CN105847331B - Chronic disease rehabilitation telecommunication based on information physical emerging system CPS supports system - Google Patents
Chronic disease rehabilitation telecommunication based on information physical emerging system CPS supports system Download PDFInfo
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L67/00—Network arrangements or protocols for supporting network services or applications
- H04L67/01—Protocols
- H04L67/12—Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
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Abstract
The invention discloses a kind of, and the chronic disease rehabilitation telecommunication based on information physical emerging system CPS supports system, belongs to field of communication technology.The system comprises doctor's client, Administrator Client, sufferer client and Management Controllers；The system is that CPS technology is applied to doctor and the interpatient interactive process of chronic disease, and both sides can be helped to establish close doctor-patient relationship, provide guiding opinion according to the medical history record of patient and the present situation；Patient can record and store the information such as sign Index, daily discrepancy amount, laboratory test report picture by this system, and can be exchanged into case history and doctor's advice with doctor's real time phone call, interactive disease progression voice messaging.The present invention solves the problems such as information inaccuracy, doctor-patient relationship be not close, registration and medical consultation is inconvenient, patient medical is at high cost in existing treatment process, error rate, the omission factor that effectively can check and reduce interactive information assist a physician and optimize treatment and rehabilitation efficacy with sufferer.
Description
Technical field
The invention belongs to fields of communication technology, and in particular to a kind of chronic disease health based on information physical emerging system CPS
Multiple telecommunication supports system.
Background technique
Abbreviation and Key Term definition:
CKD:Chronic Kidney Disease chronic kidney disease, show as kidney injury continue three months or more or
Kidney filtration rate is descend below specific criteria three months or more.
ESRD:End Stage Renal Disease End-stage renal disease, the terminal phase of chronic kidney disease, renal failure,
It needs to carry out haemodialysis or receives kidney transplant.
CPS:cyber physical system information physical emerging system, it collects communication, calculates and be controlled in one,
Network process and physics process are unitized by man-machine interactive interface, realize the operation of system in real time, reliable, safe.
World Health Organization WTO is to the definition of chronic disease " to belong to the course of disease long and develop slowly under normal conditions for chronic disease
Disease.Heart disease, apoplexy, cancer, chronic respiratory disease and diabetes chronic diseases are most important in the world so far
The cause of the death accounts for the 63% of all death." chronic disease treatment and rehabilitation need to expend sufferer and doctor's a large amount of time, energy, gold
Money, therefore, changing Conventional diagnostic rehabilitation modality using internet is current hot research problem and developing direction.
China's adult CKD disease incidence is about between 10%~12%, the CKD disease incidence 5% or so of children.Chronic kidney disease
Treatment cycle is long, and timely and effective treatment can substantially reduce the ratio that patient proceeds to ESRD, extends the life of patient, mentions
High quality of life.
Patient CKD needs periodically to go to see a doctor, and periodically chemically examines blood, routine urinalysis etc.；If infecting other diseases, need to consider
The treatment advice of nephrosis doctor；It is daily to pay close attention to crucial sign such as weight, blood pressure, discrepancy amount etc.；It is also noted that diet.
Patient CKD goes to a doctor in existing medical system can face following difficulty: long-term repeatedly medical inconvenient, strange land is just
Cure the desease people it is at high cost, because the medication plan comparison of individual difference especially child patient is complicated, to CKD rudimentary knowledge awareness degree
It is low, occur to need to refer to the opinion of nephrosis doctor when other diseases, but bad connection of doctor etc..These difficulties reduce
The therapeutic effect of CKD increases the medical treatment cost of patient.
Information physical system (Cyber Physical Systems) be it is integrated calculate, communicate and be controlled in it is integrated next
For intelligence system.At to distribution node acquisition with comprehensive function at an arbitrary position or the information that detects
Reason, realizes the intelligence of system.Displaying such as Fig. 1 to CPS concept: in the real world in kind using based on embedded system in figure
The sensor network of system handles in real time and perceives surrounding enviroment or related object, and transmits perception information to having by network
On converging information and the node of processing function, these nodes pass through height according to the change of user demand in physical environment and network
Smart technology and intelligence computation, adjust automatically internal correlation and model generate the control command of meet demand, and will be held by network
Line command passes to corresponding material object.These operations can be completed therewith by receiving exectorial material object, to realize real generation
The interconnection on boundary and virtual world.
