Intelligent nursing monitor used after oral cancer fibula skin flap repair operation

Abstract

The invention provides an intelligent nursing monitor used after an oral cancer fibula skin flap repair operation. The monitor integrates functional modules of skin flap physiological parameter monitoring, oral cavity function evaluation, patient whole body state monitoring, intelligent nursing scheme generation and pushing, data storage, remote medical support and the like. Accurate and real-time multi-parameter monitoring is realized through a high-sensitivity sensor, and data processing and early warning are performed by applying a big data analysis technology and an artificial intelligence algorithm. The invention aims to improve the postoperative care quality and effect of the oral cancer patient, has remote monitoring capability, can break through the regional restriction, and provides technical support for the timely intervention of professional medical resources. The monitor is portable in design and simple and convenient to operate.

Description

Technical Field

[0001] The present invention relates to the field of medical devices, and particularly to an intelligent nursing monitor after oral cancer fibula myocutaneous flap repair. Background Art

[0002] Oral cancer is a common malignant tumor in the head and neck region. Surgical resection is often the main treatment method, and among them, fibula myocutaneous flap repair is widely used. Postoperative care is extremely crucial for the patient's recovery.

[0003] Currently, for the nursing assessment after oral cancer fibula myocutaneous flap repair, it mainly relies on the experience of medical staff and conventional examination methods. Traditional observation methods mostly focus on the appearance of the flap, such as color, temperature, degree of swelling, etc. However, this evaluation method relying on the naked eye and simple tools (such as Doppler monitoring) has many defects.

[0004] Firstly, it is highly subjective. There are individual differences in the experience and judgment criteria of medical staff, and the assessment of the flap status may not be accurate and consistent enough, and it is easy to misjudge or miss a judgment. For example, for the judgment of subtle changes in the color of the flap, different personnel may draw different conclusions.

[0005] Secondly, there is a lack of continuous monitoring. Conventional examinations are usually carried out at regular intervals and cannot achieve real-time and uninterrupted monitoring of the physiological parameters of the flap. Complications such as flap vascular crisis may suddenly occur during the interval between two examinations, and it is difficult to detect and handle them in the first time, thus delaying the best treatment opportunity.

[0006] Thirdly, the ability of data integration and analysis is weak. Existing methods only record each index of the flap in isolation and are difficult to systematically integrate and deeply analyze a large amount of data, and cannot mine the hidden flap change trend and potential risk warning information behind the data.

[0007] Fourthly, it is inconvenient for remote monitoring. Under the background of the current uneven distribution of medical resources, it is difficult for grass-roots medical institutions or patients during home rehabilitation to obtain timely on-site evaluations by professional medical staff. And traditional methods do not have the functions of remote transmission and monitoring, which is not conducive to experts' remote guidance of nursing work. Summary of the Invention

[0008] The purpose of the present invention is to solve the defects existing in the prior art and to propose an intelligent nursing monitor after oral cancer fibula myocutaneous flap repair.

[0009] To achieve the above objectives, the present invention adopts the following technical solutions: an intelligent nursing monitor for postoperative peroneal myocutaneous flap repair for oral cancer, comprising: a flap physiological parameter monitoring module for monitoring the microcirculatory blood flow and tissue oxygenation of the flap; the flap physiological parameter monitoring module includes a microcirculatory blood flow monitoring submodule and a tissue oxygenation monitoring submodule; the microcirculatory blood flow monitoring submodule adopts laser Doppler blood flow imaging technology, and the tissue oxygenation monitoring submodule adopts near-infrared spectroscopy technology; an oral function assessment module for assessing the patient's swallowing function and oral opening, closing, and occlusion, comprising a swallowing pressure sensor disposed on the patient's neck and a sensor brace worn in the patient's mouth; a patient systemic status monitoring module including a vital signs monitoring submodule for monitoring the patient's heart rate, blood pressure, body temperature, and nutritional status; an intelligent nursing plan generation and push module for generating personalized nursing plans based on monitoring data and pushing the nursing plans to mobile terminals of medical staff; and a data storage and telemedicine support module including a local data storage unit for storing monitoring data and nursing plan information, and supporting remote data transmission and sharing.

[0010] Preferably, the microcirculation blood flow monitoring submodule further includes a plurality of microsensor probes for monitoring the microcirculation blood flow perfusion of the flap in a non-invasive manner with high resolution.

