CN102819676B - A kind of information for hospital switching plane system and information exchange interoperability methods - Google Patents
A kind of information for hospital switching plane system and information exchange interoperability methods Download PDFInfo
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Abstract
The invention provides a kind of information for hospital switching plane system, it is characterized in that including flow quantity control module, storage control module, memory cell module, retrieve control module, cancel control module, warn control module, wherein flow quantity control module with storage control module, retrieve control module, cancel control module and warning control module be connected communication, described retrieval control module, storage control module are connected communication with described memory cell module respectively. The object of the invention is to overcome each section office of existing hospital operation system used and still can not realize the deficiency of the intercommunication of information, this information exchange platform exchanges to realize complete intercommunication and the interoperability between medical information system by the real time information of managing and optimize between hospital and medical applications, data and external system thereof, finally solves the problem of information island.
Description
Technical field
The present invention relates to information for hospital exchange field, is specifically a kind of information for hospital switching plane system and information exchange interoperability methods.
Background technology
Along with healthcare system reform of China more and more deeply and the development of informationization technology, hospital information level improves day by day, various systems soft wares are equipped to each section office gradually, become the very big power-assisted of doctor's diagnosis and treatment. But, due to the exploitation of each operation system Duo Shu different company, the standard of following is also had nothing in common with each other, so, each section office of current most hospital operation system used still can not realize the intercommunication of information, diagnosis and treatment data centered by patient still can not realize full institute and share, and " information island " problem has become a great problem urgently to be resolved hurrily on Hospital Informatization road.
Summary of the invention
The object of the invention is to overcome each section office of existing hospital operation system used and still can not realize the deficiency of the intercommunication of information, provide a kind of information for hospital switching plane system by improving at this, this information exchange platform exchanges to realize complete intercommunication and the interoperability between medical information system by the real time information of managing and optimize between hospital and medical applications, data and external system thereof, finally solves the problem of information island.
The present invention realizes like this, construct a kind of information for hospital switching plane system, it is characterized in that: include flow quantity control module, storage control module, memory cell module, retrieve control module, cancel control module and warning control module, wherein flow quantity control module with storage control module, retrieve control module, cancel control module and warning control module be connected communication, described retrieval control module, storage control module are connected communication with described memory cell module respectively. According to system of the present invention, the connected mode communication described in each module, entirety forms information for hospital switching plane, realizes reception, parsing, conversion, integration, checking, storage, forwarding to each operation system information of hospital internal.
A kind of information for hospital switching plane system according to invention, is characterized in that, described flow quantity control module comprises:
Message sink module, for the interface that provides hospital internal operation system to be communicated with to information exchange platform, receives HL7 message to plateform system;
Message resolution module, for being field data by the HL7 message parse of ER7 form;
Carry out and judge control module, carry out necessary execution flow process judgement for the content parsing according to message parse submodule;
Clinical confirmation control module, for checking the condition confirmation before inspection request is carried out;
Control module is confirmed in charge, and the condition before carrying out for the inspection inspection request of operation flow is confirmed;
Application change control module, for the amendment to application information and process record;
Message transmission module, for the interface that provides information exchange platform to be communicated with to hospital internal operation system, sends HL7 message to each operation system.
According to a kind of information for hospital switching plane system of the present invention, it is characterized in that, described storage control module comprises:
Analytic reconstruction module, for resolving the HL7 message of ER7 form, and is converted into CDA form;
CDA authentication module, for the checking to CDA structure and data content;
Data storage control module, for controlling stored data base and the storage mode of selecting related data.
According to a kind of information for hospital switching plane system of the present invention, it is characterized in that, described memory cell module comprises index data library module, integral data library module, business medical record data library module, basic data library module and the data warehouse module for storage that all types of data are classified.
According to a kind of information for hospital switching plane system of the present invention, it is characterized in that, described retrieval control module comprises: parsing module, for parsing relevant field information, confirm for patient identity being carried out to contrast fast;
Abstraction module, for carrying out search index and rapid extraction to patient's diagnosis and treatment information position;
Rebuild module, for field information being converted to required ER7/CDA form.
