200905511 九、發明說明： 【發明所屬之技術領域】 本案與健康照護服務有關’更詳而言之，係利用行動化數位技術 所建立之科技化醫療照護系統。 【先前技術】 醫藥專業的分工愈來愈細，新醫療知識及技術突飛猛進，民眾已 無法以自己的常識或經驗來照顧自己或家人的健康，民眾面對自己及 家人的生命及健康愈來愈徬徨無措。而隨著數位時代來臨，即時性的 資訊是民眾的期待，在醫療照護上更是如此。如果即時的資訊及醫療 服務能夠挽回生命或增進健康，相信民眾必然趨之若鶩。目前民眾可 以利用網路向醫療單位進行醫療、㈣、職方面的諮詢，但缺點之 -是該等_方錢常錄文字職，綱者縣無法频的以文字 表達實際狀況’而回答者亦無從詢問的文字中找到真正的問題原 因，並給轉體而有效義議。缺點之二是回答者通常無法做到即時 回覆，因此會有不等程度的時間延遲，所以不適用於緊急的情況。缺 點之三’是民眾必須具有—定的f腦使用經驗，但是對於老年人或某 些病患而言，使用電腦可能會有較大的。缺點之四，是民眾通常 在發生身體不適之後才想得到醫療方面的協助，因此就醫療方面而 言，只能做到_的醫舰護，而無法_積極絲_病預防。 主動式、即時式的健康管理將可彌補上述的缺點，而—個可以預 期的理心狀;兄，係將絲式健康管理淑層面，對於國家保險制度、 5 200905511 面療疾病防m、健康促進，甚至是相關科技之經濟活動均有正向的 影響及效果。 【發明内容】 本案以主動式健康管理為前題，應㈣新技術整合醫療服務，以 動式即時式為服務目標，提出行動化數位資訊健康照護服務系統， 據以新的醫療服務方式提昇照護服務品質。 本案行動化數位資§峨康卩罐服務纟、纟㈣^要概念，係設立一服 務平台’概務平台可侧並收紐端被紐者的生理龍，並透過 一決策判斷知識庫判斷被照護者目前之生理狀況，服務平台並利用第 三世代通訊服務技術（簡稱3G)使被照護者與決策判斷知識庫中的照護 人員進行即時影像及資訊傳送，提供更便捷、準確與纽率的資訊服 務。 本案上述服務平台最基本及最主要功能，係做為遠端被照護者的 觀護系統，以及遠端被照護者與醫療系統的即時連結。 本案服務平台所產生的資訊，與醫療院所的遠距醫療服務整合， 可提昇遠距醫療服務範圍。有效利用人力派遣作業及提升工作效率。 透過視訊系統、RFID設備與模組式生理訊號感測設備以及上述服務平 台，醫療人員進行遠距醫療時，可獲得更具體的被照護者生理資料， 使遠距醫療將變得更便捷可行。 本案服務平台所產生的資訊與該緊急通報系統做整合，該服務平 台由專業人員設定生理資訊警示區，其所接收被照護者生理資訊若屬 6 200905511 於該生理資·_，觀務平㈣_訊，調護人員被 照護者目爾⑽，敝貞卿嶋⑽細應，緊急 處理，爭取更多救護機會。 本發明上物㈣纟__ w，繊康管理，民 眾平夺卩了解自己的身體狀況及各種疾觸危險因子，醫療院所會以200905511 IX. INSTRUCTIONS: [Technical field of invention] This case is related to health care services. More specifically, it is a scientific medical care system established by using mobile digital technology. [Prior Art] The division of labor in the medical profession is getting more and more fine, and the new medical knowledge and technology are advancing by leaps and bounds. The public can no longer take care of the health of themselves or their families with their common sense or experience. The people face the health and health of themselves and their families. Nothing to do. With the advent of the digital age, immediacy is the expectation of the people, especially in medical care. If immediate information and medical services can save lives or improve health, I believe that people will be eager to do so. At present, the public can use the Internet to provide medical care, (4), and job counseling to medical units, but the shortcoming is that these _ party money often records the word position, and the county can't frequently express the actual situation in words, and the respondent has no way. Find the real cause of the problem in the text of the inquiry, and give it a valid idea. The second disadvantage is that the respondent usually cannot respond instantly, so there will be an unequal time delay, so it is not suitable for emergency situations. The third point is that the public must have a certain experience in the use of the brain, but for the elderly or some patients, the use of computers may be larger. The fourth shortcoming is that people usually want medical assistance after they have physical discomfort. Therefore, in terms of medical care, they can only do _ medical ward protection, but not _ positive silk _ disease prevention. Active and immediate health management will make up for the above shortcomings, and a predictable mind; brother, the silk health management level, for the national insurance system, 5 200905511 face treatment disease prevention, health Promoting and even the economic activities of related technologies have positive effects and effects. [Inventive content] This case takes active health management as the premise, and should (4) integrate new medical technology into medical services, and propose a mobile digital health care service system with dynamic and immediate service. According to the new medical service, the care will be improved. service quality. In this case, the action-oriented digital § 峨 峨 卩 卩 纟 纟 纟 纟 纟 四 四 四 四 四 四 要 要 要 , , 要 要 要 要 要 概 概 概 概 概 概 概 概 概 概 概 概 概 概 概 概 概 概 概 概 概 概 概The current physiological condition of the caregiver, the service platform and the use of the third generation