CN110957032A - Remote medical diagnosis system for traditional Chinese medicine - Google Patents
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Abstract
The invention relates to the technical field of remote medical treatment, and particularly discloses a traditional Chinese medicine remote medical diagnosis system, which comprises: the user side is used for acquiring video information and identity information of a user; the server is used for acquiring video information and identity information of the user and retrieving electronic medical records and image data of the user according to the identity information of the user; the server is also used for preprocessing the image data of the user; and the medical treatment end is used for receiving the video information, the electronic medical record and the preprocessed image data of the user from the server. The technical scheme of the invention can provide convenience for the diagnosis of doctors.
Description
Technical Field
The invention relates to the technical field of remote medical treatment, in particular to a traditional Chinese medicine remote medical treatment diagnosis system.
Background
How to reasonably utilize the existing medical resources to better serve people is a problem to be urgently solved for the reformation and development of the medical diagnosis and treatment system. At present, the medical capacity of remote areas mainly covered by medium and small medical institutions is relatively poor, the dependence on medical assistance is high, a large number of experts cannot provide services on site due to various reasons such as inappropriateness of living environments, age, family factors and the like, and the universality and the real-time performance of medical resource assistance are greatly restricted.
With the rapid development of information technology, remote diagnosis is gradually applied, not only western medicine but also traditional Chinese medicine is gradually combined with the information technology, and through remote diagnosis, a doctor can diagnose without facing a patient, so that convenience is provided for the patient.
However, the remote diagnosis of traditional Chinese medicine is single at present, and the inspection is mainly performed through video pictures to observe the body, face, tongue body and tongue coating of the patient, and then the disease position and disease nature are determined according to the change of the shape and color. However, such a diagnosis method is simple and has a high possibility of misdiagnosis.
Therefore, Chinese patent with publication number CN106691407A discloses a comprehensive remote diagnosis system for traditional Chinese medicine, which comprises a data acquisition subsystem, a signal processing subsystem, a computer unit, a pulse simulation subsystem and a calibration subsystem, wherein the data acquisition subsystem acquires the body temperature, the face, the tongue fur, the tongue bottom and the sound of a patient and the pulse signals of the radial artery; the signal processing subsystem processes the data acquired by the data acquisition subsystem and transmits the data through a communication network so as to realize remote docking between the patient and the doctor, and the doctor can apply different pressures of floating, middle and sinking and the like to feed back to the radial artery of the wrist of the patient for pulse feeling through the pulse simulation subsystem according to the received pulse data. The scheme combines the four diagnoses of inspection, smelling, inquiry and cutting of the traditional Chinese medicine, can feel the physical condition of the patient without the face-to-face consultation of doctors and the patient, and realizes remote medical treatment.
However, in the above scheme, each of the acquisition, transmission and simulation processes of the pulse signal has a certain error, and the three processes add up to amplify the error undoubtedly, so that the pulse felt by the doctor and the actual pulse of the patient have a large difference, and accurate diagnosis is difficult to achieve. Therefore, the traditional Chinese medicine is mainly used for face-to-face diagnosis and treatment, and is difficult to adapt to modern remote diagnosis and treatment.
Therefore, a remote diagnosis system combining the traditional Chinese medicine and the modern medicine is required to provide convenience for the diagnosis of doctors.
Disclosure of Invention
The invention provides a remote medical diagnosis system for traditional Chinese medicine, which can provide convenience for the diagnosis of doctors.
In order to solve the technical problem, the present application provides the following technical solutions:
a remote medical diagnostic system of traditional chinese medicine, comprising:
the user side is used for acquiring video information and identity information of a user;
the server is used for acquiring video information and identity information of the user and retrieving electronic medical records and image data of the user according to the identity information of the user; the server is also used for preprocessing the image data of the user;
and the medical treatment end is used for receiving the video information, the electronic medical record and the preprocessed image data of the user from the server.
