CN104915576A - Digital cardiovascular risk evaluation system - Google Patents
Digital cardiovascular risk evaluation system Download PDFInfo
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- CN104915576A CN104915576A CN201510399758.1A CN201510399758A CN104915576A CN 104915576 A CN104915576 A CN 104915576A CN 201510399758 A CN201510399758 A CN 201510399758A CN 104915576 A CN104915576 A CN 104915576A
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Abstract
A digital cardiovascular risk evaluation system comprises an emergency vehicle terminal, a specialist terminal, a background terminal and a catheterization room terminal, all of which are connected by a mobile internet; the emergency vehicle terminal is bound with a mobile device, a client program installed on the mobile device can obtain patient data from a detector through a special interface so as to perform intelligent diagnosis and send the intelligent diagnosis to the background terminal by applying a consultation, and the background terminal saves and sends the intelligent diagnosis to the specialist terminal; a specialist guides on-vehicle doctors to rescue and performs judgment according to data sent by the specialist terminal; if the patient needs to directly enter a catheterization room without emergency treatment, the judgment is sent back the background terminal, the background terminal saves and sends the judgment to the emergency vehicle terminal, and meanwhile, the background terminal notifies that the catheterization room terminal prepares for interventional recanalization operation. Therefore, time is won for the patient, and the life of the patient is prolonged.
Description
Technical field
The present invention relates to development of Mobile Internet technology and myocardial infarction detection technique, be specifically related to myocardial infarction disease and send out rear early stage medical diagnosis technology.
Background technology
Acute myocardial infarction AMI is that coronary artery is acute, myocardial necrosis caused by continuation hypoxic-ischemic, and this disease is the most common America and Europe, and the U.S. about has 1,500,000 people that myocardial infarction occurs every year.China, in recent years in obvious ascendant trend, newly sends to few 500,000 every year, existing trouble at least 200 ten thousand.Myocardial infarction is more and more taken seriously, and when the treatment of sick Fa Houzaiqu hospital takes a long time, patient probably will lose one's life on the road going to hospital, so the material time point cured the sickness to save the patient is exactly the time on ambulance, the inspection that current ambulance uses, checkout equipment can not accomplish real-time data transmission, main suit with Che doctor is also traditional, doctor inquires, patient answers, then choose, once cause doctor-patient dispute can look into without card, on ambulance, all devices does not possess networked capabilities, ambulance also can only have nurse to pass through telephonic communication with the communication way between hospital, arrival hospital is only had just to carry out traditional handing-over with emergency physicians, then a series of inspection is done again in emergency treatment, then conduit room is arrived, waste a large amount of time during this period, and to acute myocardial infarction AMI, time is life.
Digitizing cardiovascular risk assessment system is establish inspection between ambulance and hospital, detect the real-time Transmission of data, for providing choosing and sound-recording function for main suit's content with Che doctor, intelligent decision can be done for providing reference with Che doctor according to main suit's content, establish expert and with the communication between Che doctor, can in advance for patient does early treatment, the data of expert's end by transmitting, can to detour emergency ward once confirm as STEMI, direct arrival conduit room, conduit room can prepare intervention in advance and open operation, for patient gains time, thus extend patient vitals.
Summary of the invention
The invention provides a kind of in advance for the treatment system of myocardial infarction illness, solve patient after disease is sent out, can not be treated timely, time waste is in the road going to hospital, be unfavorable for the early treatment to the state of an illness, the patient overwhelming majority does not obtain the guidance of doctor and remedy measures timely and loses one's life.
The object of the invention is to make use of patient to go the time of hospital at upper ambulance, arrived the time that hospital arranges, the very first time, disease is front to be diagnosed for patient carries out in advance, gather patient identification information, generate patient treatment and Information Monitoring, gather vital sign and produce ECG results, the results such as blood oxygen, blood pressure feed back to expert physician in advance, and make early treatment measure.
The present invention uses mobile Internet, checkout facility on ambulance, and ambulatory centers communication connects together in conjunction with software APP.Just in advance for patient detects on ambulance, send patient data in expert's hand, make emergency processing in advance, early treatment, thus reduce the mortality ratio of myocardial infarction.First aid scene is ambulance or community hospital, medical personnel access mobile wireless network by smart mobile phone in 2G, 3G or 4G mode, mobile wireless network is accessing Internet again, internet accesses hospital lan via fire wall, system service center is set in LAN (Local Area Network), attendant physician in hospital holds smart mobile phone by WIFI access to LAN, and the doctor that goes out holds smart mobile phone can access mobile wireless network, internet by 2G, 3G or 4G mode, finally accesses hospital lan network.By network, rescue point-of-care personnel and attendant physician all can with service centre's network interconnection, reach information instant messaging, data sharing object.
