CN106230975A - Based on master index cloud platform across institute's data sharing, Real-Time Sharing method and system - Google Patents
Based on master index cloud platform across institute's data sharing, Real-Time Sharing method and system Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及一种基于主索引云平台的跨院数据共享、实时共享方法及系统。The invention relates to a cross-hospital data sharing and real-time sharing method and system based on a master index cloud platform.
背景技术Background technique
目前现有技术存在以下技术问题:There are following technical problems in current prior art:
1、目前每家医院的患者信息管理系统都是以独立的单元存在,无法与其他医院的信息系统进行交互和数据共享,这样造成的结果是,患者在不同的医院就诊,需要重复录入个人的信息,重复跟医生叙述病史以及诊疗数据;1. At present, the patient information management system of each hospital exists as an independent unit, which cannot interact and share data with other hospital information systems. As a result, patients need to repeatedly enter personal information when they visit different hospitals. Information, repeatedly narrate the medical history and diagnosis and treatment data to the doctor;
而且同一个自然人在不同的医院会产生多份患者数据,若诊疗资料丢失,患者更换医院后需要重新做很多重复的检查;故医院数据共享是目前亟待解决的技术问题;Moreover, the same natural person will generate multiple copies of patient data in different hospitals. If the diagnosis and treatment data are lost, the patient will need to do many repeated checks after changing hospitals; therefore, hospital data sharing is a technical problem that needs to be solved urgently;
2、医院数据共享的另一个问题就是,进行患者信息和患者诊疗信息的同步时,会有时间上的延迟,目前患者如果在A医院做了检查,检查结果尚未出来,而患者因为某种原因急需转院,转到B医院,对于重症患者,不可能在A医院一直等待检查报告结果,而且检查报告结果往往包含照片等重要资料;患者转院后,之前的A医院的诊疗数据是否能及时传送给B医院,能否给重症患者的诊断治疗节省时间,是目前困扰医生和患者的一个问题,故如何保证跨医院数据共享的及时、安全和有效也是目前亟待解决的技术问题。2. Another problem with hospital data sharing is that there will be a time delay when synchronizing patient information and patient diagnosis and treatment information. At present, if a patient has undergone an examination in Hospital A, the examination result has not yet come out, and the patient for some reason It is urgent to transfer to hospital B. For severe patients, it is impossible to wait for the results of the inspection report in hospital A, and the results of the inspection report often contain important information such as photos; Whether hospital B can save time for the diagnosis and treatment of critically ill patients is a problem that plagues doctors and patients at present. Therefore, how to ensure timely, safe and effective cross-hospital data sharing is also a technical problem that needs to be solved urgently.
3、如果患者在A医院做了诊疗检查,当A医院的大夫认为无法根据检查结果判定患者的病情,需要上级医院C医院的支持,但是无需患者转院时,需要A医院及时将患者的检查数据及时上传给上级医院C医院查看。目前这一问题尚未解决。3. If the patient has undergone a diagnosis and treatment examination in Hospital A, when the doctor of Hospital A believes that the patient’s condition cannot be determined based on the examination results, the support of Hospital C, the superior hospital, is needed. Upload it to Hospital C, the superior hospital, for review. This issue is currently unresolved.
4、如果患者在A医院做了诊疗检查,患者转到B医院继续治疗,这时候,如果A医院需要持续关注患者的病情发展,那么就需要B医院将患者转院后的治疗情况及时上传给A医院查看;目前这一问题尚未解决。4. If the patient has undergone a diagnosis and treatment examination in Hospital A, and the patient is transferred to Hospital B for further treatment, at this time, if Hospital A needs to continue to pay attention to the development of the patient's condition, then Hospital B needs to upload the treatment status of the patient after the transfer to A in time Hospital review; this issue is currently unresolved.
5、如果专家会诊,来自各大医院的专家都在同一个平台上讨论患者的疑难病情,这个平台需要及时更新患者的病情信息,这时候需要医院将数据进行及时的共享,目前这一问题尚未解决。5. In the case of expert consultation, experts from major hospitals discuss patients’ difficult conditions on the same platform. This platform needs to update the patient’s condition information in a timely manner. At this time, the hospital needs to share the data in a timely manner. At present, this problem has not yet been solved. solve.
发明内容Contents of the invention
本发明的目的就是为了解决上述问题,提供一种基于主索引云平台的跨院数据共享、实时共享方法及系统,它具有实现跨医院数据共享的及时性的优点。The purpose of the present invention is to solve the above problems, and provide a method and system for cross-hospital data sharing and real-time sharing based on the main index cloud platform, which has the advantage of realizing the timeliness of cross-hospital data sharing.
为了实现上述目的,本发明采用如下技术方案:In order to achieve the above object, the present invention adopts the following technical solutions:
基于主索引云平台的跨院数据共享系统,包括:Cross-hospital data sharing system based on the main index cloud platform, including:
患者信息主索引云平台,包括:云数据库,所述云数据库用于接收并存储来自不同医院的患者数据存储服务器的患者信息;还为不同医院的患者数据查询服务器提供患者信息;The patient information master index cloud platform includes: a cloud database, which is used to receive and store patient information from patient data storage servers in different hospitals; also provide patient information for patient data query servers in different hospitals;
第一患者数据存储服务器,部署在医院,包括:第一患者基本信息数据库和第一患者诊疗信息数据库,所述第一患者基本信息数据库,用于存储患者的基本信息,所述第一患者诊疗信息数据库,用于存储患者的诊疗信息;患者的基本信息与患者的诊疗信息一一对应;The first patient data storage server, deployed in the hospital, includes: the first patient basic information database and the first patient diagnosis and treatment information database, the first patient basic information database is used to store the patient's basic information, and the first patient diagnosis and treatment information database The information database is used to store the diagnosis and treatment information of the patients; the basic information of the patients corresponds to the diagnosis and treatment information of the patients;
患者数据查询服务器,部署在医院,用于接收患者信息的查询指令,并根据查询指令从患者信息主索引云平台的云数据库中获取患者信息,或者根据查询指令从第一患者数据存储服务器的患者基本信息数据库和患者诊疗信息数据库中获取患者信息。The patient data query server, deployed in the hospital, is used to receive query instructions for patient information, and obtain patient information from the cloud database of the patient information main index cloud platform according to the query instructions, or obtain patient information from the first patient data storage server according to the query instructions. The patient information is obtained from the basic information database and the patient diagnosis and treatment information database.
