CN106550041B - Medical information integration engine - Google Patents
Medical information integration engine Download PDFInfo
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- CN106550041B CN106550041B CN201610985337.1A CN201610985337A CN106550041B CN 106550041 B CN106550041 B CN 106550041B CN 201610985337 A CN201610985337 A CN 201610985337A CN 106550041 B CN106550041 B CN 106550041B
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L67/00—Network arrangements or protocols for supporting network services or applications
- H04L67/01—Protocols
- H04L67/12—Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks
- H04L67/125—Protocols specially adapted for proprietary or special-purpose networking environments, e.g. medical networks, sensor networks, networks in vehicles or remote metering networks involving control of end-device applications over a network
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q50/00—Systems or methods specially adapted for specific business sectors, e.g. utilities or tourism
- G06Q50/10—Services
- G06Q50/22—Social work
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L63/00—Network architectures or network communication protocols for network security
- H04L63/02—Network architectures or network communication protocols for network security for separating internal from external traffic, e.g. firewalls
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L63/00—Network architectures or network communication protocols for network security
- H04L63/02—Network architectures or network communication protocols for network security for separating internal from external traffic, e.g. firewalls
- H04L63/029—Firewall traversal, e.g. tunnelling or, creating pinholes
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- H—ELECTRICITY
- H04—ELECTRIC COMMUNICATION TECHNIQUE
- H04L—TRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
- H04L67/00—Network arrangements or protocols for supporting network services or applications
- H04L67/01—Protocols
- H04L67/02—Protocols based on web technology, e.g. hypertext transfer protocol [HTTP]
Abstract
The invention relates to a medical information integration engine which is used for accessing an information management system in a hospital to internet medical service and comprises a network protocol conversion module, a gateway penetration module, a medical term conversion module, a centralized abnormity monitoring and early warning module and a distributed cluster deployment and automatic updating module. By the medical information integration engine, the requirements of each hospital project can be met only by simple configuration and adjustment aiming at each hospital, each hospital his system is quickly accessed into the internet medical service according to a standard mode, and the problem of promotion of data conversion between the hospital his system and the internet medical service is solved at a glance.
Description
Technical Field
The invention relates to the field of medical informatization, in particular to a medical information integration engine which is used for accessing an information management system in a hospital to internet medical service.
Background
With the rapid development and update iteration of the his system, most of his systems of hospitals have own characteristic functions and respective term descriptions, and if each independent development version is targeted, the labor cost is high, the technical portability is poor, the code reuse rate is low, so that the project development and implementation cost is high, and the promotion is slow. In addition, the original network environment of the hospital is changed from an internal network to a public network environment, the patient information is kept secret, the information security in the hospital can naturally require to strengthen the network security, and theoretically, the fewer the protocols and ports allowed to access the public network, the higher the monitorability and the safer the network. At this moment, a series of security devices such as a hardware firewall and a gatekeeper are introduced, so that the network security is high, but the technical difficulty and complexity of software implementation are also improved. There are difficulties with data conversion for hospital his systems to access internet medical services. Therefore, there is a need for an integration engine for accessing hospital internal information management systems to internet medical services.
Disclosure of Invention
The invention provides a medical information integration engine which is used for accessing an information management system in a hospital to internet medical service.
A medical information integration engine for accessing an intra-hospital information management system to internet medical services, comprising:
the network protocol conversion module is used for converting the request of the internet medical service into the same protocol of the internal information management system of the hospital when the protocols of the internal information management system of the hospital and the internet medical service are not consistent, converting the request of the internet medical service into a basic standard protocol after the internal information management system of the hospital processes the request of the internet medical service, returning the basic standard protocol to the internet medical service, and supporting the protocol conversion of multiple formats of JSON, XML, DICOM and HL 7;
the network gate penetration module is used for connecting the communication of the internal network and the external network on a protocol from inside to outside specified by the network gate;
the medical term conversion module is used for establishing a medical term database and carrying out corresponding matching search according to the medical term database when medical data is inquired.
Furthermore, the gateway penetration module firstly converges all requests of the internet medical services to the external network server, acquires the converged internet medical services requests when the servers in the hospital penetrate the gateway to access the external network server, brings the converged internet medical services requests into the information management system in the hospital for processing, and returns the converged internet medical services requests to the external network server, and the external network server feeds back the request results to the requester.
Furthermore, the gateway penetration module is provided with a message content verification mechanism and a safety verification mechanism, so that messages only meeting set rules are transferred to the information management system in the hospital.
