KR20080004125A - Remote Screening / Health Management System - Google Patents

Abstract

The present invention automatically derives the health index from the bio-signals collected by the bio-signal measuring sensor that is assigned to the patient to measure various bio-signals, and various examinations and health care services required by the patient under the intermediary of the coordinator, a quasi-specialized medical personnel. The present invention relates to a remote checkup / health care system that enables to provide a remote control.

The remote checkup / health care system of the present invention is a health care center for checking and managing the health of the patient at a remote location; Home care that accesses the health care center through the Internet, delivers various biometric information of the patient measured by the biosignal measuring sensor, and displays the health index provided by the health care center and prescribed exercise and diet so that the user can know. It includes a CDSS agent for the hospital, which is a professional healthcare software for accessing the healthcare center through a server and the Internet, and performing various checkups and health care required by the patient, and the healthcare center is provided from the home care server. CDSS agent that calculates the patient's health index by analyzing the stored patient's bio-signals, the coordinator receives the information from the CDSS agent to guide the home care server or connect the home care server and the hospital CDSS agent Program and Screening and Healthcare John comprise the health care database in various data is stored.

Description

Remote Checkup / Healthcare System {Clinical Decision Support System}

1 is a network diagram of a remote medical examination / health care system of the present invention,

2 is a flow chart for explaining the operation of the remote examination / health care system of FIG.

Figure 3 is the overall workflow of the remote examination / health care system of the present invention,

Figure 4 is a workflow for explaining the service subscription process in the remote checkup / health care system of the present invention,

5 is a workflow for explaining the health index management / prescription process in the remote examination / health care system of the present invention,

Figure 6 is a workflow for explaining the service process of the attending physician in the remote examination / health care system of the present invention,

7 is a workflow for explaining a hypertension management process in the remote examination / health care system of the present invention,

8 is a workflow for explaining a hyperlipidemia management process in the remote examination / health care system of the present invention,

9 is a workflow for explaining the obesity management process in the remote examination / health care system of the present invention.

*** Explanation of symbols for the main parts of the drawings ***

100: healthcare center, 110: CDSS agent,

120: regimen management agent, 130: exercise management agent,

140: coordinator program, 150: healthcare DB,

151: patient DB, 152: health index / biological signal DB,

153: dietary information DB, 154: personal dietary schedule DB,

155: lifestyle DB, 155: drug DB,

200: home care server, 210: health information inquiry program,

220: a biosignal acquisition agent,

300, 310: biosignal measuring sensor,

400: Hospital CDSS Client

The present invention relates to a remote checkup / health care system, and in particular, in the public medical sector under the intermediary of the quasi-specialized medical personnel, the remote checkup and management can be performed remotely online for the public, chronic disease or high-risk patients It is about a checkup / health care system.

In recent years, with the rapid development of communication technology, a remote medical system that allows patients to access medical computers built in hospitals and the like through the Internet and receive consultations and medical treatments online has been proposed. It is used for such purposes.

On the other hand, by monitoring the status of the patient remotely by a bio-signal measuring sensor provided to the patient to detect the health state of the patient and generate a corresponding bio-signal and transmit it wirelessly, various bio-signals that were manually carried out by the doctor or nurse A technique that can drastically reduce the manpower and time required for the collection work is disclosed in detail in 2005 Patent Publication No. 86556.

However, in the case of the existing remote medical system, many problems have been raised as a business model because of the opaque business performance, the lack of reliability of the system, the number of medical problems, and the limitation of liability for medical accidents. Moreover, as financial hardships worsen due to deterioration in profitability in each hospital, investment in the introduction of medical informatization systems such as telemedicine and electronic prescriptions is becoming more cautious. In other words, hospitals had a problem that the telemedicine system could not be activated because the general number of the Ministry of Health and Welfare decided to introduce the telemedicine system according to the policy under the judgment that telemedicine services were not urgent.

The present invention has been made in order to solve the above-mentioned problems, the health index is automatically derived from the bio-signals collected by the bio-signal measuring sensor assigned to the patient to measure various bio-signals, and the coordinator It is an object of the present invention to provide a remote checkup / health care system that enables the remote provision of various checkups and health care services for patients under intermediation.

According to the remote medical examination / health care system of the present invention for achieving the above object, the patient periodically uses the bio-signal measuring sensor and home care server installed in the home when joining the system of the present invention to regularly monitor their bio-signals The measured biometric information is stored in the health index / biosignal DB in the health care center through a vital sign adapter agent.

The stored biodata is used as a data for calculating the patient's health index through the CDSS (Clinical Decision Support System) agent, which is also described later, and is also sent to the regimen management agent and the exercise management agent to manage the lifestyle of the patient (personal regimen, Momentum, obesity, drug use).

