CN101827131A - Clinical information system of hospital emergency center based on wireless network technology - Google Patents
Clinical information system of hospital emergency center based on wireless network technology Download PDFInfo
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Abstract
A clinical information system of a hospital emergency center based on wireless network technology relates to the technical field of medical equipment and aims to solve the technical problem of hospital data information management. The system comprises core switches, hospital center servers connected with the core switches, an instrument information acquisition access switch, an ICU clinical information access switch, an anesthesia clinical information access switch, an instrument information acquisition server, a plurality of wireless access points, a plurality of clinical assistant mobile terminals, a plurality of hand-hold mobile terminals and a plurality of prehospital acquisition mobile terminals connected with an internet via a wireless communication network, wherein the instrument information acquisition server and the wireless access points are connected with the instrument information acquisition access switch and the ICU clinical information access switch; the clinical assistant mobile terminals and the hand-hold mobile terminals are connected with the wireless access points; the core switches are connected with the internet; the hospital center servers are provided with WEB network platforms; and the terminals in the hospital are respectively connected with the switches. The system provided by the invention can improve the working efficiency of the hospital.
Description
Technical field
The present invention relates to the technology of Medical Devices, particularly relate to a kind of technology of first-aid centre of the hospital clinic information system based on radio network technique.
Background technology
Current society and nature disaster, accident frequently take place, and from earthquake, mine disaster, ice and snow disaster, to building collapsing, traffic accident etc., the trauma patient that causes is more and more, and the annual because dead and wounded number of all kinds of accidents in the whole world is more than the tens of millions of people.In recent years, the various fortuitous casualty accidents of China increase to some extent.According to national security production supervision management board statistics, 963976 of all kinds of accidents took place in the whole nation altogether in 2003, dead 136340 people, and wherein road traffic accident is 667507, causes 104372 people's death, 494174 people injured, and direct economic loss reaches 33.7 hundred million yuan.Nearly 5 years, the number of China's traffic accident death almost was 10% speed increase every year, and contingency has become the 4th to 5 cause of the death of social population, and was the between twenty and fifty first cause that causes death, disables below 45 years old.Fortuitous casualty once was called as modern society's unheeded " disease ", threat to life not only, more because of its disability rate height (severe trauma reaches 36.1%), it is big to hinder back potential life-span loss, cure the required expense height of wound, having a strong impact on social productive forces and socio-economic development, is the serious public hazards of the current China and even the whole world.How to shorten rescue time, catch " gold one hour ", become the successful key of severe trauma treatment.Traditional first aid idea often makes the wounded be in when the life and death lose the most valuable a few minutes, dozens of minutes " prime time of help ", therefore advocates and to implement the new ideas and the technical ability of modern wound rescue imperative.
The patient monitoring information that Medical Devices are gathered is to weigh the important indicator of patient's real-time status, also be to judge PD trend and the important evidence of gathering medical measure, so the medical equipment information monitoring is for improving patient's treatment effect; But, present hospital's first aid also is in the handwork stage, the hand-kept of wounded's informational needs, the Medical Devices monitoring wounded's vital sign data can not effectively be gathered and be used, report datas such as wounded's inspection, check and CT can't be effectively shared, the doctor to spend a large amount of time handle writing record and etc. examine, survey report.Traditional operating type can not be accomplished patient information data Whole Process Control; Medical personnel carry out repetition, heavy record, and have weakened nurse treatment patient's ability; Data is obtained not smooth, and medicine and equipment use item record imperfect, causes lacking account and leaks account; Service management is difficult to standard; Hand-kept has bigger limitation to the medical skill research and teaching, lacks lateral comparison and analysis.Investigate present applicable cases according to present situation to the individualized wireless mobile monitoring monitor system of hospital's first aid: the one, the information of Medical Devices (as Anesthesia machine, lung ventilator, patient monitor etc.) is independence, is not incorporated in the system platform; The 2nd, medical personnel still will spend a large amount of energy and times and handle and write down lot of data information, and numerous and diverse repeated labor has reduced the efficient and the quality of medical treatment and nursing; The 3rd, a large amount of active data information can not be carried out medical diagnosis and treatment and scientific research efficiently utilizes for medical personnel, can't accumulation data analysis and the required information bank of data mining.Above-mentioned defective makes the doctor can not obtain patient's data message as early as possible, can not in rescue room, just see various medical technologies reports, thereby can't accurately diagnose efficiently and give treatment to, also need consume the plenty of time writing in the operation, and can increase medical tangle and business accounting.