A kind of hospital internal information exchange interoperability methods, the information exchange realizing between each operation system of hospital internal is shared and interconnects, it is characterized in that, described method also comprises the intercommunication of a, hospital foundation data, the intercommunication of b, patient's basic data, the intercommunication of c, storage-type list class data, the intercommunication of d, interactive form data.
According to hospital internal information exchange interoperability methods of the present invention, it is characterized in that, the intercommunication mode of described hospital foundation data is specific as follows:
The platform of hospital foundation data is mutual, first send message by information for hospital guardian, message is sent to the corresponding interface of flow quantity control module, after being received by message sink module, carry out message parse and next step execution judgement, through judgement, message after parsing is reached message transmission module, be delivered to herein storage control module, message format is HL7ER7 message, the processing of the message of ER7 form process analytic reconstruction module in storage control section, produce corresponding data slot, through data storage control module, assign and store in basic database with certain list structure.
According to hospital internal information exchange interoperability methods of the present invention, it is characterized in that, the intercommunication mode of described patient's basic data is specific as follows:
The platform of patient's basic data is mutual, first send message by patient information guardian, message is sent to the corresponding interface of flow quantity control module, after being received by message sink module, carry out message parse and next step execution judgement, through judgement, message after parsing is reached message transmission module, be delivered to herein storage control module, message format is HL7ER7 message, the processing of the message of ER7 form process analytic reconstruction module in storage control section, produce corresponding data slot, through data storage control module, assign and store in basic database and index data base with certain list structure.
According to hospital internal information exchange interoperability methods of the present invention, the intercommunication mode of described storage-type list class data is specific as follows:
The platform of storage-type form data is mutual, first send message by list sender, message is sent to the corresponding interface of flow quantity control module, after being received by message sink module, carry out message parse and next step execution judgement, through judgement, message after parsing is reached message transmission module, be delivered to herein storage control module, the processing of the message of ER7 form process analytic reconstruction module in storage control section, generate corresponding CDA format messages, through the checking of CDA authentication module, by after through data storage control module, assign and store index data base into, integrated database, in the business database of case history and data warehouse.
According to hospital internal information exchange interoperability methods of the present invention, it is characterized in that, the intercommunication mode of described interactive form data is specific as follows:
First send solicitation message by application sender, message is sent to the corresponding interface of flow quantity control module, after being received by message sink module, carry out message parse and next step execution judgement, through judgement, the inspection/inspection that need carry out clinical confirmation is sent to clinical confirmation control module, after confirmation, be sent to charge and confirm control module, do not need the inspection/Interventions Requested of clinical confirmation, the confirmation of directly charging, is sent to business executor by message transmission module again by the application of confirming; Business executor receives after inspection/inspection request, perhaps can or modify to request slip objection, now, sent the message of amendment application by business executor, to the flow quantity control module of platform, after a series of processing, by sender of the message, this message is passed to application sender, sender is according to the message of receiving in application, reaffirms request slip, and again sends; The report that is identified the application of execution and is sended over by report publisher, need be sent to storage control module through message transmission module; The processing of the message of ER7 form process analytic reconstruction module in storage control section, generate corresponding CDA format messages, through the checking of CDA authentication module,, assign and deposit index data base, integrated database, the business database of case history and data warehouse through data storage control module by afterwards.
The invention has the advantages that: this information exchange platform exchanges to realize complete intercommunication and the interoperability between medical information system by the real time information of managing and optimize between hospital and medical applications, data and external system thereof. Platform adopts level framework, and coordinates independently data pick-up and pushing module, has realized easily the slitless connection of each operation system of hospital internal and management system and platform. Integrated different information systems, the flow process that optimization information is transmitted, realizes comprehensive interconnection and interflow and the interoperability of medical information system, finally solves the problem of information island.
Brief description of the drawings
Fig. 1 system construction drawing.
The platform interaction of Fig. 2 hospital foundation data.
The platform interaction of Fig. 3 patient's basic data.
The platform interaction of Fig. 4 storage-type form data.
The platform interaction of Fig. 5 form data.
