WO2021253867A1 - Framework, method, and system for unmanned smart hospital - Google Patents

Framework, method, and system for unmanned smart hospital Download PDF

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Publication number
WO2021253867A1
WO2021253867A1 PCT/CN2021/078144 CN2021078144W WO2021253867A1 WO 2021253867 A1 WO2021253867 A1 WO 2021253867A1 CN 2021078144 W CN2021078144 W CN 2021078144W WO 2021253867 A1 WO2021253867 A1 WO 2021253867A1
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WIPO (PCT)
Prior art keywords
medical
robots
robot
data
hospital
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PCT/CN2021/078144
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French (fr)
Chinese (zh)
Inventor
王忠堂
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厦门波耐模型设计有限责任公司
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Priority claimed from CN202010615784.4A external-priority patent/CN111923056A/en
Priority claimed from CN202010984492.8A external-priority patent/CN112102907A/en
Application filed by 厦门波耐模型设计有限责任公司 filed Critical 厦门波耐模型设计有限责任公司
Publication of WO2021253867A1 publication Critical patent/WO2021253867A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B25HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25JMANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
    • B25J11/00Manipulators not otherwise provided for
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

Definitions

  • the present invention relates to the field of smart hospitals, in particular to an architecture, method and system of an unmanned smart hospital.
  • Smart hospitals include five elements, namely: (1) Inter-institutional interconnection; (2) Automated and efficient operation; (3) Whole-process reshaping experience , Taking the patient as the center, breaking through the physical boundaries of the hospital; (4) Big data-driven decision-making; (5) Continuous innovation. Therefore, with a gradually decentralized medical service system, smart hospitals focus on core business, and digitally empowered medical staff will provide patients with high-quality diagnosis and treatment, better medical experience, and continue to promote medical service innovation.
  • the purpose of the present invention is to provide an unmanned smart hospital that efficiently provides diagnosis and treatment services 24 hours a day and makes up for the shortage of medical staff.
  • the unmanned smart hospital architecture of an embodiment of the present invention includes outpatient medical robots, emergency medical robots, inspection medical robots, emotional escort medical robots, transport medical robots, special inspection medical robots, surgical robots, rehabilitation medical robots, pharmacy robots, A cleaning and disinfecting medical robot, a combination of a plurality of the medical robots is an unmanned smart hospital.
  • the outpatient medical robot includes a mobile chassis, a robotic arm, and a robot body.
  • the robot body includes at least a state perception module, an environment perception module, a human-computer interaction module, a biometric recognition module, a wireless communication module, and a central data storage and processing module.
  • Smart medicine cabinet display screen, smart speaker.
  • the emergency medical robot includes a mobile chassis, a mechanical arm, and a robot body.
  • the mechanical arms are arranged on both sides of the robot body.
  • the inspection medical robot includes a mobile chassis, a mechanical arm, and a robot body, and the robot body includes at least a sampling device and an inspection device.
  • the pharmacy robot includes a mobile chassis and a robot body, and the robot body includes at least three boxes.
  • the medical transport robot includes a mobile chassis and a robot body, and the robot body is a deformable structure.
  • the rehabilitation medical robot includes a mobile chassis, a mechanical arm, and a robot body, and the robot body includes at least hand function rehabilitation equipment, upper limb function rehabilitation equipment, lower limb function rehabilitation equipment, and language rehabilitation training equipment.
  • the surgical robot includes a mobile chassis, a mechanical arm, and a robot body.
  • the robot body includes at least conventional minimally invasive surgical equipment, single-cell micro-nano surgical treatment equipment, and interventional exploration treatment equipment.
  • the cleaning and disinfecting medical robot includes a mobile chassis and a robot body, and the robot body includes at least a floor scrubbing device, a spraying device, an ozone generator, and an air purification device.
  • the special inspection medical robot includes a mobile chassis, a mechanical arm, and a robot body, and the robot body includes at least CT equipment, MRI equipment, PET equipment, and ultrasound inspection equipment.
  • the outpatient medical robot plays the role of a male doctor, a female doctor or a cartoon type doctor, plays the role of a famous doctor from various countries in different eras, and provides services in multiple languages.
  • the unmanned smart hospital method of an embodiment of the present invention includes combined configuration of medical robots, combined division of labor of medical robots, combined operation of medical robots, and operation of digital medical records.
  • the medical robot combination configuration includes: (a) a micro-medical institution is configured with 1 outpatient medical robot, 1 examination medical robot, 1 emotional escort medical robot, 1 pharmacy robot, and 1 cleaning and disinfection medical robot; ( b) Small medical institutions are equipped with 2 ⁇ 5 outpatient medical robots, 2 ⁇ 5 emotional escort medical robots, 1 examination medical robot, 1 emergency medical robot, 2 pharmacy robots, and 1 cleaning and disinfection medical robot; (c) Medium-sized medical institutions are equipped with 6-20 outpatient medical robots, 6-20 emotional escort medical robots, 2 examination medical robots, 1 emergency medical robot, 3 pharmacy robots, 1 transport medical robot, 1 rehabilitation medical robot, 1 cleaning and disinfection medical robot; (d) Large medical institutions are equipped with 21-50 outpatient medical robots, 3-5 medical examination robots, 21-50 emotional escort medical robots, 5 pharmacy robots, 2 emergency medical robots, 3 transport medical robots, 1 special inspection medical robot, 1 surgical robot, 2 rehabilitation medical robots, 2 cleaning and disinfection medical robot;
  • the combined division of medical robots includes: outpatient medical robots undertaking consultations, basic pharmacies, and basic treatment services; emergency medical robots on standby or touring in hospitals and public areas to provide emergency medical assistance; inspection medical robots undertaking laboratory analysis and pathology Inspection and physical inspection services; emotional escort medical robots provide guidance, escort, emotional comfort, psychological consultation and treatment services; special inspection medical robots provide special inspection services; pharmacy robots provide pharmacist services and pharmacy services; medical robots take care of patients Transfer and medical material distribution services; rehabilitation medical robots undertake rehabilitation training; surgical robots perform surgery and interventional exploration and treatment; cleaning and disinfection medical robots perform cleaning and disinfection operations.
  • the combined operation of the medical robot includes: (1)
  • the operating entity can purchase or lease medical robots; (2) Equipped with water, electricity, gas, roads, houses, communications, and deploy hospitals; (3) Basis According to the agreement, a third party provides other related services to ensure the normal operation of the hospital; (4) According to the agreement, medical robots between medical institutions can be deployed with each other to meet service needs.
  • the digital medical record operation process 100 includes the following steps: 110: acquisition of past medical data; 120: acquisition of current diagnosis and treatment data; 130: data feature value extraction; 140: automatic generation of digital medical records; 150: encryption of digital medical records, Cloud server storage; 160: digital medical record update; 170: digital medical record data confirmation; 180: digital medical record call; 190: incentives and penalties for the use of digital medical record data.
  • the combined configuration of the medical robots can be based on the big data of the local area of the hospital, combined with the positioning of the hospital, select the functional modules of the medical robots, and adjust the configuration ratio of the medical robots.
  • the unmanned smart hospital system of an embodiment of the present invention includes a hospital autonomous organization system, an operating system, a third-party service system, and a mobile intelligent terminal.
  • the hospital autonomous organization system includes autonomously arranging patient diagnosis and treatment services and autonomously determining the deployment of medical robots. Procurement of third-party services independently, and implement financial management independently in accordance with the wishes of the operating entity.
  • An unmanned smart hospital architecture of the present invention includes outpatient medical robots, inspection medical robots, emotional escort medical robots, transport medical robots, special inspection medical robots, surgical robots, rehabilitation medical robots, pharmacy robots, and cleaning and disinfection Medical robots basically cover the main body of modern hospital diagnosis and treatment services.
  • outpatient medical robots can act as male doctors, female doctors or cartoon doctors, famous doctors from all over the world, provide medical services in various languages, and reduce the hospital’s dependence on medical staff.
  • An unmanned smart hospital method of the present invention includes medical robot combination configuration, medical robot combination division of labor, medical robot combination operation and digital medical record operation, based on big data analysis, combined with hospital positioning, and selection of medical robot function modules, Adjust the proportion of medical robots, medical robots work together, provide online and offline medical services 24 hours a day, reduce the labor intensity of medical staff, and improve the efficiency of diagnosis and treatment.
  • the medical robots and smart devices of the unmanned smart hospital of the present invention collect medical and health data in real time, which can be used as the basis for diagnosis and treatment of patients' diseases. It will expand the scope of patient complaints and main symptoms, and discover health problems that patients are not aware of. At the same time, Provide the authenticity basis for identifying the main complaints and main symptoms of patients, and reduce unnecessary waste of medical resources.
  • the diagnosis and treatment plan can be formulated in advance, and necessary preparations can be made in advance to improve the efficiency of medical resource utilization.
  • Digital medical records focus on content, not specific formats, and the formats can be freely converted according to user habits, facilitating the barrier-free circulation of digital medical record data around the world.
  • the autonomous organization system of the hospital of the present invention is based on the patient’s health status, the severity of the illness and the patient’s main requirements.
  • the hospital arranges patient diagnosis and treatment independently, decides on the deployment of medical robots, autonomously purchases third-party services, and independently implements finance in accordance with the wishes of the operating entity. Management allows patients to obtain optimal diagnosis and treatment services, and basically realizes the function of an unmanned smart hospital.
  • the unmanned intelligent hospital architecture of the preferred embodiment of the present invention includes outpatient medical robots, emergency medical robots, inspection medical robots, emotional escort medical robots, transport medical robots, special inspection medical robots, surgical robots, rehabilitation medical robots, and pharmacy robots 1.
  • a cleaning and disinfecting medical robot, a combination of a plurality of the medical robots is an unmanned smart hospital.
  • the unmanned smart hospital method of the preferred embodiment of the present invention includes medical robot configuration, medical robot division of labor, hospital operation, and digital medical record operation.
  • the medical robot combination configuration includes: (a) a micro-medical institution is equipped with 1 outpatient medical robot, 1 examination medical robot, 1 emotional escort medical robot, 1 pharmacy robot, 1 cleaning and disinfection medical robot; (b) Small size Medical institutions are equipped with 2 ⁇ 5 outpatient medical robots, 2 ⁇ 5 emotional escort medical robots, 1 examination medical robot, 1 emergency medical robot, 2 pharmacy robots, 1 cleaning and disinfection medical robot; (c) Medium-sized medical institutions Configure 6-20 outpatient medical robots, 6-20 emotional escort medical robots, 2 inspection medical robots, 1 emergency medical robot, 3 pharmacy robots, 1 transfer medical robot, 1 rehabilitation medical robot, and 1 cleaning robot Sterilizing medical robots; (d) Large-scale medical institutions are equipped with 21-50 outpatient medical robots, 3-5 examination medical robots, 21-50 emotional escort medical robots, 5 pharmacy robots, 2 emergency medical robots, and 3 transporters Medical robots, 1 special inspection medical robot, 1 surgical robot, 2 rehabilitation medical robots, 2 cleaning and disinfection medical
  • the medical robot combination division includes: outpatient medical robots are responsible for receiving consultations, basic pharmacies, and basic treatment services; emergency medical robots are on standby or touring in hospitals and public areas to provide emergency medical assistance; inspection medical robots are responsible for laboratory analysis, pathological examinations, and physical Inspection services; emotional escort medical robots provide guidance, escort, emotional comfort, psychological consultation and treatment services; special inspection medical robots provide special inspection services; pharmacy robots provide pharmacist services and pharmacy services; transfer medical robots undertake patient transfer and medical care Material distribution services; rehabilitation medical robots undertake rehabilitation training; surgical robots perform surgery and interventional exploration and treatment; cleaning and disinfection medical robots perform cleaning and disinfection operations.
  • the operation of the hospital includes: (1) The operating entity can purchase or lease medical robots; (2) Equipped with water, electricity, gas, roads, houses, and communications, and deploy hospitals; (3) According to the agreement, a third party Provide other related services to ensure the normal operation of the hospital; (4) According to the agreement, medical robots between medical institutions can be deployed to meet service needs; (5) The cost of diagnosis and treatment services comes from insurance, self-finance, government funds, and charity funds.
  • the digital medical record operation process 100 includes the following steps: 110: previous medical data acquisition; 120: current diagnosis and treatment data acquisition; 130: data feature value extraction; 140: digital medical record automatic generation; 150: digital medical record data encryption, cloud server storage ; 160: Digital medical record update; 170: Digital medical record data confirmation; 180: Digital medical record call; 190: Digital medical record data use incentive and punishment mechanism.
  • the unmanned smart hospital system of the preferred embodiment of the present invention includes a hospital autonomous organization system, an operating system, a third-party service system, and a mobile intelligent terminal.
  • the hospital autonomous organization system includes autonomously arranging patient diagnosis and treatment services and autonomously determining the deployment of medical robots. Procurement of third-party services independently, and implement financial management independently in accordance with the wishes of operating entities;
  • the operating system includes software and algorithms;
  • the third-party service system includes 5G, cloud services, medical data encryption systems, intelligent diagnosis and treatment systems, telemedicine systems, and supply Chain, logistics and transportation systems, intelligent access control systems, expense settlement systems, maintenance of medical robots, washing and disinfection of medical supplies.
  • unmanned smart hospitals in an embodiment of the present invention include micro smart hospitals, small smart hospitals, medium smart hospitals, and large smart hospitals. Their service capabilities are respectively equivalent to conventional individual clinics, outpatient departments, first-level hospitals, and second-level hospitals. .
  • Predetermine the service radius area collect and analyze big data such as the number of residents, population composition, economic conditions, traffic conditions, disease spectrum, medical habits, inter-industry service capabilities, inter-industry service characteristics, inter-industry location distribution, etc., select the address to set up unmanned wisdom hospital.
  • micro-smart hospitals, small-sized smart hospitals, medium-sized smart hospitals, and large-sized smart hospitals are set up at a ratio of 30:10:3:1; areas where large and medium-sized medical institutions are relatively concentrated
  • micro-smart hospitals, small-sized smart hospitals, medium-sized smart hospitals, and large-sized smart hospitals are set up at a ratio of 10:5:3:1.
  • the location of the hospital needs to be equipped with basic service facilities such as water, electricity, gas, roads, houses or tents, and communications.
  • the unmanned smart hospital will operate for a period of time, and the scale and setting ratio of the unmanned smart hospital will be appropriately adjusted according to the actual business volume, type and number of diseases.
  • the medical robot combination configuration scheme of an embodiment of the present invention is as follows: (a) A micro-medical institution, equipped with 1 outpatient medical robot, 1 examination medical robot, 1 emotional escort medical robot, 1 pharmacy robot, and 1 The cleaning and disinfecting medical robot is the smallest functional unit that undertakes the services of small medical clinics in residential areas; (b) Small medical institutions are equipped with 2 ⁇ 5 outpatient medical robots, 2 ⁇ 5 emotional escort medical robots, 1 inspection medical robot, 2 One pharmacy robot, one cleaning and disinfecting medical robot, undertaking the service function of the residential community outpatient department; (c) Medium-sized medical institutions, equipped with 6-20 outpatient medical robots, 6-20 emotional escort medical robots, 2 inspection medical robots, 3 pharmacy robots, 1 transport medical robot, 1 surgical robot, 1 rehabilitation medical robot, 1 cleaning and disinfection medical robot, which undertake the service functions of small general hospitals in a certain area; (d) large medical institutions, with 21-50 1 outpatient medical robot, 3-5 inspection medical robots, 21-50 emotional escort medical robot
  • the functional module configuration scheme of the medical robot is as follows:
  • the functional module of the outpatient medical robot includes at least a mobile chassis, a robotic arm, and a robot body.
  • the mobile chassis adopts a wheeled intelligent migration structure and autonomously navigates to a predetermined service location.
  • Its mechanical arm adopts human-like multi-joint arm and human-like hand structure, with at least stereo vision sensor, lighting equipment, electronic nose sensor, percussion hammer, smart stethoscope, pressure sensor array, temperature sensor, pulse sensor, blood pressure sensor, blood oxygen
  • the saturation sensor, the robot body at least includes a state perception module, an environment perception module, a human-computer interaction module, a biometric recognition module, a wireless communication module, a central data storage processing module, a smart medicine cabinet, a display screen, and a smart speaker.
  • the outpatient medical robot adopts the patient’s native language and familiar dialects and slang to receive consultations.
  • the smart medicine box stores the most commonly used 30 kinds of medicines, so that patients can get the medicines in time after seeing a doctor and get the service of precautions for taking medicines.
  • the functional modules of the inspection medical robot include at least a mobile chassis, a mechanical arm, and a robot body.
  • the mobile chassis adopts a crawler-type intelligent migration structure.
  • the mechanical arm adopts a humanoid arm and a manipulator.
  • the sampling devices include at least automated finger blood and venous blood collection equipment, automated collection of secretions from the oral cavity, respiratory tract, genitourinary tract, wounds, milk, sweat, etc.
  • Intelligent toilets that automatically collect urine and stools, automatic collection of biopsy materials, and their inspection equipment at least include automatic blood analyzers, automatic biochemical analyzers, automatic microbial detection analyzers, automatic immune analyzers, and automatic urine and stool secretion Bioanalyzer, Fully Automatic Pathology Tester, Fully Automatic ECG Tester, Fully Automatic EEG Tester, Fully Automatic Ultrasound Tester, Fully Automatic X-ray Tester, Fully Automatic Gastrointestinal Endoscopy, Fully Automatic Pulmonary Function Test Instrument, automatic eye function tester, undertake laboratory analysis, pathological examination, X-ray examination, ultrasound examination, electrocardiogram examination, electroencephalogram examination, gastrointestinal function examination, lung function examination, eye function examination services.
