CN109801715A - A kind of ICF assessment system being used for chronic obstructive pulmonary disease respiratory convalescence based on Internet of Things - Google Patents
A kind of ICF assessment system being used for chronic obstructive pulmonary disease respiratory convalescence based on Internet of Things Download PDFInfo
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Abstract
The invention discloses a kind of ICF assessment systems that chronic obstructive pulmonary disease respiratory convalescence is used for based on Internet of Things comprising data collection end, digitalizer, cloud processor, the assessment end ICF and clinical service end, wherein digitalizer acquires COPD patient related data；It is communicated between data collection end and cloud processor, is analyzed by data of the cloud processor to acquisition, generate preliminary ICF assessment and recommended rehabilitation opinion and be transferred to ICF assessment end；ICF assesses end and generates ICF assessment result and rehabilitation guide opinion, and is sent to clinical service end through cloud processor.The system can complete the assessment of ICF various dimensions, and provide hurt of rehabilitation scheme to patient according to COPD patient correlation scale data.
Description
Technical field
The invention belongs to medical complete set of equipments and information technology fields, and in particular to one kind is used for chronic obstructive pulmonary disease based on Internet of Things
The ICF assessment system of respiratory convalescence, more particularly to one kind based on cloud computing technology, for COPD patient ICF assessment and
The Internet of things system of rehabilitation monitoring.
Background technique
Chronic obstructive pulmonary disease (COPD) is a kind of systemic disease, occupies the 4th of world's Death causes at present, it is contemplated that
The third position of the chronic disease cause of the death will be risen to 2020.National epidemiological investigation data shows that China has 100,000,000 within 2017
COPD patient, and 90% patient is not treated clearly.The adult chronic obstructive pulmonary disease illness rate in China 20 years old or more is
8.6%, then up to 13.7%, 60 years old or more prevalence is more than 27% within 40 years old or more.The exercise tolerance of COPD patient and life
Bioplasm amount decreased significantly, disable, lethality it is high, cause major disease to bear.With China's aging and air pollution
Problem is on the rise, and the medical burden of COPD patient gradually aggravates.COPD crowd's life quality how is improved, progression of disease is delayed
It is the major therapeutic goals of COPD.
Lung rehabilitation is the important measures that COPD patient lung function and symptom improve, be it is currently the only be proved it is applicable
The therapeutic modality of existence can be extended in COPD each group, pointed out according to newest ATS/ERS lung clinical rehabilitation practice guideline: comprehensive lung
Rehabilitation complex treatment be include important content in drug and the Normalized Treatment of non-drug, can efficiently and effectively reach stablize or
COPD general manifestation is reversed, acute exacerbation number is reduced and readmission is led, to reduce the therapeutic strategy of medical expense.
The interdisciplinary rehabilitation of high quality, continuity and safety is most important.In order to more effectively carry out interdisciplinary group
Team's work, needing common technology and platform, different COPD patients carries out the evaluation of Comprehensive and clinic refers to be directed to
It leads.In order to reduce the imbalance of medical treatment or the difference of rehabilitation guide to the greatest extent, it is also desirable to the technology and platform of unified standardization
Carry out the overall condition of design code evaluation COPD patient.ICF be WHO be applied to health in relation to the categorizing system in field it, provide
A kind of standardized language enables different subjects in the world to exchange the information of related health and health care with the expert of professional domain.
The final purpose of ICF categorizing system is also to establish a kind of unification, standardized term system, so as to the result to health status
Classify, and informative theoretical frame is provided.ICF system participates in from body structure and function, activity, this four sides of environment
Face is assessed, therefore is more suitable for the comprehensive assessment of patient.So ICF core classification scale has weight in development and application COPD
Want meaning.