It is being related to nursing, the portable medical service system towards personal health and method of servicing, family doctor in the prior art
Treat service system etc. and propose many technical solutions, but still common concern be Conventional diagnostic process network
Change, the long-range monitoring of personal health or the patient house state of an illness.Such as " intelligent home diagnosis and therapy system and side based on mobile Internet
The system that method 2014105133118 " pays close attention to house diagnosis and treatment is realized；" a kind of medical system 2013104214058 " is by various
The comprehensive analysis of data, including patient symptom, the medical history of hospital's case history such as exchange at the various data with doctor, and analysis determines
The definite illness of user, accordingly provides solution.Existing patent rarely has chronic disease rehabilitation, system reliability, communication process
Consider, it is related for the remote support system of rehabilitation course currently without patient after medical institutions are diagnosed as certain chronic disease
Technology.
Summary of the invention
The present invention provides a kind of chronic disease rehabilitation telecommunication support system based on information physical emerging system CPS, institute
The system of stating is that CPS technology is applied to doctor and chronic disease (by taking CKD as an example) interpatient interactive process, both sides can be helped to build
Close doctor-patient relationship is found, guiding opinion is provided according to the medical history record of patient and the present situation；Patient can be remembered by this system
Record and store the information such as sign Index, daily discrepancy amount, laboratory test report picture, and can with doctor's real time phone call, the interactive state of an illness into
Exhibition voice messaging can be exchanged into case history and doctor's advice；System can automatically detect abnormal data, according to predeterminable event in real time to doctor
Or sufferer feeds back corresponding prompting message.
The chronic disease rehabilitation telecommunication based on information physical emerging system CPS supports system, including doctor visitor
Four family end, Administrator Client, sufferer client and Management Controller parts；
The sufferer client sends regularly work-up data to Administrator Client, and whole by Administrator Client
Management Controller is uploaded to after reason；
Doctor's client provides rehabilitation guide opinion or plan according to the case history of sufferer client to update case history；
Initiating speech conversation exchanges in real time with sufferer when necessary；
The Administrator Client includes dividing examine scheduling, message management, payment management, doctor assisted to formulate rehabilitation programme；
The Management Controller is responsible for establishing and be kept between sufferer client, doctor's client, Administrator Client
Connection；The Management Controller stores sufferer case history, in real time to sufferer client, doctor's client, Administrator Client's hair
Newly-increased medical record information is sent, the state of an illness data in case history are handled, detect anomalous event and reminds doctor's call, carries out real time information
Feedback.
The present invention has the advantages that
The present invention is not close primarily directed to information inaccuracy, doctor-patient relationship in existing treatment process, registration and medical consultation is not square
Just, the problem of patient medical is at high cost, patient lacks relevant medical knowledge, using computer, communication and control technology, provides one
Method is supported in the long-range chronic disease rehabilitation of kind.Meanwhile the communication process proposed through the invention, it effectively can check and reduce friendship
Error rate, the omission factor of mutual information assist a physician and optimize treatment and rehabilitation efficacy with sufferer.
Detailed description of the invention
Fig. 1 is the displaying of existing CPS concept.
Fig. 2 is system composition schematic diagram provided by the invention；
Fig. 3 is system-based feedback control mechanism communication process provided by the invention, provides doctors and patients' exchange, case history for sufferer
The basic functions such as access；
Fig. 4 is rehabilitation support scheme communication process provided by the invention, it is intended to provide long-term rehabilitation for sufferer and refer to
It leads.
Specific embodiment
The present invention is described in detail with reference to the accompanying drawings and examples.
The present invention provides a kind of chronic disease rehabilitation telecommunication support system based on information physical emerging system CPS, such as
Shown in Fig. 2, the system comprises four doctor's client, Administrator Client, sufferer client and Management Controller portions
Point, sufferer realization doctors and patients exchange, case history is consulted and daily rehabilitation programme function for realizing helping for the system.
Sufferer client sends regularly work-up data to Administrator Client by cell phone application, and by administrator
Client is uploaded to Management Controller after arranging.Sufferer can consult the case history being stored on Management Controller, can also be with doctor
Raw client carries out doctors and patients' exchange of real-time voice communication form；Receive the instruction from doctor's client, that is, rehabilitation meter
It draws, sufferer client can be with the input error of automatic data-detection.