  • the functional modules of the emotional escort medical robot include at least a mobile chassis, a robot arm, and a robot body.
  • the mobile chassis adopts a wheeled intelligent migration structure.
  • Its robot arm uses a humanoid arm and a manipulator.
  • the functional modules of the special inspection medical robot include at least a mobile chassis, a robot arm, and a robot body.
  • Its mobile chassis adopts a crawler-type intelligent migration structure.
  • Its robot arm uses a humanoid arm and a manipulator.
  • the functional modules of the pharmacy robot include at least a mobile chassis and a robot body.
  • the mobile chassis adopts a wheeled intelligent migration structure.
  • the robot body includes at least three relatively independent boxes, which are used for the intelligent delivery of solid medicines, liquid medicines, and medical consumables. , Replenishment, inventory business.
  • the functional modules of the medical transfer robot include at least a mobile chassis and a robot body.
  • the mobile chassis adopts a crawler-type intelligent migration structure.
  • the robot body is a deformable structure and can at least be transformed into a patient-transferring intelligent navigation stretcher cart, an intelligent navigation wheelchair, and transferring medical substances according to needs.
  • the intelligent navigation vehicle of the company is responsible for patient transfer and medical material distribution services.
  • the functional modules of the rehabilitation medical robot include at least a mobile chassis, a mechanical arm, and a robot body.
  • the mobile chassis adopts a crawler-type intelligent migration structure.
  • Rehabilitation equipment fully automatic upper limb function rehabilitation equipment, fully automatic lower limb function rehabilitation equipment, and fully automatic language rehabilitation training equipment.
  • the functional modules of the surgical robot include at least a mobile chassis, a robotic arm, and a robot body. Its mobile chassis adopts a crawler-type intelligent migration structure.
  • Fully automatic implementation of interventional exploration and treatment equipment where fully automatic single-cell micro-nano surgery includes at least cell function enhancement, cell function or partial function inhibition, target cell damage, gene editing and other treatments.
  • Fully automatic implementation of interventional exploration at least treatment includes vascular embolism Recanalization, tumor vascular targeting therapy, recanalization of central and peripheral nerve pathways and other treatments.
  • the functional modules of the cleaning and disinfecting medical robot include at least a mobile chassis, a mechanical arm, and a robot body.
  • the mobile chassis adopts a crawler-type intelligent migration structure. Air purification equipment, ultraviolet light generating device, implementation of medical institutions ground, countertops, air cleaning, sterilization and disinfection operations.
  • the operation method of an unmanned smart hospital in an embodiment of the present invention is as follows: (1) Equipped with water, electricity, gas, roads, houses or tents, communications and other infrastructure, the hospital can quickly build and deploy, and carry out diagnosis and treatment services; (2) ) According to the scale and service characteristics of the hospital, the operating entity of the hospital chooses the type of medical robot matching and the combination of functional modules.
  • the medical robot can choose to purchase or lease; (3) The operating entity of the hospital signs a contract with a third party and purchases the first Three-party service; (4) According to the agreement between the operating entities of the hospital, the medical robots between different hospitals can be deployed to meet service needs; (5) The cost of diagnosis and treatment services comes from insurance, self-finance, government funds, and charity funds; (6) Medical treatment Robots work together to provide online and offline medical services 24 hours a day, 7 days a week.
  • the operating process 100 of an unmanned smart hospital in an embodiment of the present invention is as follows: 110: appointment for consultation, routine examination and special examination, treatment or surgery, specifically including the following steps: 112: the patient views through the application tool of the mobile smart terminal Medical robots make appointments during their free time; 114: Outpatient medical robots invite patients to the hospital at a suitable time according to the patient’s objective medical needs; 116: Patients choose to use online consultations, and after the diagnosis is confirmed, they can deliver medicines to their homes through third-party logistics, or make further appointments Go to the hospital for offline visits, examinations, surgery or other treatments; 120: When the patient arrives at the hospital, the emotional escort medical robot will explain the precautions and guide the patient to the scheduled outpatient medical robot.
  • the transfer medical robot will provide transportation throughout the diagnosis and treatment Patient services; 130: Emotional escort medical robots accompany the consultation, soothe the patient’s emotions, and assist in the completion of medical history and physical examination; 140: When necessary, the emotional escort medical robots accompany the patient to receive medical examination robots and special medical examination robot services; 150: Smart The diagnosis system combines the past medical history, current medical history, physical examination, medical examination robot and special medical examination robot inspection data, and submits diagnosis and treatment opinions; 160: implements the diagnosis and treatment plan, which specifically includes the following steps: 161: outpatient medical robot provides the most commonly used drugs, Drug usage and precautions; 162: Pharmacy robots provide drugs and treatment equipment, explaining the usage and precautions of drugs and treatment equipment; 163: Surgical robots provide surgical treatment; 164: Rehabilitation medical robots provide physical and language rehabilitation treatment; 165: Emotions Accompanying medical robots provide psychological treatment; 166: Refer to a tertiary hospital or medical center to further clarify the diagnosis and obtain higher-
  • the digital medical record operation process 200 of an unmanned smart hospital in an embodiment of the present invention includes the following steps: 210: Past medical data acquisition, if the patient makes an appointment for a general consultation, the medical robot obtains the authorization of the patient or his guardian, and reads the patient in advance.
  • Past medical and health data on cloud servers or other storage media are prepared in advance for diagnosis and treatment services.
  • patients can make an appointment to an offline hospital for treatment, or make an appointment for remote online consultation.
  • the medical robot can access the patient’s previous medical and health data, which can be all the patient’s medical data, or the medical data directly related to the condition of the appointment, especially the maintenance treatment of chronic diseases, acute attacks of chronic diseases, or other Common diseases, such as influenza and common cold.
  • the imprint of the medical robot's access to the patient's past medical and health data will be recorded in the patient's digital medical record.
  • the medical robot obtains authorization from the patient or his guardian on the spot to access and know the patient’s past health and medical data.
  • the patient can make an appointment with the medical robot to provide home-to-home emergency medical services, or choose to go to the hospital for emergency treatment
  • the current diagnosis and treatment data acquisition, the diagnosis and treatment data acquisition methods include: the patient enters the hospital, and the hospital's intelligent monitoring device monitors the patient's words and deeds.
  • the monitoring data of the hospital's intelligent monitoring device includes but not limited to whether the patient can stand, walk, whether the standing and walking postures are abnormal, whether it is necessary to support or use a wheelchair, crutches, social interaction with others, and relaxed expressions. Painful face, wait, all collected data is automatically digitally identified; patients enter the consultation room, collect audio and video data from medical consultation robots for consultations and physical examinations, and collect physical inspections, laboratory inspections, and pathological inspections connected with the Internet of Things data link Wait for medical check robot data.
  • the medical robot purposefully collects the patient's medical health data, and all data is automatically digitally identified; the patient enters the ward, and the medical escort robot collects the patient’s diet behavior, urinary behavior, daily behavior, mental state, and expression state.
  • Data pharmacy robots, medical emergency robots, surgical robots, medical rehabilitation robots, patient built-in or externally worn smart devices collect medication, first aid, surgery, treatment, rehabilitation data, body physiological metabolic index, and medical effect feedback evaluation data, all Data is automatically digitally identified; when patients leave the hospital, smart wearable devices collect data, home health service robots collect health data, and remote follow-up visits to the hospital or online to collect diagnosis and treatment data. All data are automatically digitally identified.
  • the scope of data collection includes: all routine data collection, such as atmospheric environment data, climate data, general sleep, diet, urine, and mental state, basic physiological indicators, and medical robots performing inspection and treatment data during visits and rounds; special data Selective collection, based on the logic of clinical diagnosis and treatment, referring to the main complaint of the patient and the potential main disease characteristics, with a clear purpose to collect special physical examination, laboratory examination, pathological examination data, as well as surgical and non-surgical treatment data, and efficacy evaluation data.
  • routine data collection such as atmospheric environment data, climate data, general sleep, diet, urine, and mental state, basic physiological indicators, and medical robots performing inspection and treatment data during visits and rounds
  • special data Selective collection based on the logic of clinical diagnosis and treatment, referring to the main complaint of the patient and the potential main disease characteristics, with a clear purpose to collect special physical examination, laboratory examination, pathological examination data, as well as surgical and non-surgical treatment data, and efficacy evaluation data.
  • Data types include: main and secondary diagnoses derived from the patient's main complaint, current medical history, physical examination, physical examination, laboratory examination, pathological examination, human medical knowledge map combined with the patient's current situation, and personalized Treatment plan data; during hospitalization, surgical treatment, non-surgical treatment, rehabilitation treatment data, diagnosis and treatment adjustment plan data, daily condition observation data, medical care rounds data, diagnosis and treatment effect evaluation data, according to the evolution of the condition, diagnosis and treatment real-time adjustment data; During out-of-hospital treatment, remote medical follow-ups, regular follow-ups in outpatient clinics, real-time medical and health data of patients recorded by smart devices; follow-up data.
  • Data forms include, but are not limited to: text, numbers, strings, symbols, images, audio, video, tables, and curves.
  • step 220 Data feature value extraction.
  • the data collected each time includes conventional structured data, semi-structured data, and unstructured data.
  • the data is collected by medical robots or other smart devices according to a preset plan. All data is intelligently annotated and processed in real time. Please refer to Figure 2.
  • the data processing flow includes the following steps: 231: Build a database of physical, psychological, and mental health parameters of human groups and subdivided groups, and build individual human physiology , Psychological and mental health parameter database.
  • human groups include groups of various countries, regions, races, ethnicities, genders, and ages, as well as mixed life groups composed of humans and machines.
  • Subdivided groups will The human population is further classified according to country, region, race, ethnicity, skin color, gender, age, blood type, gene pedigree, personality, hobby, and occupation, and the collected medical and health data are accumulated and collected to construct a database; 232: construct human population and details
  • the normal reference range and abnormal critical value range of physiological, psychological, and mental health parameters are divided into groups, and the normal reference range and abnormal critical value range of the physiological, psychological, and mental health parameters of each individual in the population are constructed.
  • the normal reference range is based on not exceeding 2 standard deviations of the data mean; 233: Feature value selection, based on the main complaint and/or main symptoms of the patient as the core event, and construct the associated feature value based on the index of all human medical knowledge maps Library.
  • the data categories of the feature value database include macroscopic examination index data of the 8 major systems of the human body and various organs of the body, as well as microscopic examination index data of cells and genes, as well as quantitative evaluation data of subjective indicators such as spirit and psychology.
  • the feature value range in step 233 is adjusted, and the range of patient data collected by medical robots, examination equipment, and smart devices connected to the Internet of Things is adjusted accordingly. Dynamically expand and construct the current diagnosis and treatment database.
  • the feature value library can also be expanded.
  • Medical robots, examination equipment, and smart devices connected to the Internet of Things can refer to the expanded feature value library to increase the range of patient data collection.
  • the current diagnosis and treatment database capacity dynamics Expansion the artificial intelligence medical decision-making system will further clarify the diagnosis and adjust the treatment plan.
  • the patient or his guardian Based on the willingness of the medical expense payer, before collecting patient data, the patient or his guardian needs to be consulted, with their informed consent, and with reference to the specific terms of the social medical insurance and commercial medical health insurance that the patient is insured before implementation. Similarly, if the diagnosis and treatment plan includes special examinations, special medications, and special operations, the patient or his guardian needs to be consulted, with their informed consent, and with reference to the relevant terms of the patient’s social medical insurance and commercial medical health insurance, the artificial intelligence diagnosis and treatment decision The system optimizes the selection of a program suitable for the patient and implements it.
  • Digital medical records are automatically generated, and the structure of digital medical records refers to the current outpatient medical records and inpatient medical records.
  • the hospitalization medical records include, but are not limited to: chief complaint, current medical history, past history, family history, history of marriage and childbirth, genetic genealogy, history of drug allergy, history of trauma and surgery, history of vaccination, physical examination, auxiliary examination, major Diagnosis, secondary diagnosis, diagnosis and treatment plan, doctor's order, informed consent notice, course record, operation record, discharge record, or similar structure above.
  • the outpatient medical record includes but not limited to: main complaint, current medical history, physical examination, auxiliary examination , Primary diagnosis, secondary diagnosis, diagnosis and treatment plan, informed consent notice, medical advice, course record, or similar structure.
  • the feature value data extracted in step 230 is automatically typeset and edited by the artificial intelligence medical decision-making system according to the logical relationship, and placed in In the structural format corresponding to the inpatient medical record or the outpatient medical record, the original data file and the current diagnosis and treatment database are attached to the corresponding structural format of the medical record in the form of a folder attachment.
  • the secondary diagnosis and treatment database data includes but is not limited to: when a patient enters the hospital, the patient enters the consulting room, the patient enters the ward, and the patient leaves the hospital for follow-up, the data set collected by categories, such as the patient entering the hospital collected by the smart device of the hospital enters the hospital Dynamic audio and video of the patient, the audio and video of the consultation when the patient enters the clinic, the patient's body data collected by the medical robot during the special physical examination, etc.; the original data file data includes but not limited to: past history, family history, marriage and childbirth history, genetic genealogy , Drug allergy history, trauma surgery history, vaccination history and other medical and health data, as well as the patient’s long-term residence atmospheric environment and climate data; logical relationships include but are not limited to: time sequence, causal link, potential causal link, primary and secondary relationship, parallel juxtaposition Relationship, cascade relationship, contrast arrangement, contradictory relationship, sequential relationship.
  • the feature value data of the past history part related to the current main complaint or disease is extracted and generated as part of the current medical history; among them, when the current diagnosis and treatment ends and the final treatment result is obtained, all the data of the current diagnosis and treatment process are automatically added to the patient's digital medical record
  • the display method includes a brief summary of the disease and a file attachment.
  • the brief summary includes the start and end time of the disease, main complaint, diagnosis, treatment plan, and outcome; of course, if the patient has not fully recovered and is in a state of continuing chronic disease, then The course of his chronic disease is still recorded in the current medical history structure format.
  • Digital medical records are encrypted to ensure data integrity, non-tampering, traceability of updates and additions, and release to cloud servers for storage.
  • Specific measures include, but are not limited to: digital medical record data, real-time writing to the public chain or industry private chain block, using blockchain technology, and publishing to the cloud server.
  • Users reading digital medical record data require smart contract authorization from the patient or their guardian.
  • Digital medical records are added and updated, the patient’s daily health monitoring data, regular follow-up data, home treatment data, and regular physical examination data are collected by the smart device and sent to the server via wireless communication.
  • the feature value is extracted in the same step 230, and the same step 240 is performed Real-time addition, automatic update of digital medical records.
  • the imprint includes but is not limited to: update time, update reason, update data source, trustworthiness of the data source, and performance rating.
  • the process 300 of the method for using digital medical records includes the following steps: 310: Digital medical record data is confirmed, the ownership of the patient's digital medical record data belongs to the patient, and the patient or his guardian needs to pay for the storage and maintenance of the digital medical record data.
  • the patient’s medical record data is kept by the visiting hospital, and only a small amount of outpatient and inpatient medical record data is handed over to the patient. If patients want to obtain their own medical records, they can only get a copy, and they need to be reviewed, approved and paid by the visiting hospital. The cost of copying, it seems that the ownership of the patient's medical records belongs to the hospital, and the hospital has the right to dispose of the patient's medical record data. In fact, when a patient goes to an outpatient clinic or a hospital, all medical expenses are paid, and the ownership of the data generated during the medical procedure should belong to the patient. Therefore, the ownership of the medical data generated by the patient belongs to the patient. Of course, after the medical treatment, the storage and maintenance costs of the digital medical record data will also be paid by the patient.
  • the patient agrees to use the desensitized digital medical record data for scientific and commercial research projects, by signing a smart contract, the patient does not have to pay for their digital medical record data cloud storage and maintenance costs. The fee is determined by the research project applicant based on the number of uses and data volume Paid.
  • the digital medical record data does not contain at least the patient’s name, identification information, biometric information, communication number, social ID, residential address, family information, and other data that may derive the patient’s specific identity.
  • biometric information includes but Not limited to face, fingerprint, DNA, gait, voiceprint, lip print recognition.
  • the medical service provider obtains the authorization of the patient or his guardian to sign a smart contract to enter the cloud server for free access and call, but it is only used by the medical service provider for the purpose of medical and health services during the medical treatment.
  • composition includes, but is not limited to: international organizations, national central governments, local governments, non-governmental organizations, or natural persons.
  • the purpose of calling includes the following 3 aspects: (1) the needs of patients to receive medical services; (2) the needs of public welfare research.
  • public welfare research includes, but is not limited to, epidemiological investigations, disease spectrum analysis, and malpractice Response investigation, independent investigation of disease diagnosis or therapeutic intervention effect, evaluation of the quality of health and medical services, and the results obtained by its research are provided for free sharing by all civilization; (3) The needs of commercial research, among which, commercial research applicants include but are not limited to drug dealers , Equipment manufacturers, insurance companies, organizations or individuals with specific business goals, the research results have clear business goals.
  • the scope of calling data includes, but is not limited to: digital medical records of specific diseases of a specific population, digital medical records of specific patient groups, and digital medical records of specific diseases.
  • the recalled data can be all the original data of the digital medical records, or can be extracted according to feature values.
  • the data can also be the effect data of a specific drug, a specific device, or a specific therapeutic intervention program, or it can be the side effect data of a specific drug, a specific device, or a specific therapeutic intervention program.
  • the calling applicant retrieves data from the digital medical record storage medium in accordance with the smart contract and under the full independent review and supervision of the legally responsible management of the digital medical record.
