CN102831285A

CN102831285A - Automated management workstation of hearing screening database for neonates/infants

Info

Publication number: CN102831285A
Application number: CN2011101583954A
Authority: CN
Inventors: 李晓璐; 程刚
Original assignee: Individual
Current assignee: Individual
Priority date: 2011-06-14
Filing date: 2011-06-14
Publication date: 2012-12-19

Abstract

The invention discloses an automated management workstation of a hearing screening database for neonates/infants, which relates to the technical field of computer information. The automated management workstation of the hearing screening database for neonates/infants integrates a computer technology, a network communication technology and a database technology to store and process hearing screening data of neonates, and provides a management system and a management method for a regional hearing screening tracking server for neonates. The workstation is low in cost, massive in storage and immediate in data upload and analysis, and is an effective hearing screening tracking service management system for neonates. The hearing screening data are uploaded automatically in real time to a master control center and are automatically stored by the system, so that manual error is avoided; (2) data is processed massively and the data are managed in a computerized manner, and screening quality control indexes are automatically measured; (3) suspected patients are traced, doctors and family members of neonates are informed by way of short messages and mailboxes and the like, and the long-standing problem that the patient neonates for medical advice in remote place cannot be filed; and (5) large scale hearing screening condition in a special time range in a special region can be comprehensively analyzed and estimated.

Description

Neonate/infant's hearing examination data base automatic management work station

One technical field

The present invention relates to a kind of computer information technology; Large-scale neonate and infant's hearing examination data are carried out the data aggregation library database sets up, manages, follows up a case by regular visits to; Through this workstation; Each examination fixed hospital can upload its hearing examination result automatically, changes the manual typing of examination data in the past, just can be uploaded to the method that administrative center gathers at set intervals; Making relevant leader superintendent office to neonate and infant's hearing situation in (whole nation or province, city) in the somewhere carry out in time, record objectively, comprehensive assessment examination effect.Through this workstation, can set up complete hearing archives for the Hearing Impaired, be convenient to medical institutions and health competent authorities and follow the tracks of and follow up a case by regular visits to.

Two background technologies

Since the sixties in last century, the problem of neonate, infant and children's dysacousis receives international community's common concern.Big quantity research and practice show that children's hearing and speech maldevelopment degree and hearing loss age of onset are closely related, and less with factor relations such as socio-economic status, family incomes.Therefore carry out neonate, infant and the examination of children's hearing, play immeasurable effect for improving the health of the people.

1993, (national institute of health, NIH) suggestion was carried out the hearing examination to the neonate who is born in 3 months in national sanitary institute.JCIH issued a statement in 1994, approved of clearly that (universalnewborn hearing screen UNHS) carries out the control of otology and dysacousis through the general examination of newborns ' hearing.1998, European hals,Nasen und Ohrenheilkunde association, Society of Pediatrics, deaf youngster's rehabilitation association united promulgation " European UNHS guide ".China has 2,000 ten thousand neonates birth present every year approximately, and inferring wherein has the infant of hearing loss to have 120,000 approximately, and its ratio is considerably beyond other common congenital disorders.2004, the Ministry of Public Health issued " examination of newborn infant diseases technical manual ", issued " UNHS technical manual " in 2009, required the neonate is carried out general hearing examination, and since then, UNHS is greatly promoted in China.

But along with being in full swing of screening, we find that the work that develops and manages of database is the subject matter that present neonate, infant and the general examination of children's hearing face, the main performance in the following areas:

1) each examination fixed point mechanism adopts basically and stays shelves on the paper, and manually-operated is difficult to avoid personal error;

2) each examination fixed point mechanism adopts the form of monthly magazine or annual report to report upper management mechanism, and data have hysteresis;

3) each examination fixed point mechanism can only add up the neonatal screening data of being born or going to a doctor in the court, if seek medical advice in the infant strange land, is difficult to filing;

4) Chinese annual neonate's quantity is more, adopts present data base administration pattern, and workload is big, takes time and effort, and efficient is not high;

5) can't carry out analysis-by-synthesis and assessment to extensive hearing examination situation such as the whole nation, province, municipality directly under the Central Government, autonomous region.

" neonate/infant's hearing examination data base automatic management work station " adopts computerize and networking; Carry out extensive hearing examination management; Compare with classic method; Cost reduction, mass memory, data upload and analysis are timely, are effective UNHS follow-up service management systems.

Three goals of the invention

In view of the shortcoming of above-mentioned prior art, of the present invention is integrated computer technology, the network communications technology, database technology in fundamental purpose, and a kind of regional UNHS tracking server management system and method are provided.

