RU72775U1 - TELEMEDICAL NETWORK COMMUNICATION SYSTEM - Google Patents

Abstract

The utility model relates to the field of medicine and can be used to implement health programs in large areas with low density of medical inpatient facilities and an undeveloped communications network infrastructure. The communication system of the telemedicine network consists of the medical center of the telemedicine system 1, information and communication network 2, medical institutions 3, medical centers 4 and mobile medical complexes 5 equipped with local area networks Ethernet 11, 31, 41 and 51, respectively. Information and communication network 2 contains cable 21 and satellite 22 communication channels. The satellite communication system 64 is formed by a ground station, the stationary antenna system 8 of which provides information reception / transmission to one of the spacecraft of the satellite communication segment 7. That, in turn, transmits information via satellite communication channels 132, 322, 422 and 521 via Ku- or Ka-bands 16, 33, 43 and 52 to the VSAT terminals of the medical center of the telemedicine system 1, medical institutions 3, medical centers 4 and mobile medical complexes 5, respectively. The equipment of the medical center of the telemedicine system 1, in addition to the switch 111, the router / VoIP gateway 112, the central database server 114, common peripheral devices, in particular, the printer 115, analog telephones 116, the decision block 12, the telemedicine terminals 14 and the video conferencing terminal 15 , includes a central server 113, which interacts with the local area network Ethernet 11, which is a medical expert system. Mobile medical complex 5 is equipped with VoIP telephony equipment 59 placed in van 55, navigation unit 59 and wireless terminal 57. The expected technical result consists in the real-time broadband information and communication integration of mobile medical complexes into the telemedicine network. 1 n.p. and 6 z.p. f-ly, 5 ill.

Description

The utility model relates to the field of medicine and can be used to implement health programs in large areas with low density of medical inpatient facilities and an undeveloped communications network infrastructure.

Known mobile telemedicine installation [1], which is a system for transmitting images in the field of view of a microscope through a television camera via a wired communication channel to a remote personal computer of a medical consultant, and it is equipped with a control selector of control signals and a remote voltage regulator. The input of the mentioned selector is connected to the modem output, and the output of this selector is connected to the input of the voltage regulator, the output of which is connected to a controlled voltage regulator of the microscope illuminator.

A disadvantage of the known technical solution is the relatively narrow bandwidth of the wired communication channel (when using a modem, it provides transmission at a speed of no more than 56 Kbps), which limits the quality of the transmitted images and their effective use for medical diagnostics due to low resolution.

The closest technical solution to the claimed utility model is a communication system in the structure of the telemedicine network [2], consisting of a medical center containing a central server and a central database (based on servers like HP Proliat DL 380G4 Xeon 3,2 GHz / 800 MHz / 1MB , 1GB (2x512MB) DDR2), interconnected by a local area network, in particular, Ethernet 100 Mbps. In addition to the indicated structural element, the well-known telemedicine system includes, thanks to the information and communication network (created both on the channels of public communication networks and satellite channels), a group equipped with local area networks (based on the Pentium-III / 128 PC personal computer workstation) MB, RAM / 12 GB, HDD / 40 GB) of medical facilities and equipped with local computing

networks of medical institutions that form a corporate telecommunication network communication system. Medical facilities are equipped with mobile medical complexes, which are resuscitation vehicles and / or ambulances. In addition to medical equipment (for example, defibrillators, cardiographs, etc.), medical instruments (for example, syringes, tires, clamps, catheters, etc.) and medicines (painkillers that stimulate cardiac and respiratory activity, etc.), mobile medical complexes provide means of radiotelephone (voice) communication, the use of which is primarily administrative and administrative in nature (i.e., receiving and transmitting information about the address of the patient’s location, grounds for emergency calls , verbal characteristics of the general condition of the patient and preliminary results of his examination, directions along the route of transportation and address of the patient's placement in a medical institution, etc.).

The disadvantage of the prototype is the lack of the ability for the telemedicine network to broadband (for example, via a broadband video conferencing channel) to interact with information and communication with mobile medical complexes (reamobiles and cars ("carriages") ambulances) in real time due to the limited bandwidth capabilities of their communication channels .

The objective of the present utility model is to improve the quality of life of people in remote and inaccessible areas with a low density of medical inpatient facilities due to the reduction of their suffering due to increased access to high-quality medical care through the use of telemedicine technologies using modern means and communication systems.

The technical result expected from the use of the claimed communication system of the telemedicine network is the broadband information and communication integration of real-time mobile medical systems into the telemedicine network.

The claimed technical result is achieved by the fact that in the communication system of the telemedicine network, consisting of a local telecommunication network of the medical center integrated by the global telecommunication network and at least one local computer network of the stationary medical unit, interacting via communication channels with mobile medical complexes, the local computer network the medical center is supplemented by at least one specialized telemedicine server, and mobile medical Multiplexes are equipped with local area networks connected to wireless digital communication devices.

It is desirable that the hardware-software complex of a specialized medical server be a medical expert system.

Preferably, the wireless digital communication device is a kit for transmitting information via satellite channels and / or a set of Wireless equipment.

It is advisable that the complex for transmitting information via satellite communication channels was based on a VSAT terminal and a Ki-band or Ka-band antenna system.

