CN1592293A - Non-realtime remote-doctor consultation information system - Google Patents
Non-realtime remote-doctor consultation information system Download PDFInfo
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- CN1592293A CN1592293A CN 200410155061 CN200410155061A CN1592293A CN 1592293 A CN1592293 A CN 1592293A CN 200410155061 CN200410155061 CN 200410155061 CN 200410155061 A CN200410155061 A CN 200410155061A CN 1592293 A CN1592293 A CN 1592293A
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Abstract
A remote consultation information system is divided into two classes, one is a real time remote consultation information system based on the TV conference system, the other is a 'network hospital' based on Internet technology, both of them exist a very deadly shortcoming practically and technologically. The first needs large sum of time and energies to make an appointment with the specialist, actually it is very difficult, yet the 'network hospital' requires that patients should understand computer and network, and experts can't see the X-ray pictures, so, it's not valuable. This invention exclusively creates a third way of remote consultation not necessary to make an appointment or understand the computer.
Description
[technical field]:
Native system belongs to software product.It utilizes the internet to realize the remote medical consultation with specialists information interchange, and it helps the patient to carry out the medical science consulting to the expert more easily.
[background technology]:
What is the remote medical consultation with specialists information system?
Remote medical consultation with specialists is meant the medical science consultation way that utilizes telecommunication system that patient is checked, diagnoses, held a consultation.Be accompanied by the development of computer and mechanics of communication, the remote medical consultation with specialists Information System configuration presents growth momentum in the ascendant in China.
The technical foundation of remote medical consultation with specialists information system is the advanced computer and the communication technology, connects the multimedia computer terminal by telephone wire, erects the connection bridge between hospital, doctor and patient.Patient need not go out, and just can directly talk by the sophisticated equipment and the expert of remote medical consultation with specialists, preengages medical services such as consulting, the difficult consultation of doctors, urgent rescue, medical education.The patient can exempt the hardship of road fatigue, saves transportation expenses and hotel expense, and individual and family utilize common multimedia computer and phone, mix special-purpose camera head, can realize remote medical consultation with specialists, and be especially suitable to chronic disease and difficult and complicated illness.
Remote medical consultation with specialists, remote operation all are popular research topics in the world.
The classification of existing remote medical consultation with specialists information system
Existing remote medical consultation with specialists information system is divided two big classes, and a class is based on " the real time remote consultation of doctors information system " of video conference system.Another kind of " online hospital " that is based on the internet.
" real time remote consultation of doctors information system "
Domestic a lot of hospital has all used real time remote consultation of doctors information system, and it mainly is to be used for the consultation of doctors or operation.
Its using method is: at first take much time, energy and expert preengage.In case make an appointment in advance, basic hospital and expert utilize special-purpose consulting room and technical staff, by the prior commissioning device of technical staff, comprise all personnel such as patient all put in place on time.When the operation or the consultation of doctors, earlier send written historical materials such as case history, laboratory examination and still images such as CT, MRI to distant place expert, allow the other side understand the state of an illness earlier, utilize remote medical consultation with specialists software, all be presented on both sides' the display by the situation of pick-up lens both sides expert, thereby carry out the talk that Qian Suo pleases Received, and can transmit medical image and various pathological data simultaneously, exchange at the enterprising style of writing word of real-time electronic blank.Both sides can inquire into jointly to interested focus on the image that transmits, and can be at any time in addition literal explain or arrow, make both sides carry out Gui duty pharynx Honor and discuss.Field condition is delivered in real time the expert place in a distant place with television system.The expert gives on-the-spot doctor with its suggestion immediate feedback.
The most side of remote medical consultation with specialists system between hospital is the stronger large hospital of comprehensive strength, the opposing party is the pathogeny abundance, the complete relatively middle and small hospital of medical treatment detection means, real-time transmission by medical data, both sides' close fit helps giving full play to of medical data, can cure patient, local doctor's technical merit can be improved again, the income of hospital can also be increased.