Summary of the invention
In order to comply with the unified standard development trend of COPD patient Rehabilitation Treatment Technique and platform, it is contemplated that many COPD
The rehabilitation of patient is mainly that the actual conditions of long-range monitoring or guidance are carried out or needed outside hospital, we design
It calculated with acquisition patient information, cloud, the assessment of ICF various dimensions, information feedback, doctor assisted to instruct the functions such as rehabilitation
Based on Internet of Things medical technology, for the ICF assessment system of chronic obstructive pulmonary disease respiratory convalescence.The mass data of cloud computer calculate and
Storage capacity provides support for the operation of the system.Specifically, the present invention includes following technical solution.
A kind of ICF assessment system being used for chronic obstructive pulmonary disease respiratory convalescence based on Internet of Things comprising: data collection end, number
Makeup is set, cloud processor, ICF assess end and clinical service end, and wherein the connection of data collection end is to acquire COPD patient phase
Close the digitalizer of data；The data collection end between Internet/Intranet network and cloud processor by carrying out
Communication, the data obtained from data collection end are analyzed by cloud processor, by ICF assessment agreement (protocol) or
Standard generates preliminary ICF assessment and recommends rehabilitation opinion；Preliminary ICF is assessed and is recommended rehabilitation opinion by leading to by cloud processor
It interrogates link transmission and assesses end to ICF, ICF assessment end is audited and revised to the result of above-mentioned transmission, and ICF assessment result is generated
With rehabilitation guide opinion, and ICF assessment result and rehabilitation guide opinion are transferred to cloud processor by communication link；Cloud
ICF assessment result and rehabilitation guide opinion are sent to clinical service end by processor.The ICF assessment result and rehabilitation guide opinion
It can assist doctor that COPD patient is instructed to carry out rehabilitation.
COPD patient related data is changed into after electric signal by above-mentioned digitalizer is resent to data collection end, data
It collects end and the COPD patient related data is stored in storage unit, display on the display unit, utilizes data processing unit
After processing, cloud processor is transmitted to through communication unit.
In one embodiment, above-mentioned digitalizer be used for COPD patient information (including name, gender, the age,
Height, weight, blood pressure, heart rate, image etc.) it is acquired, the source of information includes at least one in the following group: case history system
System, patient's wearable device, inspection apparatus (including lung function, ventilator, CT scanner, B ultrasound machine etc.), human-computer interaction platform
Related scale, data remedy upwards transmission port.
Preferably, it includes man-machine interaction unit that ICF, which assesses end, and for carrying out rehabilitation communication with doctor, ICF assesses end
Cloud processor is sent to by result is exchanged using communication link.
In one embodiment, above-mentioned data collection end and digitalizer are attached by computer interface.
Above-mentioned cloud processor includes the first communication unit, and first communication unit is received by communication link from described
The data that data collection end is sent, the first communication unit connect the cloud computer to be analyzed data.
Above-mentioned cloud processor may include cloud data processing centre, and it includes cloud calculation procedures, for data
Analyzed and generated the adjustment suggestion of ICF assessment result and Rehabilitation content.
Preferably, the cloud calculation procedure include node Node1, Node2, Node3, Node4, Node5, Node6 and
At least one of Node7, wherein Node1 is source data bases, and Node2 is hospital's case history subsystem, Node3 ICF
Assessment result generates system, and Node4 is man-machine AC system, and Node5 is professional intercommunion platform system, Node6 be ICF assess and
Rehabilitation teaching resources library, Node7 are COPD patient data download library.
According to an aspect of the present invention, above-mentioned ICF assessment end includes the second communication unit, and the second communication unit passes through logical
News link receives the data sended over from cloud processor, and the second communication unit connects processing unit, and processing unit will receive
Data be stored in massive store unit, man-machine interaction unit reads from massive store unit according to instruction and data and shows
Show, or data are sent back into the cloud processor by communication link.
Above-mentioned clinical service end includes third communication unit, and third communication unit is received from cloud by communication link and handled
The data that device is sent, third communication unit connect processing unit, and received data are stored in massive store by processing unit
Unit, man-machine interaction unit read data according to instruction and are shown from massive store unit.
