CN110111862A - Information platform - Google Patents
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- CN110111862A CN110111862A CN201910249908.9A CN201910249908A CN110111862A CN 110111862 A CN110111862 A CN 110111862A CN 201910249908 A CN201910249908 A CN 201910249908A CN 110111862 A CN110111862 A CN 110111862A
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- 238000003745 diagnosis Methods 0.000 claims abstract description 69
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Classifications
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H70/00—ICT specially adapted for the handling or processing of medical references
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
Abstract
The present invention provides a kind of information platforms, comprising: data active layer obtains the diagnosis and treatment data of each medical institutions for the classification situation according to medical institutions step by step；Data transfer layer, for receiving diagnosis and treatment data；Business support layer, for being integrated, being standardized to diagnosis and treatment data, association analysis and EMPI calculate, and pass through visual work stream configuration, plug-in services, engine configuration and tactful configuration processing, the data-interface of formation standard, integrated security management simultaneously and operation monitoring, provide data standard collection and index service, data publication service and transaction services to service application layer；Service application layer, for by diagnosis and treatment data show and the management of operation flow carries out remote image diagnosis, Telediagnosis of Electrocardiogram Signals, statistical analysis, bidirectionally transfering consultation, remote medical consultation with specialists, educational surgery demonstration, monitoring and education, and the health account of building patient.The diagnosis and treatment data of each medical institutions form unified standard as a result, can interact shared diagnosis and treatment data.
Description
Technical field
The present invention relates to medical information technical field more particularly to a kind of information platforms.
Background technique
Since new medical reform, China has completed basic medical and health care system covering urban and rural residents, primary health service
Accessibility is obviously reinforced.The problem of driving into poverty by medical crises, backing into poverty by medical crises largely is alleviated.
Since Medical Informalization construction is done things in his own way, lack unified standard and deployment, between each medical and health organization
Network physical on not joint debugging, traffic criteria, data standard are inconsistent, and data can not exchange shared, form constituent parts, each item
The information island of line.Firstly, constituent parts to basis with public information will repeated acquisition and storage, thereby result in human and material resources
With the overlapping investment of financial resources；Secondly as the repeated acquisition and storage of data, lead to data redundancy, the consistency of data is influenced
And uniqueness；Although last data are by multi collect and storage, since standard is inconsistent, data but can not also be exchanged, be shared.
Summary of the invention
The purpose of the embodiment of the present invention is that a kind of information platform is provided, to solve defect existing in the prior art.
To solve the above problems, the present invention provides a kind of information platform, the information platform includes:
Data active layer, the data active layer are used for the classification situation according to medical institutions, obtain medical institutions at different levels step by step
In, the diagnosis and treatment data of each medical institutions；
Data transfer layer is connected, for receiving the data source by Enterprise Service Bus ESB with the data active layer
The diagnosis and treatment data for each medical institutions that layer is sent；
Business support layer is connected with the data transfer layer, for the diagnosis and treatment data to each medical institutions into
Row integration, standardization, association analysis and Main index of patients EMPI are calculated, and are passed through visual work stream configuration, plug-in services, drawn
Configuration and tactful configuration processing are held up, the data-interface of standard, while integrated security management and operation monitoring is formed, gives service application
Layer provides data standard collection and index service, data publication service and transaction services；
Service application layer is connected with the business support layer, for by diagnosis and treatment data show and operation flow
Management carry out remote image diagnosis, Telediagnosis of Electrocardiogram Signals, statistical analysis, bidirectionally transfering consultation, remote medical consultation with specialists, remote operation teaching,
Long distance monitoring and long-distance education, and according to the EMPI, construct the health account of patient.
In one possible implementation, in the data active layer, it is deployed with preposition bidirectional gateway, by described preposition
Bidirectional gateway is acquired, cleans to diagnosis and treatment data, screening, standardizing and packing processing.
In one possible implementation, therapeutic machine is worked as according to the classification situation of medical institutions in the data active layer
When structure grade is rudimentary, from the network data acquisition interface of image archiving and communication system PACS equipment, electrocardio equipment, collect
Diagnosis and treatment data.
In one possible implementation, the data active layer includes: database interface, file interface, network interface
And component interface.
In one possible implementation, the business support layer uses B/S framework, and the identity according to typing user is true
Surely the software function that can be used, business support system include: subsystem is arranged in medical history information acquisition subsystem and acquisition parameter,
Wherein, the medical history information acquisition subsystem checks data current state according to medical institutions, state, date, and passes through control
Prepare data and uploads data to execute acquisition tasks；
The acquisition tasks of acquisition data are arranged according to mechanism for the acquisition parameter setting subsystem, configure acquisition tasks attribute
Value.