From in essence, it is exactly a video conference system.
" online hospital "
At the expensive expense of the real time remote consultation of doctors, the someone has proposed " online hospital " again, promptly sets up a website.The patient posts to the website with data such as CT slice, thin pieces, and perhaps the scanning back is dealt on the website by the mode of Email.The expert who is engaged by the website diagnoses.Diagnostic result is also issued the patient by the mode of phone or Email.Also there be " online hospital " on the website, to be provided with a forum, post for the patient and propose query, freely answer by the expert.
The shortcoming of existing remote medical consultation with specialists information system
" real time remote consultation of doctors information system "
Its fatal shortcoming have following some:
Each reservation time and effort consuming: allow the expert just arrange out a bulk of time to be not easy very much in advance, if need several experts to unite the consultation of doctors simultaneously, that is more difficult the realization just.
Organization work is very complicated.In case the expert makes an appointment in advance, will organize each side such as the doctor of basic unit, patient to put in place simultaneously, indispensable.Prearrange consulting room, the personnel of organizational technology carry out extensive works such as remote equipment UNICOM.Long-range expert side wants a large amount of preparation equally
The focus that the expert saw is unintelligible, can't make diagnosis in view of the above, under the more situation, is that video camera just be can't see lesions position at all.In order to see trickle pathology clearly, the investment of hospital equipment all reaches hundreds of thousands, up to a million.Several thousand yuan video camera can't reach requirement.
Communication fee is high.The communication expense of on-site transfer is very expensive in real time.General patient is difficult to bear.
The expert is not positive.With regard to actual conditions, the doctor of remote medical consultation with specialists basic unit is ready very much, but the expert is not positive.Because reservation and the process of preparing will expend a large amount of time of expert.
Because the above reason is carried out just example surplus in the of 10,000 of remote medical consultation with specialists every year in China, given play to its effect far away.
The shortcoming of " online hospital "
It requires the patient must coomputerate and network, and this has just greatly limited the use crowd.
Few people have special-purpose medical image processing equipment, if inspection of data such as X-ray sheet can not be offered the expert, only are to post on the net, carry out character property and describe, and there is no much benefits in diagnosis.
The patient can not see expert's face, does not have trust.
Remitting money to the website by post office and bank, is cumbersome.Also have many people can not use remittance.
[summary of the invention]:
The non-realtime remote-doctor consultation information consultation mode that I invented, it need not be preengage with the expert, does not also need the patient to coomputerate.Overcome the shortcoming of other remote medical consultation with specialists information system fully, great actual application value is arranged.This project now in Guangdong, Henan, Beijing is on probation.It attempts a solution difficult problem----since ancient times, and patient does not choose the doctor!
This invention is exactly to have given industrialization this project of remote medical consultation with specialists, makes the ordinary people also can enjoy valuable expert's resource, transfers expert's enthusiasm.Overcome traditional remote medical consultation with specialists system and " online hospital " etc. intrinsic shortcoming.
" non-realtime remote-doctor consultation information system "
At first set up remote medical consultation with specialists information consultation chamber, dispose the non-realtime remote-doctor consultation information system terminal software of a technical staff and I exploitation and hardware device etc. at basic hospital.This cover system can become digitized format with patient's case material processed and be stored in the computer.It also can be directly from the equipment of hospital (for example, B ultrasonic, CT etc.) obtain the patient's image data.The doctor of basic hospital fills in consultation of doctors request slip and the state of an illness is described, the technical staff utilizes " non real-time system " then, patient's all material (comprising electronic health record, X-ray sheet, the doctor of basic unit suggestion, clinical manifestation etc.) is saved in this machine data storehouse, and uploads to the Consultation Center lane database.