Furthermore, the patient management information calculated by the CDSS agent, the regimen management agent and the exercise management agent is stored in the health index / biological signal DB, the regimen information DB, and the lifestyle DB, respectively. Patient information can be inquired and changed. Patients can also query their medical history, bio-signal information, health index, recommended diet, obesity or prescription history through the patient health information inquiry system at home.

In case of worsening of symptoms or emergencies of the patient, the coordinator residing in the health care center of the present invention checks the patient's health abnormalities through the patient monitoring system, and then connects with the patient and the hospital doctor through a wired line for disease counseling, hospital reservation or emergency. Information about the measures can be exchanged. The changed patient information is updated in the Health Index / Biosignal DB through the hospital doctor's professional software and subsequently reflected in the hospital patient medical treatment, regimen management and exercise management information.

Hereinafter, with reference to the accompanying drawings will be described in detail for the remote health examination / management system according to a preferred embodiment of the present invention.

1 is a network diagram of a remote medical examination / health care system of the present invention. As shown in Figure 1, the network configuration of the remote examination / health care system of the present invention is largely connected to the health care center 100, the health care center 100 to check and manage the health of the patient from a remote location, the Internet through the Internet Access to the health care center through the home care server 200 and the Internet, which transmits various biometric information of the patient and displays the health index provided by the health care center 100 so that the user can know the prescribed exercise and diet. It can be made including a CDSS agent 400 for the hospital, which is a professional healthcare software that performs various checks and health care required by the patient.

In the above-described configuration, the home care server 200 is measured by at least one or more bio-signal measuring sensors 300, 310 which is installed in contact or non-contact with the patient in the patient's home again to measure various biometric information from the patient. The patient's own medical history, biosignal information, health index, recommended diet, obesity degree or prescription history by accessing the biosignal collecting agent 220 and the health care center 100 to collect and transmit the biosignal to the health care center 100 It may include a health information inquiry program 210 for receiving and displaying information such as.

Meanwhile, the health care center 100 analyzes the biosignal of the patient, which is received from the biosignal collection agent 220 of the home care server 200, and calculates the patient's health index. A regimen management agent 120 prescribing an appropriate diet for patients with hypertension, hyperlipidemia or obesity based on health index, an exercise management agent 130 for prescribing necessary exercise based on the patient's health index, and a CDSS agent (110) receives the information from the regimen management agent 120 and the exercise management agent 130 to perform the necessary guidance to the home care server 200 or by connecting the home care server 200 and the hospital CDSS agent 400 The week may include a coordinator program 140 and a health care database 150 in which various data necessary for examination and health care are stored. Here, the coordinator program 140 is utilized by the coordinator, a paraprofessional medical personnel, to provide online consultations with patients, online patient visits, arranging consultations between the patient and the attending physician, inducing medication, calling emergency systems, and visiting the patient. Various functions are included for requesting, rescheduling appointments, visiting appointments, and enabling / disabling follow-up services to patients who require ongoing tracking. Next, the health care database 150 received from the patient DB 151, the biosignal collection agent 220, which stores various personal information of the patient, medical history, family history or various health check result information (lap data), etc. Health index / bio-signal DB (152), which stores the various bio-signal information of the patient and the health index information derived by the CDSS agent 110 from it, and a regimen information DB that stores the various regimen information prescribed for the patient 153, personal regimen DB (154) that stores various regimes necessary for the patient, lifestyle DB (155) that stores the lifestyle of the patient and drug DB that stores the medication information prescribed to the patient ( 156).

Figure 2 is a flow chart for explaining the operation of the remote examination / health care system of Figure 1, Figure 3 is the overall workflow of the remote detection / health care system of the present invention, Figure 4 is a remote examination / health care of the present invention Workflow to explain the service subscription process in the system. 2 to 4, first, in step S10, it is determined whether the service subscription function is selected from the patient (or 'subject'), and if so, proceeds to step S12, where the personal and medical history information, The family history and the like are received and stored in the subject DB 151, and in step S14, various health check result values are input from the patient. Next, in step S16, the received information is processed by the CDSS agent 110 to derive a health index, and in step S20 the health index thus obtained is stored in the health index / bio-signal DB (152). Lastly, in step S22, the home care server 200 is constructed while installing the biosignal measuring sensors 300 and 310 necessary for the home of the patient after performing payment for the patient who has completed the service subscription. .

