CN107007284A - Dynamic monitoring and method for tracking and managing and system applied to chronic disease athletic rehabilitation - Google Patents
Dynamic monitoring and method for tracking and managing and system applied to chronic disease athletic rehabilitation Download PDFInfo
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- CN107007284A CN107007284A CN201710183696.XA CN201710183696A CN107007284A CN 107007284 A CN107007284 A CN 107007284A CN 201710183696 A CN201710183696 A CN 201710183696A CN 107007284 A CN107007284 A CN 107007284A
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6802—Sensor mounted on worn items
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Abstract
The invention discloses the dynamic monitoring applied to chronic disease athletic rehabilitation and method for tracking and managing and system, system includes：Wearable device, to gather exercise data of the patient in motion process and be synchronized to patient end, the patient end, to monitor the exercise data and track the three high target data of the patient, then the exercise data and the three high targets data are uploaded to high in the clouds data management platform, the high in the clouds data management platform, to analyze the exercise data and the three high targets data according to configuration mode, health status to the patient is monitored, and synchronously set up patient health archives, and doctor terminal, the patient health archives to check the patient, and the exercise prescription of patient described in synchronous adjustment.The present invention can realize that comprehensive closed loop is managed by carrying out dynamic monitoring to the real time kinematics during chronic's athletic rehabilitation and three high targets to the motion of user, diet and psychology.
Description
Technical field
The present invention relates to chronic disease management, athletic rehabilitation field, the more particularly to dynamic applied to chronic disease athletic rehabilitation
Monitoring and method for tracking and managing and system.
Background technology
Chronic disease is a class and bad behavior and the closely related disease of life style, complicated, strong with course of disease length, the cause of disease
The features such as health is damaged and social danger is serious, and easily cause disable, fatal rate increase, therefore chronic disease prevention and rehabilitation turn into one
Item extremely urgent task.To tracing management patient oneself can be allowed to detect the related of chronic disease by the dynamic monitoring of chronic disease
Index, and beneficial health guidance is obtained by system, the general level of the health of oneself is improved, so as to reduce the cost of slow disease treatment.
In view of the above circumstances, the monitoring of some slow diseases and management system have been developed rapidly, but on chronic disease
Monitoring and management still there are many problem and shortage, such as：
(1) health department is set up around hospital and expert, and hospital plays the role of key, and medical department lacks David
Raw idea, lacks the theory of disease whole-course treatment.
(2) hospital has powerful science and technology strength and subspeciality troop, but too payes attention to professional and three-level health care,
The integrated management efficiency of chronic disease can be made very low.
(3) shortage of funding has a strong impact on the development of chronic disease work, and especially in rural area, country doctor lacks development
The economic incentive of chronic disease control, health officer's chronic disease control enthusiasm is not high.
(4) health account management information system imperfection, health account information system standard, aims of systems, factor of system,
Systemic-function and system architecture are inconsistent, cause community health care clinics' Residential soil IT application in management software different
Meaning, department information resource can not be shared, and the health account in many places lacks dynamic management, and forms dead shelves.
The problem of above, causes current chronic disease to monitor and manage also in extensive pattern, it is difficult to improve medical worker's
Working effect and the reasonability to case control.
In addition, also have some solutions in the prior art, such as, and Chinese patent CN200820064265.8, physics fortune
Dynamic healing treatment management system, by physical motion rehabilitation information bank, digerait's knowledge base, gateway, router/switch, fortune
Dynamic rehabilitation information management work station, physical movement healing treatment work station, physical movement healing treatment work station, printer sharing
Composition.Its annexation is physical motion rehabilitation information bank, digerait's knowledge base, gateway, athletic rehabilitation information management work
Stand, physical movement healing treatment work station, physical movement healing treatment work station, printer sharing input/output connect router/
Interchanger input/output, it is impossible to which real-time implementation is monitored.Chinese patent CN201410125927.8, athletic rehabilitation treatment system is run
Step machine control method, fully utilizes technology of Internet of things, is set assessment equipment, physio-parameter detection by wireless relay network
Standby, treadmill, RFID identifiers and remote server is organic combines together, are carried out by assessment equipment to patient body situation
Assess, doctor can provide treatment recommendations according to assessment result, provide exercise prescription.It is cumbersome, the order of accuarcy of monitoring compared with
It is low.
The content of the invention
The technical problem to be solved in the present invention be to provide it is a kind of the motion of user, diet and psychology are realized it is comprehensive
Closed loop management dynamic monitoring applied to chronic disease athletic rehabilitation and management system for tracking.
Above-mentioned technical problem is solved, the invention provides a kind of dynamic monitoring and tracking applied to chronic disease athletic rehabilitation
Management system, including：
Wearable device, to gather exercise data of the patient in motion process and be synchronized to patient end,
The patient end, to monitor the exercise data and track the three high target data of the patient, then by institute
State exercise data and the three high targets data be uploaded to high in the clouds data management platform,
The high in the clouds data management platform, to analyze the exercise data and the three high targets number according to configuration mode
According to, the health status to the patient is monitored, and synchronously sets up patient health archives,
And doctor terminal, the patient health archives to check the patient, and the fortune of patient described in synchronous adjustment
In dynamic prescription, the patient health archives that the exercise prescription is updated to the high in the clouds data management platform.
Further, system also includes：Web service end, rights management interface and work to provide system manager
Amount statistics interface, and record upload interface is paid a return visit, carry out rights management, Workload Account or record and pay a return visit record.
