CN104102807A - Medical system, patient data analysis equipment and hospital gateway equipment - Google Patents

Medical system, patient data analysis equipment and hospital gateway equipment Download PDF

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CN104102807A
CN104102807A CN201310569232.4A CN201310569232A CN104102807A CN 104102807 A CN104102807 A CN 104102807A CN 201310569232 A CN201310569232 A CN 201310569232A CN 104102807 A CN104102807 A CN 104102807A
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patient
data
diagnosis information
information
interface
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CN104102807B (en
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刘雷
李崴
韦杰
姚永翔
杨顾俊
张建丽
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Rayco (shanghai) Medical Equipment Co Ltd
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Rayco (shanghai) Medical Equipment Co Ltd
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Abstract

The invention relates to a medical system. The system comprises a regional medical data center which stores historical treatment information of a patient in all hospitals in a region, a piece of patient data analysis equipment and a piece of local medical equipment applied to the patient, wherein the patient data analysis equipment comprises a first interface, a processing unit and a second interface; the patient data analysis equipment is coupled with the local medical equipment through the first interface so as to receive a data request command from the local medical equipment; the patient data analysis equipment is coupled with the regional medical data center through the second interface so as to extract corresponding historical treatment information of the patient from the regional medical data center in response to the data request command; the processing unit is used for performing statistical analysis on the historical treatment information of the patient; moreover, the patient data analysis equipment also returns a statistical analysis result to the local medical equipment through the first interface. The invention also provides the patient data analysis equipment and a piece of hospital gateway equipment.