  • the data is only used by the specified applicant as agreed Specific purpose.
  • the incentive and punishment mechanism for the use of digital medical record data includes the following two aspects: (1) Patients or their guardians agree to use desensitized digital medical record data for scientific and commercial research and obtain rewards.
  • incentive measures include but are not limited to : Medical service appointment priority, major disease diagnosis and treatment cost reduction, medical insurance rate reduction, daily medical and health care cost reduction, free digital medical record data storage and maintenance; (2) The user ensures that the patient's digital medical record data is in accordance with the agreed use and use of the smart contract If users have malicious use, they will be punished. Punishment measures include, but are not limited to, fines, restrictions on use, blacklisting, and criminal liability.
  • the specific scope of malicious use includes, but is not limited to: theft of patient digital medical record data, leakage of patient digital medical record data, excessive use of digital medical record data, downloading and copying of original digital medical record data, collecting or attempting to collect patient private data.
  • the digital medical record display method of an embodiment of the present invention mainly includes two measures: (1)
  • the user interface adopts a structured digital medical record set.
  • the digital medical record set is a collection of all the patient’s medical and health record data, which can be arranged in order according to user habits. Arranged according to time, medical service provider, disease classification, main treatment measures (surgery, non-surgical), and calling applicants. Among them, past history, auxiliary examinations, surgical records, informed consent, and disease course records are combined with abstract files. Display in attachment mode. Through the summary and the folder attachment display method, the digital medical record interface is concise and clear. The user can know the basic information through the summary. If there is a specific need, access or click to read the data of the folder, thereby reducing the occupation of network bandwidth. Of course, if the user is a medical robot or uses an artificial intelligence solution to read the patient's digital medical record, he will access the required data on demand.
  • the patient digital medical record collection can provide a purely digital display solution, or it can generate a visual and interactive display interface solution through digital fitting processing.
  • the interface format is: consultation time 1-chief complaint-brief medical history-main diagnosis and secondary diagnosis-brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-outcome-treatment days-medical treatment Service provider [folder]; Visiting time 2-Chief complaint-Brief medical history-Main diagnosis and secondary diagnosis-Brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-Outcome-Treatment days-Medical service provider [Folder]; Visiting time 3-Chief complaint-Brief medical history-Main diagnosis and secondary diagnosis-Brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-Outcome-Treatment days-Medical service provider [Folder ⁇ ;. «
  • the interface format is: disease category 1-chief complaint-brief medical history-secondary diagnosis-brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-outcome-treatment days-medical service provision Fang [folder]; Type of disease 2-chief complaint-brief medical history-secondary diagnosis-brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-outcome-treatment days-medical service provider [folder]; Types of disease 3-chief complaint-brief medical history-secondary diagnosis-brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-outcome-treatment days-medical service provider [folder]; ....
  • the patient's digital medical record includes all of its medical data
  • the latest display interface is the digital medical record of the medical service provider at the time of the last medical visit.
  • the display format of the structured digital medical record set is not limited to one pattern.
  • the structured digital medical record set can adopt the format standard of any country, region, organization or medical service provider, and , Different format standards, display forms, and language categories can be freely converted according to user habits.
  • the digital medical record generation device includes at least: (1) IoT medical modules, including IoT-connected medical robots, nursing robots, pharmacy robots, and wearable smart medical and health care that can be placed inside or outside the body Monitoring and treatment equipment, providing medical consultation, physical examination, laboratory examination, pathological examination, nursing monitoring, emotional escort, surgical treatment, non-surgical treatment, rehabilitation treatment, and medical emergency services; (2) Data collection module, including audio collection and video collection , Image acquisition, quantitative index detection, data collected by medical robots and smart device microphones, computer vision sensors, and electrochemical sensors connected by the Internet of Things, through natural language and image recognition, and data processing, to obtain initial data required for diagnosis and treatment.
  • IoT medical modules including IoT-connected medical robots, nursing robots, pharmacy robots, and wearable smart medical and health care that can be placed inside or outside the body Monitoring and treatment equipment, providing medical consultation, physical examination, laboratory examination, pathological examination, nursing monitoring, emotional escort, surgical treatment, non-surgical treatment, rehabilitation treatment, and medical emergency services
  • Data collection module
  • the detection range of computer vision sensors includes but is not limited to: visible light, ultraviolet light, near infrared, infrared, far infrared, laser, radar, ultrasonic, X-ray, fluorescence, electric wave, magnetic wave, microscope; (3) data processing module,
  • the initial data collected by the data collection module constructs a database of human pathological, physiological, psychological, and mental health parameters.
  • the normal reference range and abnormal critical value range of human physiological, psychological, and mental health parameters are deduced and set.
  • the associated feature value database is constructed, and the initial data required for diagnosis and treatment is compared with the normal reference range and abnormality of the human or patient's past physiological, psychological, and mental health parameters.
  • the critical value range is compared, the important positive and negative characteristic values of the patient are obtained, the main diagnosis and the secondary diagnosis of the patient are obtained, and the diagnosis and treatment decisions are made, which are implemented by the treatment medical robot, and the curative effect data and patient feedback are evaluated in real time for guidance
  • the medical robot adjusts the diagnosis and treatment plan;
  • the digital medical record automatic generation module is used to refer to the current outpatient and inpatient electronic medical record formats, automatically typeset and edit the extracted feature value data according to the logical relationship, and set the corresponding structure of the hospitalized medical record or the outpatient medical record In the format, the monitored medical health data is added to the digital medical record, and the digital medical record is updated in real time;
  • the data security module uses blockchain technology and quantum cryptography technology to encrypt the digital medical record data to ensure the integrity of the data , Privacy, non-tamperable modification, update to add traceability;
  • the digital medical record call module in accordance with the smart contract, adopts the incentive and punishment mechanism, and under the independent review and supervision of the digital medical record
  • the readable storage medium of an embodiment of the present invention stores instructions, programs, code sets or instruction sets, and the instructions, the programs, the code sets or the instruction sets are loaded and executed by the processor to realize the generation, display, and display of digital medical records. use.
  • any reference to memory, storage, database or other media used in the embodiments provided in this application may include non-volatile and/or volatile memory.

Abstract

An unmanned smart hospital consisting of healthcare robots. Healthcare robot functional modules are selected on the basis of regional big data and hospital location, and multiple types of healthcare robots are configured in accordance with certain ratios, achieving collaborative and autonomous operation, providing all-day, 24 hour online and offline low-cost efficient healthcare service, decreasing the burden on healthcare workers.

Description

无人化智慧医院的架构、方法、系统Architecture, methods, and systems of unmanned smart hospitals 技术领域Technical field
本发明涉及智慧医院领域,尤其涉及一种无人化智慧医院的架构、方法及系统。The present invention relates to the field of smart hospitals, in particular to an architecture, method and system of an unmanned smart hospital.
背景技术Background technique
近10年,智慧医院概念越来越清晰,医院数字化进程明显加快,智慧医院包括5个要素,即:(1)跨机构互联互通;(2)自动化高效运营;(3)全流程重塑体验,以病人为中心,突破医院物理边界;(4)大数据驱动决策;(5)持续性创新。因此,逐步去中心化的医疗服务体系,智慧医院专注于核心业务,被数字化赋能的医护人员将为病人提供高质量诊疗、更好就医体验,并持续推动医疗服务创新。In the past 10 years, the concept of smart hospitals has become clearer and the digitalization of hospitals has accelerated significantly. Smart hospitals include five elements, namely: (1) Inter-institutional interconnection; (2) Automated and efficient operation; (3) Whole-process reshaping experience , Taking the patient as the center, breaking through the physical boundaries of the hospital; (4) Big data-driven decision-making; (5) Continuous innovation. Therefore, with a gradually decentralized medical service system, smart hospitals focus on core business, and digitally empowered medical staff will provide patients with high-quality diagnosis and treatment, better medical experience, and continue to promote medical service innovation.
目前智慧医院的构想由发达经济体引领,但忽略了一个关键,即发达经济体人口老龄化加剧,并且不可逆转,也就是说,未来20年,医疗机构从业人员将持续减少,而需要照顾的病人越来越多,肿瘤、慢性病、老年病等高负担病种占比越来越高。The current concept of smart hospitals is led by advanced economies, but it ignores a key point, that is, the aging of the population in advanced economies is intensifying and irreversible. In other words, in the next 20 years, the number of employees in medical institutions will continue to decrease, and the number of people who need to be taken care of will continue to be reduced. The number of patients is increasing, and the proportion of high-burden diseases such as tumors, chronic diseases, and senile diseases is increasing.
面对未来挑战,由医疗机器人为主体的无人化智慧医院,全天24小时提供线上和线下医疗服务,将弥补医护人员不足。Facing future challenges, unmanned smart hospitals dominated by medical robots will provide online and offline medical services 24 hours a day, which will make up for the shortage of medical staff.
技术问题technical problem
本发明目的是提供一种无人化智慧医院,全天24小时高效提供诊疗服务,弥补医护人员数量不足。The purpose of the present invention is to provide an unmanned smart hospital that efficiently provides diagnosis and treatment services 24 hours a day and makes up for the shortage of medical staff.
技术解决方案Technical solutions
本发明的一个实施例的无人化智慧医院架构包括门诊医疗机器人、急救医疗机器人、检查医疗机器人、情感陪护医疗机器人、转运医疗机器人、特殊检查医疗机器人、手术机器人、康复医疗机器人、药房机器人、清洁消毒医疗机器人,多个所述医疗机器人组合为无人化智慧医院。The unmanned smart hospital architecture of an embodiment of the present invention includes outpatient medical robots, emergency medical robots, inspection medical robots, emotional escort medical robots, transport medical robots, special inspection medical robots, surgical robots, rehabilitation medical robots, pharmacy robots, A cleaning and disinfecting medical robot, a combination of a plurality of the medical robots is an unmanned smart hospital.
优选地,所述门诊医疗机器人包括移动底盘、机械臂、机器人本体,所述机器人本体至少包括状态感知模块、环境感知模块、人机交互模块、生物识别模块、无线通讯模块、中央数据存储处理模块、智能药箱、显示屏幕、智能音箱。Preferably, the outpatient medical robot includes a mobile chassis, a robotic arm, and a robot body. The robot body includes at least a state perception module, an environment perception module, a human-computer interaction module, a biometric recognition module, a wireless communication module, and a central data storage and processing module. , Smart medicine cabinet, display screen, smart speaker.
优选地,所述急救医疗机器人包括移动底盘、机械臂和机器人本体,所述机械臂设置于机器人本体两侧,末端设置抓持结构、吸盘结构和辅诊结构,所述机器人本体至少包括生命支持模块、外科急救模块、智能仓储模块、警示设备。Preferably, the emergency medical robot includes a mobile chassis, a mechanical arm, and a robot body. The mechanical arms are arranged on both sides of the robot body. Module, surgical emergency module, intelligent storage module, warning equipment.
优选地,所述检查医疗机器人包括移动底盘、机械臂、机器人本体,所述机器人本体至少包括采样设备、检查设备。Preferably, the inspection medical robot includes a mobile chassis, a mechanical arm, and a robot body, and the robot body includes at least a sampling device and an inspection device.
优选地,所述药房机器人包括移动底盘、机器人本体,所述机器人本体至少包括三个箱体。Preferably, the pharmacy robot includes a mobile chassis and a robot body, and the robot body includes at least three boxes.
优选地,所述转运医疗机器人包括移动底盘、机器人本体,所述机器人本体为可变形结构。Preferably, the medical transport robot includes a mobile chassis and a robot body, and the robot body is a deformable structure.
优选地,所述康复医疗机器人包括移动底盘、机械臂、机器人本体,所述机器人本体至少包括手功能康复设备、上肢功能康复设备、下肢功能康复设备、语言康复训练设备。Preferably, the rehabilitation medical robot includes a mobile chassis, a mechanical arm, and a robot body, and the robot body includes at least hand function rehabilitation equipment, upper limb function rehabilitation equipment, lower limb function rehabilitation equipment, and language rehabilitation training equipment.
优选地,所述手术机器人包括移动底盘、机械臂、机器人本体,所述机器人本体至少包括常规微创外科手术设备、单细胞微纳米手术治疗设备和介入探查治疗设备。Preferably, the surgical robot includes a mobile chassis, a mechanical arm, and a robot body. The robot body includes at least conventional minimally invasive surgical equipment, single-cell micro-nano surgical treatment equipment, and interventional exploration treatment equipment.
优选地,所述清洁消毒医疗机器人包括移动底盘、机器人本体,所述机器人本体至少包括擦地设备、喷雾设备、制臭氧机、空气净化设备。Preferably, the cleaning and disinfecting medical robot includes a mobile chassis and a robot body, and the robot body includes at least a floor scrubbing device, a spraying device, an ozone generator, and an air purification device.
优选地,所述特殊检查医疗机器人包括移动底盘、机械臂、机器人本体,所述机器人本体至少包括CT设备、MRI设备、PET设备、超声检查设备。Preferably, the special inspection medical robot includes a mobile chassis, a mechanical arm, and a robot body, and the robot body includes at least CT equipment, MRI equipment, PET equipment, and ultrasound inspection equipment.
优选地,所述门诊医疗机器人扮演男性医师、女性医师或卡通类型医师,扮演不同时代各国名医,采用多种语言提供服务。Preferably, the outpatient medical robot plays the role of a male doctor, a female doctor or a cartoon type doctor, plays the role of a famous doctor from various countries in different eras, and provides services in multiple languages.
本发明的一个实施例的无人化智慧医院方法包括医疗机器人组合配置、医疗机器人组合分工、医疗机器人组合运营、数字病历运行。The unmanned smart hospital method of an embodiment of the present invention includes combined configuration of medical robots, combined division of labor of medical robots, combined operation of medical robots, and operation of digital medical records.
优选地,所述医疗机器人组合配置包括:(a)微型医疗机构配置1个门诊医疗机器人、1个检查医疗机器人、1个情感陪护医疗机器人、1个药房机器人、1个清洁消毒医疗机器人;(b)小型医疗机构配置2~5个门诊医疗机器人、2~5个情感陪护医疗机器人、1个检查医疗机器人、1个急救医疗机器人、2个药房机器人、1个清洁消毒医疗机器人;(c)中型医疗机构配置6~20个门诊医疗机器人、6~20个情感陪护医疗机器人、2个检查医疗机器人、1个急救医疗机器人、3个药房机器人、1个转运医疗机器人、1个康复医疗机器人、1个清洁消毒医疗机器人;(d)大型医疗机构配置21-50个门诊医疗机器人、3-5个检查医疗机器人、21-50个情感陪护医疗机器人、5个药房机器人、2个急救医疗机器人、3个转运医疗机器人、1个特殊检查医疗机器人、1个手术机器人、2个康复医疗机器人、2个清洁消毒医疗机器人。Preferably, the medical robot combination configuration includes: (a) a micro-medical institution is configured with 1 outpatient medical robot, 1 examination medical robot, 1 emotional escort medical robot, 1 pharmacy robot, and 1 cleaning and disinfection medical robot; ( b) Small medical institutions are equipped with 2~5 outpatient medical robots, 2~5 emotional escort medical robots, 1 examination medical robot, 1 emergency medical robot, 2 pharmacy robots, and 1 cleaning and disinfection medical robot; (c) Medium-sized medical institutions are equipped with 6-20 outpatient medical robots, 6-20 emotional escort medical robots, 2 examination medical robots, 1 emergency medical robot, 3 pharmacy robots, 1 transport medical robot, 1 rehabilitation medical robot, 1 cleaning and disinfection medical robot; (d) Large medical institutions are equipped with 21-50 outpatient medical robots, 3-5 medical examination robots, 21-50 emotional escort medical robots, 5 pharmacy robots, 2 emergency medical robots, 3 transport medical robots, 1 special inspection medical robot, 1 surgical robot, 2 rehabilitation medical robots, 2 cleaning and disinfection medical robots.
优选地,所述医疗机器人组合分工包括:门诊医疗机器人承担接诊、基础药房、基本治疗服务;急救医疗机器人在医院、公共区域待命或巡回,提供紧急医疗救助;检查医疗机器人承担化验分析、病理检查、物理检查服务;情感陪护医疗机器人承担导诊、陪诊、情绪安抚、心理咨询及治疗服务;特殊检查医疗机器人提供特需检查服务;药房机器人承担药师服务和药事服务;转运医疗机器人承担病人转移、医疗物资配送服务;康复医疗机器人承担康复训练;手术机器人实施手术和介入探查治疗;清洁消毒医疗机器人实施清洁和消毒作业。Preferably, the combined division of medical robots includes: outpatient medical robots undertaking consultations, basic pharmacies, and basic treatment services; emergency medical robots on standby or touring in hospitals and public areas to provide emergency medical assistance; inspection medical robots undertaking laboratory analysis and pathology Inspection and physical inspection services; emotional escort medical robots provide guidance, escort, emotional comfort, psychological consultation and treatment services; special inspection medical robots provide special inspection services; pharmacy robots provide pharmacist services and pharmacy services; medical robots take care of patients Transfer and medical material distribution services; rehabilitation medical robots undertake rehabilitation training; surgical robots perform surgery and interventional exploration and treatment; cleaning and disinfection medical robots perform cleaning and disinfection operations.
优选地,所述医疗机器人组合运营包括:(1)运营主体可以购买医疗机器人,也可租赁医疗机器人;(2)配备水、电、气、道路、房屋、通讯,部署医院;(3)依据协议,由第三方提供其他相关服务,保障医院正常运转;(4)依据协议,医疗机构之间的医疗机器人可互相调配,满足服务需求。Preferably, the combined operation of the medical robot includes: (1) The operating entity can purchase or lease medical robots; (2) Equipped with water, electricity, gas, roads, houses, communications, and deploy hospitals; (3) Basis According to the agreement, a third party provides other related services to ensure the normal operation of the hospital; (4) According to the agreement, medical robots between medical institutions can be deployed with each other to meet service needs.