On the other hand, when the determination result in step S10, if the service subscription function is not selected, go to step S30 to determine whether the health index management / prescription function is selected, Figure 5 is a health check in the remote checkup / health care system of the present invention Workflow to explain the index management / prescription process. As a result of the determination in step S30, if the health index management / prescription function is selected, proceed to step S34 biometric signal of the patient measured from the biosignal measurement sensors 300, 310 biometric signal of the home care server 200 Received from the collection agent 220 and stored in the health index / bio-signal DB (152). Next, in step S36, the biosignals thus collected and the medical history, family history, and lab data of the patient received and stored at the time of service subscription are analyzed to derive an index representing the current health status of the patient.

Next, in step S38, if the health index derived in step S36 falls within the normal range, the exercise and diet prescribed based on this are delivered to the home care server 200 and displayed on the user screen. In step S40, the health index derived in step S36 determines whether the patient's health condition is serious enough to require attention, and in serious cases, the coordinator program connects the attending physician and the patient online or sends attention to the patient. Cancel or adjust some of the prescription and dietary information. In step S42, it is determined whether the derived health index is a warning enough. If the warning is necessary, the coordinator program accesses the health information inquiry program of the home care server 200 to determine the prescription of the drug. Induces a dose.

Finally, in step S44, if the coordinator determines that consultation is necessary according to the patient's condition, the coordinator requests an consultation from the patient to perform an online consultation.In step S46, the coordinator determines whether emergency measures are required and if necessary, contact the emergency center. The medical staff will be sent to the patient.

Table 1 below is a table showing the actions taken by health management / prescription.

2, if the health index management / prescription function is not selected, the process proceeds to step S50 to determine whether the primary care service function is selected, and FIG. 6 shows the remote medical examination / health of the present invention. Workflow to describe the service process of the attending physician in the management system. Here, the service function of the attending physician refers to a function that enables the appointment of a hospital and the follow-up of a patient when an earthquake is needed due to abnormalities in patient health. As a result of the determination in step S50, when the primary care service function is selected, the process proceeds to step S52 where the biosignal collection agent of the home care server 200 receives the biosignal of the patient measured by the biosignal measuring sensors 300 and 310 ( Received from 220 and stored in the health index / bio-signal DB (152). Next, in step S54, the collected biosignal and the medical history, family history, and lab data of the patient received and stored at the time of joining the service are analyzed to derive an index representing the current health status of the patient.

Next, in step S56, if the health index derived in step S54 falls within the normal range, the exercise and diet prescribed based on this are delivered to the home care server 200 and displayed on the user screen. In step S58, the coordinator diagnoses the patient's health state through the stored biosignal and the analyzed health index of the patient, determines whether the visit and consultation with the attending physician are necessary, and then makes a reservation by visiting the patient.

Finally, in step S60, the attending physician or coordinator determines that the patient's condition needs to be continuously tracked and activates the follow-up care service, which periodically sends the collected patient's biosignal to the coordinator or the attending physician. This refers to a service for confirming that the patient's condition is improved. If the patient's condition is improved, the follow-up medical service may be released.

2, when the result of the determination in step S50, if the service function of the attending physician is not selected, the process proceeds to step S70 to determine whether various disease management functions are selected, and FIG. 7 shows the remote medical examination / health management system of the present invention. Workflow to explain the hypertension management process. As a result of the determination in step S70, when the disease management function is selected, the process proceeds to step S72 where the biosignal collection agent of the home care server 200 receives the biosignal of the patient measured from the biosignal measuring sensors 300 and 310 ( Received from 220 and stored in the health index / bio-signal DB (152). Next, in step S74, a medical history, family history, and lab data of the patient, which are input and stored at the time of joining the service and the collected bio-signals, are analyzed to derive an index representing the current state of health of the patient.

Next, in step S76, if it is determined whether there is high blood pressure or hyperlipidemia by the health index derived in step S74, the process proceeds to step S78 to perform a warning or necessary action.

In more detail, first, when the patient is suffering from high blood pressure, the CDSS agent 110 notifies the coordinator through the coordinator program 140 along with the notification to the patient through the home care server 200 to alert.

Table 2 below shows the hypertension level according to the blood pressure and the drug treatment method according to the level.

On the other hand, according to the diet control as a necessary measure, in order to reduce the intake of sodium, which is the main cause of the increase in blood pressure, the high salt content is excluded when recommending the diet, and it is prohibited to eat instant foods (including instant drinks), Remind them to reduce their intake. Next, exercise therapy should avoid excessive exercise because it can have a negative effect on high blood pressure, and if there is a complication such as heart disease or kidney disease, consult with your doctor to determine the appropriate type and intensity of exercise so that it does not exceed this. Manage through the exercise management agent (130). Next, the drug therapy for hypertension depends on the patient's complications, so the appropriate drug should be selected / administered through consultation with a specialist.

