CN102438039A - Perceptive health community information service system based on mobile internet and working method thereof - Google Patents
Perceptive health community information service system based on mobile internet and working method thereof Download PDFInfo
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Abstract
The invention discloses a perceptive health community information service system based on a mobile internet and a working method thereof. The system is provided with an application server, a business database, a health data acquisition terminal, a data gateway terminal, a general practitioner mobile work terminal, a service quality monitoring terminal and an external system interface terminal, wherein the business database is connected with the application server respectively through a wired or wireless local area network and a mobile internet; and the external system interface terminal interacts information between the system and an electronic medical record system and a health record system. According to the invention, the technology of mobile internet and internet of things is effectively combined with personal health service for community residents, the problems of hospital managers, general practitioners and community residents in the current community medical and health services are solved, and the aim of 'curing diseases through prevention' is achieved. The system provides a new health service mode of 'bring health to family' to the residents based on the community personal health data remotely monitored in real time and uploaded intelligently, and lays product and material foundations for the engineering technology from 'curing' to 'prevention' in the modern medical and health services.
Description
Technical Field
The invention relates to a brand-new health perception community information service system and a working method thereof in the field of medical health, in particular to an information system for perceiving the health of residents based on a mobile internet and providing medical health home service for general doctors in community hospitals and a working method thereof; belongs to the technical field of the Internet of things.
Background
At present, the health of urban community residents is more and more emphasized by the nation, health departments require that all community hospitals establish health files, and state hospitals require that a general practitioner system is established, so that general practitioners can enter families and enter households to provide services for urban community residents. With the development of social economy and the improvement of the living standard of residents, people pay more and more attention to their health conditions, and the consultation requirements on the aspect of health and fitness services are increasing. In order to solve the problems that the social aging phenomenon of China is increasingly prominent and the number of the old people in the community is rapidly increased, the requirements of the old people, part of the people with inconvenient movement and the chronic disease patients on the health and sanitation home service are particularly urgent.
The traditional medical management mode cannot adapt to a new community medical service mode in the modern society. However, most of the information systems in terms of medical services appearing on the market are designed and developed for inpatients in hospitals, and are specialized in the information means of community hospitals, and especially, scientific and technological equipment provided by the medical services based on the novel community medical service mode is very deficient. The situation has already seriously restricted the development of the health and medical health service industry of the residents in cities and towns in China. For example: to the resident of town community, to know self health condition, the resident must go to the hospital and look for the doctor and inspect, and when the resident was at home, doctor and resident can't in time know resident's health condition. Secondly, for general practitioners, even if they provide home services, they still have no way of knowing the historical health information of the patient in depth (especially for emergency patients) within a short period of time. Moreover, when recording the health condition of residents, doctors still need to use the original mode of manual copying and paper recording, the work is complicated, the work efficiency is low, and the hidden danger of missing items is easy to exist. Finally, for hospital managers, the community residents and general practitioners cannot effectively manage information in real time, and follow-up tasks of general practitioners are difficult to effectively monitor in real time.
The Internet of things is an important component of a new generation of information technology and is a ubiquitous network established on the basis of the Internet. The system is widely applied to various sensing technologies, and based on the various sensing technologies and the intelligent processing capability of the sensing technologies, various required object information is accurately transmitted in real time through various wired and wireless networks, particularly through a mobile internet.
At present, the "perceived medical treatment" proposed by the state is the development focus of conceptually incorporating the technology of the internet of things into the future of the medical health service industry. Based on a sensor network technology in the Internet of things and a more mature mobile internet technology, boundless and ubiquitous medical and health services can be provided, a high-efficiency and resource-sharing medical and health service system is formed, the problem of medical resource shortage is relieved, meanwhile, the existing problems are effectively solved, medical convenience is provided for community hospitals, general practitioners and community residents, and the change of the community medical and health service mode from treatment to prevention in China is assisted.
Disclosure of Invention
In view of the above, the invention aims to provide a health sensing community information service system based on a mobile internet and a working method thereof, and the system effectively combines the mobile internet technology, the internet of things technology and the community resident personal health service, solves a plurality of problems faced by hospital managers, general practitioners and community residents in the current community medical health service industry, and further achieves the aim of 'curing and preventing'. The core of the invention is that based on the personal health physiological sign data monitored in real time in a remote way, a general practitioner provides professional health management home service and health promotion application service for community residents in a home service way, so that the residents can enjoy health and hygiene service at home.
In order to achieve the above object, the present invention provides a health-aware community information service system based on mobile internet, which is characterized in that: the system is provided with: the system comprises an application server for sensing health community information service, a business database, a health data acquisition terminal, a data gateway terminal, a general practitioner mobile working terminal, a service quality supervision terminal and an external system interface terminal for establishing information interaction relation between the system and an electronic medical record system and a health file system, wherein the business database, the health data acquisition terminal, the data gateway terminal, the general practitioner mobile working terminal and the service quality supervision terminal are respectively connected with the application server through a wired local area network, a wireless local area network or a mobile internet; the system is based on community resident health data which is acquired in real time and intelligently uploaded by a health data acquisition terminal, is in seamless joint with the existing electronic medical record system and health file system, provides innovative health and health services for community residents, namely a health service mode of 'healthy walking into home', and provides engineering technical products and material bases for realizing the conversion from 'treatment' to 'prevention' in a modern medical and health service mode; wherein:
the application server, as the control center of the system, is responsible for supporting and managing the whole system and the operation of each device: managing community resident information and health data thereof in a business database, and updating various business data resources in real time; managing intelligent analysis processing and flow control of various core data resources; managing and controlling an external system interface terminal to obtain data related to the system service from an electronic case system and a health record system; the management and control data gateway terminal realizes real-time acquisition and intelligent uploading of health data of the health data acquisition terminal; managing and controlling a general practitioner to move a working terminal, realizing information interaction, and being responsible for tracking the follow-up tasks reasonably assigned in real time so as to supervise and manage the execution process of the follow-up tasks; the system comprises a service interface mode, a service data processing mode and a service data processing mode, wherein the service interface mode is used for providing basic service capability and service data processing capability of an application server externally, and the service data processing mode is provided with a service database interface, an external system interface, a system service flow control unit, a data intelligent processing control unit, a system service interface unit, a data service interface unit and a service management and system management unit;
the service database is used for storing various service data required by the application server when the system runs: the system comprises resident identity information, general practitioner information, resident health data information, follow-up visit task information and service quality supervision related information;
the health data acquisition terminal is arranged in the house of community residents, and is responsible for acquiring vital health physiological sign data by using various data sensing terminals including an electrocardio monitor and a blood pressure monitor, transmitting the acquired health data to the data gateway terminal in a USB (universal serial bus), Bluetooth or WiFi (wireless fidelity) mode, and remotely transmitting the acquired health data to the application server to realize sharing;
the data gateway terminal is an intelligent terminal, a computer or an integrated circuit board for running a data collection and transmission program, is responsible for information interaction and conversion with the health data acquisition terminal, intelligently selects an optimal network based on a specially-designed data compression and encryption method, and uploads the personal health physiological sign data and related information of residents to the application server; a client terminal special for a user to check the self health data is arranged in the data gateway terminal; the system is provided with a service and data interface, a data interaction control unit, a protocol coding and decoding unit, a communication unit and a data presentation unit which are sequentially connected;
the general practitioner mobile work terminal is formed by taking a mobile intelligent terminal as a carrier and additionally arranging corresponding functional modules, can inquire community resident health information in a district at any time and any place, receive and execute follow-up tasks, record and upload follow-up information in real time, can check resident health monitoring data in real time, and can check historical data including resident electronic medical records and health files so as to comprehensively support the general practitioner to complete home follow-up service; a task reminding function is also arranged so as to improve the working efficiency and the real-time performance of general practitioners; the system is provided with a service and data interface, a general practitioner mobile work application control unit, a data presentation unit, a data acquisition unit and an alarm presentation unit;
the service quality supervision terminal is composed of an industrial personal computer for supervising and managing system service, is used for supervising and managing various service execution conditions provided by the application server in real time, and automatically receives and presents relevant information when the system service of the application server is abnormal, a follow-up visit task is not timely confirmed or a user complains about the service quality, analyzes and processes the information and takes corresponding measures according to a preset strategy to ensure the quality and the real-time effectiveness of the system service; the system is provided with a service and data interface, a service quality supervision control unit, a data presentation unit and a service informing unit;
the external system interface terminal is composed of an industrial personal computer running interface programs of the electronic medical record system and the health file system, is responsible for exchanging information with the electronic medical record system and the health file system, completes communication protocol conversion and provides electronic medical records or health files of residents and other required various data information for the application server; the system is provided with a service and data interface, a data interaction control unit, a protocol coding and decoding unit and a communication unit which are connected in sequence.
