CN108399949B - Internal medicine auscultation auxiliary system and auscultation report making method - Google Patents
Internal medicine auscultation auxiliary system and auscultation report making methodDownload PDFInfo
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Abstract
Description
Technical Field
The invention relates to the field of medical automatic auxiliary instruments and application, in particular to an internal medicine auscultation auxiliary system and an auscultation report manufacturing method.
Background
In current internal medicine diagnoses, auscultation is very important process, generally all accomplish with the manpower, be responsible for diagnosing or the medical doctor of physical examination, but doctor's pressure is very big like this, the auscultation step is inevitable to have the mistake hourglass, it leaks to probably the auscultation position of prediction is left, even omit important state of an illness, especially big hospital, physical examination center, the personnel of diagnosing and treating mental strength loss is very big, operating pressure is very big, almost all the day is in nervous state, it can neglect to avoid appearing the mistake, probably produce very serious consequence, symptoms such as myocarditis, pleural effusion etc. are listened by the hourglass. The internal medicine diagnosis and treatment problem is difficult to supervise, and because auscultation information needs manpower to be judged, hospitals are difficult to arrange more doctors for special supervision. There is no prior art that suggests an integrated system or device to handle or assist the auscultation process, but only a few techniques that focus on certain steps of auscultation or alternative techniques. For example, CN201510836411.9, an intelligent auscultation device for heart sounds and respiratory system sounds, which only automatically generates auscultation information for the judgment of doctors, but such fully automatically generated information is unreliable; as another example, CN201110108108.9, a remote medical auscultation consultation system focuses on remotely performing auscultation, rather than effectively assisting the auscultation process; as another example of a fingerstall-type remote diagnosis system for children, CN201710142152.9, and a mobile cardiac sound auscultation system based on the internet of things and method thereof, CN201610246225.4, all of which automatically generate auscultation information for medical staff to use, rather than effectively assist the auscultation process. From the current clinical pressure, it is very necessary to equip doctors with such auscultation assistance systems
In the auscultation mode adopted at present, procedures, records and the like are purely self-planned by medical staff, under huge working pressure, mistakes and omissions are generated inevitably, for example, pleural effusion or pericardial effusion can be considered when the patients feel that the patients feel, but certain steps are forgotten during actual auscultation, the incomplete auscultation result can be large or small, and even life can be endangered, in order to avoid the occurrence of the condition, a set of auscultation auxiliary system is necessary to be established, so that the non-automatic/purely manpower condition in the prior art is improved, effective assistance is provided for the auscultation process, the identification and memory pressure of the medical staff is reduced, the auscultation is concentrated on the auscultation, and the establishment of the auxiliary system is very necessary and irreparable.
Disclosure of Invention
The invention aims to solve the problems of complete manual work and lack of assistance of doctors, particularly physicians, in the auscultation process in the prior art, and provides a system capable of effectively assisting the auscultation process. The second purpose is to provide a method for effectively assisting and supervising the auscultation process by using the system, which can effectively avoid the auscultation staff from missing the illness condition under huge working pressure.
It should be noted that the method of the present invention is not a diagnosis and treatment method of diseases, but the method only effectively performs an automated assistance on the auscultation process, and the final result is also only an auscultation result, which is a consultation, it is known that the auscultation result cannot be used alone for diagnosis, and it is impossible for a more experienced doctor to confirm the diseases only by the auscultation result, and the diagnosis of the diseases is also determined by an exact medical examination, which means that the method of the present invention is only an information management method or an information collection assistance method for the auscultation process.
The invention provides an internal medicine auscultation auxiliary system which is characterized by comprising the following components: the system comprises a visit card reader, an auscultation server, an auscultation terminal, an auscultation head, an interactive broadcasting device, a patient positioning device, an auscultation head positioning device, an auscultation report processing module and a printer.
The auscultation server is a computer server with or without a display screen and is used for storing patient data and various preset auscultation schemes. The auscultation server can be a blade server and comprises a processor, a hard disk, a memory and a system bus.
The auscultation terminal is provided with an auscultation terminal software platform, and after the patient visiting card is read, the auscultation terminal receives the selected auscultation scheme information, calls the patient information and the preset auscultation scheme from the auscultation server, and generates a new auscultation project. The auscultation terminal is provided with an input keyboard and a mouse, wherein the input keyboard is provided with a miniature display screen which can display basic information of a patient and preset auscultation scheme numbers.