Further, the wearable device is configured by Bluetooth communication protocol with the patient end and/or doctor terminal
Intelligent mobile terminal connection, the intelligent mobile terminal is connected by GSM mobile networks with the high in the clouds data management platform,
The high in the clouds data management platform is connected by WAN network with the Web service end.
Further, the wearable device includes：Information acquisition module, input module, microprocessor, display module,
Memory module, power module and bluetooth module,
Described information acquisition module is connected with microprocessor, to the heart rate value and three during collection patient motion in real time
Acceleration magnitude is tieed up, described information acquisition module at least includes：Photo-electric heart rate detection sensor and/or acceleration transducer；
The input module is connected with microprocessor, to setting time, the height of the patient, body weight, the base at age
Plinth information；
The display module is connected with microprocessor, to show the time, the real-time heart rate value or the fortune
Dynamic information；
The memory module is connected with microprocessor, to store the above-mentioned heart rate value and microprocessor collected
In result；
The bluetooth module is connected with microprocessor, to by short-range wireless communication protocol by the motion of monitoring
Data transfer is to the patient end；
The microprocessor, carries out preliminary treatment, the obtained exercise data is at least to the initial data to collection
Including：Average heart rate, duration, step number, distance or the heat of consumption parameter.
The power module, for being powered to the wearable device.
Further, the patient end is configured as the application program of mobile phone terminal, and it includes：Motion monitoring unit, index
Tracking cell, memory cell, enquirement unit and query unit,
The motion monitoring unit, the exercise data to receive and handle the wearable device,
And/or, the historical movement data stored in wearable device described in offline synchronization, while to beyond given threshold
The exercise data sends alarm；
The index tracking cell, three high targets being manually entered to patient described in real-time reception, while to beyond setting
Three high target for determining threshold value sends alarm；
The memory cell, three high targets to store heart rate value, movable information and typing；
The enquirement unit, to provide the patient Xiang interface that doctor puts question to and check connecing for history subject of question
Mouthful；
The query unit, the exercise prescription newest to inquire about, the historical movement information of the patient, Yi Jisuo
The variation tendency of three high targets or the health status of patient are stated,
And, the daily motion feedback of the patient is fed back by the query unit.
Further, described doctor terminal is configured as the application program of mobile phone terminal, and it includes：Unit, information is answered to look into
Ask unit and prescription adjustment unit；
The answer unit, the patient interface putd question to and the interface for checking history question and answer content are replied to provide；
Patient query's unit, to check the essential information of the patient, the health account and state exercise prescription
Implementation status, the health account at least includes：Physical examination information and three high target variation tendency information；
The prescription adjustment unit, the exercise prescription to adjust patient, at least includes：Type of sports, duration, frequency,
Intensity or the one or more in opportunity.
Further, the Web service end includes：Pay a return visit unit, rights management unit, work statistic unit and default match somebody with somebody
Put unit；
The return visit unit, to provide return visit interface, while according to the execution feelings of the exercise prescription of the patient
Condition, motion feedback, the change of three high targets or the return visit strategy of customization are reminded and the patient are paid a return visit in good time,
The rights management unit, to manage user right and configuration user role type,
The work statistic unit, upload interface is counted to provide the working condition of medical personnel,
The default configuration unit, record, health knowledge storehouse and the patient are paid a return visit to medical personnel's clothes to manage
The evaluation of business.
Further, the high in the clouds data management platform, including：Data center, application server, Web server；
The data center, to be stored or handled based on distributed server structure：Exercise prescription, return visit record, fortune
Dynamic data, three high target data, physical examination data
The application server, the approach of the access data center is provided to provide mobile phone terminal application program；
The Web server, the approach to provide data center described in WEB terminal browser access.
Further, it is configured as performing following operation in the patient end：
9-1) start, whether detection is logged in succeeds, and does not such as log in success, then gives password for change and log in again；
9-2) it is connected with the Wearable, whether detection device pairing succeeds, such as successful matching, selection equipment connection
Equipment；Such as unpaired success, equipment need to be searched for, equipment is connected after selection device pairing success；
9-3) synchronous off-line data and connected device is detected whether, such as success of connection equipment, synchrodata upload number
According to；Such as failed, return above-mentioned steps 9-2) continue detection device pairing situation and connection；
Real-time heart rate 9-4) is monitored, detects whether to connect equipment, if successful connection, real-time heart rate will be shown in equipment, such as
Heart rate risk range is reached, by dangerous early warning；If equipment connection is failed, above-mentioned steps 9-2 is returned) detection device pairing
Situation；
Three high targets 9-5) are tracked, the patient is manually entered data, then uploads data to high in the clouds data management platform；
Exercise prescription 9-6) is generated, patient is shown and taken exercise by the exercise prescription issued, moved after terminating
Feedback；
Individual center 9-7) is changed, storage at least includes：The basic document of patient, personal and family's history of disease or motion
The patient data of prescription implementation status.
Present invention also offers a kind of dynamic monitoring applied to chronic disease athletic rehabilitation and method for tracking and managing, including such as
Lower step：
Wearable device is configured to gather exercise data of the patient in motion process and patient end is synchronized to,
Patient end and doctor terminal are configured with mobile terminal, in the patient end to monitor the exercise data and track institute
The three high target data of patient are stated, the exercise data and the three high targets data then are uploaded into high in the clouds data pipe pats
Platform,
In the doctor terminal, the patient health archives to check the patient, and patient described in synchronous adjustment
In exercise prescription, the patient health archives that the exercise prescription is updated to the high in the clouds data management platform,
High in the clouds data management platform is configured to analyze the exercise data and the three high targets number according to configuration mode
According to, the health status to the patient is monitored, and synchronously sets up patient health archives,
Also include：Web service end is configured, rights management interface and Workload Account to provide system manager connect
Mouthful, and record upload interface is paid a return visit, carry out rights management, Workload Account or record and pay a return visit record.