所述患者信息包括:患者的基本信息和患者的诊疗信息。The patient information includes: basic information of the patient and diagnosis and treatment information of the patient.
所述患者的基本信息,包括:患者的身份证号码、姓名、地址。The basic information of the patient includes: the patient's ID number, name, and address.
所述患者的诊疗信息,包括:门诊数据、检验数据、检查数据和病历信息。The diagnosis and treatment information of the patient includes: outpatient data, test data, examination data and medical record information.
基于主索引云平台的跨院数据共享方法,包括:A cross-academy data sharing method based on the main index cloud platform, including:
步骤(1):部署在第一家医院的第一患者数据存储服务器的第一患者基本信息数据库获取录入的患者基本信息;第一患者数据存储服务器的第一患者诊疗信息数据库获取录入的患者的诊疗信息;Step (1): The first patient basic information database of the first patient data storage server deployed in the first hospital obtains the entered patient basic information; the first patient diagnosis and treatment information database of the first patient data storage server obtains the entered patient's information medical information;
步骤(2):第一患者数据存储服务器判断第一患者基本信息数据库和第一患者诊疗信息数据库中的数据是否有更新,若有,就将更新的数据上传给患者信息主索引云平台的云数据库中,根据患者的基本信息和患者的诊疗信息在云数据库中建立主索引;若没有就继续判断;Step (2): The first patient data storage server judges whether the data in the first patient basic information database and the first patient diagnosis and treatment information database are updated, and if so, uploads the updated data to the cloud of the patient information main index cloud platform In the database, establish the main index in the cloud database according to the basic information of the patient and the diagnosis and treatment information of the patient; if not, continue to judge;
步骤(3):部署在第二家医院的患者数据查询服务器,接收患者信息的查询指令:若经过查询发现部署在第二家医院的第二患者数据存储服务器,有被查询患者的就诊记录,则结束;若经过查询发现没有被查询患者的就诊记录,则直接从患者信息主索引云平台的云数据库中查询,利用患者的基本信息通过主索引查询到患者的诊疗信息;将患者的基本信息和诊疗信息同步存储到第二家医院的第二患者数据存储服务器上。Step (3): The patient data query server deployed in the second hospital receives the query instruction of patient information: if the second patient data storage server deployed in the second hospital is found to have the medical records of the queried patient, Then end; if it is found through the query that there is no medical record of the queried patient, then directly query from the cloud database of the patient information main index cloud platform, and use the patient's basic information to query the patient's diagnosis and treatment information through the main index; the patient's basic information It is stored synchronously with the diagnosis and treatment information on the second patient data storage server of the second hospital.
所述步骤(2)的步骤如下:The step of described step (2) is as follows:
每间隔设定时间就将第一患者数据存储服务器的患者的基本信息和患者的诊疗信息上传到患者信息主索引云平台;患者信息主索引云平台将患者的基本信息中的身份证号码作为主索引码;The basic information of the patient and the diagnosis and treatment information of the patient in the first patient data storage server are uploaded to the patient information main index cloud platform at every set time interval; the patient information main index cloud platform uses the ID card number in the patient's basic information as the main index code;
患者信息主索引云平台根据患者的基本信息中的身份证号码扫描云数据库中的主索引码,判断云数据库中是否已经存在患者的基本信息,The patient information main index cloud platform scans the main index code in the cloud database according to the ID number in the patient's basic information, and judges whether the basic information of the patient already exists in the cloud database.
如果不存在患者的基本信息,就存储患者的基本信息,并用患者的基本信息中的身份证号码作为患者的基本信息对应的主索引号码;If the patient's basic information does not exist, store the patient's basic information, and use the ID number in the patient's basic information as the main index number corresponding to the patient's basic information;
如果存在患者的基本信息,继续判断患者的基本信息是否已经存在于云数据库的业务数据表里面,If the patient's basic information exists, continue to judge whether the patient's basic information already exists in the business data table of the cloud database,
如果患者的基本信息已经存在于云数据库的业务数据表里面,进行患者的诊疗信息的更新,患者对应的主索引号码不变;如果患者的基本信息不存在于云数据库的业务数据表里面,就将患者的基本信息存储到云数据库的业务数据表里面,然后进行患者的诊疗信息的存储。If the basic information of the patient already exists in the business data table of the cloud database, update the patient's diagnosis and treatment information, and the corresponding primary index number of the patient remains unchanged; if the basic information of the patient does not exist in the business data table of the cloud database, just Store the patient's basic information in the business data table of the cloud database, and then store the patient's diagnosis and treatment information.