It matters that ensuring the coordination of information transmission in the mobile medical complex is carried out through a multiservice telecommunication gateway.

It is desirable that the Internet be used as a global telecommunications network.

Preferably, the local area networks are in the form of a LAN Ethernet network.

A comparative analysis of the prototype and the proposed telemedicine network communication system showed that the proposed system differs from the prototype device in that the local computer network of the telemedicine center is supplemented by at least one specialized medical server, and mobile medical complexes

equipped with local area networks interfaced with wireless digital communications devices.

The presence of the above differences from the prototype gives the Applicant reason to argue that his proposal meets the eligibility criteria of the proposed utility model of "novelty."

The claimed communication system of the telemedicine network is illustrated by drawings. Figure 1 schematically shows the General structure of the proposed communication system of the telemedicine network, Figure 2 shows the composition of the devices and equipment of the medical center of the telemedicine system, Figure 3 shows the structure of satellite communication channels, Figure 4 shows the pairing of satellite communication channels with the channels of public communication networks and the Internet access channel (WAN), Fig. 5 schematically shows the information and communication structure of a mobile medical complex.

The list of positions.

1. Medical center of the telemedicine system.

11. Local area network Ethernet.

111. The switch.

112. Router / VoIP gateway.

113. The central server.

114. Central database server.

115. General printer.

116. Analog phones.

12. Decision making unit.

13. Communication channels.

131. Cable communication channels.

132. Satellite communication channel.

14. Telemedicine terminal.

141. The first telemedicine terminal.

142. The second telemedicine terminal.

143. Third telemedicine terminal.

14N. Nth telemedicine terminal.

15. Video conferencing terminal.

151. WEB-camera.

152. Microphone.

153. Sound reproducing device.

154. Monitor (display).

16. Antenna for satellite communications.

2. Information and communication network.

21. Cable communication channels.

22. Satellite communication channels.

3. Medical facilities.

31. Local area network Ethernet.

32. Communication channels with the information and communication network.

321. Cable channel of communication of a medical institution.

322. Satellite communication channel of a medical institution.

33. Antenna for satellite communications.

4. Medical items.

41. Local area network Ethernet.

42. Communication channels with the information and communication network.

421. Cable channel of communication of a medical center.

422. Satellite communication channel of a medical center.

43. Antenna for satellite communications.

5. Mobile medical complex.

51. Local area network Ethernet.

52. Antenna for satellite communications.

521. Satellite communication channel.

53. Autonomous power supply.

54. Power supply cable.

55. Wagon.

56. The navigation block.

57. Wireless terminal (Wireless-terminal).

58. Wireless modem (Wireless modem).

59. Equipment for VoIP telephony.

591. VoIP gateway.

592. The first phone.

593. The second phone.

594. Nth telephone.

60. PC terminal for transmitting digital data.

61. Video conferencing terminal (VKS-terminal).

62. Telemedicine equipment.

63. VSAT satellite communications terminal.

64. Satellite communications system.

6. Internet (WAN).

601. Cable communication channels connecting to the central station.

7. Spacecraft satellite communications segment.

8. Stationary antenna system.

9. Central HUB station.

10. Switch / VoIP gateway.

17. Telecommunication node.

18. Server.

The communication system of the telemedicine network includes the means of communication of the medical center 1 (Fig. 1), essentially the functions performed, which is a telemedicine center formed by a local computer network (information about the construction of computer networks, including local area networks, revealing their principles, standards and protocols the functioning is known from the prior art (see, for example, the book [3])) 10/100 Ethernet BaseT RJ45 11 (Figure 1), consisting of connecting devices of the aforementioned local area network (hereinafter LAN) UTP cables (not shielded twisted pair); switch (switch) 111 (Figure 2), the task of the hardware and software (hereinafter referred to as software) of which is to redirect network traffic between various devices of a given network (for example, the 3Com Giga-bit Switch 8 model automatically selects the fastest connection). The ports of this network device independently adjust to the speed of other network devices, do not require separate configuration of the attached software); router / UOIP gateway 112 (Figure 2), the task of which hardware and software, as a network device with several network interfaces, is to forward an IP packet from one physical network to another (using the network layer of the TCP / IP model, providing through delivery of an IP packet), for example, the Cisco Systems company model: Cisco 1AD2423-16FXS-ADSL (allowing connecting up to

16 analog phones). As the central server 113 (FIG. 2), the server of the identical design of the prototype is used, namely: the server of the HP Proliant DL 380G4 model, and as the central server of the database 114 (FIG. 2), the AlphaServer 8400 server is used (the number of transactions per second> 3000 , the amount of memory on the disk 10TB, microprocessor DECchip 21164, 144 PCI slots). The equipment also includes a network printer 115 (Figure 2) of the HP Laser Jet 9040 model (A3 format, 600 × 600 dpi, productivity 40 ppm).