In order to achieve the purpose, the invention provides a working method of a health community information service system based on mobile internet, which is a data and information interaction process among a health data acquisition terminal used by community residents, a general practitioner mobile working terminal used by general practitioners and an application server of health community information service sensing: the method is characterized in that: the method comprises the following operation steps:
(1) the resident senses personal health physiological sign data by using the health data acquisition terminal, automatically uploads the data to the data gateway terminal, and uploads the data to the application server by intelligently selecting an optimal network;
(2) the application server stores the data and judges whether the health data are abnormal or not, if the health data are abnormal, the application server pushes the follow-up visit task to a general practitioner mobile work terminal of a general practitioner of a community hospital corresponding to the resident according to a service pre-distribution strategy, and the general practitioner task is reminded to be sent by a short message or other modes; if the health data are normal, skipping to execute the step (6);
(3) the general practitioner uses the general practitioner mobile work terminal to confirm the acceptance of the follow-up task, so as to provide the visiting and provide convenient and effective medical service for residents; if the follow-up task is not confirmed in time, skipping to execute the step (5);
(4) after the follow-up task is completed, the general practitioner moves the working terminal to upload various resident information and follow-up results recorded in the follow-up process to the application server in real time;
(5) the service quality supervision terminal automatically supervises the follow-up task execution condition of the general practitioner, and a supervisor arranges a new general practitioner to provide service according to the condition or intervenes the service process by adopting an administrative means to ensure the accessibility of the visiting follow-up service; meanwhile, the service quality supervision terminal collects the satisfaction survey of community residents on visiting follow-up service through short messages or other modes;
(6) the application server is used for analyzing and processing personal health data by combining the corresponding electronic medical records and health files of residents, customizing an analysis model of the personal health data and feeding back the analysis result of the personal health physiological sign data to the residents in the community.
The invention relates to a health community information sensing service system based on a mobile internet and a working method thereof, which are a novel community health and sanitation service mode provided for community residents. Through the system, residents can detect the health condition of individuals in real time without going out of home, and enjoy professional health consultation services; general practitioners can know and master the historical health information of community residents at any time and any place, and high-quality medical and health home service is conveniently and quickly provided. In the process of visiting, the recorded follow-up information is uploaded to an application server in real time for storage and backup, and real-time processing and analysis are carried out; therefore, the working efficiency of general practitioners is improved, better and faster health and sanitation services are provided for community residents, and supervision and management work of community hospital managers can be assisted. In summary, the present invention has the following advantages;
for community hospitals: the system can realize the omnibearing intelligent management of resident information, general practitioner information and general practitioner follow-up task information, can also generate, track and monitor the proceeding process of follow-up tasks, and provides an effective management means for hospital managers, thus greatly improving the utilization rate of medical resources and effectively improving the medical environment; thereby reducing the outpatient quantity of community hospitals, relieving the social contradiction of medical resource shortage and saving medical cost. Through a new health service mode of 'healthy walk to home', the doctor-patient relationship can be improved, and the mutual trust between doctors and community residents is enhanced.
For general practitioners: the system can provide the general practitioner mobile work terminal based on the mobile intelligent terminal, provides convenience for the general practitioner work and improves the work efficiency of the general practitioner. The general practitioner can receive, confirm and execute follow-up tasks at any time and any place by using the general practitioner mobile work terminal in the system, and the system is effective and available. The general practitioner can inquire the resident information, family medical history and health record stored in the application server and the information such as personal health physiological sign data uploaded by the resident using the health data sensing terminal at any time and any place, which is helpful for improving the accuracy of the general practitioner in analyzing and diagnosing diseases.
For the community residents: the system of the invention uses the health data perception terminal with the wireless communication function to collect the personal health physiological sign data of residents and automatically transmits the data to the application server in real time, and the operation is simple and convenient. General practitioners carry portable mobile working terminals to visit, and the convenient, healthy and sanitary service that the residents can not go home is provided. The system automatically feeds back the health data analysis result and gives a health promotion suggestion. The community residents can also log in the web page of the system, check the health data of the community residents at any time and actively master the health condition of the community residents. In addition, the application server provides professional health guidance suggestions for residents, promotes personal health, improves the life satisfaction and happiness of the residents, and greatly improves the humanistic environment of the residents in the community. The timely and effective health monitoring service provided by the system can meet the growing health service requirements of people.
The service innovation points of the system of the invention are as follows: the community medical service system provides convenient and rapid visiting follow-up service for community residents, and provides a brand-new service mode for the community medical and health service field. The resident can acquire and upload personal health data in real time through the health data sensing equipment at home, and actively master the personal health condition. The system of the invention analyzes and processes the personal health physiological sign data uploaded by residents and feeds back the analysis result, thereby meeting the requirement that the residents can enjoy professional medical consultation services without going out. The system supports the expansion of various personal health physiological sign data sensing terminals, and ensures the flexibility and expansibility of services. The general practitioner mobile work terminal provides a convenient means for the general practitioner to visit the service, so that the general practitioner mobile work terminal can check resident information at any time and any place, and the work efficiency of the general practitioner is greatly improved. Moreover, after the follow-up task is automatically pushed to the general practitioner mobile work terminal, the system provides a short message or a message pop-up prompt based on the general practitioner mobile work terminal, and the hidden danger that the general practitioner omits the follow-up task is prevented. In addition, the system also carries out service quality supervision on follow-up work of the general practitioner mobile work terminal, and ensures effective accessibility of follow-up tasks.
Based on the existing mobile internet which is widely covered, all devices in the system realize seamless butt joint and mutual association, real-time sharing of data is guaranteed, and timeliness of community medical service is improved while equipment investment cost is reduced to the maximum extent. Through the real-time personal health physiological sign data of uploading of intelligent processing resident, the customization personal health data analysis model provides the health and promotes the service, improves resident's health status, changes modern medical treatment and health service mode from "treatment" to "prevention", and the information-based construction of helping hand community hospital improves the information-based level of community hospital health service work.
The technical implementation innovation points of the system are as follows:
based on the sensing technology in the Internet of things, the personal health conditions of community residents are sensed and collected in real time. The sensed data of the physiological signs of the personal health are intelligently analyzed and processed, and the data are intelligently compressed and encrypted, so that the reliability and the safety of the data are ensured.