基于主索引云平台的跨院数据实时共享系统,包括:Real-time cross-hospital data sharing system based on the main index cloud platform, including:
患者信息主索引云平台,包括:云数据库和消息服务器,所述云数据库用于接收并存储来自不同医院的患者数据存储服务器的患者信息;还为不同医院的患者数据查询服务器的提供患者信息;所述消息服务器用于接收第一消息客户端发出的消息更新请求,并根据消息更新请求获取第一消息客户端对应的第二患者数据存储服务器中更新的数据,将获取的数据存储到云数据库中;同时消息服务器还通知第二消息客户端实时获取更新数据;The patient information master index cloud platform includes: a cloud database and a message server, and the cloud database is used to receive and store patient information from patient data storage servers in different hospitals; it also provides patient information for patient data query servers in different hospitals; The message server is used to receive the message update request sent by the first message client, and obtain the updated data in the second patient data storage server corresponding to the first message client according to the message update request, and store the obtained data in the cloud database In the middle; at the same time, the message server also notifies the second message client to obtain the update data in real time;
第二患者数据存储服务器,部署在第一家医院,包括:第一消息客户端、第二患者基本信息数据库和第二患者诊疗信息数据库,所述第一消息客户端用于检测第二患者数据存储服务器是否产生新的数据,若产生则向消息服务器发出消息更新请求,同时接收消息服务器的更新完毕通知;所述第二患者基本信息数据库,用于存储在第一家医院就诊患者的基本信息,所述第二患者诊疗信息数据库,用于存储在第一家医院就诊患者的诊疗信息;患者的基本信息与患者的诊疗信息一一对应;The second patient data storage server, deployed in the first hospital, includes: a first message client, a second patient basic information database and a second patient diagnosis and treatment information database, the first message client is used to detect the second patient data Whether the storage server generates new data, if it does, it sends a message update request to the message server, and receives the message server's update completion notification; the second patient basic information database is used to store the basic information of the first hospital-seeing patient , the second patient diagnosis and treatment information database is used to store the diagnosis and treatment information of the first hospital-seeing patient; the basic information of the patient is in one-to-one correspondence with the diagnosis and treatment information of the patient;
第三患者数据存储服务器,部署在第二家医院,包括:第二消息客户端、第三患者基本信息数据库和第三患者诊疗信息数据库,所述第二消息客户端接收消息服务器的数据更新通知;接收到数据更新通知后,从云数据库中下载更新的数据,并对下载的更新数据进行存储,所述第三患者基本信息数据库,用于存储在第二家医院就诊患者的基本信息,所述第三患者诊疗信息数据库,用于存储在第二家医院就诊患者的诊疗信息;患者的基本信息与患者的诊疗信息一一对应;The third patient data storage server, deployed in the second hospital, includes: a second message client, a third patient basic information database and a third patient diagnosis and treatment information database, the second message client receives the data update notification from the message server After receiving the data update notification, download the updated data from the cloud database, and store the downloaded updated data, the third patient basic information database is used to store the basic information of the patients in the second hospital. The third patient diagnosis and treatment information database is used to store the diagnosis and treatment information of patients in the second hospital; the basic information of the patient corresponds to the diagnosis and treatment information of the patient;
患者数据查询服务器,部署在第二家医院,用于接收患者信息的查询指令,并根据查询指令从患者信息主索引云平台的云数据库中获取患者信息,或者根据查询指令从第三患者数据存储服务器的患者基本信息数据库和患者诊疗信息数据库中获取患者信息。The patient data query server, deployed in the second hospital, is used to receive patient information query instructions, and obtain patient information from the cloud database of the patient information master index cloud platform according to the query instructions, or from the third patient data storage according to the query instructions Obtain patient information from the patient basic information database and patient diagnosis and treatment information database of the server.
所述患者信息包括:患者的基本信息和患者的诊疗信息。The patient information includes: basic information of the patient and diagnosis and treatment information of the patient.
基于主索引云平台的跨院数据实时共享方法,包括:A real-time data sharing method across hospitals based on the main index cloud platform, including:
步骤(1):第二患者数据存储服务器的第二患者基本信息数据库获取录入的患者基本信息;第二患者数据存储服务器的第二患者诊疗信息数据库获取录入的患者的诊疗信息;Step (1): the second patient basic information database of the second patient data storage server obtains the patient basic information entered; the second patient diagnosis and treatment information database of the second patient data storage server obtains the diagnosis and treatment information of the patient entered;
步骤(2):部署在第一家医院的第一消息客户端判断第二患者基本信息数据库或第二患者诊疗信息数据库中的数据是否有更新,若有,第一消息客户端向患者信息主索引云平台的消息服务器发出消息更新请求,将更新的数据上传给患者信息主索引云平台的云数据库中,根据患者的基本信息和患者的诊疗信息在云数据库中建立主索引;若没有就继续判断;Step (2): The first message client deployed in the first hospital judges whether the data in the second patient's basic information database or the second patient's diagnosis and treatment information database has been updated, and if so, the first message client sends a message to the patient information host. The message server of the index cloud platform sends a message update request, uploads the updated data to the cloud database of the patient information main index cloud platform, and establishes the main index in the cloud database according to the basic information of the patient and the diagnosis and treatment information of the patient; if not, continue judge;
步骤(3):患者信息主索引云平台的消息服务器用于接收第一消息客户端发出的消息更新请求,并根据消息更新请求接收第一消息客户端对应的第二患者数据存储服务器中更新的数据,将获取的数据存储到云数据库中;同时消息服务器还向部署在第二家医院的第二消息客户端发出数据更新的通知;Step (3): The message server of the patient information main index cloud platform is used to receive the message update request sent by the first message client, and receive the updated information in the second patient data storage server corresponding to the first message client according to the message update request. data, and store the obtained data in the cloud database; at the same time, the message server also sends a data update notification to the second message client deployed in the second hospital;
步骤(4):第二消息客户端接收消息服务器的数据更新通知;接收到数据更新通知后,从云数据库中下载更新的数据,并对下载的更新数据进行存储,存储到第二家医院的第三患者数据存储服务器上,存储的数据用于第二家医院的患者数据查询服务端进行数据的实时查询。Step (4): The second message client receives the data update notification from the message server; after receiving the data update notification, it downloads the updated data from the cloud database, stores the downloaded updated data, and stores it in the second hospital's On the third patient data storage server, the stored data is used for real-time data query by the patient data query server of the second hospital.