In figure: 101, flow quantity control module, 101a, message sink module, 101b, message resolution module, 101c, carry out and judge control module, 101d, clinical confirmation control module, 101e, control module is confirmed in charge, 101f, application change control module, 101g, message transmission module, 102, cancel control module, 103, retrieval control module, 103a, parsing module, 103b, abstraction module, 103c, rebuild module, 104, warning control module, 105, storage control module, 105a, analytic reconstruction module, 105b, CDA authentication module, 105c, data storage control module, 106, memory cell module, 106a, index data library module, 106b, integral data library module, 106c, business medical record data library module, 106d, basic data library module, 106e, data warehouse module.
Detailed description of the invention
Describe the present invention below in conjunction with accompanying drawing
Still can not realize the deficiency of the intercommunication of information in order to overcome each section office of existing hospital operation system used, the present invention provides a kind of information for hospital switching plane system by improving at this, system framework as shown in Figure 1, includes flow quantity control module 101, storage control module 105, memory cell module 106, retrieval control module 103, cancels control module 102 and warning control module 104. Wherein flow quantity control module 101 and storage control module 105, retrieval control module 103, cancel control module 102 and warning control module 104 is connected communication, described retrieval control module 103, storage control module 105 are connected communication with described memory cell module 106 respectively.
Described flow quantity control module 101 comprises: message sink module 101a, message resolution module 101b, execution judge control module 101c, clinical confirmation control module 101d, charge confirmation control module 101e, application change control module 101f and message transmission module 101g.
Message sink module 101a, for the interface that provides hospital internal operation system to be communicated with to information exchange platform, receives HL7 message to plateform system; Message resolution module 101b, for being field data by the HL7 message parse of ER7 form; Carry out and judge control module 101c, carry out necessary execution flow process judgement for the content parsing according to message parse submodule; Clinical confirmation control module 101d, for checking the condition confirmation before inspection request is carried out; Control module 101e is confirmed in charge, and the condition before carrying out for the inspection inspection request of operation flow is confirmed; Application change control module 101f, for the amendment to application information and process record; Message transmission module 101g, for the interface that provides information exchange platform to be communicated with to hospital internal operation system, sends HL7 message to each operation system.
Described storage control module 105 comprises: analytic reconstruction module 105a, CDA authentication module 105b and data storage control module 105c.
Analytic reconstruction module 105a, for resolving the HL7 message of ER7 form, and is converted into CDA form; CDA authentication module 105b, for the checking to CDA structure and data content; Data storage control module 105c, for controlling stored data base and the storage mode of selecting related data.
Described memory cell module 106 comprises index data library module 106a, integral data library module 106b, business medical record data library module 106c, basic data library module 106d and data warehouse module 106e, is responsible for respectively the storage of classifying of all types of data.
Described retrieval control module 103 comprises: parsing module 103a, abstraction module 103b and reconstruction module 103c. Wherein said parsing module 103a, for parsing relevant field information, confirms for patient identity being carried out to contrast fast; Abstraction module 103b, for carrying out search index and rapid extraction to patient's diagnosis and treatment information position; Rebuild module 103c, for field information being converted to required ER7/CDA form.
Information for hospital switching plane is as the supporter of diagnosis and treatment information interconnection and intercommunication inside and outside institute, and each moment has a large amount of data to transmit back and forth with specific stream socket, and with specific screening mode, resident on platform with specific data format. In the course of work of platform, the data type of its processing can be divided into following four classes: hospital foundation data, patient's basic data, list class data, service support data.
Hospital foundation data: hospital foundation data comprise section office's basis dictionary, personnel's basis dictionary and term and knowledge base data three parts. Section office's basis dictionary, for safeguarding the relevant information of each department of hospital internal, section office, as section office's title, section office's code etc., requires section office's basis dictionary to rely on platform, can between heterogeneous system, synchronously register and upgrade. Personnel basis dictionary, for safeguarding hospital internal all departments, the indoor relevant information about firms of section, as personnel's name, personnel's code, personnel's authority etc., requires personnel basis dictionary to rely on platform, can between heterogeneous system, synchronously register and upgrade. Terminology bank and knowledge base data are used for preserving hospital's terminology bank and knowledge base, and the management of terminology bank mainly comprises that specialized vocabulary, the standard of following that each system is used collect and arrange, and is registered into terminology bank. Knowledge base is used for depositing various planning, expertise and special circumstances regulation, by comparing with it, realizes computer prompting early warning initiatively, and canonical medical behavior, improves quality of medical care, reduces malpractice.
