Summary of the invention
The object of the invention is to provide a kind of remote medical service system based on GPRS network, has solved when making things convenient for the patient to seek medical advice in the prior art, does not improve medical personnel's problems such as convenience.
In order to solve these problems of the prior art, technical scheme provided by the invention is:
A kind of remote medical service system based on GPRS network, it is characterized in that described system comprises that described portable medical instrument and handheld type diagnosis terminal are carried out communication by GPRS network as the portable medical instrument of server end with as the handheld type diagnosis terminal of client; Described portable medical instrument is gathered patient information and by GPRS network patient information is transferred to handheld type diagnosis terminal; After described handheld type diagnosis terminal receives patient information, send diagnostic message by GPRS network and be transferred to portable medical instrument.
Preferably, described system also comprises INTERNET network and the general purpose computer that is connected with GPRS network, described general purpose computer is connected with portable medical instrument by the Internet network, visit physiology/pathological parameter, ambient parameter, kinestate or pass through the Internet network and be connected the visit diagnostic message with handheld type diagnosis terminal.
Preferably, described system comprises portable medical instrument and several handheld type diagnosis terminal, and described portable medical instrument and several handheld type diagnosis terminal communications form single to many remote medical service systems.
Preferably, described portable medical instrument comprise the signal acquisition module of gathering patient information, signal processing module that patient information is handled and by GPRS network and handheld type diagnosis terminal communication transmission patient information with accept the signal transmission module of diagnostic message.
Preferably, described signal transmission module is selected from CDMA module, gsm module, GPRS module and 3G module; Listening port is set in the described signal transmission module carries out the listening port request.
As preferably, described portable medical instrument can also comprise instruction input module, display module and power module, be provided for gathering the pick off of physiology/pathological parameter in the signal acquisition module of portable medical instrument, gather the pick off of ambient parameter and the pick off of kinestate, and give signal processing module the signal that collects; Power module is for each module provides the power supply support.
Preferably, the external environment pick off of the ambient parameter that described signal acquisition module comprises the interior environmental sensor of gathering the physiology/pathological parameter of environment in the patient, gather patient's external environment of living in and the motion sensor of kinestate, and give signal processing module with the patient information that collects.
Preferably, described interior environment sensor pack is drawn together heart rate sensor, pressure transducer, body temperature trans, respiration pickup, blood oxygen transducer, pulse transducer, blood glucose sensor, blood fat pick off; Described motion sensor is that acceleration transducer, described external environment pick off comprise baroceptor, humidity sensor and temperature sensor.
Preferably, described signal processing module comprises that sampling keeps module, signal amplifier, analog-digital converter and microprocessor, and the patient information of described sampling maintenance module received signal acquisition module keeps converting digital signal to by analog-digital converter after signal amplifier amplifies and flows to microprocessor processes.Microprocessor receives the digitized physiology/pathological parameter after analog-digital converter is changed in the described signal processing module, and to its analyze, computing and storage, give signal transmission module by interface then, physiology/pathological parameter after signal transmission module will be handled is wirelessly transmitted to handheld type diagnosis terminal, wireless receiving doctor's diagnostic result; Instruction input module comprises button, is used to control medical instrument duty; Display module is used to show patient's physiology/pathological parameter, ambient parameter, kinestate and diagnostic result
Preferably, described handheld type diagnosis terminal comprises the MIM message input module that is used to import diagnostic message, the display module that shows patient information and diagnostic message and the signal transmission module of accepting patient information and transmission diagnostic message by GPRS network and portable medical instrument communication; Described signal transmission module is selected from CDMA module, gsm module, GPRS module and 3G module.
Preferably, described handheld type diagnosis terminal also comprises microprocessor, memorizer and power module, behind physiology/pathological parameter of the patient of signal transmission module reception portable medical instrument, show that by display module the doctor can diagnose the formation diagnostic message according to these patient informations; Microprocessor can the control signal transport module, the instruction of memorizer and display module and the input of process information input module; Memorizer can be used for storing embedded operation processing program and physiology/pathological parameter and corresponding diagnostic result; MIM message input module is used to import diagnostic result and inquiry patient information; Power module is for each module provides the power supply support.
