KR20200075770A - Medical Bridge System for spinal injury based on ICT linkage and Computer Program using it - Google Patents

Abstract

The present invention relates to a medical bridge system based on ICT linkage. According to the present invention, a method of providing medical bridge services for people with spinal injuries based on ICT linkage includes: step S1 of measuring, by a bedsore prevention unit (100) provided with a load cell (110) therein, a load level and a load position of a seated disabled person, and transmitting a measured value to a control unit (10); step S2 of chemically analyzing, by a urine chemical analysis unit (200), urine of the disabled person and transmitting an analysis value to the control unit (10); step S3 of measuring, by a hand bike sensor unit (300), a distance, a time, a maximum speed, and an average speed, and transmitting an analysis value to the control unit (10); and step S4 of analyzing, by the control unit (10), data received from the bedsore prevention unit (100), the urine chemical analysis unit (200), and the hand bike sensor unit (300), and transmit information to at least one of a terminal (400) of the disable person and a medical server (500) remotely separated. The present invention provides a computer program stored in a computer-readable recording medium in order to execute the method of method of providing medical bridge services for people with spinal injuries based on ICT linkage according to the present invention, combined with hardware that processes information by software on a computer.

Description

Medical Bridge System for spinal injury based on ICT linkage and Computer Program using it

The present invention relates to a method for providing a medical bridge service for a spinal cord injured person. Specifically, it relates to a method for providing a medical bridge service for a spinal cord injured person based on ICT linkage and a computer program using the same.

There is a need to study an ICT-based medical consultation service model for life care for people with spinal cord injury. Currently, there is no customized trauma management service for people with spinal cord injury, and it is difficult to access quality rehabilitation or assistive devices.

Because of the lack of a continuous and effective health care management system for people with spinal cord injury, people with spinal cord injury are more likely to die from urinary tract infections or bedsores within a few years.

The premature mortality rate for people with spinal cord injury is 2 to 5 times higher than those with non-spinal cord injury, and the life expectancy at the age of 25 is only 70% of the life expectancy of the general population.

Therefore, the development and empirical study of the ICT-based medical consultation service model for life care of the spinal cord injured person in this project can improve the quality of life and life expectancy of the spinal cord injured person and contribute to productivity improvement through social return.

(Document 1) Korean Registered Patent Publication No. 10-1742773 (2017.05.26)

The method of providing a medical bridge service for a spinal cord injured person based on ICT linkage according to the present invention has the following problems.

First, the development of a digital home care service model is a challenge. We will develop a doctor-visit nurse service model and a digital offloading seating system to prevent bedsores, and develop a urinary tract infection management system for people with spinal cord injury using a ureochemical analyzer.

Second, the development of a digital home rehabilitation service model is a challenge. The aim is to develop a rehabilitation and breathing exercise program using a doctor-visit occupational therapist service model and hand bike.

Third, the development of the ICT-based technology model and medical cooperation platform will be the challenges. We intend to process data generated through two service models, implement prescriptions through consultation with doctors, and establish a foundation for medical systems for people with spinal cord injury.

Fourth, the development of ICT-based life care service model and the implementation and verification of the pilot project will be solved. To investigate/analyze demand and status, develop service contents, develop clinical guidelines, conduct pilot projects for people with spinal cord injuries with disabilities, analyze effectiveness tests, and prepare ways to spread ICT-based medical consultation models do.

The problems of the present invention are not limited to those mentioned above, and other problems that are not mentioned will be clearly understood by those skilled in the art from the following description.

The present invention is a medical bridge system based on ICT linkage, the pressure sore prevention unit 100 is provided with a load cell 110 inside, measuring the load degree and load position of the disabled person seated, and controlling the measured value to the controller 10 S1 step of transmitting; The urine analysis unit 200 chemically analyzes the urine of the handicapped and transmits the analysis value to the control unit 10 in step S2; And the hand bike sensor unit 300 includes a step S3 for measuring the distance, time, maximum speed and average speed, and transmits the analysis value to the control unit 10, the control unit 10 is the pressure sore prevention unit 100 , S4 step of analyzing the data received from the chemical analysis unit 200 and the hand bike sensor unit 300, and transmitting information to at least one of the terminal 400 and the medical server 500 spaced apart from the disabled It is a method of providing a medical bridge service for people with spinal cord injury based on ICT linkage, characterized in that it comprises a.

In the present invention, the pressure sore prevention unit 100 is provided in the form of a cushion, the load cell 110 may be provided inside the cushion in the form of a film.

