CN114097253A

CN114097253A - Portable monitoring equipment, remote monitoring center and medical monitoring method

Info

Publication number: CN114097253A
Application number: CN201980098370.4A
Authority: CN
Inventors: 杨志刚; 张珍奇; 邬闻彬; 徐君; 易日清
Original assignee: Shenzhen Mindray Bio Medical Electronics Co Ltd
Current assignee: Shenzhen Mindray Bio Medical Electronics Co Ltd
Priority date: 2019-12-31
Filing date: 2019-12-31
Publication date: 2022-02-25
Also published as: WO2021134634A1

Abstract

A portable monitoring device, a remote monitoring center, a medical monitoring method and a readable storage medium, the portable monitoring device can collect physiological sign signals of a monitored object in real time and identify physiological sign parameters from the physiological sign signals (S201); obtaining the communication signal strength of the portable monitoring device and at least one node device in the communication network; determining an activity state of the monitored subject based on the at least one communication signal strength (S202); and sending the physiological sign parameters and the state data of the activity state to a remote monitoring center connected with the portable monitoring equipment (S203). The remote monitoring center generates a physiological sign parameter oscillogram according to the physiological sign parameters (S204); determining a waveform segment corresponding to the activity state in the physiological sign parameter waveform diagram, and establishing a corresponding relation between the activity state and the waveform segment (S205); displaying the physiological sign parameter oscillogram, and displaying the activity state according to the corresponding relation (S206).

Description

Portable monitoring equipment, remote monitoring center and medical monitoring method

Technical Field

The present application relates to the technical field of medical devices, and more particularly, to a portable monitoring device, a remote monitoring center and a medical monitoring method.

Background

A portable monitoring device is a common device in clinical monitoring scenes, and can be worn on the body of a patient for monitoring the physiological condition of the patient. The equipment can reduce the limitation on the activity of the patient to the maximum extent, and the use mode is convenient and flexible. The physiological sign parameters monitored by the portable monitoring equipment can be displayed for the patient and also uploaded to a remote monitoring center.

The remote monitoring center is arranged in a centralized monitoring place, can collect the physiological sign conditions of patients monitored by a plurality of portable monitoring devices and display the physiological sign conditions, and realizes the unified monitoring of a plurality of patients by medical personnel.

Disclosure of Invention

In a first aspect, the present application provides a portable monitoring device comprising:

the parameter sensor accessory is used for acquiring physiological sign signals of a monitored object in real time;

the processor is used for identifying physiological sign parameters from the physiological sign signals, obtaining the communication signal strength of the communication module and at least one node device in the communication network, determining the activity state of the monitored object based on the at least one communication signal strength, and sending state data of the activity state to the communication module;

and the communication module is used for establishing communication connection with at least one node device in a communication network and sending the physiological sign parameters and the state data of the activity state to a remote monitoring center connected with the portable monitoring device.

In a second aspect, the present application provides a portable monitoring device comprising:

a processor for identifying physiological sign parameters from the physiological sign signals;

the communication module is used for receiving state data of the activity state of the monitored object, which is sent by other equipment related to the monitored object; and sending the physiological sign parameters and the state data of the activity state to a remote monitoring center connected with the portable monitoring equipment.

The third aspect, the present application provides a remote monitoring center, including:

the portable monitoring device comprises a communication module, a monitoring module and a monitoring module, wherein the communication module is used for receiving physiological sign parameters of a monitored object and state data of the activity state of the monitored object, which are sent by the portable monitoring device, and the state data comprises the occurrence time and the intensity of the activity state;

the processor is used for generating a physiological sign parameter oscillogram according to the physiological sign parameters; determining a waveform segment corresponding to the activity state in the physiological sign parameter oscillogram according to the occurrence time of the activity state, and establishing a corresponding relation between the activity state and the waveform segment;

and the display is used for displaying the physiological sign parameter oscillogram and displaying the activity state according to the corresponding relation.

In a fourth aspect, the present application provides a portable monitoring device comprising:

the processor is used for identifying physiological sign parameters from the physiological sign signals and obtaining the communication signal strength of the communication module and at least one node device in the communication network;

a communication module for establishing a communication connection with at least one node device in a communication network; sending physiological sign parameters and communication signal intensity to a remote monitoring center connected with the portable monitoring equipment; wherein the communication signal strength is used for the remote monitoring center to determine the activity state of the monitored object.

In a fifth aspect, the present application provides a remote monitoring center, including:

the communication module is used for receiving the physiological sign parameters of the monitored object sent by the portable monitoring equipment and the communication signal strength between the portable monitoring equipment and at least one node equipment in a communication network;

the processor is used for generating a physiological sign parameter oscillogram according to the physiological sign parameters; determining an activity state of the monitored subject based on the at least one communication signal strength; determining a waveform segment corresponding to the activity state in the physiological sign parameter oscillogram according to the occurrence time of the activity state, and establishing a corresponding relation between the activity state and the waveform segment;

In a sixth aspect, the present application provides a portable monitoring device comprising:

a communication module for establishing a communication connection with at least one node device in a communication network; sending state data of the activity state to a remote monitoring center connected with the portable monitoring equipment;

the processor is used for obtaining the communication signal strength of the communication module and at least one node device in the communication network, determining the activity state of the monitoring object based on the at least one communication signal strength, and sending the state data of the activity state to the communication module.

In a seventh aspect, the present application provides a portable monitoring device, comprising:

a communication module for establishing a communication connection with at least one node device in a communication network; sending the communication signal strength to a remote monitoring center connected with the portable monitoring equipment; the communication signal strength is used for the remote monitoring center to determine the activity state of the monitored object;

and the processor is used for obtaining the communication signal strength of the communication module and at least one node device in the communication network and sending the communication signal strength to the communication module.

In an eighth aspect, the present application provides a remote monitoring center, including:

the communication module is used for receiving the physiological sign parameter value of the monitored object sent by the portable monitoring equipment and the communication signal strength between the portable monitoring equipment and at least one node equipment in a communication network;

a processor for determining an activity state of the monitored subject based on the at least one communication signal strength.

In a ninth aspect, the present application provides a portable monitoring device comprising:

a communication module for establishing a communication connection with at least one node device in a communication network; transmitting the real-time position of the monitored object to a remote monitoring center connected with the portable monitoring equipment; receiving a navigation route generated by a remote monitoring center according to a real-time position and a target position;

a processor for identifying physiological sign parameters from the physiological sign signals; determining the real-time position of the monitored object according to the communication connection information between the communication module and at least one node device;

and the output module is used for outputting the navigation route.

In a tenth aspect, the present application provides a portable monitoring device comprising:

a communication module for establishing a communication connection with at least one node device in a communication network; sending communication connection information of the communication module and at least one node device to a remote monitoring center connected with the portable monitoring device, wherein the communication connection information is used for the remote monitoring center to determine the real-time position of a monitored object; receiving a navigation route generated by a remote monitoring center according to a real-time position and a target position;

the processor is used for obtaining communication connection information of the communication module and at least one node device;

and the output module is used for outputting the navigation route.

In an eleventh aspect, the present application provides a remote monitoring center, including:

the processor is used for acquiring the real-time position of the monitoring object and the target position to which the monitoring object is to move; generating a navigation route according to the real-time position and the target position;

and the communication module is used for sending the navigation route to the portable monitoring equipment connected with the remote monitoring center.

In a twelfth aspect, the present application provides a remote monitoring center, including:

the processor is used for acquiring the real-time position of a monitored object and acquiring the monitoring space ranges corresponding to a plurality of monitoring personnel; determining a target guardian with a corresponding guardian space range including a real-time position from a plurality of guardians; generating a notification message including monitoring information of a monitoring object;

and the communication module is used for sending a notification message to the monitoring equipment corresponding to the target monitoring personnel.

In a thirteenth aspect, the present application provides a portable monitoring device comprising:

a communication module for establishing a communication connection with at least one node device in a communication network; after receiving the signal strength change instruction, changing the communication signal strength of the communication module and at least one node device in the communication network; sending the communication signal strength to a remote monitoring center connected with the portable monitoring device, wherein the communication signal strength is used for the remote monitoring center to determine the real-time position of the portable monitoring device;

and the processor is used for sending a signal intensity change instruction to the communication module when the equipment state of the portable monitoring equipment meets a preset condition.

In a fourteenth aspect, the present application provides a medical monitoring method applied to a portable monitoring device, the method including:

acquiring physiological sign signals of a monitored object in real time, and identifying physiological sign parameters from the physiological sign signals;

obtaining the communication signal strength of the portable monitoring device and at least one node device in the communication network;

determining an activity state of the monitored subject based on the at least one communication signal strength;

establishing communication connection with at least one node device in a communication network, and sending the physiological sign parameters and the state data of the activity state to a remote monitoring center connected with the portable monitoring device.

In a fifteenth aspect, the present application provides a medical monitoring method applied to a portable monitoring device, the method including:

acquiring physiological sign signals of a monitored object in real time;

identifying physiological sign parameters from the physiological sign signals;

receiving state data of the activity state of the monitoring object, which is sent by other equipment associated with the monitoring object;

and sending the physiological sign parameters and the state data of the activity state to a remote monitoring center connected with the portable monitoring equipment.

In a sixteenth aspect, the present application provides a medical monitoring method applied to a remote monitoring center, the method including:

receiving physiological sign parameters of a monitored object and state data of the activity state of the monitored object, which are sent by portable monitoring equipment, wherein the state data comprise the occurrence time and the intensity of the activity state;

generating a physiological sign parameter oscillogram according to the physiological sign parameters; determining a waveform segment corresponding to the activity state in the physiological sign parameter oscillogram according to the occurrence time of the activity state, and establishing a corresponding relation between the activity state and the waveform segment;

and displaying the physiological sign parameter oscillogram and displaying the activity state according to the corresponding relation.

In a seventeenth aspect, the present application provides a medical monitoring method applied to a portable monitoring device, the method including:

acquiring physiological sign signals of a monitored object in real time;

identifying physiological sign parameters from the physiological sign signals to obtain the communication signal strength of the portable monitoring equipment and at least one node equipment in the communication network;

establishing a communication connection with at least one node device in a communication network;

sending physiological sign parameters and communication signal intensity to a remote monitoring center connected with the portable monitoring equipment; wherein the communication signal strength is used for the remote monitoring center to determine the activity state of the monitored object.

In an eighteenth aspect, the present application provides a medical monitoring method applied to a remote monitoring center, including:

receiving physiological sign parameters of a monitored object sent by a portable monitoring device and the communication signal strength of the portable monitoring device and at least one node device in a communication network;

generating a physiological sign parameter oscillogram according to the physiological sign parameters;

determining a waveform segment corresponding to the activity state in the physiological sign parameter oscillogram according to the occurrence time of the activity state;

establishing a corresponding relation between the active state and the waveform segment;

In a nineteenth aspect, the present application provides a medical monitoring method applied to a portable monitoring device, the method including:

and sending the state data of the activity state to a remote monitoring center connected with the portable monitoring equipment.

