CN1270676A - 用于在中央监视站和远程病人监视站之间传送信息的基于分组的远程医疗系统 - Google Patents

用于在中央监视站和远程病人监视站之间传送信息的基于分组的远程医疗系统 Download PDF

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CN1270676A
CN1270676A CN98809286A CN98809286A CN1270676A CN 1270676 A CN1270676 A CN 1270676A CN 98809286 A CN98809286 A CN 98809286A CN 98809286 A CN98809286 A CN 98809286A CN 1270676 A CN1270676 A CN 1270676A
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network
grouping
monitoring station
patient
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J·W·佩菲尔
A·霍珀
M·布罗
B·苏杜斯
S·潘查尔
A·夸
W·E·普里斯
J·R·斯尔勒
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Georgia Tech Research Institute
Georgia Tech Research Corp
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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/7465—Arrangements for interactive communication between patient and care services, e.g. by using a telephone network
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

Abstract

本发明提供一个用于在中央监视站和位于该中央监视站远端的病人监视站之间传送信息的基于分组的远程医疗系统。该病人监视站从病人处获得数字视频、话音和医疗测量数据并且将该数据封装在分组中并且通过网络将该分组发送到中央监视站。因为信息封装在分组中,该信息可以通过网络结构,例如公用访问电视(CATV)网络、公用电话交换网(PSTN)、综合业务数字网(ISDN)、因特网、局域网(LAN)、广域网(WAN)的多种类型或组合,通过无线通信网,或通过异步传输模式(ATM)网发送。因此,对于每个不同类型的传输媒体不需要单独的传输协议。当然,单独的传输层协议用于在发送端将信息封装在分组中和用于在接收端去封装该信息。而且,通过在分组中发送信息,视频、音频和测量数据可以结合并且通过一个单独的网发送。

Description

用于在中央监视站和远程病人监视站之间传送信息的 基于分组的远程医疗系统
这份申请要求优先权并且享有1996年9月20日申请的，确定的序列号为NO.60/026,986，名称为电子家庭呼叫系统的未决临时申请的申请日，在此结合这份在先申请作为参考。
这个发明一般涉及远程医疗领域，并特别涉及通过将数据封装在通过网络结构的多种类型或结合发送的分组中，在中央监视站和远程设置的病人监视站之间传送信息的远程医疗系统。
一般地，远程医疗是用于描述病人看护类型的术语，病人看护涉及由位于距离病人位置远端的保健中心的保健人员监视病人的状况。如果充分采用远程医疗，则能够对社会提供巨大的益处。这种益处之一是病人可以在无需开车到保健中心的情况下接受检查。这个特点对于居住在偏远地区而不能容易地开车到最近的保健中心，或者需要由距离该病人很远例如在另一个州的保健人员检查的病人尤为重要。