Patient's basic data: the maintenance of patient's basic data mainly comprises the storage of patient's log-on data and the amendment of patient's essential information. To the unified management of this part data, can realize patient information is done to complete preservation, can solve the inconsistence problems of patient information in each system, to avoid the situation of repetition typing patient essential information. Patient's basic data one, it is unique authoritative information source, and becomes as far as possible unique patient's essential information source; Its two, solve and cross over patient identity uniqueness identification problem when multiple information system.
List class data: list class data comprise the data that interactive list and storage-type list comprise. It is mutual that interactive list participates in business information between multiple heterogeneous systems, be mainly the mutual of inspection, inspection application form and report thereof, comprise the contents such as radiation request slip and report, ultrasonic request slip and report, pathologic examination application and report, scope request slip and report, health check-up request slip and corresponding inspection survey report. Storage-type list does not participate in the service interaction between heterogeneous system, but it is as a part for composition health account, need on platform, the form with CDA preserve, and serve as theme with patient, is integrated into an entirety. Comprise that an emergency record, the case history homepage, doctor's advice, the course of disease of being in hospital etc. record class case history list.
Service support data: service support data is to hospital internal business, the particularly supportive data of information interaction business, comprise the information such as charging, check the expense of moving back, inspection are charged, expense is moved back in inspection, preparation confirmation that checks.
The operation system of each isomery of hospital is connected with platform by the mode of TCP interface, and interface layer proprietary in flow quantity control module distributes port for each operation system, and corresponding digital received and sent service is provided. Platform inside, by the collaborative process of each functional module, completes the flow processs such as the parsing, conversion, integration, storage, forwarding of information. Exchange message between each system and platform, all need to follow HL7 standard, like this, each operation system of hospital has just become the coupling assembling that can conveniently plug at platform, the information exchange platform passage of information exchange and integration of valuable patient's diagnosis and treatment information between each operation system of hospital has just become mutually, storage ground.
Flow quantity control module 101: flow quantity control module is refined as message sink, message parse, carrying out judgement controls, clinical confirmation control, charge is confirmed to control, application change control and message send seven functional modules, be responsible for providing the interface being connected with the hospital business system of platform outside, receive the HL7 message from hospital business system, send HL7 message to hospital business system, HL7 message is resolved, carry out necessary execution flow process judgement according to the data content of resolving, the condition before inspection request is carried out that checks is confirmed, the confirmation of pay imformation, the functions such as the amendment record to HL7 message. it is connected with storage control module, and the HL7 message of preliminary treatment is judged to controlling the flow process judgement of making transfers to storage control module, realizes the storage to related data according to carrying out, it is connected with retrieval control module, to complete quick confirmation to patient identity and search index and the rapid extraction of patient's diagnosis and treatment information position, it with cancel control module and be connected, realization condition is confirmed, charge is confirmed, check the function of the cancellation application that must have in the processes such as inspection registration, it is connected with warning control module, and the data after message parse and empirical data, specification masks are compared, and realizes the initiatively function of prompting, early warning of computer.
Storage control module 105: storage control module is refined as analytic reconstruction, CDA checking and three functional modules are controlled in data storage, is responsible for the HL7 message conversion of ER7 form to be CDA form, checking to CDA structure and data content, to control stored data base and the storage mode of selection related data. It is connected with flow quantity control module, and practical function is already described in a upper module; It is connected with memory cell module, realizes the classification storage to different types of data.
Memory cell module 106: memory cell module is made up of index data base, integrated database, the business database of case history, basic database and data warehouse five large database concepts, is responsible for the storage of classifying of all types of data. It is connected with storage control module, and practical function is already described hereinbefore; It is connected with retrieval control module, provides data taking searching database as leading as it, completes quick confirmation to patient identity and search index and the rapid extraction of patient's diagnosis and treatment information position.
Retrieval control module 103: retrieval control module is refined as parsing, extraction, rebuilds three functional modules, is responsible for patient identity to confirm fast, search index and rapid extraction are carried out in patient's diagnosis and treatment information position. This module is connected with memory cell module with flow quantity control module, and practical function is separately already described hereinbefore.