In a twentieth aspect, the present application provides a medical monitoring method applied to a portable monitoring device, the method including:

sending the communication signal strength to a remote monitoring center connected with the portable monitoring equipment; wherein the communication signal strength is used for the remote monitoring center to determine the activity state of the monitored object.

In a twenty-first aspect, the present application provides a medical monitoring method applied to a remote monitoring center, the method including:

receiving physiological sign parameter values of a monitored object sent by portable monitoring equipment and communication signal strength of the portable monitoring equipment and at least one node equipment in a communication network;

an activity state of the monitored subject is determined based on the at least one communication signal strength.

In a twenty-second aspect, the present application provides a medical monitoring method applied to a portable monitoring device, the method including:

establishing communication connection with at least one node device in a communication network, and determining the real-time position of a monitored object according to the communication connection information of the portable monitoring device and the at least one node device;

transmitting the real-time position of the monitored object to a remote monitoring center connected with the portable monitoring equipment;

receiving a navigation route generated by a remote monitoring center according to a real-time position and a target position;

and outputting the navigation route.

In a twenty-third aspect, the present application provides a medical monitoring method applied to a portable monitoring device, the method including:

obtaining communication connection information between the portable monitoring device and at least one node device;

sending communication connection information to a remote monitoring center connected with the portable monitoring equipment, wherein the communication connection information is used for the remote monitoring center to determine the real-time position of a monitored object;

and outputting the navigation route.

In a twenty-fourth aspect, the present application provides a medical monitoring method applied to a remote monitoring center, the method includes:

acquiring a real-time position of a monitoring object and a target position to which the monitoring object is to move;

generating a navigation route according to the real-time position and the target position;

and sending the navigation route to a portable monitoring device connected with the remote monitoring center.

In a twenty-fifth aspect, the present application provides a medical monitoring method applied to a remote monitoring center, the method including:

acquiring the real-time position of a monitored object and acquiring the monitoring space ranges corresponding to a plurality of monitoring personnel;

determining a target guardian with a corresponding guardian space range including a real-time position from a plurality of guardians;

generating a notification message including monitoring information of a monitoring object;

and sending a notification message to the monitoring equipment corresponding to the target monitoring personnel.

In a twenty-sixth aspect, the present application provides a medical monitoring method applied to a portable monitoring device, including:

when the equipment state of the portable monitoring equipment meets a preset condition, changing the communication signal strength of the portable monitoring equipment and at least one node equipment in a communication network;

and sending the communication signal strength to a remote monitoring center connected with the portable monitoring device, wherein the communication signal strength is used for the remote monitoring center to determine the real-time position of the portable monitoring device.

In a twenty-seventh aspect, the present application provides a readable storage medium having stored thereon a computer program which, when being executed by a processor, implements a medical monitoring method as defined in any one of the above.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.

FIG. 1 is a schematic diagram of an architecture of a medical monitoring system;

FIG. 2 is a flow chart of a medical monitoring method;

FIG. 3 is an exemplary diagram of a correspondence between communication signal strength and acquisition time point;

FIG. 4 is a diagram showing an example of an electrocardiogram waveform and an active state;

FIG. 5 is a diagram of an example of an application service provided by a remote monitoring center;

FIG. 6 is a schematic diagram of another architecture of a medical monitoring system;

FIG. 7 is a diagram of an example of a portable monitoring device alerting;

FIG. 8 is another flow chart of a medical monitoring method;

FIG. 9 is a further flowchart of a medical monitoring method;

FIG. 10 is a schematic diagram of a scenario for dynamically allocating medical resources to a remote monitoring center;

FIG. 11 is a further flow chart of a medical monitoring method;

fig. 12 is a schematic diagram of a portable monitor.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

In the medical field, a monitoring system consisting of a portable monitoring device and a remote monitoring center is an important system in a clinical monitoring scene. Referring to fig. 1, an embodiment of a monitoring system is shown in one configuration. The portable monitoring device and the remote monitoring center can be in communication connection in a wireless mode, specifically, the portable monitoring device is connected with the node device in the communication network in a wireless mode, and the node device is connected with the remote monitoring center in a wired mode or a wireless mode. The node device may also be referred to as an Access Point (AP).

The portable monitoring device is a monitoring device that is carried by a patient or is convenient for the patient to carry, and specifically includes, but is not limited to, a telemetry box, a node device responder, and the like, wherein the node device responder is in communication connection with the node device, and can obtain the communication signal strength with the node device, and may specifically be a signal monitor, and the like. The portable monitoring device may detect one or more parameters of the patient, including physiological sign parameters and non-physiological sign parameters. The parameters may be transmitted to the remote monitoring center via the communication connection.

The remote monitoring center is a control device for remotely monitoring the portable monitoring device, and can receive the communication signal sent by the portable monitoring device, process the communication signal and obtain and output monitoring data. Specific forms of remote monitoring centers include, but are not limited to: a central station, an Electronic Medical Record (EMR), a Computer-Based Patient Record (CPR), a bedside monitor, etc.

It should be noted that, in the above monitoring system, the portable monitoring device can conveniently collect various information related to the patient due to its portable characteristic, and the information can reflect the real-time status of the patient and/or the device itself. Through the analysis and processing of the information, the monitoring system can provide one or more services related to patient monitoring. The following describes a specific implementation process of the monitoring service in conjunction with various application scenarios.

Referring to fig. 2, a flow embodiment of a medical monitoring method is shown, including S201-S206.

S201: the portable monitoring device collects physiological sign parameters of a monitored subject.

In particular, the portable monitoring device can acquire physiological sign signals of a monitored subject in real time and can identify the physiological sign signals to obtain physiological sign parameters. It should be noted that, the portable monitoring device may also directly send the physiological sign signal to the remote monitoring center, and the remote monitoring center identifies the physiological sign signal to obtain the physiological sign parameter.

S202: the portable monitoring device obtains a communication signal strength with the at least one node device and determines an activity state of the monitored subject based on the communication signal strength.

The portable monitoring device can form a wireless communication network with at least one node device, the portable monitoring device can change the position along with the monitored object, and the change of the position can influence the communication signal strength between the portable monitoring device and the node device. Therefore, the portable monitoring device can obtain the communication signal strength of at least one node device in the wireless communication network, and determine the activity state of the monitored object according to the change degree of the communication signal strength. The communication signal strength may specifically include, but is not limited to: received Signal Strength Indication (RSSI). The determined activity state includes, but is not limited to: stationary, moving, or rotating.

In one implementation, the specific process of determining the activity state includes: determining the communication signal strength of the portable monitoring device and the same node device at a plurality of different time points; and obtaining the change degree of the communication signals along with time according to the intensity of the plurality of communication signals, and determining the activity state of the monitored object according to the change degree, wherein the activity state is static or activity with a certain intensity. It should be noted that the implementation-specific activity is movement, i.e. movement from one location point to another.

In particular, the portable monitoring device may be in communication connection with the same node device multiple times, so that the portable monitoring device may obtain communication signal strengths at multiple different points in time with the same node device. The change in the communication signal strength at different points in time may indicate a change in the position and/or posture of the portable monitoring device. A larger difference in the communication signal strength indicates a larger change in the position and/or attitude of the portable monitoring device (i.e., the monitored subject). However, if there may be an error in determining the activity state of the monitored subject based on the magnitude of the change, because the change may occur over a longer period of time or may occur over a shorter period of time, only the changes in position and/or orientation that occur over the shorter period of time will more accurately reflect the activity of the monitored subject. Therefore, it is necessary to determine the degree of change in the communication signal strength over time, which is the ratio of the change in the communication signal strength to the time interval, and may be referred to as the rate of change in the communication signal strength. The greater the rate of change of the communication signal strength, the more vigorous the activity of the position and/or attitude of the portable monitoring device (i.e., the monitored subject).

More specifically, after obtaining the communication signal strengths of a plurality of different time points, the portable monitoring device selects two communication signal strengths from the plurality of communication signal strengths at least once as a group to obtain at least one communication signal strength group; calculating the ratio of the difference value of the two communication signal strengths in at least one communication signal strength group to the difference value of the time points corresponding to the two communication signal strengths; and determining the activity state of the monitored object according to at least one ratio.

For example, the selected one communication signal strength group includes two communication signal strengths, i.e., RSSI1 at time T1 and RSSI2 at time T2. Calculating the difference value of the two communication signal strengths, calculating the difference value of the corresponding time points of the two communication signal strengths, and calculating the ratio of the two difference values, namely delta RSSI/. DELTA.T equals RSSI2-RSSI 1/T2-T1. And calculating at least one ratio according to the communication signal strengths, and further integrating the conditions of the at least one ratio to determine the activity state of the monitored object.

One specific determination method is to calculate an average value of at least one ratio, and determine the activity state of the monitored object according to a relationship between the average value and a preset average value threshold.

For example, the preset average threshold may include: representing a threshold for the transition of the monitored subject from a quiescent state to an active state. And if the average value is larger than or equal to the critical value, determining the activity state of the monitored object in the time period as the activity. And if the average value is smaller than the critical value, determining that the activity state of the monitored object in the time period is static. Alternatively, the preset average threshold may include: range values corresponding to different degrees of activity. For example, the active state may include four types: and respectively presetting corresponding range values for each activity state when the monitoring object is static, has gentle activity, has moderate activity and has violent activity, judging which range value the average value falls into, and determining the activity state corresponding to the range value as the activity state of the monitoring object. It should be noted that the types of the active states are not limited to the above four types, and may include others. Alternatively, the type of activity state may be represented by a level, such as level 0 activity (representing quiescence), level 1 activity, level 2 activity, level 3 activity, level 4 activity, and so forth.

Another specific determination method is to select ratio groups meeting different preset ratio ranges from at least one ratio respectively, and determine the activity state of the monitored object according to the number of ratios in different ratio groups.

In practice, different preset ratio ranges are set for different activity states, and the preset ratio ranges are used for selecting the ratio which is in accordance with the activity state from at least one ratio. In other words, the ratio is a communication signal strength change rate, the preset ratio range is specifically a range value of the communication signal strength change rate, and the preset ratio range is used for selecting the communication signal strength change rate meeting the active state from at least one communication signal strength change rate. And after a plurality of ratio groups are obtained, counting the ratio number in the ratio groups, and determining the activity state corresponding to the ratio group with the maximum ratio number.

For example, the activity state may include, but is not limited to: the device is static, gentle in movement, moderate in movement and violent in movement, and each movement state has a corresponding preset ratio range. And after at least one ratio is obtained, dividing the ratios belonging to the same preset ratio range into the same group, thereby obtaining a plurality of ratio groups. And then determining a ratio group with the largest ratio number, and determining the activity state corresponding to the ratio group as the activity state of the monitoring object.

The other determination method is to combine the two determination methods, and comprehensively judge the determined activity states of the two determination methods to obtain the final activity state of the monitored object.

