CN103489144A - Decision-making method and system for whole-journey continuous electrocardio treatment during advancing - Google Patents
Decision-making method and system for whole-journey continuous electrocardio treatment during advancing Download PDFInfo
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- CN103489144A CN103489144A CN201310430081.4A CN201310430081A CN103489144A CN 103489144 A CN103489144 A CN 103489144A CN 201310430081 A CN201310430081 A CN 201310430081A CN 103489144 A CN103489144 A CN 103489144A
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Abstract
The invention relates to a decision-making method and system for whole-journey continuous electrocardio treatment during advancing. The decision-making method for whole-journey continuous electrocardio treatment during advancing comprises the steps that (a) an emergency command center receives a first-aid message of a patient and dispatches an ambulance to leave for the position where the patient is located; (b) electronic medical record information of the patient is searched for and read by the emergency command center to be analyzed preliminarily; (c) the emergency command center receives monitoring information, achieved by monitoring equipment, of the patient on the ambulance, checks the road condition GIS information of the ambulance and sends the monitoring information of the patient to a hospital, and the hospital gives a report of the state of the illness of the patient according to the monitoring information and the electronic medical record information and feeds the report of the state of the illness back to the emergency command center; (d) the emergency command center transmits the information of a hospital assigned according to a decision to the ambulance; (e) the emergency command center sends the electronic medical record of the patient, the report of the state of the illness of the patient and the GIS information of the ambulance to the hospital assigned according to the decision. The decision-making method and system for whole-journey continuous electrocardio treatment during advancing have the advantages that the intelligentization degree is high, efficiency and reliability of decision-making treatment are improved, the application range is wide, and safety and reliability are guaranteed.
Description
Technical field
The present invention relates to a kind of decision-making technique and system, especially a kind of electrocardio whole process of advancing is given treatment to decision-making technique and system continuously, belongs to the technical field of medical decision making.
Background technology
Country and provinces and cities all establish public health emergency Emergency command decision-making system, but prove seldom separately for the paroxysmal decision system of a certain disease.And life is all for individuality, studying the paroxysmal decision system of a certain disease has its necessity.A tradition first aid process of advancing is isolated island treatment, supports hospital and first-aid centre to be difficult to obtain patient's instant messages, is difficult to make the decision-making of hospital's selecting properly, can cause incuring loss through delay emergency time.At present, exchange files, the method such as written instruction of leader and meeting discussion are step by step mainly passed through in decision-making, and decision-making foundation depends on word and the oral report of subordinate unit and department substantially, there is no analysis tool and related data base resource, is difficult to meet the requirement of decision-making.
Summary of the invention
The objective of the invention is to overcome the deficiencies in the prior art, provide a kind of electrocardio of advancing omnidistance treatment decision-making technique and system continuously, its intelligent degree is high, can improve efficiency and the reliability of decision-making treatment, and wide accommodation is safe and reliable.
According to technical scheme provided by the invention, the omnidistance treatment continuously of a kind of electrocardio of advancing decision-making technique, described decision-making technique comprises the steps:
A, Police Command Center receive patient's first aid information, and send ambulance to go to the position at patient place;
B, Police Command Center, according to patient's identity information, have access to patient's electronic health record information and carry out initial analysis;
C, Police Command Center receive the monitoring-information of custodial care facility to patient on ambulance, and the road conditions GIS information of checking ambulance, and described patient's monitoring-information is sent to hospital, hospital makes state of an illness report according to described monitoring-information and electronic health record information, and described state of an illness report is fed back to Police Command Center;
D, Police Command Center carry out decision-making according to the state of an illness report of hospital's feedback and the GIS traffic information of ambulance, and the information for hospital of decision-making appointment is transferred to ambulance, to allow ambulance that the hospital of the past decision-making of conveying patient is carried out to diagnosis and treatment;
E, Police Command Center send to decision-making hospital by the GIS information of patient's electronic health record, state of an illness report and ambulance, to allow decision-making hospital give treatment to preparation after receiving above-mentioned information.