When filling in consultation of doctors request slip, the patient can indicate in the lump needs what area, what rank, what professional section office, several expert consultations, and pays corresponding expense to hospital.For example, need the director of Beijing division of cardiology level doctor 2 people, Shanghai orthopaedics associate chief physician 1 people participates in the consultation of doctors.
We with the various big hospital cooperation, develop a large amount of medical experts as the member in big cities such as Beijing, Shanghai.Situations such as these member experts' region, section office, rank all are recorded in the system.And distribute account and password for each member.
The member is Website login at any time, and the relevant follow-up case in the browsing database provides advisory opinion.This advisory opinion is kept in the system, after being downloaded by basic hospital, hands to patient or physician-in-charge.For instance, if specifying, the patient wants 2 expert consultations of Beijing division of respiratory disease.Then the expert in Shanghai can't see this case.If there are 2 experts of Beijing division of respiratory disease that this case has been provided oneself suggestion respectively, then this case is automatically brought in the history library, no longer has been the follow-up case.
My company regularly and basic hospital and expert carry out disbursement and sattlement.
Consultation of doctors suggestion is given in patient's hand, and its cycle generally is two day time.
Case in the history library and diagnostic result can supply other expert, student etc. to consult, learn to use.
Substantive distinguishing features and obvious improvement that it is outstanding:
Compare with " non-realtime remote-doctor consultation information system ":
Need not reservation.This makes non-realtime remote-doctor consultation have great flexibility.For example, preengage an expert, he may next week, also may next month just if having time.Even the time of making an appointment in advance, also may can't carry out for some reason.If need not preengage, it is free a certain position expert such as then to need not.Just can enter consultation of doctors program immediately, the case material is released, wait for the result.
Need not complicated organization work.This makes remote medical consultation with specialists more feasible.The basic hospital end is equipped with technical staff, equipment and special-purpose room, and expert's end then only needs the high-end computer that can network to get final product, and without technical professional and communication apparatus etc., also need not the organization work of any consultation of doctors fully.
The expert can carry out remote medical consultation with specialists whenever and wherever possible.Such as in unit, at home, even can be on the computer of networking when the intermittence of meeting patient's case in the browsing database at any time, for the patient seeks advice from.Thereby fully excavated valuable medical expert's resource.
Change to point-to-area case published method from point-to-point." real time remote consultation of doctors information system " need get in touch expert hospital in advance, like this, just constituted point-to-point connecting mode between basic hospital and expert hospital.And " non real-time system " then do not set up this point-to-point connecting mode, and it is that case is issued to all experts, is a kind of point-to-area relation, can seek advisory opinion by maximum magnitude.For instance, need to buy a certain equipment, both can buy point-to-point contact that Here it is to producer's contact.Also information on bidding can be issued towards the society, point-to-area contact that Here it is.
Expense is cheap.Real-time system because the expert exchanges in real time with doctor, does not allow communicating interrupt.Communication quality requires than higher, and cost is also high.But not real-time system utilizes the internet to transmit digital information, does not need very high-quality communication line, and cost is also cheap
Clear picture.Because the case image can directly obtain from equipment such as CT, transmit with digital form.Unlike the blurred picture of real-time system with camera acquisition;
Transnational medical science consulting will become and be easy to." real-time system " participates in the consultation of doctors if think the outer expert of host country, and be technical all complicated unusually with consultation of doctors tissue.And in " non real-time system " lining, the expert in Europe can browse case in the same way very like a cork as the expert of Pekinese, and makes consulting.This technology will help the patient to carry out transnational consulting easily.
Many areas, many trainings, multi-expert are united the consultation of doctors and will be become and be easy to.For example, need 2 of Beijing heart experts, 1 of Shanghai orthopedics expert is for the patient unites the consultation of doctors.In " real-time system ", because its great difficulty (technical and tissue) does not in practice have similar case as yet.And in " non real-time remote medical consultation with specialists information system ", this is its basic function, implements to be easy to.This technology will make bigger territorial scope, more multi-specialized scope, more multi-expert unite the consultation of doctors, simple and easy to do.