Description

A kind of medical system, patient data analytical equipment and hospital's gateway device
Technical field
The present invention relates to medical information field, relate in particular to a kind of medical system, patient data analytical equipment and hospital's gateway device.
Background technology
Along with the fast development of infotech, Medical service information changes into as a current megatrend.Domestic increasing hospital is just accelerating to implement the entirety construction based on informatization platform, to improve service level and the core competitiveness of hospital.The information-based work efficiency that has not only promoted doctor, making doctor have the more time is patient service, has more improved patient satisfaction and degree of belief.Therefore, medical profession application is just becoming domestic hospitals, the new direction of especially big-and-middle-sized Hospital Informatization with the progressively fusion of infrastructure network platform.
In practice, each hospital can build independently infosystem according to the needs of self conventionally, but same patient but usually may carry out interrogation or receive treatment with regard to identical or different illness in multiple hospitals.Routinely, patient's historical diagnosis information is recorded on Medical record with hand-written form.As individual health records, patient's case history has comprised its various scattered medical data and assay staying in different medical institutes.In same hospital, patient's historical diagnosis information may be able to easily obtain from the infosystem of hospital, and for different hospitals, due to the independence of hospital information system, doctor cannot carry out complete understanding and assessment to the passing record of seeking medical advice of patient.
The not intercommunication of this information will cause repeating diagnosis and treatment to a great extent, cause thus medical resource waste and also probably bring many bad impacts for the diagnosis and treatment of disease.For this reason, government department has taken up to build large data center, for by historical the patient of all hospitals from specific region diagnosis information with the form centralized stores of for example electric health record together.The province that Present Domestic is main and city all estimate to set up such area medical data center in following 3 ~ 5 years.
Although it is no longer mutually to isolate in the diagnosis information of each hospital that these area medical data centers make patient, but in the prior art, can effectively utilize from the medical system framework of the information of such area medical data center and be not yet designed and provide.
Summary of the invention
The object of the present invention is to provide the medical system at a kind of medical data of calmodulin binding domain CaM rationally and effectively center and be applicable to patient data analytical equipment and hospital's gateway device of this medical system.
For achieving the above object, the invention provides a kind of medical system, described system comprises area medical data center, the patient data analytical equipment of the historical diagnosis information of store patient all hospitals in region and is applied to patient's local Medical Devices, wherein said patient data analytical equipment comprises first interface, processing unit and the second interface, and wherein said patient data analytical equipment couples to receive request msg instruction from described local Medical Devices by first interface and described local Medical Devices; Described patient data analytical equipment couples to extract the historical diagnosis information of corresponding patient in response to described request data command from described area medical data center by the second interface and described area medical data center; Described processing unit is for carrying out statistical study to the historical diagnosis information of described patient; And wherein said patient data analytical equipment is also returned to the result of described statistical study to described local Medical Devices via described first interface.
According to some embodiments of the present invention, described system comprises the hospital's gateway device with the communication connection of described area medical data center, and described patient data analytical equipment is integrated in described hospital gateway device.
According to some embodiments of the present invention, described the second interface is via the Internet and the communication connection of described area medical data center.
Described local Medical Devices are digitizing radiographic apparatus, hospital information system HIS equipment or radiology information system RIS equipment.
In another aspect of this invention, a kind of patient data analytical equipment is provided, and described equipment comprises: for coupling the first interface to receive request msg instruction from described local Medical Devices with local Medical Devices; For coupling the second interface to extract the historical diagnosis information of corresponding patient from described area medical data center in response to described request data command with the area medical data center of the historical diagnosis information of store patient all hospitals in region; And processing unit for the historical diagnosis information of described patient is carried out to statistical study; Wherein said patient data analytical equipment is also returned to the result of described statistical study to described local Medical Devices via described first interface.
In still another aspect of the invention, a kind of hospital gateway device is provided, described integration of equipments has patient data analytical equipment, and described patient data analytical equipment comprises: for coupling the first interface to receive request msg instruction from described local Medical Devices with local Medical Devices; For coupling the second interface to extract the historical diagnosis information of corresponding patient from described area medical data center in response to described request data command with the area medical data center of the historical diagnosis information of store patient all hospitals in region; And processing unit for the historical diagnosis information of described patient is carried out to statistical study; Wherein said patient data analytical equipment is also returned to the result of described statistical study to described local Medical Devices via described first interface.