所述步骤(2)的将更新的数据上传给患者信息主索引云平台的云数据库中,根据患者的基本信息和患者的诊疗信息在云数据库中建立主索引,步骤如下:Described step (2) uploads the updated data to the cloud database of the patient information main index cloud platform, and sets up the main index in the cloud database according to the basic information of the patient and the diagnosis and treatment information of the patient, and the steps are as follows:
每间隔设定时间就将第二患者数据存储服务器的患者的基本信息和患者的诊疗信息上传到患者信息主索引云平台;患者信息主索引云平台将患者的基本信息中的身份证号码作为主索引码;The patient's basic information and the patient's diagnosis and treatment information in the second patient data storage server are uploaded to the patient information main index cloud platform at every set time; the patient information main index cloud platform uses the ID card number in the patient's basic information as the main index code;
患者信息主索引云平台根据患者的基本信息中的身份证号码扫描云数据库中的主索引码,判断云数据库中是否已经存在患者的基本信息,The patient information main index cloud platform scans the main index code in the cloud database according to the ID number in the patient's basic information, and judges whether the basic information of the patient already exists in the cloud database.
如果不存在患者的基本信息,就存储患者的基本信息,并用患者的基本信息中的身份证号码作为患者的基本信息对应的主索引号码;If the patient's basic information does not exist, store the patient's basic information, and use the ID number in the patient's basic information as the main index number corresponding to the patient's basic information;
如果存在患者的基本信息,继续判断患者的基本信息是否已经存在于云数据库的业务数据表里面,If the patient's basic information exists, continue to judge whether the patient's basic information already exists in the business data table of the cloud database,
如果患者的基本信息已经存在于云数据库的业务数据表里面,进行患者的诊疗信息的更新,患者对应的主索引号码不变;如果患者的基本信息不存在于云数据库的业务数据表里面,就将患者的基本信息存储到云数据库的业务数据表里面,然后进行患者的诊疗信息的存储。If the basic information of the patient already exists in the business data table of the cloud database, update the patient's diagnosis and treatment information, and the corresponding primary index number of the patient remains unchanged; if the basic information of the patient does not exist in the business data table of the cloud database, just Store the patient's basic information in the business data table of the cloud database, and then store the patient's diagnosis and treatment information.
本发明的有益效果:Beneficial effects of the present invention:
1建立了云端患者主索引平台,通过主索引,将不同医院的患者信息,不同区域的居民 信息进行了统一整合,简化了查看或者操作某一个患者信息时的流程。1 Established a cloud patient main index platform. Through the main index, the patient information of different hospitals and the residents' information in different regions are unified and integrated, which simplifies the process of viewing or operating a certain patient information.
2跨系统的业务,需要对同一个患者信息进行操作时,无需额外的传递冗余信息,进行患者身份校验。2. For cross-system business, when it is necessary to operate on the same patient information, there is no need to transmit redundant information to verify the patient's identity.
3通过在第一家医院的第二患者数据存储服务器上部署第一消息客户端、在第二家医院的第三患者数据存储服务器上部署第二消息客户端和在患者信息主索引云平台上部署消息服务器,实现了患者转院时,患者基本信息与患者诊疗信息数据在不同医院共享的及时性。3 By deploying the first message client on the second patient data storage server of the first hospital, deploying the second message client on the third patient data storage server of the second hospital, and deploying the second message client on the patient information main index cloud platform Deploying a message server realizes the timeliness of sharing basic patient information and patient diagnosis and treatment information among different hospitals when patients are transferred.
4、同理,本发明还能实现患者不转院时,下级医院将数据上传给患者信息主索引云平台,上级医院的数据存储服务器及时从患者信息主索引云平台上下载患者诊疗信息,实现不转院患者能享受上级医院医生诊疗的建议。4. Similarly, the present invention can also realize that when the patient does not transfer to another hospital, the lower-level hospital uploads the data to the patient information main index cloud platform, and the data storage server of the upper-level hospital downloads the patient's diagnosis and treatment information from the patient information main index cloud platform in time, so as to achieve no Transfer patients can enjoy the advice of doctors in higher-level hospitals.
5、同理,本发明还能实现,患者转院后,新医院将数据上传给患者信息主索引云平台,原医院的数据存储服务器及时从患者信息主索引云平台上下载患者诊疗信息,实现转院后,原医院的医生依旧能实时了解患者病情的发展情况,以便转院前后的两家医院的专家进行患者病情的交流。5. Similarly, the present invention can also realize that after the patient is transferred, the new hospital uploads the data to the patient information main index cloud platform, and the data storage server of the original hospital downloads the patient's diagnosis and treatment information from the patient information main index cloud platform in time to realize the transfer Afterwards, the doctors of the original hospital can still understand the development of the patient's condition in real time, so that the experts of the two hospitals before and after the transfer can communicate with the patient's condition.
