Specific embodiment
To make the objects, technical solutions and advantages of the present invention clearer, clear, below in conjunction with accompanying drawing and specific embodiment partyThe invention will be further described for formula.Obviously, described embodiment is only a part of embodiment of the invention, rather than wholeEmbodiment.Based on the embodiment in the present invention, those of ordinary skill in the art institute under the premise of creative work is not madeThe every other embodiment for obtaining, belongs to the scope of protection of the invention.
Fig. 1 is the flow chart of the remote medical consultation with specialists method of the embodiment of the present invention.As shown in figure 1, first embodiment of the inventionThe flow of remote medical consultation with specialists method is as follows：
Step 1：Platform receives patient demand, and reminds patient to pay the fees.
In step 1, after local doctor carries out prenatal ultrasound examination or preliminary heart of fetus ultrasonic examination to patient, it is considered toThere may be Fetal heart and diagnosis cannot be determined, or clarified a diagnosis and disease parting, indexing or thin cannot be carried outChange risk stratification diagnosis, then advise that patient carries out remote medical consultation with specialists, and guide patient to be registered online and paid the fees.
Patient registers can be registered by the Quick Response Code business card of mobile phone scanning correlating center doctor or direct Website login,Need to select reservation type when registering, fill in the information such as name, identification card number, cell-phone number, local doctor, pay charge way include butIt is not limited to Alipay, wechat and Unionpay's on-line payment mode.
Step 2：Platform receives patient's payment information, and points out to ask successfully, to remind local doctor to upload the correlation of patientClinical data.
In step 2, the related data of the patient that local doctor uploads includes that patient cases, ultrasonoscopy are related to otherInformation, is specifically including but not limited to following information：
Ordinary circumstance：Patient age, occupation, pregnant history, pregnant week, mode of becoming pregnant, spouse's age, spouse occupation, whether close relativeMarry；
Pregnancy period Related Risk Factors：1. maternal factors：Virus infection history, flu history of pregnant early stage, medication of pregnant early stage history (corpus luteumKetone uses history), congenital heart disease Genetic history, connective tissue medical history, Acetonuria history, Haemolytic disease history, bad habit, radiationProperty material contact history, psychological factor, anaemia history；2. fetal factors：Whether be twins, ventricle hot spot, arrhythmia cordis, oedema,The Twin Transfusion Syndrome, other malformations；3. environmental factor：Environmental pollution, contact nuisance (agricultural chemicals, chemicals, You JirongAgent), pet feeding history, family wear write history；
Pregnancy period laboratory inspection result：Blood sugar, blood biochemistry, immune coherence check, science of heredity check as Tang Shi examinations,Amniocentesis, Cord blood puncture, noninvasive DNA inspection results etc.；
Imageological examination data：The embryonic development of Fetal Heart Disease and cardiac ultrasonic index is lapsed to, related prenatal ultrasound sieveCome to an end fruit, terminates the diagnosis data of fetal congenital heart disease to gestation from fetus.
Step 3：Platform receives patient's relevant clinical data that local doctor uploads.
Step 4：Platform checks whether relevant clinical data meets the requirements.
In step 4, when the relevant clinical data of the patient that the platform local doctor of inspection uploads is undesirable, platform is heldThe local doctor of row step 16, i.e. platform to assist uploads relevant clinical data again, until the relevant clinical data for uploading is conformed toStep 5 is performed after asking；When the relevant clinical data of the patient that the local doctor of platform inspection uploads meets the requirements, platform is directly heldRow step 5.
Platform checks whether whether whether relevant clinical data meets the requirements complete including inspection of data and meet diagnosisIt is required that.
Step 5：Relevant clinical data is uploaded to cloud server by platform.
In step 5, the relevant clinical data of the patient that platform uploads local doctor is uploaded to cloud server, so as inAnywhere heart doctor can be downloaded in platform by network and check ultrasonoscopy and related data information.
Step 6：Relevant clinical data download link is sent to platform into corresponding center doctor and reminder center doctor is accurateIt is standby to be held a consultation.
In step 6, center doctor not only includes Chinese expert, also congenital in fetus including US Experts and overseas expert etc.Global highly qualified specialist in property heart disease field.
Step 7：Platform offer remote video system carries out the consultation of doctors and exchanges for center doctor with local doctor and patient, to carryHeight consultation of doctors quality.
Step 8：Consultation of doctors result is fed back to local doctor by platform, and local doctor feeds back to patient.
Step 9：Platform transfers service charge to center doctor and local doctor.