优选地,所述数字病历运行流程100包括如下步骤:110:既往医疗数据获取;120:当次诊疗数据获取;130:数据特征值提取;140:数字病历自动生成;150:数字病历数据加密,云服务器存储;160:数字病历更新;170:数字病历数据确权;180:数字病历调用;190:数字病历数据使用的激励和惩罚。Preferably, the digital medical record operation process 100 includes the following steps: 110: acquisition of past medical data; 120: acquisition of current diagnosis and treatment data; 130: data feature value extraction; 140: automatic generation of digital medical records; 150: encryption of digital medical records, Cloud server storage; 160: digital medical record update; 170: digital medical record data confirmation; 180: digital medical record call; 190: incentives and penalties for the use of digital medical record data.
优选地,所述医疗机器人组合配置可依据医院所在地域大数据,结合医院定位,选配医疗机器人功能模块,调整医疗机器人配置比例。Preferably, the combined configuration of the medical robots can be based on the big data of the local area of the hospital, combined with the positioning of the hospital, select the functional modules of the medical robots, and adjust the configuration ratio of the medical robots.
本发明的一个实施例的无人化智慧医院系统包括医院自主组织系统、运行系统、第三方服务系统、移动智能终端,所述医院自主组织系统包括自主安排病人诊疗服务,自主决定医疗机器人调配,自主采购第三方服务,自主按照运营主体意愿实施财务管理。The unmanned smart hospital system of an embodiment of the present invention includes a hospital autonomous organization system, an operating system, a third-party service system, and a mobile intelligent terminal. The hospital autonomous organization system includes autonomously arranging patient diagnosis and treatment services and autonomously determining the deployment of medical robots. Procurement of third-party services independently, and implement financial management independently in accordance with the wishes of the operating entity.
有益效果Beneficial effect
(1)本发明的一种无人化智慧医院架构包括了门诊医疗机器人、检查医疗机器人、情感陪护医疗机器人、转运医疗机器人、特殊检查医疗机器人、手术机器人、康复医疗机器人、药房机器人和清洁消毒医疗机器人,其基本涵盖现代医院诊疗服务的主体,尤其是门诊医疗机器人可扮演男性医师、女性医师或卡通医师、各国名医,用各国语言提供医学服务,减轻医院对医护人员依赖。(1) An unmanned smart hospital architecture of the present invention includes outpatient medical robots, inspection medical robots, emotional escort medical robots, transport medical robots, special inspection medical robots, surgical robots, rehabilitation medical robots, pharmacy robots, and cleaning and disinfection Medical robots basically cover the main body of modern hospital diagnosis and treatment services. In particular, outpatient medical robots can act as male doctors, female doctors or cartoon doctors, famous doctors from all over the world, provide medical services in various languages, and reduce the hospital’s dependence on medical staff.
(2)本发明的一种无人化智慧医院方法包括医疗机器人组合配置、医疗机器人组合分工、医疗机器人组合运营和数字病历运行,依据大数据分析,结合医院定位,选配医疗机器人功能模块,调整医疗机器人配置比例,医疗机器人协同作业,每天24小时提供线上和线下医疗服务,减轻医护人员劳动强度,提高诊疗效率。(2) An unmanned smart hospital method of the present invention includes medical robot combination configuration, medical robot combination division of labor, medical robot combination operation and digital medical record operation, based on big data analysis, combined with hospital positioning, and selection of medical robot function modules, Adjust the proportion of medical robots, medical robots work together, provide online and offline medical services 24 hours a day, reduce the labor intensity of medical staff, and improve the efficiency of diagnosis and treatment.
(3)本发明的无人化智慧医院的医疗机器人和智能设备实时采集医疗健康数据,均能作为患者疾病诊疗依据,将扩大患者主诉和主要症状范围,发现患者未察觉的健康问题,同时,提供鉴别患者提出的主诉和主要症状的真实性依据,减少医疗资源不必要浪费。(3) The medical robots and smart devices of the unmanned smart hospital of the present invention collect medical and health data in real time, which can be used as the basis for diagnosis and treatment of patients' diseases. It will expand the scope of patient complaints and main symptoms, and discover health problems that patients are not aware of. At the same time, Provide the authenticity basis for identifying the main complaints and main symptoms of patients, and reduce unnecessary waste of medical resources.
(4)患者预约时即调阅患者既往全部医疗健康数据,结合患者主诉和主要症状,可提前制定诊疗计划,预先做好必要准备,提高医疗资源利用效率。(4) When the patient makes an appointment, he can access all the previous medical and health data of the patient. Combining the main complaint and main symptoms of the patient, the diagnosis and treatment plan can be formulated in advance, and necessary preparations can be made in advance to improve the efficiency of medical resource utilization.
(5)医疗机器人和智能监测设备采集的数据,在数据进行采集时,对数据预先智能化标注,经过人工智能系统处理,自动化生成数字病历,实现数字病历实时更新,保证医疗记录真实、及时、可靠。(5) For data collected by medical robots and intelligent monitoring equipment, when data is collected, the data is pre-intelligently labeled, processed by the artificial intelligence system, and digital medical records are automatically generated to realize real-time updates of digital medical records to ensure that medical records are true, timely, and reliable.
(6)数字病历数据进行确权,明确数字病历数据属于患者私人财产,在目前既有法理基础上,即私有财产不得侵犯,患者数据隐私得到强力保护,数字病历数据将得到充分高效流通,彻底解决医院病历数据孤岛问题,促进人类医学进步。(6) Confirm the rights of digital medical record data, and make it clear that digital medical record data belongs to the patient’s private property. On the basis of the current existing legal principles, that is, private property is inviolable, patient data privacy is strongly protected, and digital medical record data will be fully and efficiently circulated. Solve the island problem of hospital medical records and promote the advancement of human medicine.
(7)数字病历注重内容,不注重具体格式,且格式依据用户习惯可自由转换,便于数字病历数据在全球无障碍流通。(7) Digital medical records focus on content, not specific formats, and the formats can be freely converted according to user habits, facilitating the barrier-free circulation of digital medical record data around the world.
(8)数字病历使用方法明确数字病历所有权人知情同意原则和奖惩机制,即保障数字病历数据相关各方权益,又尊重了谁受益谁付费经济学原理,促进医疗数据资源全球交易流通。(8) The use of digital medical records clarifies the principle of informed consent and rewards and punishments for owners of digital medical records, that is, guarantees the rights and interests of all parties involved in digital medical record data, and respects the economic principles of who benefits and pays, and promotes the global transaction and circulation of medical data resources.
(9)本发明的医院自主组织系统依据病人健康状况、病情的轻重缓急和病人主要述求,医院自主安排病人诊疗,自主决定医疗机器人工作调配,自主采购第三方服务,自主按照运营主体意愿实施财务管理,让病人获得最优化诊疗服务,基本实现无人化的智慧医院功能。(9) The autonomous organization system of the hospital of the present invention is based on the patient’s health status, the severity of the illness and the patient’s main requirements. The hospital arranges patient diagnosis and treatment independently, decides on the deployment of medical robots, autonomously purchases third-party services, and independently implements finance in accordance with the wishes of the operating entity. Management allows patients to obtain optimal diagnosis and treatment services, and basically realizes the function of an unmanned smart hospital.
本发明的最佳实施方式The best mode of the present invention
本发明的较佳实施例的无人化智慧医院架构包括门诊医疗机器人、急救医疗机器人、检查医疗机器人、情感陪护医疗机器人、转运医疗机器人、特殊检查医疗机器人、手术机器人、康复医疗机器人、药房机器人、清洁消毒医疗机器人,多个所述医疗机器人组合为无人化智慧医院。The unmanned intelligent hospital architecture of the preferred embodiment of the present invention includes outpatient medical robots, emergency medical robots, inspection medical robots, emotional escort medical robots, transport medical robots, special inspection medical robots, surgical robots, rehabilitation medical robots, and pharmacy robots 1. A cleaning and disinfecting medical robot, a combination of a plurality of the medical robots is an unmanned smart hospital.
本发明的较佳实施例的无人化智慧医院方法包括医疗机器人配置、医疗机器人分工、医院运营、数字病历运行。The unmanned smart hospital method of the preferred embodiment of the present invention includes medical robot configuration, medical robot division of labor, hospital operation, and digital medical record operation.
所述医疗机器人组合配置包括:(a)微型医疗机构配置1个门诊医疗机器人、1个检查医疗机器人、1个情感陪护医疗机器人、1个药房机器人、1个清洁消毒医疗机器人;(b)小型医疗机构配置2~5个门诊医疗机器人、2~5个情感陪护医疗机器人、1个检查医疗机器人、1个急救医疗机器人、2个药房机器人、1个清洁消毒医疗机器人;(c)中型医疗机构配置6~20个门诊医疗机器人、6~20个情感陪护医疗机器人、2个检查医疗机器人、1个急救医疗机器人、3个药房机器人、1个转运医疗机器人、1个康复医疗机器人、1个清洁消毒医疗机器人;(d)大型医疗机构配置21-50个门诊医疗机器人、3-5个检查医疗机器人、21-50个情感陪护医疗机器人、5个药房机器人、2个急救医疗机器人、3个转运医疗机器人、1个特殊检查医疗机器人、1个手术机器人、2个康复医疗机器人、2个清洁消毒医疗机器人。The medical robot combination configuration includes: (a) a micro-medical institution is equipped with 1 outpatient medical robot, 1 examination medical robot, 1 emotional escort medical robot, 1 pharmacy robot, 1 cleaning and disinfection medical robot; (b) Small size Medical institutions are equipped with 2~5 outpatient medical robots, 2~5 emotional escort medical robots, 1 examination medical robot, 1 emergency medical robot, 2 pharmacy robots, 1 cleaning and disinfection medical robot; (c) Medium-sized medical institutions Configure 6-20 outpatient medical robots, 6-20 emotional escort medical robots, 2 inspection medical robots, 1 emergency medical robot, 3 pharmacy robots, 1 transfer medical robot, 1 rehabilitation medical robot, and 1 cleaning robot Sterilizing medical robots; (d) Large-scale medical institutions are equipped with 21-50 outpatient medical robots, 3-5 examination medical robots, 21-50 emotional escort medical robots, 5 pharmacy robots, 2 emergency medical robots, and 3 transporters Medical robots, 1 special inspection medical robot, 1 surgical robot, 2 rehabilitation medical robots, 2 cleaning and disinfection medical robots.
所述医疗机器人组合分工包括:门诊医疗机器人承担接诊、基础药房、基本治疗服务;急救医疗机器人在医院、公共区域待命或巡回,提供紧急医疗救助;检查医疗机器人承担化验分析、病理检查、物理检查服务;情感陪护医疗机器人承担导诊、陪诊、情绪安抚、心理咨询及治疗服务;特殊检查医疗机器人提供特需检查服务;药房机器人承担药师服务和药事服务;转运医疗机器人承担病人转移、医疗物资配送服务;康复医疗机器人承担康复训练;手术机器人实施手术和介入探查治疗;清洁消毒医疗机器人实施清洁和消毒作业。The medical robot combination division includes: outpatient medical robots are responsible for receiving consultations, basic pharmacies, and basic treatment services; emergency medical robots are on standby or touring in hospitals and public areas to provide emergency medical assistance; inspection medical robots are responsible for laboratory analysis, pathological examinations, and physical Inspection services; emotional escort medical robots provide guidance, escort, emotional comfort, psychological consultation and treatment services; special inspection medical robots provide special inspection services; pharmacy robots provide pharmacist services and pharmacy services; transfer medical robots undertake patient transfer and medical care Material distribution services; rehabilitation medical robots undertake rehabilitation training; surgical robots perform surgery and interventional exploration and treatment; cleaning and disinfection medical robots perform cleaning and disinfection operations.
所述医院运营包括:(1)运营主体可以购买医疗机器人,也可租赁医疗机器人;(2)配备水、电、气、道路、房屋、通讯,部署医院;(3)依据协议,由第三方提供其他相关服务,保障医院正常运转;(4)依据协议,医疗机构之间的医疗机器人可互相调配,满足服务需求;(5)诊疗服务费用来自保险、自费、政府基金、慈善基金。The operation of the hospital includes: (1) The operating entity can purchase or lease medical robots; (2) Equipped with water, electricity, gas, roads, houses, and communications, and deploy hospitals; (3) According to the agreement, a third party Provide other related services to ensure the normal operation of the hospital; (4) According to the agreement, medical robots between medical institutions can be deployed to meet service needs; (5) The cost of diagnosis and treatment services comes from insurance, self-finance, government funds, and charity funds.
所述数字病历运行流程100包括如下步骤:110:既往医疗数据获取;120:当次诊疗数据获取;130:数据特征值提取;140:数字病历自动生成;150:数字病历数据加密,云服务器存储;160:数字病历更新;170:数字病历数据确权;180:数字病历调用;190:数字病历数据使用激励和惩罚机制。The digital medical record operation process 100 includes the following steps: 110: previous medical data acquisition; 120: current diagnosis and treatment data acquisition; 130: data feature value extraction; 140: digital medical record automatic generation; 150: digital medical record data encryption, cloud server storage ; 160: Digital medical record update; 170: Digital medical record data confirmation; 180: Digital medical record call; 190: Digital medical record data use incentive and punishment mechanism.
本发明较佳实施例的无人化智慧医院系统包括医院自主组织系统、运行系统、第三方服务系统、移动智能终端,所述医院自主组织系统包括自主安排病人诊疗服务,自主决定医疗机器人调配,自主采购第三方服务,自主按照运营主体意愿实施财务管理;所述运行系统包括软件和算法;所述第三方服务系统包括5G、云服务、医疗数据加密系统、智能诊疗系统、远程医疗系统、供应链、物流运输系统、智能门禁系统、费用结算系统、医疗机器人维护、医疗用品洗涤和消毒。The unmanned smart hospital system of the preferred embodiment of the present invention includes a hospital autonomous organization system, an operating system, a third-party service system, and a mobile intelligent terminal. The hospital autonomous organization system includes autonomously arranging patient diagnosis and treatment services and autonomously determining the deployment of medical robots. Procurement of third-party services independently, and implement financial management independently in accordance with the wishes of operating entities; the operating system includes software and algorithms; the third-party service system includes 5G, cloud services, medical data encryption systems, intelligent diagnosis and treatment systems, telemedicine systems, and supply Chain, logistics and transportation systems, intelligent access control systems, expense settlement systems, maintenance of medical robots, washing and disinfection of medical supplies.
本发明的实施方式Embodiments of the present invention
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不是用于限制本发明。In order to make the objectives, technical solutions, and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with embodiments. It should be understood that the specific embodiments described here are only used to explain the present invention, but not to limit the present invention.
1.无人化智慧医院搭建。1. Construction of unmanned smart hospital.
1.1选址布局。1.1 Site selection layout.
本发明一个实施例的无人化智慧医院类型包括微型智慧医院、小型智慧医院、中型智慧医院、大型智慧医院,其服务能力分别相当于常规的个体诊所、门诊部、一级医院、二级医院。The types of unmanned smart hospitals in an embodiment of the present invention include micro smart hospitals, small smart hospitals, medium smart hospitals, and large smart hospitals. Their service capabilities are respectively equivalent to conventional individual clinics, outpatient departments, first-level hospitals, and second-level hospitals. .
预定服务半径区域范围,采集并分析居民人口数量、人口组成、经济状况、交通状况、疾病谱系、就医习惯、同业服务能力、同业服务特色、同业位置分布等大数据,选择地址设置无人化智慧医院。一般来说,医疗机构相对稀缺,或医疗力量薄弱的区域,微型智慧医院、小型智慧医院、中型智慧医院、大型智慧医院按照30:10:3:1比例设置;大中型医疗机构相对集中的区域,见缝插针,设置微型智慧医院和小型智慧医院;中小型医疗机构相对集中的区域,则微型智慧医院、小型智慧医院、中型智慧医院、大型智慧医院按10:5:3:1比例设置。另外,医院所在地,需要配备水、电、气、道路、房屋或帐篷、通讯等基础服务设施。此外,无人化智慧医院运行一段时间,根据实际业务量、疾病种类及数量,无人化智慧医院的规模和设置比例,适当进行调整。Predetermine the service radius area, collect and analyze big data such as the number of residents, population composition, economic conditions, traffic conditions, disease spectrum, medical habits, inter-industry service capabilities, inter-industry service characteristics, inter-industry location distribution, etc., select the address to set up unmanned wisdom hospital. Generally speaking, in areas where medical institutions are relatively scarce or have weak medical capabilities, micro-smart hospitals, small-sized smart hospitals, medium-sized smart hospitals, and large-sized smart hospitals are set up at a ratio of 30:10:3:1; areas where large and medium-sized medical institutions are relatively concentrated In areas where small and medium-sized medical institutions are relatively concentrated, micro-smart hospitals, small-sized smart hospitals, medium-sized smart hospitals, and large-sized smart hospitals are set up at a ratio of 10:5:3:1. In addition, the location of the hospital needs to be equipped with basic service facilities such as water, electricity, gas, roads, houses or tents, and communications. In addition, the unmanned smart hospital will operate for a period of time, and the scale and setting ratio of the unmanned smart hospital will be appropriately adjusted according to the actual business volume, type and number of diseases.
1.2医疗机器人配置组合和功能模块选择。1.2 Medical robot configuration combination and functional module selection.