When utilization of the present invention is carried out the tele-medicine service based on the remote medical service system of GPRS network, may further comprise the steps:
(1) patient utilizes portable medical instrument to gather behind the patient information patient information is transferred to by network and is transferred to GPRS network;
(2) after handheld type diagnosis terminal received the patient information of GPRS network, the doctor imported diagnostic message and diagnostic message is transferred to GPRS network;
(3) portable medical instrument receives the diagnostic message from GPRS network, circulation.
Preferably, described remote medical service method can carry out according to following steps:
The signal acquisition module of portable medical instrument is gathered physiology/pathological parameter of patient and ambient parameter, kinestate, and with related data transmission to wireless communication module; Wireless communication module is transferred to GPRS network by antenna with data wireless; Handheld type diagnosis terminal receives the data from GPRS network, and shows physiology/pathological parameter of patient and ambient parameter, kinestate; The doctor inputs to handheld type diagnosis terminal by instruction input module with diagnostic result, and sends to GPRS network; Portable medical instrument receives the data from GPRS network, and shows the diagnostic result of doctor's feedback; General purpose computer is consulted patient's physiology/pathological parameter, ambient parameter, kinestate by Internet access to netwoks portable medical instrument.General purpose computer is consulted doctor's diagnostic result by Internet access to netwoks handheld type diagnosis terminal.
With respect to scheme of the prior art, advantage of the present invention is:
1. use GPRS network to carry out communication between the handheld type diagnosis terminal of the portable medical instrument of patient end and doctor end in technical solution of the present invention, portable medical instrument and handheld type diagnosis terminal both can form single personalized remote medical service system to list; Can form single by portable medical instrument and a plurality of handheld type diagnosis terminal, handheld type diagnosis terminal and a plurality of portable medical instrument are set again to many remote medical service systems, network construction form is very flexible, solved the problem of telemedicine to a certain extent, also avoid user (patient and doctor) to the dependence of space length, make doctor and patient all can realize seeking medical advice, diagnosing in zone with GPRS network; The work efficiency that this has improved medical personnel has greatly reduced the wasting of resources.
2, technical scheme of the present invention can realize remote diagnosis, patient and medical personnel can be in different separately zones, can realize communicating by letter with the other side by network, can realize sharing of medical resource, under the situation of medical care resource anxiety, can be beneficial to medical personnel's resource allocation timely and conveniently for patient provides the chance of seeking medical advice; And make things convenient for medical personnel that difficult and complicated illness is carried out collective's consultation of doctors research, and improve the active participation of medical personnel's consultation of doctors, reduce the mistaken diagnosis probability of difficult and complicated illness.
3, setting is connected with GPRS network by the INTERNET network in the preferred technical solution of the present invention, the general purpose computer that is connected with the INTERNET network, can conveniently inquire about patient information and diagnostic message, make things convenient for doctor and patient to understand medical history diagnosis history, help disease is carried out prevention and health care.
4, technical scheme of the present invention can realize the two-way communication between medical personnel and patient owing to being the client-server pattern between portable medical instrument, handheld type diagnosis terminal; Portable medical instrument, handheld type diagnosis terminal are all easy to carry in addition, realize seeking the mobility of doctor, diagnosis.
The specific embodiment
Below in conjunction with specific embodiment such scheme is described further.Should be understood that these embodiment are used to the present invention is described and are not limited to limit the scope of the invention.The implementation condition that adopts among the embodiment can be done further adjustment according to the condition of concrete producer, and not marked implementation condition is generally the condition in the normal experiment.