See fig. 3, which shows an exemplary graph of the correspondence between the communication signal strength and the acquisition time point. The received signal strength indication RSSI changes by a certain magnitude over a period of 480 seconds. By analyzing the change rate of the communication signal intensity, the activity condition of the monitored object carrying the portable equipment in several time periods of 0-50 s, 170 s-180 s and 450 s-480 s can be determined, wherein 0 s-50 s and 450-480 s are mild activity, 60 s-420 s are medium activity and 170 s-180 s are severe activity.

In the above implementation, the activity state of the monitoring object may be determined to be stationary or moving. In addition to determining whether there is a movement type of activity, the present embodiment may also determine whether there is a rotation type of activity in the monitored object.

In one implementation, the specific process of determining the activity status of the monitored subject includes: determining the communication signal intensity of the portable monitoring device and a plurality of different node devices in the same time period respectively to obtain a plurality of groups of communication signal intensities; determining the activity state of the monitored object according to the variation trend of the intensity of each group of communication signals; wherein the active state comprises: stationary or rotating to some degree of severity.

In particular, a wireless communication network includes a plurality of node devices that may be deployed in a distributed manner in a plurality of different locations in a space. The portable monitoring equipment can be in communication connection with the node equipment of a plurality of differences, when a monitoring object carrying the portable monitoring equipment moves in a rotating type, due to the shielding and absorbing effect of a human body on communication signals, the strength of the communication signals between the portable monitoring equipment and the node equipment can be changed, and the change trend meets a certain rule.

For example, a plurality of node devices are deployed in a certain space, and a portable monitoring device carried by a monitoring subject can be in communication connection with the plurality of node devices. If the monitored object rotates in the space, the intensity of communication signals between the portable monitoring device carried by the monitored object and the node devices in the front, back, left and right directions has a rule: the communication signal strength of different directions is regularly and sequentially increased and decreased in a clockwise direction or a counterclockwise direction. Specific examples thereof include: if the monitoring object rotates clockwise, the change rule of the communication signal strength between the portable monitoring device and the node devices in different directions in the rotating process is as follows: the difference between the left and right sides with larger front and smaller back is equal to the difference between the left and smaller front and back with larger right, the difference between the left and smaller front and right with larger back is equal to the difference between the left and smaller front and back with larger left, and the difference between the left and right with larger front and smaller back is equal to the difference between the left and right with larger front and larger back, and the difference is repeated in sequence. Of course, this is merely an example illustration, and the change rule of the communication signal strength can be obtained in other rotation scenarios.

It can be understood that from the perspective of the node device, there is a law that the communication signal strength of the node device and the portable monitoring device in the same direction changes: gradually becoming larger and smaller. And by synthesizing the change rules of the node equipment in a plurality of different directions, whether the monitored object performs rotation can be determined.

Thus, the portable monitoring device determines its communication signal strengths over the same time period with a plurality of different locations, the communication signal strengths corresponding to the same location being the same set of communication signal strengths. If the variation trend of the intensity of each group of communication signals conforms to the variation trend corresponding to the rotation activity, the activity state of the monitored object can be determined to be rotation. And if the variation trend of the intensity of each group of communication signals accords with the variation trend corresponding to the static activity, determining that the activity state of the monitored object is static. Or, the variation trend corresponding to the rotation activity may be set as a preset rotation variation trend, and whether the variation trend of the intensity of each group of communication signals meets the preset rotation variation trend is determined, if yes, the activity state of the monitoring object is determined to be rotation, otherwise, the activity state of the monitoring object is determined to be static.

It should be noted that the portable monitoring device can qualitatively determine whether the activity state of the monitored object is still or rotating, and can also quantitatively determine the intensity of the rotating activity. Specifically, if the activity state of the monitoring object is rotation, a target change rate of the intensity of each group of communication signals along with time is calculated, and the intensity degree corresponding to the target change rate is determined according to a preset corresponding relation between the change rate and the intensity degree.

Specifically, the correspondence between the different change rates and the degrees of severity may be set in advance, and for example, a higher change rate indicates a higher degree of severity. A rate of change of the communication signal strength over time within each set of communication signal strengths is calculated, which may be referred to as a target rate of change. And each group of communication signal strength corresponds to a target change rate, the target change rate of a certain group of communication signal strength is selected, or the average target change rate of a plurality of groups of communication signal strength is calculated, and the target change rate or the intensity degree corresponding to the average target change rate is determined as the intensity degree of the activity state of the monitored object according to the preset corresponding relation between the change rates and the intensity degree.

As can be seen from the above description, the portable monitoring device can monitor and obtain the activity status of the monitored object, the activity status has status data, and the status data includes: the time of occurrence of the activity state and the severity of the activity state. Wherein the severity of quiescence may be 0 or some lower level.

S203: the portable monitoring equipment sends the physiological sign parameters and the state data of the activity state to the remote monitoring center.

The portable monitoring device may send data to the remote monitoring center based on at least one node device in the wireless communication network, or may send data to the remote monitoring center through other communication methods. The data includes: monitoring physiological sign parameters and state data of the activity state of the subject.

In particular, the portable monitoring device may transmit the status data of the activity status together or separately when transmitting the physiological sign parameters. In addition, the portable device can send the determined state data of all types of activity states to the remote monitoring center; or, selecting the activity state, and sending the state data of the activity state meeting the selection condition to the remote monitoring center according to the processing requirement, namely sending the state data of the activity state to the remote monitoring center when the activity state belongs to the preset type of activity state. The preset type of active state may be an active state set according to a severity, such as a still type of active state, a non-still type of active state, or an active state exceeding a certain severity, etc.

S204: the remote monitoring center generates a physiological sign parameter oscillogram according to the physiological sign parameters.

After receiving the physiological sign parameters of the monitored object sent by the portable monitoring equipment, the remote monitoring center can generate a physiological sign parameter oscillogram according to the sequence of the acquisition time of the physiological sign parameters. The waveform map can reflect the change of physiological sign parameters of the monitored object in a period of time. The physiological sign parameter waveform can include a trend graph and/or a real-time waveform graph. One physiological sign parameter can generate one physiological sign parameter oscillogram, and also can generate a plurality of physiological sign parameter oscillograms in different time periods. Or, the portable monitoring device can send the physiological sign signal, and the remote monitoring center identifies the physiological sign parameter from the physiological sign signal and generates a physiological sign parameter oscillogram according to the physiological sign parameter.

It should be noted that the physiological sign parameter waveform diagram may not be limited to be generated by the remote monitoring center, and may also be generated by the portable monitoring device according to the acquired physiological sign parameter signal, and send the physiological sign parameter waveform diagram to the remote monitoring center for display.

S205: the remote monitoring center determines a waveform segment corresponding to the activity state in the physiological sign parameter oscillogram, and establishes a corresponding relation between the activity state and the waveform segment.

After receiving the state data of the activity state of the monitored object sent by the portable monitoring equipment, the remote monitoring center determines a waveform segment corresponding to the activity state in the physiological sign parameter oscillogram according to the occurrence time of the activity state and the acquisition time of the physiological sign parameter. That is, according to the time, the corresponding relationship between the activity status and the physiological sign parameter waveform is determined.

S206: the remote monitoring center displays the physiological sign parameter oscillogram and the activity state according to the corresponding relation.

The remote monitoring center is provided with a display unit for displaying a physiological sign parameter oscillogram so as to enable medical staff to remotely obtain the physiological sign state of a monitored object. Once the physiological state abnormity of the monitored object is found according to the physiological sign parameter oscillogram, necessary medical measures can be taken immediately. For example, the physiological parameters transmitted by the portable monitoring device may include, but are not limited to: any one or more of electrocardiogram ECG, blood oxygen saturation SPO2, non-invasive blood pressure NIBP. After receiving the physiological parameters, the remote monitoring center can generate and display one or more of an Electrocardiogram (ECG) oscillogram, a blood oxygen saturation level (SPO 2) oscillogram and a non-invasive blood pressure (NIBP) oscillogram, and medical staff can know the change condition of one or more physiological parameters in the heart rate, the blood oxygen saturation level and the blood pressure of the monitored object by observing the change condition of the one or more physiological parameter oscillograms.

It should be noted that, the remote monitoring center can display the physiological sign parameter oscillogram, and can also display the activity state of the monitored object according to the corresponding relationship in time. For example, fig. 4 shows the electrocardiographic waveforms of a monitored subject in 3 different time periods, and the electrocardiographic waveforms fluctuate abnormally in a time period of 14:59:06 to 15:00:06, and the abnormal fluctuation corresponds to a moderate activity state.

Through the corresponding relation, the medical care personnel can judge whether the change of the physiological sign parameters has an incidence relation with the activity state. For example, if there is a large fluctuation in the physiological sign parameter waveform, the medical staff may check whether the fluctuation corresponds to a certain severe activity state, and if so, may determine that the abnormal fluctuation is caused by the activity of the monitored subject, so that it is not necessary to perform medical treatment actions on the monitored subject, and so on.

Therefore, the activity state displayed by the remote monitoring center can provide more data support for medical care decision of medical care personnel, so that the medical care decision result is more accurate. Moreover, after observing the abnormal waveform segment, the medical staff can judge whether the abnormal waveform segment is related to the activity condition of the monitoring object according to the activity state displayed locally, and the monitoring work of the medical staff is facilitated without going to the site where the monitoring object is located to confirm.

The use of the status data of the activity status by the remote monitoring center may also be embodied in other aspects. The present application provides the following examples for illustration.

In one embodiment, the remote monitoring center may mark the physiological sign parameter corresponding to the occurrence time of the preset type of activity state when the activity state includes the preset type of activity state. The preset type of the activity state can be any one or more types set according to actual requirements, and can be determined according to the intensity and/or the occurrence time of the activity state. In addition, the remote monitoring center can judge whether the activity state contains the preset type of activity state or receive the judgment result of other equipment, and marks the physiological sign parameters under the condition that the judgment result comprises the preset type of activity state.

The means of labeling physiological parameters include, but are not limited to: the confidence of the physiological sign parameter is labeled, for example, the physiological sign parameter is labeled as "invalid", "confidence is low", or "confidence is high", etc. The confidence in the physiological parameters is labeled because the performance of certain medical monitoring actions may depend on the outcome of the processing of the physiological parameters, which may affect the accuracy of the processing if the processed parameters include physiological parameters that may affect the outcome of the processing.

For example, processing of electrocardiogram waveforms includes calculating ST and QT segments, the calculation process requires the use of electrocardiogram ECG parameters, and if the acquisition time point of some ECG parameters in the ECG parameters corresponds to a certain intensity of activity, the activity may interfere with the accuracy of the calculation of the ST and QT segments, so that the weight value of the ECG parameters for the calculation result needs to be reduced.

And marking the confidence of the physiological sign parameters, and adjusting the weight values of the physiological sign parameters in the subsequent calculation process. If the activity state can cause the accuracy of the calculation result to be reduced, reducing the weight value of the physiological sign parameter; otherwise, the weight value of the physiological sign parameters is increased. The specific degree of adjustment needs to be determined according to actual requirements. Therefore, the subsequent processing process of the physiological sign parameters is adjusted through the incidence relation between the activity state and the physiological sign parameters, and the accuracy of the physiological sign parameter processing result is improved.

