CN106845077A - A kind of Telemedicine System parameter configuring system - Google Patents
A kind of Telemedicine System parameter configuring system Download PDFInfo
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- CN106845077A CN106845077A CN201611194557.9A CN201611194557A CN106845077A CN 106845077 A CN106845077 A CN 106845077A CN 201611194557 A CN201611194557 A CN 201611194557A CN 106845077 A CN106845077 A CN 106845077A
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- 238000004891 communication Methods 0.000 claims abstract description 52
- 238000011282 treatment Methods 0.000 claims abstract description 28
- 201000010099 disease Diseases 0.000 claims description 15
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 15
- 230000000694 effects Effects 0.000 claims description 15
- 210000004556 brain Anatomy 0.000 claims description 8
- 238000011369 optimal treatment Methods 0.000 claims description 7
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 claims description 6
- 230000002457 bidirectional effect Effects 0.000 claims description 6
- 239000008280 blood Substances 0.000 claims description 4
- 210000004369 blood Anatomy 0.000 claims description 4
- 102000004190 Enzymes Human genes 0.000 claims description 3
- 108090000790 Enzymes Proteins 0.000 claims description 3
- 230000001133 acceleration Effects 0.000 claims description 3
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 3
- 230000036772 blood pressure Effects 0.000 claims description 3
- 229910002092 carbon dioxide Inorganic materials 0.000 claims description 3
- 239000001569 carbon dioxide Substances 0.000 claims description 3
- 238000006073 displacement reaction Methods 0.000 claims description 3
- 229910052760 oxygen Inorganic materials 0.000 claims description 3
- 239000001301 oxygen Substances 0.000 claims description 3
- 102000004169 proteins and genes Human genes 0.000 claims description 3
- 108090000623 proteins and genes Proteins 0.000 claims description 3
- 230000029058 respiratory gaseous exchange Effects 0.000 claims description 2
- 238000001514 detection method Methods 0.000 description 10
- 230000001225 therapeutic effect Effects 0.000 description 7
- 230000005611 electricity Effects 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 238000005516 engineering process Methods 0.000 description 5
- 230000002542 deteriorative effect Effects 0.000 description 3
- 238000010801 machine learning Methods 0.000 description 3
- 230000005540 biological transmission Effects 0.000 description 2
- 238000000205 computational method Methods 0.000 description 2
- 230000006866 deterioration Effects 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 238000011156 evaluation Methods 0.000 description 2
- 238000000338 in vitro Methods 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 210000005036 nerve Anatomy 0.000 description 2
- 230000008447 perception Effects 0.000 description 2
- 238000004321 preservation Methods 0.000 description 2
- 241000894007 species Species 0.000 description 2
- 241000208340 Araliaceae Species 0.000 description 1
- 241000196324 Embryophyta Species 0.000 description 1
- 235000005035 Panax pseudoginseng ssp. pseudoginseng Nutrition 0.000 description 1
- 235000003140 Panax quinquefolius Nutrition 0.000 description 1
- 208000018737 Parkinson disease Diseases 0.000 description 1
- 206010046543 Urinary incontinence Diseases 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
- 230000000593 degrading effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 208000030533 eye disease Diseases 0.000 description 1
- 235000008434 ginseng Nutrition 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 206010025482 malaise Diseases 0.000 description 1
- 230000027939 micturition Effects 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 201000010041 presbyopia Diseases 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 238000012706 support-vector machine Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 238000012549 training Methods 0.000 description 1
- 210000001186 vagus nerve Anatomy 0.000 description 1
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
Abstract
The invention discloses a kind of Telemedicine System parameter configuring system, including implantable medical device, external device, remote server, doctor terminal computer；Implantable medical device includes processor module, communication module, sensor assembly, treatment module；External device includes processor module, first communication module, second communication module, display module；Far-end server includes processor module, memory module, communication module；Can be in communication with each other between communication module.Such system can improve the parameters remote allocative efficiency to implantable medical device.