Medical center 1 (Fig. 1) also includes a decision block 12 (Fig. 1) (made as an automated workstation (AWP) of an expert doctor [4] with software [5]), communication channels 13 (Fig. 1) (including cable communication channels 131 (Figure 2): fiber optic, dedicated wired and wired channels of public networks, as well as a satellite communication channel 132 (Figure 2) based on the VSAT terminal, the external unit of which (IDU ) is a transceiver with a power of 1 to 2 W, and the internal unit (ODU) of which provides connection to 10 LAN ports 10/100 Ethernet); and a consulting and diagnostic module formed by at least one telemedicine terminal 14 (Figure 2) (which is an automated workstation in accordance with GOST 27878-88 "Automated medical systems and complexes", implemented on the basis of a personal computer with software (e.g. Acer, model Aspire TM8215WLMi, screen size 15.4 "WSXGA, 2.0 GHz processor, 1G RAM, 120GB HDD, external DVD-RW SM, BT / WiFi / Cam), an interface with medical equipment equipped with digital and / or video output (ultrasound devices, mi microscopes, digital endoscopes, etc.) [6], as well as peripheral equipment for group (PiP technology, for example, using an ASV-PIP board, see [7]) visualization (using telemonitors, for example, a widescreen LCD monitor STM-320W, 32 ", 4 channels BNC, brightness 500 cd / m ^2, the contrast of 500: 1 and a viewing angle of 176 degrees), processing (including structuring) and I / medical information output (e.g., digitizing with a scanner, output graphics using a non-network color printer. It should be noted that

the principles of integrating diagnostic (medical) devices into computer systems are disclosed in the source [8]). The same source of information also disclosed the principles of integrating video conferencing (VKS) 15 into LAN terminals (Figure 2), (which include in addition to the personal computer system unit (for example, Pentium IV PC, 512 MB RAM, 420 GB HDD, optical drive NEC DVD-RW ND 4571A, OKLICK 780L keyboard, OKLICK 323M mouse type mouse with appropriate software (for example, Windows XP and Skype software), WEB-camera 152 (Figure 2) (for example, a Web-camera of the model AXIS 206, with a resolution of 640 × 480, M-JPEG format, Internet frame rate: 30 fps), digital microphone 152 (Figure 2) (for example p, microphone of the Verse 704 model (manufacturer Labtec, EC), sound reproducing device 153 (Figure 2) (for example, audio speakers of the Genius Life Sound SP-HF 2.0 model) and monitor 154 (Figure 2) (for example, NEC MultiSync LCD 2180UX, TFT, 21.3 ", 20 ms response)). Alternatively, you can use network equipment (with attached specialized software, for example, Polycom Conference Suite software) as the equipment for organizing videoconferencing sessions, which can be connected unlike the specific version discussed above implementation of videoconferencing technology, not to PCI-boards and USB-ports of a personal computer a, but directly in Ehternet 11 (1), a local area network (see., e.g., [9]).

To ensure the operation of the satellite communication channel 132 (Figure 2) (operating on the basis of the above-mentioned VSAT terminal), the medical center 1 (Figure 1) is equipped with a satellite communication antenna 16 (Figure 2) of the Ku-band (or Ka-band), diameter which is from 1.2 to 1.6 m.

Included in the communication system of the telemedicine network, the information and communication network 2 (FIG. 1) is formed by a combination of public cable channels 21 (FIG. 3) and satellite communication channels 22 (FIG. 4).

Medical institutions 3 (Figure 1), which is one of the structural units of the inpatient medical unit, are equipped with local area networks 31 (Figure 1) LAN 10/100 Ethernet BaseT RJ45 (as a server in which the network equipment

for example, HP Proliant ML, 350R03 Euro, HP Proliant DL 145 1800 1P 2G ALL or Proliant ML 350T04 X3.4 GHz servers, HP-SCSI EU Server with the corresponding software can be used, and personal electronic computers as network computers -computer model Sony VGN-AR21MR, 17 "WXGA display, 1.83 GHz processor, 1G RAM, 160G HDD, external drive DVD-RW DL, BT / WiFi / Cam / WinMCE and / or Asus F3Ja01Y, 15.4" ClareWXGA display, 1.66 GHz processor, 1 G RAM, 100G HDD, DVD-RW external drive, BT / WiFi / Cam with software). Medical institutions 3 (FIG. 3) are equipped with a satellite communications station, which is designed to transmit and receive digital information via satellite channels 322 (FIG. 3) through geostationary spacecraft of the satellite communications segment 7 (FIG. 3) to the central HUB. The composition of the aforementioned satellite communication station, information and communication interface with the LAN of a particular medical institution 3 (Figure 3), includes a satellite antenna 33 (Figure 3) (with an antenna mirror diameter of 1.2-1.6 m), as well as an external (transceiver) and indoor units connected by a feeder (usually representing a combination of two coaxial cables), together forming a VSAT terminal of the Ku-band (or Ka-band). In one of the preferred embodiments, the indoor unit of the satellite communication system can be made in the form of a PCI-card, on which the demodulator and modulator modules are installed, a medium access controller (TDMA control), a scrambler / descrambler for closing information transmitted over the air, a correction scheme the local oscillator frequencies of the upper block and other known components. When using an autonomously executed indoor unit, in its case, both the indoor unit cards themselves described above and the router, Ethernet ports (for example, with RJ45 connectors) and telephone interfaces can be combined. LAN of medical institutions 3 (Figure 1) through a cable channel of a specific medical institution 321 (Figure 3) can be connected to a cable channel 21 (Figure 3), which makes it possible to connect to a WAN (wide-area-network: a global network, that is, a network "which by definition includes components located far from each other and requiring telephone services to connect

