CN103530524A - Medical information intelligent data platform, use method and application thereof - Google Patents
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Abstract
The invention discloses a medical information intelligent data platform, a use method and the application of the medical information intelligent data platform, and relates to the technology of medical information. The medical information intelligent data platform is a unified information resource center which can integrate the medical information, achieves medical data unified management, information sharing, early warning and monitoring, and is suitable for tertiary medical institutions in the whole country. The platform comprises an application server, a data server and a client terminal, wherein the application server, the data server and the client terminal are communicated in a wireless or wire mode, the data server is used for storing data information, the data server and a service system are interconnected in an authorization mode, and the data server obtains the data information from the service system. A system server sends out a command to the data server, and the data information of the service system is collected to the data server in a regular or real-time mode, and stored in the data server. A data calling and showing platform and a calling center are installed on the application server. The calling center is used for conducting content transferring between the client terminal and the application server.
Description
Technical field
Medical information intelligent data platform of the present invention and using method thereof and application relate to medical information technology, it is a kind of unified information resource center that can integrate medical information, realize medical data unified management and information sharing, early warning monitoring, be applicable to national San Ji medical institutions.
Background technology
From the long-range hospital business development plan of China, construction object for adapt to fast public hospital's reform requirement, by information-based means, set up share service, promote hospital's diagnosis and treatment, management and decision level, realize the medical reform target that improves quality of medical care and strengthen medical safety, promote the professional advantage of section hospital's advantage subjects, strengthen industrial competition and radiant force.
Management information system for hospitals (HIS) will be progressively implemented in the informationization of hospital, implements successively medical image storage transmission process system (PACS), radiology information system (RIS), clinical laboratory's infosystem (LIS), ultrasound information system (UIS), pathological information system (PIS), endoscope system (EIS) etc. simultaneously.In order to make these system synergistic workings, improve extent of information sharing and the work efficiency of hospital, must be integrated.But at the system Construction initial stage, owing to lacking unified planning, between system, carry out integrated between two, brought a lot of problems, such as: when system quantity increases, integrated interface quantity also increases, bring exponential rising to integrated workload, affected the maintainability of system; Increased the degree of coupling of system.When integrated one party updates, require other side integrated with it also will and then change, this will bring the variation of the influence factor of chain system stability, reliability, a series of the unknowns such as functional; Integrated difficult quality guarantee, integrated between part manufacturer do not have daily record, cannot follow the tracks of and monitor, between information interaction have and be not successfully difficult to know; Increase the difficulty of hospital management, when integrated going wrong, be often difficult to coordinate.Therefore, the infosystem of hospital as next integrated in the efficient mode of how a kind of unification the inside, becomes a difficult problem.At present, medical institutions' data message of China is single, can not accomplish to share, once there be client need to transfer from one hospital to another, also will do inspection, the diagnosis of repetition, and inefficiency can not meet the demand that modern medicine is treated far away.
Therefore in the urgent need to the medical information data platform that can realize above-mentioned functions.
Summary of the invention
The object of the invention is provides a kind of medical information intelligent data platform and using method thereof for above-mentioned weak point, realization is from different aforementioned sources image data, complete discrete, parsing, reconstruct and the centralized stores of Dui Quan institute data, erect towards the unified information resource center that integrates medical information, and be reconstructed into according to Partition of role, self-defining Data View service, meet clinician, the needs of hospital management to the information sharing of medical data, early warning monitoring, thereby realize the recycling of integrate information.
Medical information intelligent data platform and using method thereof take following technical scheme to realize: medical information intelligent data platform comprises application server, data server and client, carries out by wireless or cable communication between described application server and data server and client; Described data server is for storing data information, and data server and operation system are interconnected by authorization, from business system acquisition data message; On application server, be provided with message route, a message is routed to correct goal systems from origin system, because the operation system that this platform is integrated is many, between system, mutual type of message is corresponding also can be a lot, this just needs a message routing module, carrys out the message route between disposal system; System server sends instruction to data server, by the data message of operation system regularly or Real-time Collection to data server, and be stored in wherein; Data call and display platform, call center are installed on application server, and described data call and display platform be for inquiring about the data message with display data server stores, thereby carry out integrated monitoring and integrated configuration; Described call center for carrying out delivery of content between client and application server.
Described integrated monitoring is by the graphic user interface on application server, make corpsman,hospital can observe the state of each message in current system, can view the implementation of message, comprise the execution time, the external system participating in, the data that transmit, the abnormal information while makeing mistakes in addition etc.