Summary of the invention
At the defective that exists in the above-mentioned prior art, technical problem to be solved by this invention provides a kind of based on the reliable computer and the communication technology, connect clinical monitoring equipment, can obtain patient's various sign information in real time, thereby realize the automatic collection of custodial care facility dateout, realize that clinical treatment information height is shared, and can be at the characteristics of control, the various changes of vital signs figure of reflection change of illness state are provided, auxiliary diagnosis and treatment scheme and the medical procedure of providing of typical case controlled, change of illness state to patient, medical measure, the severe scoring provides support, support the medical personnel's of hospital clinical event, collect and handle patient's clinical treatment information, enrich and accumulation clinical medicine data, and provide on, assisting in diagnosis and treatment, auxiliary clinical decision, first-aid centre of the hospital clinic information system based on radio network technique of raising medical personnel's operating efficiency.
In order to solve the problems of the technologies described above, a kind of first-aid centre of hospital clinic information system provided by the present invention based on radio network technique, comprise the terminal that is installed in the hospital nurse station, be installed in the terminal in hospital's anaesthetic room, be installed in terminal and Medical Instruments in each clinical treatment chamber of hospital and the ward, it is characterized in that, comprising:
Core switch is installed in the hospital, connects the Internet;
The HC server is provided with the WEB network platform, is installed in the hospital, connects core switch;
Instrument information gathering access switch is installed in the hospital, connects core switch;
ICU clinical information access switch is installed in the hospital, connects core switch;
The instrument information collection server is installed in the hospital, connects instrument information gathering access switch and ICU clinical information access switch;
Anesthesia clinical information access switch is installed in the hospital, connects core switch;
A plurality of WAP (wireless access point) connect instrument information gathering access switch, ICU clinical information access switch;
A plurality of clinical assistants portable terminals are installed in the rescue room and first aid care unit of hospital, connect each WAP (wireless access point);
Gather portable terminal before a plurality of institutes, be installed on first-aid centre and the ambulance vehicles, connect the Internet through cordless communication network;
A plurality of hand-held mobile terminals, hand-held by medical personnel, connect each WAP (wireless access point);
The terminal at described hospital nurse station connects ICU clinical information access switch;
Terminal in each clinical treatment chamber of described hospital and the ward is connected instrument information gathering access switch, ICU clinical information access switch respectively with Medical Instruments;
Terminal in the described hospital anaesthetic room connects anesthesia clinical information access switch.
First-aid centre of hospital clinic information system based on radio network technique provided by the invention, by integrating the custodial care facility and the bedside medical treatment of different brands, model, the function of collection, analysis and store patient vital sign data and physiology situation information is provided, has realized the automation record of medical data; Use the real-time collection that realizes nursing information by wireless communication technique and portable terminal, set up comprehensive data message storehouse; Realize trend report, Intelligent treatment by data analysis and data mining, fully assist personnel clinical diagnosis, make the urgent patient obtain better medical services, improve cure rate, and can utilize network to realize long distance monitoring, in the complete various sign information datas that present various clinical datas of patient and waveform image realization patient of the network terminal; Can also provide the various changes of vital signs figure of reflection change of illness state at the characteristics of control in addition; In sum, the present invention has following beneficial effect:
1) with patient is the global design of median plane to hospital's first aid clinical information technology;
The whole process automation of 2) realization information gathering, transmission, analysis, alarm can significantly reduce corpsman,hospital's workload, and better guarantee the work accuracy rate;
3) friendly interface, input variable few, practical, easily learn, meet the operating habit of emergency physician;
4) the overall process resource is integrated, and outstanding operation flow is dynamically finished section office and adjusted and manage;
5) standard first aid business is effectively carried out link, real-time quality control;
6) application of portable terminal, light realization is moved and is made a house call, postoperative is followed the tracks of, and followed up a case by regular visits to management;
7) the effective analysis and the review of real time data improve medical technologies, scientific research, teaching;
8) can easily connect the third party system.
Description of drawings
Fig. 1 is the structured flowchart based on first-aid centre of the hospital clinic information system of radio network technique of the embodiment of the invention;
Fig. 2 is the theory diagram of the embodiment of the invention based on the HC server in first-aid centre of the hospital clinic information system of radio network technique.
Embodiment
Below in conjunction with description of drawings embodiments of the invention are described in further detail, but present embodiment is not limited to the present invention, every employing analog structure of the present invention and similar variation thereof all should be listed protection scope of the present invention in.