During the concrete application of first embodiment of the invention, platform receives the online of patient and registers, and reminds patientPayment in time, after the payment information for receiving patient, notifies that patient and local doctor register successfully, reminds local doctor to upload and suffers fromThe relevant clinical data of person.Wherein, need to include in the related data of the patient that local doctor uploads patient cases, ultrasonoscopy andOther relevant informations.Platform receives the relevant clinical data of the patient that local doctor uploads, and checks the trouble that local doctor uploadsWhether the relevant clinical data of person meets the requirements, when the relevant clinical data of the patient of the local doctor's upload of platform inspection does not meetIt is required that when, the local doctor of platform to assist uploads the relevant clinical data of patient again, until the patient's relevant clinical data for uploadingNext step is performed after meeting the requirements；When the relevant clinical data of the patient that the local doctor of platform inspection uploads meets the requirements, put downPlatform directly performs next step.Wherein, platform checks whether relevant clinical data meets the requirements including whether inspection of data is complete simultaneouslyAnd whether meet diagnosis requirement.
The relevant clinical data of the patient that platform uploads local doctor is uploaded to cloud server, so as to center doctor's energyEnough anywhere download in platform by network checks ultrasonoscopy and related data information.Also, platform is by the phase of patientPass clinical data download link is sent to corresponding center doctor and reminder center doctor is ready for the consultation of doctors.Correlating center doctorReceive information that platform sends and carry out after the consultation of doctors prepares, platform provide remote video system for center doctor and local doctor andPatient carries out consultation of doctors exchange, to improve consultation of doctors quality, and consultation of doctors result is fed back into local doctor, and local doctor feeds back to troublePerson.Finally, platform transfers service charge to center doctor and local doctor.
After remote medical consultation with specialists flow terminates, platform by the relevant clinical data input database such as ultrasonic image of patient, to makeIt is other local doctors and study and the reference of center doctor, so as to promote prevention Study of Etiology with development.
In actual application, first embodiment of the invention utilizes DICOM host-host protocols, by the ultrasound detection of different modelInstrument and microcomputer (MiniPC) be connected, standard DICOM image datas waiting for transmission are gathered by MiniPC and are transmittedTo the storage of internet high in the clouds, ultrasound data is pushed to network hospital client by cloud server.
Wherein, embedded software firmware bag in MiniPC, all business datums of client are carried by software firmware bagThe data channel of confession is sent to network hospital client, wherein, software firmware bag includes converged services device, and converged services device is includedTransport module, the function of transport module is essentially identical with access server, but without net distribution function.Net distribution function byConverged services device realizes that transport module is responsible for for the load of machine, IO situations being sent to Access Management in the way of heartbeat,For its load balancing provides data, to demonstrate,prove the Lossless transport of ultrasound data.
First embodiment of the invention utilizes HTTP (HTTP)/TCP (transmission control protocol)/UDP (usersDatagram protocol) etc. standard agreement, built based on the remote medical consultation with specialists method of first embodiment of the invention network hospital visitorThe multisystems such as family end, the client compatibility Windows, Mac, IOS, Android, so as to complete the friendship of fetal ultrasound patient fileThe communication functions such as stream, patient basis are linked up, the superior and the subordinate doctor cooperation, realize that audio, video, document etc. are exchanged in real time, fromAnd realize the function of Multidisciplinary Cooperation.
On the basis of first embodiment of the invention, extend second embodiment, second embodiment is in first embodimentOn the basis of increase following steps：
Step 10：Patient disease is complicated, it is necessary to long-range multidisciplinary prognosis consulting, and the local doctor of platform reminder instructs patient to send outPlay prognosis consulting application and pay the fees online.
Step 11：Platform receives prognosis consulting application and use of paying the fees.
Step 12：Relevant clinical data is distributed to multidisciplinary expert by platform.
Step 13：Platform offer remote video system carries out the consultation of doctors and exchanges for multidisciplinary expert with local doctor and patient.
Step 14：The prognosis consultation guidance opinion that platform proposes multidisciplinary expert is sent with electronic edition and papery version formTo local doctor and patient.
In step 14, multidisciplinary expert will not only make to patient and more comprehensively, correctly diagnose, and the guidance for proposingCorrect management of the opinion also including perinatal period, raw postpartum therapy are instructed and the information such as dangerous prognosis evaluation, so as to further push awayThe research of dynamic fetal congenital heart disease prophylactic treatment.
Step 15：Platform transfers service charge to multidisciplinary expert and local doctor.
In second embodiment of the invention, after remote medical consultation with specialists is terminated, center doctor thinks that patient disease is complicated to patient, needsLong-range multidisciplinary prognosis counseling services are wanted, then the local doctor of platform reminder instructs patient's initiation prognosis consulting to apply and complete onlinePayment.After platform receives prognosis consulting application and institute's paying of patient, the relevant clinical data of patient is distributed into manySection expert, and remote video system is provided carries out the consultation of doctors with local doctor and patient for multidisciplinary expert and exchange.Platform will be manyThe prognosis consultation guidance opinion that subject expert proposes is sent to local doctor and patient with electronic edition and papery version form, multidisciplinaryExpert will not only make to patient and more comprehensively, correctly diagnose, and the instruction for proposing is also correct including perinatal periodManagement, emergency treatment birth rescue protocol, raw postpartum therapy guidance and dangerous prognosis evaluation, again gestation suggestion, science of heredity suggestionEtc. information, so as to further promote the research of fetal congenital heart disease prophylactic treatment.Finally, platform transfers service charge to manySection expert and local doctor.This is arrived, long-range multidisciplinary prognosis counseling services terminate.