Described integrated configuration is by the graphic user interface on application server, makes corpsman,hospital can configure easily message route and the data processing between each system.
Described data message comprises patient's diagnosis and treatment information, fox message, essential information and the information of leaving hospital, described data message can also comprise the various information of hospital, such as doctor, is equipped with situation, doctor's personal information, hospitalization information and medical equipment information etc.
Communication between described client and application server adopts safe network service W3C SOAP mode.The call contents of described call center is the content that user and patient arrange by client.
Described operation system comprises management information system for hospitals (HIS), medical image storage transmission process system (PACS), radiology information system (RIS), clinical laboratory's infosystem (LIS), ultrasound information system (UIS), pathological information system (PIS) and endoscope system (EIS) etc.
There is much information system Hospitals at Present the inside, and some is older Legacy System, and some is the system of having applied new technology, and the interface that each system can provide is different.Described data server is provided with application programming interfaces, make intelligent data platform can support multiple kinds and messaging protocol, be not limited to specific format or standard acquisition data, can be by supporting several data form and standard after configuration, described data standard comprises data dictionary standard, HL7 v3 message criteria and HL7 CDA/CCD standard etc.; By importing the data of Amagla UIS into, realize support multiple kinds and messaging protocol, if laboratory data is containing LOINC code, intelligent data platform utilizes LOINC code to search for or filter permission user; Other standards such as HL7 v3 message, HL7 CDA/CCD define by self-defined resolver or by setting up adapter.
Described communications protocol comprises COM, Web Service, CORBA, database table or view, storing process, FTP and TCP/IP etc.; Messaging protocol comprises the text of the set form of HL7Huo manufacturer oneself definition, the XML for example customizing.
Described data dictionary standard comprises SNOMED, LOINC, CPT, ICD and RxNorm etc.
Described intelligent data platform is supported the HL7 v2.x of clinic information system transmission and the DICOM(digital imaging and communications in medicine transmitting for medical imaging) standard information, to facilitate client to accept common message format.
On described data server, have data processing module, described data processing module comprises the submodules such as data buffer storage, providing data formatting, data filtering, data-mapping, data-switching and data are abundant.
Data do not need to upgrade in real time in the occasion having.Can pass through data buffer storage submodule, passing the data of coming from application A, temporarily be stored in intelligent data platform, when by the time needing, property ground passes to application B data again.So just can support asynchronous operation, can reduce the interaction times of integration middleware and network, improve the performance of integrated platform.The another one effect of data buffer storage is that message is stored away to convenient positioning problems and correction process in the future.
Providing data formatting submodule is for formaing processing to data, so that the data of certain system can be by another system identification.Because system varies, data layout has again a variety of, and integrated platform, in order to come into contacts with different systems, is necessary data to format processing.Data need format when external system flows into integrated platform, so that integrated platform can be processed; Data flow out to external system from integrated platform also needs format, so that external system can be identified.
The data of data filtering submodule for coming from an application output, according to certain rule, filter out the needed data of Another application.
Data-mapping submodule for setting up corresponding relation between the data model of different application.
The function of data-switching submodule comprises merging or the separation of data modification, data row and column.
Data are enriched submodule and are expanded for operation system is passed to the data of coming.
The using method of medical information intelligent data platform, comprises the steps:
1) application server sends instruction to data server, by data server initiatively or obtained data message by trend operation system;
2) data server carries out buffer memory, format, filtration, mapping, conversion and abundant by the data message obtaining, and data message is mated, and deletes and does not meet the data message that coupling requires;
3) application server extracts as required relevant information and is presented on application server from data server, for user, selects check, retrieve and configure.
4) user carries out interaction by call platform.
Described medical information intelligent data platform is applicable to clinical, financial, quality and the operation management of medical system simultaneously.
The advantage of medical information intelligent data platform:
1) existing demand data of current information and today can not only be managed, following issuable any data can also be received neatly.It uses client visible method, allows clinician to customize the also real-time executing data legal medical expert of its view and examines and determine analysis, without a large amount of IT/DBA work.
2) intelligent data platform has the multiple advantages such as traditional data warehouse, clinical data storage vault, decision support or PACS function.Utilize the input of medical institutions on current existing system simultaneously, formed single data storing point, to realize unified access in mechanism, and in whole mechanism, transmitted all structural and unstructuredness data, comprised transaction property data and image.
