CN104346509A - Cross-regional medical document information sharing system and method - Google Patents
Cross-regional medical document information sharing system and method Download PDFInfo
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- CN104346509A CN104346509A CN201310332904.XA CN201310332904A CN104346509A CN 104346509 A CN104346509 A CN 104346509A CN 201310332904 A CN201310332904 A CN 201310332904A CN 104346509 A CN104346509 A CN 104346509A
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Abstract
The invention provides a cross-regional medical document information sharing system and method. The system comprises a document registering library, a document storage library, a patient identification information cross index, an audit trail log, and a security node authentication module and at least one cross-domain access gateway connected with the document registering library and the document storage library. The method includes that a document consumer of a medical area A initiates a document query request and acquires metadata of a document; the document consumer analyzes the metadata of the document and initiates a document retrieval request; a cross-domain access gateway of the medical area A receives and process the requests, queries and retrieves the document respectively from the document registering library and the document storage library and returns results to the document customer. The problem about uneven distribution of regional resource sharing and regional resources is solved, medical efficiency is improved, and medical cost is lowered.
Description
Technical field
The present invention relates to field of information processing, particularly relate to a kind of trans-regional medical document information shared system and method.
Background technology
Along with the quickening of domestic industry, urbanization process and aging population trend, the consciousness of the people to health constantly strengthens, and the demand of the public to medical and health services also improves day by day.Meanwhile, the contradiction of health resource shortage, high-quality health resource skewness weighing apparatus is more and more outstanding, the high-quality resource of 80% or more is distributed in big-and-middle-sized medical institutions, and relatively to fall behind or from far-off regions at some, and resident cannot enjoy timely and effective medical treatment.Practice shows, Medical data sharing can improve level of medical and health, and balance high-quality medical resource is uneven, solves the problem of Expensive and hard to visit doctors.Therefore, the emphasis that Medical data sharing becomes China's health informatization development is realized.
In recent years, country goes into overdrive to carry out medical imaging information sharing system in policy, and relies on existing technical manual and infotech, establishes area medical information shared system in some areas.Existing system mainly uses medical institutions' information integerated specification (Integrating the Healthcare Enterprise, IHE) propose across mechanism's document sharing (Cross-Enterprise Document Sharing, XDS) technological frame.The basic concept of IHE XDS technological frame adopts registration store with the model that releases news and share clinical document, and the role of main definitions comprises document repositories and document registration storehouse.Document repositories stores document in transparent, safe, reliable and lasting mode, and makes response to document request of extracting.The relevant information of the clinical document of document registration library storage, corresponding document can be extracted by these information by user from document repositories.But existing system just to realize in same territory, across mechanism's Medical data sharing, relating to, even if exist, also just deriving generic media by specific document editor, carried voluntarily and take care of by patient for rarely having during cross-domain shared medical information.When processing cross-domain medical document information and sharing, the security of data and the collaborative promptness of medical treatment can not be guaranteed, easily cause loss of data, cannot centralized Analysis of Medical Treatment Data and medical services be carried out.
Summary of the invention
The problem that the present invention solves is to provide a kind of trans-regional medical document information shared system and method, not only solves the uneven problem of Resourse Distribute in interregional resource sharing and region, also improves medical efficiency, reduce medical costs.
In order to solve the problem, the invention provides a kind of trans-regional medical document information shared system, comprise document registration storehouse, repositories of documents and Patient identification's information cross-index, it is characterized in that, described system also comprises at least one cross-domain access gateway be connected with described document registration storehouse and described thesaurus.
The trans-regional medical document information shared system of one described above, wherein, described document registration storehouse and repositories of documents follow IHE specification.
The trans-regional medical document information shared system of one described above, wherein, described system also comprises audit-trail daily record and security node authentication module.