1.2.1本发明一个实施例的医疗机器人组合配置方案如下:(a)微型医疗机构,配置1个门诊医疗机器人、1个检查医疗机器人、1个情感陪护医疗机器人、1个药房机器人、1个清洁消毒医疗机器人,为承担居民区小医疗诊所服务的最小功能单元;(b)小型医疗机构,配置2~5个门诊医疗机器人、2~5个情感陪护医疗机器人、1个检查医疗机器人、2个药房机器人、1个清洁消毒医疗机器人,承担居民社区门诊部服务功能;(c)中型医疗机构,配置6~20个门诊医疗机器人、6~20个情感陪护医疗机器人、2个检查医疗机器人、3个药房机器人、1个转运医疗机器人、1个手术机器人、1个康复医疗机器人、1个清洁消毒医疗机器人,承担一定区域内小型综合医院服务功能;(d)大型医疗机构,配置21-50个门诊医疗机器人、3-5个检查医疗机器人、21-50个情感陪护医疗机器人、3个转运医疗机器人、5个药房机器人、1个特殊检查医疗机器人、2个手术机器人、2个康复医疗机器人、2个清洁消毒医疗机器人,承担一定区域内大型综合医院服务功能。1.2.1 The medical robot combination configuration scheme of an embodiment of the present invention is as follows: (a) A micro-medical institution, equipped with 1 outpatient medical robot, 1 examination medical robot, 1 emotional escort medical robot, 1 pharmacy robot, and 1 The cleaning and disinfecting medical robot is the smallest functional unit that undertakes the services of small medical clinics in residential areas; (b) Small medical institutions are equipped with 2~5 outpatient medical robots, 2~5 emotional escort medical robots, 1 inspection medical robot, 2 One pharmacy robot, one cleaning and disinfecting medical robot, undertaking the service function of the residential community outpatient department; (c) Medium-sized medical institutions, equipped with 6-20 outpatient medical robots, 6-20 emotional escort medical robots, 2 inspection medical robots, 3 pharmacy robots, 1 transport medical robot, 1 surgical robot, 1 rehabilitation medical robot, 1 cleaning and disinfection medical robot, which undertake the service functions of small general hospitals in a certain area; (d) large medical institutions, with 21-50 1 outpatient medical robot, 3-5 inspection medical robots, 21-50 emotional escort medical robots, 3 transport medical robots, 5 pharmacy robots, 1 special inspection medical robot, 2 surgical robots, 2 rehabilitation medical robots , 2 cleaning and disinfecting medical robots, undertaking the service functions of large-scale general hospitals in a certain area.
1.2.2本发明一个实施例的医疗机器人功能模块配置方案如下:门诊医疗机器人功能模块至少包括移动底盘、机械臂、机器人本体,其移动底盘采用轮式智能移行结构,自主导航移行到预定服务位置,其机械臂采用类人多关节手臂和类人手结构,至少设置立体视觉传感器、照明设备、电子鼻传感器、叩诊锤、智能听诊器、压力传感器阵列、测温传感器、脉搏传感器、血压传感器、血氧饱和度传感器,其机器人本体至少包括状态感知模块、环境感知模块、人机交互模块、生物识别模块、无线通讯模块、中央数据存储处理模块、智能药箱、显示屏幕、智能音箱。门诊医疗机器人采用病人母语及其熟悉的方言俚语接诊,选择病人容易接受的方式人机交互,实施西医的问诊、查体、必要时申请进一步的检查,明确西医诊断,也可以实施中医的望闻问切,明确中医诊断,也可以实施其他民族医学看诊。智能药箱收纳最常用的30种药品,供病人看诊后及时拿到药品并获取药品服用注意事项服务。1.2.2 The functional module configuration scheme of the medical robot according to an embodiment of the present invention is as follows: The functional module of the outpatient medical robot includes at least a mobile chassis, a robotic arm, and a robot body. The mobile chassis adopts a wheeled intelligent migration structure and autonomously navigates to a predetermined service location. , Its mechanical arm adopts human-like multi-joint arm and human-like hand structure, with at least stereo vision sensor, lighting equipment, electronic nose sensor, percussion hammer, smart stethoscope, pressure sensor array, temperature sensor, pulse sensor, blood pressure sensor, blood oxygen The saturation sensor, the robot body at least includes a state perception module, an environment perception module, a human-computer interaction module, a biometric recognition module, a wireless communication module, a central data storage processing module, a smart medicine cabinet, a display screen, and a smart speaker. The outpatient medical robot adopts the patient’s native language and familiar dialects and slang to receive consultations. It chooses the human-computer interaction in a way that is easy for the patient to conduct consultations and physical examinations of Western medicine, and if necessary, apply for further examinations to clarify the diagnosis of Western medicine. See, hear, and ask, clarify the diagnosis of traditional Chinese medicine, and you can also perform medical consultations of other ethnic groups. The smart medicine box stores the most commonly used 30 kinds of medicines, so that patients can get the medicines in time after seeing a doctor and get the service of precautions for taking medicines.
检查医疗机器人功能模块至少包括移动底盘、机械臂、机器人本体,其移动底盘采用履带式智能移行结构,其机械臂采用类人手臂和机械手,机械手设置夹持结构和吸盘结构,其机器人本体至少包括采样设备、检查设备、医疗废物处理设备、清洁消毒设备,其采样装置至少包括自动化采集指血和静脉血设备、自动化采集来自口腔、呼吸道、泌尿生殖道、创面、乳汁、汗液等分泌物设备、自动化采集尿便的智能马桶、自动化采集活体检材设备,其检查设备至少包括全自动血液分析仪、全自动生化分析仪、全自动微生物检测分析仪、全自动免疫分析仪、全自动尿便分泌物分析仪、全自动病理检查仪、全自动心电图检查仪、全自动脑电图检查仪、全自动超声波检查仪、全自动X光检查仪、全自动胃肠镜检查仪、全自动肺功能检查仪、全自动眼功能检查仪,承担化验分析、病理检查、X光检查、超声检查、心电图检查、脑电图检查、胃肠功能检查、肺功能检查、眼功能检查服务。The functional modules of the inspection medical robot include at least a mobile chassis, a mechanical arm, and a robot body. The mobile chassis adopts a crawler-type intelligent migration structure. The mechanical arm adopts a humanoid arm and a manipulator. Sampling equipment, inspection equipment, medical waste treatment equipment, cleaning and disinfection equipment. The sampling devices include at least automated finger blood and venous blood collection equipment, automated collection of secretions from the oral cavity, respiratory tract, genitourinary tract, wounds, milk, sweat, etc. Intelligent toilets that automatically collect urine and stools, automatic collection of biopsy materials, and their inspection equipment at least include automatic blood analyzers, automatic biochemical analyzers, automatic microbial detection analyzers, automatic immune analyzers, and automatic urine and stool secretion Bioanalyzer, Fully Automatic Pathology Tester, Fully Automatic ECG Tester, Fully Automatic EEG Tester, Fully Automatic Ultrasound Tester, Fully Automatic X-ray Tester, Fully Automatic Gastrointestinal Endoscopy, Fully Automatic Pulmonary Function Test Instrument, automatic eye function tester, undertake laboratory analysis, pathological examination, X-ray examination, ultrasound examination, electrocardiogram examination, electroencephalogram examination, gastrointestinal function examination, lung function examination, eye function examination services.
情感陪护医疗机器人功能模块至少包括移动底盘、机械臂、机器人本体,其移动底盘采用轮式智能移行结构,其机械臂采用类人手臂和机械手,其机器人本体至少包括状态感知模块、环境感知模块、人机交互模块、生物识别模块、无线通讯模块、中央数据存储处理模块、显示屏幕、智能音箱,承担导诊、陪诊、情绪安抚、心理咨询及治疗服务。The functional modules of the emotional escort medical robot include at least a mobile chassis, a robot arm, and a robot body. The mobile chassis adopts a wheeled intelligent migration structure. Its robot arm uses a humanoid arm and a manipulator. Human-computer interaction module, biometric module, wireless communication module, central data storage and processing module, display screen, smart speaker, undertake medical guidance, escort, emotional comfort, psychological consultation and treatment services.
特殊检查医疗机器人功能模块至少包括移动底盘、机械臂、机器人本体,其移动底盘采用履带式智能移行结构,其机械臂采用类人手臂和机械手,其机器人本体至少包括全自动CT设备、全自动MRI设备、全自动PET设备、全自动超声设备,提供CT、MRI、PET-CT、PET-MRI检查服务。The functional modules of the special inspection medical robot include at least a mobile chassis, a robot arm, and a robot body. Its mobile chassis adopts a crawler-type intelligent migration structure. Its robot arm uses a humanoid arm and a manipulator. Equipment, automatic PET equipment, automatic ultrasound equipment, providing CT, MRI, PET-CT, PET-MRI inspection services.
药房机器人功能模块至少包括移动底盘、机器人本体,其移动底盘采用轮式智能移行结构,其机器人本体至少包括三个相对独立箱体,分别用于固体药品、液体药品、医用耗材的智能化发货、补货、盘货业务。The functional modules of the pharmacy robot include at least a mobile chassis and a robot body. The mobile chassis adopts a wheeled intelligent migration structure. The robot body includes at least three relatively independent boxes, which are used for the intelligent delivery of solid medicines, liquid medicines, and medical consumables. , Replenishment, inventory business.
转运医疗机器人功能模块至少包括移动底盘、机器人本体,其移动底盘采用履带式智能移行结构,机器人本体为可变形结构,依据需求至少可变换为转移病人智能导航担架车、智能导航轮椅和转运医疗物质的智能导航运送车,承担病人转移、医疗物资配送服务。The functional modules of the medical transfer robot include at least a mobile chassis and a robot body. The mobile chassis adopts a crawler-type intelligent migration structure. The robot body is a deformable structure and can at least be transformed into a patient-transferring intelligent navigation stretcher cart, an intelligent navigation wheelchair, and transferring medical substances according to needs. The intelligent navigation vehicle of the company is responsible for patient transfer and medical material distribution services.
康复医疗机器人功能模块至少包括移动底盘、机械臂、机器人本体,其移动底盘采用履带式智能移行结构,其机械臂采用类人手臂和机械手,其机器人本体至少包括人机交互设备、全自动手功能康复设备、全自动上肢功能康复设备、全自动下肢功能康复设备、全自动语言康复训练设备。The functional modules of the rehabilitation medical robot include at least a mobile chassis, a mechanical arm, and a robot body. The mobile chassis adopts a crawler-type intelligent migration structure. Rehabilitation equipment, fully automatic upper limb function rehabilitation equipment, fully automatic lower limb function rehabilitation equipment, and fully automatic language rehabilitation training equipment.
手术机器人功能模块至少包括移动底盘、机械臂、机器人本体,其移动底盘采用履带式智能移行结构,其机器人本体至少包括全自动实施常规微创外科手术设备、全自动实施单细胞微纳米手术设备和全自动实施介入探查治疗设备,其中,全自动实施单细胞微纳米手术至少包括细胞功能增强、细胞功能或部分功能抑制、靶细胞损毁、基因编辑等治疗,全自动实施介入探查至少治疗包括血管栓塞再通、肿瘤血管定位靶向治疗、中枢神经及周围神经通路再通等治疗。The functional modules of the surgical robot include at least a mobile chassis, a robotic arm, and a robot body. Its mobile chassis adopts a crawler-type intelligent migration structure. Fully automatic implementation of interventional exploration and treatment equipment, where fully automatic single-cell micro-nano surgery includes at least cell function enhancement, cell function or partial function inhibition, target cell damage, gene editing and other treatments. Fully automatic implementation of interventional exploration at least treatment includes vascular embolism Recanalization, tumor vascular targeting therapy, recanalization of central and peripheral nerve pathways and other treatments.
清洁消毒医疗机器人功能模块至少包括移动底盘、机械臂、机器人本体,其移动底盘采用履带式智能移行结构,其机器人本体至少包括全自动擦地设备、全自动喷雾设备、全制动制臭氧机、空气净化设备、紫外线发生装置,实施医疗机构地面、台面、空气的清洁和杀菌消毒作业。The functional modules of the cleaning and disinfecting medical robot include at least a mobile chassis, a mechanical arm, and a robot body. The mobile chassis adopts a crawler-type intelligent migration structure. Air purification equipment, ultraviolet light generating device, implementation of medical institutions ground, countertops, air cleaning, sterilization and disinfection operations.
2.无人化智慧医院运行。2. Operation of unmanned smart hospitals.
2.1本发明一个实施例的无人化智慧医院的运营方法如下:(1)配备水、电、气、道路、房屋或帐篷、通讯等基础设施,医院可快速搭建部署,开展诊疗服务;(2)医院的运营主体根据医院规模和服务特色,选择医疗机器人搭配类型和功能模块组合,医疗机器人可以选择购买,也可以选择租赁;(3)医院的运营主体与第三方签约,依据协议,购买第三方服务;(4)医院的运营主体之间依据协议,不同医院间的医疗机器人可以互相调配,满足服务需求;(5)诊疗服务费用来自保险、自费、政府基金、慈善基金;(6)医疗机器人协同作业,每周7天、每天24小时提供线上和线下医疗服务。2.1 The operation method of an unmanned smart hospital in an embodiment of the present invention is as follows: (1) Equipped with water, electricity, gas, roads, houses or tents, communications and other infrastructure, the hospital can quickly build and deploy, and carry out diagnosis and treatment services; (2) ) According to the scale and service characteristics of the hospital, the operating entity of the hospital chooses the type of medical robot matching and the combination of functional modules. The medical robot can choose to purchase or lease; (3) The operating entity of the hospital signs a contract with a third party and purchases the first Three-party service; (4) According to the agreement between the operating entities of the hospital, the medical robots between different hospitals can be deployed to meet service needs; (5) The cost of diagnosis and treatment services comes from insurance, self-finance, government funds, and charity funds; (6) Medical treatment Robots work together to provide online and offline medical services 24 hours a day, 7 days a week.
2.2本发明一个实施例的无人化智慧医院的运行流程100如下:110:预约看诊、常规检查和特殊检查、治疗或手术,具体包括以下步骤:112:病人通过移动智能终端的应用工具查看医疗机器人空闲时段进行预约;114:门诊医疗机器人按照病人客观医疗需要邀约病人在适宜时间前往医院;116:病人选择采用线上看诊,诊断明确后,通过第三方物流送药到家,或进一步预约到医院线下看诊、检查、手术或其他治疗;120:病人到达医院,情感陪护医疗机器人交代注意事项,引导病人到预约的门诊医疗机器人,如果病人行动不便,转运医疗机器人在诊疗全程提供运送病人服务;130:情感陪护医疗机器人陪同看诊,安抚病人情绪,辅助完成询问病史和查体;140:必要时,情感陪护医疗机器人陪同病人接受医疗检查机器人和特殊医疗检查机器人服务;150:智能诊断系统结合既往病史、现病史、查体、医疗检查机器人和特殊医疗检查机器人的检查数据,提交诊疗意见;160:实施诊疗方案,具体包括以下步骤:161:门诊医疗机器人提供最常用的药品、药品用法及注意事项;162:药房机器人提供药品、治疗器材,说明药品和治疗器材的用法及注意事项;163:手术机器人提供手术治疗;164:康复医疗机器人提供肢体及语言康复治疗;165:情感陪护医疗机器人提供心理治疗;166:转诊到三甲医院或医疗中心,进一步明确诊断,获取更高阶的诊疗服务;179:看诊、检查、运送或治疗结束后,清洁消毒医疗机器人及时完成环境清洁与消毒;180:随诊随访,实时掌握病人院外服药、居家康复情况;190:采集的病人医疗数据自动生成电子病历文档加密并上传到云服务器。2.2 The operating process 100 of an unmanned smart hospital in an embodiment of the present invention is as follows: 110: appointment for consultation, routine examination and special examination, treatment or surgery, specifically including the following steps: 112: the patient views through the application tool of the mobile smart terminal Medical robots make appointments during their free time; 114: Outpatient medical robots invite patients to the hospital at a suitable time according to the patient’s objective medical needs; 116: Patients choose to use online consultations, and after the diagnosis is confirmed, they can deliver medicines to their homes through third-party logistics, or make further appointments Go to the hospital for offline visits, examinations, surgery or other treatments; 120: When the patient arrives at the hospital, the emotional escort medical robot will explain the precautions and guide the patient to the scheduled outpatient medical robot. If the patient is inconvenient, the transfer medical robot will provide transportation throughout the diagnosis and treatment Patient services; 130: Emotional escort medical robots accompany the consultation, soothe the patient’s emotions, and assist in the completion of medical history and physical examination; 140: When necessary, the emotional escort medical robots accompany the patient to receive medical examination robots and special medical examination robot services; 150: Smart The diagnosis system combines the past medical history, current medical history, physical examination, medical examination robot and special medical examination robot inspection data, and submits diagnosis and treatment opinions; 160: implements the diagnosis and treatment plan, which specifically includes the following steps: 161: outpatient medical robot provides the most commonly used drugs, Drug usage and precautions; 162: Pharmacy robots provide drugs and treatment equipment, explaining the usage and precautions of drugs and treatment equipment; 163: Surgical robots provide surgical treatment; 164: Rehabilitation medical robots provide physical and language rehabilitation treatment; 165: Emotions Accompanying medical robots provide psychological treatment; 166: Refer to a tertiary hospital or medical center to further clarify the diagnosis and obtain higher-level diagnosis and treatment services; 179: Clean and disinfect the medical robot to complete the environment in time after the end of the consultation, inspection, transportation or treatment Cleaning and disinfection; 180: follow-up follow-up, real-time control of the patient's out-of-hospital medication and home rehabilitation; 190: the collected patient medical data is automatically generated and encrypted and uploaded to the cloud server.