Accompanying drawing explanation
Figure 1 shows that digitizing cardiovascular risk assessment System's composition schematic diagram of the present invention.
Figure 2 shows that the function that ambulance Pad holds forms schematic diagram.
Figure 3 shows that the function that expert holds forms schematic diagram.
Figure 4 shows that the function of server end forms schematic diagram.
Fig. 5 time shaft schematic diagram.
Embodiment
In Fig. 1, digitizing cardiovascular risk assessment system 11 holds 12 by: emergency tender pad, expert holds (mobile phone) 13, service end (pc) 14 is formed.Wherein service end comprises background end and conduit room's end.
Emergency tender end is patient identification information, main suit's content and recording thereof, the time of medication treatment, mode, method, physiochemical indice and blood oxygen, blood pressure, 12 lead the next data of electrocardio equipment collection reads at pad end and is depicted as oscillogram with " 12 lead cardiogram ", do intelligent diagnostics, backstage is sent to by the application consultation of doctors, preserved by backstage and be sent to expert's end, as shown in Figure 3, the data that expert sends over according to emergency tender end, instruct and give treatment to Che doctor, and judge emergency treatment of whether detouring, beam back backstage, backstage is preserved and is issued emergency tender end, notice conduit room prepares intervention and opens operation.
A mobile device is bound on each emergency tender, and the client-side program installed on mobile terminals obtains data by special purpose interface from detecting instrument, and is sent to service end system.Client-side program underlying basis module on mobile terminal is made up of data encryption module, data transmission module, to ensure information interaction and the safety communication of mobile terminal and service end.
Processed the transmission of messages of mobile terminal and server end by ESB (ESB) in server.
Emergency tender end shown in Fig. 2 comprises: user log-in block, facility registration module, patient identification information's acquisition module, previously case search module, time shaft module, patient main suit choose module, main suit's recording module, blood pressure acquisition module, physiochemical indice module, blood oxygen acquisition module, intelligent diagnostics, remote medical consultation with specialists module, instant messaging module, medicine for treatment module and generate case module.Wherein: patient information acquisition module comprises patient information collection, blood pressure acquisition module, physiochemical indice module, blood oxygen acquisition module, can manually input available devices collection, wherein also comprise and create case and previously case list and details.Patient main suit chooses module and comprises: symptom is chosen and master states recording.Medicine for treatment module comprises: medicine is selected and processing mode selection, after having selected, can manually input, also can manual modification dosage and take mode.Remote medical consultation with specialists interface comprises: send case.Carry out mutual with expert's end, comprise (voice, picture, word), receive the doctor's advice that expert holds transmission.Case generates interface and comprises: all operations of all doing all before.Comprise information acquisition, symptom is chosen, CrCl, medicine for treatment, electrocardio, blood pressure, blood oxygen, and doctor's advice etc., also comprise: doctor signs, and hospital signs, and delivery receitp is taken pictures, data upload.
The duty system of the end of expert shown in Fig. 3 provides smart mobile phone and PC two kinds of access waies, and complete patient data display easily, history case history is checked and remote diagnosis.Administrator system is accessed by PC, is mainly used in the maintenance of data, the control of authority and statistical study.Keeper, by browser mode Access Management Access door, can manage whole system very easily.Expert's end comprises: user log-in block, identity information receiver module, previously case search module, patient's course of disease enquiry module, instant message module, case receiver module, STEMI confirm module, doctor's advice module, prompting message module.
Service end enclosed mass: user log-in block, device management module, user management module, memory module, template base module (template base enclosed mass: drug control template, treatment template, time shaft administrative template).
Ambulance is configured with the data such as electrocardiograph, sphygmomanometer, card reader of ID card and accepts and believe equipment, and mechanism becomes front end system with medical personnel's hand-held intelligent.By blueteeth network, front-end equipment and smart mobile phone form little wireless data communication network.Smart mobile phone is by 3G or 4G network insertion internet.
The various data in front end accept and believe Equipments Setting bluetooth communication interface, sends patient's vital sign data of collection to smart mobile phone, and different pieces of information shows with the proprietary form of expression by smartphone software.The valuable image data of point-of-care personnel selection, sends to hospital shift doctor by internet, also can receive the doctor's advice that attendant physician is assigned simultaneously.
Front end system adopts 4.0 version Bluetooth technologies, and the most important characteristic of bluetooth 4.0 is power saving, and extremely low operation and stand-by power consumption can make button cell continuous firing several years.Have in addition low cost, low delay, across many characteristics such as vendor interoperabilitys, make its may be used for passometer, heart rate monitor, can only the various fields such as instrument, sensor Internet of Things.
If attendant physician is in hospital, by LAN (Local Area Network) in WIFI network access hospital in garden, if attendant physician is outside hospital, hospital lan can be accessed by 3G or 4G mobile network, final contact service centring system.
