CN102038548A - Method and system of wireless medical monitoring - Google Patents
Method and system of wireless medical monitoring Download PDFInfo
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- CN102038548A CN102038548A CN2009102353825A CN200910235382A CN102038548A CN 102038548 A CN102038548 A CN 102038548A CN 2009102353825 A CN2009102353825 A CN 2009102353825A CN 200910235382 A CN200910235382 A CN 200910235382A CN 102038548 A CN102038548 A CN 102038548A
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Abstract
The invention provides a method and system of wireless medical monitoring which can be used anytime and anywhere to carry out wireless monitoring to patients in hospital and revisiting after discharge. The method comprises: acquiring human body physiology data of patients at any place in hospital in real time through an acquisition apparatus adorned on patients and transmitting the data to a monitoring center of the hospital; associating by the hospital monitoring center the acquired human body physiology data with medical information of patients, carrying out an integrate analysis of the acquired human body physiology data by utilizing historical data of medical information; determining whether condition is abnormal in dependence on analysis results and alarming when in abnormity. The method and system raise free degree of monitoring and change the situation that in traditional monitoring mode patients are constrained in ward beds, besides, they can carry out a whole course tracking and monitoring to patients after discharge and realize integration of wireless monitoring in hospital and rehabilitation tracking after discharge, thereby easily solving the problem of revisiting hard for patients after discharge at present.
Description
Technical field
The present invention relates to network service and medical science field of sensing technologies, particularly relate to a kind of wireless medical monitoring method and system.
Background technology
Medical monitoring is that Human Physiology and pathological state are detected and monitor, it can monitor patient's important vital signs parameter in real time, continuously, for a long time, and sending these physiological parameters to doctor, the doctor carries out corresponding diagnosis and treatment according to testing result to patient.It plays an important role in fields such as critical patient's monitoring, noneffectives's rescue, chronic and gerontal patient's monitoring and the active detections of athletes ' body.
At present, the monitor system that hospital uses is used fixed medical monitoring equipment mostly, by the sensor acquisition human body physiological parameter, by cable transfer of data is arrived the monitoring center.This cable that is based upon connects traditional monitor system on the basis often volume is big, power consumption big, is not easy to carry, and has limited patient and medical personnel's action, has increased their burden and risk.
For example, in the ICU of hospital, various custodial care facility ornaments can only be guarded the patient in the ICU around sick bed.And for the monitoring of some common disorders, as the inpatient in the operative rehabilitation, can one do not wait until at ICU, also can go out for a stroll based on the needs of rehabilitation, if but patient's ICU away from keyboard just can't carry out on-line monitor to it.Even more serious is, suppose patient's burst emergency in stroll or when going to toilet, and nobody finds on every side, and abnormally dangerous to patient in this case, this moment, control also lost meaning.And, also need to pay close attention at any time patient's monitoring data for medical personnel, in case careless omission appears in medical personnel, will delay patient's diagnosis and treatment.
In addition, this traditional medical monitoring method increases patient's mental pressure and intense strain easily, and then influences patient's health, makes the real physiological situation of diagnostic data and patient produce certain gap, and influence is to the correct diagnosis of the state of an illness.
Summary of the invention
Technical problem to be solved by this invention provides a kind of wireless medical monitoring method and system, can carry out wireless monitoring to the inpatient whenever and wherever possible.
In order to address the above problem, the present invention discloses a kind of wireless medical monitoring method, comprising:
By being worn on patient's harvester on one's body, gathering the Human Physiology data of patient in real time, and transfer to hospital monitoring center in any playground of hospital;
Hospital monitoring center is associated the Human Physiology data of being gathered with patient's diagnosis information, and utilizes the historical data in the diagnosis information that the Human Physiology data of being gathered are carried out analysis-by-synthesis;
Judge according to analysis result whether the state of an illness is unusual, select when unusual to report to the police.
Preferably, described method also comprises: behind patient discharge, continue to gather patient's Human Physiology data by described harvester, and transfer to hospital monitoring center; Hospital monitoring center is associated the Human Physiology data of being gathered with patient's diagnosis information, and utilizes the historical data in the diagnosis information that the Human Physiology data of being gathered are carried out analysis-by-synthesis; Hospital monitoring center sends to this patient and/or the contact person relevant with this patient with analysis result.
Wherein, describedly utilize the historical data in the diagnosis information that the Human Physiology data of being gathered are carried out analysis-by-synthesis, comprising: the Human Physiology data of being gathered in conjunction with state of an illness diagnostic message in the diagnosis information and medication information, are carried out analysis-by-synthesis at the individual.
Preferably, described method also comprises: described harvester has positioning function concurrently, utilizes the wireless router be laid in hospital, and patient's positional information is transferred to hospital monitoring center by WLAN.
Preferably, in the following manner Human Physiology transfer of data to the hospital of being gathered is guarded the center: described harvester is integrated on the portable terminal, by mobile communications network Human Physiology transfer of data to the hospital of being gathered is guarded the center; And/or described harvester is by short-distance wireless communication technology, and the Human Physiology transfer of data of being gathered to portable terminal, is transferred to hospital monitoring center by portable terminal again.
