200933503 九、發明說明： 【發明所屬之技術領域】 本案係一種利用行動化數位技術所建立的管理系統，該管理系統主要 應用於健康管理，所謂的健康管理包括在醫療院所内醫師對病人所進行的 各項治療，以及病人離開醫療院所之後所進行的自我照護及自我監測本 案之健康管理系統最主要將自我照護及自我監測的部份串連至醫療保健單 位的治療資訊系統中，由管理者與受管理者共享。 ®【先前技術】 當個人發生疾病且求助於正規醫療體系時，一項醫療程序隨即開始。 狹義的醫療大致包括門診醫療以及住院醫療。門診醫療主要包括病人之個 ，人基本資料建立，安排病人至相關門診單位，專科醫師問診及/或安排檢查 (X光、血液、尿液…）’醫師建立醫囑，給藥。而疾病若是需要住院治療， 則住院醫療將接續在門診醫療之後發生，主要包括入院，護士收集及記錄 Q 病人生命徵象、住院醫師收集病人過去病史，主治醫師建立醫囑、依醫囑 進行給藥及各項治絲序’且在整健院賊闕的觀察病人的健康狀況。 上述的醫療目的旨在使病人痊癒，或者是使病情獲得控制，其係在疾 病發生之後開始進行，屬於被動式的治療疾病。而諸如高血壓、高血脂、 糖尿病·"等慢性疾病’以上述醫療程序使病情穩定之後，更重要的是出院 之後病人的自缝康管理，包紐食_、勒量、血麟形、血糖情形、 服藥清形…等’若能管理得當，將可使此類疾病復發或惡化的機率大幅下 200933503 降。但是，在現階段，醫療院所及醫師卻對病人離院之後的情形往往一無 所知，而病人也在缺乏專業支制軌下忽略自顧顧，以致於病情難以 . 獲得有效控制與改善。 • 除此之外，若病人未達住院程度，而是因慢性病於門診追蹤治療，或 健康檢查時發現需要處理關題時’治齡絲理者若林楚病人的居家 情況，即無法作出適當的建議。 【發明内容】 ❹ 本案之目的係在提供-種整合互動式健康管理系統，將被照護者自我 健康管理之相關資訊，例如飲食、運動量、血壓值、血糖值、體溫、呼吸、 • 脈搏、體重...等資料與醫療院所或健康管理中心等單位的驗服務平台連 • 結，使轉單财參無賴_人貞可妓份掌照護者雜康狀況。 為便於說明，以下内文中提及Γ醫療院所或健康管理中心」時以「醫 療保健單位」一詞簡稱之。 G 本案之目的係在提供一種整合互動式健康管理系統，該系統以一整合 式為訊顯示單元以圖像及數據化的方式表現被照護者連續一段時間的健康 相關資訊，例如以曲線圖、條棒圖表現被照護者每次的血壓值，以便被照 護者及醫療保健單位之相關人員可較容易地讀取該等資料並判斷健康管理 概況。 本案之目的係在提供一種整合互動式健康管理系統，該系統所提供的 整合式資吼顯示單元係依被照護者的疾病而分門別類的顯示相關的健康管 200933503 理貝訊以及醫療保健單位之醫療記錄，如，被照護端若有高血塵及肝硬 等°ι題貝j該整σ式貝峨示單元可將有關高血壓及肝硬化的健康項目 . 及醫療記錄分開顯示。 纟案之目_在提供—種整合互動式健康管理祕，該祕使被照護 端以及醫絲鮮蚊間產生互賦連結，#絲健單㈣糊治療者可 隨時付知被照護者的最新健康狀況，被照護者亦可獲得醫療保健單位的最 新專業建議及協助。 ❹ 本案之目的係在提供-種整合互動式健康管理系統，該系統亦可達到 各醫療保健單位之間跨院連結之目的，匯整被照護者的所有歷史病歷、用 藥等既有資訊’供被照護者本身或者任-醫療保健單位可通盤的了解其就 醫情形。 本案之目的係在提供一種整合互動式絲管理系統，被照護者可連結 至一商業交易單元而選購健康產品或了解其他健康資訊，被照護者於需要 〇 時亦可透過該整合互動式健康管理系統而與醫療保健單位連結以諮詢意 見。 本案整合式健康管理系統，包括：一醫療服務平台、一居家端平台、 一通訊平台；該醫療服務平台至少包括一電子化病歷單元、一被照護端身 份單元、一被照護端生理資訊單元；該被照護端身份單元，儲存及處理每 一被照護端之身份資料，並與上述電子化病歷單元中相對應的被照護端病 歷連結；該被照護端生理資訊單元’與該被照護端身份單元連結，儲存及 200933503 處理該被照護端所提供的每一筆生理資訊；該居家端平台，建置於每—被 照護端之居所，至少包含一身份提供單元及一生理資訊提供翠元；該身份 提供單元向該觀綱身份單元傳輸被職端之身份；該生理資訊提供單 '元向該被照護端生理資訊單元傳輸被照護端之生理資訊；該通訊平台，提 供上述居家端平台及該醫療服務平台視訊連結及資料傳輸連結。 【實施方式】 〇 如第—圖’ 一整合互動式健康管理系統，包括：-醫療服務平台10、 建立於每一被照護端之居家端平台2〇、使每-居家端平台20與該醫療服務 平台10連結的通訊平台30、以及使該醫療服務平台1〇與其他醫療資訊系統 - 整合的醫療資訊系統界接模組40。 f 如第二圖，該醫療服務平台1〇至少包括一電子化病歷單元11、—被照 護端身份單元12、一被照護端生理資訊單元13、一被照護端他項資訊單元 14、一整合式資訊顯示單元18。 ® 該電子化病歷單元1彳，係以被照護端個人為單位，儲存及處理被照護 端的個人病歷’該病歷包括被照護端的個人資料以及關於該被照護端的所 有醫療記錄、病程記錄。 該被照護端身份單元12，儲存及處理被照護端之身份資料，並與上述 電子化病歷單元中相對應的被照護端病歷連結。 該被照護端生理資訊單元13 ’與該被照護端身份單元12連結，錯存及 處理該被照護端所提供的每一筆生理資訊。該生理資訊至少包括血壓、心 200933503 跳、呼吸頻率、體溫、血糖、體重。 該被照護雜項資鱗元14，與該顧_身料元12賴，儲存該 .被照護端所提供的非生理資訊，例如服藥時間、運動項目、運動時間、飲 . 食項目._·等。 被照護者可連結至-商業交易單元15而選麟健康產品或了解其他健康 資訊，被賴粉«時亦可透驗職平㈣而鄕娜健單位連 ▲ 結以諮詢意見。 Ο 該整合式資訊顯示單元18，與該電子化病歷單元H、被照護端生理資 訊早凡13及被照護端他項資訊單元14連結，以圖像及數據化的方式表現被 -照護者-㈣_健康糊資訊，例純曲_、條棒圖表現被照護者的 。血壓、心跳、哞吸、體溫、血糖等生理資訊，或者是運動時間、卡路里攝 取量···等他項資訊。該整合式資訊顯示單元18係依被照護者的疾病分門別 類的顯示相關的健康資訊以及醫療記錄。例如，被照護端若有高血壓及肝 ©硬化等問題，麟整合式資訊顯拜元將㈣高血壓及肝硬化的健康項目 及醫療記錄分開顯示。所謂的健康項目係指被照護端以自我檢測之方式而 可传到的任何生理資訊，而醫療記錄可包括歷史練、各項檢查、用藥 等醫療保健單位已執行的所有醫療項目。此一分m權的f訊顯示方式， 等同於將電子化病歷單元11中的所有資料化零為整 ，讓被照護者或醫療保 單位之相關人貞可以用最▲的時間g卩充份暗解被照護者的疾病項目，以 及每一疾病的壯絲、檢查項目、醫療記錄、用藥記錄。 200933503 上述居家端平台20，建置於被照護端之居所，至少包含一身份提供單 兀21、-生理資訊提供單元22及—他項資訊提供單從。該身份提供單元 21_«魏雜單元12輪_叙籍。触理魏提供單元a •向磁闕端生理資訊單元13傳輸被照護端之生理纽。該他項資訊提供 單元23向該被照護端他項資訊單元13傳輪被照護端之非生理資訊。上述身 份提供單UUX及該触護财侧鱗元12可關職—細識技術 〇 (RF峨其他技術實現龍傳輸及認證。該生理資訊提供單元22可以攜移 式生理訊號監測裝置所測量而得的，該攜移式生理訊號監測裝置可與該上 述身份提供私21及電齡献傳輸細合賊置成—做倾備，當該 "攜移式生理概脑说_量被職魅理資赠，可將觀護端之身份 ,及生理資訊資料一併向該被照護端身份單元及該被照護端生理資訊單元傳 輸資料。 上述之通訊平台30，提供上述居家端平台2〇及該醫療服務平台1〇視訊 ©連結及資料傳輸連結’除了使上述居家端系統2〇向該醫療服務平台1〇傳輪 被照護者生理資訊，亦使婦療贿平纟辦之狀人(例如主治醫師)與被 照護者可以直接進行視訊連線通話，主動的、即時的、提供專業的建議及 協助。 上述醫療資訊线界接歡4〇 ’用以使該醫療服務平台職其他醫療 保健單位之醫療資訊系統整合，以達到各醫療保健單位之間跨院連結之目 的，匯整被照護者的所有歷史病歷、用藥等既有資訊。 200933503 上述醫療服務平台更包括—決策贿知識庫16及-警示系統17。該決 H斷A識庫16依據該被照護端生理資訊單元13的資料判斷被照護端目前 生理狀况’發現被照護端目前所面臨的健康問題，並訂定生理資訊警示 ‘機制，於轉時彻該警示純17發送-警示訊息(e-mail或簡訊)至預設的 手機或電子㈣，以即時通知被照護者的家屬或醫療保健單位的相關人員。 炫以-糖尿病患者為例，說明本案健康管理系統大致的運作情形。首 ❹力’該糖尿病患者至一醫療院所就醫，該醫療院所之電子化病歷單元_ 細的鱗該病患的個人資料、病餘錄，s〇Ap(主、客觀陳訴、診斷評估、 治療計劃），藥物使用’生命徵象，過去病史，相關的醫療實驗室檢驗資料 - 及影像#斷報告...