远程医疗的另一个好处是由于利用它实施检查很容易所以能够使病人接受比假如需要开车到保健中心可能接受的检查更为经常的检查。例如，如果病人的状况需要一天几次测量，那么病人由于每次需要进行测量而往返于保健中心是不切实际的。对于病人被允许到保健中心很可能是必要的。远程医疗的使用可以使这些测量在病人家中进行，同时保健人员从保健中心观察病人或测量数据。
远程医疗的另一个好处是它使病人以比病人需要开车到保健中心更及时的方式被检查。这在紧急情况下是重要的，例如当病人的状况变得危急和必须立即采取紧急措施时。
许多种类型的远程医疗系统是公知的。这种系统的一个例子公开在1995年8月15日公布的David等人的美国专利5,441,047中，它公开了一种移动的病人健康监视系统，用于监视位于中央站远端的保健病人。该系统包括位于远端的用于测量病人的医疗状态的设备。该医疗状态可以对应健康参数，例如心率、呼吸率、脉搏血氧定量和血压。该系统包括一个放在病人处的第一视听摄象机和放在中央站的第二视听摄象机。音频和视频信息在病人的远端位置和该中央站之间经通信网络，例如交互有线电视网传送。病人数据在该病人远端位置和该中央站之间利用单独的通信网，例如卫星、无线电传输或电话线传送。显示器放置在病人的远端位置和中央站以便使病人和保健人员同时互相观察。
在David等人专利中公开的系统的一个缺陷是，尽管提到在保健人员和病人之间通过各种类型网络发送信息，但是从病人家里发送的信息将不得不根据每个这些不同网络的不同的通信协议格式化。因此，尽管David等人专利提到使用各种类型的网络的能力，但是在David等人专利中公开的系统不是“网络独立的”，因为数据必须根据发送端的特定的协议格式化并且该格式化处理将必须在接收端以对于每种类型的网络的不同方式反向处理。最低限度，这需要对于使用的每个不同传输媒体在每一端的不同的软件和/或硬件。在David等人专利中公开的该系统的另一个缺陷是音频和视频数据通过一个通信网络发送而病人数据通过另一个通信网络发送。
远程医疗系统的另一个例子公开在1995年7月18日公开的Tamura的美国专利5,434,611中。这个专利公开了一个远程医疗系统，具有一个在位于病人家中的设备和位于医疗机构的设备之间发送图象、话音和数据的双向CATV网。摄象机同时放在病人家里和医疗机构中以便在医生和病人之间提供返回图象。为了使医生的终端与病人的终端通信，医生的终端通过一条控制线向病人终端发送信号。接着一个线路控制器通过在多路存取系统(MCA)中选择一个未用信道选择一个用于会话的通信信道。接着该终端自动调谐到分配的通信信道并且信息在病人和医生之间通过该分配的信道传送。
在Tamura专利中公开的系统的一个缺陷是在医生和病人之间的任意通信必须通过发送信号建立，该信号由线路控制器检测。接着该线路控制器选择一个未用信道用于通信。还看出因为病人文本只描述医生发送信号开始会话的情况，所以该信号必须由医生启动。在任意情况下，该系统要求在病人终端和医生终端之间作出直接的连接。不作出规定使医疗测量数据在病人终端和医生终端之间不进行直接连接的情况下发送到医生的终端。因此，根据在Tamura专利中公开的该系统，在终端之间不进行直接连接的情况下对于涉及病人状况的信息由病人终端发送到医生终端是不可能的，上述情况需要医生出现在会话中。
提供一个远程医疗系统是有益的，该系统允许病人或保健人员中的任一个开始诊断会话以便使诊断测量进行并且发送到例如保健中心的地方，此处医疗文件可以由数据自动地更新。这种系统的一个优点是保健人员可以不必须管理诊断会话，并且因此可以不必参与该会话。这种系统的另一个优点是医疗文件可以在保健人员部分无需任何动作的情况下自动更新。而且，当该医疗文件自动更新时，该病人的状况可以被自动监视，以便在病人状况低于预定水平的情况下，可以采取重新的医疗测量。提供一个远程医疗系统也是有益的，该远程医疗系统允许视频、话音和医疗数据结合在一起并且通过一个单独的网络发送。
因此，需要存在一种网络独立的和能够允许视频、话音和涉及病人状况的数据结合并且在不需要在病人和保健人员之间建立直接连接的情况下，从位于远端的病人终端发送到保健中心的远程医疗系统。
