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第１章 醫(yī)學信息學基礎 .............................................................................. 001
1.1 醫(yī)學信息學的基本理論 ················································.001
1.1.1 醫(yī)學信息學的內(nèi)涵 ··············································.001
1.1.2 醫(yī)學信息學的研究內(nèi)容 ········································.002
1.2 醫(yī)院信息系統(tǒng) ····························································.003
1.2.1 概念 ································································.003
1.2.2 功能劃分 ··························································.004
1.2.3 社區(qū)衛(wèi)生服務信息系統(tǒng) ········································.007
1.2.4 電子病歷 ··························································.009
1.3 健康檔案概述 ····························································.010
1.3.1 健康檔案管理信息系統(tǒng) ········································.011
1.3.2 健康信息的采集 ·················································.011
1.3.3 健康檔案管理信息系統(tǒng)的建立和管理 ······················.013
1.4 健康信息的共享與發(fā)展 ················································.015
第２章 物聯(lián)網(wǎng)在醫(yī)療衛(wèi)生領域應用涉及的主要技術 ............................ 018
2.1 通信技術 ··································································.018
2.1.1 ZigBee 技術 ·······················································.018
2.1.2 WiFi 技術 ·························································.022
2.1.3 5G 通信技術 ······················································.023
2.1.4 藍牙技術 ··························································.024
2.2 識別技術 ··································································.026
2.2.1 條碼技術 ··························································.026
2.2.2 RFID 技術 ·························································.028
2.3 傳感技術 ··································································.030
2.4 信息處理技術 ····························································.031
2.5 醫(yī)院實施應用 ····························································.032
第３章 物聯(lián)網(wǎng)在醫(yī)療衛(wèi)生領域的應用基礎設施 ................................... 034
3.1 概述 ········································································.034
3.2 物聯(lián)網(wǎng)的系統(tǒng)構成 ······················································.035
3.2.1 DCM 架構 ·························································.035
3.2.2 醫(yī)療衛(wèi)生領域的物聯(lián)網(wǎng)DCM 關系 ··························.035
3.3 感知層 ·····································································.036
3.3.1 RFID 單元和感知設備 ··········································.036
3.3.2 智能卡 ·····························································.037
3.3.3 傳感識別和傳感網(wǎng) ··············································.038
3.3.4 RTLS ·······························································.040
3.3.5 激光掃描識別單元和感知設備 ·······························.040
3.4 通信網(wǎng)絡層 ·······························································.041
3.4.1 有線通信網(wǎng)絡 ····················································.041
3.4.2 無線通信網(wǎng)絡 ····················································.042
3.4.3 網(wǎng)絡平臺 ··························································.042
3.5 應用管理層 ·······························································.044
3.5.1 中間件 ·····························································.044
3.5.2 數(shù)據(jù)管理和云計算 ··············································.045
3.5.3 系統(tǒng)集成 ··························································.045
3.6 公共技術 ··································································.046
3.6.1 標識與解析技術 ·················································.046
3.6.2 安全技術（認證與加密） ·····································.047
3.6.3 網(wǎng)絡管理和服務質(zhì)量管理 ·····································.047
第４章 物聯(lián)網(wǎng)與醫(yī)院信息化建設 ........................................................ 049
4.1 概述 ········································································.049
4.2 醫(yī)院物聯(lián)網(wǎng)技術建設發(fā)展現(xiàn)狀········································.050
4.3 物聯(lián)網(wǎng)是醫(yī)院信息化建設的基礎平臺 ·······························.051
4.4 物聯(lián)網(wǎng)在醫(yī)院信息系統(tǒng)的應用········································.052
4.4.1 門（急）診管理系統(tǒng) ···········································.052
4.4.2 住院管理系統(tǒng) ····················································.052
4.4.3 醫(yī)技管理系統(tǒng) ····················································.053
4.4.4 檢驗信息管理系統(tǒng) ··············································.053
4.4.5 血庫管理系統(tǒng) ····················································.054
4.4.6 臨床信息系統(tǒng) ····················································.055
4.4.7 護理信息系統(tǒng) ····················································.055
4.4.8 遠程手術、麻醉信息管理系統(tǒng) ·······························.056
4.4.9 病案管理系統(tǒng)和移動電子病歷系統(tǒng) ·························.057