In one possible implementation, the service application layer includes:
Remote image diagnostic module is connected with the Image Terminal of at least one medical institutions, and user obtains the image
Image data in terminal, and the image data is diagnosed, generate the first diagnosis report；
Telediagnosis of Electrocardiogram Signals module is connected with the electrocardio terminal of at least one medical institutions, and user obtains the electrocardio
Electrocardiogram (ECG) data in terminal, and the electrocardiogram (ECG) data is diagnosed, generate second opinion report；
Statistical analysis module is connected, for obtaining the letter with all information system at least one medical institutions
Medical record data in breath system, and receive the first diagnosis report and the long-range heart that the remote image diagnostic module is sent
The second opinion report that electrodiagnosis module is sent, and according to preset type of service, to the medical record data, first diagnosis
Report and second opinion report carry out statistical disposition, generate statistical result；
Bidirectionally transfering consultation module is connected with the first terminal of the first medical institutions at least one medical institutions, is used for
The transfer treatment request information that the first terminal is sent is received, the transfer treatment request information includes the second medical institutions to be changed the place of examination letter
Breath；Then according to second medical institutions information, the transfer treatment request information is sent to the of second medical institutions
Two terminals, so that second medical institutions carry out diagnosis and treatment to patient；
Remote medical consultation with specialists module is connected with the third terminal of the third medical institutions at least one medical institutions, is used for
The remote medical consultation with specialists solicited message that the third terminal is sent is received, the remote medical consultation with specialists solicited message includes participating in remote medical consultation with specialists
The 4th medical institutions' information；Then according to the 4th medical institutions' information, the remote medical consultation with specialists solicited message is sent to
4th terminal of the 4th medical institutions, so that the 4th medical institutions carry out remote medical consultation with specialists to patient；
Remote operation teaching module is connected with the 5th terminal of the 5th medical institutions at least one medical institutions,
The remote operation solicited message sent for receiving the 5th terminal, the remote operation solicited message include participating in remotely
6th medical institutions' information of educational surgery demonstration；Then according to the 6th medical institutions' information, the remote operation is requested to believe
Breath is sent to the 6th terminal of the 6th medical institutions, so that the 6th medical institutions participate in remote operation teaching；
Long distance monitoring module is connected with vital sign acquisition equipment, adopts for receiving the vital sign acquisition equipment
The vital sign data of collection；It is connected with statistical analysis module, for obtaining the medical record data in the statistical analysis module；With
7th terminal is connected, for the vital sign data and the medical record data to be sent to the 7th terminal, to pass through
7th terminal carries out long distance monitoring；
Long-distance education module is connected with the remote medical consultation with specialists module and the remote operation teaching module respectively, is used for
It receives the remote medical consultation with specialists information that the remote medical consultation with specialists module is sent and the remote operation that the remote operation teaching module is sent is shown
Teach information；It is connected with the 8th terminal, for the remote medical consultation with specialists information and the remote operation teaching information to be sent to institute
State the 8th terminal.
In one possible implementation, the statistical analysis module is connected with the long distance monitoring module, is used for
The vital sign data in patient's preset duration is counted, and the vital sign data is handled, generates the following body shape
Condition information, and the following physical condition information is sent to the long distance monitoring module；
The long distance monitoring module is also used to, and according to the following physical condition information, generates prompt information, and will be described
Prompt information is sent to the 7th terminal.
In one possible implementation, the service application layer is also used to, and constructs child health care archives and/or women
Health care archives.
By applying information platform provided by the invention, constituent parts to basis and public information need not repeated acquisition, it is each to cure
The diagnosis and treatment data for treating mechanism form unified standard, can interact shared diagnosis and treatment data, can improve patient and see a doctor sense
By, improve medical service provider system whole efficiency and promoted basic medical unit technical level.
Detailed description of the invention
Fig. 1 is information platform structural schematic diagram provided in an embodiment of the present invention.
Specific embodiment
The application is described in further detail with reference to the accompanying drawings and examples.It is understood that this place is retouched
The specific embodiment stated is used only for explaining related invention, rather than the restriction to the invention.It also should be noted that for just
Part relevant to related invention is illustrated only in description, attached drawing.
It should be noted that in the absence of conflict, the features in the embodiments and the embodiments of the present application can phase
Mutually combination.The application is described in detail below with reference to the accompanying drawings and in conjunction with the embodiments.
The numbers such as first, second hereinafter only distinguish, and have no other meanings.
Specific introduce is made to the present invention below in conjunction with the drawings and specific embodiments.
Fig. 1 is information platform structural schematic diagram provided in an embodiment of the present invention.As shown in Figure 1, the information platform is by data
Active layer 1, data transfer layer 2, business support layer 3 and service application layer 4 form.
Data active layer 1, data active layer are used for the classification situation according to medical institutions, are obtained in medical institutions at different levels step by step,
The diagnosis and treatment data of each medical institutions.
Data transfer layer 2 passes through Enterprise Service Bus (Enterprise Service Bus, ESB) phase with data active layer 1
Connection, the diagnosis and treatment data for each medical institutions that active layer is sent for receiving data；
Business support layer 3 is connected with data transfer layer 2, integrated for the diagnosis and treatment data to each medical institutions,
Standardization, association analysis and Main index of patients (Enterprise Master Patient Index, EMPI) calculate, and pass through
Visual work stream configuration, plug-in services, engine configuration and tactful configuration processing, by treated, diagnosis and treatment data form standard
Data-interface, while integrated security management and operation monitoring, provide data standard collection and index service, number to service application layer
According to issuing service and transaction services；
Service application layer 4 is connected with business support layer 3, for by diagnosis and treatment data show and operation flow
Management carries out remote image diagnosis, Telediagnosis of Electrocardiogram Signals, statistical analysis, bidirectionally transfering consultation, remote medical consultation with specialists, remote operation teaching, remote
Journey monitoring and long-distance education, and according to EMPI, construct the health account of patient.
Service application layer is also used to, and constructs child health care archives and/or health care of women archives.
Wherein, information platform provides service for medical institutions and administrative department, information platform data can be carried out integration with
It excavates, by establishing unified healthcare data relevant speciality library, reduces the redundancy acquisition and storage of data, pass through standardization and rule
The effective exchange and shared, the thorough presence for eliminating health information isolated island of data information are realized in generalized construction.