Preferably, in the following manner Human Physiology transfer of data to the hospital of being gathered is guarded the center: utilize the wireless router that is laid in hospital, described harvester transfers to hospital monitoring center with the Human Physiology data of being gathered by WLAN.
Preferably, described method is reported to the police in the following manner: the portable terminal that warning message is sent to doctor on duty or diagnosis and treatment doctor by short message; And/or, directly dial doctor on duty or diagnosis and treatment doctor's mobile terminal number; And/or, directly dial emergency call; And/or, send alarm sound; And/or, send light.
Preferably, described method also comprises: described harvester compares to judge whether the state of an illness is unusual by the Human Physiology data of will be gathered with normal physiological data, reports to the police automatically by sound, vibrations or light when unusual.
The present invention also provides a kind of wireless medical monitoring system, comprising:
Harvester is used to be worn on one's body the patient, gathers the Human Physiology data of patient in any playground of hospital in real time, and transfers to monitor device;
Monitor device, comprise data analysis module and alarm module, the Human Physiology data that described data analysis module is used for being gathered are associated with patient's diagnosis information, and utilize the historical data in the diagnosis information that the Human Physiology data of being gathered are carried out analysis-by-synthesis; Described alarm module is used for judging according to analysis result whether the state of an illness is unusual, selects when unusual to report to the police.
Preferably, after described harvester also is used for patient discharge, continues to gather patient's Human Physiology data, and transfer to monitor device, described monitor device is proceeded analysis-by-synthesis; Then described monitor device also comprises: notification module is used for analysis result is sent to this patient and/or the contact person relevant with this patient.
Preferably, described harvester also comprises: locating module is used for determining patient's position, and patient's positional information is transferred to monitor device.
Preferably, described system also comprises: wireless router, and be used for being laid in hospital and set up WLAN, the Human Physiology data of harvester collection are transferred to monitor device by WLAN; Also be used for patient's positional information is transferred to monitor device by WLAN.
Preferably, described harvester comprises mobile communication module, is used for by mobile communications network the Human Physiology transfer of data of being gathered to monitor device; And/or described harvester comprises short-range wireless communication module, is used for by short-distance wireless communication technology, and the Human Physiology transfer of data of being gathered to portable terminal, is transferred to monitor device by portable terminal again.
Preferably, described harvester also comprises: the instant alarming module, be used for comparing to judge whether the state of an illness is unusual with normal physiological data by the Human Physiology data of will be gathered, and report to the police automatically by sound, vibrations or light when unusual.
Preferably, the alarm module of described monitor device comprises: the short message communication unit is used for by short message the portable terminal that warning message sends to doctor on duty or diagnosis and treatment doctor being reported to the police; And/or voice communication units is used for directly dialing doctor on duty or diagnosis and treatment doctor's mobile terminal number, or directly dials emergency call and report to the police; And/or phonation circuit is used to send alarm sound and reports to the police; And/or illuminating circuit is used to send light and reports to the police.
Compared with prior art, the present invention has the following advantages:
At first, the invention provides a kind of wireless medical monitoring method and system,, can gather the Human Physiology data of patient in real time, continuously, be very easy to patient's action in any playground of hospital by being worn on patient's harvester on one's body.And, the monitoring center of this system combines with the data center of hospital, can utilize the Database Systems of hospital internal, the Human Physiology data of being gathered are associated with patient's diagnosis information, and utilize the historical data in the diagnosis information to carry out analysis-by-synthesis, so the function of data analysis further strengthens.And this system can also occur in time reporting to the police under the unusual situation patient, and does not need medical personnel at any time it to be paid close attention to, and therefore also is very easy to medical personnel's action, has also prevented the generation of contingency in the hospital to greatest extent.
Secondly, the harvester among the present invention also has positioning function, can position patient at any time in patient's active procedure, and positional information is transferred to the monitoring center, makes things convenient for medical personnel to determine patient's particular location.
Once more, system of the present invention can also lay a plurality of wireless routers at hospital internal, no matter patient activity is to which position of hospital, the harvester of wearing with oneself can transfer to the monitoring center with the Human Physiology data of gathering or the positional information WLAN by hospital internal, further reduces transfer of data cost and reliability.
At last, behind patient discharge, the present invention can also continue to gather patient's Human Physiology data by described harvester, and transfers to hospital monitoring center, follows the tracks of thereby continue that patient is carried out rehabilitation.Like this, the doctor can understand patient's rehabilitation situation at any time by the monitoring center, and patient also can get in touch with the doctor and obtain further diagnostic result, relies on native system and can easily realize return visit task after the patient discharge.
Description of drawings
Fig. 1 is the structure chart of the described a kind of wireless medical monitoring of the embodiment of the invention one system;
Fig. 2 is that the embodiment of the invention two described a kind of hospital admission monitoring are followed the tracks of the structure chart that system is paid a return visit in the incorporate prescription on individual diagnosis of monitoring with rehabilitation;
Fig. 3 is the flow chart of the embodiment of the invention three described a kind of hospital monitoring conditions methods;
Fig. 4 is the flow chart that monitoring method is followed the tracks of in the embodiment of the invention four described a kind of rehabilitations.
The specific embodiment
For above-mentioned purpose of the present invention, feature and advantage can be become apparent more, the present invention is further detailed explanation below in conjunction with the drawings and specific embodiments.
