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CN104523290B - Wireless networking digital auscultation system - Google Patents

Wireless networking digital auscultation system Download PDF

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CN104523290B
CN104523290B CN201510019341.8A CN201510019341A CN104523290B CN 104523290 B CN104523290 B CN 104523290B CN 201510019341 A CN201510019341 A CN 201510019341A CN 104523290 B CN104523290 B CN 104523290B
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patient
doctor
module
auscultation
app
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CN104523290A (en
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王天宝
赵斌
青刚
向乐
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Chengdu University of Information Technology
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Abstract

The invention discloses a wireless networking digital auscultation system. The wireless networking digital auscultation system comprises a patient terminal intelligent sensor device, and the patient terminal intelligent sensor device is in communication with a doctor terminal intelligent auscultation device and a server through a mobile internet; the patient terminal intelligent sensor device comprises a patient terminal intelligent sensor, data collected by the patient terminal intelligent sensor are in communication with a patient terminal intelligent mobile phone through Bluetooth, and a patient terminal APP is arranged on the patient terminal intelligent mobile phone. The doctor terminal intelligent auscultation device comprises a doctor terminal intelligent mobile phone, and a doctor terminal APP is arranged on the doctor terminal intelligent mobile phone; an auscultation processing system is arranged on the server and comprises an access authentication module, a communication signaling module, a firewall crossing module, a streaming media transmitting module, a user management module, a storage module and an analysis management module. By means of the wireless networking digital auscultation system, a doctor can conduct auscultation diagnosis on a patient at the far end.

Description

一种无线网络化数字听诊系统A wireless networked digital auscultation system

技术领域technical field

本发明涉及医用诊断领域,具体涉及一种无线网络化数字听诊系统。The invention relates to the field of medical diagnosis, in particular to a wireless networked digital auscultation system.

背景技术Background technique

听诊器是一种医学仪器,用来聆听人体或动物体内的声音。目前医院医生实际使用的听诊器属于非数字设备,其原理就是物质间振动传导,通过听诊器中的铝膜和空气导管将人体静脉、动脉、心(20-600Hz)、肺(100-1500Hz)、肠(20-1500Hz)内部的声音信号传送到医生的耳膜,医生要根据自己的经验来判断是否异常并计算心率。但这种方式传导的声音经过人耳,只能听到人耳能听到的范围,而不能将人体静脉、动脉、心、肺、肠内部的20-2000Hz范围的信号全部真实地表现出来。现有的各种电子式数字听诊器仅仅是使用拾音器将这些信号拾取、放大、数字化处理显示,同时将模拟放大的信号在本地回放给医生听,无法实现医生对病人远方听诊。A stethoscope is a medical instrument used to listen to sounds inside the human or animal body. At present, the stethoscope actually used by hospital doctors is a non-digital device. Its principle is the vibration conduction between substances, and the human veins, arteries, heart (20-600Hz), lung (100-1500Hz), intestine (20-1500Hz) The internal sound signal is transmitted to the doctor's eardrum, and the doctor should judge whether it is abnormal and calculate the heart rate based on his own experience. However, the sound transmitted in this way passes through the human ear, and can only hear the range that the human ear can hear, but cannot truly express all the signals in the range of 20-2000 Hz in the veins, arteries, heart, lungs, and intestines of the human body. Existing various electronic digital stethoscopes only use pickups to pick up, amplify, and digitally process and display these signals, and at the same time replay the analog amplified signals locally to the doctor, which cannot realize the doctor's remote auscultation of the patient.

发明内容Contents of the invention

本发明提供了一种无线网络化数字听诊系统,能够方便的实现医生在远端对病人进行听诊诊断。The invention provides a wireless networked digital auscultation system, which can conveniently realize the doctor's auscultation diagnosis on the patient at the remote end.