The information platform can be the platform of hot plug, to reach data, business or even boundary between each medical institutions
The integration in face.
The grade of medical institutions can be tertiary hospitals, second-grade hospital and basic hospital.
It directly can actively be grabbed from its information system in tertiary hospitals and second-grade hospital since hospital's configuration is relatively high
Take diagnosis and treatment data.
Wherein, information system include but is not limited to hospital information system (Hospital Information System,
HIS), electronic medical records (Electronic Medical Record, EMR), image archiving and communication system (Picture
Archiving and Communication Systems, PACS), radiology information management system (Radiology
Information System, RIS), Laboratory Information Management System (Laboratory Information Management
System, LIS), in the English (Clinical Information System, CIS) of clinic information system any one or
Any combination thereof.
In basic hospital, since the level of informatization in hospital is not high, can only have from PACS equipment, electrocardio equipment etc.
In the equipment for having external network data acquisition interface, diagnosis and treatment number is collected by the open designated communication mode of manufacturer and agreement
According to.
Wherein, data active layer 1 includes: database interface, file interface, network interface and component interface.Database interface
Including but not limited to the database interfaces such as Oracle, SQL Server, DB2, MySQL, Cache, file include but is not limited to
XML, HL7 clinical document structure (CDA), digital imaging and communications in medicine (Digital Imaging and
Communications in Medicine, DICOM) file, network interface includes but is not limited to Socket, Hyper text transfer association
Discuss (HyperText Transfer Protocol, HTTP), WebService, Hessian, File Transfer Protocol (File
Transfer Protocol, FTP) interface, component interface includes but is not limited to dynamic library component and com component.
Data transfer layer 2 support data storage service, service management, aid decision and with basic service system and health
Bottom communication between file browsing device.
The business support system of business support layer 3 uses B/S framework, can be used according to the determination of the identity of typing user
Software function, business support system include: medical history information acquisition subsystem and acquisition parameter setting subsystem.
Medical history information acquisition subsystem is checked data current state according to mechanism, state, date, and is prepared by control
Data execute acquisition tasks with data are uploaded.
Subsystem is arranged in acquisition parameter, and the acquisition tasks of acquisition data are arranged according to mechanism, configures acquisition tasks attribute value.
In addition to this, business support layer 3 also has a variety of perfect security strategies, these security strategies packets
It includes: user right safety, application system security, data safety, network security etc..
Service application layer 4 includes: remote image diagnostic module 110, Telediagnosis of Electrocardiogram Signals module 120, statistical analysis module
130, bidirectionally transfering consultation module 140, remote medical consultation with specialists module 150, remote operation teaching module 160, long distance monitoring module 170 and long-range
Instructional modules 180.
Remote image diagnostic module 110 is connected with the Image Terminal of at least one medical institutions, and it is whole that user obtains image
Image data in end, and image data is diagnosed, generate the first diagnosis report.
Wherein, Image Terminal can be B ultrasound machine.It, can be by the doctor in order to carry out more accurately judgement to image data
The image data for treating the B ultrasound machine shooting of mechanism uploads to remote image diagnostic module 110, is diagnosed by expert, generates first
Diagnosis report improves the accuracy rate of diagnosis.
Telediagnosis of Electrocardiogram Signals module 120 is connected with the electrocardio terminal of at least one medical institutions, and it is whole that user obtains electrocardio
Electrocardiogram (ECG) data in end, and electrocardiogram (ECG) data is diagnosed, generate second opinion report.
Wherein, electrocardio terminal can be electrocardiograph.It, can be by the doctor in order to carry out more accurately judgement to electrocardiogram (ECG) data
The electrocardiogram (ECG) data for treating the electrocardiograph shooting of mechanism uploads to Telediagnosis of Electrocardiogram Signals module 120, is diagnosed by expert, generates second
Diagnosis report, the medical institutions are subsequent can to get second opinion report by Telediagnosis of Electrocardiogram Signals module 120, and by the
Two diagnosis reports are supplied to patient, improve the accuracy rate of diagnosis.
Statistical analysis module 130 is connected, for obtaining information with all information system at least one medical institutions
Medical record data in system, and receive the first diagnosis report and Telediagnosis of Electrocardiogram Signals that remote image diagnostic module 110 is sent
The second opinion report that module 120 is sent, and according to preset type of service, to medical record data, the first diagnosis report and second
Diagnosis report carries out statistical disposition, generates statistical result.
It wherein, include medical record data and other health care datas in diagnosis and treatment data.Health care data includes but is not limited to children guarantor
Number of package evidence and health care of women data.
Bidirectionally transfering consultation module 140 is connected with the first terminal of the first medical institutions at least one medical institutions, uses
In the transfer treatment request information for receiving first terminal transmission, transfer treatment request information includes the second medical institutions' information to be changed the place of examination；With
Afterwards according to second medical institutions' information, transfer treatment request information is sent to the second terminal of the second medical institutions, so that the second doctor
It treats mechanism and diagnosis and treatment is carried out to patient.
Wherein, bidirectionally transfering consultation module 140 is specifically used for,
The transfer treatment request information of first terminal is received, transfer treatment request information includes: second terminal mark and patient identity letter
Breath；
It is identified according to second terminal, transfer treatment request information is sent to second terminal；
Receive the auditing result information of second terminal；
When auditing result information is that audit passes through, auditing result information is sent to first terminal；
Receive the diagnosis and treatment procedural information for the patient that second terminal is sent；
Diagnosis and treatment procedural information is sent to first terminal, so that first terminal obtains patient's according to diagnosis and treatment procedural information
Status information.