等，該位病患的主治醫師可喊時透過該醫親所的電 • 腦設備讀取該位病患的所有資料。該位病患於康復離院後參與該醫療院所 所提供的互動式健康管理方案，因此於居所建立上述之居家端平台2〇，於 該被照護端身份單元12，建立被照護端之身份認證資料，並與上述電子化 © 病歷資料單元中相對應的被照護端病歷連結。配給該病患一整合了攜移式 生理訊號監測裝置、身份提供單元及電腦系統、傳輸界面合併建置的模組 化血糖檢測設備，病患每次檢測的血糖值即可直接上傳至該被照護端生理 資訊單元13及該被照護端身份單元12，該被照護端生理資訊單元13處理並 儲存該血糖值資料，主治醫師可隨時透過該醫療院所的電腦設備讀取該居 家端平台20所回傳的資料，以瞭解該病患的血糖的控制情形，並依據該電 子化病歷單元11中所記載的病史、醫療記錄充份瞭解該病患的健康狀況。 11 200933503 而該位病患的飲食、運動項目、運動時間'服藥時間等藉由該他項資訊提 供單元23(例如電腦或行動通訊裝置及專屬軟體)傳輸予該被照護端他項資 . 訊單元14’讓醫師暸解該病患的日常生活大致狀況。而當醫師或被照護端 . 任何一方有問題需要面對面直接溝通時’可利用上述通訊平台30進行彼此 的視訊連線的方式進行溝通。 上述的決策判斷知識庫16及警示系統17應用需要即時處理的緊急情 況，例如被照護端的生命徵象(心跳、血壓、呼吸)不穩定，上述醫療服務平 台之決策判斷知識庫可主動判斷此一問題，並進一步利用該警示系統17發 出e-mail或簡訊，即時通知被照護者的家屬或主治醫師，即時對病患提供醫 „ 療協助。 • 雖然本案是以一個最佳實施例做說明，但精於此技藝者能在不脫離本 案精神與範疇下做各種不同形式的改變。以上所舉實施例僅用以說明本案 而已，非用以限制本案之範I舉凡不違本案精神所從事的種種修改或變 © 化，俱屬本案申請專利範圍。 【圖式簡單說明】 第-圖為本案整合互動式健康管理系統之硬體配置圖。 第二圖為本案醫療服務平台之系統方塊圖。 【主要元件符號說明】 10- 醫療服務平台 11- 電子化病歷單元 12 200933503 12-被照護端身份單元 B-被照護端生理資訊單元 14- 被照護端他項資訊單元 15- 商業交易單元 瞥 16- 決策判斷知識庫 17- 警示系統 18- 整合式資訊顯示單元 ❹ 20-居家端平台 21- 身份提供單元 22- 生理資訊提供單元 。 23-他項資訊提供單元 30-通訊平台 40-醫療資訊系統界接模組200933503 IX. Invention Description: [Technical field of invention] This case is a management system established by using mobile digital technology, which is mainly applied to health management. The so-called health management includes the doctors in the medical institution. The treatment and the self-care and self-monitoring of the patient after leaving the hospital. The health management system of the case mainly links the self-care and self-monitoring parts to the treatment information system of the health care unit. Share with the manager. ® [Prior Art] A medical procedure begins when an individual develops a disease and resorts to a formal health care system. Narrow medical care generally includes outpatient medical care and hospitalization. Outpatient medical care mainly consists of patients, basic human data is established, patients are arranged to relevant outpatient units, specialists are asked to consult and/or arrange examinations (X-ray, blood, urine...) physicians establish medical orders and administer drugs. If the disease requires hospitalization, the inpatient medical treatment will continue after the outpatient medical treatment, mainly including admission, the nurse collects and records the vital signs of the Q patient, the resident collects the patient's past medical history, the attending physician establishes the medical order, and the drug is administered according to the doctor's advice. The rule of the rule is 'and the health of the patient is observed in the thief of the whole hospital. The medical purpose described above is intended to heal the patient or to control the condition, which begins after the disease has occurred and is a passive treatment of the disease. And the chronic diseases such as hypertension, hyperlipidemia, diabetes, and other chronic diseases are stabilized by the above medical procedures. What is more important is the self-sewn management of patients after discharge, including food, sputum, blood, and Blood sugar conditions, medication clearing, etc. 'If properly managed, the chances of recurrence or worsening of such diseases will fall sharply down 200933,503. However, at this stage, medical institutions and doctors often do not know anything about the situation after the patient leaves the hospital, and the patient is neglected from self-care in the absence of professional support, so that the condition is difficult. Obtain effective control and improvement. . • In addition, if the patient does not reach the hospitalization level, but is due to chronic disease in the outpatient follow-up treatment, or when the health check is found to be necessary