CN100428754C - Medical record exchanging system based on ebXML - Google Patents
Medical record exchanging system based on ebXML Download PDFInfo
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- CN100428754C CN100428754C CNB2004100846420A CN200410084642A CN100428754C CN 100428754 C CN100428754 C CN 100428754C CN B2004100846420 A CNB2004100846420 A CN B2004100846420A CN 200410084642 A CN200410084642 A CN 200410084642A CN 100428754 C CN100428754 C CN 100428754C
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Abstract
The present invention discloses a medical record exchanging system based on ebXML, which is in a star-shaped structure. A medical record exchanging center is positioned on the central position to make the data sharing and exchange, the present invention is connected with electronic medical record systems of every medical institution through Web Service interfaces, the electronic medical record systems of every medical institution are exchanged with the medical record exchange center through the Web Service and carry out the data exchange through XML, and the process for transmitting the data follows the ebXML standard. The system has strong data storage and integrated functions, and can complete the data sharing and integration by crossing platforms for medical record systems belonging to different institutions. The medical record information of every medical institution can be exchanged through the medical record exchange center. The medical record exchanging system based on ebXML performs the important role for solving the exchange of the electronic medical records, establishing unified standardisation environment for exchanging the electronic medical records, accelerating information-based construction for the medical institutions, and reducing the social medical cost. The certificate authority of the present invention provides electronic signatures and stamps and provides the evidence support of legal protection for hospitals using the electronic medical records.
Description
Technical field
The present invention relates to a kind of electronic medical record system, particularly a kind of case history switching system of supporting a series of modular of ebXML e-commerce framework standard.
Background technology
Along with the continuous development of informatization, each hospital has all set up the electronic medical record system of oneself, and oneself independently application platform has been arranged.But can medical record information exchange, and how to exchange, and remains the problem that present each medical institutions relatively pay close attention to.Find that by the domestic and international Searches of Patent Literature domestic and international research mainly concentrates on the research of the electronic health record management system in the hospital at present, still do not have and to satisfy the invention that is used for the case history switching system between hospital internal and hospital and the hospital simultaneously; Do not use electronic health record switching system between the direct hospital that develops of ebXML standard and XML technology yet.EbXML is the standard of one group of support module e-commerce framework.It supports the electronic market of a globalization, makes the enterprise of random scale pass through the information of exchange based on XML, is not subjected to the region restrictedly to contact with and handle business transaction.EbXML is the standard that the United Nations's (UN/CEFACT, trade promotion and electronic commerce center) and OASIS (structured message standard evolution tissue) advocate jointly, the whole world participates in exploitation and uses.The initial release of ebXML standard was issued May calendar year 2001.Its target is to write the work of crossing over supplier's product to design global standard, thereby a method and a technology that is independent of any provider scenario is provided.Make the businessman of any scale carry out ecommerce with anyone.Although the ebXML standard has obtained good application at electronic commerce context, do not obtain practical application in the case history switching system between hospital and hospital so far.
Summary of the invention
The objective of the invention is to follow the global ecommerce standard of ebXML, utilize Web Service technology, with XML for providing a kind of case history switching system on the technology of cross-platform exchanges data and the basis of SOAP based on ebXML as secure communication.
Technical scheme of the present invention is, a kind of case history switching system based on ebXML, its structure is a hub-and-spoke configuration, a case history switching center is in the center, it is the center of realizing data sharing and exchange, be connected with the electronic medical record system of each medical institutions by standardized Web Service interface, the electronic medical record system of each medical institutions is undertaken alternately by Web Service and case history switching center, and carry out data transaction by XML, the whole transmission course of data is followed the ebXML standard, be characterized in described case history switching center
Be made up of a plurality of middlewares, service, Web Service interface and central database, described case history switching center follows three-layer architecture: user interface layer, application service layer and database layer, and its structure comprises:
(1) exchanges data assembly: realize the Core Feature of exchanges data, the service of data conversion and exchange is provided;
(2) safety management service: utilize the system safety service platform to realize services such as user management, authentication and empowerment management.The authenticity of the confidentiality of guarantee information, integrality, non-repudiation and dealer's identity realizes safe exchanges data;
(3) the trustship service of transferring the files: handle the transfer the files solicited message of mechanism and the response message of the medical institutions of being transferred the files;
(4) certificate center: deposit digital certificate and the case history cross-licensing situation of implementing electronic health record medical institutions;
(5) central database: data warehouse and dump function are provided, and the medical record data in the exchange process can store in the central database, and the correctness and the consistency check function of data are provided in dump procedure, guarantees the authority of exchanges data;
(6) web service interface: show the related Web service of exchanges data to electronic medical record system, web service interface realizes that by the safety management service believable Web service calls.
