CN109801688A - The safe synergism action system and method for area medical electronic health record - Google Patents
The safe synergism action system and method for area medical electronic health record Download PDFInfo
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- CN109801688A CN109801688A CN201711147928.2A CN201711147928A CN109801688A CN 109801688 A CN109801688 A CN 109801688A CN 201711147928 A CN201711147928 A CN 201711147928A CN 109801688 A CN109801688 A CN 109801688A
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- 230000036541 health Effects 0.000 title claims abstract description 343
- 238000000034 method Methods 0.000 title claims abstract description 34
- 230000009471 action Effects 0.000 title claims abstract description 28
- 238000004422 calculation algorithm Methods 0.000 claims abstract description 74
- 230000008707 rearrangement Effects 0.000 claims abstract description 17
- 201000010099 disease Diseases 0.000 claims description 12
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 12
- 238000004590 computer program Methods 0.000 claims description 11
- 238000012163 sequencing technique Methods 0.000 claims description 10
- 238000000151 deposition Methods 0.000 claims 1
- 230000007246 mechanism Effects 0.000 abstract description 7
- 230000005540 biological transmission Effects 0.000 abstract description 4
- 238000013475 authorization Methods 0.000 description 10
- 238000004891 communication Methods 0.000 description 10
- 238000012545 processing Methods 0.000 description 9
- 230000006870 function Effects 0.000 description 7
- 238000013478 data encryption standard Methods 0.000 description 6
- 238000006243 chemical reaction Methods 0.000 description 4
- 230000010354 integration Effects 0.000 description 4
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- 238000004364 calculation method Methods 0.000 description 3
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- 238000004458 analytical method Methods 0.000 description 2
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- 238000003745 diagnosis Methods 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
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- 239000000203 mixture Substances 0.000 description 2
- 201000009240 nasopharyngitis Diseases 0.000 description 2
- 230000005180 public health Effects 0.000 description 2
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- 238000013500 data storage Methods 0.000 description 1
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- 235000013399 edible fruits Nutrition 0.000 description 1
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Classifications
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F21/00—Security arrangements for protecting computers, components thereof, programs or data against unauthorised activity
- G06F21/60—Protecting data
- G06F21/62—Protecting access to data via a platform, e.g. using keys or access control rules
- G06F21/6218—Protecting access to data via a platform, e.g. using keys or access control rules to a system of files or objects, e.g. local or distributed file system or database
- G06F21/6245—Protecting personal data, e.g. for financial or medical purposes
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
Abstract
The present invention provides a kind of safe synergism action system and method for area medical electronic health record, this method comprises: calling the field title in the electronic health record of enciphering and deciphering algorithm parsing encryption；The corresponding field title of electronic health record after decryption is matched with the field title in electronic health record template；Storage field after electronic health record data in electronic health record after decryption to be stored in database profession to corresponding rearrangement number, and generate new electronic health record；When no longer obtaining the electronic health record of next hospital information system, call number is established to all new electronic health records, and enciphering and deciphering algorithm is called to encrypt the new electronic health record for establishing call number.Implement the dynamic adjustment that the present invention realizes electronic health record, the electronic health record of different medical mechanism can be converted into Common Electronic Medical Record, realize the shared of electronic health record, simultaneously, encryption and decryption is carried out to electronic health record using random enciphering and deciphering algorithm to the electronic health record of transmission, improves the safety of information.
Description
Technical field
The present invention relates to medical information field more particularly to a kind of safe synergism action systems of area medical electronic health record
And method.
Background technique
Case history is original record of the patient in hospital diagnosis treatment overall process, it includes homepage, progress note, checks inspection
Test result, doctor's advice, operation record, nursing record etc..With hospital computer networking management, electronic health record (EMR,
Electronic Medical Record) it comes into being.As the product of scientific and technological progress, electronic health record is because it facilitates record, easily
The advantages that storage, is more and more widely used in medical system.
In recent years, country goes into overdrive to carry out electronic health record shared system in policy, and relies on existing technical specification
With information technology, area medical information shared system is established in some areas.Existing system mainly uses medical institutions' information
Across the mechanism document sharing that integration specification (Integrating the Healthcare Enterprise, IHE) proposes
(Cross-Enterprise Document Sharing, XDS) technological frame.The basic concept of IHE XDS technological frame is to adopt
It is stored with registration with release information model and shares clinical document, the role of main definitions includes document repositories and document note
Volume library.
But existing system exports generic media simply by specific document editor, is voluntarily carried and is protected by patient
Pipe.When the cross-domain electronic health record of processing is shared, it cannot ensure that the dynamic of data is adjusted to reach medical concertedness, while also can not
Carry out centralized Analysis of Medical Treatment Data and medical services.
In addition, existing system adopts the ciphering process of electronic health record when obtaining the electronic health record of different medical mechanism
With fixed form (i.e. acquisition side and the side of being acquired are using fixed enciphering and deciphering algorithm), it is easy to happen and cracks, increase information peace
Full risk.