The basic scheme principle and the beneficial effects are as follows:
in the scheme, during remote diagnosis, the video information and the identity information of the patient are collected by the user side and transmitted to the medical end of the doctor through the server, so that remote video diagnosis and treatment between the doctor and the patient are realized. Doctors can observe the complexion of patients, listen to the sound of the patients and inquire the symptoms of the patients, realize the steps of 'watching', 'smelling' and 'asking' in the traditional Chinese medicine diagnosis and carry out the preliminary traditional Chinese medicine diagnosis. Meanwhile, the doctor can receive the electronic medical record and the image data of the user from the server, and the diagnosis accuracy can be effectively improved by combining the electronic medical record, the image data and the traditional Chinese medicine diagnosis means. The server preprocesses the image data of the user, so that a doctor can acquire effective information from the image data quickly, and convenience can be provided for the diagnosis of the doctor.
Further, the server comprises a storage module and a processing module, and the processing module is used for retrieving the electronic medical record and the image data of the user from the storage module according to the identity information of the user.
The electronic medical record and the image data can be ensured to be in one-to-one correspondence with the user.
Furthermore, the user side also comprises a pulse acquisition module, and the pulse acquisition module comprises a pulse sensor, a signal processing unit and a communication unit; the pulse sensor is used for acquiring a pressure signal of pulse and converting the pressure signal into an electric signal; the signal processing unit is used for acquiring the electric signals from the pulse sensor and preprocessing the electric signals; the signal processing unit is also used for converting the preprocessed electric signals into digital signals, and the communication unit is used for acquiring the digital signals from the signal processing unit and sending the digital signals to a user side;
the processing module is also used for acquiring the digital signals of the pulse from the user side, generating a pulse waveform and constructing a pulse oscillogram; the medical treatment end is used for obtaining and displaying the pulse oscillogram from the processing module.
In the traditional Chinese medicine remote diagnosis, in order to realize 'cutting', a device is needed to simulate the pulse of a patient at a medical end, the simulation is difficult to truly reflect the actual pulse of the patient, and the diagnosis accuracy is low. Because the actually measured electric signal is very weak and contains myoelectric interference, power frequency noise and other noise interference, the initial electric signal is difficult to accurately reflect the actual pulse information, and the scheme can effectively eliminate the noise by preprocessing the electric signal. In the scheme, the pulse oscillogram is constructed and displayed, so that the pulse cutting is visualized, compared with the traditional pulse simulation mode, the method avoids information loss in the simulation process, and can effectively improve the accuracy of the remote diagnosis of the traditional Chinese medicine.
Furthermore, the processing module is also used for carrying out period segmentation on the pulse waveform, determining the minimum period of the pulse waveform, and the storage module is also pre-stored with pulse abnormal data; the processing module is further used for matching the minimum period of the pulse waveform with the pulse abnormal data, judging whether the minimum period of the pulse waveform is abnormal or not, and if the minimum period of the pulse waveform is abnormal, marking the abnormal minimum period of the pulse waveform on the pulse waveform diagram.
The minimum period of the abnormal pulse waveform is marked on the pulse waveform diagram, so that the diagnosis of a doctor can be assisted, the doctor can be helped to quickly find the pulse abnormality, and the diagnosis efficiency can be effectively improved.
Further, the device also comprises an image acquisition end; when the processing module does not retrieve the image data of the corresponding user in the storage module, the processing module sends an image acquisition request to an image acquisition end; the image acquisition end is used for retrieving whether image data of a corresponding user exists after receiving the image acquisition request, and if the image data of the corresponding user exists, the image acquisition end is used for uploading the image data of the corresponding user to the storage module of the server.
At present, hospitals have a plurality of image acquisition ends related to image data acquisition, and the condition that the image acquisition end does not timely store the image data into a storage module of a server may exist. The image acquisition end can upload the image data in time by sending the image acquisition request to the image acquisition end.
Further, the electronic medical record comprises a plurality of symptoms; during preprocessing, the processing module is used for classifying the image data according to diseases in the electronic medical record.
Through classifying the image data, can be convenient for the doctor to find corresponding image data fast.
Further, during classification, the processing module is used for classifying the image data of the same disease into one class.
When a doctor carries out remote diagnosis on a patient, the doctor usually carries out remote diagnosis on a certain disease, and the doctor can browse whether related disease records exist in an electronic medical record and view image data related to the disease; by classifying the image data of the same disease into one category, doctors can conveniently browse the image data of all corresponding diseases at one time, and the diagnosis efficiency can be improved.