Description
Technical field
The present invention relates to Telemedicine System, in particular to a kind of Telemedicine System parameter configuring system.
Background technology
Over the course for the treatment of, patient needs periodically to go to the hospital to carry out follow-up after surgery implantable medical device.Tele-medicine
System go out to be now able to realize to the monitoring of patient and to implantable medical device remote control, go to hospital so as to reduce patient
Number of times, reduce the risk of patient.
But the various parameters for being typically the patient that implantable medical device is gathered and recorded in the prior art are carried out simply
Analysis, alarms risk, and the various parameters of the patient that doctor gathers and records according to implantable medical device are analyzed
The parameter again to implantable medical device carries out remote control afterwards.Usual doctor is carried out remotely to the parameter of implantable medical device
Control is needed according to the tentative adjustment of sick person's development, it is necessary to take a significant amount of time.
United States Patent (USP) US8521299B2 discloses a kind of method and system of the long-range monitoring and control of implantable device,
Can realize being monitored patient health by internet and carrying out implantable medical device remote control, but can not be intelligent
Carry out parameter configuration to implantable medical device, remote parameter configuration needs take a lot of time.
United States Patent (USP) US8423149B2 discloses a kind of method that long-range programming is carried out to implantable medical device and is
System, can realize being monitored patient health and carry out implantable medical device remote control, but can not be intelligent to plant
Entering formula Medical Devices carries out parameter configuration, and remote parameter configuration needs take a lot of time.
It can be seen that, existence time spends many when the parameters remote configuration to implantable medical device carries out teletherapy at present,
The low technical problem of efficiency.
The content of the invention
It is an object of the invention in overcoming the shortcomings of above-mentioned technology, there is provided a kind of Telemedicine System parameter configuration system
System, including implantable medical device, external device, remote server, doctor terminal computer.Implantable medical device includes treatment
Device module, communication module；At least one of sensor assembly, treatment module or combinations thereof can also be included.In vitro
Equipment includes processor module, first communication module, second communication module, display module.Far-end server includes processor die
Block, memory module, communication module.The communication module of implantable medical device and the first communication module of external device are by near
Journey radio communication carries out bidirectional data communication, the second communication module and common communication equipment of external device（Such as base station）By remote
Journey radio communication carries out bidirectional data communication, and base station is connected to internet, the communication module of remote server by physical connection
Internet is connected to by physical connection, doctor terminal computer is by being physically connected to internet.
Further, the sensor assembly of implantable medical device gathers the physiological parameter of patient（Including present illness phase
The physiological parameter of the pass physiological parameter related to complication, is specifically including but not limited to electrocardiogram（ECG）Signal, electromyogram
（EMG）Signal, electroencephalogram（EEG）Signal, heart rate, intravascular pressure, blood pressure, blood sugar, CBF, acceleration, displacement, fortune
It is dynamic, breathe, oxygen saturation, carbon dioxide, pH value, protein level, the parameter such as enzyme level）, by implantable medical device
Physiological parameter is sent to communication module after processor treatment by implantable medical device the first communication mould of external device
Block, shows after the processor module of external device is processed in display module, while the second communication for passing through external device
Physiological parameter is sent to base station by module, the communication module of remote server is sent to by internet by base station, by long-range
Physiological parameter is sent to preservation in the memory module of remote server after the processor module treatment of server.Patient can also
With its external device its related history physiological parameter data is checked by accessing remote server.Doctor can also use doctor terminal
Computer checks the related physiological data of patient by accessing remote server.
