CN1751656A - Long-distance, radio-electrocardiogram real-time monitoring system, and method therefor - Google Patents
Long-distance, radio-electrocardiogram real-time monitoring system, and method therefor Download PDFInfo
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Abstract
A wireless-type remote real-time cardioelectric monitor system and its method is disclosed. Said system is composed of a mobile cardioelectric monitor for acquiring the real-time ECG data and alarm information of user, receiving the real-time locating data of GPS satellite, storing these data and transmitting them to a cardioelectric monitor center in hospital over network, a cardioelectric monitor center in hospital for analyzing and processing the received data, automatically diagnosing, scheduling doctors, managing database and providing relative information to the user via Internet, and a HPC mobile cardioelectric monitor center of doctor for analyzing and processing the received data, automatically diagnosing and transmitting the result to said mobil cardioelectric monitor and cardioelectric monitor center in hospital.
Description
Technical field the present invention has designed a kind of long distance wireless electrocardio real-time monitoring system and method thereof, relates to fields such as sensor technology, embedded system technology, computer network, radio communication, signal processing technology, engineering in medicine, artificial intelligence, database technology, global-positioning technology and medical apparatus and instruments design.
Technical background ambulatory electrocardiogram (Dynamic Electrocardiogram, DCG) be also referred to as Holter ECG (ambulatoryelectrocardiogram, AECG), invent in nineteen fifty-seven by U.S. doctor physics, experimental physics scholar Norman J.Holter, 1961 be applied to clinical, so be called the Holter electrocardiogram again.
Can obtain total heart beats in the detection period by DCG, the fastest heart rate, the slowest heart rate, average heart rate and heart rate per hour, and can per hour analyze and measure supraventricular automatically, premature ventricular beat, the number of times of supraventricular and ventricular tachycardia, degree and form and persistent period, the situation of asystole and PR, trace image and trendgram that QRS ripple ST-T changes, look at figure etc. entirely, some function that provides by DCG, as the RR frequency chart, the overlapping demonstration of electrocardio etc., can detect atrioventricular block, atrial fibrillation, sino atrial block, pre-excitation syndrome etc., the available different modes of its result shows, is the clinical data of using that provides.DCG can be considered the increase of routine electrocardiogram time capacity, and it is of short duration and not enough writing time to remedy routine electrocardiogram.Through clinical practice over more than 40 years, DCG has accumulated many experiences in clinical practice, and its range of application is increasingly extensive, adds that the continual renovation of instrument is regenerated, and DCG has become the important development and the indispensable ingredient of clinical electrocardiography.
At present, dynamic electrocardiogram drawing system (Holter) is widely used clinically.But this class dynamic electrocardiogram drawing system only limits to use in the hospital.Along with the development of modern society and human life style's variation, crowd's sustainable growth of cardiovascular disease such as coronary heart disease is suffered from countries in the world.For these diseases are carried out effectively preventing, alleviate the pressure of hospital, developed some portable ecg monitor devices both at home and abroad, outside institute, carry use for extensive patients and medical personnel.These products can be divided into two big classes: portable electrocardiogram monitor of no network type and the portable electrocardiogram monitor of network type.
An electrocardiographic recording box is arranged in the portable electrocardiogram monitor of no network type, recording box can write down 24 hours even electrocardiogram (ECG) data for more time, need after the end recording box is taken back hospital, by the ECG data in the Holter electrocardio playback analytical system reading and recording box of special use, utilize software that the electrocardiogram (ECG) data of record is done the playback analysis, make the dynamic electrocardiogram report of property afterwards.This class monitor opening, compatible relatively poor, analysis ability is very limited, can only make identification and reports to the police several anomalous events of minority, and the patient has only and monitor is taken back hospital just can obtain the detail analysis report, can't realize real-time transfer of data, ageing very poor.
The portable electrocardiogram monitor of network type is connected with the monitoring center of hospital by various transmission means, can realize the real-time Transmission of data, and the real-time analysis processing can be carried out to electrocardiogram (ECG) data in the monitoring center, and reports to the police when unusual, and notice emergency center sends a car to rescue.This type systematic roughly has following several networking mode:
1. analogue modulation system transmitting-receiving.Domestic last century the eighties just developed this series products.This series products is formed high-frequency circuit by discrete component, and integrated level is low, the circuit complexity, and small product size is big, the cost height; Adopt the analog-modulated technology to lack the error correction link, be subject to disturb, the error rate height, and also transmission range is limited, if want to realize large-scale networking, needs to set up expensive relay station, and cost increases.Because above shortcoming, this series products is eliminated.