In the present invention, the pressure sore prevention unit 100 is provided with a data transmission unit 120 therein, it is possible to receive the data measured by the load cell 110 to the control unit 10.

In the present invention, the control unit 10 analyzes the transmitted load cell measurement data, and if a preset pressurization time and pressurization value at a point is exceeded, an alarm can be sent to the terminal 400.

In the present invention, the alarm may be at least one of an acoustic alarm, a text alarm, and a flashing alarm.

In the present invention, the control unit 10 analyzes the data received from the urinary chemical analysis unit 200 and the hand bike sensor unit 300, and exceeds a predetermined value, to the medical server 500 The received data and the analyzed data can be received.

In the present invention, the medical server 500 analyzes the received data according to a preset manual, and when the analysis result value corresponds to a preset condition, the medical result 500 may transmit the analysis result value to the terminal 700 of the medical person. have.

The present invention is a computer program stored in a computer-readable recording medium in order to execute a method for providing a medical bridge service for a spinal cord injured person based on ICT connection according to the present invention, in combination with hardware for processing information by software on a computer Can be implemented as

The method of providing a medical bridge service for a spinal cord injured person based on ICT linkage according to the present invention has the following effects.

First, a system for early detection and management of urinary tract infections and bedsores is prepared, and the safety of patients with spinal cord injuries from complications such as upper urinary tract infections and osteomyelitis due to urinary tract infections and bedsores is secured. You can

Second, it has the effect of improving the quality of life of people with spinal cord injuries by proactively responding to complications such as bedsores and urinary tract infections, which are the most important factors for people with spinal cord injuries.

Third, systemic management through remote medical consultation for people with spinal cord injuries has the effect of reducing medical expenses required to develop complications.

The effects of the present invention are not limited to those mentioned above, and other effects not mentioned will become apparent to those skilled in the art from the following description.

1 is a flowchart of a method for providing a medical bridge service for a spinal cord injured person based on ICT linkage according to the present invention.
2 is a schematic diagram of an anti-bedsore according to the present invention.
3 to 18 are diagrams for explaining a technical configuration of a method for providing a medical bridge service for a spinal cord injured person based on ICT linkage according to the present invention.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings so that those skilled in the art to which the present invention pertains can easily practice. As those of ordinary skill in the art to which the present invention pertains can readily understand, the embodiments described below may be modified in various forms without departing from the concept and scope of the present invention. Where possible, the same or similar parts are indicated by the same reference numerals in the drawings.

The terminology used in this specification is only for referring to a specific embodiment, and is not intended to limit the present invention. The singular forms used herein also include plural forms unless the phrases clearly indicate the opposite.

As used herein, the meaning of “comprising” embodies certain properties, regions, integers, steps, actions, elements and/or components, and other specific properties, regions, integers, steps, actions, elements, components and/or It does not exclude the presence or addition of military forces.

All terms including technical terms and scientific terms used in the present specification have the same meaning as those generally understood by those skilled in the art to which the present invention pertains. Terms defined in the dictionary are additionally interpreted as having meanings consistent with related technical documents and currently disclosed contents, and are not interpreted as ideal or very official meanings unless defined.

The present invention classifies and analyzes characteristics according to levels in order to understand the types of spinal cord injuries, which are service consumers, and grasp the types. In the present invention, according to the degree of spinal cord injury, cervical injury, thoracic injury, and lumbar injury are classified into three types, and characteristics and considerations of each type are analyzed together with cases.

Spinal cord disorders are caused by traffic accidents, diseases, etc., and the spinal cord, which is the main neurotransmitter between the body and brain, is damaged, paralyzing physical movements and sensory functions, and causing problems in the autonomic nervous system.

The types of spinal cord injury can be divided into medical and active categories. The detailed criteria of medical classification can be classified according to the cause of damage, classification according to the part of the paralyzed body, classification according to the level of neurological function, and classification according to the location of the damage. The detailed criteria of active classification can be divided into categories according to lifestyle.

The present invention is a medical bridge system based on ICT linkage, the pressure sore prevention unit 100 is provided with a load cell 110 inside, measuring the load degree and load position of the disabled person seated, and controlling the measured value to the controller 10 S1 step of transmitting; The urine analysis unit 200 chemically analyzes the urine of the handicapped and transmits the analysis value to the control unit 10 in step S2; And the hand bike sensor unit 300 includes a step S3 for measuring the distance, time, maximum speed and average speed, and transmits the analysis value to the control unit 10, the control unit 10 is the pressure sore prevention unit 100 , S4 step of analyzing the data received from the chemical analysis unit 200 and the hand bike sensor unit 300, and transmitting information to at least one of the terminal 400 and the medical server 500 spaced apart from the disabled It is a method of providing a medical bridge service for people with spinal cord injuries based on ICT linkage, characterized by including.