communication service technology (referred to as 3G) enable the caregivers and the caregivers in the decision-making knowledge base to transmit instant images and information, providing more convenient, accurate and new rate. Information service. The most basic and primary function of the above service platform in this case is as a care system for remote caregivers and an instant link between the remote caregiver and the medical system. The information generated by the service platform of this case is integrated with the remote medical services of medical institutions, which can enhance the range of telemedicine services. Effective use of manpower dispatch operations and improved work efficiency. Through video systems, RFID devices and modular physiological signal sensing devices and the above-mentioned service platforms, medical personnel can obtain more specific physiological data of caregivers when they are telemedicine, making telemedicine more convenient and feasible. The information generated by the service platform of the case is integrated with the emergency notification system. The service platform is set up by a professional to set up a physiological information warning zone. If the physiological information received by the caregiver belongs to the group 6 200905511, the physiological resources are _, the observation service is flat (4) _, the caretaker was cared for by the caregiver (10), Yan Qingyi (10), emergency treatment, and strive for more ambulance opportunities. The present invention (4) 纟 __ w, 繊康管理, the public to learn about their physical condition and various risk factors, medical institutions will
營養、運動輔以行為改絲提升㈣的健康，對於已知危險因子的部 分則加強監控’醫療照制服務品f獲得提升。 “本案將可使照護端的醫療服務架構大幅擴充，即能保有原有的醫 療資訊純運行_，又驗這㈣訊_安过雛方式開放 給有需要的民眾使用’職健賴護的—鋪色系統，提升全方位之 醫療服務。 【實施方式】 如第一、二圖，本案健康照護服務系統，主要包括： 居家端系統’包含被照護者身份辨識系統及生理資訊提供系統。 該居家端系統建置於被照護者之居所，以該身份辨識系統向一專屬服 務平台提供被闕者身份辨識，以該生理資訊提供系勒該服務平台 提供被照護者生理資訊(例如錢、心、跳、呼吸、體溫...等非侵入性測 量之生命徵象）。該被照護者身份辨識系統及生理資訊提供系統之實施 包含但不限於無線射頻辨識技術(RFID)。例如於居家端被照護者設立 主動式RFID標藏’並以醫院許可的2 45G通訊頻段，被照護者配帶即叩 手環後該服務平台即可藉由RFID訊號識別被照護者的身份。上述生理 7 200905511 資訊提供祕係处理職監職置實現，例如透触賴組化的生 理訊號設财提供簡胃的生職朗傳職。賴賴組化設備具有 -個共通的資料收㈣，它能夠串接各式生理訊號收錢(如心跳、血 壓脈搏〜電圖、血糖、血氧、呼吸等），並且透過脱職者是㈣ 介面回傳到後端電腦系統上。透過這個魏的資料收錢，能將各式 各樣的生理訊號’透過電腦系統辛接並且回傳至該服務平台上。當職 業者整合更多生理職⑼於f銳手環上後(财溫度、脈搏），便可 逐漸捨棄其他生理訊賴，在的线轉下，可減低被照護 ί \Nutrition, exercise supplemented by behavioral change to improve (4) health, and the monitoring of the known risk factors, the medical care services f improved. "This case will enable the medical service structure of the care center to be greatly expanded, that is, to maintain the original medical information pure operation _, and to test this (four) news _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Color system, enhance all-round medical services. [Embodiment] As shown in the first and second figures, the health care service system of this case mainly includes: The home system includes the caregiver identification system and the physiological information providing system. The system is built in the home of the care recipient, and the identity identification system provides the identity identification of the person to the exclusive service platform, and the physiological information provides the service platform to provide the physiological information of the care recipient (such as money, heart, and jump , respiratory, body temperature, etc., non-invasive measurement of vital signs.) The implementation of the caregiver identification system and physiological information providing system includes but is not limited to radio frequency identification (RFID). For example, at home care The active RFID tag is set up and the 2 45G communication band licensed by the hospital is used. The caregiver is equipped with a wristband and the service platform can be used by RFID. No. identifies the identity of the caregiver. The above physiological 7 200905511 