In order to make the frequent inpatient that needs to measure physiological parameter accept monitoring under voluntomotory state, the wireless medical monitoring technology is more and more paid close attention to.The invention provides a kind of wireless medical monitoring system and a kind of wireless medical monitoring method, can carry out omnidistance anywhere or anytime uninterrupted monitoring, be elaborated below by embodiment to the patient.
Embodiment one:
With reference to Fig. 1, be the structure chart of the described a kind of wireless medical monitoring of the embodiment of the invention one system.Described wireless medical system mainly comprises harvester 11 and monitor device 12, explanation respectively below.
Described harvester 11 is mainly used in by being worn on one's body the patient, utilizes biosensor technique to gather the Human Physiology data of patient in any playground of hospital in real time, and transfers to monitor device 12.Described harvester 11 is different from legacy equipment, and volume is less, carries lightly, can be worn at human bodies such as wrist, arm, cervical region, waist or shank.Like this, patient does not need on one's sick bed, and it is out movable also to have on harvester 11.The Human Physiology data that this harvester 11 collects can comprise: one or multinomial data combination in body temperature, blood pressure, pulse, electrocardiogram, oxygen concentration, vital capacity, blood glucose and the respiratory frequency.In actual applications, patient's state of an illness difference needs the physiological data of collection also different, and for example the diabetes patient mainly gathers blood glucose, and the hypertensive patient mainly gathers blood pressure.
Preferably, described harvester 11 can also comprise: locating module 110 is used for determining patient's position, and patient's positional information is transferred to monitor device 12.Be harvester 11 integrated positioning function, calculate the particular location of determining patient by longitude and latitude.Like this, patient is by carrying harvester 11, and the doctor will be known patient's accurate position, in burst in emergency circumstances, can find patient fast.For example, patient falls in a swoon in the lavatory suddenly, can directly find patient in the lavatory and carry out first aid by described locating module 110.
Preferably, described harvester 11 also can be reported to the police automatically, therefore harvester 11 can also comprise: instant alarming module 111, be used for comparing to judge whether the state of an illness is unusual with normal physiological data, report to the police automatically by sound, vibrations or light when unusual by the Human Physiology data of will be gathered.Pre-configured human body physical signs under normal circumstances in the instant alarming module 111 compares by physiological data and the corresponding index that will gather, judges simply whether human body is unusual, reports to the police by modes such as sound, vibrations or light flash in the time of unusually.Like this, patient just can in time be known the health of oneself, and waits in emergency circumstances when patient faints, and also can in time notify people on every side.
Described monitor device 12 is mainly used in the Human Physiology data that reception gathers and analyzes warning, thereby realizes monitoring function.The described monitor device 12 of present embodiment combines with the data center of hospital, can utilize the Database Systems of hospital internal, the Human Physiology data of being gathered are associated with patient's diagnosis information, and utilize the historical data in the diagnosis information to carry out analysis-by-synthesis, so the function of data analysis further strengthens.
The Database Systems of hospital internal can be set up personal account to patient, therefore described monitor device 12 can be according to each patient's number of the account, inquire patient's the various information relevant such as diagnosis information, diagnosis and treatment doctor with patient, and Human Physiology data and these information that collects associated, carry out more comprehensively, more comprehensively analyze.And doctor's login patient account of also can networking is checked patient at any time, and analyzes accordingly and diagnosis and treatment.
More specifically, described monitor device 12 comprises data analysis module 120 and alarm module 121.Wherein, the Human Physiology data that described data analysis module 120 is used for being gathered are associated with patient's diagnosis information, and utilize the historical data in the diagnosis information that the Human Physiology data of being gathered are carried out analysis-by-synthesis; Described alarm module 121 is used for judging according to analysis result whether the state of an illness is unusual, selects when unusual to report to the police.
Though at present some monitor systems of hospital also have data analysis function, analyze fairly simplely, compared with prior art, what time following the described data analysis excrescence of present embodiment is now:
The first, be personal analysis.Data analysis module 120 is not that the Human Physiology data that will collect compare with the arm's length standard value of human body simply, but in conjunction with patient's diagnosis information, compare analysis according to the various criterion value of different human body feature under the various disease situation, therefore more targeted to patient.For example, the anemia of pregnant woman is just different with the physical signs of fracture patient, if weigh with same standard, just can not obtain accurate analytical results.
The second, at each patient, be to utilize in the diagnosis information historical data of different time sections to analyze as a reference.Patient is a process of rehabilitation gradually in the process of hospitalization, so the physical signs of different times human body is also different, iff analyzing with a kind of standard, does not have too big medical reference value.And present embodiment can be analyzed the physiological data of being gathered according to the index in different rehabilitation period, takes a turn for the better gradually or deterioration occurred to judge patient.For example, data with reference to each time in the diagnosis information, with every physiological data of a nearest time period as a reference, can be by asking the average mode scope that settles the standard, then physiological data and this critical field that collects compared, thereby determine whether gradually rehabilitation of patient, whether occur unusual.
Hence one can see that, the refinement more of the analytic function of described data analysis module 120, and analytical standard that can reference is also more accurate, and therefore the analysis result that obtains is also more accurate.