本发明提供一个用于在中央监视站和位于该中央监视站远端的病人监视站之间传送信息的基于分组的远程医疗系统。该病人监视站从病人处获得数字视频、话音和医疗测量数据并且将该数据封装在分组中并且通过网络将该分组发送到中央监视站。因为信息封装在分组中，该信息可以通过网络结构，例如社区接入电视(CATV)网络、公用电话交换网(PSTN)、综合业务数字网(ISDN)、因特网、局域网(LAN)、广域网(WAN)的多种类型或组合，通过无线通信网，或通过异步传输模式(ATM)网发送。因此，对于每个不同类型的传输媒体不需要单独的传输协议。当然，单独的传输层协议用于在发送端将信息封装在分组中和用于在接收端去封装该信息。而且，通过在分组中发送信息，视频、音频和测量数据可以结合并且通过一个单独的网发送。
当在中央检测站去封装该信息时，该信息由软件和/或硬件处理和分析以便确定哪个病人发送的该信息、包含在该信息中的诊断测量的类型，和由该信息表示的诊断测量。
本发明的远程医疗系统的病人监视站包括经医疗设备接口连接到控制单元的多个医疗设备，该医疗设备接口控制从该医疗设备到该控制单元的数据的传输。配置该病人监视站以便该控制单元和该医疗设备可以通过该医疗设备接口彼此通信。该医疗设备接口优选使用一个单独的中断以便向控制单元请求数据传送。当控制单元有数据要发送到医疗仪器之一时，它与接收该数据的医疗设备的地址一起发送该数据到该医疗设备接口。接着该医疗设备接口解码该地址并且发送该数据到适当的医疗设备。
当医疗设备有数据要发送到控制单元时，它发送该数据到该医疗设备接口。接着该医疗设备接口发送一个中断请求到该控制单元。该控制单元处理该中断请求和该数据从该医疗设备接口发送到控制单元。接着该控制单元格式化该数据并且将它输出到一个通信设备，优选地是一个LAN卡，它根据传输层协议封装数据并且将它输出到网络以便发送到中央监视站。
病人监视站的控制单元还包括一个视频会议接口设备，它格式化由该视频会议接口设备从位于病人监视站的摄象机和话筒接收的话音和视频数据。接着该控制单元传送该格式化的视频和话音数据到根据通信协议封装该数据的通信设备并且将它输出到网络以便发送到中央监视站。
该中央监视站还包括一个控制单元，它优选地与病人监视站的控制单元相同。该中央监视站的控制单元与该中央监视站的视频会议接口设备通信，该中央监视站的视频会议接口设备格式化由视频会议接口设备从位于中央监视站的摄象机和话筒接收的话音和视频数据。接着该控制单元将该格式化的视频和话音数据传送到通信设备，该通信设备优选地是一个LAN卡，它根据传输层协议封装视频和话音数据并且将它输出到网络以便发送到病人监视站。
当病人监视站的控制单元从中央监视站接收发送给它的数据分组时，病人监视站的通信设备去封装该信息分组并且确定该信息是否通过该医疗设备接口发送到一个医疗设备之一或该信息是否通过该视频会议接口设备发送到显示屏和扬声器。一旦作出这个判定，则该信息被发送到适当的接口设备。
当中央监视站的控制单元从病人监视站接收发送给它的数据分组时，中央监视站的通信设备去封装该信息分组并且确定该信息是否是来自一个医疗设备的诊断信息或者该信息是否是视频会议信息。如果该信息是视频会议信息，则该信息被发送到视频会议接口设备。该视频会议接口设备解码该信息并且将它输出到位于中央监视站的显示屏和扬声器。如果该信息是诊断数据，则该控制单元翻译该数据。一旦翻译完该诊断数据，则控制单元可以另外处理该数据和/或将它存储在存储设备中。
图1是本发明的包括多个病人监视站和多个中央监视站的远程医疗系统的方框图；
图2是图1所示的包括经一个设备接口连接到一个控制单元的N个医疗设备的一个病人监视站的方框图；
图3是说明由图2所示的控制单元从图1所示的一个中央监视站接收的数据的处理的流程图；
图4是说明数据从图2所示的一个医疗设备发送到图2所示的控制单元并且接着发送到图1所示的中央监视站的流程图；
图5是说明在分组发送到图1所示的中央监视站之前，在图2所示的病人监视站处理和分组视频和音频数据的的流程图。
图1示出本发明的远程医疗系统10，包括多个中央监视站11，它通过网络16与多个病人监视站18通信。如图所示，中央监视站11可以设在诸如医生家里12、医生办公室13，或医院14，每个中央监视站与网络16通信。根据本发明，如下面参照图2-5详细讨论的那样，各种类型的数据以数字分组的形式发送到一个或多个中央监视站11和从一个或多个中央监视站11发送到一个或多个病人监视站18和从一个或多个病人监视站18发送。应该注意到病人监视站18和中央监视站11可以设置在能够访问通信网络16的任意位置处。还应该注意到多个病人监视站18可以与一个单独中央监视站11通信并且多个中央监视站11可以与一个单独的病人监视站18通信。