companies ”[3]). Medical institutions 3 (FIG. 3), as well as medical center 1 (FIG. 1), are equipped with telemedicine terminals (based on the workstation of a medical worker) with the possibility of information and communication interface through an interface with medical equipment equipped with a digital output, and / or an analog output and / or video output (ultrasound devices, microscopes, digital endoscopes, etc.) [10], as well as peripheral equipment for group equipment (PiP technology, for example, using an ASV-PIP board, see [7]) visualization (using a TV monitors, for example, widescreen monitor LCD STM-320W, diagnal 32 "4 channel BNC, brightness of 500 cd / m ^2, the contrast of 500: 1 and 176 degree viewing angle), processing (including structuring) and input / output health information (for example, digitizing using a Umax Powerlook 2100XL digital scanner, outputting information using an off-line EPSON Style Photo R200 Series color printer, etc.).

For the purposes of organizing a videoconferencing, known equipment can be used (with the software attached to it), for example, equipment of the TNC-VS33-02 model [10], designed for connections to LAN Ethernet.

The equipment of medical stations 4 (FIG. 1 and FIG. 3) is almost completely identical to the hardware, software and network configuration of the medical institutions 3 discussed above (FIG. 1), both in terms of the execution of the local Ethernet network 41 (FIG. 1), and in terms of equipping with telecommunication equipment, allowing the use of communication channels with the information and communication network 42 (Fig. 1) or by downloading cable communication channels 421 (Fig. 3) with the possibility of accessing public networks through cable channels 21 (Fig. 3) WAN or by using the satellite communication channel 422 (FIG. 3) based on the VSAT of the Ku-band terminal (or Ka-band) and the satellite communication antenna 43 supplementing it (FIG. 3). In view of the simpler tasks to be solved (and, accordingly, the smaller amounts of financing) of medical points 4 (Figure 1), as a rule, they have a more modest (quantitatively) composition of specialized medical equipment than the medical institutions discussed above

3 (FIG. 1). The consequence of this is a smaller (up to one) number of telemedicine terminals. In the minimum configuration, medical station 4 (Fig. 1 and Fig. 3) may contain as a specialized (i.e. telemedicine) equipment a digital low-dose fluorograph (with software for examining the organs of the chest, preferably human lungs), a fully-functional mobile ultrasound scanner (for example, Echo Blaster 128 models with software, connected to a personal computer via USB 2.0), an optical medical microscope (for example, a laboratory microscope of the NICON Eclipce E200 model for transmitted light with a trinocular equipped with TV - color SANYO Digital Color CCD Camera VCC-6572P, C-MOUNT adapter and a set of 4x, 10x, 40x and 100x lenses), functional diagnostics (for example, a digital electrocardiograph model EASY ECG or digital cardiograph model Fukuda M-E Cardisuny С3ООВХ).

The equipment of the mobile medical complex 5 (Figure 1) is based on the solution of five main tasks, allowing to turn it into a telemedicine complex. To solve the first of them (let's call it “the task of information and communication exchange”), the mobile medical complex 5 (Fig. 1) is equipped with a local area network Ethernet 51 (Fig. 1) (in particular, 10/100 Ethernet BaseT RJ45) based on personal computers with software (for example, Windows XP or Windows Vista) from Acer, in particular, Aspire TM8215WLMi models, 15.4 "WSXGA screen size, 2.0 GHz processor, 1G RAM, 120GB HDD, external DVD-RW SM, BT / WiFi / Cam). The solution to the second problem (in fact, ensuring the telecommunication process) is accompanied by the equipping of mobile medical complex 5 (Figure 1) wireless communications equipment, made as a set of equipment (system) of satellite communications. The mentioned set (as well as in the above-described cases of organizing satellite communication channels) includes a Ku (or Ka) VSAT-terminal and satellite communication antenna 52 (Fig. 1 and Fig. 3) with a diameter of 1.2-1.6 m. Due to this, the satellite communication channel 521 (Fig. 3) is able to operate stably both in terms of transmitting structured information (digitized data) and in VSK mode (for example, using equipment

Emblaze VCON model HD600 with software that supports video cameras: analog P / T format (Pan / Tilt), digital Sony D100 or digital Sony EVI-D30 / 31. At the same time, the transmission speed reaches 64 Kbps-4 Mbps, the video conferencing standards H.261, H.263, H.263 +, H.263 ++ are used, the CIF resolution is 325x288 pixels, and the SIF resolution is 352 × 240 pixels. The frame rate in the range of the 64 Kbit / s-320 Kbit / s bandwidth is 15 frames per second, and with a bandwidth value of more than 384 Kbit / s is 30 frames per second. The compression of the HSC path signal is regulated by the G.711, G.722, G723.1, G.728 and G.729 protocols with half-duplex echo cancellation. Video inputs: a) main camera; b) S-video; c) Composite - 2 pcs. Video outputs: a) S-video (main monitor); b) composite (additional monitor); c) composite (for a VCR.