The invention has the beneficial effects as follows that a kind of case history switching system based on ebXML at first, has powerful storage and integrated functionality; It can finish the data sharing of cross-platform isomery case history system and integrated.Each medical institutions can carry out the exchange of medical record information by case history switching center.It can carry out integrated to some distributed data; For the fairly perfect medical institutions that some electronic medical record systems are carried out, medical record data leaves in the database of oneself.When receiving the case history call request, provide medical record information by the Web service issue to the outside, in exchange process, use XML to come encapsulation of data.For some centralized medical record informations, can share and exchange; For some small medical mechanisms, there is not the case history storing mechanism of oneself.Can store medical record information in the database of case history switching center this moment, to be called by other users.Secondly, case history switching center supports cross-platform isomery electronic medical record system; The global ecommerce standard of ebXML is followed in the design of case history switching center, utilizes Web Service technology to realize, with the basis of SOAP as secure communication, is the technology of cross-platform exchanges data with XML.At last, it provides a series of security mechanism; Case history switching center utilizes safety service platform to guarantee safety in medical record information exchange and the transmission, utilizes authentication and empowerment management in the safety service platform can control user's data request and access rights, guarantees the safety of system.
A unified electronic health record exchange standardized environment is exchangeed problem, set up to case history switching system based on ebXML for solving electronic health record, for accelerating medical institutions' informatization, reduces entire society's medical treatment cost and all will produce far-reaching influence.The exchange of electronic health record provides powerful support for for remote patient information sharing and transmission provide; Simultaneously, electronic health record makes the place remote consultation of doctors become possibility.The electronic health record exchange promotes medical institutions' self-growth, have between each medical institutions one correspondingly be the electronic medical record system at center with patient, that medical institutions can obtain from patient's basic case history is more direct, abundanter, information more accurately, these information not only are that these medical institutions are used, also can be other medical institutions and social used.China has put into effect Electronic Signature Law, and acquire full legal force signs electronically.The present invention has designed certificate center, and electronic signature, Electronic Signature service can be provided, and provides the support of the evidence with legal assurance for hospital uses electronic health record.
Description of drawings
Fig. 1 is the case history switching system overall framework figure based on ebXML;
Fig. 2 is a case history switching center structure chart;
Fig. 3 is the flow chart of transferring the files based on the case history switching system of ebXML.
Embodiment
Before describing embodiment, major technique involved in the present invention is done an explanation, ebXML is described in background technology, and is existing to Web Service and one explanation of SOAP do:
Web?Service
On the surface, Web Service is exactly an application program, and it exposes an API that can call by Web to the external world.In other words, the method for the enough programmings of energy is called the application program that realizes certain function by Web.On profound level, Web Service is a kind of new web application branch, and they are self-contained, self-described, modular application, can be described, issue, search and call by Web in network (being generally Web).Web Service is based on modular assembly network, distributed, and it carries out specific task, observes concrete technical specification, and these standards make Web Service to carry out interoperability with other compatible assemblies.It can use the Internet protocol of standard, and is as HTML (Hypertext Markup Language) HTTP and XML, that function embodiment is online in the Internet and enterprises.Web Service platform is a cover standard, and it has defined application program and how realize interoperability on Web.Any development language that can like with oneself is write Web Service on any platform of oneself liking.
SOAP
SOAP is Simple Object Access Protocol (Simple Object Access Protocol), and it is the lightweight protocol that is used to exchange the XML coded message.The SOAP technology helps to realize the interoperability between a large amount of isomery programs and the platform, thereby the application of existence can be visited by user widely.It is that flexibility and the extensibility of ripe WEB technology based on HTTP with XML has been combined in, program or data are packaged into XML, be delivered to remote port as the data volume in the http protocol then, thereby realization program or data flow between different platform, share and interoperability, thereby it is a technology of not inventing any new technology.