In described steps d, the foundation that Police Command Center carries out decision-making is:
f(n)=J*x+K*y+L*z
Wherein, f (n) means the result of decision, and J means electrocardio dynamic indicator weights, and x is the change of illness state that the electrocardio dynamic change causes, x ∈ (0,1); K means the unobstructed degree of traffic, and y means that the magnitude of traffic flow changes, y ∈ [0,1]; L means the maximum distance of ambulance to hospital, and z is the road selection that ambulance arrives decision-making hospital, z ∈ (0,1].
The omnidistance treatment continuously of a kind of electrocardio of advancing decision system, comprise Police Command Center; Police Command Center receives patient's first aid information, and sends ambulance to go to the position at patient place; Police Command Center, according to patient's identity information, is had access to patient's electronic health record information and is carried out initial analysis; Police Command Center receives the monitoring-information of custodial care facility to patient on ambulance, and the road conditions GIS information of checking ambulance, and described patient's monitoring-information is sent to hospital, hospital makes state of an illness report according to described monitoring-information and electronic health record information, and described state of an illness report is fed back to Police Command Center; Police Command Center carries out decision-making according to the state of an illness report of hospital's feedback and the GIS traffic information of ambulance, and the information for hospital of decision-making appointment is transferred to ambulance, to allow ambulance that the hospital of the past decision-making of conveying patient is carried out to diagnosis and treatment; Police Command Center sends to decision-making hospital by the GIS information of patient's electronic health record, state of an illness report and ambulance, to allow decision-making hospital give treatment to preparation after receiving above-mentioned information.
Advantage of the present invention: Police Command Center according to patient on electronic health record information in the past, patient's ambulance the GIS positional information of running monitoring-information and ambulance carry out decision-making, can effectively meet patient's emergency treatment relief demand, intelligent degree is high, can improve efficiency and the reliability of decision-making treatment, wide accommodation, safe and reliable.
The accompanying drawing explanation
Fig. 1 is block diagram of the present invention.
Embodiment
Below in conjunction with concrete drawings and Examples, the invention will be further described.
As shown in Figure 1: in order to complete running treatment decision-making, improve efficiency and the reliability of decision-making, decision-making technique of the present invention comprises the steps:
A, Police Command Center receive patient's first aid information, and send ambulance to go to the position at patient place;
B, Police Command Center, according to patient's identity information, have access to patient's electronic health record information and carry out initial analysis;
In the embodiment of the present invention, Police Command Center, according to patient's identity information, is had access to the electronic health record information that patient often goes to hospital; Described electronic health record information can uniquely be determined according to patient's identity information, the purpose that Police Command Center carries out initial analysis is that patient's situation is tentatively understood, and guarantees that ambulance goes to the patient position and is sent to efficiency, the reliability in hospital's process.
C, Police Command Center receive the monitoring-information of custodial care facility to patient on ambulance, and the road conditions GIS information of checking ambulance, and described patient's monitoring-information is sent to hospital, hospital makes state of an illness report according to described monitoring-information and electronic health record information, and described state of an illness report is fed back to Police Command Center;
In the embodiment of the present invention, in order to check the GIS(Geographic Information System of ambulance) information, need mounting and positioning device on ambulance, as GPS(Global Positioning System) locating device or Big Dipper locating device etc., in addition, also to carry the custodial care facility to patient on ambulance, described custodial care facility comprises cardiac monitoring equipment, custodial care facility can be crossed the transmitting-receiving that the onboard wireless R-T unit carries out wireless signal by slowing down information exchange, with the monitoring-information by custodial care facility, is transferred to Police Command Center.Police Command Center is sent to hospital by monitoring-information, and described hospital refers to the hospital that transfers patient's electronic health record.There is expert system in hospital, and expert system is judged according to patient's electronic health record information and monitoring-information, makes preliminary state of an illness report, and state of an illness report is fed back to Police Command Center.Described state of an illness report generally comprises the emergency situation that patient is badly in need of relief, and condition information etc.