Same training can allow a plurality of experts take out the diagnostic comments of oneself respectively, gives basic hospital more with reference to leeway and range of choice.
The case material will cut a conspicuous figure as the medical science resource of preciousness.Case material and diagnostic result all are valuable medical science resources, and these materials all were archived in the data bank of hospital in the past, are difficult to externally exchange usefulness.In " non real-time system ", with all difficult and complicated illness and diagnostic result all long preservation in database, for consult, learn, reference.For example, the student of medical college just can search a large amount of actual cases and diagnostic result in the case database.Vividly, truly.This point, " information system of holding a consultation in real time " can't accomplish
Along with the development of system, when all having the expert to browse case on the net constantly, run into emergency case, the information of the issue request consultation of doctors in system.Need not preengage, just can arrive the expert immediately and participate in the consultation of doctors.For example, the nationwide, existing just having 8 cardiologists browsing the case database, does diagnosis or inspection information.One heart disease emergency case is arranged, just can send the consultation of doctors and invite to these 8 experts.Invite 3 people to participate in the consultation of doctors.If 5 experts agree the consultation of doctors, basic hospital just can be consulted these 5 experts' personal information in system, and decision is which 3 people comes to do the medical science consulting for the patient.Both sides just can hold a consultation after confirming immediately.This technology has been cancelled the reservation and the associated process of all complexity.To provide extraordinary means for the emergency treatment patient in time finds the medical expert.
In the future, all load onto video camera at basic hospital and expert's end.Like this, if expert and patient all on the net the time, both sides agree again, just can carry out the video consulting.Like this, " non real-time system " just can have the advantage of " real-time system " concurrently.
Compare with " online hospital ":
Institutional framework is totally different.The institutional framework of " online hospital " is the centre type (see figure 1).And the institutional framework of " non real-time system " is a center node type (see figure 2).The basic structure difference of the two causes its method of operation and technology that in essence difference is also arranged, and application prospect is also more wide.Describe in detail below.
The use crowd is wide." non-realtime remote-doctor consultation information system " do not need patient, doctor to understand computer and network knowledge, just can use it.The facility that this will make Chinese crowd widely can utilize information technology to bring is enjoyed high-quality medical science counseling services.
High-quality case material.Because that " online hospital " faces is patient individual, submit the case material to it by the patient.And " non real-time system " towards be basic medical unit, submit the case material by the professional to system.Like this, basic medical unit (consultation of doctors node) is with regard to configurable specialty and expensive medical image processing equipment.Materials such as consultation of doctors application and state of an illness description are also filled in specialty, accurate by the basic hospital doctor.The case material of submitting to just can be used as diagnosis basis fully.This point is that " online hospital " is incomparable.
Disbursement and sattlement is convenient." online hospital " requires the patient to pass through bank or mail remittance, and the cycle is long, efficient is low.Even also have many people can not remit money." non real-time system " only requires that the patient will consultation fee gives basic medical unit and gets final product.Convenient and easy.
" online hospital ", the case material is to preserve with the form of file, transmits with lettergram mode.And in " non real-time system ", the case material is to preserve in the mode of database, transmits in the special-purpose software mode." online hospital " after receiving patient's material, need the technical staff to put in order after, revise webpage again, after again webpage being uploaded onto the server, could allow the expert browse case." non real-time system " then removes these links from.Because of it uses database technology, can allow the expert browse the case data instant that receives.This technology makes that the issue of case is accurate more and quick.
