CN113268756A - Patient sharing and quality control system based on block chain technology and human assisted reproduction technology - Google Patents

Patient sharing and quality control system based on block chain technology and human assisted reproduction technology Download PDF

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Publication number
CN113268756A
CN113268756A CN202110607444.1A CN202110607444A CN113268756A CN 113268756 A CN113268756 A CN 113268756A CN 202110607444 A CN202110607444 A CN 202110607444A CN 113268756 A CN113268756 A CN 113268756A
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China
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data
block chain
technology
hospital
user
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CN202110607444.1A
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Chinese (zh)
Inventor
孙贇
王春鸣
陆扬
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Renji Hospital Shanghai Jiaotong University School of Medicine
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Renji Hospital Shanghai Jiaotong University School of Medicine
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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60Protecting data
    • G06F21/64Protecting data integrity, e.g. using checksums, certificates or signatures
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F16/00Information retrieval; Database structures therefor; File system structures therefor
    • G06F16/20Information retrieval; Database structures therefor; File system structures therefor of structured data, e.g. relational data
    • G06F16/27Replication, distribution or synchronisation of data between databases or within a distributed database system; Distributed database system architectures therefor
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60Protecting data
    • G06F21/602Providing cryptographic facilities or services
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F21/00Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
    • G06F21/60Protecting data
    • G06F21/62Protecting access to data via a platform, e.g. using keys or access control rules
    • G06F21/6218Protecting access to data via a platform, e.g. using keys or access control rules to a system of files or objects, e.g. local or distributed file system or database
    • G06F21/6245Protecting personal data, e.g. for financial or medical purposes
    • G06F21/6254Protecting personal data, e.g. for financial or medical purposes by anonymising data, e.g. decorrelating personal data from the owner's identification
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Abstract

The invention relates to a doctor-patient sharing and quality control system based on a block chain technology and a human assisted reproduction technology, wherein user login authority management, reproduction data information display and user interaction are set through a webpage front end of a block chain platform; the back-end application is used as a middle layer of the front-end page and the block chain data interaction, and is respectively used as a carrier for data receiving of clinical data monitoring and embryo culture equipment and a carrier for user data storage; capturing data and image information of each culture link in the clinical data monitoring and embryo culture equipment in the human assisted reproduction technology at set time intervals, comparing and analyzing the data and the reference data, transmitting the data and the image information to a block chain application platform through a hospital gateway, and performing ID management, data desensitization evidence storage and on-chain data interaction; performing data chaining, data query, verification, data ownership confirmation and transfer in the block chain; and each link of the clinical treatment process and the embryo culture is displayed to a user through visual data.