D, Police Command Center carry out decision-making according to the state of an illness report of hospital's feedback and the GIS traffic information of ambulance, and the information for hospital of decision-making appointment is transferred to ambulance, to allow ambulance that the hospital of the past decision-making of conveying patient is carried out to diagnosis and treatment;
The foundation that Police Command Center carries out decision-making is:
f(n)=J*x+K*y+L*z
Wherein, f (n) means the result of decision, and J means electrocardio dynamic indicator weights, and x is the change of illness state that the electrocardio dynamic change causes, x ∈ (0,1); K means the unobstructed degree of traffic, and y means that the magnitude of traffic flow changes, y ∈ [0,1]; L means the maximum distance of ambulance to hospital, and z is the road selection that ambulance arrives decision-making hospital, z ∈ (0,1].
Particularly, x illustrates as follows:
1, make Time domain analysis of heart rate variability with 24 hr Ambulatory EKG Monitoring continuous recordings, the Main Diagnosis index has: 1), 24 hours RR standard deviation interval SDNN<50ms, triangle index<15, HRV obviously reduces.2), SDNN<100ms, triangle index<20, HRV slightly reduces.
2, HRV frequency-domain analysis evaluation criterion: do the HRV frequency-domain analysis with 500 heartbeats, 5min short distance record or 24 hr Ambulatory EKG Monitoring continuous recordings, following index prompting HRV reduces: all frequency bands all have power to descend.While standing, without the low frequency composition, increase, prompting sympathetic nerve reactivity worth weakens or Baroreflex sensitivity reduces; The frequency spectrum general power descends, and low frequency/high frequency ratio can be constant; But, when low frequency descends, this ratio can reduce, when high frequency descends, ratio can increase; The low frequency centre frequency moves to left.
3, the danger of HRV reduction prompting Patients With Myocardial Infarction generation cardiac event is larger.At the omnidistance treatment continuously of an electrocardio of advancing weights, divide danger very serious (1 representative is in peril of one's life), stable disease (0 represents that pathological index is normal) after rescue
The omnidistance treatment continuously of an electrocardio of advancing traffic degree of mobility weights are K, it can be [0 that the magnitude of traffic flow changes y, 1] any number between, 0 expression is unimpeded, 1 expression traffic congestion can not be passed through within the rescue time, Y between 0 and 1 can take advantage of a coefficient to adjust according to the magnitude of traffic flow situation of different cities, and the less expression traffic of K is more smooth.
Hospital's road weights are L, and L represents that ambulance is to hospital's maximum distance, but, due to road conditions, ambulance has several roads to select, and ambulance is chosen as z to the objective hospital road, z can be (0,1] between arbitrary value.The weights of the less expression road of L distance are less, this hospital from advance middle ambulance more close to.
E, Police Command Center send to decision-making hospital by the GIS information of patient's electronic health record, state of an illness report and ambulance, to allow decision-making hospital give treatment to preparation after receiving above-mentioned information.
Described decision-making hospital can be for often going to different hospital of hospital from patient, decision-making hospital is the GIS information at running state of an illness report and ambulance according to patient's electronic health record, patient, can carry out timely and effectively preliminary work, carry out in time diagnosis and treatment work after patient arrives.