The clinic card reader is used for reading the patient clinic card, and a red and green indicator light and a sound production device are arranged on the clinic card reader. The traffic indicator lights on the visit card reader are all LED indicator lights, and the sounding device can give out dripping alarm sound.
The stethoscope head is provided with a pickup probe covered with a hard plastic sheet, a pickup cavity is arranged in the pickup probe, and the stethoscope head further comprises a conduit, a sound receiver connected with the other end of the conduit, an electret microphone, a signal processing circuit and a space positioning inductor; the signal processing circuit is sequentially connected with a primary amplification module, a filtering module and a main amplification module. The auscultation head, pickup probe and pipe connection, the electret microphone is located the pipe, and electret microphone electrical connection is to signal processing circuit, changes the acoustical signal of auscultation into the signal of telecommunication, transmits for signal processing circuit, and signal processing circuit electrical connection is to the auscultation terminal, transmits the signal of telecommunication that has handled for the auscultation terminal.
The interactive broadcasting device is provided with a single chip microcomputer, a memory, a sound box, a voice recognition module and a voice recognition microphone. The single chip microcomputer in the interactive broadcasting device is STM32 series or ST MCU series, the memory is a memory card or a mobile hard disk, and the voice recognition module is ISD9160 or LD3320 or SYN7318 of NUVOTON.
The patient positioning device takes the lowest end of the right back leg of the patient chair as a positioning zero point, carries out three-dimensional scanning on the seated patient, and generates a polyhedral patient collision model in a newly-built auscultation project of an auscultation terminal software platform.
The auscultation head positioning device receives the information sent by the space positioning sensor in the auscultation head, converts the information into space coordinate information relative to a positioning zero point, judges the auscultation position information according to the position of the space coordinate information relative to the polyhedral patient collision module, and transmits the auscultation position information to a newly-built auscultation project and stores the auscultation position information. The pixel of the polyhedral patient collision model is not more than 1cm multiplied by 1 cm.
And the auscultation report processing module is integrated with the auscultation terminal and is used for processing the auscultation items into electronic documents for printing after the auscultation items are finished.
And the printer is used for printing the electronic document available for printing according to a preset format.
The invention also provides a method for making an auscultation report, which is characterized by utilizing the internal medical auscultation auxiliary system, and specifically comprises the following steps.
1) Auscultation preparation: reading the patient treatment card by a treatment card reader and sending the patient treatment card to a hospital server, after the information of the treatment card is verified by the hospital server, enabling the green lamp to emit light and send out qualified prompt tones, and carrying out the next step; if the information of the visiting card is not verified in the hospital server, the red lamp is made to emit light and an unqualified prompt tone is given.
2) Selecting a auscultation scheme: for individual patients, a certain preset auscultation scheme is selected, which is based on the request of a physical examination or a special examination, or the purpose of auscultation is determined in advance.
3) Auscultation preparation: and (3) starting an auscultation terminal software platform on the auscultation terminal, after the patient information of the patient visiting card is confirmed, generating and opening a new auscultation project according to the auscultation scheme information selected in the step (2) and the patient information and the preset auscultation scheme called from the auscultation server, wherein the new auscultation project comprises time sequence information and broadcast contents at each time point according to the time sequence, and the information of the project is transmitted to the interactive broadcasting device.
4) And (3) a preset auscultation scheme execution step, namely, broadcasting sound according to a time sequence by the interactive broadcasting device according to the information of the newly-built auscultation item, auscultating by a doctor according to the content of the time sequence broadcasting sound, recording the auscultation condition in the newly-built auscultation item of the auscultation terminal software platform by using a keyboard and a mouse, determining whether to increase the auscultation part and time after the preset scheme is executed, if the auscultation part and time are increased, increasing the auscultation part and time in the newly-built auscultation item, performing auscultation under the prompt of the interactive broadcasting device again, recording the auscultation condition, and then entering the step (5), and if the auscultation part and time are not increased, directly entering the step (5).