[0011] Preferably, the tissue oxygenation monitoring submodule transmits near-infrared light of a specific wavelength to penetrate the flap tissue, measures the absorption and scattering of light by the tissue, and thereby calculates the concentration changes of oxyhemoglobin and reduced hemoglobin in the flap tissue.

[0012] Preferably, the swallowing pressure sensor patch has a plurality of micro pressure sensors arranged in a matrix, which can accurately sense the pressure changes caused by the contraction of the neck muscles during swallowing.

[0013] Preferably, the sensor braces consist of an upper brace and a lower brace, an angle sensor is provided at the incisor position on the inner side of the upper brace, and a plurality of pressure sensors are distributed in the molar area of the lower brace.

[0014] Preferably, the patient's whole body status monitoring module further includes a nutritional status assessment submodule connected to the hospital's nutrition department information system, for obtaining the patient's dietary intake data and measuring the patient's body composition through a bioelectrical impedance analysis function.

[0015] Preferably, the intelligent nursing plan generation and push module includes a data analysis and processing unit, a nursing plan generation unit and a nursing plan push unit, which can deeply process monitoring data, combine the experience and knowledge of clinical nursing experts, automatically generate a personalized nursing plan for the patient, and push it to the mobile terminal of medical staff in an intuitive graphic and text form.

[0016] Preferably, the data storage and remote medical support module further includes a remote data transmission and sharing unit, which is used to transmit the patient's key monitoring data and nursing plan information to the remote medical center or the mobile phone of the patient's attending doctor in real time, and supports data sharing and interaction with the information systems of other medical institutions.

[0017] Compared with the prior art, the beneficial effects of the present invention are as follows: First, the intelligent nursing detector of the present invention uses highly sensitive sensors to accurately collect multiple physiological parameters of the skin flap, such as blood flow velocity, tissue oxygen saturation, temperature, etc. Compared with the traditional method of visual observation by medical staff and simple tool measurement, it greatly improves the accuracy of monitoring data, effectively reduces subjective judgment errors, and provides a reliable basis for the evaluation of the skin flap status.

[0018] Second, real-time continuous monitoring: It can continuously monitor the physiological parameters of the skin flap for 24 hours to grasp the changes in the skin flap status in real time. Compared with the traditional regular inspection method, it can timely capture the early subtle changes of sudden situations such as skin flap vascular crisis, give an early warning in the first time, enable medical staff to quickly take intervention measures, and significantly improve the survival rate of the skin flap.

[0019] Third, intelligent data analysis and early warning: An advanced intelligent analysis system is built in to deeply analyze a large amount of monitoring data. Through a preset algorithm model, it accurately judges whether the skin flap is in an abnormal state and issues early warning information in a timely manner. This overcomes the defect of the traditional method that only simply records data and cannot effectively integrate and analyze data and early warning of risks, and provides scientific and efficient decision-making support for postoperative care.

[0020] Fourth, remote monitoring function: It has the ability of remote data transmission and monitoring, which is convenient for experts to remotely view the skin flap data of patients and give guidance. Breaking through geographical restrictions, when in primary medical institutions or during the home rehabilitation of patients, it can ensure the timely intervention of professional medical resources, effectively solve the postoperative care problems caused by the uneven distribution of medical resources, promote the rehabilitation process of patients, and reduce medical costs. The device is also simple and intuitive in design, facilitating medical staff to quickly understand and operate. BRIEF DESCRIPTION OF THE DRAWINGS

[0021] Figure 1 It is a schematic diagram of the module connection information of the present invention. DETAILED DESCRIPTION OF THE EMBODIMENTS

[0022] In order to further understand the purpose, structure, features, and functions of the present invention, the following is a detailed description in conjunction with embodiments.

[0023] Please refer to Figure 1, the present invention provides an intelligent nursing monitor for patients after oral cancer fibula myocutaneous flap repair, including a flap physiological parameter monitoring module for monitoring the microcirculation blood flow and tissue oxygenation of the flap; the flap physiological parameter monitoring module includes a microcirculation blood flow monitoring sub-module and a tissue oxygenation monitoring sub-module; the microcirculation blood flow monitoring sub-module uses laser Doppler flow imaging technology, and the tissue oxygenation monitoring sub-module uses near-infrared spectroscopy technology.