Further, the image data includes one or more of a test result, an X-ray film, a CT film, an electrocardiogram, B-mode ultrasound and nuclear magnetic resonance.
Through the image data with rich types, doctors can conveniently and accurately diagnose.
Further, the medical end is also used for modifying the electronic medical record.
The doctor can add new contents to the electronic medical record according to the situation of the remote diagnosis.
Further, the medical end is also used for acquiring annotation information of the doctor on the image data and adding the annotation information into the image data.
Through the annotation, when a doctor watches the image data next time, the doctor can understand the image data more quickly, and the efficiency is improved.
Drawings
FIG. 1 is a block diagram of a first embodiment of a remote medical diagnostic system of TCM;
fig. 2 is a logic block diagram of a first embodiment of a remote medical diagnosis system of traditional Chinese medicine.
Detailed Description
The following is further detailed by way of specific embodiments:
example one
As shown in fig. 1 and fig. 2, the remote medical diagnosis system of the embodiment of the invention includes a user end, a server, a medical end and an image acquisition end, which are connected to a network.
The user side is used for collecting video information and identity information of a user; the video information includes image information and voice information. In this embodiment, if the user performs remote diagnosis at home, the user side may be a computer with a camera and a microphone; the camera is used for collecting image information of a user, the microphone is used for collecting voice information of the user, and the computer body is used for collecting identity information of the user. Of course, the user may be in a medical facility, and the doctor in another medical facility diagnoses the user through the remote medical diagnosis system. In this embodiment, the user side is connected to the router through a network and then connected to the server through the router. In other embodiments, the user terminal may also be a mobile phone, and is connected to the server network through the communication base station.
The server comprises a storage module and a processing module; the storage module is used for storing the electronic medical record and the image data of the user. The image data comprises one or more of test results, X-ray films, CT films, electrocardiograms, B-ultrasonics and nuclear magnetic resonance; in the present embodiment, all of the above are included. Electronic medical records include several disorders. For example, a user's electronic medical record includes surgical and medical conditions.
The processing module is used for acquiring video information and identity information of a user from a user side; the processing module retrieves the electronic medical record and the image data of the user from the storage module according to the identity information of the user; when the processing module does not retrieve the image data of the corresponding user in the storage module, the processing module sends an image acquisition request to an image acquisition end; the image acquisition end is used for retrieving whether image data of a corresponding user exists after receiving the image acquisition request, and if the image data of the corresponding user exists, the image acquisition end is used for uploading the image data of the corresponding user to the storage module of the server. In the present embodiment, the image acquisition side refers to a terminal equipped with an HIS (hospital information management system), an LIS (examination management system), a PACS (picture archiving and communication system), or an RIS (radiology information management system).
The processing module is also used for preprocessing the image data of the user; specifically, during preprocessing, the processing module is used for classifying the image data according to the symptoms in the electronic medical record. When classifying, the processing module classifies the image data of the same disease into one class.
In this embodiment, the medical terminal is a PC, and is connected to the router through a network and then connected to the server through the router. The medical end is used for modifying the electronic medical record. The medical end is also used for acquiring annotation information of the doctor on the image data and adding the annotation information into the image data.
Example two
The difference between the present embodiment and the first embodiment is that the user side further includes a pulse acquisition module, and the pulse acquisition module includes a pulse sensor, a signal processing unit, and a communication unit; the pulse sensor may be a photoelectric type or a pressure type, and in this embodiment, a pressure type, specifically, a piezoelectric type, is adopted. The pulse sensor is fixed at the cunguan position of the radial artery of the arm and used for collecting a pressure signal of the pulse and converting the pressure signal into an electric signal;
the signal processing unit is used for acquiring the electric signals from the pulse sensor and preprocessing the electric signals. In this embodiment, the preprocessing includes signal amplification, filtering, and performing secondary amplification on the filtered electrical signal. The signal processing unit is also used for converting the preprocessed electric signals into digital signals, and the communication unit is used for acquiring the digital signals from the signal processing unit and sending the digital signals to a user side. In this embodiment, the communication unit employs a bluetooth chip.