Based on the mobile internet technology, an optimal transmission network is intelligently selected, and personal health data are remotely uploaded to an application server in real time. The computer system is used for realizing automatic pushing and supervision management of the follow-up task of the general practitioner and carrying out all-around process supervision on the follow-up task execution process of the general practitioner.
The intelligent management of personal health data and follow-up tasks is provided based on the intelligent analysis processing technology of the application server; and analyzing and processing the resident health data, and customizing an analysis model of the personal health data.
By utilizing the adapter technology, an adaptation module of the information acquisition equipment is researched and developed to adapt to different personal health physiological sign monitoring equipment, so that the expandability of the system applying different information acquisition equipment is improved, and the actual usability of the system is favorably improved.
Drawings
FIG. 1 is a schematic structural composition diagram of a mobile internet-based perceptual health community information service system of the present invention.
Fig. 2 is a schematic diagram of the structural composition of the application server in the system of the present invention.
Fig. 3 is a schematic diagram of the external system interface terminal structure in the system of the present invention.
FIG. 4 is a schematic diagram of the structure of a health data acquisition terminal with only a sensing function in the system of the present invention.
Fig. 5 is a schematic diagram of the structure of the health data acquisition and transmission terminal including the sensing function and the data gateway terminal in the system of the present invention.
Fig. 6 is a schematic diagram of the data gateway terminal structure in the system of the present invention.
FIG. 7 is a schematic diagram of the general practitioner mobile work terminal configuration in the system of the present invention.
Fig. 8 is a schematic diagram of the structure of a service quality supervision terminal in the system of the present invention.
FIG. 9 is a flow chart of a working method of the mobile internet-based perceived health community information service system of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail with reference to the accompanying drawings.
Referring to fig. 1, the structural composition of the perceived health community information service system based on the mobile internet according to the present invention is described. The system is provided with: the system comprises an application server, a business database, a health data acquisition terminal, a data gateway terminal, a general practitioner mobile working terminal, a service quality supervision terminal and an external system interface terminal, wherein the business database, the health data acquisition terminal, the data gateway terminal, the general practitioner mobile working terminal, the service quality supervision terminal and the external system interface terminal are respectively connected with the application server through a wired local area network, a wireless local area network or a mobile internet. Each of the above devices is divided into four parts, wherein:
the first part is an application server, a service database and an external system interface terminal, and the application server is used as a control center of the system and is responsible for supporting and managing the whole system and the operation of each device: managing community resident information and health data thereof in a business database, and updating various business data resources in real time; managing intelligent analysis processing and flow control of various core data resources; managing and controlling an external system interface terminal to obtain data related to the system service from an electronic case system and a health record system; the management and control data gateway terminal realizes real-time acquisition and intelligent uploading of health data of the health data acquisition terminal; managing and controlling a general practitioner to move a working terminal, realizing information interaction, and being responsible for tracking the follow-up tasks reasonably assigned in real time so as to supervise and manage the execution process of the follow-up tasks; the system is provided with a service database interface, an external system interface, a system service flow control unit, a data intelligent processing control unit, a system service interface unit, a data service interface unit and a service management and system management unit.
The service database is used for storing various service data required by the application server when the system runs: the system comprises resident identity information, general practitioner information, resident health data information, follow-up task information and service quality supervision related information.
The external system interface terminal is composed of an industrial personal computer running interface programs of an electronic medical record system and a health file system, is responsible for exchanging information with the electronic medical record system and the health file system, completes communication protocol conversion, and provides electronic medical records or health files of residents and other required various data information for the application server; the system is provided with a service and data interface, a data interaction control unit, a protocol coding and decoding unit and a communication unit which are connected in sequence.
The second part is a health data acquisition terminal and a data gateway terminal, which are arranged in the community residents and used by the community residents at home. The system is in charge of acquiring personal health physiological sign data by utilizing various data sensing terminals such as an electrocardio monitor and a blood pressure monitor, transmitting the acquired health data to a data gateway terminal (such as a smart phone, a PC (personal computer), a professional singlechip and the like) in a USB (universal serial bus), Bluetooth or WiFi (wireless fidelity) mode, and then remotely transmitting the acquired health data to an application server to realize sharing.
The data gateway terminal is an intelligent terminal, a computer or an integrated circuit board for running a data collection and transmission program, is responsible for information interaction and conversion with the health data acquisition terminal, intelligently selects an optimal network based on a specially-designed data compression and encryption method, and uploads the personal health physiological sign data and related information of residents to the application server; a client terminal special for a user to check the self health data is arranged in the data gateway terminal; the system is provided with a service and data interface, a data interaction control unit, a protocol coding and decoding unit, a communication unit and a data presentation unit which are sequentially connected;
the third part is a general practitioner mobile work terminal which is used by general practitioners and consists of a mobile intelligent terminal supporting various systems such as android, windows mobile and the like as a carrier and corresponding functional modules additionally provided for the general practitioner mobile work application, the device can be used by the general practitioners to inquire the health information of community residents in the jurisdiction at any time and any place, receive and execute follow-up tasks, record and upload follow-up information in real time, can check resident health monitoring data in real time, can check historical data including resident electronic medical records and health files, and comprehensively support the general practitioners to finish home follow-up service; a task reminding function is also arranged so as to improve the working efficiency and the real-time performance of general practitioners; the system is provided with a service and data interface, a general practitioner mobile work application control unit, a data presentation unit, a data acquisition unit and an alarm presentation unit.
The fourth part is a service quality monitoring terminal formed by an industrial personal computer running the monitoring and management system service, which is used for monitoring various service execution conditions provided by the application server in real time, when the system service of the application server is abnormal, the follow-up task is not confirmed in time or the user complains on the service quality, the service quality monitoring terminal automatically receives and presents relevant information, analyzes and processes the information and takes corresponding measures according to a preset strategy to ensure the quality and real-time effectiveness of the system service; the system is provided with a service and data interface, a service quality supervision control unit, a data presentation unit and a service informing unit.
The system remotely collects and monitors the personal health physiological sign data of community residents by using a perception technology, and realizes the storage, sharing and management of health data. Real-time information interaction between the application server and the client mobile terminal provides timely medical and health home service for community residents. The system can also check personal health physiological sign data of community residents in real time, provide timely and convenient health service and create a new health service mode of 'healthy people entering the home'.
The system of the invention guides and urges community residents to improve the physical health condition of each person while managing personal health data through continuous tracking, analysis and evaluation of personal health information. The health condition of the individual can be passively managed, and the improvement of the health condition of the individual can be actively promoted through the information service system. The system gives health guidance suggestions through personal health management and health promotion application services, improves the health state of community residents, and realizes the conversion of a medical health service mode from 'treatment' to 'prevention'.
