CN107092809A - A kind of ankylosing spondylitis remote medical consultation with specialists shared platform and its application method - Google Patents

A kind of ankylosing spondylitis remote medical consultation with specialists shared platform and its application method Download PDF

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Publication number
CN107092809A
CN107092809A CN201710465223.9A CN201710465223A CN107092809A CN 107092809 A CN107092809 A CN 107092809A CN 201710465223 A CN201710465223 A CN 201710465223A CN 107092809 A CN107092809 A CN 107092809A
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China
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consultation
doctors
client
patient
consulting staff
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CN201710465223.9A
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杜予和
陈萌萌
古洁若
杨剑锋
郑达宜
马淑雯
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Guangzhou Daan Center For Clinical Laboratory Co ltd
Guangzhou Hekang Medical Technology Co ltd
Third Affiliated Hospital Sun Yat Sen University
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Guangzhou Daan Center For Clinical Laboratory Co ltd
Guangzhou Hekang Medical Technology Co ltd
Third Affiliated Hospital Sun Yat Sen University
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Priority to CN201710465223.9A priority Critical patent/CN107092809A/en
Publication of CN107092809A publication Critical patent/CN107092809A/en
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    • G06F19/3418

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

A kind of ankylosing spondylitis remote medical consultation with specialists shared platform, iconography data information for the existing medical model Xia Ge hospitals of solution can not be shared, patient can only carry film and toss about in bed to seek medical advice, and iconography resolving power of film is low, the image documentation equipment parameter of each hospital is different, the problem of usually needing to check repeatedly, the present invention provides following technical scheme:A kind of ankylosing spondylitis remote medical consultation with specialists shared platform, described consultation of doctors platform includes detecting instrument, iconography instrument, rear consulting staff's client, database, server and front consulting staff's client:The beneficial effects of the present invention are, remote medical consultation with specialists mode by network connection, solve first patient's the difficulty of getting medical service register difficulty the problem of, intractable case is submitted directly to veteran specialist;Secondly it is superior compared with film to the processing of details during iconography electronic bits of data diagosis;After data submission is qualified again, 3 working days are to be reported, save the time of doctor and patient, add the accuracy rate of diagnosis.