When service center system receives the data that ambulance end sends, be immediately pushed to attendant physician, after attendant physician assigns doctor's advice, submit to service center system, then service center system is pushed to ambulance end order data immediately again.
After service center system receives various data, except carrying out network push, also the operations such as data mart modeling, process, storage will be carried out.
at emergency tender end:
As shown in Figure 2, first-aid centre receives ambulance call, carry mobile device with Che doctor to get on the bus, login system, arrive existing car, patient gets on the bus, with Che doctor with I.D. collecting device scan patients I.D., system is passed to, system log (SYSLOG) patient information, in case of None-identified identity document can select manual input by bluetooth 4.0 interface.
Read after patient information, from background end database transfer this patient previously case check and create and follow up a case by regular visits to case.
Establishment case completes, enter main suit to choose module and open recording system and carry out record, and at the node automatic writing time of time shaft as shown in Figure 5, by I.D. collector, patient identification information's (system also provides manual input mode) can be gathered fast and accurately and create first aid case history, also facilitating first-aid personnel to register information correlation time fast by the mode clicked.
System has reserved patient's anamnesis query function that can dock with third-party platform, facilitates medical history situation and the Residential soil case history situation of medical personnel's real-time query patient.
System is built-in conventional main suit, have a medical check-up, the information such as past medical history, first-aid personnel registers fast by choosing mode, avoids taking time and effort of manual input.This general information by system manager by backstage supplementary maintenance voluntarily, can add the extendability of system, is more convenient for routine use.
For some special circumstances, system provides voice record function, facilitates first-aid personnel to carry out word picture record.
System can carry out wireless collection for multiple checkout equipment simultaneously, the sign data of automatic record patient and correlation acquisition time, as: " blood oxygen levels ", " pressure value ", " physiochemical indice ", " cardiogram ", in order to avoid emergency risk occurs, system also provides manual input function.
System provides auxiliary analytic function automatically, can automatic decision physiochemical indice state, cardiac diagnosis result.And the related data that system will gather, carries out comprehensive analysis and judgement by algorithm, evaluate the danger classes of patient, and provide suggestion handling suggestion, for first-aid personnel's judgement, treatment provide thinking.
System provides emergency treatment writing function, by clicking mode, the treatment that record first-aid personnel carries out sufferer, medicining condition, only need to select emergency treatment title, system will according to background maintenance data, the information such as Auto-writing service time, usage, consumption, but system still provides manual input function, is convenient to process fortuitous event.
System provides remote medical consultation with specialists function, the data of collection can be sent to Consultation Center in real time by wireless modes such as 3G, and can use instant messaging mode and receive the expert applied for that hold a consultation and carry out instant messaging, communication patient profiles.
Can show the consultation of doctors suggestion that expert holds feedback in remote medical consultation with specialists function, and for the Emergency Patients that detours, system is indicated, so that first-aid personnel notes by clearly identifying.
When joining, native system, by cumulated volume time emergency situations, produces first aid case history, is convenient to handing-over.System provides camera function, to retain paper record list.After system is connected with wireless printer, can print this case history.
After confirmation handing-over, this record can be encrypted storage by system automatically, and is sent to service end archive backups.
hold expert:
Expert's end as shown in Figure 3, system can according to predetermined typesetting situation, the current attendant physician of automatic decision, and by various ways such as icon flicker, jingle bell, vibrations, reminds attendant physician to receive consultation of doctors application.System provides overtime management function, and for the consultation of doctors application of time-out, system will notify duty on the second line doctor automatically, guarantees that consultation of doctors application is processed in time.
System provides list mode to show all consultation of doctors applications, and consultation of doctors application was sorted with the application time, facilitated select expert on duty.By clicking application, expert can consult the detailed content of this application information, comprise: the information such as " patient information ", " therapeutic time axle ", " main suit ", " past medical history ", " having a medical check-up ", " auxiliary examination ", " emergency treatment ", and expert can check the EGC pattern of collection.
System provides doctor's advice recovery function and instant communication function, and by doctor's advice recovery function, expert can carry out diagnosing and assign disposal suggestion according to patient's present case.Meanwhile, in order to accelerate consultation of doctors speed, for some common situations, system provides quick diagnosis, disposes and assign function, and expert, in the mode clicked, reduces typing, completes reply fast.By communication function time both, expert, by the mode of word, picture, voice, video, links up with first-aid personnel, auxiliary diagnosis and assign disposal suggestion.Before doctor's advice sends, system can require expert's typing signature password, ensures the security of system.
After first-aid personnel receives expert consultation suggestion, according to making a definite diagnosis suggestion, first-aid personnel takes basic emergency treatment section office therapeutic modality or emergency department's treatment of detouring goes to the treatment of interposing catheter room.
in service end:
As shown in Figure 4, main being used as manages background data base, comprises patient medical record; Patient identification information; Ambulance data information; Attendant physician information.