Medical system provided by the present invention, patient data analytical equipment and medical gateway device can provide the effective utilization to area medical data center.Can fetch with any diagnoses and treatment that will directly put on patient and apply corresponding historical data and the statistic analysis result of feedback to these data from area medical data center targetedly according to the system of each embodiment of the present invention and equipment, healthcare givers can carry out comprehensive assessment to the medical care precess that will put on patient thus, be conducive to work out and implement more reasonable and effective scheme, and can improve to a great extent the accuracy of diagnosis or treatment.
Brief description of the drawings
Foregoing and other target of the present invention, feature and advantage will be according to being apparent to the more specific description of embodiments of the invention below, and these embodiment are illustrated in the accompanying drawings.
Fig. 1 is the schematic diagram of medical system according to an embodiment of the invention.
Fig. 2 is the schematic block diagram of patient data analytical equipment according to an embodiment of the invention.
Embodiment
For above-mentioned purpose of the present invention, feature and advantage are become apparent more, below in conjunction with the drawings and specific embodiments, the present invention is described in further detail.It should be noted that, the each structure in accompanying drawing is schematic instead of determinate, so that those of ordinary skill in the art understand principle of the present invention best, it is not necessarily drawn in proportion.
Fig. 1 is the schematic diagram of medical system according to an embodiment of the invention.This medical system can comprise area medical data center (RMDC:Regional Medical Data Center) 101, patient data analytical equipment 102 and local Medical Devices 103.
Area medical data center 101 is constructed to the historical diagnosis information of store patient all hospitals in specific region basically.Patient can be stored as electric health record (HER:Electronic Health Record) with this patient's identity identification information accordingly in the historical diagnosis information of this region Nei Ge hospital, and wherein patient identity identifying information can for example comprise name and ID (identity number) card No..For instance, patient's historical diagnosis information can comprise inspection and the course of disease report of patient's Health and Disease; Drug use, allergy and immunity history; Inspection audit report; The medical imaging such as X-ray photograph or MRI etc.Standardized health information host-host protocol is the agreement of electric transmission between medical field different application.Patient's historical diagnosis information can establishing criteria or various privately owned health information host-host protocols from the information system of each hospital, gather, wherein standardized health information host-host protocol is for example HL7(Health Level Seven) standard of organization development and appointment.
Local Medical Devices 103 can be that medical worker is that patient diagnoses or treat the required equipment of using, and can be digitizing radiography (DR) equipment or system, hospital information system (HIS) equipment or system, radiology information system (RIS) equipment or system for instance.In the time applying local Medical Devices 103 for patient, all need the relevant historical diagnosis information of reference patient to determine applicability and use-pattern, the formulation therapeutic scheme of current device or diagnostic result is provided.Those skilled in the art will appreciate that Fig. 1 is only the some examples that schematically instead of restrictively provided local Medical Devices 103.
For instance, DR equipment or system are widely used in the image section office of hospital, it combines computer digital image treatment technology with X ray radiation technique, change the conversion with D/A carry out realtime graphic digital processing on the basis of the direct film imaging of original diagnosis X radial by A/D.The x-ray imaging terminal that uses DR equipment as medical worker is carried out X-ray radiography for patient, and patient will inevitably be subject to the X-radiation of doses.Control the current X ray exposure dose standing of patient and need to consider the exposure accumulated dose of patient within a period of time.
Along with the development of medical information, the information processing that some are integrated and management equipment have been applied in hospital, for example hospital information system HIS(Hospital Information System) equipment and radiology information system RIS(Radiology Information System) equipment.HIS equipment is a kind of system of utilizing robot calculator and communication apparatus, its for component commands of hospital door provide patient's diagnosis and treatment information and administration information collection, storage, processing, extraction and exchanges data ability and meet all users' functional requirement.RIS equipment is the infosystem towards dept. of radiology's application, and it has patient's registration, checks the functions such as reservation, patient's tracking, diagnosis report generation, data analysis, medical archive, interface, system management, film management.But these equipment are current only towards single hospital, and cannot be automatically and the corresponding system of other hospitals carry out alternately.Medical worker is in the time providing medical services for patient; conventionally can use the HIS/RIS equipment gathering information of the court; but preferably can by these device accesses to patient the same category information in other hospitals, thereby more fully the patient's condition to patient and therapeutic scheme are considered.