The processor module of server is by calculating and analyzing the disease index in patient and electronic health record（Disease index
Computational methods are, disease index=, i1Physiological parameter i during for morbidity
Weight, jk1Be the weight of the physiological parameter jk of complication j, find out with patient's immediate case of the current state of an illness, will be closest
Optimal treatment electronic prescription in electronic medical recordses sequentially passes through base station, external device and is sent to implantable medical device, by can
The treatment module that implantable medical device is sent to after the processor module treatment of implantable medical equipment is treated.One section for the treatment of
Physiological parameter after time uploads onto the server preservations as the physiological parameter that effect is controlled in reflection, used as calculating optimized electronic prescription
Foundation, if the physiological parameter all meets the canonical parameter scope of normal person, controlled the electronic prescription as the optimal of the patient
Treat electronic prescription.
Brief description of the drawings
Fig. 1 is Telemedicine System parameter configuring system figure of the invention.
Specific embodiment
The present invention is further described with reference to the accompanying drawings and examples.
Embodiment：In patient end, Telemedicine System parameter configuring system include implantable medical device 2,3, set in vitro
Standby 4 and sensor assembly（It is not shown）, wherein external device 4 include processor module, first communication module, second communication mould
Block, display module.Wherein, implantable medical device 2,3 may include but be not limited to deep brain stimulator（DBS）, spinal stimulator,
Sacral nerve stimulator, vagus nerve stimulator, pacemaker.And the physiological parameter of sensor assembly detection is included but is not limited to
Electrocardiogram（ECG）Signal, electromyogram（EMG）Signal, electroencephalogram（EEG）Signal, heart rate, intravascular pressure, blood pressure, blood
The ginsengs such as sugar, CBF, acceleration, displacement, motion, breathing, oxygen saturation, carbon dioxide, pH value, protein level, enzyme level
Number.Certainly, the detection of these parameters will be adapted with the type of implantable medical device 2,3, such as, and deep brain stimulator
（DBS）The detection of brain electricity must be included, pacemaker must include electrocardiogram（ECG）Signal, and treat the urinary incontinence
Sacral nerve stimulator will also include bladder pressure sensor, be monitored with to urination information.
The display screen that external device 4 includes not only includes the interface operated to instrument, also including to sensor parameters
The interface of display.Further, display screen also includes the inputting interface to the information of patient 1.The input of these information includes the
The personal information of one information, i.e. patient, such as：Sex, height, body weight, age, medical history, blood group.Further, these information
Input also include the second information, the species input and the input of patient perceptions and its degree of the second information including complication.Cause
For patient is mostly layman, for convenience of the operation of patient, not only should be by the close friend of interface, will also be according to sensor
The information of detection, the first information of patient's input, point out issuable complication or patient perceptions.This prompting can
Be based on machine learning, complication and impression according to produced by being similar to situation in patient storehouse pointed out, or
Medical knowledge based on doctor, is configured in systems by doctor.This prompting be to the input of patient 1 very easily,
Patient 1 is often difficult to describe complication or the impression of oneself, past if simple requirement patient 1 is selected in a menu
It is past to omit important information.By the way of prompting, point out whether patient has certain impression or complication, and to this
Impression and complication are explained, and patient can be made to facilitate comprehensive and accurate description information, these information to follow-up treatment and
The intervention of doctor is highly useful.Further, the input of information can also be not limited to screen, for DBS
User, some patients may suffer from Parkinson, and its symptom is there is obstacle to the control of limbs, and now, the operation of screen is right
Be for user it is difficult, certainly, for the people of eye disease, such as presbyopia, this be in using crowd it is very universal,
The operation of screen equally exists difficulty, and now, a prompt system for voice interface just becomes more useful.Using loudspeaker pair
Suggestion content is played out, and requires that user answers the vocabulary such as "Yes", "No", " serious ", " more serious ", " general ", right
It is for recognizer and uncomplicated, also there is gratifying correctness.It is, of course, also possible to increase further determination step,
Such as continue to play, " your answer just now is serious, woulds you please determine correct or mistake " is errorless with the result for ensureing input.It is right
In the patient of most serious, be likely present aphasis, many patients of such as Parkinson all there are problems that it is linguistic, this
When, the answer that patient can be substituted using eeg sensor is the solution of the application.For example, played using loudspeaker carrying
Show, and detect that brain electricity judges the answer of patient, and further requirement patient determines, further detection brain electricity judges answering for patient
Case, this mode is particularly suited for disturbances in patients with Parkinson disease, and for such patient, the detection of brain electricity is necessary, that is to say, that
Eeg sensor has two kinds of purposes in such patient, and not only physiologic information is detected, also to play and patient
Interactive effect.