The processing module is also used for acquiring the digital signals of the pulse from the user side, generating a pulse waveform and constructing a pulse oscillogram; specifically, the pulse waveform diagram takes the pulse pressure as the ordinate and the time as the abscissa. The medical treatment end is used for obtaining and displaying the pulse oscillogram from the processing module.
The processing module is also used for carrying out period segmentation on the pulse waveform and determining the minimum period of the pulse waveform. The storage module is also pre-stored with pulse abnormal data; the processing module is further used for matching the minimum period of the pulse waveform with the pulse abnormal data, judging whether the minimum period of the pulse waveform is abnormal or not, and if the minimum period of the pulse waveform is abnormal, marking the abnormal minimum period of the pulse waveform on the pulse waveform diagram.
EXAMPLE III
The difference from the second embodiment is that the medical treatment end of the present embodiment is further configured to use the modification of the electronic medical record by the doctor as the remote diagnosis result. The remote diagnosis result includes the name of the doctor.
The storage module also stores doctor data; the doctor data includes doctor name and department.
The server also comprises a re-diagnosis registration module used for automatically registering according to the remote diagnosis result of the user when the user who is subjected to the remote medical diagnosis carries out the offline re-diagnosis, and the registered doctor is a doctor in the same department as the previous remote diagnosis doctor.
The processing module is also used for analyzing the diagnosis result and the remote diagnosis result during the re-diagnosis, and if the analysis result is that the disease condition of the user is aggravated, the processing module sends assistance information in an anonymous form, wherein the assistance information comprises original image data, an electronic medical record, video information and a pulse oscillogram during the remote diagnosis.
Also comprises a doctor end and a management end; the receiver of the assistance information is the doctor end of a third doctor in the same department. The doctor end is used for receiving the assistance information and inputting the assistance diagnosis result.
The processing module is also used for acquiring the diagnosis assisting result from the doctor end and analyzing the diagnosis assisting result and the remote diagnosis result.
The analysis module is also used for sending the information that the remote diagnosis result is unreasonable to the management terminal when the analysis result is unreasonable.
Specifically, the method comprises the following steps: when the user who has undergone remote diagnosis makes a follow-up examination on line, the follow-up examination registration module automatically registers the user at the doctor in the same department as the previous remote diagnosis doctor, so that the same doctor can be prevented from continuously diagnosing. If the patient is more ill, it indicates that the previous remote diagnosis may be inaccurate, and therefore, assistance information is sent to the doctor end of the third doctor in an anonymous form.
After receiving the assistance information, the assisting doctor inputs an assistance diagnosis result, and if the processing module analyzes the assistance diagnosis result and the first remote diagnosis result and the analysis result confirms that the diagnosis is inaccurate, the assisting doctor can eliminate the system problem in the remote diagnosis and can determine that the diagnosis is an artificial problem. By the method, the problem source with inaccurate diagnosis can be found, and the subsequent treatment is facilitated.
Example four
The difference from the third embodiment is that, in this embodiment, the identity information of the user further includes a telephone of the user, and the doctor data further includes a telephone of the doctor.
The monitoring terminal is fixed at the office of a doctor and used for collecting images and voice and sending collected data to the processing module. Specifically, the monitoring end comprises a camera and a sound pickup.
The processing module is also used for analyzing the data sent by the monitoring terminal in an image recognition and semantic recognition mode, extracting the telephone of the user from the identity information of the user when the analysis result shows that the medical alarm risk exists, extracting the telephone of the doctor through the doctor data, and respectively sending voice messages to the doctor and the user by using the pre-stored voice messages, wherein the voice message sent to the doctor and the voice message sent to the user comprise different address information.
By the mode, when unreasonable medication occurs, if the user finds the doctor and then the doctor is ready to take a medical alarm, the system can guide the user and the doctor to different places in a voice message mode, and sufficient time is provided for the academies to prepare measures.