Described alarm module 121 is used in time notifying medical personnel when analysis result is unusual, and alternative type of alarm has multiple, so alarm module 121 can comprise one or more following unitary combinations:
The short message communication unit is used for by short message the portable terminal that warning message sends to doctor on duty or diagnosis and treatment doctor being reported to the police; For example, the analysis result of hypertension or tachycardia can be compiled short message, send to doctor on duty or diagnosis and treatment doctor's hands machine;
And/or voice communication units is used for directly dialing doctor on duty or diagnosis and treatment doctor's mobile terminal number, or directly dials emergency call and report to the police;
And/or phonation circuit is used to send alarm sound and reports to the police;
And/or illuminating circuit is used to send light and reports to the police.
Generally, all can there be doctor on duty at the monitoring center of hospital, therefore can notify the doctor immediately by sounding the alarm, but for critically ill patient, in case of emergency also can be or directly dial doctor on duty or diagnosis and treatment doctor's mobile phone by note, perhaps directly dial emergency call.
In the above-mentioned wireless medical monitoring system, carry out radio communication between harvester 11 and the monitor device 12, can carry out wireless transmission by WLAN or mobile communications network.
At the situation of wireless LAN communication, described system can also comprise:
Wireless router is used for being laid in hospital and sets up WLAN, and the Human Physiology data that harvester 11 is gathered transfer to monitor device 12 by WLAN; Also be used for patient's positional information is transferred to monitor device 12 by WLAN.
Wireless router can be laid in each corner of hospital, as the corridor, and the convenient signal that receives harvester 11 at any time.
Situation at mobile communications network communication, described harvester 11 can also comprise short-range wireless communication module, as bluetooth module, by short-distance wireless communication technology with the Human Physiology transfer of data of being gathered to portable terminal (as mobile phone), utilize the wireless transmission function of portable terminal again, transfer to monitor device 12 by mobile communications network.
Preferably, because the portability of portable terminal, described harvester 11 can also be integrated on the existing portable terminal, comprises a mobile communication interface, by mobile communications network with the Human Physiology transfer of data of being gathered to monitor device 12.
Usually, be to carry out transfer of data at hospital internal at inpatient's monitoring by WLAN, the real-time transmitted be can guarantee, and transfer of data cost and reliability reduced.And after patient discharge was gone home, the transfer of data that can continue to gather by mobile communications network was to monitor device 12, so that further follow the tracks of monitoring, this part content will describe in detail in embodiment two.
In sum, above-mentioned wireless medical monitoring system can carry out uninterrupted monitoring in round-the-clock 24 hours to the state of an illness, can get rid of medical hidden danger in the very first time, promotes medical safety.And because the employing of mobile communication technology, changed that patient has to be constrained on the sick bed under traditional mode of monitoring, the degrees of freedom of monitoring have been promoted comprehensively, by monitoring center and wireless network, the doctor can understand disease progression by the carry-on mobile device very first time, has reduced the monitoring cost.
Compare with existing medical monitoring equipment, wireless medical monitoring of the present invention system has following advantage in the diseases monitoring of hospital:
1, the monitoring to the inpatient is not limited on the sick bed, has increased patient's degree of freedom;
2, not only can guard the inpatient, can also carry out all-the-way tracking monitoring to the patient who leaves hospital, patient does not need to hospital again, and the doctor just can grasp patient's rehabilitation situation; Therefore, it is integrated that native system has realized that hospital's wireless monitoring and post-hospital rehabilitation are followed the tracks of, thus the return visit difficult problem after easily solving current patient and leaving hospital;
3, improved the safety of monitoring, no matter patient can note abnormalities wherein at any time, and at some Intensive Care Therapies, in case occur that medical personnel on duty doze off or situation away from keyboard, can in time notify the doctor by various type of alarms, avoid delaying treatment; Therefore, also increased medical personnel's degree of freedom;
4, also have positioning function, conveniently in time find patient;
5, by the WLAN transmission of hospital internal, guarantee real time of data transmission, and reduced transfer of data cost and reliability;
6, patient is set up personal account, by networking, the doctor can understand patient at any time.
In addition, need to prove:
Hospital information management system (the HIS system that the described medical monitoring system of present embodiment and more present hospitals adopt, Hospital Information System) difference: the HIS system is for component commands of hospital door provides collection, storage, processing, extraction and data interchange capacity to patient's diagnosis and treatment information and administration information, and satisfies the functional requirement of all authorized users; And the described medical monitoring system of present embodiment can well be connected with the HIS system, can make full use of the data in the HIS system, the diagnosis and treatment information of patient in the HIS system and healthy historical data as reference, are carried out analysis-by-synthesis to the Human Physiology data of being gathered.The described medical monitoring system of present embodiment (abbreviation native system) and HIS system are combined with two kinds of patterns:
A kind of pattern is: native system independently is a cover system, independently finishes data acquisition and data analysis process, but needs to use diagnosis and treatment information and the healthy historical data of patient in the HIS system in data analysis process, and therefore this combination is data sharing;
Another kind of pattern is: if the function of HIS system is enough powerful, can finish the data analysis function of native system, after then native system is finished data acquisition, carry out data analysis by the HIS system, therefore this combination is the front end of native system as the HIS system, and the HIS system is as the backstage of native system.