Description

Patient sharing and quality control system based on block chain technology and human assisted reproduction technology
Technical Field
The invention relates to a medical management and service system based on the Internet of things, in particular to a patient sharing and quality control system based on a block chain technology and a human assisted reproduction technology.
Background
The block chain has credibility, safety and non-tamper property, and can ensure the privacy of data while opening and sharing the data, thereby being widely used in various industries.
Human Assisted Reproductive Technology (ART) involves complex multi-link clinical and laboratory procedures, clinical patients' etiology and disease conditions are also diversified, and effective clinical data index measurement is needed to ensure quality management of clinical treatment. With the development and innovation of technology in recent years, clinical processing and embryo culture have shown diversified evolutions and trends. However, in the conventional ART project, the process of monitoring follicular development, obtaining ova, fertilization of sperm and ova, development of fertilized ova, and growth of embryos and the corresponding clinical and laboratory procedures are not visible to the patient, but are highly desirable for the patient.
With the development and application of telemedicine systems, the quality management of clinical treatment and the technology of the internet of things are organically combined into a possibility.
CN201110357547.3 discloses an IPTV system and method for implementing remote medical treatment, which combines the IPTV technology and remote medical treatment technology, and the system is respectively provided with: the system side only needs to consider the support and the update of the components, and realizes the dynamic support of the new terminal to be accessed into the IPTV terminal. Due to the fact that the IPTV medium is used for displaying, the transmitted data volume is large and stable, the audio and video effect is good, the interaction effect between doctors and patients is good, and the method is suitable for wide family users. The method is suitable for the technical field of universal medical terminal access.
Disclosure of Invention
The invention aims to: provides a doctor-patient sharing and quality control system based on a block chain technology and a human assisted reproduction technology. The technology of the invention can carry out standardized control on personnel, equipment, materials, environment and system, thus realizing optimized treatment; by presenting the patient with information about the ART process, particularly the whole process of fertilized egg development, embryo culture, growth and implantation, better medical experience is brought to the patient.
The invention aims to realize the following technology, namely a standardized quality control system based on a block chain technology and a human assisted reproduction technology, which stores and interacts data on a chain by utilizing a block chain, wherein user login authority management, reproduction data information display and user interaction are set at the front end of a webpage of a block chain platform; the back-end application is used as a middle layer of the interaction between the front-end page and the block chain data, and is respectively used as a carrier for data receiving of clinical data monitoring and embryo culture equipment and a carrier for user data storage; data and image information of each culture link in a clinical treatment process and embryo culture equipment in the human assisted reproduction technology are captured according to a set time interval, are compared and analyzed with reference data, are transmitted to a block chain application platform through a hospital gateway, and are subjected to ID management, data desensitization and evidence storage and data interaction on a chain; performing data chaining, data query, verification, data ownership confirmation and transfer in the block chain; the clinical treatment process and each link of embryo culture are displayed to users through visual data, and the users comprise medical care personnel, hospital managers and patients.
The invention is based on the block chain technology, and aims to disclose, transparent and not be tampered with all data in the ART process; a comprehensive quality management system is established through continuous information and data monitoring, and the optimized treatment outcome is realized through standardized control of quality, risk and process management; the public information and data can better improve the hospitalizing experience of the patient and strengthen the trust between doctors and patients. The quality control system of the invention presents a breakthrough in doctor-patient service and medical quality improvement.
The system comprises an intranet area, an extranet area and a public network area, wherein the intranet area is used as a service port to input basic information of a patient into the system; the hospital external network area comprises a server with a system database master library and a slave library, an TIMELAPSE server, and sends hospital short message service and calls TIMELAPSE data information of a culture box through a WEB access port of a rear-end server of the system; and the public network area is provided with a system mobile phone WEB end, a block chain platform and block chain nodes, and information is transmitted and called through an external WEB access end.
The capturing of data and image information of each culture link in a clinical treatment process and embryo culture equipment in the human assisted reproduction technology is the whole process information of clinical monitoring indexes, ovum and sperm collection, embryo in-vitro culture and growth, embryo selection and final implantation in vivo, and the visual display is performed on a user through the combination of the equipment of the Internet of things and the block chain technology and third-party authentication, so that objective and real information is presented to the user; the hospital managers and doctors can know the data and image information of each culture link in real time, make accurate judgment and professional management, and transparently open the technology to users, thereby providing better service for the users.
The invention has the following characteristics:
1) based on the platform design, clinical indexes (medication scheme, follicle development, whole process of hormone level change and the like), laboratory indexes (real-time parameters of incubator environment, number of obtained eggs, normal fertilization rate, real-time embryo development, cleavage rate, blastocyst formation rate and the like), clinical fatalities (clinical pregnancy rate, implantation rate and the like), and other in vitro fertilization-embryo transplantation clinical and laboratory quality control analysis indexes of a patient in the ovulation promotion process are recorded and tracked in real time for comprehensive quality management and standardized control;
