第１章 醫(yī)學(xué)信息學(xué)基礎(chǔ) .............................................................................. 001
1.1 醫(yī)學(xué)信息學(xué)的基本理論 ················································.001
1.1.1 醫(yī)學(xué)信息學(xué)的內(nèi)涵 ··············································.001
1.1.2 醫(yī)學(xué)信息學(xué)的研究?jī)?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(wù)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(lǐng)域應(yīng)用涉及的主要技術(shù) ............................ 018
2.1 通信技術(shù) ··································································.018
2.1.1 ZigBee 技術(shù) ·······················································.018
2.1.2 WiFi 技術(shù) ·························································.022
2.1.3 5G 通信技術(shù) ······················································.023
2.1.4 藍(lán)牙技術(shù) ··························································.024
2.2 識(shí)別技術(shù) ··································································.026
2.2.1 條碼技術(shù) ··························································.026
2.2.2 RFID 技術(shù) ·························································.028
2.3 傳感技術(shù) ··································································.030
2.4 信息處理技術(shù) ····························································.031
2.5 醫(yī)院實(shí)施應(yīng)用 ····························································.032
第３章 物聯(lián)網(wǎng)在醫(yī)療衛(wèi)生領(lǐng)域的應(yīng)用基礎(chǔ)設(shè)施 ................................... 034
3.1 概述 ········································································.034
3.2 物聯(lián)網(wǎng)的系統(tǒng)構(gòu)成 ······················································.035
3.2.1 DCM 架構(gòu) ·························································.035
3.2.2 醫(yī)療衛(wèi)生領(lǐng)域的物聯(lián)網(wǎng)DCM 關(guān)系 ··························.035
3.3 感知層 ·····································································.036
3.3.1 RFID 單元和感知設(shè)備 ··········································.036
3.3.2 智能卡 ·····························································.037
3.3.3 傳感識(shí)別和傳感網(wǎng) ··············································.038
3.3.4 RTLS ·······························································.040
3.3.5 激光掃描識(shí)別單元和感知設(shè)備 ·······························.040
3.4 通信網(wǎng)絡(luò)層 ·······························································.041
3.4.1 有線(xiàn)通信網(wǎng)絡(luò) ····················································.041
3.4.2 無(wú)線(xiàn)通信網(wǎng)絡(luò) ····················································.042
3.4.3 網(wǎng)絡(luò)平臺(tái) ··························································.042
3.5 應(yīng)用管理層 ·······························································.044
3.5.1 中間件 ·····························································.044
3.5.2 數(shù)據(jù)管理和云計(jì)算 ··············································.045
3.5.3 系統(tǒng)集成 ··························································.045
3.6 公共技術(shù) ··································································.046
3.6.1 標(biāo)識(shí)與解析技術(shù) ·················································.046
3.6.2 安全技術(shù)（認(rèn)證與加密） ·····································.047
3.6.3 網(wǎng)絡(luò)管理和服務(wù)質(zhì)量管理 ·····································.047
第４章 物聯(lián)網(wǎng)與醫(yī)院信息化建設(shè) ........................................................ 049
4.1 概述 ········································································.049
4.2 醫(yī)院物聯(lián)網(wǎng)技術(shù)建設(shè)發(fā)展現(xiàn)狀········································.050
4.3 物聯(lián)網(wǎng)是醫(yī)院信息化建設(shè)的基礎(chǔ)平臺(tái) ·······························.051
4.4 物聯(lián)網(wǎng)在醫(yī)院信息系統(tǒng)的應(yīng)用········································.052
4.4.1 門(mén)（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(yàn)信息管理系統(tǒng) ··············································.053
4.4.5 血庫(kù)管理系統(tǒng) ····················································.054
4.4.6 臨床信息系統(tǒng) ····················································.055
4.4.7 護(hù)理信息系統(tǒng) ····················································.055
4.4.8 遠(yuǎn)程手術(shù)、麻醉信息管理系統(tǒng) ·······························.056
4.4.9 病案管理系統(tǒng)和移動(dòng)電子病歷系統(tǒng) ·························.057
4.4.10 重癥或重點(diǎn)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(wù)應(yīng)用 ·····································.058
4.5.1 掛號(hào)分診排隊(duì)叫號(hào)系統(tǒng) ········································.058
4.5.2 臨床呼叫系統(tǒng) ····················································.058
4.5.3 手術(shù)示教系統(tǒng) ····················································.059
4.5.4 ICU 病房探視系統(tǒng) ··············································.059
4.5.5 遠(yuǎn)程醫(yī)療系統(tǒng) ····················································.060
4.5.6 遠(yuǎn)程會(huì)診 ··························································.060
4.5.7 遠(yuǎn)程醫(yī)療咨詢(xún) ····················································.061
4.5.8 遠(yuǎn)程手術(shù) ··························································.061
4.5.9 遠(yuǎn)程聽(tīng)診 ··························································.061
4.5.10 智能專(zhuān)家系統(tǒng) ···················································.062
4.6 物聯(lián)網(wǎng)在醫(yī)院運(yùn)營(yíng)管理信息化中的應(yīng)用 ····························.063
4.6.1 設(shè)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(xué)文獻(xiàn)管理系統(tǒng) ··············································.064
4.7 綜合布線(xiàn)系統(tǒng) ····························································.065
4.7.1 機(jī)房工程系統(tǒng) ····················································.065