为实现上述目的,本发明的一个实施例所采取的技术方案是:In order to achieve the above object, the technical solution taken by one embodiment of the present invention is:

包括病人端智能传感器装置,病人端智能传感器装置与医生端智能听诊装置和服务器通过移动互联网互相通信;Including the patient-side smart sensor device, the patient-side smart sensor device communicates with the doctor-side smart auscultation device and server through the mobile Internet;

病人端智能传感器装置包括病人端智能传感器,病人端智能传感器采集的数据通过蓝牙与病人端智能手机通信;病人端智能手机上设有病人端APP,病人端APP包括蓝牙通信模块、病人端波形及数据显示模块、病人端用户界面模块、病人端数据通信模块、病人端数据处理模块、医生预约及医嘱处理模块和病人端系统状态管理模块;The patient-side smart sensor device includes a patient-side smart sensor, and the data collected by the patient-side smart sensor communicates with the patient-side smart phone through Bluetooth; the patient-side smart phone is provided with a patient-side APP, and the patient-side APP includes a Bluetooth communication module, a patient-side waveform and Data display module, patient-side user interface module, patient-side data communication module, patient-side data processing module, doctor appointment and doctor order processing module, and patient-side system status management module;

医生端智能听诊装置包括医生端智能手机,医生端智能手机上设有医生端APP,医生端APP包括医生端波形及数据显示模块、医生端用户界面模块、医生端数据通信模块、医生端数据处理模块、医生预约查询及医嘱撰写模块和医生端系统状态管理模块;The doctor-side smart auscultation device includes a doctor-side smart phone, and a doctor-side APP is installed on the doctor-side smart phone. The doctor-side APP includes a doctor-side waveform and data display module, a doctor-side user interface module, a doctor-side data communication module, and a doctor-side data processing module. module, doctor appointment query and doctor's order writing module, and doctor-side system status management module;

服务器上设有听诊处理系统,听诊处理系统包括接入认证模块、通信信令模块、防火墙穿越模块、流媒体转发模块、用户管理模块、存储模块和分析管理模块。The server is provided with an auscultation processing system, and the auscultation processing system includes an access authentication module, a communication signaling module, a firewall traversal module, a streaming media forwarding module, a user management module, a storage module and an analysis management module.

优选地,病人端APP和医生端APP均设有视频通信模块和语音通信模块。Preferably, both the patient-side APP and the doctor-side APP are provided with a video communication module and a voice communication module.

优选地,病人端智能传感器包括麦克风阵列,麦克风阵列依次与信号调理电路、多通道声音编译码器、病人端处理器和病人端通信电路连接。Preferably, the patient-side smart sensor includes a microphone array, and the microphone array is sequentially connected with a signal conditioning circuit, a multi-channel sound codec, a patient-side processor and a patient-side communication circuit.

优选地,麦克风阵列是传感器耦合压缩麦克风阵列。Preferably, the microphone array is a sensor coupled compression microphone array.

优选地,信号调理电路为非线性信号调理电路。Preferably, the signal conditioning circuit is a non-linear signal conditioning circuit.

本系统产生的有益效果为:The beneficial effects produced by this system are:

1.将病人的静脉、动脉、心、肺、肠内部的20-2000Hz范围的信号数字化后通过手机传送至远方的医生的手机并分析、处理、显示、存储和回放出来医生判断,可实现病人在医生的远程可视指导下,协助医生对病人的身体状况进行远程诊断,极大地方便了医生和病人。1. Digitize the signals in the range of 20-2000Hz of the patient's veins, arteries, heart, lungs, and intestines, and then transmit them to the mobile phone of a distant doctor through a mobile phone for analysis, processing, display, storage, and playback. Under the doctor's remote visual guidance, it assists the doctor in the remote diagnosis of the patient's physical condition, which greatly facilitates the doctor and the patient.

2.人耳随着年龄的增长,听到的声音频率范围会变窄,本装置利用医生端智能手机,通过APP中波形显示和频率分析功能可将医生无法听到声音显示和分析出来,供医生参考。2. As the human ear grows older, the frequency range of the sound heard will become narrower. This device uses the doctor's smart phone to display and analyze the sound that the doctor cannot hear through the waveform display and frequency analysis functions in the APP. Physician reference.

3.前端传感器采用传感器耦合压缩麦克风阵列,能最大限度将环境背景声音滤掉,病人的病理信号更加清晰。3. The front-end sensor adopts a sensor-coupled compression microphone array, which can filter out the ambient background sound to the greatest extent, and the patient's pathological signal is clearer.

4.设有非线性信号调理电路,能有效的实现对较强信号的抑制,对较弱信号的放大,便于后续的声音编译码器和微控制器的控制处理。4. Equipped with a non-linear signal conditioning circuit, which can effectively suppress stronger signals and amplify weaker signals, which is convenient for subsequent control and processing of sound codecs and microcontrollers.