The system of the invention has the functions as follows: the functions of personal health management application service, general practitioner visiting follow-up service, health promotion application service and service quality supervision are provided. Wherein,
the contents of the personal health management application service are as follows:
through the health data acquisition terminal, the residents can acquire the self health physiological sign data in real time, continuously and for a long time, and the health parameters of the residents can be effectively monitored; the acquired physiological sign health data is intelligently transmitted in a multi-mode real-time manner, so that the storage, sharing, analysis and management of the health data are realized; based on health data uploaded by residents and related information in an electronic medical record system and a health file system, the system can customize a personal health data analysis model, and carry out real-time intelligent analysis and real-time information feedback on the health data; residents query own health data and analysis and processing results of the system at any time through a client, namely a web page; when health data collected by residents are abnormal, the application server automatically generates an emergency follow-up task and pushes the emergency follow-up task to a general practitioner mobile work terminal in real time so as to take reasonable countermeasures; the system is to be interconnected and intercommunicated with other systems in the future, and electronic medical record data information of residents in all hospitals is retrieved; also enables seamless integration of clinical medical related data including laboratory information systems LIS and medical image storage and transmission systems PACS;
the contents of the general practitioner visiting follow-up service are as follows:
through the general practitioner moving work terminal, the general practitioner can check the health information of residents at any time and any place, so that more convenient and better medical and health services can be provided for residents in the community; based on the health data of residents in the business database of the system and the related information in the electronic medical record system and the health file system, a general practitioner uses a general practitioner mobile work terminal to provide regular visiting follow-up service for residents in the community; if the application server intelligently analyzes that the health data uploaded by residents is abnormal, the emergency follow-up task with the priority higher than that of the common follow-up task is automatically pushed to the corresponding general practitioner mobile workstation in real time, and the general practitioner is reminded of the delivery of the follow-up task through short messages or other modes; if the corresponding general practitioner mobile work terminal does not confirm the acceptance task, the message prompt is repeatedly sent; after the specified time is exceeded, the service quality supervision terminal presents acousto-optic alarm, and is processed by supervision personnel, so that real-time effective control and supervision on follow-up work of general practitioners are realized; in the follow-up process, all follow-up information records, including time for providing visiting follow-up service, corresponding resident information and corresponding processing measures taken, made by general practitioners on a general practitioner mobile work terminal are uploaded to an application server in real time, so that real-time sharing, backup and subsequent intelligent processing are realized;
the content of the health promotion application service is as follows:
based on the health data stored in the business database and resident information in the electronic medical record system and the health file system, the application server automatically carries out professional intelligent analysis processing on the personal health data to formulate a personal health data analysis model; residents can analyze and inquire the development trend of personal health conditions through the system and actively master the self health conditions in real time; can also obtain the health improvement guidance suggestions including fitness, diet and health education automatically provided by the system or apply more detailed health counseling services to the system; the application server transmits the resident health consultation service application to the corresponding general practitioner mobile work terminal in real time and informs the resident health consultation service application in a short message or other modes; after receiving the consultation application, the general practitioner calls the health file of the corresponding resident by logging in the general practitioner mobile work terminal, checks the development trend of the health data of the resident, and provides professional consultation and specific health promotion suggestions;
the content of the service quality supervision is as follows:
the system keeps a log record of the whole process of the visiting follow-up service of the general practitioner mobile work terminal, and automatically reports the visiting follow-up service event which is not responded by the general practitioner in time to give an alarm for presentation, so that a supervisor arranges a new general practitioner to provide service or intervenes the service process by adopting an administrative means according to specific conditions, and the accessibility of the visiting follow-up service is ensured; the general practitioner moves the working terminal to automatically record the service whole-course information, uploads the service whole-course information to the application server, and synchronizes the service whole-course information to the service quality supervision terminal, so that the application server is prevented from wrongly judging a service event as a non-timely response event in the follow-up visit service process; the application server can collect satisfaction survey of community residents on the global doctor visiting service through short messages, web pages, telephones or other modes.
Referring to fig. 2, 7 constituent elements of the application server in the system of the present invention and its functions are described:
and the service database interface is responsible for packaging the service database, shielding the difference of different service databases in a data management mode, and conveniently providing data query, storage and update functions by other composition units in a simple interface mode. The unit receives the service requests of the data intelligent processing control unit and the service management and system management unit, accesses and updates the service data, and returns the processed data or result set to the service request unit for subsequent processing.
The external system interface is responsible for information interaction with the electronic case system and the health record system so as to obtain resident health historical information and relevant data from the electronic case system and the health record system; and receiving a control command of the system service flow control unit, and forwarding the relevant data set to the system service flow control unit for subsequent processing.
The system service flow control unit is used for managing and coordinating resources of the whole system, controlling the service flow of the system and providing related system service capacity: the service capability of the data intelligent processing control unit is called to finish the access, sharing, analysis and management of data; and providing the basic service flow control function of the system to the system service interface unit in an atomic service mode for use.
The data intelligent processing control unit is used for managing the service data resources of the whole system, controlling the intelligent processing flow of the service data and providing the processing capacity of the related service data: receiving a service request of a system service flow control unit, processing service data and feeding back a processing result; managing and controlling information interaction between the service database interface unit and the service database; and providing the basic data intelligent processing control function for the data service interface unit in an atomic service mode.
And the system service interface encapsulates and opens the system service flow control function provided by the system service flow control unit in an atomic service mode in a uniform interface mode, and is used for the health data acquisition terminal and the general practitioner mobile work terminal to call so as to facilitate the use of related services. And receiving service requests of other units, calling the system service flow control unit to provide corresponding atomic services according to the request types, performing corresponding service control and processing, returning a processing result or data set to the service request unit, and performing subsequent processing.
The data service interface encapsulates and develops the intelligent service data processing control function provided by the intelligent data processing control unit in an atomic service mode in a uniform interface mode, and the intelligent service data processing control function is called by the health data acquisition terminal and the general practitioner mobile work terminal so as to facilitate the use of the related data processing function; and receiving service requests of other units, calling corresponding data provided by the data intelligent processing control unit according to the request types, processing corresponding service data, returning a processing result or a data set to the service request unit, and performing subsequent processing.
The service management and system management unit is responsible for various management functions of users, networks and systems: and receiving service requests of registration, login and inquiry of the user, performing relevant service processing according to the request type, performing information interaction with a service database interface unit if necessary, and returning a processing result or data set to the user.
Referring to fig. 3, 4 constituent elements of the external system interface terminal of the system of the present invention and their functions are described:
and the service and data interface is responsible for information interaction between the external system interface terminal and the application server, receiving a service request of the data interaction control unit, finishing data interaction through the data service interface unit of the application server, and feeding back a data interaction result to the data interaction control unit for subsequent processing.
The data interaction control unit is used as a control core of the external system interface terminal and is responsible for controlling and coordinating other units to jointly complete a data interaction function; the control service and data interface unit initiates a data interaction request to the application server to complete data transmission; and the control protocol coding and decoding unit codes and decodes the data packet.
The protocol coding and decoding unit is responsible for coding or decoding the data packet according to an agreed protocol: and receiving the instruction of the data interaction control unit, and encoding the data packets sent to the electronic medical record system and the health file system. Receiving the request of the communication unit, and decoding the data packets transmitted by the electronic medical record system and the health file system;
and the communication unit is in charge of carrying out data communication with the electronic medical record system and the health file system according to an appointed communication mode and providing original data to the protocol coding and decoding unit in a unified mode.
Referring to fig. 4 and 5, a health data acquisition terminal installed in a community resident home for serving all members in a family is described, and before acquiring personal health physiological sign data, the terminal automatically matches with relevant family member information as long as the family member information to be measured is selected; it has two kinds of constitutional structures:
the first one is a sensing terminal (as shown in fig. 4) only responsible for collecting health data, which is used for transmitting the collected personal health physiological sign data to a data gateway terminal using a resident personal mobile phone or a Personal Computer (PC) as a carrier in a USB, Bluetooth or WiFi mode, and transmitting the data to an application server through a mobile communication network or the Internet; the function of its 4 constituent units is as follows:
the data perception unit receives the management and control of the health data acquisition management control unit, perceives and acquires the personal health physiological sign data by using health data sensing equipment comprising an electrocardio monitor and a blood pressure monitor, and can flexibly expand and support various sensing equipment.
And the data presentation unit is responsible for presenting the personal health physiological sign data acquired by the data sensing unit in time after detecting the personal health physiological sign data of residents, and is managed and controlled by the health data acquisition management control unit.
