debugging is done in system development to use.
The single-chip microcomputer is preferably MSP430F1232 single-chip microcomputers, and the wireless chip is preferably CC1100 wireless chips.
Because MSP430 family chips are micro energy lose controllers, and CC1100 power consumption is ultralow, therefore the system is overall
Power consumption is very low, solves well to power consumption requirements very high wireless data transmission project.
The terminal can be, for example, inquiry Printing machine, mobile phone, PC etc..
In the regional health platform, in memory module can link together by multiple memory nodes and by them
Portion's network composition, wherein data storage is deposited in stored fragments form by individual memory cells, numbers consecutive memory cell
Different physical nodes can be distributed in by a variety of allocation schedule modes, continuously and physically be disperseed on mathematical logic with realizing,
The table data storage of big section is in continuous memory cell, when table data increase, and the quantity of extension storage fragment is to reach dilatation
Effect, with the operation anticipation of moving into and move out of marking mode determination data during memory node access data, score is high to move out
Operation, score is low to move into operation and implements migration action when score value reaches threshold condition, realizes storage load balancing.
The system can effectively realize that data distribution formula is deposited, can dynamic capacity-expanding, storage drift realization storage load balancing.
In the regional health platform, processing module includes overall blocking unit, projection inquiry table read-write cell, task
Allocation unit, scheduling mode dispensing unit and calculate node unit;The overall blocking unit is by network transmission module with depositing
Module is stored up to be connected;Projection inquiry table read-write cell is connected by network transmission module with memory module;Task allocation unit passes through
Network transmission module is connected with memory module, and is connected with calculate node unit;Scheduling mode dispensing unit distributes single with task
Member is connected;Calculate node unit is connected by network transmission module with memory module, and is connected with task allocation unit;Overall point
Module unit is used to carry out piecemeal by community according to regional location, obtains community's piecemeal and stores into memory module;Projection inquiry
Table read-write cell is used to determine having in the valid data and community's segment data in the corresponding projection inquiry table of each community's piecemeal
Data are imitated, and the valid data in the valid data and community's segment data in the corresponding projection inquiry table of each community's piecemeal are deposited
Store up memory module;Scheduling mode dispensing unit is used to set the task method of salary distribution;Task allocation unit is used to determine the free time
Calculate node unit, and reading community's piecemeal is sent to the calculate node unit of free time from memory module;Calculate node unit
For extracting having in the valid data and community's segment data in projection inquiry table corresponding with community's piecemeal from memory module
Data are imitated, and the data in community's piecemeal are handled.
The family health care system is most to press close to civic health care, can realize user such as patient, resident
Real time health is looked after and managed.In another embodiment, the Portable, multiple parameter in family health care system of the invention is surveyed
Amount device can include height and weight BMI detection means, waistline detection means, body fat component detection apparatus, blood pressure detecting
Device, screening for diabetes device, high fat of blood screening apparatus, cardiovascular function are assessed and screening apparatus, eyesight and colour blindness examination(Eye
Sick early warning examination)Device, tcm constitution identification and Appropriate dietary guide device.
The Portable, multiple parameter measurement apparatus can monitor a variety of physiological parameter informations of family health care system user,
And measurement result is transferred to intelligent terminal, received measurement result is sent to by the intelligent terminal according to user's demand
The wisdom hospital system and/or regional health system, the wisdom hospital system and/or regional health system will be received
Measurement result is stored, analyzed and assessed, and evaluation result is transferred into family health care system, and the intelligent terminal is integrated in
Within the Portable, multiple parameter measurement apparatus or for independent intelligent terminal.
The intelligent terminal can be wired or wireless transmitting device.
In another embodiment, the Portable, multiple parameter measurement apparatus can be set in the family, can also be united
One concentrates in self-service examination handling facility for users to use.
The self-service examination handling facility can include healthy cabin or flowing physical examination vehicle.Defended for example, building with community
" healthy cabin " based on raw service centre, construction and dynamic renewal for health account provide brand-new solution, again
Health account system is planned, information completely, specification is allowed to(Meet national standard and meet this area need of work);Set up and open
Formula health account accesses standard, is allowed to carry out other medical informations of this area and/or the health and fitness informations such as access HIS, LIS, PACS
The preparation of change system;Realize application of the community chronic disease management in " healthy cabin " and regional platform;Build and improve health education
Mechanism, and realize in health account(EHR)Interior track record.
" healthy cabin " is general based on self-service examination, supplemented by doctor's auxiliary, and the software systems provided must be height
Automation, to realize exempt from as far as possible input self-help operation, with facilitate person under inspection complete examination;So software must possess good
Good input and output control function, and have preferable fault-tolerance.