The main structure that adopts case history switching center and exchanges data to act on behalf of of medical record data exchange solves the isomery problem between medical institutions' electronic health record, act on behalf of the access that makes things convenient for the isomery electronic medical record system and unified access interface is provided by exchanges data, the overall framework of whole case history switching system based on ebXML as shown in Figure 1
Its structure is a hub-and-spoke configuration, a case history switching center is in the center, it is the center of realizing data sharing and exchange, be connected with the electronic medical record system of each medical institutions by standardized Web Service interface, the electronic medical record system of each medical institutions is undertaken alternately by Web Service and case history switching center, and carry out data transaction by XML, the whole transmission course of data is followed the ebXML standard.
Case history switching center finishes storage, format conversion and the data transaction of medical record data, it is made up of a plurality of middlewares, service, Web Service interface and central database, described case history switching center follows three-layer architecture: user interface layer, application service layer and database layer, it is simple as far as possible that user interface layer requires, and makes that the user is easy to do just to visit required information.All application systems, applied logic, control all concentrate on application service layer, database storage lot of data information and data logic.The structure of case history switching center comprises as shown in Figure 2:
(1) exchanges data assembly: realize the Core Feature of exchanges data, the service of data conversion and exchange is provided;
(2) safety management service: utilize the system safety service platform to support the HTTPS agreement, realize services such as user management, authentication and empowerment management, the authenticity of the confidentiality of guarantee information, integrality, non-repudiation and dealer's identity realizes safe exchanges data;
(3) the trustship service of transferring the files: handle the transfer the files solicited message of mechanism and the response message of the medical institutions of being transferred the files;
(4) certificate center: the digital certificate of implementing electronic health record medical institutions is deposited in trustship
(5) central database: data warehouse and dump function are provided, and the medical record data in the exchange process can store in the central database, and the correctness and the consistency check function of data are provided in dump procedure, guarantees the authority of exchanges data;
(6) web service interface: show the related Web service of exchanges data to electronic medical record system, web service interface realizes that by the safety management service believable Web service calls.
The basic role of case history switching center comprises the following aspects:
(1) as the storage center and the ASC administrative service center of medical institutions' electronic health record database.
(2) as medical institutions electronic health record data exchange service center, can share the medical record information resource between medical institutions.
(3), carry out collection, analysis and the statistics of clinical information as DSC of health authorities.
The foundation of case history switching center, make medical record management standardization process accelerate, set up authoritative medical record management mechanism, to provide law believable clinical information for each relevant unit such as R﹠D institution, social security institution, patient, hospital, government and individual, for the evaluation of malpractice provides authoritative legal basis.Case history switching center adopts Web Service technology to carry out the packing of application system, regards the demand data of system as a kind of service, the request by service and call the exchanges data between the realization system and share.The medical record data that medical institutions provide has two kinds of selections, it can be saved in medical record data in the database of case history switching center, also can not store into earlier in the database of case history switching center, when the mechanism of transferring the files sent service request, data were directly delivered to the mechanism of transferring the files from the mechanism of being transferred the files through case history switching center.Variation has taken place in the data format in the case history system, and case history switching center and client do not need to do any change, and this has just realized the low coupling between system.