In Fig. 2, illustrated the structure of patient data analytical equipment 102 according to an embodiment of the invention, it can comprise first interface 201, processing unit 202 and the second interface 203.In practice, patient data analytical equipment 102 can couple to receive request msg instruction from local Medical Devices 103 by first interface 201 and local Medical Devices 103.Described coupling can be in any wired mode, can be also in any wireless mode, as long as can realize needed information interaction by between.Described request data command can be constructed at least comprise patient's identity identification information, for example patient's name and/or ID (identity number) card No., and information needed, the exposure dose summation that for example patient accepted in nearest 1 year, or patient has taken the dosage of certain medicine within a period of time, or other are for patient individual's the medical standard of adding up.
On the other hand, patient data analytical equipment 102 can couple to extract the historical diagnosis information of corresponding patient in response to this request msg instruction from area medical data center 101 with area medical data center 101 by the second interface 203.Similarly, described in to couple can be in any wired mode, can be also in any wireless mode, as long as can realize needed information interaction by between.For instance, in the embodiment in figure 1, the second interface 203 is via the Internet and the communication connection of area medical data center.Patient data analytical equipment 102 can according to be included in patient identity identifying information in request msg instruction medical data center 101 is for example carried out search, search for, the operation such as filtration.
Further, patient data analytical equipment 102 can utilize processing unit 202 to carry out statistical study to the historical diagnosis information of the patient who fetches.On the one hand, the historical diagnosis information of the patient that stores in area medical data center 101 is from each different hospital, and it may be constructed and be stored by area medical data center as entry independently according to different host-host protocols.On the other hand, the data of asking may not be to be included in from each information of area medical data center dominantly, therefore need first to carry out the step of information extraction.
In each embodiment of the present invention, processing unit 202 is constructed to can be to resolving according to the data entries of various health information host-host protocols, comprise HL7 health information host-host protocol and other privately owned host-host protocols, this can be counted as provides an abstract data interface, and various types of data are had to compatibility.
In one embodiment of the invention, in response to the request of patient having been taken within a period of time to the dosage of certain medicine, processing unit 202 can be resolved all information being retrieved, from every information, extract this dosage data, and all dosage data are added to the accumulated dose that obtains patient and take this medicine within a period of time.In this case, these dosage data are stored in every information normally dominantly, for example, be comprised in certain field of information.
In another embodiment of the present invention, the instruction of the exposure dose summation of accepting in nearest a year for request patient, first processing unit 202 similarly resolves all information being retrieved.The image data relevant to X-ray radiography conventionally collected with the dicom standard of communicating by letter according to digitized video, filing and communicate by letter, exposure dose information lies in these image datas conventionally, and cannot be as dosage information only by certain field dominant obtain.Therefore, processing unit 202 is also constructed to carry out data mining to all image datas of fetching, wherein exposure dose information each time can be used as depth data and extracts from corresponding image data, obtains thus the statistics of exposure dose information.Further, processing unit 202 can also judge whether user, when prior exposure is whether in safe range, meets the higher limit of accepting exposure dose in the regular period according to this statistics.
After processing unit 202 obtains the result that local Medical Devices 103 ask, patient data analytical equipment 102 is also fed back to local Medical Devices 103 via first interface 201.This feedback is included in the statistics of the medical standard for patient individual obtaining in processing unit 202, such as patient's historical dosage, exposure dose etc.Whether, described in example above, this result can be also the judged result of processing unit to statistics, for example, directly return to exposure dose and exceed standard.The ability that current DR equipment on the market is not all monitored passing exposure dose, and only can carry out record to the current time exposure dose of working as.Utilize patient data analytical equipment 102 to conduct interviews to area medical data center 103 and therefrom excavate historical exposure dose information, healthcare givers can obtain rationally exposing accurately suggestion.In addition, can also return to the historical trend of some index of patient.
According to some embodiments of the present invention, described medical system can comprise the hospital's gateway device communicating to connect with area medical data center 101, as shown in the dotted line in Fig. 1.Patient data analytical equipment 102 can be integrated in this hospital's gateway device, is used as a part for hospital's gateway device.
According to an embodiment of the invention each system and equipment can associated patient historical diagnosis information in each hospital and provide important feedback for patient is current by the diagnosis of acceptance or therapeutic process based on these information, make healthcare givers can understand fully all sidedly patient's situation, thereby contribute to obtain correct diagnostic result and work out rationally effective therapeutic scheme, optimize workflow, improved the efficiency of hospital work.
It should be noted that above embodiment is only in order to technical scheme of the present invention to be described but not be limited.Although the present invention is had been described in detail with reference to above-mentioned embodiment; those of ordinary skill in the art is to be understood that; still can modify to or part technical characterictic is equal to replacement and does not depart from essence of the present invention the specific embodiment of the present invention, it be all encompassed in the scope of request protection of the present invention.