Embodiment somewhere remote medical service system
As Fig. 1, the remote medical service system of present embodiment, adopt network communicating system structure as shown in Figure 1, comprising the portable medical instrument of be responsible for gathering patient information as server end, send diagnostic message handheld type diagnosis terminal as client, the INTERNET network and the general purpose computer that are connected with GPRS network, described portable medical instrument and handheld type diagnosis terminal are carried out communication by GPRS network; Described portable medical instrument is transferred to handheld type diagnosis terminal with the patient information that collects by GPRS network; Described handheld type diagnosis terminal receives patient information and sends diagnostic message by GPRS network and is transferred to portable medical instrument.Described general purpose computer is connected with portable medical instrument by the Internet network, visits physiology/pathological parameter, ambient parameter, kinestate and pass through the Internet network to be connected the visit diagnostic message with handheld type diagnosis terminal.
Remote medical service system moves as follows:
The signal acquisition module of portable medical instrument is gathered physiology/pathological parameter of patient and ambient parameter, kinestate, and with related data transmission to wireless communication module; Wireless communication module is transferred to GPRS network by antenna with data wireless; Handheld type diagnosis terminal receives the data from GPRS network, and shows physiology/pathological parameter of patient and ambient parameter, kinestate; The doctor inputs to handheld type diagnosis terminal by instruction input module with diagnostic result, and sends to GPRS network; Portable medical instrument receives the data from GPRS network, and shows the diagnostic result of doctor's feedback; General purpose computer is consulted patient's physiology/pathological parameter, ambient parameter, kinestate by Internet access to netwoks portable medical instrument.General purpose computer is consulted doctor's diagnostic result by Internet access to netwoks handheld type diagnosis terminal.
Below the various piece of remote medical service system is described in detail:
The portable medical instrument that present embodiment adopts comprises signal acquisition module, contains signal processing module, wireless transport module, instruction input module, display module and the power module of microprocessor.Signal acquisition module comprises the pick off of collection physiology/pathological parameter, and gathers the pick off of ambient parameter and the pick off of kinestate, and gives signal processing module with the signal that collects; Signal processing module comprises that amplifier, sampling keep module and analog-digital converter, are used for the signal that collects is handled; Mainly be that utilization oxygen saturation measurement module is gathered blood oxygen saturation and pulse frequency for physiology/pathological parameter collection in the present embodiment, mainly adopt acceleration transducer collection patient kinestate for the detection of kinestate, for the main serviceability temperature sensor acquisition of the collection of ambient parameter ambient temperature; Microprocessor receives digitized physiology/pathological parameter, and to its analyze, computing and storage, give wireless transport module by interface module then; Wireless transport module is wirelessly transmitted to remote medical server, wireless receiving doctor's diagnostic result with the physiology/pathological parameter after handling; Instruction input module comprises button, is used to control medical instrument duty; Display module is used to show physiology/pathological parameter, ambient parameter, kinestate and diagnostic result; Power module is for each several part provides power supply.
Oxygen saturation measurement module (SpO2) is gathered blood oxygen saturation and pulse frequency, and the physical circuit connected mode as shown in Figure 2.It is little that it has a volume, installs flexibly, and characteristics such as high reliability and accuracy of measurement height can provide that blood oxygen saturation and pulse frequency are measured fast and accurately.In addition, its single supply 5V work, low power dissipation design can show plethysmography ripple and pulse intensity, has simple serial ports and connects, and is easy to integratedly, the communications protocol of communications protocol and BCI is compatibility fully.The measurement unit of blood oxygen saturation is %, and the measurement unit of pulse frequency is BPM.Serial communication adopts the RS232 mouth, supports that 4800/115200 baud rate is optional.Oxygen saturation measurement scope 0-100%, pulse frequency measuring range 25~250 times/minute.The resolution of blood oxygen saturation is 1%, and the resolution of pulse frequency is 1BPM.The certainty of measurement of blood oxygen saturation reaches ± and the certainty of measurement of 2% (70-100%) pulse frequency reaches ± 2% (25-250BPM).Blood oxygen saturation (SpO2) measurement module and microprocessor adopt the serial communication mode to be connected, and adopt 4 needle sockets, be used for upper machine communication and power supply is provided, and pinout is as follows: PIN1:TXD, PIN2:RXD, PIN3:GND, PIN4:+5V.Adopt 5 needle sockets to be connected, be defined as follows: R_LED: HONGGUANG output, IR_LED: infrared light output, GND: ground, Opto+: just import Opto-with probe; Input is negative.The serial communication data format is: start bit+8 bit data position+1 position of rest, no parity check; Baud rate can be set to: 4800baud, 115200baud.Blood oxygen saturation (SpO2) data that measurement module collected are: 5 byte formats, each second 60 bags, the 7th is sync bit.