网络16可以是多种类型的网络结构或其组合，包括PSTN、ISDN、蜂窝或无线网、LAN、WAN、社区接入电视网(CATV)、因特网、ATM网，或这些网络的一种或多种的组合。在病人监视站18和中央监视站11之间发送的所有信息利用一个预先选择的协议封装在分组中。根据本发明的优选实施例，TCP/IP用作在分组中封装该数据的传输层/网络层协议。但是，其他类型的通信协议也适于用于本发明对于本领域技术人员是显而易见的。TCP/IP由于它的广泛接收性和用途而成为优选。
图2是说明图1所示的一个病人监视站18的方框图。每个病人监视站18包括一个控制单元22，一个地址/数据总线27，一个视频会议接口设备26，视频会议设备23，医疗设备接口24，和一个或多个医疗设备28-30。根据本发明的优选实施例，医疗设备接口24包括具有多个串行端口的一个串行卡并且只使用一个中断线(未示出)与控制单元22通信。医疗设备接口24连接到多个医疗设备28-30和通过地址/数据总线27连接到控制单元22。控制单元22包括远程医疗应用软件25，该软件控制经医疗设备接口24到医疗设备28-30和从医疗设备28-30发送出去的数据流。
视频会议接口设备26包括硬件和/或软件，该软件控制由控制单元22从视频会议设备23接收的数据的处理以便将该数据变换成适于通过网络16传输的形式。视频会议接口设备26还负责处理从中央监视站接收的视频会议数据以便将该数据变换成适于在由视频会议设备23所包含的显示器显示的形式。
当数据从控制单元22发送到医疗设备28-30之一时，控制单元22通过地址/数据总线27将数据发送到医疗设备接口24。接着医疗设备接口24通过解码放置在地址/数据总线27上的地址信息将该数据发送到适当的医疗设备28-30。当数据从一个医疗设备发送到控制单元22时，该医疗设备将该数据发送到医疗设备接口24。接着医疗设备接口24分配缓冲区并且将请求排队并且接着使用一个单独的中断线以便表示它具有数据要发送到控制单元22。一旦控制单元22准备接收该数据，则医疗设备接口24通过地址/数据总线27将该数据发送到控制单元22。
医疗设备28-30可以包括，但是不限于，血压设备、温度计、脉搏血氧定量设备、心电图(EKG)、量器和听诊器。另外，医疗设备可以简单通过从该接口拔下一个医疗设备并且插上另一个医疗设备而彼此自由互换。这个“即插即用”的兼容性，通过系统配置和使用一个单独的中断接口成为可能并且在配置远程医疗系统上提供最大的灵活性以便满足特殊的需要。不同医疗设备的众多组合可以通过该设备接口在一个远程医疗系统中使用。该设备接口自己可以以多种方式实现，但是不限于，RS-232接口、单独的串形通信卡、诸如Firewire(IEEE 1394)或通用串形总线(USB)的总线，或者在数据传送处理中使用一个单独中断的任意其他接口。控制单元还可以以包括，但是不限于，个人计算机或任意其他类型的处理单元的多种方式实现。
图3和图4一般描绘了在医疗设备和控制单元22之间的数据传送所涉及的步骤。关于图3，当病人监视站18从中央监视站11接收数据时，控制单元22确定该数据是否是发送到医疗设备28-30之一、还是发送到视频会议设备23，或发送到由块34表示的应用级数据。所接收的信息封装在数字数据的分组中。如方框35和36分别所示，控制单元22的通信设备(未示出)去封装该分组和分析该数据以便确定该数据是否是视频会议数据、医疗仪器命令数据，或应用级数据。如果该数据欲发送到视频会议设备23，如方框41和42分别所示，则该数据由视频会议接口设备26处理并且输出到视频会议设备23。这个数据可以是控制命令和用于控制视频会议设备23(例如，控制摄象机的摇动和倾斜)的操作的数据，或者它可以是如下面更详细讨论的由设置在中央监视站11的视频会议设备封装的图象和话音数据。