In a word, native system and HIS system are not identical two systems, and native system can be used as the function of hospital HIS system and extends, hospital HIS system also can be conversely as the support platform of native system.Native system and HIS system rely on each other, further strengthen the physiology monitor and the healthy level of IT application of following the tracks of in hospital's medical procedure.
Embodiment two:
Based on the described wireless medical monitoring of the foregoing description one system, patient goes to see a doctor, can obtain monitoring and show loving care in the medical system of hospital self, in the particularly senior hospital (as Grade III Class A hospital), its patient's physiological change all has been subjected to better monitoring.But after the patient discharge, particularly leave hospital the initial stage, its physiology and mental condition are all fragile especially, and the patient after leaving hospital is among the bigger risk, and hospital also can not carry out round-the-clock rehabilitation tracking to the discharged patient.This just need erect effective communication bridge between patient and hospital, this bridge not only can realize patient in hospital admission with the seamless connection of hospital information management system (being the HIS system), and can further improve medical safety and get rid of medical hidden danger.What is more important, need erect patient goes home in the rehabilitation course and the direct communication channels between the hospital, can realize the docking of medical information management system of patient physiological data and its prescription on individual diagnosis hospital in rehabilitation course, thereby help hospital can realize smoothly patients ' recovery is followed the tracks of and the construction of information system is paid a return visit in modernization.
In order to realize above-mentioned target, the embodiment of the invention has proposed to utilize the wireless medical technology to realize that patient goes to a doctor and incorporate health control of rehabilitation and early warning system.
With reference to Fig. 2, be that the embodiment of the invention two described a kind of hospital admission monitoring are followed the tracks of the structure chart that system is paid a return visit in the incorporate prescription on individual diagnosis of monitoring with rehabilitation.
As shown in the figure, this system combine the hospital state of an illness go to a doctor monitoring and leave hospital after rehabilitation follow the tracks of the monitoring dual-use function, its institute of traditional Chinese medicine's state of an illness prescription on individual diagnosis monitoring function is realized by system shown in Figure 1, handling process is: harvester is gathered patient's physiological data, and upload to the hospital information management system of hospital by wireless network (preferably adopting WLAN), the monitor device of hospital (being physiological data analysis shown in Fig. 2 and early warning specialist system) utilizes the data such as historical diagnostic message in the hospital information management system that the Human Physiology data of being gathered are carried out analysis-by-synthesis again, notify the related responsibility personnel (mainly being meant doctor on duty or diagnosis and treatment doctor) by wired or wireless mode at last, the responsible person concerned can in time succour treatment to patient, gets rid of medical hidden danger in the very first time.
If scene is changed, rehabilitation after leaving hospital is followed the tracks of monitoring function and also can be utilized system shown in Figure 1 to realize, handling process is: harvester continues to gather discharged patient's physiological data, and upload to the hospital information management system of hospital by wireless network (employing mobile communications network), the monitor device of hospital (being physiological data analysis shown in Fig. 2 and early warning specialist system) utilizes the data such as historical diagnostic message in the hospital information management system that the Human Physiology data of being gathered are carried out analysis-by-synthesis again, notify the related responsibility personnel (mainly be meant relevant diagnosis and treatment doctor, or patient's contact persons such as relatives) by wireless mode at last.Responsible person concerned such as diagnosis and treatment doctor can in time understand patient's rehabilitation situation, and make further rehabilitation diagnosis and treatment project, thereby have realized return visit; Perhaps, the patient relatives can in time succour treatment to patient, get rid of medical hidden danger in the very first time.
Be used to realize that the system structure of post-hospital rehabilitation tracking monitoring is as follows:
Harvester, be used for patient discharge after, continue to be worn on one's body the patient, gather patient's Human Physiology data, and transfer to monitor device;
Monitor device, comprise data analysis module and notification module, the Human Physiology data that described data analysis module is used for being gathered are associated with hospital information management system patient's diagnosis information, and utilize the historical data in the diagnosis information that the Human Physiology data of being gathered are carried out analysis-by-synthesis; Described notification module is used for analysis result, sends to this patient and/or the contact person (be above-mentioned related responsibility personnel) relevant with this patient by modes such as note, phones.
Wherein, described harvester also can comprise short-range communication module, is used for by short-distance wireless communication technology, and the Human Physiology transfer of data of being gathered to portable terminal, is transferred to monitor device by portable terminal again.Perhaps, harvester comprises mobile communication module, is used for by mobile communications network the Human Physiology transfer of data of being gathered to monitor device.
Described harvester can also comprise the instant alarming module, is used for comparing to judge whether the state of an illness is unusual by the Human Physiology data of will be gathered with normal physiological data, reports to the police automatically by sound, vibrations or light when unusual.