2.3本发明一个实施例的无人化智慧医院的数字病历运行流程200包括如下步骤:210:既往医疗数据获取,如果患者预约普通诊,医疗机器人取得患者或其监护人授权,预先调阅患者存储于云服务器或其他存储介质上的既往医疗健康数据,提前做好诊疗服务准备,具体来说,患者即可预约到线下医院就诊,也可预约实施远程线上就诊。医疗机器人调阅患者既往医疗健康数据可以是患者全部的医疗数据,也可以调阅与此次预约看诊的病情直接相关联的医疗数据,尤其是慢性病的维持治疗、慢性病的急性发作、或其他常见疾病,比如流行性感冒、普通感冒。当然,医疗机器人调阅患者既往医疗健康数据的印迹将记录于患者的数字病历中。如果患者预约急诊看诊,医疗机器人现场取得患者或其监护人授权,调阅并知悉患者既往健康医疗数据,具体来说,患者可以预约医疗机器人提供上门到家急诊医疗服务,也可以选择到医院寻求急诊医疗服务,也可以选择远程线上急诊医疗服务就诊。2.3 The digital medical record operation process 200 of an unmanned smart hospital in an embodiment of the present invention includes the following steps: 210: Past medical data acquisition, if the patient makes an appointment for a general consultation, the medical robot obtains the authorization of the patient or his guardian, and reads the patient in advance. Past medical and health data on cloud servers or other storage media are prepared in advance for diagnosis and treatment services. Specifically, patients can make an appointment to an offline hospital for treatment, or make an appointment for remote online consultation. The medical robot can access the patient’s previous medical and health data, which can be all the patient’s medical data, or the medical data directly related to the condition of the appointment, especially the maintenance treatment of chronic diseases, acute attacks of chronic diseases, or other Common diseases, such as influenza and common cold. Of course, the imprint of the medical robot's access to the patient's past medical and health data will be recorded in the patient's digital medical record. If the patient makes an emergency appointment, the medical robot obtains authorization from the patient or his guardian on the spot to access and know the patient’s past health and medical data. Specifically, the patient can make an appointment with the medical robot to provide home-to-home emergency medical services, or choose to go to the hospital for emergency treatment For medical services, you can also choose remote online emergency medical services.
220:当次诊疗数据获取,诊疗数据获取方式包括:患者进入医院,医院智能监控装置监测患者言行举止。具体来说,医院智能监控装置监测数据包括但不限于患者能否站立,能否走路,站立和走路姿态有无异常,是否需要搀扶或使用轮椅、拐杖,与他人的社交互动情况,轻松表情还是痛苦面容,等,所有采集到的数据自动进行数字化标识;患者进入诊室,采集医疗看诊机器人问诊和查体时的音视频数据,采集物联网数据链联结的物理检查、化验检查、病理检查等医疗检查机器人数据。医疗机器人依据临床诊疗思维指引,目的性采集患者医疗健康数据,所有数据自动进行数字化标识;患者进入病房,医疗陪护机器人采集患者饮食行为学、尿便行为学、起居行为学、精神状态、表情状态数据,药房机器人、医疗急救机器人、手术机器人、医疗康复机器人、患者体内置入或体外穿戴智能设备分别采集用药、急救、手术、治疗、康复数据、身体生理代谢指数、医疗效果反馈评估数据,所有数据自动进行数字化标识;患者离院,智能穿戴设备采集数据、家庭健康服务机器人采集健康数据、到院或线上远程随访采集诊疗数据,所有数据自动进行数字化标识。220: The current diagnosis and treatment data acquisition, the diagnosis and treatment data acquisition methods include: the patient enters the hospital, and the hospital's intelligent monitoring device monitors the patient's words and deeds. Specifically, the monitoring data of the hospital's intelligent monitoring device includes but not limited to whether the patient can stand, walk, whether the standing and walking postures are abnormal, whether it is necessary to support or use a wheelchair, crutches, social interaction with others, and relaxed expressions. Painful face, wait, all collected data is automatically digitally identified; patients enter the consultation room, collect audio and video data from medical consultation robots for consultations and physical examinations, and collect physical inspections, laboratory inspections, and pathological inspections connected with the Internet of Things data link Wait for medical check robot data. According to the guidelines of clinical diagnosis and treatment, the medical robot purposefully collects the patient's medical health data, and all data is automatically digitally identified; the patient enters the ward, and the medical escort robot collects the patient’s diet behavior, urinary behavior, daily behavior, mental state, and expression state. Data, pharmacy robots, medical emergency robots, surgical robots, medical rehabilitation robots, patient built-in or externally worn smart devices collect medication, first aid, surgery, treatment, rehabilitation data, body physiological metabolic index, and medical effect feedback evaluation data, all Data is automatically digitally identified; when patients leave the hospital, smart wearable devices collect data, home health service robots collect health data, and remote follow-up visits to the hospital or online to collect diagnosis and treatment data. All data are automatically digitally identified.
数据采集范围包括:常规性数据全部采集,比如大气环境数据、气候数据、一般睡眠饮食大小便情况以及精神状态、基本生理指标、看诊和查房时医疗机器人实施望闻问切的诊疗数据;特殊性数据选择性采集,依据临床诊疗思维逻辑,参考患者主诉、潜在可能的主要疾病特征,有明确目的性采集特殊物理检查、化验检查、病理检查数据,以及手术、非手术治疗数据、疗效评估数据。The scope of data collection includes: all routine data collection, such as atmospheric environment data, climate data, general sleep, diet, urine, and mental state, basic physiological indicators, and medical robots performing inspection and treatment data during visits and rounds; special data Selective collection, based on the logic of clinical diagnosis and treatment, referring to the main complaint of the patient and the potential main disease characteristics, with a clear purpose to collect special physical examination, laboratory examination, pathological examination data, as well as surgical and non-surgical treatment data, and efficacy evaluation data.
数据类型包括:门急诊、线上看诊时,患者主诉、现病史、查体、物理检查、化验检查、病理检查、人类医学知识图谱结合患者现况导出的主要诊断和次要诊断以及个性化治疗方案数据;住院治疗时,手术治疗、非手术治疗、康复治疗数据,诊疗调整计划数据,每日病情观察数据,医疗护理查房数据,诊疗效果评估数据,依据病情演化,诊疗实时调整数据;院外治疗时,远程医疗随诊,门诊定期随诊,智能设备实时记录的患者医疗健康数据;随访数据。数据形式包括但不限于:文字、数字、字符串、符号、图像、音频、视频、表格、曲线。Data types include: main and secondary diagnoses derived from the patient's main complaint, current medical history, physical examination, physical examination, laboratory examination, pathological examination, human medical knowledge map combined with the patient's current situation, and personalized Treatment plan data; during hospitalization, surgical treatment, non-surgical treatment, rehabilitation treatment data, diagnosis and treatment adjustment plan data, daily condition observation data, medical care rounds data, diagnosis and treatment effect evaluation data, according to the evolution of the condition, diagnosis and treatment real-time adjustment data; During out-of-hospital treatment, remote medical follow-ups, regular follow-ups in outpatient clinics, real-time medical and health data of patients recorded by smart devices; follow-up data. Data forms include, but are not limited to: text, numbers, strings, symbols, images, audio, video, tables, and curves.
230:数据特征值提取,在步骤220中,每次采集的数据,包括常规结构化数据、半结构化数据、非结构化数据,数据按照预先设定方案由医疗机器人或其他智能设备进行采集,所有数据实施智能化标注,均实时进行数据处理,请参见图2,数据处理流程又包括以下步骤:231:构建人类群体以及细分群体的生理、心理、精神健康参数数据库,构建人类个体的生理、心理、精神健康参数数据库,具体来说,人类群体包括各个国家、地域、人种、族裔、性别、年龄的群体,也包括由人与机器共同组成的混合生命体人群,细分群体将人类群体进一步按照国家、地域、人种、族裔、肤色、性别、年龄、血型、基因谱系、性格、嗜好、职业分类,采集的医疗健康数据累积汇集,构建数据库;232:构建人类群体以及细分群体的生理、心理、精神健康参数正常参考范围以及异常临界值范围,构建人群各个个体的生理、心理、精神健康参数正常参考范围以及异常临界值范围。其中,正常参考范围以不超过数据均值的2个标准差为依据;233:特征值选择,以患者主诉和/或主要症状为核心事件,依据人类全部医疗知识图谱索引,构建相关联的特征值库。具体来说,特征值库的数据类别包括人体8大系统和全身各个脏器的宏观检查指标数据、以及细胞和基因的微观检查指标数据,同时,也包括精神、心理等主观指标的量化评定数据;234:当次诊疗过程中,物联网联结的医疗机器人、检查设备、智能装置参照特征值库的指引,明确目的性采集患者数据,构建当次诊疗数据库;235:实时动态比对当次诊疗数据库与人类细分群体以及患者个体既往的生理、心理、精神健康参数范围,提取重要异常阳性结果,由人工智能医疗决策系统推导出主要诊断和次要诊断,同时,提取重要阴性结果,以便排除可疑诊断,制定诊疗计划。当实时动态比对,得出与人类全部医疗知识图谱不相符合的结果,则调整步骤233中特征值范围,相应的调整物联网联结的医疗机器人、检查设备、智能装置采集患者数据的范围,动态扩展构建当次诊疗数据库。230: Data feature value extraction. In step 220, the data collected each time includes conventional structured data, semi-structured data, and unstructured data. The data is collected by medical robots or other smart devices according to a preset plan. All data is intelligently annotated and processed in real time. Please refer to Figure 2. The data processing flow includes the following steps: 231: Build a database of physical, psychological, and mental health parameters of human groups and subdivided groups, and build individual human physiology , Psychological and mental health parameter database. Specifically, human groups include groups of various countries, regions, races, ethnicities, genders, and ages, as well as mixed life groups composed of humans and machines. Subdivided groups will The human population is further classified according to country, region, race, ethnicity, skin color, gender, age, blood type, gene pedigree, personality, hobby, and occupation, and the collected medical and health data are accumulated and collected to construct a database; 232: construct human population and details The normal reference range and abnormal critical value range of physiological, psychological, and mental health parameters are divided into groups, and the normal reference range and abnormal critical value range of the physiological, psychological, and mental health parameters of each individual in the population are constructed. Among them, the normal reference range is based on not exceeding 2 standard deviations of the data mean; 233: Feature value selection, based on the main complaint and/or main symptoms of the patient as the core event, and construct the associated feature value based on the index of all human medical knowledge maps Library. Specifically, the data categories of the feature value database include macroscopic examination index data of the 8 major systems of the human body and various organs of the body, as well as microscopic examination index data of cells and genes, as well as quantitative evaluation data of subjective indicators such as spirit and psychology. 234: During the current diagnosis and treatment, medical robots, examination equipment, and smart devices connected by the Internet of Things refer to the guidelines of the feature value library to clearly collect patient data and build the current diagnosis and treatment database; 235: Real-time dynamic comparison of the current diagnosis and treatment The database and human subdivision groups and the past physiological, psychological, and mental health parameters of individual patients extract important abnormal positive results, and the artificial intelligence medical decision-making system derives the main diagnosis and secondary diagnosis, and at the same time, extracts important negative results in order to exclude Suspicious diagnosis, make a diagnosis and treatment plan. When the real-time dynamic comparison results in a result that is inconsistent with the entire human medical knowledge map, the feature value range in step 233 is adjusted, and the range of patient data collected by medical robots, examination equipment, and smart devices connected to the Internet of Things is adjusted accordingly. Dynamically expand and construct the current diagnosis and treatment database.
另外,根据重要异常阳性结果提示,也可扩展特征值库,物联网联结的医疗机器人、检查设备、智能装置参照扩展后的特征值库增加患者数据采集范围,相应的,当次诊疗数据库容量动态扩展,由人工智能医疗决策系统进一步明确诊断,调整治疗方案。In addition, according to the important abnormal positive results, the feature value library can also be expanded. Medical robots, examination equipment, and smart devices connected to the Internet of Things can refer to the expanded feature value library to increase the range of patient data collection. Correspondingly, the current diagnosis and treatment database capacity dynamics Expansion, the artificial intelligence medical decision-making system will further clarify the diagnosis and adjust the treatment plan.
基于医疗费用支付方意愿,采集患者数据前,需要征询患者或其监护人意见,经其知情同意,并参考患者参保的社会医疗保险和商业医疗健康保险具体条款,再予以实施。同样,诊疗计划如果包含特殊检查、特殊用药、特殊手术也需要征询患者或其监护人意见,经其知情同意,并参考患者参保的社会医疗保险和商业医疗健康保险相关条款,由人工智能诊疗决策系统优化选择适合患者的方案,予以实施。Based on the willingness of the medical expense payer, before collecting patient data, the patient or his guardian needs to be consulted, with their informed consent, and with reference to the specific terms of the social medical insurance and commercial medical health insurance that the patient is insured before implementation. Similarly, if the diagnosis and treatment plan includes special examinations, special medications, and special operations, the patient or his guardian needs to be consulted, with their informed consent, and with reference to the relevant terms of the patient’s social medical insurance and commercial medical health insurance, the artificial intelligence diagnosis and treatment decision The system optimizes the selection of a program suitable for the patient and implements it.
236:治疗过程中,跟踪监测特征值数据,量化评估医疗效果,指引诊疗计划方案调整,判断治疗终止时机。236: During the treatment process, track and monitor the characteristic value data, quantitatively evaluate the medical effect, guide the adjustment of the diagnosis and treatment plan, and determine the timing of treatment termination.
240:数字病历自动生成,数字病历结构参照目前门诊病历和住院病历。具体来说,其中,住院病历包括但不限于:主诉、现病史、既往史、家族史、婚育史、基因谱系、药物过敏史、外伤手术史、预防接种史、查体、辅助检查、主要诊断、次要诊断、诊疗计划、医嘱、知情同意告知书、病程记录、手术记录、出院记录,或类似以上的结构,其中,门诊病历包括但不限于:主诉、现病史、查体、辅助检查、主要诊断、次要诊断、诊疗计划、知情同意告知书、医嘱、病程记录,或类似以上的结构。240: Digital medical records are automatically generated, and the structure of digital medical records refers to the current outpatient medical records and inpatient medical records. Specifically, the hospitalization medical records include, but are not limited to: chief complaint, current medical history, past history, family history, history of marriage and childbirth, genetic genealogy, history of drug allergy, history of trauma and surgery, history of vaccination, physical examination, auxiliary examination, major Diagnosis, secondary diagnosis, diagnosis and treatment plan, doctor's order, informed consent notice, course record, operation record, discharge record, or similar structure above. Among them, the outpatient medical record includes but not limited to: main complaint, current medical history, physical examination, auxiliary examination , Primary diagnosis, secondary diagnosis, diagnosis and treatment plan, informed consent notice, medical advice, course record, or similar structure.
在步骤230提取的特征值数据、重要异常阳性结果、重要阴性结果、主要诊断和次要诊断、诊疗计划方案及其执行情况等数据,由人工智能医疗决策系统按照逻辑关系自动排版编辑,置入住院病历或门诊病历相对应的结构格式中,原始数据文档及当次诊疗数据库以文件夹附件方式附着在病历相对应的结构格式内。The feature value data extracted in step 230, important abnormal positive results, important negative results, major and minor diagnoses, diagnosis and treatment plans and their implementation status, etc., are automatically typeset and edited by the artificial intelligence medical decision-making system according to the logical relationship, and placed in In the structural format corresponding to the inpatient medical record or the outpatient medical record, the original data file and the current diagnosis and treatment database are attached to the corresponding structural format of the medical record in the form of a folder attachment.
具体来说,当次诊疗数据库数据包括但不限于:患者进入医院、患者进入诊室、患者进入病房、患者离院后随访时,分门别类采集的数据集,比如进入医院智能设备采集的患者进入医院时的动态音视频、患者进入诊室时问诊的音视频、特殊物理检查时医疗机器人采集的患者身体数据,等;原始数据文档数据包括但不限于:既往史、家族史、婚育史、基因谱系、药物过敏史、外伤手术史、预防接种史等医疗健康数据,以及患者长期居住地大气环境气候数据;逻辑关系包括但不限于:时间顺序、因果联系、潜在因果联系、主次关系、平行并列关系、级联关系、对比排列、矛盾关系、贯序关系。Specifically, when the secondary diagnosis and treatment database data includes but is not limited to: when a patient enters the hospital, the patient enters the consulting room, the patient enters the ward, and the patient leaves the hospital for follow-up, the data set collected by categories, such as the patient entering the hospital collected by the smart device of the hospital enters the hospital Dynamic audio and video of the patient, the audio and video of the consultation when the patient enters the clinic, the patient's body data collected by the medical robot during the special physical examination, etc.; the original data file data includes but not limited to: past history, family history, marriage and childbirth history, genetic genealogy , Drug allergy history, trauma surgery history, vaccination history and other medical and health data, as well as the patient’s long-term residence atmospheric environment and climate data; logical relationships include but are not limited to: time sequence, causal link, potential causal link, primary and secondary relationship, parallel juxtaposition Relationship, cascade relationship, contrast arrangement, contradictory relationship, sequential relationship.