Wherein, bidirectionally transfering consultation module 140 is also used to,
Transfer treatment request information is audited；
When the audit fails, prompt information is sent to first terminal.
The course of work of bidirectionally transfering consultation module 140 is specifically described below.
When the state of an illness of patient A exceeds first medical institutions' therapeutic domain, can change the place of examination medical to the second medical institutions；Instead
It, if the state of an illness of patient A is controlled in the second medical institutions, situation is relatively stable, can change the place of examination to the first medical institutions.
Wherein, the grade of the first medical institutions relative to second with mechanism, it is lower, for example, the first medical institutions can be basic hospital,
For example community hospital, the second medical institutions can be second-grade hospital.
Patient A can propose change the place of examination application or the attending physician physical condition master current according to patient to attending physician
It is dynamic to propose application of changing the place of examination.Bidirectionally transfering consultation module 140 receives the transfer treatment request information that doctor inputs on first terminal.Wherein,
Two medical institutions' information can be the title for being transferred to medical institutions, patient identification information may include patient's name, identification card number,
Name, date of birth and telephone number.Transfer treatment request information can also include the title for producing mechanism, produce department, diagnosis letter
It ceases and reason of changing the place of examination.Wherein, the reason of diagnostic message can be above-mentioned " tentative diagnosis ", and reason of changing the place of examination is changed the place of examination, for example " lack
Equipment is checked less ".
Specifically, second terminal can be the corresponding computer of the second medical institutions, which can be incited somebody to action
Transfer treatment request information is pushed to second terminal, and second terminal can also be according to the preset time interval to bidirectionally transfering consultation module 140
Query messages are sent, when the new transfer treatment request information about second terminal occurs in bidirectionally transfering consultation module 140, second terminal is obtained
Get the transfer treatment request information.
Further, after the first transfer treatment request information for receiving first terminal, further includes:
It changes the place of examination information according to first, determines the first department's information changed the place of examination in information.
Specifically, bidirectionally transfering consultation module 140 can carry out intellectual analysis, according to the diagnostic message of input and/or section is produced
Room obtains being transferred to department.
It, can be with specifically, in one example, machine learning has been carried out before building in bidirectionally transfering consultation module 140
According to the first diagnostic message, keyword therein is automatically extracted out, the result of incorporating mill device study is matched, and successful match is worked as
When, according to matching result, obtain the title for being transferred to department.
In another example, can be according to the matching result in above-mentioned example, and combine and produce department, it is analyzed,
When matching result is consistent with department is produced, obtain being transferred to department.When matching result and produce department it is inconsistent when, then carry out two
Secondary matching realizes automatic point and examines to improve the accuracy for being transferred to department of acquisition.It saves as a result, and fills in letter of changing the place of examination
The time of breath, improve efficiency.
Specifically, according to the basic condition of the second medical institutions, judgement is after second terminal receives transfer treatment request information
It is no to can receive the patient that changes the place of examination；Wherein, the foundation of judgement can be the terminal situation of hospital, for example, when the second medical institutions have
When having inspection equipment lacking in the first mechanism, it can pass through for audit, when the second medical institutions do not have the first mechanism yet
In lacking in when checking equipment, can be for the audit fails.
Meanwhile auditing result information can also be shown in bidirectionally transfering consultation module 140, such as can be according to " patient name-
Produce mechanism-and be transferred to mechanism-department-state-audit time-and change the place of examination mono- operation " sequence, the information of patient is shown,
Such as " the-the second mechanism, the first mechanism of patient A--orthopaedics-agreement -2018-7-31 ", it is operated in second terminal as a result,
Doctor can get the state of an illness data of patient by click " patient's name ", get patient's by click " list of changing the place of examination "
It changes the place of examination information.Hereby it is achieved that the intelligent management of information.
Meanwhile the doctor operated on first terminal, it can get whether patient changes the place of examination by checking " state "
Function can carry out application next time when patient referral is failed.
When the audit fails, prompt information is sent to first terminal.
It is understood that Reason For Denial can be accompanied with when " state " is " refusal ", thus, it is possible to according to refusal
Reason carries out application of changing the place of examination next time.
Specifically, patient A is when the first medical institutions carry out diagnosis and treatment, second terminal can receive the patient A of doctor's input
Current state of an illness data.The current state of an illness data may include: medication information, paying information and take medicine information etc..
The current state of an illness data can store on 140 platform of bidirectionally transfering consultation module, the doctor of the first medical institutions, can be with
By first terminal, the status information of patient is checked.Hereby it is achieved that the tracking of the state of an illness to patient.
Specifically, when the second medical institutions have been completed the diagnosis and treatment to patient A, the medical treatment level that patient A needs compares
When low, hospital, junior (the first medical institutions) continual cure can be entered.
Bidirectionally transfering consultation is realized by bidirectionally transfering consultation module 140 as a result, patient changes the place of examination from community may be displayed on it to hospital
Patient's name that its hospital changes the place of examination, change the place of examination department, and patient is divided automatically and examines accurate visit.It then realizes and goes to a doctor, takes
Medicine, the processes such as pay dues can make patient very smoothly just complete treatment process, and can consult the past of patient just for doctor
Record is examined, provides foundation and cooperation with service for the science decision of health administration department.
Remote medical consultation with specialists module 150 is connected with the third terminal of the third medical institutions at least one medical institutions, uses
In the remote medical consultation with specialists solicited message for receiving third terminal transmission, remote medical consultation with specialists solicited message includes the 4 of remote medical consultation with specialists to be participated in
Medical institutions' information；Then according to the 4th medical institutions' information, remote medical consultation with specialists solicited message is sent to the 4th medical institutions
4th terminal, so that the 4th medical institutions carry out remote medical consultation with specialists to patient.