3) unified information in real time, provides unique view and unprecedented dirigibility to explore with the mode of application data.Intelligent data Platform Solution expands to full department system from a single section office solution, is applicable to hospital internal and provincialism medical data center.
4) neighborhood covering of the data assets based on Intelligent data center recycling comprehensive scope of business of hospital: clinical, financial, quality and operation management.
5) restriction of intelligent data platform Bu Shou manufacturer and standard, can put into data-carrier store by the data of any form.The unique dirigibility of system and can store all history messages, therefore can at any time store any term, any term is mated or at any time historical data mated with term again in input.Because standardized course can be very very long, we think that this method is tool logicality.
6) intelligent data platform is not limited to specific format or standard acquisition data, and it can be configured to support any data layout, standard etc.For convenience of client, accept the process of common message format, to the HL7 v2.x for clinical information transmission with for the DICOM of medical imaging transmission, provide support.
Accompanying drawing explanation
Below in conjunction with accompanying drawing, the invention will be further described:
Fig. 1 is the schematic diagram that medical information intelligent data platform of the present invention is connected with operation system.
Fig. 2 is the workflow schematic diagram of medical information intelligent data platform of the present invention.
Fig. 3 is the FB(flow block) of the specific embodiment 1 of medical information intelligent data platform of the present invention.
Fig. 4 is the FB(flow block) of the specific embodiment 2 of medical information intelligent data platform of the present invention.
Embodiment
With reference to accompanying drawing 1 ~ 3, medical information intelligent data platform comprises application server, data server and client, carries out by wireless or cable communication between described application server and data server and client; Described data server is for storing data information, and data server and operation system are interconnected by authorization, from business system acquisition data message; On application server, be provided with message route, a message is routed to correct goal systems from origin system, because the operation system that this platform is integrated is many, between system, mutual type of message is corresponding also can be a lot, this just needs a message routing module, carrys out the message route between disposal system; System server sends instruction to data server, by the data message of operation system regularly or Real-time Collection to data server, and be stored in wherein; Data call and display platform, call center are installed on application server, and described data call and display platform be for inquiring about the data message with display data server stores, thereby carry out integrated monitoring and integrated configuration; Described call center for carrying out delivery of content between client and application server.
Described integrated monitoring is by the graphic user interface on application server, make corpsman,hospital can observe the state of each message in current system, can view the implementation of message, comprise the execution time, the external system participating in, the data that transmit, the abnormal information while makeing mistakes in addition etc.
Described integrated configuration is by the graphic user interface on application server, makes corpsman,hospital can configure easily message route and the data processing between each system.
Described data message comprises patient's diagnosis and treatment information, fox message, essential information and the information of leaving hospital, described data message can also comprise the various information of hospital, such as doctor, is equipped with situation, doctor's personal information, hospitalization information and medical equipment information etc.
Communication between described client and application server adopts safe network service W3C SOAP mode.The call contents of described call center is the content that user and patient arrange by client.
Described operation system comprises management information system for hospitals (HIS), medical image storage transmission process system (PACS), radiology information system (RIS), clinical laboratory's infosystem (LIS), ultrasound information system (UIS), pathological information system (PIS) and endoscope system (EIS) etc.
There is much information system Hospitals at Present the inside, and some is older Legacy System, and some is the system of having applied new technology, and the interface that each system can provide is different.Described data server is provided with application programming interfaces, make intelligent data platform can support multiple kinds and messaging protocol, be not limited to specific format or standard acquisition data, can be by supporting several data form and standard after configuration, described data standard comprises data dictionary standard, HL7 v3 message criteria and HL7 CDA/CCD standard etc.; By importing the data of Amagla UIS into, realize support multiple kinds and messaging protocol, if laboratory data is containing LOINC code, intelligent data platform utilizes LOINC code to search for or filter permission user; Other standards such as HL7 v3 message, HL7 CDA/CCD define by self-defined resolver or by setting up adapter.
Described communications protocol comprises COM, Web Service, CORBA, database table or view, storing process, FTP and TCP/IP etc.; Messaging protocol comprises the text of the set form of HL7Huo manufacturer oneself definition, the XML for example customizing.
Described data dictionary standard comprises SNOMED, LOINC, CPT, ICD and RxNorm etc.
Described intelligent data platform is supported the HL7 v2.x of clinic information system transmission and the DICOM(digital imaging and communications in medicine transmitting for medical imaging) standard information, to facilitate client to accept common message format.