The above are merely examples of the present invention, and the present invention is not limited to the field related to this embodiment, and the common general knowledge of the known specific structures and characteristics in the schemes is not described herein too much, and those skilled in the art can know all the common technical knowledge in the technical field before the application date or the priority date, can know all the prior art in this field, and have the ability to apply the conventional experimental means before this date, and those skilled in the art can combine their own ability to perfect and implement the scheme, and some typical known structures or known methods should not become barriers to the implementation of the present invention by those skilled in the art in light of the teaching provided in the present application. It should be noted that, for those skilled in the art, without departing from the structure of the present invention, several changes and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.
Claims (10)
1. A remote medical diagnostic system of traditional chinese medicine, comprising:
the user side is used for acquiring video information and identity information of a user;
the server is used for acquiring video information and identity information of the user and retrieving electronic medical records and image data of the user according to the identity information of the user; the server is also used for preprocessing the image data of the user;
and the medical treatment end is used for receiving the video information, the electronic medical record and the preprocessed image data of the user from the server.
2. The remote medical diagnosis system of traditional Chinese medicine according to claim 1, wherein: the server comprises a storage module and a processing module, wherein the processing module is used for retrieving the electronic medical record and the image data of the user from the storage module according to the identity information of the user.
3. The remote medical diagnosis system of traditional Chinese medicine according to claim 2, wherein: the user side further comprises a pulse acquisition module, and the pulse acquisition module comprises a pulse sensor, a signal processing unit and a communication unit; the pulse sensor is used for acquiring a pressure signal of pulse and converting the pressure signal into an electric signal; the signal processing unit is used for acquiring the electric signals from the pulse sensor and preprocessing the electric signals; the signal processing unit is also used for converting the preprocessed electric signals into digital signals, and the communication unit is used for acquiring the digital signals from the signal processing unit and sending the digital signals to a user side;
the processing module is also used for acquiring the digital signals of the pulse from the user side, generating a pulse waveform and constructing a pulse oscillogram; the medical treatment end is used for obtaining and displaying the pulse oscillogram from the processing module.
4. The remote medical diagnosis system of traditional Chinese medicine according to claim 3, wherein: the processing module is also used for carrying out period segmentation on the pulse waveform to determine the minimum period of the pulse waveform, and the storage module is also pre-stored with pulse abnormal data; the processing module is further used for matching the minimum period of the pulse waveform with the pulse abnormal data, judging whether the minimum period of the pulse waveform is abnormal or not, and if the minimum period of the pulse waveform is abnormal, marking the abnormal minimum period of the pulse waveform on the pulse waveform diagram.
5. The remote medical diagnosis system of traditional Chinese medicine according to claim 4, wherein: the device also comprises an image acquisition end; when the processing module does not retrieve the image data of the corresponding user in the storage module, the processing module sends an image acquisition request to an image acquisition end; the image acquisition end is used for retrieving whether image data of a corresponding user exists after receiving the image acquisition request, and if the image data of the corresponding user exists, the image acquisition end is used for uploading the image data of the corresponding user to the storage module of the server.
6. The remote medical diagnosis system of traditional Chinese medicine according to claim 5, wherein: the electronic medical record comprises a plurality of diseases; during preprocessing, the processing module is used for classifying the image data according to diseases in the electronic medical record.
7. The remote medical diagnosis system of traditional Chinese medicine according to claim 6, wherein: when classifying, the processing module is used for classifying the image data of the same disease into one class.
8. The remote medical diagnosis system of traditional Chinese medicine according to claim 7, wherein: the image data includes one or more of assay results, X-ray film, CT film, electrocardiogram, B-mode ultrasound and nuclear magnetic resonance.
9. The remote medical diagnosis system of traditional Chinese medicine according to claim 8, wherein: the medical end is also used for modifying the electronic medical record.
10. The remote medical diagnosis system of traditional Chinese medicine according to claim 9, wherein: the medical end is also used for acquiring annotation information of the doctor on the image data and adding the annotation information into the image data.
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| US10991190B1 (en) | 2020-07-20 | 2021-04-27 | Abbott Laboratories | Digital pass verification systems and methods |
| CN112820393A (en) * | 2020-12-30 | 2021-05-18 | 上海掌门科技有限公司 | Pulse feeling method, system, electronic device and computer readable storage medium |
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