The present invention can be passed through according to the COPD patient correlation scale data of collection, after integrating patient's basic condition, medical history
Cloud calculate, complete ICF various dimensions assessment, and by one or more physiatricians carry out ICF assessment correction, facilitate in time,
The accurate integral status for grasping COPD patient, and the hurt of rehabilitation scheme of patient is instructed, improve the rehabilitation scheme of patient
And quality of life.
Detailed description of the invention
Fig. 1 is the logical construction schematic diagram of ICF assessment system according to the present invention.
Fig. 2 is the work flow diagram of ICF assessment system of the invention.
Specific embodiment
Below in conjunction with attached drawing, technical solution of the present invention is described.Obviously, described embodiment is only this Shen
Please a part of embodiment, rather than whole embodiment；And structure shown in the drawings and logical relation are only to show
Meaning property, do not represent material object.It should be noted that based on these embodiments in the present invention, those of ordinary skill in the art
Every other embodiment obtained, shall fall in the protection scope of this application.
Cloud is calculated as COPD patient Rehabilitation Treatment Technique and the unified standard of platform lays the foundation, can by patient
It dresses data acquisition equipment, cell phone application software, check data uploading device, shared server, storage, network, data in hospital
Equal platforms are aided with IT Technical Architecture method and increasingly cause the artificial intelligence technology of concern, data are placed on cloud, can
With application cloud powerful calculating and storage capacity, and powerful patient information database can be established on the remote server.It will
ICF can efficiently use existing technology in conjunction with Internet of Things, collect patient information, assist with the assessment of cloud operation ICF
View, doctor can obtain patient's ICF comprehensive assessment information after cloud calculates at any time, grasp patient profiles；User can also be easily
It obtains and services from network as needed, understand the rehabilitation content of oneself, and obtain further rehabilitation to hospital-based outpatient rehabilitation clinic
Guidance.
It, herein sometimes will " the ICF assessment system based on Internet of Things for chronic obstructive pulmonary disease respiratory convalescence for the sake of description simplicity
System " be referred to as " Internet of things system ", " ICF assessment system ", " system " or " system 1 ", their identical meanings of expression, can be with
It is used interchangeably.
Herein, term " connection " includes electrical connection and/or communication connection.Those skilled in the art can be according to this
Determination is electrical connection or communication connection to the use environment of term with having no contrary opinion.Indicate that communication connection (communicates in " connection "
Connection) when, including wired connection and wireless connection.
Referring to Fig. 1, ICF assessment system provided by the invention is based on cloud computing technology and Internet of Things medical technology establishes
ICF various dimensions evaluation mechanism mainly includes data collection end A1, digitalizer A3, cloud processor B2, ICF assessment end B3
With clinical service end B4.These modules described separately below.
Data collection end A1 can be the meter with Internet/Intranet network for collecting COPD patient information
Calculation machine, data collection end A1 pass through the external digitalizer A3 of computer interface A2.Digitalizer A3 is for acquiring patient's letter
Breath, external digitalizer A3 are patient information integration and collector.
Digitalizer A3 is acquired patient information, wearable when the source of information includes: 1. Rehabilitation treatment
The real time information of equipment；2. the information of medical records system correlation unit uploads；3. patient checks equipment, (lung function, ventilator, CT are swept
Retouch instrument, B ultrasound machine etc.) data upload；4. the related scale data of the human-computer interaction platform of friendly interface upload；5. patient other
Data remedies upwards transmission port.Digitalizer A3 guarantees to convert digital electric signal for signal (image, sound etc.), be computed
Digital electric signal is sent to data collection end A1 by machine interface A2.
The COPD patient integrated data that data collection end A1 is collected is stored in data storage cell A11, and storage is single
First A11 is made of reservoir, such as solid state hard disk or cloud storage.Data are exported by display unit A12 in data collection
It holds on A1, display unit A12 includes driving plate etc. in display screen and screen.Data processing unit A13 includes central processing unit GPU,
The processing that data are synchronous and encode is carried out to the data collected；After coding, passed by communication unit A14 by communication link B1
Transport to the first communication unit B21 of cloud processor B2.Communication link B2 can use Internet/Intranet network, real
The connection of existing outer net-Intranet.