2. telephone wire transmission.After last century the seventies, abroad begin " phone electrocardiogram " is applied to clinical practice, China also develops the product of this class in the nineties, for example Tsing-Hua University mentions in application number is 94117667.3 application for a patent for invention, and to utilize telephone wire to set up with the hospital be the monitoring net at center.Also there are many shortcomings in this type systematic:
1) can only use in the place that landline telephone is arranged, use occasion is limited;
2) limited storage space of monitor is difficult to preserve long electrocardiosignal;
3) phone transmission speed is slow, is subject to disturb.
3. the Internet transmission.This type systematic generally is connected electrocardiogram monitor with PC, insert Internet and monitoring center swap data by PC.This type systematic needs the patient to be equipped with PC, and cost is higher, and requires patient to understand computer operation, and this type systematic does not still overcome the limited shortcoming of use occasion.
4.GSM/GPRS or CDMA transmission.This type systematic utilizes GSM/GPRS global system for mobile telecommunications net or cdma mobile communication net, make and to realize communicating by letter between moving target and the monitoring center, in the scope patient is guarded thereby can be implemented in the most widely in the place that GSM/GPRS global system for mobile telecommunications net or CDMA wireless network can cover.Certainly use GSM/GPRS or CDMA transmission also to have the more high shortcoming of transmission cost.
The existing internet data transfer function of long distance wireless electrocardio real-time monitoring system of our invention of summary of the invention also has GSM/GPRS or CDMA long distance wireless data-transformation facility, also has bluetooth short range wireless data transfer function.Three kinds of data transfer modes can be used respectively as the case may be, so just can fully be beneficial to their advantages separately, overcome their shortcomings separately.
As for being to use GSM/GPRS (or CDMA) transmission means, or the Bluetooth transmission mode sends and receives data, should be by the residing environment decision of user.If mobile ecg telemonitoring instrument user is the inpatient, can pass through the Bluetooth transmission mode, data are directly sent to doctor HPC mobile ecg telemonitoring center and hospital cardiac monitoring center.For not in hospital, but the patient who has bluetooth cellular phone, the mobile ecg telemonitoring instrument can pass through the Bluetooth transmission mode, data are passed on the bluetooth cellular phone, then, bluetooth cellular phone sends to the cardiac monitoring center to data and (annotates: the abbreviation that is doctor HPC mobile ecg telemonitoring center and hospital cardiac monitoring center) by GSM/GPRS (or CDMA) transmission means.Under other situations, GSM/GPRS (or CDMA) module of mobile ecg telemonitoring instrument by carrying directly is sent to the cardiac monitoring center with data.
The long distance wireless electrocardio real-time monitoring system that the present invention proposes possesses automatic monitoring capability, and utilization specialist system, artificial intelligence technology can notify the doctor in time to make diagnosis by mobile communications network simultaneously.Native system is that every doctor is equipped with a HPC (Hand-held PC, palm PC) mobile monitoring center, has GSM/GPRS (or CDMA) functionality mobile communication, and blue tooth wireless communication function, make the doctor guard center point-to-point both-way communication with mobile ecg telemonitoring instrument and hospital whenever and wherever possible, thereby solved the limited problem of use occasion.
Invention provides one based on GSM/GPRS (or CDMA) mobile communication network, possesses the long distance wireless electrocardio real-time monitoring system and the method for functions such as integrating electrocardiogram (ECG) data is gathered in real time, remote data wireless transmission, automatic diagnosis.
The mobile real-time electro cardiscope monitor that the long distance wireless electrocardio real-time monitoring system that the present invention proposes is carried by the user, hospital cardiac monitoring center, doctor HPC mobile ecg telemonitoring center, Internet network, GPRS (or CDMA) mobile communication network, blue tooth wireless communication network, personal computer etc. are formed.Fig. 1 is the topology diagram of whole long distance wireless electrocardio real-time monitoring system.