Description

A kind of ankylosing spondylitis remote medical consultation with specialists shared platform and its application method
Technical field
The present invention relates to a kind of ankylosing spondylitis remote medical consultation with specialists shared platform and its application method.
Background technology
Ankylosing spondylitis is a kind of main whole body chronic inflammation disease for involving backbone, and illness rate is about 0.25- 0.5%, the existing disease patient of the current disease of China is about more than 5,000,000.This disease is apt to occur in adolescents in male, and clinical manifestation is in early days Lower lumbago, arthralgia, gradually develop into backbone and periphery joint deformity, action are limited, and can also merge eye, enteron aisle, skin Etc. lesion, ultimately causing arthrocleisis causes life-long disabilities.This sick disability rate is high, current result of study display morbidity 5-10 Year or so, the patient more than 50% without diagnoses and treatment can disable.Studied for many years through whole world rheumatism immunologist, this sick hair Sick inherent cause accounts for more than 90%, for the cause of disease so far without special diagnosis and treatment method, therefore improves the early diagnosis of ankylosing spondylitis Accuracy be the Critical policies for controlling the disease at present.
According to ankylosing spondylitis revision New York standards in 1984 and the scorching ASAS standards in 2009 of joint of vertebral column, this sick master Diagnose and depend primarily on symptom, sign and imaging diagnosis, but symptom, sign can not be true to type in early stage patient, iconography X-ray and magnetic resonance including backbone and articulatio sacroiliaca(MRI)Check the essential condition as early diagnosis.Imaging diagnosis difficulty It is higher to be completed jointly, it is necessary to which specialist is immunized to the veteran image department doctor of Bones and joints imaging diagnosis and rheumatism, mesh The preceding Grade A hospital that section is immunized provided with rheumatism can ensure the accuracy rate of imaging diagnosis substantially.Because patient examines in basic hospital head In the majority, the shortage of specialist and iconography doctor causes the failing to pinpoint a disease in diagnosis of the disease, misdiagnosis rate higher, delays the early treatment of patient.
The iconography data information of existing medical model Xia Ge hospitals can not be shared, and patient can only carry film and toss about in bed to ask Doctor, and iconography resolving power of film is low, inconvenient to carry, the image documentation equipment parameter of each hospital is different, it is often necessary to checks, prolongs repeatedly Wrong diagnosis and treatment.And domestic iconography diagosis pattern is typically checked and diagosis that patient leaves and takes in same hospital Part film data and report, and iconography diagosis needs to carry out image film the amplification of details, it is not homotactic with aspect Compare, the consultation of doctors effect for being difficult to reach high-quality by the tradition consultation of doctors and outpatient service mode.
To solve the above problems, the present invention will set up the iconography consultation of doctors platform of a standardization by the network platform, lead to Cross basic unit doctor and the patient image's electronic bits of data for needing further to make a definite diagnosis is uploaded to data platform progress record management, pass through Imaging diagnosis doctor integrates after the consultation of doctors report by network being sent to basic unit doctor, instead of traditional consultation of doctors function and Chronic diseases management.
The content of the invention
A kind of ankylosing spondylitis remote medical consultation with specialists shared platform, described consultation of doctors platform includes detecting instrument, iconography Instrument, rear consulting staff's client, database, server and front consulting staff's client:
Detecting instrument, for rearward consulting staff's client obtain patients with ankylosing spondylitis genetic test result and/or Acute reaction thing monitoring result;The instrument that described genetic test is used is ABI 7500, and the instrument of acute reaction thing monitoring is The MODULARP model P800 automatic clinical chemistry analyzers of RCHE companies production, Ke Hua biotech firms hs-CRP reagents and supporting school Quasi- product, the winged survey Immunofluorescence test instrument and supporting dilution and the hs-CRP of woman's bow quality-control product of Guangzhou biotechnology.
Iconography instrument, for rearward consulting staff's client shoot pelvis ap piece, full backbone anterioposterior and lateral film and/or Articulatio sacroiliaca MRI pieces;
Rear consulting staff's client, consulting staff is obtained after patient's agreement, patient information is registered, in rear consulting staff client Essential information, disease medical history, genetic test result, acute reaction thing monitoring result and/or the consultation of doctors purpose of end input patient, on Such as pelvis ap piece, full backbone anterioposterior and lateral film and/or articulatio sacroiliaca MRI piece imaging datas are passed, forwards consulting staff visitor Diagosis application is submitted at family end, obtains consultation of doctors opinion;
Further, described essential information includes name, sex, height and the body weight of patient.
Further, described disease medical history includes main suit, HLA-B27 results, c reactive protein and/or erythrocyte sedimentation Rate.