Claims (15)

1. a medical system, it is characterized in that, described system comprises area medical data center, the patient data analytical equipment of the historical diagnosis information of store patient all hospitals in region and is applied to patient's local Medical Devices, wherein said patient data analytical equipment comprises first interface, processing unit and the second interface, wherein
Described patient data analytical equipment couples to receive request msg instruction from described local Medical Devices by first interface and described local Medical Devices;
Described patient data analytical equipment couples to extract the historical diagnosis information of corresponding patient in response to described request data command from described area medical data center by the second interface and described area medical data center;
Described processing unit is for carrying out statistical study to the historical diagnosis information of described patient;
And wherein said patient data analytical equipment is also returned to the result of described statistical study to described local Medical Devices via described first interface.
2. the system as claimed in claim 1, is characterized in that, described system comprises the hospital's gateway device with the communication connection of described area medical data center, and described patient data analytical equipment is integrated in described hospital gateway device.
3. the system as claimed in claim 1, is characterized in that, described the second interface is via the Internet and the communication connection of described area medical data center.
4. the system as claimed in claim 1, is characterized in that, described local Medical Devices are digitizing radiographic apparatus, hospital information system HIS equipment or radiology information system RIS equipment.
5. the system as claimed in claim 1, is characterized in that, described processing unit is configured to the historical diagnosis information entry according to various health information host-host protocols to resolve.
6. the system as claimed in claim 1, is characterized in that, described request data command is configured to ask patient within a period of time, to take the dosage of certain medicine, and described processing unit is configured to:
The historical diagnosis information of every fetched patient is resolved;
From the historical diagnosis information of every patient, extract historical dosage data field;
All historical dosage data are added to obtain patient and have taken the accumulated dose of this medicine within a period of time.
7. the system as claimed in claim 1, is characterized in that, described request data command is configured to the exposure dose of asking patient to accept in nearest a year, and the historical diagnosis information of the patient who fetches is image data, and described processing unit is configured to:
Fetched image data is carried out to data mining;
Extract from corresponding image data exposure dose information as depth data.
8. a patient data analytical equipment, is characterized in that, described equipment comprises:
For coupling the first interface to receive request msg instruction from described local Medical Devices with local Medical Devices;
For coupling the second interface to extract the historical diagnosis information of corresponding patient from described area medical data center in response to described request data command with the area medical data center of the historical diagnosis information of store patient all hospitals in region; And
For the processing unit that the historical diagnosis information of described patient is carried out to statistical study; Wherein
Described patient data analytical equipment is also returned to the result of described statistical study to described local Medical Devices via described first interface.
9. patient data analytical equipment as claimed in claim 1, is characterized in that, described processing unit is configured to the historical diagnosis information entry according to various health information host-host protocols to resolve.
10. patient data analytical equipment as claimed in claim 1, is characterized in that, described request data command is configured to ask patient within a period of time, to take the dosage of certain medicine, and described processing unit is configured to:
The historical diagnosis information of every fetched patient is resolved;
From the historical diagnosis information of every patient, extract historical dosage data field;
All historical dosage data are added to obtain patient and have taken the accumulated dose of this medicine within a period of time.
11. patient data analytical equipments as claimed in claim 1, it is characterized in that, described request data command is configured to the exposure dose of asking patient to accept in nearest a year, and the historical diagnosis information of the patient who fetches is image data, and described processing unit is configured to:
Fetched image data is carried out to data mining;
Extract from corresponding image data exposure dose information as depth data.
12. 1 kinds of hospital's gateway devices, is characterized in that, described integration of equipments has patient data analytical equipment, and described patient data analytical equipment comprises:
For coupling the first interface to receive request msg instruction from described local Medical Devices with local Medical Devices;
For coupling the second interface to extract the historical diagnosis information of corresponding patient from described area medical data center in response to described request data command with the area medical data center of the historical diagnosis information of store patient all hospitals in region; And
For the processing unit that the historical diagnosis information of described patient is carried out to statistical study; Wherein
Described patient data analytical equipment is also returned to the result of described statistical study to described local Medical Devices via described first interface.
13. hospital as claimed in claim 1 gateway devices, is characterized in that, described processing unit is configured to the historical diagnosis information entry according to various health information host-host protocols to resolve.
14. hospital as claimed in claim 1 gateway devices, is characterized in that, described request data command is configured to ask patient within a period of time, to take the dosage of certain medicine, and described processing unit is configured to:
The historical diagnosis information of every fetched patient is resolved;
From the historical diagnosis information of every patient, extract historical dosage data field;
All historical dosage data are added to obtain patient and have taken the accumulated dose of this medicine within a period of time.
15. hospital as claimed in claim 1 gateway devices, it is characterized in that, described request data command is configured to the exposure dose of asking patient to accept in nearest a year, and the historical diagnosis information of the patient who fetches is image data, and described processing unit is configured to:
Fetched image data is carried out to data mining;
Extract from corresponding image data exposure dose information as depth data.
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CN106021879A (en) * 2016-05-11 2016-10-12 沈阳东软医疗系统有限公司 Method and device for providing operation instruction information of medical devices
CN106021910A (en) * 2016-05-17 2016-10-12 重庆医科大学附属永川医院 Intelligent medical service-based remote disease diagnosis system
CN106254229A (en) * 2016-08-04 2016-12-21 广州市华奕电子科技有限公司 A kind of medical communication gateway
CN107928850A (en) * 2017-12-15 2018-04-20 四川吉赛特科技有限公司 A kind of lumbar treatment system
CN108847281A (en) * 2018-06-26 2018-11-20 莱博生物科技股份有限公司 Processing method, device and the electronic equipment of physical examination data
CN109589234A (en) * 2018-11-30 2019-04-09 中国医学科学院阜外医院 A kind of medical drugs vehicle system

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CN106254229A (en) * 2016-08-04 2016-12-21 广州市华奕电子科技有限公司 A kind of medical communication gateway
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CN109589234A (en) * 2018-11-30 2019-04-09 中国医学科学院阜外医院 A kind of medical drugs vehicle system
CN109589234B (en) * 2018-11-30 2020-06-23 中国医学科学院阜外医院 Medical drug cart system

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