Cloud processor B2 includes data processing centre B22, and cloud data processing centre B22 is processor and operates in place
A set of cloud calculation procedure on device is managed, data can be analyzed, the adjustment of ICF assessment result and Rehabilitation content is generated
It is recommended that including suggesting to the change of Rehabilitation project and degree, increasing and decreasing and remaining unchanged.Cloud calculation procedure includes node
Node1,Node2,Node3,Node4,Node5,Node6,Node7.Wherein, Node1 is firsthand information library: data collection end A1
Initial data stored with medical record number, facilitate ICF assess and follow-up.Node2 is hospital's case history subsystem: with hospital's medical records system
Networking, can recall required medical history as needed, and the further assessment of physiatrician is assisted to correct and provide rehabilitation suggestion；Node2
In addition to revision ICF assessment and rehabilitation are suggested, the permission of no modification case history.Node3 is that ICF assessment result generates system: program root
It is analyzed according to ICF assessment agreement, the assessment correction of controversial combination physiatrician obtains final ICF assessment result.
Node4 is man-machine AC system: ICF being allowed to assess the assessment of ICF assessment result and physiatrician that B3 editing system in end generates
Calibration substance, data is for establishing or optimizing ICF assessment agreement.Node5 is professional intercommunion platform system: it is real that ICF assesses end B3
When extract and editor be stored in Node1 COPD patient comprehensive clinical data, invite other doctors to exchange, promoted
ICF quality of evaluation.Node6 is ICF assessment and rehabilitation teaching resources library: student browses as desired through the clinical money of COPD patient
Material, final ICF assessment result, and the rehabilitation therapy method used can also fill in the ICF assessment test that program generates at random
With rehabilitation content and degree option.Node7 is COPD patient data download library: COPD patient can be with own user name and close
Code downloads personal clinical information, ICF assessment result and rehabilitation guide by interpretation, and patient is facilitated to see a doctor and marked nearby
Quasi-, profession rehabilitation.
The analysis result that the data and data processing centre B22 of data collection end A1 acquisition generate passes through the first communication unit
First B21 is transferred to the second communication unit B31 of ICF assessment end B3.Communication link B1 can use GSM/3G or Internet
Network.
After ICF assessment end B3 determines assessment result, the through the second communication unit B31 feedback information to cloud processor B2
One communication unit B21.Communication link B1 can use GSM/3G or Internet network.ICF assess information after processing in
Node2 generates ICF assessment result and rehabilitation guide opinion.
ICF assessment result and rehabilitation guide opinion are sent to clinical clothes by the first communication unit B21 of cloud processor B2
The third communication unit B 41 of business end B4.Communication link B1 can use GSM/3G or Internet network.
ICF assessment end B3 includes the mobile phone/portable computer with function of surfing the Net, and the data received are stored in
Massive store unit B 32, storage unit B32 can be solid state hard disk.Man-machine interaction unit B33 includes display and a set of journey
The ICF assessment result that cloud calculates can be presented to physiatrician by sequence, can carry out rehabilitation communication, feedback information with doctor
Cloud processor B2 is transmitted to by the second communication unit B1.
Clinical service end B4 can be mobile phone/palm PC/hospital self-service machine with function of surfing the Net, the number that will be received
According to massive store unit B 42 is stored in, storage unit B42 can be solid state hard disk or cloud storage.Man-machine interaction unit B43
Including display and a set of program, ICF assessment result and rehabilitation guide opinion can be showed clinician；Patient can also rely on
Username and password downloading obtains personal clinical information, ICF assessment result and rehabilitation guide by interpretation, facilitates patient just
The nearly rehabilitation seen a doctor and obtain standard, profession；Student can also browse as desired through the clinical data, final of COPD patient
ICF assessment result, and the rehabilitation therapy method used can also fill in the ICF assessment test that program generates at random and control with rehabilitation
Treat content and degree option.