The health data acquisition management control unit is used as a control core of the health data acquisition terminal and is responsible for coordinating and controlling other units to provide corresponding functions: the acquired health data are uploaded through the data transmission unit, and the information viewing service request of the data presentation unit and the information uploading service request of the data acquisition unit are received.
And the data transmission unit is responsible for transmitting the health data acquired by the health data acquisition terminal to the data gateway terminal in a USB (universal serial bus), Bluetooth or WiFi (wireless fidelity) mode.
The second type is a health data acquisition and transmission terminal (as shown in fig. 5) composed of a data sensing module for acquiring personal health physiological sign data and a data transmission module with a wireless transmission function, wherein the health data is acquired by the data sensing module and then is directly transmitted to an application server by the data transmission module, namely, the health data acquisition terminal has the functions of a health data acquisition terminal and a data gateway terminal and can directly exchange information with the application server through a mobile communication network or the internet; besides the 4 units with the same function, the composition unit is also provided with the following 3 units which are connected in sequence:
the service and data interface is responsible for information interaction between the health data acquisition terminal and the application server, receiving a service request of the data interaction control unit, finishing data interaction through the data service interface of the application server, automatically and intelligently selecting an optimal network, and uploading processed data to the application server; and meanwhile, feeding back the data interaction result to the data interaction control unit for subsequent processing.
The data interaction control unit is used as a control core of the health data acquisition and transmission terminal and is responsible for controlling and coordinating other units to jointly complete a data interaction function, and the control service and data interface initiates a data interaction request to the application server to complete data transmission; and the control protocol coding and decoding unit codes and decodes the data packet.
The protocol coding and decoding unit is responsible for coding and decoding the data packet according to the control instruction by an appointed protocol, receiving the service request of the communication unit and decoding the data packet transmitted by the health data acquisition management control unit; intelligently analyzing the collected data by using a data compression algorithm; and a set encryption algorithm is used to protect the data transmission safety.
Referring to fig. 6, the components and functions of the data gateway terminal are described as follows:
the service and data interface is responsible for information interaction between the data gateway terminal and the application server: receiving a service request of a data interaction control unit, and finishing data interaction through a data service interface of an application server; automatically and intelligently selecting an optimal network according to performance parameters including network signal intensity and network speed, and uploading processed data to an application server; and simultaneously, feeding back the data interaction result to the data interaction control unit for subsequent processing.
The data interaction control unit is used as a control core of the data gateway terminal and is responsible for controlling and coordinating other units to jointly complete the data interaction function: the control service and data interface sends a data interaction service request to the application server to complete data transmission; and the control protocol coding and decoding unit codes and decodes the data packet.
The protocol coding and decoding unit is responsible for coding and decoding the data packet by an agreed protocol according to the control instruction; receiving a service request of a communication unit, and decoding a data packet transmitted by a health data acquisition terminal; intelligently analyzing the collected data by using a data compression algorithm; and a set encryption algorithm is used to protect the safety of the transmission data.
And the communication unit is responsible for carrying out data communication with the health data acquisition terminal according to an appointed communication mode and providing original data to the protocol coding and decoding unit in a unified mode.
And the data presentation unit is responsible for presenting the uploading data of the health data acquisition terminal and the business data downloaded by the residents from the application server in real time, and calling and reading the personal health data stored in the business database according to the inquiry requests of the residents through the communication unit.
Referring to fig. 7, the components and functions of the general practitioner mobile work terminal are described as follows:
general practitioner mobile work terminal adopts mobile intelligent terminal as the carrier, embeds general practitioner mobile work application module, and it supports all kinds of systems such as android, windows mobile, its constitutional structure is as follows:
the service and data interface is responsible for exchanging information with the application server and acquiring the service capability and the service data processing capability of the application server; and receiving a service request of the general practitioner mobile work application control unit, calling related service capacity through a system service interface and a data service interface of the application server to complete service processing, and transmitting a processing result or a data set to a caller.
The general practitioner mobile work application control unit, as the control core of the terminal, is responsible for coordinating and controlling other units, and provides corresponding functions: and the information is interacted with the application server through the service and data interface, the information inquiry request of the data presentation unit and the information uploading request of the data acquisition unit are received, and the follow-up task is delivered to inform a general practitioner.
The data presentation unit is responsible for providing the service of inquiring and looking up the resident information; receiving the management control of the general practitioner mobile work application control unit, sending a retrieval request of the resident information to the application server by the application control unit, and returning corresponding data to the application server through the service and data interface for reference; the general practitioner can inquire the health information and the electronic medical record of residents at any time and any place by using the data presentation unit.
The data acquisition unit is responsible for information record acquisition in the follow-up task, receives management control of the general practitioner mobile work application control unit, and responds to the management control instruction: the follow-up visit system comprises the following steps of accepting and confirming a follow-up visit task, acquiring and recording the follow-up visit information of residents in the follow-up visit process, and uploading the recorded information to an application server in real time, so that comprehensive support is provided for the mobile work of general practitioners.
And the alarm presentation unit is responsible for informing the follow-up task to a corresponding general practitioner in an acousto-optic alarm mode, receiving the control management of the general practitioner mobile work application control unit, and after the application server pushes the follow-up task, reminding and informing the follow-up task in a message pop-up window mode of the general practitioner mobile work terminal.
Referring to fig. 8, the various components and functions of the qos monitoring terminal are described:
the service and data interface is responsible for exchanging information with the application server and acquiring service data and service data processing capacity of the application server for operation and use of a supervisor; and receiving a service request of the service quality supervision application control unit, calling related service information through a system service interface and a data service interface of the application server, and transmitting a processing result or a data set to the service quality supervision application control unit for processing.
The service quality supervision application control unit is used as a control core of the service quality supervision terminal and is responsible for managing and controlling service and service information retrieved by the data interface from the application server and supervising and managing various system services in real time; and the information is interacted with the application server through the service and data interface, and the information of the data presentation unit is received and the service execution request of the service informing unit and the service request are synchronously consulted.
The data presentation unit is responsible for providing synchronous presentation of the system service information; receiving control of a service quality supervision application control unit, and sending a synchronization request of service execution information to an application server through the control unit for supervision; when the application server system service is abnormal, including that the follow-up task is not confirmed in time, the application server system service is responsible for presenting relevant service information and corresponding processing results made by the service quality supervision application control unit;
a service notification unit for notifying the task reallocation notification decided by the service quality supervision control unit; receiving the management control of the service quality supervision application control unit and responding to the management control instruction; if the service provision is not confirmed within the effective time, the service quality supervision control unit redistributes the service tasks according to the condition, the service informing unit informs the redistributed general practitioner through short messages or other modes, and meanwhile, the satisfaction survey of community residents on the visiting follow-up service is collected through the short messages or other modes.