to deal with the problem, the patient’s home condition of the patient Suggest. SUMMARY OF THE INVENTION The purpose of this case is to provide an integrated and interactive health management system that will provide caregivers with information on self-health management, such as diet, exercise volume, blood pressure, blood sugar, body temperature, breathing, pulse, weight. ... and other information and medical institutions or health management centers and other units of the service platform to connect, so that the transfer of financial resources to rogue _ people can take care of the situation of the care of the care of the people. For the sake of explanation, the term "health care unit" is used in the following text to refer to the term "health care unit". The purpose of this case is to provide an integrated interactive health management system that uses an integrated display unit to graphically and graphically represent the health-related information of the caregiver for a continuous period of time, such as a graph, The bar graph represents the blood pressure value of each care recipient so that the caregiver and the relevant personnel of the health care unit can more easily read the data and determine the health management profile. The purpose of this case is to provide an integrated and interactive health management system. The integrated information display unit provided by the system is classified according to the disease of the caregiver and displays the relevant health management tubes 200933503 and the health care unit. Record, for example, if there is high blood dust and liver hardness on the end of the care, etc. The whole σ-style beak display unit can display the health items and medical records related to hypertension and cirrhosis separately. The purpose of the case _ in the provision of an integrated interactive health management secret, the secret to the end of the care and the medical silk mosquitoes to create a mutual connection, #丝健单 (4) paste treatment can always pay attention to the latest health of the caregiver In the situation, caregivers can also get the latest professional advice and assistance from the health care unit. ❹ The purpose of this case is to provide an integrated and interactive health management system, which can also achieve the purpose of cross-institutional connection between health care units, and integrate all historical medical records and medications of the caregivers. The caregiver himself or the health-care unit can understand the medical situation in a comprehensive manner. The purpose of the case is to provide an integrated interactive silk management system. The caregiver can link to a commercial transaction unit to purchase health products or learn about other health information. The caregiver can also integrate interactive health when needed. Manage the system and connect with the health care unit for advice. The integrated health management system of the present invention comprises: a medical service platform, a home end platform, and a communication platform; the medical service platform includes at least an electronic medical record unit, a protected end identity unit, and an illuminated medical information unit; The protected end identity unit stores and processes the identity data of each protected end and is linked with the corresponding end-of-care medical record in the electronic medical record unit; the protected end physiological information unit 'and the protected end identity Unit connection, storage and 200933503 processing each physiological information provided by the escorted end; the home end platform is built in each of the sheltered residences, and includes at least one identity