Summary of the invention
The main purpose of the present invention is to provide a kind of safe synergism action system and method for area medical electronic health record, purports
It is easy to happen to crack when solving to be based on and cannot achieve the adjustment of electronic health record dynamic and electronic health record transmission in existing technology and lead
The technical issues of causing information security.
To achieve the above object, the present invention provides a kind of safe synergism action system of area medical electronic health record, operations
In data center, which includes being adapted for carrying out the processor of various computer program instructions and being suitable for storing a plurality of
The memory of computer program instructions, the data center are communicated to connect by network and multiple hospital information systems, the meter
Calculation machine program instruction is loaded by processor and executes following steps:
Creation electronic health record template is simultaneously ranked up number to the field title in electronic health record template, and in the database
Create the field of corresponding sequencing numbers；
It randomly chooses an enciphering and deciphering algorithm and is sent to a hospital information system, obtained from the hospital information system
The electronic health record of encryption；
It calls enciphering and deciphering algorithm to decrypt the electronic health record of encryption, and parses the field name in the electronic health record after decryption
Claim；
The corresponding field title of electronic health record after decryption is matched with the field title in electronic health record template；
According to matched result generate new electronic health record template and to the field title in new electronic health record template into
Row rearrangement number, and the storage field after the corresponding rearrangement number of creation in the database；
After electronic health record data in electronic health record after decryption are stored in database profession corresponding rearrangement number
Field is stored, and generates new electronic health record；And
When no longer obtaining the electronic health record of next hospital information system, index is established to all new electronic health records
Number, and enciphering and deciphering algorithm is called to encrypt the new electronic health record for establishing call number.
Preferably, the storage of the number of the field title in the electronic health record template and the database of storage electronic health record
Field title is consistent.
Preferably, it is if the computer program instructions are also executed the following steps: in matched result by processor load
Field title in encrypted electronic health record is included in the field title of electronic health record template, then by encrypted electronics disease
The field title gone through and field names associate corresponding in electronic health record template.
Preferably, it is if the computer program instructions are also executed the following steps: in matched result by processor load
Field title in encrypted electronic health record is not included in the field title of electronic health record template, then by electronic health record template
One field title of middle increase, the increased field title are consistent with the field title in encrypted electronic health record.
Preferably, the computer program instructions are also executed the following steps: random by random function by processor load
The enciphering and deciphering algorithm prestored in a data center is selected, and calculates the cryptographic Hash of the randomly selected enciphering and deciphering algorithm, later
The cryptographic Hash is sent in hospital information system, so that the hospital information system calls the corresponding enciphering and deciphering algorithm of the cryptographic Hash
Electronic health record is encrypted.
On the other hand, a kind of safe synergism action method of area medical electronic health record of the present invention is applied in data center,
The data center is communicated to connect by network and multiple hospital information systems, and this method comprises the following steps:
Creation electronic health record template is simultaneously ranked up number to the field title in electronic health record template, and in the database
Create the field of corresponding sequencing numbers；
It randomly chooses an enciphering and deciphering algorithm and is sent to a hospital information system, obtained from the hospital information system
The electronic health record of encryption；
It calls enciphering and deciphering algorithm to decrypt the electronic health record of encryption, and parses the field name in the electronic health record after decryption
Claim；
The corresponding field title of electronic health record after decryption is matched with the field title in electronic health record template；
According to matched result generate new electronic health record template and to the field title in new electronic health record template into
Row rearrangement number, and the storage field after the corresponding rearrangement number of creation in the database；
After electronic health record data in electronic health record after decryption are stored in database profession corresponding rearrangement number
Field is stored, and generates new electronic health record；And
When no longer obtaining the electronic health record of next hospital information system, index is established to all new electronic health records
Number, and enciphering and deciphering algorithm is called to encrypt the new electronic health record for establishing call number.
Preferably, the storage of the number of the field title in the electronic health record template and the database of storage electronic health record
Field title is consistent.
Preferably, this method further includes following steps: if in matched result being the field in encrypted electronic health record
Title is included in the field title of electronic health record template, then by the field title and electronic health record in encrypted electronic health record
Corresponding field names associate in template.
Preferably, this method further includes following steps: if in matched result being the field in encrypted electronic health record
Title is not included in the field title of electronic health record template, then will increase a field title, the increasing in electronic health record template
The field title added is consistent with the field title in encrypted electronic health record.
Preferably, this method further includes following steps: passing through what is prestored in one data center of random function random selection
Enciphering and deciphering algorithm, and the cryptographic Hash of the randomly selected enciphering and deciphering algorithm is calculated, the cryptographic Hash is sent to information for hospital later
In system, so that the hospital information system calls the corresponding enciphering and deciphering algorithm of the cryptographic Hash to encrypt electronic health record.