The mobile real-time electro cardiscope monitor of the present invention formations such as testing circuit, clock circuit, microprocessor, Flash memorizer, LCDs, warning circuit, GSM/GPRS module (or CDMA module), bluetooth module, GPS module, usb interface module, power circuit that come off by cardiac diagnosis lead electrode, the line that leads, amplifying circuit, filter circuit, A/D converter, electrode.Fig. 2 is the structured flowchart of mobile real-time electro cardiscope monitor.
Mobile real-time electro cardiscope monitor is carried by the patient, be responsible for gathering in real time and preliminary treatment patient's electrocardiosignal (ECG), warning message (comprising that abnormal alarm information, the monitor electrode warning message that comes off appears in electrocardio), GPS locator data etc., ECG data, warning message, GPS locator data after packing, the encoding compression processing are kept in the Flash memorizer, and it can be sent to hospital cardiac monitoring center by GSM/GPRS module (or CDMA module), bluetooth module, and doctor HPC mobile ecg telemonitoring center.
Mobile real-time electro cardiscope monitor sends with the data that receive and comprises: ECG data, warning message GPS locator data, diagnostic message, doctor's advice etc.
Hospital of the present invention cardiac monitoring center is mainly by application server, and database server and Web server three parts are formed.
Application server is by the Internet broadband networks, an or GSM/GPRS (or CDMA) wireless transmitting-receiving equipments, link to each other with GSM/GPRS (or CDMA) data center, whether it detects mobile real-time electro cardiscope monitor at any time has ECG data, warning message, GPS locator data to send to.When it receives ECG data that mobile real-time electro cardiscope monitor sends, warning message, GPS locator data, at first, it is unpacked and decompresses, carrying out detail analysis then handles, comprise the detection and Identification of QRS ripple, P ripple, T ripple, the measurement of ecg characteristics parameter and extraction, the utilization specialist system is realized automatic diagnosis to patient's the state of an illness, and deposits the ECG data in the ecg information data base.If diagnosis is found user's electrocardio and unusual condition occurs or receive the warning message that the mobile ecg telemonitoring instrument sends that doctor HPC mobile monitoring center is notified by GSM/GPRS (or CDMA) communication immediately in hospital cardiac monitoring center.The GPS locator data of sending according to the mobile ecg telemonitoring instrument, the residing geographical position of mobile ecg telemonitoring instrument user can be presented on the electronic chart of electrocardio Surveillance center display device, can follow the tracks of mobile ecg telemonitoring instrument user's whereabouts, and deposit the GPS locator data in the GPS location database.
Database server, be the information storage of whole system and the center of management, it is responsible for user's rights management, registration patient's information (case history, ECG data, electrocardio occur abnormal alarm information, monitor electrode come off warning message, GPS locator data etc.) management, report printing, accounting management etc., also be responsible for communicating by letter, make hospital cardiac monitoring center and information management system be combined into an integral body with the information management system of hospital.
Patient's (or its family members, friend) and doctor can visit hospital cardiac monitoring center by Web server, carry out this patient's inquiry for information about, can also browse nearest doctor's advice and obtain relevant health care information.Patient also can be by the mobile ecg telemonitoring instrument USB interface come off warning message, GPS locator data of abnormal alarm information, monitor electrode appearred in ECG data, electrocardio be saved in the personal computer, upload to ecg information data base and GPS location database by Internet then, use during for doctor's rounded analysis state of an illness.The doctor logins Web server can carry out monitoring administration to the exclusive patient of oneself, grasps patient's the state of an illness better, issue doctor's advice etc.
Therefore embedded GSM/GPRS module in doctor HPC mobile ecg telemonitoring of the present invention center (or CDMA module) and bluetooth module possess wireless communication ability.
Doctor HPC mobile ecg telemonitoring center regularly sends doctor's busy-idle condition to hospital cardiac monitoring center, whether monitoring simultaneously receives the schedule information that hospital cardiac monitoring center sends.After receiving the schedule information of sending at hospital cardiac monitoring center, promptly download patient's medical history information, nearest ECG data, warning message and GPS locator data etc. from the ecg information data base.When it receives the ECG data that the mobile ecg telemonitoring instrument sends, at first it is unpacked and decompress, carry out analyzing and processing then, comprise the detection and Identification of QRS ripple, P ripple, T ripple, the measurement of ecg characteristics parameter and extraction, and the result is presented on the screen of HPC, use for diagnosis.GPS locator data according to the mobile ecg telemonitoring instrument is sent can be presented at the residing geographical position of mobile ecg telemonitoring instrument user on the electronic chart of HPC display screen, can follow the tracks of mobile ecg telemonitoring instrument user's whereabouts.At last, doctor HPC mobile ecg telemonitoring center sends it back hospital cardiac monitoring center and user's mobile ecg telemonitoring instrument by GSM/GPRS (or CDMA) communication with diagnostic result, doctor's advice.