附图说明Description of drawings

图1所示为本发明的一种无线网络化数字听诊系统的一个实施例的示意图。FIG. 1 is a schematic diagram of an embodiment of a wireless networked digital auscultation system of the present invention.

图2所示为本发明的病人端智能传感装置的一个实施例的示意图。FIG. 2 is a schematic diagram of an embodiment of the patient-side intelligent sensing device of the present invention.

图3所示为本发明的医生端智能听诊装置的一个实施例的示意图。FIG. 3 is a schematic diagram of an embodiment of the smart auscultation device at the doctor end of the present invention.

图4所示为本发明的听诊处理系统的一个实施例的示意图。FIG. 4 is a schematic diagram of an embodiment of the auscultation processing system of the present invention.

具体实施方式detailed description

为使本发明的目的、技术方案和优点更加清楚,下面将结合本发明具体实施例及相应的附图对本发明技术方案进行清楚、完整地描述。In order to make the purpose, technical solution and advantages of the present invention clearer, the technical solution of the present invention will be clearly and completely described below in conjunction with specific embodiments of the present invention and corresponding drawings.

参考图1,在本发明的一个实施例中,无线网络化数字听诊系统包括病人端智能传感器装置,病人端智能传感器装置与医生端智能听诊装置和服务器通过移动互联网互相通信。Referring to FIG. 1 , in one embodiment of the present invention, the wireless networked digital auscultation system includes a patient-side smart sensor device, and the patient-side smart sensor device communicates with the doctor-side smart auscultation device and server through the mobile Internet.

病人端智能传感器装置包括病人端智能传感器,病人端智能传感器采集的数据通过蓝牙与病人端智能手机通信;病人端智能手机上设有病人端APP,病人端APP包括蓝牙通信模块、病人端波形及数据显示模块、病人端用户界面模块、病人端数据通信模块、病人端数据处理模块、医生预约及医嘱处理模块和病人端系统状态管理模块。The patient-side smart sensor device includes a patient-side smart sensor, and the data collected by the patient-side smart sensor communicates with the patient-side smart phone through Bluetooth; the patient-side smart phone is provided with a patient-side APP, and the patient-side APP includes a Bluetooth communication module, a patient-side waveform and Data display module, patient-side user interface module, patient-side data communication module, patient-side data processing module, doctor appointment and doctor's order processing module, and patient-side system status management module.

蓝牙通信模块主要负责通过手机蓝牙协议栈及蓝牙硬件与前端智能传感器的蓝牙芯片进行通信,将已数字化的传感器采集的信息传送到手机中。病人端波形及数据显示模块主要完成所采集波形数据的显示和识别处理后结果的显示。病人端用户界面模块主要负责和病人的交互等工作。病人端数据通信模块负责接受远端文字、图片信息和文件接收,本地文件发送、图片和文字信息发送等工作。病人端数据处理模块负责对波形数据进行变换、FFT处理和数字滤波、智能分析与标记、异常值判断和存储与检索等工作。医生预约及医嘱处理模块主要负责查找医生,加入医生并通过文字、图片和微视频等方式预约医生并将医生的医嘱进行显示和储存等工作。病人端系统状态管理模块主要完成对系统各部分的状态采集显示等功能。The Bluetooth communication module is mainly responsible for communicating with the Bluetooth chip of the front-end smart sensor through the mobile phone Bluetooth protocol stack and Bluetooth hardware, and transmitting the digitized information collected by the sensor to the mobile phone. The patient-side waveform and data display module mainly completes the display of the collected waveform data and the display of the results after identification processing. The patient-side user interface module is mainly responsible for the interaction with the patient. The patient-end data communication module is responsible for receiving remote text, picture information and file reception, local file transmission, picture and text information transmission, etc. The patient-side data processing module is responsible for transforming waveform data, FFT processing and digital filtering, intelligent analysis and marking, abnormal value judgment, storage and retrieval, etc. The doctor appointment and doctor's order processing module is mainly responsible for finding doctors, adding doctors, making appointments with doctors through text, pictures and micro-videos, and displaying and storing doctor's orders. The patient-end system status management module mainly completes the functions of collecting and displaying the status of each part of the system.

