CN106803024A - A kind of remote medical consultation with specialists method and system - Google Patents
A kind of remote medical consultation with specialists method and system Download PDFInfo
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- CN106803024A CN106803024A CN201710079907.5A CN201710079907A CN106803024A CN 106803024 A CN106803024 A CN 106803024A CN 201710079907 A CN201710079907 A CN 201710079907A CN 106803024 A CN106803024 A CN 106803024A
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q50/00—Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
- G06Q50/10—Services
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Abstract
A kind of remote medical consultation with specialists method and system are the embodiment of the invention provides, is related to data processing field, methods described to include：Platform receives patient demand；Platform prepares before coordinating the completion consultation of doctors with patient and/or local doctor；Platform provides remote video system so that the consultation of doctors is exchanged；Platform feedback consultation of doctors result is to patient and/or local doctor.The fetal congenital heart disease remote diagnosis platform that the present invention passes through structure, fully by high-quality diagnosis and treatment resource application in time to sufferer scene, doctors and patients' information at scene is set to obtain follow-up analyzing and processing in time, the problems such as effectively alleviate the uneven distribution of medical resource.
Description
Technical field
The present invention relates to data processing field, and in particular to a kind of remote medical consultation with specialists method and system.
Background technology
In recent years, in the trend that gradually rises, congenital heart disease is to infant family or even entirely for the abnormal rate of China fetus
Society brings great burden.Therefore, the early screening of congenital heart disease, diagnosis is significant.
Study of Fetal Echocardiography can not only show the exception of heart of fetus anatomical structure, moreover it is possible to carry out fetus hemodynamic
Learn and evaluate, be Diagnosis of Congenital Heart Disease so as to make diagnosis, assessment of risks and Index for diagnosis to various CMH
Important technical.But, the ultrasonic cardiography for heart of fetus checks strongly professional, it is impossible to reach institute by simple training
Need technical merit, it is therefore desirable to diagnosed by Tele medicine and prognosis risk stratification evaluation.
At present, China's ultrasound tele-medicine is in view of technical operation difficulty is big, individual operations difference is big, dynamic data transmission will
The features such as asking high, starts late with respect to other specialties.The pre-natal diagnosis of China's heart of fetus ultrasound is just from big Heart center
Promoted to basic unit by training, academic exchange, enthusiasm is very high but effect is undesirable, and technical merit and medical resource are extremely uneven.
The end of the year 2011, Beijing An Zhen hospital pilot has set up first hand heart of fetus network Consultation Center, by the telenet of GE companies
Network system, the heart of fetus telecommunication network consultation of doctors is carried out by terminal hospital of 3 hospitals, but because the image transmitting time is long, figure
As the reason such as of low quality, enough could not promote on a large scale.
The content of the invention
The embodiment of the present invention provides a kind of remote medical consultation with specialists method, and solving existing consulting environment cannot adapt to long-range ultrasound shadow
As the problems such as transmission.
The embodiment of the present invention also provides a kind of Tele-consultation System, and solving existing Tele-consultation System cannot realize that ultrasound is remote
The problems such as journey image Lossless transport.
A kind of remote medical consultation with specialists method, methods described includes：
Platform receives patient demand；
Platform prepares before coordinating the completion consultation of doctors with patient and/or local doctor；
Platform provides remote video system so that the consultation of doctors is exchanged；
Platform feedback consultation of doctors result is to patient and/or local doctor.
A kind of Tele-consultation System, including：
Receive demand device 100, patient demand is received for platform；
Type document delivering device 1600, coordinates for platform and patient and/or local doctor and prepares before completing the consultation of doctors；
Consultation of doctors device 600, remote video system is provided so that the consultation of doctors is exchanged for platform；
Consultation of doctors result feedback device 700, for platform feedback consultation of doctors result to patient and/or local doctor.
Remote medical consultation with specialists method and system disclosed by the invention, fully by high-quality diagnosis and treatment resource, application to sufferer shows in time
, the medical information at scene is obtained follow-up analyzing and processing in time, effectively alleviate uneven distribution of medical resource etc. and ask
Topic.
Brief description of the drawings
Fig. 1 is the flow chart of the remote medical consultation with specialists method of the embodiment of the present invention.
Fig. 2 is the structure chart of the Tele-consultation System of the embodiment of the present invention.