4.4.10 重癥或重點患者管理系統(tǒng) ····································.057
4.5 物聯(lián)網(wǎng)在智慧醫(yī)療中的業(yè)務應用 ·····································.058
4.5.1 掛號分診排隊叫號系統(tǒng) ········································.058
4.5.2 臨床呼叫系統(tǒng) ····················································.058
4.5.3 手術示教系統(tǒng) ····················································.059
4.5.4 ICU 病房探視系統(tǒng) ··············································.059
4.5.5 遠程醫(yī)療系統(tǒng) ····················································.060
4.5.6 遠程會診 ··························································.060
4.5.7 遠程醫(yī)療咨詢 ····················································.061
4.5.8 遠程手術 ··························································.061
4.5.9 遠程聽診 ··························································.061
4.5.10 智能專家系統(tǒng) ···················································.062
4.6 物聯(lián)網(wǎng)在醫(yī)院運營管理信息化中的應用 ····························.063
4.6.1 設備管理系統(tǒng) ····················································.063
4.6.2 物資、材料管理系統(tǒng) ···········································.064
4.6.3 醫(yī)學文獻管理系統(tǒng) ··············································.064
4.7 綜合布線系統(tǒng) ····························································.065
4.7.1 機房工程系統(tǒng) ····················································.065
4.7.2 無線網(wǎng)絡覆蓋系統(tǒng) ··············································.066
4.7.3 門禁屏障系統(tǒng) ····················································.066
4.7.4 安全防范系統(tǒng) ····················································.067
第5 章 物聯(lián)網(wǎng)與智慧化臨床管理 ........................................................ 068
5.1 概述 ········································································.068
5.2 智能化電子病歷 ·························································.069
5.3 智慧化臨床路徑管理 ···················································.070
5.4 可穿戴設備、機器人、人工智能在臨床治療中的應用 ·············.071
5.5 RFID 在門（急）診管理系統(tǒng)中的應用 ·····························.072
5.5.1 門（急）診就診管理系統(tǒng)的運行現(xiàn)狀 ······················.072
5.5.2 物聯(lián)網(wǎng)技術的應用目標 ········································.072
5.5.3 工作流程優(yōu)化 ····················································.073
5.5.4 技術分析 ··························································.073
5.6 RFID 在患者管理系統(tǒng)中的應用 ······································.074
5.6.1 技術應用目標 ····················································.074
5.6.2 系統(tǒng)功能 ··························································.074
5.7 RFID 在嬰兒防盜系統(tǒng)上的應用 ······································.075
5.7.1 系統(tǒng)組成 ··························································.075
5.7.2 系統(tǒng)實現(xiàn) ··························································.076
5.7.3 工作流程 ··························································.076
5.8 重點患者監(jiān)護及定位系統(tǒng) ·············································.077
5.8.1 應用目標 ··························································.077
5.8.2 系統(tǒng)原理 ··························································.077
5.8.3 系統(tǒng)組成 ··························································.078
5.8.4 系統(tǒng)功能 ··························································.078
第6 章 物聯(lián)網(wǎng)在醫(yī)院管理中的應用 .................................................... 079
6.1 概述 ········································································.079
6.1.1 現(xiàn)狀與問題 ·······················································.079
6.1.2 醫(yī)院資產(chǎn)管理 ····················································.080
6.1.3 血液管理 ··························································.081
6.1.4 醫(yī)療廢物管理 ····················································.082
6.1.5 醫(yī)院消毒物品管理 ··············································.083
6.1.6 其他應用 ··························································.084
6.2 物聯(lián)網(wǎng)在員工管理領域的應用········································.085
6.2.1 概述 ································································.085
6.2.2 基于物聯(lián)網(wǎng)技術的醫(yī)院一卡通技術 ·························.086
6.2.3 門禁管理 ··························································.091
6.2.4 重要患者管理應用 ··············································.091
6.3 全院移動設備定位和監(jiān)控系統(tǒng)········································.092
6.4 消毒供應中心監(jiān)控系統(tǒng) ················································.093
6.5 門禁系統(tǒng) ··································································.095
6.6 辦公區(qū)域安全管理系統(tǒng) ················································.096
6.6.1 系統(tǒng)介紹 ··························································.096
6.6.2 系統(tǒng)控制 ··························································.096
6.6.3 系統(tǒng)功能 ··························································.096
第7 章 物聯(lián)網(wǎng)與中醫(yī)現(xiàn)代化 ............................................................... 098