Wherein, remote medical consultation with specialists module 150 is specifically used for,
Receive third terminal send consultation of doctors application information, wherein the consultation of doctors application information include: the consultation of doctors first time and
Participant's information；
According to participant's information, the location information of the consultation of doctors is determined, and, according to participant's information and first time, determine
Second time of the consultation of doctors；
According to location information and the second time, log-on message is generated；
According to preset expert info library and participant's information, the telecommunications address of participant is determined；
Log-on message is sent to telecommunications address；
Receive the log-on message that participant is logged in by the 4th terminal；
Log-on message is verified；
After being verified, medical record data that statistical analysis module 130 is sent, the first diagnosis report, second opinion report
It accuses and gives the 4th terminal；
Receive the first audiovisual information of the first acquisition device acquisition being connected with third terminal being directed to；
First audiovisual information is sent to the 4th terminal；
Receive the first operation of the 4th terminal transmission reported for medical record data, the first diagnosis report, second opinion；Its
In, the first operation includes mapping operation and/or text write operation；
Receive the second audiovisual information for the first operation for the second acquisition device acquisition being connected with the 4th terminal；
First operation and the second audiovisual information are sent to third terminal, so that third terminal show the first operation and the
Video information in two audiovisual informations, and play the audio-frequency information in the second audiovisual information.
The course of work of remote medical consultation with specialists module 150 is specifically described below.
Remote medical consultation with specialists module 150 can audit consultation of doctors application information；When the audit fails, generates audit and do not lead to
Cross prompt information；By the audit fails, prompt information is sent to third terminal；Wherein, prompt information that the audit fails includes audit
Do not pass through reason.
Wherein, participant can be compared to applicant, the doctor of higher ranked medical institutions, such as larger medical machine
The expert of structure, such as the chief physician of Grade A hospital, the quantity of expert can be at least one.
Specifically, being provided with expert info library in remote medical consultation with specialists module 150, expert's surname is stored in expert info library
(location information can be specific to the building x x floor for name, operation medical institutions, place department and the location information of operation medical institutions
The room x), by searching for the expert info library, determine the location information of the consultation of doctors.
Further, be also stored with paying a home visit the time for expert in the expert info library, by first time that will be estimated and
Time of paying a home visit compares, and determines that the time of remote medical consultation with specialists was the second time.
Remote medical consultation with specialists module 150 can generate log-on message at random, the log-on message may include the remote medical consultation with specialists time,
Point, user name and login password.Then, according to preset expert info library and participant's information, determine that the electronics of participant is logical
Interrogate address.Finally, log-on message is sent to telecommunications address.
It wherein, can also include the contact method of expert in the expert info library, for example, cell-phone number, email address,
According to participant's information, the cell-phone number or email address of the expert participated in are determined.The remote medical consultation with specialists module 150 can will log in
Information is automatically transmitted to determining cell-phone number and/or email address, to notify place, the time, login of participant's remote medical consultation with specialists
Username and password etc..
Participant can be by being equipped with the user name inputted in log-on message in the 4th terminal of remote medical consultation with specialists module 150
And password, and after being verified, log into the remote medical consultation with specialists module 150.
After being verified, medical record data is sent to the 4th terminal.
Wherein, before the login of the 4th terminal, medical record data has been uploaded in statistical analysis module 130, has passed through tune
With statistical analysis module 130, available medical record data.As a result, after the login of the 4th terminal, medical record data can be got.
Improve the efficiency of data acquisition.
The first acquisition device acquisition that the reception of remote medical consultation with specialists module 150 is connected with third terminal is directed to the first diagnosis and treatment data
The first audiovisual information.
Example and it is non-limiting, the first acquisition device can hold a consultation video camera and omnidirectional's pickup microphone for HD video.
First acquisition device can be wirelessly attached between third terminal.
First audiovisual information can be applicant and briefly introduce medical history, inspection result, treatment process of patient etc..
Medical record data includes state of an illness image data, and expert needs to carry out diagnostic analysis to state of an illness image data in diagnosis,
At the same time, it is also necessary to mark its interested region with mapping operation in the state of an illness image data of patient.And expert is in disease
Mapping operation in feelings image data must be able to be shown on the personal terminal screen for the participant that other participate in remote medical consultation with specialists, real
Existing Image Sharing function, the content shown on each participant's screen be it is duplicate, any expert, which makes, to be changed, Qi Tacan
It is all changed correspondingly with the image shown on the screen of person or applicant, this makes it possible to cause other participants and applicant couple
In the attention of the image in the region.
Further, some in participant sketches out its interested region in state of an illness image data, but this is also not
It is enough to illustrate the participant to the state of an illness view of the patient in this region in the state of an illness image data, so, text can be passed through
Interactive function delivers written diagnostic comments.Other participants and applicant can be in conjunction with this participants in state of an illness image data
On mapping operation and text write operation recognize the diagnostic comments of this doctor.
Further, when participant can not make diagnosis to difficult symptom, can continue that other experts is invited to carry out far
The journey consultation of doctors.
At this point, participant is equivalent to the applicant that the application mentions before, other participants are equivalent to the function of participant,
The invitation for participating in remote medical consultation with specialists can be sent to the expert by clicking expert's name in preset expert info library.With reality
Now to the correct diagnosis of patient's diagnosis and treatment data.
