CN109065155A - A kind of remote pathological diagnosis platform and its implementation - Google Patents

A kind of remote pathological diagnosis platform and its implementation Download PDF

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Publication number
CN109065155A
CN109065155A CN201810845303.1A CN201810845303A CN109065155A CN 109065155 A CN109065155 A CN 109065155A CN 201810845303 A CN201810845303 A CN 201810845303A CN 109065155 A CN109065155 A CN 109065155A
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China
Prior art keywords
quality control
case
client
expert
diagnosis
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CN201810845303.1A
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Chinese (zh)
Inventor
张�浩
连耀华
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Guangzhou Bingli Technology Co Ltd
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Guangzhou Bingli Technology Co Ltd
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Priority to CN201810845303.1A priority Critical patent/CN109065155A/en
Publication of CN109065155A publication Critical patent/CN109065155A/en
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

The present invention relates to field of medical technology;Especially a kind of remote pathological diagnosis consultation platform and its implementation.Platform of the invention includes client, pathological section real-time transmission device and background server;Pathological section real-time transmission device is the electronic eyepiece with wireless connecting function;It realizes the acquisition of microscope downward view, and is converted into electric signal, forms video or picture;Client realizes that case creation, text/picture/video send, reserve video real time inspection mirror downward view and voice-enabled chat.Background server realizes data storage and data transmission.The long-range consulting of pathological diagnosis in real time is realized by electronic eyepiece and background server, between different clients.The present invention solve existing method need to put into great amount of cost, it is inconvenient to use, can not multiple terminals the problems such as simultaneously participating in;It can be used for the diagnosis consulting of Telepathology.

Description

A kind of remote pathological diagnosis platform and its implementation
Technical field
The present invention relates to field of medical technology;Especially a kind of remote pathological diagnosis platform and its implementation.
Background technique
Pathology are needed through institutional framework substantially, under microscope to pathological tissues and cellular morphology feature, related Endogenous and allogenic gene and/or its expression product are detected and analyzed, and have conclusive effect during diagnosis.
According to domestic actual conditions, the Pathologis phase of the Pathologis of non-line policlinic and a line city Than there are the diagnosing and treating works that the hospital of biggish knowledge and experience gap, rather than a line city assumes responsibility for most patient Make, therefore there is the remote pathological diagnosis demands of enormous amount.
The existing system for realizing the Telepathology consultation of doctors is respectively to build a set of consultation system in first visit hospital and consultation of doctors hospital, is made It with professional equipment by being electrically connected microscope, realizes to microscopical long-range control, the figure under real time inspection microscope Picture holds a consultation to pathological section.
However, Pathology Consultation system above-mentioned is influenced by factors such as office spaces;It cannot achieve in real time and not by doctor The consultation of doctors that place region, place influence.
In addition, the case where pathological diagnosis how? for the angle of medical safety, need a set of quality control system to its into Row monitoring.
And it is promoted from medical level, for the promotion angularly of healthcare givers's professional ability;It can also be by means such as networks It is achieved.
Summary of the invention
Present invention solves the technical problem that one of be to provide a kind of remote pathological diagnosis platform;It can solve above-mentioned existing Technology there are the problem of, realize long-range pathological diagnosis, Quality Control and education in real time.
Present invention solves the technical problem that two be to provide a kind of implementation method of remote pathological diagnosis platform.
The technical solution that the present invention solves one of above-mentioned technical problem is:
The platform includes client, pathological section real-time transmission device and background server;
The pathological section real-time transmission device is the electronic eyepiece with wireless connecting function;It realizes and is regarded under microscope Wild acquisition, and be converted into electric signal, form video or picture;
The client includes starting client and reception client;The client realize case diagnosis consulting, Diagnose Quality Control, education and bulletin;
The case diagnosis includes: to regard under case creation, text/picture/video transmission, reservation video real time inspection mirror Wild and voice-enabled chat;
The diagnosis Quality Control includes: mailing Quality Control, adopts figure Quality Control, real view Quality Control;
The education is live streaming and the video sharing for realizing diagnostic skill and experience;For more people on-line study simultaneously;
Background server realizes data storage and data transmission.
The client includes issuing open case module, realizes to case statement into question or shares one's experience.
The client includes personal notes module, realizes addition title, picture, content description, subspeciality label, from Defining classification records issuing time, is shared with third-party platform;And provide various second level modifications, supplementary functions.