7.1 概述 ········································································.098
7.2 物聯(lián)網(wǎng)在中醫(yī)現(xiàn)代化中的應用········································.099
7.2.1 物聯(lián)網(wǎng)感知中藥材追溯 ········································.099
7.2.2 物聯(lián)網(wǎng)在中醫(yī)把脈中的應用 ··································.099
7.2.3 基于物聯(lián)網(wǎng)的中醫(yī)臨床科研信息系統(tǒng) ······················.101
7.2.4 基于物聯(lián)網(wǎng)技術的煎藥室質(zhì)量管理系統(tǒng) ···················.103
7.2.5 基于物聯(lián)網(wǎng)的中醫(yī)古籍管理 ··································.104
第8 章 物聯(lián)網(wǎng)與公共衛(wèi)生 .................................................................. 106
8.1 概述 ········································································.106
8.2 疫情管理與急性傳染病患者監(jiān)測 ·····································.107
8.3 防疫場所的智能識別、檢測及自動消殺處理 ······················.108
8.4 建立公共衛(wèi)生智慧管理系統(tǒng)平臺 ·····································.108
第9 章 物聯(lián)網(wǎng)在醫(yī)療質(zhì)量安全管理方面的應用 .................................. 110
9.1 概述 ········································································.110
9.2 醫(yī)療急救管理 ····························································.110
9.3 血液信息管理 ····························································.111
9.4 移動門診輸液管理系統(tǒng) ················································.113
9.5 生命體征動態(tài)監(jiān)測系統(tǒng) ················································.115
9.6 新生兒防盜與母嬰配對管理系統(tǒng) ·····································.117
9.7 移動臨床護理系統(tǒng) ······················································.118
9.8 藥品的監(jiān)控管理 ·························································.120
9.9 臨床醫(yī)療護理管理 ······················································.121
9.10 住院患者行蹤定位及報警系統(tǒng) ······································.124
9.11 其他應用 ·································································.125
第10 章 物聯(lián)網(wǎng)與醫(yī)院環(huán)境 ................................................................ 127
10.1 概述 ·······································································.127
10.2 樓宇智能控制與能源管理 ············································.128
10.2.1 樓宇自控系統(tǒng)的功能 ··········································.128
10.2.2 樓宇自控系統(tǒng)的設計 ··········································.129
10.3 醫(yī)院數(shù)字化供電設備管理 ············································.133
10.4 醫(yī)院及病房溫控系統(tǒng) ··················································.134
10.5 醫(yī)院涉密資產(chǎn)出入管理 ···············································.134
10.6 醫(yī)院智慧消防平臺 ·····················································.135
10.7 防盜報警系統(tǒng) ···························································.135
10.8 電梯遠程監(jiān)控系統(tǒng) ·····················································.137
10.9 電話遙控系統(tǒng) ···························································.138
10.10 醫(yī)院安全監(jiān)控 ·························································.139
10.10.1 醫(yī)院監(jiān)控的必要性 ···········································.139
10.10.2 基本設計思想 ·················································.140
10.10.3 視頻監(jiān)控組成 ·················································.141
10.11 智慧型手術室 ··························································.146
10.11.1 手術室簡介 ····················································.146
10.11.2 手術室基本要求 ··············································.146
10.11.3 基于物聯(lián)網(wǎng)的智慧手術室 ··································.147
10.12 智能停車場管理系統(tǒng) ················································.149
10.12.1 車位引導系統(tǒng) ·················································.150
10.12.2 系統(tǒng)工作流程 ·················································.151
10.13 應急管理 ·······························································.153
10.13.1 應急照明 ·······················································.153
10.13.2 應急照明的設計 ··············································.154
10.13.3 智能應急照明 ·················································.154
10.13.4 應急廣播 ·······················································.155
10.14 智能病房 ·······························································.156
第11 章 物聯(lián)網(wǎng)與醫(yī)院物流 ........................................................................ 157
11.1 國外醫(yī)院物流發(fā)展現(xiàn)狀 ···············································.157
11.2 國內(nèi)醫(yī)院物流發(fā)展現(xiàn)狀 ···············································.158
11.3 物聯(lián)網(wǎng)技術與醫(yī)院物流 ···············································.159
11.3.1 醫(yī)院物流系統(tǒng)基本結構 ·······································.159
11.3.2 物聯(lián)網(wǎng)技術在藥品流通中的應用 ···························.160
11.3.3 物聯(lián)網(wǎng)技術在設備管理中的應用 ···························.162
11.3.4 物聯(lián)網(wǎng)技術在醫(yī)用耗材管理中的應用 ·····················.164
11.3.5 物聯(lián)網(wǎng)技術在標本管理中的應用 ···························.166
第12章 結語 ......................................................................... 169