As from the foregoing, realize that in system shown in Figure 1 this system comprises that also one is used for analysis result is notified responsible person concerned's notification module on the basis of hospital's state of an illness prescription on individual diagnosis monitoring function, monitoring function is followed the tracks of in the rehabilitation after can realizing leaving hospital.Therefore, system architecture shown in Figure 2 can realize the seriality of guarding having following characteristics:
1. all adopt wireless communications mode to realize communication between monitoring center and signals collecting terminal and the responsible person concerned, to guarantee the promptness of information;
2. realization prescription on individual diagnosis monitoring and rehabilitation monitoring is integrated, when in patient's prescription on individual diagnosis and rehabilitation course space-time conversion taking place, can realize the seriality of guarding;
3. data acquisition modes between data collection station and the monitoring center and communication mode can be changed according to scene conversion, specific implementation is as follows: as patient at hospital admission the time, itself is in high-risk status, terminal can be a real-time mode to its data acquisition modes, thereby realize its real-time monitoring, the data volume of considering real-time collection is bigger, and patient is in the environment relative fixed of hospital admission, in order to reduce the network transmission cost, can adopt hospital internal self radio LAN to replace the mobile network.Compare with the common moving network, the wireless bandwidth that the hospital internal wireless local provides can be higher, and the data of transmission can be safer.After patient discharge, the danger of its life security significantly reduces, and consider that its wireless network that can obtain may have only the common moving network, therefore the terminal data drainage pattern can be adjusted into periodic manner, having reduced needs data quantity transmitted, data format also can adopt text formatting, can further adapt to the requirement that reduces the mobile communications network transmission cost.
4. the monitoring center has the vital sign data of gathering is analyzed and excavated, can carry out the life security early warning in real time to abnormal conditions, and report to the police to as if the first aid of this hospital self be responsible for personnel such as center and related responsibility doctor, or the associated mechanisms or the personnel of this hospital's trust.
5. the monitoring center belongs to the oneself of hospital information management system, can be integrated with the HIS system realization of hospital, and also can independent operating.
In sum, the data of embodiment of the invention collection upload to the medical monitoring center of hospital by wireless network, not only reduced cost, also greatly improved the freedom of movement of patient in hospital's scene with convenient, and the monitoring center also can in time notify the related personnel patient's physiology great change situation by wireless mode, can get rid of medical hidden danger in the very first time.Even more important meaning is exactly that patient is after leaving hospital, wireless acquisition system can be followed patient and be left hospital together, can realize the rehabilitation tracking and monitoring behind the patient discharge, thereby realize the rehabilitation course of patient after leaving hospital and the seamless combination of hospital's medical management system, realize that patient guards incorporate demand at state of an illness prescription on individual diagnosis and the physiology in the rehabilitation course, greatly got rid of patient in the contingency of prescription on individual diagnosis with rehabilitation course.
Embodiment three:
Present embodiment has been described a kind of wireless medical monitoring method, can carry out the whole process monitoring to the inpatient.
With reference to Fig. 3, be the flow chart of the embodiment of the invention three described a kind of hospital monitoring conditions methods.
Step 301 by being worn on patient's harvester on one's body, is gathered the Human Physiology data of patient in any playground of hospital in real time;
At different syndromes, need the physiological parameter difference of gathering.And described real-time collection can be that physiological parameter is gathered on short time interval ground, but occurs can shortening acquisition interval, and increasing the parameter of collection, the variation that comes monitor patients by more physiological parameter when unusual when patient's physiological parameter.
For example, infrared radiation thermometer monitoring temperature data is set on a kind of harvester.Because the people knows from experience according to the height of itself temperature and launches a certain proportion of infrared energy, the size of emittance has very confidential relation by distribution and its surface temperature of wavelength.By measuring the surface temperature of human body forehead, the temperature difference of revising forehead and actual body temperature just can show body temperature accurately according to this principle.During use, the detection window of user end apparatus user's forehead position need only be aimed at, just human body temperature can be recorded fast, conveniently, accurately.
Electric sphygmomanometer can also be set on harvester detect blood pressure data.That the wearing of this harvester can be adopted is arm-type, wrist formula or finger-type, for arm-type device, then directly records the blood pressure of body surface trunk; For wrist formula and finger-type device, measure the blood pressure of the terminal little blood vessel of human body, and then, draw the blood pressure of trunk by converting.
In addition, can utilize analog channel to gather the vibration-sensing signal at wrist and finish counting, to carry out the measurement of pulse; Utilize analog channel continuous acquisition electrocardio transducing signal to finish Electrocardiographic collection; The collection of other physiological data all can utilize modern biosensor technique.The user end apparatus that is used for the monitor user ' physiological parameter concentrates on one with the acquisition function of multiple physiological datas such as body temperature, blood pressure, pulse, electrocardiogram, heart magnetic, oxygen concentration, vital capacity, blood glucose and respiratory frequency, have integrated, image data is diversified, wear the performance of portability.
Because patient carries harvester and can leave the ward, therefore this mode of monitoring is not subjected to the influence of range of activity, can not limit patient's freedom of movement.
Preferably, described harvester can also have positioning function, in case patient falls down or falls in a swoon in the place that does not have other people, medical personnel can in time find patient by locating information.
Preferably, described harvester can also have automatic warning function, by the physiological parameter of gathering is compared with the normal physiological parameter of human body, whether the aspectual character that can simply determine patient is within normal range, if undesired, can report to the police automatically by modes such as sound, vibrations, light flash.In time notify patient and patient people on every side.