Wherein, particular content can for:
The temperature sensor that present embodiment adopts is the TC77 integrated digital temperature sensor that Microchip company produces, and adopts the output of 13 bit serial interface, and temperature data is got by hot sensing unit conversion.TC77 contains inside 13 ADC, and temperature resolution is 0.0625 ℃/LSB.In normal working conditions, quiescent current is 250 μ A (representative value).Other equipment are realized by SPI universal serial bus or Microwire compatibility interface with communicating by letter of TC77, this bus can be used for connecting a plurality of TC77, realize the multizone monitoring temperature, the low-power consumption shutdown mode is activated in the SHDN position among the configuration register CONFIG, and this moment, current drain only was 0.1 μ A (representative value).
The motion sensor that present embodiment adopts is the ADXL330 pick off.Its principle exists: any motion of human body from start to end, the acceleration at each position of its motion limbs is to change always.If repeat arbitrary action, the Changing Pattern of its acceleration also is very approaching.So,, just can exactly this characteristic point X, Y, three components of acceleration of Z in motor process be gathered out as long as 3-axis acceleration sensor is placed on certain characteristic point of tested person's limbs.Then, by component of acceleration is carried out mathematical calculation, just can obtain information such as the movement locus of this point and dynamic process.The data that a plurality of characteristic point collected are carried out analysis-by-synthesis, just can draw the details of tested human motion, thereby realized the digitized of movable information.
ADXL330 is the acceleration transducer of one three (x axle, y axle and Z axle) simulation output, measure the component of acceleration of any time three directions by DXL30, just can calculate information such as this moment the direction of motion of pick off place spatial point, locus, by to information processing, obtain the detailed data of this some action.A plurality of characteristic points to human body detect simultaneously, and data are carried out analysis-by-synthesis, just can obtain the information of human motion.ADXL330 is a thermal convection current formula 3-axis acceleration sensor, the output of signal condition voltage is arranged, and maximum measuring range is ± 2g that the bandwidth of X and Y-axis is from 0.5Hz to 1600Hz, Z axle bandwidth has good zero g bias stability and good sensitivity degree of accuracy from 0.5Hz to 550Hz.Utilize the integrated analog-digital converter of microprocessor internal that three outputs of acceleration transducer ADXL330 are gathered.
The wireless transport module of portable medical instrument is a four frequency band GSMs/GPRS module for the GPRS communication module SIM900.SIM900 that SIMCOM company produces, can work under three kinds of frequencies of GSM850MHz, EGSM 900MHz, DCS 1800MHz, PCS 1900MHz in the world, nearly 10 of GPRS multichannel types can be provided, and support CS-1, CS-2, CS-3 and four kinds of GPRS encoding schemes of CS-4.The SIM900 structure is small and exquisite, and overall dimensions is 24mm*24mm*3mm only.SIM900 has low power dissipation design, and the current drain under the sleep pattern only is 1.5mA.The inner integrated ICP/IP protocol stack of SIM900, and expanded TCP/IP AT instruction.
Portable medical instrument adopts above-mentioned sensor acquisition to need to send the data after the processing to handheld type diagnosis terminal after physiology/pathological parameter of patient and ambient parameter, kinestate in the present embodiment, as shown in Figure 3 the workflow diagram of portable medical instrument.Portable medical instrument is configured to TCPSERVER, receives the data from several handheld type diagnosis terminal of far-end.Concrete AT instruction configuration TCP SERVER operation is as follows:
AT+CIPCSGP=1, " APN ", " user name ", " password "; AT+CLPORT=" TCP ", " port numbers "; AT+CIPSERVER (start the SERVER function, return SERVER OK after the success, at this time started the SERVER function, begin to intercept PORT); AT+CIFSR (obtaining the IP address of SERVER).
