Embodiment
Below by drawings and Examples, technical scheme of the present invention is described in further detail.
The medical treatment cooperation service is emerging business in medical industry and the information industry, its fundamental purpose be to break traditions pattern of medical industry, with information technology application in medical industry, make the hospital of different regions different stage can realize the intercommunication of information and share etc., promote the fast development of medical industry, improve the work efficiency of medical diagnosis, for patient and doctor provide convenience.
In medical cooperation service, topmost business function is having access to of medical document.In the present invention, medical document can comprise that the patient carries out diagnosis and treatment in hospital case history, health check-up report and doctor are to diagnosis and treatment scheme of disease etc., wherein, patient medical record comprises patient's check result, assay, doctor's advice information and prescription information etc., the medical scheme that doctor's diagnosis and treatment scheme can propose and adopt when certain disease is treated for the doctor, for example operation plan.Can comprise text message in medical document, also can comprise multimedia messages, for example the check result of inspection such as the cardiogram that carries out of patient, nuclear magnetic resonance is picture.When adopting clinical file structure (Clinical DocumentArchitecture; Hereinafter to be referred as: CDA) form carries out the storage of medical document and when having access to, multimedia messages is kept in the medical document with the form of annex usually.And still do not have a kind of method can solve when having annex in the CDA medical document at present, to having access to that annex carries out, and the information such as multimedia that comprise in the annex are the main information of medical document, therefore, for the person of having access to, comprise annex in the medical document if can not consult, then will bring great inconvenience the person of having access to.Purpose of the present invention just is to provide a kind of method, solves when having annex in the medical document that calls, and further has access to processing to what annex carried out, conveniently not have access to person's having access to medical document.
The improvement that the present invention carries out on the basis of the medical document retrieval method that the applicant proposes, therefore, the idiographic flow to the medical document retrieval method once illustrates herein.When having access to medical document, the person of having access to is earlier by hospital information system (Hospital Information System; Hereinafter to be referred as: HIS) send first medical document and have access to request message to local front end processor.Local front end processor receives to be had access to request message to this first medical document and carries out pre-process, generates second medical document and has access to request message.Have access to the identification information that carries front end processor in the request, the identification information of medical document and the person's of having access to identity information at second medical document.Local front end processor is had access to request message with second medical document and is transparent to data center, data center resolves this message, identification information, the identification information of medical document and the person's of having access to the identity information of the front end processor that obtains the request of having access to and wherein carry, and trigger medical document and have access to host process.Data center judges that second medical document has access to the medical document that request message will have access to and belong to other hospitals that local hospital still belongs to the strange land.Data center also judges according to the person's of having access to identity information whether the request of having access to is legitimate request, if, then continue to judge whether the request of having access to is that request is had access in this locality, otherwise process ends.When carrying out document retrieval, need the person's of having access to identity be authenticated, if illegal request, then data center should not respond this request.
Through judging, if when the medical document of having access to is local medical document, data center sends this locality to local archiving server and has access to request message, has access to the identification information that carries medical document in the request message in this locality that data center sends.Local archiving server receives after this locality has access to request message, request message is had access in this this locality carry out dissection process, obtains the identification information of the medical document that wherein carries.After local archiving server finds the local store path of medical document to be had access to, should be transparent to data center by local front end processor by this locality store path.After data center receives the message that comprises local store path of local front end processor transparent transmission, utilize this this locality store path that this medical document is had access to.Data center is transparent to the HIS system by local front end processor again with the message that this comprises local store path, and the doctor just can read this medical document by the HIS system.
Through judging,, call the strange land medical document and have access to service if when the medical document of having access to is not local medical document.Data center sends the strange land to the strange land archiving server and has access to request message, has access to the identification information that carries medical document in the request message in the strange land.The strange land archiving server is searched the strange land store path of medical document according to the identification information of medical document, and the strange land store path is transparent to data center by the strange land front end processor.After data center receives the message that comprises the strange land store path of strange land front end processor transparent transmission, this message is resolved the strange land store path that obtains medical document to be had access to, data center utilizes this strange land store path that this medical document is had access to.Data center is transparent to the HIS system by local front end processor again with the message that this comprises the strange land store path, and the doctor just can read this medical document by the HIS system.