Specific embodiment
To make the objects, technical solutions and advantages of the present invention clearer, clear, below in conjunction with accompanying drawing and specific embodiment party
The invention will be further described for formula.Obviously, described embodiment is only a part of embodiment of the invention, rather than whole
Embodiment.Based on the embodiment in the present invention, those of ordinary skill in the art institute under the premise of creative work is not made
The every other embodiment for obtaining, belongs to the scope of protection of the invention.
Fig. 1 is the flow chart of the remote medical consultation with specialists method of the embodiment of the present invention.As shown in figure 1, first embodiment of the invention
The flow of remote medical consultation with specialists method is as follows：
Step 1：Platform receives patient demand, and reminds patient to pay the fees.
In step 1, after local doctor carries out prenatal ultrasound examination or preliminary heart of fetus ultrasonic examination to patient, it is considered to
There may be Fetal heart and diagnosis cannot be determined, or clarified a diagnosis and disease parting, indexing or thin cannot be carried out
Change risk stratification diagnosis, then advise that patient carries out remote medical consultation with specialists, and guide patient to be registered online and paid the fees.
Patient registers can be registered by the Quick Response Code business card of mobile phone scanning correlating center doctor or direct Website login,
Need to select reservation type when registering, fill in the information such as name, identification card number, cell-phone number, local doctor, pay charge way include but
It is not limited to Alipay, wechat and Unionpay's on-line payment mode.
Step 2：Platform receives patient's payment information, and points out to ask successfully, to remind local doctor to upload the correlation of patient
Clinical data.
In step 2, the related data of the patient that local doctor uploads includes that patient cases, ultrasonoscopy are related to other
Information, is specifically including but not limited to following information：
Ordinary circumstance：Patient age, occupation, pregnant history, pregnant week, mode of becoming pregnant, spouse's age, spouse occupation, whether close relative
Marry；
Pregnancy period Related Risk Factors：1. maternal factors：Virus infection history, flu history of pregnant early stage, medication of pregnant early stage history (corpus luteum
Ketone uses history), congenital heart disease Genetic history, connective tissue medical history, Acetonuria history, Haemolytic disease history, bad habit, radiation
Property material contact history, psychological factor, anaemia history；2. fetal factors：Whether be twins, ventricle hot spot, arrhythmia cordis, oedema,
The Twin Transfusion Syndrome, other malformations；3. environmental factor：Environmental pollution, contact nuisance (agricultural chemicals, chemicals, You Jirong
Agent), pet feeding history, family wear write history；
Pregnancy period laboratory inspection result：Blood sugar, blood biochemistry, immune coherence check, science of heredity check as Tang Shi examinations,
Amniocentesis, Cord blood puncture, noninvasive DNA inspection results etc.；
Imageological examination data：The embryonic development of Fetal Heart Disease and cardiac ultrasonic index is lapsed to, related prenatal ultrasound sieve
Come to an end fruit, terminates the diagnosis data of fetal congenital heart disease to gestation from fetus.
Step 3：Platform receives patient's relevant clinical data that local doctor uploads.
Step 4：Platform checks whether relevant clinical data meets the requirements.
In step 4, when the relevant clinical data of the patient that the platform local doctor of inspection uploads is undesirable, platform is held
The local doctor of row step 16, i.e. platform to assist uploads relevant clinical data again, until the relevant clinical data for uploading is conformed to
Step 5 is performed after asking；When the relevant clinical data of the patient that the local doctor of platform inspection uploads meets the requirements, platform is directly held
Row step 5.
Platform checks whether whether whether relevant clinical data meets the requirements complete including inspection of data and meet diagnosis
It is required that.
Step 5：Relevant clinical data is uploaded to cloud server by platform.
In step 5, the relevant clinical data of the patient that platform uploads local doctor is uploaded to cloud server, so as in
Anywhere heart doctor can be downloaded in platform by network and check ultrasonoscopy and related data information.
Step 6：Relevant clinical data download link is sent to platform into corresponding center doctor and reminder center doctor is accurate
It is standby to be held a consultation.
In step 6, center doctor not only includes Chinese expert, also congenital in fetus including US Experts and overseas expert etc.
Global highly qualified specialist in property heart disease field.
Step 7：Platform offer remote video system carries out the consultation of doctors and exchanges for center doctor with local doctor and patient, to carry
Height consultation of doctors quality.
Step 8：Consultation of doctors result is fed back to local doctor by platform, and local doctor feeds back to patient.
Step 9：Platform transfers service charge to center doctor and local doctor.