After " online hospital " issued the case material, need the expert consultation of the corresponding specialty of artificial reservation.Behind the expert consultation, must manual amendment's webpage, this case is removed, in order to avoid other expert also makes diagnosis, the complicated and difficulty of this process.For example, the time expert of agreement fails to participate in the consultation of doctors, and the website just must look for the expert to hold a consultation in addition again.Waste time." non real-time system " need not preengage a certain position expert, and it has guaranteed that by the form that develops a large amount of member experts the expert participates in the consultation of doctors, the expert who free who just participate in the consultation of doctors, who has held a consultation is just paid for whose expense.A metaphor is beaten in the difference of the two, and " online hospital " introduces object by the matchmaker." non real-time system " comes to introduce object for the people by lonely-hearts ad.
In " online hospital ", expert's diagnostic result needs the expert to send to website or patient place in the mode of mail.This needs the expert to confirm case numbering, patient's name, patient's mailbox or the like information, in order to avoid sent out diagnostic result wrong.In " non real-time system ", the expert has write diagnostic comments, has pressed " preservation " function just.How this result is dealt into the patient place, and the expert is with worrying about.This technology will be saved a large amount of time and efforts for the expert, make it be absorbed in diagnostic work more.
In " online hospital ", case is numbered, just need know each routine patient's communication modes, to be used to send diagnostic result.And in " non real-time system ", to all hospitals and unified classification of case and numbering.Diagnostic result is that basic medical unit is got in system.This technology is in time, correctly send diagnostic result and have very big meaning.For example, " online hospital " is dealt into the result in patient's mailbox.But fire compartment wall might fall this filtrating mail, and patient and Consultation Center and do not know this situation." non real-time system ", the center readily understands information such as consultation of doctors result's number of visits and time.Can in time handle the consultation of doctors suggestion that does not have download.
Claims (4)
1.[document source] electronic application
2.[the message in-coming date] 2004-3-12
3.[application number]
4.[claim item]
[right 1] at the remote medical consultation with specialists point, by the people of patient or application consultation of doctors consulting, indicates the expert's who needs consulting rank, number, area, specialty etc.By the consultation of doctors point case material is carried out preliminary treatment: comprise image collection, digitized processing etc.Case information after will handling then uploads to the Consultation Center database, open issue on the website.
[right 2] the member medical expert need not preengage, and freely lands the website, browses case or participate in the consultation of doctors.The follow-up case is only open to the expert who meets patient's requirement.
[right 3] selected the case of holding a consultation by the expert.And answer.Expert's advisory opinion is stored in the system, and by after the download of remote medical consultation with specialists point, prints and give patient or physician-in-charge.Perhaps the patient is with the password advisory opinion that surfs the web.
The case that [right 4] consulting finishes changes in the historical case history storehouse, can be for there being the people of access rights to browse and discuss.For example, doctor, student etc.
[right 5] regularly carries out disbursement and sattlement by Consultation Center and basic medical unit and expert.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
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| CN 200410155061 CN1592293A (en) | 2004-03-12 | 2004-03-12 | Non-realtime remote-doctor consultation information system |
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| Application Number | Priority Date | Filing Date | Title |
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| CN 200410155061 CN1592293A (en) | 2004-03-12 | 2004-03-12 | Non-realtime remote-doctor consultation information system |
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| CN1592293A true CN1592293A (en) | 2005-03-09 |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104573835A (en) * | 2015-01-09 | 2015-04-29 | 西安融成科技有限公司 | Online knowledge transaction reservation system and method |
| CN109473179A (en) * | 2011-01-28 | 2019-03-15 | 瓦里安医疗系统公司 | Radiotherapy knowledge exchange |
-
2004
- 2004-03-12 CN CN 200410155061 patent/CN1592293A/en active Pending
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109473179A (en) * | 2011-01-28 | 2019-03-15 | 瓦里安医疗系统公司 | Radiotherapy knowledge exchange |
| US11481728B2 (en) | 2011-01-28 | 2022-10-25 | Varian Medical Systems, Inc. | Radiation therapy knowledge exchange |
| CN104573835A (en) * | 2015-01-09 | 2015-04-29 | 西安融成科技有限公司 | Online knowledge transaction reservation system and method |
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