In another embodiment, the remote monitoring center can process the alarm action in the monitoring scene based on the activity state, so as to further improve the accuracy of the alarm action. Specifically, when the physiological sign parameter oscillogram contains abnormal waveform segments and the corresponding intensity of the abnormal waveform segments belongs to the preset type of activity state, the alarm for the abnormal waveform segments is deleted.

After the remote monitoring center generates the physiological sign parameter oscillogram, the physiological sign parameter oscillogram may contain abnormal waveform segments, and the abnormal waveform segments are alarmed according to the monitoring alarm strategy requirement so as to remind medical staff to strengthen monitoring of a monitored object. As can be seen from the above description, the abnormal segment may be caused by the strenuous activity of the monitored subject, and it is not necessary for the medical staff to perform any intensive monitoring activities. Therefore, the alarm of the abnormal waveform segment can be deleted, namely, the abnormal waveform segment does not need to be alarmed, so that the alarm accuracy is improved, and the waste of medical resources is avoided.

In another embodiment, the remote monitoring center can monitor and alarm certain activity states to remind relevant personnel of the occurrence of the activity states and perform processing actions on the activity states in time. Specifically, when the activity state belongs to a preset type of activity state, generating alarm information corresponding to the preset type of activity state; and sending alarm information to the portable monitoring equipment and/or sending alarm information to equipment of a guardian associated with the monitored object.

The remote monitoring center may preset the type of the activity state for alarming, such as an activity state with a certain intensity, an activity state at a certain time point, and the like. And after the activity state of the monitored object is obtained, further judging whether the activity state belongs to the preset type of activity state. Or, the remote monitoring center may also obtain the determination result through other devices. And if the judgment result shows that the activity state belongs to the preset type of activity state, the remote monitoring center generates alarm information about the preset type of activity state. Wherein: the alarm information may include text, voice, graphics, images, and the like, and the content is related to a preset type of activity state, for example, if the preset type of activity state is a severe activity state, the alarm content is used to prompt to stop the severe activity. Or the alarm information only outputs prompting signals such as sound, light and the like. Alternatively, the alarm information may be a combination of the above two forms, or any other form having a prompting function that can be expected by those skilled in the art.

On the one hand, the alarm information can be sent to the portable monitoring device, and the portable monitoring device outputs the alarm information to prompt the monitoring object or other related personnel to pay attention to the related activity state of the monitoring object. On the other hand, the monitoring object can have a corresponding relationship with the guardian, and the corresponding guardian monitors the monitoring object, so that the alarm information can be sent to the guardian associated with the monitoring object, specifically to the equipment related to the guardian, such as a monitor, a handheld terminal, computer equipment and the like. The equipment outputs the alarm information so that the guardian can pay more attention to the activity condition of the monitored object. Of course, in this case, the remote monitoring center needs to send the related information of the monitored object related to the alarm information to the device, so that the guardian can accurately locate the monitored object. Of course, the above two aspects may be combined to send alarm information, or the alarm information may also be sent to other devices that can be thought of by those skilled in the art.

For the convenience of understanding, the monitoring service implemented by the monitoring center according to the activity state is described in the present application with reference to the drawings. As shown in fig. 5, the portable monitoring device obtains the activity status by monitoring the communication signal strength between the portable monitoring device and the node device, and sends the activity status to the remote monitoring center. The remote monitoring center realizes several services based on the activity state: displaying the activity state in association with the physiological sign parameter oscillogram, preventing false alarm of abnormal waveform segments, marking the physiological sign parameters, and alarming the activity state. It should be noted that the remote monitoring center may implement any one or more of these services. In addition, the activity state may be applied in other monitoring scenarios than these several uses, as would be expected by one skilled in the art.

It should be noted that the portable monitoring device determines the activity state based on the communication signal strength between the portable monitoring device and the node device, but the portable monitoring device may also determine the activity state by other means, such as using an acceleration sensor to obtain information such as the motion and/or posture of the monitored object, and using the motion and/or posture information to determine the activity state. Still alternatively, as shown in fig. 6, the portable monitoring device is connected to other devices associated with the subject, such as a bracelet worn by the subject or other device capable of monitoring the activity state, from which the portable monitoring device obtains the activity state of the subject.

In one embodiment, the prompt information may be generated and output by the portable monitoring device itself to prompt the monitoring subject wearing the portable monitoring device to pay attention to the activity condition of the monitoring subject. Specifically, when the activity state belongs to a preset type of activity state, the portable monitoring device generates prompt information corresponding to the preset type of activity state. The related description of the prompt message may refer to the alarm message generated by the remote monitoring center, and is not described herein again.

In yet another embodiment, the portable monitoring device generates alarm information corresponding to a preset type of activity state when the activity state belongs to the preset type of activity state; and sending alarm information to a remote monitoring center and/or sending alarm information to equipment of a guardian related to the monitored object. The related description of the prompt message may refer to the alarm message generated by the remote monitoring center, and is not described herein again.

As shown in fig. 7, the portable monitoring device obtains the activity status of the monitored object, and after determining that the activity status belongs to the preset type of activity status, alarms in any one or more of the following three ways: outputting prompt information, sending alarm information to a remote monitoring center, and sending the alarm information to equipment of a guardian related to a monitored object.

In the above description of various application scenarios, the activity status is determined by the portable monitoring device, but may also be determined by the remote monitoring center. Referring to fig. 8, an embodiment of a process of implementing a medical monitoring service by a portable monitoring device and a monitoring center is shown, which specifically includes S801-S807.

S801: the portable monitoring device collects physiological sign parameters of a monitored subject.

Specifically, the portable monitoring device collects physiological sign signals of a monitored object in real time and identifies physiological sign parameters from the physiological sign signals.

S802: the portable monitoring device obtains a communication signal strength with at least one node device in the communication network.

S803: the portable monitoring device sends the physiological sign parameters and the communication signal strength to the remote monitoring center.

Specifically, the portable monitoring device establishes a communication connection with at least one node device in a communication network, and sends the physiological sign parameters and the communication signal strength to a connected remote monitoring center through the communication network.

S804: the remote monitoring center generates a physiological sign parameter oscillogram according to the physiological sign parameters.

S805: the remote monitoring center determines an activity state of the monitored subject based on the at least one communication signal strength.

The specific manner of determining the activity state by the remote monitoring center may refer to the manner of determining the activity state by the portable monitoring device in the embodiment shown in fig. 2, which is not described herein again. In addition, the execution sequence of S804 and S805 is not limited to this, and S805 may be executed first and then S804 may be executed, or both steps may be executed simultaneously.

S806: and determining a waveform segment corresponding to the activity state in the physiological sign parameter oscillogram, and establishing a corresponding relation between the activity state and the waveform segment.

S807: the remote monitoring center displays the physiological sign parameter oscillogram and the activity state according to the corresponding relation.

It should be noted that, for the description of the embodiment, reference may be made to relevant contents of the embodiment shown in fig. 2, and details are not repeated here. Compared with the embodiment shown in fig. 2, in the present embodiment, the portable monitoring device transmits the communication signal strength to the remote monitoring center, and the remote monitoring center determines the activity status of the monitored object based on the communication signal strength.

After determining the activity status, the remote monitoring center can provide relevant monitoring services based on the activity status in the manner described above, including but not limited to: preventing false alarms of abnormal segments, prompts or alarms for preset types of activity states, labeling of physiological parameters, and the like.

In the above application scenario, the activity state of the monitored subject and the physiological sign parameter of the monitored subject are processed together, but the activity state is not limited to be associated with the physiological sign parameter, and the activity state can be applied to other scenarios to provide related monitoring services. Therefore, in each of the above application scenarios, the portable monitoring device and the remote monitoring center may omit processing the physiological parameter, and determine the activity status based on the communication signal strength between the portable monitoring device and the node device. Of course, the activity status may be determined by the portable monitoring device, or the portable monitoring device may transmit the communication signal strength to the remote monitoring center, which is determined by the remote monitoring center based on the communication signal strength. The specific determination method is mentioned above and will not be described herein.

In practical application, the portable monitoring device can collect the real-time position of the monitored object, and based on the real-time position, the medical monitoring service realized between the portable monitoring device and the remote monitoring center can further include: and providing a navigation route for the monitored object.

Referring to fig. 9, a flow embodiment of a medical monitoring method is shown, which specifically includes S901-S907.

S901: the portable monitoring device collects physiological sign parameters of a monitored subject.

S902: the portable monitoring device determines the real-time location of the monitored subject based on the communication connection information with the at least one node device.

The portable monitoring device and the node device can form a wireless communication network, the wireless communication network comprises one or more node devices, and the portable monitoring device can calculate the real-time position of the portable monitoring device in a certain spatial range by using communication connection information between the portable monitoring device and at least one node device according to an indoor positioning technology. For example, the indoor positioning technology may be implemented by determining the real-time position of the portable monitoring device by the position of the node device connected by real-time communication, or calculating the real-time position based on the communication signal strength of the adjacent node devices, such as three node devices. Of course, the indoor positioning technology may also be other existing implementation processes, and the present application is not limited in particular.

In one implementation, the portable monitoring device may also determine the real-time location of the monitored subject through other positioning techniques. For example, the portable monitoring device may also be provided with a Global Positioning System (GPS) for determining the real-time position of the monitored object using an outdoor Positioning technique.

S903: the portable monitoring device sends the real-time location of the monitored object to the remote monitoring center.

The portable monitoring device can send the real-time position of the portable monitoring device to the remote monitoring center through the communication network where the node device is located or other communication networks. Or the portable monitoring equipment directly sends the communication connection information with at least one node device to a remote monitoring center, and the remote monitoring center calculates the real-time position of the monitored object according to the communication connection information. Or, the portable monitoring device may be connected to the base station, and the remote monitoring center may directly receive the real-time location of the portable monitoring device sent by the base station.

S904: the remote monitoring center obtains a target position to which the monitored object moves.

Therein, the monitoring object may need to move to a certain position, which is called a target position. The target location may be geographic coordinates, a place name, etc. The target position can be obtained by the remote monitoring center in a specific obtaining manner including, but not limited to, the following manners:

one way of obtaining this is for the user to input the target location into the portable monitoring device, which transmits it to the remote monitoring center. A specific application scenario corresponding to the obtaining manner is that the monitoring object wants to go to a certain position, and the position can be input into the portable monitoring device of the monitoring object. The portable monitoring equipment sends the position to a remote monitoring center, so that the remote monitoring center generates a navigation route by taking the position as a target position, and sends the navigation route to the portable monitoring equipment of the monitored object.

Another obtaining mode is that the user inputs the target position to a remote monitoring center, and the remote monitoring center takes the target position input by the user as a target position to which the monitoring object is to move. A specific application scenario corresponding to the obtaining manner is that a medical worker guides a monitoring object to go to a certain position, for example, a department performs an examination, and inputs the position to a remote monitoring center, so that the remote monitoring center generates a navigation route by taking the position as a target position, and sends the navigation route to a portable monitoring device of the monitoring object.