During the concrete application of first embodiment of the invention, platform receives the online of patient and registers, and reminds patient
Payment in time, after the payment information for receiving patient, notifies that patient and local doctor register successfully, reminds local doctor to upload and suffers from
The relevant clinical data of person.Wherein, need to include in the related data of the patient that local doctor uploads patient cases, ultrasonoscopy and
Other relevant informations.Platform receives the relevant clinical data of the patient that local doctor uploads, and checks the trouble that local doctor uploads
Whether the relevant clinical data of person meets the requirements, when the relevant clinical data of the patient of the local doctor's upload of platform inspection does not meet
It is required that when, the local doctor of platform to assist uploads the relevant clinical data of patient again, until the patient's relevant clinical data for uploading
Next step is performed after meeting the requirements；When the relevant clinical data of the patient that the local doctor of platform inspection uploads meets the requirements, put down
Platform directly performs next step.Wherein, platform checks whether relevant clinical data meets the requirements including whether inspection of data is complete simultaneously
And whether meet diagnosis requirement.
The relevant clinical data of the patient that platform uploads local doctor is uploaded to cloud server, so as to center doctor's energy
Enough anywhere download in platform by network checks ultrasonoscopy and related data information.Also, platform is by the phase of patient
Pass clinical data download link is sent to corresponding center doctor and reminder center doctor is ready for the consultation of doctors.Correlating center doctor
Receive information that platform sends and carry out after the consultation of doctors prepares, platform provide remote video system for center doctor and local doctor and
Patient carries out consultation of doctors exchange, to improve consultation of doctors quality, and consultation of doctors result is fed back into local doctor, and local doctor feeds back to trouble
Person.Finally, platform transfers service charge to center doctor and local doctor.
After remote medical consultation with specialists flow terminates, platform by the relevant clinical data input database such as ultrasonic image of patient, to make
It is other local doctors and study and the reference of center doctor, so as to promote prevention Study of Etiology with development.
In actual application, first embodiment of the invention utilizes DICOM host-host protocols, by the ultrasound detection of different model
Instrument and microcomputer (MiniPC) be connected, standard DICOM image datas waiting for transmission are gathered by MiniPC and are transmitted
To the storage of internet high in the clouds, ultrasound data is pushed to network hospital client by cloud server.
Wherein, embedded software firmware bag in MiniPC, all business datums of client are carried by software firmware bag
The data channel of confession is sent to network hospital client, wherein, software firmware bag includes converged services device, and converged services device is included
Transport module, the function of transport module is essentially identical with access server, but without net distribution function.Net distribution function by
Converged services device realizes that transport module is responsible for for the load of machine, IO situations being sent to Access Management in the way of heartbeat,
For its load balancing provides data, to demonstrate,prove the Lossless transport of ultrasound data.
First embodiment of the invention utilizes HTTP (HTTP)/TCP (transmission control protocol)/UDP (users
Datagram protocol) etc. standard agreement, built based on the remote medical consultation with specialists method of first embodiment of the invention network hospital visitor
The multisystems such as family end, the client compatibility Windows, Mac, IOS, Android, so as to complete the friendship of fetal ultrasound patient file
The communication functions such as stream, patient basis are linked up, the superior and the subordinate doctor cooperation, realize that audio, video, document etc. are exchanged in real time, from
And realize the function of Multidisciplinary Cooperation.
On the basis of first embodiment of the invention, extend second embodiment, second embodiment is in first embodiment
On the basis of increase following steps：
Step 10：Patient disease is complicated, it is necessary to long-range multidisciplinary prognosis consulting, and the local doctor of platform reminder instructs patient to send out
Play prognosis consulting application and pay the fees online.
Step 11：Platform receives prognosis consulting application and use of paying the fees.
Step 12：Relevant clinical data is distributed to multidisciplinary expert by platform.
Step 13：Platform offer remote video system carries out the consultation of doctors and exchanges for multidisciplinary expert with local doctor and patient.
Step 14：The prognosis consultation guidance opinion that platform proposes multidisciplinary expert is sent with electronic edition and papery version form
To local doctor and patient.
In step 14, multidisciplinary expert will not only make to patient and more comprehensively, correctly diagnose, and the guidance for proposing
Correct management of the opinion also including perinatal period, raw postpartum therapy are instructed and the information such as dangerous prognosis evaluation, so as to further push away
The research of dynamic fetal congenital heart disease prophylactic treatment.