The present invention by adopting the above technical scheme, bring technical effect are as follows: the present invention using electronic health record field it is matched
Mode realizes the dynamic adjustment of electronic health record, can be integrated into same type of electronics to the electronic health record of different medical mechanism
In medical record templates, reached the shared medical concertedness of electronic health record, at the same can also centralized Analysis of Medical Treatment Data, meanwhile,
Encryption and decryption is carried out to electronic health record using random enciphering and deciphering algorithm to the electronic health record of transmission, improves the safety of information.
Detailed description of the invention
Fig. 1 is the safe synergism action systematic difference environment schematic of area medical electronic health record of the present invention；
Fig. 2 is the module diagram of the preferred embodiment of the safe synergism action system of area medical electronic health record of the present invention；
Fig. 3 is the flow chart of the preferred embodiment of the safe synergism action method of area medical electronic health record of the present invention；
Fig. 4 is the schematic diagram of the preferred embodiment of electronic health record template matching in the present invention.
The object of the invention is realized, the embodiments will be further described with reference to the accompanying drawings for functional characteristics and advantage.
Specific embodiment
It is of the invention to reach the technical means and efficacy that predetermined goal of the invention is taken further to illustrate, below in conjunction with
Attached drawing and preferred embodiment, to a specific embodiment of the invention, structure, feature and its effect, detailed description are as follows.It should manage
Solution, the specific embodiments described herein are merely illustrative of the present invention, is not intended to limit the present invention.
Shown in referring to Fig.1, Fig. 1 is the safe synergism action systematic difference environment signal of area medical electronic health record of the present invention
Figure.The safe synergism action system 30 of area medical electronic health record in the present invention is run in data center 3.The data center
3 pass through the 1 (Hospital of hospital information system of network 2 and each medical institutions (medical institutions such as hospital, the center She Kang)
Information System, HIS) communication connection.
Wherein, the data center 3 obtains the hospital information system that medical institutions are accessed after the authorizations of each medical institutions
1, and obtain various types of electronic health record data in the hospital information systems 1 of each medical institutions.The electronic health record number
According to including, but are not limited to patient's name, patient age, sick time, disease name, illness reason, medical diagnosis on disease information, medicine
The name of an article claims, Quantity of drugs, physician names, medical hospital and department, expense and patient contact method (for example, E-mail address
Location, phone number, instant messaging account etc.), disease encyclopaedia, the information such as Government Medical policy document.
Further, the hospital information system 1 of each medical institutions is provided which data introducting interface (for example, application program
Interface, Application Program Interface, API), the equipment or system for accessing the data introducting interface are ok
Electronic health record data are obtained from the hospital information system 1.
In the present embodiment, the network 2 can be wire communication network or wireless communication networks.The network is preferably
Wireless communication networks, including but not limited to, GSM network, GPRS network, cdma network, TD-SCDMA network, WiMAX network,
The wireless-transmission networks such as TD-LTE network, FDD-LTE network.
The data center 3 is communicated to connect by the network 2 with hospital information system 1, is used for from the information for hospital
System 1 obtains various types of electronic health record data.Specifically, the hospital information system 1 provides api interface, the number
According to center 3, (API that i.e. authorization accesses that the hospital information system 1 provides is connect on the basis of the hospital information system 1 authorizes
Mouthful) obtain the electronic health record data.It should be noted that due to electronics disease in the hospital information system 1 of major medical institutions
Go through data format difference, by the way that the electronic health record of each medical institutions to be integrated into general electronic health record template, Ke Yishi
Show the intercommunication of electronic health record data and share, patient is facilitated to obtain the electronic health record data after different medical mechanism is medical.
It should be noted that the data center 3 is a certain server of cloud platform or data center, pass through cloud platform
Or the data transmission capabilities and data storage capacities of data center, preferably it can manage and/or assist to connect with the data center 3
The client connect.
The data center 3 is also connected with database 4 by network 2, and the database 4 is used for stored electrons case history.
The data center 3 can be communicated to connect by network 2 and client (not shown), and patient can pass through visitor
Family end access data center 3 simultaneously obtains electronic health record.
It should be noted that since the electronic health record belongs to privacy information, in order to ensure information security, in the data
It, can be by enciphering and deciphering algorithm (for example, MD5 enciphering and deciphering algorithm, RSA encryption and decryption when the heart 3 obtains the electronic health record of each medical institutions
Algorithm, DES enciphering and deciphering algorithm, DSA enciphering and deciphering algorithm, AES enciphering and deciphering algorithm etc.) first medical data is encrypted.
Further, enciphering and deciphering algorithm there are many being also stored in advance in the data center 3, for example, data encryption standards
Algorithm (Data Encryption Standard, DES), three times data encryption standard algorithm (Triple Data
Encryption Standard, 3DES), Advanced Encryption Standardalgorithm (Advanced Encryption Standard, AES),
RSA public key algorithm, Digital Signature Algorithm (Digital Signature Algorithm, DSA), elliptic curve cipher are compiled
Code learns algorithm (Elliptic Curves Cryptography, ECC), Message Digest 5 (Message Digest
Algorithm 5, MD5), Secure Hash Algorithm (Secure Hash Algorithm, SHA).