S905: and the remote monitoring center generates a navigation route according to the real-time position and the target position.

The real-time position of the monitoring object is used as a position starting point, the target position is used as a position end point, a map of a space where the monitoring object is located is obtained, and a navigation route from the position starting point to the position end point is generated according to the map.

In addition, the remote monitoring center obtains the real-time position of the monitored object, the real-time position can form a motion track, and the remote monitoring center can clearly determine the motion route of the monitored object according to the motion track.

S906: the remote monitoring center sends the navigation route to the portable monitoring device.

S907: the portable monitoring device outputs the navigation route.

The output means includes, but is not limited to, displaying the navigation route, outputting the navigation voice, and the like. Based on the guidance of the navigation route, the monitoring object can conveniently reach the target position.

After the portable monitoring equipment sends the real-time position of the monitored object to the remote monitoring center, the real-time position can be used for providing more monitoring services for the remote monitoring center.

In one embodiment, the remote monitoring center displays the real-time position of the monitored object or sends the real-time position of the monitored object to the medical care personnel-associated equipment under the condition that the physiological sign parameters of the monitored object are abnormal, so that the medical care personnel can accurately position the monitored object, and then the medical care action is timely performed on the monitored object.

In another embodiment, the remote monitoring center implements dynamic allocation of medical resources based on the real-time location of the monitored subject. Specifically, the remote monitoring center obtains the real-time position of a monitored object and obtains monitoring space ranges corresponding to a plurality of monitoring personnel; determining a target guardian with a corresponding guardian space range including a real-time position from a plurality of guardians; generating a notification message including monitoring information of a monitoring object; and sending a notification message to the monitoring equipment corresponding to the target monitoring personnel.

Specifically, a corresponding monitoring space range may be set for the monitoring person in advance. It should be noted that, the monitoring space range corresponding to the monitoring person may be fixed, for example, a certain monitoring space range is fixedly allocated to a certain monitoring person; the corresponding relationship between the monitoring space range and the monitoring person may also be variable, and based on the position of the monitoring person, for example, a certain size of space range around the position of the monitoring person is set as the monitoring space range of the monitoring person.

As shown in fig. 10, after obtaining the real-time position of the monitored object, the remote monitoring center can obtain the monitoring space range of each monitoring person, and determine which monitoring space range or ranges the real-time position of the monitored object belongs to, and further send a notification message of the relevant information of the monitored object to the monitoring person corresponding to the monitoring space range, or send a notification message of returning a certain monitoring space range to the monitored object. The notification message to the monitoring person may be specifically sent to the monitoring device of the monitoring person, which includes but is not limited to: bedside monitors, mobile devices, and the like. The notification message includes monitoring information related to the monitoring subject, such as case data of the monitoring subject, physiological parameters of the monitoring subject, a real-time location of the monitoring subject, and the like, so as to notify the monitoring personnel to perform related monitoring actions on the monitoring subject. The notification message to the monitored subject may be specifically sent to a portable device of the monitored subject, such as a portable monitoring device, a handheld communication device, and the like. The monitoring space range may be divided for each ward, and the content of the notification message may include, but is not limited to: prompting the monitoring subject to have left his or her own ward and prompting him or her to return. Based on the scheme, when the monitored object enters a certain monitoring space range in real time, the monitoring personnel in the monitoring space range monitors, thereby realizing the dynamic allocation of medical resources and improving the monitoring efficiency. Moreover, whether the monitored object leaves the monitoring range or not can be judged, and the monitored object is prompted to return under the condition of leaving, so that the original guardian can monitor the monitored object conveniently.

In another embodiment, the remote monitoring center or the portable monitoring device determines whether the monitored object leaves the monitored area according to the real-time position of the monitored object, and if so, the portable monitoring device outputs prompt information for prompting the monitored object to return to the monitored area.

The portable monitoring device is a medical device for monitoring a monitored object, and is generally carried by the monitored object to realize the anytime and anywhere monitoring of the monitored object. In some abnormal situations, the portable monitoring device needs to send out a prompt signal so that the remote monitoring center can find the abnormal situation in time.

Referring to fig. 11, a further embodiment of a medical monitoring method is shown, specifically comprising S1101-S1104.

S1101: the portable monitoring device establishes a communication connection with at least one node device in the communication network.

Wherein, the portable monitoring device can form a wireless communication network with a plurality of node devices.

S1102: when the device state meets the preset condition, the portable monitoring device changes the communication signal strength of at least one node device in the communication network.

Wherein, changing the communication signal strength may include increasing or decreasing the communication signal strength, and how to change may be set according to actual needs. The preset condition can be an electric quantity condition, a position condition, an acquisition condition of physiological sign parameters and the like. Specifically, the method comprises the following steps:

in a specific mode, the portable monitoring device obtains the residual electric quantity of the portable monitoring device; and when the residual electric quantity is lower than the preset electric quantity threshold value, sending a signal intensity change instruction to the communication module.

In another specific mode, the portable monitoring device obtains the real-time position of the portable monitoring device; and when the real-time position does not change after exceeding the preset time length, sending a signal intensity change instruction to the communication module. In another specific way, when the time length during which the portable monitoring device does not acquire the physiological sign signal reaches the preset time length, the portable monitoring device sends a signal strength change instruction to the communication module. Possible abnormal situations in the two application scenarios are that the portable monitoring device is separated from the monitored object, or the monitored object has not changed position for a long time due to some unexpected condition, and so on.

S1103: the portable monitoring device sends the communication signal strength to the remote monitoring center.

S1104: the remote monitoring center determines the real-time location of the portable monitoring device based on the communication signal strength.

For a specific way of determining the real-time position by the remote monitoring center, reference may be made to the above description, which is not repeated herein. The remote monitoring center prompts the real-time position to the guardian so that the guardian can locate and search the portable monitoring equipment in time and handle abnormal conditions in time.

In order to implement the medical monitoring method, the present application further provides specific medical devices, such as a portable monitoring device and a remote monitoring center, and the specific structures of the medical devices are as follows.

In one embodiment, a portable monitoring device comprises:

Wherein, when the processor determines the activity state of the monitored subject based on the at least one communication signal strength, it is specifically configured to: determining the communication signal strength of a communication module and the same node equipment at a plurality of different time points; obtaining the change degree of the communication signals along with time according to the intensity of the communication signals, and determining the activity state of the monitored object according to the change degree; wherein the active state comprises: stationary or moving to some degree of severity.

The processor obtains the change degree of the communication signal along with time according to the intensity of the plurality of communication signals, and when determining the activity state of the monitoring object according to the change degree, the processor is specifically configured to: selecting two communication signal strengths from the plurality of communication signal strengths at least once as a group to obtain at least one communication signal strength group; calculating the ratio of the difference value of the two communication signal strengths in at least one communication signal strength group to the difference value of the time points corresponding to the two communication signal strengths; and determining the activity state of the monitored object according to at least one ratio.

Wherein, when determining the activity state of the monitored object according to at least one ratio, the processor is specifically configured to: calculating an average value of at least one ratio, and determining the activity state of the monitored object according to the relation between the average value and a preset average value threshold; and/or selecting ratio value groups meeting different preset ratio value ranges from at least one ratio value respectively, and determining the activity state of the monitored object according to the number of the ratio values in the different ratio value groups.

Wherein, when the processor determines the activity state of the monitored subject based on the at least one communication signal strength, it is specifically configured to: determining the communication signal intensity of a communication module and a plurality of different node devices in the same time period respectively to obtain a plurality of groups of communication signal intensities; determining the activity state of the monitored object according to the variation trend of the intensity of each group of communication signals; wherein the active state comprises: stationary or rotating to some degree of severity.

The processor is specifically configured to, when determining the activity state of the monitored object according to the variation trend of the intensity of each group of communication signals: if the variation trend of the intensity of each group of communication signals accords with the preset rotation variation trend, determining the activity state of the monitored object to be rotation; if the activity state of the monitored object is rotation, calculating the target change rate of the intensity of each group of communication signals along with the time, and determining the intensity degree corresponding to the target change rate according to the preset corresponding relation between the change rate and the intensity degree; and if the variation trend of the intensity of each group of communication signals does not accord with the preset rotation variation trend, determining that the activity state of the monitored object is static.

Wherein the state data of the active state comprises: time of occurrence and severity.

When the processor sends the state data of the active state to the communication module, the processor is specifically configured to: and when the active state belongs to the preset type of active state, sending the state data of the active state to the communication module.

The processor is further used for generating prompt information corresponding to the preset type of activity state when the activity state belongs to the preset type of activity state; accordingly, the portable monitoring device further comprises: and the output module is used for outputting the prompt message.

The processor is further used for generating alarm information corresponding to the preset type of activity state when the activity state belongs to the preset type of activity state; and the communication module is also used for sending alarm information to the remote monitoring center and/or sending the alarm information to equipment of a guardian related to the monitored object.

In one embodiment, a portable monitoring device comprises:

In one embodiment, a remote monitoring center includes:

The processor is further configured to mark the physiological sign parameter corresponding to the occurrence time of the preset type of activity state under the condition that the activity state includes the preset type of activity state.

The processor is further used for deleting the alarm of the abnormal waveform segment when the physiological sign parameter oscillogram contains the abnormal waveform segment and the corresponding intensity of the abnormal waveform segment belongs to the preset type of activity state.

The processor is further used for generating alarm information corresponding to the preset type of activity state when the activity state belongs to the preset type of activity state; the communication module is also used for sending alarm information to the portable monitoring equipment and/or sending alarm information to equipment of a guardian related to the monitored object.

In one embodiment, a portable monitoring device comprises:

In one embodiment, a remote monitoring center includes:

In one embodiment, a portable monitoring device comprises:

In one embodiment, a remote monitoring center includes:

Wherein the processor, when determining the activity state of the monitored subject based on the at least one communication signal strength, is specifically configured to: determining the communication signal strength of a communication module and the same node equipment at a plurality of different time points; determining the activity state of the monitored object according to the change degree of the intensity of the plurality of communication signals along with the time; wherein the active state comprises: stationary or moving to some degree of severity.

The processor is specifically configured to, when determining the activity state of the monitoring object according to the degree of change of the plurality of communication signal strengths with time: selecting two communication signal strengths from the plurality of communication signal strengths at least once as a group to obtain at least one communication signal strength group; calculating the ratio of the difference value of the two communication signal strengths in at least one communication signal strength group to the difference value of the time points corresponding to the two communication signal strengths; and determining the activity state of the monitored object according to at least one ratio.

Wherein, when determining the activity state of the monitored object according to at least one ratio, the processor is specifically configured to: calculating an average value of at least one ratio, and determining the activity state of the monitored object according to the relation between the average value and a preset average value threshold; or selecting ratio groups meeting different preset ratio ranges from at least one ratio respectively, and determining the activity state of the monitored object according to the number of the ratios in the different ratio groups.