After doctor's diagnostic result, doctor's advice received at the cardiac monitoring center by hospital, detect its type, if send a car the first aid type, then on the electronic chart according to electrocardio Surveillance center of hospital display device, this the residing geographical position of mobile ecg telemonitoring instrument user that shows sends ambulance to go to rescue immediately.If common diagnostic message just by communication, sends to user's mobile ecg telemonitoring instrument.
The data that doctor HPC mobile ecg telemonitoring center receives comprise: the schedule information that hospital monitoring center sends, patient's case history, ECG data, warning message GPS locator data etc.; The ECG data that the mobile ecg telemonitoring instrument is sent, warning message, GPS locator data etc.The data that doctor HPC mobile ecg telemonitoring center sends comprise: information such as command information, diagnostic message, doctor's advice, the first aid of whether sending a car.
The workflow of a kind of long distance wireless electrocardio real-time monitoring method of the present invention is as follows:
1. mobile real-time electro cardiscope monitor is by cardiac diagnosis lead electrode, the line that leads, amplifying circuit, filter circuit, A/D converter, import microprocessor into after the pretreatment such as the faint electrocardiosignal amplification that the cardiac diagnosis lead electrode is obtained, filtering, user's electrocardiosignal that microprocessor will be gathered is in real time carried out preliminary analysis diagnosis, and on the LCD of monitor display result.When monitoring user's electrocardiosignal when unusual condition occurring, its can be reported to the police automatically.When detection user electrode came off, it also can be reported to the police automatically.By the GPS module, can receive the mobile real-time electro cardiscope monitor user locator data that sends by gps satellite in real time.Microprocessor can automatically store user's ECG data, warning message, GPS locator data in the Flash memorizer.By GSM/GPRS (or CDMA) module and bluetooth module, user's ECG data, warning message, GPS locator data can be sent to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center, also can receive simultaneously information such as diagnostic message that hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center send, doctor's advice, and information such as diagnostic message, doctor's advice are automatically stored in the Flash memorizer.As shown in Figure 3.
2. whether the mobile ecg telemonitoring instrument detects the request information on services, if have, further detect the classification of request information on services,, then send the ECG data that collect to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center if request sends the ECG data, services; If request immediate care information promptly sends alarm signal to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center; If request sends the service of GPS locator data, then send the GPS locator data that collects to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center.
3. hospital's cardiac monitoring center unpacks it after receiving data, then the type of judgment data.If the data that the mobile ecg telemonitoring instrument transmits, just to its unpack, decompression, be saved in the ecg information data base after the standardization, simultaneously also it is carried out analyzing and processing, the automatic diagnosis of the utilization Implementation of Expert System state of an illness.If diagnosis is found user's ecg information and unusual condition occurred, receive perhaps and move the warning message that the prison electrocardiogram monitor sends that doctor HPC mobile ecg telemonitoring center promptly by GSM/GPRS (or CDMA) communication, is notified in hospital cardiac monitoring center.As shown in Figure 4.
4., then it is deposited in the GPS location database if what receive is the GPS locator data.GPS locator data according to the mobile ecg telemonitoring instrument is sent can be presented at the residing geographical position of mobile ecg telemonitoring instrument user on the electronic chart of cardiac monitoring center display device, can follow the tracks of mobile ecg telemonitoring instrument user's whereabouts.