The client includes case management module, is realized:
(1), case list, collection, concern and sharing;
(2), case details, evaluation, addition supplementary explanation, addition conclusion, addition digital slices, case comment list, new Increase comment, newly-increased second level comment;
(3), high-quality case screening, special column, subspeciality multi-class classification browsing.
The client includes notice pushing module, and user's related content is notified to have update, by newest related news It is pushed to user.
The client includes individual center module, realize personal information, Content Management, I love pathological data, I Notes, my enquirement, my sharing, my reply, my collection, my concern, my management such as good friend.
The client can be the mobile terminals such as mobile phone, or be the immobile terminals such as PC.
Two technical solution that the present invention solves above-mentioned technical problem is:
The method includes case diagnosis consulting, diagnosis Quality Control, education and bulletin;
The case diagnosis consulting includes creation case, application diagnosis, receives diagnosis, provides diagnostic result and diagnosis knot Fruit confirms basic step;
The creation case is: creating case by client by first visit doctor, Imported cases description information uses electricity It is uploaded after picture/video under specific item mirror shooting mirror, selects subspeciality belonging to case, complete case creation;
The application diagnosis is: client shows the specialist list under online subspeciality, first visit after case creation Doctor selects the expert under one or more subspecialities classification thereto to put question to;
The receiving diagnosis is: the expert selected will receive client push message and SMS, click laggard Enter the case details page in client, expert can check case description, case picture/video, then judgement be receive or This time diagnosis request of person's refusal, click accept or reject button;
After checking the links such as case description, picture/video, discussion, real-time video, expert fills in client and examines Disconnected result is simultaneously submitted;
First visit doctor receives client push, and the diagnostic result that expert provides is checked in click, if clicked true without query Recognize button, case diagnosis is completed;
The diagnosis Quality Control is after initiating Quality Control plan, to be accused of that hospital and expert receive task reminders;It is cured by Quality Control Institute provides data;Then report of charges is provided by expert opinion;Including mailing Quality Control, adopt figure Quality Control, real view Quality Control;
The mailing Quality Control is that mailing Quality Control is selected by client, and Quality Control personnel receive after pathological section in client It is evaluated;
The figure Quality Control of adopting is that first visit doctor uploads corresponding film-making picture;Quality Control personnel are to uploading to background server Film-making picture evaluated in client;It can be linked up with instant message, or initiate real view;
The described real view Quality Control is that first visit doctor with Quality Control personnel establishes connection by client;It is verified just by Quality Control personnel Diagnosis of the doctor to pathological section is examined, and the diagnosis of first visit doctor is evaluated;
The education is by the diagnostic skill of oneself and experience by experienced expert or pathologist to be broadcast live or regard Frequency mode shares background server;Other single or multiple pathologists pass through client on-line study;
The bulletin is by client announcement activity or to remind item.
The time-out time of case is arranged in the application diagnosis when puing question to, if it exceeds there are no special for the time-out time of case Family receives diagnosis request, and case becomes timeout mode, can not submit application again;
If it exceeds the time-out time expert of first visit doctor setting submits conclusion not yet, case becomes timeout mode, no Conclusion can be submitted again.
Once there is expert to receive diagnosis application, other experts cannot receive this time to diagnose application again;
If expert has rejected diagnosis request, this case can resubmit diagnosis application to other experts.
The method further includes that case is discussed;The discussion case is first visit doctor after expert receives diagnosis request Text/picture/video can be sent in client between expert to link up.
The method further includes real-time video;For the case having a question, can pass through between first visit doctor and expert Reservation video mode checks mirror downward view;Implementation process is:
Subscription time is linked up by text in client, first visit doctor initiates video reservation, and expert receives reservation;
Reservation starts front platform and pushes client notification to visiting physician and expert respectively;
Electronic eyepiece is connected on microscope by first visit doctor, opens client, adjusts mirror downward view, is found and is had a question Region, preview video, initiates real-time video on the client;
Expert clients receive the notice of real-time video at this time, click and real-time video is added after agreeing to;
Video both sides can see real-time mirror downward view on mobile phone screen, be exchanged by voice, and can be with It is labeled on client screen, it is indicated that the region having a question;
For intractable case, multidigit expert can also be invited to simultaneously participate in the consultation of doctors, all experts can see on the client To real-time mirror downward view, communication exchange is carried out by voice;
If also had a question, first visit doctor, which can choose, continues discussing case, back to discussion case link.
In the method, for the case that first visit doctor and expert cannot reach an agreement, arbitration function is provided in client Can, expert's participation consultation of doctors can be distributed by clicking rear platform, provide final diagnostic result.