Wherein, when the processor determines the activity state of the monitored subject based on the at least one communication signal strength, it is specifically configured to: determining the communication signal intensity of a communication module and a plurality of different node devices in the same continuous time period respectively to obtain a plurality of groups of communication signal intensities; determining the activity state of the monitored object according to the variation trend of the intensity of each group of communication signals; wherein the active state comprises: stationary or rotating to some degree of severity.

In one embodiment, a portable monitoring device comprises:

and the output module is used for outputting the navigation route.

Wherein, the portable monitoring device may further comprise: the input module is used for receiving a target position input by a monitoring object; and the communication module is also used for sending the target position to the remote monitoring center.

In one embodiment, a portable monitoring device comprises:

and the output module is used for outputting the navigation route.

In one embodiment, a remote monitoring center includes:

Wherein, remote monitoring center still includes: the input module is used for receiving a target position input by a user;

when the processor obtains the target position to which the monitoring object is to move, the processor is specifically configured to: and taking the target position received by the input module as a target position to which the monitoring object is to move.

The communication module is also used for receiving a target position to which the monitoring object is to move and sent by the portable monitoring equipment, and sending the target position to the processor; when the processor obtains the target position to which the monitoring object is to move, the processor is specifically configured to: and the processor receives the target position to which the monitoring object is to move sent by the communication module.

The communication module is also used for receiving the real-time position of the monitoring object sent by other equipment and sending the real-time position of the monitoring object to the processor; when the processor obtains the real-time position of the monitored object, the processor is specifically configured to: the processor receives the real-time position of the monitoring object sent by the communication module.

The communication module is further used for receiving communication connection information of the portable monitoring device associated with the monitored object and at least one node device in a communication network; and sending the communication connection information to the processor; when the processor obtains the real-time position of the monitored object, the processor is specifically configured to: and determining the real-time position of the monitored object according to the communication connection information.

In one embodiment, a remote monitoring center includes:

In one embodiment, a portable monitoring device comprises:

Wherein, when the equipment state of portable guardianship equipment satisfies preset condition, when sending signal strength change instruction to communication module, the treater specifically is used for: acquiring the residual electric quantity of the portable monitoring equipment; and when the residual electric quantity is lower than the preset electric quantity threshold value, sending a signal intensity change instruction to the communication module.

Wherein, when the equipment state of portable guardianship equipment satisfies preset condition, when sending signal strength change instruction to communication module, the treater specifically is used for: obtaining a real-time location of the portable monitoring device; and when the real-time position does not change after exceeding the preset time length, sending a signal intensity change instruction to the communication module.

Wherein, when the equipment state of portable guardianship equipment satisfies preset condition, when sending signal strength change instruction to communication module, the treater specifically is used for: and when the time length of the portable monitoring equipment which does not acquire the physiological sign signals reaches a preset time length, sending a signal intensity change instruction to the communication module.

Referring to fig. 12, an example of a structure of a portable monitor is shown, which specifically includes: sensor accessory 121, parameter measurement circuit 122, main control circuit 123, display 124, external communication and power interface 125, alarm circuit 126 and input interface circuit 127.

The parameter measuring circuit 122 at least comprises a parameter measuring circuit 122 corresponding to a physiological parameter, the parameter measuring circuit 122 at least comprises at least one parameter measuring circuit of an electrocardiosignal parameter measuring circuit, a respiration parameter measuring circuit, a body temperature parameter measuring circuit, a blood oxygen parameter measuring circuit, a non-invasive blood pressure parameter measuring circuit, an invasive blood pressure parameter measuring circuit and the like, and each parameter measuring circuit 122 is respectively connected with an externally inserted sensor accessory 121 through a corresponding sensor interface. The sensor accessory 121 includes a detection accessory corresponding to detection of physiological parameters such as electrocardiographic respiration, blood oxygen, blood pressure, body temperature and the like.

The parameter measurement circuit 122 is mainly used for connecting the sensor accessory 121 to obtain the acquired physiological parameter signal, and may include at least two measurement circuits of physiological parameters, where the parameter measurement circuit 122 may be, but is not limited to, the physiological parameter measurement circuit 122 (module), and the parameter measurement circuit 122 (module) or the sensor accessory 121 acquires the physiological parameter of the human body, etc.

Specifically, the parameter measurement circuit 122 obtains physiological sampling signals related to the patient from an external physiological parameter sensor accessory through an expansion interface, and obtains physiological data after processing the physiological sampling signals for alarming and displaying.

The expansion interface can also be used for outputting a control signal which is output by the main control circuit 123 and is related to how to acquire the physiological parameter to an external physiological parameter monitoring accessory through a corresponding interface, so as to realize monitoring and control of the physiological parameter of the patient.

The portable monitor or module assembly may further include a main control circuit 123, where the main control circuit 123 needs to include at least one processor and at least one memory, and of course, the main control circuit 123 may further include at least one of a power management module, a power IP module, and an interface conversion circuit. The power management module is used for controlling the on and off of the whole machine, the power-on time sequence of each power domain in the board card, the charging and discharging of the battery and the like. The power supply IP block refers to a power supply module that associates a schematic diagram of a power supply circuit unit frequently called repeatedly with a PCB layout and solidifies the schematic diagram into individual power supply modules, that is, converts an input voltage into an output voltage through a predetermined circuit, wherein the input voltage and the output voltage are different. For example, a voltage of 15V is converted into 1.8V, 3.3V, 3.8V, or the like. It is understood that the power supply IP block may be single-pass or multi-pass. When the power supply IP block is single-pass, the power supply IP block may convert an input voltage into an output voltage. When the power IP module is the multichannel, the power IP module can be a plurality of output voltage with an input voltage conversion, and a plurality of output voltage's magnitude of voltage can be the same, also can not be the same to can satisfy a plurality of electronic component's different voltage demands simultaneously, and the module is few to the external interface, and the work is black box and external hardware system decoupling zero in the system, has improved whole electrical power generating system's reliability. The interface conversion circuit is configured to convert signals output by the minimum system main control module (i.e., the at least one processor and the at least one memory in the main control circuit 123) into input standard signals required to be received by an actual external device, for example, to support an external VGA display function, to convert RGB digital signals output by the main control CPU into VGA analog signals, to support an external network function, and to convert RMII signals into standard network differential signals.

In addition, the portable monitor or module assembly may also include one or more of a local display 124, an alarm circuit 126, an input interface circuit 127, an external communication and power interface 125. The main control circuit 123 is used to coordinate and control the boards, circuits and devices in the portable monitor or module assembly. In this embodiment, the main control circuit 123 is configured to control data interaction between the parameter measuring circuit 122 and the communication interface circuit and transmission of control signals, and transmit physiological data to the display 124 for display, and also receive a user control instruction input by a physical input interface circuit such as a touch screen, a keyboard, a key, and the like, and of course, output a control signal on how to acquire physiological parameters. The alarm circuit 126 may be an audible and visual alarm circuit. The main control circuit 123 completes the calculation of the physiological parameters, and the calculation result and the waveform of the parameters can be sent to a host (such as a host with a display 124, a PC, a central station, etc.) through the external communication and power interface 125, where the external communication and power interface 125 may be one or a combination of a local area network interface composed of Ethernet (Ethernet), Token Ring (Token Ring), Token Bus (Token Bus), and backbone Fiber Distributed Data Interface (FDDI) as these three networks, one or a combination of wireless interfaces such as infrared, bluetooth, wifi, WMTS communication, etc., or may also be one or a combination of wired data connection interfaces such as RS232, USB, etc. The external communication and power interface 125 may also be one or a combination of a wireless data transmission interface and a wired data transmission interface. The host can be any computer equipment of a host computer of a monitor, an electrocardiograph, an ultrasonic diagnostic apparatus, a computer and the like, and matched software is installed to form the monitor equipment. The host can also be communication equipment, such as a mobile phone, and the portable monitor or the module component can transmit data to the mobile phone supporting Bluetooth communication through the Bluetooth interface to realize remote transmission of the data.

In addition, the present application also provides a computer storage medium, on which a computer program is stored, and the computer program is executed by a processor to implement the medical monitoring method in any one of the above embodiments.

It should be noted that, in the present specification, the embodiments are all described in a progressive manner, each embodiment focuses on differences from other embodiments, and the same and similar parts among the embodiments may be referred to each other.

It is further noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other like elements in a process, method, article, or apparatus that comprises the same element.

The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.

Claims

A portable monitoring device, comprising:

the parameter sensor accessory is used for acquiring physiological sign signals of a monitored object in real time;

the processor is used for identifying physiological sign parameters from the physiological sign signals, obtaining the communication signal strength of the communication module and at least one node device in the communication network, determining the activity state of the monitored object based on the at least one communication signal strength, and sending state data of the activity state to the communication module;

and the communication module is used for establishing communication connection with at least one node device in a communication network and sending the physiological sign parameters and the state data of the activity state to a remote monitoring center connected with the portable monitoring device.
The portable monitoring device of claim 1, wherein the processor, in determining the activity state of the monitored subject based on the at least one communication signal strength, is specifically configured to:

determining the communication signal strength of a communication module and the same node equipment at a plurality of different time points;

obtaining the change degree of the communication signals along with time according to the intensity of the communication signals, and determining the activity state of the monitored object according to the change degree; wherein the active state comprises: stationary or moving to some degree of severity.
The portable monitoring device of claim 2, wherein the processor is configured to derive a degree of change of the communication signal over time based on a plurality of communication signal strengths, and to determine the activity status of the subject based on the degree of change, and is further configured to:

selecting two communication signal strengths from the plurality of communication signal strengths at least once as a group to obtain at least one communication signal strength group;

calculating the ratio of the difference value of the two communication signal strengths in at least one communication signal strength group to the difference value of the time points corresponding to the two communication signal strengths;

and determining the activity state of the monitored object according to at least one ratio.
The portable monitoring device of claim 3, wherein the processor, in determining the activity state of the monitored subject based on the at least one ratio, is specifically configured to:

calculating an average value of at least one ratio, and determining the activity state of the monitored object according to the relation between the average value and a preset average value threshold; and/or the presence of a gas in the gas,

and selecting ratio groups meeting different preset ratio ranges from at least one ratio respectively, and determining the activity state of the monitored object according to the number of the ratios in the different ratio groups.
The portable monitoring device of claim 1, wherein the processor, in determining the activity state of the monitored subject based on the at least one communication signal strength, is specifically configured to:

determining the communication signal intensity of a communication module and a plurality of different node devices in the same time period respectively to obtain a plurality of groups of communication signal intensities;

determining the activity state of the monitored object according to the variation trend of the intensity of each group of communication signals; wherein the active state comprises: stationary or rotating to some degree of severity.
The portable monitoring device of claim 5, wherein the processor, in determining the activity status of the monitored subject based on the trend of the change in the strength of the respective sets of communication signals, is specifically configured to:

if the variation trend of the intensity of each group of communication signals accords with the preset rotation variation trend, determining the activity state of the monitored object to be rotation;

if the activity state of the monitored object is rotation, calculating the target change rate of the intensity of each group of communication signals along with the time, and determining the intensity degree corresponding to the target change rate according to the preset corresponding relation between the change rate and the intensity degree;