In actual application, second embodiment of the invention utilizes DICOM host-host protocols, by the ultrasound detection of different modelInstrument and microcomputer (MiniPC) be connected, standard DICOM image datas waiting for transmission are gathered by MiniPC and are transmittedTo the storage of internet high in the clouds, ultrasound data is pushed to network hospital client by cloud server.
Wherein, embedded software firmware bag in MiniPC, all business datums of client are carried by software firmware bagThe data channel of confession is sent to network hospital client, wherein, software firmware bag includes converged services device, and converged services device is includedTransport module, the function of transport module is essentially identical with access server, but without net distribution function.Net distribution function byConverged services device realizes that transport module is responsible for for the load of machine, IO situations being sent to Access Management in the way of heartbeat,For its load balancing provides data, to demonstrate,prove the Lossless transport of ultrasound data.
Second embodiment of the invention utilizes HTTP (HTTP)/TCP (transmission control protocol)/UDP (numbers of usersAccording to datagram protocol) etc. standard agreement, network hospital client is built based on the remote medical consultation with specialists method of second embodiment of the inventionEnd, the multisystem such as the client compatibility Windows, Mac, IOS, Android, by carry out the exchange of fetal ultrasound patient file,The information interactive process such as patient basis link up, the superior and the subordinate doctor cooperation, complete long-range multidisciplinary prognosis consulting, realize soundFrequently, video, document etc. are exchanged in real time, so as to realize the function of Multidisciplinary Cooperation.
Fig. 2 is the structure chart of the Tele-consultation System of the embodiment of the present invention.As shown in Fig. 2 first embodiment of the inventionThe structure of Tele-consultation System is as follows：
Receive demand device 100, receive patient demand for platform, and remind patient to pay the fees.
Payment device 200, patient's payment information is received for platform, and points out to ask successfully, to remind local doctor to uploadThe relevant clinical data of patient.
Type document delivering device 1600, receives patient's relevant clinical data that local doctor uploads, and check phase for platformClose whether clinical data meets the requirements, relevant clinical data is uploaded to cloud server by platform, and by under relevant clinical dataLoad link is sent to corresponding center doctor and reminder center doctor is ready for the consultation of doctors.
In type document delivering device 1600, when the relevant clinical data of the patient of the local doctor's upload of platform inspection does not meetIt is required that when, the local doctor of platform to assist uploads relevant clinical data again, until upload relevant clinical data meet the requirements forOnly.
Consultation of doctors device 600, provides remote video system and enters guild with local doctor and patient for center doctor for platformExchange is examined, to improve consultation of doctors quality.
Consultation of doctors result feedback device 700, local doctor is fed back to for platform by consultation of doctors result, and local doctor feeds back to troublePerson.
Checkout apparatus 800, service charge is transferred to center doctor and local doctor for platform.
Wherein, type document delivering device 1600 also includes：
Material upload device 300, patient's relevant clinical data that local doctor uploads is received for platform.
Data verification device 400, checks whether relevant clinical data meets the requirements for platform.
Data distributor 500, is uploaded to cloud server, and relevant clinical is provided for platform by relevant clinical dataMaterial download link is sent to corresponding center doctor and reminder center doctor is ready for the consultation of doctors.
On the architecture basics of the corresponding Tele-consultation System of first embodiment of the invention, the second embodiment of the present inventionThe structure of corresponding Tele-consultation System is as follows：
Receive demand device 900 higher, it is complicated, it is necessary to long-range multidisciplinary prognosis consulting, platform reminder for patient diseaseLocal doctor instructs patient to initiate prognosis consulting application and pay the fees online.
Second payment device 1100, prognosis consulting application and institute's paying are received for platform.
Data redistribution device 1200, multidisciplinary expert is distributed to for platform by relevant clinical data.
Secondary consultation of doctors device 1300, provides remote video system and supplies multidisciplinary expert and local doctor and patient for platformCarry out consultation of doctors exchange.
Secondary consultation of doctors result feedback device 1400, the prognosis consultation guidance opinion proposed multidisciplinary expert for platform withElectronic edition and papery version form are sent to local doctor and patient.
Secondary checkout apparatus 1500, service charge is transferred to multidisciplinary expert and local doctor for platform.
The above, the only present invention preferably specific embodiment, but protection scope of the present invention is not limited thereto,Any one skilled in the art the invention discloses technical scope in, the change or replacement that can be readily occurred in,Should all be included within the scope of the present invention.Therefore, protection scope of the present invention should be with the protection model of claimsEnclose and be defined.