The trans-regional medical document information shared system of one described above, wherein, described cross-domain access gateway provides the access links between medical area, and for distributing cross-domain request of access and merging the result of asking
In order to solve the problem, present invention also offers a kind of shared method of trans-regional medical document information, comprising the steps:
The document consumer of medical area A initiates document query request, obtains the metadata of described document; The metadata of document consumer to described document of described medical area A is analyzed, and initiates file retrieval request, obtains described document; The cross-domain access gateway of described medical area A receives and processes said request, if described document request is one's respective area, then the cross-domain access gateway of described medical area A is respectively from document described in the document registration storehouse of described medical area A and repositories of documents retrieval and indexing, and the result of described retrieval and indexing is returned to described document consumer; If described document request is trans-regional request, then distribute described request by the cross-domain access gateway of described medical area A to the cross-domain access gateway of at least one medical area B, the document registration storehouse that the cross-domain access gateway of described medical area B is corresponding to one's respective area and repositories of documents retrieval and indexing described request, and the result of described retrieval and indexing being returned to the cross-domain access gateway of described medical area A, described result is returned to described document consumer by the cross-domain access gateway of described medical area A.
The shared method of a kind of trans-regional medical document information described above, wherein, described document consumer initiates described document query request by the web services interface of described cross-domain access gateway.
The shared method of a kind of trans-regional medical document information described above, wherein, described document consumer initiates described file retrieval request by the web services interface of described cross-domain access gateway.
The shared method of a kind of trans-regional medical document information described above, wherein, before the cross-domain access gateway that the cross-domain access gateway of described medical area A is corresponding to one's respective area initiates described inquiry described request, described document consumer obtains the identification information of patient in described medical area B by Patient identification's cross-index, and uses described Patient identification's information to initiate described inquiry request as document query required parameter.
Compared with prior art, the present invention introduces cross-domain access gateway, document consumer initiates retrieval and indexing document request by the unified cross-domain access gateway to one's respective area, medical information needed for cross-domain access gateway dispense request to known domain of dependence mobile phone, the medical document information realizing trans-regional medical treatment is shared, to solve interregional resource sharing, trans-regional medical efficiency and medical treatment cost problem;
Further, in medical institutions in each medical area, repositories of documents is installed, document registration storehouse is installed by regional center hospital, use the information acquisition in distributed storage document and centralized register documents Metadata mechanism feasible region, storage, solve the unequal problem of Resourse Distribute in region.
Accompanying drawing explanation
Figure 1 shows that the structural representation of a kind of trans-regional medical document information shared system of the embodiment of the present invention;
Figure 2 shows that the schematic flow sheet of a kind of trans-regional medical document information inquiry of the embodiment of the present invention.
Embodiment
Set forth a lot of detail in the following description so that fully understand the present invention.But the present invention can be much different from alternate manner described here to implement, those skilled in the art can when without prejudice to doing similar popularization when intension of the present invention, therefore the present invention is by the restriction of following public concrete enforcement.
Secondly, the present invention utilizes schematic diagram to be described in detail, and when describing the embodiment of the present invention in detail, for ease of illustrating, described schematic diagram is example, and it should not limit the scope of protection of the invention at this.
Below in conjunction with drawings and Examples, a kind of trans-regional medical document information shared system of the present invention and method are described in detail.The trans-regional medical document information shared system of the embodiment of the present invention as shown in Figure 1, described system comprises document registration storehouse, repositories of documents and Patient identification's information cross-index, also comprises at least one cross-domain access gateway be connected with described document registration storehouse and described thesaurus and audit-trail daily record and security node authentication module.Wherein, described document registration storehouse and repositories of documents follow IHE specification.Particularly, in the present embodiment, document source is submitted to and register documents, follows IHE XDS specification, realizes repositories of documents and document registration storehouse role.Repositories of documents takes the mode providing web services interface, be mainly used to the clinical information documents such as collection and storage area Nei Ge mechanism medical imaging document, text document or structured document, document be stored in document stored data base and document metadata be submitted to the registration of regional center document registration storehouse.Document registration storehouse receives the document registration request that repositories of documents is submitted to, storage and maintenance submits the document metadata of registration to, comprise document, metadata and the Patient identification's information etc. that collection submitted to by file, document, and the web services interface of document metadata is provided and serves to providing the document registration information inquiry relevant with patient.Patient identification's information cross-index, for managing the cross-index of each interregional Patient identification's information, provides patient's current identification and the mark corresponding relation in other regions, can be used for inquiry foundation during cross-domain access.Cross-domain access gateway provides the access links of one's respective area and other relevant ranges, and is responsible for process such as distribution cross-domain request of access and Fusion query result for retrieval etc., the Medical data sharing between feasible region.Audit-trail daily record and security node checking, be used for audit-trail, so that canonical medical behavior for the logout daily record relevant to use that is all and shielded medical data; And safety verification is carried out to all communication nodes of accessing medical data that needs, could access after safety verification.