The main purpose of the mobile medical complex 5 (Fig. 3) is to conduct studies necessary for screening the population of remote and inaccessible territories (for example, x-ray examinations, biochemical examinations, examinations within the framework of functional diagnostics, investigation of the conditions of human internal organs by endoscopic methods, etc. ), the provision of emergency medical care (if necessary), treatment (relief) of attacks of chronic diseases, remote x medkonsultatsy and distribution (in the form of lectures based on videoconferencing technology) new health information (about AIDS, "bird flu", "Legionnaires' disease" and so forth.). This third task is solved by the selection of specialized (telemedical, i.e. information and communication integrated in the LAN) medical equipment (for example, the previously mentioned digital low-dose fluorograph (with software for examining organs in the chest, preferably human lungs), a fully-functional mobile ultrasound scanner (for example, Echo Blaster 128 models with software that connects to a personal computer via USB 2.0), an optical medical microscope (for example, a laboratory model microscope NICON Eclipce E200 for transmitted light with a trinocular equipped with a TV - color camera SANYO Digital Color CCD Camera VCC-6572P, C-MOUNT adapter and kit

4x, 10x, 40x and 100x lenses), functional diagnostics (for example, a digital electrocardiograph model EASY ECG or digital cardiograph model Fukuda M-E Cardisuny C3OOVX). The fourth task relates to ensuring the autonomy of the functioning of the mobile telemedicine complex 5 (Figure 1 and Figure 3). It is solved by supplying electricity from an autonomous power source 53 (Fig. 1 and Fig. 3) (for example, a SDMO diesel generator (France), model T 11.5 K: based on a Mitsubishi engine (1500 rpm) with water cooling ; Mass Alte brushless generator with self-excitation and self-regulation, output voltage 380V, three phases, frequency 50 Hz, with a fuel capacity of 500 liters at a flow rate of 2.5 l / h. The output power of this diesel generator (8.4 kW) is supplied by power cable 54 (Figure 3) to the distribution panel (not shown) in van 55 (Fi .1 and Fig. 5) of the mobile medical complex 5 (Fig. 3). In addition to the diesel generator, autonomy in terms of power supply can be provided by devices that operate on renewable energy sources, i.e. by using (as in the main mode of operation , and for emergency backup) of devices known from the prior art such as wind generators and / or solar cells (batteries). The concept of "autonomy" of the complex also includes the need for crew life support (i.e. creating a supply of food, technical and drinking water, means for storing perishable products (as well as medicines, chemicals and medications), for example, in the form of a thermoelectric refrigerator), the availability of a sanitary-hygienic unit (for example, in the form of a dry closet) and a shower (with a boiler for heating water when taking a shower), sleeping places (transformed, for example, at night from medical couches for receiving patients), as well as nodes and blocks designed to create normal living conditions for ec page (in particular, providing general lighting and local lighting of workplaces, adjusting and maintaining at a given level in temperature, humidity level and gas composition of air in van 55 (Figure 3), its disinfection / sterilization (using, for example,

medical UV lamps of appropriate power) and filtering this air from industrial aerosols, impurities and household dust.

Specific technical solutions to ensure the autonomy of the van regardless of its purpose (because of the information on the level of electricity consumed by the autonomous van, it is possible for an average specialist in this field to select a suitable diesel generator for power, and life support requirements for almost any crew approximately the same and differ only in the degree of comfort with a constant (revealed by us above) sanitary-hygienic mines mum (“platform”), correlating with the locality (or territory of operation) of the van (for example, for Europe, Southeast Asia, the Middle East, Central Asia, etc.), are well known from the prior art (see, for example , [11] and [12]).

And, finally, the fifth task is to set the van 55 (Fig. 1 and Fig. 2) mobility properties, which is also known from the prior art and has already been solved in many variants of the problem (see, for example, [13] and [14] ) Van 55 (FIG. 1 and FIG. 3), for example, can be placed on the chassis of a KAMAZ-43118 cross-country vehicle. In this case, the chassis is equipped with a leveling system (fixation in a virtually horizontal plane) of the position of the van 55 (Fig. 1 and Fig. 3) through the so-called "outriggers".

On the earth's surface in the conditions of the tundra (permafrost) or desert sand, a full-fledged mobile movement of the van 55 (Figure 3) can be achieved by using sledge-tractor "trains" or separate drag sledges.

Conditionally mobile movement on the earth's surface is also carried out using railway lines of communication (including the so-called "narrow gauge railways") and the corresponding traction drives (steam locomotive, diesel locomotive, electric locomotive, etc.). Conventional movement is that, in contrast to the use of the chassis of a high-cross-country vehicle, railway communication is characterized by a significantly lower degree of freedom in choosing the direction of movement.

The use of water transport (as well as air transport) is limited only by the threshold of its carrying capacity (including the characteristic of permissible dimensions). For example, van 55 (Fig. 5) as such or as part of a chassis based on a KAMAZ-43118 cross-country vehicle can be moved mobile along river expanses or in the coastal navigation zone for GRIF boats (with a carrying capacity of about 26 tons) or a high-speed aircraft cavern "Serna" (speed of about 90 km / h with a load capacity of up to 40 tons).