Doctor's client provides reasonable rehabilitation guide or plan according to the case history of sufferer client to update case history.It must
It can be exchanged in real time with initiating speech conversation with sufferer when wanting.
Administrator Client is mainly responsible for system administration, including divides and examine scheduling, message management, payment management, auxiliary doctor
It formulates rehabilitation programme and (specifically includes reasonable input range threshold value, the setting doctor visitor of setting sufferer client state of an illness index of correlation
The maximum duration interval and setting doctor's call-prompting that family end doctor's advice uploads).
Management Controller is responsible for establishing and keeping the connection between sufferer client, doctor's client, Administrator Client,
It establishes and safeguards the management function to case history.The Management Controller stores sufferer case history, in real time to sufferer client, doctor
Client, Administrator Client send newly-increased medical record information, handle the state of an illness data such as sign, the laboratory test report in case history, detection disease
Suffer from Indexes Abnormality, doctor's advice the anomalous events such as not upload periodically and remind doctor's call, carries out real time information feedback.
Doctors and patients' exchange is sent based on the networking telephone, text message and picture, and doctors and patients are comprehensively handed in time
Change the state of an illness and medical information.
Case history design in this system meets chronic disease clinical characters, and information is succinctly comprehensive, and graphically, readability is easily had access to,
And real-time update can be made according to doctors and patients' communicational aspects.
Rehabilitation programme is collected patient's vital sign data and discrepancy amount in time, is periodically mentioned for patient according to chronic disease feature
For rehabilitation suggestion.
From system structure design, Management Controller is core component, relies on the closed loop feedback control in Fig. 2, system can
Effectively to support doctor patient communication, promote information integrity and accuracy.
The present invention devises the basis between sufferer client, Administrator Client, doctor's client and Management Controller
Feedback mechanism communication process, system can establish the real-time reliable interaction process between four directions, especially as the pipe of the system core
Controller is managed, is played a major role to the testing and management of information accuracy, timeliness.
The basic feedback mechanism communication process is as shown in figure 3, include the following steps:
The first step, Administrator Client carry out system pre-configuration.
Reminder events are arranged in Administrator Client, so that system has the ability detected automatically, and accomplish to mention in real time
It wakes up.Event is defined as follows:
Sufferer client detects input value anomalous event A1 automatically: sufferer client input value is abnormal, by defining A1 ginseng
Digital-to-analogue plate drafts input value effective range；
Management Controller detects sufferer Indexes Abnormality event A2: Management Controller judges patient's Indexes Abnormality, passes through definition
A2 parameterized template drafts input value effective range；
Management Controller detects doctor's client and do not upload doctor's advice event A3 periodically: doctor's doctor's advice does not upload periodically, drafts
Maximum duration interval d；
Management Controller reminds doctor's client call event A4: reminding before doctor's call and reminds with time-out, drafts call
Preceding t moment is reminded.
Second step, sufferer client send text state of an illness message to Administrator Client；
The text state of an illness message specifically includes that the message such as main suit, sign information, various laboratory test report results.
Sufferer: A1 event detection
Function: client is detected automatically, report an error prompting.
If input value exceeds effective range [a, b]:
When input value is less than a, prompt sufferer input is wrong, inputs again；
When input value is greater than b, prompt sufferer input is wrong, inputs again.
Third step, Administrator Client arrange word message and are uploaded to Management Controller；
The word message is the interactive information of Administrator Client Yu sufferer client, and Administrator Client will be described
Interaction message be organized into cannonical format and be uploaded to Management Controller, the medical record information in addition or more new database.
4th step, Management Controller storage case history simultaneously analyze data；
After storing case history, doctor, sufferer and Administrator Client will acquire newly-increased medical record information；The data of analysis are mainly come
The state of an illness data such as sign, laboratory test report derived from sufferer.
Management Controller: A2 event detection is carried out to sufferer client
Function: sufferer Indexes Abnormality feedback is carried out according to the result monitored.
Management Controller: A3 event detection is carried out to doctor's client
Function: after system stores case history, if detecting that doctor's client is more than the untreated case history of duration d, doctor is reminded
Raw client writes doctor's advice.
Step 5: doctor's client uploads doctor's advice to Management Controller；
Doctor's client checks patient history case history, and analysing patient's condition uploads doctor's advice to Management Controller, updates case history.More
After new case history, doctor, sufferer and Administrator Client will acquire newly-increased medical record information.