The shared of trans-regional medical document information is divided into information inquiry and information retrieval, after document consumer receives the information inquired, analyzes, then retrieve information described information, thus it is shared to realize trans-regional medical document information.As shown in Figure 2, first, the document consumer performing step S201, medical area A initiates document query request in trans-regional medical document information inquiry.Particularly, before the document consumer of area medical A initiates document query request, first obtain the identification information of patient, inside described identification information, comprise the identification information of patient place medical area.Document consumer submits document query request by patient identity mark to the web services interface of the cross-domain access gateway of medical area A.Then, the cross-domain access gateway (namely initiating cross-domain access gateway) performing step S202, described medical area A receives and processes said request.
Then, perform step S203, judge whether described document request is one's respective area, if, then perform the cross-domain access gateway of step S204, described medical area A respectively from document described in the document registration library inquiry of described medical area A, and the result of described inquiry is returned to described document consumer; If not, then perform step S205, described document consumer obtains the identification information of patient in described medical area B by Patient identification's cross-index, and use described Patient identification's information as document query required parameter, described request is transmitted to the cross-domain access gateway (known domain response gateway) of medical area B by the cross-domain access gateway of medical area A according to described Patient identification's information, thus initiates inquiry request.It should be noted that, described medical area B is all medical areas except medical area A, then document consumer gets the identification information of patient in medical area B by Patient identification's cross-index, and inquiry request is forwarded to those medical area B corresponding with described identification information according to described identification information by the cross-domain access gateway of medical area A.
Then, perform the document registration library inquiry described request that the cross-domain access gateway of step S206, described medical area B is corresponding to one's respective area, and the result of described inquiry is returned to the cross-domain access gateway of described medical area A.After the cross-domain access gateway that Query Result to be returned to described medical area A by all known domain response gateway, the set of described Query Result is returned to described document consumer by the cross-domain access gateway performing step S207, medical area A.
If document consumer receives the Query Result (data of document, the i.e. metadata of document) be only the result obtained from medical area A document registration storehouse, then document consumer is filtered these data, and use the general unique identifier of document (the Universally Unique Identifier after filtering, UUID) the web services interface to medical area A repositories of documents submits file retrieval request to, then the cross-domain access gateway of medical area A retrieves described document from the civilian repositories of documents of described medical area A, and the result of retrieval is returned to document consumer, thus obtain patient's relevant documentation.
If the Query Result that document consumer receives is result set, then document consumer is filtered the data in result set, obtains the required UUID of document and the identification information of corresponding known domain response region.Document consumer initiates file retrieval request according to the identification information of the UUID of required document and corresponding known domain response region to the cross-domain access gateway of medical area A, the cross-domain access gateway of medical area A initiates file retrieval request to appointment known domain response gateway again, the repositories of documents of specifying known domain response gateway to receive the backward one's respective area of request corresponding carries out file retrieval, and the result of retrieval is returned to the cross-domain access gateway of medical area A, after all response gateway return result for retrieval, medical area A cross-domain access gateway merges all result sets and returns to document consumer, thus achieve across medical area document sharing.
It should be noted that, above-mentioned all internodal operations all must be carried out safety verification by digital certificate and can carry out, and all operations to document all must send log information and carry out record to audit trail system.