Step 15：Platform transfers service charge to multidisciplinary expert and local doctor.
In second embodiment of the invention, after remote medical consultation with specialists is terminated, center doctor thinks that patient disease is complicated to patient, needs
Long-range multidisciplinary prognosis counseling services are wanted, then the local doctor of platform reminder instructs patient's initiation prognosis consulting to apply and complete online
Payment.After platform receives prognosis consulting application and institute's paying of patient, the relevant clinical data of patient is distributed into many
Section expert, and remote video system is provided carries out the consultation of doctors with local doctor and patient for multidisciplinary expert and exchange.Platform will be many
The prognosis consultation guidance opinion that subject expert proposes is sent to local doctor and patient with electronic edition and papery version form, multidisciplinary
Expert will not only make to patient and more comprehensively, correctly diagnose, and the instruction for proposing is also correct including perinatal period
Management, emergency treatment birth rescue protocol, raw postpartum therapy guidance and dangerous prognosis evaluation, again gestation suggestion, science of heredity suggestion
Etc. information, so as to further promote the research of fetal congenital heart disease prophylactic treatment.Finally, platform transfers service charge to many
Section expert and local doctor.This is arrived, long-range multidisciplinary prognosis counseling services terminate.
In actual application, second embodiment of the invention utilizes DICOM host-host protocols, by the ultrasound detection of different model
Instrument and microcomputer (MiniPC) be connected, standard DICOM image datas waiting for transmission are gathered by MiniPC and are transmitted
To the storage of internet high in the clouds, ultrasound data is pushed to network hospital client by cloud server.
Wherein, embedded software firmware bag in MiniPC, all business datums of client are carried by software firmware bag
The data channel of confession is sent to network hospital client, wherein, software firmware bag includes converged services device, and converged services device is included
Transport module, the function of transport module is essentially identical with access server, but without net distribution function.Net distribution function by
Converged services device realizes that transport module is responsible for for the load of machine, IO situations being sent to Access Management in the way of heartbeat,
For its load balancing provides data, to demonstrate,prove the Lossless transport of ultrasound data.
Second embodiment of the invention utilizes HTTP (HTTP)/TCP (transmission control protocol)/UDP (numbers of users
According to datagram protocol) etc. standard agreement, network hospital client is built based on the remote medical consultation with specialists method of second embodiment of the invention
End, the multisystem such as the client compatibility Windows, Mac, IOS, Android, by carry out the exchange of fetal ultrasound patient file,
The information interactive process such as patient basis link up, the superior and the subordinate doctor cooperation, complete long-range multidisciplinary prognosis consulting, realize sound
Frequently, video, document etc. are exchanged in real time, so as to realize the function of Multidisciplinary Cooperation.
Fig. 2 is the structure chart of the Tele-consultation System of the embodiment of the present invention.As shown in Fig. 2 first embodiment of the invention
The structure of Tele-consultation System is as follows：
Receive demand device 100, receive patient demand for platform, and remind patient to pay the fees.
Payment device 200, patient's payment information is received for platform, and points out to ask successfully, to remind local doctor to upload
The relevant clinical data of patient.
Type document delivering device 1600, receives patient's relevant clinical data that local doctor uploads, and check phase for platform
Close whether clinical data meets the requirements, relevant clinical data is uploaded to cloud server by platform, and by under relevant clinical data
Load link is sent to corresponding center doctor and reminder center doctor is ready for the consultation of doctors.
In type document delivering device 1600, when the relevant clinical data of the patient of the local doctor's upload of platform inspection does not meet
It is required that when, the local doctor of platform to assist uploads relevant clinical data again, until upload relevant clinical data meet the requirements for
Only.
Consultation of doctors device 600, provides remote video system and enters guild with local doctor and patient for center doctor for platform
Exchange is examined, to improve consultation of doctors quality.
Consultation of doctors result feedback device 700, local doctor is fed back to for platform by consultation of doctors result, and local doctor feeds back to trouble
Person.
Checkout apparatus 800, service charge is transferred to center doctor and local doctor for platform.
Wherein, type document delivering device 1600 also includes：
Material upload device 300, patient's relevant clinical data that local doctor uploads is received for platform.
Data verification device 400, checks whether relevant clinical data meets the requirements for platform.
Data distributor 500, is uploaded to cloud server, and relevant clinical is provided for platform by relevant clinical data
Material download link is sent to corresponding center doctor and reminder center doctor is ready for the consultation of doctors.