2) storing the data to a block chain at the first time of data generation, and presenting the recorded data to a user in an objective and friendly interface according to the user authority through an economic official website domain name;
3) the platform can enable a user to know the clinical treatment flow and the complete growth process and the processing result of the embryo, the whole process information is public and transparent, good user experience of consumers is established, and differentiated value-added services brought by the benevolence reproductive center are experienced;
4) based on the user's parent ID and the mobile phone number authentication, the security and privacy of the user data are fully ensured.
Drawings
FIG. 1 is a flow diagram of the system of the present invention;
FIG. 2 is a network topology diagram;
FIG. 3 is a patient on-line operational procedure;
FIG. 4 is a schematic diagram of the operation of the process.
Detailed Description
As shown in FIG. 1, the invention relates to a standardized quality control system (for short: MyBaby system) based on block chain technology and human assisted reproduction technology, which utilizes a block chain to store and perform on-chain interaction on data, wherein user login authority management, reproduction data information display and user interaction are set for the front end of a kernel-heart official network through a VeChina ToolChain (VeChina ToolChain); the application of the kernel-economic reproduction rear end is used as a middle layer of data interaction between a front-end page and a block chain, and is respectively used as a carrier for data receiving of clinical data monitoring and embryo culture equipment and a carrier for user data storage; data and image information of each culture link in a clinical treatment process and embryo culture equipment in the human assisted reproduction technology are captured according to a set time interval, are compared and analyzed with reference data, are transmitted to a block chain application platform through a hospital gateway, and are subjected to data ID management, data desensitization and evidence storage and data interaction on a chain through a unique chain ID (V-ID); performing data uplink, data query, verification, data ownership confirmation and transfer in the block chain through the V-ID; the clinical treatment process and each link of embryo culture are displayed to users through visual data, and the users comprise medical care personnel, hospital managers and patients.
The network topology of the MyBaby system of the invention is shown in figure 2, and comprises an internal network area of a hospital, an external network area of the hospital and a public network area, wherein the internal network area of the hospital is used as a service port to input basic information of a patient into the system for being called by a WEB access port of a back-end server of the system; the hospital external network area comprises a MyBaby server with a system database main library and a picture backup slave library, a Timelapse server, a WEB access port of a rear-end server of the system for sending hospital short message service and call, and data information of a Timelapse incubator; and the public network area is provided with a system mobile phone WEB end, a block chain platform and block chain nodes, and information is transmitted and called through an external WEB access end.
The patient network access operation flow is shown in fig. 3, parents enter the MyBaby system through a unique parent id (parent id) and a reserved mobile phone number issued by a hospital administrator, and the whole process of clinical treatment and embryo development is traced through a block chain and displayed to prospective parents. Finally, the qualified embryos are selected from the Timelapse incubator and implanted into the body, other qualified embryos are stored in a freezing way, and unqualified embryos are discarded.
The system of the invention has friendly interface and convenient operation, the program operation is as shown in figure 4, and the system is logged in after the mobile phone number of the Parent and the Parent ID are respectively logged in. Selecting and displaying the embryo picture which is expected to be seen can reduce the anxiety of quasi-parents.
By the system, a manager adopts comprehensive visual quality management on the assisted reproduction process, adopts a standardized quality management tool to improve the technical level of human assisted reproduction and promote technical development; the quality control, guarantee and final improvement are achieved by managing the quality, the risk and the flow.
The MyBaby system of the invention inherits innovation and testifies life. Has credibility, safety and non-tamper property. The medical quality control and doctor-patient sharing system for embryo visualization by using the block chain technology is characterized by taking the block chain technology as reference, such as decentralization, no tampering, trace remaining in the whole process, traceability, collective maintenance, public transparency and the like, and locally and transparently carries out medical flow data on the premise of ensuring data safety and privacy, thereby realizing embryo visualization and making the whole process of the in vitro culture process of the 'baby-in-reserve' visible. At the MyBaby mobile terminal, the quasi-parents check the development process and the cultivation state of own exclusive embryo in real time through the exclusive personal ID, so that the in vitro development of the embryo is no longer a 'blind box', and each step of the life growth is always witnessed! The method effectively solves the problem of information asymmetry between doctors and patients, and improves cooperation and trust between doctors and patients. Meanwhile, the invention adopts the encryption technology while the data is openly shared, thereby ensuring the privacy of the patient.
The invention is a result of the integration of assisted reproductive medicine and blockchain technology innovation, combines the international third-party DNV data authentication with the landing application of blockchain technology, and provides an assisted reproductive medical service system with more credible technology, safer privacy and more confident service for parents.
In order to further explore the accurate diagnosis and treatment, the close-to-heart service and the warm-heart care of the trampling, the MyBaby system takes the improvement of the auxiliary reproduction technology experience as a starting point, and helps the accurate parents to establish parent-child links with embryos in advance around the emotional requirements of the accurate parents, so that the confidence of the inoculation of the accurate parents is improved, and a valuable and temperature technology service and quality control platform is created.
The invention can help high-risk families to block birth defects and help the families in need to obtain healthy babies.