Beneficial effects of the present invention：
The dynamic monitoring of chronic disease in the present invention and method for tracking and managing, by chronic's athletic rehabilitation process
In real time kinematics and three high targets carry out dynamic monitoring so that doctor according to index of correlation adjust patient exercise prescription, and
Patient health status is monitored by high in the clouds data management platform, athletic rehabilitation health account is set up, most result is anti-at last
Feed patient, doctor, nurse and keeper, so as to form the closed loop system of the dynamic monitoring of chronic disease athletic rehabilitation and tracing management
System.
Brief description of the drawings
Fig. 1 is the system structure diagram in one embodiment of the invention；
Fig. 2 is the system structure diagram in one embodiment of the present invention；
Fig. 3 is correspondence schematic diagram between each module；
Fig. 4 is the patient end implementation method schematic flow sheet in Fig. 2；
Fig. 5 is the doctor terminal implementation method schematic flow sheet in Fig. 2；
Fig. 6 is the operating method schematic flow sheet at the WEB service end in Fig. 2；
Fig. 7 is the method flow schematic diagram in one embodiment of the invention.
Embodiment
The principle of the disclosure is described referring now to some example embodiments.It is appreciated that these embodiments are merely for saying
It is bright and help it will be understood by those skilled in the art that with the purpose of the embodiment disclosure and describe, rather than advise model of this disclosure
Any limitation enclosed.Content of this disclosure described here can be implemented in the various modes outside mode described below.
As described herein, term " comprising " and its various variants are construed as open-ended term, it means that " bag
Include but be not limited to ".Term "based" is construed as " being based at least partially on ".Term " one embodiment " it is understood that
For " at least one embodiment ".Term " another embodiment " is construed as " at least one other embodiment ".
The basic function of Web server in the application is just to provide Web information and browses service.It need to only support HTTP to assist
View, html document form and URL, coordinate with the web browser of client.Specifically, Web server can be parsed
(handles) http protocol.When Web server receives a HTTP request (request), a http response can be returned
(response) html page, is for example sent back to.In order to handle a request (request), Web server can be responded
(response) static page or picture, carry out page jump (redirect), or dynamic response (dynamic
Response some other programs such as CGI scripting, JSP (JavaServer are given in generation commission (delegate))
Pages) script, servlets, ASP (Active Server Pages) script, server end (server-side)
JavaScript, or some other server ends (server-side) technology.No matter they (translator note:Script) mesh
How, the response (response) that the programs of these server ends (server-side) generally produces a HTML is clear to allow
Device of looking at may browse through.
It is appreciated that the microprocessor in the application includes but is not limited to：MSP430F5528 microcontroller, meaning method half
Conductor STM32L 32-bit microprocessors, Dialog DA14580 microprocessors, Silicon Labs EFM32 microprocessors, meaning
Method semiconductor STM32L151QCH6 microprocessors.
Information acquisition module in the application includes but is not limited to：The axle numeral output MEMS acceleration of ADI ADXL362 3
Meter, TI TPS62736 buck converters, STMicw Electronics's LIS3DH 3-axis acceleration sensors, the axles of Bosch BMA222EF tri-
Acceleration transducer.
Fig. 1 is dynamic monitoring and tracing management in the system structure diagram in one embodiment of the invention, the present embodiment
System, including：Wearable device 1, to gather exercise data of the patient in motion process and be synchronized to patient end, the trouble
Person end 2, to monitor the exercise data and track the three high target data of the patient, then by the exercise data and institute
State three high target data and be uploaded to high in the clouds data management platform,
The high in the clouds data management platform 5, to analyze the exercise data and three high target according to configuration mode
Data, the health status to the patient is monitored, and synchronously sets up patient health archives, and doctor terminal 3, to check
The patient health archives of the patient, and the exercise prescription of patient described in synchronous adjustment, the exercise prescription is updated to
In the patient health archives of the high in the clouds data management platform.System in the present embodiment, by moving health to chronic
Real time kinematics and three high targets during multiple carry out dynamic monitoring, so that doctor is adjusted according to index of correlation at the motion of patient
Side, and patient health status is monitored by high in the clouds data management platform, athletic rehabilitation health account is set up, is most tied at last
Fruit feeds back to patient, doctor, nurse and keeper, so as to form the closed loop of the dynamic monitoring of chronic disease athletic rehabilitation and tracing management
System.Above-mentioned wearable device 1 is mainly used in gathering the heart rate value and three-dimensional acceleration value during patient motion in real time,
Preliminary treatment and storage exercise data, are then transferred to patient end 2 by bluetooth by online data or offline.Above-mentioned patient end
2 mainly for the treatment of, storage and displaying real-time reception heart rate value or offline synchronization historical movement data, tracking patient three it is high
The change of index, is putd question to responsibility doctor, inquiry exercise prescription and health knowledge, by mobile communications network by the motion of monitoring
Data and three high target data are uploaded to high in the clouds data management platform.Above-mentioned doctor terminal 3 is mainly used in replying the enquirement of patient,
Check the athletic rehabilitation health account of patient, adjust the exercise prescription of patient, then by mobile communications network by new motion
Prescription uploads to high in the clouds data management platform.Above-mentioned high in the clouds data management platform 5 is based primarily upon patient to be believed in the physical examination of hospital
Strategy, the motion number of comprehensive analysis patient are paid a return visit in breath, the health control knowledge base of different slow diseases, prescription Regulation mechanism, personalization
According to three high targets, patient health status is monitored, athletic rehabilitation health account is set up, and the result of arrangement is fed back to
Patient, doctor, nurse and keeper.