其中,抽取与现主诉或病症相关联既往史部分的特征值数据,生成为现病史一部分;其中,当次诊疗结束,获得最终治疗结果,则当次诊疗过程全部数据,自动添加到患者数字病历的既往史结构格式内,显示方式包括简短病情摘要和文件夹附件,其简短病情摘要包括病程起止时间、主诉、诊断、治疗方案、结局;当然,如果患者没有完全康复,处于慢性病继续状态,则其慢性病病程仍记录入现病史结构格式内。Among them, the feature value data of the past history part related to the current main complaint or disease is extracted and generated as part of the current medical history; among them, when the current diagnosis and treatment ends and the final treatment result is obtained, all the data of the current diagnosis and treatment process are automatically added to the patient's digital medical record In the past history structure format, the display method includes a brief summary of the disease and a file attachment. The brief summary includes the start and end time of the disease, main complaint, diagnosis, treatment plan, and outcome; of course, if the patient has not fully recovered and is in a state of continuing chronic disease, then The course of his chronic disease is still recorded in the current medical history structure format.
250:数字病历数据加密,确保数据完整、不可篡改、更新添加可追溯,发布到云服务器存储。250: Digital medical records are encrypted to ensure data integrity, non-tampering, traceability of updates and additions, and release to cloud servers for storage.
具体措施包括但不限于:数字病历数据,实时写入公链或行业私链区块,采用区块链技术,发布到云服务器,用户读取数字病历数据需要患者或其监护人的智能合约授权,获得量子技术加密的密码,调用患者数字病历数据;患者看诊就医时,患者或其监护人通过智能合约授权给医疗服务提供方,也可以通过识别患者的生物信息,获取其数字病历数据,供医疗服务提供方使用;当然,患者或其监护人采用患者生物信息或量子技术加密的密码,可以自由使用其数字病历数据;医疗机器人、家庭健康服务机器人、智能健康监护设备等采集的患者医疗健康数据添加入患者数字病历,数据采集添加方的行为过程可被追溯,确保数据的真实、可靠、有效。Specific measures include, but are not limited to: digital medical record data, real-time writing to the public chain or industry private chain block, using blockchain technology, and publishing to the cloud server. Users reading digital medical record data require smart contract authorization from the patient or their guardian. Obtain the password encrypted by quantum technology to call the patient's digital medical record data; when the patient sees a doctor, the patient or his guardian authorizes the medical service provider through the smart contract, and can also obtain the digital medical record data by identifying the patient's biological information for medical treatment Used by service providers; of course, patients or their guardians can use their digital medical record data freely using passwords encrypted with patient biological information or quantum technology; add patient medical health data collected by medical robots, home health service robots, and smart health monitoring equipment Enter the patient's digital medical record, and the behavior process of the data collection and adder can be traced to ensure the authenticity, reliability and validity of the data.
260:数字病历添加更新,患者日常健康监测数据、定期随访数据、居家治疗数据、定期体检数据,经智能设备采集后无线通讯方式发送到服务端,同步骤230进行提取特征值,同步骤240进行实时添加,自动更新数字病历。自动更新患者数字病历时,也需要常规标示更新的印记,印记包括但不限于:更新时间、更新缘由、更新数据来源、数据来源方的信任度和效能评级。260: Digital medical records are added and updated, the patient’s daily health monitoring data, regular follow-up data, home treatment data, and regular physical examination data are collected by the smart device and sent to the server via wireless communication. The feature value is extracted in the same step 230, and the same step 240 is performed Real-time addition, automatic update of digital medical records. When automatically updating the patient's digital medical record, it is also necessary to routinely mark the updated imprint. The imprint includes but is not limited to: update time, update reason, update data source, trustworthiness of the data source, and performance rating.
在本发明一个实施例的数字病历使用方法流程300包括如下步骤:310:数字病历数据确权,患者的数字病历数据所有权归属患者个人,患者或其监护人需要支付数字病历数据存储及维护费用。In an embodiment of the present invention, the process 300 of the method for using digital medical records includes the following steps: 310: Digital medical record data is confirmed, the ownership of the patient's digital medical record data belongs to the patient, and the patient or his guardian needs to pay for the storage and maintenance of the digital medical record data.
现阶段或以往,患者的病历数据由就诊医院保管,只有少量门诊和住院病历数据交给患者保管,如果患者想取得自己的病历,只能得到复印件,且需要经过就诊医院的审核批准、支付复印费用,似乎患者病历所有权属于医院,医院拥有对患者病历数据的处置权。事实上,患者门诊或医院就医,所有过程都支付了医疗费用,医疗过程中产生的数据,其所有权理应归属患者。因此,患者就医产生的自己的医疗数据所有权属于患者,当然,就医结束后,数字病历数据存储及维护费用也将由患者支付。At this stage or in the past, the patient’s medical record data is kept by the visiting hospital, and only a small amount of outpatient and inpatient medical record data is handed over to the patient. If patients want to obtain their own medical records, they can only get a copy, and they need to be reviewed, approved and paid by the visiting hospital. The cost of copying, it seems that the ownership of the patient's medical records belongs to the hospital, and the hospital has the right to dispose of the patient's medical record data. In fact, when a patient goes to an outpatient clinic or a hospital, all medical expenses are paid, and the ownership of the data generated during the medical procedure should belong to the patient. Therefore, the ownership of the medical data generated by the patient belongs to the patient. Of course, after the medical treatment, the storage and maintenance costs of the digital medical record data will also be paid by the patient.
如果患者同意脱敏后的数字病历数据,用于科学和商业研究项,通过签署智能合约,患者不用支付其数字病历数据云存储及维护费用,该费用由研究项目申请人依据使用次数和数据量支付。数字病历数据脱敏后至少不包含患者名字、身份识别信息、生物识别信息、通讯号码、社交ID、居住地址、家族信息,以及其他可能推导出患者具体身份的数据,其中,生物识别信息包括但不限于面部、指纹、DNA、步态、声纹、唇纹识别。If the patient agrees to use the desensitized digital medical record data for scientific and commercial research projects, by signing a smart contract, the patient does not have to pay for their digital medical record data cloud storage and maintenance costs. The fee is determined by the research project applicant based on the number of uses and data volume Paid. After desensitization, the digital medical record data does not contain at least the patient’s name, identification information, biometric information, communication number, social ID, residential address, family information, and other data that may derive the patient’s specific identity. Among them, biometric information includes but Not limited to face, fingerprint, DNA, gait, voiceprint, lip print recognition.
医疗服务提供方获得患者或其监护人授权,通过签署智能合约,免费进入云服务器访问调用,但仅供医疗服务方用于当次就医时医疗健康服务的目的。The medical service provider obtains the authorization of the patient or his guardian to sign a smart contract to enter the cloud server for free access and call, but it is only used by the medical service provider for the purpose of medical and health services during the medical treatment.
当然,依据规则,患者或其监护人具有提出修改智能合约条款的权利,变更患者脱敏后病历数据的应用事项。Of course, according to the rules, patients or their guardians have the right to propose to modify the terms of the smart contract and change the application of the patient's medical record data after desensitization.
同时,制定规则,设置具有最高权威的数字病历法定责任管理方,行使患者数字病历管理职责,其组成包括但不限于:国际组织、国家中央政府、地方政府、民间组织、或自然人。At the same time, formulate rules and set up a legally responsible management party with the highest authority for digital medical records to exercise patient digital medical records management responsibilities. Its composition includes, but is not limited to: international organizations, national central governments, local governments, non-governmental organizations, or natural persons.
320:数字病历调用,调用目的包括以下3个方面:(1)患者接受医疗服务的需要;(2)公益研究的需要,其中,公益研究包括但不限于流行病学调查、疾病谱系分析、不良反应调查、疾病诊断或治疗干预效果独立调查、评估健康医疗服务品质,其研究所获得的成果提供全人类无偿共享;(3)商业研究的需要,其中,商业研究申请人包括但不限于药商、器械商、保险业者、特定商业目标的组织或个人,研究结果有明确商业目的。320: Calling digital medical records. The purpose of calling includes the following 3 aspects: (1) the needs of patients to receive medical services; (2) the needs of public welfare research. Among them, public welfare research includes, but is not limited to, epidemiological investigations, disease spectrum analysis, and malpractice Response investigation, independent investigation of disease diagnosis or therapeutic intervention effect, evaluation of the quality of health and medical services, and the results obtained by its research are provided for free sharing by all mankind; (3) The needs of commercial research, among which, commercial research applicants include but are not limited to drug dealers , Equipment manufacturers, insurance companies, organizations or individuals with specific business goals, the research results have clear business goals.
调用数据范围包括但不限于:特定人群的特定病种数字病历、特定患者群体的数字病历、特定病种数字病历,其所调用数据可以是数字病历的全部原始数据,也可以是按照特征值提取的数据,也可以是特定药物、特定器械、特定治疗干预方案的效果数据,也可以是特定药物、特定器械、特定治疗干预方案的副作用数据。The scope of calling data includes, but is not limited to: digital medical records of specific diseases of a specific population, digital medical records of specific patient groups, and digital medical records of specific diseases. The recalled data can be all the original data of the digital medical records, or can be extracted according to feature values. The data can also be the effect data of a specific drug, a specific device, or a specific therapeutic intervention program, or it can be the side effect data of a specific drug, a specific device, or a specific therapeutic intervention program.
调用申请者经过患者或其监护人知情同意并授权,按照智能合约,在数字病历法定责任管理方的全程独立审核监督下,从数字病历存储介质调取数据,数据仅供约定的特定申请者用于特定目的。With the informed consent and authorization of the patient or their guardian, the calling applicant retrieves data from the digital medical record storage medium in accordance with the smart contract and under the full independent review and supervision of the legally responsible management of the digital medical record. The data is only used by the specified applicant as agreed Specific purpose.
330:数字病历数据使用的激励和惩罚机制包括以下2个方面:(1)患者或其监护人同意脱敏数字病历数据用于科学和商业研究,获得奖励,具体来说,奖励措施包括但不限于:医疗服务预约优先、重大疾病诊疗费用减免、医疗保险费率减低、日常医疗健康照护费用减免、数字病历数据存储与维护费用免费;(2)用户确保患者数字病历数据按照智能合约的约定用途和方式使用,如果用户存在恶意使用将受到惩罚,惩罚措施包括但不限于罚款、限制使用、列入黑名单、刑事责任。330: The incentive and punishment mechanism for the use of digital medical record data includes the following two aspects: (1) Patients or their guardians agree to use desensitized digital medical record data for scientific and commercial research and obtain rewards. Specifically, incentive measures include but are not limited to : Medical service appointment priority, major disease diagnosis and treatment cost reduction, medical insurance rate reduction, daily medical and health care cost reduction, free digital medical record data storage and maintenance; (2) The user ensures that the patient's digital medical record data is in accordance with the agreed use and use of the smart contract If users have malicious use, they will be punished. Punishment measures include, but are not limited to, fines, restrictions on use, blacklisting, and criminal liability.
恶意使用具体范围包括但不限于:盗窃患者数字病历数据、泄露患者数字病历数据、超范围使用数字病历数据、下载拷贝数字病历原始数据、采集或试图采集患者隐私数据。The specific scope of malicious use includes, but is not limited to: theft of patient digital medical record data, leakage of patient digital medical record data, excessive use of digital medical record data, downloading and copying of original digital medical record data, collecting or attempting to collect patient private data.
本发明一个实施例的数字病历显示方法,主要包括2个方面措施:(1)用户界面采用结构化数字病历集,数字病历集为患者全部医疗健康病历数据的集合,按照用户习惯,顺序排列可以按照时间、医疗服务提供方、病种分类、主要治疗措施(手术、非手术)、调用申请方分类排列,其中,既往史、辅助检查、手术记录、知情同意书、病程记录采用摘要结合文件夹附件方式显示。通过摘要结合文件夹附件显示方式,数字病历界面简洁明快,用户通过摘要即可知晓基本信息,如果有特定需求时,再访问或点击读取文件夹的数据,进而减少对网络带宽的占用。当然,如果用户是医疗机器人或采用人工智能方案读取患者数字病历,则按需访问需要的数据。The digital medical record display method of an embodiment of the present invention mainly includes two measures: (1) The user interface adopts a structured digital medical record set. The digital medical record set is a collection of all the patient’s medical and health record data, which can be arranged in order according to user habits. Arranged according to time, medical service provider, disease classification, main treatment measures (surgery, non-surgical), and calling applicants. Among them, past history, auxiliary examinations, surgical records, informed consent, and disease course records are combined with abstract files. Display in attachment mode. Through the summary and the folder attachment display method, the digital medical record interface is concise and clear. The user can know the basic information through the summary. If there is a specific need, access or click to read the data of the folder, thereby reducing the occupation of network bandwidth. Of course, if the user is a medical robot or uses an artificial intelligence solution to read the patient's digital medical record, he will access the required data on demand.
另外,根据用户需要,患者数字病历集可以提供纯数字显示方案,也可以通过数字拟合处理,生成可视化、可交互的显示界面方案。In addition, according to the needs of users, the patient digital medical record collection can provide a purely digital display solution, or it can generate a visual and interactive display interface solution through digital fitting processing.
比如以时间顺序排列,则界面格式为:就诊时间1-主诉-简要病史-主要诊断和次要诊断-诊疗简要经过(特征性的检查数据、核心治疗措施数据等)-结局-治疗天数-医疗服务提供方【文件夹】;就诊时间2-主诉-简要病史-主要诊断和次要诊断-诊疗简要经过(特征性的检查数据、核心治疗措施数据等)-结局-治疗天数-医疗服务提供方【文件夹】;就诊时间3-主诉-简要病史-主要诊断和次要诊断-诊疗简要经过(特征性的检查数据、核心治疗措施数据等)-结局-治疗天数-医疗服务提供方【文件夹】;……。For example, arranged in chronological order, the interface format is: consultation time 1-chief complaint-brief medical history-main diagnosis and secondary diagnosis-brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-outcome-treatment days-medical treatment Service provider [folder]; Visiting time 2-Chief complaint-Brief medical history-Main diagnosis and secondary diagnosis-Brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-Outcome-Treatment days-Medical service provider [Folder]; Visiting time 3-Chief complaint-Brief medical history-Main diagnosis and secondary diagnosis-Brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-Outcome-Treatment days-Medical service provider [Folder 】;…….
比如以病种分类排列,则界面格式为:病种1-主诉-简要病史-次要诊断-诊疗简要经过(特征性的检查数据、核心治疗措施数据等)-结局-治疗天数-医疗服务提供方【文件夹】;病种2-主诉-简要病史-次要诊断-诊疗简要经过(特征性的检查数据、核心治疗措施数据等)-结局-治疗天数-医疗服务提供方【文件夹】;病种3-主诉-简要病史-次要诊断-诊疗简要经过(特征性的检查数据、核心治疗措施数据等)-结局-治疗天数-医疗服务提供方【文件夹】;……。For example, sorted by disease category, the interface format is: disease category 1-chief complaint-brief medical history-secondary diagnosis-brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-outcome-treatment days-medical service provision Fang [folder]; Type of disease 2-chief complaint-brief medical history-secondary diagnosis-brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-outcome-treatment days-medical service provider [folder]; Types of disease 3-chief complaint-brief medical history-secondary diagnosis-brief history of diagnosis and treatment (characteristic examination data, core treatment data, etc.)-outcome-treatment days-medical service provider [folder]; ....
另外,患者数字病历包括其全部医疗数据,且以最近一次就医时医疗服务提供方的数字病历为其最新显示界面。In addition, the patient's digital medical record includes all of its medical data, and the latest display interface is the digital medical record of the medical service provider at the time of the last medical visit.
(2)结构化数字病历集显示格式不拘一格,在确保患者医疗健康数据保持完整性的前提下,结构化数字病历集可以采用任何国家、地区、组织或医疗服务提供方的格式标准,并且,不同格式标准、显示形式、语言类别依据用户习惯可以自由转换。(2) The display format of the structured digital medical record set is not limited to one pattern. On the premise of ensuring the integrity of the patient's medical and health data, the structured digital medical record set can adopt the format standard of any country, region, organization or medical service provider, and , Different format standards, display forms, and language categories can be freely converted according to user habits.