In the method, it is expert that Quality Control center, which can add client user, is responsible for giving a mark to by Quality Control hospital;
It is each that a Quality Control responsible person is had by Quality Control hospital, it will receive Quality Control task in the client, for single Quality Control Plan has several experts just to show several tasks.
Marking described in 1 is realized by Quality Control marking template, can input multiple marking items and reciprocal fraction, and single Quality Control is appointed It is engaged in sharing a marking template.
The diagnosis Quality Control is realized by Management of quality control backstage:
(1) Quality Control is initiated to need to select multiple experts;
(2) all hospitals use same special quality control mode;
(3) after initiating Quality Control, push is sent to by the responsible person of Quality Control hospital, is reminded;
(4) Quality Control is initiated, may choose whether to send short message prompt to by Quality Control hospital;
It is realized by expert analysis mode end:
(1) invisible to all experts by Quality Control information for hospital when scoring, it can be shown as " hospital 01 " " hospital 02 ", together Sample does not know that whom expert is by Quality Control hospital, belongs to double blind Quality Control;
(2) when scoring, for same hospital, the scoring expert between two experts is invisible, only oneself visible scoring;
(3) after whole expert analysis modes, the visible information for hospital of expert's;
It (4) is the sum of all expert analysis modes by Quality Control hospital score, the score of all marking items is added;
(5) go out Quality Control report after announcing result, expert is just it can be seen that the scoring of other experts;
(6) Quality Control report is automatically generated, shows expert estimation and comment;
It is realized by Quality Control hospital end:
(1) it receives and checks and post/adopt figure/reality view Quality Control task;
(2) it uploads case and initiates real view;
(3) Quality Control task is submitted;
(4) check that Quality Control is reported.
Beneficial effects of the present invention are as follows:
1, at low cost, using platform and method of the invention, without the expensive consultation system of purchase, by means of electronic eyepiece (buying of first visit hospital) and cell phone application (installing APP on the intelligent terminal of first visit doctor and expert) can help pathologist Remotely complete real-time/non-real time diagnostic work.
2, flexible and convenient, first visit hospital only needs to upload pathological picture, and expert is waited to provide diagnostic result.The consultation of doctors is special Family can open the pathological picture that APP checks hospital's upload of paying a home visit at any time, and using the various ways such as text/picture/voice into Row is linked up, and for the case having a question, hospital of can also and paying a home visit carries out video, the sectioning image under real time inspection microscope.
3, system and method through the invention can be realized simultaneously the diagnosis consulting of pathology, the Quality Control of diagnosis, medical matters people The educational training of member and the bulletin of announcing matters;Be conducive to the value of performance system.
4, the wireless connecting function of electronic eyepiece allows to have multiple client simultaneously.
Detailed description of the invention
The following further describes the present invention with reference to the drawings:
Fig. 1 is paralell composition of the present invention;
Fig. 2 is pathology application diagnostic flow chart of the present invention;
Fig. 3 is diagnosis consulting flow chart of the present invention;
Fig. 4 is present invention reservation video implementation flow chart.
Specific embodiment
As shown in Figure 1, platform of the invention includes client, pathological section real-time transmission device and background server;Disease Reason slice real-time transmission device is the electronic eyepiece with wireless connecting function;Realize microscope downward view acquisition, and by its It is converted to electric signal, forms video or picture.Client includes starting client and reception client;The client is realized Case diagnosis consulting, diagnosis Quality Control, education and bulletin;Case diagnosis includes: that case creates, text/picture/video is sent, pre- About video real time inspection mirror downward view and voice-enabled chat;Diagnosis Quality Control includes: mailing Quality Control, adopts figure Quality Control, real view Quality Control;Education It is live streaming and the video sharing for realizing diagnostic skill and experience;For more people on-line study simultaneously.Background server realizes that data are deposited Storage and data transmission.
In addition, client includes issuing open case module, realizes to case statement into question or share one's experience.User can be with Issue case at any time by client (according to the movement or immobile terminal for having APP of the present invention), statement into question or It shares one's experience.Issuing open case can allow platform other users to be consulted, if statement into question can more rapidly obtain multi-party warp It tests and opinion, makes the diagnostic result of case more rigorous.If sharing one's experience, the other users of platform can be allowed to extract experience from, learned It practises and progressive, helps them while itself popularity can also be promoted.After case publication, platform can also in individual center and Content Management classifies to the case information record of publication and personalization system, and user is allowed conveniently to arrange case letter Breath.