Physical examination information in the present embodiment, refers to blood glucose information (fasting blood-glucose, glycosylated hemoglobin), the blood of user
Press information (arteria brachialis systolic pressure, arteria brachialis diastolic pressure), blood fat information (triglycerides, T-CHOL, HDL, low
Density lipoprotein).
The health control knowledge base of the slow disease of difference in the present embodiment includes but is not limited to:It is the concept of health control, slow
Exercise Prevention of the definition of venereal disease, ill reason and common chronic disease etc.
Prescription Regulation mechanism in the present embodiment includes but is not limited to：According to the motion conditions of patient and index change feelings
Condition is adjusted in real time to the exercise prescription of patient, including the adjustment type of sports of patient, run duration, exercise intensity, fortune
Dynamic frequency etc..
Personalized strategy of paying a return visit in the present embodiment refers to including but not limited to：System is by analyzing and processing every patient's
Exercise data, the exclusive motion conditions evaluation information of generation patient is pushed to patient, to improve the compliance of client.
As preferred in the present embodiment, also include in system：Web service end 4, the authority to provide system manager
Management interface and Workload Account interface, and record upload interface is paid a return visit, carry out rights management, Workload Account or record
Pay a return visit record.Above-mentioned Web service end 4 is mainly used in the statistics of return visit, rights management and workload, will be paid a return visit by Ethernet
Record is uploaded to high in the clouds data management platform.
Refer to Fig. 3 is correspondence schematic diagram between each module, the wearable device 1 by Bluetooth communication protocol with
The intelligent mobile terminal connection that the patient end 2 and/or doctor terminal 3 are configured, the intelligent mobile terminal passes through GSM mobile networks
Network is connected with the high in the clouds data management platform 5, and the high in the clouds data management platform 5 passes through WAN network and the Web service end
4 connections.
Fig. 2 is refer to, as preferred in the present embodiment, the wearable device 1 includes：It is information acquisition module 10, defeated
Enter module 11, microprocessor 12, display module 13, memory module 14, power module 15 and bluetooth module 16,
Described information acquisition module 10 is connected with microprocessor 12, to the heart rate value during collection patient motion in real time
With three-dimensional acceleration value, described information acquisition module at least includes：Photo-electric heart rate detection sensor and/or acceleration sensing
Device；
The input module is connected with microprocessor 12, to setting time, the height of the patient, body weight, age
Back ground Information；
The display module 13 is connected with microprocessor 12, to show the time, the real-time heart rate value or institute
State movable information；
The memory module 14 is connected with microprocessor 12, to store the above-mentioned heart rate value and Wei Chu collected
Manage the result in device；
The bluetooth module 16 is connected with microprocessor 12, to by short-range wireless communication protocol by described in monitoring
Exercise data is transferred to the patient end；
The microprocessor 12, carries out preliminary treatment, the obtained exercise data is extremely to the initial data to collection
Include less：Average heart rate, duration, step number, distance or the heat of consumption parameter.
The power module 15, for being powered to the wearable device.
Because above-mentioned wearable device 1 includes information acquisition module 10, input module 11, microprocessor 12, display mould
Block 13, memory module 14, power module 15 and bluetooth module 16；Described information acquisition module 10 is used to gather patient motion in real time
During heart rate value and three-dimensional acceleration value；The input module 11 is for setting time and the height of patient, body weight, year
Age, the content that switching display module 13 is shown；The data of the preliminary treatment of microprocessor 12 collection, obtain the fortune of motion process
Dynamic information includes average heart rate, duration, step number, distance, the heat parameter of consumption；The display module 13 be used for show the time,
Real-time heart rate value and movable information；The memory module 14 is used to store the heart rate value of collection and the processing knot of microprocessor 12
Really；The power module 15 is powered for whole wearable device；The bluetooth module 16 is used for short-distance wireless communication, will supervise
The exercise data of survey is transferred in the APP application programs on patient end 2.
When it is implemented, user wears the information acquisition module 10 in wearable device 1, wearable device 1 before motion
The heart rate value and three-dimensional acceleration value during collection patient motion, are transported by the preliminary treatment of microprocessor 12 and storage in real time
Dynamic data, are then transferred in the APP application programs on patient end 2 by bluetooth by online data or offline.
Fig. 2 is refer to, as preferred in the present embodiment, the patient end 2 is configured as the application program of mobile phone terminal, its
Including：Motion monitoring unit 20, index tracking cell 21, memory cell 22, enquirement unit 23 and query unit 24,
The motion monitoring unit 20, the exercise data to receive and handle the wearable device,
And/or, the historical movement data stored in wearable device described in offline synchronization, while to beyond given threshold
The exercise data sends alarm；
The index tracking cell 21, three high targets being manually entered to patient described in real-time reception, while to beyond
Three high target of given threshold sends alarm；
The memory cell 22, three high targets to store heart rate value, movable information and typing；
The enquirement unit 23, to provide the patient Xiang interface that doctor puts question to check connecing for history subject of question
Mouthful；
The query unit 24, the exercise prescription newest to inquire about, the historical movement information of the patient and
The variation tendency of three high target or the health status of patient,
And, the daily motion feedback of the patient is fed back by the query unit.