The bedsore prevention unit 100 according to the present invention is provided in a cushion form, and the load cell 110 may be provided inside the cushion in a film form (see FIG. 2 ).

When the load cell is provided in the form of a film, it is possible to grasp, as pressure information, the specific position of the disabled person sitting on the chair for a certain period of time.

The control unit 10 according to the present invention analyzes the transmitted load cell measurement data, and if a preset pressurization time and pressurization value at a point is exceeded, an alarm can be sent to the terminal 400 of the disabled person. It is preferable that the pressing time and the pressing value are preset according to the condition of the disabled person.

The alarm according to the present invention may be at least one of an acoustic alarm, a text alarm, and a flashing alarm.

When an alarm is generated in the terminal 400 of the handicapped person, the handicapped person will know that a specific posture is maintained for too long, and will guide the user to change the posture.

The control unit 10 according to the present invention analyzes data received from the urinary chemical analysis unit 200 and the hand bike sensor unit 300 and, if it exceeds a predetermined value, the control server 10 receives the medical server 500 Data and analyzed data can be received.

That is, the urine analysis unit 200 and the hand bike sensor unit 300 may also be provided with a sensor for sensing a measurement value and a data transmission unit for wirelessly transmitting the same to the control unit, as in the aforementioned anti-bedsore 100.

On the other hand, the data received from the pressure sore prevention unit 100 is preferably fed back to the terminal 400 of the disabled, according to a preset criterion, and will also be transmitted to the medical server 500.

However, rather than being fed back to the terminal 400 of the disabled, data received from the chemistry analysis unit 200 and the hand bike sensor unit 300 is transmitted to the medical server 500 to check the condition of the medical personnel. It could be a resource.

The medical server 500 according to the present invention analyzes received data according to a preset manual, and when the analysis result value corresponds to a preset condition, it is possible to transmit the analysis result value to the terminal 400 of the medical person. .

On the other hand, the present invention can also be implemented as a computer program. The present invention is a computer program stored in a computer-readable recording medium in order to execute a method for providing a medical bridge service for a spinal cord injured person based on ICT connection according to the present invention, in combination with hardware for processing information by software on a computer Can be implemented as

Hereinafter, embodiments and practical effects of a medical cooperation platform service system for life care service of a spinal cord injured person according to the present invention will be described.

Innovative perspectives of visiting medical services can be grasped through domestic and foreign visiting medical service design literature and case studies. The vision of ICT-based visit medical services, visit nursing/rehabilitation, and ICT-based regional resource utilization comprehensive care services can be classified and investigated.

According to the present invention, quick medical treatment according to patient request and emergency situation and easy medical access for everyone can be provided. It provides customized medical service considering the characteristics of patients. Local and culturally appropriate and appropriate service systems can be established. Physical and psychological care services can be provided by arranging professional personnel considering professionalism. Effective medical services based on information (evidence) through ICT-based measured data may be provided. Health, community and other related support services and cooperative services may be provided. Self-management support services for self-reliance may be provided. Communication channels between patients, medical staff, carers, and support networks can be established. Education and medical services for health promotion and prevention can be provided.

According to the stakeholder's point of view, first, there is a reliability problem because the patient's condition is checked through the nursing record, second, there are limitations in general medical treatment and prescription, and third, an appropriate counseling solution for the disabled person or family (image , Message transmission) is required.

According to the perspective of the visiting nurse who is a stakeholder, first, the number of patients in charge of one visiting nurse is 600 in 3 years and approximately 8 people a day visit nursing. Second, the number of patients who need to visit at the same time The medical records and medical equipment should be prepared. Third, the detailed status and nursing records of the patient are hand-written in the nursing field. Fourth, the visitor nursing patient records are connected to the system in the office to organize them.

Hereinafter, a method of providing a medical bridge service for a spinal cord injured person according to the present invention will be described.

Designed to enable optimal interworking of smartphones with spinal cord injury management content and doctors, visiting nurses, and occupational therapists. We designed two types of mobile apps for spinal cord injured and visited/occupational therapy to fit each service model authority, and the doctor consists of three types, one for the web.