本发明一个实施例的数字病历生成装置,其组成至少包括:(1)物联网医疗模块,包括物联网联结的医疗机器人、看护机器人、药房机器人、可置入人体内或体外可穿戴智能医疗健康监护治疗设备,提供看诊、物理检查、化验检查、病理检查、看护监护、情感陪护、手术治疗、非手术治疗、康复治疗、医疗急救服务;(2)数据采集模块,包括音频采集、视频采集、图像采集、量化指标检测,由物联网联结的医疗机器人和智能设备的麦克风、计算机视觉传感器、电化学传感器采集数据,经过自然语言和图像识别、数据处理,获取诊疗所需初始数据。其中,计算机视觉传感器检测范围包括但不限于:可见光、紫外光、近红外线、红外线、远红外线、激光、雷达、超声波、X光、荧光、电波、磁波、显微镜;(3)数据处理模块,将数据采集模块采集的初始数据,构建人类病理、生理、心理、精神健康参数数据库,依据人工智能系统结合人类大数据,推导并设置人类生理、心理、精神健康参数正常参考范围以及异常临界值范围,进而,根据患者主诉或主要症状,依据人类全部医疗知识图谱索引,构建相关联的特征值库,将诊疗所需的初始数据与人类或患者既往的生理、心理、精神健康参数正常参考范围以及异常临界值范围相比较,获取患者重要阳性特征值和阴性特征值,获得患者的主要诊断和次要诊断,并做出诊疗决策,由治疗医疗机器人实施,并实时评估疗效数据和患者反馈意见,指导医疗机器人调整诊疗计划;(4)数字病历自动生成模块,用于参照目前门诊和住院电子病历格式,将提取的特征值数据按照逻辑关系自动排版编辑,置入住院病历或门诊病历相对应的结构格式中,并将监测到的医疗健康数据添加到数字病历,对数字病历实时更新;(5)数据安全模块,采用区块链技术和量子密码技术,对数字病历数据加密,确保数据的完整性、私密性、不可篡改性、更新添加可追溯性;(6)数字病历调用模块,按照智能合约,采用激励和惩罚机制,在数字病历法定责任管理方的全程独立审核监督下,用户从数字病历存储的服务器调取数据,用于特定目的使用。The digital medical record generation device according to an embodiment of the present invention includes at least: (1) IoT medical modules, including IoT-connected medical robots, nursing robots, pharmacy robots, and wearable smart medical and health care that can be placed inside or outside the body Monitoring and treatment equipment, providing medical consultation, physical examination, laboratory examination, pathological examination, nursing monitoring, emotional escort, surgical treatment, non-surgical treatment, rehabilitation treatment, and medical emergency services; (2) Data collection module, including audio collection and video collection , Image acquisition, quantitative index detection, data collected by medical robots and smart device microphones, computer vision sensors, and electrochemical sensors connected by the Internet of Things, through natural language and image recognition, and data processing, to obtain initial data required for diagnosis and treatment. Among them, the detection range of computer vision sensors includes but is not limited to: visible light, ultraviolet light, near infrared, infrared, far infrared, laser, radar, ultrasonic, X-ray, fluorescence, electric wave, magnetic wave, microscope; (3) data processing module, The initial data collected by the data collection module constructs a database of human pathological, physiological, psychological, and mental health parameters. Based on the artificial intelligence system combined with human big data, the normal reference range and abnormal critical value range of human physiological, psychological, and mental health parameters are deduced and set. Furthermore, according to the patient's main complaint or main symptoms, and according to the index of all human medical knowledge maps, the associated feature value database is constructed, and the initial data required for diagnosis and treatment is compared with the normal reference range and abnormality of the human or patient's past physiological, psychological, and mental health parameters. The critical value range is compared, the important positive and negative characteristic values of the patient are obtained, the main diagnosis and the secondary diagnosis of the patient are obtained, and the diagnosis and treatment decisions are made, which are implemented by the treatment medical robot, and the curative effect data and patient feedback are evaluated in real time for guidance The medical robot adjusts the diagnosis and treatment plan; (4) The digital medical record automatic generation module is used to refer to the current outpatient and inpatient electronic medical record formats, automatically typeset and edit the extracted feature value data according to the logical relationship, and set the corresponding structure of the hospitalized medical record or the outpatient medical record In the format, the monitored medical health data is added to the digital medical record, and the digital medical record is updated in real time; (5) The data security module uses blockchain technology and quantum cryptography technology to encrypt the digital medical record data to ensure the integrity of the data , Privacy, non-tamperable modification, update to add traceability; (6) The digital medical record call module, in accordance with the smart contract, adopts the incentive and punishment mechanism, and under the independent review and supervision of the digital medical record statutory responsibility management party, the user reads the digital medical record The stored server retrieves the data and uses it for specific purposes.
本发明一个实施例的可读存储介质存储有指令、程序、代码集或指令集,指令、所述程序、所述代码集或指令集由处理器加载并执行以实现数字病历的生成、显示、使用。The readable storage medium of an embodiment of the present invention stores instructions, programs, code sets or instruction sets, and the instructions, the programs, the code sets or the instruction sets are loaded and executed by the processor to realize the generation, display, and display of digital medical records. use.
当然,实现上述实施例方法中的全部或部分流程,是可以通过计算机程序来指令相关的硬件来完成,计算机程序可存储于一非易失性计算机可读取存储介质中,该计算机程序在执行时,可包括如上述各方法的实施例的流程。其中,本申请所提供的各实施例中所使用的对存储器、存储、数据库或其它介质的任何引用,均可包括非易失性和/或易失性存储器。Of course, all or part of the processes in the above-mentioned embodiment methods can be implemented by instructing relevant hardware through a computer program. The computer program can be stored in a non-volatile computer readable storage medium, and the computer program is executing At this time, it may include the procedures of the embodiments of the above-mentioned methods. Wherein, any reference to memory, storage, database or other media used in the embodiments provided in this application may include non-volatile and/or volatile memory.
3.无人化智慧医院进化,无人化智慧医院早期阶段,医护人员和管理人员适度参与医院运营和运行,人机协同共融方式为病人提供诊疗服务,随着人类对疾病认识的深入和科技进步,医疗机器人种类和功能不断迭代,尤其是病人需求变化,医护人员和管理人员参与度将进一步减少,无人化智能程度增加,医院运行方式相应获得进步。3. The evolution of unmanned smart hospitals. In the early stage of unmanned smart hospitals, medical staff and management personnel participate in the operation and operation of the hospital appropriately, and the collaborative integration of man and machine provides diagnosis and treatment services for patients. As humans deepen and understand the disease With technological advancement, the types and functions of medical robots continue to iterate, especially as the needs of patients change, the participation of medical staff and management personnel will be further reduced, the degree of unmanned intelligence will increase, and hospital operation methods will be improved accordingly.
以上所述,仅是本发明实施例而已,并非对本发明的技术范围作任何限制,故凡是依据本发明的技术实质对以上实施例所作的任何细微修改、等同变化与修饰,均仍属于本发明技术方案的范围内。专业人员应该意识到,专业技术人员可以对每个特定的应用来使用不同方法来实现所描述的功能,但是这种实现不应认为超出本发明的范围。The above are only the embodiments of the present invention and do not limit the technical scope of the present invention. Therefore, any minor modifications, equivalent changes and modifications made to the above embodiments based on the technical essence of the present invention still belong to the present invention. Within the scope of technical solutions. Professionals should be aware that professional and technical personnel can use different methods for each specific application to implement the described functions, but such implementation should not be considered as going beyond the scope of the present invention.
工业实用性Industrial applicability
(1)可实施性:所属技术领域的普通技术人员在阅读了本申请文件公开的整体技术内容后,能将该发明创造的主题予以客观再现。(1) Feasibility: After reading the overall technical content disclosed in this application file, a person of ordinary skill in the technical field can objectively reproduce the subject of the invention.
(2)可再现性:所属技术领域普通技术人员根据公开的技术内容,能够重复实施本申请中为达到其目的所采用的技术方案,这种重复实施没有数量上的限制,不依赖任何随机因素,而且每次实施的结果相同。(2) Reproducibility: According to the disclosed technical content, a person of ordinary skill in the art can repeatedly implement the technical solution adopted in this application to achieve its purpose. There is no quantitative restriction on such repeated implementation and does not rely on any random factors. , And the result of each implementation is the same.
(3)有益性:本申请技术方案采用医疗机器人替代人构建无人化医院,能够能产生积极的经济和社会效益。(3) Benefits: The technical solution of this application uses medical robots to replace humans to construct unmanned hospitals, which can generate positive economic and social benefits.

Claims (18)

  1. 一种无人化智慧医院的架构,由医疗机器人组成医院,其特征在于:包括门诊医疗机器人、急救医疗机器人、检查医疗机器人、情感陪护医疗机器人、转运医疗机器人、特殊检查医疗机器人、手术机器人、康复医疗机器人、药房机器人、清洁消毒医疗机器人,多个所述医疗机器人组合为无人化智慧医院。An architecture of an unmanned smart hospital consisting of medical robots. The hospital is characterized by: outpatient medical robots, emergency medical robots, inspection medical robots, emotional escort medical robots, transfer medical robots, special inspection medical robots, surgical robots, Rehabilitation medical robots, pharmacy robots, cleaning and disinfection medical robots, and a combination of multiple medical robots forms an unmanned smart hospital.
  2. 如权利1所述的架构,其特征在于:所述门诊医疗机器人包括移动底盘、机械臂、机器人本体,所述机器人本体至少包括状态感知模块、环境感知模块、人机交互模块、生物识别模块、无线通讯模块、中央数据存储处理模块、智能药箱。The architecture of claim 1, wherein the outpatient medical robot includes a mobile chassis, a robotic arm, and a robot body, and the robot body includes at least a state perception module, an environment perception module, a human-computer interaction module, a biometric module, Wireless communication module, central data storage and processing module, smart medicine box.
  3. 如权利1所述的架构,其特征在于:所述急救医疗机器人包括移动底盘、机械臂和机器人本体,所述机械臂设置于机器人本体两侧,末端设置抓持结构、吸盘结构和辅诊结构,所述机器人本体至少包括生命支持模块、外科急救模块、智能仓储模块。The architecture according to claim 1, wherein the emergency medical robot includes a mobile chassis, a mechanical arm, and a robot body, the mechanical arms are arranged on both sides of the robot body, and the ends are provided with a gripping structure, a suction cup structure, and an auxiliary diagnosis structure The robot body at least includes a life support module, a surgical emergency module, and an intelligent storage module.
  4. 如权利1所述的架构,其特征在于:所述检查医疗机器人包括移动底盘、机械臂、机器人本体,所述机器人本体至少包括采样设备、检查设备。The architecture according to claim 1, wherein the medical examination robot includes a mobile chassis, a mechanical arm, and a robot body, and the robot body includes at least a sampling device and an inspection device.
  5. 如权利1所述的架构,其特征在于:所述药房机器人包括移动底盘、机器人本体,所述机器人本体至少包括三个箱体。The architecture of claim 1, wherein the pharmacy robot includes a mobile chassis and a robot body, and the robot body includes at least three boxes.
  6. 如权利1所述的架构,其特征在于:所述转运医疗机器人包括移动底盘、机器人本体,所述机器人本体为可变形结构。The architecture according to claim 1, wherein the medical transport robot includes a mobile chassis and a robot body, and the robot body is a deformable structure.
  7. 如权利1所述的架构,其特征在于:所述康复医疗机器人包括移动底盘、机械臂、机器人本体,所述机器人本体包括康复设备。The architecture of claim 1, wherein the rehabilitation medical robot includes a mobile chassis, a mechanical arm, and a robot body, and the robot body includes a rehabilitation device.
  8. 如权利1所述的架构,其特征在于:所述手术机器人包括移动底盘、机械臂、机器人本体,所述机器人本体至少包括手术设备、介入治疗设备。The architecture according to claim 1, wherein the surgical robot includes a mobile chassis, a mechanical arm, and a robot body, and the robot body includes at least surgical equipment and interventional treatment equipment.
  9. 如权利1所述的架构,其特征在于:所述清洁消毒医疗机器人包括移动底盘、机器人本体,所述机器人本体至少包括清洁设备、消毒设备。The architecture according to claim 1, wherein the cleaning and disinfecting medical robot includes a mobile chassis and a robot body, and the robot body includes at least a cleaning device and a disinfecting device.
  10. 如权利1所述的架构,其特征在于:所述特殊检查医疗机器人包括移动底盘、机械臂、机器人本体,所述机器人本体至少包括CT设备、MRI设备、PET设备、超声波设备。The architecture according to claim 1, wherein the special inspection medical robot includes a mobile chassis, a mechanical arm, and a robot body, and the robot body includes at least CT equipment, MRI equipment, PET equipment, and ultrasound equipment.
  11. 如权利2所述的架构,其特征在于:所述门诊医疗机器人扮演男性医师、女性医师、卡通医师,扮演各国名医,采用多种语言提供服务。The architecture according to claim 2, wherein the outpatient medical robot acts as a male doctor, a female doctor, a cartoon doctor, and a famous doctor from various countries, and provides services in multiple languages.
  12. 一种无人化智慧医院的方法,提供无人化医疗服务,其特征在于:包括医疗机器人配置、医疗机器人分工、医院运营、数字病历运行。An unmanned smart hospital method that provides unmanned medical services is characterized by: including medical robot configuration, medical robot division of labor, hospital operation, and digital medical record operation.
  13. 如权利要求12所述的方法,其特征在于:所述医疗机器人配置包括:(a)微型医疗机构配置1个门诊医疗机器人、1个检查医疗机器人、1个情感陪护医疗机器人、1个药房机器人、1个清洁消毒医疗机器人;(b)小型医疗机构配置2~5个门诊医疗机器人、2~5个情感陪护医疗机器人、1个检查医疗机器人、1个急救医疗机器人、2个药房机器人、1个清洁消毒医疗机器人;(c)中型医疗机构配置6~20个门诊医疗机器人、6~20个情感陪护医疗机器人、2个检查医疗机器人、1个急救医疗机器人、3个药房机器人、1个转运医疗机器人、1个康复医疗机器人、1个清洁消毒医疗机器人;(d)大型医疗机构配置21-50个门诊医疗机器人、3-5个检查医疗机器人、21-50个情感陪护医疗机器人、5个药房机器人、2个急救医疗机器人、3个转运医疗机器人、1个特殊检查医疗机器人、1个手术机器人、2个康复医疗机器人、2个清洁消毒医疗机器人。The method of claim 12, wherein the medical robot configuration includes: (a) a micro-medical institution configures 1 outpatient medical robot, 1 examination medical robot, 1 emotional escort medical robot, and 1 pharmacy robot , 1 cleaning and disinfection medical robot; (b) Small medical institutions are equipped with 2~5 outpatient medical robots, 2~5 emotional escort medical robots, 1 medical examination robot, 1 emergency medical robot, 2 pharmacy robots, 1 One cleaning and disinfecting medical robot; (c) Medium-sized medical institutions are equipped with 6-20 outpatient medical robots, 6-20 emotional escort medical robots, 2 medical examination robots, 1 emergency medical robot, 3 pharmacy robots, and 1 transporter Medical robots, 1 rehabilitation medical robot, 1 cleaning and disinfection medical robot; (d) Large medical institutions are equipped with 21-50 outpatient medical robots, 3-5 examination medical robots, 21-50 emotional escort medical robots, and 5 Pharmacy robots, 2 emergency medical robots, 3 transport medical robots, 1 special inspection medical robot, 1 surgical robot, 2 rehabilitation medical robots, 2 cleaning and disinfection medical robots.
  14. 如权利要求12所述的方法,其特征在于:所述医疗机器人分工包括:门诊医疗机器人承担接诊、基础药房、基础治疗服务;急救医疗机器人提供紧急医疗救助;检查医疗机器人承担化验分析、病理检查、物理检查服务;情感陪护医疗机器人承担导诊、陪诊、情绪安抚、心理咨询及治疗服务;特殊检查医疗机器人提供特需检查服务;药房机器人承担药师服务和药事服务;转运医疗机器人承担病人转移、医疗物资配送服务;康复医疗机器人承担康复训练;手术机器人实施手术和介入探查治疗;清洁消毒医疗机器人实施清洁消毒作业。The method according to claim 12, characterized in that: the division of labor of the medical robots includes: outpatient medical robots undertaking consultation, basic pharmacy, and basic treatment services; emergency medical robots providing emergency medical assistance; inspection medical robots undertaking laboratory analysis and pathology Inspection and physical inspection services; emotional escort medical robots provide guidance, escort, emotional comfort, psychological consultation and treatment services; special inspection medical robots provide special inspection services; pharmacy robots provide pharmacist services and pharmacy services; medical robots take care of patients Transfer and medical material distribution services; rehabilitation medical robots undertake rehabilitation training; surgical robots perform surgery and interventional exploration and treatment; cleaning and disinfection medical robots perform cleaning and disinfection operations.
  15. 如权利要求12所述的方法,其特征在于:所述医院运营包括:(1)医院运营主体可以购买医疗机器人,也可租赁医疗机器人;(2)配备水、电、气、道路、房屋、通讯,部署医院;(3)由第三方依据协议提供服务,保障医院正常运转;(4)医院之间依据协议,互相调配医疗机器人,满足服务需求。The method according to claim 12, characterized in that: the hospital operation includes: (1) the main body of the hospital operation can purchase or rent medical robots; (2) be equipped with water, electricity, gas, roads, houses, Communication and deployment of hospitals; (3) Third-party services are provided in accordance with the agreement to ensure the normal operation of the hospital; (4) Hospitals will deploy medical robots in accordance with the agreement to meet service needs.
  16. 如权利要求12所述的方法,其特征在于:所述数字病历运行流程100包括如下步骤:110:既往医疗数据获取;120:当次诊疗数据获取;130:数据特征值提取;140:数字病历自动生成;150:数字病历数据加密,云服务器存储;160:数字病历更新;170:数字病历数据确权;180:数字病历调用;190:数字病历数据使用的激励和惩罚。The method according to claim 12, wherein the digital medical record operation process 100 comprises the following steps: 110: acquisition of past medical data; 120: acquisition of current diagnosis and treatment data; 130: data feature value extraction; 140: digital medical record Automatic generation; 150: digital medical record data encryption, cloud server storage; 160: digital medical record update; 170: digital medical record data confirmation; 180: digital medical record call; 190: incentives and penalties for the use of digital medical record data.
  17. 如权利13所述的方法,其特征在于:所述医疗机器人配置可依据医院所在地域大数据,结合医院定位,选配医疗机器人功能模块,调整医疗机器人配置比例。The method according to claim 13, wherein the configuration of the medical robot can be based on the big data of the local area of the hospital, combined with the positioning of the hospital, select and match the medical robot function module, and adjust the proportion of the medical robot configuration.
  18. 一种无人化智慧医院的系统,其特征在于:包括医院自主组织系统、运行系统、第三方服务系统、移动智能终端,所述医院自主组织系统包括自主安排病人诊疗服务,自主决定医疗机器人调配,自主采购第三方服务,自主按照运营主体意愿实施财务管理。An unmanned intelligent hospital system, which is characterized in that it includes a hospital autonomous organization system, an operating system, a third-party service system, and a mobile intelligent terminal. The hospital autonomous organization system includes autonomously arranging patient diagnosis and treatment services and autonomously determining the deployment of medical robots , Procurement of third-party services independently, and implement financial management independently in accordance with the wishes of the operating entity.
PCT/CN2021/078144 2020-06-17 2021-02-26 Framework, method, and system for unmanned smart hospital WO2021253867A1 (en)

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