[0024] By monitoring the microcirculation blood flow of the flap, it is possible to timely detect the situation of insufficient blood supply or hypoxia of the flap, help doctors intervene early, and avoid flap necrosis or failure.

[0025] When it is detected that the local blood perfusion of the flap is lower than the preset threshold, the system automatically issues an alarm and highlights the location of the abnormal area on the display screen, prompting medical staff to check in time whether there are problems such as blood vessel compression and thrombosis.

[0026] Laser Doppler flow imaging technology can provide high-precision blood flow data, provide more decision-making basis for clinicians, reduce the errors of manual operations, and improve the postoperative recovery effect.

[0027] Near-infrared spectroscopy technology can monitor the oxygenation level of tissues in real time, judge whether the oxygen supply of the flap and surrounding tissues is sufficient, and reduce the complications caused by insufficient oxygenation.

[0028] This technology can detect the oxygenation state in a non-invasive manner, and the patient feels more comfortable. At the same time, it also provides accurate data support for the medical team.

[0029] The data of the microcirculation blood flow monitoring sub-module and the tissue oxygenation monitoring sub-module are analyzed in correlation. When the tissue oxygenation level is abnormal and accompanied by a decrease in blood perfusion, the severity of flap ischemia and hypoxia can be more accurately judged, providing a strong basis for formulating targeted intervention measures.

[0030] An oral function assessment module for assessing the swallowing function and oral opening and closing and occlusion of the patient, including a swallowing pressure sensor arranged on the patient's neck and a sensor dental appliance worn in the patient's oral cavity.

[0031] A high-precision pressure sensor patch is pasted on the patient's neck and wirelessly connected to the monitor. When the patient makes a swallowing movement, the sensor can sensitively capture the pressure change generated by the contraction of the pharyngeal muscles and transmit it to the monitor as an electrical signal.

[0032] This module can monitor the swallowing function of postoperative patients in real time. Especially for oral cancer patients, the recovery of swallowing function is crucial.

[0033] The sensor dental appliance can monitor the opening and closing of the patient's mouth and the occlusion condition, detect potential occlusion problems at an early stage, help doctors adjust the treatment plan in a timely manner, and avoid dysfunction.

[0034] The intelligent algorithm built into the monitor analyzes parameters such as the number of swallows, swallowing force, and swallowing coordination of the patient based on the pressure change curve, and compares them with the normal swallowing model to evaluate the recovery of the patient's swallowing function.

[0035] If it is found that the patient has obvious swallowing dysfunction, such as frequent aspiration, weak swallowing, etc., the system will automatically remind medical staff to conduct further guidance on swallowing function training or adjust the diet plan to prevent the occurrence of complications such as aspiration pneumonia.

[0036] The patient's general condition monitoring module includes a vital sign monitoring sub-module for monitoring the patient's heart rate, blood pressure, body temperature, and nutritional status.

[0037] The vital sign monitoring sub-module can monitor the patient's vital signs such as heart rate, blood pressure, and body temperature in real time, and timely detect possible postoperative complications, such as infections, cardiovascular problems, etc., to help medical staff identify health risks at an early stage and ensure the safety of the patient.

[0038] The vital sign monitoring sub-module integrates the conventional functions of monitoring heart rate, blood pressure, and body temperature, and uses wireless wearable sensor devices, which are respectively worn on the patient's chest (for heart rate and blood pressure monitoring) and under the armpit (for body temperature monitoring), to collect the patient's vital sign data in real time and transmit it to the monitor. The monitor sets the warning range for vital signs. When the patient's heart rate, blood pressure, or body temperature exceeds the normal range, an alarm will be immediately issued to notify the medical staff for timely corresponding treatment to ensure the patient's life safety.

[0039] The intelligent nursing plan generation and push module generates a personalized nursing plan based on the monitoring data and pushes the nursing plan to the mobile terminal of the medical staff.

[0040] The data storage and remote medical support module includes a local data storage unit for storing monitoring data and nursing plan information and supporting remote data transmission and sharing.

[0041] The local data storage unit is equipped with a large-capacity local storage hard disk to securely store all patient data collected by the monitor, including flap physiological parameters, oral function assessment data, vital sign data, nutritional status data, and nursing plan execution records, etc. The storage time can be set according to the hospital's medical record management requirements, generally not less than the entire postoperative recovery period of the patient.