As shown in Figure 1, a kind of first-aid centre of hospital clinic information system that the embodiment of the invention provided based on radio network technique, comprise the terminal 8 that is installed in the hospital nurse station, be installed in the terminal 9 in hospital's anaesthetic room, be installed in terminal 10 and Medical Instruments 11 in each clinical treatment chamber of hospital and the ward, it is characterized in that, comprising:
Core switch 1 is installed in the hospital, connects the Internet;
HC server 2 is provided with the WEB network platform, is installed in the hospital, connects core switch 1;
Instrument information gathering access switch 3 is installed in the hospital, connects core switch 1;
ICU (severe intensivecare unit) clinical information access switch 4 is installed in the hospital, connects core switch 1;
Instrument information collection server 5 is installed in the hospital, connects instrument information gathering access switch 3 and ICU (severe intensivecare unit) clinical information access switch 4;
Anesthesia clinical information access switch 6 is installed in the hospital, connects core switch 1;
A plurality of WAP (wireless access point) 7 (AP) connect instrument information gathering access switch 3, ICU (severe intensivecare unit) clinical information access switch 4;
A plurality of clinical assistants portable terminal (not shown) are installed in the rescue room and first aid care unit of hospital, connect each WAP (wireless access point) 7 (AP);
Gather the portable terminal (not shown) before a plurality of institutes, be installed on first-aid centre and the ambulance vehicles, connect the Internet through cordless communication network;
A plurality of hand-held mobile terminal (not shown), hand-held by medical personnel, connect each WAP (wireless access point) 7 (AP);
The terminal 8 at described hospital nurse station connects ICU (severe intensivecare unit) clinical information access switch 4;
Terminal 9 in the described hospital anaesthetic room connects anesthesia clinical information access switch 6.
In the embodiment of the invention, what the WEB network platform of described HC server 2 adopted is B/S technical pattern, and what this platform used is existing every network tool and technology, as: network security, automatic flow load balance etc., so that make full use of resource;
As shown in Figure 2, in the embodiment of the invention, WEB Service service module, ORM (Object Relation Mapping) module, database, template Container Management module, browser module are housed in the described HC server 2;
Be provided with clinical information Management Unit and data platform assembly in the described WEB Service service module, connect database by ORM (Object Relation Mapping) module, connect browser module by template Container Management module, and connect hospital's existing system by the data platform assembly in this module;
Be provided with UI (user interface) assembly and service logic control assembly in the described browser module;
Described ORM (Object Relation Mapping) module is used for the data of WEB Service service module and the relationship map of database data reaches mutual;
Described template Container Management module is used for the data of UI (user interface) assembly of integrally browsing device module and the service logic of service logic control assembly;
Described hospital existing system comprises HIS system, RIS system, LIS system, PACS system, note charge system, drugstore management system, financial system and Cost Accounting System.
In the embodiment of the invention, described HC server 2 is through the medical insurance center 12 that core switch 1 connects on the Internet, so that transfer patient's the related data (medical history etc.) and the relevant knowledge of disease;
In the embodiment of the invention, described hand-held mobile terminal is frivolous pocket external form, have splendid expansion capacity, reliable, durable, can be customized, easy the characteristic that expands of elasticity, and has a feature such as visual under low power consumption and the sunlight, use to satisfy long-time start, and hand-held mobile terminal also supports direct typing of Chinese character and template to call typing.