5. doctor HPC mobile ecg telemonitoring center regularly sends doctor's busy-idle condition to hospital cardiac monitoring center, after the schedule information that receives hospital cardiac monitoring center, ecg information data base from hospital cardiac monitoring center downloads patient's medical history information and nearest ECG data immediately, at first it is unpacked and decompress, carry out analyzing and processing then, comprise the detection and Identification of QRS ripple, P ripple, T ripple, the measurement of ecg characteristics parameter and extraction, and the result is presented on the screen of HPC, use for diagnosis.When it receives the ECG data that the mobile ecg telemonitoring instrument sends, at first it is unpacked and decompress, carry out analyzing and processing then, comprise the detection and Identification of QRS ripple, P ripple, T ripple, the measurement of ecg characteristics parameter and extraction, and the result is presented on the screen of HPC, use for diagnosis.When it receives the GPS locator data, then the residing geographical position of mobile ecg telemonitoring instrument user can be presented on the electronic chart of HPC screen, can follow the tracks of mobile ecg telemonitoring instrument user's whereabouts.At last, doctor HPC mobile monitoring center sends it back hospital cardiac monitoring center and mobile ecg telemonitoring instrument by GSM/GPRS (or CDMA) communication with diagnostic message, doctor's advice.As shown in Figure 5.
6. after diagnostic message, doctor's advice are received in hospital's cardiac monitoring center, detect its type, the first aid type if send a car, the GPS locator data of sending then according to the mobile ecg telemonitoring instrument, on the electronic chart of display screen, show the residing geographical position of patient, and notify emergency center immediately, send ambulance to go to patient's residing geographical position rescue; If common diagnostic message just by GSM/GPRS (or CDMA) communication, sends to information such as diagnostic message, doctor's advice in user's mobile ecg telemonitoring instrument.As shown in Figure 6.
Method of the present invention also comprises: the doctor dispatches in the cardiac monitoring center timely and effectively in hospital, the management of ecg information data base and GPS location database, and provide patient's inquiry for information about for the user, and can browse nearest doctor's advice and obtain relevant health care information by the Internet Web server.
Long distance wireless electrocardio real-time monitoring system and method thereof that the present invention proposes have the following advantages:
What I. the wireless communication networks of this monitoring method used is GSM/GPRS or CDMA mobile radio communication network, make and to realize the two-way communication of the point-to-point between mobile ecg telemonitoring instrument and hospital cardiac monitoring center and the doctor HPC mobile ecg telemonitoring center, patient is carried out long distance wireless electrocardio real-time monitoring thereby can be implemented in the broad range in the place that GSM/GPRS or CDMA mobile radio communication network can cover.
II. this monitoring method provides the several data transmission means, and the user can select to be fit to the data transfer mode of oneself as the case may be, so that save cost of use.For the patient who is in hospital, this monitoring method uses the Bluetooth wireless transmission mode, makes patient's ECG data in time be sent to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center.Patient for using bluetooth cellular phone also can send to mobile phone with the ECG data by bluetooth module, and mobile phone is sent to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center by GPRS or cdma wireless communication modes.The data transfer mode that adopts above plurality of optional to select both can reduce the manufacturing cost of mobile ecg telemonitoring instrument, can save the expense of transfer of data again.
III. ECG data, warning message, the GPS locator data with patient's mobile ecg telemonitoring instrument sends to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center in real time, can cause the very big expense in the communication.Therefore, this monitoring method has adopted patient's ECG data, warning message, GPS locator data is carried out in real time depositing in the built-in FLASH memorizer of mobile ecg telemonitoring instrument after compression automatically, the packing.When not needing that patient carried out real-time monitoring, just needn't send ECG data, warning message, GPS locator data to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center in time, but adopt the timed sending mode, perhaps have only after the mobile ecg telemonitoring instrument receives that the request of assigning at the cardiac monitoring center sends ECG data, warning message, GPS locator data information on services, the mobile ecg telemonitoring instrument just sends ECG data, warning message, the GPS locator data of packing, compression to the cardiac monitoring center.By this method, can make the user save a lot because the high cost that real-time Transmission causes.
IV. in the face of transmission larger data amount the time, for example when transmitting ECG data, warning message, GPS locator data, if utilize the short message transmission can reduce the efficient of communication, therefore, this method adopts GPRS (general packet radio service) (GPRS) or CDMA to transmit bigger data volume, not only accelerated transmission speed, do not disturbed mutually in the time of can also guaranteeing to send with the reception of short message.Mobile ecg telemonitoring instrument of the inventive method and doctor HPC mobile ecg telemonitoring center are built-in GPRS or CDMA module realize the point-to-point two-way communication at the center of protecting with hospital's electrocardio.