Client includes personal notes module, is directed to certain customers and wishes to save private note or private case, platform Personal notes function is provided.Addition title, picture, content description, subspeciality label may be implemented in individual's notes part, customized Classification records issuing time, is shared with third-party platform;And provide various second level modifications, supplementary functions.
The case management module of client, may be implemented:
(1), case list, collection, concern and sharing;
[oneself interested department's label] is added in user registration course or is added or deleted after registering in individual center It can be that user filters out personalized summary table by the background system of platform according to the intention of user, [first after [label that I pays close attention to] Page] on show with time shaft successively (content of newer publication is on more), content includes: article, case, recommendation.
User can click [collection] button to more excellent case, and case is saved in the favorites list.[personal Center] case list that collection is checked in [my collection] and [Content Management], there is storage to record in valuable case, article Function.
For wishing that the real-time dynamic case of sustainable concern can click [concern] button, case is saved in concern In list.The case list of concern is checked in [individual center] [my concern] and [Content Management].Meanwhile when case has It, can the heart receives message informing and receives case dynamic progress in the notification in time when new comment, supplementary explanation, diagnostic result Mobile phone push.
User, which can share oneself [individual takes down notes] [all disclosed cases] and [article], arrives third-party platform (circle of friends, wechat, QQ), more convenient user inquire into or share to case, reach from love pathology platform and come into user's work It encloses.
(2), case details, evaluation, addition supplementary explanation, addition conclusion, addition digital slices, case comment list, new Increase comment, newly-increased second level comment;
Case details can check the case details of user's publication, and details include: case author information, disease The relevant picture of example, case description, supplemental information, diagnostic result, the comment of digital slices and other users to the case (all comments of the modes such as voice, text, picture and picture and text), opposite temperature information (including case by collection number, be concerned Number, frequency of reading).
Case evaluation is scored to user according to the indices of platform, is fed back including multi-class classification and case problem Two big functions;Multi-class classification, at present with common cases, intractable case, classical case, rare case for four big classifications, according to point Class data statistics, pushes case, is pushed to different user.Case problem feedback, at present with opinion will not, information whether It is complete, whether dehydration problematic, slice problem, colouring problem, picture problem, supplemental information etc..It is described, is fed back to by text Author, allows author's supplemental information again, advanced optimizes content of platform quality;Operation department can also be fed back to simultaneously, allows operation Department is more objective to recognize content quality, more advantageously promotes content quality, helps author to provide horizontal.
Addition supplementary explanation, with the case details issued based on oneself, subsequent addition " supplementary explanation " is preferably perfect, mends Full content information;Supplementary explanation includes title, content and picture etc..
Conclusion is added, adds diagnostic result for case, diagnostic result may include content and picture.
Digital slices are added, digital slices relevant to case are generated by third party device, uploads on platform, makes User can easily browse digital slices by platform.
Case comments on list, for the case that other users are initiated, can provide enquirement to case after access, suggest, begs for By;Comment is ranked up, replicate, is reported;Or it delivers and agrees with or disapproving comment information.Sequence: all comment letters Breath will sort out a list, and user can select temperature sequence, time positive sequence, time inverted order to arrange comment personalizedly List sorting browsing.Duplication: user can replicate comment text.Report: for being unfavorable for content of platform information, act can be passed through Report, is timely fed back to Platform center.Agree with, do not agree with: users can be led by click [△ is agreed with] [▽ is not agreed with] It sees ground to support commentator or do not agree with, preferably top set goes out high-quality comment information whether by supporting.
Newly-increased comment, user are expressed one's opinion by delivering " comment " when going sight-seeing case details, give suggestion Or statement into question.In order to optimize the experience of reply, platform not only provides text input, also mentioned@function, addition picture and Add network address.@function can be picked out from oneself concern list or bean vermicelli list allows the user of prompting, the use being alerted Family can be in notified prompting, and receives mobile phone pushed information, more targetedly point-to-point information communication.Adding picture can be with From the original picture of case, the picture for wanting to upload is chosen in user oneself mobile phone photo album, enriches the content of comment, it is more quasi- The really idea of expression user.Network address is added, when user uses http: // or https: the network address of // beginning works as tourist Check that comment can click directly on [web page interlinkage] and check webpage information.
Newly-increased second level comment when user comment, can carry out second level reply by clicking comment list, comment area be allowed to have more The form of standby dialogue promotes the clarity that user inquires into logic.
(3), high-quality case screening, special column, subspeciality multi-class classification browsing.
According to the temperature of case, expert and director etc. can be assessed content matter, and platform will filter out high-quality case It is stored in [high-quality case] list, user more advantageously can quickly check high-quality case.