6、同理,本发明还能实现,专家会诊,来自各大医院的专家都在同一个平台上讨论患者的疑难病情,患者所在医院将数据上传给患者信息主索引云平台,专家会诊平台的数据存储服务器及时从患者信息主索引云平台上下载患者诊疗信息,实现各大医院的专家都在同一个平台上讨论患者的疑难病情。6. In the same way, the present invention can also realize expert consultation. Experts from major hospitals discuss the patient's difficult illness on the same platform. The hospital where the patient is located uploads the data to the main index cloud platform for patient information. The data storage server downloads patient diagnosis and treatment information from the patient information main index cloud platform in a timely manner, enabling experts from major hospitals to discuss patients' difficult conditions on the same platform.
附图说明Description of drawings
图1为基于主索引云平台的跨院数据共享系统架构图;Figure 1 is the architecture diagram of the cross-hospital data sharing system based on the main index cloud platform;
图2为患者主索引信息已经存在于云端患者主索引系统的患者注册流程图;Figure 2 is a flow chart of patient registration where patient master index information already exists in the cloud patient master index system;
图3为患者主索引信息没有存在于云端患者主索引系统的患者注册流程图;Fig. 3 is a flow chart of patient registration in which the patient master index information does not exist in the cloud patient master index system;
图4为基于主索引云平台的跨院数据共享实时系统架构图;Figure 4 is a real-time system architecture diagram of cross-hospital data sharing based on the main index cloud platform;
图5为两家医院数据实时共享的流程图。Figure 5 is a flowchart of real-time data sharing between two hospitals.
具体实施方式detailed description
下面结合附图与实施例对本发明作进一步说明。The present invention will be further described below in conjunction with the accompanying drawings and embodiments.
如图1所示,基于主索引云平台的跨院数据共享系统,包括:As shown in Figure 1, the cross-hospital data sharing system based on the main index cloud platform includes:
患者信息主索引云平台,包括:云数据库,所述云数据库用于接收并存储来自不同医院的患者数据存储服务器的患者信息;还为不同医院的患者数据查询服务器提供患者信息;The patient information master index cloud platform includes: a cloud database, which is used to receive and store patient information from patient data storage servers in different hospitals; also provide patient information for patient data query servers in different hospitals;
第一患者数据存储服务器,部署在医院,包括:第一患者基本信息数据库和第一患者诊疗信息数据库,所述第一患者基本信息数据库,用于存储患者的基本信息,所述第一患者诊 疗信息数据库,用于存储患者的诊疗信息;患者的基本信息与患者的诊疗信息一一对应;The first patient data storage server, deployed in the hospital, includes: the first patient basic information database and the first patient diagnosis and treatment information database, the first patient basic information database is used to store the patient's basic information, and the first patient diagnosis and treatment information database The information database is used to store the diagnosis and treatment information of the patients; the basic information of the patients corresponds to the diagnosis and treatment information of the patients;
患者数据查询服务器,部署在医院,用于接收患者信息的查询指令,并根据查询指令从患者信息主索引云平台的云数据库中获取患者信息,或者根据查询指令从第一患者数据存储服务器的患者基本信息数据库和患者诊疗信息数据库中获取患者信息。The patient data query server, deployed in the hospital, is used to receive query instructions for patient information, and obtain patient information from the cloud database of the patient information main index cloud platform according to the query instructions, or obtain patient information from the first patient data storage server according to the query instructions. The patient information is obtained from the basic information database and the patient diagnosis and treatment information database.
所述患者信息包括:患者的基本信息和患者的诊疗信息。The patient information includes: basic information of the patient and diagnosis and treatment information of the patient.
所述患者的基本信息,包括:患者的身份证号码、姓名、地址。The basic information of the patient includes: the patient's ID number, name, and address.
所述患者的诊疗信息,包括:门诊数据、检验数据、检查数据和病历信息。The diagnosis and treatment information of the patient includes: outpatient data, test data, examination data and medical record information.
如图1所示,基于主索引云平台的跨院数据共享方法,包括:As shown in Figure 1, the cross-academy data sharing method based on the main index cloud platform includes:
步骤(1):部署在第一家医院的第一患者数据存储服务器的第一患者基本信息数据库获取录入的患者基本信息;第一患者数据存储服务器的第一患者诊疗信息数据库获取录入的患者的诊疗信息;Step (1): The first patient basic information database of the first patient data storage server deployed in the first hospital obtains the entered patient basic information; the first patient diagnosis and treatment information database of the first patient data storage server obtains the entered patient's information medical information;
步骤(2):第一患者数据存储服务器判断第一患者基本信息数据库和第一患者诊疗信息数据库中的数据是否有更新,若有,就将更新的数据上传给患者信息主索引云平台的云数据库中,根据患者的基本信息和患者的诊疗信息在云数据库中建立主索引;若没有就继续判断;Step (2): The first patient data storage server judges whether the data in the first patient basic information database and the first patient diagnosis and treatment information database are updated, and if so, uploads the updated data to the cloud of the patient information main index cloud platform In the database, establish the main index in the cloud database according to the basic information of the patient and the diagnosis and treatment information of the patient; if not, continue to judge;
步骤(3):部署在第二家医院的患者数据查询服务器,接收患者信息的查询指令:若经过查询发现部署在第二家医院的第二患者数据存储服务器,有被查询患者的就诊记录,则结束;若经过查询发现没有被查询患者的就诊记录,则直接从患者信息主索引云平台的云数据库中查询,利用患者的基本信息通过主索引查询到患者的诊疗信息;将患者的基本信息和诊疗信息同步存储到第二家医院的第二患者数据存储服务器上。Step (3): The patient data query server deployed in the second hospital receives the query instruction of patient information: if the second patient data storage server deployed in the second hospital is found to have the medical records of the queried patient, Then end; if it is found through the query that there is no medical record of the queried patient, then directly query from the cloud database of the patient information main index cloud platform, and use the patient's basic information to query the patient's diagnosis and treatment information through the main index; the patient's basic information It is stored synchronously with the diagnosis and treatment information on the second patient data storage server of the second hospital.