It should be noted that each enciphering and deciphering algorithm in the data center 3 can find phase in hospital information system 1
Same enciphering and deciphering algorithm, and each enciphering and deciphering algorithm in the data center 3 also can find correspondence in hospital information system 1
Enciphering and deciphering algorithm.
It is the mould of the preferred embodiment of the safe synergism action system of area medical electronic health record of the present invention referring to shown in Fig. 2
Block schematic diagram.In the present embodiment, the safe synergism action system 30 of the area medical electronic health record is applied to data center 3.
The data center 3 include but are not limited to, the safe synergism action system 30 of area medical electronic health record, storage unit 31, processing
Unit 32 and communication unit 33.
The storage unit 31 can be a kind of read-only memory unit ROM, electrically-erasable storage unit EEPROM, quick flashing
Storage unit FLASH or solid hard disk etc..
The processing unit 32 can be a kind of central processing unit (Central Processing Unit, CPU), micro-
Controller (MCU), data processing chip or information process unit having data processing function.
The communication unit 33 be a kind of communication interface with remote communicating function, such as support GSM, GPRS,
The communication interface of the wireless communication techniques such as WCDMA, CDMA, TD-SCDMA, WiMAX, TD-LTE, FDD-LTE supports USB, cable
Wire communication interface.
The safe synergism action system 30 of area medical electronic health record includes, but are not limited to, and creation module 311 obtains
Modulus block 312, conversion module 313, matching module 314, generation module 315, relating module 316 and judgment module 317, the present invention
So-called module refers to that one kind can be executed by the processing unit 32 of the data center 3 and can complete the one of fixed function
Family computer program instruction section is stored in the storage unit 31 of the data center 3.
The creation module 311 is for creating electronic health record template and arranging the field title in electronic health record template
Sequence number, and the field for corresponding to sequencing numbers is created in database 4.In the present embodiment, the creation of creation module 311 one
A electronic health record template, the template of the electronic health record follow the " electronic health record of Ministry of Public Health's formulation defended doctor's political affairs and send out (2010) No. 24
Fundamental norms ".It should be noted that due in electronic health record template include multiple field titles, for convenience it is subsequent and other
Electronic health record in the HIS system of medical institutions is matched, and each field title in the electronic health record template has one
A corresponding number.The number is that the form of digits plus letters is ranked up, specifically, as shown in figure 4, the number table
It is shown as Mi, wherein alphabetical M indicates that the label (i.e. the abbreviation of electronic health record template) of electronic health record template, i indicate positive integer, and i is big
In or be equal to 1 and be less than or equal to N (N indicate electronic health record template in field title total quantity), for example, M1 indicate electronics disease
First field title in template is gone through, M2 indicates the 2nd field title in electronic health record template, and Mi indicates electronic health record mould
I-th of field title in plate.
Further, it is stored in order to facilitate the data in electronic health record, the field title in the electronic health record template
Number is consistent with the storage field title of database 4 of electronic health record is stored in data center 3, in this way, data center 3
It can recall the corresponding data of field title and show from database 4 according to the number of field title in electronic health record template
It is shown in electronic health record template.
The sending module 312 is for one enciphering and deciphering algorithm of random selection and is sent to a hospital information system 1, from
The electronic health record of encryption is obtained in the hospital information system 1.Specifically, the sending module 312 is random by random function
The enciphering and deciphering algorithm prestored in a data center 3 is selected, and calculates the cryptographic Hash of the randomly selected enciphering and deciphering algorithm, later
The cryptographic Hash is sent in hospital information system 1, so that hospital information system 1 calls the corresponding enciphering and deciphering algorithm of the cryptographic Hash
Electronic health record is encrypted, and encrypted electronic health record is transferred to data center 3.It should be noted that if hospital believes
There is no corresponding enciphering and deciphering algorithm in breath system 1, the hospital information system 1 randomly chooses an enciphering and deciphering algorithm to electronics disease
It goes through and is encrypted, and the corresponding cryptographic Hash of randomly selected enciphering and deciphering algorithm and encrypted electronic health record are transferred in data
The heart 3 after data center 3 receives the cryptographic Hash that hospital information system 1 sends over, calls the corresponding encryption and decryption of the cryptographic Hash to calculate
Method is simultaneously decrypted encrypted electronic health record.