Step 302 is guarded the center with transfer of data to the hospital of gathering;
The physiological parameter of gathering is together sent to the monitoring center of hospital in company with patient's more specific location information.Send mode can have multiple:
A kind of is to set up WLAN at hospital internal, in a plurality of places such as corridors wireless router is set, and harvester arrives the monitoring center by near wireless router with transfer of data;
Another kind of mode be harvester by communication of mobile terminal such as short-distance wireless communication technology and mobile phones, for example bluetooth data is transferred to the mobile phone of oneself, utilize mobile phone data to be sent to the monitoring center again by short message;
Harvester can also be integrated on the portable terminal such as mobile phone, so just can directly utilize the communication function of mobile phone, the data of gathering be sent to the monitoring center by modes such as short messages.
Above-mentioned back dual mode is to communicate by mobile communications network.In actual applications, preferentially select the transmission means of WLAN, reduce transfer of data cost and reliability.
After the physiological data of collection is received at the monitoring center, by patient's number of the account inquiry hospital database, can find this patient's relevant diagnosis information such as state of an illness diagnostic message, medication information, diagnosis and treatment doctor, with reference to all or part historical information, determine the health that patient is present then by analysis-by-synthesis.
Step 304 judges according to analysis result whether the state of an illness is unusual, selects when unusual to report to the police.
If patient's aspectual character occurs unusually at present, then the center of guarding can be sent warning immediately.The described unstable condition that typically refers to patient unusually or occur worsening etc. needs the doctor to carry out the situation of diagnosis and treatment.
The mode of reporting to the police in the monitoring center also has multiple, as:
Simple mode is directly to send alarm sound or send light;
In case of emergency, can notify the doctor immediately, as warning message being sent to doctor on duty or diagnosis and treatment doctor's portable terminal by short message;
Perhaps, directly dial doctor on duty or diagnosis and treatment doctor's mobile terminal number;
Perhaps, directly dial emergency call;
Wherein, warning message comprises information such as patient's sick room number, berth, the doctor in charge, patient name, if patient is not on one's sick bed, can also comprise the more specific location information that obtains by the location.
In actual applications, can select wherein one or more compound mode according to practical situation.
If the present situation of patient is stablized, the center of then guarding keeps the monitoring state always.The monitoring situation that the doctor can network and check patient at any time.
Embodiment four:
The wireless medical monitoring method that present embodiment is described can also continue that the patient after leaving hospital is carried out rehabilitation and follow the tracks of monitoring.
With reference to Fig. 4, be the flow chart that monitoring method is followed the tracks of in the embodiment of the invention four described a kind of rehabilitations.
Step 401 by being worn on patient's harvester on one's body, is gathered the Human Physiology data behind the patient discharge in real time;
Also adorn oneself with harvester behind the patient discharge, just can carry out the rehabilitation monitoring to it at any time.
Step 402 transfers to hospital monitoring center with the data of gathering by wireless Internet;
Harvester is by short-distance wireless communication technology, as by bluetooth with the mobile phone of transfer of data to oneself, transfer to the monitoring center by mobile phone again; Perhaps, harvester is integrated on the mobile phone, sends the physiological data of gathering by short message.
The doctor can inquire about patient's all physiological datas in rehabilitation course, and analyzes accordingly and diagnosis and treatment, can the telephone contact patient provide suggestion in case of necessity, and patient also can the telephone contact doctor seek advice from.
The Related Contact can be the diagnosis and treatment doctor, and the doctor just can in time understand patient's rehabilitation situation like this, and makes further rehabilitation scheme; The Related Contact also can be a families of patients, and the monitoring center can send to analysis result on the mobile phone of families of patients, so that families of patients can be understood patient's rehabilitation situation at any time.
Step 405 occurs under the unusual situation patient, and hospital sends the warning message notification of contacts in the monitoring center, and the contact person can in time succour patient.
If patient has fallen in a swoon suddenly, after families of patients is received alarming short message, just can in time succour, avoid the state of an illness to be delayed.
In the prior art, patient just is difficult to keep in touch with the doctor after leaving hospital again, and diagnosis and treatment if desired must be gone hospital's further consultation again; And present embodiment can in time feed back to the rehabilitation situation behind the patient discharge doctor, and patient does not need hospital generally speaking, and the doctor just can provide further diagnosis and treatment suggestion, is very easy to patient.And this wireless medical monitoring method can be widely applied to various chronic disease skill old peoples' long-term monitoring and follow the tracks of in the treatment.
Each embodiment in this description all adopts the mode of going forward one by one to describe, and what each embodiment stressed all is and the difference of other embodiment that identical similar part is mutually referring to getting final product between each embodiment.For method embodiment, because it is similar substantially to system embodiment, so relevant part gets final product referring to the part explanation of system embodiment.
More than to a kind of wireless medical monitoring method and system provided by the present invention, be described in detail, used specific case herein principle of the present invention and embodiment are set forth, the explanation of above embodiment just is used for helping to understand method of the present invention and core concept thereof; Simultaneously, for one of ordinary skill in the art, according to thought of the present invention, the part that all can change in specific embodiments and applications, in sum, this description should not be construed as limitation of the present invention.
Claims (15)
1. a wireless medical monitoring method is characterized in that, comprising:
By being worn on patient's harvester on one's body, gathering the Human Physiology data of patient in real time, and transfer to hospital monitoring center in any playground of hospital;
Hospital monitoring center is associated the Human Physiology data of being gathered with patient's diagnosis information, and utilizes the historical data in the diagnosis information that the Human Physiology data of being gathered are carried out analysis-by-synthesis;
Judge according to analysis result whether the state of an illness is unusual, select when unusual to report to the police.