[0042] Preferably, the microcirculation blood flow monitoring sub-module further includes a plurality of micro-sensor probes; the microcirculation blood flow perfusion of the flap is monitored with high resolution in a non-invasive manner.

[0043] Preferably, the tissue oxygenation monitoring submodule transmits near-infrared light of a specific wavelength to penetrate the flap tissue, measures the absorption and scattering of light by the tissue, and thereby calculates the concentration changes of oxyhemoglobin and reduced hemoglobin in the flap tissue.

[0044] Preferably, the swallowing pressure sensor patch has a plurality of micro pressure sensors arranged in a matrix, which can accurately sense the pressure changes caused by the contraction of the neck muscles during swallowing.

[0045] Preferably, the sensor braces consist of an upper brace and a lower brace, an angle sensor is provided at the incisor position on the inner side of the upper brace, and a plurality of pressure sensors are distributed in the molar area of the lower brace.

[0046] The patient wears a custom-made micro-sensor brace in their mouth, which contains an angle sensor and a pressure sensor. The angle sensor monitors the mandibular opening and closing angle and movement trajectory in real time, while the pressure sensor measures the pressure distribution when the upper and lower teeth occlude.

[0047] By continuously collecting and analyzing oral opening and closing and occlusion data, we can understand the patient's postoperative recovery process of oral motor function and determine whether there are problems such as temporomandibular joint dysfunction and malocclusion.

[0048] Medical staff can develop personalized oral rehabilitation training plans for patients based on the monitoring results, such as mouth opening training and bite adjustment exercises, and use monitors to track the training effects in real time and adjust the training plans in a timely manner.

[0049] Preferably, the patient's whole body status monitoring module further includes a nutritional status assessment submodule connected to the hospital's nutrition department information system, for obtaining the patient's dietary intake data and measuring the patient's body composition through a bioelectrical impedance analysis function.

[0050] The nutritional status assessment submodule is connected to the hospital's nutrition department information system to obtain the patient's dietary intake data, including daily intake of nutrients such as calories, protein, and vitamins.

[0051] At the same time, the bioelectrical impedance analysis function of the monitor can measure the patient's body impedance value, calculate the patient's body composition, such as muscle mass, fat mass, water content, etc., and comprehensively evaluate the patient's nutritional status.

[0052] Based on the results of nutritional assessment, we provide patients with personalized nutritional supplement recommendations, such as adjusting dietary structure, supplementing specific nutritional preparations, etc., to promote the patient's postoperative physical recovery and flap healing.

[0053] Preferably, the intelligent nursing plan generation and push module includes a data analysis and processing unit, a nursing plan generation unit and a nursing plan push unit, which can deeply process monitoring data, combine the experience and knowledge of clinical nursing experts, automatically generate a personalized nursing plan for the patient, and push it to the mobile terminal of medical staff in an intuitive graphic and text form.

[0054] The data analysis and processing unit receives data collected by each of the aforementioned monitoring modules and performs in-depth processing using big data analysis techniques and artificial intelligence algorithms. It compares and analyzes the current patient's monitoring data with a large amount of historical case data, uncovering underlying patterns and correlations, predicting the patient's risk of postoperative complications, and evaluating the effectiveness of current nursing measures.

[0055] The nursing plan generation unit automatically generates a personalized nursing plan for each patient based on data analysis results and the experience and knowledge of clinical nursing experts. This plan includes details such as flap care essentials (such as local dressing change frequency and positioning recommendations), oral function rehabilitation training plans, overall health management measures (such as dietary adjustments and medication recommendations), and complication prevention strategies.

[0056] The Nursing Plan Push Unit pushes generated nursing plans to medical staff's mobile devices (such as mobile phones and tablets) in an intuitive, graphic-rich format, allowing them to easily access and execute them anytime, anywhere. The system also updates and optimizes nursing plans in real time based on the plan's progress and changes in the patient's condition, and sends timely reminders to medical staff to ensure timely and accurate care delivery.

[0057] Preferably, the data storage and telemedicine support module also includes a remote data transmission and sharing unit, which is used to transmit the patient's key monitoring data and care plan information in real time to the telemedicine center or the patient's attending physician's mobile phone, and supports data sharing and interaction with the information systems of other medical institutions.