The conversion module 313 is used to that enciphering and deciphering algorithm to be called to decrypt the electronic health record of encryption, and after parsing decryption
Field title in electronic health record.It is described that enciphering and deciphering algorithm is called to decrypt to the electronic health record of encryption and parse the electronics after decryption
The mode of field title in case history is as follows: (1) obtaining, (1) calls randomly selected enciphering and deciphering algorithm to encrypted electronics
Case history is decrypted；(2) electronic health record after decryption is converted into XML format；(3) after in XML format by choosing label
The name in face is referred to as the field title of encrypted electronic health record.In addition, the conversion module 313 can also be to the electricity after decryption
Each field title in sub- case history is numbered.The number is that the form of digits plus letters is ranked up, specifically, such as
Shown in Fig. 4, the number is expressed as Ai, wherein alphabetical A indicates label (the i.e. letter of HIS system A of the electronic health record after decryption
Claim), i indicates positive integer, and i is greater than or equal to 1 and less than or equal to the total quantity of the field title in the electronic health record after decryption, example
Such as, A1 indicates first field title in the electronic health record after decryption, and A2 indicates the 2nd column in the electronic health record after decryption
Position title, Ai indicate i-th of field title in the electronic health record after decryption.
The matching module 314 is in the corresponding field title of electronic health record and electronic health record template after decrypting
Field title is matched.Specifically, by the corresponding field title of electronic health record and electronic health record template after decryption
It is as follows that field title carries out matched mode: by the field title in the electronic health record after decryption electronic health record template field
Retrieved in title, for example, as shown in figure 4, decryption after electronic health record in field title include " name ", " gender ",
" age ", " contact method ", " social security number ", " identification card number ", " medical date ", " accurate visit ", " medical doctor ", " existing disease
History ", " symptom description " etc. retrieve above-mentioned field title in the field title of electronic health record template one by one.
The generation module 315 is used to generate new electronic health record template according to matched result and to new electronic health record
Field title in template carries out rearrangement number, and the storage column after corresponding rearrangement number is created in database 4
Position.Specifically, if being included in electronic health record template in matched result for the field title in the electronic health record after decryption
In field title, then the field title in the electronic health record after decryption is closed with field title corresponding in electronic health record template
Connection.It should be noted that since the field title expression way of the electronic health record of different medical mechanism is different, and express meaning phase
Together, for example, the field of the electronic health record of some medical institutions is entitled " social security number ", the column of the electronic health record of some medical institutions
Position entitled " social security computer number " or " social security number ", the field title of the electronic health record template accurate in order to ensure matching
It can expand, i.e., multiple related names can be set in each field title in the described electronic health record template, for example, the electronics
Field title " social security number " in medical record templates can also be expanded as multiple titles such as " social security computer number " or " social security numbers ".If
It is not included in the field title of electronic health record template in matched result for the field title in the electronic health record after decryption, then
A field title, the field name in electronic health record after the increased field title and decryption will be increased in electronic health record template
Claim consistent.For example, if decryption after electronic health record in field it is entitled " doctor's brief introduction ", and in electronic health record template without should
Field title then increases the field for being somebody's turn to do " doctor's brief introduction " in electronic health record template.
(i.e. field title is corresponding for the electronic health record data in the electronic health record after decrypting for the relating module 316
The data of input, for example, the data of corresponding input are " Zhang San " in field title " name ", then " Zhang San " is electronic health record number
According to) it is stored in the storage field in database 4 after corresponding rearrangement number, and generate new electronic health record.Specifically, logical
Fig. 4 is crossed it is found that the field title of electronic health record both corresponds to the sequencing numbers in electronic health record template in hospital information system A
(i.e. Mi), and the sequencing numbers in electronic health record template have corresponding storage field in database 4, therefore, the association mould
Electronic health record data in hospital information system A in electronic health record can be directly stored in the database of data center 3 by block 316
In 4.
The judgment module 317 is used to judge whether to obtain the electronic health record of next hospital information system 1.Specifically
It says, if the authorization of the data center 3 obtains the electronic health record of five hospital information systems 1, when one information for hospital system of completion
After the acquisition of electronic health record in system 1, the api interface of next hospital information system is being automatically switched to and to obtain this next
Electronic health record in hospital information system.The judgment module 317 judges whether each authorization access according to API Calls record
The electronic health record of hospital information system 1 is acquired.
The relating module 316 is also used to (work as institute when no longer obtaining the electronic health record of next hospital information system 1
After the completion of the electronic health record for the hospital information system 1 for having authorization to access is acquired), index is established to all new electronic health records
Number, and enciphering and deciphering algorithm is called to encrypt the new electronic health record for establishing call number.In the present embodiment, the call number is only
The same patient, is integrated together in the electronic health record that each medical institutions see a doctor under one's name by call number, was both saved by one number
About memory space, and facilitate inquiry.In order to ensure the uniqueness of call number, the call number is by name, social security number and identity
Card three unifies and forms call number, establishes call number to all new electronic health records and enciphering and deciphering algorithm is called to encrypt.
In addition, patient is in each medical institutions after saying that the electronic health record of hospital information system 1 of all authorization access is acquired
Electronic health record is converted into new electronic health record, for example, patient has seen in medical institutions A, medical institutions B and medical institutions C
Common cold, the new electronic health record of the patient after integration is since format is consistent, by the electronics disease after three medical institutions see a doctor
Evidence is counted one by one to be incorporated into the same electronic health record.