Data are transmitted by the first communication module and second communication module of external device 7, wherein, the first communication mould
Block carries out bidirectional data communication, the second communication module and common communication equipment of external device by short-range wireless communication（Such as base
Stand 5）Bidirectional data communication is carried out by remote radio communication, base station 5 is connected to internet 6, remote service by physical connection
The communication module of device 7 is connected to internet 6 by physical connection.Because the information of patient is related to privacy, this communication should make
With the various technologies of encryption.Because the technology encrypted is known, it is not discussed in detail here.In addition to encryption, data should use checking
Errorless to ensure, a kind of method of simple checking is, by every segment information transmission repeatedly 2 times, and verifies 2 information of transmission
It is whether complete consistent.
After data are sent to remote server 7, the processor module of server is by calculating and analyzing patient 1 and electronic health record
In disease index, the computational methods of disease index are, disease index=,
The weight of physiological parameter i when i1 is morbidity, jk1 is the weight of the physiological parameter jk of complication j.The weight of the mode of this calculating
Point is the setting of weight.According to the present invention, each weight is trained by the way of machine learning.Set up the letter of patient
Breath storehouse, in storehouse, stores each physiological parameter and complication and its degree of each patient, and first, doctor is known using medical science
Knowledge is classified to patient, each patient is ranged a kind of patient, is then trained, and the purpose of training is to make patient of the same race
Disease index it is close, and disease index between patient not of the same race can divide.The process of this study can be using various known
Technology, such as neutral net, SVMs, tree, Bayes classifier.
According to patient information bank study result, that is, each weight result, 7 pairs of diseases for transmitting of remote server
People's information is calculated, find out with the immediate case of the current state of an illness of patient 1, will closest in electronic medical recordses optimal treatment electricity
Sub- prescription sequentially passes through base station 5, external device 4 and is sent to implantable medical device 2,3, by implantable medical device 2,3
The treatment module that implantable medical device 2,3 is sent to after processor module treatment is treated.But, the result of this calculating
Certain problem can be run into, for example, the information in patient storehouse is unlikely to be very perfect, that is to say, that can run into a kind of new
Patient, in fact, is not enough to classify patient and treated, i.e. even if having found and be somebody's turn to do using original information in patient storehouse
The immediate patient's species of patient, when still can not using and this kind of patient's identical optimal treatment electronic prescription.In the present invention
In, there is provided first threshold, when the disease index of the patient 1 transmitted and the difference of immediate case exceed first threshold,
Optimal treatment electronic prescription is not fed back, but all situations of the patient 1 are sent to doctor 9, entered by 9 pairs of cases of doctor
Row treatment.The result of doctor also serves as new patient information and is stored in patient information storehouse, i.e. patient information storehouse of the invention is
Do not stop to update, and constantly carry out self-teaching.
When optimal treatment electronic prescription passes patient end back, and after starting treatment, various physiological parameter sensors are entered to patient 1
Row detection, this detection is the detection to curative effect.System of the invention sets Second Threshold and the 3rd threshold value, when controlling for patient 1
After treatment starts, the curative effect of patient 1 is degrading, and the time for deteriorating exceedes Second Threshold, should at once stop treatment, and by patient's
Various parameters are transmitted to doctor 9, and long-range diagnosis and treatment is carried out by doctor 9, when the deterioration degree of patient 1 is more than the 3rd threshold value,
Though then its time for deteriorating have how long, then stop treatment at once, and send the parameters of patient 1 to doctor 9.Doctor 9
The scheme for tackling treatment is adjusted.In the present invention, the calculating of this deterioration degree can use disease index, it is also possible to make
With new formula or method, for example, in DBS（DBS）Patient in, can simply use and the detection of brain electricity is observed
Curative effect, this is often simple and effective.