The reason for designing two types of mobile apps is to select a mobile app as a device that can easily link data or input handwriting through BLE communication, such as a chemistry analyzer, bedsore cushion, hand bike, and lung capacity meter. And doctors look up many patients and design it as a web type to accurately diagnose through numerical graphs.

One embodiment of a model for spinal cord injury is shown in FIG. 3.

The spinal cord injured handicapped app can be collected by data linkage or handwriting input, such as bedsore cushions and urine chemistry analyzers, spirometers, and hand bikes used at home, which can be designed to be monitored on a monthly basis.

One embodiment of a visit nurse/occupational app is illustrated in FIG. 4.

Visiting nurse/occupational therapist enters either'collaboration' or'subject' at login. When entering a collaboration, you can share your opinions with other nurses or therapists, and click'Subject' to see a list of subjects you manage. In addition, it is possible to notify each device when it reaches a dangerous level among the measured data (see FIG. 5).

A graph may be placed at the top to monitor and analyze data collected through devices periodically or in real time by a spinal cord injured person or a visiting nurse/occupational therapist. In addition, the patient's data is displayed with the most recent information, and the measured data can be checked through scrolling.

One embodiment of the pseudo web is shown in FIG. 6.

The doctor's web may be designed so that the spinal cord injured person and the visitor/occupational therapist can view data linked with devices through a mobile app on a website. The doctor can inquire all the patients' data managed by the patient, and can consult with each user through the remote image function.

Hereinafter, the hospital information connection system according to the present invention will be described.

First, in the case of designing a hospital linked data extraction and storage engine, when collecting data, characteristics of a collection target such as a distribution method, a distribution cycle, and a data structure should be considered (see FIG. 7 ).

The system module that collects data through interworking with external systems utilizes three methods, such as Apache Sqoop, Turicch, and how to utilize the public API, depending on the characteristics of the interlocked system. Sqoop is a module for collecting RDBMS, and the collected results are usually stored in csv format, but when interlocked with Apache Hive, it can also be stored as a Hive table. In addition, the data distributed by RESTful API can be stored by organizing the decomposed data into a relational structure through advanced settings.

Turivch is a module used to collect lifelogs stored in Life Record's MongoDB, and distinguishes data by name and collection of MongoDB. (json) format.

When saving data, data type and data type should be considered, and among many data types, RDBMS is most efficient to store in Apache Hive, but it can also be designed in Apache HBase in case of column-base database. . Data that does not show the relationship between data, such as logs and images, can also be stored in the file itself.

Second, in the case of data retrieval, various data such as generated application data, lifelog data, and blank data are stored in a heterogeneous format. For analysis, the medical staff needs to retrieve the data and load it into the analysis tool.

Data retrieval depends on the module in which the data is stored. Data stored in Hive is searched using Hive Query Language (HQL), but it takes a lot of time to output the result, so Apache Tez is used to improve the speed.

Also, when searching for heterogeneous data together, Apache Spark or R is used, and data stored in HBase is searched using HBase Shell Command or REST API.

Third, in the case of data analysis, once the necessary data is extracted using the data search tool, it must be loaded into the analysis tool. In order to load and analyze system-extracted data, it is also possible to analyze using built-in java or python.

Fourth, in the case of distribution of analysis results, when the analyzed results are distributed, the distribution server must operate safely and stably and be able to distribute in various forms. Apache HBase has the advantage of being able to store weak relational data as well as relational data due to the characteristic of Column-Base Database. In addition, it is easy to operate and utilize because it has built-in AWS server that supports various distribution protocols such as REST and Thrift.

Hereinafter, the design of a medical bridge system considering the characteristics of a doctor-medic will be described.

In order to design three types of medical bridge system for the service considering spinal cord injuries, two types of apps with spinal cord injuries, occupational therapists/nursing authority, and one web type monitoring system for doctors who can medically monitor and monitor patients are provided. Developed.

One embodiment of the spinal cord injury app is shown in FIG. 8.

The spinal cord injury disabled app is designed to view the patient's overall information (breathing volume or respiratory function) on the main screen when the patient logs in. In addition, it is possible to view information in real time when visiting nurses or occupational therapists who are not themselves visited regularly and linked the data.

An embodiment of a visiting nurse/occupational app is shown in FIG. 9.

Visiting nurse and occupational therapist privileges are categorized into two functions, the first time you log in and the ability to remotely negotiate through collaboration with a doctor and the ability to select subjects. When looking up the subjects, it is designed to view the comprehensive information of the spinal cord injured person (see Fig. 10).