Referring to fig. 9, a working method of the health community information service system based on mobile internet according to the present invention is introduced, which is a data and information interaction process between a health data acquisition terminal used by community residents, a general practitioner mobile working terminal used by general practitioners, and an application server of health community information service. The method comprises the following operation steps:
(1) the resident senses personal health physiological sign data by using the health data acquisition terminal, automatically uploads the data to the data gateway terminal, and uploads the data to the application server by intelligently selecting an optimal network;
(2) the application server stores the health data and judges whether the health data are abnormal or not, if the health data are abnormal, the application server pushes the follow-up visit task to a general practitioner mobile work terminal of a general practitioner of a community hospital corresponding to the resident according to a service pre-distribution strategy, and reminds the general practitioner to send the task by a short message or other modes; if the health data are normal, skipping to execute the step (6);
(3) the general practitioner uses the general practitioner mobile work terminal to confirm the acceptance of the follow-up task, so as to provide the visiting and provide convenient and effective medical service for residents; if the follow-up task is not confirmed in time, skipping to execute the step (5);
(4) after the follow-up task is completed, the general practitioner moves the working terminal to upload various resident information and follow-up results recorded in the follow-up process to the application server in real time;
(5) the service quality supervision terminal automatically supervises the follow-up task execution condition of the general practitioner, and a supervisor arranges a new general practitioner to provide service according to the condition or intervenes the service process by adopting an administrative means to ensure the accessibility of the visiting follow-up service; meanwhile, the service quality supervision terminal collects the satisfaction survey of community residents on visiting follow-up service through short messages or other modes;
(6) the application server is used for analyzing and processing personal health data by combining the corresponding electronic medical records and health files of residents, customizing an analysis model of the personal health data and feeding back the analysis result of the personal health physiological sign data to the residents in the community.
Claims (9)
1. A perception health community information service system based on mobile internet is characterized in that: the system is provided with: the system comprises an application server for sensing health community information service, a business database, a health data acquisition terminal, a data gateway terminal, a general practitioner mobile working terminal, a service quality supervision terminal and an external system interface terminal for establishing information interaction relation between the system and an electronic medical record system and a health file system, wherein the business database, the health data acquisition terminal, the data gateway terminal, the general practitioner mobile working terminal and the service quality supervision terminal are respectively connected with the application server through a wired local area network, a wireless local area network or a mobile internet; the system is based on community resident health data which is acquired in real time and intelligently uploaded by a health data acquisition terminal, is in seamless joint with the existing electronic medical record system and health file system, provides innovative health and health services for community residents, namely a health service mode of 'healthy walking into home', and provides engineering technical products and material bases for realizing the conversion from 'treatment' to 'prevention' in a modern medical and health service mode; wherein:
the application server, as the control center of the system, is responsible for supporting and managing the whole system and the operation of each device: managing community resident information and health data thereof in a business database, and updating various business data resources in real time; managing intelligent analysis processing and flow control of various core data resources; managing and controlling an external system interface terminal to obtain data related to the system service from an electronic case system and a health record system; the management and control data gateway terminal realizes real-time acquisition and intelligent uploading of health data of the health data acquisition terminal; managing and controlling a general practitioner to move a working terminal, realizing information interaction, and being responsible for tracking the follow-up tasks reasonably assigned in real time so as to supervise and manage the execution process of the follow-up tasks; the system comprises a service interface mode, a service data processing mode and a service data processing mode, wherein the service interface mode is used for providing basic service capability and service data processing capability of an application server externally, and the service data processing mode is provided with a service database interface, an external system interface, a system service flow control unit, a data intelligent processing control unit, a system service interface unit, a data service interface unit and a service management and system management unit;
the service database is used for storing various service data required by the application server when the system runs: the system comprises resident identity information, general practitioner information, resident health data information, follow-up visit task information and service quality supervision related information;
the health data acquisition terminal is arranged in the house of community residents, and is responsible for acquiring vital health physiological sign data by using various data sensing terminals including an electrocardio monitor and a blood pressure monitor, transmitting the acquired health data to the data gateway terminal in a USB (universal serial bus), Bluetooth or WiFi (wireless fidelity) mode, and remotely transmitting the acquired health data to the application server to realize sharing;
the data gateway terminal is an intelligent terminal, a computer or an integrated circuit board for running a data collection and transmission program, is responsible for information interaction and conversion with the health data acquisition terminal, intelligently selects an optimal network based on a specially-designed data compression and encryption method, and uploads the personal health physiological sign data and related information of residents to the application server; a client terminal special for a user to check the self health data is arranged in the data gateway terminal; the system is provided with a service and data interface, a data interaction control unit, a protocol coding and decoding unit, a communication unit and a data presentation unit which are sequentially connected;
the general practitioner mobile work terminal is formed by taking a mobile intelligent terminal as a carrier and additionally arranging corresponding functional modules, can inquire community resident health information in a district at any time and any place, receive and execute follow-up tasks, record and upload follow-up information in real time, can check resident health monitoring data in real time, and can check historical data including resident electronic medical records and health files so as to comprehensively support the general practitioner to complete home follow-up service; a task reminding function is also arranged so as to improve the working efficiency and the real-time performance of general practitioners; the system is provided with a service and data interface, a general practitioner mobile work application control unit, a data presentation unit, a data acquisition unit and an alarm presentation unit;
the service quality supervision terminal is composed of an industrial personal computer for supervising and managing system service, is used for supervising and managing various service execution conditions provided by the application server in real time, and automatically receives and presents relevant information when the system service of the application server is abnormal, a follow-up visit task is not timely confirmed or a user complains about the service quality, analyzes and processes the information and takes corresponding measures according to a preset strategy to ensure the quality and the real-time effectiveness of the system service; the system is provided with a service and data interface, a service quality supervision control unit, a data presentation unit and a service informing unit;
the external system interface terminal is composed of an industrial personal computer running interface programs of the electronic medical record system and the health file system, is responsible for exchanging information with the electronic medical record system and the health file system, completes communication protocol conversion and provides electronic medical records or health files of residents and other required various data information for the application server; the system is provided with a service and data interface, a data interaction control unit, a protocol coding and decoding unit and a communication unit which are connected in sequence.
2. The system of claim 1, wherein: the functions of the various components of the application server are as follows:
the service database interface is responsible for packaging the service database, shielding the difference of different service databases in a data management mode, and conveniently providing data query, storage and update functions by other composition units in a simple interface mode; the unit receives the service requests of the data intelligent processing control unit and the service management and system management unit, accesses and updates the service data, and returns the processed data or result set to the service request unit for subsequent processing;
the external system interface is responsible for information interaction with the electronic case system and the health record system so as to obtain resident health historical information and relevant data from the electronic case system and the health record system; receiving a control command of the system service flow control unit, and forwarding the relevant data set to the system service flow control unit for subsequent processing;
the system service flow control unit is used for managing and coordinating resources of the whole system, controlling the service flow of the system and providing related system service capacity: the service capability of the data intelligent processing control unit is called to finish the access, sharing, analysis and management of data; providing the basic service flow control function of the system to a system service interface unit for use in an atomic service mode;
the data intelligent processing control unit is used for managing the service data resources of the whole system, controlling the intelligent processing flow of the service data and providing the processing capacity of the related service data: receiving a service request of a system service flow control unit, processing service data and feeding back a processing result; managing and controlling information interaction between the service database interface unit and the service database; providing the basic data intelligent processing control function to a data service interface unit for use in an atomic service mode;
the system service interface encapsulates and opens the system service flow control function provided by the system service flow control unit in an atomic service mode in a uniform interface mode, and is used for a health data acquisition terminal and a general practitioner mobile work terminal to call so as to facilitate the use of related services; receiving service requests of other units, calling a system service flow control unit to provide corresponding atomic services according to the request types, performing corresponding service control and processing, returning processing results or data sets to the service request unit, and performing subsequent processing;
the data service interface encapsulates and develops the intelligent service data processing control function provided by the intelligent data processing control unit in an atomic service mode in a uniform interface mode, and the intelligent service data processing control function is called by the health data acquisition terminal and the general practitioner mobile work terminal so as to facilitate the use of the related data processing function; receiving service requests of other units, calling corresponding data provided by the data intelligent processing control unit according to the request types, performing corresponding service data processing, and returning a processing result or a data set to the service request unit for subsequent processing;
the service management and system management unit is responsible for various management functions of users, networks and systems: and receiving service requests of registration, login and inquiry of the user, performing relevant service processing according to the request type, performing information interaction with a service database interface unit if necessary, and returning a processing result or data set to the user.