Operation of the doctor 9 to patient can use doctor terminal computer 8.Should be prudent, therefore doctor to the operation of patient
End computer 8 should be perfect setting operation authority, also, still using the mode of machine learning, the operation to doctor carries out
Instruct.In the present invention, similar disease will be shown after doctor 9 receives the various parameters of patient, on the screen of doctor terminal computer 8
Example and its therapeutic scheme and therapeutic effect, after doctor 9 is configured to parameter, can also show on the screen of doctor terminal computer 8
Show therapeutic effect and side effect that this parameter may bring, or prompting doctor was never carried out such to the type patient
The setting of parameter, asks doctor 9 to determine whether the setting of this parameter is errorless.
For doctor 9, The present invention gives the embodiment operated using doctor terminal computer 8, but do not limit
In this, doctor 9 can also operate portable set to be operated, for example, download APP using smart mobile phone being operated.It is this
Mode is tended to be advantageous in that to patient 1, and for certain patient, its doctor in charge is most understood its state of an illness, using just
Portable device is operated, and patient can be made to receive the treatment of oneself doctor in charge anywhere or anytime, improves the effect for the treatment of.
Enough alarms are set in the embodiment of portable set, it is necessary in APP, to facilitate doctor to know the need of patient in time
Ask, also, after this alarm duration long enough is without obtaining responding, demand that should be in time by this treatment goes back to
Doctor terminal computer 8, diagnosis and treatment are carried out by attendant physician.In the present invention, the setting of time of fire alarming is according to the journey that sb.'s sickness becomes critical
Degree setting, rather than unique value, when patient situation and when need not timely process, this alarm can be repeated many
It is secondary, time of leap up to dozens of minutes to some hours, untill the doctor in charge provides response, and for critical feelings
Condition, the time of alarm is limited to some seconds, such as 15-60 seconds.
In the present invention, all of therapeutic effect is estimated, this assessment includes what physiological information sensor was obtained
Information, the evaluation of patient and the evaluation of doctor, and knowledge base is updated according to assessment, i.e., knowledge base of the invention is continuous
The knowledge base for updating, constantly relearning, is a storehouse for dynamic renewal.In the present invention, the content in knowledge base is not only wrapped
The preferable case of curative effect and its various parameters are included, also including curative effect is not good enough, side effect is larger various cases and its various parameters.
Because each patient is different, the complexity that its situation may be suitable, even if the parameter of patient is quite similar to, controlled using identical
Treatment scheme is still likely to be obtained totally different effect.When some curative effects are not good enough or the larger case of side effect occurs, the present invention is distinguished
Two kinds of situations are processed.The first situation is that same patient applies the curative effect appearance that the effect of same therapeutic scheme is obtained
It is not good enough, but its not good enough degree can't cause serious consequence, and in the case that not good enough ratio is not high, afterwards for same
Patient is planted, the therapeutic scheme still can be used, but after use, once there is the situation for deteriorating, i.e., stop treating at once, without
It is estimated using above-mentioned Second Threshold and the 3rd threshold value, but sends the information of patient to doctor 9 at once.Second situation
It is that after same patient applies same therapeutic scheme, some patients occur in that serious consequence, or not good enough ratio occur
It is higher, then for this kind of patient, should be judged as not being suitable for algorithm proposed by the present invention, Automatic parameter adjustment must not be carried out, and
The parameter of the patient should be transmitted directly to doctor 9, there is doctor 9 to be configured by hand.
