WO2021253867A1 - Cadre, procédé et système pour hôpital intelligent sans personnel - Google Patents

Cadre, procédé et système pour hôpital intelligent sans personnel 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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Prior art keywords
medical
robots
robot
data
hospital
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PCT/CN2021/078144
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English (en)
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/zh
Priority claimed from CN202010984492.8A external-priority patent/CN112102907A/zh
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/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
    • B25J11/00—Manipulators not otherwise provided for
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT 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
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT 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
    • G16H40/20—ICT 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
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT 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.

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Abstract

La présente invention concerne un hôpital intelligent sans personnel constitué de robots de soins de santé. Des modules fonctionnels de robot de soins de santé sont sélectionnés sur la base de mégadonnées régionales et de l'emplacement d'hôpital, et de multiples types de robots de soins de santé sont configurés conformément à certains rapports, ce qui permet d'obtenir un fonctionnement collaboratif et autonome, de fournir un service de soins de santé efficace, à faible coût, en ligne et hors ligne, toute la journée et 24 heures sur 24, et de réduire la charge des travailleurs de la santé.
PCT/CN2021/078144 2020-06-17 2021-02-26 Cadre, procédé et système pour hôpital intelligent sans personnel WO2021253867A1 (fr)

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CN202010984492.8 2020-09-09
CN202010984492.8A CN112102907A (zh) 2020-09-09 2020-09-09 基于物联网的数字病历生成、显示及使用方法、装置、存储介质

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