3. The system of claim 1, wherein: the functions of each component unit of the external system interface terminal are as follows:
the service and data interface is responsible for information interaction between the external system interface terminal and the application server, receives a service request of the data interaction control unit, completes data interaction through the data service interface unit of the application server, and feeds back a data interaction result to the data interaction control unit for subsequent processing;
the data interaction control unit is used as a control core of the external system interface terminal and is responsible for controlling and coordinating other units to jointly complete a data interaction function; the control service and data interface unit initiates a data interaction request to the application server to complete data transmission; the control protocol coding and decoding unit codes and decodes the data packet;
the protocol coding and decoding unit is responsible for coding or decoding the data packet according to an agreed protocol: receiving an instruction of a data interaction control unit, and encoding data packets sent to the electronic medical record system and the health file system; receiving the request of the communication unit, and decoding the data packets transmitted by the electronic medical record system and the health file system;
and the communication unit is in charge of carrying out data communication with the electronic medical record system and the health file system according to an appointed communication mode and providing original data to the protocol coding and decoding unit in a unified mode.
4. The system of claim 1, wherein: the functions of each component unit of the service quality supervision terminal are as follows:
the service and data interface is responsible for exchanging information with the application server and acquiring service data and service data processing capacity of the application server for operation and use of a supervisor; receiving a service request of a service quality supervision application control unit, calling related service information through a system service interface and a data service interface of an application server, and transmitting a processing result or a data set to the service quality supervision application control unit for processing;
the service quality supervision application control unit is used as a control core of the service quality supervision terminal and is responsible for managing and controlling service and service information retrieved by the data interface from the application server and supervising and managing various system services in real time; the information is interacted with the application server through the service and data interface, and the information of the data presentation unit is received to synchronously look up the service request and the service execution request of the service informing unit;
the data presentation unit is responsible for providing synchronous presentation of the system service information; receiving control of a service quality supervision application control unit, and sending a synchronization request of service execution information to an application server through the control unit for supervision; when the application server system service is abnormal, including that the follow-up task is not confirmed in time, the application server system service is responsible for presenting relevant service information and corresponding processing results made by the service quality supervision application control unit;
a service notification unit for notifying the task reallocation notification decided by the service quality supervision control unit; receiving the management control of the service quality supervision application control unit and responding to the management control instruction; if the service provision is not confirmed within the effective time, the service quality supervision control unit redistributes the service tasks according to the condition, the service informing unit informs the redistributed general practitioner through short messages or other modes, and meanwhile, the satisfaction survey of community residents on the visiting follow-up service is collected through the short messages or other modes.
5. The system of claim 1, wherein: the functions of each component unit of the data gateway terminal are as follows:
the service and data interface is responsible for information interaction between the data gateway terminal and the application server: receiving a service request of a data interaction control unit, and finishing data interaction through a data service interface of an application server; automatically and intelligently selecting an optimal network according to performance parameters including network signal intensity and network speed, and uploading processed data to an application server; meanwhile, feeding back the data interaction result to the data interaction control unit for subsequent processing;
the data interaction control unit is used as a control core of the data gateway terminal and is responsible for controlling and coordinating other units to jointly complete the data interaction function: the control service and data interface sends a data interaction service request to the application server to complete data transmission; the control protocol coding and decoding unit codes and decodes the data packet;
the protocol coding and decoding unit is responsible for coding and decoding the data packet by an agreed protocol according to the control instruction; receiving a service request of a communication unit, and decoding a data packet transmitted by a health data acquisition terminal; intelligently analyzing the collected data by using a data compression algorithm; a set encryption algorithm is used for protecting the safety of transmitted data;
the communication unit is responsible for carrying out data communication with the health data acquisition terminal according to an appointed communication mode and providing original data to the protocol coding and decoding unit in a unified mode;
and the data presentation unit is responsible for presenting the uploading data of the health data acquisition terminal and the business data downloaded by the residents from the application server in real time, and calling and reading the personal health data stored in the business database according to the inquiry requests of the residents through the communication unit.
6. The system of claim 1, wherein: the health data acquisition terminal is arranged in a community resident home and used for serving all members in a family, and before acquiring personal health physiological sign data, the health data acquisition terminal can automatically match with the information of the related family members as long as the information of the family members to be measured is selected; it has two kinds of constitutional structures:
the first one is a sensing terminal only responsible for collecting health data, which is used for transmitting the collected personal health physiological sign data to a data gateway terminal taking a resident personal mobile phone or a Personal Computer (PC) as a carrier in a USB, Bluetooth or WiFi mode, and transmitting the data to an application server through a mobile communication network or the Internet; the functions of the four constituent units are as follows:
the data sensing unit is used for receiving the management and control of the health data acquisition management control unit, sensing and acquiring personal health physiological sign data by using health data sensing equipment comprising an electrocardio monitor and a blood pressure monitor, and can flexibly expand and support various sensing equipment;
the data presentation unit is used for presenting the personal health physiological sign data acquired by the data sensing unit in time after detecting the personal health physiological sign data of residents, and is managed and controlled by the health data acquisition management control unit;
the health data acquisition management control unit is used as a control core of the health data acquisition terminal and is responsible for coordinating and controlling other units to provide corresponding functions: the acquired health data are uploaded through the data transmission unit, and the information checking service request of the data presentation unit and the information uploading service request of the data acquisition unit are received;
the data transmission unit is responsible for transmitting the health data acquired by the health data acquisition terminal to the data gateway terminal in a USB (universal serial bus), Bluetooth or WiFi (wireless fidelity) mode;
the second type is a health data acquisition and transmission terminal consisting of a data sensing module for acquiring personal health physiological sign data and a data transmission module with a wireless transmission function, wherein the health data is acquired by the data sensing module and then is directly transmitted to an application server by the data transmission module, namely the health data acquisition terminal has the functions of a health data acquisition terminal and a data gateway terminal and can directly interact information with the application server through a mobile communication network or the internet; besides the four units with the same function, the composition unit is also provided with the following three units which are connected in sequence:
the service and data interface is responsible for information interaction between the health data acquisition terminal and the application server, receiving a service request of the data interaction control unit, finishing data interaction through the data service interface of the application server, automatically and intelligently selecting an optimal network, and uploading processed data to the application server; meanwhile, the data interaction result is fed back to the data interaction control unit for subsequent processing;
the data interaction control unit is used as a control core of the health data acquisition and transmission terminal and is responsible for controlling and coordinating other units to jointly complete a data interaction function, and the control service and data interface initiates a data interaction request to the application server to complete data transmission; the control protocol coding and decoding unit codes and decodes the data packet;
the protocol coding and decoding unit is responsible for coding and decoding the data packet according to the control instruction by an appointed protocol, receiving the service request of the communication unit and decoding the data packet transmitted by the health data acquisition management control unit; intelligently analyzing the collected data by using a data compression algorithm; and a set encryption algorithm is used to protect the data transmission safety.