医生端智能听诊装置包括医生端智能手机,医生端智能手机上设有医生端APP,医生端APP包括医生端波形及数据显示模块、医生端用户界面模块、医生端数据通信模块、医生端数据处理模块、医生预约查询及医嘱撰写模块和医生端系统状态管理模块。The doctor-side smart auscultation device includes a doctor-side smart phone, and a doctor-side APP is installed on the doctor-side smart phone. The doctor-side APP includes a doctor-side waveform and data display module, a doctor-side user interface module, a doctor-side data communication module, and a doctor-side data processing module. Module, doctor appointment query and doctor's order writing module, and doctor-side system status management module.

医生端波形及数据显示模块主要完成病人端所采集波形数据的显示和识别处理后结果的显示。医生端用户界面模块主要负责和医生的交互等工作。医生端数据通信模块负责接受远端文字、图片信息和文件接收,本地文件发送、图片和文字信息发送等工作。医生端数据处理模块负责对病人端波形数据进行变换、FFT处理和数字滤波、智能分析与标记、声音回放、异常值判断和存储与检索等工作。病人预约查看及医嘱撰写模块主要负责查看预约病人的列表及预约的内容,通过文字、图片和微视频等方式产生医嘱并发送到数据通信模块处理。医生端系统状态管理模块主要完成对系统各部分的状态采集显示等功能。The doctor terminal waveform and data display module mainly completes the display of the waveform data collected by the patient terminal and the display of the results after identification and processing. The doctor-end user interface module is mainly responsible for the interaction with doctors and other work. The doctor-side data communication module is responsible for receiving remote text, picture information and file reception, local file transmission, picture and text information transmission, etc. The doctor-end data processing module is responsible for transforming the patient-end waveform data, FFT processing and digital filtering, intelligent analysis and marking, sound playback, abnormal value judgment, storage and retrieval, etc. The patient appointment viewing and doctor's order writing module is mainly responsible for viewing the list of reserved patients and the content of the appointment, generating doctor's orders through text, pictures, and micro-videos, and sending them to the data communication module for processing. The doctor-end system status management module mainly completes the functions of collecting and displaying the status of each part of the system.

参考图4,服务器上设有听诊处理系统,听诊处理系统包括接入认证模块、通信信令模块、防火墙穿越模块、流媒体转发模块、用户管理模块、存储模块和分析管理模块。Referring to Fig. 4, the server is provided with an auscultation processing system, and the auscultation processing system includes an access authentication module, a communication signaling module, a firewall traversal module, a streaming media forwarding module, a user management module, a storage module and an analysis management module.

接入认证模块主要负责病人和医生的身份识别密码验证等功能,将通过认证的用户的相关数据发送医生端APP端显示。通信信令模块主要负责病人端和医生端APP建立可视通信所需信令的发送和响应以建立连接用。防火墙穿越模块主要负责当通信任何一方在防火墙后面又需要建立连接时建立双方的通信链路使用。流媒体转发模块主要负责当需要可视通信的双方均在防火墙后面时转发双方的语音流和视频流使用。用户管理模块主要负责所有使用的用户信息的管理。存储模块主要负责与用户相关的预约、通信数据等综合信息的存储与检索管理。分析管理模块主要负责接受医生发起的专业分析请求,在平台完成分析计算处理后将结果反馈给申请端。The access authentication module is mainly responsible for functions such as identification and password verification of patients and doctors, and sends relevant data of authenticated users to the doctor's APP for display. The communication signaling module is mainly responsible for the sending and response of the signaling required for the establishment of visual communication between the patient-side and doctor-side APPs to establish a connection. The firewall traversal module is mainly responsible for establishing a communication link between the two parties when any party in the communication needs to establish a connection behind the firewall. The streaming media forwarding module is mainly responsible for forwarding the voice stream and video stream of both parties when both parties needing visual communication are behind the firewall. The user management module is mainly responsible for the management of all used user information. The storage module is mainly responsible for the storage and retrieval management of comprehensive information such as reservations and communication data related to users. The analysis management module is mainly responsible for accepting professional analysis requests initiated by doctors, and feeding back the results to the application end after the platform completes the analysis and calculation processing.