8 is a workflow for explaining a hyperlipidemia management process in the remote examination / health care system of the present invention, Table 3 below is a table showing the initial classification and recommendations of hyperlipidemia according to cholesterol level, Table 4 is in the LDL cholesterol According to the classification table.

On the other hand, in controlling the diet of hyperlipidemic patients, the patient should reduce the intake of animal fats and consume vegetable fats, and should not eat more than 30% of the fats eaten per day, and avoid diets high in saturated fat such as butter and milk. good. In addition, it limits the intake of excess sugar, and it is good to eat enough protein. In exercise therapy, this can maximize the effect of the diet, heart beats and sweating aerobic exercise is good bar, at least three days a week, 30 to 45 minutes at a time is suitable.

Finally, pharmacotherapy must be administered only if sufficient results are not achieved after satisfactory periods of non-drug therapy such as diet, weight loss, and exercise. Blood cholesterol and triglycerides should then be measured to determine the effectiveness of the treatment.

2, if the disease management function is not selected as a result of the determination in step S70, the process proceeds to step S80 to determine whether the obesity management function is selected, Figure 9 is a remote checkup / health management system of the present invention Workflow for explaining obesity management process. As a result of the determination in step S80, when the obesity management function is selected, the process proceeds to step S82 where the biosignal collection agent of the home care server 200 receives the biosignal of the patient measured by the biosignal measuring sensors 300 and 310. Received from 220 and stored in the health index / bio-signal DB (152). Next, in step S84, the medical history, family history, and lab data of the patient, which are input and stored at the time of joining the service and the collected bio-signals, are analyzed to derive an index representing the current state of health of the patient.

Next, in step S86, the health index derived in step S84, the prescribed exercise, diet, and weight increase or decrease are transmitted to the home care server 200, and the patient is informed. In step S88, the intensity of the exercise is determined by consulting with the patient. Done.

In more detail, in the weight control, the patient checks his / her standard weight through the CDSS agent 110 in order to control his weight, sets a weight loss target, and records it in the subject DB 151. Next, in diet control, nutrients other than calories should be consumed in proper amounts, and necessary calories should be decomposed and supplemented from body fat. To this end, it is recommended to eat foods high in dietary fiber in order to reduce energy density, digestive absorption and give fullness.

Lastly, exercise therapy involves walking, walking, biking, stationary bicycles, and swimming, which are aerobic exercises that continuously stimulate the cardiopulmonary system while using large muscles. Bring on it, the decomposition of fat is activated.

The remote medical examination / healthcare system of the present invention is not limited to the above-described embodiments, and can be modified in various ways within the scope of the technical idea of the present invention.

According to the remote medical examination / health care system of the present invention as described above, it is possible to diagnose the health index and condition of the patient at a remote location by various biosignal information collected by the biosignal measuring sensor installed in the home of the patient.

In addition, through the coordinator program when a patient's health problems occur, it is possible to establish an efficient connection system between the patient and the hospital, it is possible to prompt and accurate emergency response by remote patient monitoring through real-time patient tracking management when an emergency patient occurs.

In addition, based on lifestyle information such as real-time patient biometric information, regimen and obesity management, it is possible to provide a personalized health care system. In particular, hyperlipidemia, diabetes, heart disease and obesity can affect the lifestyle of an individual. Effective management of patients can be achieved by managing systematic eating habits and exercise management therapy for many diseases.

Claims (3)

A health care center for remotely examining and managing patients' health; Home care that accesses the health care center through the Internet, delivers various biometric information of the patient measured by the biosignal measuring sensor, and displays the health index provided by the health care center and prescribed exercise and diet so that the user can know. A server and; It includes a CDSS agent for the hospital which is a professional healthcare software that is connected to the health care center through the Internet to perform the various examinations and health care necessary for the patient; The health care center analyzes the stored patient's bio-signal received from the home care server and calculates the patient's health index, and receives information from the CDSS agent to provide the home care server with necessary information or the home care server. Remote checkup / health care system including a coordinator program that connects the care server and the CDSS agent for the hospital and a health care database that stores various data necessary for the checkup and health care. According to claim 1, The health care center is further provided with a regimen management agent for prescribing an appropriate diet for patients with hypertension, hyperlipidemia or obesity based on the health index, The coordinator program receives information from the CDSS agent and the regimen management agent to perform the necessary guidance to the home care server or to connect the home care server and the CDSS agent for the hospital, characterized in that the remote examination / health care system . According to claim 2, wherein the health care center is further provided with an exercise management agent for prescribing an appropriate exercise for patients with hypertension, hyperlipidemia or obesity based on the health index, The coordinator program receives the information from the CDSS agent, the regimen management agent and the exercise management agent to perform the necessary guidance to the home care server or to connect the home care server and the hospital CDSS agent Screening / Healthcare System.

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