Mobile movement of the van 55 (Fig. 3) as such or as part of a chassis based on a KAMAZ-43118 off-road vehicle through the air can be easily carried out on an airship (for example, the Au-30 model, speed up to 60 km / h, flight range over 1500 km, carrying capacity 30 tons), a helicopter (for example, a heavy transport helicopter Mi-26, with a carrying capacity of up to 20 tons and a transportation range of up to 450 km), or transport aircraft Il-76 TD (carrying capacity up to 25 tons), Fn-124 "Ruslan "(Load capacity up to 120 tons) or An-225" Mriya "(load capacity up to 250 tons). For accurate orientation of the satellite antenna 52 (FIG. 3) (especially in the automatic orientation mode) to the satellite relay, the mobile telemedicine complex 5 (FIG. 1 and FIG. 3) is equipped with a navigation unit 56 for determining coordinates 56 (FIG. 3), in the quality of which you can use equipment in accordance with GPS technology (for example, a JJ Connect AutoNavigator 500 car GPS navigator) and / or equipment in accordance with the promising Russian GLONASS satellite navigation technology. In addition to the specified equipment, the mobile telemedicine complex 5 (Fig. 1) is equipped with a wireless terminal 57 ((Wireless terminal, for example, Lucent DECT R2 model, as an administration workstation that uses a personal computer of a local area network with preinstalled W95 DECT Manager software ). As a wireless modem in this case, you can use, for example, a wireless modem 58 (Wireless-modem type PCMCIA Sierra Wireless AirCard 775. Frequency bands 850/900/1800/1900 MHz, average transmission speed inf Formations 100-130 Kbps, communication standards

EGSM 900, GSM 850, GSM 1800 and GSM 1900, Watcher for AirCard software, Pocket PC & Handhelds, Mobile Operator Branded Software).

Voice communication is provided through the use of VoIP telephony equipment 59 (Figure 5) as part of the VoIP gateway 591 (Figure 5) and telephones (first telephone 592 (Figure 5), second telephone 592 (Figure 5) ... Nth phone (Figure 5)). As a VoIP gateway, QVI-200 brand equipment can be used (containing at least 4 ports for connecting analog telephones and 1 port for connecting to Ethernet 10 / l00Base-T).

To enter the digitized data into the channel of the local area network of the mobile telemedicine complex 5 (Fig. 3), it is provided to use a PC of a digital data terminal 60 (Fig. 5) {for example, Allegro CX models (built on the basis of Intel XScale processor, clock frequency 400 MHz, 128 MB memory}, for real-time video conferencing, the equipment includes a VKS-terminal 61 (Figure 5) {for example, Altegro DATA & VOICE models, the transmission speed in the channel is at least 256 Kbit}, and received from medical equipment as a result of monitoring patients (for example, using a doctor’s workstation, see [15]), medical data via telemedicine ports 62 (Figure 5) are digitally input into an Ethernet network for subsequent delivery to one of the LAN connectors of the indoor unit port (ODU , data transfer rate from 384 to 1024 Kbps)) VSAT of satellite communication terminal 63 (Figure 5) of satellite communication system 64 (Figure 5). The external VSAT unit of the satellite communication terminal 63 (Figure 5), which is a Ku-or Ka-band transceiver with a power of 1-2 W, is built into the satellite communication antenna 53 (Figure 5), with a diameter of 1.2 to 1.6 meters . Satellite communication system 64 (Figure 5) is rapidly deployable and is designed to transmit and receive digital information in dedicated satellite communications networks at speeds from 128 to 1024 Kbps using the IP transport protocol and can use artificial Earth satellites of the " Express-AM ”located in a geostationary orbit at the standing points of 40 ° East-140 ° East This satellite communications system is operational.

around the clock and allows for the efficient delivery of information to the central station from the screening site of patients from any point located in the coverage area of the artificial Earth satellite. Satellite communication antenna 53 (Figure 5) provides linear polarization (horizontal and / or vertical) and the possibility of prompt (automatic) installation of the antenna axis of the antenna within: in elevation from 0 ⁰ to 90 ⁰ and in azimuth of at least ^+/- 35 ⁰ . At the same time, the antenna gain is provided at the central frequencies of the working bands for reception and transmission — 43.5dV and -41.8dV, respectively. To the global network WAN (wide-area-network) 6 (Figure 5) in order to receive Internet services and exchange information, the connection can be made both by cable channels 21 (Figure 1), and using satellite channels 22 ( Figure 1), in particular, from the spacecraft satellite segment 7 (Figure 4). Stationary antenna system 8 (Figure 4) of the central station provides reception / transmission of information from (to) the corresponding communication satellite, the central HUB station 9 (Figure 4), which is a concentrator, allows subscribers to communicate with each other and with the providers of these services. Further information flow is carried out through the switch / VoIP gateway 10 (Figure 4), and the telecommunication node 17 (Figure 4) under the control of the server 18 (Figure 4) provides switching cable communication channels of connection 601 (Figure 4) (WAN and networks public communications) to the central station.

The communication system of the telemedicine network operates as follows.