所述步骤(2)的步骤如下:The step of described step (2) is as follows:
每间隔设定时间就将第一患者数据存储服务器的患者的基本信息和患者的诊疗信息上传到患者信息主索引云平台;患者信息主索引云平台将患者的基本信息中的身份证号码作为主索引码;The basic information of the patient and the diagnosis and treatment information of the patient in the first patient data storage server are uploaded to the patient information main index cloud platform at every set time interval; the patient information main index cloud platform uses the ID card number in the patient's basic information as the main index code;
患者信息主索引云平台根据患者的基本信息中的身份证号码扫描云数据库中的主索引码,判断云数据库中是否已经存在患者的基本信息,The patient information main index cloud platform scans the main index code in the cloud database according to the ID number in the patient's basic information, and judges whether the basic information of the patient already exists in the cloud database.
如果不存在患者的基本信息,就存储患者的基本信息,并用患者的基本信息中的身份证号码作为患者的基本信息对应的主索引号码;If the patient's basic information does not exist, store the patient's basic information, and use the ID number in the patient's basic information as the main index number corresponding to the patient's basic information;
如果存在患者的基本信息,继续判断患者的基本信息是否已经存在于云数据库的业务数据表里面,If the patient's basic information exists, continue to judge whether the patient's basic information already exists in the business data table of the cloud database,
如果患者的基本信息已经存在于云数据库的业务数据表里面,进行患者的诊疗信息的更 新,患者对应的主索引号码不变;如果患者的基本信息不存在于云数据库的业务数据表里面,就将患者的基本信息存储到云数据库的业务数据表里面,然后进行患者的诊疗信息的存储。If the basic information of the patient already exists in the business data table of the cloud database, update the patient's diagnosis and treatment information, and the corresponding primary index number of the patient remains unchanged; if the basic information of the patient does not exist in the business data table of the cloud database, just Store the patient's basic information in the business data table of the cloud database, and then store the patient's diagnosis and treatment information.
如图4所示,基于主索引云平台的跨院数据实时共享系统,包括:As shown in Figure 4, the cross-academy data real-time sharing system based on the main index cloud platform includes:
患者信息主索引云平台,包括:云数据库和消息服务器,所述云数据库用于接收并存储来自不同医院的患者数据存储服务器的患者信息;还为不同医院的患者数据查询服务器的提供患者信息;所述消息服务器用于接收第一消息客户端发出的消息更新请求,并根据消息更新请求获取第一消息客户端对应的第二患者数据存储服务器中更新的数据,将获取的数据存储到云数据库中;同时消息服务器还通知第二消息客户端实时获取更新数据;The patient information master index cloud platform includes: a cloud database and a message server, and the cloud database is used to receive and store patient information from patient data storage servers in different hospitals; it also provides patient information for patient data query servers in different hospitals; The message server is used to receive the message update request sent by the first message client, and obtain the updated data in the second patient data storage server corresponding to the first message client according to the message update request, and store the obtained data in the cloud database In the middle; at the same time, the message server also notifies the second message client to obtain the update data in real time;
第二患者数据存储服务器,部署在第一家医院,包括:第一消息客户端、第二患者基本信息数据库和第二患者诊疗信息数据库,所述第一消息客户端用于检测第二患者数据存储服务器是否产生新的数据,若产生则向消息服务器发出消息更新请求,同时接收消息服务器的更新完毕通知;所述第二患者基本信息数据库,用于存储在第一家医院就诊患者的基本信息,所述第二患者诊疗信息数据库,用于存储在第一家医院就诊患者的诊疗信息;患者的基本信息与患者的诊疗信息一一对应;The second patient data storage server, deployed in the first hospital, includes: a first message client, a second patient basic information database and a second patient diagnosis and treatment information database, the first message client is used to detect the second patient data Whether the storage server generates new data, if it does, it sends a message update request to the message server, and receives the message server's update completion notification; the second patient basic information database is used to store the basic information of the first hospital-seeing patient , the second patient diagnosis and treatment information database is used to store the diagnosis and treatment information of the first hospital-seeing patient; the basic information of the patient is in one-to-one correspondence with the diagnosis and treatment information of the patient;
第三患者数据存储服务器,部署在第二家医院,包括:第二消息客户端、第三患者基本信息数据库和第三患者诊疗信息数据库,所述第二消息客户端接收消息服务器的数据更新通知;接收到数据更新通知后,从云数据库中下载更新的数据,并对下载的更新数据进行存储,所述第三患者基本信息数据库,用于存储在第二家医院就诊患者的基本信息,所述第三患者诊疗信息数据库,用于存储在第二家医院就诊患者的诊疗信息;患者的基本信息与患者的诊疗信息一一对应;The third patient data storage server, deployed in the second hospital, includes: a second message client, a third patient basic information database and a third patient diagnosis and treatment information database, the second message client receives the data update notification from the message server After receiving the data update notification, download the updated data from the cloud database, and store the downloaded updated data, the third patient basic information database is used to store the basic information of the patients in the second hospital. The third patient diagnosis and treatment information database is used to store the diagnosis and treatment information of patients in the second hospital; the basic information of the patient corresponds to the diagnosis and treatment information of the patient;
患者数据查询服务器,部署在第二家医院,用于接收患者信息的查询指令,并根据查询指令从患者信息主索引云平台的云数据库中获取患者信息,或者根据查询指令从第三患者数据存储服务器的患者基本信息数据库和患者诊疗信息数据库中获取患者信息。The patient data query server, deployed in the second hospital, is used to receive patient information query instructions, and obtain patient information from the cloud database of the patient information master index cloud platform according to the query instructions, or from the third patient data storage according to the query instructions Obtain patient information from the patient basic information database and patient diagnosis and treatment information database of the server.