It is the stream of the preferred embodiment of the safe synergism action method of area medical electronic health record of the present invention referring to shown in Fig. 3
Cheng Tu.In the present embodiment, in the present embodiment, the various sides of the safe synergism action method of the area medical electronic health record
Method step realizes that the computer software programs in the form of computer program instructions in terms of being stored in by computer software programs
In calculation machine readable storage medium storing program for executing, storage medium may include: read-only memory, random access memory, disk or CD etc., the meter
Calculation machine program instruction can be loaded by processor (such as processing unit 32) and execute following steps S11 to step S18.This method
The following steps are included:
Step S11: creation electronic health record template is simultaneously ranked up number to the field title in electronic health record template, and
The field of corresponding sequencing numbers is created in database 4.In the present embodiment, the creation module 311 creates an electronic health record
Template, the template of the electronic health record follow " the electronic health record fundamental norms " defending doctor's political affairs and send out (2010) No. 24 of Ministry of Public Health's formulation.
It should be noted that due to including multiple field titles in electronic health record template, it is subsequent for convenience and other medical institutions
Electronic health record in HIS system is matched, and each field title in the electronic health record template has a corresponding volume
Number.The number is that the forms of digits plus letters is ranked up, specifically, as shown in figure 4, the number is expressed as Mi,
In, alphabetical M indicates that the label (i.e. the abbreviation of electronic health record template) of electronic health record template, i indicate positive integer, and i is greater than or equal to 1
And it is less than or equal to N (total quantity that N indicates the field title in electronic health record template), for example, M1 is indicated in electronic health record template
First field title, M2 indicates the 2nd field title in electronic health record template, and Mi indicates the in electronic health record template
I field title.
Further, it is stored in order to facilitate the data in electronic health record, the field title in the electronic health record template
Number is consistent with the storage field title of database 4 of electronic health record is stored in data center 3, in this way, data center 3
It can recall the corresponding data of field title and show from database 4 according to the number of field title in electronic health record template
It is shown in electronic health record template.
Step S12: one enciphering and deciphering algorithm of random selection is simultaneously sent to a hospital information system 1, from the information for hospital
The electronic health record of encryption is obtained in system 1.Specifically, the sending module 312 randomly chooses a number by random function
According to the enciphering and deciphering algorithm prestored in center 3, and the cryptographic Hash of the randomly selected enciphering and deciphering algorithm is calculated, later by the cryptographic Hash
It is sent in hospital information system 1, so that hospital information system 1 calls the corresponding enciphering and deciphering algorithm of the cryptographic Hash to electronic health record
It is encrypted, and encrypted electronic health record is transferred to data center 3.It should be noted that if not having in hospital information system 1
There is corresponding enciphering and deciphering algorithm, the hospital information system 1 randomly chooses an enciphering and deciphering algorithm and encrypts to electronic health record,
And the corresponding cryptographic Hash of randomly selected enciphering and deciphering algorithm and encrypted electronic health record are transferred to data center 3, in data
After the heart 3 receives the cryptographic Hash that hospital information system 1 sends over, the corresponding enciphering and deciphering algorithm of the cryptographic Hash is called and to encryption
Electronic health record afterwards is decrypted.
Step S13: it calls enciphering and deciphering algorithm to decrypt the electronic health record of encryption, and parses in the electronic health record after decryption
Field title.It is described that enciphering and deciphering algorithm is called to decrypt to the electronic health record of encryption and parse the field in the electronic health record after decryption
The mode of title is as follows: (1) obtaining, (1) calls randomly selected enciphering and deciphering algorithm that encrypted electronic health record is decrypted；
(2) electronic health record after decryption is converted into XML format；(3) it is referred to as adding by choosing the subsequent name of label from XML format
The field title of electronic health record after close.In addition, the conversion module 313 can also be to each of the electronic health record after decryption
Field title is numbered.The number is that the form of digits plus letters is ranked up, specifically, as shown in figure 4, the volume
Number it is expressed as Ai, wherein alphabetical A indicates that the label (i.e. the abbreviation of HIS system A) of the electronic health record after decryption, i indicate just whole
Number, i is greater than or equal to 1 and less than or equal to the total quantity of the field title in the electronic health record after decryption, for example, A1 indicates decryption
First field title in electronic health record afterwards, A2 indicate the 2nd field title in the electronic health record after decryption, and Ai is indicated
I-th of field title in electronic health record after decryption.
Step S14: by after decryption the corresponding field title of electronic health record and electronic health record template in field title into
Row matching.Specifically, by after decryption the corresponding field title of electronic health record and electronic health record template in field title into
The matched mode of row is as follows: the field title in the electronic health record after decryption is carried out in the field title of electronic health record template
Retrieval, for example, as shown in figure 4, decryption after electronic health record in field title include " name ", " gender ", " age ", " connection
Be mode ", " social security number ", " identification card number ", " medical date ", " accurate visit ", " medical doctor ", " present illness history ", " symptom is retouched
State " etc., above-mentioned field title is retrieved in the field title of electronic health record template one by one.