Cancel control module 102: the function of cancelling the cancellation application that must have in the processes such as control module realization condition is confirmed, charge is confirmed, inspection inspection registration.
Warning control module 104: warning control module compares the data after message parse and empirical data, specification masks, realizes the initiatively function of prompting, early warning of computer, and quality of medical care is provided, and reduces malpractice.
Various types of data interaction flow in the present invention;
The platform interaction of hospital foundation data is as Fig. 2
The platform of hospital foundation data is mutual, first send message by information for hospital guardian, message is sent to the corresponding interface of flow quantity control part, after being received by message sink module, carry out message parse and next step execution judgement, through judgement, the message after parsing is reached message transmission module, is delivered to herein storage control section.
The message of ER7 form through the processing of analytic reconstruction module, produces corresponding data slot in storage control section, through data storage control module, assigns and stores in basic database with certain list structure.
The platform interaction of patient's basic data is as Fig. 3
The platform of patient's basic data is mutual, first send message by patient information guardian (mostly registering or essential information amendment time is triggered patient), message is sent to the corresponding interface of flow quantity control part, after being received by message sink module, carry out message parse and next step execution judgement, through judgement, the message after parsing is reached message transmission module, is delivered to herein storage control section;
The message of ER7 form through the processing of analytic reconstruction module, produces corresponding data slot in storage control section, through data storage control module, assigns and stores in basic database and index data base with certain list structure.
The platform interaction of storage-type form data is as Fig. 4
The platform of storage-type form data is mutual, first send message by list sender, message is sent to the corresponding interface of flow quantity control part, after being received by message sink module, carry out message parse and next step execution judgement, through judgement, the message after parsing is reached message transmission module, is delivered to herein storage control section.
The processing of the message of ER7 form process analytic reconstruction module in storage control section, generate corresponding CDA format messages, through the checking of CDA authentication module,, assign and store in index data base, integrated database, the business database of case history and data warehouse through data storage control module by afterwards.
The platform interaction of interactive form data is as Fig. 5
The platform of interactive form data is mutual, mainly refer to the interaction of request slip-report, first send solicitation message by application sender, message is sent to the corresponding interface of flow quantity control part, after being received by message sink module, carry out message parse and next step execution judgement, through judgement, inspection/the inspection that need carry out clinical confirmation is sent to clinical confirmation control module, after confirmation, be sent to charge and confirm control module, do not need the inspection/Interventions Requested of clinical confirmation, the confirmation of directly charging, be sent to business executor by message transmission module again by the application of confirming, business executor receives after inspection/inspection request, perhaps can or modify to request slip objection, now, sent the message of amendment application by business executor, to the flow quantity control module of platform, after a series of processing, by sender of the message, this message is passed to application sender, sender is according to the message of receiving in application, reaffirms request slip, and again sends, the report that is identified the application of execution and is sended over by report publisher, need be sent to storage control section through message transmission module,
The processing of the message of ER7 form process analytic reconstruction module in storage control section, generate corresponding CDA format messages, through the checking of CDA authentication module,, assign and store in index data base, integrated database, the business database of case history and data warehouse through data storage control module by afterwards.