4.7.2 無(wú)線(xiàn)網(wǎng)絡(luò)覆蓋系統(tǒng) ··············································.066
4.7.3 門(mén)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(shè)備、機(jī)器人、人工智能在臨床治療中的應(yīng)用 ·············.071
5.5 RFID 在門(mén)（急）診管理系統(tǒng)中的應(yīng)用 ·····························.072
5.5.1 門(mén)（急）診就診管理系統(tǒng)的運(yùn)行現(xiàn)狀 ······················.072
5.5.2 物聯(lián)網(wǎng)技術(shù)的應(yīng)用目標(biāo) ········································.072
5.5.3 工作流程優(yōu)化 ····················································.073
5.5.4 技術(shù)分析 ··························································.073
5.6 RFID 在患者管理系統(tǒng)中的應(yīng)用 ······································.074
5.6.1 技術(shù)應(yīng)用目標(biāo) ····················································.074
5.6.2 系統(tǒng)功能 ··························································.074
5.7 RFID 在嬰兒防盜系統(tǒng)上的應(yīng)用 ······································.075
5.7.1 系統(tǒng)組成 ··························································.075
5.7.2 系統(tǒng)實(shí)現(xiàn) ··························································.076
5.7.3 工作流程 ··························································.076
5.8 重點(diǎn)患者監(jiān)護(hù)及定位系統(tǒng) ·············································.077
5.8.1 應(yīng)用目標(biāo) ··························································.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(yīng)用 .................................................... 079
6.1 概述 ········································································.079
6.1.1 現(xiàn)狀與問(wèn)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(yīng)用 ··························································.084
6.2 物聯(lián)網(wǎng)在員工管理領(lǐng)域的應(yīng)用········································.085
6.2.1 概述 ································································.085
6.2.2 基于物聯(lián)網(wǎng)技術(shù)的醫(yī)院一卡通技術(shù) ·························.086
6.2.3 門(mén)禁管理 ··························································.091
6.2.4 重要患者管理應(yīng)用 ··············································.091
6.3 全院移動(dòng)設(shè)備定位和監(jiān)控系統(tǒng)········································.092
6.4 消毒供應(yīng)中心監(jiān)控系統(tǒng) ················································.093
6.5 門(mén)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(yīng)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(yīng)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(shù)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(cè) ·····································.107
8.3 防疫場(chǎng)所的智能識(shí)別、檢測(cè)及自動(dòng)消殺處理 ······················.108
8.4 建立公共衛(wèi)生智慧管理系統(tǒng)平臺(tái) ·····································.108
第9 章 物聯(lián)網(wǎng)在醫(yī)療質(zhì)量安全管理方面的應(yīng)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(dòng)門(mén)診輸液管理系統(tǒng) ················································.113
9.5 生命體征動(dòng)態(tài)監(jiān)測(cè)系統(tǒng) ················································.115
9.6 新生兒防盜與母嬰配對(duì)管理系統(tǒng) ·····································.117
9.7 移動(dòng)臨床護(hù)理系統(tǒng) ······················································.118
9.8 藥品的監(jiān)控管理 ·························································.120
9.9 臨床醫(yī)療護(hù)理管理 ······················································.121
9.10 住院患者行蹤定位及報(bào)警系統(tǒng) ······································.124
9.11 其他應(yīng)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(shè)計(jì) ··········································.129
10.3 醫(yī)院數(shù)字化供電設(shè)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(tái) ·····················································.135
10.7 防盜報(bào)警系統(tǒng) ···························································.135
10.8 電梯遠(yuǎn)程監(jiān)控系統(tǒng) ·····················································.137
10.9 電話(huà)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(shè)計(jì)思想 ·················································.140
10.10.3 視頻監(jiān)控組成 ·················································.141
10.11 智慧型手術(shù)室 ··························································.146
10.11.1 手術(shù)室簡(jiǎn)介 ····················································.146
10.11.2 手術(shù)室基本要求 ··············································.146
10.11.3 基于物聯(lián)網(wǎng)的智慧手術(shù)室 ··································.147
10.12 智能停車(chē)場(chǎng)管理系統(tǒng) ················································.149
10.12.1 車(chē)位引導(dǎo)系統(tǒng) ·················································.150
10.12.2 系統(tǒng)工作流程 ·················································.151
10.13 應(yīng)急管理 ·······························································.153
10.13.1 應(yīng)急照明 ·······················································.153
10.13.2 應(yīng)急照明的設(shè)計(jì) ··············································.154
10.13.3 智能應(yīng)急照明 ·················································.154
10.13.4 應(yīng)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(guó)外醫(yī)院物流發(fā)展現(xiàn)狀 ···············································.157
11.2 國(guó)內(nèi)醫(yī)院物流發(fā)展現(xiàn)狀 ···············································.158
11.3 物聯(lián)網(wǎng)技術(shù)與醫(yī)院物流 ···············································.159
11.3.1 醫(yī)院物流系統(tǒng)基本結(jié)構(gòu) ·······································.159
11.3.2 物聯(lián)網(wǎng)技術(shù)在藥品流通中的應(yīng)用 ···························.160
11.3.3 物聯(lián)網(wǎng)技術(shù)在設(shè)備管理中的應(yīng)用 ···························.162
11.3.4 物聯(lián)網(wǎng)技術(shù)在醫(yī)用耗材管理中的應(yīng)用 ·····················.164
11.3.5 物聯(lián)網(wǎng)技術(shù)在標(biāo)本管理中的應(yīng)用 ···························.166
第12章 結(jié)語(yǔ) ......................................................................... 169