information provides the secret system to handle the position of the supervisor, for example, through the physiological signals of the group to provide a simple life of the job. - A common data collection (four), it can connect a variety of physiological signals to collect money (such as heartbeat, blood pressure pulse ~ electrogram, blood sugar, blood oxygen, breathing, etc.), and through the off-the-job is (4) interface back to the back end On the computer system, through this Wei's data collection, a variety of physiological signals can be transmitted through the computer system and transmitted back to the service platform. When the professional integrates more physiological positions (9) in the sharp bracelet After the last (financial temperature, pulse), you can gradually abandon other physiological information, in the line, you can reduce the care ί \
者的不便。 :上述之服務平台，主要建構資料庫伺服器、生理訊號概器、 醫療資訊祕界接敝、遠距醫療_、魏與網路魏、民生照護 服務請求祕、緊急通報系統、以及決策判斷知識庫。 該資料庫舰贿城_者之諸轉並且與上述被照護 者身份辨識系統連結，以辨識被照護者之身份。 該生理城舰H肋收錢_上述辣端之生理資訊提供系 統所傳回的被照護者生理資訊。 Μ 合現有醫療資訊系統，提供被 護者與其制醫_行遠距醫 該醫療資訊系統界接模組，用以整 照護者之歷史病歷、用藥等既有資訊。 該运距醫療系統，使居家端之被照 療服務。 該視訊與網路系統， 連接上述絲L及該服務平台。其包括 8 200905511 RFIDnx備、通6设備(3G)，使被照護者之專屬特定人(例如子女、父母' 配偶）可透過5嫌務平台取得其被照護者的生活、生理資訊、或觀察被 照護者的即時狀況。被照護者更可以直接與該服務平台魏之特定人 進行視訊連線通話。 該民生照遵服務請求系統，提供被照護者民生照護服務，例如營 養諮詢、衛教、居家護理、看護……等。 該緊急通報系統，向醫療救護網提出關於被照護者的緊急通報， 使醫療救護網能在第一時間對被照護者進行緊急救護。 該決策判斷知識庫，依據該生理訊號伺服器的資料判斷被照護者 目前之生職況，發現觀護者目祕面臨的健射揭，或可能潛在 的健康問題，提it!處理制’並訂定生理資訊警示鋪，於必要時向 該服務平台之各所屬系統進行連繫。 本案上述服務平台最基本及最主要功能，係做為遠端被照護者的 觀遵系統，以及运端被照護者與醫療系統的即時連結。 本案服務平台所產生的資訊，與醫療院所的遠距醫療服務整合， 擴大遠距醫療服務範圍，有效利用人力派遣作業及提升工作效率。透 過視訊系統、RFID設備與模組式生理訊號感測設備以及上述服務平 台，醫療人員進行遠距醫療時，可獲得更具體的被照護者生理資料， 使遠距醫療將變得更便捷可行。傳統的遠端醫療採用電話問診的方 式，由醫師詢問病人可能的病痛所在，然後根據經驗法則來推斷可能 的病因。但是這樣問診的方式不僅助益有限，沒有醫學常識的被照護 200905511 者並無法提供正確㈣訊，導致軸問診實質效益不高。因此，在本 案的資訊系赫構下’使那ra提供身份，使用生職號感測器提供 生命徵«訊，賴視訊與網路純提供視訊内容，大大提高遠端問 診的資訊便利性。在這樣的架構下’就如同透過網路把#生帶到被照 護者的身邊，省卻地理上的_，真正帶給触護者綠的醫療照護 環境，達到全人照護之目標。 該服務平台所產生的資訊與該緊急通報系統做整合，該服務平台 由專業人Μ奴生理資畴祕’其所接收觀護者生理資訊若屬於 該生理資訊警示ϋ範U，該服務平台則發出警訊，提醒醫護人員被照 濩者目前的緊急狀況，醫護人貢可依實雜況為補關應。該服務 平台之警訊料軌技舰_於觀齡㈣的人得到相關 警示訊息，以便緊急處理，爭取更多救護機會。 值得注意的是，被照護者之專屬蚊人(例如子女、父母、配偶） 可透過該服務平台取得其被照護者的生活、生理資訊、或觀察被照護 者的即時歧’這触照護者哺訊均需嚴㈣安全把關，透過使用 GSM SIM認證，RFID身份辨識與傳統的帳號密碼認證，唯有正禮、認證 it過與存取許可用者才能存取這些資訊，使得任何—筆被照護者 的資料均受到系統嚴密的把關，讓被照護者不僅能夠活的快樂、健康、 安全，更要有基搞尊嚴觸私聽護，在健賴護與個人隱私的天 平上取得平衡點。 本發明上述方案，讓被闕者在無自覺症㈣，透過遠端的監控 200905511 '矛，醫療_即能在第-_掌_情，辑㈣細隊主動聯絡 亚域即時的醫療服務，避免了過去因延誤就醫的人儉悲劇。所以， 本案係-種絲讀輕理料，透雜輕理，民眾平時即了解自 己的身體狀⑽翻峨斷，#_㈣養、運動輔以 行為改變储梅彻，觀知細蝴編口強監控， 醫療照護的服務嚷得提升。而3G的即時影像及靖送，也滿足 了現代人對即時資訊的要求，不但縮短了病患與家屬的距離，增進家 庭和譜’也提升醫病_，同時也輕療院所_新商機。 a在本案中，3G是-_容傳遞平台與協定，而獅是—個提供内 谷的貝efl產生者’與視§fl、生理訊献同—角色。對謂而言，它只 ^要將資訊傳輕上述服務平台；而言，它所需要負責的工作就 是從上述服務平㈣將銳·龄傳__護者或其他相關使用 者的手機上。 本案上開主要技術更可改進被照護者緊急事件通報服務，藉由上 述的服務平台所獲得的類護者生理資訊，醫療機構可關整各項生 理資訊的緊急通報準則，並且要求系統在事件發生時進行通報。通報 事件可分為四種等級’分別是健康、微恙、危險與緊急。在危險等級 的時候，系統可以通報主治醫師，由主治醫師主動進行遠端問診。假 如遠端問診無法接通，或者是緊急系統通報為最緊急的等級，那麼除 了可以設定通報主治醫師、家屬、緊急救護體系外，還可以透過居家 邊理人員的RFID位置資訊來尋求最近的外出居家護理人員的協助。 200905511 综合而言，本案將可使照護端的醫療服務架構大幅擴充，即能保 有原有的醫療資訊系統運行賴，又㈣這些纽透過安全且認證過 的方式開放給有需要的民眾使用，形成健康照護的一種特色系統，提 升全方位之醫療服務。 本案以主動式健康管理為前題，應用創新技術整合醫療服務，以 主動式、即時式為服務目標，提出行動化數位資訊健康照護服務系統， 據以新的醫療服務方式提昇照護服務品質並期達到全人照護之理想。 【圖式簡單說明】 第一圖為本案服務系統之方塊圖。 第二圖為本案服務系統之連線示意圖。 【主要元件符號說明】 "»、 12Inconvenience. : The above-mentioned service platform, mainly constructs database server, physiological signal device, medical information secret connection, telemedicine _, Wei and network Wei, Minsheng care service request secret, emergency notification system, and decision-making knowledge Library. The database is linked to the above-mentioned caretaker identification system to identify the identity of the care recipient. The physiological city ship H rib collects money _ the physiological information of the above spicy end provides the physiological information of the caregiver returned by the system. The existing medical information system is provided to provide caregivers and their doctors. The medical information