On the architecture basics of the corresponding Tele-consultation System of first embodiment of the invention, the second embodiment of the present invention
The structure of corresponding Tele-consultation System is as follows：
Receive demand device 900 higher, it is complicated, it is necessary to long-range multidisciplinary prognosis consulting, platform reminder for patient disease
Local doctor instructs patient to initiate prognosis consulting application and pay the fees online.
Second payment device 1100, prognosis consulting application and institute's paying are received for platform.
Data redistribution device 1200, multidisciplinary expert is distributed to for platform by relevant clinical data.
Secondary consultation of doctors device 1300, provides remote video system and supplies multidisciplinary expert and local doctor and patient for platform
Carry out consultation of doctors exchange.
Secondary consultation of doctors result feedback device 1400, the prognosis consultation guidance opinion proposed multidisciplinary expert for platform with
Electronic edition and papery version form are sent to local doctor and patient.
Secondary checkout apparatus 1500, service charge is transferred to multidisciplinary expert and local doctor for platform.
The above, the only present invention preferably specific embodiment, but protection scope of the present invention is not limited thereto,
Any one skilled in the art the invention discloses technical scope in, the change or replacement that can be readily occurred in,
Should all be included within the scope of the present invention.Therefore, protection scope of the present invention should be with the protection model of claims
Enclose and be defined.
Claims (10)
1. a kind of remote medical consultation with specialists method, it is characterised in that methods described includes：
Platform receives patient demand；
Platform prepares before coordinating the completion consultation of doctors with patient and/or local doctor；
Platform provides remote video system so that the consultation of doctors is exchanged；
Platform feedback consultation of doctors result is to patient and/or local doctor.
2. remote medical consultation with specialists method as claimed in claim 1, it is characterised in that the platform receives patient demand to be included：
Platform receives patient's payment information, and reminds local doctor to upload the relevant clinical data of patient.
3. remote medical consultation with specialists method as claimed in claim 2, it is characterised in that the relevant clinical data includes：Patient cases,
Ultrasonoscopy and other medical informations relevant with patient.
4. remote medical consultation with specialists method as claimed in claim 1, it is characterised in that the platform is matched somebody with somebody with patient and/or local doctor
Close and prepare to include before completing the consultation of doctors：
Platform receives the relevant clinical data that local doctor uploads；
Relevant clinical data is uploaded to cloud server by platform, and download link is sent into corresponding center doctor and is reminded
Center doctor is ready for the consultation of doctors.
5. remote medical consultation with specialists method as claimed in claim 4, it is characterised in that the platform receives the patient that local doctor uploads
Relevant clinical data include：
Platform checks whether relevant clinical data meets the requirements, and when undesirable, platform refusal receives data and assists this
Ground doctor uploads again, untill the data for uploading meets the requirements.
6. remote medical consultation with specialists method as claimed in claim 1, it is characterised in that also include：When patient's needs are long-range multidisciplinary pre-
After seek advice from, the relevant clinical data of patient is distributed to multidisciplinary expert and is held a consultation by the secondary payment of platform reminder patient, will be many
The instruction that subject expert proposes is sent to patient and/or local doctor.
7. a kind of Tele-consultation System, it is characterised in that including：
Receive demand device 100, patient demand is received for platform；
Type document delivering device 1600, coordinates for platform and patient and/or local doctor and prepares before completing the consultation of doctors；
Consultation of doctors device 600, remote video system is provided so that the consultation of doctors is exchanged for platform；
Consultation of doctors result feedback device 700, for platform feedback consultation of doctors result to patient and/or local doctor.
8. Tele-consultation System as claimed in claim 7, it is characterised in that the demand device 100 that receives includes：
Payment device 200, receives patient's payment information, and remind the relevant clinical that local doctor uploads patient to provide for platform
Material.
9. Tele-consultation System as claimed in claim 7, it is characterised in that the type document delivering device 1600 includes：
Material upload device 300, the relevant clinical data that local doctor uploads is received for platform；
Data distributor 500, is uploaded to cloud server, and download link is sent to for platform by relevant clinical data
Simultaneously reminder center doctor is ready for the consultation of doctors to corresponding center doctor.
10. Tele-consultation System as claimed in claim 9, it is characterised in that also include in the material upload device 300：
Data verification device 400, checks whether relevant clinical data meets the requirements for platform, when undesirable, platform
Refusal receives data and assists local doctor to upload again, untill the data for uploading meets the requirements.
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