如果确定在方框36数据是应用级数据，则如方框37所示，由远程医疗应用在控制单元22中处理该数据。应用级数据例如可以是给病人的消息，状态信息等。
如果确定在方框36所接收的数据是医疗设备命令数据，如方框38所示，则医疗设备接口24解码该地址并且启动对应所请求的医疗设备的选择的串形端口。如方框39所示，选定的串口从地址/数据总线27接收数据。接着预定的医疗设备通过所选定的串口(未示出)从医疗设备接口24接收数据。
图4是表示从医疗设备28-30之一向控制单元22传送数据的方框图。根据本发明的优选实施例，医疗设备接口24包括一个串行接口卡，该卡具有连接到每个医疗设备28-30的一个串口。如前所述，在传输处理期间远程医疗应用软件25在控制单元22上运行。在步骤43，医疗设备28-30的一个或多个医疗设备将数据发送到医疗设备接口24。医疗设备接口24为该数据分配缓冲区并且将该数据排队并且如方框44所示，接着使用单独的中断线(未示出)调用中断。接着如方框45所示，控制单元22调用中断服务程序处理该中断请求。如上所述，处理由此产生的数据的多个程序可以包含在远程医疗应用软件25，该软件25用于从各种类型的医疗设备获得数据和用于将该数据变换成适于传输到中央监视站11的形式。本领域普通技术人员会理解构造需要的程序类型和那些程序中的方式以便完成这些任务。
一旦调用了中断服务程序，则如方框46和47所示，它处理中断并且通知远程医疗应用软件25该数据的可使用性。接着如方框48所示，远程医疗应用软件25读取由该医疗设备发送的数据。接着该医疗设备数据由控制单元22发送到该通信设备，该通信设备优选地是LAN卡(未示出)，如方框51所示，该卡将该数据封装在分组中。接着如方框52所示，该分组由该LAN卡输出到网络16。
医疗设备接口24可以包含多个串口以便处理由多个医疗设备28-30发送的数据。本质上，医疗设备接口24自己处理所有的数据传送、缓冲和与使用单独中断有关的优先权功能。因此，因为众多的医疗设备28-30的组合可以连接到设备接口24，设备接口24结合远程医疗应用软件25在控制单元22和医疗设备28-30之间提供“即插即用”类型的兼容性。因此，医疗设备28-30可以以任意组合连接到设备接口24或从设备接口24上断开连接。单独中断接口24和远程医疗应用软件25的特点在配置远程医疗系统10上提供最大的灵活性。
另外，远程医疗应用软件25结合接口24可以执行必要的转换功能。远程医疗应用软件25可以包括由一个或多个医疗设备28-30，由控制单元22，或由医疗设备接口24将数据变换为可理解形式的程序。这个翻译功能便于不同设备之间的通信并且可以有效使用该单独的中断设备接口24。但是，应该注意到尽管本发明的该单独的中断结构是优选的，但是对于本领域普通技术人员来说，这不是必要的并且一个或多个医疗设备28-30将数据在医疗设备28-30和控制单元22之间传送可以利用的任意装置都适用于本发明，是显而易见的。
远程医疗应用软件25结合医疗设备接口24还可以执行使医疗设备使用不同协议通信的功能。例如，由医疗设备28-30使用的协议可以不同于任意其他的医疗设备使用的协议。远程医疗应用软件25可以包含使这些不同协议通过公共设备接口24通信的程序。
图5是功能性地说明由控制单元22从视频会议设备23经视频会议接口设备26接收的视频会议数据的处理的流程图。视频会议设备23包括得到病人的视频和音频图象的摄象机和话筒。如方框54所示，由视频会议接口设备26组成的视频会议软件将视频和音频输入处理成适于通信设备分组的格式。接着如方框55所示，数据提供给通信设备。
如上所述，本发明优选使用的通信协议是TCP/IP。本领域普通技术人员会理解数据在被发送到通信设备之前格式化的方式是分组。一般地，数据以串行比特流提供给通信设备。欲将该数据发送到的病人的身份和中央监视站的特性也提供给该通信设备。在来自一个或多个医疗设备的诊断测量数据随视频会议数据发送的情况下，被发送的测量的类型的表示和测量本身的表示也提供给通信设备。可选地，其他类型的信息也可以提供给通信设备，诸如测量的日期和时间、进行测量的医疗设备的类型，和病人监视站的位置或标识。