参考图3,在本发明的一个实施例中,医生端智能手机连接高保真耳机。Referring to FIG. 3 , in an embodiment of the present invention, the doctor's smart phone is connected to a high-fidelity headset.

在本发明的一个实施例中,病人端APP和医生端APP均设有视频通信模块和语音通信模块。In one embodiment of the present invention, both the patient-end APP and the doctor-end APP are equipped with a video communication module and a voice communication module.

病人端视频通信模块主要负责将本地端通过手机摄像头采集到的视频图像经过满足如H.264或H.265标准压缩后通过网络传送到远端医生手机上,同时,该模块还负责解压缩在可视通信期间医生端APP通过网络发送来的已压缩视频。病人端语音通信模块主要负责将本地的语音进行编码后通过网络传送到远端医生手机上,同时,该模块还负责解压缩可视通信期间医生端APP通过网络发送来的已压缩音频。The video communication module at the patient end is mainly responsible for compressing the video images captured by the mobile phone camera at the local end to meet the standards such as H.264 or H.265, and then transmitting them to the remote doctor’s mobile phone through the network. The compressed video sent by the doctor's APP through the network during the visual communication. The patient-side voice communication module is mainly responsible for encoding the local voice and then transmitting it to the remote doctor's mobile phone through the network. At the same time, this module is also responsible for decompressing the compressed audio sent by the doctor-side APP through the network during the visual communication.

医生端视频通信模块主要负责将本地端通过手机摄像头采集到的视频图像经过满足如H.264或H.265标准压缩后通过网络传送到远端病人手机上,同时,该模块还负责解压缩在可视通信期间病人端APP通过网络发送来的已压缩视频。医生端语音通信模块主要负责将本地的语音进行编码后通过网络传送到远端病人端手机上,同时,该模块还负责解压缩可视通信期间病人端APP通过网络发送来的已压缩音频。The video communication module at the doctor’s end is mainly responsible for compressing the video images captured by the mobile phone camera at the local end to meet the standards such as H.264 or H.265, and then transmitting them to the remote patient’s mobile phone through the network. Compressed video sent by the patient APP over the network during visual communication. The doctor-end voice communication module is mainly responsible for encoding the local voice and transmitting it to the remote patient-end mobile phone through the network. At the same time, this module is also responsible for decompressing the compressed audio sent by the patient-end APP through the network during the visual communication.

参考图2,在本发明的一个实施例中,病人端智能传感器包括麦克风阵列,麦克风阵列依次与信号调理电路、多通道声音编译码器、病人端处理器和病人端通信电路连接。Referring to FIG. 2 , in one embodiment of the present invention, the patient-side smart sensor includes a microphone array, and the microphone array is sequentially connected with a signal conditioning circuit, a multi-channel sound codec, a patient-side processor, and a patient-side communication circuit.

前端麦克风阵列负责将20-2000Hz的音频信号转换成电信号,该电信号经过信号调理电路滤波、放大后供多通道声音编译码器编码,编码后的数字信号通过无线通信电路发送到病人端智能手机上。处理器可选用低功耗的DSP或微控制器或含有DSP及MCU的SOC。无线通信电路可选支持现有移动通信网络的模块或芯片来实现。The front-end microphone array is responsible for converting the 20-2000Hz audio signal into an electrical signal. The electrical signal is filtered and amplified by the signal conditioning circuit and then encoded by the multi-channel sound codec. The encoded digital signal is sent to the patient’s smart phone through the wireless communication circuit. on the phone. The processor can choose low power consumption DSP or microcontroller or SOC containing DSP and MCU. The wireless communication circuit can be realized by optional modules or chips supporting the existing mobile communication network.

在本发明的一个实施例中,麦克风阵列是传感器耦合压缩麦克风阵列。能最大限度将环境背景声音滤掉,病人的病理信号更加清晰,发声部位定位更加准确。In one embodiment of the invention, the microphone array is a sensor coupled compression microphone array. The environmental background sound can be filtered out to the greatest extent, the patient's pathological signal is clearer, and the location of the sound is more accurate.