Service procedure is transferred the files as shown in Figure 3 by case history switching center, suppose to carry out between two medical institutions the electronic health record exchange, the existence of third party certification authority at first must be arranged, the digital certificate of oneself has all been got by medical institutions and switching center in third party certification authority, to guarantee the authenticity of dealer's identity.The medical institutions that implement electronic health record can leave the medical record information of case history in the database of case history switching center under patient's permission, and the certificate of certification of oneself is left in certificate center, are consulted by other medical institutions and call.The flow process of the described trustship service of transferring the files is:
(1) B of medical institutions browses the webpage of case history switching center, selects the A of medical institutions that transfers the files
(2) submit the request of transferring the files to
(3) case history switching center returns that initialization is replied and the certificate of oneself (containing PKI) is given the B of medical institutions
(4) after the B of medical institutions receives and replys, generate solicited message of transferring the files (as: medical institutions of transferring the files, the medical institutions of being transferred the files etc.) and the certificate B of oneself to the trustship server of transferring the files
(5) trustship is transferred the files after server receives the solicited message of transferring the files, and sends the authorization requests information of transferring the files to permission trustship center
(6) checking of permission trustship center and handle the authorization requests of transferring the files after echo reply (the certificate A that contains the A of hospital) to the trustship server of transferring the files
(7) the trustship server of transferring the files extracts electronic health record from central database
(8) return the extraction result.If electronic health record is arranged, then change (14); Otherwise continue (9)
(9) the transfer the files certificate at transfer the files authorization response result and the trustship center of server after (PKI among the certificate of utility A) encrypted of trustship is given the customer's representative that transfers the files
(10) customer's representative that transfers the files extracts electronic health record from database, generates the data of XML form
(11) data turn back to the customer's representative that transfers the files
(12) the customer's representative's data encrypted of will (utilizing the PKI in the trustship center certificate) of transferring the files is sent the trustship server of transferring the files
(13) the electronic health record data send central database to preserve
(14) (behind the public key encryption among the certificate of utility B) electronic health record data transaction becomes the XML form to send to the file customer's representative
(15) medical record data after the file customer's representative will change deposits in the database of the B of medical institutions
All exchanges data all adopt the XML form as unified standard in the electronic medical record system of each medical institutions, allow data with the form of XML in transmission over networks, follow three-layer architecture, it mainly contains following a few part and forms:
(1) user interface layer: carry out the input and output of medical record data information, user's request is reacted;
(2) application service layer: application service layer is born multiple function, comprising:
A) realize the function that exchanges data is acted on behalf of,, trigger the inter-process flow process of electronic medical record system according to the information service requirement, and the feedback accordingly result;
B) set up the two-way mapping of XML data and relational database, realize the Core Feature of medical record data exchange;
C) service calling method and the access interface that local application system is provided and serves switching center calls for case history switching center and local application system, realizes the interoperability with case history switching center and local application system;
D) for the contact of exchanges data sends the Web service request from dynamic response case history switching center, service request is resolved, realize data converting function.
(3) the database service layer is realized the storage and the retrieval of data, and database side has database resource Sybase, Oracle, MS SQL Server or DB2 etc., can different pieces of information be changed into the XML form by the exchanges data agency, handles then.
Claims (3)
1, a kind of case history switching system based on ebXML, its structure is a hub-and-spoke configuration, a case history switching center is in the center, it is the center of realizing data sharing and exchange, be connected with the electronic medical record system of each medical institutions by standardized Web Service interface, the electronic medical record system of each medical institutions is undertaken alternately by W eb Service and case history switching center, and carry out data conversion by XML, the whole transmission course of data is followed the ebXML standard, it is characterized in that, described case history switching center is by a plurality of middlewares, service, Web Service interface and central database are formed, described case history switching center follows three-layer architecture: user interface layer, application service layer and database layer, its structure comprises:
(1) exchanges data assembly: realize the Core Feature of exchanges data, the service of data conversion and exchange is provided;
(2) safety management service: utilize the system safety service platform to support the HTTPS agreement, realize user management, authentication and empowerment management service, the authenticity of the confidentiality of guarantee information, integrality, non-repudiation and dealer's identity realizes safe exchanges data;
(3) the trustship service of transferring the files: handle the transfer the files solicited message of mechanism and the response message of the medical institutions of being transferred the files;
(4) certificate center: the digital certificate of electronic health record medical institutions is implemented in trustship;
(5) central database: data warehouse and dump function are provided, and the medical record data in the exchange process stores in the central database, and the correctness and the consistency check function of data are provided in dump procedure, guarantees the authority of exchanges data;
(6) web service interface: show the related Web service of exchanges data to electronic medical record system, web service interface realizes that by the safety management service believable Web service calls.