When the medical document of having access to when request is the strange land medical document, before calling strange land medical document service, data center carries out authorization identifying according to the identification information of medical document and the authorization configuration information that is kept in the information table to medical document, if authentication is passed through, then call strange land document retrieval service, otherwise process ends.Medical document is divided into public medical document and privately owned medical document two classes.Privately owned medical document only limits to sharing of hospital internal or certain section's chamber interior, and doctor's operation plan for example belongs to the privately owned property right of hospital, can not arbitrarily leak to other hospitals.The public medical document is the relative open medical document of religion, and patient's case history for example is though property right belongs to patient individual, but can be shared fully at same hospital internal, in addition, the patient can carry out authorization configuration to it, is about to this case history and is set to that all hospitals share or this hospital shares.Therefore, when medical document to be called is the tele-medicine document, need carry out authorization identifying to medical document, particularly, data center carries out authorization identifying according to the identification information of medical document and the authorization configuration information that is kept in the information table to medical document, if authentication is passed through, then carry out the above-mentioned step of calling the strange land medical document, have access to flow process otherwise finish this document.
Fig. 1 is the process flow diagram of retrieval method one embodiment of annex in the medical document of the present invention, and as shown in Figure 1, present embodiment provides the retrieval method of annex in a kind of medical document, specifically comprises the steps:
Step 101, after having access to medical document, hospital information system sends first annex to local front end processor and has access to request message.
Annex may be comprised in the medical document of in hospital's archiving server, storing, also annex may be do not comprised.Owing to the present invention is to provide the retrieval method of annex in the medical document, therefore, under default situations, in the medical document that the person of having access to obtains by the HIS system, all include annex, explanation hereby.After the person of having access to has access to medical document by the HIS system, discovery includes annex in this medical document, then do not have access to the person and send first annex by the HIS system to local front end processor and have access to request message, have access to the attribute information that carries medical document in the request message and the address information of annex at first annex.
Step 102, local front end processor judges according to the attribute information of medical document whether medical document is local medical document, if then execution in step 103, otherwise execution in step 104.
Local front end processor judges according to the attribute information of medical document whether this medical document is local medical document, because before having access to annex, finished the flow process of having access to of the medical document that comprises this annex, when the execution medical document is had access to flow process, the ownership place of this medical document is judged, judged that this medical document is local document or strange land document.If at the medical document of having access to is local medical document, show that then the annex that wherein comprises also is local annex, execution in step 103 if the medical document of having access to is the strange land medical document, shows that then the annex that wherein comprises also is strange land annex, execution in step 104.
Step 103 is called local annex and is had access to service.
Through judging, when the annex that comprises in the medical document of having access to is local annex, then calls local annex and have access to service.Local front end processor is had access to request message with first annex and is forwarded to local archiving server, and local archiving server calls local annex according to address information and has access to service.Local archiving server is according to local URL(uniform resource locator) (the Uniform Resource Locator of the annex of this address information indication; Hereinafter to be referred as: URL) information is obtained this annex, and local archiving server calls local annex according to local URL information and has access to service.After local archiving server gets access to the annex that comprises in the medical document, this annex is encapsulated, send to local front end processor.
Step 104 is called the strange land annex and is had access to service.
Through judging that the annex that comprises in the medical document of having access to is not local annex, then calls the strange land annex and has access to service.Local front end processor is had access to request message to first annex and is carried out pre-process, and generates second annex and have access to request message, has access at second annex and carries address information in the request message, second annex is had access to request message be transparent to data center; Data center obtains the strange land front end processor of described annex correspondence according to address information, and the second annex call request message is forwarded to the strange land front end processor; Second annex that the strange land front end processor will receive is had access to request message and is sent to the strange land archiving server; The strange land archiving server calls the strange land annex according to address information and has access to service.The strange land archiving server receives after second annex after the processing has access to request message, extracts the address information of the annex that wherein carries, and calls the strange land annex according to this address information and has access to service.After the strange land archiving server gets access to the annex that comprises in the medical document, this annex is encapsulated, send to the strange land front end processor.