所述患者信息包括:患者的基本信息和患者的诊疗信息。The patient information includes: basic information of the patient and diagnosis and treatment information of the patient.
如图4所示,基于主索引云平台的跨院数据实时共享方法,包括:As shown in Figure 4, the real-time sharing method of inter-hospital data based on the master index cloud platform includes:
步骤(1):第二患者数据存储服务器的第二患者基本信息数据库获取录入的患者基本信息;第二患者数据存储服务器的第二患者诊疗信息数据库获取录入的患者的诊疗信息;Step (1): the second patient basic information database of the second patient data storage server obtains the patient basic information entered; the second patient diagnosis and treatment information database of the second patient data storage server obtains the diagnosis and treatment information of the patient entered;
步骤(2):部署在第一家医院的第一消息客户端判断第二患者基本信息数据库或第二患者诊疗信息数据库中的数据是否有更新,若有,第一消息客户端向患者信息主索引云平台的消息服务器发出消息更新请求,将更新的数据上传给患者信息主索引云平台的云数据库中, 根据患者的基本信息和患者的诊疗信息在云数据库中建立主索引;若没有就继续判断;Step (2): The first message client deployed in the first hospital judges whether the data in the second patient's basic information database or the second patient's diagnosis and treatment information database has been updated, and if so, the first message client sends a message to the patient information host. The message server of the index cloud platform sends a message update request, and uploads the updated data to the cloud database of the patient information main index cloud platform, and establishes the main index in the cloud database according to the basic information of the patient and the diagnosis and treatment information of the patient; if not, continue judge;
步骤(3):患者信息主索引云平台的消息服务器用于接收第一消息客户端发出的消息更新请求,并根据消息更新请求接收第一消息客户端对应的第二患者数据存储服务器中更新的数据,将获取的数据存储到云数据库中;同时消息服务器还向部署在第二家医院的第二消息客户端发出数据更新的通知;Step (3): The message server of the patient information main index cloud platform is used to receive the message update request sent by the first message client, and receive the updated information in the second patient data storage server corresponding to the first message client according to the message update request. data, and store the obtained data in the cloud database; at the same time, the message server also sends a data update notification to the second message client deployed in the second hospital;
步骤(4):第二消息客户端接收消息服务器的数据更新通知;接收到数据更新通知后,从云数据库中下载更新的数据,并对下载的更新数据进行存储,存储到第二家医院的第三患者数据存储服务器上,存储的数据用于第二家医院的患者数据查询服务端进行数据的实时查询。Step (4): The second message client receives the data update notification from the message server; after receiving the data update notification, it downloads the updated data from the cloud database, stores the downloaded updated data, and stores it in the second hospital's On the third patient data storage server, the stored data is used for real-time data query by the patient data query server of the second hospital.
所述步骤(2)的将更新的数据上传给患者信息主索引云平台的云数据库中,根据患者的基本信息和患者的诊疗信息在云数据库中建立主索引,步骤如下:Described step (2) uploads the updated data to the cloud database of the patient information main index cloud platform, and sets up the main index in the cloud database according to the basic information of the patient and the diagnosis and treatment information of the patient, and the steps are as follows:
每间隔设定时间就将第二患者数据存储服务器的患者的基本信息和患者的诊疗信息上传到患者信息主索引云平台;患者信息主索引云平台将患者的基本信息中的身份证号码作为主索引码;The patient's basic information and the patient's diagnosis and treatment information in the second patient data storage server are uploaded to the patient information main index cloud platform at every set time; the patient information main index cloud platform uses the ID card number in the patient's basic information as the main index code;
患者信息主索引云平台根据患者的基本信息中的身份证号码扫描云数据库中的主索引码,判断云数据库中是否已经存在患者的基本信息,The patient information main index cloud platform scans the main index code in the cloud database according to the ID number in the patient's basic information, and judges whether the basic information of the patient already exists in the cloud database.
如果不存在患者的基本信息,就存储患者的基本信息,并用患者的基本信息中的身份证号码作为患者的基本信息对应的主索引号码;If the patient's basic information does not exist, store the patient's basic information, and use the ID number in the patient's basic information as the main index number corresponding to the patient's basic information;
如果存在患者的基本信息,继续判断患者的基本信息是否已经存在于云数据库的业务数据表里面,If the patient's basic information exists, continue to judge whether the patient's basic information already exists in the business data table of the cloud database,
如果患者的基本信息已经存在于云数据库的业务数据表里面,进行患者的诊疗信息的更新,患者对应的主索引号码不变;如果患者的基本信息不存在于云数据库的业务数据表里面,就将患者的基本信息存储到云数据库的业务数据表里面,然后进行患者的诊疗信息的存储。If the basic information of the patient already exists in the business data table of the cloud database, update the patient's diagnosis and treatment information, and the corresponding primary index number of the patient remains unchanged; if the basic information of the patient does not exist in the business data table of the cloud database, just Store the patient's basic information in the business data table of the cloud database, and then store the patient's diagnosis and treatment information.