providing unit and a physiological information providing uiyuan; The identity providing unit transmits the identity of the employed end to the target identity unit; the physiological information provides a single 'metagram to transmit the physiological information of the protected end to the protected physiological information unit; the communication platform provides the above-mentioned home end platform and the Medical service platform video link and data transmission link. [Embodiment] For example, the first-integrated interactive health management system includes: - a medical service platform 10, a home end platform built on each of the protected ends, and a per-home end platform 20 and the medical The communication platform 30 connected to the service platform 10 and the medical information system interface module 40 for integrating the medical service platform 1 with other medical information systems. f As shown in the second figure, the medical service platform 1 includes at least an electronic medical record unit 11, a illuminating end identity unit 12, an illuminated end physiological information unit 13, an illuminated end information unit 14, and an integration Information display unit 18. ® The electronic medical record unit is a personal medical record stored and processed by the person being cared for. The medical record includes the personal data of the protected person and all medical records and medical records of the protected person. The escorted end identity unit 12 stores and processes the identity data of the escorted end and is linked to the corresponding ambulance medical record in the electronic medical record unit. The illuminating end physiological information unit 13' is coupled to the escorted end identity unit 12 to store and process each physiological information provided by the illuminating end. The physiological information includes at least blood pressure, heart 200933503 hop, respiratory rate, body temperature, blood sugar, and body weight. The illicit miscellaneous scale element 14 and the _ body element 12 are used to store the non-physiological information provided by the illuminating end, such as medication time, exercise program, exercise time, drinking and eating items, etc. . The care recipient can link to the Business Transaction Unit 15 and choose Lin Health Products or other health information. When the Lai Powder is used, it can also pass through the occupation level (4) and the Naina Health Unit ▲ will contact the advice.整合 The integrated information display unit 18 is connected to the electronic medical record unit H, the illuminating end physiological information 13 and the illuminated end information unit 14 to represent the caregiver in an image and data manner. (4) _ health paste information, such as pure music _, bar chart performance is taken care of. Physiological information such as blood pressure, heartbeat, sucking, body temperature, blood sugar, etc., or exercise time, calorie intake, etc. The integrated information display unit 18 displays related health information and medical records in accordance with the condition of the caregiver. For example, if there is a problem with high blood pressure and liver cirrhosis at the end of the care, the integrated information of the lining will show (4) the health items and medical records of hypertension and cirrhosis. The so-called health project refers to any physiological information that can be transmitted by the caretaker in a self-testing manner, and the medical record may include all medical items that have been executed by the health care unit such as historical training, various examinations, and medications. This one-point m-right f-display mode is equivalent to zeroing all the data in the electronic medical record unit 11 so that the caregiver or the relevant person in the medical insurance unit can use the most time 卩Dispel the disease items of the caregiver, as well as the strong thread, examination items, medical records, and medication records for each disease. 