5) A stethoscopic head positioning device which receives the information sent by the space positioning sensor in the stethoscopic head, converts the information into space coordinate information relative to a positioning zero point, judges the stethoscopic position information according to the position of the space coordinate information relative to the polyhedral patient collision module, transmits the stethoscopic position information to a newly-built stethoscopic project, compares the stethoscopic position information captured by the stethoscopic head positioning device with a preset position in a preset stethoscopic scheme after the stethoscopic in the step (4) is finished, if the stethoscopic position information is consistent with the preset position in the preset stethoscopic scheme, the step (6) is carried out, if the inconsistency is found after the comparison, a dialog box is found out to be confirmed by a doctor, if the inconsistency is confirmed, the step (6) is carried out, and if the inconsistency is not confirmed, the step (4) is returned to carry out the stethoscopic process.
6) And an auscultation report confirming and printing step, namely automatically generating an auscultation report preview according to actual information in the newly-built auscultation project, printing a final report after confirmation by a doctor, entering a manual modification mode if the auscultation report is not confirmed, and printing the final report after modification confirmation.
Further, the information of the visit card verified by the hospital server in the step (1) includes card number, name, date and year of birth.
Further, in the step (2), the preset auscultation scheme comprises a plurality of auscultation schemes for specific medical conditions.
Further, in the step (3), the transmitting of the item information to the interactive broadcasting device means that the newly created auscultation item including the time sequence information and the broadcast content at each time point according to the time sequence is transmitted to a memory in the interactive broadcasting device and is called and processed by a single chip, and the memory is a memory card or a mobile hard disk.
Further, in the step (4), each auscultation step of the time-sequence broadcast is not less than 1 minute, and an interval of not less than 10 seconds is reserved after the preset time of each auscultation position.
Further, in the step (5), the auscultation position information is consistent with the preset position in the preset auscultation scheme, which means that the distance between the auscultation position information and the preset position is less than or equal to 3-5 cm.
Further, in the step (6), the auscultation report preview is automatically generated according to a preset text generation module.
The invention has the advantages that the invention can be mainly divided into two points, firstly, the unnecessary energy loss of medical staff is reduced, the energy can be concentrated on the content and the details of auscultation, the possibility of missed diagnosis of the illness state is greatly reduced from the aspect of manpower, secondly, the auscultation report is directly clear and complete in content, the excessive subjectivity of the auscultation content is avoided to the maximum extent, the randomness is overcome to a great extent, and if the auscultation report is a practice doctor, the condition of missed diagnosis of the illness state in the auscultation process can be greatly reduced by referring to some typical auscultation modes. The invention has originality in the prior art because the electret microphone is not inserted into the duct of the stethoscope so as to realize the automatic recording and sorting of acoustic information while the auscultation is carried out manually.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic top view of the system of the present invention;
fig. 2 is a schematic diagram of an interactive broadcasting device according to the present invention;
fig. 3 is a schematic view of the stethoscope head of the present invention.
The parts correspond to the reference numerals: the system comprises a visit card reader 1, an auscultation server 2, an auscultation terminal 3, an auscultation head 4, an interactive broadcasting device 5, a patient positioning device 6, an auscultation head positioning device 7, an auscultation report processing module 8, a printer 9, a visit chair 10, a single chip microcomputer 11, a memory 12, a sound box 13, a voice recognition module 14, a voice recognition microphone 15, a pickup probe 16, a pickup cavity 17, a conduit 18, an electret microphone 19, a signal processing circuit 20, a spatial positioning sensor 21 and a listening device 22.
Detailed Description
The preferred embodiments of the present invention will be described in detail below with reference to the accompanying drawings so that the advantages and features of the present invention can be more easily understood by those skilled in the art, and the scope of the present invention will be more clearly and clearly defined.
Example 1
Internal medicine auscultation auxiliary system includes following part: the system comprises a visit card reader, an auscultation server, an auscultation terminal, an auscultation head, an interactive broadcasting device, a patient positioning device, an auscultation head positioning device, an auscultation report processing module and a printer.
The auscultation server is a computer server with or without a display screen and is used for storing patient data and various preset auscultation schemes. The auscultation server is a blade server and comprises a processor, a hard disk, a memory and a system bus.
The auscultation terminal is provided with an auscultation terminal software platform, and after the patient visiting card is read, the auscultation terminal receives the selected auscultation scheme information, calls the patient information and the preset auscultation scheme from the auscultation server, and generates a new auscultation project. The auscultation terminal is provided with an input keyboard and a mouse, wherein the input keyboard is provided with a miniature display screen which can display basic information of a patient and preset auscultation scheme numbers. The new auscultation project comprises patient information called from a hospital server and a plurality of preset positions in which character information and sound information are embedded.