A kind of medical document retrieval method provided by the invention, by the accessory address information that comprises in the medical document ownership place of annex is judged, according to judged result call local annex have access to the service or the strange land annex have access to service, from local archiving server or strange land archiving server, have access to the annex that comprises in the medical document, make that the person of having access to not only can have access to medical document, can also have access to the annex that comprises in the medical document, for the person of having access to brings great convenience, improve the efficient of having access to of medical document, realized effective utilization of medical resource simultaneously.
Fig. 2 as shown in Figure 2, the invention provides the retrieval method of annex in a kind of medical document for the signaling diagram of another embodiment of retrieval method of annex in the medical document of the present invention, specifically comprises the steps:
Step 201, the HIS system sends first annex to local front end processor and has access to request message.
Annex may be comprised in the medical document of in hospital's archiving server, storing, also annex may be do not comprised.Owing to the present invention is to provide the retrieval method of annex in the medical document, therefore, under default situations, in the medical document that the person of having access to obtains by the HIS system, all include annex, explanation hereby.After the person of having access to has access to medical document by the HIS system, discovery includes annex in this medical document, then do not have access to the person and initiate request again by the HIS system, annex in this medical document is had access in request, and the person of having access to can initiate annex by the link that click is included in the annex in the medical document and have access to request.Particularly, the HIS system is encapsulated in the annex request of having access to first annex and has access in the request message, sends to local front end processor, has access to the address information of the annex that comprises in the attribute information that carries medical document in the request message and the medical document at first annex.Wherein, local front end processor can be a server of hospital, be used for carrying out between data center and the hospital information interaction.The attribute information of medical document is used to indicate the attribute of the medical document of having access to, as to indicate this medical document be local medical document or strange land medical document.Address information is used to indicate the URL address of annex, can be local URL address, also can be URL address, strange land.
Step 202, local front end processor judge whether the medical document of having access to is local medical document, if then execution in step 203, otherwise execution in step 207.
Local front end processor receives after first annex has access to request message, and this request message is resolved, and obtains the address information of the attribute information and the annex of the medical document that wherein carries.Local front end processor judges according to the attribute information of medical document whether this medical document is local medical document, because before having access to annex, finished the flow process of having access to of the medical document that comprises this annex, when the execution medical document is had access to flow process, the ownership place of this medical document is judged, judged that this medical document is local document or strange land document.After the HIS system has access to medical document, just can get access to the ownership place of medical document simultaneously, i.e. the attribute information of medical document.If at the medical document of having access to is local medical document, show that then the annex that wherein comprises also is local annex, if the medical document of having access to is the strange land medical document, show that then the annex that wherein comprises also is the strange land annex.If the annex of having access to is local annex, then execution in step 203, call local annex and have access to service, if the annex of having access to is the strange land annex, then execution in step 207, call the strange land annex and have access to service.
Step 203, local front end processor is had access to request message with first annex and is sent to local archiving server.
Through judging, when the annex that comprises in the medical document of having access to is local annex, then calls local annex and have access to service.Particularly, local front end processor receive that the HIS system sends first have access to request message after, first annex is had access to request message is forwarded to local archiving server, have access to the attribute information that carries medical document in the request message and the address information of annex first.
Step 204, local archiving server calls local page (Web) service according to address information.
Local archiving server receive that local front end processor transmits first have access to request message after, this request message is resolved, obtain the address information of the annex that wherein carries.Local archiving server is arranged on a server in the local hospital internal network, be connected with the local front end processor of this hospital, a local front end processor can connect many playscripts with stage directions ground archiving server, local archiving server is used to preserve the resource information of this hospital, comprises relevant information of medical document, medicine equipment or the like.Local archiving server calls local annex by wherein the local page service of calling and has access to service, and the local page service is an application program in the local archiving server, finishes having access to of local annex by calling this application program.
Step 205, local Web service is obtained annex according to address information in local archiving server.
Local Web service is obtained this annex according to the address information of the annex that is resolved to, and particularly, local Web service is searched this annex by the local URL information of annex in local archiving server, finally get access to this annex.Therefore, local archiving server has got access to the annex that comprises in the medical document by local Web service.
Step 206, local archiving server is transparent to the HIS system by local front end processor with annex.