V. GPS (global positioning system) module that the mobile ecg telemonitoring instrument of the inventive method is also built-in can receive the gps satellite framing signal in real time.When the mobile ecg telemonitoring instrument sends the warning distress signal, patient's positional information hospital's electrocardio be can be sent to by GPRS or cdma wireless network and center and doctor HPC mobile ecg telemonitoring center protected, the GPS locator data of sending according to the mobile ecg telemonitoring instrument, can be with the residing geographical position of mobile ecg telemonitoring instrument user, be presented on the electronic chart of cardiac monitoring center display device, accurately obtain patient's position, give first aid to help emergency center to send a car to arrive the patient position fast.
VI. utilize this monitoring method can realize the two-way information interaction of point-to-point between patient's mobile ecg telemonitoring instrument, hospital cardiac monitoring center and the doctor HPC mobile ecg telemonitoring center three.By GSM/GPRS (or CDMA) mobile radio communication network, can realize real-time information interaction between patient, hospital cardiac monitoring center and the doctor.Simultaneously, the Web server that provides of hospital's cardiac monitoring center also can be realized patient and doctor's more fully information interaction.Patient can also be with the ECG data in the mobile ecg telemonitoring instrument memorizer, warning message, GPS locator data, copy in the personal computer by USB interface, then, pass through Internet, ecg information data base and the GPS location database of data upload, use during for doctor's rounded analysis state of an illness to hospital cardiac monitoring center.Patient can also browse nearest diagnostic message, doctor's advice on the website of this Web server, and obtains relevant health care information.The doctor logins Web server can carry out monitoring administration to the exclusive patient of oneself, grasps patient's the state of an illness better, and issue doctor's advice on the website.
Description of drawings
Fig. 1 is the topology diagram of whole long distance wireless electrocardio real-time monitoring system.
Fig. 2 is the structured flowchart of mobile real-time electro cardiscope monitor.
Fig. 3 is the data flowchart of mobile real-time electro cardiscope monitor.
Fig. 4 is the data flowchart at hospital cardiac monitoring center.
Fig. 5 is the data flowchart at doctor HPC mobile ecg telemonitoring center.
Fig. 6 is the signal flow diagram of whole long distance wireless electrocardio real-time monitoring system.
The specific embodiment
We understand long distance wireless electrocardio real-time monitoring system and the workflow thereof that the present invention proposes in conjunction with Fig. 1 and Fig. 6.At first, the mobile ecg telemonitoring instrument is gathered patient's electrocardiosignal in real time, at this moment electrocardiosignal usually has noises such as baseline drift, power frequency interference, myoelectricity interference and GSM/GPRS (perhaps CDMA) High-frequency Interference, therefore, after signal picker amplifies the ECG signal sampling, must adopt filter circuit that data are carried out anti-interference filtration, otherwise pretreated ECG signal in addition not will have a strong impact on the accuracy of detection, identification and the analytical work of rear end.Use effective algorithm, the signal through filtering is carried out detection and Identification, then, carry out preliminary analyzing and diagnosing, and the result is shown with LCD.If monitoring is found user's ecg information and unusual condition occurred, monitor is capable of automatic alarm, use the sound prompting user, and by GSM/GPRS (or CDMA) mobile communication, or the Bluetooth communication mode, user's ECG data, alarm signal, GPS locator data sent to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center.The communication mode that data send is decided on the residing environment of user.If the patient is the inpatient, perhaps have bluetooth cellular phone, then send, otherwise send by GSM/GPRS or cdma mobile communication mode by the Bluetooth communication mode.
Filtered ECG data are directly stored, and data volume will be very big, so, to carry out data compression earlier, then, after dress is sealed in economy-combat, send to hospital monitoring center and doctor HPC mobile ecg telemonitoring center, be saved in simultaneously in the Flash memorizer.
GPS (global positioning system) module that the mobile ecg telemonitoring instrument is built-in can receive the locating information of gps satellite in real time.When the mobile ecg telemonitoring instrument sends the warning distress signal, patient's positional information can be sent to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center by wireless network, according to receiving the GPS locator data, then can be with the residing geographical position of mobile ecg telemonitoring instrument user, be presented on the electronic chart of screen, can follow the tracks of mobile ecg telemonitoring instrument user's whereabouts, give first aid to help emergency center to send a car to arrive the patient position fast.