Server, described server obtains essential information, the disease for the patient that rear consulting staff's client is submitted first Medical history, genetic test result, acute reaction thing monitoring result, consultation of doctors purpose and/or imaging data, then according to patient's Unique registration number in name and certificate number formation database, then audited, if lacking regulation data, after feeding back to Square consulting staff's Client-Prompt supplementary material, if complete data, the letter that rear consulting staff's client is submitted every time Breath is stored to database;Described defined data is that essential information and at least one detecting instrument or iconography instrument are provided Testing result or imaging data.
Database, for storing the essential information of patient, disease medical history, genetic test result and every in units of patient Acute reaction thing monitoring result, consultation of doctors purpose and/or the imaging data of the secondary consultation of doctors;
Front consulting staff's client, the information for obtaining databases storage through server, manually judges imaging data Resolution ratio, image sequence it is whether qualified, through server feedback to rear consulting staff's client if unqualified, such as it is qualified Then enter the consultation of doctors stage, the consultation of doctors preserves consultation of doctors opinion to database through server after terminating.
Further, rear consulting staff client and front consulting staff's client set up picture transfer, File Transfer And voice transfer.
Further, described detecting instrument is connected with rear consulting staff's client by bluetooth or wifi.
Further, the described consultation of doctors stage is immunized specialist by 2 radiologist and 1 rheumatism and carried out, 3 doctors Teacher provides consultation of doctors opinion respectively, and server contrasts 3 people consultation of doctors opinion, and consultation of doctors opinion is sent if the consultation of doctors is had identical ideas to rear Square consulting staff's client, is retransmited if inconsistent after 1 higher level doctor's examination & verification consultation of doctors.
Further, opinion of holding a consultation is that the x-ray of the sacro-iliitis according to doctor's experience and the current international practice levies classification, backbone MSASSS scorings, articulatio sacroiliaca SPARCC scorings carry out medical diagnosis on disease and severity Scaling.
Further, described certificate number is ID card No. or social security number.
A kind of application method of ankylosing spondylitis remote image consultation of doctors shared platform, described construction method includes as follows Step:
1)Instrument of making film shoots pelvis ap piece, full backbone anterioposterior and lateral film and/or articulatio sacroiliaca MRI pieces, and detecting instrument is used to examine Survey the genetic test result and/or acute reaction thing monitoring result of patients with ankylosing spondylitis;
2)Application consulting staff is manually entered the essential information of patient, disease medical history, gene inspection in rear consulting staff's client Fruit and the acute reaction thing monitoring result held a consultation every time of coming to an end and/or consultation of doctors purpose, upload shoot every time pelvis ap piece, The imaging data of full backbone anterioposterior and lateral film and/or articulatio sacroiliaca MRI pieces is to server;
3)Server obtain the essential information of patient that rear consulting staff's client submits, disease medical history, genetic test result, After acute reaction thing monitoring result, consultation of doctors purpose and/or imaging data, then according to the name of patient and certificate number formation only One registration number, then submission signal auditing is carried out, if lacking regulation data, feed back to rear consulting staff's client and carry Show supplementary material, if complete data, the information that rear consulting staff's client is submitted is stored to database;
4)Front consulting staff's client obtains the patient information that databases are stored up by server, artificial to judge iconography money Whether the resolution ratio of material, image sequence are qualified, through server feedback to rear consulting staff's client if unqualified, such as close Lattice then enter the consultation of doctors stage, and the consultation of doctors deposits consultation of doctors opinion to database after terminating;During the consultation of doctors, front consulting staff's client according to Need that all previous storage information of same patient can be obtained, referred to so that doctor's behaviours are diagnosed.
5)Apply for that consulting staff obtains consultation of doctors opinion.
The beneficial effects of the present invention are the remote medical consultation with specialists mode that we develop solves patient first by network connection The difficulty of getting medical service register difficulty the problem of, intractable case is submitted directly to veteran specialist;Next iconography electronic bits of data It is superior compared with film to the processing of details during diagosis;After data submission is qualified again, 3 working days are to be reported, are saved Doctor and the time of patient, add the accuracy rate of diagnosis.
Brief description of the drawings
Fig. 1 is structural principle block diagram of the invention.
Fig. 2 is flow chart of work methods of the invention.
Embodiment
The present invention is described further below in conjunction with the accompanying drawings.
A kind of ankylosing spondylitis remote medical consultation with specialists shared platform of embodiment 1, described consultation of doctors platform include detecting instrument, Iconography instrument, rear consulting staff's client, database, server and front consulting staff's client:
Detecting instrument, for rearward consulting staff's client obtain patients with ankylosing spondylitis genetic test result and/or Acute reaction thing monitoring result;
Iconography instrument, pelvis ap piece, full backbone anterioposterior and lateral film and/or sacrum ilium are shot for rearward consulting staff's client Joint MRI pieces;
Rear consulting staff's client, consulting staff is obtained after patient's agreement, patient information is registered, in rear consulting staff client Essential information, disease medical history, genetic test result, acute reaction thing monitoring result and/or the consultation of doctors purpose of end input patient, on The imaging data of pelvis ap piece, full backbone anterioposterior and lateral film and/or articulatio sacroiliaca MRI pieces is passed, diagosis application is submitted, meeting is obtained Examine opinion;Described essential information includes name, sex, height and the body weight of patient, described disease medical history include main suit, HLA-B27 results, c reactive protein and/or erythrocyte sedimentation rate (ESR).
Server, described server obtains essential information, the disease for the patient that rear consulting staff's client is submitted first Medical history, genetic test result, acute reaction thing monitoring result, consultation of doctors purpose and/or imaging data, then according to patient's Unique registration number in name, ID card No. or social security number formation database, then audited, if lacking regulation money Material, then feed back to rear consulting staff's Client-Prompt supplementary material, if complete data, by rear consulting staff's client The information submitted every time is stored to database;Described defined data is essential information and at least one detecting instrument or shadow As learning testing result or the imaging data that instrument is provided.
Database, for storing the essential information of patient, disease medical history, genetic test result and every in units of patient Acute reaction thing monitoring result, consultation of doctors purpose and/or the imaging data of the secondary consultation of doctors;
Front consulting staff's client, the information for obtaining databases storage through server, manually judges imaging data Resolution ratio, image sequence it is whether qualified, through server feedback to rear consulting staff's client if unqualified, such as it is qualified Then enter the consultation of doctors stage, the consultation of doctors preserves consultation of doctors opinion to database through server after terminating.The consultation of doctors stage is cured by 2 dept. of radiology Teacher and 1 rheumatism are immunized specialist and carried out, and 3 doctors provide consultation of doctors opinion respectively, and server contrasts 3 people consultation of doctors opinion, Consultation of doctors opinion is sent if the consultation of doctors is had identical ideas to rear consulting staff's client, by 1 higher level doctor if inconsistent Retransmited after the examination & verification consultation of doctors.Consultation of doctors opinion is that the x-ray of the sacro-iliitis according to doctor's experience and the current international practice levies classification, backbone MSASSS scorings, articulatio sacroiliaca SPARCC scorings carry out medical diagnosis on disease and severity Scaling.
Rear consulting staff's client and front consulting staff's client are set up picture transfer, File Transfer and voice and passed It is defeated, can directly it contact between the two.
Described detecting instrument is connected with rear consulting staff's client by bluetooth or wifi.
Embodiment 2
A kind of application method of ankylosing spondylitis remote image consultation of doctors shared platform, described construction method includes following step Suddenly:
1)Iconography instrument shoots pelvis ap piece, full backbone anterioposterior and lateral film and/or articulatio sacroiliaca MRI pieces, and detecting instrument is used for Detect the genetic test result and/or acute reaction thing monitoring result of patients with ankylosing spondylitis;
2)Application consulting staff is manually entered the essential information of patient, disease medical history, gene inspection in rear consulting staff's client Fruit and the acute reaction thing monitoring result held a consultation every time of coming to an end and/or consultation of doctors purpose, upload shoot every time pelvis ap piece, The imaging data of full backbone anterioposterior and lateral film and/or articulatio sacroiliaca MRI pieces is to server;
3)Server obtain the essential information of patient that rear consulting staff's client submits, disease medical history, genetic test result, After acute reaction thing monitoring result, consultation of doctors purpose and/or imaging data, then according to the name of patient and certificate number formation only One registration number, then submission signal auditing is carried out, if lacking regulation data, feed back to rear consulting staff's client and carry Show supplementary material, if complete data, the information that rear consulting staff's client is submitted is stored to database;
4)Front consulting staff's client obtains the patient information that databases are stored up by server, artificial to judge iconography money Whether the resolution ratio of material, image sequence are qualified, through server feedback to rear consulting staff's client if unqualified, such as close Lattice then enter the consultation of doctors stage, and the consultation of doctors deposits consultation of doctors opinion to database after terminating;During the consultation of doctors, front consulting staff's client according to Need that all previous storage information of same patient can be obtained, referred to so that doctor's behaviours are diagnosed.
5)Apply for that consulting staff obtains consultation of doctors opinion.