200933503 The above-mentioned home end platform 20, which is built on the sheltered side, includes at least one identity providing unit 21, a physiological information providing unit 22, and a other information providing form. The identity providing unit 21_«Wei miscellaneous unit 12 rounds _ Syria. The contact Wei providing unit a • transmits the physiological button of the protected end to the magnetic end physiological information unit 13. The other item information providing unit 23 transmits the non-physiological information of the guarded end to the escorted end information unit 13. The above-mentioned identity provides a single UUX and the contact financial scales 12 can be closed to the job - knowing the technology (RF) other technologies to achieve dragon transmission and certification. The physiological information providing unit 22 can be measured by the portable physiological signal monitoring device In addition, the portable physiological signal monitoring device can be set up with the above-mentioned identity providing private 21 and electric age distribution transmission thief--for the dumping, when the "carrying physiological anatomy The gift of the gift, the identity of the guardian and the physiological information can be transmitted to the protected end identity unit and the protected physiological information unit. The above communication platform 30 provides the above-mentioned home end platform 2 The medical service platform 1 video link and data transmission link 'except for the above-mentioned home system 2 to transmit the physiological information of the caregiver to the medical service platform 1 Attending physicians and caregivers can directly conduct video-connected calls, proactive, immediate, and provide professional advice and assistance. The above-mentioned medical information line meets 4〇' to enable the medical service platform to serve other medical services. The medical information system of the health care unit is integrated to achieve the purpose of cross-institutional connection between the health care units, and to collect all the historical information such as medical records and medications of the caregivers. 200933503 The above medical service platform also includes the decision-making bribe knowledge base. And the warning system 17. The decision-making system 16 determines the current physiological condition of the protected end according to the information of the physiological information unit 13 of the protected end, and finds the health problem currently faced by the protected end, and sets physiological information. The warning 'mechanism, when the transfer is completed, should be a pure 17-send-alert message (e-mail or SMS) to the preset mobile phone or electronic (4) to immediately notify the caregiver's family or the relevant person in the health care unit. - Diabetes patients as an example, showing the general operation of the health management system in this case. First ❹力' The diabetes patient went to a medical institution for medical treatment, the electronic medical record unit of the medical institution _ fine scales of the patient's personal data, Record of illness, s〇Ap (primary and objective complaints, diagnostic assessment, treatment plan), drug use 'life signs, past medical history, related medical laboratory tests Data - and video #断 report...etc., the patient's attending