After local archiving server gets access to the annex that comprises in the medical document, this annex is encapsulated, send to local front end processor.Local archiving server is the server of medical resources such as a storage medical document and its annex, does not have the information interaction function in the external world, and therefore, the annex that gets access to need could be obtained by the person of having access to by the forwarding of local front end processor.Local front end processor sends to the HIS system by the mode of transparent transmission with annex, after the HIS system receives annex, just this annex can be shown to the person of having access to.
Step 207, local front end processor are had access to request message to first annex and are carried out pre-process, and generate second annex and have access to request message, second annex is had access to request message be transparent to data center.
Through judging that the annex that comprises in the medical document of having access to is not local annex, then calls the strange land annex and has access to service.Local front end processor is had access to request message to first annex and is carried out pre-process, and generates second annex and have access to request message, has access at second annex and carries address information in the request message, second annex is had access to request message be transparent to data center.Particularly, different with the service of having access to of local annex is, the strange land annex service of having access to need be passed through data center, and data center is the mechanism that is in public network, and first annex is had access to request message and can not be received by data center as a local request.Before the request of will having access to of local front end processor passed through data center, local front end processor need be had access to request message and carries out pre-process receiving ground first annex, and a local request is converted into the whole network request.Pre-process herein, promptly local front end processor is had access to the pre-service that request message carries out to first annex.The pre-process that front end processor carried out can for: front end processor is had access to request message to first annex and is resolved, obtain annex and have access to request, front end processor is that the annex that obtains is had access to the request configuration of IP address, original this locality request is changed into the whole network request, and the having access to request after will handling generates second annex and has access to request message, has access to the address information of having carried annex in the request message at second annex.Through after the pre-process, local front end processor is had access to request message with second and is transparent to data center.
Step 208, data center obtains the strange land front end processor information of annex correspondence according to address information, and according to strange land front end processor information second annex is had access to request message and be forwarded to the strange land front end processor.
Data center has access to request message according to second annex that receives, and extracts the address information of the annex that wherein carries, and obtains the strange land front end processor of annex correspondence according to this address information.Owing to after medical document is had access to, known the ownership place of this medical document, in the address information of the annex that from the HIS system, obtains, can further obtain the ownership place of medical document, the i.e. strange land front end processor information of this annex correspondence, this strange land front end processor information is used to indicate the strange land front end processor of this annex correspondence.Data center has access to request message with second annex and is forwarded to the strange land front end processor according to strange land front end processor information.
Second annex that step 209, strange land front end processor will receive is had access to request message and is sent to the strange land archiving server.
The strange land front end processor receives second annex and has access to request message, this second annex is had access to request message carry out the rearmounted processing of transparent transmission.The rearmounted processing with pre-process of this transparent transmission is opposite process, and pre-process is that this locality request is converted into the whole network request, and rearmounted processing of transparent transmission is that the whole network request is converted into local request.The strange land front end processor is had access to request message to second annex and is carried out dissection process, obtains annex and has access to request, revises the IP address of this request, be translated into a local request, and second annex that generates after handling is had access to request message.Second annex after the strange land front end processor will be handled is had access to request message and further is forwarded to the strange land archiving server.
Step 210, the strange land archiving server calls the strange land Web service according to address information.
After the annex request of having access to sends to the strange land archiving server, call the strange land annex and have access to the follow-up flow process of request service and have access to the request service class seemingly with local annex, be the executive agent difference.The strange land archiving server receives after second annex after the processing has access to request message, extracts the address information of the annex that wherein carries.The strange land archiving server calls strange land Web service wherein, call the strange land annex by the strange land Web service and have access to service, the strange land web service with the local page service class seemingly, be an application program in the archiving server of strange land, the strange land archiving server is finished having access to of strange land annex by calling this application program.
Step 211, the strange land Web service gets access to annex according to address information in the archiving server of strange land.
The strange land Web service is obtained this annex according to the address information of the annex that is resolved to, and the strange land Web service is searched this annex by the strange land URL information of annex in the archiving server of strange land, finally get access to this annex.Therefore, the strange land archiving server has got access to the annex that comprises in the medical document by the strange land Web service.
Step 212, the strange land archiving server is transparent to the HIS system by strange land front end processor, data center, local front end processor with annex.