After portable medical instrument obtains the IP address, can notify IP address and the port numbers of this SERVER of handheld type diagnosis terminal, so that handheld type diagnosis terminal can be attached thereto, the transmitting-receiving data.Handheld type diagnosis terminal needs before the data to connect with portable medical instrument as SERVER in transmitting-receiving as CLIENT.Be connected to SERVER if any CLIENT, the SERVER end can show IP address and the port numbers of far-end CLIENT.At this time SERVER just can receive from the tcp data of far-end CLIENT.
Portable medical instrument starts the transmission data command with the AT+CIPSEND order, returns the data that the input of ">" back sends, and ctrl+z (0x1a) starts transmission.Return SEND OK after being sent completely.Be in command mode this moment, if there have the data transmission to repeat above step again to be just passable.Each data length that sends should be less than 1024bytes.The reception data are automatic reception, if then automatic reception of remote data is arranged.Can add sign automatically in the data front that receives with AT+CIPHEAD=1.
The handheld type diagnosis terminal that adopts in the present embodiment comprises the MIM message input module that is used to import diagnostic message, display module, signal transmission module, microprocessor, memorizer and the power module that shows patient information and diagnostic message; Described signal transmission module is to sending request of data as the portable medical instrument of server end, forms so effectively to be connected between portable medical instrument and handheld type diagnosis terminal, carries out transfer of data, comprises patient information or diagnostic message.Behind physiology/pathological parameter of the patient of signal transmission module reception portable medical instrument, can show that the doctor can diagnose the formation diagnostic message according to these patient informations by display module; Microprocessor can the control signal transport module, the instruction of memorizer and display module and the input of process information input module; Memorizer can be used for storing embedded operation processing program and physiology/pathological parameter and corresponding diagnostic result; MIM message input module is used to import diagnostic result and inquiry patient information; Power module is for each module provides the power supply support.
Microprocessor adopts the S3C44B0 of Samsung in the present embodiment, concrete operation interface as shown in Figure 4:
The handheld type diagnosis terminal external form mainly is divided into key input part and menu display part.Key input part has: upper and lower, left and right, definite, cancellation, be total to six press keys, and the doctor can operate all menus with this six press keys.The menu display part is very color LCD display, it is available to have nine menus, is respectively: " server info ", " this machine information ", " current patient information ", " case history inquiry ", " case demonstration ", " diagnostic operation ", " search patient ", " drug information ", " other doctors "." server info " shows the information that remote server sends; " this machine information " shows the duty and the configuration information of current machine; " current patient information " shows all information of current reception diagnosis patient, comprise name, age, sex, physiology pathological information, kinestate, ambient parameter etc.; " case history inquiry " shows the physiology/pathology record of patient in a period of time; " case demonstration " shows relevant patient's information and diagnostic message; " diagnostic operation " input diagnostic result is clicked " determining " key then diagnostic result is sent to remote medical server; " search patient " searches other patients that current online needs are treated; " drug information " shows the information of relevant medicine and armarium; " other doctors " shows current online other doctors' situation.
The workflow of handheld type diagnosis terminal as shown in Figure 5, handheld type diagnosis terminal as the client electrifying startup after, signal transmission module carries out the initialization setting, single IP pattern is set, the non-transparent transmission pattern is set, be provided with and accept data interpolation Data Identification or the like, setting sends data to the server end portable medical instrument, with set up TCP with AT order with SERVER between portable medical instrument and be connected (AT+CIPSTART=" TCP ", " server ip address ", " server end slogan "), when the TCP successful connection is set up, return CONNECT OK.Just can send data to SERVER with AT+CIPSEND then, if SERVER has data, module receives by serial ports automatically.Close TCP and connect available AT+CIPCLOSE order.
Above-mentioned example only is explanation technical conceive of the present invention and characteristics, and its purpose is to allow the people who is familiar with this technology can understand content of the present invention and enforcement according to this, can not limit protection scope of the present invention with this.All equivalent transformations that spirit is done according to the present invention or modification all should be encompassed within protection scope of the present invention.