The operation principle of the embodiment of the invention is as follows:
1) data wireless acquisition management before the institute
First-aid centre, ambulance vehicles are before patient's no show hospital, to gather portable terminal before conditions of patients information such as patient's sex, age, morbidity place, the state of an illness situation input institute, gather portable terminal before the institute by sending conditions of patients information to hospital in advance by cordless communication network, the Internet, and transmit patient's PD situation in real time, so that hospital is ready to rescue accordingly measure, if patient is badly in need of operation, also can allow related doctor carry out operation in advance and prepare, and then improve urgent patient's salvage success rate;
2) Medical Devices interface, data acquisition
The instrument information collection server is gathered the state of an illness information of patient in each clinical treatment chamber and the ward in real time by instrument information gathering access switch and ICU (severe intensivecare unit) clinical information access switch, the HC server obtains related data in the instrument information collection server by core switch and instrument information gathering access switch, and to each isomery equipment control, communication protocol is resolved and multivariate data merges, set up different brands, the custodial care facility of model and bedside medical treatment are (as lung ventilator, infusion pump, vim and vigour etc.) connection, understand and analyze the data that medical equipment information is gathered, its real-time image data amount is big, objective, reliably, it is unfounded to reduce the record data that human factor causes, and realizes the data acquisition for several kinds of medical equipment, analyze and excavate;
3) write down vital sign information automatically;
The instrument information collection server writes down the vital sign output parameter automatically by instrument information gathering access switch and ICU (severe intensivecare unit) clinical information access switch, when the doctor need understand the variation of the various vital signs of patient, can initiate request to the HC server by each terminal, the HC server receives that request back obtains related data in the instrument information collection server by core switch and instrument information gathering access switch, and transfers to the terminal of the request of initiation;
4) realize the patient assessment intellectuality
The HC server is set up effective analytical model according to the several kinds of medical equipment data, auxiliary judgment patient's condition and PD, from the sample of mass data, obtain patient's digital information, screen, look back, contrast, sample, analyze, sum up, patient's information or incident and patient's anticipated consequence are interrelated, by data analysis, data mining, carry out abnormal alarm and trend report, to improve the research and teaching of medical skill;
5) clinical assistants portable terminal
Medical personnel in hospital's rescue room and the first aid care unit initiate request by the clinical assistants portable terminal to the HC server, the HC server receives that request back obtains related data in the instrument information collection server by core switch and instrument information gathering access switch, and transfer to the terminal of the request initiated, make things convenient for medical personnel at any time with engraving the information and the abnormal prompt early warning of recording and obtaining patient care, as medication, discrepancy amount record;
6) anesthesia clinical information
Terminal in hospital's anaesthetic room is real-time transmitted to the HC server by anesthesia clinical information access switch with patient's anesthesia situation, the HC server transfers to the indoor terminal of related surgical after receiving patient's anesthesia status data, so that operative doctor is understood patient's anesthesia situation immediately;
7) hand-held mobile terminal
Hand-held mobile terminal is used to realize the processing of medical personnel's full spectrum information, reach the purpose of mobile monitoring, comprise observation and treatment project that other can not be measured, as patient's basic condition, pathography, operation hand over to the next shift, emergency disposal, emergency measures, blood gas analysis, various pipeline per hour drainage flow, diet, the record etc. of relieving, accomplish to guard all-the-way tracking; Implementing nursing intervention for clinician, nurse in the monitoring process has well auxiliary directive significance, contents the such as for example formula of the standard score calculation of human body under various states, every functional parameter calculates, clinical operation instruction, pharmacological characteristics, computing formula and the prescription of various medicines, nursing conventional treatment, the use of care appliances, sudden unexpected emergency disposal;
8) system security management
Adopt the J2EE technical system, have the fail safe of system-level height,, guarantee the fail safe of system, guarantee the safety of patient information by the technology and the behave of file storage, system's setting, three aspects of Identity Management;
9) data analysis and data mining strategy
Hold in the clinical data research process diversity demand to data, take into account perspective and retrospective study, can realize the comprehensive association between the data, generate all kinds of model datas according to the needs of clinical data statistical analysis and carry out professional statistical analysis software and use.
Claims (1)
1. first-aid centre of hospital clinic information system based on radio network technique, comprise the terminal that is installed in the hospital nurse station, be installed in the terminal in hospital's anaesthetic room, be installed in terminal and Medical Instruments in each clinical treatment chamber of hospital and the ward, it is characterized in that, comprising:
Core switch is installed in the hospital, connects the Internet;
The HC server is provided with the WEB network platform, is installed in the hospital, connects core switch;
Instrument information gathering access switch is installed in the hospital, connects core switch;
ICU clinical information access switch is installed in the hospital, connects core switch;
The instrument information collection server is installed in the hospital, connects instrument information gathering access switch and ICU clinical information access switch;
Anesthesia clinical information access switch is installed in the hospital, connects core switch;
A plurality of WAP (wireless access point) connect instrument information gathering access switch, ICU clinical information access switch;
A plurality of clinical assistants portable terminals are installed in the rescue room and first aid care unit of hospital, connect each WAP (wireless access point);
Gather portable terminal before a plurality of institutes, be installed on first-aid centre and the ambulance vehicles, connect the Internet through cordless communication network;
A plurality of hand-held mobile terminals, hand-held by medical personnel, connect each WAP (wireless access point);
The terminal at described hospital nurse station connects ICU clinical information access switch;
Terminal in each clinical treatment chamber of described hospital and the ward is connected instrument information gathering access switch, ICU clinical information access switch respectively with Medical Instruments;
Terminal in the described hospital anaesthetic room connects anesthesia clinical information access switch.