Because above-mentioned patient end 2 includes motion monitoring unit 20, index tracking cell 21, memory cell 22, question sheet
Member 23 and query unit 24；The motion monitoring unit 20 is used for the exercise data for receiving, handling and showing wearable device 1,
When the heart rate of patient has exceeded warning heart rate, the unit to patient can send alarm by mobile phone；The index tracking is single
Member 21 is manually entered daily three high target (body weight, blood pressure, blood glucose, blood fat) for patient, and abnormal index can be made and carrying
Show；The memory cell 22 is used for three high targets for storing heart rate value, movable information and typing；The enquirement unit 23 is used to suffer from
Person puts question to its responsibility doctor, checks history question and answer content；The query unit 24 is used to inquire about newest exercise prescription, history
Movable information, three high target variation tendencies, health status and health knowledge.
When it is implemented, patient is when problem in terms of running into motion, by puing question to the input problem of unit 23 to be cured to its responsibility
Raw to put question to, such as patient puts question to：When whether the current kinetic time will increase or decrease, motion of its charge doctor according to patient at present
Situation, health status provide corresponding reply；The index that memory cell 22 is stored by mobile network uploads to high in the clouds number in real time
According to management platform；Patient can be with the daily kinesthesia of feedback user by such as motion is light, moves very tired, fortune by query unit
It is dynamic to be adapted to.
Fig. 2 is refer to, the application program of mobile phone terminal is configured as preferred in the present embodiment, described doctor terminal 3,
It includes：Answer unit 30, information query unit 31 and prescription adjustment unit 32；
The answer unit 30, the interface of patient's enquirement is replied to provide and connecing for history question and answer content is checked
Mouthful；
Patient query's unit 31, to check the essential information of the patient, the health account and state at motion
The implementation status of side, the health account at least includes：Physical examination information and three high target variation tendency information；
The prescription adjustment unit 32, the exercise prescription to adjust patient, at least includes：Type of sports, duration, frequency
Rate, intensity or the one or more in opportunity.
Because the doctor terminal 3 includes answering unit 30, information query unit 31 and prescription adjustment unit 32；It is described to answer
Unit 30 is used for the enquirement for replying patient, checks history question and answer content；Described information query unit 31 is used for the base for checking patient
This information, health account and exercise prescription implementation status, wherein health account include physical examination information and three high target variation tendencies；
The prescription adjustment unit 32 is used for the exercise prescription for adjusting patient.
When it is implemented, doctor inquires about the various information of patient by query unit 31, then entered using answering unit 30
Row answer.Doctor is uploaded to reply after the data management platform of high in the clouds by mobile network, and patient can pass through question sheet
Member is it can be seen that reply content, patient can also carry out adding enquirement again by enquirement unit to reply content.
Fig. 2 is refer to, as preferred in the present embodiment, the Web service end 4 includes：Pay a return visit unit 40, rights management
Unit 41, work statistic unit 42 and default configuration unit (i.e. other administrative units) 43；
The return visit unit 40, to provide return visit interface, while according to the execution of the exercise prescription of the patient
Situation, motion feedback, the change of three high targets or the return visit strategy of customization are reminded and the patient are paid a return visit in good time,
The rights management unit 41, to manage user right and configuration user role type,
The work statistic unit 42, upload interface is counted to provide the working condition of medical personnel,
The default configuration unit 43, record, health knowledge storehouse and the patient are paid a return visit to medical personnel to manage
The evaluation of service.
Due to the Web service end 4 include pay a return visit unit 40, rights management unit 41, work statistic unit 42 and other
Administrative unit 43；The return visit unit 40 is paid a return visit patient for nurse；The rights management unit 41 is managed for user
Reason, Role Management and role-security control, wherein user management are used for patient and doctor, nurse and associated；The work statistic
Unit 42 is used for the working condition for counting medical personnel；Other described administrative units 43 are used for the questionnaire of management return visit, health and known
Storehouse, patient are known to the service evaluation of responsibility doctor and charge nurse.
When it is implemented, nurse carries out the execution of follow-up, such as inquiry exercise prescription by the return visit unit 40 to client
Whether situation, wearable device and APP there is exception, perform the impression etc. of exercise prescription；Keeper passes through rights management unit
Patient is assigned to designated doctor and specified nurse under one's name by 41.Work statistic unit 42 is used to count working doctor situation and shield
Scholar's working condition.Working doctor situation statistics includes prescription adjustment work statistic and doctors and patients' alternate current operation statistics, and wherein prescription is adjusted
Full employment, which amounts to, includes this week, this month, and this year needs prescription to adjust total person-time, and prescription total number of persons is adjusted on time and people is not adjusted
It is secondary.Doctors and patients' alternate current operation statistics includes proposing problematic amount and quantity of answering a question；Nurse job situation statistics includes this week, sheet
Month, this year need to pay a return visit total person-time, total person-time is paid a return visit on time and is not paid a return visit person-time.
Fig. 2 is refer to, as preferred in the present embodiment, the high in the clouds data management platform 5, including：Data center 50,
Application server 51, Web server 52；
The data center 50, to be stored or handled based on distributed server structure：Exercise prescription, pay a return visit record,
Exercise data, three high target data, physical examination data
The application server 51, the approach of the access data center is provided to provide mobile phone terminal application program；
The Web server 52, the approach to provide data center described in WEB terminal browser access.