Step 6: doctor's client sends word message to Administrator Client；
Doctor's client can carry out written communication if there is demand with Administrator Client, main perfect including doctor's advice
Deng.
Step 7: Administrator Client arranges word message and is uploaded to Management Controller；
The word message is the interaction message of Administrator Client Yu doctor's client, and Administrator Client will be described
Interaction message is organized into cannonical format and is uploaded to Management Controller, the medical record information in addition or update Management Controller database
(doctor's advice part).
Step 8: call of the sufferer client by Administrator Client's reservation and doctor's client；
If sufferer client wants are exchanged by doctors and patients obtains more comprehensive guidance, can send the documents word with Administrator Client
Message carries out call subscription.
Step 9: Administrator Client and doctor's client negotiate the air time；
Administrator Client sends out word message Xiang doctor's client, drafts an air time, and notify sufferer client
Wait call.
Management Controller: A4 event detection is carried out to doctor's client；
Function: after doctor's client and Administrator Client consult the air time, the t time starts before distance is conversed
It is reminded；Subscription time has been crossed when system detection to doctor's client not initiate also to converse, and has been reminded.
Step 10: doctor's client is initiated to converse to sufferer client；
Doctor is initiator, is made a phone call before the deadline to patient.
Step 11: sufferer client answers the call from doctor's client.
Step 12: Management Controller saves the message registration of sufferer client and doctor's client.
The present invention, which focuses on, provides rehabilitation guide steady in a long-term for sufferer.The health that system is formulated according to doctor in rehabilitation course
Multiple plan, meeting self-timing remind doctor and patient, i.e. rehabilitation support scheme communicates, and the rehabilitation support scheme communication process is such as
Shown in Fig. 4, include the following steps:
The first step, Administrator Client carry out system pre-configuration.
After sufferer client customizes rehabilitation programme, reminder events are arranged in Administrator Client.Event is defined as follows:
Management Controller reminds the A5 event of sufferer client progress information upload: Management Controller will be to non-upload information
Sufferer client carry out uploading state of an illness information reminding, more than just being reminded after block out time e.
Management Controller reminds the A6 event of doctor's client progress schedule regeneration: Management Controller will be to upload information
The corresponding doctor's client of sufferer client be updated schedule reminder, be more than block out time after sufferer client upload information
It is just reminded after f.
Step 2: sufferer client initiates rehabilitation programme customization to Management Controller；
Step 3: sufferer client sends word message to Administrator Client.
Above-mentioned word message specifically includes that sufferer discrepancy amount and sign information etc..
It is exchanged step 4: Administrator Client carries out message with doctor's client.
Administrator Client formulates diet guidance, emergency case processing, medication according to doctor's client opinion jointly
And chemical examination plan etc..
Management Controller: A5 event detection.
Function: Management Controller is automatically reminded to sufferer client and carries out information upload, patient can grow according to the plan of customization
Phase obtains rehabilitation guide.
Step 5: sufferer client periodically uploads the information such as sign and the state of an illness to Management Controller.
Sufferer carries out the upload of the information such as sign as per the schedule.
Management Controller: A6 event detection
Function: the corresponding doctor's client of sufferer client to upload information is updated plan by Management Controller
It reminds.
Step 6: doctor's client updates rehabilitation programme and uploads to Management Controller；
Doctor's client updates rehabilitation programme table according to the indices of newest sufferer.
Step 7: Management Controller generates chart according to the rehabilitation programme data in a period of time；
Sufferer client can obtain sign change curve etc. in a period of time, and patient is allowed to become more apparent upon the disease of oneself
Feelings.
Step 8: sufferer client obtains schedule guidance；
Above-mentioned schedule guidance mainly includes the rehabilitation programmes information such as medication, chemical examination, sign charts.