The clinic card reader is used for reading the patient clinic card, and a red and green indicator light and a sound production device are arranged on the clinic card reader. The traffic indicator lights on the visit card reader are all LED indicator lights, and the sounding device can give out dripping alarm sound. The clinic card and the clinic card reader are read based on magnetic stripe induction.
The stethoscope head is provided with a pickup probe covered with a hard plastic sheet, a pickup cavity is arranged in the pickup probe, and the stethoscope head further comprises a conduit, a sound receiver connected with the other end of the conduit, an electret microphone, a signal processing circuit and a space positioning inductor; the signal processing circuit is sequentially connected with a primary amplification module, a filtering module and a main amplification module. The auscultation head, pickup probe and pipe connection, the electret microphone is located the pipe, and electret microphone electrical connection is to signal processing circuit, changes the acoustical signal of auscultation into the signal of telecommunication, transmits for signal processing circuit, and signal processing circuit electrical connection is to the auscultation terminal, transmits the signal of telecommunication that has handled for the auscultation terminal. The pickup probe is wrapped with a hard engineering plastic pickup sheet. The electret microphone consists of two parts of sound-electricity conversion and impedance transformation. The acoustoelectric conversion element is an electret vibrating membrane which is an extremely thin plastic membrane, wherein one surface of the electret vibrating membrane is evaporated with a layer of pure gold membrane, after the electret vibrating membrane is subjected to a high-voltage electric field, opposite charges are respectively accumulated on the two surfaces of the electret vibrating membrane, and the evaporated gold surface of the membrane faces outwards and is communicated with the metal shell. The other side of the diaphragm is separated from the metal plate by a thin insulating gasket to form a capacitor. When the electret diaphragm encounters acoustic vibration, the electric field across the capacitor is caused to change, thereby producing an alternating voltage that varies with the acoustic wave. The electret microphone is specifically 2SK3948GSLBF under the loose.
The interactive broadcasting device is provided with a single chip microcomputer, a memory, a sound box, a voice recognition module and a voice recognition microphone. The single chip microcomputer in the interactive broadcasting device is STM32 series, the memory is a memory card, and the voice recognition module is ISD9160 of NUVOTON.
The patient positioning device takes the lowest end of the right back leg of the patient chair as a positioning zero point, carries out three-dimensional scanning on the seated patient, and generates a polyhedral patient collision model in a newly-built auscultation project of an auscultation terminal software platform.
The auscultation head positioning device receives information sent by the space positioning sensor in the auscultation head based on the infrared sensing signal, converts the information into space coordinate information relative to a positioning zero point, judges the auscultation position information according to the position of the space coordinate information relative to the polyhedral patient collision module, and transmits the auscultation position information to a newly-built auscultation project and stores the auscultation position information. The pixel of the polyhedral patient collision model is not more than 1cm multiplied by 1 cm.
And the auscultation report processing module is integrated with the auscultation terminal and processes the auscultation items into electronic documents for printing after the auscultation items are finished. The electronic document is in xml format.
And the printer is used for printing the electronic document available for printing according to a preset format.
The invention also provides a method for making an auscultation report, which is characterized by utilizing the internal medical auscultation auxiliary system, and specifically comprises the following steps.
1) Auscultation preparation: reading the patient treatment card by a treatment card reader and sending the patient treatment card to a hospital server, after the information of the treatment card is verified by the hospital server, enabling the green lamp to emit light and emitting qualified prompt sound such as dripping sound, and going to the next step; if the information of the visiting card is not confirmed in the hospital server, the red lamp is made to emit light and an unqualified warning sound such as a sudden warning sound of a beep or the like is emitted. The information of the visit card verified by the hospital server comprises the card number, the name, the year, the month and the day of birth.
2) Selecting a auscultation scheme: for individual patients, a certain preset auscultation scheme is selected, which is based on the requirements of a physical examination or a special examination, or the purpose of auscultation is determined in advance. The preset auscultation scheme comprises a plurality of auscultation schemes aiming at specific internal medical conditions, in particular dangerous cases easy to miss during auscultation, such as a coronary heart disease typical scheme, a myocarditis typical scheme, a pericardial effusion typical scheme, an arrhythmia typical scheme and a pleural effusion typical scheme.