Because the high in the clouds data management platform 5 includes data center 50, application server 51, Web server 52, specifically
Data center 50 is used for distributed storage, processing and arranges the physical examination information data and questionnaire information, patient end 2 of hospital during implementation
Exercise data and three high target data, doctor terminal 3 adjust exercise prescription, Web service end 4 return visit record, comprehensive analysis
And patient health status is monitored, set up athletic rehabilitation health account, and by the result of arrangement feed back to patient, doctor,
Nurse and keeper.
As preferred in the present embodiment, it is configured as performing following operation in the patient end：
9-1) start, whether detection is logged in succeeds, and does not such as log in success, then gives password for change and log in again；
9-2) it is connected with the Wearable, whether detection device pairing succeeds, such as successful matching, selection equipment connection
Equipment；Such as unpaired success, equipment need to be searched for, equipment is connected after selection device pairing success；
9-3) synchronous off-line data and connected device is detected whether, such as success of connection equipment, synchrodata upload number
According to；Such as failed, return above-mentioned steps 9-2) continue detection device pairing situation and connection；
Real-time heart rate 9-4) is monitored, detects whether to connect equipment, if successful connection, real-time heart rate will be shown in equipment, such as
Heart rate risk range is reached, by dangerous early warning；If equipment connection is failed, above-mentioned steps 9-2 is returned) detection device pairing
Situation；
Three high targets 9-5) are tracked, the patient is manually entered data, then uploads data to high in the clouds data management platform；
Exercise prescription 9-6) is generated, patient is shown and taken exercise by the exercise prescription issued, moved after terminating
Feedback；
Individual center 9-7) is changed, storage at least includes：The basic document of patient, personal and family's history of disease or motion
The patient data of prescription implementation status.
Fig. 4 is the patient end implementation method schematic flow sheet in Fig. 2, specifically includes following steps：
S1 starts patient end APP, and whether detection is logged in succeeds.As do not logged in success, give password for change and log in again.
S2 Wearables are connected, and whether detection device pairing succeeds.Such as successful matching, selection equipment connection equipment；Such as
Unpaired success, need to search for equipment, select device pairing, equipment is connected after success.
S3 off-line datas are synchronous, detect whether connected device.Equipment success is such as connected, synchrodata uploads data；Such as
Not successfully, the detection device pairing situations of above-mentioned steps S 2 and connection are returned.
The real-time rhythm of the heart of S4, detects whether to connect equipment.Successful connection, equipment will show real-time heart rate, such as reach the heart
Rate risk range, by dangerous early warning；Equipment connection is failed, returns to above-mentioned steps S2 detection devices pairing situation.
The high targets of S5 tri- are tracked.Need patient to be manually entered data, then upload data, abnormal prompt is had after uploading successfully
And variation tendency.
S6 exercise prescriptions.The exercise prescription that patient is issued by doctor is shown and taken exercise, and feedback completes sense after terminating
By.
S7 individual centers.Every data such as the basic document of patient, personal and family's history of disease, exercise prescription implementation status
Storage.
Fig. 5 is the doctor terminal implementation method schematic flow sheet in Fig. 2；Specifically include following steps：
S1 starts doctor terminal APP, and whether detection is logged in succeeds.Success is not logged in, is given password for change and is logged in again.
S2 Wearables are connected, and whether detection device pairing succeeds.Successful matching, selection equipment connection equipment；Do not match somebody with somebody
To success, equipment need to be searched for, device pairing is selected, equipment is connected after success.
S3 doctors and patients exchange, and check whether there is and do not reply problem.If any problem is not replied, replied；It is considerable as replied
See reply record.
S4 case controls, select patient, check essential information；Health account；Prescription implementation status；Current kinetic prescription.
Wherein health account includes physical examination information and index variation tendency.According to data above, adjustment is reminded, and adjusts exercise prescription.
S5 individual centers.Every data such as the basic document of patient, personal and family's history of disease, exercise prescription implementation status
Storage.
Fig. 6 is the operating method schematic flow sheet at the WEB service end in Fig. 2；
S1 enters system homepage, and whether detection is logged in succeeds.As do not logged in success, give password for change and log in again.
S2 logs in success, selects account number classification, respectively nurse end and keeper end.
S3 nurse's end points hits case control, selects patient.Check essential information, modification and preservation；
S4 inquires about three high states, and selective goal checks whether index is abnormal, carries out call-on back by phone in time if any exception and remember
Record；
S5 checks prescription implementation status, checks whether heart rate displaying is abnormal, carries out call-on back by phone in time if any exception and remembers
Record；
S6 checks patient's schedule, completes impression, whether completes prescription, carries out call-on back by phone in time as unfinished and remembers
Record；
S7 checks return visit record, pays a return visit and remind, and such as needs to pay a return visit, and call-on back by phone is carried out in time and is recorded.
S8 keepers end, account rights management；Customer account management；Medical and nursing work is managed.
Refer to Fig. 7 is the method flow schematic diagram in one embodiment of the invention, and method and step is specifically included：
Wearable device is configured to gather exercise data of the patient in motion process and is synchronized to by step S100
Patient end,
Step S101 is configured with patient end and doctor terminal in mobile terminal, in the patient end to monitor the exercise data
And the three high target data of the patient are tracked, the exercise data and the three high targets data are then uploaded to high in the clouds number
According to management platform,
Step S102 is in the doctor terminal, the patient health archives to check the patient, and synchronous adjustment institute
The exercise prescription of patient is stated, in the patient health archives that the exercise prescription is updated to the high in the clouds data management platform,
High in the clouds data management platform is configured to analyze the exercise data and described three according to configuration mode by step S103
High target data, the health status to the patient is monitored, and synchronously sets up patient health archives,
Step S104 configuration Web services end, rights management interface and Workload Account to provide system manager connect
Mouthful, and record upload interface is paid a return visit, carry out rights management, Workload Account or record and pay a return visit record.