Further, the system also comprises a centralized abnormity monitoring and early warning module which is used for regularly collecting working parameters of each integrated engine, regularly analyzing abnormal values of the cpu, the memory, the network, the message quantity, the error quantity and the abnormity proportion by a management center, comparing configured abnormity critical values, judging abnormity, and triggering different alarm modules according to different configurations.
The system further comprises a distributed cluster deployment and automatic updating module, wherein only the updating instruction of each client is required to be issued in a management center, or the updating instruction is issued to the specified client, and each client performs silent updating after receiving the updating instruction, so that the updating of a certain conversion protocol task in a client operating system, an application program and the application program is supported.
The invention has the beneficial effects that: by the medical information integration engine, the requirements of each hospital project can be met only by simple configuration and adjustment aiming at each hospital, each hospital his system is quickly accessed into the internet medical service according to a standard mode, and the problem of promotion of data conversion between the hospital his system and the internet medical service is solved at a glance.
Drawings
FIG. 1 is a schematic diagram of the operation of a network protocol conversion module according to the present invention;
FIG. 2 is a schematic diagram of the operation of the gatekeeper pass-through module of the present invention;
FIG. 3 is a schematic diagram of the operation flow of the automatic update module according to the present invention.
Detailed Description
The present invention is described in further detail below with reference to examples:
example 1
A medical information integration engine for accessing an intra-hospital information management system to internet medical services, comprising:
the network protocol conversion module is used for converting the request of the internet medical service into the same protocol of the internal information management system of the hospital when the protocols of the internal information management system of the hospital and the internet medical service are not consistent, converting the request of the internet medical service into a basic standard protocol after the internal information management system of the hospital processes the request of the internet medical service, returning the basic standard protocol to the internet medical service, and supporting the protocol conversion of multiple formats of JSON, XML, DICOM and HL 7;
the network gate penetration module is used for connecting the communication of the internal network and the external network on a protocol from inside to outside specified by the network gate;
the medical term conversion module is used for establishing a medical term database and carrying out corresponding matching search according to the medical term database when medical data are inquired;
the centralized anomaly monitoring and early warning module is used for regularly acquiring working parameters of each integrated engine, regularly analyzing abnormal values of CPU, memory, network, message quantity, error quantity and anomaly proportion by the management center, comparing configured anomaly critical values, judging anomalies and triggering different alarm modules according to different configurations;
the distributed cluster deployment and automatic updating module only needs to send the updating instruction of each client side to the management center or send the updating instruction to the appointed client side, and each client side carries out silent updating after receiving the updating instruction, so that the distributed cluster deployment and automatic updating module supports the updating of a certain conversion protocol task in a client side operating system, an application program and the application program.
The work flow of the network protocol conversion module is shown in fig. 1:
an external request of the internet medical service enters a protocol conversion layer through a label 1;
the protocol conversion layer converts the external request into a protocol of the hospital internal information management system through configuration, and enters the hospital internal information management system through a label 2;
the information management system in the hospital processes the request and returns the request to the protocol conversion layer through a label 3;
the protocol conversion layer converts the hospital return to the standard mode and finally returns to the internet medical service through the reference numeral 4.
The above process is not limited to specific protocols, and JSON, XML, DICOM, HL7, http, WebService, tcp, etc. may be used, and the purpose of the process is to establish conversion between a set of basic standard protocols and other protocols, so that the system can adapt to various protocols.
The working flow of the gatekeeper pass-through module is shown in fig. 2:
the internet medical service external request starts from a label 1, and because the gatekeeper refuses to access from outside to inside, the external request is firstly sent to a server A (extranet) for request caching;
the server B (in the hospital) regularly penetrates through the gatekeeper to access the server A through the labels 2 and 3 to obtain the cached information and is brought into the hospital through the labels 4 and 5;
the server B processes the message and returns the result to the server A through a reference number 6 and a reference number 7;
and finally returning the result to the requesting party by the server A to complete the message request task.
The above processes do not limit specific network protocols, http, tcp, WebService, etc., and only one of them is used to communicate with the internal and external networks in the protocol from inside to outside specified by the gatekeeper. Meanwhile, in the circulation process, in order to ensure that the message content is legal, a message content verification mechanism is added, and only messages meeting certain rules are circulated into the internal network of the hospital, so that the safety is ensured.
The work flow of the automatic update module is shown in fig. 3, each time a new update or module addition occurs, the update or module addition is initiated by the client, the update or module addition is uploaded to the management center after being encapsulated and compressed, the sub-module will periodically go to the management center to detect its version, and if an update occurs, the update operation will be performed according to the update configuration (such as the upgrade time, whether to restart or not, and the like).