The present invention's is health management system arranged, and electronic records management, chronic diseases management, health education work can be realized well
Make, promote HIS, LIS, PACS in hospital, medical research mechanism and medical management agency and community medicine to build or make
With residents ' health electronic record(EHR)Interconnect, realize information sharing between community medicine in region, disease control, health bureau;
Access that Comprehensive hospitals are information-based, realize that changing the place of examination mutually between community and Comprehensive hospitals, green channel etc. are convenience-for-people and arrange
Apply and regional cooperation mechanism.Family-centered health management system arranged and realization and community platform data can also be built to be total to
Enjoy, realize fitness-for-all file administration in the whole district;Special Consultation Center is built, in such as region electrocardio Consultation Center, the PACS consultation of doctors
The heart;Each main disease chronic diseases management is improved, hypertension grading management, type ii diabetes management, cerebral apoplexy management, severe essence is realized
Refreshing disease management;The health education base set up centered on community, realizes that the work with area health educational base links, and together
Archives are walked dynamically to track;Area medical platform accesses scientific research institution, realizes the technical support to slow disease and medical treatment.
Embodiment 1
Setting one is health management system arranged, and the system includes:Wisdom hospital system, regional health system and family are strong
Health system, the wisdom hospital system is made up of digital hospital module, integration application module two parts, wherein, digital hospital mould
Block includes management information system for hospitals(HIS), LIMS(LIS), medical image storage and Transmission system
(PACS)And doctor workstation;Integrating application module includes remote image transmission device and mass data calculating processing system;Institute
Regional health system is stated to be made up of regional health platform and public health system two parts, wherein, regional health platform is used for will
Family, community, hospital, medical research mechanism, Health inspection and management integrating departments are realized in a system and assist medical institutions
And other related organizations carry out the evaluation of disease risk degree, the intervention of risk factors plan based on individual is formulated, is set up
The Electronic Health Record of the occurrence and development of prevention and control disease(EHR);The public health system includes basic medical, society
Area's chronic diseases management, health education, the community medical service system of bidirectionally transfering consultation;And the family health care system is including the use of person
Can self-help operation Portable, multiple parameter measurement apparatus, for it is handicapped can not be sent to hospital carry out give treatment to sufferer video signal cure
Device is treated, to slow sick and old young sufferer remote nursing device, the health monitoring to special populations such as amentia, deformity, infectious diseases
Device, and automatic medicine taking prompting time, the intelligent medicine taking device for taking taboo, residual drug etc.;Medical information and/or health
Information realizes interconnection and interflow between the wisdom hospital system, regional health system and family health care system.
Described to be integrated in " the healthy cabin " for being located at community medical service center, measurement apparatus therein includes as follows:
Medical human-body balance, human body composition analyzer, 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, electronics vision measuring instrument,
Psychological tester, tongue are as instrument, digital traditional Chinese medical science system and inquiry and print system.
When community resident is detected, the system sends information to community medical service system, community medicine clothes
Business system can carry out statistical analysis to testing result, realize the demand of slow sick examination, assessment and management, community medical service system
System can targetedly carry out health and explain and publicise and educate.
, can be at place community medical service center when community resident is in convalescence or observation period after hospital's diagnosis and treatment
" healthy cabin " carry out the measurement of relevant item, hospital doctor can remotely be transferred and carry out analysis and evaluation, then will
Assessment result sends to the healthy cabin and printed, or personal mobile phone.
Health inspection and management mechanism can take according to the change of each period community resident health measurement result to community medicine
The health of business system is explained and publicised makes evaluation with educational effect.
Community resident can also be under voluntary precursor, and my testing result is sent into medical research mechanism is used to carry out
Teaching, research purpose.
The present invention is health management system arranged with existing health management system arranged, such as health control disclosed in CN102654891A
System is compared, it is possible to achieve the medical information between family, community, hospital, medical research mechanism, Health inspection and management department
And/or health and fitness information interconnects, effective utilization of medical information and/or health and fitness information is realized, simultaneously because its magnanimity number
According to disposal ability, ensure that medical information and/or health and fitness information transmission and processing are smooth, quick, accurate.
This written description discloses the present invention, including optimal mode using example, and also enables those skilled in the art
Manufacture and using the present invention.The present invention can patentable scope be defined by the claims, and this area skill can be included
Other examples that art personnel expect.If this other examples have the structural elements of literal language not different from claims
Element, or if this other examples include equivalent structure element of the literal language without substantial differences with claims,
Then this other examples are intended to be within the scope of claims.In the case where not resulting in inconsistent degree, by reference to
It will be incorporated herein in place of all references referred to herein.