Step S15: new electronic health record template is generated according to matched result and to the column in new electronic health record template
Position title carries out rearrangement number, and the storage field after corresponding rearrangement number is created in database 4.Specifically
It says, if being included in the field title of electronic health record template in matched result for the field title in the electronic health record after decryption
In, then by field title and the field names associate corresponding in electronic health record template in the electronic health record after decryption.It needs
It is bright, since the field title expression way of the electronic health record of different medical mechanism is different, and express it is equivalent in meaning, for example,
The field of the electronic health record of some medical institutions is entitled " social security number ", and the field of the electronic health record of some medical institutions is entitled
" social security computer number " or " social security number ", accurate in order to ensure matching, the field title of the electronic health record template can be expanded,
Multiple related names can be set in each field title in the i.e. described electronic health record template, for example, the electronic health record template
In field title " social security number " can also expand as multiple titles such as " social security computer number " or " social security numbers ".If matched knot
It is not included in the field title of electronic health record template in fruit for the field title in the electronic health record after decryption, then by electronics disease
One field title of increase in template is gone through, the increased field title is consistent with the field title in the electronic health record after decryption.
For example, and there is no the field name in electronic health record template if the field in electronic health record after decryption is entitled " doctor's brief introduction "
Claim, then increases the field for being somebody's turn to do " doctor's brief introduction " in electronic health record template.
Step S16: by the electronic health record after decryption electronic health record data (i.e. the data of the corresponding input of field title,
For example, the data of corresponding input are " Zhang San " in field title " name ", then " Zhang San " is electronic health record data) it is stored in number
According to the storage field after rearrangement number corresponding in library 4, and generate new electronic health record.Specifically, as shown in Figure 4,
The field title of electronic health record both corresponds to the sequencing numbers (i.e. Mi) in electronic health record template in hospital information system A, and electric
Sequencing numbers in sub- medical record templates have corresponding storage field in database 4, and therefore, the relating module 316 can be straight
It connects and the electronic health record data in hospital information system A in electronic health record is stored in the database 4 of data center 3.
Step S17: judge whether to obtain the electronic health record of next hospital information system 1.Specifically, if the data
The authorization of center 3 obtains the electronic health record of five hospital information systems 1, then sick when completing the electronics in a hospital information system 1
After the acquisition gone through, is automatically switching to the api interface of next hospital information system and obtaining next hospital information system
In electronic health record.The judgment module 317 judges whether the hospital information system of each authorization access according to API Calls record
1 electronic health record is acquired.After the completion of the electronic health record of the hospital information system 1 of each authorization access is acquired, stream
Journey enters step S18, otherwise, if also needing to obtain the electronic health record of next hospital information system 1, process return step
S12。
Step S18: when no longer obtaining the electronic health record of next hospital information system 1 (i.e. when all authorization access
After the completion of the electronic health record of hospital information system 1 is acquired), call number is established to all new electronic health records, and call and add
Decipherment algorithm encrypts the new electronic health record for establishing call number.In the present embodiment, the call number is unique number, is passed through
The same patient is integrated together in the electronic health record that each medical institutions see a doctor by call number under one's name, both saves memory space,
Facilitate inquiry again.In order to ensure the uniqueness of call number, the call number is to unify name, social security number and identification card number three
And call number is formed, call number is established to all new electronic health records, enciphering and deciphering algorithm is called to encrypt.In addition, all when saying
After authorizing the electronic health record of the hospital information system 1 of access to be acquired, patient turns in the electronic health record of each medical institutions
New electronic health record is changed into, for example, patient has seen common cold in medical institutions A, medical institutions B and medical institutions C, after integration
Patient new electronic health record due to format it is consistent, by the electronic health record Data Integration after three medical institutions see a doctor same
In one electronic health record.
The above is only a preferred embodiment of the present invention, is not intended to limit the scope of the invention, all to utilize this hair
Equivalent structure or equivalent flow shift made by bright specification and accompanying drawing content is applied directly or indirectly in other relevant skills
Art field, is included within the scope of the present invention.
Claims (10)
1. a kind of safe synergism action system of area medical electronic health record, runs in data center, which is characterized in that the data
Center includes being adapted for carrying out the processor of various computer program instructions and suitable for storing depositing for a plurality of computer program instructions
Reservoir, the data center are communicated to connect by network and multiple hospital information systems, and the computer program instructions are by handling
Device loads and executes following steps:
Creation electronic health record template is simultaneously ranked up number to the field title in electronic health record template, and creates in the database
The field of corresponding sequencing numbers；
It randomly chooses an enciphering and deciphering algorithm and is sent to a hospital information system, encryption is obtained from the hospital information system
Electronic health record；
It calls enciphering and deciphering algorithm to decrypt the electronic health record of encryption, and parses the field title in the electronic health record after decryption；
The corresponding field title of electronic health record after decryption is matched with the field title in electronic health record template；
New electronic health record template is generated according to matched result and weight is carried out to the field title in new electronic health record template
New sort number, and the storage field after the corresponding rearrangement number of creation in the database；
Storage after electronic health record data in electronic health record after decryption to be stored in database profession to corresponding rearrangement number
Field, and generate new electronic health record；And
When no longer obtaining the electronic health record of next hospital information system, call number is established to all new electronic health records, and
Enciphering and deciphering algorithm is called to encrypt the new electronic health record for establishing call number.