3) Auscultation preparation: and (3) starting an auscultation terminal software platform on the auscultation terminal, after the information of the patient seeing card is confirmed, calling the information of the patient and a preset auscultation scheme from the auscultation server according to the auscultation scheme information selected in the step (2), generating and opening a new auscultation project, wherein the new auscultation project comprises time sequence information and broadcast contents at each time point according to the time sequence, and transmitting the information of the project to the interactive broadcasting device. The information of the project is transmitted to the interactive broadcasting device, namely, the new auscultation project containing time sequence information and broadcast contents at each time point according to the time sequence are transmitted to a memory in the interactive broadcasting device and are called and processed by a singlechip, and the memory is a memory card.
4) And (3) a preset auscultation scheme execution step, namely broadcasting sound according to time sequence by the interactive broadcasting device according to the information of the newly-built auscultation item, auscultating by a doctor according to the content of the time sequence broadcasting sound, recording the auscultation condition in the newly-built auscultation item of the auscultation terminal software platform by using a keyboard and a mouse, determining whether to increase the auscultation part and time after the preset scheme is executed, if the auscultation part and time are required to be increased, increasing the auscultation part and time in the newly-built auscultation item, performing auscultation under the prompt of the interactive broadcasting device again, recording the auscultation condition, and then entering the step (5), and if the auscultation part and time are not required to be increased, directly entering the step (5). Each auscultation step of the time-sequence broadcast is not less than 1 minute, and an interval of not less than 10s is reserved at each auscultation position after the preset time is over.
5) An auscultation position checking step, namely an auscultation head positioning device which receives the information sent by the space positioning sensor in the auscultation head, converts the information into space coordinate information relative to a positioning zero point, judges the auscultation position information according to the position of the space coordinate information relative to the collision module of the polyhedral patient, transmits the auscultation position information to a newly-built auscultation item, after the auscultation in the step (4) is finished, compares the auscultation position information captured by the auscultation head positioning device with a preset position in a preset auscultation scheme, if the auscultation position information is consistent with the preset position in the preset auscultation scheme, the step (6) is carried out, if the auscultation position information is inconsistent after the comparison, a dialog box is detected to be confirmed by a doctor, if the auscultation position information is confirmed, the step (6) is carried out, and if the auscultation is not confirmed, the step (4) is returned to carry out newly. The auscultation position information is consistent with the preset position in the preset auscultation scheme, and the distance between the auscultation position information and the preset position is smaller than or equal to 3-5 cm.
6) And an auscultation report confirming and printing step, namely automatically generating an auscultation report preview according to actual information in the newly-built auscultation project, printing a final report after confirmation by a doctor, entering a manual modification mode if the auscultation report is not confirmed, and printing the final report after modification confirmation. The auscultation report preview is automatically generated according to a preset text generation module.
Example 2
Internal medicine auscultation auxiliary system includes following part: the system comprises a visit card reader, an auscultation server, an auscultation terminal, an auscultation head, an interactive broadcasting device, a patient positioning device, an auscultation head positioning device, an auscultation report processing module and a printer.
The auscultation server is a computer server with or without a display screen and is used for storing patient data and various preset auscultation schemes. The auscultation server is a work group level server and comprises a processor, a hard disk, a memory and a system bus.
The auscultation terminal is provided with an auscultation terminal software platform, and after the patient attendance card is read, the auscultation terminal receives the selected auscultation scheme information, calls the patient information and the preset auscultation scheme from the auscultation server, and generates a new auscultation project. The auscultation terminal is provided with an input keyboard and a mouse, wherein the input keyboard is provided with a miniature display screen which can display basic information of a patient and a preset auscultation scheme number. The new auscultation project comprises patient information called from a hospital server and a plurality of preset positions in which character information and sound information are embedded.
The diagnosis card reader is used for reading the patient diagnosis card, and is provided with a red and green indicator light and a sounding device. The traffic indicator lights on the visit card reader are all LED indicator lights, and the sounding device can give out dripping alarm sound. The clinic card and the clinic card reader are read based on an IC card sensing mode.