As the operation embodiment of the ICF assessment system of the invention based on Internet of Things for chronic obstructive pulmonary disease respiratory convalescence, such as
Described in Fig. 2, specific workflow is for example including following step:
Step 1, technical staff start digitalizer A3；
Step 2 is digitized device A3 and is acquired to patient information, and the source of information includes: 1. Rehabilitation treatment
When, the real time information of wearable device；2. the information of medical records system correlation unit uploads；3. patient checks equipment, (lung function is exhaled
Suction machine, CT scanner, B ultrasound machine etc.) data upload；4. the related scale data of the human-computer interaction platform of friendly interface upload；
5. other data of patient remedy upwards transmission port, these information are converted into after digital electric signal through computer interface A2 number electricity
Signal is sent to data collection end A1；
Step 3, the acquisition data of data collection end A1 are sent to cloud processor by Internet/Intranet network
B2；
Step 4, cloud processor B2 receive the data that data collection end A1 is sent；
Step 5, the initial data of data collection end A1 are stored in Node1；
Step 6 transfers specific initial data from Node1 to Node3, and program operation ICF assessment agreement obtains recommendation assessment
And possible rehabilitation guide opinion as a result；
Step 7 recommends assessment and rehabilitation guide opinion to be sent to ICF assessment end B3；
Step 8, ICF assessment end B3 receive the data that cloud processor B2 is sent；
Step 9, physiatrician check, audit ICF recommendation assessment result and possible rehabilitation guide opinion；
Step 10, physiatrician determine whether recommendation assessment result is reasonable, can recall phase by Node2 when necessary after auditing
Close medical record information or connection patient or the clear ICF assessment result of guardian and rehabilitation guide opinion；
If step 11, unreasonable, physiatrician can be carried out following by the digital information of Node4 extract real-time Node1
Operation: it (a) contacts patient or guardian checks patient；(b) define and indicate inspection of problems；(c) amendment pushes away
Recommend ICF assessment result and rehabilitation guide opinion；
Step 12, if it is desired, physiatrician can by Node5 extract real-time and editor be stored in Node1 patient believe
Breath, invites other doctors to exchange, the quality of evaluation and rehabilitation guide opinion of ICF；
Step 13, updated ICF assessment and rehabilitation guide opinion will be saved to cloud processor B2, while if deposit
In the modification of physiatrician, which will be also saved；
Step 14, ICF assessment end B3, which are sent, updates ICF assessment and rehabilitation guide opinion to cloud processor B2；
Step 15, cloud processor B2 receive the data of ICF assessment end B3 feedback
Step 16, update result execution using automatically configure in the case where, cloud processor B2 judges whether there is ICF
Assessment and the update of rehabilitation guide opinion；
Step 17, if there is update, cloud processor B2:(a) new ICF assessment and rehabilitation guide opinion are sent to
Clinical service end B4；(b) ICF assessment and the rehabilitation guide comments of Node2 are revised；(c) optimization ICF assesses agreement；
Step 18, clinical service end B4 receive the assessment of ICF transmitted by cloud processor B2 and rehabilitation guide opinion；
Step 19, Pattern of Further-Study Professionals can be assessed by the ICF of cloud processor B2 and rehabilitation guide opinion teaching resources library
(Node5) learn COPD patient data, final ICF assessment result, and the rehabilitation therapy method used, can also fill in program
The ICF assessment test generated at random and rehabilitation content and degree option.
It should be noted that the terms "include", "comprise" herein or its any other variant are intended to non-row
His property includes, so that the process, method, article or equipment for including a series of elements not only includes those elements, and
And further include other elements that are not explicitly listed, or further include for this process, method, article or equipment institute it is intrinsic
Element.
Above embodiments are only to illustrate the technical solution of the invention patent, rather than its limitations.The common skill of this field
Art personnel are it is understood that it is still possible to modify the technical solutions described in the foregoing embodiments, or to its middle part
Technical characteristic is divided to be equivalently replaced；And these are modified or replaceed, the present invention that it does not separate the essence of the corresponding technical solution
Spirit and scope.