Four technical schemes

Binding data of the present invention storehouse, network service and computer technology make up regional UNHS follow-up service management system, and technically, regional scale is not established the upper limit, can be single tame hospital, counties and districts' level, prefecture-level, provincial until national level.This system follows the UNHS flow process of the Ministry of Public Health in 2009 regulation, and the progress tracking, infant data management, medical data collection, statistics etc. that can be UNHS work provide effectively and administer and maintain.

This workstation is divided into four levels:

1. hardware interface layer: for various existing hearing examination equipment provide the connecting system ability, and define unified message communication agreement, the inconvenience that brings with the different separately communication protocol of shielding.Simultaneously, this layer should also provide the network access system ability, and the data in real time in the hearing examination equipment that obtains is transferred to the data-interface layer;

2. data-interface layer: encapsulated the hearing examination data that finish for receiving hardware interface layer, simultaneously, these data have been delivered the information organization layer;

3. information organization layer: the storage of hearing examination data is provided, with reasonable manner tissue, store data, with reach efficiently, purpose fast, utilize himself data service to be provided simultaneously for other levels (particularly service provides layer);

4. service provides layer: be the highest level of workstation, each role who is mainly system service provides its interested function, is and the most frequent level of user interactions, and user experience preferably need be provided.This level need be paid close attention to operation flow, has provided shown in the typical hearing examination flow of transactions like Fig. 4, and simultaneously, this layer also need define user right, so that differential service to be provided.

Above-mentioned level all is structured on the network environment, but does not limit the form of expression of network, like Ethernet, Dial-up Network etc.

Five beneficial effects

Compared to prior art, the present invention adopts computer information technology, network technology, database technology to come the UNHS data are stored, handled, and its benefit has:

1. hearing examination data are uploaded by disease screening instrument automatically, file automatically;

2. mass data processing and supervisory computerization are calculated each item examination quality control index automatically, effectively avoid personal error;

3. the tracking suspected patient can be reminded doctor, family numbers of patients like note, mailbox etc. in examination and intervention stage in several ways;

4. open system is convenient to expand new business;

5. system scale adaptability is strong, can according to circumstances set up the system of different scales.

Six description of drawings

Fig. 1 workstation system Organization Chart

Fig. 2 workstation information flow chart

Fig. 3 forms data interface server is served a plurality of examination point synoptic diagram simultaneously

Fig. 4 data interface server cluster work synoptic diagram

Fig. 5 hearing examination facility interface unit outward appearance exemplary plot

Fig. 6 hearing examination facility interface unit front panel exemplary plot

Fig. 7 hearing examination facility interface unit rear panel exemplary plot

Fig. 8 hearing examination facility interface unit cabinet inside structural drawing

Seven embodiments

Level in this workstation technical scheme, role, network service are as shown in Figure 1; Each examination point configuration hearing examination equipment 2 and hearing examination facility interface unit 3; After the UNHS data that obtain infant and family members 1; The operator is docked hearing examination equipment 2 with hearing examination facility interface unit 3; Hearing examination facility interface unit 3 can receive all hearing examination data in the hearing examination equipment 2, and packing data is after communication network 15 is transferred to data interface server 14, and the communication interface 4 that wherein adopts between hearing examination facility interface unit 3 and the communication network 15 adopts the wireless GPRS mode.

Data storage server 14 with the hearing examination data storage that receives to main database server 11 or be equipped with in the database server 10, in the database with different list store data.Web server 13, data interface server 14, main database server 11, be equipped with database server 10, Short Message Service Gateway 9 is all interconnected through Ethernet 12, is deployed in same place.Web server 13 can or be equipped with database server 10 from main database server 11 and read hearing examination data.Doctor 6, parents of hospitalized children 1, system manager 7 all can be through computing machine 5 through communication network 15 and Web server 13 interactive information.Doctor 6 can obtain specific infant data, data are analyzed and operation such as management through WEB server 13, and simultaneously, Web server 13 also can be reminded doctor 6 through note; Infant and family members 1 can get access to the individual for information about through Web server 13, and simultaneously, Web server 13 also can be reminded infant and family members 1 through note, such as reinspection, intervening measure etc.; System manager 7 can carry out telemanagement to total system, and the note prompting message that sends of acceptable system.Web server 13 sends the note prompting through Short Message Service Gateway 9 Xiang doctor 6, infant and family members 1, system manager's 7 mobile phone 8.

Hearing examination facility interface unit 3 is under the jurisdiction of hardware interface layer, and each examination point is equipped with one, can be embedded platform; Also can be the common computer platform, need compatible different hearing examination equipment 2, comprise software interface and hardware interface; The ability that need have multiple access network; Like wireless dial-up, LAN etc., also have with the user and carry out assemblies such as mutual pilot lamp, display screen, with indicating equipment and data mode.