The stethoscope head is provided with a pickup probe and a pickup cavity, and also comprises a conduit, a sound receiver connected with the other end of the conduit, an electret microphone, a signal processing circuit and a space positioning inductor; the signal processing circuit is sequentially connected with a primary amplification module, a filtering module and a main amplification module. The auscultation head, pickup probe and pipe connection, the electret microphone is located the pipe, and electret microphone electrical connection is to signal processing circuit, changes the acoustical signal of auscultation into the signal of telecommunication, transmits for signal processing circuit, and signal processing circuit electrical connection is to the auscultation terminal, transmits the signal of telecommunication that has handled for the auscultation terminal. The pickup probe is wrapped with a hard transparent polyester material pickup sheet. The electret microphone consists of two parts of sound-electricity conversion and impedance transformation. The acoustoelectric conversion element is an electret vibrating membrane which is an extremely thin plastic membrane, wherein one surface of the electret vibrating membrane is evaporated with a pure platinum film, after the electret vibrating membrane is subjected to a high-voltage electric field, opposite charges are respectively accumulated on the two surfaces of the electret vibrating membrane, and the platinum evaporation surface of the membrane faces outwards and is communicated with the metal shell. The other side of the diaphragm is separated from the metal plate by a thin insulating gasket to form a capacitor. When the electret diaphragm encounters acoustic vibrations, the electric field across the capacitor is caused to change, thereby producing an alternating voltage that varies with the acoustic vibrations. The electret microphone is in particular Sony ECM-GZ1 UBMP.
The interactive broadcasting device is provided with a single chip microcomputer, a memory, a sound box, a voice recognition module and a voice recognition microphone. The single chip microcomputer in the interactive broadcasting device is an ST MCU series, the memory is a mobile hard disk, and the voice recognition module is LD 3320.
The patient positioning device takes the lowest end of the left back leg of the patient treatment chair as a positioning zero point, carries out three-dimensional scanning on the seated patient, and generates a polyhedral patient collision model in a newly-built auscultation project of the auscultation terminal software platform.
The auscultation head positioning device receives information sent by a space positioning sensor in the auscultation head based on an infrared sensing signal, converts the information into space coordinate information relative to a positioning zero point, judges the auscultation position information according to the position of the space coordinate information relative to the polyhedral patient collision module, and transmits the auscultation position information to a newly-built auscultation project for storage. The pixel of the polyhedral patient collision model is not more than 2cm multiplied by 2 cm.
And the auscultation report processing module is integrated with the auscultation terminal and is used for processing the auscultation items into electronic documents for printing after the auscultation items are finished. The electronic document is in pdf format.
And the printer is used for printing the electronic document available for printing according to a preset format.
The invention also provides a method for making an auscultation report, which is characterized by utilizing the internal medical auscultation auxiliary system, and specifically comprises the following steps.
1) Auscultation preparation: reading the patient visiting card by the visiting card reader and sending the patient visiting card to the hospital server, after the information of the visiting card is verified by the hospital server, enabling the green lamp to emit light and emitting qualified prompt sound, such as string sound, and going to the next step; if the information of the visiting card is not verified in the hospital server, the red lamp is made to emit light and an unqualified prompt sound, such as a sudden alarm sound of a siren and the like, is emitted. The information of the visit card verified by the hospital server comprises card number, name, date and year of birth.
2) Selecting a auscultation scheme: for individual patients, a certain preset auscultation scheme is selected, which is based on the requirements of a physical examination or a special examination, or the purpose of auscultation is determined in advance. The preset auscultation scheme comprises a plurality of auscultation schemes aiming at specific internal medical conditions, in particular dangerous cases easy to miss during auscultation, such as a coronary heart disease typical scheme, a myocarditis typical scheme, a pericardial effusion typical scheme, an arrhythmia typical scheme and a pleural effusion typical scheme.
3) Auscultation preparation: and (3) starting an auscultation terminal software platform on the auscultation terminal, after the information of the patient seeing card is confirmed, calling the information of the patient and a preset auscultation scheme from the auscultation server according to the auscultation scheme information selected in the step (2), generating and opening a new auscultation project, wherein the new auscultation project comprises time sequence information and broadcast contents at each time point according to the time sequence, and transmitting the information of the project to the interactive broadcasting device. The information of the project is transmitted to the interactive broadcasting device, namely, the newly-built auscultation project containing time sequence information and broadcast contents at each time point according to the time sequence are transmitted to a memory in the interactive broadcasting device and are called and processed by a single chip microcomputer, and the memory is a mobile hard disk.