Specifically, participant can pass through when checking patient medical record data, the first diagnosis report, second opinion report
Video and audio mode is linked up with applicant.It is conducive to participant as a result, and better understand patient's status, before treatment condition,
Strong support is provided to make a definite diagnosis, formulating therapeutic scheme.
Subsequent, remote medical consultation with specialists module 150 receives the consultation note information that applicant is sent by third terminal, consultation note
Information includes the first operation synchronized on a timeline and the second audiovisual information.As a result, after remote medical consultation with specialists, by applicant
Arrange consultation note, comprising: patient information, consultation of doctors purpose, consultation of doctors time, consultation of doctors tentative diagnosis, therapeutic scheme and the consultation of doctors are complete
Second audiovisual information of process, and the consultation note information put in order is saved.
It is subsequent, the discussion held a consultation at that time can be understood according to the consultation note information of patient information quick-searching to patient
Process and make a definite diagnosis foundation.Also it can use consultation note information, tele-medicine professional education training carried out to other healthcare structures,
To improve its medical level.
Remote operation teaching module 160 is connected with the 5th terminal of the 5th medical institutions at least one medical institutions
It connects, for receiving the remote operation solicited message of the 5th terminal transmission, remote operation solicited message includes participating in remote operation
6th medical institutions' information of teaching；Then according to the 6th medical institutions' information, remote operation solicited message is sent to the 6th
6th terminal of medical institutions, so that the 6th medical institutions participate in remote operation teaching.
Wherein, remote operation teaching module 160 is specifically used for,
Obtain the surgical data of the 5th terminal transmission；Wherein, surgical data includes the third acquisition connected with the 5th terminal
The vital sign data of operation audiovisual information and vital sign acquisition equipment acquisition in the visual area of equipment acquisition；
Operation audiovisual information and vital sign data are handled；
Will treated operation audiovisual information and vital sign data be sent to the 6th terminal so that the 6th terminal is same
One interface shows operation audiovisual information and vital sign data.
In the following, remote operation teaching module 160 is specifically described.
Wherein, usually will carry out skin degerming before operation, after with Aseptic sterilisation towel by the position that is not related to of operation
Covering is got up, and is needed naked position to reserve when by operation and is come, and it is exactly range of operation that this, which reserves the position come, is not having percutaneous incision
Before skin, this naked position is just referred to as visual area.As incision of skin visual area also deeply changes therewith.If in endoscope
Menisectomy, then the visual field of endoscope is exactly visual area.
Example and it is non-limiting, third acquisition equipment can be panoramic camera.The third acquires equipment can be with the 5th eventually
End is connected.
Vital sign acquisition equipment can be at least one of PACS, B ultrasound machine and electrocardiograph.Educational surgery demonstration module and
PACS, B ultrasound grade or electrocardiograph are connected, and collect the vital sign datas such as image data and electrocardiogram (ECG) data.
The connection can be through forth generation mechanics of communication (the 4th Generation communication
System, 4G) technology, the 5th generation mechanics of communication (the 5th Generation communication system, 5G) technology
Or Wireless Fidelity (Wireless Fidelity, WI-F I) technology etc. is attached.
Wherein, the vital sign data of electrocardiograph acquisition is electrocardiogram (ECG) data, i.e. electricity caused by heart each cardiac cycle
Activity change figure.The vital sign data of B ultrasound machine acquisition is image data, i.e., using high-frequency sound wave to inside of human body group
It knits, imaging organs.PACS acquisition is image data.
Before educational surgery demonstration starts, educational surgery demonstration module can receive the doctor of the 5th medical institutions in the 5th terminal
The operation information of input, then, educational surgery demonstration module can push the operation information, so that other medical institutions know that operation is shown
Teach the time started.
Wherein, operation information can also include type of surgery, for example be which type of operation, such as x tumour, as a result,
The operating time and type of surgery can be shown in 5th terminal, and the doctor of other medical institutions can according to need, and determination is
The no online viewing of participation.
Wherein, before educational surgery demonstration starts, the doctor of other medical institutions or receiving instruction for participation remote operation teaching
Person can log on to the educational surgery demonstration module, online watching operation process simultaneously.
Further, educational surgery demonstration module is also used to, will treated operation audiovisual information and vital sign data deposit
Storage is in the first file；Keyword is added for the first file；According to keyword, the first file is stored in listed files.
Specifically, educational surgery demonstration module can generate a file to operation audiovisual information and vital sign data, and
When to file designation, keyword is added, which may include the date, content of performing the operation, most important in the participant that performs the operation
Participant's information, for example, 20170809x tumour director x.And the file after addition keyword is stored in educational surgery demonstration module
In listed files in.
Then, which can be sent to long-distance education module 180 by remote operation teaching module 160, to use
Family is in 180 program request of long-distance education module, first file, to realize the purpose for carrying out distance education training by first file.
Long distance monitoring module 170 is connected with vital sign acquisition equipment, for receiving vital sign acquisition equipment acquisition
Vital sign data；It is connected with statistical analysis module 130, for obtaining the medical record data in statistical analysis module 130；With
7th terminal is connected, for vital sign data and medical record data to be sent to the 7th terminal, to be carried out by the 7th terminal
Long distance monitoring.