Although the present invention with preferred embodiment openly as above; but it is not for limiting the present invention; any those skilled in the art without departing from the spirit and scope of the present invention; the Method and Technology content of above-mentioned announcement can be utilized to make possible variation and amendment to technical solution of the present invention; therefore; every content not departing from technical solution of the present invention; the any simple modification done above embodiment according to technical spirit of the present invention, equivalent variations and modification, all belong to the protection domain of technical solution of the present invention.
Claims (8)
1. a trans-regional medical document information shared system, comprise document registration storehouse, repositories of documents and Patient identification's information cross-index, it is characterized in that, described system also comprises at least one cross-domain access gateway be connected with described document registration storehouse and described thesaurus.
2. a kind of trans-regional medical document information shared system as claimed in claim 1, it is characterized in that, described document registration storehouse and repositories of documents follow IHE specification.
3. a kind of trans-regional medical document information shared system as claimed in claim 1, it is characterized in that, described system also comprises audit-trail daily record and security node authentication module.
4. a kind of trans-regional medical document information shared system as claimed in claim 1, it is characterized in that, described cross-domain access gateway provides the access links between medical area, and for distributing cross-domain request of access and merging the result of request.
5. a shared method for trans-regional medical document information, realizes sharing of medical document information by the system described in any one of claim 1-4, it is characterized in that, comprise the steps:
The document consumer of medical area A initiates document query request, obtains the metadata of described document; The metadata of document consumer to described document of described medical area A is analyzed, and initiates file retrieval request, obtains described document; The cross-domain access gateway of described medical area A receives and processes said request, if described document request is one's respective area, then the cross-domain access gateway of described medical area A is respectively from document described in the document registration storehouse of described medical area A and repositories of documents retrieval and indexing, and the result of described retrieval and indexing is returned to described document consumer; If described document request is trans-regional request, then distribute described request by the cross-domain access gateway of described medical area A to the cross-domain access gateway of at least one medical area B, the document registration storehouse that the cross-domain access gateway of described medical area B is corresponding to one's respective area and repositories of documents retrieval and indexing described request, and the result of described retrieval and indexing being returned to the cross-domain access gateway of described medical area A, described result is returned to described document consumer by the cross-domain access gateway of described medical area A.
6. the shared method of a kind of trans-regional medical document information as claimed in claim 5, it is characterized in that, described document consumer initiates described document query request by the web services interface of described cross-domain access gateway.
7. the shared method of a kind of trans-regional medical document information as claimed in claim 5, it is characterized in that, described document consumer initiates described file retrieval request by the web services interface of described cross-domain access gateway.
8. the shared method of a kind of trans-regional medical document information as claimed in claim 5, it is characterized in that, before the cross-domain access gateway that the cross-domain access gateway of described medical area A is corresponding to one's respective area initiates described inquiry described request, described document consumer obtains the identification information of patient in described medical area B by Patient identification's cross-index, and uses described Patient identification's information to initiate described inquiry request as document query required parameter.
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| CN106528814A (en) * | 2016-11-18 | 2017-03-22 | 深圳中兴网信科技有限公司 | Document searching method and document searching device. |
| CN106815516A (en) * | 2017-01-18 | 2017-06-09 | 泰康保险集团股份有限公司 | The access authorization methods and system of user profile |
| CN107785073A (en) * | 2017-01-22 | 2018-03-09 | 平安医疗健康管理股份有限公司 | Medical examination result-sharing methods, devices and systems based on block chain |
| CN108573738A (en) * | 2018-03-29 | 2018-09-25 | 浙江慧优科技有限公司 | A method of quickly checking patient and family member's health account |
| CN109360615A (en) * | 2018-09-29 | 2019-02-19 | 苏州爱医斯坦智能科技有限公司 | A kind of medical resource sharing method, device, equipment and storage medium |
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| CN106815516A (en) * | 2017-01-18 | 2017-06-09 | 泰康保险集团股份有限公司 | The access authorization methods and system of user profile |
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Application publication date: 20150211 |