Premium content contributor, official of hospital etc. can open special column, explain comprising case, knowledge point explanation etc..Periodically It updates, knowledge more systematization.User more advantageously can quickly check.
Subspeciality multi-class classification browsing may be implemented convenient to check each subspeciality all the elements.
Client is additionally provided with notice pushing module, notifies user's related content to have update, pushes newest related news To user.
By the individual center module of client, personal information, Content Management, my love pathological data, my pen are realized Note, my enquirement, my sharing, my reply, my collection, my concern, my management such as good friend.
In order to ensure information security, platform does not provide account mode in page end and logs in, and can only sweep one by client end AP P Function login is swept, that is, facilitates user login operation, and the safety of user information can be reinforced.
All information related to user all show in personal information, the inside include personal essential information, occupational information, My bean vermicelli, the people that I pays close attention to, the case that I pays close attention to, I am to the sharing of case, reply, collection, enquirement, concern etc., here Quite there is summarizing for personal information.
Content managing module is that collection case to oneself, article, personal notes are managed collectively, screen and check, is led to This function is crossed, oneself content of concern can be allowed in perfect order.
My love pathological data can be shown herein in the number of days for liking that pathology logs in, learns, the case load of study, Case is putd question to, case is shared, and participates in interaction, the number replied etc.;See that user is movable comprehensive in love pathology client Data.
The open case module of the publication of client above-mentioned, the case management module of client, notice pushing module, individual Each functional module such as center module clicks to enter each module according to operation interface after logging in client, according to interface content or Prompt carries out corresponding operation.
In addition it is also possible to client issue article, article have the function of more flexible typesetting, can arbitrarily intert text and Picture provides powerful editor function, pluggable case, web page interlinkage etc., more professionally shows the interior of user Hold information.
As shown in figure 3, being pathological diagnosis consulting process of the invention;By electronic eyepiece, cell phone application (client), after Platform server realizes the process.
Electronic eyepiece completes the acquisition of microscope downward view, and is converted to electric signal, and form has video or picture.
Cell phone application is used to complete case creation, text/picture/video is sent, reservation video real time inspection mirror downward view, The functions such as voice-enabled chat.
Background server completes data storage and data transmission.
One complete diagnosis process of the present invention includes creation case, application diagnosis, receive to diagnose, provide diagnostic result, The links such as diagnostic result confirmation, form complete closed loop.It also may include that case and in real time is discussed in addition, in process above-mentioned Video link.
Create case: the pathologist (hereinafter referred to as " first visit doctor ") of first visit hospital creates case by cell phone application, defeated Enter case description information, is shot using electronic eyepiece and uploaded after picture/video under mirror, selected subspeciality belonging to case, complete Case creation.
Application diagnosis: cell phone application can show the specialist list under online subspeciality after case creation, and first visit doctor can To select the expert (hereinafter referred to as " expert ") under one or more subspecialities classification thereto to put question to, when enquirement, is arranged The time-out time of case.
It is as shown in Fig. 2 that pathology creates the detailed process diagnosed to application.
Receive diagnosis: the expert selected will receive the PUSH message and SMS of APP, enter in APP after click Case details page, expert can check case description, case picture/video, and then judgement receives or refusal this time diagnoses Request, click accept or reject button.
Once there is expert to receive diagnosis application, other experts cannot receive this time to diagnose application again.
If expert has rejected diagnosis request, this case can resubmit diagnosis application to other experts.
If it exceeds there are no experts to receive diagnosis request for the time-out time of case, case becomes timeout mode, can not be again Secondary submission application.
Case is discussed: after expert receives diagnosis request, text/figure can be sent between first visit doctor and expert in APP Piece/video is linked up.
For the case having a question, it can also be checked under mirror and be regarded by reservation video mode between first visit doctor and expert It is wild.
Detailed process: linking up subscription time by text in APP, and first visit doctor initiates video reservation, and expert receives pre- About.Reservation starts front platform and pushes APP notice to visiting physician and expert respectively, and electronic eyepiece is connected to micro- by first visit doctor On mirror, APP is opened, mirror downward view is adjusted, finds the region having a question, the preview video on APP initiates real-time video, at this time Expert APP receives the notice of real-time video, clicks and real-time video is added after agreeing to.Video both sides can be in mobile phone screen It to real-time mirror downward view, is exchanged, and can be labeled on mobile phone screen by voice, it is indicated that the area having a question Domain.
For intractable case, multidigit expert can also be invited to simultaneously participate in the consultation of doctors, all experts can see on mobile phone Real-time mirror downward view, carries out communication exchange by voice.