Claims (1)
1. chronic disease rehabilitation telecommunication based on information physical emerging system CPS supports system, it is characterised in that: described is
System includes doctor's client, four Administrator Client, sufferer client and Management Controller parts；
The sufferer client sends regularly work-up data to Administrator Client, and after being arranged by Administrator Client
It is uploaded to Management Controller；
Doctor's client provides rehabilitation guide opinion or plan according to the case history of sufferer client to update case history；It is necessary
When initiating speech conversation exchanged in real time with sufferer；
The Administrator Client includes dividing examine scheduling, message management, payment management, doctor assisted to formulate rehabilitation programme；
The Management Controller is responsible for establishing and keeps the connection between sufferer client, doctor's client, Administrator Client；
The Management Controller stores sufferer case history, sends in real time to sufferer client, doctor's client, Administrator Client newly-increased
Medical record information handles the state of an illness data in case history, detects anomalous event and reminds doctor's call, carries out real time information feedback；
Basic feedback mechanism between the sufferer client, Administrator Client, doctor's client and Management Controller communicated
Journey includes the following steps:
The first step, Administrator Client carry out system pre-configuration；It includes that Administrator Client's setting mentions that the system, which is pre-configured,
The event of waking up, accomplishes to remind in real time, the reminder events are defined as follows:
Sufferer client detects input value anomalous event A1 automatically: sufferer client input value is abnormal, by defining A1 parameter mould
Plate drafts input value effective range；
Management Controller detects sufferer Indexes Abnormality event A2: Management Controller judges patient's Indexes Abnormality, by defining A2 ginseng
Digital-to-analogue plate drafts input value effective range；
Management Controller detects doctor's client and do not upload doctor's advice event A3 periodically: doctor's doctor's advice does not upload periodically, drafts longest
Time interval d；
Management Controller reminds doctor's client call event A4: preceding remind of doctor's call is reminded with time-out, when drafting t before conversing
Quarter is reminded；
Second step, sufferer client send text state of an illness message to Administrator Client；
Third step, Administrator Client arrange word message and are uploaded to Management Controller；
4th step, Management Controller storage case history simultaneously analyze data；
Step 5: doctor's client uploads doctor's advice to Management Controller；
Step 6: doctor's client sends word message to Administrator Client；
Step 7: Administrator Client arranges word message and is uploaded to Management Controller；
Step 8: call of the sufferer client by Administrator Client's reservation and doctor's client；
Step 9: Administrator Client and doctor's client negotiate the air time；
Step 10: doctor's client is initiated to converse to sufferer client；
Step 11: sufferer client answers the call from doctor's client；
Step 12: Management Controller saves the message registration of sufferer client and doctor's client；
The rehabilitation programme that system is formulated according to doctor in rehabilitation course, can self-timing prompting doctor and patient, i.e. rehabilitation support machine
System communication, the rehabilitation support scheme communication process include the following steps:
The first step, Administrator Client carry out system pre-configuration；It includes when sufferer client customizes health that the system, which is pre-configured,
After multiple plan, reminder events are arranged in Administrator Client, and the reminder events are defined as follows:
Management Controller reminds sufferer client to carry out the A5 event of information upload: Management Controller is by the disease to non-upload information
Suffer from client to carry out uploading state of an illness information reminding, more than just being reminded after block out time e；
Management Controller reminds doctor's client to carry out the A6 event of schedule regeneration: Management Controller is by the disease to upload information
Suffer from the corresponding doctor's client of client and be updated schedule reminder, after after sufferer client upload information being more than block out time f
Just reminded；
Step 2: sufferer client initiates rehabilitation programme customization to Management Controller；
Step 3: sufferer client sends word message to Administrator Client；
It is exchanged step 4: Administrator Client carries out message with doctor's client；
Step 5: sufferer client periodically uploads sign and state of an illness information to Management Controller；
Step 6: doctor's client updates rehabilitation programme and uploads to Management Controller；
Step 7: Management Controller generates chart according to the rehabilitation programme data in a period of time；
Step 8: sufferer client obtains schedule guidance.
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN108962385A (en) * | 2018-08-29 | 2018-12-07 | 高路 | Interactive system and method in a kind of Internal Medicine-Cardiovascular Dept. rehabilitation based on Internet of Things |
| CN110148472A (en) * | 2019-02-27 | 2019-08-20 | 洛阳中科信息产业研究院(中科院计算技术研究所洛阳分所) | A kind of rehabilitation equipment management system based on rehabilitation |
| CN111933276A (en) * | 2020-07-22 | 2020-11-13 | 复旦大学 | Intelligent hospital-oriented person-information-physical system |
| CN112133430A (en) * | 2020-10-15 | 2020-12-25 | 丁玉 | Clinical biochemical dynamic monitoring system |
| CN116805525B (en) * | 2023-08-21 | 2023-11-07 | 营动智能技术(山东)有限公司 | Chronic disease informationized management method, system and storage medium |
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