接着TCP/IP将该数据分析为分组，每个分组包括表示该分组要发送到的目的地的一个字段。接着如方框56所示，该分组由通信设备输入到网络上。因此，对应于一个特定测量发送的分组最少会包括病人身份的表示，发送的测量的类型，和测量本身的表示。多个分组数据字段定义病人的身份，测量类型的表示，和测量本身的表示。
除了中央监视站不包括医疗设备接口或医疗设备以外，中央监视站11本质上与病人监视站相同。除了不由中央监视站11接收控制医疗设备的数据以外，中央监视站11的数据处理本质上与图3和5描述的用于病人监视站18的数据处理相同。而且，中央监视站11的远程医疗软件不同于病人监视站的远程医疗软件。中央监视站的远程医疗软件包括用于分析测量数据以便确定接收数据的测量类型，例如数据是否是血压数据、温度数据、脉搏血氧定量数据等的一个或多个程序。中央监视站的远程医疗软件还包括用于确定该数据对应的病人的身份的功能。这也可以通过利用去封装的数据流中的数据顺序和包含在该数据流中确定测量类型、测量本身，和病人身份的预先选择的表示分析该去封装的数据实现。
接着在中央监视站为该病人保持的医疗文件可以更新以便反映所接收的测量。另一种方案，该医疗文件可以保持在位于中央监视站11外部，能够由中央监视站和/或病人监视站18访问的服务器中。对于本领域技术人员而言，执行这种分析的方式是显而易见的。
对于本领域技术人员而言，显然在不脱离本发明的精神和范围的情况下，可以对本发明进行各种变化和修改。如下面的权利要求书所述的，所有这些变化和修改均试图包括在本发明的范围内。

Claims (28)

1.一种用于通过网络在中央监视站和病人监视站之间传输话音、图象和医疗数据的远程医疗系统，该远程医疗系统包括：
位于病人监视站的一个第一控制单元，该控制单元从与该控制单元通信的一个或多个医疗仪器接收医疗数据并且将该医疗数据传送到与该控制单元通信的第一通信设备，该通信设备根据一种预先选择的通信协议将该医疗数据封装在分组中并且将该分组输出到网络上；和
位于中央监视站的一个第二控制单元，该第二控制单元与第二通信设备通信，该第二通信设备接收由第一通信设备输出到网络上的分组，该第二通信设备去封装该分组以便重构医疗数据，该重构的医疗数据被提供给第二控制单元。
2.权利要求1的远程医疗系统，其中该远程医疗系统用于在多个中央监视站和多个病人监视站之间传输话音、视频和医疗数据，每个病人监视站包括所述第一控制单元且每个所述中央监视站包括所述第二控制单元。
3.权利要求1的远程医疗系统，其中该网络是社区接入电视(CATV)网络。
4.权利要求1的远程医疗系统，其中该网络是异步传送模式(ATM)网络。
5.权利要求1的远程医疗系统，其中该网络是因特网。
6.权利要求1的远程医疗系统，其中该网络是公共电话交换网(PSTN)。
7.权利要求1的远程医疗系统，其中该网络是综合业务数字网(ISDN)。
8.权利要求1的远程医疗系统，其中该网络是局域网(LAN)。
9.权利要求1的远程医疗系统，其中该网络是广域网(WAN)。
10.权利要求1的远程医疗系统，其中该网络是由如下构成的组中选择的一个或多个网络的组合组成的一个混合网络：社区接入电视(CATV)网，异步传送模式(ATM)网，因特网，公共电话交换网(PSTN)，综合业务数字网(ISDN)，局域网(LAN)，或广域网(WAN)。
11.权利要求1的远程医疗系统，其中第一控制单元从与该控制单元通信的视频会议设备接收视频和话音数据并且将该视频和话音数据传送到第一通信设备，该通信设备根据预先选择的通信协议将该视频和话音数据封装在分组中并且将该分组输出到网络上，其中第二通信设备接收封装该视频和话音数据的分组并且去封装该分组以便重构视频和话音数据，该第二通信设备提供该视频和话音数据给第二控制单元。
12.权利要求3的远程医疗系统，其中该通信协议是TCP/IP。
13.权利要求4的远程医疗系统，其中该通信协议是TCP/IP。
14.权利要求5的远程医疗系统，其中该通信协议是TCP/IP。
15.权利要求6的远程医疗系统，其中该通信协议是TCP/IP。
16.权利要求7的远程医疗系统，其中该通信协议是TCP/IP。
17.权利要求8的远程医疗系统，其中该通信协议是TCP/IP。
18.权利要求9的远程医疗系统，其中该通信协议是TCP/IP。