The operation of the medical information integration engine is described below for a specific example. Assuming that the hospital shift and the patient registration are required to be acquired at present, the association system comprises an appointment diagnosis and treatment system and an HIS system, and the corresponding business rules are as follows:
1. a network gate exists between the internal network and the external network of the hospital, and the external network is set not to allow the internal network of the hospital to be accessed.
2. The reservation diagnosis and treatment system runs on the external network, the HIS system runs in the internal network, and data of the reservation diagnosis and treatment system needs to be acquired from the HIS system.
The appointment diagnosis and treatment system obtains the hospital scheduling definition as follows:
the patient registration of the appointment diagnosis and treatment system is defined as follows:
the corresponding business process is as follows:
1. the reservation diagnosis and treatment system initiates a request for obtaining the shift, sends information to the gatekeeper penetration module, sends the information to the network protocol conversion module through the internal and external network penetration service of the gatekeeper penetration module, and obtains the required information from the HIS system through the network protocol conversion module and returns the information to the reservation diagnosis and treatment system.
2. The appointment diagnosis and treatment system initiates a patient registration service, also sends information to the gatekeeper penetration module, sends the information to the network protocol conversion module through the internal and external network penetration services of the gatekeeper penetration module, and the network protocol conversion module calls the registration service of the HIS system and finally returns the registration result to the appointment diagnosis and treatment system.
In this service scenario, the network protocol conversion module includes functions of protocol conversion, medical term conversion, field mapping, message organization and transmission, and meanwhile, exception monitoring and early warning are accompanied in the whole service flow.
In summary, the above-mentioned embodiments are only preferred embodiments of the present invention, and all equivalent changes and modifications made in the claims of the present invention should be covered by the claims of the present invention.
Claims (1)
1. A medical information integration engine is used for accessing an internal information management system of a hospital to internet medical services, and is characterized by comprising a network protocol conversion module, a protocol conversion module and a service module, wherein the network protocol conversion module is used for converting a request of the internet medical services into a protocol which is the same as that of the internal information management system of the hospital when the protocols of the internal information management system of the hospital and the internet medical services are not consistent, converting the request of the internal information management system of the hospital into a basic standard protocol after the internal information management system of the hospital processes the request of the internet medical services, returning the basic standard protocol to the internet medical services, and supporting protocol conversion of multiple formats such as JSON;
the network gate penetration module is used for connecting the communication of the internal network and the external network on a protocol from inside to outside specified by the network gate;
the gateway penetration module firstly converges all requests of internet medical services to an external network server, acquires the converged internet medical service requests when a server in a hospital penetrates a gateway to access the external network server, then brings the converged internet medical service requests into an internal information management system of the hospital for processing, and returns the converged internet medical service requests to the external network server, and the external network server feeds back request results to a requester;
the gateway penetration module is provided with a message content verification mechanism and a safety verification mechanism, so that messages only meeting set rules are transferred to an information management system in the hospital;
the medical term conversion module is used for establishing a medical term database and carrying out corresponding matching search according to the medical term database when medical data are inquired;
the distributed cluster deployment and automatic updating module is used for issuing an updating instruction of each client only in a management center or issuing an updating instruction to a specified client, and each client performs silent updating after receiving the updating instruction and supports updating of a certain conversion protocol task in a client operating system, an application program and the application program;
the system also comprises a centralized abnormity monitoring and early warning module which is used for regularly collecting working parameters of each integrated engine, regularly analyzing abnormal values of the cpu, the memory, the network, the message quantity, the error quantity and the abnormity proportion by a management center, comparing configured abnormity critical values, judging abnormity, and triggering different alarm modules according to different configurations.
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CN109697062B (en) * | 2019-01-14 | 2022-04-01 | 深圳孟德尔软件工程有限公司 | Multi-source data exchange system and fusion method |
CN110993115B (en) * | 2019-11-29 | 2023-10-31 | 四川华软慧医科技有限公司 | System and method for medical data heterogeneous fusion treatment |
CN111276236A (en) * | 2020-02-04 | 2020-06-12 | 广州市行心信息科技有限公司 | Universal interface server for medical informatization industry |
CN111629025B (en) * | 2020-04-02 | 2023-08-25 | 深圳亿维锐创科技股份有限公司 | Medical information is debugging system for butt joint |
CN114827298A (en) * | 2022-05-13 | 2022-07-29 | 北京京东拓先科技有限公司 | Information processing method, device, equipment and storage medium |
CN115426416B (en) * | 2022-11-03 | 2023-04-07 | 北京京东拓先科技有限公司 | Protocol conversion method and device, electronic equipment and storage medium |
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