Claims (10)
1. a kind of ICF assessment system for being used for chronic obstructive pulmonary disease respiratory convalescence based on Internet of Things characterized by comprising data collection
End, digitalizer, cloud processor, the assessment end ICF and clinical service end, wherein the connection of data collection end is to acquire COPD
The digitalizer of patient-related data；The data collection end by Internet/Intranet network and cloud processor it
Between communicated, the data obtained from data collection end are analyzed by cloud processor, by ICF assess agreement generate just
It walks ICF assessment and recommends rehabilitation opinion；Preliminary ICF is assessed and rehabilitation opinion is recommended to transmit by communication link by cloud processor
End is assessed to ICF, ICF assessment end is audited and revised to the result of above-mentioned transmission, and ICF assessment result and rehabilitation guide are generated
Opinion, and ICF assessment result and rehabilitation guide opinion are transferred to cloud processor by communication link；Cloud processor will
ICF assessment result and rehabilitation guide opinion are sent to clinical service end.
2. the system as claimed in claim 1, which is characterized in that COPD patient related data is changed by the digitalizer
Data collection end is resent to after electric signal, the COPD patient related data is stored in storage unit by data collection end, is shown
Show on the display unit, after handling using data processing unit, is transmitted to cloud processor through communication unit.
3. the system as claimed in claim 1, which is characterized in that ICF assessment end includes man-machine interaction unit, is used for and doctor
Shi Jinhang rehabilitation communication, ICF assess end and are sent to cloud processor for result is exchanged using communication link.
4. the system as claimed in claim 1, which is characterized in that the data collection end and digitalizer are connect by computer
Mouth is attached.
5. the system as claimed in claim 1, which is characterized in that the cloud processor includes the first communication unit, and described the
One communication unit receives the data that send from the data collection end by communication link, the connection of the first communication unit to
The cloud computer that data are analyzed.
6. the system as claimed in claim 1, which is characterized in that the cloud processor includes cloud data processing centre, cloud
End data processing center includes cloud calculation procedure, for being analyzed data and generating ICF assessment result and Rehabilitation
The adjustment suggestion of content.
7. system as claimed in claim 6, which is characterized in that the cloud calculation procedure include node Node1, Node2,
At least one of Node3, Node4, Node5, Node6 and Node7, wherein Node1 is source data bases, and Node2 is
Hospital's case history subsystem, Node3 are that ICF assessment result generates system, and Node4 is man-machine AC system, and Node5 is profession exchange
Plateform system, Node6 are that ICF is assessed and rehabilitation teaching resources library, Node7 are COPD patient data download library.
8. the system as claimed in claim 1, which is characterized in that ICF assessment end includes the second communication unit, the second communication
Unit receives the data sended over from cloud processor by communication link, and the second communication unit connects processing unit, processing
Received data are stored in massive store unit by unit, and man-machine interaction unit is read from massive store unit according to instruction
Data are simultaneously shown, or data are sent back to the cloud processor by communication link.
9. the system as claimed in claim 1, which is characterized in that the clinical service end includes third communication unit, and third is logical
Letter unit receives the data sent from cloud processor by communication link, and third communication unit connects processing unit, place
It manages unit and received data is stored in massive store unit, man-machine interaction unit is read from massive store unit according to instruction
Access evidence is simultaneously shown.
10. the system as claimed in claim 1, which is characterized in that the digitalizer is used to carry out COPD patient information
Acquisition, the source of information include at least one in the following group: medical records system, patient's wearable device, inspection apparatus, human-computer interaction
The related scale of platform, data remedy upwards transmission port.
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| CN110880370A (en) * | 2019-08-26 | 2020-03-13 | 上海慧敏医疗器械有限公司 | Speech and language function damage level converter based on ICF framework |
| CN111388817A (en) * | 2020-03-25 | 2020-07-10 | 复旦大学附属中山医院 | Portable oxygen therapy equipment based on Internet of things, oxygen therapy system and using method of portable oxygen therapy system |
| CN111632351A (en) * | 2020-05-25 | 2020-09-08 | 浙江大学 | COPD (chronic obstructive pulmonary disease) home exercise rehabilitation system |
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