The authority of visiting nurses can select the date of treatment for visits to the disabled with spinal cord injuries, and enter and query device information on the day. It is possible to link four bedsore cushions, and for chemical analysis, it is possible to input the measured data of instruments through handwriting, etc., and monitor the numerical values on a monthly basis (see FIG. 11).

Occupational therapist's authority is similar to that of a visiting nurse, and can be designed to link and measure data measured through handheld exercise and spirometer. The linked data can be monitored through graphs on a daily and monthly basis, and a notification window may be activated when the data value is higher than or equal to the reference value in the normal range (see FIG. 10).

The common characteristics of visiting occupational therapists and visiting nurses can be designed to enable video consultation and data monitoring with doctors through regular visits. If you log in and select the collaboration functions and select the hospital and medical department to be video-conducted, you can see the registered doctors and video-conference.

One embodiment of a doctor app is shown in FIG. 13.

Doctors can be designed to look up patients with spinal cord injuries they are responsible for and monitor data entered or linked to a visiting nurse or visiting occupational therapist. As a main function, video consultation between a doctor and a visiting nurse/occupational therapist is possible (see FIG. 14).

The designs of the spinal cord injured handicapped, occupational therapist, and visit nurse authorities implemented above can be arranged with pixel numbers or colors to be applied to mobile apps.

The embodiments described in the present specification and the accompanying drawings are merely illustrative of some of the technical spirit included in the present invention. Therefore, the embodiments disclosed in the present specification are not intended to limit the technical spirit of the present invention, but to explain the present invention, it is obvious that the scope of the technical spirit of the present invention is not limited by these embodiments. Within the scope of the technical spirit included in the specification and drawings of the present invention, modifications and specific embodiments that can be easily inferred by those skilled in the art should be interpreted as being included in the scope of the present invention.

10: control unit
100: bedsore prevention unit
200: urine chemical analysis department
300: hand bike sensor unit
400: handicapped terminal
500: medical server

Claims (8)

As a medical bridge system based on ICT linkage,
The pressure sore prevention unit 100 is provided with a load cell 110 therein, measuring a load degree and a load position of a disabled person seated, and transmitting the measured value to the control unit 10 in step S1;
The urine analysis unit 200 chemically analyzes the urine of the handicapped and transmits the analysis value to the control unit 10 in step S2; And
The hand bike sensor unit 300 includes the step S3 of measuring distance, time, maximum speed and average speed, and transmitting the analysis value to the control unit 10,
The control unit 10 analyzes the data received from the bedsore prevention unit 100, the urinary chemistry analysis unit 200, and the hand bike sensor unit 300, and the terminal 400 of the disabled and a medical server spaced apart from each other ( 500) A method of providing a medical bridge service for a spinal cord injured person based on ICT connection, comprising the step S4 of transmitting information to at least one. The method according to claim 1,
The bedsore prevention unit 100 is provided in the form of a cushion, and the load cell 110 is provided in the form of a film inside the cushion. The method according to claim 1,
The bedsore prevention unit 100 is provided with a data transmission unit 120 therein,
Method for providing a medical bridge service for a spinal cord injured person based on ICT connection, characterized in that the data measured by the load cell (110) is received by the control unit (10). The method according to claim 3,
The control unit 10 analyzes the transmitted load cell measurement data,
A method of providing a medical bridge service for a person with a spinal cord injury disorder based on ICT linkage, characterized in that an alarm is transmitted to the terminal 400 when a preset pressurization time and pressurization value are exceeded at one point. The method according to claim 4,
The alarm is at least one of an acoustic alarm, a text alarm, and a flashing alarm. A method for providing a medical bridge service for a spinal cord injured person based on ICT linkage. The method according to claim 1,
The control unit 10 analyzes the data received from the urine chemical analysis unit 200 and the hand bike sensor unit 300,
When a predetermined value is exceeded, a method for providing a medical bridge service for a spinal cord injured person based on ICT connection characterized in that the received data and the analyzed data are received by the medical server 500. The method according to claim 6,
The medical server 500 analyzes the received data according to a preset manual,
A method of providing a medical bridge service for a patient with spinal cord injury based on ICT linkage, characterized in that when the analysis result value corresponds to a preset condition, the analysis result value is transmitted to the terminal 700 of the medical person. A computer program stored in a computer-readable recording medium in order to execute a method for providing a medical bridge service for a spinal cord injured person based on ICT linkage of claim 1 in combination with hardware for processing information by software on a computer.

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