After checking the links such as case description, picture/video, discussion, real-time video, expert fills in diagnosis in APP As a result it and submits.
If it exceeds the time-out time expert of first visit doctor setting does not submit conclusion, case becomes timeout mode, cannot Conclusion is submitted again.
First visit doctor receives APP push, and the diagnostic result that expert provides is checked in click, if clicking confirmation without query Button, case diagnosis are completed.
If also had a question, first visit doctor, which can choose, continues discussing case, and process, which returns to, discusses case link.
For the case that first visit doctor and expert cannot reach an agreement, arbitration function is provided in APP, clicking rear platform can divide It participates in holding a consultation with expert, provides final diagnostic result.
As shown in figure 4, can be checked under mirror and be regarded by reservation video mode between first visit doctor and expert such as case query It is wild;Implementation process is:
Subscription time is linked up by text in client, first visit doctor initiates video reservation, and expert receives reservation;
Reservation starts front platform and pushes client notification to visiting physician and expert respectively;
Electronic eyepiece is connected on microscope by first visit doctor, opens client, adjusts mirror downward view, is found and is had a question Region, preview video, initiates real-time video on the client;
Expert clients receive the notice of real-time video at this time, click and real-time video is added after agreeing to;
Video both sides can see real-time mirror downward view on mobile phone screen, be exchanged by voice, and can be with It is labeled on client screen, it is indicated that the region having a question;
For intractable case, multidigit expert can also be invited to simultaneously participate in the consultation of doctors, all experts can see on the client To real-time mirror downward view, communication exchange is carried out by voice;
If also had a question, first visit doctor, which can choose, continues discussing case, back to discussion case link.
Present invention diagnosis Quality Control above-mentioned is after initiating Quality Control plan, to be accused of that hospital and expert receive task reminders;Quilt Quality Control hospital provides data;Then report of charges is provided by expert opinion;Including mailing Quality Control, adopt figure Quality Control, real view Quality Control.
Post Quality Control: pathology Quality Control center periodically or non-periodically according to the actual situation carries out each hospital pathology department of subordinate complete Face quality examination or selective examination may be selected mailing slicing mode by Quality Control pathology department and participate in Quality Control.Mailing matter is selected by client Control, is mailed to Quality Control center for pathological section, Quality Control personnel evaluate after receiving pathological section in client.
Adopt figure Quality Control: pathology Quality Control center periodically or non-periodically according to the actual situation carries out each hospital pathology department of subordinate complete Face quality examination or selective examination may be selected uploading pictures mode by Quality Control pathology department and participate in Quality Control.It is uploaded by first visit doctor corresponding Film-making picture;Quality Control personnel evaluate the film-making picture for uploading to background server in client.
Real view Quality Control: pathology Quality Control center periodically or non-periodically according to the actual situation carries out each hospital pathology department of subordinate complete Face pathological diagnosis quality examination or selective examination.It is that first visit doctor and Quality Control personnel by client establish connection;By Quality Control personnel's core Diagnosis of the real first visit doctor to pathological section, and the diagnosis of first visit doctor is evaluated.
Quality Control personnel or first visit doctor can check that Quality Control is reported by client.
It is expert that Quality Control center, which can add client user, is responsible for giving a mark to by Quality Control hospital;
It is each that a Quality Control responsible person is had by Quality Control hospital, it will receive Quality Control task in the client, for single Quality Control Plan has several experts just to show several tasks.
Marking above-mentioned is realized by Quality Control marking template, can input multiple marking items and reciprocal fraction, and single Quality Control is appointed It is engaged in sharing a marking template.
Quality Control is diagnosed to be realized by Management of quality control backstage:
(1) Quality Control is initiated to need to select multiple experts;
(2) all hospitals use same special quality control mode;
(3) after initiating Quality Control, push is sent to by the responsible person of Quality Control hospital, is reminded;
(4) Quality Control is initiated, may choose whether to send short message prompt to by Quality Control hospital;
It is realized by expert analysis mode end:
(1) invisible to all experts by Quality Control information for hospital when scoring, it can be shown as " hospital 01 " " hospital 02 ", together Sample does not know that whom expert is by Quality Control hospital, belongs to double blind Quality Control;
(2) when scoring, for same hospital, the scoring expert between two experts is invisible, only oneself visible scoring;
(3) after whole expert analysis modes, the visible information for hospital of expert's;
It (4) is the sum of all expert analysis modes by Quality Control hospital score, the score of all marking items is added;
(5) go out Quality Control report after announcing result, expert is just it can be seen that the scoring of other experts;
(6) Quality Control report is automatically generated, shows expert estimation and comment;
It is realized by Quality Control hospital end:
(1) it receives and checks and post/adopt figure/reality view Quality Control task;
(2) it uploads case and initiates real view;
(3) Quality Control task is submitted;
(4) check that Quality Control is reported.