7. The system of claim 1, wherein: the general practitioner moves each component unit of work terminal and has the following functions:
the service and data interface is responsible for exchanging information with the application server and acquiring the service capability and the service data processing capability of the application server; receiving a service request of a general practitioner mobile work application control unit, calling related service capacity through a system service interface and a data service interface of an application server to complete service processing, and transmitting a processing result or a data set to a caller;
the general practitioner mobile work application control unit, as the control core of the terminal, is responsible for coordinating and controlling other units, and provides corresponding functions: the information is interacted with the application server through the service and data interface, the information inquiry request of the data presentation unit and the information uploading request of the data acquisition unit are received, and the follow-up task is delivered to inform a general practitioner;
the data presentation unit is responsible for providing the service of inquiring and looking up the resident information; receiving the management control of the general practitioner mobile work application control unit, sending a retrieval request of the resident information to the application server by the application control unit, and returning corresponding data to the application server through the service and data interface for reference; the general practitioner can inquire the health information and the electronic medical record of residents at any time and any place by using the data presentation unit;
the data acquisition unit is responsible for information record acquisition in the follow-up task, receives management control of the general practitioner mobile work application control unit, and responds to the management control instruction: the follow-up visit system comprises a follow-up visit task acceptance and confirmation module, an application server and a follow-up visit server, wherein the follow-up visit task acceptance and confirmation module is used for collecting and recording follow-up visit information of residents in the follow-up visit process and uploading the recorded follow-up visit information to the application server in real time, so that comprehensive support is provided for the mobile work of general practitioners;
and the alarm presentation unit is responsible for informing the follow-up task to a corresponding general practitioner in an acousto-optic alarm mode, receiving the control management of the general practitioner mobile work application control unit, and after the application server pushes the follow-up task, reminding and informing the follow-up task in a message pop-up window mode of the general practitioner mobile work terminal.
8. The system of claim 1, wherein: the functions provided by the system comprise personal health management application service, general practitioner visiting follow-up service, health promotion application service and service quality supervision function; the content of the personal health management application service is as follows:
through the health data acquisition terminal, the residents can acquire the self health physiological sign data in real time, continuously and for a long time, and the health parameters of the residents can be effectively monitored; the acquired physiological sign health data is intelligently transmitted in a multi-mode real-time manner, so that the storage, sharing, analysis and management of the health data are realized; based on health data uploaded by residents and related information in an electronic medical record system and a health file system, the system can customize a personal health data analysis model, and carry out real-time intelligent analysis and real-time information feedback on the health data; residents query own health data and analysis and processing results of the system at any time through a client, namely a web page; when health data collected by residents are abnormal, the application server automatically generates an emergency follow-up task and pushes the emergency follow-up task to a general practitioner mobile work terminal in real time so as to take reasonable countermeasures; the system is to be interconnected and intercommunicated with other systems in the future, and electronic medical record data information of residents in all hospitals is retrieved; also enables seamless integration of clinical medical related data including laboratory information systems LIS and medical image storage and transmission systems PACS;
the contents of the general practitioner visiting follow-up service are as follows:
through the general practitioner moving work terminal, the general practitioner can check the health information of residents at any time and any place, so that more convenient and better medical and health services can be provided for residents in the community; based on the health data of residents in the business database of the system and the related information in the electronic medical record system and the health file system, a general practitioner uses a general practitioner mobile work terminal to provide regular visiting follow-up service for residents in the community; if the application server intelligently analyzes that the health data uploaded by residents is abnormal, the emergency follow-up task with the priority higher than that of the common follow-up task is automatically pushed to the corresponding general practitioner mobile workstation in real time, and the general practitioner is reminded of the delivery of the follow-up task through short messages or other modes; if the corresponding general practitioner mobile work terminal cannot log in, repeatedly sending message reminding; after the specified time is exceeded, the application server presents acousto-optic alarm, and the acousto-optic alarm is processed by a supervisor, so that the real-time effective control and supervision of follow-up work of general practitioners are realized; in the follow-up process, all follow-up information records, including time for providing visiting follow-up service, corresponding resident information and corresponding processing measures taken, made by general practitioners on a general practitioner mobile work terminal are uploaded to an application server in real time, so that real-time sharing, backup and subsequent intelligent processing are realized;
the content of the health promotion application service is as follows:
based on the health data stored in the business database and resident information in the electronic medical record system and the health file system, the application server automatically carries out professional intelligent analysis processing on the personal health data to formulate a personal health data analysis model; residents can analyze and inquire the development trend of personal health conditions through the system and actively master the self health conditions in real time; can also obtain the health improvement guidance suggestions including fitness, diet and health education automatically provided by the system or apply more detailed health counseling services to the system; the application server transmits the resident health consultation service application to the corresponding general practitioner mobile work terminal in real time and informs the resident health consultation service application in a short message or other modes; after receiving the consultation application, the general practitioner calls the health file of the corresponding resident by logging in the general practitioner mobile work terminal, checks the development trend of the health data of the resident, and provides professional consultation and specific health promotion suggestions;
the content of the service quality supervision is as follows:
the system keeps a log record of the whole process of the visiting follow-up service of the general practitioner mobile work terminal, and automatically reports the visiting follow-up service event which is not responded by the general practitioner in time to give an alarm for presentation, so that a supervisor arranges a new general practitioner to provide service or intervenes the service process by adopting an administrative means according to specific conditions, and the accessibility of the visiting follow-up service is ensured; the general practitioner moves the working terminal to automatically record the service whole-course information, uploads the service whole-course information to the application server, and synchronizes the service whole-course information to the service quality supervision terminal, so that the application server is prevented from wrongly judging a service event as a non-timely response event in the follow-up visit service process; the application server can collect satisfaction survey of community residents on the global doctor visiting service through short messages, web pages, telephones or other modes.
9. A working method of the health-aware community information service system based on the mobile internet according to claim 1, which is a data and information interaction process between a health data acquisition terminal used by community residents, a general practitioner mobile working terminal used by general practitioners, and an application server of the health-aware community information service: the method is characterized in that: the method comprises the following operation steps:
(1) the resident senses personal health physiological sign data by using the health data acquisition terminal, automatically uploads the data to the data gateway terminal, and uploads the data to the application server by intelligently selecting an optimal network;
(2) the application server stores the data and judges whether the health data are abnormal or not, if the health data are abnormal, the application server pushes the follow-up visit task to a general practitioner mobile work terminal of a general practitioner of a community hospital corresponding to the resident according to a service pre-distribution strategy, and the general practitioner task is reminded to be sent by a short message or other modes; if the health data are normal, skipping to execute the step (6);
(3) the general practitioner uses the general practitioner mobile work terminal to confirm the acceptance of the follow-up task, so as to provide the visiting and provide convenient and effective medical service for residents; if the follow-up task is not confirmed in time, skipping to execute the step (5);
(4) after the follow-up task is completed, the general practitioner moves the working terminal to upload various resident information and follow-up results recorded in the follow-up process to the application server in real time;
(5) the service quality supervision terminal automatically supervises the follow-up task execution condition of the general practitioner, and a supervisor arranges a new general practitioner to provide service according to the condition or intervenes the service process by adopting an administrative means to ensure the accessibility of the visiting follow-up service; meanwhile, the service quality supervision terminal collects the satisfaction survey of community residents on visiting follow-up service through short messages or other modes;
(6) the application server is used for analyzing and processing personal health data by combining the corresponding electronic medical records and health files of residents, customizing an analysis model of the personal health data and feeding back the analysis result of the personal health physiological sign data to the residents in the community.
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| CN112767215A (en) * | 2021-01-14 | 2021-05-07 | 北京码牛科技有限公司 | Information acquisition terminal and smart community system |
| CN115458190A (en) * | 2022-09-06 | 2022-12-09 | 湖北省疾病预防控制中心（湖北省预防医学科学院） | Community-oriented chronic obstructive pulmonary disease early screening and intervention system |
| CN115458190B (en) * | 2022-09-06 | 2023-12-08 | 湖北省疾病预防控制中心（湖北省预防医学科学院） | Community-oriented early screening and intervention system for chronic obstructive pulmonary disease |
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