Data interface server 14 is under the jurisdiction of the data-interface layer, receives and manage a plurality of examination point data simultaneously, and is as shown in Figure 3, and data interface server 14 is managed examination point a16, examination point b17 simultaneously ... Examination point x18.But it should be noted that when examination and count out when larger that individual data interface server 14 can't satisfy request for utilization because of its processing capacity, speed, the network bandwidth; At this moment; Can set up the data interface server cluster, should carry out load balancing this moment, makes examination point mean allocation to each data interface server 14; Improve system stability; As shown in Figure 4, data interface server a23 management examination point aa20, examination point ab21 ... Examination point ax22, data interface server b27 management examination point ba24, examination point bb26 ... Examination point bx25; Data interface server x31 management examination point xa30, examination point xb29 ... Examination point xx28, data interface server a23, data interface server b27, data interface server x31 have formed the data interface server cluster.

Fig. 1 main database server 11 is under the jurisdiction of the information organization layer, is the Core server of total system information organization and storage, if fault and corrupted data, its consequence is catastrophic, so for increasing its reliability, configuration is equipped with database server 10.

As shown in Figure 1, Web server 13 is under the jurisdiction of service provides layer, belongs to the server maximum with user interactions; When number of users was larger, single Web server 13 also can be because of its processing capacity, speed, the network bandwidth can't satisfy request for utilization, at this moment; Identical with data interface server 14, also can set up the Web server cluster, should carry out load balancing; Make each user's mean allocation to each Web server 13, improve system stability.

For the data message flow relation between the more detailed explanation various piece, next will explain the information relationship of infosystem various piece, as shown in Figure 2.

Hearing examination equipment 2 sends hearing basic data 57 to hearing examination facility interface unit 3; Hearing examination facility interface unit 3 sends to data interface server 14 with the hearing basic data 55 after the format conversion, and data interface server 14 deposits hearing basic data 53 in database server 52.Web server 13 is transferred hearing basic data and user data 51 from database server 52.Web server 13 passes through mobile phone 8 and transmits prompting messages 40 Xiang doctor 6, and Web server 13 transmits tracking prompting message 38 through mobile phone 8 to infant and family members 1, and Web server 13 passes through mobile phone 8 to system manager's 7 transmission system management information 39.Simultaneously; Doctor 6 can be through computing machine 5 and Web server 13 interactive maintenance information and data analysis result 49; Infant and family members 1 check 48 through computing machine 5 and Web server 13 mutual personal information; System manager 7 is mutual through computing machine 5 and Web server 13, and total system is carried out maintenance and management 47.

Fig. 5 is hearing examination facility interface unit 3 outward appearance exemplary plot, and Fig. 6 is front panel 100 synoptic diagram, comprising: program run pilot lamp 101, and wireless status pilot lamp 102, cable network reiving/transmitting state pilot lamp 103 connects examination equipment state pilot lamp 104.Fig. 7 is rear panel 111 synoptic diagram, comprises: usb 1 05, hearing examination equipment 1 interface 106, wired network interface 107, antenna 108, hearing examination equipment 2 interfaces 109, power interface 110.Fig. 8 is the cabinet inside structural drawing, comprising: GPRS communication module 112, front panel 113, interface telescopic backboard 114, front panel 115, control core board 116.

Claims

1. the medical diagnosis that can satisfy the requirement of zones of different scale that is made up of hearing examination equipment, hearing examination facility interface unit, data interface server, active/standby database server, Web server, Short Message Service Gateway and wired (wireless) communication network is characterized in that with UNHS follow-up service management method: comprise the steps: that a. adopts specific identity code; B. hearing examination facility interface unit is gathered the hearing examination data in the examination equipment; C. hearing examination facility interface unit arrives data interface server through wireless communication networks with hearing examination data transmission; D. data interface server arrives active/standby database server through Ethernet with hearing examination data storage; The e.Web server is followed the tracks of and management service to the MDL visit and for doctor, parents of hospitalized children provide data analysis, the state of an illness; F. Short Message Service Gateway sends alert notification according to the task of management service Xiang doctor, parents of hospitalized children.

2. specific identity code according to claim 1 is characterized in that: the arranged mode a of identity code: motherhood card number+sex+which tire+which, as the unique and unified identification code of each data;

3. UNHS follow-up service management method according to claim 1; It is characterized in that: the hearing examination facility interface unit among the said step b is through the definition uniform protocol; Ability with the hearing examination equipment that inserts different manufacturers and model is to satisfy the versatility requirement that this method is used at different examination points.

4. UNHS follow-up service management method according to claim 1 is characterized in that: the data interface server among the said step c can concurrently be accepted the data of the examination facility interface unit of zones of different.

5. UNHS follow-up service management method according to claim 1 is characterized in that: the active/standby server of database can carry out data sync and recovery tasks automatically.

6. UNHS follow-up service management method according to claim 1 is characterized in that: the service that provides through Web comprises that hospital/doctor/patient/state of an illness information management, data analysis, initiative information are reminded, data sharing.