Whether the mobile ecg telemonitoring instrument detects the request information on services, if having, further the classification of monitoring request service if request sends the ECG data, services, then sends the ECG data that collect to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center; If the request immediate care promptly sends alarm signal to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center; If request sends the service of GPS locator data, then send the GPS locator data that collects to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center.
Hospital monitors at the cardiac monitoring center data whether patient is arranged at any time and arrives, if the ECG data promptly unpack, decompress it, carry out detail analysis then and handle, use the automatic diagnosis of the Implementation of Expert System state of an illness, and deposit the ECG data in the ecg information data base.If diagnosis is found user's electrocardio and unusual condition occurred, receive that perhaps mobile prison electrocardio protects instrument and sends warning message, doctor HPC mobile ecg telemonitoring center is promptly notified by communication in hospital cardiac monitoring center.The GPS locator data of sending according to the mobile ecg telemonitoring instrument, the residing geographical position of mobile ecg telemonitoring instrument user can be presented on the electronic chart of display device, can follow the tracks of mobile ecg telemonitoring instrument user's whereabouts, and deposit the GPS locator data in the GPS location database.
The ECG data also can download to computer by the USB interface of mobile ecg telemonitoring instrument, upload to the cardiac monitoring center by Internet.The Web server that hospital cardiac monitoring center provides can be realized patient and doctor's more fully information interaction.Patient can copy the ECG data in the mobile ecg telemonitoring instrument memorizer, alarm signal, GPS locator data in the personal computer to, by Internet data upload to the data base at hospital cardiac monitoring center, so that use during for doctor's rounded analysis patient's the state of an illness.Patient can also browse the relevant health care information of nearest diagnostic message, doctor's advice and acquisition on the website of this Web server.The doctor logins Web server can carry out monitoring administration to the exclusive patient of oneself, grasps patient's the state of an illness better, issues doctor's advice on the website.
Doctor HPC mobile ecg telemonitoring center regularly sends doctor's busy-idle condition to hospital cardiac monitoring center, after the schedule information that receives hospital cardiac monitoring center, download patient's medical history information and nearest ECG data from the ecg information data base immediately.When it receives the ECG data that the mobile ecg telemonitoring instrument sends, at first it is unpacked and decompress, carry out analyzing and processing then, comprise the detection and Identification of QRS ripple, P ripple, T ripple, the measurement of characteristic parameter and extraction, and the result is presented on the screen uses for diagnosis.GPS locator data according to the mobile ecg telemonitoring instrument is sent can be presented at the residing geographical position of mobile ecg telemonitoring instrument user on the electronic chart of HPC display screen, can follow the tracks of mobile ecg telemonitoring instrument user's whereabouts.At last, doctor HPC mobile monitoring center sends it back hospital cardiac monitoring center and mobile ecg telemonitoring instrument by GSM/GPRS (perhaps CDMA) communication with diagnostic message, doctor's advice.
Hospital cardiac monitoring center is also detected the data that whether have doctor HPC mobile monitoring center to send at any time and is arrived.If the data doctor's who arrives busy-idle condition is about to it and transfers to the scheduler module processing.If the data of receiving are doctor's advices, then detect its type, the first aid type if send a car, the GPS locator data of sending then according to the mobile ecg telemonitoring instrument, on the electronic chart of display screen, show the residing geographical position of patient, and notify emergency center immediately, send ambulance to go to patient's residing geographical position rescue; If common diagnostic message just by GSM/GPRS (perhaps CDMA) communication, sends to user's mobile ecg telemonitoring instrument.
Claims (5)
1. remote ecg real-time monitoring system is characterized in that it is made up of mobile real-time electro cardiscope monitor, hospital cardiac monitoring center, doctor HPC mobile ecg telemonitoring center, Internet network, GPRS (or CDMA) mobile communication network, blue tooth wireless communication network, personal computer etc.