4) And (3) a preset auscultation scheme execution step, namely, broadcasting sound according to a time sequence by the interactive broadcasting device according to the information of the newly-built auscultation item, auscultating by a doctor according to the content of the time sequence broadcasting sound, recording the auscultation condition in the newly-built auscultation item of the auscultation terminal software platform by using a keyboard and a mouse, determining whether to increase the auscultation part and time after the preset scheme is executed, if the auscultation part and time are increased, increasing the auscultation part and time in the newly-built auscultation item, performing auscultation under the prompt of the interactive broadcasting device again, recording the auscultation condition, and then entering the step (5), and if the auscultation part and time are not increased, directly entering the step (5). Each auscultation step of the time-sequence broadcast is not less than 2 minutes, and an interval of not less than 20s is reserved after the preset time of each auscultation position is over.
5) A stethoscopic head positioning device which receives the information sent by the space positioning sensor in the stethoscopic head, converts the information into space coordinate information relative to a positioning zero point, judges the stethoscopic position information according to the position of the space coordinate information relative to the polyhedral patient collision module, transmits the stethoscopic position information to a newly-built stethoscopic project, compares the stethoscopic position information captured by the stethoscopic head positioning device with a preset position in a preset stethoscopic scheme after the stethoscopic in the step (4) is finished, if the stethoscopic position information is consistent with the preset position in the preset stethoscopic scheme, the step (6) is carried out, if the inconsistency is found after the comparison, a dialog box is found out to be confirmed by a doctor, if the inconsistency is confirmed, the step (6) is carried out, and if the inconsistency is not confirmed, the step (4) is returned to carry out the stethoscopic process. The auscultation position information is consistent with the preset position in the preset auscultation scheme, and the distance between the auscultation position information and the preset position is less than or equal to 5-7 cm.
6) And an auscultation report confirming and printing step, namely automatically generating an auscultation report preview according to actual information in the newly-built auscultation project, printing a final report after confirmation by a doctor, entering a manual modification mode if the auscultation report is not confirmed, and printing the final report after modification confirmation. The auscultation report preview is automatically generated according to a preset text generation module.
The above description is only an embodiment of the present invention, but the scope of the present invention is not limited thereto, and any changes or substitutions that are not thought of through the inventive work should be included in the scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope defined by the claims.
Claims (2)
1. An auscultation report making method is characterized in that the auscultation report making method is carried out by utilizing a medical auscultation auxiliary system, and the medical auscultation auxiliary system comprises the following components:
the system comprises a visit card reader, an auscultation server, an auscultation terminal, an auscultation head, an interactive broadcasting device, a patient positioning device, an auscultation head positioning device, an auscultation report processing module and a printer;
the auscultation server is a computer server with or without a display screen and is used for storing patient data and various preset auscultation schemes;
the auscultation terminal is provided with an auscultation terminal software platform, receives the selected auscultation scheme information after the patient attendance card is read, calls the patient information and the preset auscultation scheme from the auscultation server, and generates a new auscultation item;
the medical treatment card reader is used for reading a patient medical treatment card, and is provided with a red-green indicating lamp and a sounding device;
the auscultation head is provided with a pickup probe covered with a hard plastic sheet, a pickup cavity is arranged in the auscultation head, and the auscultation head also comprises a conduit, a listening device connected with the other end of the conduit, an electret microphone, a signal processing circuit and a space positioning inductor; the signal processing circuit is sequentially connected with a primary amplification module, a filtering module and a main amplification module;
the interactive broadcasting device is provided with a singlechip, a memory, a sound box, a voice recognition module and a voice recognition microphone;
the patient positioning device takes the lowest end of the right rear leg of the patient chair as a positioning zero point, carries out three-dimensional scanning on the seated patient, and generates a polyhedral patient collision model in a newly-built auscultation project of an auscultation terminal software platform;
the stethoscope head positioning device receives the information sent by the space positioning sensor in the stethoscope head, converts the information into space coordinate information relative to a positioning zero point, judges the auscultation position information according to the position of the space coordinate information relative to the polyhedral patient collision model, and transmits and stores the auscultation position information into a newly-built auscultation project;
the auscultation report processing module is integrated with the auscultation terminal and processes the auscultation item into an electronic document for printing after the auscultation item is finished;
the printer is used for printing the electronic document available for printing according to a preset format;