According to the above description, in the embodiment of the present invention, the omnidistance treatment continuously of an electrocardio of advancing decision system, comprise Police Command Center; Police Command Center receives patient's first aid information, and sends ambulance to go to the position at patient place; Police Command Center, according to patient's identity information, is had access to patient's electronic health record information and is carried out initial analysis; Police Command Center receives the monitoring-information of custodial care facility to patient on ambulance, and the road conditions GIS information of checking ambulance, and described patient's monitoring-information is sent to hospital, hospital makes state of an illness report according to described monitoring-information and electronic health record information, and described state of an illness report is fed back to Police Command Center; Police Command Center carries out decision-making according to the state of an illness report of hospital's feedback and the GIS traffic information of ambulance, and the information for hospital of decision-making appointment is transferred to ambulance, to allow ambulance that the hospital of the past decision-making of conveying patient is carried out to diagnosis and treatment; Police Command Center sends to decision-making hospital by the GIS information of patient's electronic health record, state of an illness report and ambulance, to allow decision-making hospital give treatment to preparation after receiving above-mentioned information.
Claims (3)
1. the omnidistance treatment continuously of an electrocardio of an advancing decision-making technique, is characterized in that, described decision-making technique comprises the steps:
(a), Police Command Center receives patient's first aid information, and sends ambulance to go to the position at patient place;
(b), Police Command Center is according to patient's identity information, have access to patient's electronic health record information and carry out initial analysis;
(c), Police Command Center receives the monitoring-information of custodial care facility to patient on ambulance, and the road conditions GIS information of checking ambulance, and described patient's monitoring-information is sent to hospital, hospital makes state of an illness report according to described monitoring-information and electronic health record information, and described state of an illness report is fed back to Police Command Center;
(d), Police Command Center carries out decision-making according to the state of an illness report of hospital feedback and the GIS traffic information of ambulance, and the information for hospital of decision-making appointment is transferred to ambulance, to allow ambulance that conveying patient is carried out to diagnosis and treatment toward the hospital of decision-making;
(e), Police Command Center is reported by patient's electronic health record, the state of an illness and the GIS information of ambulance sends to decision-making hospital, to allow decision-making hospital give treatment to preparation after receiving above-mentioned information.
2. an electrocardio whole process of advancing according to claim 1 is given treatment to decision-making technique continuously, and it is characterized in that: in described step (d), the foundation that Police Command Center carries out decision-making is:
f(n)=J*x+K*y+L*z
Wherein, f (n) means the result of decision, and J means electrocardio dynamic indicator weights, and x is the change of illness state that the electrocardio dynamic change causes, x ∈ (0,1); K means the unobstructed degree of traffic, and y means that the magnitude of traffic flow changes, y ∈ [0,1]; L means the maximum distance of ambulance to hospital, and z is the road selection that ambulance arrives decision-making hospital, z ∈ (0,1].
3. the omnidistance treatment continuously of an electrocardio of an advancing decision system, comprise Police Command Center; It is characterized in that: Police Command Center receives patient's first aid information, and sends ambulance to go to the position at patient place; Police Command Center, according to patient's identity information, is had access to patient's electronic health record information and is carried out initial analysis; Police Command Center receives the monitoring-information of custodial care facility to patient on ambulance, and the road conditions GIS information of checking ambulance, and described patient's monitoring-information is sent to hospital, hospital makes state of an illness report according to described monitoring-information and electronic health record information, and described state of an illness report is fed back to Police Command Center; Police Command Center carries out decision-making according to the state of an illness report of hospital's feedback and the GIS traffic information of ambulance, and the information for hospital of decision-making appointment is transferred to ambulance, to allow ambulance that the hospital of the past decision-making of conveying patient is carried out to diagnosis and treatment; Police Command Center sends to decision-making hospital by the GIS information of patient's electronic health record, state of an illness report and ambulance, to allow decision-making hospital give treatment to preparation after receiving above-mentioned information.
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| WO2017055899A1 (en) * | 2015-10-02 | 2017-04-06 | Nokia Technologies Oy | Apparatus and method for facilitating patient identification in conjunction with an emergency call |
| CN111447287A (en) * | 2020-04-29 | 2020-07-24 | 重庆生命新云网络科技有限公司 | Medical data cross-platform sharing system for emergency environment |
| CN112308366A (en) * | 2019-07-30 | 2021-02-02 | 丰田自动车株式会社 | Server, system, and service providing method |
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