EXAMPLE. Mobile telemedicine complex 5 (Fig. 1 and Fig. 3), in accordance with the task of screening for tuberculosis, moves to a remote area at a distance of 600 km from one of the regional centers. Van 55 (Figure 1) is oriented in the horizontal plane and this position is fixed by outriggers (not shown). From the transport niche equipped in the body of the van 5 (Fig. 1 and Fig. 3), an autonomous power supply 53 (Fig. 1 and Fig. 3) is removed and positioned on the earth's surface, the power supply after starting of which by means of a power cable

power supply 54 (FIG. 3) is supplied to the switchgear in the van 5 (FIG. 1 and FIG. 3). The navigation unit 56 (Fig. 3) is activated, which allows, based on the information received from it, on the location of the van 5 (Fig. 1 and Fig. 3) to automatically direct the satellite communication antenna 52 (Fig. 1, Fig. 3 and Fig. 5) to the nearest spacecraft of the satellite communications segment 7 (Fig. 3) and create a specific satellite communications channel 521 (Fig. 3). At the same time, in the van 5 (Fig. 1 and Fig. 3), a life support system (lighting, ventilation, means of maintaining the temperature regime, etc.), a local area network Ethernet 51 (Fig. 1) with integrated into it are put into operation computers, wireless terminal 57 (FIG. 5), wireless modem 58 (FIG. 5), VoIP telephony equipment 59 (FIG. 5). Turn on the power to the PC of the digital data terminal 60 (FIG. 5), the video conferencing terminal 61 (FIG. 5) and the telemedicine equipment 62 (FIG. 5). Start taking patients. In accordance with the screening task, the telemedicine equipment 62 (Figure 5) includes a fluorographic apparatus with a digital output as the main equipment. Additionally, the patient undergoes general-purpose diagnostics and a cardiogram is taken using medical equipment corresponding to these tasks with digital outputs. If, due to non-transportability (due to old age or impaired function of the musculoskeletal system), the patient is examined at home, then the medical data obtained as a result of his examination are transmitted to wireless terminal 57 (FIG. 5) by using a wireless modem 58 (FIG. 5). Further, through the channels of the local Ethernet computer network, medical information about the patient being examined is transmitted to the VSAT satellite communication terminal 63 (Figure 5) of the satellite communication system 64 (Figure 5). In this case, for example, when using the spacecraft resource FSUE “Space Communication”, the speed of information transfer through the forward channel is up to 53 Mbit / s, and on the return channel - up to 2 Mbit / s. If necessary, transfer to the medical center of the telemedicine system 1 (Figure 1) the patient's questionnaire and / or its previous (in time) fluorographic images, the latter are digitized on

scanner, and the patient’s questionnaire is filled out in the form of a digitally editable electronic form and through the PC, the digital data terminal 60 (FIG. 5) is introduced into the channel of the local area network Ethernet 51 (FIG. 1). A quick solution to administrative and production issues is available to the crew of the mobile medical complex 5 (Figure 1 and Figure 3) due to the presence of VoIP telephony equipment 59 (Figure 5), the first 592 (Figure 5), the second 593 (Figure 5) .. .N-th (Figure 5), whose telephones are connected via a VoIP gateway to the channel of the local area network Ethernet 51 (figure 5). The need for consultation of leading experts and / or a council of leading experts, for example, in real time is met within the framework of mobile telemedicine complex 5 (Fig. 1 and Fig. 3), met by the presence of the video conferencing terminal 61 (Fig. 5) . Mentioned equipment allows you to receive the so-called “Deferred” consultations. All the above information about the patient (as well as service data and voice communication) via the satellite communication channel 521 (Figure 3) is transmitted to the repeater, which is the spacecraft of the space communication segment 7 (Figure 3). From this communication satellite, information via satellite communication channels 22 (FIG. 4) can be received (respectively, also received back) both to the stationary antenna system 8 (FIG. 4) and via satellite communication channel 132 (FIG. 3) on satellite communication antenna 16 (Figure 3) of the medical center of the telemedicine system 1 (Figure 3), via satellite communication channel 322 (Figure 3) to the satellite communication antenna 33 (Figure 3) of medical institution 3 (Figure 3) and further in its local area network Ethernet 32 (Figure 1), or via a satellite communication channel 422 (Figure 3) to a satellite antenna connection 43 (Figure 3) medical item 4 (3) and further to its Ethernet local area network 41 (Figure 1).

Information transmitted from a mobile medical complex 5 (FIG. 1 and FIG. 3) of medical and managerial nature, addressed to the medical center of the telemedicine system 1 (FIG. 1 and FIG. 3), after receiving it by satellite antenna 16 (FIG. 2) enters the satellite communication channel 132 (Figure 2), then to the router / VoIP gateway. If the received information is an incoming telephone