the auscultation server is a blade server and comprises a processor, a hard disk, a memory and a system bus;
the auscultation terminal is provided with an input keyboard and a mouse, and the input keyboard is provided with a micro display screen;
the red and green indicator lamps on the attendance card reader are all LED indicator lamps;
the auscultation head is characterized in that the pickup probe is connected with the conduit, the electret microphone is positioned in the conduit and is electrically connected with the signal processing circuit, an auscultation acoustic signal is converted into an electric signal and transmitted to the signal processing circuit, and the signal processing circuit is electrically connected with the auscultation terminal and transmits the processed electric signal to the auscultation terminal;
the single chip microcomputer in the interactive broadcasting device is STM32 series or STMCU series, the memory is a memory card or a mobile hard disk, and the voice recognition module is ISD9160 or LD3320 or SYN7318 of NUVOTON;
the pixel of the polyhedral patient collision model is not more than 1cm multiplied by 1 cm;
the auscultation report making method specifically comprises the following steps:
(1) auscultation preparation: reading the patient treatment card by a treatment card reader and sending the patient treatment card to a hospital server, after the information of the treatment card is verified by the hospital server, enabling the green lamp to emit light and emitting qualified prompt tone, and carrying out the next step; if the information of the visiting card is not verified in the hospital server, the red lamp is made to emit light and an unqualified prompt tone is given out;
(2) selecting a auscultation scheme: for individual patients, a certain preset auscultation scheme is selected, which is based on the requirements of a physical examination or a special examination, or the purpose of auscultation is determined in advance;
(3) auscultation preparation: starting an auscultation terminal software platform on the auscultation terminal, after the information of the patient visiting card is verified, generating and opening a newly-built auscultation project according to the auscultation scheme information selected in the step (2) and the patient information and a preset auscultation scheme from the auscultation server, wherein the newly-built auscultation project comprises time sequence information and broadcast contents of each time point according to the time sequence, and the information of the project is transmitted to the interactive broadcasting device;
(4) the interactive broadcasting device broadcasts sounds according to the time sequence according to the information of the newly-built auscultation project, a doctor auscultates according to the content of the time sequence broadcast, records the auscultation condition in the newly-built auscultation project of the auscultation terminal software platform by using a keyboard and a mouse, determines whether to increase the auscultation part and time after the preset scheme is executed, increases the auscultation part and time in the newly-built auscultation project if the auscultation part and time are required to be increased, performs auscultation under the prompt of the interactive broadcasting device again, records the auscultation condition and then enters the step (5), and directly enters the step (5) if the auscultation part and time are not required to be increased;
(5) a stethoscopic head positioning device which receives the information sent by the space positioning sensor in the stethoscopic head, converts the information into space coordinate information relative to a positioning zero point, judges the stethoscopic position information according to the position of the space coordinate information relative to the polyhedral patient collision model, transmits the stethoscopic position information to a newly-built stethoscopic project, compares the stethoscopic position information captured by the stethoscopic head positioning device with a preset position in a preset stethoscopic scheme after the stethoscopic in the step (4) is finished, if the stethoscopic position information is consistent with the preset position in the preset stethoscopic scheme, enters the step (6), if the inconsistency is found after the comparison, finds out a dialog box to be confirmed by a doctor, if the inconsistency is confirmed, enters the step (6), and if the inconsistency is not confirmed, returns to the step (4) to perform the stethoscopy again;
(6) and an auscultation report confirming and printing step, namely automatically generating an auscultation report preview according to actual information in the newly-built auscultation project, printing a final report after confirmation by a doctor, entering a manual modification mode if the auscultation report is not confirmed, and printing the final report after modification confirmation.
2. A method of producing an auscultation report according to claim 1, characterized by:
the information of the visit card verified by the hospital server in the step (1) comprises a card number, a name and information of birth year, month and day;
in the step (3), the transmission of the project information to the interactive broadcasting device means that the newly-built auscultation project including the time sequence information and the broadcast content at each time point according to the time sequence is transmitted to a memory in the interactive broadcasting device and is called and processed by a singlechip, and the memory is a memory card or a mobile hard disk;
in the step (4), each auscultation step of time-sequence broadcast is not less than 1 minute, and an interval of not less than 10 seconds is reserved at each auscultation position after the preset time is over;
in the step (5), the auscultation position information is consistent with a preset position in a preset auscultation scheme, which means that the distance between the auscultation position information and the preset position is less than or equal to 3-5 cm;
in the step (6), the auscultation report preview is automatically generated according to a preset text generation module.
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