2, the case history switching system based on ebXML according to claim 1 is characterized in that, the flow process of the described trustship service of transferring the files is:
(1) B of medical institutions browses the webpage of case history switching center, selects the A of medical institutions that transfers the files;
(2) submit the request of transferring the files to;
(3) case history switching center returns that initialization is replied and the certificate of oneself is given the B of medical institutions;
(4) after the B of medical institutions receives and replys, generate transfer the files solicited message and the certificate B of oneself to the trustship server of transferring the files;
(5) trustship is transferred the files after server receives the solicited message of transferring the files, and sends the authorization requests information of transferring the files to permission trustship center;
(6) checking of permission trustship center and handle the authorization requests of transferring the files after echo reply to the trustship server of transferring the files;
(7) the trustship server of transferring the files extracts electronic health record from central database;
(8) return the extraction result,, then change (14) if electronic health record is arranged; Otherwise continue (9);
(9) the transfer the files certificate at transfer the files authorization response result and the trustship center of server after will encrypting of trustship is given the customer's representative that transfers the files;
(10) customer's representative that transfers the files extracts electronic health record from database, generates the data of XML form;
(11) data turn back to the customer's representative that transfers the files;
(12) customer's representative that transfers the files send the trustship server of transferring the files with data encrypted;
(13) the electronic health record data send central database to preserve;
(14) the electronic health record data transaction behind the public key encryption among the certificate of utility B becomes the XML form to send to the file customer's representative;
(15) medical record data after the file customer's representative will change deposits in the database of the B of medical institutions.
3, the case history switching system based on ebXML according to claim 1, it is characterized in that, all exchanges data all adopt the XML form as unified standard in the electronic medical record system of described medical institutions, allow data with the form of XML in transmission over networks, follow three-layer architecture, it mainly contains following a few part and forms:
(1) user interface layer: carry out the input and output of medical record data information, user's request is reacted;
(2) application service layer: application service layer is born multiple function, comprising:
A) realize the function that exchanges data is acted on behalf of,, trigger the inter-process flow process of electronic medical record system according to the information service requirement, and the feedback accordingly result;
B) set up the two-way mapping of XML data and relational database, realize the Core Feature of medical record data exchange;
C) service calling method and the access interface that local application system is provided and serves switching center calls for case history switching center and local application system, realizes the interoperability with case history switching center and local application system;
D) for the contact of exchanges data sends the Web service request from dynamic response case history switching center, service request is resolved, realize data converting function;
(3) the database service layer is realized the storage and the retrieval of data, and database side has database resource Sybase, Oracle, MS SQL Server or DB2, and the agency changes into the XML form with different pieces of information by exchanges data, handles then.
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| CNB2004100846420A CN100428754C (en) | 2004-11-26 | 2004-11-26 | Medical record exchanging system based on ebXML |
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| CNB2004100846420A CN100428754C (en) | 2004-11-26 | 2004-11-26 | Medical record exchanging system based on ebXML |
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| CN102103492A (en) * | 2009-12-21 | 2011-06-22 | 上海市民办尚德实验学校 | Application system of cross-platform server end and control method |
| CN101800761B (en) * | 2009-12-25 | 2013-04-17 | 吴昊 | Lossless data compression method based on network dictionary |
| CN101800778A (en) * | 2010-03-10 | 2010-08-11 | 季立 | Remote medical service system and remote medical service method |
| CN102456179A (en) * | 2010-10-27 | 2012-05-16 | 镇江华扬信息科技有限公司 | Integrated platform of financial system |
| CN102663009B (en) * | 2012-03-19 | 2014-11-12 | 华侨大学 | Web-service integration method supporting data privatization of enterprise users |
| CN102789706A (en) * | 2012-06-19 | 2012-11-21 | 广西南宁恒升泰居汇电子科技有限公司 | XML (Extensive Makeup Language)-based simulated medical care teaching system with opened task frame |
| CN105763511B (en) * | 2014-12-16 | 2019-04-19 | 金蝶软件（中国）有限公司 | A kind of method for processing business and communication system |
| CN105117582A (en) * | 2015-07-29 | 2015-12-02 | 苏州麦迪斯顿医疗科技股份有限公司 | Medical data platform information processing method |
| CN105993031A (en) * | 2016-04-14 | 2016-10-05 | 汤美 | Intelligent networking system for campus infirmary |
| CN106228020A (en) * | 2016-07-29 | 2016-12-14 | 广州天健软件有限公司 | A kind of clinical data support system of respiratory tract disease |
| CN106295377B (en) * | 2016-08-24 | 2019-02-19 | 成都万联传感网络技术有限公司 | A kind of construction method of medical treatment endowment data safety clearing agent device |
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