system interface module is used to monitor the historical records and medications of the caregiver. The distance medical system enables the home to be treated. The video and network system connects the wire L and the service platform. It includes 8 200905511 RFIDnx and 6 devices (3G), so that the specific person (such as the child, parent's spouse) of the caregiver can obtain the life, physiological information, or observation of the caregiver through the 5 suspect platform. The immediate condition of the care recipient. The care recipient can also directly make a video connection with the specific person of the service platform Wei. The livelihood photo service system provides care services for the caregivers, such as nutrition counseling, health education, home care, nursing care, etc. The emergency notification system provides an emergency notification to the medical care network about the care recipient, enabling the medical care network to provide emergency care to the care recipient at the first time. The decision-making knowledge base determines the current occupation status of the caregiver based on the information of the physiological signal server, and finds that the health care target faced by the caretaker, or potential health problems, Establish a physiological information warning shop and connect to each system of the service platform as necessary. The most basic and main function of the above service platform in this case is as the vision system of the remote care recipient and the instant connection between the care recipient and the medical system. The information generated by the service platform of this case is integrated with the remote medical services of medical institutions, expanding the scope of telemedicine services, effectively utilizing manpower dispatch operations and improving work efficiency. Through video systems, RFID devices and modular physiological signal sensing devices and the above-mentioned service platforms, medical personnel can obtain more specific physiological data of caregivers when they are telemedicine, making telemedicine more convenient and feasible. Traditional remote medical care uses a telephone consultation method in which the physician asks about the patient's possible pain and then infers the possible cause according to the rule of thumb. However, the way of this consultation is not only beneficial, but also the care of medical practitioners. 200905511 is not able to provide the correct (four) news, resulting in a low effective effect of the axis consultation. Therefore, in the case of the information system of this case, 'the identity of the ra is provided, and the life record sensor is used to provide vital signs. The video and the network purely provide video content, which greatly improves the information convenience of the remote consultation. Under such a structure, it is like bringing the #生 to the care recipient's side through the Internet, eliminating the geographical _, truly bringing the caregiver green medical care environment to the goal of whole person care. The information generated by the service platform is integrated with the emergency notification system, and the service platform is provided by a professional person. The physiological information of the caretaker received by the service platform belongs to the physiological information warning, and the service platform is A warning is issued to remind medical staff of the current state of emergency of the caregiver. The medical staff can make up for the situation. The police platform of the service platform, Yu Guanling (4), received relevant warning messages for emergency treatment and more ambulance opportunities. It is worth noting that the caregivers' exclusive mosquitoes (such as children, parents, spouses) can obtain the life and physiological information of their caregivers through