建立一个统一的患者信息主索引云平台,定时的从不同医院同步患者基本信息,根据患者的基本信息和诊疗信息在云平台,建立一套完整的索引。当医院在查看某一个患者的信息时,如果发现患者不曾在本院就诊,直接查询云平台的主索引,得到患者的基本信息,并将该患者的基本信息同步到本院。Establish a unified patient information main index cloud platform, regularly synchronize the basic information of patients from different hospitals, and build a complete set of indexes on the cloud platform based on the basic information of patients and diagnosis and treatment information. When the hospital checks the information of a certain patient, if it finds that the patient has never been treated in the hospital, it can directly query the main index of the cloud platform to obtain the basic information of the patient, and synchronize the basic information of the patient to the hospital.
如图2和图3所示,同步患者数据的主要步骤为:As shown in Figure 2 and Figure 3, the main steps to synchronize patient data are:
同步患者数据,根据基本信息或者姓名+性别+年龄+家庭住址去查询云端主索引是否存在患者,存在的话,进行追加,不存在的话,新建该患者信息;Synchronize patient data, query whether there is a patient in the cloud main index according to the basic information or name + gender + age + home address, if it exists, add it, if it does not exist, create a new patient information;
根据同步完成的患者信息,抽取院内的诊疗数据,包括门诊数据,检验数据,检查数据,病历信息等。According to the synchronously completed patient information, the diagnosis and treatment data in the hospital are extracted, including outpatient data, inspection data, inspection data, medical record information, etc.
建立了患者主索引以后,需要进行跨院或者跨系统的业务流程,可以通过患者数据查询服务器直接访问云端主索引数据,查询需要的患者信息;对于敏感数据或者不方便直接访问主索引数据库的情况,需要云端主索引系统开放接口服务,供其它系统调用。After the patient master index is established, cross-hospital or cross-system business processes need to be carried out, and the cloud master index data can be directly accessed through the patient data query server to query the required patient information; for sensitive data or inconvenient direct access to the master index database, The open interface service of the cloud main index system is required for other systems to call.
有了患者的主索引,这样在某家医院查看不在本院的患者的数据的时候,可以确定哪些诊疗数据属于哪一个患者。With the patient's main index, when viewing the data of patients who are not in the hospital in a certain hospital, it can be determined which medical data belong to which patient.
做一套及时消息系统,消息服务器放置在云平台,消息客户端放在需要共享数据的医院内部服务器上,当一家医院产生了新数据后,部署在该医院的消息客户端立即发送消息给同一个医联体内的其他医院,达到数据及时共享效果。Make a real-time message system. The message server is placed on the cloud platform, and the message client is placed on the internal server of the hospital that needs to share data. When a hospital generates new data, the message client deployed in the hospital immediately sends a message to the same hospital. Other hospitals in a medical consortium can achieve the effect of timely data sharing.
以两家医院A,B为例,这两家医院组成了一个医联体。部署在院内的患者数据存储服务器分别为患者数据存储服务器A和患者数据存储服务器B。当患者数据存储服务器A产生新的诊疗数据后,能够及时的将数据共享到患者数据存储服务器B。实现流程如图5所示:Taking two hospitals A and B as an example, these two hospitals form a medical consortium. The patient data storage servers deployed in the hospital are patient data storage server A and patient data storage server B respectively. When the patient data storage server A generates new diagnosis and treatment data, it can share the data to the patient data storage server B in a timely manner. The implementation process is shown in Figure 5:
1.患者数据存储服务器A产生了新的诊疗数据;1. Patient data storage server A generates new diagnosis and treatment data;
2.为了保证数据的安全和传输速度,对数据进行加密和压缩;2. In order to ensure data security and transmission speed, the data is encrypted and compressed;
3.为了让和患者数据存储服务器A处于同一个云平台内的患者数据存储服务器B及时的共享新产生的数据,立即将新数据提交到云平台,并通知患者数据存储服务器B来获取新数据;3. In order to let the patient data storage server B in the same cloud platform as the patient data storage server A share the newly generated data in time, submit the new data to the cloud platform immediately, and notify the patient data storage server B to obtain the new data ;
4.将数据存储到云平台;4. Store the data on the cloud platform;
5.通知患者数据存储服务器A,消息已经被云平台获取;5. Notify the patient data storage server A that the message has been obtained by the cloud platform;
6.云平台转发通知消息给患者数据存储服务器B;6. The cloud platform forwards the notification message to the patient data storage server B;
7.患者数据存储服务器B根据通知消息获取新数据;7. The patient data storage server B acquires new data according to the notification message;
8.将患者数据存储服务器A的新数据存储到患者数据存储服务器B。8. Store the new data of the patient data storage server A to the patient data storage server B.
这样,结合患者信息主索引云平台和及时消息系统患者在医院产生的诊疗数据,可以及时,安全,准确的同步到的云平台上,通过大数据工具比如hadoop,hbase,hive等,对患者诊疗数据进行分析,提取出具有医疗价值的信息,对居民的健康状况做出贡献。In this way, combined with the patient information main index cloud platform and the instant message system, the diagnosis and treatment data generated by patients in the hospital can be synchronized to the cloud platform in a timely, safe and accurate manner, and the patient can be diagnosed and treated through big data tools such as hadoop, hbase, hive, etc. Analyze the data, extract information with medical value, and contribute to the health status of residents.
上述虽然结合附图对本发明的具体实施方式进行了描述,但并非对本发明保护范围的限制,所属领域技术人员应该明白,在本发明的技术方案的基础上,本领域技术人员不需要付出创造性劳动即可做出的各种修改或变形仍在本发明的保护范围以内。Although the specific implementation of the present invention has been described above in conjunction with the accompanying drawings, it does not limit the protection scope of the present invention. Those skilled in the art should understand that on the basis of the technical solution of the present invention, those skilled in the art do not need to pay creative work Various modifications or variations that can be made are still within the protection scope of the present invention.
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