Education is by the diagnostic skill of oneself and experience by experienced expert or pathologist to be broadcast live or video mode Share background server;Other single or multiple pathologists pass through client on-line study.
The bulletin is by client announcement activity or to remind item.
The above specific embodiment is the description of the invention, and it is not intended to limit the protection scope of the present invention;It is all according to upper The bright equivalence changes obtained are stated, all should belong to protection scope of the present invention.

Claims (16)

1. a kind of remote pathological diagnosis platform, it is characterised in that: the platform includes client, pathological section real-time transmission dress It sets and background server;
The pathological section real-time transmission device is the electronic eyepiece with wireless connecting function;Realize microscope downward view Acquisition, and be converted into electric signal, form video or picture;
The client includes starting client and reception client;The client realizes case diagnosis consulting, diagnosis Quality Control, education and bulletin;
The case diagnosis include: case creation, text/picture/video send, reservation video real time inspection mirror downward view and Voice-enabled chat;
The diagnosis Quality Control includes: mailing Quality Control, adopts figure Quality Control, real view Quality Control;
The education is live streaming and the video sharing for realizing diagnostic skill and experience;For more people on-line study simultaneously;
Background server realizes data storage and data transmission.
2. platform according to claim 1, it is characterised in that: the client includes issuing open case module, real Now to case statement into question or share one's experience.
3. platform according to claim 1, it is characterised in that: the client includes personal notes module, and realization adds Attach Title, picture, content description, subspeciality label, customized classification record issuing time, are shared with third-party platform;And Various second level modifications, supplementary functions are provided.
4. platform according to claim 1, it is characterised in that: the client includes case management module, is realized:
(1), case list, collection, concern and sharing;
(2), case details, evaluation, addition supplementary explanation, addition conclusion, addition digital slices, case comment list, newly-increased comment By, newly-increased second level comment;
(3), high-quality case screening, special column, subspeciality multi-class classification browsing.
5. platform according to claim 1, it is characterised in that: the client includes notice pushing module, and notice is used Family related content has update, newest related news is pushed to user.
6. platform according to claim 1, it is characterised in that: the client includes individual center module, is realized a People's information, Content Management, I love pathological data, I notes, I enquirement, I sharing, I reply, I collection, My concern, my good friend etc. manage.
7. platform according to claim 1, it is characterised in that: the client can be the mobile terminals such as mobile phone, or Person is the immobile terminals such as PC.
8. a kind of implementation method of platform described in claim 1, it is characterised in that: the method include case diagnosis consulting, Diagnose Quality Control, education and bulletin;
It includes creation case that the case diagnosis, which is seeked advice from, apply for diagnosis, receiving diagnosis, provide diagnostic result and diagnostic result is true Recognize basic step;
The creation case is: creating case by client by first visit doctor, Imported cases description information uses electronics mesh It is uploaded after picture/video under mirror shooting mirror, selects subspeciality belonging to case, complete case creation;
The application diagnosis is: client shows the specialist list under online subspeciality, first visit doctor after case creation The expert under one or more subspecialities classification thereto is selected to put question to;
The receiving diagnosis is: the expert selected will receive client push message and SMS, and visitor is entered after click Case details page in the end of family, expert can check case description, case picture/video, and then judgement is to receive or refuse This time diagnosis request, click accept or reject button absolutely;
After checking the links such as case description, picture/video, discussion, real-time video, expert fills in diagnosis knot in client Fruit is simultaneously submitted;
First visit doctor receives client push, and the diagnostic result that expert provides is checked in click, if clicking confirmation without query and pressing Button, case diagnosis are completed;
The diagnosis Quality Control is after initiating Quality Control plan, to be accused of that hospital and expert receive task reminders;By Quality Control, hospital is mentioned For data;Then report of charges is provided by expert opinion;Including mailing Quality Control, adopt figure Quality Control, real view Quality Control;
The mailing Quality Control is that mailing Quality Control is selected by client, and Quality Control personnel carry out after receiving pathological section in client Evaluation;
The figure Quality Control of adopting is that first visit doctor uploads corresponding film-making picture;Quality Control personnel are to the system for uploading to background server Piece picture is evaluated in client;It can be linked up with instant message, or initiate real view;
The described real view Quality Control is that first visit doctor with Quality Control personnel establishes connection by client;First visit doctor is verified by Quality Control personnel The raw diagnosis to pathological section, and the diagnosis of first visit doctor is evaluated;
The education is by the diagnostic skill of oneself and experience by experienced expert or pathologist to be broadcast live or video side Formula is shared to background server;Other single or multiple pathologists pass through client on-line study;
The bulletin is by client announcement activity or to remind item.