2. the safe synergism action system of area medical electronic health record as described in claim 1, which is characterized in that the electronics disease
The number for going through the field title in template is consistent with the storage storage field title of database of electronic health record.
3. the safe synergism action system of area medical electronic health record as described in claim 1, which is characterized in that the computer
If program instruction loads the field name also executed the following steps: be in matched result in encrypted electronic health record by processor
Claim to be included in the field title of electronic health record template, then by the field title and electronic health record mould in encrypted electronic health record
Corresponding field names associate in plate.
4. the safe synergism action system of area medical electronic health record as described in claim 1, which is characterized in that the computer
If program instruction loads the field name also executed the following steps: be in matched result in encrypted electronic health record by processor
Title is not included in the field title of electronic health record template, then will increase a field title, the increase in electronic health record template
Field title it is consistent with the field title in encrypted electronic health record.
5. the safe synergism action system of area medical electronic health record as described in claim 1, which is characterized in that the computer
Program instruction by processor load also execute the following steps: randomly choosed by random function prestored in a data center plus
Decipherment algorithm, and the cryptographic Hash of the randomly selected enciphering and deciphering algorithm is calculated, the cryptographic Hash is sent to information for hospital system later
In system, so that the hospital information system calls the corresponding enciphering and deciphering algorithm of the cryptographic Hash to encrypt electronic health record.
6. a kind of safe synergism action method of area medical electronic health record is applied in data center, which is characterized in that the number
It is communicated to connect according to center by network and multiple hospital information systems, this method comprises the following steps:
Creation electronic health record template is simultaneously ranked up number to the field title in electronic health record template, and creates in the database
The field of corresponding sequencing numbers；
It randomly chooses an enciphering and deciphering algorithm and is sent to a hospital information system, encryption is obtained from the hospital information system
Electronic health record；
It calls enciphering and deciphering algorithm to decrypt the electronic health record of encryption, and parses the field title in the electronic health record after decryption；
The corresponding field title of electronic health record after decryption is matched with the field title in electronic health record template；
New electronic health record template is generated according to matched result and weight is carried out to the field title in new electronic health record template
New sort number, and the storage field after the corresponding rearrangement number of creation in the database；
Storage after electronic health record data in electronic health record after decryption to be stored in database profession to corresponding rearrangement number
Field, and generate new electronic health record；And
When no longer obtaining the electronic health record of next hospital information system, call number is established to all new electronic health records, and
Enciphering and deciphering algorithm is called to encrypt the new electronic health record for establishing call number.
7. the safe synergism action method of area medical electronic health record as claimed in claim 6, which is characterized in that the electronics disease
The number for going through the field title in template is consistent with the storage storage field title of database of electronic health record.
8. the safe synergism action method of area medical electronic health record as claimed in claim 6, which is characterized in that this method is also wrapped
Include following steps: if being the field title in encrypted electronic health record in matched result included in the column of electronic health record template
In the title of position, then by field title and the field names associate corresponding in electronic health record template in encrypted electronic health record.
9. the safe synergism action method of area medical electronic health record as claimed in claim 6, which is characterized in that this method is also wrapped
Include following steps: if being that field title in encrypted electronic health record is not included in electronic health record template in matched result
In field title, then it will increase a field title, the increased field title and encrypted electronics in electronic health record template
Field title in case history is consistent.
10. the safe synergism action method of area medical electronic health record as claimed in claim 6, which is characterized in that this method is also
Include the following steps: to randomly choose the enciphering and deciphering algorithm prestored in a data center by random function, and it is random to calculate this
The cryptographic Hash is sent in hospital information system by the cryptographic Hash of the enciphering and deciphering algorithm of selection later, so that the information for hospital system
System calls the corresponding enciphering and deciphering algorithm of the cryptographic Hash to encrypt electronic health record.
Priority Applications (2)
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| CN201711147928.2A CN109801688A (en) | 2017-11-17 | 2017-11-17 | The safe synergism action system and method for area medical electronic health record |
| PCT/CN2018/073191 WO2019095552A1 (en) | 2017-11-17 | 2018-01-18 | Regional healthcare system and method for enhancing security and synergetic integration of electronic medical record |
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| CN201711147928.2A CN109801688A (en) | 2017-11-17 | 2017-11-17 | The safe synergism action system and method for area medical electronic health record |
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