Wherein, long distance monitoring module 170 is specifically used for,
Obtain the vital sign data of patient；
Obtain the medical record data of patient；Wherein, vital sign data, medical record data respectively include patient information and time letter
Breath；
Obtain the video information of patient；
Receive the first call request information that consultant is sent by first movement terminal；First call request packet
Include patient information and time range information；
According to time range information, temporal information and patient information, vital sign number of the patient in time range is determined
According to and medical record data；
Vital sign data of the patient in time range and medical record data are sent to first movement terminal；
Receive the mobile consultation of doctors result that first movement terminal is sent；
Mobile consultation of doctors result is stored；
It receives the doctor that makes the rounds of the wards and passes through the second call request information that the second mobile terminal is sent；Second call request packet
Include patient information；
According to patient information, vital sign data, medical record data and consultation of doctors result are sent to the second mobile terminal；
It receives making the rounds of the wards for the second mobile terminal transmission and records data；
It records data to making the rounds of the wards and stores；
It receives care provider and passes through the third call request information that the 7th terminal is sent；Third call request information includes suffering from
Person's information；
According to patient information, by video information, consultation of doctors result and makes the rounds of the wards and record data and be sent to the 7th terminal, so that monitoring
People guards patient by the 7th terminal.
In the following, long distance monitoring module 170 is specifically described.
Wherein it is possible to carry out the mobile consultation of doctors in first movement terminal.
It can realize that movement is made the rounds of the wards on the second mobile terminal, the doctor that makes the rounds of the wards can be called and be suffered from by the second mobile terminal
Multiple data of person.The doctor that makes the rounds of the wards can log in long distance monitoring module 170 on the second mobile terminal, and then selection needs to make the rounds of the wards
Lesion-bed label, then carry out movement make the rounds of the wards, save the time of making the rounds of the wards as a result, improve efficiency of making the rounds of the wards, alleviate medical pressure
The burden of power and medical staff.
Wherein, the doctor that makes the rounds of the wards can carry out record of making the rounds of the wards, and be directed to the above-mentioned data of patient, adjust doctor's advice, for example, increasing
Certain medicine or the dosage for mitigating certain medicine, stop using certain drug etc..Data are recorded when including it is understood that making the rounds of the wards
Between information in order to subsequent diagnosis or can be facilitated consultation or convenient for children by recording data to making the rounds of the wards and storing
Or patient profiles etc..
At this point, the video information of patient can be acquired by the 4th acquisition equipment, the 4th acquisition equipment and long-range
Monitoring module is connected, for acquiring the status information of patient.
Wherein, care provider can be doctor, be also possible to nurse, can also be children.Care provider is in long distance monitoring
In module 170, by inputting patient information, for example, patient's name, so that a variety of data for arriving the patient are called, thus according to
A variety of data, it is thus understood that the physical condition of patient.
Long-distance education module 180 is connected with remote medical consultation with specialists module 150 and remote operation teaching module 160 respectively, is used for
Receive the remote medical consultation with specialists information that remote medical consultation with specialists module 150 is sent and the remote operation teaching that remote operation teaching module 160 is sent
Information；It is connected with the 8th terminal, for remote medical consultation with specialists information and remote operation teaching information to be sent to the 8th terminal.
Further, statistical analysis module 130 is connected with long distance monitoring module 170, for counting patient's preset duration
Interior vital sign data, and handling vital sign data, generates the following physical condition information, and by the following body shape
Condition information is sent to long distance monitoring module 170；
Long distance monitoring module 170 is also used to, and according to the following physical condition information, generates prompt information, and will be prompted to information
It is sent to the 7th terminal.
Specifically, preset duration includes but is not limited to two weeks, one month, three months or half a year.Thus, it is possible to obtain trouble
Vital sign data in person's certain time length is counted according to preset duration, improves Patient Experience.
Statistical analysis module 130 can predict the following physical condition, for example, after drawing out health index curve,
Subsequent time can be predicted, for example, second day health index curve is normally general according to the gradual degree of health index curve
Rate.The prompt information can be prompted in the form of text or voice.For example " the normal probability of future health index is
90% " etc..
As a result, by the integration to vital sign data, the processing of current physical condition can be not only carried out, it can also be right
The following physical condition is predicted, has accomplished early discovery, early medical, more intelligent.
Professional should further appreciate that, described in conjunction with the examples disclosed in the embodiments of the present disclosure
Unit and algorithm steps, can be realized with electronic hardware, computer software, or a combination of the two, hard in order to clearly demonstrate
The interchangeability of part and software generally describes each exemplary composition and step according to function in the above description.
These functions are implemented in hardware or software actually, the specific application and design constraint depending on technical solution.
Professional technician can use different methods to achieve the described function each specific application, but this realization
It should not be considered as beyond the scope of the present invention.
The step of method described in conjunction with the examples disclosed in this document or algorithm, can be executed with hardware, processor
The combination of software module or the two is implemented.Software module can be placed in random access memory (RAM), memory, read-only memory
(ROM), electrically programmable ROM, electrically erasable ROM, register, hard disk, moveable magnetic disc, CD-ROM or technical field
In any other form of storage medium well known to interior.
Above specific embodiment has carried out further in detail the purpose of the present invention, technical scheme and beneficial effects
Illustrate, it should be understood that the above is only a specific embodiment of the invention, the protection model that is not intended to limit the present invention
It encloses, all within the spirits and principles of the present invention, any modification, equivalent substitution, improvement and etc. done should be included in the present invention
Protection scope within.