On described data server, have data processing module, described data processing module comprises the submodules such as data buffer storage, providing data formatting, data filtering, data-mapping, data-switching and data are abundant.
Data do not need to upgrade in real time in the occasion having.Can pass through data buffer storage submodule, passing the data of coming from application A, temporarily be stored in intelligent data platform, when by the time needing, property ground passes to application B data again.So just can support asynchronous operation, can reduce the interaction times of integration middleware and network, improve the performance of integrated platform.The another one effect of data buffer storage is that message is stored away to convenient positioning problems and correction process in the future.
Providing data formatting submodule is for formaing processing to data, so that the data of certain system can be by another system identification.Because system varies, data layout has again a variety of, and integrated platform, in order to come into contacts with different systems, is necessary data to format processing.Data need format when external system flows into integrated platform, so that integrated platform can be processed; Data flow out to external system from integrated platform also needs format, so that external system can be identified.
The data of data filtering submodule for coming from an application output, according to certain rule, filter out the needed data of Another application.This is because under a lot of sights of reality, and application A, often according to the service logic of oneself, chooses the data of Another application B conditionally.For example, for outpatient's doctor's advice, the doctor's advice information that RIS only need to pay dues in HIS, and ignore the doctor's advice information of not paying dues.
Data-mapping submodule for setting up corresponding relation between the data model of different application.Because in general, the field of each system data model is different, wants the data of application A to pass to application B, just need between the data model of these two application, set up corresponding relation.For example, the field of patient ID in HIS is called pat_id, and the field PatientID by name in RIS at this time need to establish mapping relations between pat_id and PatientID.
The function of data-switching submodule comprises merging or the separation of data modification, data row and column.Data modification refers to: the data of application A just can be employed B through certain modification possibly and accept.For example, patient gender is expressed as M and F in HIS, RIS be expressed as man and female, when data pass to RIS from HIS, M need to be made into man, F is made into female.
The merging of some data row and column or separation.For example, Shi Fen city, the address title in HIS, street name, these three fields of number represent, and in RIS, only have an address field.Therefore those three fields in A must be merged into a field and just can pass to application B.(putting into specific embodiment)
Data are enriched submodule and are expanded for operation system is passed to the data of coming.Sometimes need to pass the data of coming at application A and expand, increase some fields, just can pass to application B.For example, when doctor's advice is passed to RIS from HIS, between sometimes doctor does not fill out immediately, doctor's advice is opened the time for empty like this, and needing integrated platform is that empty benefit is the current time in system the doctor's advice time of opening, then passes to RIS.(putting into specific embodiment)
The using method of medical information intelligent data platform, comprises the steps:
1) application server sends instruction to data server, by data server initiatively or obtained data message by trend operation system;
2) data server carries out buffer memory, format, filtration, mapping, conversion and abundant by the data message obtaining, and data message is mated, and deletes and does not meet the data message that coupling requires;
3) application server extracts as required relevant information and is presented on application server from data server, for user, selects check, retrieve and configure.
4) user carries out interaction by call platform.
Described medical information intelligent data platform is applicable to clinical, financial, quality and the operation management of medical system simultaneously.
Fig. 3 is embodiment 1, represents HIS and RIS, and UIS's is integrated, and HIS, after ending doctor's advice, sends to integrated platform patient information and doctor's advice information.Integrated platform, after data processing, is routed to RIS or UIS message respectively according to doctor's advice type; Registration queue at RIS or UIS just can be seen relevant patient information and doctor's advice information; Renewal on RIS or UIS workstation checks state, as reservation, cancels reservation, arrive and examine, cancel to inspection, complete inspection etc. and all return to integrated platform, integrated platform returns to HIS these status informations again, at the doctor workstation of HIS, just can see the current state that checks; Doctor has examined after report on RIS or UIS report station, and integrated platform is returned to HIS report message.HIS doctor workstation just can view the content of report; Integrated by HIS and RIS and UIS, hospital can obtain following effect: reduced the greffier's of dept. of radiology and Ultrasonography workload, increased work efficiency; Also reduced the stand-by period of patient at windows registry; Make clinician's energy follow-up investigations state, obtain sooner report and the image of inspection, improved diagnosis and treatment efficiency and clinical quality.
Integrated platform has greatly been simplified Integrated Development work and the maintenance work of system, can be so that the integrated horizontal of hospital information system has reached a new height.