Claims (6)

1. A doctor-patient sharing and quality control system based on a block chain technology and a human assisted reproduction technology utilizes a block chain to store and perform on-chain interaction on data, and is characterized in that user login authority management, reproduction data information display and user interaction are set through the front end of a block chain platform webpage; the back-end application is used as a middle layer of the front-end page and the block chain data interaction, and is respectively used as a carrier for data receiving of clinical data monitoring and embryo culture equipment and a carrier for user data storage; data and image information of each culture link in embryo culture equipment in the human assisted reproduction technology are captured according to a set time interval, are compared and analyzed with reference data, are transmitted to a block chain application platform through a hospital gateway, and are subjected to ID management, data desensitization evidence storage and data interaction on a chain; performing data chaining, data query, verification, data ownership confirmation and transfer in the block chain; the clinical treatment process and each link of embryo culture are displayed to users through visual data, and the users comprise medical care personnel, hospital managers and patients.
2. The system of claim 1, wherein user login authority management, reproduction data information presentation and user interaction are set for the kernel-based official website front end via a VeChina ToolChain (vecchial) technique; the application of the kernel-economic reproduction rear end is used as a middle layer of data interaction between a front-end page and a block chain, and is respectively used as a carrier for data receiving of clinical data monitoring and embryo culture equipment and a carrier for user data storage; data and image information of each culture link in embryo culture equipment in the human assisted reproduction technology are captured according to a set time interval, are compared and analyzed with reference data, are transmitted to a block chain application platform through a hospital gateway, and are subjected to data ID management, data desensitization and evidence storage and data interaction on a chain through a unique chain ID (V-ID); performing data uplink, data query, verification, data ownership confirmation and transfer in the block chain through the V-ID; and displaying all links of the embryo culture to a user through visual data.
3. The system for doctor-patient sharing and quality control based on the block chain technology and human assisted reproduction technology as claimed in claim 1 or 2, wherein the system comprises an internal hospital network area, an external hospital network area and a public network area, wherein the internal hospital network area is used as a service port to input basic information of a patient into the system; the hospital external network area comprises a server with a system database main library and a slave library, a TimeLapse server, a WEB access port of a rear-end server of the system, a hospital short message service and call, and data information of a TimeLapse incubator; and the public network area is provided with a system mobile phone WEB end, a block chain platform and block chain nodes, and information is transmitted and called through an external WEB access end.
4. The system for doctor-patient sharing and quality control based on block chain technology and human assisted reproduction technology according to claim 1 or 2, characterized in that the data and image information capture of each culture link in the human assisted reproduction technology and embryo culture equipment is the whole process information of extraction, embryo culture, growth and final implantation of fertilized eggs, the visual display is performed on the user through the equipment of internet of things in combination with the block chain technology and third party certification, and objective and real information is presented to the user; the hospital managers and doctors know the data and image information of each culture link in real time, make accurate judgment and professional management, and transparently open the technology to users.
5. The system for doctor-patient sharing and quality control based on human assisted reproduction technology of block chain technology as claimed in claim 3, wherein the system comprises an internal hospital network area, an external hospital network area and a public network area, wherein the internal hospital network area is used as a service port to input the basic information of the patient into the system for being called by a WEB access port of a back-end server of the system; the hospital external network area comprises a MyBaby server with a system database main library and a picture backup slave library, a Timelapse server, a WEB access port of a rear-end server of the system for sending hospital short message service and call, and data information of a Timelapse incubator; and the public network area is provided with a system mobile phone WEB end, a block chain platform and block chain nodes, and information is transmitted and called through an external WEB access end.
6. The method as claimed in any one of claims 1 to 5, wherein quasi-parents enter the system via unique parent ID (parent ID) and reserved mobile phone number issued by hospital administrator, the whole process of clinical treatment and embryo development is traced back via block chain and displayed to quasi-parents, and finally, it is determined that qualified embryos are selected from Timelapse incubator and transplanted into human body, other qualified embryos are cryopreserved, and unqualified embryos are discarded.
CN202110607444.1A 2021-06-01 2021-06-01 Patient sharing and quality control system based on block chain technology and human assisted reproduction technology Pending CN113268756A (en)

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