Claims (1)
1. an information for hospital switching plane system, it is characterized in that: include flow quantity control module (101), storage control module (105), memory cell module (106), retrieval control module (103), cancel control module (102) and warning control module (104), wherein flow quantity control module (101) and storage control module (105), retrieval control module (103), cancel control module (102) and warning control module (104) connection communication, described retrieval control module (103), storage control module (105) is connected communication with described memory cell module (106) respectively,
Described flow quantity control module (101) comprising:
Message sink module (101a), for the interface that provides hospital internal operation system to be communicated with to information exchange platform, receives HL7 message to plateform system;
Message resolution module (101b), for being field data by the HL7 message parse of ER7 form;
Carry out and judge control module (101c), carry out necessary execution flow process judgement for the content parsing according to message parse submodule;
Clinical confirmation control module (101d), for checking the condition confirmation before inspection request is carried out;
Control module (101e) is confirmed in charge, and the condition before carrying out for the inspection inspection request of operation flow is confirmed;
Application change control module (101f), for the amendment to application information and process record;
Message transmission module (101g), for the interface that provides information exchange platform to be communicated with to hospital internal operation system, sends HL7 message to each operation system;
Described storage control module (105) comprising:
Analytic reconstruction module (105a), for resolving the HL7 message of ER7 form, and is converted into CDA form;
CDA authentication module (105b), for the checking to CDA structure and data content;
Data storage control module (105c), for controlling stored data base and the storage mode of selecting related data;
Described memory cell module (106) comprises index data library module (106a), integral data library module (106b), business medical record data library module (106c), basic data library module (106d) and the data warehouse module (106e) for storage that all types of data are classified;
Described retrieval control module (103) comprising: parsing module (103a), for parsing relevant field information, confirm for patient identity being carried out to contrast fast;
Abstraction module (103b), for carrying out search index and rapid extraction to patient's diagnosis and treatment information position;
Rebuild module (103c), for field information being converted to required ER7/CDA form;
Described information for hospital switching plane system is moved as follows, and the information exchange realizing between each operation system of hospital internal is shared and interconnects; Described method comprises the intercommunication of a, hospital foundation data, the intercommunication of b, patient's basic data, the intercommunication of c, storage-type list class data, the intercommunication of d, interactive form data;
The intercommunication mode of described hospital foundation data is specific as follows:
The platform of hospital foundation data is mutual, first send message by information for hospital guardian, message is sent to the corresponding interface of flow quantity control module (101), after being received by message sink module (101a), carry out message parse and next step execution judgement, through judgement, message after parsing is reached message transmission module (101g), be delivered to herein storage control module (105), message format is HL7ER7 message, the processing of the message of ER7 form process analytic reconstruction module in storage control section, produce corresponding data slot, through data storage control module, assign and store in basic database (106d) with certain list structure,
The intercommunication mode of described patient's basic data is specific as follows:
The platform of patient's basic data is mutual, first send message by patient information guardian, message is sent to the corresponding interface of flow quantity control module (101), after being received by message sink module (101a), carry out message parse and next step execution judgement, through judgement, message after parsing is reached message transmission module (101g), be delivered to herein storage control module (105), message format is HL7ER7 message, the processing of the message of ER7 form process analytic reconstruction module in storage control section, produce corresponding data slot, through data storage control module, assign and store in basic database (106d) and index data base (106a) with certain list structure,
The intercommunication mode of described storage-type list class data is specific as follows:
The platform of storage-type form data is mutual, first send message by list sender, message is sent to the corresponding interface of flow quantity control module (101), after being received by message sink module (101a), carry out message parse and next step execution judgement, through judgement, message after parsing is reached message transmission module (101g), be delivered to herein storage control module (105), the processing of the message of ER7 form process analytic reconstruction module in storage control section, generate corresponding CDA format messages, through the checking of CDA authentication module, by after through data storage control module, assign and store index data base (106a) into, integrated database (106b), in the business database of case history (106c) and data warehouse (106e),
The intercommunication mode of described interactive form data is specific as follows:
First send solicitation message by application sender, message is sent to the corresponding interface of flow quantity control module (101), after being received by message sink module (101a), carry out message parse and next step execution judgement, through judgement, inspection/the inspection that need carry out clinical confirmation is sent to clinical confirmation control module (101d), after confirmation, be sent to charge and confirm control module (101e), do not need the inspection/Interventions Requested of clinical confirmation, the confirmation of directly charging, is sent to business executor by message transmission module (101g) again by the application of confirming; Business executor receives after inspection/inspection request, perhaps can or modify to request slip objection, now, sent the message of amendment application by business executor, to the flow quantity control module (101) of platform, after a series of processing, by sender of the message, this message is passed to application sender, sender is according to the message of receiving in application, reaffirms request slip, and again sends; The report that is identified the application of execution and is sended over by report publisher, need be sent to storage control module (105) through message transmission module; The processing of the message of ER7 form process analytic reconstruction module in storage control section, generate corresponding CDA format messages, through the checking of CDA authentication module (105b),, assign and deposit index data base (106a), integrated database (106b), the business database of case history (106c) and data warehouse (106e) through data storage control module (105c) by afterwards.
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