Claims (10)

1. a kind of ankylosing spondylitis remote medical consultation with specialists shared platform, it is characterised in that described consultation of doctors platform includes detector Device, iconography instrument, rear consulting staff's client, database, server and front consulting staff's client:
Detecting instrument, for rearward consulting staff's client obtain patients with ankylosing spondylitis genetic test result and/or Acute reaction thing monitoring result;
Iconography instrument, the imaging data of patients with ankylosing spondylitis is provided for rearward consulting staff's client;
Rear consulting staff's client, for inputting the essential information of patient, disease medical history, genetic test result, acute reaction Thing monitoring result and/or consultation of doctors purpose, upload imaging data, consulting staff's client submits diagosis application forwards, obtain Consultation of doctors opinion;
Server, described server obtains the essential information for the patient that rear consulting staff's client is submitted, disease disease first History, genetic test result, acute reaction thing monitoring result, consultation of doctors purpose and/or imaging data, then according to the name of patient With uniquely registration number, then audited in certificate number formation database, if lacking regulation data, rear meeting is fed back to Doctor's Client-Prompt supplementary material is examined, if complete data, the information that rear consulting staff's client is submitted every time is deposited Store up to database;
Database, for storing the essential information of patient, disease medical history, genetic test result and each in units of patient Acute reaction thing monitoring result, consultation of doctors purpose and/or the imaging data of the consultation of doctors;
Front consulting staff's client, the information for obtaining databases storage through server, manually judges imaging data Resolution ratio, image sequence it is whether qualified, through server feedback to rear consulting staff's client if unqualified, such as it is qualified Then enter the consultation of doctors stage, the consultation of doctors preserves consultation of doctors opinion to database through server after terminating.
2. a kind of ankylosing spondylitis remote medical consultation with specialists shared platform as claimed in claim 1, it is characterised in that rear consultation of doctors doctor Teacher's client and front consulting staff's client set up picture transfer, File Transfer and voice transfer.
3. a kind of ankylosing spondylitis remote medical consultation with specialists shared platform as claimed in claim 1, it is characterised in that described detection Instrument is connected with rear consulting staff's client by bluetooth or wifi.
4. a kind of ankylosing spondylitis remote medical consultation with specialists shared platform as claimed in claim 1, it is characterised in that described is basic Information includes name, sex, height and the body weight of patient.
5. a kind of ankylosing spondylitis remote medical consultation with specialists shared platform as claimed in claim 1, it is characterised in that described disease Medical history includes main suit, HLA-B27 results, c reactive protein and/or erythrocyte sedimentation rate (ESR).
6. a kind of ankylosing spondylitis remote medical consultation with specialists shared platform as claimed in claim 1, it is characterised in that described image Data includes pelvis ap piece, backbone anterioposterior and lateral film, articulatio sacroiliaca MRI.
7. a kind of ankylosing spondylitis remote medical consultation with specialists shared platform as claimed in claim 1, it is characterised in that the described consultation of doctors Opinion is that the x-ray of the sacro-iliitis according to doctor's experience and the current international practice levies classification, backbone mSASSS scorings, articulatio sacroiliaca SPARCC scorings carry out medical diagnosis on disease and severity Scaling.
8. a kind of ankylosing spondylitis remote image consultation of doctors shared platform as claimed in claim 1, it is characterised in that described The consultation of doctors stage is immunized specialist by 2 radiologist and 1 rheumatism and carried out, and 3 doctors provide consultation of doctors opinion respectively, service 3 people consultation of doctors opinion contrast is sent consultation of doctors opinion to rear consulting staff's client, if not by device if the consultation of doctors is had identical ideas It is consistent then retransmited after 1 higher level doctor examination & verification consultation of doctors.
9. a kind of ankylosing spondylitis remote medical consultation with specialists shared platform as claimed in claim 1, it is characterised in that described certificate Number be ID card No. or social security number.
A kind of application method of shared platform 10. ankylosing spondylitis remote image is held a consultation, it is characterised in that described structure side Method comprises the following steps:
1)Iconography instrument shoots pelvis ap piece, full backbone anterioposterior and lateral film and/or articulatio sacroiliaca MRI pieces;Detecting instrument is detected The genetic test result and/or acute reaction thing monitoring result of patients with ankylosing spondylitis;
2)Rear consulting staff inputs the essential information, disease medical history, genetic test knot of patient in rear consulting staff's client Fruit and the acute reaction thing monitoring result held a consultation every time and/or consultation of doctors purpose, upload pelvis ap piece, the full ridge shot every time The imaging data of post anterioposterior and lateral film and/or articulatio sacroiliaca MRI pieces is to server;
3)Server obtain the essential information of patient that rear consulting staff's client submits, disease medical history, genetic test result, After acute reaction thing monitoring result, consultation of doctors purpose and/or imaging data, then according to the name of patient and certificate number formation only One registration number, then submission signal auditing is carried out, if lacking regulation data, feed back to rear consulting staff's client and carry Show supplementary material, if complete data, the information that rear consulting staff's client is submitted is stored to database;
4)Front consulting staff's client obtains the patient information of databases storage, the artificial resolution for judging imaging data Whether rate, image sequence are qualified, through server feedback to rear consulting staff's client if unqualified, as qualified, enter Consultation of doctors stage, the consultation of doctors deposits consultation of doctors opinion to database after terminating, and during the consultation of doctors, front consulting staff's client can be obtained as needed Take all previous storage information of same patient;
5)Apply for that consulting staff obtains consultation of doctors opinion.
CN201710465223.9A 2017-06-19 2017-06-19 A kind of ankylosing spondylitis remote medical consultation with specialists shared platform and its application method Pending CN107092809A (en)

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CN108229105A (en) * 2018-02-05 2018-06-29 南京组慧生物科技有限公司 A kind of construction method of disease genome database and disease genome database
CN108898904A (en) * 2018-06-28 2018-11-27 郑州大学第附属医院 A kind of remote operation teaching method
CN109065155A (en) * 2018-07-27 2018-12-21 广州秉理科技有限公司 A kind of remote pathological diagnosis platform and its implementation
CN111899836A (en) * 2020-07-14 2020-11-06 武汉楚精灵医疗科技有限公司 Digestive endoscopy telemedicine system and method

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108229105A (en) * 2018-02-05 2018-06-29 南京组慧生物科技有限公司 A kind of construction method of disease genome database and disease genome database
CN108898904A (en) * 2018-06-28 2018-11-27 郑州大学第附属医院 A kind of remote operation teaching method
CN109065155A (en) * 2018-07-27 2018-12-21 广州秉理科技有限公司 A kind of remote pathological diagnosis platform and its implementation
CN111899836A (en) * 2020-07-14 2020-11-06 武汉楚精灵医疗科技有限公司 Digestive endoscopy telemedicine system and method

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Application publication date: 20170825