Dynamic monitoring and method for tracking and managing by the chronic disease in the present embodiment, by moving health to chronic
Real time kinematics and three high targets during multiple carry out dynamic monitoring, so that doctor is adjusted according to index of correlation at the motion of patient
Side, and patient health status is monitored by high in the clouds data management platform, athletic rehabilitation health account is set up, is most tied at last
Fruit feeds back to patient, doctor, nurse and keeper, so as to form the closed loop of the dynamic monitoring of chronic disease athletic rehabilitation and tracing management
System.
It should be appreciated that each several part of the present invention can be realized with hardware, software, firmware or combinations thereof.Above-mentioned
In embodiment, the software that multiple steps or method can in memory and by suitable instruction execution system be performed with storage
Or firmware is realized.If, and in another embodiment, can be with well known in the art for example, realized with hardware
Any one of row technology or their combination are realized：With the logic gates for realizing logic function to data-signal
Discrete logic, the application specific integrated circuit with suitable combinational logic gate circuit, programmable gate array (PGA), scene
Programmable gate array (FPGA) etc..
In the description of this specification, reference term " one embodiment ", " some embodiments ", " example ", " specifically show
The description of example " or " some examples " etc. means to combine specific features, structure, material or the spy that the embodiment or example are described
Point is contained at least one embodiment of the present invention or example.In this manual, to the schematic representation of above-mentioned term not
Necessarily refer to identical embodiment or example.Moreover, specific features, structure, material or the feature of description can be any
One or more embodiments or example in combine in an appropriate manner.
In general, the various embodiments of the disclosure can be with hardware or special circuit, software, logic or its any combination
Implement.Some aspects can be implemented with hardware, and some other aspect can be with firmware or software implementation, and the firmware or software can
With by controller, microprocessor or other computing devices.Although the various aspects of the disclosure be shown and described as block diagram,
Flow chart is represented using some other drawing, but it is understood that frame described herein, equipment, system, techniques or methods can
With in a non limiting manner with hardware, software, firmware, special circuit or logic, common hardware or controller or other calculating
Equipment or some of combination are implemented.
In addition, although operation is described with particular order, but this is understood not to require this generic operation with shown suitable
Sequence is performed or performed with generic sequence, or requires that all shown operations are performed to realize expected result.In some feelings
Under shape, multitask or parallel processing can be favourable.Similarly, although the details of some specific implementations is superincumbent to beg for
By comprising but these are not necessarily to be construed as any limitation of scope of this disclosure, but the description of feature is only pin in
To specific embodiment.Some features described in some embodiments of separation can also in combination be held in single embodiment
OK.Mutually oppose, the various features described in single embodiment can also be implemented separately or to appoint in various embodiments
The mode of what suitable sub-portfolio is implemented.
Claims (10)
1. a kind of dynamic monitoring and management system for tracking applied to chronic disease athletic rehabilitation, it is characterised in that including：
Wearable device, to gather exercise data of the patient in motion process and be synchronized to patient end,
The patient end, to monitor the exercise data and track the three high target data of the patient, then by the fortune
Dynamic data and the three high targets data are uploaded to high in the clouds data management platform,
The high in the clouds data management platform, to analyze the exercise data and the three high targets data according to configuration mode,
Health status to the patient is monitored, and synchronously sets up patient health archives,
And doctor terminal, the patient health archives to check the patient, and at the motion of patient described in synchronous adjustment
In side, the patient health archives that the exercise prescription is updated to the high in the clouds data management platform.
2. dynamic monitoring according to claim 1 and management system for tracking, it is characterised in that also include：Web service end,
Rights management interface and Workload Account interface to provide system manager, and record upload interface is paid a return visit, weighed
Limit management, Workload Account or record pay a return visit record.
3. dynamic monitoring according to claim 2 and management system for tracking, it is characterised in that the wearable device passes through
The intelligent mobile terminal that Bluetooth communication protocol is configured with the patient end and/or doctor terminal is connected, the intelligent mobile terminal
It is connected by GSM mobile networks with the high in the clouds data management platform, the high in the clouds data management platform passes through WAN network and institute
State the connection of Web service end.
4. dynamic monitoring according to claim 1 or 2 and management system for tracking, it is characterised in that the wearable device
Including：Information acquisition module, input module, microprocessor, display module, memory module, power module and bluetooth module,
Described information acquisition module is connected with microprocessor, is added to the heart rate value and three-dimensional during collection patient motion in real time
Velocity amplitude, described information acquisition module at least includes：Photo-electric heart rate detection sensor and/or acceleration transducer；
The input module is connected with microprocessor, to setting time, the height of the patient, body weight, the basis letter at age
Breath；
The display module is connected with microprocessor, to show the time, the real-time heart rate value or motion letter
Breath；
The memory module is connected with microprocessor, to store in the above-mentioned heart rate value and microprocessor collected
Result；
The bluetooth module is connected with microprocessor, to by short-range wireless communication protocol by the exercise data of monitoring
It is transferred to the patient end；
The microprocessor, carries out preliminary treatment, the obtained exercise data at least includes to the initial data to collection：
Average heart rate, duration, step number, distance or the heat of consumption parameter.
The power module, for being powered to the wearable device.