physician can read all the information of the patient through the medical equipment of the medical institution. The patient is discharged from the hospital. After participating in the interactive health management program provided by the medical institution, the above-mentioned home-end platform was established in the residence, and the identity of the protected end identity unit 12 was established, and the above-mentioned electronic information was established. © The corresponding medical records of the medical records in the medical record data unit. The patient is equipped with a modular blood glucose testing device that integrates the portable physiological signal monitoring device, the identity providing unit and the computer system, and the transmission interface. The blood glucose level of each test can be directly uploaded to the illuminating end physiological information unit 13 and the illuminating end identity unit 12, and the illuminating end physiological information unit 13 processes and stores the blood glucose value data, and the attending physician can pass through at any time. The computer equipment of the medical institution reads the information returned by the home end platform 20 to understand the control situation of the blood sugar of the patient, and according to the electronic medical record unit 11 The recorded medical history and medical records fully understand the health status of the patient. 11 200933503 The patient's diet, exercise program, exercise time 'medical time', etc. are transmitted to the escorted end by the other information providing unit 23 (such as computer or mobile communication device and proprietary software). Unit 14' allows the physician to understand the general condition of the patient's daily life. When the doctor or the caretaker has any problem that needs to be communicated face to face directly, the above communication platform 30 can be used to communicate with each other. The above-mentioned decision-making knowledge base 16 and the warning system 17 apply an emergency situation requiring immediate processing, for example, the vital signs (heartbeat, blood pressure, and breathing) of the ambulance end are unstable, and the decision-making knowledge base of the medical service platform can actively determine the problem. And further use the warning system 17 to send an e-mail or a short message to immediately notify the caregiver's family or attending physician to provide immediate medical assistance to the patient. • Although the case is illustrated by a preferred embodiment, Those skilled in the art can make various changes in the form without departing from the spirit and scope of the case. The above embodiments are only used to illustrate the case, and are not intended to limit the scope of the case. Modification or change, all of which belong to the patent application scope of this case. [Simple description of the diagram] The first figure shows the hardware configuration diagram of the integrated interactive health management system. The second figure is the system block diagram of the medical service platform of the case. Explanation of main component symbols] 10- Medical service platform 11 - Electronic medical record unit 12 200933503 12-Carved end identity unit B- Nursing end physiological information unit 14 - Guarded end other information unit 15 - Business transaction unit 瞥 16 - Decision judgment knowledge base 17 - Warning system 18 - Integrated information display unit ❹ 20 - Home end platform 21 - Identity providing unit 22 - Physiological information providing unit. 23- Other information providing unit 30-Communication platform 40-Medical information system interface module