Development of Electronic Patients Record and Home Monitoring System for High-risk Pregnant Women using DoPa Technology

在我们以前的孕妇家庭监测系统(Home遥测)下，心率信息过去是通过普通电话线连接到商业提供商(Nifty)的互联网传输的。目前，在使用分组电信的移动系统(类似于I模式的DOPA技术)下，孕妇和医生都可以在医院和诊所以外的任何地方监测胎儿状态。该移动传输系统由小型轻型移动式胎心率检测设备和接收设备组成。接收者可以选择安装在医疗机构内的传统胎心率监测系统，也可以选择移动计算机终端。在家中检测到的胎儿心率信息以分组的形式传输到NTT Docomo的多巴网络。接收到的数据积累在服务器上的胎心率，医生可以随时在网上接收数据。最流行的情况之一是每天发送一种压缩形式的数据，每次发送20分钟。但是，如果有必要，也可以通过以一到两分钟的间隔连续发送数据来几乎实时地传输数据。这种传输系统的最大特点之一是，分组电信实现了类似于永久连接的环境，并且比传统的永久连接经济得多。该系统使孕妇和医生能够随时随地观察胎儿状况。此外，在接收方，不同临床机构的医生和工作人员可以共享信息，医院和诊所之间的合作是可能的，这将具有重要的临床意义。预计在未来，使用这种移动设备的监测系统将广泛用于高危妊娠，如先兆早产和毒血症。

Under our former pregnant women home monitoring system (Home telemetry), the heart rate information used to be transmitted through the Internet connected to a commercial provider (Nifty) through ordinary telephone lines. At present, under a mobile system (the DoPa technology similar to iMode) using packet telecommunication, it is possible for both pregnant women and doctors to monitor the fetal state anywhere outside hospitals and clinic. This mobile transmission system consists of small and light mobile fetal rate detection equipment and receiving equipment. A receiver can choose either a conventional fetal rate monitoring system installed within medical institutions or a mobile computer terminal. The fetal heart rate information detected at home is transmitted in packets to NTT Docomo's DoPa network. The received data are accumulated in the server for the fetal heart rate, and doctors can receive the data on the Internet at any time. One of the most popular cases is to send one compressed form of data for a period of 20 minutes a couple of times a day. If necessary, however, it is also possible to transmit data almost in real time by continuously sending them at one or two-minute intervals. One of the greatest features of this transmission system is that packet telecommunication has realized an environment similar to permanent connection, and it is far more economical compared to the traditional permanent connection. This system has enabled pregnant women and doctors to observe the fetal status wherever they go. Also, on the receiver's side, doctors and workers at different clinical institutions can share information, and the cooperation among hospitals and clinics is possible, which will be of a great clinical significance. It is expected that monitoring systems using such mobile equipment will become widespread in the future for high-risk pregnancy such as threatened premature birth and toxemia.