9. according to the method described in claim 8, it is characterized by:
The time-out time of case is arranged in the application diagnosis when puing question to, if it exceeds there are no experts to connect for the time-out time of case Diagnosis request is received, case becomes timeout mode, can not submit application again;
If it exceeds the time-out time expert of first visit doctor setting submits conclusion not yet, case becomes timeout mode, Bu Nengzai Submit conclusion.
10. according to the method described in claim 8, it is characterized by:
Once there is expert to receive diagnosis application, other experts cannot receive this time to diagnose application again;
If expert has rejected diagnosis request, this case can resubmit diagnosis application to other experts.
11. according to the method described in claim 8, it is characterized by: the method further includes that case is discussed;The discussion Case be expert receive diagnosis request after, can be sent in client between first visit doctor and expert text/picture/video into Row is linked up.
12. according to the method described in claim 8, it is characterized by: the method further includes real-time video;For having a question Case, between first visit doctor and expert can by reserve video mode check mirror downward view;Implementation process is:
Subscription time is linked up by text in client, first visit doctor initiates video reservation, and expert receives reservation;
Reservation starts front platform and pushes client notification to visiting physician and expert respectively;
Electronic eyepiece is connected on microscope by first visit doctor, opens client, is adjusted mirror downward view, is found the area having a question Domain, preview video, initiates real-time video on the client;
Expert clients receive the notice of real-time video at this time, click and real-time video is added after agreeing to;
Video both sides can see real-time mirror downward view on mobile phone screen, be exchanged by voice, and can be in visitor It is labeled on the screen of family end, it is indicated that the region having a question;
For intractable case, multidigit expert can also be invited to simultaneously participate in the consultation of doctors, all experts can see reality on the client When mirror downward view, communication exchange is carried out by voice;
If also had a question, first visit doctor, which can choose, continues discussing case, back to discussion case link.
13., cannot for first visit doctor and expert according to the method described in claim 8, it is characterized by: in the method The case reached an agreement, client is interior to provide arbitration function, and expert's participation consultation of doctors can be distributed by clicking rear platform, provides final examine Disconnected result.
14. according to the method described in claim 8, it is characterized by: Quality Control center can add client in the method User is expert, is responsible for giving a mark to by Quality Control hospital;
It is each that a Quality Control responsible person is had by Quality Control hospital, it will receive Quality Control task in the client, for single Quality Control plan There are several experts just to show several tasks.
15. according to the method for claim 14, it is characterised in that: the marking realized by Quality Control marking template, can be with Input multiple marking items and reciprocal fraction, one marking template of single Quality Control task sharing.
16. according to method described in claim 8,14 or 15, it is characterised in that: the diagnosis Quality Control is by Management of quality control backstage It realizes:
(1) Quality Control is initiated to need to select multiple experts;
(2) all hospitals use same special quality control mode;
(3) after initiating Quality Control, push is sent to by the responsible person of Quality Control hospital, is reminded;
(4) Quality Control is initiated, may choose whether to send short message prompt to by Quality Control hospital;
It is realized by expert analysis mode end:
(1) invisible to all experts by Quality Control information for hospital when scoring, " hospital 01 " " hospital 02 ", equally quilt can be shown as Quality Control hospital does not know that whom expert is, belongs to double blind Quality Control;
(2) when scoring, for same hospital, the scoring expert between two experts is invisible, only oneself visible scoring;
(3) after whole expert analysis modes, the visible information for hospital of expert's;
It (4) is the sum of all expert analysis modes by Quality Control hospital score, the score of all marking items is added;
(5) go out Quality Control report after announcing result, expert is just it can be seen that the scoring of other experts;
(6) Quality Control report is automatically generated, shows expert estimation and comment;
It is realized by Quality Control hospital end:
(1) it receives and checks and post/adopt figure/reality view Quality Control task;
(2) it uploads case and initiates real view;
(3) Quality Control task is submitted;
(4) check that Quality Control is reported.
CN201810845303.1A 2018-07-27 2018-07-27 A kind of remote pathological diagnosis platform and its implementation Pending CN109065155A (en)

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