Service end be used for ambulance end and expert end data interaction, storage and Third party system docking.
User logs in a point different account authority, respectively corresponding doctor terminal on duty, ambulance end, Zhuan Jiaduan.
Register different equipment, ensure that each device talk is normal.
System provides when pre-treatment patient records Presentation Function, and attendant physician can process checks multiple patient medical record information;
By clicking certain patient medical record, attendant physician can consult this medical detail information of this patient;
Realize registration function by time shaft as shown in Figure 5, attendant physician can carry out record to material time point, and finally completes treatment task.
Store patient case history; Patient identification information; Ambulance data information; Attendant physician information etc.
Section office's list interface mainly to section office interpolation, revise, check the function of details and deletion.Fast query can be carried out to the title of section office.Click the lists of persons that section office's title can check out these section office.
Emergency tender list interface mainly to emergency tender interpolation, revise, check the function of details and deletion.Fast query can be carried out to the title on emergency tender.
List of devices interface mainly to equipment interpolation, revise, check the function of details and deletion.Fast query can be carried out to the title of equipment.
The list that details can check this patient medical record, mainly to the list of all patients having seen disease in hospital, is clicked in Patient list interface, then clicks and check the details that can show patient medical record, can also by the name fast query of patient.
The main function of list interface of arranging an order according to class and grade is arranged an order according to class and grade to the doctor in charge of PC end.There is interface below in click, has a calendar greatly after arranging an order according to class and grade, calendar obtains after clicking every day and just doctor on duty can be wanted to arrange an order according to class and grade to this day.
Template base is increasing to symptom, medicine, physiochemical indice, time alarm, signature, delete, change, look into and the uploading of picture.
Claims (2)
1. a digitizing cardiovascular risk assessment system, is characterized in that:
Comprise emergency tender end, Zhuan Jiaduan, background end and conduit room's end, connected by mobile Internet between them; Emergency tender end binding mobile equipment, the client-side program installed on the mobile apparatus obtains patient data by special purpose interface from detecting instrument, makes intelligent diagnostics, is sent to background end by the application consultation of doctors, is preserved and be sent to expert's end by background end; The data that expert sends over according to emergency tender end, instruct and give treatment to Che doctor, and judge, if detoured, emergency treatment directly enters conduit room, then background end is beamed back in judgement, background end is preserved and is issued emergency tender end, notifies that conduit room's end prepares intervention and opens operation simultaneously;
Emergency tender end comprises remote medical consultation with specialists module and instant messaging module, for the data of collection are sent to Consultation Center in real time by 2G, 3G or 4G wireless mode, and carries out instant messaging with the reception expert applied for that hold a consultation, communication patient profiles; After first-aid personnel receives expert consultation suggestion, according to making a definite diagnosis suggestion, first-aid personnel takes basic emergency treatment section office therapeutic modality or emergency department's treatment of detouring goes to the treatment of interposing catheter room;
Expert's end provides smart mobile phone and PC two kinds of access waies, comprise prompting message module and overtime management function, expert's end is according to the current attendant physician of predetermined case automatic decision, and by flicker, jingle bell or vibrations various ways, attendant physician is reminded to receive consultation of doctors application, for the consultation of doctors application of time-out, system will notify duty on the second line doctor automatically, guarantee that consultation of doctors application is processed in time;
Conduit room's end comprises previously case search module and procedure logging modle, can consult this medical detail information of this patient by enquiry module attendant physician; By the time shaft registration function in logging modle, attendant physician can carry out record to material time point, and finally completes treatment task;
Background end is used as management background data base, and enclosed mass user log-in block, for identifying the different account rights that user logs in; Device management module, user management module, comprise section office's list interface, emergency tender list interface, Patient list interface and list interface of arranging an order according to class and grade; Memory module; Template base module, comprises drug control template, treatment template, time shaft administrative template;
Wherein, described client-side program underlying basis module is made up of data encryption module and data transmission module, to ensure information interaction and the safety communication of mobile terminal and background end; The server of background end passes through the transmission of messages of ESB (ESB) handle mobile terminal and background end.
2. risk evaluating system according to claim 1, is characterized in that:
Described emergency tender end also comprises: user log-in block, facility registration module, patient identification information's acquisition module, previously case search module, time shaft module, patient main suit choose module, main suit's recording module, blood pressure acquisition module, physiochemical indice module, blood oxygen acquisition module, intelligent diagnostics, medicine for treatment module and generate case module;
Described expert end also comprise user log-in block, identity information receiver module, previously case search module, patient's course of disease enquiry module, case receiver module, STEMI confirm module.
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| CN113539485A (en) * | 2021-09-02 | 2021-10-22 | 河南省尚德尚行网络技术有限公司 | Medical data processing method and device |
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