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| CN201010165286A CN101827131A (en) | 2010-04-29 | 2010-04-29 | Clinical information system of hospital emergency center based on wireless network technology |
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| CN201010165286A CN101827131A (en) | 2010-04-29 | 2010-04-29 | Clinical information system of hospital emergency center based on wireless network technology |
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Cited By (10)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN102496133A (en) * | 2011-10-30 | 2012-06-13 | 刘黎明 | Doctor-patient communication terminal and method thereof |
| CN102571863A (en) * | 2010-12-30 | 2012-07-11 | 国际商业机器公司 | Method and device for realizing content sharing between mobile terminals |
| CN103714222A (en) * | 2012-09-28 | 2014-04-09 | 大连运邦科技发展有限公司 | Cross-platform mobile medical system |
| CN103761693A (en) * | 2013-12-31 | 2014-04-30 | 中国人民解放军第二军医大学 | Medical assistance system and method based on wireless local area network |
| CN104867084A (en) * | 2015-06-15 | 2015-08-26 | 丁彦青 | Multistage interconnection network real-time health-care system |
| CN105277677A (en) * | 2014-07-17 | 2016-01-27 | 希森美康株式会社 | Method and system for aggregating diagnostic analyzer related information |
| CN107680636A (en) * | 2016-08-02 | 2018-02-09 | 四川智康科技有限责任公司 | A kind of clinical information processing system and method based on metadata |
| CN107705824A (en) * | 2017-10-24 | 2018-02-16 | 魏婷婷 | A kind of intelligent region emergency medical data acquisition and storage method |
| CN108334576A (en) * | 2018-01-24 | 2018-07-27 | 深圳市金政软件技术有限公司 | A kind of data exhibiting system and its method for exhibiting data |
| CN111249573A (en) * | 2020-02-12 | 2020-06-09 | 迈德微创(天津)医疗器械有限责任公司 | Intelligent infusion device and system capable of being remotely controlled |
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2010
- 2010-04-29 CN CN201010165286A patent/CN101827131A/en active Pending
Cited By (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102571863A (en) * | 2010-12-30 | 2012-07-11 | 国际商业机器公司 | Method and device for realizing content sharing between mobile terminals |
| US9264511B2 (en) | 2010-12-30 | 2016-02-16 | International Business Machines Corporation | Content sharing among mobile terminals |
| US9154997B2 (en) | 2010-12-30 | 2015-10-06 | International Business Machines Corporation | Content sharing among mobile terminals |
| CN102496133A (en) * | 2011-10-30 | 2012-06-13 | 刘黎明 | Doctor-patient communication terminal and method thereof |
| CN103714222A (en) * | 2012-09-28 | 2014-04-09 | 大连运邦科技发展有限公司 | Cross-platform mobile medical system |
| CN103761693A (en) * | 2013-12-31 | 2014-04-30 | 中国人民解放军第二军医大学 | Medical assistance system and method based on wireless local area network |
| CN105277677A (en) * | 2014-07-17 | 2016-01-27 | 希森美康株式会社 | Method and system for aggregating diagnostic analyzer related information |
| CN105277677B (en) * | 2014-07-17 | 2018-11-13 | 希森美康株式会社 | Method and system for summarizing diagnositc analyser relevant information |
| CN104867084A (en) * | 2015-06-15 | 2015-08-26 | 丁彦青 | Multistage interconnection network real-time health-care system |
| CN107680636A (en) * | 2016-08-02 | 2018-02-09 | 四川智康科技有限责任公司 | A kind of clinical information processing system and method based on metadata |
| CN107680636B (en) * | 2016-08-02 | 2021-01-26 | 四川智康科技有限责任公司 | Clinical information processing system and method based on metadata |
| CN107705824A (en) * | 2017-10-24 | 2018-02-16 | 魏婷婷 | A kind of intelligent region emergency medical data acquisition and storage method |
| CN108334576A (en) * | 2018-01-24 | 2018-07-27 | 深圳市金政软件技术有限公司 | A kind of data exhibiting system and its method for exhibiting data |
| CN111249573A (en) * | 2020-02-12 | 2020-06-09 | 迈德微创(天津)医疗器械有限责任公司 | Intelligent infusion device and system capable of being remotely controlled |
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Application publication date: 20100908 |