物联网辅助2019冠状病毒病(COVID-19)诊治中国专家共识  

Chinese experts consensus on the Internet of Things-aided diagnosis and treatment of COVID-19

作　　者：Clinical eHealth中国物联网辅助COVID-19诊治专家组 钟南山 白春学[4,5,6,7] 白莉 杨达伟 王洵[10] 童琳[9] Internet of Things-aided Diagnosis and Treatment of COVID-19 Chinese Experts Group of Clinical eHealth

机构地区：[1]上海市临床重点专科强主体-复旦大学附属中山医院呼吸内科 [2]国家呼吸系统疾病临床医学研究中心 [3]国家卫健委高级别专家组 [4]复旦大学附属中山医院 [5]上海市呼吸内科临床质控中心 [6]上海市呼吸病研究所 [7]复旦大学呼吸病研究所 [8]陆军军医大学第二附属医院呼吸与危重症医学科 [9]复旦大学附属中山医院呼吸危重医学科 [10]无锡市第二人民医院呼吸科

出　　处：《复旦学报（医学版）》2020年第2期151-160,共10页Fudan University Journal of Medical Sciences

基　　金：This work was supported by the Shanghai Municipal Key Clinical Specialty,“Strong Body”Construction Program-Department of Pulmonary Medicine,Zhongshan Hospital,Fudan University.

摘　　要：制定物联网辅助2019冠状病毒病(COVID-19)诊治中国专家共识,为应用基于物联网医学技术的"COVID-19智能诊治辅助程序"(以下简称nCapp)做好相关诊治工作。nCapp可协助:(1)智能辅助诊断。根据登记的数据、问题回答和检查结果,自动生成确诊、疑似还是可疑的诊断;还可自生成诊断分型,包括患者的状态是轻型、普通型、重型还是危重型;建立在线COVID-19实时更新nCapp数据库,通过数据的自动上传、更新及智能维护,根据最新的真实一线病例数据,实时更新优化智能诊断的模型,提高诊断的准确性。(2)智能指导治疗。根据指南和共识,对不同分型患者给予相应治疗的信息提醒,链接上级医师、管理者协调防控和会诊,并协助COVID-19患者愈后的长期随访管理。为达到这一目的,要求使用者对三级联动云平台和国家授权管理者端口开放进行质控。除了共性培训外,在临床应用中还需要根据国际和国家标准进行诊断和治疗的质量控制。主要需要监测和督导上传至云端数据的真实性及可靠性。最终目的是使得各级医院和不同医师,均能够通过nCapp系统的智能辅助及时发现、隔离、管理好确诊、疑似和可疑患者,最终杜绝患者传播和医师感染,尽快扭转疫情防控形势。The development of Chinese experts consensus of the Internet of Things-aided diagnosis and treatment of COVID-19 is to ultimately improve the clinical management of COVID-19 by applying medical technology the“COVID-19 intelligent diagnosis and treatment program”(nCapp)based on the Internet of Things.nCapp can assist:(1)To assist diagnosis intelligently:according to registered data,the diagnosis is automatically generated as confirmed,suspected or suspicious of 2019-nCoV(i.e.,SARS-CoV-2)infection;It also sorts patients as light without pneumonia,mild,severe or critical pneumonia.nCapp can also establish an online COVID-19 real-time update database,and updates the model of intelligent diagnosis in real time based on the latest real-world case data to improve diagnostic accuracy.(2)To guide treatment intelligently:according to the guidelines and consensus for COVID-19,management option will be alerted based on patient information.Front-line physicians,experts and managers are linked to perform consultation and prevention strategy.nCapp also contributes to realize the long-term follow-up of patients with COVID-19.In order to ensure the quality control,users are required to open ports to the three-level linked cloud platform and the national authorized manager.In addition to common training,quality control of diagnosis and treatment is required in clinical applications in accordance with international and national standards.Additionally,it is necessary to ensure authenticity and reliability of data uploaded to the cloud.The ultimate goal is to enable different levels of COVID-19 diagnosis and treatment in different doctors from different hospital to upgrade to the national and even international standard through the intelligent assistance of the nCapp system,which contributes to eliminate the transmission,avoid physician infection,and reverse the situation of epidemic prevention and control as soon as possible.

关 键 词：2019冠状病毒病 物联网 物联网医学 云加端 智能辅助 质量控制 

分 类 号：R563.1[医药卫生—呼吸系统] R319[医药卫生—内科学]