2. the system as claimed in claim 1 is characterized in that its enforcement comprises the steps:
(1) the mobile ecg telemonitoring instrument is gathered user's electrocardiosignal (ECG) in real time, carries out preliminary analysis diagnosis, and on monitor display result.When diagnosis finds that unusual condition appears in user's electrocardiosignal, can report to the police automatically.When the electrode that detects the user comes off, also can report to the police automatically.Simultaneously, the mobile ecg telemonitoring instrument receives the locating information of gps satellite in real time.By GSM/GPRS (or CDMA) mobile communication, perhaps Bluetooth wireless communication mode sends to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center with user's ECG data, alarm signal, GPS locator data.The mobile ecg telemonitoring instrument compresses ECG data, alarm signal, GPS locator data and packing, and is kept in the memorizer;
Whether (2) the mobile ecg telemonitoring instrument detects the request information on services, if have, further differentiate the classification of request service,, then send the ECG data that collect to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center if request sends the ECG data, services; If the request immediate care promptly sends alarm signal to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center; If request sends the service of GPS locator data, then send the GPS locator data that receives to hospital cardiac monitoring center and doctor HPC mobile ecg telemonitoring center;
(3) hospital's cardiac monitoring center unpacks it after receiving data, then the type of judgment data.If the data that the mobile ecg telemonitoring instrument transmits, just to its unpack, decompression, be saved in the ecg information data base after the standardization, simultaneously also it is carried out analyzing and processing, the automatic diagnosis of the utilization Implementation of Expert System state of an illness.If diagnosis is found user's ecg information and unusual condition occurred, receive perhaps and move the warning message that the prison electrocardiogram monitor sends that doctor HPC mobile ecg telemonitoring center promptly by GSM/GPRS (or CDMA) communication, is notified in hospital cardiac monitoring center;
(4) doctor HPC mobile ecg telemonitoring center regularly sends doctor's busy-idle condition to hospital cardiac monitoring center, after the schedule information that receives hospital cardiac monitoring center, ecg information data base from hospital cardiac monitoring center downloads patient's medical history information and nearest ECG data immediately, at first it is unpacked and decompress, carry out analyzing and processing then, comprise the detection and Identification of QRS ripple, P ripple, T ripple, the measurement of ecg characteristics parameter and extraction, and the result is presented on the screen of HPC, use for diagnosis.When it receives the ECG data that the mobile ecg telemonitoring instrument sends, at first it is unpacked and decompress, carry out analyzing and processing then, comprise the detection and Identification of QRS ripple, P ripple, T ripple, the measurement of ecg characteristics parameter and extraction, and the result is presented on the screen of HPC, use for diagnosis.When it receives the GPS locator data, then the residing geographical position of mobile ecg telemonitoring instrument user can be presented on the electronic chart of HPC screen, can follow the tracks of mobile ecg telemonitoring instrument user's whereabouts.At last, doctor HPC mobile monitoring center sends it back hospital cardiac monitoring center and mobile ecg telemonitoring instrument by GSM/GPRS (or CDMA) communication with diagnostic message, doctor's advice;
(5) after the diagnostic message, doctor's advice at doctor HPC mobile ecg telemonitoring center received at hospital's cardiac monitoring center, detect its type, the first aid type if send a car, the GPS locator data of sending then according to the mobile ecg telemonitoring instrument, on the electronic chart of display screen, show the residing geographical position of patient, and notify emergency center immediately, send ambulance to go to patient's residing geographical position rescue; If common diagnostic message just by GSM/GPRS (or CDMA) communication, sends to information such as diagnostic message, doctor's advice in user's mobile ecg telemonitoring instrument.
3. method as claimed in claim 2, it is characterized in that also comprising: the doctor dispatches in the cardiac monitoring center timely and effectively in hospital, the management of ecg information data base and GPS location database, and provide patient's inquiry for information about for the user, and can browse nearest doctor's the relevant health care information of diagnostic message, doctor's advice and acquisition by the Internet Web server.
4. method as claimed in claim 2 is characterized in that the data that the mobile ecg telemonitoring instrument sends comprise: user's ECG data, warning message, GPS locator data etc.; The data that receive are doctor's diagnostic message and doctor's advice.
5. method as claimed in claim 2 is characterized in that the data that doctor HPC mobile ecg telemonitoring center receives comprise: the schedule information that hospital cardiac monitoring center sends, patient's case history, ECG data, warning message, GPS locator data etc.; The ECG data that user's mobile ecg telemonitoring instrument sends, warning message, GPS locator data etc.The data that doctor HPC mobile ecg telemonitoring center sends comprise: information such as command information, diagnostic message, doctor's advice, the first aid of whether sending a car.
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