在本发明的一个实施例中,信号调理电路为非线性信号调理电路。能有效的实现对较强信号的抑制,对较弱信号的放大,便于后续的声音编译码器和微控制器的控制处理。In one embodiment of the invention, the signal conditioning circuit is a non-linear signal conditioning circuit. It can effectively suppress stronger signals and amplify weaker signals, and is convenient for subsequent control and processing of sound codecs and microcontrollers.

上述实施方式用来解释说明本发明,而不是对本发明进行限制,在本发明的精神和权利要求的保护范围内,对本发明做出的任何修改和改变,都落入本发明的保护范围。The above embodiments are used to explain the present invention, rather than to limit the present invention. Within the spirit of the present invention and the protection scope of the claims, any modifications and changes made to the present invention fall within the protection scope of the present invention.

Claims (2)

1.一种无线网络化数字听诊系统,其特征是,包括病人端智能传感器装置,所述病人端智能传感器装置与医生端智能听诊装置和服务器通过移动互联网互相通信;1. A wireless networked digital auscultation system is characterized in that it includes a patient-side intelligent sensor device, and the patient-side intelligent sensor device communicates with the doctor's end intelligent auscultation device and server through the mobile Internet; 所述病人端智能传感器装置包括病人端智能传感器,所述病人端智能传感器采集的数据通过蓝牙与病人端智能手机通信;所述病人端智能手机上设有病人端APP,所述病人端APP包括蓝牙通信模块、病人端波形及数据显示模块、病人端用户界面模块、病人端数据通信模块、病人端数据处理模块、医生预约及医嘱处理模块和病人端系统状态管理模块;病人端数据处理模块负责对波形数据进行变换、FFT处理和数字滤波、智能分析与标记、异常值判断和存储与检索;The patient-side smart sensor device includes a patient-side smart sensor, and the data collected by the patient-side smart sensor communicates with the patient-side smart phone through bluetooth; the patient-side smart phone is provided with a patient-side APP, and the patient-side APP includes Bluetooth communication module, patient-side waveform and data display module, patient-side user interface module, patient-side data communication module, patient-side data processing module, doctor appointment and order processing module, and patient-side system status management module; the patient-side data processing module is responsible for Transform waveform data, FFT processing and digital filtering, intelligent analysis and marking, abnormal value judgment, storage and retrieval; 所述病人端智能传感器包括麦克风阵列,所述麦克风阵列依次与信号调理电路、多通道声音编译码器、病人端处理器和病人端通信电路连接;麦克风阵列是传感器耦合压缩麦克风阵列;所述信号调理电路为非线性信号调理电路;The patient-side intelligent sensor includes a microphone array, and the microphone array is sequentially connected with a signal conditioning circuit, a multi-channel sound codec, a patient-side processor and a patient-side communication circuit; the microphone array is a sensor coupling compression microphone array; the signal The conditioning circuit is a nonlinear signal conditioning circuit; 所述医生端智能听诊装置包括医生端智能手机,所述医生端智能手机上设有医生端APP,所述医生端APP包括医生端波形及数据显示模块、医生端用户界面模块、医生端数据通信模块、医生端数据处理模块、医生预约查询及医嘱撰写模块和医生端系统状态管理模块;通过APP中波形显示和频率分析功能可将医生无法听到声音显示和分析出来,供医生参考;The doctor-side intelligent auscultation device includes a doctor-side smart phone, and the doctor-side smart phone is provided with a doctor-side APP, and the doctor-side APP includes a doctor-side waveform and data display module, a doctor-side user interface module, and a doctor-side data communication module. module, doctor-end data processing module, doctor appointment query and doctor's order writing module, and doctor-end system status management module; through the waveform display and frequency analysis functions in the APP, the sound that the doctor cannot hear can be displayed and analyzed for the doctor's reference; 所述服务器上设有听诊处理系统,所述听诊处理系统包括接入认证模块、通信信令模块、防火墙穿越模块、流媒体转发模块、用户管理模块、存储模块和分析管理模块。The server is provided with an auscultation processing system, and the auscultation processing system includes an access authentication module, a communication signaling module, a firewall traversal module, a streaming media forwarding module, a user management module, a storage module and an analysis management module. 2.根据权利要求1所述的系统,其特征是,所述病人端APP和医生端APP均设有视频通信模块和语音通信模块。2. The system according to claim 1, wherein both the patient-end APP and the doctor-end APP are provided with a video communication module and a voice communication module.
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