the service platform, or observe the immediate disagreement of the caregivers. The information needs to be strictly (4) security check, through the use of GSM SIM authentication, RFID identification and traditional account password authentication, only the ceremony, certification it and access permissions users can access this information, so that any pen is taken care of The data of the people are strictly controlled by the system, so that the caregivers can not only live happily, healthily and safely, but also have a dignity and privacy care, and strike a balance between the balance of health care and personal privacy. The above solution of the present invention allows the beggar to be in the non-consciousness (4), through the remote monitoring 200905511 'spear, medical _ can be in the first -_ palm _ love, series (four) squad actively contact the sub-domain instant medical services, to avoid The tragedy of people who used to delay medical treatment in the past. Therefore, the case is a kind of silk-reading light material, which is easy to understand, and the people usually understand their body shape (10) turning over and breaking off, #_(四)养, sports supplemented by behavior change, storage Mecher, observing the fine butterfly Surveillance, medical care services have improved. The 3G instant image and sacred delivery also meet the requirements of modern people for instant information, which not only shortens the distance between patients and their families, but also enhances family and gene therapy, and also promotes medical treatment. a In this case, 3G is the -_-transmission platform and agreement, and the lion is a role that provides the inner efl producers and the §fl, the physiological message. For the opposite, it only wants to pass the information to the above service platform; in terms of it, it is responsible for the work from the above-mentioned service (4) to the mobile phone of the __ protector or other related users. The main technology in this case can improve the emergency notification service for caregivers. With the physiological information of the caregiver obtained by the above service platform, the medical institution can set the emergency notification criteria for various physiological information and request the system to be in the event. Notify when it occurs. Notification events can be divided into four levels' health, minorness, danger and emergency. At the time of the hazard level, the system can notify the attending physician, and the attending physician takes the initiative to conduct a remote consultation. If the remote consultation cannot be connected, or the emergency system is notified as the most urgent level, in addition to the notification of the attending physician, family, and emergency care system, the nearest location can be sought through the RFID location information of the home staff. Assistance from home caregivers. 200905511 In summary, this case will enable the medical service structure of the care center to be greatly expanded, that is, to maintain the operation of the original medical information system, and (4) these new products will be opened to the needy people through safe and certified methods to form a healthy A special system of care that enhances all-round medical services. This case takes active health management as the pre-requisite, applies innovative technology to integrate medical services, and proposes a mobile digital information health care service system with active and immediate service. According to the new medical service, the quality of care service is improved. Achieve the ideal of whole person care. [Simple description of the diagram] The first diagram is a block diagram of the service system of the case. The second figure is a schematic diagram of the connection of the service system of the case. [Main component symbol description] "», 12