After the strange land archiving server gets access to the annex that comprises in the medical document, this annex is encapsulated, send to the strange land front end processor.The strange land archiving server is the server of medical resources such as a storage medical document and its annex, does not have the information interaction function in the external world, and therefore, the annex that gets access to need could be obtained by the person of having access to by the forwarding of strange land front end processor.The strange land archiving server is transparent to the HIS system by strange land front end processor, data center, local front end processor annex, different with the service of having access to of local annex, after the strange land archiving server gets access to annex, need annex to be sent to the HIS system through a series of transparent transmission step.The strange land archiving server at first encapsulates annex, is transparent to the strange land front end processor, by the strange land front end processor annex is transparent to local front end processor through data center again, and local then front end processor could send to annex the HIS system.After the HIS system receives annex, just this annex can be shown to the person of having access to.
A kind of medical document retrieval method provided by the invention, by the accessory address information that comprises in the medical document ownership place of annex is judged, according to judged result call local annex have access to the service or the strange land annex have access to service, from local archiving server or strange land archiving server, have access to the annex that comprises in the medical document, make that the person of having access to not only can have access to medical document, can also have access to the annex that comprises in the medical document, for the person of having access to brings great convenience, improve the efficient of having access to of medical document, realized effective utilization of medical resource simultaneously.
Fig. 3 is the structural drawing of having access to system embodiment of annex in the medical document of the present invention, as shown in Figure 3, the invention provides the system that has access to of annex in a kind of medical document, specifically comprise: hospital information system 1, local front end processor 2, data center 3 and strange land front end processor 4.Wherein, hospital information system 1 is used for after having access to medical document, sends first annex to local front end processor 2 and has access to request message, and first annex is had access to the address information of the annex that comprises in the attribute information that carries medical document in the request message and the medical document.Local front end processor 2 judges according to the attribute information of medical document whether medical document is local medical document.When judging medical document and be local medical document, then local front end processor 2 calls local annex and has access to service.When judging medical document and be not local medical document, 2 pairs first annexes of local front end processor are had access to request message and are carried out pre-process, and generate second annex and have access to request message, have access at second annex and carry address information in the request message.Local front end processor 2 is had access to request message with second annex and is transparent to data center.Data center 3 obtains the strange land front end processor information of annex correspondence according to address information, and according to strange land front end processor information second annex is had access to request message and be forwarded to strange land front end processor 4.Second annex that strange land front end processor 4 will receive is had access to request message and is sent to strange land archiving server 6.
Further, the invention provides that the system that has access to of annex can also comprise in the ground medical document: local archiving server 5 and strange land archiving server 6.Wherein, local archiving server 5 is used for the judged result according to local front end processor 2, has access to when service when calling local annex, receives first annex that local front end processor 2 transmits and has access to request message, and call local annex according to address information and have access to service.Local archiving server 5 is used for the judged result according to local front end processor 2, when calling the strange land annex and have access to service, receives second annex that data center 3 transmits and has access to request message.Strange land archiving server 6 is used for having access to address information that request message carries according to second annex that receives and calls the strange land annex and have access to service.
Further, hospital information system 1 can also be used to receive the annex of local archiving server 5 or strange land archiving server 6 transparent transmissions, and is shown to the person of having access to, and reaches the purpose that annex is finally had access to.
The invention provides the system that has access to of annex in a kind of medical document, by local front end processor, hospital information system, data center, local archiving server, strange land front end processor and strange land archiving server, make that the person of having access to not only can have access to medical document, can also have access to the annex that comprises in the medical document, for the person of having access to brings great convenience, improve the efficient of having access to of medical document, can have access to the effective utilization that has realized medical resource to local annex and strange land annex simultaneously.
It should be noted that at last: above embodiment only in order to technical scheme of the present invention to be described, is not intended to limit; Although with reference to previous embodiment the present invention is had been described in detail, those of ordinary skill in the art is to be understood that: it still can be made amendment to the technical scheme that previous embodiment is put down in writing, and perhaps part technical characterictic wherein is equal to replacement; And these modifications or replacement do not make the essence of appropriate technical solution break away from the spirit and scope of embodiment of the invention technical scheme.