19.权利要求10的远程医疗系统，其中该通信协议是TCP/IP。
20.一种在远程医疗系统中获得和传输数据的方法，该方法包括步骤：
从位于病人监视站的至少一个医疗设备得到测量数据，该测量数据表示病人身体状况的测量，该测量数据由一个或多个比特表示；
根据一种预先选择的通信协议将该数据封装在分组中，每个分组包含该分组要发送到的中央监视站的标志；
将该分组输出到网络上；
接收由包含在该分组中的标志指定的中央监视站的分组；
去封装该分组以便重构表示病人的身体状况的数据；和
提供表示身体状况的重构的测量数据到位于该中央监视站的控制单元。
21.权利要求20的方法，还包括步骤：
从位于病人监视站的视频会议设备获得视频和话音数据；
根据预先选择的通信协议将该视频和话音数据封装在分组中，每个分组包含该中央监视站的标志；
将该分组输出到网络上；
接收该中央监视站的分组；
去封装该分组以便重构视频和话音数据；和
将该重构的视频和话音数据提供给位于该中央监视站的控制单元。
22.权利要求20的方法，其中输出到网络上的分组包括一个医疗记录并且其中该医疗记录包含该病人身份的表示和包括在该医疗记录中的测量数据的类型。
23.权利要求21的方法，其中包括输出到网络上的测量数据的分组包含一个医疗记录并且其中该医疗记录包含该病人身份的表示和包含在该医疗记录中的测量数据的类型的表示。
24.权利要求23的方法，其中该医疗记录还包含得到该测量数据的医疗设备的类型的表示和该病人监视站的网络地址的表示。
25.一种在远程医疗系统中获得和传输数据的方法，该方法包括步骤：
产生位于中央监视站的控制单元中的医疗设备命令数据和应用级数据，该数据由一个或多个比特表示；
根据一种预先选择的通信协议将该数据封装在分组中，每个分组包括该分组要发送到的病人监视站的标志；
将该分组输出到网络上；
接收由包含在该分组中的标志指定的病人监视站的分组；
去封装该分组以便重构该数据；和
提供该重构数据给位于该病人监视站的控制单元。
26.权利要求25的方法，还包括步骤：
从位于中央监视站的视频会议设备得到视频和话音数据；
根据预先选择的通信协议将该视频和话音数据封装在分组中，每个分组包括病人监视站的标志；
将该分组输出到网络上；
接收该病人监视站的分组；
去封装该分组以便重构该视频和话音数据；和
将该重构的视频和话音数据提供给位于该病人监视站的控制单元。
27.一种在远程医疗系统中使用的数据信号，该数据信号涉及从位于病人监视站的医疗设备得到的测量，该测量对应病人的身体状况，其中该数据信号被提供给一个通信设备，该通信设备产生经网络发送的数据分组，该数据信号提供给该通信设备，该数据信号包括：
表示多个测量的比特；
表示该病人身份的多个比特；和
表示从该医疗设备得到的测量类型的多个比特。
28.权利要求27的数据信号还包括：
表示得到该测量数据的日期和时间的多个比特；
表示用于得到该测量数据的医疗设备类型的比特；和
表示网络上的该医疗设备的位置的多个比特。
CN98809286A 1997-09-19 1998-09-18 用于在中央监视站和远程病人监视站之间传送信息的基于分组的远程医疗系统 Pending CN1270676A (zh)

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CN113438919A (zh) * 2019-03-12 2021-09-24 深圳迈瑞生物医疗电子股份有限公司 一种病人监护方法及设备、计算机可读存储介质
CN113438919B (zh) * 2019-03-12 2023-08-18 深圳迈瑞生物医疗电子股份有限公司 一种病人监护方法及设备、计算机可读存储介质

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WO1999014882A2 (en) 1999-03-25
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US5987519A (en) 1999-11-16
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