and if the variation trend of the intensity of each group of communication signals does not accord with the preset rotation variation trend, determining that the activity state of the monitored object is static.
The portable monitoring device of claim 1, wherein the status data for the activity status includes: time of occurrence and severity.
The portable monitoring device of claim 1, wherein the processor, when sending the status data of the activity status to the communication module, is specifically configured to:

and when the active state belongs to the preset type of active state, sending the state data of the active state to the communication module.
The portable monitoring device of claim 1,

the processor is further used for generating prompt information corresponding to the preset type of activity state when the activity state belongs to the preset type of activity state;

accordingly, the portable monitoring device further comprises:

and the output module is used for outputting the prompt message.
The portable monitoring device of claim 1,

the processor is further used for generating alarm information corresponding to the preset type of activity state when the activity state belongs to the preset type of activity state;

and the communication module is also used for sending alarm information to the remote monitoring center and/or sending the alarm information to equipment of a guardian related to the monitored object.
A portable monitoring device, comprising:

the parameter sensor accessory is used for acquiring physiological sign signals of a monitored object in real time;

a processor for identifying physiological sign parameters from the physiological sign signals;

the communication module is used for receiving state data of the activity state of the monitored object, which is sent by other equipment related to the monitored object; and sending the physiological sign parameters and the state data of the activity state to a remote monitoring center connected with the portable monitoring equipment.
A remote monitoring center, comprising:

the portable monitoring device comprises a communication module, a monitoring module and a monitoring module, wherein the communication module is used for receiving physiological sign parameters of a monitored object and state data of the activity state of the monitored object, which are sent by the portable monitoring device, and the state data comprises the occurrence time and the intensity of the activity state;

the processor is used for generating a physiological sign parameter oscillogram according to the physiological sign parameters; determining a waveform segment corresponding to the activity state in the physiological sign parameter oscillogram according to the occurrence time of the activity state, and establishing a corresponding relation between the activity state and the waveform segment;

and the display is used for displaying the physiological sign parameter oscillogram and displaying the activity state according to the corresponding relation.
The remote monitoring center of claim 12,

the processor is further configured to mark the physiological sign parameters corresponding to the occurrence time of the preset type of activity state under the condition that the activity state includes the preset type of activity state.
The remote monitoring center of claim 12,

and the processor is also used for deleting the alarm of the abnormal waveform segment when the physiological sign parameter oscillogram contains the abnormal waveform segment and the corresponding intensity of the abnormal waveform segment belongs to the preset type of activity state.
The remote monitoring center of claim 12,

the processor is further used for generating alarm information corresponding to the preset type of activity state when the activity state belongs to the preset type of activity state;

the communication module is also used for sending alarm information to the portable monitoring equipment and/or sending alarm information to equipment of a guardian related to the monitored object.
A portable monitoring device, comprising:

the parameter sensor accessory is used for acquiring physiological sign signals of a monitored object in real time;

the processor is used for identifying physiological sign parameters from the physiological sign signals and obtaining the communication signal strength of the communication module and at least one node device in the communication network;

a communication module for establishing a communication connection with at least one node device in a communication network; sending physiological sign parameters and communication signal intensity to a remote monitoring center connected with the portable monitoring equipment; wherein the communication signal strength is used for the remote monitoring center to determine the activity state of the monitored object.
A remote monitoring center, comprising:

the communication module is used for receiving the physiological sign parameters of the monitored object sent by the portable monitoring equipment and the communication signal strength between the portable monitoring equipment and at least one node equipment in a communication network;

the processor is used for generating a physiological sign parameter oscillogram according to the physiological sign parameters; determining an activity state of the monitored subject based on the at least one communication signal strength; determining a waveform segment corresponding to the activity state in the physiological sign parameter oscillogram according to the occurrence time of the activity state, and establishing a corresponding relation between the activity state and the waveform segment;

and the display is used for displaying the physiological sign parameter oscillogram and displaying the activity state according to the corresponding relation.
The remote monitoring center of claim 17,

the processor is further used for generating alarm information corresponding to the preset type of activity state when the activity state belongs to the preset type of activity state;

the communication module is also used for sending alarm information to the portable monitoring equipment and/or sending alarm information to equipment of a guardian related to the monitored object.
The remote monitoring center of claim 17,

and the processor is also used for deleting the alarm of the abnormal waveform segment when the physiological sign parameter oscillogram contains the abnormal waveform segment and the corresponding intensity of the abnormal waveform segment belongs to the preset type of activity state.
A portable monitoring device, comprising:

a communication module for establishing a communication connection with at least one node device in a communication network; sending state data of the activity state to a remote monitoring center connected with the portable monitoring equipment;

the processor is used for obtaining the communication signal strength of the communication module and at least one node device in the communication network, determining the activity state of the monitoring object based on the at least one communication signal strength, and sending the state data of the activity state to the communication module.
A portable monitoring device, comprising:

a communication module for establishing a communication connection with at least one node device in a communication network; sending the communication signal strength to a remote monitoring center connected with the portable monitoring equipment; the communication signal strength is used for the remote monitoring center to determine the activity state of the monitored object;

and the processor is used for obtaining the communication signal strength of the communication module and at least one node device in the communication network and sending the communication signal strength to the communication module.
A remote monitoring center, comprising:

the communication module is used for receiving the physiological sign parameter value of the monitored object sent by the portable monitoring equipment and the communication signal strength between the portable monitoring equipment and at least one node equipment in a communication network;

a processor for determining an activity state of the monitored subject based on the at least one communication signal strength.
The remote monitoring center according to claim 22, wherein the processor, when determining the activity status of the monitored subject based on the at least one communication signal strength, is specifically configured to:

determining the communication signal strength of a communication module and the same node equipment at a plurality of different time points;

determining the activity state of the monitored object according to the change degree of the intensity of the plurality of communication signals along with the time; wherein the active state comprises: stationary or moving to some degree of severity.
The remote monitoring center according to claim 23, wherein the processor, when determining the activity status of the monitored subject based on the degree of change in the plurality of communication signal strengths over time, is specifically configured to:

selecting two communication signal strengths from the plurality of communication signal strengths at least once as a group to obtain at least one communication signal strength group;

calculating the ratio of the difference value of the two communication signal strengths in at least one communication signal strength group to the difference value of the time points corresponding to the two communication signal strengths;

and determining the activity state of the monitored object according to at least one ratio.
The remote monitoring center according to claim 24, wherein the processor, when determining the activity status of the monitored subject based on the at least one ratio, is specifically configured to:

calculating an average value of at least one ratio, and determining the activity state of the monitored object according to the relation between the average value and a preset average value threshold; or,

and selecting ratio groups meeting different preset ratio ranges from at least one ratio respectively, and determining the activity state of the monitored object according to the number of the ratios in the different ratio groups.
The remote monitoring center according to claim 22, wherein the processor, when determining the activity status of the monitored subject based on the at least one communication signal strength, is specifically configured to:

determining the communication signal intensity of a communication module and a plurality of different node devices in the same continuous time period respectively to obtain a plurality of groups of communication signal intensities;

determining the activity state of the monitored object according to the variation trend of the intensity of each group of communication signals; wherein the active state comprises: stationary or rotating to some degree of severity.
The remote monitoring center according to claim 26, wherein the processor is configured to determine the activity status of the monitored object according to the trend of the change in the intensity of each group of communication signals, and is specifically configured to:

if the variation trend of the intensity of each group of communication signals accords with the preset rotation variation trend, determining the activity state of the monitored object to be rotation;

if the activity state of the monitored object is rotation, calculating the target change rate of the intensity of each group of communication signals along with the time, and determining the intensity degree corresponding to the target change rate according to the preset corresponding relation between the change rate and the intensity degree;

and if the variation trend of the intensity of each group of communication signals does not accord with the preset rotation variation trend, determining that the activity state of the monitored object is static.
A portable monitoring device, comprising:

the parameter sensor accessory is used for acquiring physiological sign signals of a monitored object in real time;

a communication module for establishing a communication connection with at least one node device in a communication network; transmitting the real-time position of the monitored object to a remote monitoring center connected with the portable monitoring equipment; receiving a navigation route generated by a remote monitoring center according to a real-time position and a target position;

a processor for identifying physiological sign parameters from the physiological sign signals; determining the real-time position of the monitored object according to the communication connection information between the communication module and at least one node device;

and the output module is used for outputting the navigation route.
The portable monitoring device of claim 28, further comprising:

the input module is used for receiving a target position input by a monitoring object;

and the communication module is also used for sending the target position to the remote monitoring center.
A portable monitoring device, comprising:

a communication module for establishing a communication connection with at least one node device in a communication network; sending communication connection information of the communication module and at least one node device to a remote monitoring center connected with the portable monitoring device, wherein the communication connection information is used for the remote monitoring center to determine the real-time position of a monitored object; receiving a navigation route generated by a remote monitoring center according to a real-time position and a target position;

the processor is used for obtaining communication connection information of the communication module and at least one node device;

and the output module is used for outputting the navigation route.
A remote monitoring center, comprising:

the processor is used for acquiring the real-time position of the monitoring object and the target position to which the monitoring object is to move; generating a navigation route according to the real-time position and the target position;

and the communication module is used for sending the navigation route to the portable monitoring equipment connected with the remote monitoring center.
The remote monitoring center of claim 31, further comprising:

the input module is used for receiving a target position input by a user;

when the processor obtains the target position to which the monitoring object is to move, the processor is specifically configured to:

and taking the target position received by the input module as a target position to which the monitoring object is to move.
The remote monitoring center of claim 31,

the communication module is also used for receiving a target position to which the monitoring object is to move and sent by the portable monitoring equipment, and sending the target position to the processor;

when the processor obtains the target position to which the monitoring object is to move, the processor is specifically configured to:

and the processor receives the target position to which the monitoring object is to move sent by the communication module.
The remote monitoring center of claim 31,

the communication module is also used for receiving the real-time position of the monitoring object sent by other equipment and sending the real-time position of the monitoring object to the processor;

when the processor obtains the real-time position of the monitored object, the processor is specifically configured to:

the processor receives the real-time position of the monitoring object sent by the communication module.
The remote monitoring center of claim 31,

the communication module is also used for receiving communication connection information of the portable monitoring equipment associated with the monitored object and at least one node equipment in a communication network; and sending the communication connection information to the processor;

when the processor obtains the real-time position of the monitored object, the processor is specifically configured to:

and determining the real-time position of the monitored object according to the communication connection information.
A remote monitoring center, comprising:

the processor is used for acquiring the real-time position of a monitored object and acquiring the monitoring space ranges corresponding to a plurality of monitoring personnel; determining a target guardian with a corresponding guardian space range including a real-time position from a plurality of guardians; generating a notification message including monitoring information of a monitoring object;

and the communication module is used for sending a notification message to the monitoring equipment corresponding to the target monitoring personnel.
A portable monitoring device, comprising:

a communication module for establishing a communication connection with at least one node device in a communication network; after receiving the signal strength change instruction, changing the communication signal strength of the communication module and at least one node device in the communication network; sending the communication signal strength to a remote monitoring center connected with the portable monitoring device, wherein the communication signal strength is used for the remote monitoring center to determine the real-time position of the portable monitoring device;

and the processor is used for sending a signal intensity change instruction to the communication module when the equipment state of the portable monitoring equipment meets a preset condition.
The portable monitoring device of claim 37,

when the device state of the portable monitoring device meets the preset condition, the processor is specifically used for sending a signal strength change instruction to the communication module:

acquiring the residual electric quantity of the portable monitoring equipment;

and when the residual electric quantity is lower than the preset electric quantity threshold value, sending a signal intensity change instruction to the communication module.
The portable monitoring device of claim 37,

when the device state of the portable monitoring device meets the preset condition, the processor is specifically used for sending a signal strength change instruction to the communication module:

obtaining a real-time location of the portable monitoring device;

and when the real-time position does not change after exceeding the preset time length, sending a signal intensity change instruction to the communication module.
The portable monitoring device of claim 37,

when the device state of the portable monitoring device meets the preset condition, the processor is specifically used for sending a signal strength change instruction to the communication module:

and when the time length of the portable monitoring equipment which does not acquire the physiological sign signals reaches a preset time length, sending a signal intensity change instruction to the communication module.
A medical monitoring method is applied to a portable monitoring device, and comprises the following steps:

acquiring physiological sign signals of a monitored object in real time, and identifying physiological sign parameters from the physiological sign signals;

obtaining the communication signal strength of the portable monitoring device and at least one node device in the communication network;

determining an activity state of the monitored subject based on the at least one communication signal strength;

establishing communication connection with at least one node device in a communication network, and sending the physiological sign parameters and the state data of the activity state to a remote monitoring center connected with the portable monitoring device.
The medical monitoring method of claim 41, wherein determining the activity status of the monitored subject based on the at least one communication signal strength comprises:

determining the communication signal strength of the portable monitoring device and the same node device at a plurality of different time points;

obtaining the change degree of the communication signals along with time according to the intensity of the communication signals, and determining the activity state of the monitored object according to the change degree; wherein the active state comprises: stationary or moving to some degree of severity.
The medical monitoring method of claim 42, wherein obtaining a degree of change in the communication signal over time based on a plurality of communication signal strengths, and determining the activity status of the monitored subject based on the degree of change comprises:

selecting two communication signal strengths from the plurality of communication signal strengths at least once as a group to obtain at least one communication signal strength group;

calculating the ratio of the difference value of the two communication signal strengths in at least one communication signal strength group to the difference value of the time points corresponding to the two communication signal strengths;

and determining the activity state of the monitored object according to at least one ratio.
The medical monitoring method of claim 43, wherein determining the activity status of the monitored subject based on the at least one ratio comprises:

calculating an average value of at least one ratio, and determining the activity state of the monitored object according to the relation between the average value and a preset average value threshold; and/or the presence of a gas in the gas,

and selecting ratio groups meeting different preset ratio ranges from at least one ratio respectively, and determining the activity state of the monitored object according to the number of the ratios in the different ratio groups.
The medical monitoring method of claim 41, wherein determining the activity status of the monitored subject based on the at least one communication signal strength comprises:

determining the communication signal intensity of the portable monitoring device and a plurality of different node devices in the same time period respectively to obtain a plurality of groups of communication signal intensities;

determining the activity state of the monitored object according to the variation trend of the intensity of each group of communication signals; wherein the active state comprises: stationary or rotating to some degree of severity.
The medical monitoring method of claim 45, wherein determining the activity status of the monitored subject based on the trend of the change in the strength of the sets of communication signals comprises:

if the variation trend of the intensity of each group of communication signals accords with the preset rotation variation trend, determining the activity state of the monitored object to be rotation;

if the activity state of the monitored object is rotation, calculating the target change rate of the intensity of each group of communication signals along with the time, and determining the intensity degree corresponding to the target change rate according to the preset corresponding relation between the change rate and the intensity degree;

and if the variation trend of the intensity of each group of communication signals does not accord with the preset rotation variation trend, determining that the activity state of the monitored object is static.
The medical monitoring method of claim 41, wherein the status data of the activity status includes: time of occurrence and severity.
The medical monitoring method of claim 41, wherein transmitting the status data of the activity status to a remote monitoring center connected to the portable monitoring device comprises:

and when the activity state belongs to the preset type of activity state, sending the state data of the activity state to a remote monitoring center connected with the portable monitoring equipment.
The medical monitoring method of claim 41, further comprising:

when the activity state belongs to the activity state of the preset type, generating prompt information corresponding to the activity state of the preset type;

and outputting prompt information.
The medical monitoring method of claim 41, further comprising:

when the activity state belongs to the preset type of activity state, generating alarm information corresponding to the preset type of activity state;

and sending alarm information to a remote monitoring center and/or sending alarm information to equipment of a guardian related to the monitored object.
A medical monitoring method is applied to a portable monitoring device, and comprises the following steps:

acquiring physiological sign signals of a monitored object in real time;

identifying physiological sign parameters from the physiological sign signals;

receiving state data of the activity state of the monitoring object, which is sent by other equipment associated with the monitoring object;

and sending the physiological sign parameters and the state data of the activity state to a remote monitoring center connected with the portable monitoring equipment.
A medical monitoring method is applied to a remote monitoring center, and comprises the following steps:

receiving physiological sign parameters of a monitored object and state data of the activity state of the monitored object, which are sent by portable monitoring equipment, wherein the state data comprise the occurrence time and the intensity of the activity state;

generating a physiological sign parameter oscillogram according to the physiological sign parameters; determining a waveform segment corresponding to the activity state in the physiological sign parameter oscillogram according to the occurrence time of the activity state, and establishing a corresponding relation between the activity state and the waveform segment;

and displaying the physiological sign parameter oscillogram and displaying the activity state according to the corresponding relation.
The medical monitoring method of claim 52, further comprising:

and under the condition that the activity state comprises the preset type of activity state, marking the physiological sign parameters corresponding to the occurrence time of the preset type of activity state.
The medical monitoring method of claim 52, further comprising:

and when the physiological sign parameter oscillogram contains abnormal waveform segments and the corresponding intensity of the abnormal waveform segments belongs to the preset type of activity state, deleting the alarm for the abnormal waveform segments.
The medical monitoring method of claim 52, further comprising:

when the activity state belongs to the preset type of activity state, generating alarm information corresponding to the preset type of activity state;

and sending alarm information to the portable monitoring equipment and/or sending alarm information to equipment of a guardian associated with the monitored object.
A medical monitoring method is applied to a portable monitoring device, and comprises the following steps:

acquiring physiological sign signals of a monitored object in real time;

identifying physiological sign parameters from the physiological sign signals to obtain the communication signal strength of the portable monitoring equipment and at least one node equipment in the communication network;

establishing a communication connection with at least one node device in a communication network;

sending physiological sign parameters and communication signal intensity to a remote monitoring center connected with the portable monitoring equipment; wherein the communication signal strength is used for the remote monitoring center to determine the activity state of the monitored object.
A medical monitoring method is applied to a remote monitoring center, and comprises the following steps:

receiving physiological sign parameters of a monitored object sent by a portable monitoring device and the communication signal strength of the portable monitoring device and at least one node device in a communication network;

generating a physiological sign parameter oscillogram according to the physiological sign parameters;

determining an activity state of the monitored subject based on the at least one communication signal strength;

determining a waveform segment corresponding to the activity state in the physiological sign parameter oscillogram according to the occurrence time of the activity state;

establishing a corresponding relation between the active state and the waveform segment;

and displaying the physiological sign parameter oscillogram and displaying the activity state according to the corresponding relation.
A medical monitoring method is applied to a portable monitoring device, and comprises the following steps:

establishing a communication connection with at least one node device in a communication network;

obtaining the communication signal strength of the portable monitoring device and at least one node device in the communication network;

determining an activity state of the monitored subject based on the at least one communication signal strength;

and sending the state data of the activity state to a remote monitoring center connected with the portable monitoring equipment.
A medical monitoring method is applied to a portable monitoring device, and comprises the following steps:

establishing a communication connection with at least one node device in a communication network;

obtaining the communication signal strength of the portable monitoring device and at least one node device in the communication network;

sending the communication signal strength to a remote monitoring center connected with the portable monitoring equipment; wherein the communication signal strength is used for the remote monitoring center to determine the activity state of the monitored object.
A medical monitoring method is applied to a remote monitoring center, and comprises the following steps:

receiving physiological sign parameter values of a monitored object sent by portable monitoring equipment and communication signal strength of the portable monitoring equipment and at least one node equipment in a communication network;

an activity state of the monitored subject is determined based on the at least one communication signal strength.
A medical monitoring method is applied to a portable monitoring device, and comprises the following steps:

acquiring physiological sign signals of a monitored object in real time, and identifying physiological sign parameters from the physiological sign signals;

establishing communication connection with at least one node device in a communication network, and determining the real-time position of a monitored object according to the communication connection information of the portable monitoring device and the at least one node device;

transmitting the real-time position of the monitored object to a remote monitoring center connected with the portable monitoring equipment;

receiving a navigation route generated by a remote monitoring center according to a real-time position and a target position;

and outputting the navigation route.
A medical monitoring method is applied to a portable monitoring device, and comprises the following steps:

establishing a communication connection with at least one node device in a communication network;

obtaining communication connection information between the portable monitoring device and at least one node device;

sending communication connection information to a remote monitoring center connected with the portable monitoring equipment, wherein the communication connection information is used for the remote monitoring center to determine the real-time position of a monitored object;

receiving a navigation route generated by a remote monitoring center according to a real-time position and a target position;

and outputting the navigation route.
A medical monitoring method is applied to a remote monitoring center, and comprises the following steps:

acquiring a real-time position of a monitoring object and a target position to which the monitoring object is to move;

generating a navigation route according to the real-time position and the target position;

and sending the navigation route to a portable monitoring device connected with the remote monitoring center.
A medical monitoring method is applied to a remote monitoring center, and comprises the following steps:

acquiring the real-time position of a monitored object and acquiring the monitoring space ranges corresponding to a plurality of monitoring personnel;

determining a target guardian with a corresponding guardian space range including a real-time position from a plurality of guardians;

generating a notification message including monitoring information of a monitoring object;

and sending a notification message to the monitoring equipment corresponding to the target monitoring personnel.
A medical monitoring method is applied to a portable monitoring device, and comprises the following steps:

establishing a communication connection with at least one node device in a communication network;

when the equipment state of the portable monitoring equipment meets a preset condition, changing the communication signal strength of the portable monitoring equipment and at least one node equipment in a communication network;

and sending the communication signal strength to a remote monitoring center connected with the portable monitoring device, wherein the communication signal strength is used for the remote monitoring center to determine the real-time position of the portable monitoring device.
A readable storage medium, on which a computer program is stored, characterized in that the computer program, when being executed by a processor, carries out the method according to any one of claims 41 to 65.