Claims (8)
1. a kind of information platform, which is characterized in that the information platform includes:
Data active layer, the data active layer are used for the classification situation according to medical institutions, are obtained in medical institutions at different levels step by step, often
The diagnosis and treatment data of a medical institutions；
Data transfer layer is connected with the data active layer by Enterprise Service Bus ESB, for receiving the data active layer hair
The diagnosis and treatment data of each medical institutions sent；
Business support layer is connected with the data transfer layer, carries out for the diagnosis and treatment data to each medical institutions whole
It closes, standardize, association analysis and Main index of patients EMPI calculate, and matched by visual work stream configuration, plug-in services, engine
It sets and tactful configuration is handled, form the data-interface of standard, while integrated security management and operation monitoring, mentioned to service application layer
For data standard collection and index service, data publication service and transaction services；
Service application layer is connected with the business support layer, for by diagnosis and treatment data show and the pipe of operation flow
Reason carries out remote image diagnosis, Telediagnosis of Electrocardiogram Signals, statistical analysis, bidirectionally transfering consultation, remote medical consultation with specialists, remote operation teaching, long-range
Monitoring and long-distance education, and according to the EMPI, construct the health account of patient.
2. information platform according to claim 1, which is characterized in that in the data active layer, be deployed with preposition Two-way Network
It closes, diagnosis and treatment data is acquired by the preposition bidirectional gateway, are cleaned, are screened, are standardized and packing is handled.
3. information platform according to claim 1, which is characterized in that in the data active layer, according to point of medical institutions
Grade situation, when medical institutions' grade is rudimentary, from image archiving and communication system PACS equipment, the network data of electrocardio equipment
Acquisition interface collects diagnosis and treatment data.
4. -2 described in any item information platforms according to claim 1, which is characterized in that the data active layer includes: database
Interface, file interface, network interface and component interface.
5. information platform according to claim 1, which is characterized in that the business support layer uses B/S framework, according to record
The identity of access customer determines the software function that can be used, and business support system includes: medical history information acquisition subsystem and acquisition
Parameter setting subsystem, wherein the medical history information acquisition subsystem checks that data are current according to medical institutions, state, date
State, and data are prepared by control and upload data to execute acquisition tasks；
The acquisition tasks of acquisition data are arranged according to mechanism for the acquisition parameter setting subsystem, configure acquisition tasks attribute value.
6. information platform according to claim 1, which is characterized in that the service application layer includes:
Remote image diagnostic module is connected with the Image Terminal of at least one medical institutions, and user obtains the Image Terminal
In image data, and the image data is diagnosed, generates the first diagnosis report；
Telediagnosis of Electrocardiogram Signals module is connected with the electrocardio terminal of at least one medical institutions, and user obtains the electrocardio terminal
In electrocardiogram (ECG) data, and the electrocardiogram (ECG) data is diagnosed, generates second opinion report；
Statistical analysis module is connected with all information system at least one medical institutions, for obtaining the information system
Medical record data in system, and receive the first diagnosis report that the remote image diagnostic module is sent and the remote ecg is examined
The second opinion report that disconnected module is sent, and according to preset type of service, to the medical record data, first diagnosis report
It is reported with the second opinion and carries out statistical disposition, generate statistical result；
Bidirectionally transfering consultation module is connected, for receiving with the first terminal of the first medical institutions at least one medical institutions
The transfer treatment request information that the first terminal is sent, the transfer treatment request information includes the second medical institutions' information to be changed the place of examination；
Then according to second medical institutions information, the transfer treatment request information is sent to the second end of second medical institutions
End, so that second medical institutions carry out diagnosis and treatment to patient；
Remote medical consultation with specialists module is connected, for receiving with the third terminal of the third medical institutions at least one medical institutions
The remote medical consultation with specialists solicited message that the third terminal is sent, the remote medical consultation with specialists solicited message include the of remote medical consultation with specialists to be participated in
Four medical institutions' information；Then according to the 4th medical institutions' information, the remote medical consultation with specialists solicited message is sent to described
4th terminal of the 4th medical institutions, so that the 4th medical institutions carry out remote medical consultation with specialists to patient；
Remote operation teaching module is connected with the 5th terminal of the 5th medical institutions at least one medical institutions, is used for
The remote operation solicited message that the 5th terminal is sent is received, the remote operation solicited message includes participating in remote operation
6th medical institutions' information of teaching；Then according to the 6th medical institutions' information, the remote operation solicited message is sent out
The 6th terminal of the 6th medical institutions is given, so that the 6th medical institutions participate in remote operation teaching；
Long distance monitoring module is connected with vital sign acquisition equipment, for receiving the vital sign acquisition equipment acquisition
Vital sign data；It is connected with statistical analysis module, for obtaining the medical record data in the statistical analysis module；With the 7th
Terminal is connected, for the vital sign data and the medical record data to be sent to the 7th terminal, by described
7th terminal carries out long distance monitoring；
Long-distance education module is connected, for receiving respectively with the remote medical consultation with specialists module and the remote operation teaching module
The remote operation teaching letter that the remote medical consultation with specialists information and the remote operation teaching module that the remote medical consultation with specialists module is sent are sent
Breath；It is connected with the 8th terminal, for the remote medical consultation with specialists information and the remote operation teaching information to be sent to described
Eight terminals.
7. information platform according to claim 6, which is characterized in that the statistical analysis module and the long distance monitoring
Module is connected, and handles for counting the vital sign data in patient's preset duration, and to the vital sign data,
The following physical condition information is generated, and the following physical condition information is sent to the long distance monitoring module；
The long distance monitoring module is also used to, and according to the following physical condition information, generates prompt information, and by the prompt
Information is sent to the 7th terminal.
8. information platform according to claim 1, which is characterized in that the service application layer is also used to, and building children protect
Strong archives and/or health care of women archives.
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