5. dynamic monitoring according to claim 1 or 2 and management system for tracking, it is characterised in that the patient end by with
The application program of mobile phone terminal is set to, it includes：Motion monitoring unit, index tracking cell, memory cell, put question to and unit and look into
Ask unit,
The motion monitoring unit, the exercise data to receive and handle the wearable device,
And/or, the historical movement data stored in wearable device described in offline synchronization, while to beyond described in given threshold
Exercise data sends alarm；
The index tracking cell, three high targets being manually entered to patient described in real-time reception, while to beyond setting threshold
Three high target of value sends alarm；
The memory cell, three high targets to store heart rate value, movable information and typing；
The enquirement unit, to provide the patient Xiang the interface that doctor puts question to and the interface for checking history subject of question；
The query unit, the exercise prescription newest to inquire about, the historical movement information of the patient and described three
The variation tendency of high target or the health status of patient,
And, the daily motion feedback of the patient is fed back by the query unit.
6. dynamic monitoring according to claim 1 or 2 and management system for tracking, it is characterised in that described doctor terminal quilt
The application program of mobile phone terminal is configured to, it includes：Answer unit, information query unit and prescription adjustment unit；
The answer unit, the patient interface putd question to and the interface for checking history question and answer content are replied to provide；
Patient query's unit, to check the essential information of the patient, the health account and state holding for exercise prescription
Market condition, the health account at least includes：Physical examination information and three high target variation tendency information；
The prescription adjustment unit, the exercise prescription to adjust patient, at least includes：Type of sports, duration, frequency, intensity
Or the one or more in opportunity.
7. dynamic monitoring according to claim 2 and management system for tracking, it is characterised in that the Web service end includes：
Pay a return visit unit, rights management unit, work statistic unit and default configuration unit；
The return visit unit, to provide return visit interface, while according to the implementation status of the exercise prescription of the patient, fortune
Dynamic feedback, the change of three high targets or the return visit strategy customized are reminded and the patient are paid a return visit in good time,
The rights management unit, to manage user right and configuration user role type,
The work statistic unit, upload interface is counted to provide the working condition of medical personnel,
The default configuration unit, pays a return visit what record, health knowledge storehouse and the patient were serviced medical personnel to manage
Evaluate.
8. dynamic monitoring according to claim 1 and management system for tracking, it is characterised in that the high in the clouds data pipe is patted
Platform, including：Data center, application server, Web server；
The data center, to be stored or handled based on distributed server structure：Exercise prescription, return visit record, motion number
According to, three high target data, physical examination data
The application server, the approach of the access data center is provided to provide mobile phone terminal application program；
The Web server, the approach to provide data center described in WEB terminal browser access.
9. dynamic monitoring and management system for tracking according to claim any one of 1-3, it is characterised in that in the patient
End is configured as performing following operation：
9-1) start, whether detection is logged in succeeds, and does not such as log in success, then gives password for change and log in again；
9-2) it is connected with the Wearable, whether detection device pairing succeeds, such as successful matching, selection equipment connection is set
It is standby；Such as unpaired success, equipment need to be searched for, equipment is connected after selection device pairing success；
9-3) synchronous off-line data and connected device is detected whether, such as success of connection equipment, synchrodata upload data；Such as
Not successfully, above-mentioned steps 9-2 is returned) continue detection device pairing situation and connection；
Real-time heart rate 9-4) is monitored, detects whether to connect equipment, if successful connection, will show real-time heart rate in equipment, and such as reach
Heart rate risk range, by dangerous early warning；If equipment connection is failed, above-mentioned steps 9-2 is returned) detection device pairing feelings
Condition；
Three high targets 9-5) are tracked, the patient is manually entered data, then uploads data to high in the clouds data management platform；
Exercise prescription 9-6) is generated, patient is shown and taken exercise by the exercise prescription issued, and motion feedback is carried out after terminating；
Individual center 9-7) is changed, storage at least includes：The basic document of patient, personal and family's history of disease or exercise prescription
The patient data of implementation status.
10. a kind of dynamic monitoring and method for tracking and managing applied to chronic disease athletic rehabilitation, it is characterised in that including following step
Suddenly：
Wearable device is configured to gather exercise data of the patient in motion process and patient end is synchronized to,
Patient end and doctor terminal are configured with mobile terminal, in the patient end to monitor the exercise data and track the trouble
The three high target data of person, are then uploaded to high in the clouds data management platform by the exercise data and the three high targets data,
In the doctor terminal, the patient health archives to check the patient, and the motion of patient described in synchronous adjustment
In prescription, the patient health archives that the exercise prescription is updated to the high in the clouds data management platform,
High in the clouds data management platform is configured to analyze the exercise data and the three high targets data according to configuration mode, it is right
The health status of the patient is monitored, and synchronously sets up patient health archives,
Also include：Configuration Web service end, rights management interface and Workload Account interface to provide system manager, with
And record upload interface is paid a return visit, carry out rights management, Workload Account or record and pay a return visit record.
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| CN117133402A (en) * | 2023-08-30 | 2023-11-28 | 广东省中医院（广州中医药大学第二附属医院、广州中医药大学第二临床医学院、广东省中医药科学院） | Method, device, equipment and readable storage medium for dynamically supervising patient rehabilitation |
| CN117524509A (en) * | 2023-11-21 | 2024-02-06 | 广东壹康医疗科技有限公司 | Household chronic disease treatment and management system |
| CN117854732A (en) * | 2024-03-08 | 2024-04-09 | 微脉技术有限公司 | Chronic disease management method and system based on big data analysis |
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