2. method according to claim 1 is characterized in that, also comprises:
Behind patient discharge, continue to gather patient's Human Physiology data by described harvester, and transfer to hospital monitoring center;
Hospital monitoring center is associated the Human Physiology data of being gathered with patient's diagnosis information, and utilizes the historical data in the diagnosis information that the Human Physiology data of being gathered are carried out analysis-by-synthesis;
Hospital monitoring center sends to this patient and/or the contact person relevant with this patient with analysis result.
3. method according to claim 1 and 2 is characterized in that, describedly utilizes the historical data in the diagnosis information that the Human Physiology data of being gathered are carried out analysis-by-synthesis, comprising:
The Human Physiology data of being gathered in conjunction with state of an illness diagnostic message in the diagnosis information and medication information, are carried out analysis-by-synthesis at the individual.
4. method according to claim 1 is characterized in that, also comprises:
Described harvester has positioning function concurrently, utilizes the wireless router be laid in hospital, and patient's positional information is transferred to hospital monitoring center by WLAN.
5. method according to claim 1 and 2 is characterized in that, in the following manner Human Physiology transfer of data to the hospital of being gathered is guarded the center:
Described harvester is integrated on the portable terminal, by mobile communications network Human Physiology transfer of data to the hospital of being gathered is guarded the center;
And/or described harvester is by short-distance wireless communication technology, and the Human Physiology transfer of data of being gathered to portable terminal, is transferred to hospital monitoring center by portable terminal again.
6. method according to claim 1 is characterized in that, in the following manner Human Physiology transfer of data to the hospital of being gathered is guarded the center:
Utilization is laid in the wireless router of hospital, and described harvester transfers to hospital monitoring center with the Human Physiology data of being gathered by WLAN.
7. method according to claim 1 is characterized in that, reports to the police in the following manner:
Warning message is sent to doctor on duty or diagnosis and treatment doctor's portable terminal by short message;
And/or, directly dial doctor on duty or diagnosis and treatment doctor's mobile terminal number;
And/or, directly dial emergency call;
And/or, send alarm sound;
And/or, send light.
8. method according to claim 1 and 2 is characterized in that, also comprises:
Described harvester compares to judge whether the state of an illness is unusual by the Human Physiology data of will be gathered with normal physiological data, reports to the police automatically by sound, vibrations or light when unusual.
9. a wireless medical monitoring system is characterized in that, comprising:
Harvester is used to be worn on one's body the patient, gathers the Human Physiology data of patient in any playground of hospital in real time, and transfers to monitor device;
Monitor device, comprise data analysis module and alarm module, the Human Physiology data that described data analysis module is used for being gathered are associated with patient's diagnosis information, and utilize the historical data in the diagnosis information that the Human Physiology data of being gathered are carried out analysis-by-synthesis; Described alarm module is used for judging according to analysis result whether the state of an illness is unusual, selects when unusual to report to the police.
10. system according to claim 9 is characterized in that:
After described harvester also is used for patient discharge, continues to gather patient's Human Physiology data, and transfer to monitor device, described monitor device is proceeded analysis-by-synthesis;
Then described monitor device also comprises: notification module is used for analysis result is sent to this patient and/or the contact person relevant with this patient.
11. system according to claim 9 is characterized in that, described harvester also comprises:
Locating module is used for determining patient's position, and patient's positional information is transferred to monitor device.
12. system according to claim 11 is characterized in that, also comprises:
Wireless router is used for being laid in hospital and sets up WLAN, and the Human Physiology data of harvester collection are transferred to monitor device by WLAN; Also be used for patient's positional information is transferred to monitor device by WLAN.
13., it is characterized in that according to claim 9 or 10 described systems:
Described harvester comprises mobile communication module, is used for by mobile communications network the Human Physiology transfer of data of being gathered to monitor device;
And/or described harvester comprises short-range wireless communication module, is used for by short-distance wireless communication technology, and the Human Physiology transfer of data of being gathered to portable terminal, is transferred to monitor device by portable terminal again.
14., it is characterized in that described harvester also comprises according to claim 9 or 10 described systems:
The instant alarming module is used for comparing to judge whether the state of an illness is unusual by the Human Physiology data of will be gathered with normal physiological data, reports to the police automatically by sound, vibrations or light when unusual.
15. system according to claim 9 is characterized in that, the alarm module of described monitor device comprises:
The short message communication unit is used for by short message the portable terminal that warning message sends to doctor on duty or diagnosis and treatment doctor being reported to the police;
And/or voice communication units is used for directly dialing doctor on duty or diagnosis and treatment doctor's mobile terminal number, or directly dials emergency call and report to the police;
And/or phonation circuit is used to send alarm sound and reports to the police;
And/or illuminating circuit is used to send light and reports to the police.
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| CN2009102353825A CN102038548A (en) | 2009-10-13 | 2009-10-13 | Method and system of wireless medical monitoring |
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| CN2009102353825A CN102038548A (en) | 2009-10-13 | 2009-10-13 | Method and system of wireless medical monitoring |
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Application publication date: 20110504 |