[0058] Via the hospital's internal wireless network or the internet, patients' key monitoring data and care plan information are transmitted in real time to the telemedicine center or the patient's attending physician's mobile phone. In the event of an emergency or difficult condition, telemedicine experts can promptly understand the patient's condition, conduct remote consultations, and provide treatment guidance.

[0059] The unit also supports data sharing and interaction with the information systems of other medical institutions, promotes the exchange and cooperation of postoperative nursing experience in peroneal muscle flap repair for oral cancer, and provides data support for multicenter clinical research.

[0060] The design of the present invention not only focuses on the physiological condition of the flap and the recovery of oral function, but also comprehensively monitors and manages the patient's overall condition, nutrition, vital signs and other aspects.

[0061] Through intelligent monitoring and data analysis, medical staff can comprehensively understand the patient's postoperative recovery situation, timely adjust the treatment plan, and improve the rehabilitation efficiency.

[0062] Specific implementation: Ensure that the patient is in a stable state and suitable for monitoring. Clean the patient's flap area, neck and oral cavity to paste the sensors.

[0063] Check whether the main unit of the monitor is working properly and the battery is fully charged. Confirm whether all sensor devices (flap microcirculation blood flow sensor, tissue oxygenation sensor, neck swallowing pressure sensor patch, intraoral sensor dental appliance, etc.) are in good condition and the wireless signal transmission function is normal.

[0064] Paste the flap microcirculation blood flow sensor on the skin around the flap, ensuring that the laser emission and reception windows are in close contact with the flap skin. Clip the tissue oxygenation sensor on a small piece of tissue at the edge of the flap, paying attention to moderate clamping force to avoid tissue injury. Paste the neck swallowing pressure sensor patch on the front of the patient's neck to ensure that the sensor matrix can accurately sense the pressure change during swallowing. Let the patient wear the intraoral sensor dental appliance to ensure that the dental appliance fits tightly with the teeth.

[0065] Start the monitor and connect the sensors; the monitor will automatically search for and connect the pasted and worn sensor devices; confirm that all sensor devices are successfully connected on the display screen; set the patient information, enter the patient's name, bed number and other basic information on the operation interface of the monitor, and the monitor will start to collect and display the patient's flap physiological parameters, oral function data, vital sign data and nutritional status assessment results in real time.

[0066] The display screen of the monitor will display the microcirculation blood flow image of the flap, tissue oxygenation data, swallowing function monitoring chart, oral opening and closing and occlusion data, vital sign data and nutritional status assessment results in real time; medical staff can intuitively see the patient's various monitoring data and make a preliminary judgment.

[0067] When it is detected that the local blood perfusion of the flap is lower than the preset threshold, the tissue oxygenation level is abnormal, the swallowing function is impaired, the vital signs are out of the normal range or the nutritional status is poor, the monitor will automatically issue an alarm and highlight the abnormal area or data on the display screen; after receiving the alarm, medical staff should immediately check the patient's condition and formulate targeted intervention measures according to the monitoring data.

[0068] The intelligent analysis system built into the monitor will automatically generate a personalized care plan for the patient based on the collected data and combined with the experiential knowledge of clinical nursing experts; the care plan includes detailed contents such as key points of flap care, oral function rehabilitation training plan, overall health management measures, and complication prevention strategies.

[0069] The generated care plan will be pushed to the mobile terminals (such as mobile phones, tablets) of medical staff in an intuitive form with pictures and texts; medical staff can view and execute the care plan anytime and anywhere to ensure the timeliness and accuracy of nursing work; when medical staff execute the care plan, they can check the completed care points on the monitor; the system will automatically record the execution time and personnel information for convenient subsequent traceability and management.

[0070] The monitor is equipped with a large-capacity local storage hard disk to securely store all the patient data collected; data storage uses encryption technology to ensure the security and privacy of patient data; the key monitoring data and care plan information of the patient are transmitted to the remote medical center or the mobile phone of the patient's attending doctor in real time; in case of an emergency or a difficult and complicated disease of the patient, it is convenient for remote medical experts to understand the patient's condition in time for remote consultation and treatment guidance; at the same time, it supports data sharing and interaction with the information systems of other medical institutions to promote the exchange and cooperation of nursing experience after oral cancer fibula myocutaneous flap repair; it provides data support for conducting multi-center clinical research.