Fig. 4 is embodiment 2, and by LIS, medical insurance system, rational use of medicines monitoring system with queue management system is integrated comes in, mutual between each system organically integrates each system all by integrated platform, really realizes the information sharing of full institute.
Integrated platform provides unified mode to realize the integrated of hospital information system to hospital, and the advantage of this integration mode has:
1) reduced system, coupled degree
Because application system only need to be integrated with integrated platform, thereby reduce the coupling level between integrated application system, partly or entirely replacing of some application systems can not affected to other application system.
2) integrated simplification
Integrated platform provides configuration tool, can configure easily integrated between system; And defined multiple interfaces, multiple kinds and messaging protocol, make the connection between various heterogeneous systems simpler, reduced the workload of exploitation, reduce overlapping development.
3) connection standard
Integrated platform is supported HL7.HL7[3] the standard Shi You U.S. HL7 council formulates, and is the standard being based upon in OSI model application layer (the 7th layer), and its target is for medical information system provides unified interface standard, realizes the message exchange between medical system.Integrated platform supports that the HL7 between manufacturer is integrated, makes it more to meet international standard.
4) improved the maintainability of the system integration
Because interface quantity has reduced, safeguard relatively easy on the one hand; On the other hand because integrated platform provides monitoring tools, each message in can tracing system, can pinpoint the problems and error correction in time, safeguards conveniently, and this has also improved integrated quality.
5) facilitate hospital management
Due to all systems, all by integrated platform, come integratedly, as long as hospital has managed the relation between integrated platform and application system, need not coordinate again the relation between each manufacturer.
Claims (10)
1. a medical information intelligent data platform, is characterized in that: comprise application server, data server and client, carry out by wireless or cable communication between described application server and data server and client; Described data server is for storing data information, and data server and operation system are interconnected by authorization, from business system acquisition data message; On application server, be provided with message route, a message is routed to correct goal systems from origin system; System server sends instruction to data server, by the data message of operation system regularly or Real-time Collection to data server, and be stored in wherein; Data call and display platform, call center are installed on application server, and described data call and display platform be for inquiring about the data message with display data server stores, thereby carry out integrated monitoring and integrated configuration; Described call center for carrying out delivery of content between client and application server.
2. a kind of medical information intelligent data platform according to claim 1, is characterized in that: described data message comprises patient's diagnosis and treatment information, fox message, essential information and the information of leaving hospital, and described data message can also comprise information for hospital.
3. a kind of medical information intelligent data platform according to claim 1, is characterized in that: the communication between described client and application server adopts safe network service W3C SOAP mode.
4. a kind of medical information intelligent data platform according to claim 1, is characterized in that: the call contents of described call center is the content that user and patient arrange by client.
5. a kind of medical information intelligent data platform according to claim 1, it is characterized in that: described data server is provided with application programming interfaces, make intelligent data platform can support multiple kinds and messaging protocol, be not limited to specific format or standard acquisition data, can be by supporting several data form and standard after configuration; By importing the data of Amagla UIS into, realize support multiple kinds and messaging protocol.
6. a kind of medical information intelligent data platform according to claim 5, is characterized in that: described communications protocol comprises COM, Web Service, CORBA, database table or view, storing process, FTP and TCP/IP; Messaging protocol comprises the text of the set form of HL7Huo manufacturer oneself definition.
7. a kind of medical information intelligent data platform according to claim 1, is characterized in that: described intelligent data platform is supported the HL7 v2.x of clinic information system transmission and the dicom standard information of transmitting for medical imaging.
8. a kind of medical information intelligent data platform according to claim 1, it is characterized in that: on described data server, have data processing module, described data processing module comprises that data buffer storage, providing data formatting, data filtering, data-mapping, data-switching and data enrich submodule.
9. the using method of medical information intelligent data platform claimed in claim 1, is characterized in that: comprises the steps,
1) application server sends instruction to data server, by data server initiatively or obtained data message by trend operation system;
2) data server carries out buffer memory, format, filtration, mapping, conversion and abundant by the data message obtaining, and data message is mated, and deletes and does not meet the data message that coupling requires;
3) application server extracts as required relevant information and is presented on application server from data server, for user, selects check, retrieve and configure;
4) user carries out interaction by call platform.
10. medical information intelligent data platform application claimed in claim 1 is in clinical, financial, quality and the operation management of medical system.
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