call (calls), then it is sent through a VoIP gateway to an analog telephone (s) 116 (Figure 2). From the router 112 (FIG. 2), information can be transmitted / received both in the public communication network and in the Internet (WAN) due to the use of cable communication channels 131 (FIG. 2). In addition to the specified connection, the router 112 (FIG. 2) is connected with the switch 111 (FIG. 2) by channels of the local Ethernet 11 network (FIG. 2). The telemedicine equipment 141 ... 14N (Fig. 2) is connected to the same channels of the local Ethernet 11 computer network (Fig. 2), the data from which is processed not only within the medical center of the telemedicine system 1 (Fig. 1), but can be broadcast on the information and communication network 2 (Figure 1) of the proposed communication system beyond. With a local area network Ethernet 11 (FIG. 2), a video conferencing terminal 15 (FIG. 2) exchanges information, which in a minimal configuration is equipped with a Web camera 151 (FIG. 1), a microphone 152 (FIG. 2), and a sound reproducing device 153 ( figure 2) and a monitor 154 (figure 2). The specialized medical central server 113 (Figure 2) significantly (at times) improves the processing of information in the local Ethernet 11 network (Figure 2), as a result of which the processing of data from the mobile telemedicine complex is also accelerated and its integration in real time is achieved to the telemedicine network. Due to the presence of a medically specialized central server 113 (FIG. 2), the functioning of the decision block 12 (FIG. 2) is accelerated, which is essentially a workstation of a medical specialist. Storage, systematization, cataloging, etc. (for example, information protection) are performed in a central database server 114 connected to the local area network Ethernet 11 (Figure 2) (Figure 2). The transfer of the required information on paper (for example, as part of the official medical report) is made using a common (network) printer 115 (Figure 5). It should be noted that any necessary peripheral equipment, such as a scanner, can also act as a common network equipment. Information transfer from telemedicine medical center

system 1 (Figure 1) in the mobile medical complex 5 (Figure 1) occurs in the reverse order of the above.

It should be emphasized that the medical center of the telemedicine system 1 (Fig. 1), medical facilities 3 (Fig. 1) and medical stations 4 (Fig. 1) can interact with each other in addition to satellite communication channels 13.32 and 42 (Fig. .1), respectively, and via cable channels 21 (Figure 3), i.e. 131, 321 and 421 (Figure 3), respectively. Translation of information signals from satellite communication channels 22 (Figure 4) in a public communications network and / or Internet (WAN) (and vice versa) is carried out according to a known scheme, namely: through a stationary antenna system 8 (Figure 4) of a satellite central station communication, the central HUB station 9 (Figure 4), through the channels of the Ethernet LAN through the switch / VoIP gateway, then through the telecommunication node 17 (Figure 4), managed by the server 18 (Figure 4), into the cable communication channels 601 (Figure .4) general purpose and / or Internet (WAN).

The technical implementation of the proposed telemedicine network communication system as a new technical solution is based on computer technology known as current from the prior art (including personal computers), telemedicine equipment and video conferencing equipment, network devices (in particular, such as servers, routers / VoIP gateways etc.) and communications (both wired and wireless), as well as using methods known from the prior art for calculating each of these nodes, devices, components, etc. both individually and in the totality of the system, which allows the Applicant to assert that the proposal meets the eligibility criterion of the utility model “industrial applicability”.

1. Patent for utility model of the Russian Federation No. 23368 "Telemedical installation", publ. June 20, 2002

2. Patent for utility model of the Russian Federation No. 54445 "Telemedicine system", publ. June 27, 2006 (prototype).

3. “Computer networks. The First Step, by Wendell Odom, M, translated from English. Williams Publishing House, 2006, 432 p. with silt.

4. Patent for the invention of the Russian Federation No. 2291070 "Airborne ambulance vehicle", publ. January 10, 2007

5. “Medical expert system”, http://diagnoz.info.

6. “Technical support of the telemedicine center”, http://ritmru.chat.ru/Pubblics/to tmp.pdf.

7. The quadrator. The frame-in-frame board, http://www.futureshop.ru.

8. Patent for the invention of the Russian Federation No. 2107323, "Digital integration system for the integration of diagnostic devices for imaging and data processing in computer systems", publ. March 20, 1998

9. “Multipoint video conferencing servers, organizing multipoint audio and video conferencing between heterogeneous network subscribers”, http: //www/polycom.su/videoconferensing.

10. “Specification of the Basic Package,” http://mitsclub.com.

11. SNiP 31-02-2001.

12. “Autonomous life support with guaranteed quality”, article in the newspaper “Vedomosti of the Novosibirsk Council of Deputies”, No. 43, October 18, 2002

13. Patent for the invention of the Russian Federation No. 2291070 "Airborne ambulance vehicle", publ. January 10, 2007

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15. Application for the invention of the Russian Federation No. 2002122512 "AWP of the doctor-diagnostician", publ. February 20, 2004

Claims (7)

1. The communication system of the telemedicine network, characterized in that it consists of a global telecommunications network integrated local area network of a medical center, equipped with a central server and at least one telemedicine server, and at least one local area network of a stationary medical unit made with the possibility of interaction via wireless communication channels with local computer networks of mobile telemedicine complexes, which are information communication interfaced with wireless digital communication devices. 2. The communication system of the telemedicine network according to claim 1, characterized in that the hardware-software complex of a specialized medical server is a medical expert system. 3. The telecommunication network communication system according to claim 1, characterized in that the wireless digital communication device is a kit for transmitting information via satellite communication channels and / or a set of Wireless equipment. 4. The telecommunication network communication system according to claim 3, characterized in that the complex for transmitting information via satellite communication channels is based on a VSAT terminal and an Ku-band or Ka-band antenna system. 5. The communication system of the telemedicine network according to claim 1, characterized in that the coordination of the transmission and reception of information in the mobile telemedicine complex is carried out by means of a multiservice telecommunication gateway. 6. The communication system of the telemedicine network according to claim 1, characterized in that the Internet is used as a global telecommunications network. 7. The communication system of the telemedicine network according to claim 1, characterized in that the local area network is made in the form of a LAN Ethernet network.