[0071] After the monitoring is completed, medical staff can sort out the monitoring data and generate a detailed monitoring report; the report includes various monitoring data of the patient, records of abnormal conditions, implementation of the care plan, etc.; clean and disinfect the monitor and sensor devices for the next use, and explain the monitoring results and subsequent care plan to the patient to ensure that the patient understands their own condition and actively cooperates with the treatment.

[0072] The present invention has been described by the above relevant embodiments. However, the above embodiments are only examples for implementing the present invention. It must be pointed out that the disclosed embodiments do not limit the scope of the present invention. On the contrary, modifications and refinements made without departing from the spirit and scope of the present invention fall within the scope of patent protection of the present invention.

Claims

1. An intelligent nursing monitor after oral cancer fibula myocutaneous flap repair, characterized in that: Including: A flap physiological parameter monitoring module for monitoring the microcirculation blood flow and tissue oxygenation of the flap; The flap physiological parameter monitoring module includes a microcirculation blood flow monitoring sub-module and a tissue oxygenation monitoring sub-module; The microcirculation blood flow monitoring sub-module adopts laser Doppler flow imaging technology, and the tissue oxygenation monitoring sub-module adopts near-infrared spectroscopy technology; An oral function evaluation module for evaluating the swallowing function, oral opening and closing, and occlusion of the patient, including a swallowing pressure sensor arranged on the patient's neck and a sensor dental appliance worn in the patient's oral cavity; A patient's overall condition monitoring module, including a vital sign monitoring sub-module for monitoring the patient's heart rate, blood pressure, body temperature, and nutritional status; an intelligent nursing plan generation and push module for generating a personalized nursing plan based on the monitoring data and pushing the nursing plan to the mobile terminal of medical staff; A data storage and remote medical support module, including a local data storage unit for storing monitoring data and nursing plan information and supporting remote data transmission and sharing.

2. The intelligent nursing monitor after oral cancer fibula myocutaneous flap repair according to claim 1, wherein: The microcirculation blood flow monitoring sub-module further includes a plurality of micro-sensor probes; the microcirculation blood flow perfusion of the flap is monitored with high resolution in a non-invasive manner.

3. The intelligent nursing monitor after oral cancer fibula myocutaneous flap repair according to claim 1, characterized in that: The tissue oxygenation monitoring sub-module emits near-infrared light with a specific wavelength to penetrate the flap tissue, measures the absorption and scattering of light by the tissue, and thereby calculates the changes in the concentrations of oxyhemoglobin and reduced hemoglobin in the flap tissue.

4. The intelligent nursing monitor after oral cancer fibula myocutaneous flap repair according to claim 1, wherein: Inside the patch of the swallowing pressure sensor, there are a plurality of micro-pressure sensors arranged in a matrix, which can accurately sense the pressure changes generated by the muscle contraction during swallowing in the neck.

5. The intelligent nursing monitor after oral cancer fibula myocutaneous flap repair according to claim 1, characterized in that: The sensor dental appliance is composed of an upper dental appliance and a lower dental appliance. An angle sensor is provided at the position of the front teeth on the inner side of the upper dental appliance, and a plurality of pressure sensors are distributed in the molar area of the lower dental appliance.

6. The intelligent nursing monitor after oral cancer fibula myocutaneous flap repair according to claim 1, characterized in that: The patient's overall condition monitoring module further includes a nutritional status evaluation sub-module connected to the information system of the hospital's nutrition department, which is used to obtain the patient's dietary intake data and measure the patient's body composition through bioelectrical impedance analysis function.

7. The intelligent nursing monitor after oral cancer fibula myocutaneous flap repair according to claim 1, wherein: The intelligent nursing plan generation and push module includes a data analysis and processing unit, a nursing plan generation unit, and a nursing plan push unit, which can deeply process the monitoring data, combine the experience and knowledge of clinical nursing experts, automatically generate a personalized nursing plan for this patient, and push it to the mobile terminal of medical staff in an intuitive and graphic form.

8. The intelligent nursing monitor after oral cancer fibula myocutaneous flap repair according to claim 1, wherein: The data storage and remote medical support module further includes a remote data transmission and sharing unit for real-time transmitting the patient's key monitoring data and nursing plan information to the remote medical center or the mobile phone of the patient's attending doctor, and supporting data sharing and interaction with the information systems of other medical institutions.

Images