Claims (4)
1. a kind of Telemedicine System parameter configuring system, it is characterised in that：The system includes implantable medical device（2、3）、
External device（4）, remote server（7）With doctor terminal computer（8）；The implantable medical device（2、3）At first
At least one of reason device module, communication module, sensor assembly and treatment module or combinations thereof；The external device
（4）Including second processing device module, first communication module, second communication module and display module；The remote server（7）Bag
Include the 3rd processor module, memory module and third communication module；The implantable medical device（2、3）The communication mould
Block and the external device（4）The first communication module bidirectional data communication, the body are carried out by short-range wireless communication
External equipment（4）The second communication module and public base station bidirectional data communication, the base are carried out by remote radio communication
Stand by being physically connected to internet, the remote server（7）The third communication module by being physically connected to interconnection
Net, the doctor terminal computer（8）Internet is connected to by physical connection.
2. Telemedicine System parameter configuring system according to claim 1, it is characterised in that：The implantable medical sets
It is standby（2、3）The sensor assembly gather patient physiological parameter, by the implantable medical device（2、3）Described
Pass through the implantable medical device after the treatment of one processor module（2、3）The communication module physiological parameter is sent to institute
State external device（4）The first communication module, by the external device（4）The second processing device resume module after
Shown in the display module, while passing through the external device（4）The second communication module physiological parameter is transmitted
To the base station, the remote server is sent to by internet by the base station（7）The third communication module, pass through
The remote server（7）The 3rd processor module treatment after physiological parameter is sent to the remote server（7）
The memory module in preserve.
3. Telemedicine System parameter configuring system according to claim 2, it is characterised in that：The physiological parameter includes
The related physiological parameter of the present illness physiological parameter related to complication, including ECG signal, electromyogram signal, brain
Electrical picture signal, heart rate, intravascular pressure, blood pressure, blood sugar, CBF, acceleration, displacement, motion, breathing, oxygen saturation,
Carbon dioxide, pH value, protein level and enzyme level.
4. Telemedicine System parameter configuring system according to claim 3, it is characterised in that：The remote server
（7）The 3rd processor module by calculate and analysis patient and electronic health record in disease index, wherein, disease index
Computing formula be：Disease index=, i1Physiological parameter i during for morbidity
Weight, jk1It is the weight of the physiological parameter jk of complication j；Find out with patient's immediate case of the current state of an illness, will be closest
Optimal treatment electronic prescription in electronic medical recordses sequentially passes through the base station, the external device（4）It is sent to described implantable
Medical Devices（2、3）, by the implantable medical device（2、3）The first processor resume module after be sent to it is described
Implantable medical device（2、3）The treatment module treated；Physiological parameter after treating a period of time is used as anti-
Reflect and control the physiological parameter of effect and be uploaded to the remote server（7）Preserve, as the foundation for calculating optimized electronic prescription, if raw
Reason parameter all meets the canonical parameter scope of normal person, using the electronic prescription as the patient optimal treatment electronic prescription.
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| CN201611194557.9A CN106845077A (en) | 2016-12-22 | 2016-12-22 | A kind of Telemedicine System parameter configuring system |
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| CN201611194557.9A CN106845077A (en) | 2016-12-22 | 2016-12-22 | A kind of Telemedicine System parameter configuring system |
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| CN110223765A (en) * | 2018-03-01 | 2019-09-10 | 西门子医疗有限公司 | The method of fault management is executed in an electronic |
| CN112870504A (en) * | 2019-11-29 | 2021-06-01 | 深圳市大雅医疗技术有限公司 | Respiratory therapy method and device, breathing machine and server |
| CN114188041A (en) * | 2021-12-02 | 2022-03-15 | 深圳市华美泰科技发展有限公司 | Medical system for completing doctor-patient service in remote dialogue mode |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN114188041A (en) * | 2021-12-02 | 2022-03-15 | 深圳市华美泰科技发展有限公司 | Medical system for completing doctor-patient service in remote dialogue mode |
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Application publication date: 20170613 |